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Chrzan-Rodak A, Bąk J, Chałdaś-Majdańska J, Machul M, Obuchowska A, Grzegorczyk A, Dziurka M, Ozdoba P, Dobrowolska B. Health-Related Behaviours of Foreign Students Studying in Poland and Their Determinants: A Mixed-Methods Study. Nutrients 2024; 16:1149. [PMID: 38674839 PMCID: PMC11054401 DOI: 10.3390/nu16081149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Revised: 04/03/2024] [Accepted: 04/11/2024] [Indexed: 04/28/2024] Open
Abstract
Educational migration benefits students and receiving countries, but universities are challenged to meet a variety of needs, such as cultural adaptation and changes in health behaviours such as dietary habits. This study aimed to assess the health-related behaviours, encompassing dietary/eating habits, among international students in Poland, while also elucidating the factors influencing these behaviours. The study consisted of two phases: (phase 1) cross-sectional research among 231 foreign students using the Fantastic Lifestyle Questionnaire (FLQ); and (phase 2) focus group interviews with 15 international students. The study was conducted in accordance with STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) and COREQ (COnsolidated criteria for REporting Qualitative research) Checklists. It was shown that the respondents highly value health. Students' health-related behaviours are related to their financial situation, health condition, self-assessment of their lifestyle, the importance attached to being healthy, and their country of origin. The qualitative analysis allowed us to identify (1) the barriers related to the exhibiting of health-related behaviours, (2) expectations of foreign students regarding the exhibiting of health-related behaviours, (3) changes in the health-related behaviours, and (4) factors facilitating the exhibiting of health-related behaviours. There is a need for inter-university cooperation on a strategy to promote health-promoting behaviours of foreign students studying in Poland.
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Affiliation(s)
- Agnieszka Chrzan-Rodak
- Department of Family and Geriatric Nursing, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland;
| | - Jadwiga Bąk
- Upper Silesian Centre for Child and Mother’s Health, Medyków Street 16, 40-752 Katowice, Poland;
| | | | - Michał Machul
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.M.); (A.O.); (A.G.); (M.D.); (B.D.)
| | - Anna Obuchowska
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.M.); (A.O.); (A.G.); (M.D.); (B.D.)
- Students’ Scientific Association, Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland
| | - Aleksandra Grzegorczyk
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.M.); (A.O.); (A.G.); (M.D.); (B.D.)
| | - Magdalena Dziurka
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.M.); (A.O.); (A.G.); (M.D.); (B.D.)
| | - Patrycja Ozdoba
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.M.); (A.O.); (A.G.); (M.D.); (B.D.)
| | - Beata Dobrowolska
- Department of Holistic Care and Nursing Management, Faculty of Health Sciences, Medical University of Lublin, 20-081 Lublin, Poland; (M.M.); (A.O.); (A.G.); (M.D.); (B.D.)
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Senmar M, Azimian J, Noorian S, Aliakbari M, Chegini N. Relationship between spiritual intelligence and lifestyle with life satisfaction among students of medical sciences. BMC MEDICAL EDUCATION 2023; 23:520. [PMID: 37468899 DOI: 10.1186/s12909-023-04506-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/25/2022] [Accepted: 07/11/2023] [Indexed: 07/21/2023]
Abstract
BACKGROUND Young people are the main resources of any country and entering university is considered a sensitive period in their lives. Satisfaction with life is one of the indicators of successful adaptation to life. Lifestyle and spiritual intelligence can complement and give meaning to this variable. The present study was conducted to investigate the relationship between spiritual intelligence and lifestyle with life satisfaction in students of Medical Sciences. METHODS This descriptive-analytical study was conducted among the students of Qazvin University of Medical Sciences in 2017. One hundred thirty-nine students were included in this study. Data collection tools were the King's spiritual intelligence scale, Miller-Smith lifestyle assessment inventory, satisfaction with life scale (Diener), and demographic information checklist. To analyze the data, descriptive and analytical tests such as independent T-test and one-way analysis of variance and SPSS version 22 software were used. The significance level of all tests was considered less than or equal to 0.05. FINDINGS In the present study, 108 were women and the rest were men. 49.6% of students were under twenty years old. The results of this research showed that there is a significant negative relationship between lifestyle and life satisfaction (r = -.33) and a significant positive relationship between spiritual intelligence and life satisfaction (r = .27) (p < 0.05). The mean scores of students in life satisfaction were 22.49 ± 5.92, lifestyle was 49.15 ± 8.35, and spiritual intelligence was 51.59 ± 11.43. CONCLUSIONS The findings of the present study showed the important role of spiritual intelligence and lifestyle in students' life satisfaction. These findings can be used by administrators and policymakers in formulating interventions and providing a suitable context to improve students' life satisfaction.
