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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
Substance use
Issue Date: 2014
Publisher: BioMed Central
Source: Substance abuse : treatment, prevention, and policy, 2014, v. 9, 42, p. 1-8 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.
ISSN: 1747-597X
DOI: 10.1186/1747-597X-9-42
Rights: © 2014 WU et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public DomainDedication waiver ( applies to the data made available in this article,unless otherwise stated.
The following publication Wu, C. S. T., Wong, H. T., Shek, C. H. M., & Loke, A. Y. (2014). Multi-dimensional self-esteem and substance use among Chinese adolescents. Substance Abuse: Treatment, Prevention, and Policy, 9, 42, 1-8 is available at
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