1
|
Yi W, Wang Q, Xue Y, Cao H, Zhuang R, Li D, Yan J, Yang J, Xia Y, Zhang F. Xylo-oligosaccharides improve functional constipation by targeted enrichment of Bifidobacterium. Food Sci Nutr 2024; 12:1119-1132. [PMID: 38370040 PMCID: PMC10867466 DOI: 10.1002/fsn3.3827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 10/26/2023] [Accepted: 11/01/2023] [Indexed: 02/20/2024] Open
Abstract
Functional constipation (FC) has a negative impact on patients' quality of life. We hypothesized that dietary supplementation with xylo-oligosaccharides (XOS) or fructo-oligosaccharides (FOS) would improve constipation symptoms by influencing the gut microbiota. A randomized double-blind controlled trial was conducted in FC patients. Patients were randomly divided into 6 groups and given a dietary supplement containing XOS at doses of 3, 5, or 10 g/day, FOS at doses of 10 and 20 g/day, or placebo at 5 g/day for one month. We compared improvements in gastrointestinal function after the intervention using the Bristol Stool Form Scale (BSFS), Cleveland Clinic Constipation Score (CCCS), and Quality of Life Scale for Patients with Constipation (PAC-QoL). 16S rRNA sequencing was used to assess changes in the structure of the gut microbiota. Changes in individual bacteria had significant effects in reducing gastrointestinal symptoms during the intervention, even though the flora structure remained unchanged from baseline. Compared to FOS, XOS enriched Bifidobacterium at a lower dose, and patients receiving XOS supplementation showed significant improvements in constipation symptoms without side effects such as diarrhea and flatulence.
Collapse
Affiliation(s)
- Wanya Yi
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Wuxi School of MedicineJiangnan UniversityWuxiChina
| | - Qinyue Wang
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Yuzheng Xue
- Department of GastroenterologyAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Hong Cao
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
- Department of EndocrinologyAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Ruijuan Zhuang
- Department of GeriatricsAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Dan Li
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Jiai Yan
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Ju Yang
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Yanping Xia
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
| | - Feng Zhang
- Department of NutritionAffiliated Hospital of Jiangnan UniversityWuxiChina
- Wuxi School of MedicineJiangnan UniversityWuxiChina
- Functional Food Clinical Evaluation CenterAffiliated Hospital of Jiangnan UniversityWuxiChina
- Yixing Institute of Food and Biotechnology Co., LtdYixing, WuxiChina
| |
Collapse
|
2
|
Wang KY, Chien CM, Lee HF, Yobelina Y. The mediation of health-promoting lifestyle on self-perceived health status and quality of life among nurses: a cross-sectional study. BMC Nurs 2023; 22:447. [PMID: 38017421 PMCID: PMC10683133 DOI: 10.1186/s12912-023-01608-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Accepted: 11/14/2023] [Indexed: 11/30/2023] Open
Abstract
BACKGROUND Nurses with busy workloads lack the time to maintain health, leading to a decline in physical and mental health and quality of life. It is widely accepted that self-perception of health triggers health-promoting behaviors and impacts the quality of life; however, the relationship between these factors among nurses is unclear. The purpose of this study was to investigate the ability of a health-promoting lifestyle to mediate the relationship between self-perceived health and quality of life among nurses. METHODS A cross-sectional survey was conducted in four regional Taiwanese teaching hospitals with over 500 beds. The survey used stratified random sampling of 600 nurses who had worked for more than six months. The Self-Perceived Health Questionnaire, the Health-Promoting Lifestyle Profile, and the World Health Organization Quality of Life Scale were used to measure nurses' self-perceived health (SPH), health-promoting lifestyle (HPL), and quality of life (QoL). A Hayes PROCESS analysis and bootstrapping method were used for the mediation analysis. RESULTS A total of 518 nurses' data was included in the analysis. Nurses perceived their health status as less favorable than their colleagues, but frequently adopted health promotion behaviors. Nurses reported a moderate QoL. QoL and SPH were correlated (r = .33) and a high correlation between QoL and HPL (r = .64) was found. SPH and HPL both affect QoL (B = 0.077 and 0.070). SPH and HPL explained 42.6% of the variation in QoL. HPL played a partial mediation role. CONCLUSIONS The study confirmed that HPL has an important role in mediating nurses' SPH and QoL. Nurse administrators are advised to encourage nurses to monitor their health status and provide health promotion mechanisms to improve their quality of life.
Collapse
Affiliation(s)
- Kuei-Ying Wang
- Department of Nursing, College of Health Sciences, Chang Jung Christian University, No.1, Changda Rd., Gueiren District, Tainan City, 711301, Taiwan (Republic of China)
| | - Ching-Ming Chien
- Department of Medical Science Industries, College of Health Sciences, Chang Jung Christian University, No.1, Changda Rd., Gueiren District, Tainan City, 711301, Taiwan (Republic of China)
| | - Huan-Fang Lee
- Department of Nursing, College of Medicine, National Cheng Kung University, No.1, University Road, Tainan City, 701, Taiwan (Republic of China).
