Analysis of College Students' Personal Health Information Activities: Online Survey

Potential suicide risk among the college student population: machine learning approaches for identifying predictors and different students' risk profiles

BACKGROUND

Suicide is one of the leading causes of death among young people and university students. Research has identified numerous socio-demographic, relational, and clinical factors as potential predictors of suicide risk, and machine learning techniques have emerged as promising ways to improve risk assessment.

OBJECTIVE

This cross-sectional observational study aimed at identifying predictors and college student profiles associated with suicide risk through a machine learning approach.

METHODS

A total of 3102 students were surveyed regarding potential suicide risk, socio-demographic characteristics, academic career, and physical/mental health and well-being. The classification tree technique and the multiple correspondence analysis were applied to define students' profiles in terms of suicide risk and to detect the main predictors of such a risk.

RESULTS

Among the participating students, 7% showed high potential suicide risk and 3.8% had a history of suicide attempts. Psychological distress and use of alcohol/substance were prominent predictors of suicide risk contributing to define the profile of high risk of suicide: students with significant psychological distress, and with medium/high-risk use of alcohol and psychoactive substances. Conversely, low psychological distress and low-risk use of alcohol and substances, together with religious practice, represented the profile of students with low risk of suicide.

CONCLUSIONS

Machine learning techniques could hold promise for assessing suicide risk in college students, potentially leading to the development of more effective prevention programs. These programs should address both risk and protective factors and be tailored to students' needs and to the different categories of risk.

Health literacy and the role of social support in different age groups: results of a German cross-sectional survey

BACKGROUND

Scholars demand more focus on context-related factors of health literacy as the management of health information is seen as a social practice. One prominent factor is social support that is expected to be particularly relevant for persons vulnerable for low health literacy. It was shown that health literacy can differ across the life span and especially older people have been demonstrated to be vulnerable for low health literacy. Therefore, health literacy and the relation of social support on health literacy in different age groups should be investigated.

METHODS

In a German nationwide survey 2,151 adults were interviewed face-to-face. General comprehensive health literacy was measured with the HLS19-Q47 which differentiates single steps of health information management - access, understand, appraise, and apply. Social support was measured with the Oslo 3 Social Support Scale. Bivariate and multivariate analyses were performed for all respondents and for five age groups.

RESULTS

Health literacy is relatively low in all age groups but particularly low among old-old people (76 + years). Also, the youngest adults (18-29 years) have slightly lower health literacy than middle-aged adults. On average, health literacy is higher among people with higher social support but this association varies between age groups. It tends to be quite strong among younger adults (18-45 years) and young-old persons (65-75 years) but is weak among older middle-aged (46-64 years) and old-old persons. The association also differs between steps of information management. It is stronger for accessing and applying information but there are differences in age groups as well.

CONCLUSIONS

Social support is a relevant aspect to improve individuals' health literacy and therefore should be addressed in interventions. However, it is necessary to differentiate between age groups. While both young adults and particularly old-old persons are challenged by health information management, young adults can strongly profit from social support whereas it can barely compensate the low health literacy of old-old persons. In addition, different challenges in information management steps in different age groups need to be considered when designing health literacy interventions. Thus, target group specific services and programs are needed.

A 10-year follow-up survey of US academic libraries highlights the COVID-19 experience and greater interest in health information outreach

BACKGROUND

As follow-up to their previous survey on health information outreach (HIO) in 2010, the authors became interested in the evolving nature of HIO activities at academic libraries within the past decade.

OBJECTIVES

The aim of this study was to understand how HIO activities at academic libraries have evolved since 2010, especially considering the current COVID-19 pandemic.

METHODS

An online survey, designed to collect quantitative data on general HIO activities and qualitative data specifically on COVID-19 information outreach, was distributed to over 1700 librarians at US general academic and academic health science libraries.

RESULTS

Two hundred and fifty-five respondents completed the survey. Quantitative findings generally paralleled the 2010 results, except in a few areas. Most notably, a greater percentage of librarians in 2020 were participating in HIO (44%) than in 2010 (37%). Qualitative findings revealed that librarians are leveraging traditional information services and implementing innovative partnerships to promote reputable health information resources on COVID-19.

DISCUSSION

Evidence suggests that further engagement and campus partnerships can enhance libraries' supportive roles as trustworthy purveyors of quality health information.

CONCLUSION

US academic librarians are increasingly engaging in HIO to support the health information needs of campus communities and should consider aligning outreach activities with national health goals.

Development and Validation of a Questionnaire to Assess Awareness and Knowledge of Nonalcoholic Fatty Liver Disease, a Liver Cancer Etiological Factor, among Chinese Young Adults

PURPOSE

Despite the increasing prevalence of nonalcoholic fatty liver disease (NAFLD), a liver cancer etiological factor, among Chinese young adults (CYA), there is a lack of valid, reliable, ready-to-use survey instruments for assessing awareness and knowledge of NAFLD in this population. The aims of this study were to develop, validate, and assess the reliability of a web-based, self-administered questionnaire evaluating awareness and knowledge of NAFLD among CYA.

METHODS

Based on review of relevant literature, a draft questionnaire was initially developed. Face and content validity of the questionnaire was evaluated by an expert panel of seven gastroenterologists. The construct validity was tested through item analysis based on item response theory. Reliability assessment included test-retest for stability and test for internal consistency. Two pilot tests were conducted among 60 randomly selected students at Lanzhou University, China, through WeChat App.

