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Tang S, Xu J, Mao X, Jiao H, Qian Y, Wang G. Effects of falls on self-rated health and anxiety in Chinese older persons with chronic multimorbidity : moderating role of psychological resilience. BMC Geriatr 2024; 24:736. [PMID: 39237876 PMCID: PMC11376016 DOI: 10.1186/s12877-024-05338-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Accepted: 08/27/2024] [Indexed: 09/07/2024] Open
Abstract
INTRODUCTION This study investigated the effects of falls on self-rated health and anxiety symptoms and the moderating role of psychological resilience in Chinese older persons with chronic multimorbidity. METHODS Data were taken from the 2018 Chinese Longitudinal Healthy Longevity Survey (CLHLS). We used a linear regression model to evaluate the associations among falls and self-rated health and anxiety symptoms, the moderating role of psychological resilience was verified by moderation analysis, and we also used a replacement model to test robustness. Finally, the results of the study were further verified via heterogeneity analysis through subgroup regression. RESULTS A total of 2933 people aged 60 years or older with chronic multimorbidity were included in our study. The linear regression results revealed that falls were significantly negatively correlated with the self-rated health symptoms of older Chinese people with chronic multimorbidity (β = -0.1703, p < 0.01) and significantly positively correlated with anxiety symptoms (β = 0.5590, p < 0.01). Among the moderating effects, we found that psychological resilience played a moderating role between falls and anxiety symptoms (β = - 0.151 [-0.217, -0.084], p < 0.01). Finally, we found heterogeneity in the study results by sex, residence and number of chronic diseases. CONCLUSION Falls are associated with poorer self-rated health and higher anxiety levels among older persons with chronic multimorbidity in China. High levels of psychological resilience have a moderating effect on the development of anxiety symptoms.
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Affiliation(s)
- Shaoliang Tang
- School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China
| | - Jingyu Xu
- School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China
| | - Xiaoyan Mao
- School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China
| | - Huilin Jiao
- School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China
| | - Yuxin Qian
- School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China
| | - Gaoling Wang
- School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, China.
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Li L, Zhang Y, Fan M, Cao B. Sleep and mental health among Chinese adolescents: the chain-mediating role of physical health perception and school adjustment. BMC Psychol 2024; 12:228. [PMID: 38659039 PMCID: PMC11044529 DOI: 10.1186/s40359-024-01719-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 04/08/2024] [Indexed: 04/26/2024] Open
Abstract
OBJECTIVE Sleep problems and their detrimental effects on adolescents' physical and mental health have received substantial attention. Prior studies have focused mainly on the direct association between sleep and mental health; however, little is known about the underlying mediating mechanism. To address this gap, the present study constructed a chain mediation model to examine the association between sleep deficiency and mental health status in adolescents, by introducing two mediating variables-physical health perception and school adjustment. METHODS A sample of 7530 senior high school students completed a battery of self-report questionnaires measuring their sleep duration, mental health status, physical health perception, and school adjustment. Data were collected from the Database of Youth Health at Shandong University. All the measures showed good reliability and validity in the present study. Data were analyzed using SPSS 25.0 and the SPSS PROCESS. RESULTS The results were as follows: (1) Sleep duration was significantly associated with physical health perception and mental health. (2) Physical health perception partially mediated the association between sleep and mental health. (3) Physical health perception and school adjustment played a chain mediating role between sleep and mental health. In conclusion, sleep not only directly associated with mental health among adolescents, but also influences mental health by the chain mediating effect of perception of physical health and school adjustment. CONCLUSION These findings in the present study contribute to understanding the mechanisms underlying the association between sleep and mental health and have important implications for interventions aimed at improving mental health status among adolescents in China. Our results indicated that promoting adequate sleep duration and improving sleep quality are possible key mental health promotion strategies for adolescents.
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Affiliation(s)
- Liangliang Li
- Chongqing Three Gorges Medical College, 366 Tianxing Road, 404120, Wanzhou, Chongqing, P. R. China
| | - Yueying Zhang
- Key Laboratory of Cognition and Personality, Faculty of Psychology, Ministry of Education, Southwest University, 400715, Chongqing, P. R. China
| | - Mingyue Fan
- Chongqing Three Gorges Medical College, 366 Tianxing Road, 404120, Wanzhou, Chongqing, P. R. China.
| | - Bing Cao
- Key Laboratory of Cognition and Personality, Faculty of Psychology, Ministry of Education, Southwest University, 400715, Chongqing, P. R. China.
- National Demonstration Center for Experimental Psychology Education, Southwest University, 400715, Chongqing, P. R. China.
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Banerjee AT, Lau A, Bender JL. Poor health disparities among racialized students in a Canadian university. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:346-350. [PMID: 35271431 DOI: 10.1080/07448481.2022.2047702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Revised: 12/29/2021] [Accepted: 02/23/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The short report aims to examine differences in self-rated general health across racialized post-secondary students at a university in Ontario, Canada. METHODS Binary logistic regression analysis was used to examine poor health as an outcome among racialized students as whole, as well as across Asian, South Asian, Afro-Caribbean and Middle Eastern student groups in comparison to white Caucasian post-secondary students. RESULTS After adjusting for several covariates, racialized students as a whole had 2.43 times the odds of reporting poor general health compared to white Caucasian students. Asian (OR = 2.77; CI = 1.84-4.18; p < 0.05) and South Asian (OR = 2.52; CI = 1.56-4.08; p < 0.05) students were significantly more likely to report poor health compared to white Caucasian students. CONCLUSION The findings call for further attention to the health needs of racialized post-secondary students living in Canada and creating campuses where diverse student populations feel safe and systemically included.
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Affiliation(s)
- Ananya Tina Banerjee
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
- School of Population and Global Health, McGill University, Montreal, Quebec, Canada
| | - Ashley Lau
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
| | - Jacqueline L Bender
- Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
- ELLICSR Health, Wellness & Cancer Survivorship Centre, Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada
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Serbic D, Friedrich C, Murray R. Psychological, social and academic functioning in university students with chronic pain: A systematic review. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023; 71:2894-2908. [PMID: 34871522 DOI: 10.1080/07448481.2021.2006199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 11/08/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Chronic pain is a prevalent health issue among young adults; however, there is limited understanding on how it affects university students. This is the first systematic review of evidence relating to the association between chronic pain and psychological, social and academic functioning in university students. Participants: Four databases were searched for relevant published studies. Data from 18 studies including 10,069 university students, of which 2895 reported having chronic pain, were included in the synthesis. Methods: Due to heterogeneity of data and methodologies, meta-analysis was not possible; therefore, data were synthesized narratively. Results: Our findings showed that students with chronic pain have poorer psychological, social and academic functioning and quality of life, compared to students without chronic pain. Conclusions: These findings suggest that chronic pain presents a challenge in university settings. Research is urgently needed to enable an understanding of how universities can support students who experience chronic pain.
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Affiliation(s)
- Danijela Serbic
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
| | - Claire Friedrich
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
| | - Romany Murray
- Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK
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Kang W, Malvaso A. Personality Traits Predict Self-Rated Health (SRH) in Coronary Heart Disease (CHD) Patients and Healthy Controls. Healthcare (Basel) 2023; 11:healthcare11111645. [PMID: 37297784 DOI: 10.3390/healthcare11111645] [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: 05/18/2023] [Revised: 05/31/2023] [Accepted: 06/02/2023] [Indexed: 06/12/2023] Open
Abstract
OBJECTIVE The objective of the present study is to examine the association between Big Five personality traits and self-rated health (SRH) among individuals with coronary heart disease (CHD), and to compare this relationship with that of healthy control participants, which is of importance as SRH can be a determinant of outcomes. METHODS The current study used data from 566 participants with CHD with a mean age of 63.00 (S.D. = 15.23) years old (61.13% males) and 8608 age- and sex-matched healthy controls with a mean age of 63.87 (S.D.= 9.60) years old (61.93% males) from the UKHLS. The current study used predictive normative modelling approaches, one-sample t tests, a hierarchical regression, and two multiple regressions. RESULTS The current study found that CHD patients have significantly lower Conscientiousness (t(565) = -3.84, p < 0.001, 95% C.I. [-0.28, -0.09], Cohen's d = -0.16) and SRH (t(565) = -13.83, p < 0.001, 95% C.I. [-0.68, -0.51], and Cohen's d = -0.58) scores compared to age and sex-matched healthy controls. Moreover, health status (controls vs. CHD patients) moderated the links between Neuroticism, Extraversion and SRH. Specifically, Neuroticism (b = -0.03, p < 0.01, 95% C.I. [-0.04, -0.01]), Openness (b = 0.04, p < 0.001, 95% C.I. [0.02, 0.06]), and Conscientiousness (b = 0.08, p < 0.001, 95% C.I. [0.06, 0.10]) were significant predictors of SRH in healthy controls, whereas Conscientiousness (b = 0.08, p < 0.05, 95% C.I. [0.01, 0.16]) and Extraversion (b = -0.09, p < 0.01, 95% C.I. [-0.15, -0.02]) were significant predictors of SRH in CHD patients. CONCLUSION Based on the close associations between personality traits and SRH, and the subsequent impact on patient outcomes, the results of this study should be taken into consideration by clinicians and health professionals when developing tailored treatment and intervention programs for their patients.
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Affiliation(s)
- Weixi Kang
- UK DRI Care Research and Technology Centre, Department of Brain Sciences, Imperial College London, London W12 0BZ, UK
| | - Antonio Malvaso
- Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
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Fekih-Romdhane F, Pandi-Perumal SR, Conus P, Krebs MO, Cheour M, Seeman MV, Jahrami HA. Prevalence and risk factors of self-reported psychotic experiences among high school and college students: A systematic review, meta-analysis, and meta-regression. Acta Psychiatr Scand 2022; 146:492-514. [PMID: 36000793 DOI: 10.1111/acps.13494] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 08/17/2022] [Accepted: 08/18/2022] [Indexed: 01/29/2023]
Abstract
BACKGROUND Adolescents are at high risk of incident psychopathology. Fleeting psychotic experiences (PEs) that emerge in young people in response to stress may be warning signs that are missed by research that fails to study stressed populations, such as late high school and college/university students. Our aim in this systematic review was to conduct a meta-analysis that estimates prevalence rates of PEs in students, and to assess whether these rates differ by gender, age, culture, and COVID-19 exposure. METHOD We searched nine electronic databases, from their inception until January 31, 2022 for relevant studies. We pooled the estimates using the DerSimonian-Laird technique and random-effects meta-analysis. Our main outcome was the prevalence of self-reported PEs in high school and college/university students. We subsequently analyzed our data by age, gender, population, country, culture, evaluation tool, and COVID-19 exposure. RESULTS Out of 486 studies retrieved, a total of 59 independent studies met inclusion criteria reporting 210' 024 students from 21 different countries. Nearly one in four students (23.31%; 95% CI 18.41%-29.05%), reported having experienced PEs (heterogeneity [Q = 22,698.23 (62), p = 0.001] τ2 = 1.4418 [1.0415-2.1391], τ = 1.2007 [1.0205-1.4626], I2 = 99.7%, H = 19.13 [18.59-19.69]). The 95% prediction intervals were 04.01%-68.85%. Subgroup analyses showed that the pooled prevalence differed significantly by population, culture, and COVID-19 exposure. CONCLUSION This meta-analysis revealed high prevalence rates of self-reported PEs among teen and young adult students, which may have significance for mental health screening in school settings. An important realization is that PEs may have very different mental health meaning in different cultures.
