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Riad A, Huang Y, Abdulqader H, Morgado M, Domnori S, Koščík M, Mendes JJ, Klugar M, Kateeb E. Universal Predictors of Dental Students' Attitudes towards COVID-19 Vaccination: Machine Learning-Based Approach. Vaccines (Basel) 2021; 9:1158. [PMID: 34696266 PMCID: PMC8539257 DOI: 10.3390/vaccines9101158] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 10/01/2021] [Accepted: 10/08/2021] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND young adults represent a critical target for mass-vaccination strategies of COVID-19 that aim to achieve herd immunity. Healthcare students, including dental students, are perceived as the upper echelon of health literacy; therefore, their health-related beliefs, attitudes and behaviors influence their peers and communities. The main aim of this study was to synthesize a data-driven model for the predictors of COVID-19 vaccine willingness among dental students. METHODS a secondary analysis of data extracted from a recently conducted multi-center and multi-national cross-sectional study of dental students' attitudes towards COVID-19 vaccination in 22 countries was carried out utilizing decision tree and regression analyses. Based on previous literature, a proposed conceptual model was developed and tested through a machine learning approach to elicit factors related to dental students' willingness to get the COVID-19 vaccine. RESULTS machine learning analysis suggested five important predictors of COVID-19 vaccination willingness among dental students globally, i.e., the economic level of the country where the student lives and studies, the individual's trust of the pharmaceutical industry, the individual's misconception of natural immunity, the individual's belief of vaccines risk-benefit-ratio, and the individual's attitudes toward novel vaccines. CONCLUSIONS according to the socio-ecological theory, the country's economic level was the only contextual predictor, while the rest were individual predictors. Future research is recommended to be designed in a longitudinal fashion to facilitate evaluating the proposed model. The interventions of controlling vaccine hesitancy among the youth population may benefit from improving their views of the risk-benefit ratio of COVID-19 vaccines. Moreover, healthcare students, including dental students, will likely benefit from increasing their awareness of immunization and infectious diseases through curricular amendments.
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Affiliation(s)
- Abanoub Riad
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic; (M.K.); (M.K.)
- International Association of Dental Students (IADS), 1216 Geneva, Switzerland; (H.A.); (M.M.); (S.D.)
- Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic
| | - Yi Huang
- Department of Psychology, Faculty of Social Studies, Masaryk University, 602 00 Brno, Czech Republic;
- Institute for Research of Children, Youth and Family, Faculty of Social Studies, Masaryk University, 602 00 Brno, Czech Republic
| | - Huthaifa Abdulqader
- International Association of Dental Students (IADS), 1216 Geneva, Switzerland; (H.A.); (M.M.); (S.D.)
| | - Mariana Morgado
- International Association of Dental Students (IADS), 1216 Geneva, Switzerland; (H.A.); (M.M.); (S.D.)
- Clinical Research Unit (CRU), Egas Moniz Cooperativa de Ensino Superior, 2829-511 Almada, Portugal;
| | - Silvi Domnori
- International Association of Dental Students (IADS), 1216 Geneva, Switzerland; (H.A.); (M.M.); (S.D.)
| | - Michal Koščík
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic; (M.K.); (M.K.)
| | - José João Mendes
- Clinical Research Unit (CRU), Egas Moniz Cooperativa de Ensino Superior, 2829-511 Almada, Portugal;
| | - Miloslav Klugar
- Department of Public Health, Faculty of Medicine, Masaryk University, 625 00 Brno, Czech Republic; (M.K.); (M.K.)