| | - Yohana Yobelina
- Department of Translation and Interpretation Studies, College of Humanities and Social Sciences, Chang Jung Christian University, No.1, Changda Rd., Gueiren District, Tainan City, 711301, Taiwan (Republic of China)
| |
Collapse
|
3
|
Yang Z, Wang D, Fan Y, Ma Z, Chen X, Zhang Y, Fan F. Relationship between sleep disturbance and burnout among Chinese urban teachers: Moderating roles of resilience. Sleep Med 2023; 108:29-37. [PMID: 37311321 DOI: 10.1016/j.sleep.2023.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 04/16/2023] [Accepted: 06/01/2023] [Indexed: 06/15/2023]
Abstract
BACKGROUND Sleep disturbance and burnout are prevalent among primary and secondary school teachers. Nevertheless, little is known about the relationship between sleep disturbance and burnout, and the mechanisms connecting this link. Our study aimed to explore the relationship between sleep disturbance and burnout among urban teachers, as well as to investigate this influencing mechanism further with resilience as a moderator. METHODS 14,218 primary and secondary school teachers provided valid data. We assessed demographic information, sleep disturbance, burnout, and resilience. Multivariable logistic regression, Spearman correlation, and moderation analyses were used to evaluate the relationship between sleep disturbance and burnout and the moderating role of resilience. RESULTS Of the participants, the prevalence of sleep disturbance and sleep deprivation among teachers was 20.0% and 31.7%, respectively. Additionally, 58.4% of teachers reported moderate or severe burnout, and 15.3% had both sleep disturbance and burnout. Sleep disturbance was significant and positively related to burnout. Resilience was found to moderate the association between sleep disturbance and burnout. CONCLUSIONS These findings suggested strong associations between sleep disturbance and burnout. Interventions in improving resilience may protect teachers with sleep disturbance from burnout.
Collapse
Affiliation(s)
- Zheng Yang
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China
| | - Dongfang Wang
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China
| | - Yunge Fan
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China
| | - Zijuan Ma
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China
| | - Xiaoyan Chen
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China
| | - Yifan Zhang
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China
| | - Fang Fan
- School of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China.
| |
Collapse
|
4
|
Abstract
OBJECTIVES Although the demands and stress of teaching are generally recognized, little is known about the prevalence and nature of insomnia symptoms in teachers. This scoping study investigated the following questions: How prevalent are insomnia symptoms in teachers? What biopsychosocial variables are associated with insomnia symptoms in teachers? What, if any, interventions for insomnia symptoms in teachers have been studied? METHOD We searched Medline, PsycINFO, Embase, CINAHL, Education Source, and ERIC for original peer-reviewed research on school teachers (kindergarten through high school) and insomnia symptoms (self-reported trouble falling or staying asleep). RESULTS We identified 33 relevant articles from 15 countries. The literature was heterogeneous and generally of low quality with respect to the measurement of insomnia. Based on studies that met validity and reliability criteria, 36-61% of teachers reported insomnia symptoms. Associated factors included: being female, classroom violence, low job satisfaction, pain, depression, and rumination. One online intervention, which included stimulus control, sleep restriction, and techniques for reducing rumination, provided evidence of efficacy. CONCLUSION Despite the importance of teachers and their work, high-quality research on insomnia in teachers is lacking. Research in this area is sorely needed. Studies should investigate insomnia symptoms over the school year, identify antecedents of insomnia, and develop interventions with the ultimate goals of understanding, preventing, and treating insomnia symptoms in teachers.
Collapse
Affiliation(s)
- Madelaine Gierc
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
- School of Kinesiology, University of British Columbia, Vancouver, British Columbia, Canada
| | - Robyn A Jackowich
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
| | - Sandra Halliday
- Queen's University Library, Queen's University, Kingston, Ontario, Canada
| | - Judith R Davidson
- Department of Psychology, Queen's University, Kingston, Ontario, Canada
| |
Collapse
|
5
|
Koç KK, Korkmaz Aslan G. Older People's Perception and Experience Regarding Health Promotion in Turkey: A Qualitative Study. Clin Nurs Res 2023; 32:850-860. [PMID: 36625249 DOI: 10.1177/10547738221146415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
The aim of this study is to examine the perceptions and experiences of older people regarding health promotion. Using a phenomenological design, semi-structured in-depth interviews were conducted with 22 older people. Data analysis was carried out according to the Colaizzi's method. The analysis revealed five themes (health-promoting activities, outcome expectations, triggers for activities, supporting factors, perceived obstacles). Older people emphasized healthy eating, walking, avoiding stress, and having health checkups as health-promoting behaviors. It was determined that the older people made efforts to display health-promoting behaviors, but they performed the activities insufficiently. The study findings show that interventions to be developed to improve the health of older people should aim at both cognitive and behavioral changes. Nurses should plan multidisciplinary and community-based interventions to reduce the socioeconomic and environmental factors that prevent older people from participating in health-promoting activities.
Collapse
Affiliation(s)
- Kerime Kübra Koç
- Kriter OSGB Occupational Health and Safety Services, Istanbul, Turkey
| | | |
Collapse
|
6
|
Sadeghi R, Arefi Z, Shojaeizadeh D, Shaahmadi F. The Impact of Educational Intervention Based on Pender's Health Promotion Model on Healthy Lifestyle in Women of Reproductive Age in Iran. J Lifestyle Med 2022; 12:83-88. [PMID: 36157888 PMCID: PMC9490014 DOI: 10.15280/jlm.2022.12.2.83] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 05/05/2022] [Indexed: 11/22/2022] Open
Abstract
Background Lifestyle is one of the most important factors affecting women's health. Women's quality of life and health depends on their health-promoting behaviors and lifestyles. The aim of this study was to determine the impact of an educational intervention based on Pender model on healthy lifestyle in women of reproductive age in Iran. Methods This randomized controlled trial study was carried out in women of reproductive age in Iran, from August to December 2019. The samples were divided into experimental (n = 120) and control (n = 120) groups. 6 training sessions were provided for the experimental group. The questionnaire consisted of several items including socio-demographic characteristics, health-promoting lifestyle profile-II (HPLP-II), self-efficacy, social support and constructs of Pender's health promotion model. SPSS-18 software has been applied for statistical analysis. Results The mean age of the experimental group was 31.88±7.624 years and for the control group was 30.33±6.89 years. There was no statistically significant relationship between demographic variables such as marital status, education, employment status, age and body mass index with lifestyle in women. Lifestyle in women had a statistically significant relationship with the structure prior health-related behavior (p < 0.001). The score of women in structures of prior health-related behavior, perceived benefits, commitment to action, and social support increased after educational intervention (p < 0.001). Conclusion Findings showed that educational intervention based on Pender health promotion model has increased the score of healthy lifestyle in women. Therefore, planning and performing educational interventions to improve health promotion behaviors based on this model is essential.