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Affiliation(s)
- Feten Fekih-Romdhane
- Tunis El Manar University, Faculty of Medicine of Tunis, Tunis, Tunisia.,The Tunisian Center of Early Intervention is Psychiatry, Department of psychiatry "Ibn Omrane", Razi Hospital, Manouba, Tunisia
| | - Seithikurippu R Pandi-Perumal
- Somnogen Canada Inc., Toronto, Canada.,Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Philippe Conus
- Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program (TIPP-Lausanne), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Marie-Odile Krebs
- Inserm, Laboratoire de Physiopathologie des maladies Psychiatriques, UMR_S1266 Institut de Psychiatrie et Neurosciences de Paris, Université Paris Descartes, Paris, France.,Institut de Psychiatrie (CNRS GDR 3557), Paris, France.,Faculté de Médecine Paris Descartes, Service Hospitalo-Universitaire, Centre Hospitalier Sainte-Anne, Université Paris Descartes, Paris, France
| | - Majda Cheour
- Tunis El Manar University, Faculty of Medicine of Tunis, Tunis, Tunisia.,The Tunisian Center of Early Intervention is Psychiatry, Department of psychiatry "Ibn Omrane", Razi Hospital, Manouba, Tunisia
| | - Mary V Seeman
- Department of Psychiatry, University of Toronto, Canada
| | - Haitham A Jahrami
- Psychiatric Hospital, Ministry of Health, Manama, Bahrain.,Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
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Lin J, Gao YF, Guo Y, Li M, Zhu Y, You R, Chen S, Wang S. Effects of qigong exercise on the physical and mental health of college students: a systematic review and Meta-analysis. BMC Complement Med Ther 2022; 22:287. [PMID: 36348349 PMCID: PMC9641907 DOI: 10.1186/s12906-022-03760-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 10/14/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Physical and mental health problems are becoming more serious among college students due to lifestyle changes and increased academic stress. Qigong exercise has been regarded as a potentially effective intervention to improve the physical and mental health of college students. METHODS Eleven databases were searched from their respective inception dates to April 2022. Relevant randomized controlled trials (RCTs) were included. Physical and psychological conditions, including limb muscle strength, flexibility, cardiorespiratory endurance, vital capacity, blood pressure and heart rate, as well as depression, anxiety and mood, were evaluated. The risk of bias was assessed with the Cochrane Collaboration tool. RESULTS Sixteen randomized controlled trials were included in the meta-analysis. Significant improvements in cardiorespiratory endurance (MD = 3.83, 95% CI: 0.99 to 6.67, P = 0.008) and flexibility (MD = 3.01, 95% CI: 1.21 to 4.81, P = 0.001) were observed. We also observed that Qigong exercise significantly reduced depression and anxiety symptoms (SMD=-0.89, 95% CI: -1.17 to -0.61, P < 0.00001; SMD=-0.78, 95% CI: -1.31 to -0.25, P = 0.004). Nevertheless, no significant effects on muscle strength, vital capacity, blood pressure, heart rate or mood were found. CONCLUSION Qigong exercise was advantageous for college students in terms of improving flexibility and cardiorespiratory endurance and alleviating depression and anxiety to some extent. However, due to the limited number of eligible trials and the low methodological quality, more well-designed RCTs are needed in the future.
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Affiliation(s)
- Jianping Lin
- School of Health, Fujian Medical University, Fuzhou, China
- Fujian Provincial Collaborative Innovation Center of Geriatric Rehabilitation and Industry Promotion, Fuzhou, China
| | - Yi Fang Gao
- School of Health, Fujian Medical University, Fuzhou, China
| | - Yue Guo
- Department of Rehabilitation,The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
| | - Ming Li
- School of Health, Fujian Medical University, Fuzhou, China
- Fujian Provincial Collaborative Innovation Center of Geriatric Rehabilitation and Industry Promotion, Fuzhou, China
| | - Yuxiang Zhu
- School of Health, Fujian Medical University, Fuzhou, China
| | - Ruoshi You
- Department of Rehabilitation,The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
| | - Shaoqing Chen
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, China.
| | - Shizhong Wang
- School of Health, Fujian Medical University, Fuzhou, China.
- Fujian Provincial Collaborative Innovation Center of Geriatric Rehabilitation and Industry Promotion, Fuzhou, China.
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Wang S, Pei J, Zhang K, Gong D, Rokpelnis K, Yang W, Yu X. Does Individuals' Perception of Wastewater Pollution Decrease Their Self-Rated Health? Evidence from China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127291. [PMID: 35742549 PMCID: PMC9223579 DOI: 10.3390/ijerph19127291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 06/11/2022] [Accepted: 06/13/2022] [Indexed: 12/10/2022]
Abstract
Background: This study used original survey data to quantitatively investigate the associations between individuals’ perception of locally present wastewater pollution and their self-rated health. Methods: This research used the data from large-scale surveys covering all the 31 provinces and equivalent administrative units in mainland China and interviewed 6112 participants. The ordered logit method was employed to estimate the models. Results: The results indicated that individuals’ perceptions of local industrial and domestic wastewater pollution significantly decrease their self-rated health. If industrial wastewater pollution was reported, the possibility of the observers indicating lower levels of self-rated current health, comparing to the past year, and comparing with peers, all increased by 26% (p < 0.001), 23% (p = 0.005), and 18% (p = 0.006), respectively. Likewise, perceived domestic wastewater pollution led to the increase by 21% (p = 0.012), 17% (p = 0.034), and 33% (p = 0.000), respectively. Meanwhile, reported industrial wastewater pollution also has an obvious negative effect on individuals’ health performance, such as being more fatigued and upset. Conclusions: The survey clearly shows that Chinese individuals who are aware of water pollution in their living environment tend to experience more negative health outcomes, which adds additional urgency to improving wastewater treatment.
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Affiliation(s)
- Shu Wang
- School of Economics, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China; (S.W.); (J.P.); (K.Z.); (W.Y.)
- China Institute for Vitalizing Border Areas and Enriching the People, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China
| | - Jipeng Pei
- School of Economics, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China; (S.W.); (J.P.); (K.Z.); (W.Y.)
| | - Kuo Zhang
- School of Economics, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China; (S.W.); (J.P.); (K.Z.); (W.Y.)
| | - Dawei Gong
- School of Environment & Natural Resources, Renmin University of China, 59 Zhongguancun Avenue, Beijing 100872, China;
| | - Karlis Rokpelnis
- Council on International Educational Exchange, 600 Southborough Drive, Suite 104, South Portland, ME 04106, USA;
| | - Weicheng Yang
- School of Economics, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China; (S.W.); (J.P.); (K.Z.); (W.Y.)
| | - Xiao Yu
- School of Economics, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China; (S.W.); (J.P.); (K.Z.); (W.Y.)
- China Institute for Vitalizing Border Areas and Enriching the People, Minzu University of China, 27 Zhongguancun South Avenue, Beijing 100081, China
- Correspondence: ; Tel.: +86-15210595097
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Hai NT, Thi HL, Tran Cong HT, Thi VT, Hua Thi LO, Vo Le TT, Thi NP, Do Thi TM, Nguyen Thi TH, Thi Quynh VC, Vinh Pham PT, My TT. Investigating Effects of COVID-19 Pandemic on the Mental Health of Nursing Students During Remote Learning: An Experience from Dong A University, Vietnam. SAGE Open Nurs 2022; 8:23779608221135437. [PMID: 36353306 PMCID: PMC9638534 DOI: 10.1177/23779608221135437] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 10/09/2022] [Accepted: 10/11/2022] [Indexed: 11/06/2022] Open
Abstract
Introduction There was a radically changed in nursing education during the nationwide lockdown due to the COVID-19 outbreaks. The transition to remote learning stressed nursing students in many countries, particularly in Vietnam. However, there is still lacking a novel study to describe the mental characteristics of nursing students in detail. Objectives To assess the mental health of nursing students, including stress, anxiety, and depression, and to identify the related factors to their mental health during the online study period because of the COVID-19 pandemic. Methods A cross-sectional survey was conducted on 540 nursing students at Dong A university using a socio-demographic questionnaire, the Depression, Anxiety, and Stress Scale - 21 Items (DASS-21). Data were analyzed by descriptive statistics and tests, including Mann-Whitney, Kruskal-Wallis, and Spearman's correlation to identify the related factors. Results In total 540 participants, nursing students reported stress (N = 120, 22.2%), anxiety (n = 195, 36.1%), and depression symptoms (n = 135, 23.1%). There was a significant relationship between age, work status, married status, number of children, stress, anxiety, and depression (P < 0.01). In addition, our study showed a negative correlation between frequency of physical activity, perceived health and stress (r = -0.117; p < 0.01, r = -0.127, p < 0.01), anxiety (r = -0.133; p < 0.01, r = -0.112, p < 0.01), depression (r = -0.134; p < 0.01, r = -0.135, p < 0.01). A significant relationship was observed between e-learning space and Internet status with mental health (p < 0.05). Especially, there was no association between average online learning time, academic workload, stress, anxiety, and depression (p > 0.05). However, the authors found a positive association between perceived level of stress related to evaluative activities and stress, anxiety, depression (r = 0.120, p < 0.01; r = 0.089, p < 0.05; r = 0.088, p < 0.05). Conclusion Nursing students suffered stress, anxiety, and depression during online learning due to the COVID-19 pandemic in the presence of some related factors. Therefore, this study may increase more attention of universities, families, and governments to reduce the stress of nursing students during distance education.
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Affiliation(s)
- Nguyen Thi Hai
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
| | - Ha Lai Thi
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
| | | | - Van Tran Thi
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
| | - Le Oanh Hua Thi
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
| | | | - Nga Pham Thi
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
| | | | | | | | - Phu Tran Vinh Pham
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
- UDA-Institute of Applied Life Sciences (UDA-IALS), Dong A University, Danang 550000, Vietnam
| | - Tran Thi My
- Faculty of Medicine, Dong A University, Danang 550000, Vietnam
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Mental Health among Higher Education Students during the COVID-19 Pandemic: A Cross-Sectional Survey from Lithuania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312737. [PMID: 34886462 PMCID: PMC8657419 DOI: 10.3390/ijerph182312737] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 11/30/2021] [Accepted: 11/30/2021] [Indexed: 11/16/2022]
Abstract
Mental health issues—anxiety, depression, suicidal ideation and behavior—are prevalent among students of higher education. The COVID-19 pandemic further affected students’ daily life through academic and socioeconomic disturbances. We set out to investigate students’ mental health amidst the COVID-19 pandemic and conducted a cross-sectional online survey at higher education institutions in Lithuania in 2021. The questionnaire consisted of the Hospital Anxiety and Depression scale (HADS) and the Sense of Coherence scale (SOC-3) questionnaires, evaluation of suicidal risk, experiences during the COVID-19 pandemic and self-rated health status (SRHS). Among 1001 students who completed the survey, the prevalence of clinically relevant anxiety was high (46.6%) and contrasted with the lower prevalence of depression (11.1%). 37.5% of all students admitted that they had thought about suicide at least once during their lifetime and a similar number of students thought about suicide during the previous year. High levels of anxiety and depression were statistically significant predictors of suicidal ideation and planning during the past year in binary regression models. High SRHS (higher score refers to more positive health status) was the only significant independent variable associated with less frequent suicidal attempts in the past year (p < 0.01, OR = 0.29, 95% CI = 0.12 to 0.66). Our study highlights anxiety and suicidality to be burdensome mental health issues among higher education students in Lithuania during the COVID-19 pandemic.
