Mato Mie, Tsukasaki Keiko
Division of Health Sciences, Graduate School of Medical Sciences, Kanazawa University, 5-11-80 Kodatsuno, Kanazawa, Ishikawa, Japan.
Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan.
Health Promot Int. 2019 Apr 1;34(2):300-311. doi: 10.1093/heapro/dax077.
The aim of the present study was to clarify the structural relationship between health-related habits and psychosocial factors during adolescence/early adulthood. An anonymous, self-administered questionnaire was provided to 1141 third- and fourth-year students at eight academic departments from six universities in regional Japanese cities. Surveys included items addressing participants' demographic characteristics, psychosocial factors (individual-level social capital, self-efficacy, mental health (from health-related quality of life SF-36v2), and sense of coherence (SOC)), and health-related habits. A multiple indicator analysis based on structural equation modeling was conducted to examine the structural relationship between health-related habits and these factors. Valid responses were obtained from 952 participants. The final model demonstrated a high level of goodness of fit. While the path from SOC to health-related habits was significant, those from self-efficacy to health-related habits and from mental health to health-related habits were not significant. The path coefficient from SOC to health-related habits was greater than the path coefficient from background characteristics. In the multiple population comparison that considered gender, a nearly identical model was supported for men and women. Psychosocial factors related to health-related habits were social capital, self-efficacy, mental health, and SOC. Furthermore, it was suggested that SOC functions as an intervening factor for maintaining a healthy lifestyle. It was observed that individual psychosocial factors influence health-related habits more than their background characteristics. Findings highlight that supporting the building of social relationships and social environments is essential to promote a healthy lifestyle among university students.
本研究的目的是阐明青少年/成年早期与健康相关的习惯和心理社会因素之间的结构关系。向日本地方城市六所大学八个学术部门的1141名大三和大四学生发放了一份匿名的自填式问卷。调查项目包括参与者的人口统计学特征、心理社会因素（个体层面的社会资本、自我效能感、心理健康（来自与健康相关的生活质量SF-36v2）和连贯感（SOC））以及与健康相关的习惯。基于结构方程模型进行了多指标分析，以检验与健康相关的习惯和这些因素之间的结构关系。从952名参与者那里获得了有效回复。最终模型显示出较高的拟合优度。虽然从SOC到与健康相关的习惯的路径是显著的，但从自我效能感和心理健康到与健康相关的习惯的路径并不显著。从SOC到与健康相关的习惯的路径系数大于从背景特征到与健康相关的习惯的路径系数。在考虑性别的多总体比较中，男性和女性支持几乎相同的模型。与健康相关的习惯相关的心理社会因素是社会资本、自我效能感、心理健康和SOC。此外，研究表明SOC作为维持健康生活方式的干预因素发挥作用。研究观察到个体心理社会因素对与健康相关的习惯的影响大于其背景特征。研究结果强调，支持建立社会关系和社会环境对于促进大学生的健康生活方式至关重要。