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Affiliation(s)
- Mojtaba Senmar
- Student Research Committee, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Jalil Azimian
- Student Research Committee, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Sajad Noorian
- Department of Statistics, Faculty of Science, University of Qom, Qom, Iran
| | - Mohaddese Aliakbari
- Emergency Medical Service Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Najmeh Chegini
- Student Research Committee, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
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Batista P, Neves-Amado J, Pereira A, Amado J. FANTASTIC lifestyle questionnaire from 1983 until 2022: A review. Health Promot Perspect 2023; 13:88-98. [PMID: 37600548 PMCID: PMC10439457 DOI: 10.34172/hpp.2023.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 01/21/2023] [Indexed: 08/22/2023] Open
Abstract
Background Studying lifestyles has always been important; quantifying them has become more complex. However, a questionnaire produced in 1983 has shown that its simple form of evaluation can be an added value in understanding lifestyles. Our aim is a systematic review of the scientific literature about the use of the FANTASTIC Lifestyle questionnaire (FLQ). Methods The reflective systematic literature review on PubMed, Medline, Science Direct, and SCIELO databases with the descriptors "FANTASTIC Lifestyle questionnaire" OR "FANTASTICO questionnaire" OR "FANTASTIC questionnaire" OR "FANTASTIC survey" OR "FANTASTIC checklist". PRISMA criteria reporting of systematic reviews and meta-analyses were applied. The inclusion criteria were the use of FLQ instrument to measure lifestyles, presenting quantitative or qualitative results, and psychometric studies. It excluded other lifestyle instruments, incomplete articles, and non-English, Brazilian, Spanish, and Portuguese language articles. Results Findings reveal 41 scientific articles included in the study. It analyzed the results and most studies use the instrument to assess all dimensions. However, some studies reported assessing specific dimensions such as nutrition, sleep, stress, tobacco, alcohol, and drugs. The questionnaire has been applied to a wide range of ages and literacy levels. Conclusion This literature review allowed us to conclude that this questionnaire is still in use today and is applied in several contexts and populations. It is also possible to verify the relevance of its use and to design intervention strategies and programs for a healthy society. It is essential to draw attention to this issue and promote health literacy (HL) on this topic.
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Affiliation(s)
- Patrícia Batista
- Universidade Católica Portuguesa, Research Centre for Human Development (CEDH), Human Neurobehavioral Laboratory (HNL), Porto, Portuga
| | - João Neves-Amado
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), Institute of Health Sciences (ICS), Porto, Portugal
| | - Anabela Pereira
- University of Évora, Center for Research in Education and Psychology, Évora, Portugal
| | - João Amado
- Universidade Católica Portuguesa, Centre for Interdisciplinary Research in Health (CIIS), Porto, Portugal
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Batista P, Neves-Amado J, Pereira A, Amado J. Application of the FANTASTIC Lifestyle Questionnaire in the Academic Context. Healthcare (Basel) 2022; 10:healthcare10122503. [PMID: 36554026 PMCID: PMC9777771 DOI: 10.3390/healthcare10122503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 12/07/2022] [Accepted: 12/08/2022] [Indexed: 12/14/2022] Open
Abstract
Studying citizens' lifestyles is extremely important for understanding society and the social conditions of the personal lifestyle. Understanding the lifestyles of university students is especially important because they will be the future citizens and professionals who will shape society's future. The aim of this study was a systematic review of the scientific literature about the use of the FANTASTIC Lifestyle questionnaire in an academic context. The reflective systematic literature review was carried out on PubMed, MEDLINE, Science Direct, and SCIELO databases with the keywords ("FANTASTIC Lifestyle questionnaire" OR "FANTASTICO questionnaire" OR "FANTASTIC questionnaire" OR "FANTASTIC survey" OR "FANTASTIC checklist") AND ("university students"). The PRISMA criteria for reporting systematic reviews and meta-analyses were applied. The inclusion criteria were the use of the "FANTASTIC Lifestyle questionnaire" instrument for measuring lifestyles, the presentation of quantitative or qualitative results, and psychometric studies. The exclusion criteria were no use of FANTASTIC Lifestyle Questionnaire; other population, no quantitative or qualitative analysis, incomplete articles. The 15 scientific articles included in the study were analyzed. This literature review allowed us to conclude the importance and usefulness/actuality of this questionnaire. Furthermore, the importance of diagnosis should be emphasized, as should the development of strategies and intervention programs for the maintenance or creation of healthy societies.