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Viirman F, Hesselman S, Wikström AK, Skoog Svanberg A, Skalkidou A, Sundström Poromaa I, Wikman A. Self-rated health before pregnancy and adverse birth outcomes in Sweden: A population-based register study. Birth 2021; 48:541-549. [PMID: 34184771 DOI: 10.1111/birt.12567] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 04/21/2021] [Accepted: 06/15/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Poor self-rated health (SRH) at time of childbirth has been associated with adverse birth outcomes. However, it is not known whether prepregnancy SRH contributes to these outcomes or whether SRH is a proxy for some other factors. Therefore, the purpose of this study was to explore the associations between poor SRH before pregnancy and adverse birth outcomes. In addition, maternal characteristics associated with SRH before pregnancy were explored. METHODS A population-based register study encompassing 261 731 deliveries in Sweden between January 2013 and July 2017 was conducted. The associations between poor SRH before pregnancy, rated at first antenatal visit, and the adverse birth outcomes of stillbirth, small for gestational age (SGA), and preterm birth were investigated with logistic regression analyses and presented as crude (OR) and adjusted odds ratios (aOR) with 95% confidence intervals (CI). RESULTS Poor SRH before pregnancy was largely characterized by a history of psychiatric care and was associated with stillbirth (OR 1.37, 95% CI 1.04-1.79), SGA birth (OR 1.29, 95% CI 1.19-1.39), and preterm birth (OR 1.41, 95% CI 1.32-1.50). Adjusting for established risk factors for adverse birth outcomes, poor SRH remained associated with SGA birth (aOR 1.16, 95% CI 1.07-1.26) and preterm birth (aOR 1.25, 95% CI 1.17-1.33), but not with stillbirth (aOR 1.08, 95% CI 0.81-1.43). CONCLUSIONS SRH assessments could be used in early pregnancy to identify women in need of more extensive follow-up, as SRH appears to capture something beyond currently known risk factors for adverse birth outcomes.
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Affiliation(s)
- Frida Viirman
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | - Susanne Hesselman
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.,Center for Clinical Research Dalarna, Falun, Sweden
| | - Anna-Karin Wikström
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | | | - Alkistis Skalkidou
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
| | | | - Anna Wikman
- Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden
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Factores de salud percibida y de calidad de vida al inicio de la educación universitaria en Colombia. ACTA COLOMBIANA DE PSICOLOGIA 2021. [DOI: 10.14718/acp.2021.24.2.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
El objetivo del presente estudio fue identificar factores de salud percibida y de calidad de vida en estudiantes de primer semestre de una universidad privada en Colombia. Para esto, se contó con una muestra por conveniencia de 636 estudiantes (M = 18 años, DE = 1.38) que participó en la primera medición de una investigación longitudinal denominada VIDA2020. En particular, se realizó un diseño de investigación observacional transversal, enmarcado en una investigación de cohorte. Del protocolo de evaluación del proyecto, este reporte incluye un cuestionario con datos sociodemográficos y antecedentes médicos, las subescalas de depresión y estrés del dass-21, un ítem del sf36v-2 y el whoqol-bref. En general, como resultado se encontró que el 91 % de los estudiantes valora su salud global como buena o excelente; que dicha valoración es significativamente menor en quienes reportan antecedentes de enfermedad (80.5 %) y síntomas de depresión (86.1 %) y estrés (83.1 %); que las mujeres, los migrantes y quienes reportan antecedentes de enfermedad puntúan menor calidad de vida física, psicológica y ambiental; y que el estrés y la depresión predicen menores puntajes de calidad de vida física y psicológica, con correlaciones más fuertes en comparación con las variables demográficas y médicas. Estos hallazgos permiten identificar y priorizar las necesidades especiales en salud de los nuevos estudiantes.
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Bae JY, Roh HT. Regular Taekwondo Training Affects Mood State and Sociality but Not Cognitive Function among International Students in South Korea. Healthcare (Basel) 2021; 9:healthcare9070820. [PMID: 34203355 PMCID: PMC8304254 DOI: 10.3390/healthcare9070820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 06/19/2021] [Accepted: 06/24/2021] [Indexed: 01/29/2023] Open
Abstract
We aimed to investigate the effect of Taekwondo training on physical fitness, mood, sociality, and cognitive function among international students in South Korea. We randomly assigned 24 international students to a control group (CG, n = 12) and experimental group (EG, n = 12). The EG performed Taekwondo training for 16 weeks, while the CG did not train. Each participant underwent a physical fitness test and sociability questionnaire before and after the intervention. We also examined changes in mood state and cognitive function, using the Korean version of the Profile of Mood State-Brief (K-POMS-B), and the Stroop Color and Word test, respectively. Regarding the physical fitness variables, sit-and-reach records in the EG significantly increased after intervention (p < 0.05). In the sub-variable of K-POMS-B, Vigor-Activity scores significantly increased (p < 0.05) after intervention, while the Fatigue-Inertia scores significantly decreased in the EG (p < 0.05). Furthermore, in the EG, peer relationship scores, a sub-variable of sociability, significantly decreased after intervention (p < 0.05). These findings suggest that Taekwondo training can not only improve flexibility among physical fitness factors, but can also be effective in improving the mood state and sociality of international students.
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Affiliation(s)
- Ju-Yong Bae
- Department of Physical Education, College of Arts and Physical Education, Dong-A University, Busan 49315, Korea;
| | - Hee-Tae Roh
- Department of Sports Science, College of Health Science, Sun Moon University, Asan-si 31460, Korea
- Correspondence: ; Tel.: +82-41-530-2293; Fax: +82-41-541-7424
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Meland E, Breidablik HJ, Thuen F, Samdal GB. How body concerns, body mass, self-rated health and self-esteem are mutually impacted in early adolescence: a longitudinal cohort study. BMC Public Health 2021; 21:496. [PMID: 33711967 PMCID: PMC7953559 DOI: 10.1186/s12889-021-10553-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 03/02/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Impaired self-rated health (SRH) and self-esteem (SE) in adolescents are associated with increased body mass index (BMI). These associations are often studied using cross-sectional designs; we performed a longitudinal cohort survey to examine them. METHODS A longitudinal cohort study of 1225 Norwegian high school students, with SRH, SE and BMI as primary outcomes. We reported the results from temporal causal and residual change analyses separately, with odds ratios (ORs) and standardised regression coefficients (b) and 95% confidence limits. RESULTS Body and weight concerns had unfavourable effects on SRH and SE, which both had favourable effects on each other. Increased BMI had unfavourable effects on SRH, but less so on SE. Body and weight concerns impacted SE change only among girls. Paradoxically, the intention of becoming thinner was associated with an increase in BMI, and the intention of becoming fatter predicted a decrease in BMI during the 2 years. SE and SRH were associated with a leaner body after 2 years. CONCLUSIONS This study confirms that body concerns had unfavourable effects on subjective health, and that positive self-concepts predicted a leaner body. Health promotion strategies built on body acceptance should be increasingly emphasised in clinical and public health practice.
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Affiliation(s)
- Eivind Meland
- Department of Global Public Health and Primary Care, Research Group for General Practice, Årstadveien 17, 5018, Bergen, Norway.
| | - Hans Johan Breidablik
- Department of Research and Development, District General Hospital of Førde, 6800, Førde, Norway
| | - Frode Thuen
- Center for Evidence-Based Practice, Western Norway University of Science, Inndalsveien 28, 5063, Bergen, Norway
| | - Gro Beate Samdal
- Faculty of Health, VID Specialized University, 5145 Fyllingsdalen, Bergen, Norway
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Abdoli N, Farnia V, Radmehr F, Alikhani M, Moradinazar M, Khodamoradi M, Salemi S, Rezaei M, Davarinejad O. The effect of self-compassion training on craving and self-efficacy in female patients with methamphetamine dependence: a one-year follow-up. JOURNAL OF SUBSTANCE USE 2020. [DOI: 10.1080/14659891.2020.1851406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Nasrin Abdoli
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Vahid Farnia
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Farnaz Radmehr
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
- Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mostafa Alikhani
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mehdi Moradinazar
- Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mehdi Khodamoradi
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Safora Salemi
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mansour Rezaei
- Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Omran Davarinejad
- Behavioral Disease Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Ishida M, Montagni I, Matsuzaki K, Shimamoto T, Cariou T, Kawamura T, Tzourio C, Iwami T. The association between depressive symptoms and self-rated health among university students: a cross-sectional study in France and Japan. BMC Psychiatry 2020; 20:549. [PMID: 33228615 PMCID: PMC7685657 DOI: 10.1186/s12888-020-02948-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Accepted: 11/07/2020] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Depressive disorders in University students have risen dramatically in the past few decades to the extent that students' mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one's concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan. METHODS A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n = 5655 in Bordeaux, France and n = 17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex. RESULTS A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99-4.01 in France, OR 7.10, 95%CI 5.76-8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p < 0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p = 0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74-20.00) than in males (OR 6.30, 95%CI 4.99-7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86-5.47 in males, OR 2.98, 95%CI 2.03-4.38 in females). CONCLUSIONS Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.
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Affiliation(s)
- Mami Ishida
- grid.258799.80000 0004 0372 2033Department of Preventive Services, Kyoto University School of Public Health, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
| | - Ilaria Montagni
- grid.412041.20000 0001 2106 639XTeam HEALTHY, UMR 1219, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
| | - Keiichi Matsuzaki
- Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501, Japan.
| | - Tomonari Shimamoto
- grid.258799.80000 0004 0372 2033Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
| | - Tanguy Cariou
- grid.412041.20000 0001 2106 639XTeam HEALTHY, UMR 1219, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
| | - Takashi Kawamura
- grid.258799.80000 0004 0372 2033Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
| | - Christophe Tzourio
- grid.412041.20000 0001 2106 639XTeam HEALTHY, UMR 1219, University of Bordeaux, Inserm, Bordeaux Population Health Research Center, F-33000 Bordeaux, France
| | - Taku Iwami
- grid.258799.80000 0004 0372 2033Kyoto University Health Service, Yoshida-honmachi, Sakyo-ku, Kyoto, 606-8501 Japan
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Whatnall MC, Patterson AJ, Brookman S, Convery P, Swan C, Pease S, Hutchesson MJ. Lifestyle behaviors and related health risk factors in a sample of Australian university students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2020; 68:734-741. [PMID: 31140957 DOI: 10.1080/07448481.2019.1611580] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 04/16/2019] [Accepted: 04/18/2019] [Indexed: 06/09/2023]
Abstract
Objective: To describe lifestyle behaviors (fruit and vegetable intake, alcohol intake, physical activity, sitting time, smoking, drug use, sleep, sexual health) and health risk factors (body mass index, food insecurity, mental health) in a sample of Australian university students. Participants: 3,077 students from the University of Newcastle (UON), Australia (mean age 27.1 ± 9.8 years, 69.4% female) were surveyed in September-October 2017. Methods: Cross-sectional self-report survey, the UON Student Healthy Lifestyle Survey 2017. Results: Participants with unhealthy lifestyle behaviors included; 89.5% not meeting vegetable recommendations, 50.3% exceeding lifetime risk guidelines for alcohol intake, and 38.1% insufficiently physically active. Rates of health risk factors included; 39.6% overweight/obese, 37.6% high or very high risk of psychological distress, and 22.0% food insecure. Conclusions: Rates of unhealthy lifestyle behaviors and related health risk factors were high within the study population, highlighting the importance of ongoing monitoring and prioritization of effective strategies to improve university student health.
