Do socio-cultural factors influence medical students’ health status and health-promoting behaviors? A cross-sectional multicenter study in Germany and Hungary

Background: Cost effective and feasible instrument is required to assess the health promoting behaviours of Medical students from the stressful and hectic schedule of their training in the Medical College. Hence with the help the of HPLP-II questionnaire, lifestyles of first year MBBS students were assessed. The primary objective of this cross-sectional study was to assess the health promoting behaviors of 287 medical students in Bhopal using HPLP II questionnaire.Methods: This cross-sectional self-administered health Promotion Lifestyle Profile II (HPLP-II) questionnaire study was undertaken among the MBBS first year students, aged 18-22 year, in the region of Bhopal to find out the health promoting behaviors among them.Results: Out of total 324 medical students from 3 different medical colleges, 248 completed the HPLP-II questionnaire. The mean score of this scale was 2.47(SD=0.34) for male and 2.41(SD=0.27) for female students. The highest mean out of a scale of 4, was 2.96(SD=0.55) & 2.96(SD=0.49) for spiritual growth in male and female students respectively. The lowest mean score for female was 1.96(SD=0.53) in term of Physical activity subscale. Except for Physical activity subscale, there was no major difference between other subscales by gender.Conclusions: By adopting a healthier lifestyle, Health status of an individual can be significantly improved. Since this study shows low health promoting behaviors in medicos, there is need to develop guidelines, interventions and periodic investigation for the students for their good health.

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The effects of socio-cultural factors on medical college students' self-rated health status and health-promoting lifestyles in Eritrea: A cross-sectional study

10.21203/rs.3.rs-15692/v1 ◽

2020 ◽

Author(s):

Isayas Afewerki Abraham ◽

Xufu Zhang ◽

Zewdi Amanuel Dagnew ◽

Eyasu H. Tesfamariam ◽

Ghirmay Ghebreigziabher Beraki ◽

...

Keyword(s):

College Students ◽

Health Status ◽

Cross Sectional Study ◽

Cultural Factors ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Self Rated Health ◽

Optimal Health ◽

Health Promoting

Abstract Background: Sub-optimal health status (SHS) and unhealthy lifestyle among college students have become a major focus for research on public health worldwide. Hence, this study was designed to assess the effects of socio-cultural factors on medical college students' self-rated health status (SRH) and health-promoting lifestyles (HPL) in Eritrea.Methods: A descriptive cross-sectional study was conducted at Orotta School of Medicine (OSM), using a self-administered questionnaire. Data was collected from all medical students who had fulfilled the inclusion criteria using Sub-Optimal Health Measurement Scale (SHMS V1.0) and Health-Promoting Lifestyle Profile-II (HPLP-II) scale questionnaires. Independent samples t-test, ANOVA, Chi-square test, Pearson’s correlation coefficient and Binary multivariate logistic regression were performed. Data analysis was undertaken using SPSS version 22.Results: The overall SRH was significantly higher among college students with BMI of 25 to 29.9 (M=88.23, SD=6.28) as compared to <18.5 (p=0.027) and 18.5 to 24.9 (p=0.027). Moreover, physiological subscale of SRH was significantly related to gender (M males= 88.96 Vs M females= 85.41, p=0.001) and monthly stipend (M income = 89.52 Vs M no-income = 87.28, p=0.040). On the other hand, physical activity of HPL was found to vary by gender (M males= 2.12 Vs M females=1.87, p=0.005) and alcohol consumption (M drinkers= 2.22 Vs M non-drinkers = 1.99, p=0.016). Nutrition differences of HPL were observed in BMI of 25 to 29.9 (M =2.40, p=0.028), internship students (M=2.15, p=0.027), and monthly income (M=2.11, p=0.029). The overall SRH was significantly correlated with the overall HPL (r=0.493, p<0.001). In-addition, students who had good and excellent HPL had self-rated themselves as almost five times (AOR=4.97, 95% CI: 1.28, 19.32), and were 3.73 times (AOR=3.73, 95% CI: 1.09, 12.80) healthier than those who had poor HPL, respectively.Conclusions: Based on our study, gender, BMI and monthly stipend play a major role in the SRH whereas gender, alcohol consumption, BMI, study year and monthly stipend play a major role in the HPL. Moreover, there was a significant correlation between SRH and HPL in this study. Therefore, our findings provide evidence that support the role of socio-cultural influences’ on SRH and HPL of medical students.

