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Kovács E, Rekenyi V, Nánási A, Szepesi CI, Indrayathi PA, Horváth N, Csirmaz A, Marjai G, Róbert KL. Lifestyle Medicine in Focus: A Cross-Sectional Study Comparing Domestic and International Students. Healthcare (Basel) 2024; 12:1151. [PMID: 38891226 PMCID: PMC11171708 DOI: 10.3390/healthcare12111151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2024] [Revised: 05/30/2024] [Accepted: 06/04/2024] [Indexed: 06/21/2024] Open
Abstract
This study investigated lifestyle factors among Hungarian and international students, utilizing lifestyle medicine principles to enhance overall well-being. Conducted at the University of Debrecen through a cross-sectional survey, we examined selected lifestyle factors, more specifically sleep patterns, weight management, nutrition, physical activity, mental well-being, and alcohol use. Hungarian (N = 122) and international (N = 139) students were compared, revealing significant differences. Hungarian students slept less (p = 0.041), desired weight loss (p = 0.040), ate more fruits and vegetables (p = 0.014), exercised longer (p = 0.002), and reported higher purpose and social support (p = 0.009), with higher alcohol use (p < 0.001). These findings highlight distinct experiences and challenges faced by these student groups including variations in sleep, weight management, diet, exercise, and social support. Targeted interventions and tailored support are essential to address their specific needs. To promote the well-being of both Hungarian and international students, educational programs addressing various facets of a healthy lifestyle are crucial. This study offers valuable insights into lifestyle factors and health outcomes among Hungarian and international students and underscores the importance of addressing the unique needs of each group through tailored interventions.
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Affiliation(s)
- Eszter Kovács
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Viktor Rekenyi
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Anna Nánási
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Csongor István Szepesi
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Putu Ayu Indrayathi
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
| | - Nóra Horváth
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Angéla Csirmaz
- Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Gréta Marjai
- Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
| | - Kolozsvári László Róbert
- Doctoral School of Health Sciences, University of Debrecen, 4032 Debrecen, Hungary (A.N.); (P.A.I.)
- Department of Family and Occupational Medicine, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
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Hernández Dubon RE, Willis K, Moreno O, Everhart RS, Corona R. Does Religious Commitment Mediate the Association Between Acculturative Stress and Latinx Young Adults’ Tobacco Use? JOURNAL OF CROSS-CULTURAL PSYCHOLOGY 2022. [DOI: 10.1177/00220221221093814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Tobacco use is a public health priority in the Latinx community. Identifying factors associated with less tobacco use could help inform community-based prevention efforts. The present study examined whether religious commitment (intrapersonal and interpersonal) mediated the association between acculturative stress and tobacco use among 224 Latinx young adults. Participants completed a battery of measures that included cultural stressors, religious commitment, and tobacco use. Controlling for age and gender, mediation analyses revealed a significant indirect effect in that acculturative stress predicted greater intrapersonal religious commitment, which in turn predicted less tobacco use. There was no direct relationship between acculturative stress and tobacco use. Interpersonal religious commitment was negatively related to tobacco use, but did not mediate the association between acculturative stress and tobacco use. Findings support the need for initiatives to decrease tobacco use among Latinx young adults that include a focus on intrapersonal religious commitment in response to acculturative stress.
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Sa J, Samuel T, Chaput JP, Chung J, Grigsby-Toussaint DS, Lee J. Sex and racial/ethnic differences in sleep quality and its relationship with body weight status among US college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:704-711. [PMID: 31039082 DOI: 10.1080/07448481.2019.1594829] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 12/19/2018] [Accepted: 03/11/2019] [Indexed: 06/09/2023]
Abstract
Objective: To examine sex and racial/ethnic differences in sleep quality and the association between sleep quality and body weight status among US college students. Participants: A nationally representative sample (N = 324,767) of college students from 2011 to 2015. Methods: A secondary data analysis of cross-sectional data. Results: Women showed poorer sleep quality (nights per week getting enough sleep to feel rested) than men (4.00 versus 4.34 days; p < .001). In both men and women, compared with non-Hispanic whites, racial/ethnic minorities showed lower sleep quality (p < .001). Compared with normal weight participants, overweight participants had poorer sleep quality (p = .007) among men, and both overweight (p = .004) and obese participants (p < .001) had lower sleep quality among women. Conclusions: Understanding sex and racial/ethnic sleep differences and the association between sleep and body weight status is important for colleges to promote college students' healthy sleep.
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Affiliation(s)
- Jaesin Sa
- College of Education and Health Sciences, Touro University, Vallejo, California, USA
| | - Tonya Samuel
- College of Nursing and Public Health, Adelphi University, Garden City, New York, USA
| | - Jean-Philippe Chaput
- Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada
| | - Joon Chung
- Department of Sociology, Emory University, Atlanta, Georgia, USA
| | - Diana S Grigsby-Toussaint
- Department of Kinesiology and Community Health, Division of Nutritional Sciences, University of Illinois Urbana-Champaign, Champaign, Illinois, USA
| | - Jounghee Lee
- Department of Nutrition Education, Graduate School of Education, Kyonggi University, Suwon-si, Gyeonggi-do, South Korea
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Kim YK, Cronley C. Acculturative stress and binge drinking among international students in the United States: Resilience and vulnerability approaches. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:207-218. [PMID: 30570443 DOI: 10.1080/07448481.2018.1538998] [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: 09/21/2017] [Revised: 09/15/2018] [Accepted: 10/14/2018] [Indexed: 06/09/2023]
Abstract
Objective: While international students frequently face behavioral health risks due to the stress of adjusting to new cultures, many demonstrate effective coping skills that minimize negative outcomes. The current study tested the mediating effects of resilience and mental health on the relationship between acculturative stress and binge drinking. Participants: International students (N = 322) in the United States. Methods: A cross-sectional design using both online and paper-based survey was implemented. Structural equation modeling was conducted to test the hypothesized mediation model. Results: The results showed good model fit, with resilience mediating the relationship between acculturative stress and binge drinking in the conceptual model. Conclusions: Behavioral health problems and needs of international students are prevalent themes in social work practice; this study, therefore, has practical implications for U.S. colleges and universities as they make decisions about programs and services.