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Affiliation(s)
- Megan C Whatnall
- School of Health Sciences, Faculty of Health and Medicine, and Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Amanda J Patterson
- School of Health Sciences, Faculty of Health and Medicine, and Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
| | - Stephanie Brookman
- Student Central, Academic Division, University of Newcastle, Callaghan, Australia
| | - Paula Convery
- Student Central, Academic Division, University of Newcastle, Callaghan, Australia
| | - Claire Swan
- Student Central, Academic Division, University of Newcastle, Callaghan, Australia
| | - Stephanie Pease
- Strategy, Planning and Performance, Resources Division, University of Newcastle, Callaghan, Australia
| | - Melinda J Hutchesson
- School of Health Sciences, Faculty of Health and Medicine, and Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, Australia
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Suárez-Reyes M, Muñoz Serrano M, Van den Broucke S. How do universities implement the Health Promoting University concept? Health Promot Int 2020; 34:1014-1024. [PMID: 30052965 DOI: 10.1093/heapro/day055] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
The Health Promoting University (HPU) concept encourages universities to incorporate health into the university culture, processes and policies in an effort to promote the health of the university community. Universities worldwide have adopted the approach and a framework for action has been developed to guide universities to become a HPU. However, information on how universities translate the framework into actions is scarce. This study explored the way in which 54 universities from 25 countries across the world implemented the HPU framework. An online questionnaire was used to assess the action areas and items of work addressed by the universities and to determine their adherence to the components of the HPU framework: use of the whole systems approach; multiservice collaboration; recognition by the university authorities; funding availability; membership of a HPU network and evaluation of the initiative. The results showed that these components were addressed by most universities. A Multi Correspondence and cluster analysis identified four types of universities based on the implementation of the components: 'emerging' HPUs that are not recognized by the university authorities and tend to not apply the whole systems approach or evaluation of the initiative, and 'established' HPUs that are recognized by the authorities, apply the whole systems approach and evaluate the initiative but that differ with regard to funding and membership of a HPU network. These results demonstrate that universities implement the HPU framework for action differently in order to become a Health Promoting University.
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Affiliation(s)
- Mónica Suárez-Reyes
- Psychological Sciences Research Institute, Université Catholique de Louvain, 10 Place Cardinal Mercier, 1348 Louvain-la-Neuve, Belgium
| | - Mónica Muñoz Serrano
- Escuela de Enfermería, Facultad de Medicina, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4860, 7820436, Santiago, Chile
| | - Stephan Van den Broucke
- Psychological Sciences Research Institute, Université Catholique de Louvain, 10 Place Cardinal Mercier, 1348 Louvain-la-Neuve, Belgium
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Lorem G, Cook S, Leon DA, Emaus N, Schirmer H. Self-reported health as a predictor of mortality: A cohort study of its relation to other health measurements and observation time. Sci Rep 2020; 10:4886. [PMID: 32184429 PMCID: PMC7078209 DOI: 10.1038/s41598-020-61603-0] [Citation(s) in RCA: 103] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2019] [Accepted: 02/25/2020] [Indexed: 11/09/2022] Open
Abstract
Self-reported health (SRH) is widely used as an epidemiological instrument given the changes in public health since its introduction in the 1980s. We examined the association between SRH and mortality and how this is affected by time and health measurements in a prospective cohort study using repeated measurements and physical examinations of 11652 men and 12684 women in Tromsø, Norway. We used Cox proportional hazard regression to estimate hazard ratios (HRs) of death for SRH, controlling for pathology, biometrics, smoking, sex and age. SRH predicted mortality independently of other, more objective health measures. Higher SRH was strongly associated with lower mortality risk. Poor SRH had HR 2.51 (CI: 2.19, 2.88). SRH is affected by disease, mental health and other risk factors, but these factors had little impact on HRs (Poor SRH: HR 1.99; CI: 1.72, 2.31). SRH predicted mortality, but with a time-dependent effect. Time strongly affected the hazard ratio for mortality, especially after ten-year follow-up (Poor SRH HR 3.63 at 0-5 years decreased to HR 1.58 at 15-21 years). SRH has both methodological and clinical value. It should not be uncritically utilised as a replacement instrument when measures of physical illness and other objective health measures are lacking.
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Affiliation(s)
- Geir Lorem
- UiT The Arctic University of Norway, Tromsø, Norway.
| | - Sarah Cook
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - David A Leon
- London School of Hygiene & Tropical Medicine, London, United Kingdom
| | - Nina Emaus
- UiT The Arctic University of Norway, Tromsø, Norway
| | - Henrik Schirmer
- UiT The Arctic University of Norway, Tromsø, Norway.,University of Oslo, Oslo, Norway.,Akershus University Hospital, Nordbyhagen, Norway
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Hossain S, Anjum A, Hasan MT, Uddin ME, Hossain MS, Sikder MT. Self-perception of physical health conditions and its association with depression and anxiety among Bangladeshi university students. J Affect Disord 2020; 263:282-288. [PMID: 31818790 DOI: 10.1016/j.jad.2019.11.153] [Citation(s) in RCA: 40] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Revised: 11/09/2019] [Accepted: 11/30/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND Self-perception of physical health conditions is associated with depression and anxiety. Although some recent studies revealed a high prevalence of depression and anxiety among Bangladeshi university students, no study has yet investigated the link between self-perception of physical health and these common psychological disorders. Therefore, this study aimed to explore the association of self-perception of physical health conditions with depression and anxiety among university students in Dhaka, Bangladesh. METHODS A cross-sectional study was conducted between August and November 2017 among 897 undergraduate students of Jahangirnagar University, Dhaka through face-to-face interviews using a semi-structured questionnaire. Chi-square test and binary logistic regression analysis were used to examine the association between the variables. RESULTS 13.9% of the respondents had poor self-rated health (SRH) and 49.9% had self-rated body image (SRBI) dissatisfaction. 25.6% of the students reported to be overweight/obese whereas 18.7% to be underweight. Poor and moderate SRH was found to be significantly associated with students' depression (adjusted odds ratio [AOR]: 6.700; 95% CI: 3.821-11.749 and AOR: 2.155; 95% CI: 1.582-2.934) and anxiety (AOR: 4.365; 95% CI: 2.599-7.332 and AOR: 1.776; 95% CI: 1.270-2.484). Furthermore, SRBI dissatisfaction, underweight SRBI, overweight/obese SRBI, low blood pressure and hypertension were also significantly linked with students' depression and anxiety. CONCLUSION Students dissatisfied with their physical health status had higher chances to suffer from depression and anxiety. The findings of this study would create room for further research and could be used to design a comprehensive health program for young students.
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Affiliation(s)
- Sahadat Hossain
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh; Maternal and Child Health Division, International Centre for Diarrhoeal Diseases Research, Bangladesh (icddr,b), 68, Shahid Tajuddin Sarani, Mohakhali, Dhaka 1212, Bangladesh.
| | - Afifa Anjum
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh
| | - M Tasdik Hasan
- Research Assistant, Department of Psychological Sciences, University of Liverpool, United Kingdom
| | - Md Elias Uddin
- Department of English, University of Dhaka, Dhaka 1000, Bangladesh
| | - Md Shakhaoat Hossain
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh
| | - Md Tajuddin Sikder
- Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh
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Zaidi U. Health and Rehabilitation Science specialities, physical activity and dimensions of wellness among the students of PNU. Heliyon 2020; 6:e03204. [PMID: 31956720 PMCID: PMC6962693 DOI: 10.1016/j.heliyon.2020.e03204] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 09/22/2019] [Accepted: 01/09/2020] [Indexed: 12/04/2022] Open
Abstract
INTRODUCTION The dimensions of wellness and engagement in physical activity both are crucial for a healthy lifestyle, adjustment, and attainment of professional excel among young female health students. OBJECTIVE The purpose of the study is to determine adherence to physical activity and dimensions of wellness among students of the College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (n = 198). DESIGN This study is based on a Cross-sectional design. SETTING Students of College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University in Riyadh, Saudi Arabia. The study was carried out from May to December, 2018. MATERIAL & METHODS Perceived Wellness scale was used to measure six dimensions of wellness. The frequency of physical activity was measured by self-report 5-point Likert scale. Data was collected through survey research forms. RESULTS Results revealed that the physical wellness dimension was significantly correlated with all physical activity, exercising last year, social, intellectual, and overall wellness (p < .01) and with psychological, emotional, and spiritual wellness (p < .05). Furthermore, regression analysis confirmed the predictive relationship of frequency of physical activity and exercising last year (R2 = .113, F (2, 195) = 12.371, p < .01) with perceived wellness. The department-wise comparison of wellness perception revealed that all the departments score differently on various wellness dimensions. CONCLUSION Comprehensively, association with all dimensions of wellness and physical activity was found among students of the College of Health and Rehabilitation. It further validates the impact of their well-designed curriculum and encouragement to engage with a healthy lifestyle. Further programs can work out to dimensions of wellness where weakness was found to achieve overall wellness.
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Affiliation(s)
- Uzma Zaidi
- Department of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
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Chiavarino C, Poggio C, Rusconi F, Beretta AAR, Aglieri S. Psychological factors and self-rated health: An observative study on cardiological patients. J Health Psychol 2019; 24:1993-2002. [DOI: 10.1177/1359105317712591] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
This study investigated the association of illness representations, awareness of bodily states and health complaints to self-rated health in N = 150 consecutive patients with heart disease (ischaemic disease, heart failure and heart valve disease) and explored differences between ‘health optimist’ and ‘health pessimist’ patients. After controlling for medical variables, health complaints accounted for 14.2 per cent of patients’ self-rated health, and illness representations contributed for another 16.2 per cent; body awareness was not associated with self-rated health. Also, ‘optimists’ tended to see less negative consequences from their illness and perceived greater control over illness treatment compared to ‘pessimists’. Targeting symptoms and illness representations may optimize rehabilitation outcomes.
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Peyman N, Sedghi F. Health Promoting University; Necessity and Framework. JOURNAL OF EDUCATION AND COMMUNITY HEALTH 2019. [DOI: 10.29252/jech.6.4.193] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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Lietz F, Piumatti G, Marinkovic J, Bjegovic-Mikanovic V. Correlates of self-rated health in Southern Europe: evidences from national representative samples in Italy and Serbia. J Public Health (Oxf) 2019; 39:745-753. [PMID: 27915257 DOI: 10.1093/pubmed/fdw132] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2016] [Accepted: 11/09/2016] [Indexed: 11/13/2022] Open
Abstract
Background Self-rated health (SRH) is a widely adopted tool to compare health across countries. Our aim was to examine SRH differences between Italy and Serbia and to observe the role of predictors of SRH referring to health behaviors within and between both countries. Methods We used cross-sectional population-based data from Italian and Serbian national health surveys carried out in 2013. Post hoc cross-standardization was undertaken to ensure that the information from both data sets was comparable. Results Univariate and multivariate multinomial logistic regressions showed that Serbians reported bad-SRH significantly more often than Italians. Moreover, consistently across national groups, younger participants, males, higher educated participants and participants with lower body mass index (BMI) had more chances than older, lower educated and higher BMI participants, respectively, to report better SRH. Finally, smoking and drinking behaviors did not correlate with SRH, while the frequency of fruits and vegetables intake was differently associated with SRH across countries. Conclusion Health assessments based on SRH in Italian and Serbian national surveys are directly comparable and show similar relationships with socio-demographic correlates and BMI. However, the effect of health behaviors on SRH may differ according to national and cultural contexts.
