scholarly journals Waterpipe smoking among university students: Prevalence and association with mental health, risky health behaviors and psychosocial factors

2021 ◽  
Vol 12 (Suppl 1) ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Shira Sagie ◽  
Wasef Na’amnih ◽  
Juda Frej ◽  
Gershon Alpert ◽  
Khitam Muhsen

Abstract Background Inequalities in healthcare utilization exist across ethnic groups; however, the contributions of health-related knowledge and psychosocial factors to these inequalities remain unclear. We examined associations of social determinants of health, psychological factors, knowledge, attitudes and health practices, with hospitalizations in internal medicine divisions, among Israeli adults, Jews and Arabs, with non-communicable diseases, in a setting of universal health insurance. Methods A retrospective study was undertaken among 520 Jews and Arabs aged 40 years or older with non-communicable diseases, members of a large health maintenance organization. Hospitalization (at least once during 2008) in an internal medicine division was determined based on documentation in electronic health records. Participants were randomly selected in strata of sex, population-group and hospitalization status (yes/no). Data were collected from medical records and via face-to-face interviews using a structured questionnaire. Main independent variables included comorbidity burden, health behaviors, mental health wellbeing and self-rated health. Scales measuring health knowledge and attitudes/beliefs were constructed using factor analysis. Results Comorbidity burden (OR 1.41 [95% CI 1.24–1.61]) and self-rated health (not good vs. good) (OR 1.88 [95% CI 1.13–3.12]) were positively associated with hospitalizations in an internal medicine division, while an inverse association was found with better mental health wellbeing (OR 0.98 [95% CI 0.96–0.99, for each 1-point score increase). Among Jewish participants, positive associations were found of the number of offspring, comorbidity burden and perceived difficulty, with hospitalizations. No significant associations were found with hospitalizations of other sociodemographics, health behaviors, knowledge and attitudes/beliefs. Conclusions Comorbidity burden was the main risk factor of hospitalizations in internal medicine divisions. Psychosocial factors, such as self-rated health, a complex variable affected by social capital, mental wellbeing, the number of offspring, and perceived burden and difficulty, seem also to contribute. These findings suggest the involvement of broad family and social factors, beyond individual level characteristics and medical needs, in hospitalizations in internal medicine divisions. Interventions to reduce hospitalizations should be comprehensive and integrate aspects of mental health wellbeing; they should build on familial characteristics (e.g., number of offspring), factors related to social capital such as self-rated health, and perceived burden and difficulty.


2020 ◽  
Author(s):  
Diana Maddah ◽  
Tamar Kabakian ◽  
Rouba Zeidan ◽  
Nathalie Elsaady ◽  
Nael Alami ◽  
...  

Abstract University students in developing countries may be at high risk for mental health disorders due to many financial, political, and social stressors. In the present study, we intended to explore the association of mental health with health behaviors and life skills. Participants included 2789 university students in Lebanon. Bivariate and multivariate regression analysis were performed. Results suggested that the risk for mental health disorders is associated with the socio-demographic factors of being a first year university student, being female, and living in rural areas. Also, consumption of high-calorie dietary pattern, low physical activity, and high level of risky behaviors associated with higher occurrence of mental health disorders. Life Skills are associated with less occurrence of mental health disorders in our data. Sociodemographic factors such as gender, university year, and area of residence (rural vs. urban), healthy behaviors, and life skills showed to be strongly associated with university students’ mental health. Life skills based interventions addressing the aforementioned mental health determinants would benefit university students in developing countries.


Author(s):  
Ramón Chacón-Cuberos ◽  
Félix Zurita-Ortega ◽  
Eva Olmedo-Moreno ◽  
Rosario Padial-Ruz ◽  
Manuel Castro-Sánchez

(1) Background: Several researches have shown the relationship between healthy habits and physical and mental health. Thus, it is essential to study how some psychosocial factors can promote positive behaviours in university students, specifically in those who will be teachers of Physical Education. (2) Methods: This descriptive and cross-sectional research was conducted on 775 university students of Physical Education from Spain. This study aims to develop an explanatory model for the relationships between motivational climate, healthy habits (Mediterranean Diet (MD), Physical Activity (PA) and substance consumption) and some indicators of physical health (oxygen consumption (VO2MAX)) and mental health (self-concept) according to gender, using structural equations analysis. (3) Results: The motivational climate was positively associated with PA, showing a stronger relationship for ego-oriented climate in women. The adherence to MD showed a positive association with PA and self-concept, while it is negative for the consumption of tobacco in men. Likewise, PA was directly related to VO2MAX with a higher regression weight for women. The ego-oriented motivational climate was negatively related to tobacco consumption in women. (4) Conclusions: Task-oriented goals are related to more positive and healthy behaviours such as PA, although it was no association was found with MD. Therefore, we can conclude the importance of promoting task-oriented goals in educational contexts linked to Physical Education in order to avoid negative behaviours.


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