- Czech National Centre for Evidence-Based Healthcare and Knowledge Translation (Cochrane Czech Republic, Czech EBHC: JBI Centre of Excellence, Masaryk University GRADE Centre), Institute of Biostatistics and Analyses, Faculty of Medicine, Masaryk University, Kamenice 5, 625 00 Brno, Czech Republic
| | - Elham Kateeb
- Oral Health Research and Promotion Unit, Faculty of Dentistry, Al-Quds University, Jerusalem 510 00, Palestine;
- Public Health Committee, World Dental Federation (FDI), 1216 Geneva, Switzerland
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Downing MA, Bazzi MO, Vinicky ME, Lampasona NV, Tsvyetayev O, Mayrovitz HN. Dietary views and habits of students in health professional vs. non-health professional graduate programs in a single university. J Osteopath Med 2021; 121:377-383. [PMID: 33694352 DOI: 10.1515/jom-2020-0178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2020] [Accepted: 08/21/2020] [Indexed: 11/15/2022]
Abstract
CONTEXT Students enrolled in health professional (HP) programs receive varying amounts of credit hours dedicated to nutritional education, and obesity remains an issue in the United States among healthcare providers. OBJECTIVES To assess whether HP students differ in nutrition and exercise habits from non-health professional (NHP) students at a single university, and whether any gender-related differences existed in those habits. METHODS From September 25, 2018 to October 10, 2019, a 16-question multiple-choice survey was distributed via e-mail or in person to HP and NHP students enrolled at Nova Southeastern University (NSU) in Fort Lauderdale, Florida. Questions targeted participant dietary and exercise habits. Each question had five multiple-choice answer options, each of which was assigned a coded value to compare similarities and differences between the HP and NHP groups. RESULTS Of 732 responses (569 HP, 163 NHP), results showed no statistically significant difference between enrollment groups (p>0.05) in any response parameter including consumption of sweets, fast food, red meat, caffeine, water, fruit, and vegetables. Comparisons among sexes demonstrated significant differences. Women consumed less red meat, water, and protein, and women participated in less exercise compared to men. Women also consumed more sweets compared to men. CONCLUSIONS Results suggest that NSU students enrolled in HP and NHP programs have similar nutritional concepts and eating habits. This may indicate a need to strengthen nutritional education in dietary health and wellness for HP students.
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Affiliation(s)
- Michael A Downing
- Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Michael O Bazzi
- Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Mark E Vinicky
- Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Nicholas V Lampasona
- Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Oleg Tsvyetayev
- Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
| | - Harvey N Mayrovitz
- Dr. Kiran C. Patel College of Allopathic Medicine, Nova Southeastern University, Fort Lauderdale, FL, USA
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Lee HL, Lin YC, Peng WD, Hu CY, Lee CH, Hsu YJ, Yen YY, Huang HL. Effectiveness of a theory of planned behavior-based intervention for promoting periodontal preventive behaviors among medical students in Taiwan. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:883-890. [PMID: 31287783 DOI: 10.1080/07448481.2019.1628029] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Revised: 02/17/2019] [Accepted: 06/03/2019] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To evaluate the effectiveness of an oral self-care education intervention based on the Theory of Planned Behavior in Taiwanese undergraduates. PARTICIPANTS We recruited 63 and 90 students in the experimental group (EG) and comparison group (CG), respectively, from a medical university. METHODS A quasi-experimental design was employed. The EG received health education and a brief action and coping planning intervention. RESULTS The EG was significantly more likely to brush for more than 3 minutes (adjusted odds ratio [aOR] = 2.52), use the modified Bass brushing technique (aOR = 7.81), and floss (aOR = 21.21) at the 2-week follow-up than was the CG. At the 6-week follow-up, the combined effect of high action and coping planning with high perceived power for predicting floss use was observed in the EG (p < 0.05). CONCLUSIONS Intervention may promote periodontal-disease-preventing behaviors in undergraduates, particularly for achieving adherence to daily flossing.