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Affiliation(s)
- Francesco Lietz
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | | | - Jelena Marinkovic
- Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
| | - Vesna Bjegovic-Mikanovic
- Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
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Štefan L, Sporiš G, Krističević T. The associations between sleep duration and sleep quality with self-rated health in young adults: a population-based study. Int J Adolesc Med Health 2018; 32:/j/ijamh.ahead-of-print/ijamh-2018-0007/ijamh-2018-0007.xml. [PMID: 30352026 DOI: 10.1515/ijamh-2018-0007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2018] [Accepted: 02/22/2018] [Indexed: 11/15/2022]
Abstract
BACKGROUND The main purpose of the present study was to explore significant associations between sleep duration and sleep quality with poor self-rated health. METHODS Subjects were 2100 university students (49.6% of women), aged 18-24 years. The associations between sleep duration and sleep quality with self-rated health were examined by using structured questionnaires. RESULTS After adjusting for sex, body mass index (BMI), socio-economic status, smoking status, alcohol consumption, presence or absence of chronic diseases, psychological distress and physical activity, very short [<6 h, odds ratio (OR) = 4.78; 95% confidence interval (CI) 1.95-11.76] and very long (>10 h, OR = 4.09; 95% CI 2.26-7.39) sleep duration and poor sleep quality (OR = 1.44; 95% CI 1.01-2.05) were associated with poor self-rated health. CONCLUSIONS Our results show both dependent and independent associations between sleep duration and sleep quality with self-rated health in a large sample of young adults. Thus, policies that promote adequate sleep duration and good sleep quality are warranted.
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Affiliation(s)
- Lovro Štefan
- Faculty of Kinesiology, Department of General and Applied Kinesiology, University of Zagreb, Horvaćanski zavoj 15, 10 000 Zagreb, Croatia, Phone: 0385-09891-77-060
| | - Goran Sporiš
- Faculty of Kinesiology, Department of General and Applied Kinesiology, University of Zagreb, Zagreb, Croatia
| | - Tomislav Krističević
- Faculty of Kinesiology, Department of Sports Kinesiology, University of Zagreb, Zagreb, Croatia
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Guo Y, Xu M, Zhang J, Hu Q, Zhou Z, Wei Z, Yan J, Chen Y, Lyu J, Shao X, Wang Y, Guo J, Wei Y. The effect of Three-Circle Post Standing (Zhanzhuang) Qigong on the physical and psychological well-being of college students: Study protocol for a randomized controlled trial. Medicine (Baltimore) 2018; 97:e12323. [PMID: 30235685 PMCID: PMC6160034 DOI: 10.1097/md.0000000000012323] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND The physical and mental health of college students tends to continuously decline around the world due to lifestyle or behavior habits changes, and pervasive presence of the Internet. Thus it is urgent to improve their health in college life. As a traditional Qigong form is practiced mainly in a standing posture. Three-Circle Post Standing Qigong (TCPSQ) is suitable for regular practicing and has beneficial effects on improving the physiological function and psychological emotion by adjusting body, breathing, and mind. The aim of the 3 adjustments is to achieve a state of harmonious unity-integrating these adjustments into "one." In this study protocol article, we will systematically explore the effectiveness and safety, feasibility of TCPSQ on physical and psychological outcomes of the college students and deeply understand the state of harmonious unity-integrating adjustments of body, breath, and mind into "one." METHOD/DESIGN We will conduct a randomized, assessor, and statistician blinded, parallel-controlled trial comparing the beneficial effect of TCPSQ in college students. A total of 80 eligible college students from the Beijing University of Chinese Medicine (BUCM) will be recruited and randomly allocated into TCPSQ training or unaltered lifestyle control group according 1:1 allocation ratio with allocation concealment. TCPSQ intervention will last 10 weeks. The study period is 18 weeks including a 10-week supervised intervention and a 8-week follow-up. The relevant physical and psychological outcomes, adverse events, and safety will be evaluated at baseline, 6 weeks (at the mid-point of intervention), 11 weeks (at the end of intervention), and 19 weeks (after the 8-week follow-up period) by blinded independent outcome assessors. DISCUSSION This is the first randomized controlled trial protocol from the perspective of Qigong connotation to systematically investigate the effect of TCPSQ for the physical and mental health of a college student population. If the results in our study prove a significant intervention effect, this would provide preliminary higher-quality evidence and establish an optimal guidance for the application of TCPSQ exercise program among a college student population. ETHICS AND DISSEMINATION The study was approved by the ethics committee of the Beijing University of Chinese Medicine (approval number: 2018BZHYLL0109). A SPIRIT checklist is available for this protocol. The trial was registered in Chinese Clinical Trial Registry (WHO ICTRP member). Registration number: ChiCTR-BON-17010840.
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Affiliation(s)
- Yu Guo
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
- Ovation Health Science and Technology Co. Ltd, ENN Group, Langfang
| | - Mingmin Xu
- School of Acupuncture-Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu
| | - Jialei Zhang
- Ovation Health Science and Technology Co. Ltd, ENN Group, Langfang
| | - Qingchuan Hu
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
- Ovation Health Science and Technology Co. Ltd, ENN Group, Langfang
| | - Zhengkun Zhou
- International Liaison Department, World Federation of Chinese Medicine Societies, Beijing, China
| | - Zeren Wei
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
| | - Jian Yan
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
- Ovation Health Science and Technology Co. Ltd, ENN Group, Langfang
| | - Yue Chen
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
- Ovation Health Science and Technology Co. Ltd, ENN Group, Langfang
| | - Jianxuan Lyu
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
| | - Xiaoqian Shao
- Ovation Health Science and Technology Co. Ltd, ENN Group, Langfang
| | - Ying Wang
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
| | - Jiamei Guo
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
| | - Yulong Wei
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing
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Nayak S, Hubbard A, Sidney S, Syme SL. A recursive partitioning approach to investigating correlates of self-rated health: The CARDIA Study. SSM Popul Health 2018; 4:178-188. [PMID: 29854903 PMCID: PMC5976867 DOI: 10.1016/j.ssmph.2017.12.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2016] [Revised: 12/10/2017] [Accepted: 12/12/2017] [Indexed: 11/25/2022] Open
Abstract
Self-rated health (SRH) is an independent predictor of mortality; studies have investigated correlates of SRH to explain this predictive capability. However, the interplay of a broad array of factors that influence health status may not be adequately captured with parametric multivariate regression. This study investigated associations between several health determinants and SRH using recursive partitioning methods. This non-parametric analytic approach aimed to reflect the social-ecological model of health, emphasizing relationships between multiple health determinants, including biological, behavioral, and from social/physical environments. The study sample of 3648 men and women was drawn from the year 15 (2000-2001) data collection of the CARDIA Study, USA, in order to study a young adult sample. Classification tree analysis identified 15 distinct, mutually exclusive, subgroups (eight with a larger proportion of individuals with higher SRH, and seven with a larger proportion of lower SRH), and multi-domain risk and protective factors associated with subgroup membership. Health determinant profiles were not uniform between subgroups, even for those with similar health status. The subgroup with the largest proportion of higher SRH was characterized by several protective factors, whilst that with the largest proportion of lower SRH, with several negative risk factors; certain factors were associated with both higher and lower SRH subgroups. In the full sample, physical activity, education and income were highest ranked by variable importance (random forests analysis) in association with SRH. This exploratory study demonstrates the utility of recursive partitioning methods in studying the joint impact of multiple health determinants. The findings indicate that factors do not affect SRH in the same way across the whole sample. Multiple factors from different domains, and with varying relative importance, are associated with SRH in different subgroups. This has implications for developing and prioritizing appropriate interventions to target conditions and factors that improve self-rated health status.
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Affiliation(s)
- Shilpa Nayak
- Department of Public Health and Policy, The Whelan Building, Quadrangle, The University of Liverpool, Liverpool L69 3GB, UK
| | - Alan Hubbard
- School of Public Health, The University of California, Berkeley, CA 94720, USA
| | - Stephen Sidney
- Kaiser Permanente Northern California Division of Research, 2000 Broadway, Oakland, CA 94612, USA
| | - S. Leonard Syme
- School of Public Health, The University of California, Berkeley, CA 94720, USA
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Rodríguez-Sanz D, Barbeito-Fernández D, Losa-Iglesias ME, Saleta-Canosa JL, López-López D, Tovaruela-Carrión N, Becerro-de-Bengoa-Vallejo R. Foot health and quality of life among university students: cross-sectional study. SAO PAULO MED J 2018; 136:123-128. [PMID: 29617469 PMCID: PMC9879541 DOI: 10.1590/1516-3180.2017.0264230917] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Accepted: 09/23/2017] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND Foot problems are believed to reduce quality of life and are increasingly present. Even among young adults of university age, untreated foot problems can lead to postural and mobility problems. Accordingly, our aim here was to determine the relationship between foot health and quality of life and general health among male and female university students. DESIGN AND SETTING Observational cross-sectional quantitative study conducted at the Podiatric Medicine and Surgery Clinic of the University of Coruña, Ferrol, Spain. METHODS A sample of 112 participants of median age 22 years came to a health center, where self-reported data were registered, including professional activity, and scores obtained through the Foot Health Status Questionnaire (FHSQ) were compared. RESULTS In Section One of the FHSQ, the university students recorded lower scores of 66.66 in the footwear domain and 60 in the general foot health domain and higher scores of 84.37 in the foot pain domain and 93.75 in the foot function domain. In Section Two, they obtained lower scores of 60 in the overall health domain and 62.50 in the vigor domain and higher scores of 100 in the physical activity and 87.50 in the social capacity domain. Differences between males and females were evaluated using the Wilcoxon rank-sum test, which showing statistical significance (P < 0.05) regarding the dimensions of footwear and general foot health. CONCLUSIONS These university students' quality of life relating to foot health was poor. This appears to be associated with the university period, regardless of gender.
