Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan.
Department of Sport Education, Faculty of Sport Science, State University of Surabaya, Surabaya 60213, Indonesia.
Int J Environ Res Public Health. 2021 Dec 13;18(24):13132. doi: 10.3390/ijerph182413132.
University student life is an important transformation stage with many potential factors that can impact negatively on the Quality of Life (QOL) and the adoption of unhealthy behaviors. Health literacy (HL), Health Behaviors (HBs), and Body Mass Index (BMI) have been found to be essential components in influencing QOL, in addition to socioeconomic determinants. To identify the influential factors of QOL, we performed a cross-sectional survey in a university, and 955 undergraduate students were enrolled as respondents. We measured two different aspects of HL, i.e., Comprehensive Health Literacy (CHL) and Functional Health Literacy (FHL). Overall, QOL scores in four domains did not differ, regarded as medium with averages ranging from 57.00-63.98, and no significant difference between male and female students. In multivariate analysis, CHL had a significant positive influence on all domains, while FHL only affected the psychological and environmental domains with negative associations. Academic performance had a significant positive association with physical and psychological domains. Students from education majors had higher QOL in the psychological and social domains. Moreover, students with normal or underweight BMI status had better psychological QOL, and physical exercise had a positive association with the social relationship and environmental domains. The findings confirmed that CHL and FHL had significant associations with QOL domains in different ways that should be addressed accordingly. Public health practitioners should carefully empower students to use both CHL and FHL as decision-making skills by incorporating them into related curricula.
大学生活是一个重要的转型阶段，有许多潜在的因素可能对生活质量（QOL）和不健康行为的采用产生负面影响。健康素养（HL）、健康行为（HBs）和体重指数（BMI）已被发现是影响 QOL 的重要组成部分，除此之外还有社会经济决定因素。为了确定 QOL 的影响因素，我们在一所大学进行了横断面调查，共有 955 名本科生作为受访者。我们测量了 HL 的两个不同方面，即综合健康素养（CHL）和功能性健康素养（FHL）。总体而言，四个领域的 QOL 评分没有差异，被认为是中等水平，平均值在 57.00-63.98 之间，男女学生之间没有显著差异。在多变量分析中，CHL 对所有领域都有显著的积极影响，而 FHL 仅对心理和环境领域有负面影响。学业成绩与身体和心理领域有显著的正相关。教育专业的学生在心理和社会领域的 QOL 更高。此外，BMI 正常或偏轻的学生心理 QOL 更好，体育锻炼与社会关系和环境领域呈正相关。研究结果证实，CHL 和 FHL 以不同的方式与 QOL 领域有显著关联，应相应地加以解决。公共卫生从业者应通过将 CHL 和 FHL 纳入相关课程，仔细赋予学生使用这两种素养的能力，作为决策技能。
