Health-related behaviors, self-rated health, and predictors of stress and well-being in nursing students

Hypothesis: insufficiently active heart failure patients will report poorer QoL, more fatigue and depressive mood compared to active patients. Aims: To characterize clinical characteristics and health-related behaviors according to physical activity (PA). Also, to explore predicting factors of quality of life (QoL). Methods: Cross-sectional analysis of a cohort of Stage B HF patients. PA classification was set as active, moderately active or insufficiently active, according to the LTEQ questionnaire. For QoL, the SF-36 questionnaire was used. ANOVAS, Chi-Square tests or likelihood ratios and unadjusted multiple regression models were calculated. Significance was set at p ≤ 0.05. Results: In this cohort, 277 HF patients completed the PA questionnaire. The prevalence of active patients was higher than moderately active and insufficiently active (53.3% vs 15.2% and 29.6%), respectively. Younger age (p = 0.044), lower waist circumference (WC) (p = 0.002), and lower waist-to-hip ratio (p = 0.046) were associated with being active. The prevalence of Type II diabetes mellitus (T2DM) in the active groups was significantly lower (p = 0.001). Physically active groups had cases of mild LV enlargement (1.4% and 7.5%, respectively), while no cases were observed among insufficiently active patients (p = 0.017). PA was positively associated with less fatigue (p= 0.002), more vigor (p = 0.001), more self-efficacy (p < 0.001), and better quality of life (p = 0.002). Patients who were less physically active had more inflammation (CRP, p = 0.015; IL-6, p <0.001; TNF-α: p = 0.033, and IL-1ra, p = 0.001). WC (β =-0.16, p = 0.008), glucose (β =-0.12, p < 0.001) and fatigue (β = - 0.39, p < 0.001) predicted general health perception (R 2 = 0.449). For physical functioning (high scores reflects performing PA without limitations due to health), WC (β = - 0.28, p = 0.001), sleep (β = - 1.50, p = 0.003) and fatigue (β = - 0.32, p = 0.018) were significant predictors (R 2 = 0.422); while age (β = 0.36, p <0.001) physical activity (β = 0.051, p = 0.055), sleep (β = 0.50, p =0.046), fatigue (β = -0.37, p <0.001) and depression (β = -1.12, p <0.001) predicted emotional well-being (R 2 = 0.696). Conclusion: Physically active heart failure patients had a better anthropometric profile and lower prevalence of T2DM. In this cohort, PA was not a significant predictor for general and physical functioning, but it remained relevant for predicting emotional well-being.

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Association of Social Media Use With Social Well-Being, Positive Mental Health, and Self-Rated Health: Disentangling Routine Use From Emotional Connection to Use

Health Education & Behavior ◽

10.1177/1090198119863768 ◽

2019 ◽

Vol 46 (2_suppl) ◽

pp. 69S-80S ◽

Cited By ~ 10

Author(s):

Mesfin A. Bekalu ◽

Rachel F. McCloud ◽

K. Viswanath

Keyword(s):

Mental Health ◽

Social Media ◽

Health Outcomes ◽

Media Use ◽

Well Being ◽

Dose Effect ◽

Social Media Use ◽

Emotional Connection ◽

Self Rated Health ◽

Health Related

Most studies addressing social media use as a normal social behavior with positive or negative effects on health-related outcomes have conceptualized and measured social media use and its effects in terms of dose–effect relations. These studies focus on measuring frequency and duration of use, and have seldom considered users’ emotional connections to social media use and the effects associated with such connections. By using a scale with two dimensions capturing users’ integration of social media use into their social routines and their emotional connection to the sites’ use, the present study has brought preliminary evidence that may help map where social media use, as a normal social behavior, may be considered beneficial or harmful. Data from a nationally representative sample ( n = 1,027) of American adults showed that while routine use is associated with positive health outcomes, emotional connection to social media use is associated with negative health outcomes. These associations have been consistent across three health-related outcomes: social well-being, positive mental health, and self-rated health. The data also showed that the strength of the positive and negative associations of routine use and emotional connection with the health outcomes varies across socioeconomic and racial/ethnic population subgroups. Our findings suggest that the link between social media use and health may not only be captured by and explained in terms of conventional dose–effect approaches but may also require a more sophisticated conceptualization and measurement of the social media use behavior.