RESULTS

The content validity and clarity indexes were both greater than 0.85. Face validity was established by concluding that questions had no issue with feasibility, readability, clarity of wording, clarity of layout, and style. Response rates for two pilot tests were 96.7% (58 out of 60) and 98.3% (59 out of 60), respectively. Results testing the construct validity showed estimated amount of information obtained by the test between -3 and +3 range of ability was 97.57%. The test-retest reliability (Pearson's r) was 0.62. The internal consistency (KR20) was 0.92.

CONCLUSIONS

This newly developed questionnaire is a reliable and valid instrument for assessing awareness and knowledge of NAFLD among this sample from CYA.

Exploring college students’ fitness and health management based on Internet of Things technology

The purpose of this paper is to help college students improve their physical health and build a sound health management system. The physical exercise and health management of college students following IoT (Internet of Things) are studied. First, the current situation of college students’ physical quality is analyzed, and it is found that the college students’ physical quality and mental states decline in recent years. Second, the connotation of health management is briefly introduced and its necessity is analyzed. Health management cannot only improve the physical condition of students but also cultivate students’ strong will. Then, the application and characteristics of IoT are described, and the framework of physical exercise is designed based on IoT. Finally, a questionnaire survey is designed, and the survey results are compared and analyzed. According to the statistical results of the intervention group and the control group before and after the intervention, it is found that physical exercise has a significant effect on improving the physical and mental states of college students. The average scores of each dimension of physical states after the intervention are higher than those before the intervention, and the scores of each symptom in mental illnesses are lower than those before the intervention. This shows that the main method of health management based on physical exercise has a very obvious positive effect, which helps college students to improve their physical and mental states and cultivate their good habit of taking exercise.

Predictors affecting personal digital information management activities: A hierarchical regression analysis

The study aimed to investigate the influence of demographic characteristics, Internet use, computer knowledge and technology self-efficacy on personal digital information management (PIM) activities – information finding, information keeping, information organising and information re-finding. The design of the study was quantitative and a survey method was used to get the objectives of the study. Three independent institutes of art and design – the Institute of Art and Culture, the National College of Arts and Design and the Pakistan Institute of Fashion and Design – were chosen as the research setting of the study. The population of the study was an academic community of three art and design institutes. The questionnaire was distributed to faculty and students of respective institutes and 229 responses were received after follow-up. The findings of the study indicated that both demographic characteristics and technology-related factors influenced the arts and design academic community’s PIM activities. However, the second set of variables – Internet use, computer knowledge and technology self-efficacy influenced more than demographic variables on PIM activities. Academic role, university and technology self-efficacy appeared significant predictors of all PIM activities. The findings might be helpful for arts and design institutes librarians to make strategies to improve academic community’s personal information management skills. In arts and design institutes, better efficiency in faculty and students’ PIM could be achieved if PIM literacy programmes are designed paying attention to differentials in demographic factors and technology-related factors, as revealed in this study.

Depression, Anxiety, and Suicidal Ideation in Chinese University Students During the COVID-19 Pandemic

Coronavirus disease-2019 (COVID-19) pandemic has seriously threatened the global public health security and caused a series of mental health problem. Current research focuses mainly on mental health status and related factors in the COVID-19 pandemic among Chinese university students. Data from 11133 participants was obtained through an online survey. The Patient Health Question-9 (PHQ-9) was used to assess depressive symptoms, the Social Support Rate Scale (SSRS) was used to assess social support. We also used 7-item Generalized Anxiety Disorder Scale (GAD-7) to assess anxiety symptoms. Totally, 37.0% of the subjects were experiencing depressive symptoms, 24.9% anxiety symptoms, 20.9% comorbid depressive and anxiety symptoms, and 7.3% suicidal ideation. Multivariable logistic regression analysis revealed an increased presence of mental health problems in female students, graduate students, and those with personal COVID-19 exposure. Awareness of COVID-19, living with family were protective factors that reduced anxiety and depression symptoms. In addition, male, personal COVID-19 exposure, depressive and anxiety symptoms were risk factors for suicidal ideation. Social support, COVID-19 preventive and control measures, prediction of COVID-19 trends, living with family and graduate students are protective factors for reducing suicidal ideation.

University students' perceptions of airborne infection control: exploratory study using Q methodology

Background

International cooperation for infection control is important to prevent global pandemics. University students were difficult groups to manage of infection control measures. They often had overconfidence to their health, ineffective personal hygiene, and active social activities. Their misperceptions and inappropriate preventive behaviors increase the infection risks to university and community. Understanding university students’ perceptions of airborne infection management will contribute to the establishment of relevant policies and health education programs.

Method

This study explored subjective perceptions of airborne infection among university students in South Korea using Q-methodology. Forty university students representing different majors ranked a set of 33 statements reflecting their perceptions of airborne infection. They sorted the statements into a distribution on seven scales ranging from “strongly disagree” to “strongly agree.” Collected data were analyzed by the PC-QUANL program. The subjective perception types were extracted by using the principal component analysis.

Results

Four type are derived regardingperception of airborne infection: Type I (Government responsibility), Type II (Personal responsibility in self-management), Type III (Strict external management) and Type IV (Comprehensive countermeasures management). Thesefour types accounted for 45.6% of the total variance, and the individual contributions of Types I, II, III, and IV were 27.7, 7.6, 6.2, and 4.1%, respectively.

Conclusion

The major contribution of this study is to clarify university students’ perceptions of airborne infection. These findings can be used in formulating effective strategies for health education, media reporting, and public health policy to improve airborne infection management.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12889-020-09909-6.