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Background <p>The Co-occurrence of Health Risk Behaviors (ACEs) among adolescents has become a significant public health issue that urgently needs to be addressed. This study aims to investigate the prevalence of Co-occurrence of Health Risk Behaviors among adolescents and to explore the mediating role of self-efficacy (SE) and self-control (SC) in the relationship between adverse childhood experiences and Co-occurrence of Health Risk Behaviors (CHRBs). </p> Methods <p>A total of 7901 adolescents in China were surveyed using the following instruments: the Adolescent Health Risk Behaviors Survey Questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the Mobile Phone Addiction Index (MPAI), the Adverse Childhood Experiences Questionnaire (ACEQ), the General Self-Efficacy Scale (GSES), and the Self-Control Scale (SCS). Data were analyzed using SPSS 25.0 software.</p> Results <p>(1) Adverse childhood experiences significantly and positively predicted Co-occurrence of Health Risk Behaviors among adolescents (<i>p</i> &lt; 0.05). (2) Adverse childhood experiences indirectly influenced Co-occurrence of Health Risk Behaviors through the partial mediating effects of self-efficacy and self-control (<i>p</i> &lt; 0.05). (3) Adverse childhood experiences also indirectly influenced Co-occurrence of Health Risk Behaviors through the chained mediating effects of self-efficacy and self-control (<i>p</i> &lt; 0.05).</p> Conclusions <p>This study further elucidates the relationship between adverse childhood experiences and Co-occurrence of Health Risk Behaviors among adolescents, as well as the chained mediating role of self-efficacy and self-control. These findings confirm the mechanism by which adverse childhood experiences influence Co-occurrence of Health Risk Behaviors. The results suggest that creating a favorable living environment for children and adolescents should become a societal consensus. Additionally, when intervening with adolescents who exhibit problematic behaviors, it is important to focus on enhancing their self-efficacy and self-control to mitigate the long-term impact of adverse childhood experiences.</p>

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The association between adverse childhood experiences and co-occurrence of health risk behaviors in adolescents: the chained mediating role of self-efficacy and self-control

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月24日

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  • Tao Xu,
  • Yongsheng Wang,
  • Zhengying Han,
  • Lvhao Liu,
  • Jiajia Chen

摘要

Background

The Co-occurrence of Health Risk Behaviors (ACEs) among adolescents has become a significant public health issue that urgently needs to be addressed. This study aims to investigate the prevalence of Co-occurrence of Health Risk Behaviors among adolescents and to explore the mediating role of self-efficacy (SE) and self-control (SC) in the relationship between adverse childhood experiences and Co-occurrence of Health Risk Behaviors (CHRBs).

Methods

A total of 7901 adolescents in China were surveyed using the following instruments: the Adolescent Health Risk Behaviors Survey Questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the Mobile Phone Addiction Index (MPAI), the Adverse Childhood Experiences Questionnaire (ACEQ), the General Self-Efficacy Scale (GSES), and the Self-Control Scale (SCS). Data were analyzed using SPSS 25.0 software.

Results

(1) Adverse childhood experiences significantly and positively predicted Co-occurrence of Health Risk Behaviors among adolescents (p < 0.05). (2) Adverse childhood experiences indirectly influenced Co-occurrence of Health Risk Behaviors through the partial mediating effects of self-efficacy and self-control (p < 0.05). (3) Adverse childhood experiences also indirectly influenced Co-occurrence of Health Risk Behaviors through the chained mediating effects of self-efficacy and self-control (p < 0.05).

Conclusions

This study further elucidates the relationship between adverse childhood experiences and Co-occurrence of Health Risk Behaviors among adolescents, as well as the chained mediating role of self-efficacy and self-control. These findings confirm the mechanism by which adverse childhood experiences influence Co-occurrence of Health Risk Behaviors. The results suggest that creating a favorable living environment for children and adolescents should become a societal consensus. Additionally, when intervening with adolescents who exhibit problematic behaviors, it is important to focus on enhancing their self-efficacy and self-control to mitigate the long-term impact of adverse childhood experiences.