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Factors Associated with Self-Perceived Diet Quality Among Puerto Rican Adults (P04-092-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz051.p04-092-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Kiara Amaro-Rivera ◽

Elena Carbone

Keyword(s):

Diet Quality ◽

Fast Food ◽

Psychosocial Factor ◽

Future Research ◽

Self Perception ◽

Poverty Level ◽

Self Rated Health ◽

Health Related Behaviors ◽

Health Related ◽

Fair Poor

Abstract Objectives Self-perceived diet quality is an important psychosocial factor that can influence dietary patterns. Several studies have found an association between this variable and health-related behaviors, such as eating fruits and vegetables and exercising regularly. However, this relationship has not been well studied among minority groups. The aim of this research was to examine the associations between sociodemographic and health-related variables and self-perception of diet quality among adults living in Puerto Rico. Methods This was a cross-sectional study. A researcher-designed questionnaire was distributed within a particular community. One questionnaire was given per household to be answered by everyone living in the house. A multivariable logistic regression was used to examine the association between the dependent variable, self-perceived diet quality (specified as excellent/very good/good or fair/poor), and the following independent variables: age groups, sex, education, poverty level estimate, self-rated health, intake of fruits or vegetables, sugar-sweetened beverages and fast-food, physical activity, recreational screen time (as a proxy for sedentary time), and BMI categories. Results A total of 106 questionnaires were distributed and 93 were returned, with data collected for 254 individuals. Children (n = 57) and adults with missing data (n = 5) were excluded from the analysis. The final sample consisted of 192 adults aged ≥18 years. Among these, 53.1% were females, 52.0% completed more than high school, 41.7% were below the poverty level estimate, and 61.5% were either overweight or obese. A total of 26.6% of the participants described their diet as fair/poor. Fair/poor self-perceived diet quality was associated with higher odds of reporting fair/poor self-rated health, consuming less than one cup of fruits or vegetables per day, eating at fast-food one or more times per week, and spending three hours or more per day using a screen for recreational purposes. Conclusions Self-perception of diet quality was associated with certain health-related behaviors in our sample. Future research should examine the association between self-perceived and objective diet quality, as previous research has shown that Puerto Ricans have poor knowledge of dietary recommendation. Funding Sources N/A. Supporting Tables, Images and/or Graphs

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Sociodemographic, health-related, and social predictors of subjective well-being among Chinese oldest-old: a national community-based cohort study

10.21203/rs.3.rs-60248/v3 ◽

2021 ◽

Author(s):

Gang Cheng ◽

Yan Yan

Keyword(s):

Social Factors ◽

Oldest Old ◽

Leisure Activities ◽

Well Being ◽

Subjective Well Being ◽

Community Based ◽

Social Predictors ◽

Self Rated Health ◽

Health Related ◽

Exercise Status

Abstract Background: There is still a lack of a relatively comprehensive multifactor analysis of subjective well-being (SWB) among Chinese oldest-old. This study aimed to explore sociodemographic, health-related, and social predictors of SWB among Chinese oldest-old using a large and representative sample.Methods: The study included 49,069 individuals aged 80 and older from the Chinese Longitudinal Healthy Longevity Survey, a prospective, nationwide, community-based study conducted from 1998 to 2014. SWB was measured by eight items covering life satisfaction, positive affect (optimism, happiness, personal control, and conscientiousness), and negative affect (anxiety, loneliness, and uselessness). Generalized estimating equation models were used to explore the predictors of SWB.Results: We found that age, gender, ethnic group, education, primary occupation before retirement, current marital status, and place of residence were sociodemographic predictors of SWB among the Chinese oldest-old. The health-related predictors included self-rated health, visual function, hearing function, diet quality, smoking status, drinking status, and exercise status. SWB was influenced by some social factors, such as the number of biological siblings, the number of children, leisure activities, financial independence, and access to adequate medical service. In particular, self-rated health, access to adequate medical services, exercise status, and place of residence exert a stronger effect than other factors.Conclusions: SWB in the oldest-old is influenced by a large number of complex sociodemographic, health-related, and social factors. Special attention should be paid to the mental health of centenarians, women, rural residents, widowed, physically disabled, and childless oldest-old people. Relevant agencies can improve physical activities, leisure activities, financial support, and medical services to promote the well-being of the oldest-old.