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Affiliation(s)
- Patrícia Batista
- Human Neurobehavioral Laboratory (HNL), Research Centre for Human Development (CEDH), Universidade Católica Portuguesa, 4169-005 Porto, Portugal
- Correspondence:
| | - João Neves-Amado
- Instituto de Ciências da Saúde (ICS), Centro de Investigação Interdisciplinar em Saúde (CIIS), Universidade Católica Portuguesa, 4169-005 Porto, Portugal
| | - Anabela Pereira
- Centro de Investigação em Educação e Psicologia, Universidade de Évora, 7000-849 Évora, Portugal
| | - João Amado
- Centro de Investigação Interdisciplinar em Saúde (CIIS), Universidade Católica Portuguesa, 4169-005 Porto, Portugal
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Physical Activity, Life Satisfaction, Stress Perception and Coping Strategies of University Students in Belarus during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148629. [PMID: 35886479 PMCID: PMC9317606 DOI: 10.3390/ijerph19148629] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 07/14/2022] [Indexed: 01/27/2023]
Abstract
The COVID-19 restrictions in Belarus turned out to be less stringent than those of its neighboring countries. Objective: We aimed to evaluate physical activity, life satisfaction, perception of stress, choice of coping strategies and their correlations among Belarusian students. An anonymous Internet survey was conducted among 1769 students studying at the faculties of physical culture (415), pedagogical (737), and medical (617) universities. International Physical Activity Questionnaires (IPAQ) and Satisfaction With Life Scale (SWLS), Perceived Stress Scale-10 (PSS-10), and Coping Orientations to Problems Experienced (mini-COPE) questionnaires were used. The respondents declared sufficient and high levels of physical activity. The level of physical activity was correlated with life satisfaction (typically for student-athletes). The least satisfaction with life and highest level of perceived stress were among future doctors. The minimum indicator of stress was noted in athletes. The most common coping strategy was active coping. Strategies of problem avoidance and seeking support from outside were not used by student-athletes. These strategies were used by pedagogical and medical students. Student-athletes have the most favorable opportunities, followed by representatives of pedagogical and medical students. The proposed classification of the levels of behavior (optimal, acceptable, satisfactory and risky) makes it possible to adjust lifestyles.
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Kupcewicz E, Rachubińska K, Gaworska-Krzemińska A, Andruszkiewicz A, Kuźmicz I, Kozieł D, Grochans E. Health Behaviours among Nursing Students in Poland during the COVID-19 Pandemic. Nutrients 2022; 14:2638. [PMID: 35807819 PMCID: PMC9268667 DOI: 10.3390/nu14132638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 06/20/2022] [Accepted: 06/22/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: An individual's health status can be perceived as a consequence of their health behaviours. This research aimed to determine the intensity of health-promoting behaviours and to identify factors determining the health behaviours of nursing students during the COVID-19 pandemic. (2) Methods: This study included 894 nursing students from six universities in Poland, and it was conducted between 20 March and 15 December 2021. A diagnostic survey was applied as the research method, and the data were collected using the Health Behaviour Inventory and the Satisfaction With Life Scale. (3) Results: Nearly half of the students participating in the study (48.43%) declared that the intensity of their general health behaviours was low. A positive and significant correlation (r = 0.426) was found between general health behaviours and satisfaction with life. A regression model demonstrated general satisfaction with life to be a predictor of taking up health-related behaviours (18%; β = 0.34), as well as in terms of proper eating habits (4%; β = 0.15), prophylactic behaviours (6%; β = 0.21), positive mental attitudes (26%; β = 0.44) and applied pro-health practices (10%; β = 0.25). (4) Conclusions: Most nursing students showed low levels of health-promoting behaviours. More research is needed on health behaviours and their determinants among nursing students, as it may be important in explaining the mechanisms of health behaviour formation.