Collapse
Affiliation(s)
- Roya Sadeghi
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Zohreh Arefi
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Davoud Shojaeizadeh
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Faramarz Shaahmadi
- Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
7
|
Zheng X, Xue Y, Dong F, Shi L, Xiao S, Zhang J, Xue B, Qian Y, Zhu H, Man Q, Zhang C. The association between health-promoting-lifestyles, and socioeconomic, family relationships, social support, health-related quality of life among older adults in china: a cross sectional study. Health Qual Life Outcomes 2022; 20:64. [PMID: 35443689 PMCID: PMC9022255 DOI: 10.1186/s12955-022-01968-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 03/29/2022] [Indexed: 12/30/2022] Open
Abstract
Objectives Lifestyles, accounting for 53% in determining death, play a vital role in improving the health of older adults. Thus, this study aimed to explore the influencing factors of the health-promoting-lifestyles and interaction mechanisms among older adults. Methods A total of 8526 elders were selected by a three-stage stratified random cluster sampling method. Socioeconomic status, family relationships, social support, health-related quality of life (QOL), and health-promoting-lifestyles (HPLP) of older adults were assessed with the Social Support Rating Scale, the short form 36 health survey (SF-36) and Health-Promoting Lifestyle Profile. A structural equation model (SEM) was conducted to test the direct and indirect association between influencing factors with HPLP. Results In this study, there were 4901 older adults who were empty nesters, and 3625 were non-empty nesters. Of all respondents, the average QOL score of older adults was 62.28 ± 16.51, average social support score was 78.06 ± 7.50. The HPLP score of older adults was 105.9 ± 19.6, and the average score of subscales was 2.5 ± 0.5, which was at the medium level. Social support had a positive and direct effect on HPLP of older adults (total effect, 0.34). Meanwhile, social support mediated the relationship between socioeconomic (total effect, 0.17), QOL (total effect, 0.33) and HPLP. Family relationships had a small indirect effect on HPLP via social support (0.01). Conclusions Social support is the strongest influencing factor in the health-promoting-lifestyles among older adults, followed by socioeconomic, health-related quality of life and family support. Thus, maintaining higher social support was important to improve the HPLP of older adults.
Collapse
Affiliation(s)
- Xiao Zheng
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.,School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Yaqing Xue
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.,School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Fang Dong
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Lei Shi
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Shujuan Xiao
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Jiachi Zhang
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Benli Xue
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Yi Qian
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China
| | - Hong Zhu
- Institute of Health Management Southern Medical University, Guangzhou, Guangdong, China
| | - Qiang Man
- School of International Education, Southern Medical University, Guangzhou, Guangdong, China.
| | - Chichen Zhang
- School of Health Management, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, Guangdong, China. .,Institute of Health Management Southern Medical University, Guangzhou, Guangdong, China. .,Department of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
| |
Collapse
|
8
|
Zhou C, Zheng W, Tan F, Lai S, Yuan Q. Influence of health promoting lifestyle on health management intentions and behaviors among Chinese residents under the integrated healthcare system. PLoS One 2022; 17:e0263004. [PMID: 35077472 PMCID: PMC8789132 DOI: 10.1371/journal.pone.0263004] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 01/10/2022] [Indexed: 12/04/2022] Open
Abstract
Background Health promoting lifestyle is an important influencing factor of individual health status. This study aims to assess the health promoting lifestyle of community residents in China, and explore its association with their health management intention and behaviors during the integrated healthcare system reform. Methods A total of 666 residents were recruited from six county level hospitals and 12 community health centers from July to August 2019 in Zhejiang Province, China. Health promoting lifestyle was measured by the Chinese version Health Promoting Lifestyle Profile-II scale (HPLP-II). Results The average total score of HPLP-II among our sample was 130.02±23.19. Among the six domains, interpersonal relationship had the highest average score (2.68±0.50), and physical activity scored the lowest (2.21±0.59). Total score of HPLP-II scale was negatively associated with being male (β = -0.13, p<0.01; Ref: female), positively associated with being students (β = 0.15, p<0.01; Ref: self-employed), and positively associated with a monthly per capita income of more than 8000 RMB (β = 0.15, p<0.01; Ref: less than 3000 RMB). The domain scores of HPLP-II were significantly correlated with residents’ health management intention and their behavior on following doctors’ advice or not. Conclusions The health promoting lifestyles of community residents in China are at moderate levels. Improving residents’ healthy lifestyle levels might be helpful for changing their health management intentions or behaviors.
