Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/36400
Title: Multi-dimensional self-esteem and substance use among Chinese adolescents
Authors: Wu, CST 
Wong, HT
Shek, CHM
Loke, AY 
Keywords: Alcohol
Child & adolescent health
Drugs
Smoking
Substance use
Tobacco
Issue Date: 2014
Publisher: BioMed Central
Source: Substance abuse : treatment, prevention, and policy, 2014, v. 9, no. 1, 42 How to cite?
Journal: Substance abuse : treatment, prevention, and policy 
Abstract: Background: Substance use among adolescents has caused worldwide public health concern in recent years. Overseas studies have demonstrated an association between adolescent self-esteem and substance use, but studies within a Chinese context are limited. A study was therefore initiated to: (1) explore the 30 days prevalence of substance use (smoking, drinking, and drugs) among male and female adolescents in Hong Kong; (2) identify the significant associations between multidimensional self-esteem and gender; and (3) examine the relationship between multi-dimensional self-esteem and substance use.
Methods: A self-esteem scale and the Chinese version of the global school-based student health survey were adopted. A total of 1,223 students were recruited from two mixed-gender schools and one boys' school.
Results: Among females, there was a lower 30-day prevalence of cigarette, alcohol, and drug use. They also had significantly higher peer and family self-esteem but lower sport-related self-esteem. Body image self-esteem was a predictor of alcohol use among females, while peer and school self-esteem were predictors of drug use among males.
Conclusions: In summary, the findings demonstrated the influence of self-esteem to the overall well-being of adolescents. Schools could play a role in promoting physical fitness and positive relationships between adolescents and their peers, family, and schools to fulfill their physical and psychological self-esteem needs.
URI: http://hdl.handle.net/10397/36400
ISSN: 1747-597X
DOI: 10.1186/1747-597X-9-42
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