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The Effects of Socio-cultural Factors on Medical College Students' Self-Rated Health Status and Health-Promoting Lifestyles in Eritrea: A Cross-sectional Study

Journal of Health and Environmental Research ◽

10.11648/j.jher.20210701.17 ◽

2021 ◽

Vol 7 (1) ◽

pp. 36

Author(s):

Isayas Afewerki Abraham ◽

Zewdi Amanuel Dagnew ◽

Eyasu Habte Tesfamariam ◽

Ghirmay Ghebreigziabher Beraki ◽

Oliver Okoth Achila ◽

...

Keyword(s):

College Students ◽

Health Status ◽

Cross Sectional Study ◽

Cultural Factors ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Self Rated Health ◽

Health Promoting

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The relationship between health‐promoting behaviors, menopause syndrome, and sleep quality in Chinese middle‐aged nurses: A cross‐sectional study

Japan Journal of Nursing Science ◽

10.1111/jjns.12443 ◽

2021 ◽

Author(s):

Jie Bai ◽

Cheng Cheng

Keyword(s):

Sleep Quality ◽

Cross Sectional Study ◽

Sectional Study ◽

Middle Aged ◽

Cross Sectional ◽

Health Promoting Behaviors ◽

Health Promoting ◽

The Relationship

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Depression, sleeping pattern & suicidal ideation among medical students in Bangladesh: A cross-sectional pilot study

10.31234/osf.io/qk24v ◽

2020 ◽

Author(s):

M Tasdik Hasan

Keyword(s):

Mental Health ◽

Health Status ◽

Medical Students ◽

Pilot Study ◽

Poor Mental Health ◽

Mental Health Status ◽

Suicidal Tendency ◽

Cross Sectional ◽

Prevalence Of Depression ◽

Poor Mental Health Status

Background: Depression is a major morbidity and the most common mental disorder among the medical students in medical schools globally. Undergraduate students suffer stress more due to their academic curriculum than the students of other faculties. In low resource settings like Bangladesh, there is a dearth in research on mental health of undergraduate medical students. This pilot study was conducted to add to the existing limited evidence by reporting the prevalence of depression, describing sleeping pattern & suicidal tendencies among medical students. Relevantly, we have investigated to the overall mental health status among the medical students in Bangladesh. Methods: This cross-sectional study was conducted in two medical colleges of Dhaka in between July 2013 to December 2013, among 221 Bangladeshi medical students from first to fifth year. By convenient sampling technique, data were collected by a pretested, structured, self-administered questionnaire and analysis was done by SPSS 18.0 version. Depression were assessed by validated PHQ-9 tool among the respondents. Goldberg’s General Health Questionnaire (GHQ-28) was used for assessing overall mental health status. Results: Depression was found in 38.9% of participants with 3.6%, 14.5%, 20.8% of being either severe, moderate and mild depression respectively. 17.6% medical students had suicidal tendency or attempted suicide at least for once after attending medical school. The sleeping hours were inadequate and altered after starting this stressful academic course. 33.5% medical students had poor mental health status. There was a statistically significant association between poor mental health status with age group of less than 22 years and initial academic study year (1st to 3rd of MBBS).Conclusion: The findings are suggestive of a higher prevalence of depression among early year medical students and marginal predominance in males. Suicidal tendency is also higher. These calls for further investigation with situation analysis, qualitative explorations and surveys to explore the burden of such disorders in Bangladesh.

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The Effect of the Way of Using Social Media on Health Promoting Behaviors and COVID-19-related Anxiety in Non-medical Students

The Journal of Qazvin University of Medical Sciences ◽

10.32598/jqums.24.2.2377.1 ◽

2020 ◽

Vol 24 (2) ◽

pp. 124-135

Author(s):

Ayatollah Fathi ◽

◽

Solmaz Sadeqi ◽

Saeid Sharifi Rahnemou ◽

Aliakbar Malekirad ◽

...