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Affiliation(s)
- Ewa Kupcewicz
- Department of Nursing, Collegium Medicum, University of Warmia and Mazury in Olsztyn, 14 C Zolnierska Street, 10-719 Olsztyn, Poland
| | - Kamila Rachubińska
- Department of Nursing, Pomeranian Medical University in Szczecin, 48 Zolnierska Street, 71-210 Szczecin, Poland; (K.R.); (E.G.)
| | - Aleksandra Gaworska-Krzemińska
- Institute of Nursing and Midwifery, Medical University of Gdansk, 3a M. Sklodowskiej-Curie Street, 80-227 Gdansk, Poland;
| | - Anna Andruszkiewicz
- Department of Basic Clinical Skills and Postgraduate Education for Nurses and Midwifes, Nicolaus Copernicus University in Torun, 1 Łukasiewicza Street, 85-821 Bydgoszcz, Poland;
| | - Ilona Kuźmicz
- Department of Internal Medicine and Community Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences, Medical College, Jagiellonian University, 12 Michalowskiego Street, 30-688 Krakow, Poland;
| | - Dorota Kozieł
- Collegium Medicum, Jan Kochanowski University of Kielce, 19A IX Wieków Kielc Street, 25-369 Kielce, Poland;
| | - Elżbieta Grochans
- Department of Nursing, Pomeranian Medical University in Szczecin, 48 Zolnierska Street, 71-210 Szczecin, Poland; (K.R.); (E.G.)
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Stress in Medical Students: PRIMES, an Italian, Multicenter Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19095010. [PMID: 35564409 PMCID: PMC9100187 DOI: 10.3390/ijerph19095010] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 04/15/2022] [Accepted: 04/18/2022] [Indexed: 01/16/2023]
Abstract
Medical students (MSs) are healthcare workers and must also cope with education-related stressors. This study aims to assess factors associated with perceived stress in Italian MSs. A cross-sectional study was conducted in 12 Italian medical schools (MSCs) in November 2018. A questionnaire assessed socio-demographic characteristics, habits, opinions about MSC, and concerns about the future. Stress was assessed with the PSS-10. Descriptive and univariable tests were performed. A linear model was fitted to find associations of the PSS-10 score with characteristics. There were 2513 collected questionnaires. Median PSS-10 score was 18 (IQR 11). Median age was 22 (IQR 4) and 61% of the sample was female. Female gender, being part of a sexual minority, poor financial situation, competitive atmosphere, having hobbies, resting, and sleeping hindered by MSC were characteristics associated with higher PSS-10 scores. Current relationship, good family relationship, and no concerns about the future were protective factors. Being part of sexual minorities had greater effects in students not living away from home, while in the other group it was not having satisfying friendships. Medical students suffer higher levels of stress than the general population, and many MSC stressors are associated. Living away from home modifies risk and protective factors, offering the possibility to tailor group-specific interventions.
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Saczuk K, Lapinska B, Wawrzynkiewicz A, Witkowska A, Arbildo-Vega HI, Domarecka M, Lukomska-Szymanska M. Temporomandibular Disorders, Bruxism, Perceived Stress, and Coping Strategies among Medical University Students in Times of Social Isolation during Outbreak of COVID-19 Pandemic. Healthcare (Basel) 2022; 10:740. [PMID: 35455915 PMCID: PMC9028346 DOI: 10.3390/healthcare10040740] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2022] [Revised: 04/08/2022] [Accepted: 04/12/2022] [Indexed: 02/01/2023] Open
Abstract
The COVID-19 pandemic caught universities along with their students off-guard, enforcing online education. Fear of the unknown, disinformation, and isolation resulted in an increased stress level in the entire population. Medical university students are particularly endangered with high stress levels and developing TMD. Temporomandibular disorders (TMD) are of multifactorial etiology, and manifest with jaw dysfunction, masticatory muscle tension or pain, as well as headache. Though bruxism can act as an exacerbating factor for TMD, stress can also play crucial role in the onset. The study aimed to measure occurrence of TMD and bruxism symptoms in the medical student population, asses the stress level, and evaluate adopted stress-coping strategies during the COVID-19 pandemic outbreak. A survey study was performed among 1018 students at Medical University of Lodz during April 2020. A self-designed questionnaire for screening TMD and bruxism symptoms, Perceived Stress Scale (PSS-10), and Brief-COPE questionnaires were applied. TMD and bruxism symptoms were observed in the majority of subjects during social isolation. The perceived stress levels were significantly higher in those experiencing TMD and bruxism symptoms. Mostly maladaptive, emotion-focused coping strategies were chosen by study subjects experiencing high levels of stress. Choosing Self-Blaming as a coping strategy is the strongest predictor of perceived stress.
