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Al Ali NM, Khazaaleh FK. Assessment of food consumption, smoking, alcohol use, and physical activity by sex and major of study among a sample of college students in Jordan. Heliyon 2023; 9:e16405. [PMID: 37274724 PMCID: PMC10238686 DOI: 10.1016/j.heliyon.2023.e16405] [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: 01/06/2022] [Revised: 05/13/2023] [Accepted: 05/15/2023] [Indexed: 06/06/2023] Open
Abstract
This study aimed to assess the food frequency and health-related risk behaviors based on gender and major of study (health and non-health majors) in a sample of undergraduate university students. A cross-sectional study was conducted among 708 undergraduate university students (37.4% males; 62.6% females) with a mean age of 20.88(SD = 2.20), ranging from 18 to 37 years from five universities. A self-reported questionnaire was administered in the university classrooms to collect data. Results showed that 47.3% of students reported consuming fruits and vegetables (38.1%), and 54% reported consuming unhealthy foods at least once in the preceding 24 h. About 16% of the students were cigarette smokers, 17% were waterpipe smokers, and slightly more than 4% were alcohol consumers. Significant associations were found between the participants based on their sexes, and study majors (P < 0.001). Male students smoked and consumed alcohol at significantly higher rates than female students. As with regards to the physical activity in the preceding week, students had not carried out any stretching activities (52.8%), strengthening activities (62.4%), cycling (35%), or taken part in any physical activity classes (68.4%). The rates of physical activity were significantly higher among male students than female students (p < 0.001). The results showed that non-health major students differ from those in health majors in the consumption of cigarettes (p < 0.001) and waterpipe smoking (p = 0.027). Students in non-health majors were more likely than students in health majors to have carried out stretching activities (p = 0.021) and participated in physical activity classes (p = 0.02). Our findings highlighted the importance of identifying health-related risk behaviors among university students to develop a health-promoting intervention tailored to a specific group of students considering their sex and study majors.
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Affiliation(s)
- Nahla Mansour Al Ali
- Associate Professor Community and Mental Health Department/Faculty of Nursing Jordan University of Science & Technology P.O.Box:3030 Irbid 22110 Jordan
| | - Fatima Khazaal Khazaaleh
- Community and Mental Health Department/Faculty of Nursing, Jordan University of Science & Technology, P.O.Box:3030 Irbid 22110 Jordan
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Kiupel S, Kupfer J, Kottlors S, Gieler U, Yosipovitch G, Schut C. Is stress related to itch in German students? Results of an online survey. Front Med (Lausanne) 2023; 10:1104110. [PMID: 37181359 PMCID: PMC10166863 DOI: 10.3389/fmed.2023.1104110] [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: 11/21/2022] [Accepted: 03/07/2023] [Indexed: 05/16/2023] Open
Abstract
Introduction German students report to be more stressed than the general population. Highly stressed students from other countries (United States, Australia, Saudi-Arabia) were found to have more skin symptoms, including itch, than lowly stressed students. The current study aimed to assess whether itch is associated with stress in a larger sample of German students. Methods 838 students (3.2% of all invited students) took part in the questionnaire based study and filled in the Perceived Stress Questionnaire as well as a modified version of the Self-Reported Skin Questionnaire. Students were categorized into highly (HSS) and lowly stressed students (LSS) by determination of the 25th and 75th percentile. Results Itch occurred significantly more often in HSS compared to LSS (OR = 3.41 (2.17-5.35)). In addition, itch intensity was significantly related to perceived stress. Discussion These findings not only highlight the importance of offering stress management trainings also to students in Germany in order to minimize itch, but also encourage future research on stress and itch in certain student subgroups.
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Affiliation(s)
- Stephanie Kiupel
- Institute of Medical Psychology, Faculty of Medicine, Justus Liebig University, Giessen, Germany
| | - Jörg Kupfer
- Institute of Medical Psychology, Faculty of Medicine, Justus Liebig University, Giessen, Germany
| | - Sophia Kottlors
- Institute of Medical Psychology, Faculty of Medicine, Justus Liebig University, Giessen, Germany
| | - Uwe Gieler
- Department of Dermatology and Allergology, Justus-Liebig-University, Giessen, Germany
- Clinic for Psychosomatics, Vitos Klinik, Giessen, Germany
| | - Gil Yosipovitch
- Department of Dermatology and Cutaneous Surgery and Itch Center, Miller School of Medicine, University of Miami, Miami, FL, United States
| | - Christina Schut
- Institute of Medical Psychology, Faculty of Medicine, Justus Liebig University, Giessen, Germany
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Al-Haifi AR, Al-Awadhi BA, Bumaryoum NY, Alajmi FA, Ashkanani RH, Al-Hazzaa HM. The association between academic performance indicators and lifestyle behaviors among Kuwaiti college students. JOURNAL OF HEALTH, POPULATION, AND NUTRITION 2023; 42:27. [PMID: 37016438 PMCID: PMC10071657 DOI: 10.1186/s41043-023-00370-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 03/24/2023] [Indexed: 04/06/2023]
Abstract
BACKGROUND Lifestyle behaviors are developed during young adulthood and carried through life. Accordingly, early detection of unhealthy behaviors can help prevent the increase in non-communicable diseases in the population. College students are an especially vulnerable group who, upon entering a new environment, tend to engage in unhealthy behaviors. OBJECTIVE The present study aims to evaluate the lifestyle behaviors of Kuwaiti college students and their association with markers of academic achievements. METHODS One thousand two hundred fifty-nine students participated in the present study and answered an online questionnaire pertaining to their sociodemographic status, academic performance indicators, body weight and height, and lifestyle behaviors. Data were collected from November 2020 to February 2021. RESULTS Results of the present study showed that obesity was significantly more prevalent among male participants than among females even though males were more physically active. Alternatively, females had a greater grade point average in college, slept more, and had more screen time. Interestingly, we were unable to detect a significant correlation between lifestyle behaviors and academic achievements. CONCLUSION The observed differences in body mass index between genders may have been attributed to energy intake rather than energy expenditure.
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Affiliation(s)
- Ahmad R Al-Haifi
- Department of Food and Nutrition Sciences, College of Health Sciences, PAAET, Showaikh, Kuwait.
| | - Balqees A Al-Awadhi
- Department of Food and Nutrition Sciences, College of Health Sciences, PAAET, Showaikh, Kuwait
| | - Nayef Y Bumaryoum
- Department of Food and Nutrition Sciences, College of Health Sciences, PAAET, Showaikh, Kuwait
| | - Fahhad A Alajmi
- Department of Food and Nutrition Sciences, College of Health Sciences, PAAET, Showaikh, Kuwait
| | - Rasha H Ashkanani
- Department of Home Economics, Basic Education Collage, PAAET, Showaikh, Kuwait
| | - Hazzaa M Al-Hazzaa
- Lifestyle and Health Research Center, Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
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de Santana EES, Neves LM, de Souza KC, Mendes TB, Rossi FE, da Silva AA, de Oliveira R, Perilhão MS, Roschel H, Gil S. Physically Inactive Undergraduate Students Exhibit More Symptoms of Anxiety, Depression, and Poor Quality of Life than Physically Active Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4494. [PMID: 36901511 PMCID: PMC10001626 DOI: 10.3390/ijerph20054494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 03/01/2023] [Accepted: 03/02/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The World Health Organization (WHO) recommends at least 150 min of moderate or vigorous activity (MVPA) per week for health benefits. However, meeting WHO guidelines for physical activity has been shown to be a great challenge for general populations and it may be even more difficult for undergraduate students due to elevated academic demand, thus negatively affecting general health status. Thus, this study investigated whether undergraduate students meeting WHO guidelines for physical activity show greater scores for symptoms of anxiety, depression, and poor quality of life than their counterparts not meeting guideline recommendations. Additionally, symptoms of anxiety, depression, and poor quality of life among academic areas were compared. METHODS This is a cross-sectional study. The participants were recruited through messaging apps or institutional e-mail. The participants filled out an online consent form, questionnaires to assess demographic and academic characteristics, the International Physical Activity Questionnaire, the Beck depression and anxiety inventory, and the short-form 36-item health survey questionnaire. The participants were classified as physically active (MVPA > 150 min/week) or inactive (MVPA < 150 min/week) according to WHO Guidelines. RESULTS A total of 371 individuals were included in the analysis. Physically inactive students demonstrated higher scores of depression (17.96 vs. 14.62; 95% CI: -5.81 to -0.86; p = 0.0083) than physically active ones. SF-36 analyses revealed that physically inactive students had lower values in mental (45.68 vs. 52.77; 95% CI: 2.10 to 12.06; p = 0.0054) and physical (59.37 vs. 67.14; 95% CI: 3.24 to 12.30; p = 0.0015) domains compared with physically active ones. As for SF-36 subscales, physically inactive students showed lower scores in function capacity (70.45 vs. 79.70; 95% CI: 4.27 to 14.49; p = 0.0003), mental health (45.57 vs. 55.60; 95% CI: 5.28 to 14.76; p < 0.0001), social aspects (48.91 vs. 57.69; 95%CI: 3.47 to 14.08; p = 0.0012), vitality (42.19 vs. 50.61; 95% CI: 3.47 to 13.35; p = 0.0009), pain (61.85 vs. 68.00; 95% CI: 1.27 to 11.02; p = 0.0135), and general health status (53.82 vs. 63.81; 95% CI: 5.21 to 14.75; p < 0.0001) than their physically active peers. CONCLUSIONS The findings suggest that undergraduate students who do not meet WHO guidelines for physical activity display higher scores of anxiety, depression, and poor quality of life in comparison with their counterparts meeting physical activity guidelines. Collectively, these data suggest the need for academic institutions and policy makers to monitor and promote in-campus interventions to encourage physical activity.