Keyword(s):

Physical Activity ◽

Social Media ◽

Medical Students ◽

Stress Management ◽

Significant Relationship ◽

Spiritual Growth ◽

Health Promoting Behaviors ◽

Health Promoting ◽

Use Of Social Media ◽

The Way

Background: One of the problems of today's Iranian youth is how to use social media coincided with the outbreak of Coronavirus Disease 2019 (COVID-19). Objective: This study aimed to investigate the way of use of social media and its effect on health promoting behaviors and COVID-19-related anxiety in non-medical students. Methods: In this analytical study, participants were 307 non-medical students of Islamic Azad University of Tabriz Branch. Data collection tools were a demographic form, Corona Disease Anxiety Scale (CDAS) with two subscales of psychological and physical symptoms, and Health Promoting Lifestyle Profile (HPLP) with six subscales of spiritual growth, health responsibility, interpersonal relations, stress management, physical activity, and nutrition which were completed online. The multivariate analysis of variance and a post-hoc test were used for data analysis. Findings: Of 307 participants, 256 were female (83%) and 51 were male (16.6%), with a mean age of 27 years. The HPLP components of spiritual growth (P=0.001), health responsibility (P=0.001), stress management (P=0.001), physical activity (P=0.002), and its overall score (P=0.001) had a significant relationship with the way of use of the Internet, and the group with a fun purpose had lower scores in these variables compared to other groups. Moreover, the CDAS component of psychological symptoms (P=0.007) and its overall score (P=0.03) had a significant relationship with the way of using social media; the group with a fun purpose reported higher CDAS score than the groups with scientific and general information acquiring purposes. Conclusion: The use of social media for fun negatively affects the students’ lifestyle in the current coronavirus outbreak and increases their COVID-19-related anxiety.

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Impact of Health-Promoting Lifestyle Education Intervention on Health-Promoting Behaviors and Health Status of Postmenopausal Women: A Quasi-Experimental Study from Sri Lanka

BioMed Research International ◽

10.1155/2019/4060426 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Nirmala Rathnayake ◽

Gayani Alwis ◽

Janaka Lenora ◽

Sarath Lekamwasam

Keyword(s):

Health Status ◽

Control Group ◽

Education Intervention ◽

Lifestyle Modifications ◽

Health Promoting Behaviors ◽

Quasi Experimental ◽

Health Promoting ◽

Health Promoting Lifestyle ◽

Lifestyle Education ◽

And Control

Health promotion through lifestyle education is an important measure to enhance health status of postmenopausal women (PMW). This study evaluated the effectiveness of health-promoting lifestyle education intervention (HPLEI) on adhering to health-promoting behaviors (HPB) and enhancing the health status in a group of Sri Lankan PMW. A quasi-experimental study was conducted with randomly selected, sociodemographic status matched, 72 PMW from two geographically separated areas in Galle District, Sri Lanka, allocated as experimental (n = 37, 54.6 ± 4.5 years) and control (n = 35, 56.5 ± 3.4 years) groups. Education intervention focused on postmenopausal health management including lifestyle modifications was performed only for the experimental group during 8 weeks, and a health education package was provided. The control group was not given any planned education programme. Both groups were followed up for a 6-month period. HPB and menopausal symptoms severity were evaluated by validated Health Promoting Lifestyle Profile-II and Menopause Rating Scale, respectively. Anthropometric adiposity indices (AAIs) including weight, body mass index (BMI), waist (WC) and hip (HC) circumferences, and waist to hip ratio (WHR); cardiovascular disease risk indicators (CVDRI) including systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood sugar (FBS), total cholesterol and triglycerides, muscle strength; hand grip strength (HGS) and physical performance (PP); gait speed (GS) were measured. All parameters were evaluated before the intervention (baseline) and after follow-up of 6 months. All evaluated parameters were not different between experimental and control groups (p>0.05) at the baseline. In the follow-up evaluation, HPB (p<0.001), menopausal symptom scores (p<0.001), AAI (p<0.001), CVDRI (SBP, DBP, and FBS) (p<0.05) and HGS and GS (p<0.001) were significantly improved in the experimental group but not in the control group. Health education intervention focused on health-promoting lifestyle modifications is effective in improving the adherence to HPB and enhances the health status in PMW. This provides positive impact in lifestyle medicine.