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Affiliation(s)
- Klara Saczuk
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland; (K.S.); (B.L.); (M.D.)
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland; (K.S.); (B.L.); (M.D.)
| | - Adam Wawrzynkiewicz
- Department of Clinical Chemistry and Biochemistry, Medical University of Lodz, 90-419 Lodz, Poland;
| | | | - Heber Isac Arbildo-Vega
- Department of General Dentistry, Dentistry School, Universidad San Martín de Porres, Chiclayo 14012, Peru;
- Department of Human Medicine, Human Medicine School, Universidad San Martín de Porres, Chiclayo 14012, Peru
- Department of General Dentistry, Dentistry School, Universidad Particular de Chiclayo, Chiclayo 14012, Peru
- Department of Stomatology, School of Stomatology, Universidad Alas Peruanas, Lima 15072, Peru
| | - Monika Domarecka
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland; (K.S.); (B.L.); (M.D.)
| | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 92-213 Lodz, Poland; (K.S.); (B.L.); (M.D.)
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Weng TL, Chu FY, Li CL, Chen TJ. Choices of Specialties and Training Sites among Taiwanese Physicians Graduating from Polish Medical Schools. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063727. [PMID: 35329418 PMCID: PMC8950236 DOI: 10.3390/ijerph19063727] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 03/14/2022] [Accepted: 03/18/2022] [Indexed: 02/05/2023]
Abstract
Taiwanese students who graduated from Polish medical schools (P-IMGs) accounted for the second-largest group of international medical graduates in Taiwan. In 2009, domestic medical students in Taiwan staged mass demonstrations against P-IMG’s exemption from the qualifying test before the licensing exam. Although medical circles in Taiwan might still hold prejudices against P-IMGs, little is known about their career development. This study will analyze P-IMGs’ choices of specialties and training sites from 2000 to 2020 using data from the membership section of the Taiwan Medical Journal, the monthly official publication of the Taiwan Medical Association. Of 372 P-IMGs, 34.2% chose internal medicine and 17.1% surgery. Although academic medical centers offered 76% of all available trainee positions in a year, only 49.3% of P-IMGs received training there. By contrast, 20.9% of P-IMGs were trained at nonmetropolitan hospitals that altogether accounted for only 5.8% of trainee positions. In conclusion, P-IMGs had their residency training at less favorable specialties and sites. Their long-term career development deserves further study.
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Affiliation(s)
- Tzu-Ling Weng
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan;
- School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan;
| | - Feng-Yuan Chu
- School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan;
- Division of Clinical Toxicology and Occupational Medicine, Department of Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan
| | - Chiao-Lin Li
- Department of Family Medicine, Taipei City Hospital Yangming Branch, Taipei 111, Taiwan;
| | - Tzeng-Ji Chen
- Department of Family Medicine, Taipei Veterans General Hospital, Taipei 112, Taiwan;
- School of Medicine, National Yang Ming Chiao Tung University, Taipei 112, Taiwan;
- Correspondence:
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Hu YL, Roberts A, Ching GS, Chao PC. Moderating Effects of Intercultural Social Efficacy and the Role of Language in the Context of Coping Strategies in Study Abroad Depression. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042409. [PMID: 35206597 PMCID: PMC8875477 DOI: 10.3390/ijerph19042409] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/17/2022] [Accepted: 02/18/2022] [Indexed: 02/01/2023]
Abstract
This study examined the relationship between intercultural social efficacy (ISE), coping strategies, Mandarin Chinese and English language proficiency, and depression. In total, 1870 foreign students in Taiwan participated in the study. Study results indicated that aspects of background demographics may influence depression levels. Participants with an immigrant background and those who are older are more likely to suffer from depression; however, gender and length of stay do not seem to affect depression. The moderating effects of Mandarin Chinese and English language proficiency and ISE on the relationship between coping strategies and depression were examined. Based on the results, the moderating role of Mandarin Chinese and English language proficiency was not supported, suggesting that coping strategies are independent of linguistic proficiency. However, knowing both languages is an important factor in reducing the stress of studying abroad. Additionally, the results confirmed the moderating effects of ISE, suggesting that a higher level of social effectiveness reinforces the negative association between coping strategies and depression. Students who are better able to interact with other cultures may be able to develop effective coping strategies. Moreover, this study found that although most of the study abroad students were not depressed, early intervention and prevention measures could help alleviate possible mental health crises.