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Affiliation(s)
| | - Lucas Melo Neves
- Post-Graduate Program in Health Sciences, Santo Amaro University, Sao Paulo 04829-300, Brazil
- Bipolar Disorder Program (PROMAN), Department of Psychiatry, School of Medicine FMUSP, University of São Paulo, São Paulo 05403-000, Brazil
| | - Karla Cardoso de Souza
- Post-Graduate Program in Health Sciences, Santo Amaro University, Sao Paulo 04829-300, Brazil
| | - Tassia Barcelos Mendes
- Post-Graduate Program in Health Sciences, Santo Amaro University, Sao Paulo 04829-300, Brazil
| | - Fabricio Eduardo Rossi
- Immunometabolism of Skeletal Muscle and Exercise Research Group, Department of Physical Education, Federal University of Piauí, Teresina 64049-550, Brazil
| | - Ariana Aline da Silva
- Programa de Atividades Esportivas Extensivas à Comunidade—PAEC, Santo Amaro University, São Paulo 04829-300, Brazil
| | - Rosemeire de Oliveira
- Programa de Atividades Esportivas Extensivas à Comunidade—PAEC, Santo Amaro University, São Paulo 04829-300, Brazil
| | - Mauro Sergio Perilhão
- Programa de Atividades Esportivas Extensivas à Comunidade—PAEC, Santo Amaro University, São Paulo 04829-300, Brazil
| | - Hamilton Roschel
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, School of Medicine FMUSP, Universidade de Sao Paulo, São Paulo 14040-901, Brazil
| | - Saulo Gil
- Programa de Atividades Esportivas Extensivas à Comunidade—PAEC, Santo Amaro University, São Paulo 04829-300, Brazil
- Post-Graduate Program in Health Sciences, Santo Amaro University, Sao Paulo 04829-300, Brazil
- Applied Physiology and Nutrition Research Group, School of Physical Education and Sport, Rheumatology Division, School of Medicine FMUSP, Universidade de Sao Paulo, São Paulo 14040-901, Brazil
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Michel M, Arvis Souaré M, Dindorf C, Danguy V, Chevreul K. Health check-ups for the French under-consuming agricultural population: A pilot evaluation of the Instants santé MSA program. Rev Epidemiol Sante Publique 2023; 71:101420. [PMID: 36610246 DOI: 10.1016/j.respe.2022.101420] [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: 04/20/2021] [Revised: 11/17/2022] [Accepted: 12/05/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND The social protection scheme in charge of farmers and agricultural employees (MSA) in France has developed a two-step health promotion program with a nurse appointment followed by a consultation with a doctor of the participant's choosing to reach its under-consuming beneficiaries and enroll them back into a care pathway. Our objective was to carry out a pilot evaluation of this program. METHODS The evaluation was carried out on the population invited during the second semester of 2017 using data from the program's service providers (date of invitation, of nurse appointment…), regional MSA bodies (consultation voucher), and reimbursement data (other care consumption). Participation rates were calculated overall and by participant characteristics. Medical needs were identified during the nurse appointment and new care pathways were assessed using reimbursement data. Multivariable regression models identified factors associated with participation. RESULTS 2366 beneficiaries were included in the analysis. 1559 (65.89%) were men and mean age was 52.41 (standard deviation = 14.86). 409 (17.29%) attended the nurse appointment. There was a significant increase in participation with age, in farmers vs. employees (odds ratio = 1.905, 95% confidence interval = 1.393-2.604), and in people living in the most disadvantaged areas (odds ratio = 1.579, 95% confidence interval=1.079-2.312). Participation to the consultation following the nurse appointment was high (62.35%-73.11%). 87.53% of participants had at least one medical need, and new care pathways were more frequent among those who had attended the nurse appointment (55.50% vs. 34.80%, p < 0.0001). CONCLUSIONS This pilot evaluation shows promising results which need to be confirmed with a national evaluation of the program and longer-term evidence.
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Affiliation(s)
- Morgane Michel
- Université Paris Cité, ECEVE, 75010 Paris, France; Assistance Publique-Hôpitaux de Paris, DRCI, URC Eco Ile-de-France, 75004 Paris, France; Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Unité d'épidémiologie clinique, 75019 Paris, France; INSERM, ECEVE UMR 1123, 75010 Paris, France.
| | - Mariam Arvis Souaré
- Direction du contrôle médical et de l'offre de soins, Caisse centrale de la Mutualité Sociale Agricole, 93000 Bobigny, France
| | - Christel Dindorf
- Université Paris Cité, ECEVE, 75010 Paris, France; Assistance Publique-Hôpitaux de Paris, DRCI, URC Eco Ile-de-France, 75004 Paris, France; INSERM, ECEVE UMR 1123, 75010 Paris, France
| | - Véronique Danguy
- Département Études et évaluation en santé, Caisse centrale de la Mutualité Sociale Agricole, 93000 Bobigny, France
| | - Karine Chevreul
- Université Paris Cité, ECEVE, 75010 Paris, France; Assistance Publique-Hôpitaux de Paris, DRCI, URC Eco Ile-de-France, 75004 Paris, France; Assistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Unité d'épidémiologie clinique, 75019 Paris, France; INSERM, ECEVE UMR 1123, 75010 Paris, France
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Gil M, Rudy M, Stanisławczyk R, Duma-Kocan P, Żurek J. Gender Differences in Eating Habits of Polish Young Adults Aged 20-26. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15280. [PMID: 36429998 PMCID: PMC9690896 DOI: 10.3390/ijerph192215280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 11/10/2022] [Accepted: 11/12/2022] [Indexed: 06/16/2023]
Abstract
The aim of the study was to examine the nutritional behaviour of young adults depending on gender. A survey was conducted among 467 young adults using the "Questionnaire for the study of nutritional behaviour and opinions on food and nutrition". Questions concerned the frequency of consumption of selected groups of food products. The questionnaire was supplemented by questions regarding the number of portions of fruits and vegetables consumed, putting sugar in drinks, putting salt in dishes and the number of glasses of water drunk. Differences in nutritional behaviours were determined using the χ2 test, at p < 0.05. The dietary choices of women more often than those of men corresponded to the principles of healthy nutrition, related to a greater number of meals consumed during the day, more frequent consumption of fruits and vegetables and the selection of products with lower energy value or preferring healthier methods of culinary processing. Health education programs should prevent the emergence of unfavourable dietary habits such as skipping breakfast or other meals or limiting the consumption of fruits and vegetables and frequently replacing them with high-energy snacks.
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Affiliation(s)
- Marian Gil
- Department of Agricultural Processing and Commodity Science, Institute of Food and Nutrition Technology, College of Natural Sciences, University of Rzeszow, Zelwerowicza 4, 35-601 Rzeszów, Poland
| | - Mariusz Rudy
- Department of Agricultural Processing and Commodity Science, Institute of Food and Nutrition Technology, College of Natural Sciences, University of Rzeszow, Zelwerowicza 4, 35-601 Rzeszów, Poland
| | - Renata Stanisławczyk
- Department of Agricultural Processing and Commodity Science, Institute of Food and Nutrition Technology, College of Natural Sciences, University of Rzeszow, Zelwerowicza 4, 35-601 Rzeszów, Poland
| | - Paulina Duma-Kocan
- Department of Agricultural Processing and Commodity Science, Institute of Food and Nutrition Technology, College of Natural Sciences, University of Rzeszow, Zelwerowicza 4, 35-601 Rzeszów, Poland
| | - Jagoda Żurek
- Department of Financial Markets and Public Finance, Institute of Economics and Finance, College of Social Sciences, University of Rzeszow, Cwiklinskiej 2, 35-601 Rzeszów, Poland
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Dietary intake and physical activity of German university students. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-022-01729-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
Abstract
Aim
A balanced diet is important for health and well-being. The aim of this study was to investigate dietary intake and physical activity in German university students.
Subjects and methods
A cross-sectional nutrition study was conducted at the University of Education, Schwäbisch Gmünd (Germany). Food consumption (3-day estimated dietary record) and physical activity level (PAL, standardized questionnaire) were assessed in 329 female (f) (age 22.7±3.4 years) and 60 male (m) students (age 24.0±3.1 years) and compared with recommendations (one-sample t-test, α = 0.05).
Results
On average, students consumed less vegetables (f: 177±119, m: 152±163 g/day), fruit (f: 169±117, m: 146±158 g/day), and potatoes/grain products (f: 303±126, m: 362±163 g/day) than recommended. Meat consumption was too high in men (1155±651 g/week), but not in women (490±455 g/week). The consumption of milk/dairy products was slightly too low in women (190±129 g/day), but in the recommended range for men (279±253 g/day). Nutrient recommendations were almost achieved (exceptions: fiber, vitamin D and folate [f, m], fat, iron and vitamin E [f], carbohydrate [m]). Leisure time physical activity was 259±222 min/week (f) and 359±236 min/week (m), and PAL was 1.60±0.11 (f) and 1.65±0.12 (m).
Conclusions
Dietary intake and physical activity in university students is roughly equivalent to that in the average German population and needs to be improved.
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O’Rourke T, Vogel C, John D, Pryss R, Schobel J, Haug F, Haug J, Pieh C, Nater UM, Feneberg AC, Reichert M, Probst T. The Impact of Coping Styles and Gender on Situational Coping: An Ecological Momentary Assessment Study With the mHealth Application TrackYourStress. Front Psychol 2022; 13:913125. [PMID: 35795429 PMCID: PMC9252427 DOI: 10.3389/fpsyg.2022.913125] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 05/31/2022] [Indexed: 11/18/2022] Open
Abstract
The aim of this study was to investigate the impact of different coping styles on situational coping in everyday life situations and gender differences. An ecological momentary assessment study with the mobile health app TrackYourStress was conducted with 113 participants. The coping styles Positive Thinking, Active Stress Coping, Social Support, Support in Faith, and Alcohol and Cigarette Consumption of the Stress and Coping Inventory were measured at baseline. Situational coping was assessed by the question “How well can you cope with your momentary stress level” over 4 weeks. Multilevel models were conducted to test the effects of the coping styles on situational coping. Additionally, gender differences were evaluated. Positive Thinking (p = 0.03) and Active Stress Coping (p = 0.04) had significant positive impacts on situational coping in the total sample. For women, Social Support had a significant positive effect on situational coping (p = 0.046). For men, Active Stress Coping had a significant positive effect on situational coping (p = 0.001). Women had higher scores on the SCI scale Social Support than men (p = 0.007). These results suggest that different coping styles could be more effective in daily life for women than for men. Taking this into account, interventions tailored to users’ coping styles might lead to better coping outcomes than generalized interventions.
