To explore the relationship between lifestyle, self-esteem and life satisfaction among Chinese adolescents.
10 899 adolescents in middle schools and colleges from 9 provinces in China were investigated by using Chinese Adolescent Lifestyle Scale (CALS), Rosenberg Self-Esteem Scale (SES).
The distribution of adolescents in the four groups divided by lifestyle and life satisfaction scores were different regarding the area and grade of these students(chi(2)=248.93, P<0.01;chi(2)=568.53, P<0.01). A high percentage of adolescents in cities (58.9%) reported a healthy life style with high life satisfaction while most adolescents in rural areas (58.9%) reported poor life styles with little satisfaction. A high percentage of junior high school students (61.8%) reported a healthy life style with high life satisfaction, but this percentage among senior high school and college students was down to 48.5% and 21.3% respectively. About 7.6% of senior high school students reported a healthy life style but poor satisfaction, a little higher than that of junior high school students (4.1%) and college students (3.6%). Moreover, there were 71.6% college students reported that they lead a poor life style with little satisfaction. The lifestyle is significantly correlated with self-esteem (r=0.472, P<0.01) and life satisfaction(r=0.636, P<0.01), and self-esteem is also significantly correlated with life satisfaction (r=0.450, P<0.01). self-esteem was the mediator of the other two parameters.
The lifestyle predicts life satisfaction through self-esteem. Area and grade differences have to be taken into consideration when introducing programs on health promotion, and attention should be attached to the influence of psychological factors.
[Show abstract][Hide abstract] ABSTRACT: Purpose:
China has the highest excess of male births in the world at 118 to every 100 female, with a current excess of 20 million men of reproductive age. The impact on the psychological well-being of the large numbers of men who will never marry is unclear. This study was carried out to test the hypothesis that older never-married men are more predisposed to depression, low self-esteem and aggression.
The study was a cross-sectional survey using a self-completion questionnaire conducted in high sex ratio rural areas of Yunnan and Guizhou provinces. The tools used were the Beck Depression Inventory, Rosenberg's Self-Esteem Scale and the Bryant-Smith Aggression questionnaire.
A total of 1,059 never-married men and 1,066 married men aged 30-40 completed questionnaires. Never-married men were financially poorer and had lower education levels than married ones. After adjusting for age, education and income, never-married men were significantly more likely to have lower self-esteem scores (P < 0.001), higher depression scores (P < 0.001), higher aggression scores (P < 0.001) and were more likely to have suicidal thoughts or wishes (P < 0.001) than married men.
The high prevalence of severe depression and suicide ideation in these men is of particular concern. In rural China mental health services are currently very sparse, but rural doctors could be trained to use a check score to identify severe depression, and refer as appropriate to specialist services.
Social Psychiatry 12/2012; 48(8). DOI:10.1007/s00127-012-0638-y · 2.54 Impact Factor
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