scholarly journals The Association between Changes in External Environment Caused by Migration and Inappropriate Antibiotic Use Behaviors among Chinese University Students: A Cross-Sectional Study

Antibiotics ◽  
2019 ◽  
Vol 8 (4) ◽  
pp. 200 ◽  
Author(s):  
Jingjing Lu ◽  
Xiaomin Wang ◽  
Leesa Lin ◽  
Ziming Xuan ◽  
Yanhong Jessika Hu ◽  
...  

Objectives: This study aims to explore how changes in external factors caused by migration impact antibiotic use behaviors among Chinese university students in comparison to their peers from host areas and origin areas. Migration status was determined by host universities and origin areas, which were broadly defined as eastern vs. western regions in China. Methods: This study analyzed secondary data from a cross-sectional study conducted in China about the antibiotic use behaviors of university students in 2015. Students were divided into four groups: eastern local students (E-Es), western local students (W-Ws), eastern–western migrant students (E-Ws), and western–eastern migrant students (W-Es). Results: After controlling for gender, grade, major, hometown (rural or urban), and parents’ education, E-Ws reported a significantly higher odds of asking for antibiotics (OR = 2.13; 95% CI = 1.54–3.03; p < 0.001) and taking antibiotics prophylactically (OR = 1.85; 95% CI = 1.32–2.56; p < 0.001) compared with E-Es; W-Es reported a significantly lower odds of asking for antibiotics (OR = 0.56; 95% CI = 0.37–0.83; p < 0.01) and taking antibiotics prophylactically (OR = 0.57; 95% CI = 0.41–0.81; p < 0.01) compared with W-Ws. Discussion: Regional differences likely interacted with students’ migration status in forming different antibiotic use behaviors. Factors including financial incentives and loose regulations of antibiotic over-prescription by health providers and peer influence may contribute to worsened antibiotic use behaviors among E-Ws.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katherine Y. P. Sze ◽  
Eric K. P. Lee ◽  
Rufina H. W. Chan ◽  
Jean H. Kim

Abstract Background Emotional eating (EE), defined as eating in response to a range of emotions, has been previously associated with poor diet and obesity. Since there are limited data from non-Western populations, this study aims to examine the prevalence and factors associated with EE among urban Chinese university students. Methods A cross-sectional study was conducted on 424 university students (aged 18–24 years) from two large universities in Hong Kong in 2019. Respondents completed an anonymous online questionnaire that contained background questions, an emotional eating subscale of the Dutch Eating Behaviour Questionnaire (DEBQ), and Depression Anxiety and Stress Scales (DASS-21). Two-sample independent t-test and multiple regression analyses were conducted to test the association of study variables with negative emotional eating. Results There was over a three-fold higher likelihood of negative EE among females (14.8%) when compared with their male counterparts (4.5%) (OR = 3.7, p < 0.05). Having at least mild depressive symptoms was the only independent factor associated with negative EE among males (OR = 10.1) while for females, negative EE was independently associated with not having a romantic partner (OR = 3.45), having depressive symptoms (OR = 44.5), and having at least mild stress (OR = 5.65). Anxiety levels were not independently associated with negative EE for either gender. Both male and female students with negative EE had significantly lower self-perceived health scores, higher body mass index, and lower life satisfaction scores. Conclusions This study revealed that negative EE is prevalent among female Chinese university students and not uncommon among male students. Management of negative EE should be included as a component of university mental health promotion programmes in the region.


2017 ◽  
Vol 45 (7) ◽  
pp. 1057-1068 ◽  
Author(s):  
Xiaoli Ni ◽  
Yuyan Qian ◽  
Yuping Wang

High rates and serious negative consequences of pathological Internet use (PIU) have been reported among young adults; thus, we aimed to identify the impacts of demographic, socioenvironmental, and psychological factors on PIU in this population. We conducted a cross-sectional study with 501 Chinese university students, who completed Young's Internet Addiction Test, the Egna Minnen Beträffande Uppfostran, the Eysenck Personality Questionnaire, and the Coping Style Questionnaire. Results showed that age, gender, father's refusal or denying, and father's overprotectiveness had positive impacts on PIU, whereas the rural/urban nature of the area in which participants grew up and mother's emotional warmth and understanding had negative impacts on PIU. Further, greater psychoticism and use of the avoidant coping style were related to higher PIU, whereas greater use of the self-blaming coping style was associated with lower PIU. These factors should be considered when developing interventions aimed at decreasing PIU.


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