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Resiliency and Self-Care Behaviors in Health Professional Schools

Journal of Holistic Nursing ◽

10.1177/0898010120933487 ◽

2020 ◽

Vol 38 (4) ◽

pp. 373-381

Author(s):

Li Chen Lin ◽

Melissa Chan ◽

Sherry Hendrickson ◽

Julie A. Zuñiga

Keyword(s):

Health Professional ◽

Self Care ◽

Cross Sectional Study ◽

Professional Schools ◽

Cross Sectional ◽

Health Promoting Behaviors ◽

Health Promoting ◽

Faculty And Staff ◽

Daunting Challenge ◽

Sleeping Habits

Background: Resilience is crucial for students in health schools as care becomes more complex and as the adjustment to meet patient, environmental, and professional demands with success can seem a daunting challenge. Self-care activities can support the development of resilience in the student population. The purpose of this study is to explore and describe self-care practices, health-promoting behaviors, and resilience among students, faculty, and staff of the health professional schools at a large metropolitan university. Method: This was a cross-sectional study of data from 148 participants. Analysis included descriptive statistics, t tests, analysis of variance, crosstabs, and Pearson correlations. Results: Resilience was lower among students than among faculty and staff. The most frequent self-care activities were humor and music. Resilience was significantly correlated with the self-care behaviors of praying ( p = .006), healthy sleeping habits ( p = .024), reading ( p = .007), and mindful acceptance ( p = .025); yoga and meditation were not significantly correlated with resilience.

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A positive perspective of knowledge, attitude, and practices for health-promoting behaviors of adolescents with congenital heart disease

European Journal of Cardiovascular Nursing ◽

10.1177/1474515117728609 ◽

2017 ◽

Vol 17 (3) ◽

pp. 217-225 ◽

Cited By ~ 3

Author(s):

Hui-Ru Huang ◽

Chi-Wen Chen ◽

Chin-Mi Chen ◽

Hsiao-Ling Yang ◽

Wen-Jen Su ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Family Functioning ◽

Congenital Heart ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Health Promoting Behaviors ◽

Disease Knowledge ◽

Health Promoting ◽

Positive Perspective

Background: Health-promoting behaviors could serve as a major strategy to optimize long-term outcomes for adolescents with congenital heart disease. The associations assessed from a positive perspective of knowledge, attitudes, and practice model would potentially cultivate health-promoting behaviors during adolescence. Aim: The purpose of this study was to examine the relationships between disease knowledge, resilience, family functioning, and health-promoting behaviors in adolescents with congenital heart disease. Methods: A total of 320 adolescents with congenital heart disease who were aged 12–18 years were recruited from pediatric cardiology outpatient departments, and participated in a cross-sectional survey. The participants completed the Leuven Knowledge Questionnaire for Congenital Heart Disease; Haase Adolescent Resilience in Illness Scale; Family Adaptability, Partnership, Growth, Affection, and Resolve; and Adolescent Health Promotion scales. The collected data were analyzed using descriptive statistics and three multiple regression models. Results: Greater knowledge of prevention of complications and higher resilience had a more powerful effect in enhancing health-promoting behaviors. Having symptoms and moderate or severe family dysfunction were significantly more negatively predictive of health-promoting behaviors than not having symptoms and positive family function. The third model explained 40% of the variance in engaging in health-promoting behaviors among adolescents with congenital heart disease. Conclusion: The findings of this study provide new insights into the role of disease knowledge, resilience, and family functioning in the health-promoting behavior of adolescents with congenital heart disease. Continued efforts are required to plan family care programs that promote the acquisition of sufficient disease knowledge and the development of resilience for adolescents with congenital heart disease.

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