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Affiliation(s)
- Teresa O’Rourke
- Department of Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, Krems an der Donau, Austria
- *Correspondence: Teresa O’Rourke,
| | - Carsten Vogel
- Institute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany
| | - Dennis John
- Lutheran University of Applied Sciences, Nuremberg, Germany
| | - Rüdiger Pryss
- Institute of Clinical Epidemiology and Biometry, University of Würzburg, Würzburg, Germany
| | - Johannes Schobel
- DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
| | - Fabian Haug
- Faculty of Engineering, Computer Sciences and Psychology, Institute for Databases and Information Systems, University of Ulm, Ulm, Germany
| | - Julian Haug
- Faculty of Engineering, Computer Sciences and Psychology, Institute for Databases and Information Systems, University of Ulm, Ulm, Germany
| | - Christoph Pieh
- Department of Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, Krems an der Donau, Austria
| | - Urs M. Nater
- Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
| | - Anja C. Feneberg
- Department of Clinical and Health Psychology, University of Vienna, Vienna, Austria
| | - Manfred Reichert
- Faculty of Engineering, Computer Sciences and Psychology, Institute for Databases and Information Systems, University of Ulm, Ulm, Germany
| | - Thomas Probst
- Department of Psychosomatic Medicine and Psychotherapy, University for Continuing Education Krems, Krems an der Donau, Austria
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Health-Promoting Behavior and Lifestyle Characteristics of Students as a Function of Sex and Academic Level. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127539. [PMID: 35742787 PMCID: PMC9224493 DOI: 10.3390/ijerph19127539] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 06/17/2022] [Accepted: 06/18/2022] [Indexed: 02/06/2023]
Abstract
University students frequently engage in unhealthy behaviors. However, there is a lack of studies examining a wide range of their lifestyle characteristics by sex and academic level of study. This cross-sectional survey of students enrolled in BSc, MSc, or PhD programs at one university in Germany (N = 3389) assessed physical activity (PA), sedentary behavior (SB), nutrition, sleep quality, and alcohol, tobacco, and other drug (ATOD) use by sex and academic level and was conducted with EvaSys version 8.0. Chi-squared tests compared categorical variables by sex, and binary logistic regression analyses adjusted for sex with Bonferroni adjustments evaluated differences across academic level. Although 91% of students achieved the aerobic PA guidelines, only 30% achieved the muscle strengthening exercises (MSE) guidelines, and 44% had high SB. Likewise, <10% met the fruit and vegetable consumption (FVC) recommendations, >40% of students experienced impaired sleep, and >30% had hazardous alcohol consumption. Less than 20% of the sample achieved the guideline/recommendation of all three PA, MSE and SB. Some behaviors exhibited significant sex and academic level differences. The identified at-risk groups included males (lower FVC), females (eating more during stress), and BSc students (poorer nutrition/sleep quality, more ATOD use). Given the above findings, multipronged strategies are needed with an overarching focus highlighting the health−academic achievement links. Behavioral interventions and environmental policies are required to raise awareness and promote student health.
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Martin HR, Pufal DA, Stephenson J. Assessment of energy and nutrient intakes among undergraduate students attending a University in the North of England. Nutr Health 2022:2601060221096932. [PMID: 35726201 DOI: 10.1177/02601060221096932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background: Unhealthy diets are typical of university students and are often thought to be unrepresentative of the general population. The main aim was to determine the energy and nutrient intakes of a large cohort of undergraduate university students; and to compare to gender-specific dietary reference values (DRVs) and nutrient data from the general population. Methodology: Data was collected from 639 university students aged 18-24 years who completed 4-day diet diaries. The energy and nutrient intake was determined and percentage energy values calculated and compared with dietary reference values (DRVs) and the National Diet and Nutrition Survey (NDNS) and Family Food Statistics. Logistic regression methods were used to identify micronutrients functioning as predictors of exceeding DRVs. Results: Energy intakes were lower than the DRV. The percentage total energy values for protein, fat, saturated fat and carbohydrate exceeded DRVs but the percentage energy from alcohol was below the maximum 5%. The DRVs were met for vitamin C, thiamin, and sodium/salt. Iron and calcium intakes were met in males but not in females. Intakes for fibre and vitamin A were below the DRV. Student data was comparable to the NDNS, with the exception of alcohol, fibre, vitamin A, calcium and sodium/salt, which were all lower than the NDNS. Conclusions: This study contradicts the stereotypical assumption that students are following a high energy, fat, saturated fat, total sugars, salt and alcohol diet compared with the general population.
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Affiliation(s)
- Helen R Martin
- Department of Service Sector Management, 7314Sheffield Hallam University, Howard Street, Sheffield, S1 1WB¸ United Kingdom of Great Britain and Northern Ireland
- School of Applied Sciences, 218224University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, United Kingdom of Great Britain and Northern Ireland
| | - Deborah A Pufal
- School of Human & Health Sciences, 14270University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, United Kingdom of Great Britain and Northern Ireland
| | - John Stephenson
- School of Human & Health Sciences, 14270University of Huddersfield, Queensgate, Huddersfield, HD1 3DH, United Kingdom of Great Britain and Northern Ireland
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Shohael AM, Moin AT, Chowdhury MAB, Riana SH, Ullah MA, Araf Y, Sarkar B. An Updated Overview of Herpes Simplex Virus-1 Infection: Insights from Origin to Mitigation Measures. ELECTRONIC JOURNAL OF GENERAL MEDICINE 2021. [DOI: 10.29333/ejgm/10869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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12
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Gomez-Baya D, Santos T, Gaspar de Matos M. Developmental assets and positive youth development: an examination of gender differences in Spain. APPLIED DEVELOPMENTAL SCIENCE 2021. [DOI: 10.1080/10888691.2021.1906676] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Caravaca-Sánchez F, Aizpurua E, Stephenson A. Substance Use, Family Functionality, and Mental Health among College Students in Spain. SOCIAL WORK IN PUBLIC HEALTH 2021; 36:221-231. [PMID: 33463401 DOI: 10.1080/19371918.2020.1869134] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Mental health symptoms are overrepresented among college students worldwide. The current research investigates the associations among substance use, family functionality, and mental health (depression, anxiety, and stress) among college students in Spain. A total of 828 (59.2% female and 40.8% male) college students from two public universities completed a self-reported online survey that included items on demographic information, substance use (alcohol, tobacco, cannabis, cocaine, prescription sedatives, and recreational sedatives), mental health symptoms (using the DASS-21 questionnaire) and family functionality (using the APGAR questionnaire). College students reporting substance use (especially recreational sedatives) and family dysfunctionality were more likely to exhibit symptoms of depression, anxiety and stress. These findings provide support for the underlying role of substance use and family functionality on mental health symptoms. Treatments targeting depression, anxiety, and stress among college students in Spain should aim to reduce substance use by and increase family support of students.
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Affiliation(s)
| | - Eva Aizpurua
- School of Law, Trinity College Dublin. The University of Dublin, Dublin, Ireland
| | - Andrew Stephenson
- Center for Social and Behavior Research, University of Northern Iowa, Cedar Falls, Iowa, USA
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14
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Al-Sayegh N, Al-Enezi K, Nadar M, Dean E. Health Status, Behaviors, and Beliefs of Health Sciences Students and Staff at Kuwait University: Toward Maximizing the Health of Future Health Professionals and Their Patients. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17238776. [PMID: 33255967 PMCID: PMC7730932 DOI: 10.3390/ijerph17238776] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Revised: 11/23/2020] [Accepted: 11/24/2020] [Indexed: 12/25/2022]
Abstract
Health professionals who engage in healthy lifestyle behaviors are more likely to promote their patients’ health. We evaluated health status, behaviors, and beliefs of students (future health professionals) and staff in four health sciences faculties, Kuwait University. In total, 600 students and 231 staff participated in this descriptive cross-sectional study. Questionnaire surveys were used to evaluate lifestyle-related practices and participants’ beliefs about these practices, in addition to health-related objective measures, e.g., heart rate, blood pressure, and body mass index. Overweight/obesity was prevalent among the participants (staff, 68.7%, students, 48.1%; p < 0.001); 57% of staff had suboptimal resting blood pressures. About half of the participants reported being moderately physically active (staff, 44.8%, students, 52.6%; p < 0.05), and most reported moderate/high stress (staff, 88.8%, students, 90.9%; p > 0.05). Only 25.1% of staff and 27.9% of students reported at least 8 h sleep nightly (p > 0.05). Staff reported healthier dietary practices than students (p-value range < 0.001–0.02). Overall, the participants had sub-optimal health indices. A marked gap existed between participants’ beliefs about healthy lifestyle practices and their actual health status. Healthy lifestyle programs are needed on campus with respect to diet, exercise, and stress management. As emerging health professionals, students in health sciences faculties, Kuwait University, need exposure to a health-promoting environment including healthy staff as role models.
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Affiliation(s)
- Nowall Al-Sayegh
- Department of Physical Therapy, Faculty of Allied Health Sciences, Kuwait University, Safat 12037, Kuwait
- Correspondence: ; Tel.: +965-2463-3510
| | - Khazna Al-Enezi
- Department of Medicine, Faculty of Medicine, Kuwait University, Safat 12037, Kuwait;
| | - Mohammed Nadar
- Department of Occupational Therapy, Faculty of Allied Health Sciences, Kuwait University, Safat 12037, Kuwait;
| | - Elizabeth Dean
- Department of Physical Therapy, Faculty of Medicine, University of British Columbia, 212 Friedman Building, 2177 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada;
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15
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Meseguer-Sánchez V, Abad-Segura E, Belmonte-Ureña LJ, Molina-Moreno V. Examining the Research Evolution on the Socio-Economic and Environmental Dimensions on University Social Responsibility. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4729. [PMID: 32630200 PMCID: PMC7369934 DOI: 10.3390/ijerph17134729] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 06/19/2020] [Accepted: 06/27/2020] [Indexed: 12/19/2022]
Abstract
Responsible higher education institutions have an impact on society and economic, environmental, and social development. These effects define the axes of the socially responsible management of the universities. The concept of university social responsibility (USR) manages these relationships to produce a positive impact on society through higher education, research, and the transfer of knowledge and technology, as well as education for sustainability. For this study, worldwide research into this subject was studied for the period 1970-2019. A bibliometric analysis of 870 articles was made, obtaining results for the scientific productivity of the journals, authors, institutions, and countries contributing to this research. The main category is business, management, and accounting. The most productive journal is the Business and Society Review, while the California Management Review is the most cited. The authors with the most articles are Stavnezer, Luo, and Lanero. The most productive institution is Wuhan University. The United States is the country with the most publications and citations, and the same country, together with the United Kingdom, make the most international contributions. Evidence shows growing worldwide interest in the economic and environmental impacts of USR. Future research should focus on analysing the links between the responsible and sustainable consumption of universities and their short-term financial, economic, and sustainable impacts.