Collapse
Affiliation(s)
- Chi Zhou
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Weijun Zheng
- School of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
| | - Fang Tan
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Sihong Lai
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Qi Yuan
- Research Division, Institute of Mental Health, Singapore, Singapore
- * E-mail:
| |
Collapse
|
9
|
Ali M, Uddin Z, Ahsan GU, Hossain A. Association between daily commute and subjective health complaints among the office workers in an urban community. Heliyon 2021; 7:e07841. [PMID: 34466705 PMCID: PMC8383055 DOI: 10.1016/j.heliyon.2021.e07841] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 07/07/2021] [Accepted: 08/17/2021] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To determine the prevalence of subjective health complaints (SHC) among metropolitan office commuters and to investigate the relationship between SHC and socio-demographic, commuting, and work-related factors. METHODS The participants in this cross-sectional study were 628 full-time bank employees in Dhaka. One-month prevalence was determined using the SHC inventory scale. Internal consistency was determined using factor analysis. The discrepancy between socio-demographic and SHC was summarized using descriptive analysis. To discover factors related to SHC, random logistic regression intercept models were employed. RESULTS Sadness (54.0 percent), low back pain (36.6 percent), anxiety (34.2 percent), pseudo-neurological disorders (26.6 percent), and musculoskeletal pains (20.2%) were the most common health complaints. The relationship between traffic congestion and SHCs was found to be statistically significant (p = 0.001) for the majority of complaints. According to multilevel analysis, long-distance office commuters were 7.29 times more likely than short-distance commuters to suffer from musculoskeletal pains (AOR = 7.29, 95% CI = 3.58-15.21). Furthermore, we discovered that long-distance commuters were 2.72 times more likely to complain about flu (AOR = 2.72, 95% CI = 1.22-6.27), 1.56 times more likely to complain about pseudo-neurological problems (AOR = 1.56, 95% CI = 0.84-2.92), and 1.88 times more likely to complain about gastrointestinal problems (AOR = 1.88, 95% CI = 0.69-5.41). CONCLUSION In Dhaka, we found a high prevalence of health concerns among full-time bank personnel. A significant prevalence of health complaints was related to traffic congestion, long commutes, and use of public transportation. Reducing daily commuting time, switching modes of transportation, and avoiding traffic congestion could help to alleviate the burden of health concerns experienced by regular office commuters.
Collapse
Affiliation(s)
- Mohammad Ali
- Department of Physiotherapy and Rehabilitation, Uttara Adhunik Medical College and Hospital, Dhaka, 1230, Bangladesh
- Centre for Higher Studies and Research, Bangladesh University of Professionals, Dhaka, Bangladesh
- Hasna Hena Pain, Physiotherapy and Public Health Research Center (HPRC), Dhaka, Bangladesh
| | - Zakir Uddin
- Bangladesh University of Health Sciences, Mirpur, Dhaka, 1216, Bangladesh
| | - Gias U. Ahsan
- Department of Public Health, North South University, Bashundhara, Dhaka, 1229, Bangladesh
| | - Ahmed Hossain
- Department of Public Health, North South University, Bashundhara, Dhaka, 1229, Bangladesh
- NSU Global Health Institute, North South University, Dhaka, 1229, Bangladesh
| |
Collapse
|
10
|
El Ansari W, Salam A. Is Achieving the Guidelines of Four Forms of Physical Activity Associated with Less Self-Reported Health Complaints? Cross-Sectional Study of Undergraduates at the University of Turku, Finland. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17155595. [PMID: 32756425 PMCID: PMC7432588 DOI: 10.3390/ijerph17155595] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 07/22/2020] [Accepted: 07/31/2020] [Indexed: 12/12/2022]
Abstract
Very little research has assessed the physical activity (PA) of university students in in Finland, and their associations with self-reported health complaints (HCs), whilst simultaneously accounting for a range of other potential confounders. Students at the University of Turku (1177) completed an online health and wellbeing questionnaire that assessed 22 physical and somatic HCs, and students' achievement of the international guidelines of four forms of PA (moderate, vigorous, moderate-to-vigorous and muscle strengthening PA; MPA, VPA, MVPA, MSPA respectively). We also explored the associations between HCs and PA, controlling for sociodemographic and health confounders (age, sex, year of study, marital status, accommodation during semesters, health awareness). Factor analysis reduced the HCs into three factors (psychological, pains/aches, circulatory/breathing). Bivariate relationships (no controlling for confounders) between these 3 factors and four forms of PA guideline achievement showed significant effects of achieving the PA guidelines against various groups of HCs, where more strenuous PA was associated with significantly less HCs in a step-ladder pattern. Multiple regression analyses (controlling for confounders) showed that achievement of PA guidelines was significantly independently associated with self-reported HCs scores in most cases. Psychological HCs were negatively associated with achieving any type of PA; pains/aches were negatively associated with achieving two types of PA or with achieving MSPA guidelines; and circulatory/breathing HCs were negatively associated with achieving the VPA guidelines only. This is the first study in Finland to examine such relationships, and highlights the critical role of PA for the health of these young adults. Programs and policies to strengthen and improve the PA of university students would be beneficial, recognizing the benefits of instilling life-long PA habits among this group of young adults.
