Health-promoting Lifestyles of University Students in Mainland China

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2009 Oct 10

PMID 19814831

Citations 35

Authors

Dong Wang

Chun-Quan Ou

Mei-Yen Chen

Ni Duan

Affiliations

Soon will be listed here.

Abstract

Background: Health-promoting lifestyles of adolescents are closely related to their current and subsequent health status. However, few studies in mainland China have examined health-promoting behaviors among university students, notwithstanding the dramatic development of higher education over the past two decades. Moreover, no study has applied a standardized scale to such an investigation. The adolescent health promotion (AHP) scale has been developed and is commonly used for measuring adolescent health-promoting lifestyles in Taiwan. The aim of this study is to determine the appropriateness of the AHP for use in mainland China.

Methods: A cross-sectional study was performed on a total of 420 undergraduates, who were randomly selected using a two-stage stratified sampling method in a university in Guangzhou city, mainland China. The simplified Chinese version of the AHP scale, comprising six dimensions (Nutrition behavior, Social support, Life-appreciation, Exercise behavior, Health-responsibility and Stress-management), was used to measure health-promoting lifestyles among undergraduates. The reliability of the AHP scale was assessed using split-half reliability coefficients, intraclass correlation coefficients and Cronbach's alpha coefficient. Validity was assessed by factor analysis and correlation analysis. Factors associated with health-promoting lifestyles were identified using multiple linear regression.

Results: Cronbach's coefficients were greater than 0.7 in all dimensions of the AHP scale except for Nutrition behavior (0.684). Intraclass correlation coefficients ranged from 0.689 to 0.921. Split-half reliability coefficients were higher than 0.7 in three AHP dimensions (Social support, Life-appreciation and Exercise behavior). Our results were generally in accordance with the theoretical construction of the AHP scale. The mean score for each of the six dimensions was lower than 70. Gender and grade were the factors primarily associated with health-promoting lifestyles among undergraduates.

Conclusion: The AHP is a valid and reliable instrument for assessing health-promoting lifestyles of undergraduates in mainland China, which remain at a low level. Health behavior education taking account of gender and grade differences may also be applied.

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References

Chen M, James K, Wang E . Comparison of health-promoting behavior between Taiwanese and American adolescents: a cross-sectional questionnaire survey. Int J Nurs Stud. 2006; 44(1):59-69. DOI: 10.1016/j.ijnurstu.2005.11.015. View

Chen M, Shiao Y, Gau Y . Comparison of adolescent health-related behavior in different family structures. J Nurs Res. 2007; 15(1):1-10. DOI: 10.1097/01.jnr.0000387594.86790.fa. View

Chen M, Wang E, Chang C . Cross-validation and discriminant validity of Adolescent Health Promotion Scale among overweight and nonoverweight adolescents in Taiwan. Public Health Nurs. 2006; 23(6):555-60. DOI: 10.1111/j.1525-1446.2006.00596.x. View

Deeks A, Lombard C, Michelmore J, Teede H . The effects of gender and age on health related behaviors. BMC Public Health. 2009; 9:213. PMC: 2713232. DOI: 10.1186/1471-2458-9-213. View

Sanci L, Coffey C, Veit F, Carr-Gregg M, Patton G, Day N . Evaluation of the effectiveness of an educational intervention for general practitioners in adolescent health care: randomised controlled trial. BMJ. 2000; 320(7229):224-30. PMC: 27271. DOI: 10.1136/bmj.320.7229.224. View

Chen M, Chou C, Hsu C . The experiences of overweight female adolescents after health promotion counseling. J Nurs Res. 2005; 13(1):41-8. View

Whitaker D, Miller K, May D, Levin M . Teenage partners' communication about sexual risk and condom use: the importance of parent-teenager discussions. Fam Plann Perspect. 1999; 31(3):117-21. View

Al-Kandari F, Vidal V . Correlation of the health-promoting lifestyle, enrollment level, and academic performance of College of Nursing students in Kuwait. Nurs Health Sci. 2007; 9(2):112-9. DOI: 10.1111/j.1442-2018.2007.00311.x. View

Chen M, Wang E, Jeng Y . Adequate sleep among adolescents is positively associated with health status and health-related behaviors. BMC Public Health. 2006; 6:59. PMC: 1447528. DOI: 10.1186/1471-2458-6-59. View

10.

Chen M, Chou C, Yang R . Considering the factors of gender and body weight in the promotion of healthy behavior among adolescents. J Nurs Res. 2005; 13(3):235-43. DOI: 10.1097/01.jnr.0000387545.76007.8b. View

11.

Engle P, Castle S, Menon P . Child development: vulnerability and resilience. Soc Sci Med. 1996; 43(5):621-35. DOI: 10.1016/0277-9536(96)00110-4. View

12.

Chen M, Wang E, Yang R, Liou Y . Adolescent health promotion scale: development and psychometric testing. Public Health Nurs. 2003; 20(2):104-10. DOI: 10.1046/j.1525-1446.2003.20204.x. View

13.

Lee R, Loke A . Health-promoting behaviors and psychosocial well-being of university students in Hong Kong. Public Health Nurs. 2005; 22(3):209-20. DOI: 10.1111/j.0737-1209.2005.220304.x. View

14.

Chen M, James K, Hsu L, Chang S, Huang L, Wang E . Health-related behavior and adolescent mothers. Public Health Nurs. 2005; 22(4):280-8. DOI: 10.1111/j.0737-1209.2005.220403.x. View

15.

Diiorio C, Kelley M . Communication about sexual issues: mothers, fathers, and friends. J Adolesc Health. 1999; 24(3):181-9. DOI: 10.1016/s1054-139x(98)00115-3. View

16.

Rew L, Johnson R, Jenkins S, Torres R . Developing holistic nursing interventions to improve adolescent health. J Holist Nurs. 2004; 22(4):303-19. DOI: 10.1177/0898010104269263. View

17.

Wainwright P, Thomas J, Jones M . Health promotion and the role of the school nurse: a systematic review. J Adv Nurs. 2000; 32(5):1083-91. DOI: 10.1046/j.1365-2648.2000.01579.x. View

18.

Sells C, Blum R . Morbidity and mortality among US adolescents: An overview of data and trends. Am J Public Health. 1996; 86(4):513-9. PMC: 1380551. DOI: 10.2105/ajph.86.4.513. View

19.

Gillis A . The Adolescent Lifestyle Questionnaire: development and psychometric testing. Can J Nurs Res. 1997; 29(1):29-46. View

20.

Pender N, Barkauskas V, Hayman L, Rice V, Anderson E . Health promotion and disease prevention: toward excellence in nursing practice and education. Nurs Outlook. 1992; 40(3):106-12; 120. View