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Affiliation(s)
- Víctor Meseguer-Sánchez
- International Chair of Social Responsibility, Catholic University of Murcia, 30107 Murcia, Spain;
| | - Emilio Abad-Segura
- Department of Economics and Business, University of Almeria, 04120 Almeria, Spain;
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16
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Gomez-Baya D, Reis M, Gaspar de Matos M. Positive youth development, thriving and social engagement: An analysis of gender differences in Spanish youth. Scand J Psychol 2019; 60:559-568. [PMID: 31535399 DOI: 10.1111/sjop.12577] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Accepted: 08/12/2019] [Indexed: 11/29/2022]
Abstract
The framework of Positive Youth Development (PYD) arose from a strength-based conception of the transition to adulthood. Although previous literature has provided evidence for some PYD correlates, little is known about gender differences in PYD and its outcomes in thriving and social engagement, which could improve interventions" effectiveness. Thus, this study aimed to examine gender differences in PYD dimensions (i.e., competence, confidence, connection, caring, and character), individual thriving (i.e., psychological adjustment, academic adjustment, and healthy lifestyles) and social engagement, and to examine the associations between them. Data from the 'PYD in a Cross-National Perspective Project" in Spain were collected by administering a paper-based self-report to students from high school and university. Results showed greater scores in connection, caring, and character in women, as well as greater social engagement and academic adjustment. Men presented higher competence and confidence, more frequent physical activity and better psychological adjustment. In addition, more PYD was related to greater social engagement, better psychological and academic adjustment, and healthier lifestyles. Some practical implications for program design may be derived, which underscore the need to promote the five PYD dimensions equally in female and male youths in order to improve their individual thriving and social engagement.
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Affiliation(s)
- Diego Gomez-Baya
- Department of Social, Developmental and Educational Psychology, Universidad de Huelva, Huelva, Spain.,Faculty of Human Kinetics and Institute of Environmental Health, Universidade de Lisboa, Cruz Quebrada, Portugal
| | - Marta Reis
- Faculty of Human Kinetics and Institute of Environmental Health, Universidade de Lisboa, Cruz Quebrada, Portugal.,Post-doctoral fellow of the Foundation for Science and Technology -SFRH/BPD/110905/2015, Lisboa, Portugal
| | - Margarida Gaspar de Matos
- Faculty of Human Kinetics and Institute of Environmental Health, Universidade de Lisboa, Cruz Quebrada, Portugal
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17
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Reshadat S, Tohidi M, Ghasemi M, Zangeneh A, Saeidi S, Teimouri R, Yigitcanlar T. Interrelationship between underprivileged neighborhoods and health promotion lifestyles: insights from Kermanshah, Iran. J Public Health (Oxf) 2019. [DOI: 10.1007/s10389-019-01086-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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18
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Warnick JL, Pfammatter A, Champion K, Galluzzi T, Spring B. Perceptions of Health Behaviors and Mobile Health Applications in an Academically Elite College Population to Inform a Targeted Health Promotion Program. Int J Behav Med 2019; 26:165-174. [DOI: 10.1007/s12529-018-09767-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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19
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Araújo LS, Wasley D, Perkins R, Atkins L, Redding E, Ginsborg J, Williamon A. Fit to Perform: An Investigation of Higher Education Music Students' Perceptions, Attitudes, and Behaviors toward Health. Front Psychol 2017; 8:1558. [PMID: 29066983 PMCID: PMC5641399 DOI: 10.3389/fpsyg.2017.01558] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2017] [Accepted: 08/28/2017] [Indexed: 12/18/2022] Open
Abstract
Making music at the highest international standards can be rewarding, but it is also challenging, with research highlighting pernicious ways in which practicing and performing can affect performers' health and wellbeing. Several studies indicate that music students' perceptions, attitudes, and behaviors toward health and healthy living are less than optimal, especially considering the multiple physical and psychological demands of their day-to-day work. This article presents the results of a comprehensive screening protocol that investigated lifestyle and health-related attitudes and behaviors among 483 undergraduate and postgraduate students (mean age = 21.29 years ± 3.64; 59% women) from ten conservatoires. The protocol included questionnaires measuring wellbeing, general health, health-promoting behaviors, perfectionism, coping, sleep quality, and fatigue. On each measure, the data were compared with existing published data from similar age groups. The results indicate that music students have higher levels of wellbeing and lower fatigue than comparable samples outside of music. However, they also reveal potentially harmful perceptions, attitudes, and behaviors toward health. Specifically, engagement in health responsibility and stress management was low, which along with high perfectionistic strivings, limited use of coping strategies, poor sleep quality, and low self-rated health, paints a troubling picture both for the music students and for those who support their training. The findings point to the need for more (and more effective) health education and promotion initiatives within music education; in particular, musicians should be better equipped with mental skills to cope with constant pressure to excel and high stress levels. In part, this calls for musicians themselves to engage in healthier lifestyles, take greater responsibility for their own health, and be aware of and act upon health information in order to achieve and sustain successful practice and performance. For that to happen, however, music educators, administrators, and policy makers must play an active role in providing supportive environments where health and wellbeing is considered integral to expert music training.
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Affiliation(s)
- Liliana S. Araújo
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - David Wasley
- Cardiff School of Sport, Cardiff Metropolitan University, Cardiff, United Kingdom
| | - Rosie Perkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Louise Atkins
- Centre for Performance Science, Royal College of Music, London, United Kingdom
| | - Emma Redding
- Trinity Laban Conservatoire of Music and Dance, London, United Kingdom
| | - Jane Ginsborg
- Royal Northern College of Music, Manchester, United Kingdom
| | - Aaron Williamon
- Centre for Performance Science, Royal College of Music, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
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20
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Stock C. Wie bedeutsam ist Gesundheit für den Studienerfolg von Studierenden? PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2017. [DOI: 10.1007/s11553-017-0609-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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21
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Zein RA, Suhariadi F, Hendriani W. Estimating the effect of lay knowledge and prior contact with pulmonary TB patients, on health-belief model in a high-risk pulmonary TB transmission population. Psychol Res Behav Manag 2017; 10:187-194. [PMID: 28790871 PMCID: PMC5488811 DOI: 10.2147/prbm.s134034] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective The research aimed to investigate the effect of lay knowledge of pulmonary tuberculosis (TB) and prior contact with pulmonary TB patients on a health-belief model (HBM) as well as to identify the social determinants that affect lay knowledge. Methods Survey research design was conducted, where participants were required to fill in a questionnaire, which measured HBM and lay knowledge of pulmonary TB. Research participants were 500 residents of Semampir, Asemrowo, Bubutan, Pabean Cantian, and Simokerto districts, where the risk of pulmonary TB transmission is higher than other districts in Surabaya. Results Being a female, older in age, and having prior contact with pulmonary TB patients significantly increase the likelihood of having a higher level of lay knowledge. Lay knowledge is a substantial determinant to estimate belief in the effectiveness of health behavior and personal health threat. Prior contact with pulmonary TB patients is able to explain the belief in the effectiveness of a health behavior, yet fails to estimate participants’ belief in the personal health threat. Conclusion Health authorities should prioritize males and young people as their main target groups in a pulmonary TB awareness campaign. The campaign should be able to reconstruct people’s misconception about pulmonary TB, thereby bringing around the health-risk perception so that it is not solely focused on improving lay knowledge.
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Affiliation(s)
- Rizqy Amelia Zein
- Crisis and Community Development Centre, Faculty of Psychology, Universitas Airlangga, Surabaya, Indonesia.,Department of Personality and Social Psychology, Faculty of Psychology, Universitas Airlangga, Surabaya, Indonesia
| | - Fendy Suhariadi
- Crisis and Community Development Centre, Faculty of Psychology, Universitas Airlangga, Surabaya, Indonesia
| | - Wiwin Hendriani
- Crisis and Community Development Centre, Faculty of Psychology, Universitas Airlangga, Surabaya, Indonesia
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22
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El Ansari W, Berg-Beckhoff G. Country and Gender-Specific Achievement of Healthy Nutrition and Physical Activity Guidelines: Latent Class Analysis of 6266 University Students in Egypt, Libya, and Palestine. Nutrients 2017; 9:E738. [PMID: 28696407 PMCID: PMC5537852 DOI: 10.3390/nu9070738] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 07/04/2017] [Accepted: 07/07/2017] [Indexed: 12/13/2022] Open
Abstract
Research on healthy behaviour such as physical activity and healthy nutrition and their combination is lacking among university students in Arab countries. The current survey assessed healthy nutrition, and moderate/vigorous physical activity (PA) of 6266 students in Egypt, Libya, and Palestine. We computed a nutrition guideline achievement index using WHO recommendation, as well as the achievement of PA recommendations using guidelines for adults of the American Heart Association guidelines. Latent class regression analysis identified homogenous groups of male and female students, based on their achievements of both guidelines. We examined associations between group membership and achievement of guidelines. A three-class solution model best fitted the data, generating three student Groups: "Healthy Eaters" (7.7% of females, 10.8% of males), "Physically Active" (21.7% of females, 25.8% of males), and "Low Healthy Behaviour" (70.6% of females, 63.4% of males). We did not observe a latent class that exhibited combined healthy behaviours (physically active and healthy eaters), and there were no major differences between countries. We observed a very low rate of healthy nutrition (≈10% of students achieved greater than four of the eight nutrition guidelines), with little gender differences across the countries. About 18-47% of students achieved the PA guidelines, depending on country and gender, more often among males. Few females achieved the PA guidelines, particularly in Libya and Palestine. Culturally adapted multi-behavioural interventions need to encourage healthy lifestyles, nutrition and PA behaviours. National policies need to promote active living while addressing cultural, geographic, and other barriers to young adults' engagement in PA.
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Affiliation(s)
- Walid El Ansari
- Department of Surgery, Hamad General Hospital, Doha 3050, Qatar.
- College of Medicine, Qatar University, Doha 3050, Qatar.
- School of Health and Education, University of Skövde, Skövde 541 45, Sweden.
