Safaie Nilufar, Ketabi Sara, Kia Naimossadat, Mirmohammadkhani Majid, Moonesan Mohammad Reza, Paknazar Fatemeh
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Department of Internal Medicine, Semnan University of Medical Sciences, Semnan, Iran.
J Educ Health Promot. 2020 Apr 28;9:84. doi: 10.4103/jehp.jehp_582_19. eCollection 2020.
The aim was to explore the relationship between mental health problems (MHPs) and health-promoting lifestyle (HPL) in the medical students.
This cross-sectional study was carried out on medical students in 2017 at Semnan University of Medical Sciences applying a stratified random sampling. The Symptom Checklist-25 and the HPL profile scales were used. Logistic regression models were used to analysis.
Of the participants, 84 were male and 148 were female. The mean age was 22.69 years (±2.42). Most students (95.3%) were single and 40.1% were in the preclinical stage. The mean MHP score was 44.14 (±13.99), and 3% were in the severe category. The mean HPL score was 104.88 (±16.84); 95.7% and 4.3% of them had average and satisfactory lifestyles, respectively. The MHP score of the female ( < 0.001), younger ( < 0.001), single ( = 0.045), preclinical ( < 0.001), and who were away from home ( = 0.009) were significantly higher. The HPL score of female ( < 0.001), older ( = 0.041), and married students ( = 0.028) were significantly higher. The female gender (odds ratio [OR] = 4.45, < 0.001) and studying in the clinical level (OR = 0.30, < 0.001) were the most important associated factors with MHP. Adjusting for them, there was a significant relationship between an increase in the HPL score and a decrease in the likelihood of MHP (OR = 0.96, < 0.001).
The mental health of medical students was shown to be in association with lifestyle independent of other important determinants, including gender and academic level. It seems that modifying the lifestyle to a healthier way can improve students' mental health.
探讨医学生心理健康问题（MHP）与健康促进生活方式（HPL）之间的关系。
2017年在塞姆南医科大学对医学生进行了这项横断面研究，采用分层随机抽样。使用了症状自评量表-25和HPL量表。采用逻辑回归模型进行分析。
参与者中，男性84人，女性148人。平均年龄为22.69岁（±2.42）。大多数学生（95.3%）为单身，40.1%处于临床前阶段。MHP平均得分为44.14（±13.99），3%为重度。HPL平均得分为104.88（±16.84）；其中95.7%和4.3%的人生活方式为一般和良好。女性（<0.001）、年龄较小者（<0.001）、单身者（=0.045）、临床前阶段者（<0.001）以及离家者（=0.009）的MHP得分显著更高。女性（<0.001）、年龄较大者（=0.041）和已婚学生（=0.028）的HPL得分显著更高。女性（优势比[OR]=4.45，<0.001）和临床阶段学习（OR=0.30，<0.001）是与MHP最重要的相关因素。对这些因素进行调整后，HPL得分增加与MHP可能性降低之间存在显著关系（OR=0.96，<0.001）。
医学生的心理健康与生活方式有关，独立于包括性别和学术水平在内的其他重要决定因素。似乎将生活方式改变为更健康的方式可以改善学生的心理健康。