Collapse
Affiliation(s)
- Walid El Ansari
- Department of Surgery, Hamad General Hospital, Doha 3050, Qatar
- College of Medicine, Qatar University, Doha 3050, Qatar
- School of Health and Education, University of Skovde, 54128 Skövde, Sweden
- Correspondence:
| | - Abdul Salam
- Department of Epidemiology and Biostatistics, King Fahad Specialist Hospital, Dammam 31444, Saudi Arabia;
| |
Collapse
|
11
|
Lu CY, Chiang CY, Yao Y, Sun FK. Modeling Body-Mind-Spirit Well-Being and the Possibility of Relapse Intention in Adults Who Have a History of Substance Use in Taiwan. J Am Psychiatr Nurses Assoc 2020; 26:196-205. [PMID: 31104578 DOI: 10.1177/1078390319844565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND: Substance use is a global mental health issue. There has been limited research exploring the relationships among body, mind, and spirit well-being and the possibility of relapse across different categories of substance users. AIMS: The purpose of the current path analysis was to examine the relationship between body-mind-spirit well-being and the possibility of relapse intention as well as other relevant predictors in people who had a history of substance use. METHODS: A cross-sectional survey was used. Participants were recruited in Southern Taiwan between December 2015 and June 2016. Data were collected from 467 participants who had a history of using controlled substances. RESULTS: Path analysis results revealed that body-mind-spirit well-being was negatively predictive of the possibility of relapse intention. Out of several predictors, stress influence and duration of substance use had direct effects on body-mind-spirit well-being and the possibility of relapse intention, respectively. Stress influence and duration of substance use were associated with decreased body-mind-spirit well-being and increased relapse intention scores. In addition, no history of health problems and male gender were associated with increased body-mind-spirit well-being. CONCLUSIONS: Stress management and the duration of substance use play an important role in body-mind-spirit well-being and relapse intention in people with a history of substance use. Health care professionals could teach substance users coping strategies to address their stress and problems, which may improve their health and reduce the possibility of relapse intention.
Collapse
Affiliation(s)
- Chu-Yun Lu
- Chu-Yun Lu, RN, PhD, I-Shou University, Kaohsiung City
| | | | - YuChun Yao
- YuChun Yao, RN, EDD, I-Shou University, Kaohsiung City
| | - Fan-Ko Sun
- Fan-Ko Sun, RN, PhD, I-Shou University, Kaohsiung City
| |
Collapse
|
12
|
Shaahmadi F, Shojaeizadeh D, Sadeghi R, Arefi Z. Factors Influencing Health Promoting Behaviours in Women of Reproductive Age in Iran: Based on Pender's Health Promotion Model. Open Access Maced J Med Sci 2019; 7:2360-2364. [PMID: 31592009 PMCID: PMC6765071 DOI: 10.3889/oamjms.2019.460] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2019] [Revised: 05/18/2019] [Accepted: 05/19/2019] [Indexed: 11/05/2022] Open
Abstract
INTRODUCTION: Health promotion behaviours are considered as preventives of non-communicable diseases and key determinants of maintaining and improving the health status. AIM: This study aimed to investigate and identify effective factors on health-promoting behaviours based on Pender model in women of reproductive age from February to April 2017, in Savojbolagh, Iran. METHODS: This cross-sectional study is conducted on 240 women aged between 15 to 49 years in Savojbolagh, Iran, in 2017. The questionnaire consisted of several items, including socio-demographic characteristics, health-promoting lifestyle profile-II (HPLP-II), self-efficacy, social support and constructs of Pender’s health promotion model. SPSS-18 software has been applied for statistical analysis. RESULTS: The mean age of the women was 31.10 ± 7.29 years. Total HPLP-II score was 106.64 ± 11.93. The highest and the lowest mean in the subscales were belonged to nutrition and physical activity, respectively. According to the bivariate analysis, the total HPLP-II score is significantly related to prior health-related behaviour (p = 0.000). There was a statistically significant relationship between stress management and the variables including perceived benefits, perceived barriers, prior health-related behaviour, situational influences, commitment to a plan of action (p < 0.05). Also, health responsibility had a statistically significant relationship with self-efficacy (p < 0.05). CONCLUSION: According to our results, it can be inferred that there is a problem with the HPBs of women. Considering that health-promoting behaviours like physical activity had a low score, it is a necessity to plan and perform interventions for improving health promotion behaviours.
Collapse
Affiliation(s)
- Faramarz Shaahmadi
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Davoud Shojaeizadeh
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Roya Sadeghi
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Zohreh Arefi
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
13
|
Kuan G, Kueh YC, Abdullah N, Tai ELM. Psychometric properties of the health-promoting lifestyle profile II: cross-cultural validation of the Malay language version. BMC Public Health 2019; 19:751. [PMID: 31196195 PMCID: PMC6567916 DOI: 10.1186/s12889-019-7109-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Accepted: 06/05/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Health-promoting behaviour is an important concept for health education. Unfortunately, there is a dearth of validated instruments to measure levels of health-promoting behaviour in the Malaysian context. The purpose of this study was to validate a Malay-language version of the Health-Promoting Lifestyle Profile II (HPLP-II) using a confirmatory approach. METHODS Participants were 997 university undergraduate students, with a mean age of 21 years (SD = 1.58). The majority of the participants (80.4%) were female. Health-promoting behaviour was assessed using the 52-item HPLP-II, which measures six components of health-promoting behaviour outcomes. HPLP-II was translated into the Malay language using standard forward and backward translation procedures. Participants then completed the HPLP-II Malay version (HPLP-II-M). Confirmatory factor analysis (CFA) was conducted using Mplus 8.0 software on the six domains of HPLP-II-M model. RESULTS The CFA result based on the hypothesised measurement model of six factors was aligned with the original HPLP-II, except for two low loading items which were subsequently removed from the CFA analysis. The final CFA measurement model with 50 items resulted in a good fit to the data based on RMSEA and SRMR fit indices (RMSEA = 0.046, 90%CI = 0.045, 0.048, SRMR = 0.062). The construct reliabilities for the HPLP-II-M subscales were acceptable, ranging from 0.737 to 0.878. CONCLUSION The HPLP-II-M with six components of health-promoting behaviour outcomes and 50 items was considered valid and reliable for the present Malaysian sample.