- Faculty of Applied Sciences, University of Gloucestershire, Gloucester GL53 7TH, UK.
| | - Gabriele Berg-Beckhoff
- Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark, Niels Bohrs Vej 9, 6700 Esbjerg, Denmark.
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23
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Matingwina T, Raju J. An Integrated Framework for Disseminating Health Information to Students in Zimbabwe. LIBRI 2017. [DOI: 10.1515/libri-2016-0054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AbstractUniversity students in Zimbabwe lack immediate access to accurate health information. There is lack of explicit and integrated structures for disseminating health information to students in Zimbabwe. Informed by the salutogenic theory of health, the study assessed the health information needs of students and evaluated existing health information dissemination methods at National University of Science and Technology (NUST), Zimbabwe, in developing a framework for disseminating health information. A case study strategy was used to gather data within the pragmatic paradigm of grounded constructivism. The findings reveal that students need health information on a wide range of health topics and prefer mobile electronic media, workshops, qualified health professionals and peers for their health needs. There are significant gaps between the strategies that are being used by NUST to disseminate health information and the health information needs of the students. Therefore, this paper proposes a needs-based, integrated information dissemination framework for promoting health amongst students. The proposed framework emphasizes utilization of synchronous information and communication technologies, the need for integration of activities, a viable policy, health information literacy training and the use of a mix of persuasion techniques as an effective health promotion strategy.
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24
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Hilger J, Loerbroks A, Diehl K. Eating behaviour of university students in Germany: Dietary intake, barriers to healthy eating and changes in eating behaviour since the time of matriculation. Appetite 2016; 109:100-107. [PMID: 27864073 DOI: 10.1016/j.appet.2016.11.016] [Citation(s) in RCA: 89] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2016] [Revised: 10/13/2016] [Accepted: 11/11/2016] [Indexed: 11/24/2022]
Abstract
A healthy diet plays a key role in preventing obesity and non-communicable diseases such as type 2 diabetes. This is true for all age groups, including young adults. While unhealthy eating habits among young adults, in particular university students, have been identified in former studies, this group has been neglected in existing health promotion strategies. Our aim was to explore baseline dietary intake, common barriers to healthy eating, and changes in eating behaviour among university students since the time of matriculation. We used data from the quantitative part of the Nutrition and Physical Activity Study (NuPhA), a cross-sectional online survey (data collection: 2014/10/31-2015/01/15). Students were recruited from all over Germany. Overall, 689 university students (30.5% male; mean age: 22.69) from more than 40 universities across Germany participated. We found that there is room for improvement with regard to the consumption of specific food groups, for example, fruits and vegetables. The main barriers to healthy eating were lack of time due to studies, lack of healthy meals at the university canteen, and high prices of healthy foods. Cluster analysis revealed that barriers to healthy eating might affect only specific subgroups, for instance freshmen. Changes in eating behaviour since matriculation were found in the consumption of meat, fish, and regular meals. Future qualitative studies may help to explore why university students change their eating behaviour since the time of matriculation. Such knowledge is necessary to inform health promotion strategies in the university setting.
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Affiliation(s)
- Jennifer Hilger
- Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany; Institute of Occupational Medicine and Social Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Düsseldorf, Germany.
| | - Adrian Loerbroks
- Institute of Occupational Medicine and Social Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Düsseldorf, Germany
| | - Katharina Diehl
- Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany
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25
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Irwin JD. Prevalence of University Students' Sufficient Physical Activity: A Systematic Review. Percept Mot Skills 2016; 98:927-43. [PMID: 15209309 DOI: 10.2466/pms.98.3.927-943] [Citation(s) in RCA: 97] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study reviewed and analyzed the prevalence of university students' participation in physical activity at the level necessary to acquire health benefits. 19 primary studies (published 1985–2001) representing a total of 35,747 students (20,179 women and 15,568 men) from a total of 27 countries (Australia, Canada, China, Germany, Nigeria, United States, and 21 European countries) are described and the amount of activity identified within each study is analyzed in accordance with the American College of Sports Medicine (ACSM) guidelines for physical activity. With respect to these guidelines, more than one-half of university students in the United States and Canada are not active enough to gain health benefits. Internationally, the same is true, although Australian students appear to have the highest level of sufficient activity (at 60%). Women, and especially African-American women, are among the least active students, and students living off-campus are more active than those on-campus. Insufficient activity is a serious health concern among university students. Appropriate interventions and tools to measure ACSM-recommended physical activity are needed.
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Affiliation(s)
- Jennifer D Irwin
- Faculty of Health Sciences, University of Western Ontario, Room 2319, Somerville House, London, ON, Canada N6A 4K7.
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26
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Kritsotakis G, Psarrou M, Vassilaki M, Androulaki Z, Philalithis AE. Gender differences in the prevalence and clustering of multiple health risk behaviours in young adults. J Adv Nurs 2016; 72:2098-113. [PMID: 27102085 DOI: 10.1111/jan.12981] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/10/2016] [Indexed: 12/24/2022]
Abstract
AIMS To estimate the sex-stratified prevalence and clustering of 14 behavioural and metabolic health risk factors in emerging adulthood. BACKGROUND The high prevalence and the clustering of risk factors multiply health consequences and increase the threat to the future health and quality of life of young adults. DESIGN Descriptive cross-sectional study. METHODS During November-December 2012, we assessed 14 lifestyle characteristics of 1058 1st year university students' that were classified as: healthy (score = 0), unhealthy (score = 1) and high-risk unhealthy (score = 2). We subsequently created a Multiple Health Risk Behaviours Index by summing the score of each behaviour adjusted to 0-100. RESULTS Only 0·3% of the students had one risk behaviour and 21·3% (male: 31·5%; female: 12·6%) had ≥10 of 14. Male students had higher risk index score. In adjusted regression analyses, female students had higher odds of reporting healthier behaviours in oral hygiene (tooth brushing), red meat and junk food consumption, binge drinking, cannabis/hashish/marijuana use and lower number of sexual partners and Body Mass Index. Male students reported higher physical activity. No statistically significant gender differences were noted for screen time/sedentary behaviours, condom use, smoking, sunburns, breakfast and fruit and vegetable consumption. CONCLUSION Although health-compromising behaviours are highly prevalent in both men and women, they are gender-related, with males engaging in more health risk behaviours than females. Preventive interventions may need to focus on gender-informed approaches when targeting multiple health risk behaviours.
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Affiliation(s)
- George Kritsotakis
- Laboratory of Epidemiology, Prevention and Management of Diseases, Nursing Department, Technological Educational Institute (TEI) of Crete, Heraklion, Greece
| | - Maria Psarrou
- Laboratory of Epidemiology, Prevention and Management of Diseases, Nursing Department, Technological Educational Institute (TEI) of Crete, Heraklion, Greece
| | - Maria Vassilaki
- Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, Minnesota, USA.,Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece
| | - Zacharenia Androulaki
- Laboratory of Epidemiology, Prevention and Management of Diseases, Nursing Department, Technological Educational Institute (TEI) of Crete, Heraklion, Greece
| | - Anastas E Philalithis
- Department of Social Medicine, Faculty of Medicine, University of Crete, Heraklion, Greece
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27
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Rezayatmand R, Pavlova M, Groot W. Socio-economic Aspects of Health-Related Behaviors and Their Dynamics: A Case Study for the Netherlands. Int J Health Policy Manag 2015; 5:237-51. [PMID: 27239865 DOI: 10.15171/ijhpm.2015.212] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Accepted: 12/19/2015] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Previous studies have mostly focused on socio-demographic and health-related determinants of health-related behaviors. Although comprehensive health insurance coverage could discourage individual lifestyle improvement due to the ex-ante moral hazard problem, few studies have examined such effects. This study examines the association of a comprehensive set of factors including socio-demographic, health status, health insurance, and perceived change in health insurance coverage with health-related behaviors and their dynamics (ie, changes in behavior). METHODS Using Survey of Health, Aging, and Retirement in Europe (SHARE) data (a European aging survey among 50+ years old) for the Netherlands in 2004 and 2007 (sample size: 1745), binary and multinomial logit models are employed to study health-related behaviors (daily smoking, excessive alcohol use, and physical inactivity in 2004) and their corresponding changes (stopping or starting unhealthy behavior between 2004 and 2007). RESULTS Our findings show that being older, being female, having higher education and living with a partner increase the likelihood not to be a daily smoker or to stop daily smoking. At the same time, being older (OR = 3.02 [1.31, 6.95]) and being female (OR = 1.77 [1.05, 2.96]) increases the likelihood to be or to become physically inactive. We also find that worse perceived health insurance coverage in 2007 is associated with a lower likelihood (OR = 0.19 [0.06, 0.57]) of stopping excessive alcohol use in that year. However, we do not find a strong association between the type of health insurance and health behavior. CONCLUSION Our findings show that all above mentioned factors (ie, socio-demographic and health status factors) are associated with health-related behavior but not in a consistent way across all behaviors. Moreover, the dynamics of each behavior (positive or negative change) is not necessarily determined by the same factors that determine the state of that behavior. We also find that better perceived health insurance coverage is associated with a healthier lifestyle which is not compatible with an ex-ante moral hazard interpretation. Our results provide input to target policies towards elderly individuals in need of lifestyle change. However, further research should be done to identify the causal effect of health insurance on health-related behavior.