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Affiliation(s)
- Yueh-Luen Hu
- Department of Education, National Chengchi University, Taipei City 116011, Taiwan; (Y.-L.H.); (P.-C.C.)
| | - Amy Roberts
- School of Teacher Education, University of Wyoming, Laramie, WY 82071, USA;
| | - Gregory S. Ching
- Graduate Institute of Educational Leadership and Development, Fu Jen Catholic University, New Taipei City 24205, Taiwan
- Research and Development Center for Physical Education, Health, and Information Technology, Fu Jen Catholic University, New Taipei City 24205, Taiwan
- Correspondence:
| | - Pei-Ching Chao
- Department of Education, National Chengchi University, Taipei City 116011, Taiwan; (Y.-L.H.); (P.-C.C.)
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Vilovic T, Bozic J, Zuzic Furlan S, Vilovic M, Kumric M, Martinovic D, Rusic D, Rada M, Tomicic M. Mental Health Well-Being and Attitudes on Mental Health Disorders among Family Physicians during COVID-19 Pandemic: A Connection with Resilience and Healthy Lifestyle. J Clin Med 2022; 11:438. [PMID: 35054130 PMCID: PMC8778288 DOI: 10.3390/jcm11020438] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 01/12/2022] [Accepted: 01/13/2022] [Indexed: 11/16/2022] Open
Abstract
Family physicians (FPs) are exposed to high amounts of stress, and could be susceptible to the development of mental health disorders (MHD), especially after the emergence of the COVID-19 pandemic. The aim of the current study was to assess MHD history, attitudes toward MHDs and stress-coping strategies in FPs. An additional goal was to estimate their comprehensive well-being and investigate connections with resilience and a healthy lifestyle. A total of 483 FPs submitted their responses via online survey. MHD attitudes were assessed with the according questionnaires, while burnout levels, healthy lifestyle, resilience, job and life satisfaction were estimated with validated scales. Results have shown that 32.5% of FPs disclosed positive MHD history, while 68.7% used professional help. Resilience and healthy lifestyle levels were significantly higher in MHD negative FPs (p < 0.001), while burnout levels were lower (p < 0.001). Moreover, healthy lifestyle (β = 0.03, p < 0.001) was an independent correlate of resilience, while healthy lifestyle (β = -0.35, p < 0.001, and resilience (β = -1.82, p < 0.001) were of burnout levels. Finally, resilience (OR = 0.387, p < 0.001) and healthy lifestyle (OR = 0.970, p = 0.021) were shown as independent predictors of positive MHD history status. Strong promotion and education of FP population regarding resilience and healthy lifestyle should be utilized in practice in order to alleviate the possibility of mental health disturbances and the according consequences.
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Affiliation(s)
- Tina Vilovic
- Department of Family Medicine, University of Split School of Medicine, 21000 Split, Croatia; (T.V.); (S.Z.F.); (M.R.)
- Department of Family Medicine, Split-Dalmatia Health Center, 21000 Split, Croatia
| | - Josko Bozic
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (J.B.); (M.V.); (M.K.); (D.M.)
| | - Sanja Zuzic Furlan
- Department of Family Medicine, University of Split School of Medicine, 21000 Split, Croatia; (T.V.); (S.Z.F.); (M.R.)
- Department of Family Medicine, Split-Dalmatia Health Center, 21000 Split, Croatia
| | - Marino Vilovic
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (J.B.); (M.V.); (M.K.); (D.M.)
| | - Marko Kumric
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (J.B.); (M.V.); (M.K.); (D.M.)
| | - Dinko Martinovic
- Department of Pathophysiology, University of Split School of Medicine, 21000 Split, Croatia; (J.B.); (M.V.); (M.K.); (D.M.)
| | - Doris Rusic
- Department of Pharmacy, University of Split School of Medicine, 21000 Split, Croatia;
| | - Marko Rada
- Department of Family Medicine, University of Split School of Medicine, 21000 Split, Croatia; (T.V.); (S.Z.F.); (M.R.)
- Department of Family Medicine, Split-Dalmatia Health Center, 21000 Split, Croatia
| | - Marion Tomicic
- Department of Family Medicine, University of Split School of Medicine, 21000 Split, Croatia; (T.V.); (S.Z.F.); (M.R.)
