[Show abstract][Hide abstract] ABSTRACT: The associations among stress and adolescent smoking, alcohol use, and depression have been well documented in the United
States, but few studies have evaluated the evidence for these associations in Asian cultures. This study developed a scale
of stressful life events among 7th-grade adolescents in Wuhan, China. The events reported as most frequent involved bad grades
or punishment at school, and the events reported as most severe involved disruptions in family life, such as death, divorce,
or disability of parents. Associations were observed between life events (especially negative school-related events) and smoking,
alcohol use, and depressive symptoms. Results indicate that school-related stress may lead to substance use and mental health
problems among Chinese adolescents.
Full-text · Article · Mar 2001 · International Journal of Behavioral Medicine