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Affiliation(s)
- Reza Rezayatmand
- Health Management and Economics Research Center (HMERC), Isfahan University of Medial Sciences, Isfahan, Iran.,Department of Health Services Research, CAPHRI, FHML, Maastricht University, Maastricht, The Netherlands
| | - Milena Pavlova
- Department of Health Services Research, CAPHRI, FHML, Maastricht University, Maastricht, The Netherlands
| | - Wim Groot
- Department of Health Services Research, CAPHRI, FHML, Maastricht University, Maastricht, The Netherlands.,Top Institute for Evidence-Based Education Research (TIER), Maastricht University, Maastricht, The Netherlands
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28
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Weir RR, Carson EL, Mulhern MS, Laird E, Healy M, Pourshahidi LK. Validation of a food frequency questionnaire to determine vitamin D intakes using the method of triads. J Hum Nutr Diet 2015; 29:255-61. [DOI: 10.1111/jhn.12328] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- R. R. Weir
- Northern Ireland Centre for Food and Health (NICHE); University of Ulster; Coleraine UK
| | - E. L. Carson
- Northern Ireland Centre for Food and Health (NICHE); University of Ulster; Coleraine UK
| | - M. S. Mulhern
- Northern Ireland Centre for Food and Health (NICHE); University of Ulster; Coleraine UK
| | - E. Laird
- Institute of Molecular Medicine; School of Medicine; Trinity College; Dublin Ireland
| | - M. Healy
- The Department of Clinical Biochemistry; St James's Hospital; Dublin Ireland
| | - L. K. Pourshahidi
- Northern Ireland Centre for Food and Health (NICHE); University of Ulster; Coleraine UK
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Kötter T, Pohontsch NJ, Voltmer E. Stressors and starting points for health-promoting interventions in medical school from the students' perspective: a qualitative study. PERSPECTIVES ON MEDICAL EDUCATION 2015; 4:128-35. [PMID: 26032519 PMCID: PMC4456465 DOI: 10.1007/s40037-015-0189-5] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
INTRODUCTION Medical education is considered very challenging and connected with high levels of psychosocial stress for students. The aim of this study was to identify stressors and possible starting points for health-promoting interventions from the perspective of the students themselves. METHODS We conducted two focus groups with medical students from pre-clinical and clinical semesters. We analyzed the data using content analysis following Mayring's approach. RESULTS The stressors in the pre-clinical stage of medical education were more diverse and perceived as more intense than those in the clinical stage. They comprised contextual factors and individual behaviour. Participants mentioned the weekly examinations as a specific stressor. The existing absence regulations gave the participants the impression that they should not be absent through illness at any point during the course, and this idea further promoted presenteeism. Peer groups and mentoring programmes were perceived as helpful. CONCLUSIONS Stressors and starting points for health-promoting interventions are closely related to the medical curriculum and its organization. As such, the curriculum itself-in addition to programmes aimed at improving stress management-should primarily stand at the centre of activities for enhancing students' health.
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Affiliation(s)
- Thomas Kötter
- Institute for Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23552, Lübeck, Germany,
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Ssewanyana D, Sebena R, Petkeviciene J, Lukács A, Miovsky M, Stock C. Condom use in the context of romantic relationships: A study among university students from 12 universities in four Central and Eastern European countries. EUR J CONTRACEP REPR 2015; 20:350-60. [DOI: 10.3109/13625187.2014.1001024] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Doron J, Trouillet R, Maneveau A, Neveu D, Ninot G. Coping profiles, perceived stress and health-related behaviors: a cluster analysis approach. Health Promot Int 2014; 30:88-100. [DOI: 10.1093/heapro/dau090] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kim DJ, Choo EK, Ranney ML. Impact of gender on patient preferences for technology-based behavioral interventions. West J Emerg Med 2014; 15:593-9. [PMID: 25157307 PMCID: PMC4140202 DOI: 10.5811/westjem.2014.4.21448] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2014] [Revised: 03/26/2014] [Accepted: 04/14/2014] [Indexed: 11/16/2022] Open
Abstract
Introduction: Technology-based interventions offer an opportunity to address high-risk behaviors in the emergency department (ED). Prior studies suggest behavioral health strategies are more effective when gender differences are considered. However, the role of gender in ED patient preferences for technology-based interventions has not been examined. The objective was to assess whether patient preferences for technology-based interventions varies by gender. Methods: This was a secondary analysis of data from a systematic survey of adult (≥18 years of age), English-speaking patients in a large urban academic ED. Subjects were randomly selected during a purposive sample of shifts. The iPad survey included questions on access to technology, preferences for receiving health information, and demographics. We defined “technology-based” as web, text message, e-mail, social networking, or DVD; “non-technology-based” was defined as in-person, written materials, or landline. We calculated descriptive statistics and used univariate tests to compare men and women. Gender-stratified multivariable logistic regression models were used to examine associations between other demographic factors (age, race, ethnicity, income) and technology-based preferences for information on specific risky behaviors. Results: Of 417 participants, 45.1% were male. There were no significant demographic differences between men and women. Women were more likely to use computers (90.8% versus 81.9%; p=0.03), Internet (66.8% versus 59.0%; p=0.03), and social networks (53.3% versus 42.6%; p=0.01). 89% of men and 90% of women preferred technology-based formats for at least type of health information; interest in technology-based for individual health topics did not vary by gender. Concern about confidentiality was the most common barrier to technology-based use for both genders. Multivariate analysis showed that for smoking, depression, drug/alcohol use, and injury prevention, gender modified the relationship between other demographic factors and preference for technology-based health information; e.g., older age decreases interest in technology-based information for smoking cessation in women but not in men (aOR 0.96, 95% CI 0.93-0.99 versus aOR 1.00, 95% CI 0.97-1.03). Conclusion: Our findings suggest ED patients' gender may affect technology preferences. Receptivity to technology-based interventions may be a complex interaction between gender and other demographic factors. Considering gender may help target ED patient populations most likely to be receptive to technology-based interventions.
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Affiliation(s)
- David J Kim
- The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island
| | - Esther K Choo
- The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island
| | - Megan L Ranney
- The Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island
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Batidzirai JM, Heeren GA, Marange CS, Gwaze AR, Mandeya A, Ngwane Z, Jemmott JB, Tyler JC. Wake-Up. A Health Promotion Project for Sub-Saharan University Students: Results of Focus Group Sessions. MEDITERRANEAN JOURNAL OF SOCIAL SCIENCES 2014; 5:346-254. [PMID: 25763177 PMCID: PMC4352689 DOI: 10.5901/mjss.2014.v5n7p346] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
HIV/AIDS is seen as the major killer in developing countries however, non-communicable diseases (NCDs), also referred to as chronic diseases, are the leading causes of death worldwide. University students are an important target for health promotion programmes because they are exposed to a new lifestyle where they have to determine on their own which diet to follow, whether or not to exercise, how much they drink alcohol or smoke, whether to have sex or abstain, as well as whether to practice safe sex or not Focus group sessions were held at a rural Sub-Saharan African University to assess students' knowledge on how to lead a healthy lifestyle. The results suggest a need for a health promotion intervention programme which should be culture-sensitive and considerate of the needs of university students.
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Affiliation(s)
- Jesca Mercy Batidzirai
- School of Mathematics, Statistics and Computer Science, University of KwaZulu-Natal, Private Bag X01, Scottsville, 3209, Pietermaritzburg , South Africa
| | - G Anita Heeren
- Department of Psychiatry, Department of Communication and Health Behavior, Perelman School of Medicine, University of Pennsylvania, Market Street 3535, Suite 520, Philadelphia PA 19104, USA
| | - C Show Marange
- Department of Biostatistics, University of Fort Hare, Private Bag X1314, Alice, South Africa
| | - Arnold Rumosa Gwaze
- Department of Biostatistics, University of Fort Hare, Private Bag X1314, Alice, South Africa
| | - Andrew Mandeya
- Department of Biostatistics, University of Fort Hare, Private Bag X1314, Alice, South Africa
| | - Zolani Ngwane
- Department of Anthropology, Haverford College, Lancaster Road, Haverford PA 19030, USA
| | - John B Jemmott
- Department of Psychiatry, Department of Communication and Health Behavior, Perelman School of Medicine, University of Pennsylvania, Market Street 3535, Suite 520, Philadelphia PA 19104, USA
| | - Joanne C Tyler
- Department of Biostatistics, University of Fort Hare, Private Bag X1314, Alice, South Africa
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El Ansari W, Sebena R, Stock C. Socio-demographic correlates of six indicators of alcohol consumption: survey findings of students across seven universities in England, Wales and Northern Ireland. ACTA ACUST UNITED AC 2013; 71:29. [PMID: 24196210 PMCID: PMC3923438 DOI: 10.1186/2049-3258-71-29] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2013] [Accepted: 09/18/2013] [Indexed: 11/14/2022]
Abstract
Background This study assessed the prevalence of six alcohol consumption indicators in a sample of university students. We also examined whether students’ sociodemographic and educational characteristics were associated with any of the six alcohol consumption indicators; and whether associations between students’ sociodemographic and educational characteristics and the six alcohol consumption indicators differed by gender. Methods A cross-sectional study of 3706 students enrolled at 7 universities in England, Wales and Northern Ireland. A self-administered questionnaire assessed six alcohol consumption measures: length of time of last (most recent) drinking occasion; amount consumed during last drinking occasion; frequency of alcohol consumption; heavy episodic drinking (≥ 5 drinks in a row); problem drinking; and possible alcohol dependence as measured by CAGE. The questionnaire also collected information on seven relevant student sociodemographic characteristics (age, gender, academic year of study, current living circumstances - accommodation with parents, whether student was in intimate relationship, socioeconomic status of parents - parental education, income sufficiency) and two academic achievement variables (importance of achieving good grades at university, and one’s academic performance in comparison with one’s peers). Results The majority of students (65% of females, 76% of males) reported heavy episodic drinking at least once within the last 2 weeks, and problem drinking was prevalent in 20% of females and 29% of males. Factors consistently positively associated with all six indicators of alcohol consumption were male gender and perceived insufficient income. Other factors such as living away from home, being in 1st or 2nd year of studies, having no intimate partner, and lower academic achievement were associated with some, but not all indicators of alcohol consumption. Conclusions The high level of alcohol consumption calls for regular/periodic monitoring of student use of alcohol, and for urgent preventive actions and intervention programmes at the universities in the UK.
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Affiliation(s)
- Walid El Ansari
- Department of Sport and Exercise, Faculty of Applied Sciences, University of Gloucestershire, Oxstalls Campus, Oxstalls Lane, Gloucester GL2 9HW, UK.
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Ek S. Gender differences in health information behaviour: a Finnish population-based survey. Health Promot Int 2013; 30:736-45. [PMID: 23985248 DOI: 10.1093/heapro/dat063] [Citation(s) in RCA: 273] [Impact Index Per Article: 24.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Narrowing the gaps in health outcomes, including those between men and women, has been a pronounced goal on the agenda of the Finnish health authorities since the mid-1980s. But still there is a huge gap in favour of women when it comes to life expectancy at birth. People's health information behaviour, that is how people seek, obtain, evaluate, categorize and use relevant health-related information to perform desired health behaviours, is a critical prerequisite to appropriate and consistent performances of these behaviours. With respect to gender, it has been noted that men often are unwilling and lack the motivation to engage with health-related information. The purpose of this study was to investigate how gender affects health information behaviour in the Finnish population aged 18-65 years. The survey data were collected via a questionnaire which was posted to a representative cross section consisting of 1500 Finnish citizens. The statistical analysis consists of ANOVA F-tests and Fisher's exact tests. The results show that women were more interested in and reported much more active seeking of health-related information, paid more attention to potential worldwide pandemics and were much more attentive as to how the goods they purchase in everyday life affect their health than men did. Women also reported receiving far more informal health-related information from close family members, other kin and friends/workmates than men did. Thus, to succeed in public health promotion and interventions the measures taken should be much more sensitive to the gender gap in health information behaviour.