- Department of Family Medicine, Split-Dalmatia Health Center, 21000 Split, Croatia
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12
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Bin Abdulrahman KA, Khalaf AM, Bin Abbas FB, Alanezi OT. The Lifestyle of Saudi Medical Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18157869. [PMID: 34360161 PMCID: PMC8345573 DOI: 10.3390/ijerph18157869] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/25/2021] [Revised: 07/21/2021] [Accepted: 07/23/2021] [Indexed: 11/16/2022]
Abstract
This study was conducted to investigate medical students’ lifestyle habits, including sleep quality, eating and drinking patterns, physical activity, and social status. Method: This research project is part two of a multi-institutional cross-sectional observational study conducted among medical students from six medical colleges in Saudi Arabia between September and December 2019. Results: 675 medical students were enrolled electively into the lifestyle study. About half of this number were male students and the majority were aged 18–24 years. Most students (87.6%) slept between 4–8 h a day and over 44% were dissatisfied with their sleep. Only 28.1% had three meals a day; about 40% of them usually or always skipped breakfast. A total of 44% usually or always ate fast food and 44.7% drank 2 L of water per day. Moreover, male students were significantly consuming more fast food than females, p < 0.001. The majority (63.3%) revealed they usually or always drink black coffee daily. Females were significantly more inclined to regular coffee consumption than males, p < 0.001. Only 4.3% exercised for 30 min or more daily. The majority (65%) of the students were introverted; they had few close friends. Yet, 81% were somewhat satisfied or satisfied with their social life. Male students were significantly more satisfied with their social life than females, p = 0.001. Only 4.6% smoked cigarettes daily whereas 7.1% smoked e-cigarettes daily. In contrast, only 0.3% used shisha (hookah) daily. Male medical students were substantially more inclined to e-cigarette use than females (p < 0.001). The top five leisure activities of a medical student were surfing social media (75.9%), watching movies (61.3%), hanging out with friends (58.1%), spending time with their family (55.4%), and browsing the Internet (53.6%). Female medical students were significantly more inclined to surf social media than male medical students, p = 0.022; also, watching movies was preferred for females compared to males, p = 0.006. Conclusion: This study revealed that the majority of these medical students in Saudi Arabia exhibited healthy lifestyles to some extent, and these health-promoting behaviors differed based on sex, especially concerning physical activity and eating patterns. The findings of this study provide relevant information for future actions that will be geared towards effectively decreasing the occurrence of chronic illnesses and improving future doctors’ well-being.
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The Moderating Role of Personality in the Relationship between Internet Use and Study Abroad Difficulties. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18147707. [PMID: 34300156 PMCID: PMC8303484 DOI: 10.3390/ijerph18147707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 07/17/2021] [Accepted: 07/19/2021] [Indexed: 12/03/2022]
Abstract
Studying abroad can be stressful due to culture shock and various other difficulties. However, with the current prevalence of information communication technology, we can surmise that study abroad difficulties should be minimal. Since it has been shown that an individual’s personality is highly associated with their internet use behaviors, it would be interesting to determine the effects of personality traits on the relationship between internet use motives and perceived study abroad difficulties. Data were collected from 1870 volunteer study abroad students in Taiwan. Hierarchical regression analysis revealed that when controlling for the effects of age, gender, duration of stay, student status (short-term exchange or degree-seeking), and internet use motives (online benefits, habits, and facilitation), the personality trait neuroticism consistently showed significant relationships with the various study abroad difficulties. Moreover, moderation analyses revealed that all the personality traits except conscientiousness showed significant interactions with internet use, while simple slope comparisons showed significant differences between the high personality traits and their lower counterparts. In sum, an examination of the moderating role of personality traits in the relationship between internet use and study abroad difficulties may be useful for preemptively identifying at-risk students.
