Tobacco use and associated health risk behaviours among university students in 27 countries

Author(s):  
Supa Pengpid ◽  
Karl Peltzer

AbstractBackgroundEvidence of the relationship between tobacco use and multiple health risk behaviours is limited.ObjectivesThe study aimed to investigate the relationship between tobacco use and health risk behaviours in university students across different cultures.MethodsIn a cross-sectional study the sample included 23,396 university students from 27 countries in Africa, Asia and the Americas.ResultsIndicate that 5.8 and 5.5% were daily and not daily tobacco users, respectively. In adjusted logistic regression analysis, less than daily and/or daily tobacco use was associated with nutrition and dietary risk behaviour (overweight or obesity, high sodium consumption, rarely or never having breakfast and not avoiding fat and cholesterol), addictive behaviour (binge drinking, drug use, and gambling), sleep risk behaviours (long sleep, poor sleep quality and restless sleep) and other health risk behaviour (having been in a physical fight, inadequate tooth brushing, and multiple sexual partners in the past year).ConclusionsCompared to non-tobacco users, less than daily and/or daily tobacco users had significantly higher overweight or obesity, dietary risk behaviour, addictive behaviour, sleep risk behaviours and other health risk behaviour. These associations may be taken into account in health promotion strategies targeting multiple health compromising behaviours.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Cooper ◽  
M Lhussier

Abstract Health risk behaviours are a key contributing factor to adolescent morbidity and mortality. Furthermore, evidence shows that health behaviours begun in adolescence can impact on wellbeing across the lifespan. Current evidence suggests it is advantageous to target multiple health risk behaviours simultaneously, however efficacy testing remains the key focal point for research, with few studies exploring common underlying causal and contextual factors which may contribute to the success or failure of a programme. Methods This review used a customised realist approach, to explore how, why, for whom, and in what circumstances programmes are most successful in preventing multiple health risk behaviours in adolescents. The review synthesised evidence from published literature, along with qualitative data from stakeholders collected through focus groups with young people (n = 28) and school nurses (n = 22), and interviews with adolescent health and wellbeing practitioners (n = 8). Findings: Across all the realist programme theories developed, the role of relationships was the most commonly occurring theme. This theme goes beyond the expected impact of the relationship between programme deliverers and recipients, and familial and peer attachments, also taking in to consideration the relationships between programme and school leaders and staff, support networks and collaborative relationships between staff, and wider social connectedness within the community. These in turn were impacted upon by wider contextual factors, such as family, community, culture, socioeconomic status, intersectionality, and health inequalities. Conclusions These findings provide important insight in to understanding how, why, for whom, and in what circumstances multiple risk behaviour prevention programmes succeed or fail. Further to this they highlight key areas for consideration in the development of future adolescent public health interventions. Key messages Relationships built on trust and genuine care can improve adolescent risk behaviour prevention outcomes. Broader sociocultural context provide key explanations for variations in programme outcomes.


2017 ◽  
Vol 41 (1) ◽  
pp. 75-85
Author(s):  
S. Makhubela ◽  
S. Mashegoane

Data from 333 Black university students in Limpopo, South Africa were used to investigate the association between the spirituality dimensions of religious and existential wellbeing (RWB and EWB) and health risk behaviours. The mean scores of almost all health risk behaviours, with the exception of the daily eating of healthy foods, varied according to the levels of RWB (p ≤ 0.05). On the other hand, with regards to levels of EWB, the analysis of physical activity produced a gender by EWB interaction only, and the results pertaining to the drinking of alcoholic beverages were marginal (p ≤ 0.10). There was a marginal gender by EWB effect for cigarette and marijuana use (p ≤ 0.10), with a 0.019 effect size (partial eta squared) for each analysis, and a gender effect for both (p ≤ 0.001 and 0.01, respectively). Effectively, there were no instances of statistically significant main effect of EWB (p > 0.05). Apparently, the type or dimensionality of spirituality used is important, and future studies should investigate varied measures of the construct to establish its relationship with health risk behaviour.


Author(s):  
Supa Pengpid ◽  
Karl Peltzer

AbstractObjectivesThis investigation aimed to study associations between multiple health risk behaviour and psychological distress among in-school adolescents in five association of Southeast Asian Nations (ASEAN) countries.MethodsCross-sectional data from the 2015 “Global School-based Health Survey (GSHS)” included 33,184 students (mean age 14.3 years, standard deviation (SD) = 1.6 years) that were representative of all students in middle school students in Indonesia, Laos, Philippines, Thailand and Timor-Leste.ResultsThe mean prevalence of health risk behaviours was 3.1 (SD = 1.2) (range 0–8), and the prevalence of single psychological distress was 14.6% and multiple psychological distress 8.6%. In adjusted multinomial logistic regression analysis, engaging in a greater number of health risk behaviours, being female, older age, food insecurity (experience of hunger) were positively and parental or guardian support and school attendance were negatively associated with both single and multiple psychological distress.ConclusionsThis study confirms that the co-occurrence of multiple health risk behaviours is associated with psychological distress among adolescents, which should be considered when designing intervention programmes in this population.


2016 ◽  
Vol 72 (9) ◽  
pp. 2098-2113 ◽  
Author(s):  
George Kritsotakis ◽  
Maria Psarrou ◽  
Maria Vassilaki ◽  
Zacharenia Androulaki ◽  
Anastas E. Philalithis

2019 ◽  
Vol 119 (4) ◽  
pp. 291-308
Author(s):  
Saad Zafir Alshehri ◽  
Jenny Byrne ◽  
Marcus Grace

Purpose The purpose of this paper is to investigate how and why Saudi Arabian students engage in specific health risk behaviours (HRBs), and if there are gender differences. Design/methodology/approach In order to find out the situation regarding university students in Saudi Arabia, quantitative data were collected by administering questionnaires to 722 respondents, and qualitative data were collected using a series of interviews with 17 students. Findings The findings of this mixed methods sequential explanatory study suggest that lifestyle and personal factors, as well as economic, social, policy and other aspects of the environment played a significant role in influencing students’ HRBs. Recommendations for mitigating HRBs among these students and other youth in the Saudi Arabian context are provided. Originality/value This paper addresses an important gap in the research on HRBs among university students from the perspectives of students.


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