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Affiliation(s)
- Stefan Ek
- Information Studies, Åbo Akademi University, Turku, Finland& Information Studies, University of Oulu, Oulu, Finland
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Korn L, Gonen E, Shaked Y, Golan M. Health perceptions, self and body image, physical activity and nutrition among undergraduate students in Israel. PLoS One 2013; 8:e58543. [PMID: 23516503 PMCID: PMC3597731 DOI: 10.1371/journal.pone.0058543] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2012] [Accepted: 02/07/2013] [Indexed: 12/04/2022] Open
Abstract
Purpose This study examines health perceptions, self and body image, physical exercise and nutrition among undergraduate students. Methods A structured, self-reported questionnaire was administered to more than 1500 students at a large academic institute in Israel. The study population was heterogenic in both gender and fields of academic study. Results High correlations between health perceptions, appropriate nutrition, and positive self and body image were found. The relationships between these variables differed between the subpopulation in the sample and the different genders. Engagement in physical exercise contributed to positive body image and positive health perceptions more than engagement in healthy nutrition. Nutrition students reported higher frequencies of positive health perceptions, positive self and body image and higher engagement in physical exercise in comparison to all other students in the sample. Conclusions This study suggests, as have many before, that successful health promotion policy should reflect a collectivist rather than an individualist ethos by providing health prerequisites through a public policy of health-promotion, where the academic settings support a healthy lifestyle policy, by increasing availability of a healthy, nutritious and varied menu in the cafeterias, and offering students various activities that enhance healthy eating and exercise. Implications and contribution This study examined health perceptions, self-image, physical exercise and nutrition among undergraduate students and found high correlations between these topics. Nutrition students reported higher frequencies of positive health perceptions, and positive self and body image and engaged more in physical exercise when compared with all other students in the sample.
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Affiliation(s)
- Liat Korn
- Ariel University Center of Samaria, School of Health Sciences, Department of Health Management, Ariel, Israel.
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Kautzky-Willer A, Dorner T, Jensby A, Rieder A. Women show a closer association between educational level and hypertension or diabetes mellitus than males: a secondary analysis from the Austrian HIS. BMC Public Health 2012; 12:392. [PMID: 22646095 PMCID: PMC3407471 DOI: 10.1186/1471-2458-12-392] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2011] [Accepted: 05/30/2012] [Indexed: 12/26/2022] Open
Abstract
Background Lifestyle diseases and cardiovascular complications are dramatically increasing, but little is known about the impact of educational level and health behaviour in men and women in different populations. Therefore, we aimed to investigate the association between educational level (EL) and self-reported chronic diseases and health behaviour in both sexes. Methods Data were derived from the Austrian Health Interview Surveys 2006/2007, which includes 13 558 persons (50.9% females). The associations between EL and the risk of obesity, hypertension, diabetes, myocardial infarction, stroke and anxiety disorders or depression, nutrition, exercise, and smoking were evaluated. University education served as the reference category (EL4), the lowest educational level was required schooling only (EL0). Results Only among women did the risk for diabetes mellitus and hypertension increase with decreasing educational level with the highest rates for EL0 OR [95% CI] adjusted for age, income, family status and lifestyle: 3.7 [1.7-8.0], and 2.5 [1.8-3.5], respectively. Only among the men, however, did the risk for stroke increase with decreasing educational level adjusted OR for EL0: 8.5 [1.7-42.7]. For anthropometric measures and lifestyle factors in both sexes the risk increased with decreasing EL. Conclusion EL affects lifestyle, overweight and obesity in both sexes. The apparent sex-specific differences in the association between the prevalence of some chronic disease with EL call for further investigation.
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Affiliation(s)
- Alexandra Kautzky-Willer
- Gender Medicine Unit, Department of Internal Medicine III, Division of Endocrinology & Metabolism, Medical University Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
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Schmidt M. Predictors of self-rated health and lifestyle behaviours in Swedish university students. Glob J Health Sci 2012; 4:1-14. [PMID: 22980336 PMCID: PMC4776941 DOI: 10.5539/gjhs.v4n4p1] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2012] [Accepted: 04/15/2012] [Indexed: 11/30/2022] Open
Abstract
Background: Lifestyle behaviours are usually formed during youth or young adulthood which makes college students a particularly vulnerable group that easily can adopt unhealthy lifestyle behaviour. Aim: The aim of this cross-sectional study was to explore the influence of socio-demographic factors on Swedish university students’ lifestyle behaviours and self-rated health. Method: Data were collected from a convenience sample of 152 students using questionnaires consisting of a socio-demographic section followed by previously well-validated instruments. Data were analysed using descriptive statistics: t-tests, analysis of variance (ANOVA) and regression tests. Findings: The results of this study show that the lifestyle behaviours under study (physical activity, perceived stress and eating behaviours) as well as self-rated health can be predicted to a certain extent by socio-demographic factors such as gender, mother tongue and parents’ educational level. Male university students were shown to be physically more active than female students; the male students were less stressed and rated their overall health, fitness level and mental health higher. Female students were more prone to adopt unhealthy eating behaviours. Discussion: This study addresses gender differences and their influences on lifestyle behaviours; it provides both theoretical explanations for these differences as well as presents some practical implications of the findings.
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Affiliation(s)
- Manuela Schmidt
- School of Health and Society, Kristianstad University, Sweden.
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Myers JE, Mobley AK. Wellness of Undergraduates: Comparisons of Traditional and Nontraditional Students. JOURNAL OF COLLEGE COUNSELING 2011. [DOI: 10.1002/j.2161-1882.2004.tb00258.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Schweter A, Heimgärtner C, Jäger J, Schleicher K, Witetschek S, Lührmann P. Ernährungsverhalten und körperliche Aktivität von Schwäbisch Gmünder Studentinnen. PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2011. [DOI: 10.1007/s11553-011-0311-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Ortabag T, Ozdemir S, Bakir B, Tosun N. Health promotion and risk behaviors among adolescents in Turkey. J Sch Nurs 2011; 27:304-15. [PMID: 21551314 DOI: 10.1177/1059840511408322] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Adolescents experience the onset and development of several health-related behaviors. The purpose of this study is to determine health risk and promotion behaviors of adolescents between the ages of 11 and 19 who were attending and to test the reliability and validity analysis of the Turkish version of Adolescent Health Promotion Scale (AHPS). The study was a cross-sectional survey and the sample consisted of 1,351 participants. A questionnaire that included demographic information, health risk behaviors, and AHPS was used to collect data. In the current study, the Cronbach's α coefficient for the AHPS was calculated as .92. Female students had significantly higher mean total scale scores than males (p < .05). The 11-14 age group had a statistically significant higher scale total mean score than the 15-19 age group (p = .001). International directives highlight the important function nurses fulfill in health promotion. Nurses may play a key role in school health services.
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Affiliation(s)
- Tulay Ortabag
- Department of Public Health Nursing, Gulhane Military Medical Academy, School of Nursing, Ankara, Turkey.
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Peker K, Bermek G. Predictors of Health-Promoting Behaviors Among Freshman Dental Students at Istanbul University. J Dent Educ 2011. [DOI: 10.1002/j.0022-0337.2011.75.3.tb05054.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Kadriye Peker
- Department of Dental Public Health; Faculty of Dentistry; Istanbul University
| | - Gülçin Bermek
- Department of Dental Public Health; Faculty of Dentistry; Istanbul University
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Verdonk P, Seesing H, de Rijk A. Doing masculinity, not doing health? A qualitative study among Dutch male employees about health beliefs and workplace physical activity. BMC Public Health 2010; 10:712. [PMID: 21092090 PMCID: PMC2998494 DOI: 10.1186/1471-2458-10-712] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2010] [Accepted: 11/19/2010] [Indexed: 11/10/2022] Open
Abstract
Background Being female is a strong predictor of health promoting behaviours. Workplaces show great potential for lifestyle interventions, but such interventions do not necessarily take the gendered background of lifestyle behaviours into account. A perspective analyzing how masculine gender norms affect health promoting behaviours is important. This study aims to explore men's health beliefs and attitudes towards health promotion; in particular, it explores workplace physical activity in relation to masculine ideals among male employees. Methods In the Fall of 2008, we interviewed 13 white Dutch male employees aged 23-56 years. The men worked in a wide range of professions and occupational sectors and all interviewees had been offered a workplace physical activity program. Interviews lasted approximately one to one-and-a-half hour and addressed beliefs about health and lifestyle behaviours including workplace physical activity, as well as normative beliefs about masculinity. Thematic analysis was used to analyze the data. Results Two normative themes were found: first, the ideal man is equated with being a winner and real men are prepared to compete, and second, real men are not whiners and ideally, not vulnerable. Workplace physical activity is associated with a particular type of masculinity - young, occupied with looks, and interested in muscle building. Masculine norms are related to challenging health while taking care of health is feminine and, hence, something to avoid. Workplace physical activity is not framed as a health measure, and not mentioned as of importance to the work role. Conclusions Competitiveness and nonchalant attitudes towards health shape masculine ideals. In regards to workplace physical activity, some men resist what they perceive to be an emphasis on muscled looks, whereas for others it contributes to looking self-confident. In order to establish a greater reach among vulnerable employees such as ageing men, worksite health promotion programs including workplace physical activity may benefit from greater insight in the tensions between health behaviours and masculinity.
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Affiliation(s)
- Petra Verdonk
- Institute for Public Health Genomics, Faculty of Health, Medicine and Life Sciences, School Caphri, Maastricht University, Universiteitssingel 5, 6229 ES Maasstricht, The Netherlands.
