Kent School of Social Work and Family Science, University of Louisville, Louisville, KY 40292, USA.
Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA.
Int J Environ Res Public Health. 2022 Oct 13;19(20):13194. doi: 10.3390/ijerph192013194.
Research has documented that adverse childhood experiences (ACEs) significantly impact young people's risky behaviors. Yet, few studies have explored if individuals' perceived stress mediates the association between ACEs and risky behaviors; also if social support moderates the pathways from ACEs to risky behaviors through perceived stress. This study aimed to assess the mediation effect of perceived stress and the moderation effect of social support in the study of ACEs and risky behaviors. This study sample includes 1091 Chinese rural young people. A web-based survey was used to assess demographic information, ACEs, perceived stress, social support, and seven types of risky behaviors. Multivariate regression models were run to test associations between ACEs and different risky behaviors while controlling for confounding variables. The mediation model (Model 4) and the moderated mediation model (Model 58) were also performed using the PROCESS macro. Multivariate regression results showed that, with increasing ACEs values, there was an increased likelihood of all risky behaviors. The moderated mediation analysis confirmed that perceived stress mediated the linkage between ACEs and risky behaviors. However, no significant moderating effect of social support was found. The study findings indicate that ACEs, risky behaviors, and perceived stress are significant public health problems among rural Chinese young people. Culturally appropriate prevention and intervention programs and services need to be implemented to address these issues and promote rural Chinese young people's wellbeing and development.
研究表明，不良的童年经历（ACEs）会对年轻人的危险行为产生重大影响。然而，很少有研究探讨个体感知到的压力是否在 ACEs 和危险行为之间的关联中起中介作用；也很少有研究探讨社会支持是否通过感知压力来调节 ACEs 与危险行为之间的关系。本研究旨在评估感知压力的中介作用和社会支持的调节作用在 ACEs 和危险行为研究中的作用。本研究样本包括 1091 名中国农村青年。采用基于网络的调查评估了人口统计学信息、ACEs、感知压力、社会支持以及七种类型的危险行为。多元回归模型用于测试 ACEs 与不同危险行为之间的关联，同时控制混杂变量。还使用 PROCESS 宏进行了中介模型（模型 4）和调节中介模型（模型 58）的分析。多元回归结果表明，随着 ACEs 值的增加，所有危险行为的可能性都增加了。调节中介分析证实，感知压力中介了 ACEs 与危险行为之间的联系。然而，没有发现社会支持的显著调节作用。研究结果表明，ACEs、危险行为和感知压力是中国农村青年中重要的公共卫生问题。需要实施文化上适当的预防和干预计划和服务，以解决这些问题，促进中国农村青年的福祉和发展。