Collapse
Affiliation(s)
- Garry Kuan
- Exercise and Sports Science Programme, School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Yee Cheng Kueh
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
| | - Nurzulaikha Abdullah
- Unit of Biostatistics and Research Methodology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| | - Evelyn Li Min Tai
- Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.,Hospital Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
| |
Collapse
|
14
|
Li G, Hou G, Xie G, Yang D, Jian H, Wang W. Trajectories of Self-Rated Health of Chinese Elders: A Piecewise Growth Model Analysis. Front Psychol 2019; 10:583. [PMID: 30941078 PMCID: PMC6433844 DOI: 10.3389/fpsyg.2019.00583] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2018] [Accepted: 03/01/2019] [Indexed: 11/13/2022] Open
Abstract
This study used piecewise growth modeling to describe the developmental trajectories of self-rated health (SRH) in the elderly and longitudinal associations with activities of daily living (ADL), educational level, economic status, age, and gender. Data were drawn from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), collected over 12 years (from 2002 to 2014) at five waves. A total of 16,064 Chinese elders (57.4% females) were analyzed. Results showed two phases of development for SRH; specifically, the decreasing trend of SRH was from slow (in the first phase, waves 1 to 3) to fast (in the second phase, waves 3 to 5). Descriptives showed that the turning point age was at the age of 83.69 (range = 68 to 116, median age = 82 years old). ADL were positively associated with SRH within each time point (wave of data). Female elders had a higher initial state (i.e., worse) of SRH than did male elders, and poorer economic status was associated with worse initial status of SRH.
Collapse
Affiliation(s)
- Guangming Li
- Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou, China
| | - Guiyun Hou
- Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou, China
| | - Guohong Xie
- Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou, China
| | - Dong Yang
- Guangdong Key Laboratory of Mental Health and Cognitive Science, Center for Studies of Psychological Application, School of Psychology, South China Normal University, Guangzhou, China
| | - Hu Jian
- School of Public Finance and Public Administration, Jiangxi University of Finance and Economics, Nanchang, China
| | - Weijun Wang
- Department of Psychology, Clinical and Research Institute on Addictions, University at Buffalo, State University of New York, Buffalo, NY, United States
| |
Collapse
|
15
|
Bi JL, Chen J, Sun XM, Nie XL, Liu YY, Luo R, Zhao XS. The development and evaluation of a sub-health self-rating scale for university students in China. BMC Public Health 2019; 19:330. [PMID: 30898160 PMCID: PMC6429791 DOI: 10.1186/s12889-019-6650-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2018] [Accepted: 03/12/2019] [Indexed: 11/25/2022] Open
Abstract
Background Sub-health status is defined as declines in vitality, physiological function and capacity for adaptation, but without the presence of clinical or sub-clinical disease. We have developed and evaluated a comprehensive questionnaire, the Sub-Health Self-Rating Scale (SSS), to assess sub-health status in university students. Method The items for the draft questionnaire were discussed in focus groups. The WHOQOL-BREF was selected as the validity reference. From a professional perspective and large sample evaluation, the scale ultimately consisted of 58 items. The reliability and validity of the SSS was examined in undergraduate students and 1000 questionnaires were randomly selected from the samples for expert evaluation. Results Cronbach’s α of the total scale was 0.942. The dimensions of physiological, psychological and social had high reliability: 0.915, 0.856 and 0.850, respectively. Based on scree plot and related theories, there were 10 factors to be extracted. The correlation coefficient between the total scale and sub-scale was high. The dimensions of physiological, psychological and social had high correlations with the total scale: 0.929, 0.803 and 0.774, respectively. The sub-health cut-off point of the total scale was 72; for the physiological field, it was 72; for the psychological field, it was 60; and the social field, it was 56. The fit between the expert evaluation method and the scale method was 0.758. The lower the score, the worse the health condition. Conclusion We established and evaluated a valid instrument (SSS) that encompasses physiological, psychological and social factors to investigate sub-health status. It is short and easy to complete, and therefore suitable for use with undergraduate students. Electronic supplementary material The online version of this article (10.1186/s12889-019-6650-3) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Jian-Lu Bi
- Endocrinology Department, Guangdong Second Traditional Chinese medicine Hospital, Guangzhou, 510095, Guangdong, China.,School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China
| | - Jing Chen
- Hospital of Guangdong University of Technology, Guangdong University of Technology, Guangzhou, 510006, Guangdong, China
| | - Xiao-Min Sun
- School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China
| | - Xiao-Li Nie
- School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China
| | - Yan-Yan Liu
- School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China
| | - Ren Luo
- School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China
| | - Xiao-Shan Zhao
- School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, Guangdong, China.