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Wicki M, Kuntsche E, Gmel G. Drinking at European universities? A review of students' alcohol use. Addict Behav 2010; 35:913-24. [PMID: 20624671 DOI: 10.1016/j.addbeh.2010.06.015] [Citation(s) in RCA: 141] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2010] [Revised: 05/28/2010] [Accepted: 06/14/2010] [Indexed: 12/01/2022]
Abstract
BACKGROUND High volumes of alcohol consumption and risky single occasion drinking (RSOD) among university students have been shown to be associated with considerable harm to both those who consume alcohol and their fellow students. The vast majority of these studies are based on US and Canadian samples. AIM The present article provides an overview of the characteristics of alcohol-consuming university students in Europe. METHOD 65 relevant articles published within the last 20years using European student populations could be identified. RESULTS Sociodemographic, individual, social, and university-related characteristics associated with alcohol consumption patterns could be identified. Male students, in particular, tended to consume alcohol more often and in higher quantities, including RSOD. Students consumed alcohol chiefly during social gatherings and for social and enhancement motives. Those without family obligations and those living alone, with roommates or in areas with a high density of students were more likely to consume alcohol in higher quantities, and to engage in RSOD. Students tend to overestimate the extent of their fellow students' alcohol consumption. CONCLUSIONS Health promotion and prevention efforts which focus on these characteristics (i.e., gender, drinking motives, living conditions and social norms), and which have been successful and evaluated among university students in the US and Canada, may also be very promising for their European counterparts.
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Affiliation(s)
- Matthias Wicki
- Swiss Institute for the Prevention of Alcohol and Drug Problems (SIPA), Research Department, PO Box 870, CH 1001 Lausanne, Switzerland.
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Qidwai W, Ishaque S, Shah S, Rahim M. Adolescent lifestyle and behaviour: a survey from a developing country. PLoS One 2010; 5:e12914. [PMID: 20886001 PMCID: PMC2946339 DOI: 10.1371/journal.pone.0012914] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2009] [Accepted: 07/30/2010] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Adolescents form two-thirds of our population. This is a unique group of people with special needs. Our survey aims to identify the lifestyle and behavioral patterns in this group of people and subsequently come up with issues that warrant special attention. METHODS A survey was performed in various schools of Karachi. Data collection was done via a face-to-face interview based on a structured, pre-tested questionnaire. Participants included all willing persons between 12-19 years of age. RESULTS Most adolescents with lifestyle issues fell in the age group of 16-18 years. Females were more depressed than males and had more sleep problems. Substance abuse and other addictions were documented more in males. Watching television or listening to music was stated as the most common late night activity (61.8%) and therefore was also referred to as the contributory factor for less than eight hours of sleep each day. (58.9%) of the respondents are getting less than eight hours of sleep daily. (41.5%) of the respondents who felt depressed sought treatment for it. Quite a few of them were also indulged in substance abuse and other addictions. Only (16.8%) of the respondents opined that physical activity is essential for health. Thirty-five adolescents out of all the respondents were smoking cigarettes currently, whereas 7% of the respondents chewed paan (areca nut). Peer pressure was the most common reason (37.1%) to start smoking. CONCLUSION Adolescents need to be treated as a distinct segment of our population and it is important to realize and address their health and lifestyle problems. Inadequate sleep, depression and smoking were the leading unhealthy behaviours among the respondents. Families can play an important role to help these adolescents live a healthier life. Further research studies should be carried out to highlight issues of concern and their possible solutions in this population.
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Affiliation(s)
- Waris Qidwai
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
| | - Sidra Ishaque
- Medical College, Aga Khan University, Karachi, Pakistan
- * E-mail:
| | - Sabeen Shah
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
| | - Maheen Rahim
- Department of Family Medicine, Aga Khan University, Karachi, Pakistan
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Meier S, Mikolajczyk R, Helmer S, Akmatov M, Steinke B, Krämer A. Prävalenz von Erkrankungen und Beschwerden bei Studierenden in NRW. PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2010. [DOI: 10.1007/s11553-010-0256-z] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Mikolajczyk RT, Maxwell AE, El Ansari W, Stock C, Petkeviciene J, Guillen-Grima F. Relationship between perceived body weight and body mass index based on self- reported height and weight among university students: a cross-sectional study in seven European countries. BMC Public Health 2010; 10:40. [PMID: 20105333 PMCID: PMC2824734 DOI: 10.1186/1471-2458-10-40] [Citation(s) in RCA: 57] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2008] [Accepted: 01/27/2010] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Despite low rates of obesity, many university students perceive themselves as overweight, especially women. This is of concern, because inappropriate weight perceptions can lead to unhealthy behaviours including eating disorders. METHODS We used the database from the Cross National Student Health Survey (CNSHS), consisting of 5,900 records of university students from Bulgaria, Denmark, Germany, Lithuania, Poland, Spain and Turkey to analyse differences in perceived weight status based on the question: "Do you consider yourself much too thin, a little too thin, just right, a little too fat or much too fat?". The association between perceived weight and body mass index (BMI) calculated from self-reported weight and height was assessed with generalized non-parametric regression in R library gam. RESULTS Although the majority of students reported a normal BMI (72-84% of males, 65-83% of females), only 32% to 68% of students considered their weight "just right". Around 20% of females with BMI of 20 kg/m2 considered themselves "a little too fat" or "too fat", and the percentages increased to 60% for a BMI of 22.5 kg/m2. Male students rarely felt "a little too fat" or "too fat" below BMI of 22.5 kg/m2, but most felt too thin with a BMI of 20 kg/m2. CONCLUSIONS Weight ideals are rather uniform across the European countries, with female students being more likely to perceive themselves as "too fat" at a normal BMI, while male students being more likely to perceive themselves as "too thin". Programs to prevent unhealthy behaviours to achieve ill-advised weight ideals may benefit students.
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Affiliation(s)
- Rafael T Mikolajczyk
- Department of Public Health Medicine, School of Public Health, University of Bielefeld, Bielefeld, Germany
- Department of Clinical Epidemiology, Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany
| | - Annette E Maxwell
- School of Public Health and Jonsson Comprehensive Cancer Center, 650 Charles Young Dr. South, Los Angeles, CA 90095-6900, University of California, Los Angeles, USA
| | - Walid El Ansari
- Faculty of Sport, Health & Social Care, University of Gloucestershire, Gloucester, UK
| | - Christiane Stock
- Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark
| | - Janina Petkeviciene
- Preventive Medicine Department, Institute for Biomedical Research, Kaunas University of Medicine, Kaunas, Lithuania
| | - Francisco Guillen-Grima
- Department of Health Sciences, Public University of Navarra, Pamplona, Spain
- Department of Preventive Medicine and Public Health, University Clinic of Navarra, Pamplona, Spain
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Ulla Diez SM, Perez-Fortis A. Socio-demographic predictors of health behaviors in Mexican college students. Health Promot Int 2009; 25:85-93. [DOI: 10.1093/heapro/dap047] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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49
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Stock C, Mikolajczyk R, Bloomfield K, Maxwell AE, Ozcebe H, Petkeviciene J, Naydenova V, Marin-Fernandez B, El-Ansari W, Krämer A. Alcohol consumption and attitudes towards banning alcohol sales on campus among European university students. Public Health 2009; 123:122-9. [PMID: 19185890 DOI: 10.1016/j.puhe.2008.12.009] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2008] [Revised: 10/27/2008] [Accepted: 12/05/2008] [Indexed: 10/21/2022]
Abstract
OBJECTIVES The European Commission's new health strategy for improving health at the European Union (EU) level includes tackling alcohol consumption. This study aimed to assess the prevalence of alcohol consumption and problem drinking, as well as students' attitudes towards banning the sale of alcohol on campus. STUDY DESIGN In total, 5826 students from universities in seven European countries (Denmark, Germany, Spain, Lithuania, Poland, Bulgaria and Turkey) took part in this cross-sectional study. METHODS A self-administered questionnaire assessed sociodemographic information, frequency of alcohol consumption, problem drinking and attitudes towards banning the sale of alcohol on campus. RESULTS The highest prevalence of drinking alcohol more than once per week was reported in Bulgarian (males 46%, females 64%) and Spanish students (males 59%, females 64%). Among those students who drank alcohol (n=3170), problem drinking (CAGE score >1) was found in 24% of males and 13% of females. Male gender, depressive moods and a low importance of good grades at university were risk factors for drinking alcohol more than once per week as well as for problem drinking. There were substantial country differences in the proportion of students who would support a ban of alcohol sales on campus (23% in Denmark, 88% in Poland). Support for a ban was higher among female students and among students who drank alcohol once or less per week. CONCLUSIONS Problem drinking is a concern among students in many European countries, especially among males. Students' support for banning the sale of alcohol on campus varies between countries and should be considered in developing EU policy.
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Affiliation(s)
- C Stock
- University of Southern Denmark, Denmark.
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50
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Keller S, Maddock JE, Hannöver W, Thyrian JR, Basler HD. Multiple health risk behaviors in German first year university students. Prev Med 2008; 46:189-95. [PMID: 18242666 DOI: 10.1016/j.ypmed.2007.09.008] [Citation(s) in RCA: 115] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2007] [Revised: 08/15/2007] [Accepted: 09/26/2007] [Indexed: 11/19/2022]
Abstract
Multiple health risk behaviors have been identified as a problem in young adults which includes university students. The goals of this study included assessing the prevalence of major health risk behaviors in a cohort of German first year university students, analyzing the clustering of these behaviors and assessing readiness to change across multiple behaviors. A total of 1262 students from the schools of law, teaching and medicine at a German university participated in a voluntary and anonymous survey in 2005. The study assessed indicators and readiness for change regarding fruit and vegetable consumption, exercise, smoking and binge drinking as well as sociodemographic variables. Confirming the hypotheses, prevalences for risk behaviors were high; over 95% ate less than five servings of fruits and vegetables, 60% did not exercise sufficiently, 31% were current smokers and 62% reported binge drinking. Only 2% had none, 10.5% had one, 34.5% had two, 34.8% had three, and 18.2% showed all four risk behaviors. Readiness for behavior change was very low across multiple risk behavior combinations, especially for reducing binge drinking and increasing fruit and vegetable consumption. Medical students showed slightly more positive patterns than other students. The results indicate the need for addressing health behaviors in the student population of this university. If these findings can be replicated in other universities, programs that promote individual behavior change as well as changes in environmental conditions in the university environment are necessary to address this urgent problem.
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Affiliation(s)
- Stefan Keller
- Department of Public Health Sciences and Epidemiology, University of Hawaii at Manoa, Honolulu, HI 96822, USA.
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