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Health literacy and health related lifestyle among nursing students

Pielegniarstwo XXI wieku / Nursing in the 21st Century ◽

10.1515/pielxxiw-2017-0017 ◽

2017 ◽

Vol 16 (2) ◽

pp. 42-46

Author(s):

Tamara Štemberger Kolnik ◽

Dejan Hozjan ◽

Katarina Babnik

Keyword(s):

Health Care ◽

Health Literacy ◽

Nursing Students ◽

Health System ◽

Three Dimensions ◽

Health Related Behaviors ◽

Health Related ◽

Screening Questions ◽

System Variables ◽

And Behavior

AbstractIntroduction. Nursing students are an important population for the study of health literacy and health-related behaviours. On one hand, they are a population of young adults, that is starting to independently take care of their own health and on the other hand, they are becoming professionals who will provide support and pass knowledge to people making changes in their lifestyle in order to preserve their health or to manage a disease. The focus of this research is therefore oriented towards the study of health literacy and behavior related to health in the population of nursing students.Material and methods. We have studied health literacy and behaviour related to health on a sample of 337 students from the health care study programmes in Slovenia. We utilised two instruments to measure students’ health literacy (Health Literacy Screening Questions and Quick assessment of literacy and primary care – Newest vital sign) and a scale to measure health-related behaviors.Results. Factor analysis identified three dimensions of health literacy: the understanding of health or disease, the understanding of the instructions received in the health system and the orientation within the health system. Variables related to health literacy and health-related behaviors are closely connected.Discussion and conclusion. The education of nursing students should put emphasis on the topics of health literacy and their own health care. It should also support and encourage students to maintain healthy living habits, as they themselves should set an example of what they teach the patients.

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A Survey of Health-Related Behaviors of Senior Baccalaureate Nursing Students

Journal of Holistic Nursing ◽

10.1177/089801018800600111 ◽

1988 ◽

Vol 6 (1) ◽

pp. 46-51

Author(s):

Vicki Viar ◽

Jon R. Urey

Keyword(s):

Nursing Students ◽

Baccalaureate Nursing ◽

Baccalaureate Nursing Students ◽

Health Related Behaviors ◽

Health Related

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The Influence of Parental Religiosity on the Health of Children during Late Adolescence/Early Adulthood: A Test of Mediation

Sociological Perspectives ◽

10.1177/0731121421990061 ◽

2021 ◽

pp. 073112142199006

Author(s):

Jason Alan Freeman

Keyword(s):

Religious Affiliation ◽

Early Adulthood ◽

Late Adolescence ◽

Model Potential ◽

Marital Stability ◽

Future Research ◽

Self Rated Health ◽

Adolescent Religiosity ◽

Health Related Behaviors ◽

Health Related

The present study explores whether adolescent religiosity, health-related behaviors, and marital stability mediate the association between parental religiosity and health. Using data from the National Longitudinal Study of Adolescent to Adult (Add) Health, I model potential direct and indirect effects between three measures of parental religiosity (i.e., parental institutional religiosity, parental personal religiosity, and parental religious affiliation); three sets of mediators indicating adolescent religiosity, health-related behaviors, and marital stability; and self-rated health during late adolescence/early adulthood. Overall, I found that parental institutional religiosity has a direct effect on the self-rated health of children during late adolescence/early adulthood, and that it influences self-rated health by reducing adolescent and parental smoking. I also found evidence for deleterious effects of parental institutional religiosity on health as well. Future research should explore variation in the influence of parental religiosity on self-rated health between various sociodemographic groups and between different stages of the life course.