| |
Collapse
|
16
|
Moudi A, Dashtgard A, Salehiniya H, Sadat Katebi M, Reza Razmara M, Reza Jani M. The relationship between health-promoting lifestyle and sleep quality in postmenopausal women. Biomedicine (Taipei) 2018; 8:11. [PMID: 29806589 PMCID: PMC5992928 DOI: 10.1051/bmdcn/2018080211] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2018] [Accepted: 03/10/2018] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND Menopausal women are widely reported to have poor sleep quality and sleep problems. It is not clear whether increases in sleep disturbance are brought about by hormone changes associated with menopause or due to psychosocial and physical problems. METHOD This cross-sectional study was conducted on 600 menopausal women aged between 40 and 60 without any known severe illnesses in the city of Qaen, Iran, from April 2015 to May 2016. Data were collected by Health-Promoting Lifestyle Profile II and Pittsburgh Sleep Quality Index. MAIN OUTCOME MEASURES This study was conducted to investigate the relationship between health-promoting lifestyle and sleep quality in Iranian postmenopausal women. Data were analyzed using an independent t-test, Mann-Whitney, Chi-square, Spearman and univariate logistic regression. RESULT The univariate logistic regression suggested that the physical activity dimension of lifestyle (OR = 1.095, 95% CI: 1.035-1.158, P < 0.006), non-smoking status (OR = 0.549, 95% CI: 0.331-0.912, P < 0.021) and occupation (women who were farmer compared with housewives) (OR = 0.239, 95% CI (0.074-0.775), P < 0.017) were associated with sleep quality. CONCLUSION Postmenopausal women in this study were at high risk for poor sleep quality. Poor sleep quality was associated with low levels of physical activity, smoking and being a housewife compared to being a farmer. Therefore, there is an essential need to educate women about health-promoting behaviors including daily physical activity and avoiding smoking which are associated with quality of sleep.
Collapse
Affiliation(s)
- Asieh Moudi
- Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences Ahvaz Iran
| | - Ali Dashtgard
- Department of Nursing, Lecturer of Nursing and Midwifery School, Birjand University of Medical Sciences Birjand Iran
| | - Hamid Salehiniya
- Zabol University of Medical Sciences Zabol Iran
- Department of Epidemiology and Biostatistics, School of Public Health, Teheran University of Medical Sciences Teheran Iran
| | - Maryam Sadat Katebi
- Department of Midwifery, Lecturer of Nursing and Midwifery School, Birjand University of Medical Sciences Birjand Iran
| | - Mohammad Reza Razmara
- Department of Nursing, Lecturer of Nursing and Midwifery School, Birjand University of Medical Sciences Birjand Iran
| | - Mohammad Reza Jani
- Department of Nursing, Lecturer of Nursing and Midwifery School, Birjand University of Medical Sciences Birjand Iran
| |
Collapse
|
17
|
Bakouei S, Bakouei F, Omidvar S, Bakhtiari A. Health-Promoting Behaviors and Their Predictors in Iranian Women of Reproductive Age: A Cross-Sectional Study. INTERNATIONAL QUARTERLY OF COMMUNITY HEALTH EDUCATION 2017; 38:3-8. [PMID: 29228883 DOI: 10.1177/0272684x17747053] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Health-promoting behaviors are one of the main determinative components of health in the prevention of many diseases. This cross-sectional study aimed to determine health-promoting behaviors and their relationship to sociodemographic variables on 330 women of reproductive age admitted to the selected primary health-care centers in Qom city (one of the biggest cities in Iran) from March 2016 to July 2016. Data were collected using the health-promoting lifestyle profile II (HPLP-II) questionnaire and the sociodemographic characteristics and also were analyzed by one-way analysis of variance, with post hoc (if necessary), and multivariable linear regression. The total HPLP-II mean score of women was 136.64 ± 22.37. The highest score in the HPLP-II subscales of women was found for interpersonal relations subscale (26.43 ± 4.21) and the lowest score for physical activity subscale (14.66 ± 4.62). The educational level and income had significant association with some subscales ( p < .05).
Collapse
Affiliation(s)
- Sareh Bakouei
- 1 Department of Midwifery, Faculty of Nursing and Midwifery, Qom University of Medical Sciences, Iran
| | - Fatemeh Bakouei
- 2 Infertility and Health Reproductive Research Center, Health Research Institute & Department of Midwifery, School of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran
| | - Shabnam Omidvar
- 2 Infertility and Health Reproductive Research Center, Health Research Institute & Department of Midwifery, School of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran
| | - Afsaneh Bakhtiari
- 2 Infertility and Health Reproductive Research Center, Health Research Institute & Department of Midwifery, School of Medicine, Babol University of Medical Sciences, Babol, I.R.Iran
| |
Collapse
|
18
|
Do socio-cultural factors influence college students' self-rated health status and health-promoting lifestyles? A cross-sectional multicenter study in Dalian, China. BMC Public Health 2017; 17:478. [PMID: 28525995 PMCID: PMC5438535 DOI: 10.1186/s12889-017-4411-8] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2016] [Accepted: 05/09/2017] [Indexed: 12/28/2022] Open
Abstract
Background An unhealthy lifestyle of college students is an important public health concern, but few studies have been undertaken to examine the role of socio-cultural differences. Methods For this cross-sectional comparative study, data on college students’ health-promoting lifestyles (HPL), as measured using the Health-Promoting Lifestyle Profile (HPLP-II) scale, and self-rated health status (SRH) as measured by Sub-Optimal Health Measurement Scale (SHMS V1.0) were collected from 829 college students. Results The sample of 829 college students included 504 (60.8%) Chinese and 325 (39.2%) international students. Chinese students had higher scores in overall health-promoting lifestyle (HPL) (P < 0.001, eta squared =0.113) and in all the six subclasses than their international counterparts. In relation to health status evaluation, the two groups varied in physiological health (P < 0.001, eta squared = 0.095) and social health (P = 0.020, eta squared = 0.007) but there was no significant difference in psychological health subscale (P = 0.156, eta squared = 0.002). HPL was predicted by financial status among the Chinese group and by student’s major, age and level of education in the international group. Body mass index (BMI) and financial status emerged as predictors of the three subscales of SHMS V1.0 in the Chinese group and also of physiological and psychological subscales in the international group. Gender was associated with psychological health in both groups. Smoking status was a predictor of psychological health in both groups and also of social health in the international group. The level of education emerged as a predictor of social health in the international group. Regression analyses revealed a significant association between health status and healthy lifestyle (P < 0.001). In reference to participants with “excellent” lifestyle, participants with moderate lifestyle were at a 4.5 times higher risk of developing suboptimal health status (SHS) (OR: 4.5,95% CI:2.2-9.99) and those with a ‘general’ lifestyle were at a 3.2 times higher risk SHS (OR: 3.2, 95% CI: 1.5-7.18). Good and moderate HPLP-II levels of nutrition are associated with low risk of suboptimal health status (OR: 0,41 and 0,25, respectively). Participants in good and moderate HPLP-II levels of interpersonal relations are associated with higher risk of suboptimal health (OR:2,7 and 3,01 respectively) than those in excellent levels of HPLP-II. Conclusion Collectively, these findings provide a convincing body of evidence to support the role of socio-cultural factors as key determinants of the HPL and SRH of college students.