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Affiliation(s)
- Huei-Lan Lee
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Ying-Chun Lin
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Wu-Der Peng
- Department of Medical Sociology and Social Work, College of Humanities and Social Science, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Chih-Yang Hu
- Department of Environmental & Occupational Health Sciences, School of Public Health, Health Science Center, Louisiana State University, New Orleans, LA, USA
| | - Chien-Hung Lee
- Department of Public Health, College of Health Sciences, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Yuan-Jung Hsu
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Yea-Yin Yen
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Hsiao-Ling Huang
- Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
- Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
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Belingheri M, Facchetti R, Scordo F, Butturini F, Turato M, De Vito G, Cesana G, Riva MA. Risk behaviors among Italian healthcare students: a cross-sectional study for health promotion of future healthcare workers. LA MEDICINA DEL LAVORO 2019; 110:155-162. [PMID: 30990476 PMCID: PMC7809966 DOI: 10.23749/mdl.v110i2.7573] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Accepted: 01/31/2019] [Indexed: 11/25/2022]
Abstract
Background: Risk behaviors are frequent among young adults and they are particularly relevant when considering healthcare students. Objectives: The study is aimed to examine the prevalence of smoking, binge drinking, physical inactivity, and excessive bodyweight in a population of healthcare students attending an Italian university. Methods: Healthcare students filled an anonymous multiple-choice questionnaire on the occasion of the occupational health visit that preceded their hospital internship. The questionnaire covered socio-demographic characteristics (including student’s working status and cohabitation) and risk behaviors. We evaluated the prevalence of risk behaviors and their association with socio-demographic characteristics. Results: The sample consisted of 494 students (65% women): 23.2% were smokers, 7.9% had excessive bodyweight, 35% did not practice any physical activity and 50% reported binge drinking at least once in the last 12 months. We found associations of male sex (30.5%) and being nursing students (29.9%) with smoking habit. The frequency of binge drinking was higher in men (38.4%), working students (53.9%), and among those who lived without family (50%). Physical inactivity was associated with female sex (44.2%) and living without family (57.1%). Finally, the co-presence of 2 risk behaviors or more was higher in men (36.8%), in nursing students (39.6%) and in working students (44.7%). Conclusions: Our findings regarding the prevalence of risk behaviors and their potential association with socio-demographic factors may be a clue to the definition of targeted strategies aimed at reducing of risk behaviors among healthcare students.
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Tavolacci MP, Delay J, Grigioni S, Déchelotte P, Ladner J. Changes and specificities in health behaviors among healthcare students over an 8-year period. PLoS One 2018; 13:e0194188. [PMID: 29566003 PMCID: PMC5863977 DOI: 10.1371/journal.pone.0194188] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 02/19/2018] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Healthcare students are future health care providers and serve as role models and coaches to enhance behaviors for healthy lifestyles. However healthcare students face multiple stressors that could lead to adopting risk behaviors. OBJECTIVES To assess the changes in health risk factors among healthcare students between 2007 and 2015, and to identify specific health behaviors based on the curriculum in a population of healthcare students. METHODS Two cross sectionnal studies were conducted in 2007 and 2015 among nursing, medical, pharmacy, and physiotherapy students (Rouen, France). During compulsory courses and examination sessions students filled self-administered questionnaires on socio-demographic characteristics and behavior as: tobacco smoking, alcohol consumption, cannabis consumption, eating disorders, regular practice of sport, perceived health, stress and use of psychotropic drugs. RESULTS 2,605 healthcare students were included (1,326 in 2007 and 1,279 in 2015), comprising 1,225 medical students (47.0%), 738 nursing students (28.3%), 362 pharmacy students (13.9%), and 280 physiotherapy students (10.8%). Between 2007 and 2015, occasional binge drinking and regular practice of sport increased significantly among healthcare students, respectively AOR = 1.48 CI95% (1.20-1.83) and AOR = 1.33 CI95% (1.11-1.60), regular cannabis consumption decreased significantly, AOR = 0.32 CI95% (0.19-0.54). There was no change in smoking or overweight/obese. There was a higher risk of frequent binge drinking and a lower risk of tobacco smoking in all curricula than in nursing students. Medical students practiced sport on a more regular basis, were less overweight/obese, had fewer eating disorders than nursing students. CONCLUSION Our findings demonstrate a stable frequency of classic behaviors as smoking but a worsening of emerging behaviors as binge drinking among healthcare students between 2007 and 2015. Health behaviors differed according to healthcare curricula and nursing students demonstrated higher risks. As health behaviors are positively related to favorable attitudes towards preventive counseling, therefore healthcare students should receive training in preventive counseling and develop healthy lifestyles targeted according to the health curriculum.