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Affiliation(s)
- David Rodríguez-Sanz
- BSc, PT, MSc, PhD. Assistant Professor, Research Group, School of Health, Exercise and Sport, European University of Madrid, Villaviciosa de Odón, Madrid, Spain
| | - Daniel Barbeito-Fernández
- BSc. External Collaborator and Research, Health and Podiatry Unit, Department of Health Sciences, School of Nursing and Podiatry, University of Coruña, Ferrol, Spain
| | - Marta Elena Losa-Iglesias
- BSc, RN, BSc, MSc, PhD. Full Professor, Faculty of Health Sciences, King Juan Carlos University, Alcorcón, Spain
| | - Jesús Luis Saleta-Canosa
- MD, PhD. Associate Professor, Clinical Epidemiology Research Group, Department of Health Sciences, School of Nursing and Podiatry, University of Coruña, Ferrol, Spain
| | - Daniel López-López
- BSc, BSc, MSc, PhD. Assistant Professor and Research, Health and Podiatry Unit, Department of Health Sciences, School of Nursing and Podiatry, University of Coruña, Ferrol, Spain
| | | | - Ricardo Becerro-de-Bengoa-Vallejo
- RN, BSc, MLIS, DPM, PhD, DHL. Full Professor, Department of Physiotherapy and Podiatry, School of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain
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Wright DM, Rosato M, O'Reilly D. Which long-term illnesses do patients find most limiting? A census-based cross-sectional study of 340,000 people. Int J Public Health 2017; 62:939-947. [PMID: 27942744 PMCID: PMC5641274 DOI: 10.1007/s00038-016-0929-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 10/28/2016] [Accepted: 11/17/2016] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES To investigate associations between a widely used measure of self-assessed health (limiting long-term illness, LLTI) and 11 long-term health conditions. METHODS Information on LLTI and health conditions was obtained from 2011 Census returns for a 28% representative sample of the Northern Ireland population (n = 342,868). Logistic regression was used to predict LLTI by sex and age group for each condition found in isolation, adjusting for marital status, social class, household car access, housing tenure, and educational attainment. The relationship between limitation and multimorbidity was also assessed. RESULTS Prevalence of LLTI varied considerably among conditions when found in isolation; those with mobility problems were over 50 times more likely to report limitation than those with hearing loss. Women were less likely to report limitation than men [OR = 0.93 (0.90, 0.96)], but the pattern of associations with health conditions was similar for both sexes. Prevalence of LLTI increased with age and number of health conditions. CONCLUSIONS LLTI was most closely associated with mobility problems. Limitation increased slightly with age, but patterns of LLTI across conditions were not sex dependent.
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Affiliation(s)
- David M Wright
- Centre for Public Health, Queen's University Belfast, Belfast, UK.
| | - Michael Rosato
- Bamford Centre for Mental Health and Wellbeing, Ulster University, Londonderry, UK
| | - Dermot O'Reilly
- Centre for Public Health, Queen's University Belfast, Belfast, UK
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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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Nur N, Kıbık A, Kılıç E, Sümer H. Health-related Quality of Life and Associated Factors Among Undergraduate University Students. Oman Med J 2017; 32:329-334. [PMID: 28804586 DOI: 10.5001/omj.2017.62] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES The aims of this study were to explore factors associated with health-related quality of life (HRQOL) among students of Cumhuriyet University, Turkey. METHODS This cross-sectional study involved 1751 undergraduate students. HRQOL was measured using the Turkish version of 36-Item Short Form Health Survey questionnaire. We looked at the effect of sociodemographic characteristics (e.g., gender, age, drinking, and smoking) on the individual HRQOL domains. RESULTS Place of residency (odds ratio (OR) = 3.947 for role emotion dimension), smoking status (OR = -2.756 for role physical dimension), received amount of pocket money (OR = 2.463 for mental health dimension), and body mass index (OR = 1.463 for mental health dimension) were the factors significantly associated with the HRQOL. CONCLUSIONS Young students' HRQOL is affected by socioeconomic, demographic, and behavioral factors. To improve student's HRQOL, any health-promoting strategies should focus on modifiable risk factors and socioeconomic supports for students.
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Affiliation(s)
- Naim Nur
- Department of Public Health, Cumhuriyet University, Sivas, Turkey
| | - Ahmet Kıbık
- Department of Public Health, Cumhuriyet University, Sivas, Turkey
| | - Esma Kılıç
- Department of Public Health, Cumhuriyet University, Sivas, Turkey
| | - Haldun Sümer
- Department of Public Health, Cumhuriyet University, Sivas, Turkey
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Hersi L, Tesfay K, Gesesew H, Krahl W, Ereg D, Tesfaye M. Mental distress and associated factors among undergraduate students at the University of Hargeisa, Somaliland: a cross-sectional study. Int J Ment Health Syst 2017; 11:39. [PMID: 28603551 PMCID: PMC5465570 DOI: 10.1186/s13033-017-0146-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 05/25/2017] [Indexed: 11/25/2022] Open
Abstract
Background Mental distress is a common finding among University students. Empirical research has confirmed that the University student population has a higher prevalence of mental disorder than the general population. However, no previous study has examined the mental health conditions of students in Somaliland. Methods An institution based cross-sectional study was conducted on a sample of 570 undergraduate students at the University of Hargeisa in October, 2013. Study subjects were selected using a stratified random sampling. The Self-reporting questionnaire (SRQ-20) was used to assess mental distress. Multiple logistic regression analysis was carried out to identify factors independently associated with mental distress. Results The point prevalence of mental distress was found to be 19.8%. Mental distress was associated with being female (AOR = 3.52, 95% CI 1.94, 6.39), having a monthly income of 100 United States dollars (USD) or less (AOR = 2.19, 95% CI 1.12, 4.28), and not having a satisfying relationship with the family (AOR = 11.52, 95% CI 3.18, 41.72) and friends (AOR = 7.33, 95% CI 2.83, 18.93). Nearly one in five students (18.6%) has been using Khat in the previous 12 months. Khat use was also associated with greater likelihood of mental distress (AOR = 2.87, 95% CI 1.26, 6.56). In addition, financial difficulties and the poor prospect of finding a job were common sources of stress among the students. Conclusions A significant proportion of the students at the University of Hargeisa suffer from mental distress which might have a detrimental effect on their academic performance. The mental health needs of the University students require attention with special emphasis on female students, students experiencing financial hardships, students who use Khat and those who have interpersonal problems.
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Affiliation(s)
- Liban Hersi
- Faculty of Medicine, University of Hargeisa, Hargeisa, Somaliland
| | - Kenfe Tesfay
- Department of Psychiatry Nursing, Mekelle University, Mekelle, Ethiopia
| | - Hailay Gesesew
- Department of Epidemiology, Jimma University, Jimma, Ethiopia.,Discipline of Public Health, Flinders University, Adelaide, Australia
| | - Wolfgang Krahl
- Department of Forensic Psychiatry, Isar Amper Klinikum, Munich, Germany
| | - Deria Ereg
- Faculty of Medicine, University of Hargeisa, Hargeisa, Somaliland
| | - Markos Tesfaye
- Department of Psychiatry, College of Health Sciences, Jimma University, Jimma, Ethiopia.,Center for International Health, Ludwig Maximillians University, Munich, Germany
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Terebessy A, Czeglédi E, Balla BC, Horváth F, Balázs P. Medical students' health behaviour and self-reported mental health status by their country of origin: a cross-sectional study. BMC Psychiatry 2016; 16:171. [PMID: 27236478 PMCID: PMC4884620 DOI: 10.1186/s12888-016-0884-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2015] [Accepted: 05/24/2016] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Numerous previous studies have investigated the lifestyle and self-perceived health status of medical students. This study examined whether students' country of origin contributed to their mental health and health risk behaviour. METHODS We conducted our cross-sectional questionnaire survey over four consecutive years (2009-2012). The target population was fourth-year English- and Hungarian-language course medical students at Semmelweis University, Hungary. We gathered data on medical students' health behaviour (tobacco smoking, alcohol consumption, dietary habits and exercise) and mental health status and used analysis of variance (ANOVA) to examine the association between country of origin and mental health. RESULTS The response rate was 76.1 % for the Hungarian and 63.4 % for the English course students. The mean age of our sample was 24.1 years (SD = 2.42). Only 15.3 % of students reported following dietary recommendations, but 75.0 % reported engaging in vigorous and regular physical exercise. The prevalence of tobacco smoking was 18.6 % and 13.8 % overconsumed alcoholic beverages. Hungarian and Iranian students reported lower mental well-being than Mediterranean, Israeli and Scandinavian students (F(4) = 18.943, p < 0.001, η(2) = 0.103). Results of the multiway ANOVA indicated that both country of origin and exercise showed a significant relationship with mental health: vigorous exercise was associated with better mental health status (F(1) = 5.505, p = 0.019). CONCLUSIONS Medical students' mental health and health behaviour are associated with multiple factors. One of these is country of origin but exercise may also influence mental health. Health promotion programmes organised for medical students should take their country of origin into consideration and should include physical activity.
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Affiliation(s)
- András Terebessy
- Department of Public Health, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1089, Budapest, Hungary.
| | - Edit Czeglédi
- Department of Behavioural Sciences, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1089 Budapest, Hungary
| | - Bettina Claudia Balla
- Department of Public Health, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1089 Budapest, Hungary
| | - Ferenc Horváth
- Department of Public Health, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1089 Budapest, Hungary
| | - Péter Balázs
- Department of Public Health, Faculty of Medicine, Semmelweis University, Nagyvárad tér 4, H-1089 Budapest, Hungary
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El Ansari W, Stock C. Explaining the gender difference in self-rated health among university students in Egypt. Women Health 2016; 56:731-44. [PMID: 26886289 DOI: 10.1080/03630242.2015.1118733] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
In this study the authors assessed gender differences in the relationships between self-rated health (SRH) and demographic factors, physical health, health service use, infections, a variety of symptoms and health conditions, and wider well-being features. A self-administered questionnaire was administered to 3,271 students at Assiut University, Egypt during 2009-2010. Multiple logistic regression was used (with excellent/very good SRH as dependent variable) to assess the variables that might explain the gender difference in SRH. Females had more symptoms, infectious diseases/illness periods, substantially lower quality of life, and more burdens, although their health awareness and satisfaction with social support were higher than males. The unadjusted odds ratio (OR) suggested that females were less likely than males to rate their SRH as excellent/very good [OR 0.56, 95% confidence interval (CI) 0.47-0.68]. Adjusting only for relevant physical health and health service use variables, the OR for excellent/very good SRH for females increased, but nevertheless still remained significantly lower than that of males. With further adjustment for physical health, health service use, and also for wider well-being variables, the gender difference in SRH became no longer statistically significant. Poorer physical health indicators and a lower level of wider well-being features explained the lower SRH among female Egyptian university students. Health promotion and prevention programs should consider these factors in attempting to address gender health disparities.
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Affiliation(s)
- Walid El Ansari
- a Faculty of Applied Sciences , University of Gloucestershire , Gloucester , UK
| | - Christiane Stock
- b Unit for Health Promotion Research, Institute of Public Health , University of Southern Denmark , Esbjerg , Denmark
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Lorem GF, Schirmer H, Emaus N. Health Impact Index. Development and Validation of a Method for Classifying Comorbid Disease Measured against Self-Reported Health. PLoS One 2016; 11:e0148830. [PMID: 26849044 PMCID: PMC4746071 DOI: 10.1371/journal.pone.0148830] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 01/21/2016] [Indexed: 11/17/2022] Open
Abstract
The objective of this study was to develop a method of classifying comorbid conditions that accounts for both the severity and joint effects of the diseases. The Tromsø Study is a cohort study with a longitudinal design utilizing a survey approach with physical examinations in the Tromsø municipality from 1974 to 2008, where in total 40051 subjects participated. We used Tromsø 4 as reference population and the Norwegian Institute of Public Health (FHI) panel as validation population. Ordinal regression was used to assess the effect of comorbid disease on Self-Reported Health (SRH). The model is controlled for interaction between diseases, mental health, age, and gender. The health impact index estimated levels of SRH. The comparison of predicted and observed SRH showed no significant differences. Spearman’s correlation showed that increasing levels of comorbidity were related to lower levels of SRH (RS = -0.36, p <.001). The Charlson Comorbidity Index(CCI) was also associated with SRH (r = -.25, p <.001). When focusing on only individuals with a comorbid disease, the relation between SRH and the Health Impact Index (HII) was strengthened (r = -.42, p <.001), while the association between SRH and CCI was attenuated (r = -.14, p <.001). CCI was designed to control for comorbid conditions when survival/mortality is the outcome of interest but is inaccurate when the outcome is SRH. We conclude that HII should be used when SRH is not available, and well-being or quality of survival/life is the outcome of interest.
