Abstract
Young adults (n = 964; never married; age, 18–27 years) in Hong Kong were surveyed to obtain information about their smoking habits and sexual behaviors. Current smokers (15% of the entire sample) and those who had ever had sexual intercourse (28%) were more likely to be male, to have ended their education at secondary school, and to report less life satisfaction. After controlling for demographic and psychosocial correlates, sexual intercourse was associated with smoking status for both males and females. Among those who were sexually active, those who had multiple sexual partners, had their first sexual experience prior to age 18 years, and (for males) reported visiting massage parlors were more likely to have a history of smoking. Our findings extend those of our previous study with community adolescents in Hong Kong and suggest that smoking may be a marker for other high-risk behaviors among young Chinese adults.
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REFERENCES
Arnett, J. (1992). Reckless behavior in adolescence: A developmental perspective. Dev. Rev. 12: 339–373.
Arnett, J., and Balle-Jensen, L. (1993). Cultural bases of risk behavior: Danish adolescents. Child Dev. 64: 1842–1855.
Arnett, J., and Jensen L. A. (1994). Socialization and risk behavior in two countries: Denmark and the United States. Youth Soc. 6: 3–22.
Bauman, K. E., Foshee, V. A., and Haley, N. J. (1992). The interaction of sociological and biological factors in adolescent smoking. Addict. Behav. 17: 459–467.
Chan, H., and Lee, R. (1995). Hong Kong families: At the crossroads of modernism and traditionalism. J. Comp. Family Stud. 26: 83–99.
Cheung, F. M. (1996). Gender role development. In Lau, S. (ed.), Growing Up the Chinese Way, Chinese University Press, Hong Kong, pp. 45–68.
Chinese Culture Connection (1987). Chinese values and the search for culture-free dimensions of culture. J. Cross-Cult. Psychol. 18: 143–164.
Costa, F. M., Jessor, R., and Turbin, M. S. (1999). Transition into adolescent problem drinking: The role of psychosocial risk and protective factors. J. Stud. Alcohol 60: 480–490.
Diener, E., Emmons, R. A., Larsen, R. J., and Griffin, S. (1985). The satisfaction with life scale. J. Pers. Assess. 49: 71–75.
Ebbeck, M. (1996). Parents' expectations and child-rearing practices in Hong Kong. Early Child Dev. Care 119: 15–25.
Feldman, S. S., and Rosenthal, D. A. (1991). Age expectations of behavioural autonomy in Hong Kong, Australian and American youth: The influence of family variables and adolescents' values. Int. J. Psych. 26: 1–23.
Feldman, S., and Weinberger, D. (1994). Self-restraint as a mediator of family influences on boys' delinquent behavior: A longitudinal study. Child Dev. 65: 195–211.
Feldman, S., Rosenthal, D., Mont-Reynaud, R., Leung, K., and Lau, S. (1991). Ain't misbehavin': Adolescent values and family environments as correlates of misconduct in Australia, Hong Kong and the United States. J. Res. Adolesc. 1: 109–134.
General Household Survey (1998). Special Topics Report No. 20, Census and Statistics Department, Hong Kong.
Goldberg, D. P. (1972). The Detection of Psychiatric Illness by Questionnaire, Oxford University Press, London.
Goodwin, R., and Tang, C. (1996). Chinese personal relationships. In Bond, M. (ed.), The Handbook of Chinese Psychology, Oxford University Press, Hong Kong, pp. 294–308.
Hong, Y., Yeung, G., Chiu, C., and Tong, Y. (1999). Social comparison during political transition: Interaction of entity versus incremental beliefs and social identities. Int. J. Intercult. Relat. 23: 257–279.
Jessor, R., Donovan, J. E., and Costa, F. M. (1991). Beyond Adolescence: Problem Behavior and Young Adult Development, Cambridge University Press, New York.
Lam, T. H., Stewart, S. M., and Ho, L. M. (2001). Prevalence and correlates of smoking and sexual activity among Hong Kong adolescents. J. Adolesc. Health (in press).
Lee, P. W. H., Lam, T. H., Ong, S. G., Wang, C. M., and Kleevens, J. W. L. (1985). A modified version of the General Health Questionnaire as a measure of occupational mental health in Hong Kong. Chin. Psychol. 26: 101–106.
Orr, D. P., Beiter, M., and Ingersoll, G. (1991). Premature sexual activity as an indicator of psychosocial risk. Pediatrics 87: 141–147.
Patton, G. C., Carlin, J. B., Coffey, C., Wolfe, R., Hibbert, M., and Bowes, G. (1998). Depression, anxiety and smoking initiation: A prospective study over 3 years. Am. J. Public Health 88: 1518–1522.
Stewart, S. M., Bond, M. H., McBride-Chang, C., Fielding, R., Deeds, O., and Westrick, J. (1998a). Parent and adolescent contributors to teenage misconduct in western and Asian high school students in Hong Kong. Int. J. Behav. Dev. 22: 847–869.
Stewart, S. M., Rao, N., Bond, M. H., Fielding, R., McBride-Chang, C., and Kennard, B. D. (1998b). Chinese dimensions of parenting: Broadening western predictors and outcomes. Int. J. Psychol. 33: 345–358.
Thomas, B. H., DiCenso, A., and Griffith, L. (1998). Adolescent sexual behavior: Results from an Ontario Sample. 1. Adolescent sexual activity. Can. J. Public Health 89: 90–93.
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Lam, T.H., Stewart, S.M. & Ho, L.M. Smoking and High-Risk Sexual Behavior Among Young Adults in Hong Kong. J Behav Med 24, 503–518 (2001). https://doi.org/10.1023/A:1012227728232
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DOI: https://doi.org/10.1023/A:1012227728232