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Mind-Body Dualism and Health Revisited

Social Psychology ◽

10.1027/1864-9335/a000344 ◽

2018 ◽

Vol 49 (4) ◽

pp. 219-230 ◽

Cited By ~ 3

Author(s):

Pascal Burgmer ◽

Matthias Forstmann

Keyword(s):

Health Behavior ◽

Field Study ◽

Negative Correlation ◽

Well Being ◽

Lay People ◽

Behavior Study ◽

Health Related Behaviors ◽

Health Related ◽

Sound Mind ◽

Mental Well Being

Abstract. Does a sound mind require a sound body? Whether or not lay people subscribe to this notion depends on their belief in mind-body dualism and critically shapes their health-related behaviors. Six studies (N = 1,710) revisit the relation between dualism and health. We replicate the negative correlation between belief in dualism and health behavior (Study 1) and extend it to behavior in the field (Study 2). Studies 3a and 3b investigate how belief in dualism shapes intuitions about the material origin of psychological well-being, while Studies 4a and 4b examine how these intuitions determine health-related outcomes. In sum, construing minds as different from bodies entails the intuition that mental well-being has little material substrate which in turn attenuates health-sustaining behaviors.

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Examining stress and coping: Program improvements of pre-licensure nursing students

Journal of Nursing Education and Practice ◽

10.5430/jnep.v9n9p131 ◽

2019 ◽

Vol 9 (9) ◽

pp. 131

Author(s):

Krysia W. Hudson ◽

George R. Kim ◽

Grace T. Osipowicz ◽

Nicole L. Mollenkopf ◽

Nikki E. Akparewa ◽

...

Keyword(s):

Nursing Students ◽

Clinical Training ◽

Well Being ◽

Stress And Coping ◽

Emergency Department Visits ◽

Improve Performance ◽

First Semester ◽

Related Absenteeism ◽

Health Related ◽

And Coping

In a pre-licensure program, an unexpected number of episodes of student distress occurred during clinical training (resulting in emergency department visits and health-related absenteeism) in the first semester. To understand the underlying reasons for these episodes, investigators retrospectively explored how these students perceived and approached the stresses associated prior to and after their first semester work (as a part of program to improve performance and student well-being). Program innovations were employed, and student distress has dramatically decreased.

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Evaluating Experiences of Stress and Coping Among African American Women During the COVID-19 Pandemic to Inform Future Interventions

Health Education & Behavior ◽

10.1177/10901981211039148 ◽

2021 ◽

pp. 109019812110391

Author(s):

Allison M. Sweeney ◽

Dawn K. Wilson ◽

Nicole Zarrett ◽

Asia Brown ◽

Mary Quattlebaum ◽

...

Keyword(s):

African American ◽

Coping Strategies ◽

Well Being ◽

Stress And Coping ◽

Qualitative Assessment ◽

Passive Coping ◽

Acute And Chronic Stress ◽

Health Related Behaviors ◽

Health Related ◽

And Coping

Background African American (AA) women experience disproportionate levels of chronic disease, which is theorized to be driven by greater exposure to acute and chronic stress. The coronavirus (COVID-19) pandemic has further exacerbated existing health disparities among AA communities. Understanding how AA women have experienced and responded to stress during the pandemic may help to inform how future interventions can better address physical and mental well-being in AA communities. Aims Drawing from stress and coping models and an ecological framework, the present study conducted a theory-based qualitative assessment of stress-related experiences during the pandemic among a cohort of AA women, including (1) sources of stress, (2) coping strategies, (3) perceptions of health-related behaviors, (4) the role of community, and (5) recommendations for future interventions. Method After completing a group-based physical activity intervention program during the COVID-19 pandemic, a cohort of AA women ( N =17, Mage= 49.3 ± 11.24) completed individual interviews. Sessions were conducted by phone, audiotaped, transcribed, and coded by independent raters ( rs = .71–.73). Themes were identified using deductive and inductive approaches. Results Among sources of stress directly related to the pandemic, being at home, getting sick, and homeschooling/parenting were the most frequently discussed themes. Participants engaged in active coping (problem and emotion-focused), with health behaviors, social support, and religion/spirituality, emerging as frequently discussed themes. Although some participants reported passive coping strategies (e.g., avoidance), this approach was less pronounced. Conclusions These qualitative results are used to guide suggestions for future interventions that jointly address stress and health-related behaviors in order to improve translation of research into practice and policy for future pandemics and disasters.

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