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Affiliation(s)
- Geir Fagerjord Lorem
- Department of caring and health science, Faculty of health sciences, The Arctic University of Norway, Tromsø, Norway
| | - Henrik Schirmer
- Department of clinical medicine, Faculty of health sciences, The Arctic University of Norway, Tromsø, Norway.,Division of Cardiothoracic and Respiratory Medicine, University Hospital of Northern Norway, Tromsø, Norway
| | - Nina Emaus
- Department of caring and health science, Faculty of health sciences, The Arctic University of Norway, Tromsø, Norway
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Valerio TD, Kim MJ, Sexton-Radek K. Association of Stress, General Health, and Alcohol Use with Poor Sleep Quality among U.S. College Students. AMERICAN JOURNAL OF HEALTH EDUCATION 2016. [DOI: 10.1080/19325037.2015.1111173] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Chu JJ, Khan MH, Jahn HJ, Kraemer A. Only-Child Status in Relation to Perceived Stress and Studying-Related Life Satisfaction among University Students in China: A Comparison with International Students. PLoS One 2015; 10:e0144947. [PMID: 26675032 PMCID: PMC4686167 DOI: 10.1371/journal.pone.0144947] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2015] [Accepted: 11/25/2015] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES University students in general face multiple challenges, which may affect their levels of perceived stress and life satisfaction. Chinese students currently face specific strains due to the One-Child Policy (OCP). The aim of this study was to assess (1) whether the levels of perceived stress and studying-related life satisfaction are associated with only-child (OC) status after controlling for demographic and socio-economic characteristics and (2) whether these associations differ between Chinese and international students. MATERIALS AND METHODS A cross-sectional health survey based on a self-administrated standardised questionnaire was conducted among 1,843 (1,543 Chinese, 300 international) students at two Chinese universities in 2010-2011. Cohen's Perceived Stress Scale (PSS-14) and Stock and Kraemer's Studying-related Life Satisfaction Scale were used to measure perceived stress and studying-related life satisfaction respectively. Multivariable logistic regression analyses were used to examine the associations of OC status with perceived stress and studying-related life satisfaction by sex for Chinese students and international students separately. RESULTS The Chinese non-only-children (NOCs) were more likely to come from small cities. Multivariable regression models indicate that the Chinese NOCs were more stressed than OCs (OR = 1.39, 1.11-1.74) with a stronger association in men (OR = 1.48, 1.08-2.02) than women (OR = 1.26, 0.89-1.77). NOCs were also more dissatisfied than their OC fellows in the Chinese subsample (OR = 1.37, 1.09-1.73). Among international students, no associations between OC status and perceived stress or studying-related life satisfaction were found. CONCLUSIONS To promote equality between OCs and NOCs at Chinese universities, the causes of more stress and less studying-related life satisfaction among NOCs compared to OCs need further exploration.
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Affiliation(s)
- Janet Junqing Chu
- Department of Public Health Medicine, School of Public Health,
University of Bielefeld, P.O. Box 10 02 91, 33502 Bielefeld,
Germany
| | - Mobarak Hossain Khan
- Department of Public Health Medicine, School of Public Health,
University of Bielefeld, P.O. Box 10 02 91, 33502 Bielefeld,
Germany
| | - Heiko J. Jahn
- Department of Public Health Medicine, School of Public Health,
University of Bielefeld, P.O. Box 10 02 91, 33502 Bielefeld,
Germany
| | - Alexander Kraemer
- Department of Public Health Medicine, School of Public Health,
University of Bielefeld, P.O. Box 10 02 91, 33502 Bielefeld,
Germany
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Wakefield JRH, Sani F, Herrera M, Khan SS, Dugard P. Greater family identification-but not greater contact with family members-leads to better health: Evidence from a Spanish longitudinal study. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2015. [DOI: 10.1002/ejsp.2171] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
| | - Fabio Sani
- School of Psychology; University of Dundee; UK
| | - Marina Herrera
- Department of Social Psychology; University of Valencia; Spain
| | | | - Pat Dugard
- School of Psychology; University of Dundee; UK
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Associations of psychosocial working conditions and working time characteristics with somatic complaints in German resident physicians. Int Arch Occup Environ Health 2015; 89:583-92. [PMID: 26542379 DOI: 10.1007/s00420-015-1096-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 09/28/2015] [Indexed: 12/21/2022]
Abstract
PURPOSE Somatic complaints (SC) are highly prevalent in working populations and cause suffering and extensive health-care utilization. Adverse psychosocial working conditions as conceptualized in the Job Demand-Control-Support Model (JDC-S) and adverse working time characteristics (WTC) are potential risk factors. This combination is particularly common in hospital physicians. This study examines associations of JDC-S and WTC with SC in resident physicians from Germany. METHODS A cross-sectional study was conducted among 405 physicians at the end of residency training. SC were measured using the Giessen Subjective Complaints List (GBB-24) containing the sub-categories exhaustion, gastrointestinal, musculoskeletal, and cardiovascular complaints. Data on working conditions were collected by a self-report method for work analysis in hospitals (TAA-KH-S) and by questions on WTC (i.e., working hours). Multivariable stepwise regression analyses were applied. RESULTS Workload showed the most pronounced relationship with all sub-categories of SC except gastrointestinal complaints. Job autonomy was not significantly related to any SC sub-category. Social support at work was inversely associated with all SC sub-categories except for cardiovascular complaints. Free weekends were associated with reduced SC except for exhaustion. Shift work was related to an increased SC total score and musculoskeletal complaints. Working hours showed no association with SC. CONCLUSION In resident physicians, high workload and shift work are associated with increased SC, while social support at work and free weekends are associated with decreased SC. These insights may inform the development of preventive measures to improve the health of this professional group. Prospective studies are needed though to corroborate our findings.
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Shareef MA, AlAmodi AA, Al-Khateeb AA, Abudan Z, Alkhani MA, Zebian SI, Qannita AS, Tabrizi MJ. The interplay between academic performance and quality of life among preclinical students. BMC MEDICAL EDUCATION 2015; 15:193. [PMID: 26521026 PMCID: PMC4628381 DOI: 10.1186/s12909-015-0476-1] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 10/22/2015] [Indexed: 05/22/2023]
Abstract
BACKGROUND The high academic performance of medical students greatly influences their professional competence in long term career. Meanwhile, medical students greatly demand procuring a good quality of life that can help them sustain their medical career. This study examines validity and reliability of the tool among preclinical students and testifies the influence of their scholastic performance along with gender and academic year on their quality of life. METHODS A cross sectional study was conducted by distributing World Health Organization Quality of Life, WHOQOL-BREF, survey among medical students of year one to three at Alfaisal University. For validity, item discriminate validity(IDV) and confirmatory factor analysis were measured and for reliability, Cronbach's α test and internal item consistency(IIC) were examined. The association of GPA, gender and academic year with all major domains was drawn using Pearson's correlation, independent samples t-test and one-way ANOVA, respectively. RESULTS A total of 335 preclinical students have responded to this questionnaire. The construct has demonstrated an adequate validity and good reliability. The high academic performance of students positively correlated with physical (r = 0.23, p < 0.001), psychological health (r = 0.29, p < 0.001), social relations (r = 0.11, p = 0.03) and environment (r = 0.23, p < 0.001). Male student scored higher than female peers in physical and psychological health. DISCUSSION This study has identified a direct relationship between the academic performance of preclinical students and their quality of life. CONCLUSION The WHOQOL-BREF is a valid and reliable tool among preclinical students and the positive direction of high academic performance with greater QOL suggests that academic achievers procure higher satisfaction and poor achievers need a special attention for the improvement of their quality of life.
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A multilevel cross-lagged structural equation analysis for reciprocal relationship between social capital and health. Soc Sci Med 2015; 142:1-8. [DOI: 10.1016/j.socscimed.2015.08.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2015] [Revised: 07/28/2015] [Accepted: 08/03/2015] [Indexed: 11/18/2022]
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Leu JH, Banwell C. Looking for a Taste of Home: A Qualitative Study of the Health Implications of the Diets of Australian - Based Southeast Asian Students. Glob J Health Sci 2015; 8:101-12. [PMID: 26493434 PMCID: PMC4803955 DOI: 10.5539/gjhs.v8n3p101] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2015] [Accepted: 05/29/2015] [Indexed: 11/13/2022] Open
Abstract
PURPOSE To investigate potential dietary changes among Southeast Asian international students living in self-catered accommodation while studying abroad and to consider implications for their health. DESIGN Participants were interviewed about their food preferences and behaviours in their home countries and during their undergraduate studies at the Australian National University. SETTING A university in Australia. PARTICIPANTS Study participants were full-time undergraduate students over 18 years of age from Southeast Asian countries studying at the Australian National University for at least one year, and living at self-catered accommodation. METHODS Thirty-one, in-depth, face-to-face qualitative interviews concerning usual diets were collected over a three month period in 2013. Interviews were coded and analysed with the aid of a computer program Atlas.ti. RESULTS The macro-nutrient content of Southeast Asian international students' diets did not change a great deal when they moved to Australia. Most students replaced some preferred foods on occasions because they either could not afford them, they were not available or they lacked the time to prepare them. These dietary changes were not necessarily reflected in changes to students' weights and most students considered that they were as healthy as when they lived at home. CONCLUSION As students' adapt to a new food environment they reflexively manage potential health risks. Strong student networks and an accessible and healthy food environment would support students to make healthy dietary choices although additional information about healthy diets could facilitate this further.
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Zheng G, Lan X, Li M, Ling K, Lin H, Chen L, Tao J, Li J, Zheng X, Chen B, Fang Q. Effectiveness of Tai Chi on Physical and Psychological Health of College Students: Results of a Randomized Controlled Trial. PLoS One 2015; 10:e0132605. [PMID: 26147842 PMCID: PMC4492604 DOI: 10.1371/journal.pone.0132605] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Accepted: 06/15/2015] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To investigate the effectiveness and safety of Tai Chi Chuan (TCC) on physical and psychological health of college students. METHODS Two hundred six college students were recruited and randomly allocated to a control group or a TCC exercise group in an equal ratio. Participants in the control group were instructed to maintain their original activity level and those in the TCC exercise group received 12 weeks of TCC exercise training based on their original activity level. Physical and psychological outcomes were evaluated at baseline, 13 weeks and 25 weeks. Intention-to-treat analysis was performed for the above outcomes. RESULTS Compared with the control group, the TCC exercise group showed significant improvements at the end of the 12-week intervention period for flexibility (length of Sit and Reach (cm): TCC group 14.09±7.40 versus control 12.88±6.57, P = 0.039 adjusted for its baseline measures using a general linear model) and balance ability (open eyes perimeter: TCC group 235.6(191~314) versus control 261(216~300); closed eyes perimeter: TCC group 370.5 (284~454) versus control 367 (293~483); P = 0.0414, 0.008, respectively, adjusted for corresponding baseline measures using a general linear model). No significant changes in other physical and mental outcomes were found between the two groups. No adverse events were reported during the study period. CONCLUSION TCC exercise was beneficial in college students for improving flexibility and balance capability to some extent, compared with usual exercise. TRIAL REGISTRATION Chinese Clinical Trial Registry ChiCTR-TRC-13003328.
