ArticleBMC public health2024
The relationship between cumulative ecological risk and health risk behaviors among Chinese adolescents.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Cumulative ecological risk, dysfunctional beliefs and attitudes about sleep, and sleep quality among Chinese adolescents: the indirect association of psychological distress.Frontiers in psychology · 2026Article
- Chain relationship between cumulative ecological risk and physical activity pattern on college students mediated by exercise atmosphere and self-control.Scientific reports · 2025Article
- Does accumulated family risk inhibit adolescent physical activity at home? An examination with a longitudinal latent growth model.BMC public health · 2025Article
- Patterns of health-risk behaviors among Chinese adolescents during the COVID-19 pandemic: a latent class analysis.BMC public health · 2025Article
- Co-occurrence and clustering characteristics of health risk behaviors among older adults in China.Frontiers in public health · 2025Article
- Reducing alcohol consumption among adolescents: intervention strategies by Chinese healthcare professionals.Frontiers in public health · 2025Article
- Childhood maltreatment and alcohol and tobacco use trajectories in rural Chinese adolescents.Child and adolescent psychiatry and mental health · 2024Article
- Effects of physical exercise on adolescent short video addiction: A moderated mediation model.Heliyon · 2024Article
- The roles of psychological needs satisfaction and impulsivity to parent-child conflict and non-suicidal self-injury.Frontiers in psychiatry · 2024Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo explore the relationship between cumulative ecological risk and individual risky behavior and multiple forms of aggregated behaviors among adolescents, and examine the gender differences.
methodsA large-scale, nationally representative, and students-based investigation was conducted in rural and urban areas of eight provinces in China from October to December 2021. A total of 22 868 adolescents with an average age of 14.64 years completely standardized questionnaire in which the sociodemographic characteristics, socio-ecological risk factors and risky behaviors were used to analyze.
resultsOf included students, 48.4% encountered the high level of social-ecological risk. The prevalence of breakfast intake not daily, alcohol use (AU), smoking, physical inactivity, prolonged screen time (ST) on weekdays and weekends, suicidal ideation, suicidal plan, suicidal attempt, and non-suicidal self-injury (NSSI) was 41.0%, 11.9%, 3.4%, 61.9%, 15.1%, 51.1%, 27.7%, 13.9%, 6.5% and 27.0% respectively. 22.2% of participants engaged in high-risk behaviors. All were significantly influences of increased cumulative ecological risk on individual behavior and low-risk clustering behaviors separately. The odds ratio of breakfast intake not daily, AU, smoking, physical inactivity, prolonged ST in weekday and weekend, suicidal ideation, suicidal plan, suicidal attempt, and NSSI for the adjusted model in low versus high level of cumulative ecological risk was respectively significant in both boy and girls, and the ratio of odds ratios (ROR) was separately 0.95 (p = 0.228), 0.67 (p < 0.001), 0.44 (p < 0.001), 0.60 (p < 0.001), 0.78 (p = 0.001), 0.83 (p = 0.001), 0.80 (p = 0.001), 0.83 (p = 0.022), 0.71 (p = 0.005), 0.75 (p = 0.001). Girls encountering a high level of cumulative ecological risk were more likely to engage in multiple forms of clustering risky behaviors than boys (RORs: 0.77, p = 0.001).
conclusionsResearch and effective inventions at the social-ecological environment, based on the view of cumulative risk, are needed to promote the healthy development of behaviors in adolescence, and pay more attention to decreasing the occurrence of risky behaviours in girls than boys.
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