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Affiliation(s)
- Youn Kyoung Kim
- School of Social Work, Louisiana State University, Baton Rouge, Louisiana, USA
| | - Courtney Cronley
- School of Social Work, University of Texas, Arlington, Texas, USA
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Zvolensky MJ, Shepherd JM, Bakhshaie J, Peraza N, Garey L, Mayorga NA, Berger-Cardoso J. Acculturative Stress, Anxiety Sensitivity, and Smoking among Spanish-Speaking Latinx Adult Smokers. Subst Use Misuse 2020; 55:1086-1096. [PMID: 32133900 DOI: 10.1080/10826084.2020.1729195] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Objectives: Although acculturative stress is a known individual difference factor related to poor health, little is understood about its relationship to smoking among Latinx adults. One transdiagnostic factor that may serve a mediational role in the relation between acculturative stress and smoking is anxiety sensitivity. The current study evaluated whether anxiety sensitivity mediated the relations between acculturative stress and smoking among a large sample of adult Spanish-speaking Latinx smokers. Method: Participants were 359 Spanish-speaking Latinx daily smokers (58.8% female, Mage= 33.2 years, SD = 9.7) who provided self-report data on acculturative stress, anxiety sensitivity, and smoking outcomes of cigarette dependence, perceived barriers for quitting cigarettes, and severity of problems during past quit attempts. Independent mediation models were conducted for each smoking outcome, with acculturative stress entered as the predictor and anxiety sensitivity entered as the proposed explanatory factor. Results: There were statistically significant indirect effects of acculturative stress via anxiety sensitivity in relation to cigarette dependence, perceived barriers for quitting cigarettes, and severity of problems during past quit attempts. Conclusions: The present findings provide novel evidence that anxiety sensitivity serves a mediational role in relations between acculturative stress and smoking outcomes among Latinx adult smokers.
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Affiliation(s)
- Michael J Zvolensky
- Department of Psychology, University of Houston, Houston, Texas, USA.,Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.,HEALTH Institute, University of Houston, Houston, Texas, USA
| | - Justin M Shepherd
- Department of Psychology, University of Houston, Houston, Texas, USA
| | - Jafar Bakhshaie
- Department of Psychology, University of Houston, Houston, Texas, USA
| | - Natalia Peraza
- Department of Psychology, University of Houston, Houston, Texas, USA
| | - Lorra Garey
- Department of Psychology, University of Houston, Houston, Texas, USA
| | - Nubia A Mayorga
- Department of Psychology, University of Houston, Houston, Texas, USA
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Acculturation Versus Cultural Retention: The Interactive Impact of Acculturation and Co-ethnic Ties on Substance Use Among Chinese Students in the United States. J Immigr Minor Health 2019; 20:546-560. [PMID: 28528462 DOI: 10.1007/s10903-017-0598-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Acculturation is often found to increase substance use among immigrants in the U.S., but such effect may depend on how immigrants are attached to their co-ethnic community. Meanwhile, the high socioeconomic status of some new immigrant groups also challenges the classical assumption that ties to co-ethnic community are associated with deviance. With a sample (n = 960) collected from a population of Chinese students in a large public university in the U.S., we tested how do the interplays between acculturation and co-ethnic ties affect substance use. This study establishes that: (1) different dimensions of acculturation have opposite effects on substance use; (2) acculturative stress does not explain the association between acculturation and substance use; (3) acculturation increases the likelihood of substance use only when one has weak attachment to their co-ethnic community. The findings are consistent for three dependent variables: smoking, drinking, and drunkenness, and for the different constructs of acculturation and co-ethnic ties. Ties to co-ethnic community may provide important social support for immigrants, while acculturation may alleviate the insular subculture that promotes at-risk behaviors. We encourage policy makers to consider the cooperative nature of acculturation and cultural retention for the improvement of health among this growing population.
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Castro Y. Determinants of Smoking and Cessation Among Latinos: Challenges and Implications for Research. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2016; 10:390-404. [PMID: 27672402 DOI: 10.1111/spc3.12256] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Tobacco is a significant burden to individual and public health, and disparities exist among Latino smokers with respect to use and cessation. Although the prevalence of smoking is lower for Latinos than for non-Latino Whites and the general U.S. population, numerous health disparities exist within the population of Latino smokers. Much is known about determinants of smoking and cessation but the vast majority of this knowledge is based on research with non-Latino White smokers. This results in at least two important challenges in tobacco research among Latino smokers: (i) demonstrating the generalizability of known determinants of smoking and cessation, and; (ii) identifying culturally relevant variables that influence smoking and cessation among Latinos. An argument for increased research in these areas is presented with a review of existing research among Latino smokers that demonstrates these needs. Research is summarized that suggests socioeconomic position, depressive symptomatology, physical dependence, and gender function differently as determinants of smoking and cessation among Latinos compared with the general population of smokers. Research is also reviewed that suggests the promise of acculturation, acculturative stress, and discrimination as culturally relevant determinants of smoking and cessation. Research and practice implications are discussed, and specific areas for future research are offered.
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