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Affiliation(s)
- Guohua Zheng
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Xiulu Lan
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Moyi Li
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Kun Ling
- Department of Physical Education, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Hui Lin
- Department of Physical Education, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Lidian Chen
- Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
- * E-mail:
| | - Jing Tao
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Junzhe Li
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Xin Zheng
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Bai Chen
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
| | - Qianying Fang
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
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Student perceptions of a healthy university. Public Health 2015; 129:674-83. [PMID: 25957852 DOI: 10.1016/j.puhe.2015.03.020] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 02/25/2015] [Accepted: 03/16/2015] [Indexed: 11/22/2022]
Abstract
UNLABELLED As complex environments within which individuals and populations operate, universities present important contexts for understanding and addressing health issues. The healthy university is an example of the settings approach, which adopts a whole system perspective, aiming to make places within which people, learn, live, work and play supportive to health and well-being. The UK Healthy Universities Network has formulated an online toolkit, which includes a Self-Review Tool, intended to enable universities to assess what actions they need to take to develop as a healthy university. This paper presents findings from consultative research undertaken with students from universities in England, Scotland and Wales, which explored what they believe, represents a healthy university. METHODS Student surveys and focus groups were used to collect data across eleven universities in England, Scotland and Wales. A priori themes were used to develop our own model for a healthy university, and for the thematic coding phase of analysis. FINDINGS A healthy university would promote student health and well-being in every aspect of its business from its facilities and environment through to its curriculum. Access to reasonably priced healthy food and exercise facilities were key features of a healthy university for students in this study. The Self-Review Tool has provided a crucial start for universities undertaking the journey towards becoming a healthy university. In looking to the future both universities and the UK Healthy Universities Network will now need to look at what students want from their whole university experience, and consider how the Self-Review Tool can help universities embrace a more explicit conceptual framework. CONCLUSION The concept of a healthy university that can tailor its facilities and supportive environments to the needs of its students will go some way to developing students who are active global citizens and who are more likely to value and prioritise health and well-being, in the short and long term through to their adult lives.
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Sigmund M, Kvintová J, Hřebíčková H, Šafář M, Sigmundová D. Life satisfaction, health, self-evaluation and sexuality in current university students of sport sciences, education and natural sciences. ACTA GYMNICA 2014. [DOI: 10.5507/ag.2014.024] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Levinson D, Kaplan G. What does Self Rated Mental Health Represent. J Public Health Res 2014; 3:287. [PMID: 25553310 PMCID: PMC4274494 DOI: 10.4081/jphr.2014.287] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2014] [Accepted: 11/21/2014] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Unlike the widely used self rated health, the self rated mental health was found unsuitable as a proxy for mental illness. This paper analyses the relationships between the self ratings of physical health, mental health and overall health, and their association of with the objective indicators for physical and mental health. DESIGN AND METHODS The study is a secondary analysis of data from a nationwide representative sample of the non-institutionalized adult residents of Israel in 2003 that was collected via computer-assisted personal interview methods [n=4859]. RESULTS The self rated physical health and the self rated mental health were strongly related to each other yet the self rated mental health was not related to chronic physical conditions and the self rated physical health was not related to mental disorders. In a multiple logistic regression analysis, those with positive self rated mental health had 93 times the odds of reporting positive overall health whereas those with positive self rated physical health had 40 times the odds of reporting positive overall health. CONCLUSIONS The self rating of mental health presents a qualitatively different dimension from mental illness. The self rated mental health is two times more important than the self rated physical health in predicting the self rated overall health Significance for public healthThe present study is an original study on the self rated physical, mental and overall health measures. Because of the wide range of associations with other health indicators, and the simplicity with which they are collected, self-rated health measures are widely used in large population surveys.The present study questions the automatic assumption that the self rated mental health functions as a proxy measure of psychiatric morbidity, and suggests that the self rated mental health is more closely related to subjective well-being. The results show that self rated mental health predicts self rated general health better than self rated physical health.
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Affiliation(s)
| | - Giora Kaplan
- Certner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Israel
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Wang BR, Yu S, Noh JW, Kwon YD. Factors associated with self-rated health among North Korean defectors residing in South Korea. BMC Public Health 2014; 14:999. [PMID: 25257402 PMCID: PMC4192277 DOI: 10.1186/1471-2458-14-999] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Accepted: 09/22/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The number of North Korean refugees entering South Korea has increased recently. The health status of refugees is a significant factor in determining their success in resettlement; therefore, this study examined both the self-rated health status of North Korean defectors who have settled in South Korea and the factors associated with their self-rated health status. METHODS This study utilized data gained from face-to-face interviews with 500 North Korean defectors who arrived in South Korea in 2007. The interviews were structured and conducted by 'Yonsei University Research Team for North Korean defectors'. A stepwise multivariable linear regression was performed to determine the factors associated with their self-rated health status. RESULTS North Korean defectors who were female, elderly, or had low annual household income, disability or chronic diseases reported lower health status. However, self-rated health status was higher among those who had settled in South Korea for 18 months or more, who were satisfied with government support or their current life, and who had experienced more traumatic events in North Korea. CONCLUSIONS Government policies and refugee assistance programs should consider and reflect the factors relevant to the health status of North Korean defectors.
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Affiliation(s)
| | | | | | - Young Dae Kwon
- Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Korea.
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Zheng G, Lan X, Li M, Ling K, Lin H, Chen L, Tao J, Li J, Zheng X, Chen B, Fang Q. The effectiveness of Tai Chi on the physical and psychological well-being of college students: a study protocol for a randomized controlled trial. Trials 2014; 15:129. [PMID: 24742146 PMCID: PMC4000322 DOI: 10.1186/1745-6215-15-129] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Accepted: 03/20/2014] [Indexed: 11/10/2022] Open
Abstract
Background The physical and mental health of college-age youths tends to continuously decline around the world. It is therefore important to promote health during this period. As a traditional Chinese mind-body exercise, Tai Chi Chuan (TCC) may be an available selection. However for the college student population, the evidence is unclear as to whether TCC can be recommended as an effective exercise for promoting their physical and psychological wellbeing. Therefore high quality, rigorous, prospective, and well-controlled randomized trials are needed to further understand TCC serving as a psychological and physical intervention in college age populations. Method/Design We designed a randomized, single-blind, parallel-controlled trial with a sample size of 206 participants. All the participants who meet the inclusion criteria come from Fujian University of Traditional Chinese Medicine (FJTCM). Participants of the TCC training group will receive TCC training at a frequency of five days per week for one hour per day for 12 weeks. No specific exercise will be administered on the participants in the control group. Both physical and mental health outcomes, including balance ability, lower limb proprioception, flexibility, physical fitness, self-efficacy, psychological symptoms, attention span, stress, self-esteem, mood and mindfulness, quality of life, and quality of sleep. Safety outcomes will be evaluated by blinded operators at baseline, 12 and 24-weeks post-intervention. Discussion This protocol presents an objective design of a randomized, single-blind trial that will test the effectiveness and safety of TCC on the physical and psychological wellbeing of college students. If the outcome is positive, the results will provide higher quality evidence of TCC on the physical and mental health of college age populations. Trial registration Chinese Clinical Trial Registry: ChiCTR-TRC-13003328.
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Affiliation(s)
| | | | | | | | | | - Lidian Chen
- Fujian University of Traditional Chinese Medicine, HuaTuo Road, Fuzhou 350122, China.
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Jenkins KR. How valid are self-reports of illness-related absence? Evidence from a university employee health management program. Popul Health Manag 2014; 17:211-7. [PMID: 24611945 DOI: 10.1089/pop.2013.0087] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
The present study uses a focused approach to compare self-reported versus administratively recorded measures of absences related to health or illness. To date, the few studies that focus on this topic produced mixed results. To help shed light on this issue, the present research has 2 related objectives: (1) examine how highly correlated self-reported and administratively recorded measures of absences related to health or illness might be, and (2) how each measure predicts various aspects of health. Using data from the 2012 StayWell® Health Management health risk appraisal (HRA) and 1 year (2011) of administratively recorded timekeeping data, bivariate analyses for continuous variables and generalized linear modeling for variables with greater than 2 response categories were used. For the multivariate analyses, linear regression models controlling for sex, age, race, income, job status, and campus location were calculated for the continuous outcomes (ie, self-rated health and chronic conditions). Results indicate that self-reported and administratively recorded absences related to health or illness were moderately correlated (correlation coefficient of 0.47). In addition, each measure functioned similarly (in direction and magnitude) to predict health outcomes. Both greater self-reported and recorded illness-related absenteeism was associated with poorer self-rated health and greater numbers of chronic conditions. These results suggest that self-rated illness-related absenteeism may be a reasonable way to assess various program outcomes meaningful to employers, particularly if administratively recorded measures are unavailable or too time consuming or expensive to analyze.
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Affiliation(s)
- Kristi Rahrig Jenkins
- MHealthy, University of Michigan Health and Wellbeing Services , Ann Arbor, Michigan
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Zheng G, Li M, Lan X, Yan X, Lin Q, Chen L, Tao J, Zheng X, Li J, Chen B, Fang Q. The effect of Baduanjin exercise for physical and psychological wellbeing of college students: study protocol for a randomized controlled trial. Trials 2013; 14:422. [PMID: 24308310 PMCID: PMC4234126 DOI: 10.1186/1745-6215-14-422] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2013] [Accepted: 11/27/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The physical and mental health of college students tends to continuously decline around the world. Since they are in a significant transition period which presents opportunities and challenges in health promotion, it is important to improve their health in this period. As a traditional Chinese exercise form which combines movements with breath and mind, Baduanjin may be one of the selectable effective exercises. However, evidence of Baduanjin exercise for college students has not been completely established. The primary aim of this trial is to evaluate the effectiveness and safety of Baduanjin exercise for physical and mental health of college students through a rigorous randomization, parallel-controlled design. METHOD/DESIGN We will conduct a randomized, single-blind, parallel-controlled trial. A total of 222 college students from Fujian University of Traditional Chinese Medicine who meet the eligibility criteria will be recruited and randomly allocated into Baduanjin training or usual exercise control group. Baduanjin training will last 12 weeks (1 h per day, 5 days per week). The physical and psychological outcomes, including lumbar muscle strength, lumbar proprioception function, physical fitness, as well as self-reported symptom intensity, stress, self-esteem, mood, quality of life, quality of sleep, and adverse events, will be evaluated by blinded outcome assessors at baseline, 13 weeks (at the end of intervention), and 25 weeks (after the 12-week follow-up period). DISCUSSION This protocol presents an objective design of a randomized, single-blind trial that aims to evaluate the effectiveness and safety of Baduanjin exercise for physical and mental health of college students. If the outcome is positive, the results will provide higher-quality evidence to better inform the college students regarding their selection about whether to receive such exercise. TRIAL REGISTRATION Chinese Clinical Trial Registry: ChiCTR-TRC-13003329. Registration date: 18 July, 2013.
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Affiliation(s)
- Guohua Zheng
- Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China.
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