Collapse
|
19
|
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.
Collapse
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
| |
Collapse
|
20
|
Comparison of Subjective Health Complaints between Chinese and German University Students: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2015; 12:15794-806. [PMID: 26690463 PMCID: PMC4690955 DOI: 10.3390/ijerph121215019] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/22/2015] [Revised: 11/20/2015] [Accepted: 12/08/2015] [Indexed: 11/21/2022]
Abstract
High rates of health complaints (HCs) with substantial variation are reported in different university populations, which can be linked to socio-demographic, lifestyle-related factors, and cultural differences. HCs can be categorized into distinct components. This study aimed to identify and compare underlying dimensions of HCs (HC components); to access and compare HC prevalence, and the associations between HC components, socio-demographic, lifestyle-related factors, and perceived stress in German and Chinese university students. Two health surveys were conducted among 5159 university students (1853 Chinese, 3306 German). Factor analysis and logistic regression were applied. The prevalence of HC ranged from 4.6% to 40.2% over the two countries. Germans reported at least three HCs more often (47.2% vs. 35.8%). Chinese students more often reported gastrointestinal complaints. Perceived stress was positively associated with all three HC components in both countries (OR = 1.03–1.50) with stronger associations among Germans. Women more often reported HCs (OR = 1.32–2.43) with stronger associations among the Germans. Having a father with a low educational level was associated with high psychological symptoms among the Chinese (OR = 1.51), but with low gastrointestinal complaints among the Germans (OR = 0.79). The high prevalence of HCs in students requires country-specific interventions.
Collapse
|
21
|
Meireles AL, Xavier CC, de Souza Andrade AC, Proietti FA, Caiaffa WT. Self-Rated Health among Urban Adolescents: The Roles of Age, Gender, and Their Associated Factors. PLoS One 2015; 10:e0132254. [PMID: 26177464 PMCID: PMC4503396 DOI: 10.1371/journal.pone.0132254] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 06/11/2015] [Indexed: 11/18/2022] Open
Abstract
Health status is often analyzed in population surveys. Self-rated health (SRH) is a single-item summary measure of the perception of one’s health. In Brazil, studies on the SRH of adolescents remain scarce, especially those aiming to understand the domains that compose this construct. Therefore, the aim of this study is to determine the prevalence of poor SRH and its associated factors among 11- to 13-year-olds and 14- to 17-year-olds living in a large urban center in Brazil. This cross-sectional study was conducted using a household survey across Belo Horizonte that included 1,042 adolescents. Stratified logistic regression models were used for each age group to assess the associations between worse SRH and the following variables: socio-demographic, social and family support, lifestyles, psychological health, and anthropometry. Approximately 11% (95% CIs = 8.7–13.6) of the studied adolescents rated their health as poor, and SHR decreased with age among males and females. This trend was more pronounced among girls (from 6.9% among 11- to 13-year-old girls to 16.9% among 14- to 17-year-old girls) than boys (from 8.3% among 11- to 13-year-old boys to 11% among 14- to 17-year-old boys). Worse SRH was associated with family support (as assessed by the absence of parent-adolescent conversations; odds ratio [OR] = 3.5 among 11- to 13-year-olds), family structure (OR = 2.8 among 14- to 17-year-olds), and argument reporting (OR = 8.2 among 14- to 17-year-olds). Among older adolescents, the consumption of fruit fewer than five times per week (OR = 2.4), life dissatisfaction (OR = 2.8), underweight status (OR = 6.7), and overweight status (OR = 2.7) were associated with poor SRH. As adolescents age, their universe expands from their relationship with their parents to include more complex issues, such as their lifestyles and life satisfaction. Therefore, these results suggest the importance of evaluating SRH across adolescent age groups and demonstrate the influence of the family environment (in addition to other factors) on negative health assessments, particularly among 14- to 17-year-olds.
Collapse
Affiliation(s)
- Adriana Lúcia Meireles
- Nutrition, Faculdade de Ciências da Saúde do Trairi, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- * E-mail:
| | - César Coelho Xavier
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Medicine, Faculdade de Saúde e Ecologia Humana, Vespasiano, Minas Gerais, Brazil
| | - Amanda Cristina de Souza Andrade
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Fernando Augusto Proietti
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Medicine, Faculdade de Saúde e Ecologia Humana, Vespasiano, Minas Gerais, Brazil
| | - Waleska Teixeira Caiaffa
- Observatory for Urban Health of Belo Horizonte, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| |
Collapse
|