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Affiliation(s)
- M. P. Tavolacci
- Clinical Investigation Center 1404, IRIB, Rouen University Hospital, Rouen, France
- Rouen University Hospital, Inserm U1073, IRIB, Rouen, France
| | - J. Delay
- Rouen University Hospital, Department of Nutrition, Rouen, France
| | - S. Grigioni
- Rouen University Hospital, Inserm U1073, IRIB, Rouen, France
- Rouen University Hospital, Department of Nutrition, Rouen, France
| | - P. Déchelotte
- Rouen University Hospital, Inserm U1073, IRIB, Rouen, France
- Rouen University Hospital, Department of Nutrition, Rouen, France
| | - J. Ladner
- Rouen University Hospital, Inserm U1073, IRIB, Rouen, France
- Rouen University Hospital, Department of Epidemiology and Health Promotion, Rouen, France
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Yu Y, Yang Y, Li Z, Zhou B, Zhao Y, Yuan S, Zhang R, Sebranek M, Veerman L, Li M, Gong E, Chen S, Ma W, Huang L, Cho K, Leeder S, Yan L. The association between medical students' lifestyles and their attitudes towards preventive counseling in different countries. BMC Public Health 2015; 15:1124. [PMID: 26566890 PMCID: PMC4644286 DOI: 10.1186/s12889-015-2458-y] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 10/26/2015] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Preventive counselling is an effective approach to reducing the prevalence of non-communicable diseases. Studies have shown that there is a positive association between healthy behaviors of Colombian medical students and favorable attitudes towards preventive counselling. However, there is limited research that explores this relationship in different countries. The current study aimed to determine how the health behaviors of medical students from China, U.S., and Australia, are associated with attitudes towards preventive counseling. METHODS Students from five Chinese medical schools, Duke University in the U.S., and the University of Queensland in Australia, completed a 32-item, self-reported online survey. The survey was used to examine the prevalence of healthy behaviors and their association with attitudes towards preventive counseling. The target sample size was 150 students from each grade, or 450 students in total from different medical universities. Logistic regression analyses were used to assess the association between health behaviors and attitudes towards preventive counseling, stratified by grade and adjusted by gender. RESULTS A positive association was found between healthy behaviors and attitudes towards preventive counseling for all medical students. There are significant differences among medical students' self-reported health behaviors and their attitudes towards preventive counselling from three different countries (P < 0.05). Chinese medical students were more positive in stress control (OR > 1) and more passive in limiting their smoking and alcohol behaviors compared to medical students in Duke University. However, compared to medical students in University of Queensland, five Chinese medical students were more passive in stress control (OR < 1). CONCLUSION Based on the finding that healthy behaviors are positively related to favorable attitudes towards preventative counselling, medical students should adopt targeted courses and training in preventive counseling and develop healthy lifestyles.
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Affiliation(s)
- Yan Yu
- Xi'an Jiaotong University School of Medicine, No.76#, West Yanta Road, Xi'an, 710061, Shaanxi, China.
| | - Yuxuan Yang
- Xi'an Jiaotong University School of Medicine, No.76#, West Yanta Road, Xi'an, 710061, Shaanxi, China.
| | - Zhifang Li
- Changzhi Medical College, Changzhi, Shanxi Province, China.
| | - Bo Zhou
- First Hospital of China Medical University, Shenyang, Liaoning Province, China.
| | - Yi Zhao
- Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region, China.
| | - Shen Yuan
- Xi'an Jiaotong University School of Medicine, No.76#, West Yanta Road, Xi'an, 710061, Shaanxi, China.
| | - Ruijuan Zhang
- Xi'an Jiaotong University School of Medicine, No.76#, West Yanta Road, Xi'an, 710061, Shaanxi, China.
| | | | - Lennert Veerman
- School of Public Health, the University of Queensland, St Lucia, Brisbane, Australia.
| | - Mu Li
- School of Public Health, the University of Sydney, Sydney, Australia.
| | - Enying Gong
- Children's Hospital Los Angeles, Los Angeles, CA, USA.
| | - Shu Chen
- Children's Hospital Los Angeles, Los Angeles, CA, USA.
| | - Wenjie Ma
- Children's Hospital Los Angeles, Los Angeles, CA, USA.
| | - Liping Huang
- School of Public Health, the University of Sydney, Sydney, Australia.
| | - KaWing Cho
- Children's Hospital Los Angeles, Los Angeles, CA, USA.
| | - Stephen Leeder
- Menzies Centre for Health Policy, School of Public Health, the University of Sydney, Sydney, Australia.
| | - Lijing Yan
- Duke Global Health Institutesss, Duke University, Durham, USA.
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