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Wang J, Liu W, Zhang Y, Xie S, Yang B. Perceived Stress Among Chinese Medical Students Engaging in Online Learning in Light of COVID-19. Psychol Res Behav Manag 2021; 14:549-562. [PMID: 34017205 PMCID: PMC8131094 DOI: 10.2147/prbm.s308497] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 04/14/2021] [Indexed: 12/23/2022] Open
Abstract
Purpose After a year of the COVID-19 pandemic, countries have repeatedly imposed strict quarantine regimes as the virus mutates and becomes more contagious. Medical undergraduate education has been disrupted and transformed into prolonged home isolation and online learning. Although studies have reported that the COVID-19 pandemic tends to increase perceived stress (PS) and affect the mental health of medical students, the influencing factors are unclear. Therefore, based on the stress process model, this study will comprehensively evaluate the distribution of stressors of medical students and explore the personal and environmental predictors of PS during the epidemic. Participants and Methods An online survey was conducted among medical students (n=369) from three medical universities in western China who engaged in online learning. A stress process conceptual framework was formed to explore the influencing factors of PS. The survey items contained four sections: (a) the potential stressors derived from academic, psychosocial and health-related demands; coping resources such as (b) online learning environment support and (c) personal resilience, including online learning behavior and individual characteristics; and (d) PS, perception of imbalanced demands and coping resources. Results The mean PS score was 17.39 (SD=4.58), and over four-fifths (82.3%) of the students had moderate to high levels of stress. The average item scores of academic, psychosocial and health-related stressors were 2.72 (SD=0.55), 2.31 (SD=0.55) and 2.07 (SD=0.50), respectively. Gender, grade, psychosocial stressors, health-related stressors, specific online learning behavior (persistence, attitude and flexibility), and the online learning environment (teaching, social and cognitive presence) were predictors of PS. Conclusion Our results specify that a reduction in psychological and health-related stressor stimulation, specific online learning behavior promotion, and well-established online learning environment support could be considered essential for alleviating the negative impacts of COVID-19 on the psychosocial health of medical undergraduates.
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Affiliation(s)
- Jun Wang
- Department of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China
| | - Weichu Liu
- Department of Gynecology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China
| | - Yunmei Zhang
- School of Nursing, Chongqing Medical University, Chongqing, People's Republic of China
| | - Shiqi Xie
- School of Nursing, Chongqing Medical University, Chongqing, People's Republic of China
| | - Bing Yang
- Department of Nursing, Stomatological Hospital of Chongqing Medical University, Chongqing, China
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Gavurova B, Ivankova V, Rigelsky M. Relationships between Perceived Stress, Depression and Alcohol Use Disorders in University Students during the COVID-19 Pandemic: A Socio-Economic Dimension. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E8853. [PMID: 33260778 PMCID: PMC7730954 DOI: 10.3390/ijerph17238853] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/17/2020] [Accepted: 11/26/2020] [Indexed: 12/11/2022]
Abstract
The objective of the study was to examine the effects of perceived stress on depression and subsequently to examine the effects of depression on alcohol use disorders. The data were obtained by an electronic questionnaire survey during the coronavirus disease 2019 (COVID-19) pandemic (n = 1523 Slovak university students). Descriptive, regression, and correlation analysis were used in the analytical processing, while the analyses included students' scores in three diagnostic tools (Perceived Stress Scale (PSS), Patient Health Questionnaire for depression (PHQ 9), and Alcohol Use Disorders Identification Test (AUDIT)), as well as gender and income characteristics. The PSS identified an increased level of perceived stress in female students, while in contrast, the AUDIT showed an increased level of alcohol use disorders in male students. Differences in mental and behavioural disorders between the gender and income categories were significant in most of the analysed cases. In terms of gender-income characteristics, it was possible to confirm a significant positive effect of the PSS score on the PHQ 9 score, as well as a significant positive effect of the PHQ 9 score on the AUDIT score. As a result, efforts to reduce stress will be reflected in a reduction of depressive disorders as well as a reduction of excessive alcohol consumption among students.
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Affiliation(s)
- Beata Gavurova
- Center for Applied Economic Research, Faculty of Management and Economics, Tomas Bata University in Zlin, 5139, 760 00 Zlin, Czech Republic
| | - Viera Ivankova
- Faculty of Management, University of Presov in Presov, 16, 080 01 Presov, Slovakia; (V.I.); (M.R.)
| | - Martin Rigelsky
- Faculty of Management, University of Presov in Presov, 16, 080 01 Presov, Slovakia; (V.I.); (M.R.)
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GONCHARUK M, LEİTE CAVALCANTİ A, STOİKA O, HLİUDZYK-SHEMOTA M, BOYKİV A, DEVİATKO Y. SATISFACTION WITH DENTAL AND MEDICAL EDUCATION QUALITY AMONG FOREIGN STUDENTS CONSIDERING NON-NATIVE ENGLISH-SPEAKING ORIGIN OF THE TEACHERS. CUMHURIYET DENTAL JOURNAL 2020. [DOI: 10.7126/cumudj.773890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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