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应对身份威胁和健康素养对学生生活质量和心理健康的影响:结构方程建模。

Coping with identity threat and health literacy on the quality of life and mental health in students: Structural equation modeling.

机构信息

Alborz University of Medical Science, Karaj, Iran.

Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.

出版信息

Neuropsychopharmacol Rep. 2023 Jun;43(2):195-201. doi: 10.1002/npr2.12328. Epub 2023 Mar 14.

Abstract

AIM

Adolescents face many challenges when entering university. The aim of this study was determined predictor role of coping with identity threat and health literacy on the quality of life and mental health of students.

METHODS

This is a descriptive-analytical study of the structural equation study. Random sampling was performed on 300 students of Alborz University of medical science who were eligible to enter the study. The link of the questionnaires was provided to the students through social networks. The questionnaires were used to study identity threat, mental health, health literacy, and quality of life.

RESULTS

The results of structural equations showed that health literacy has a negative and significant effect (β = -0.22) and identity threat strategy has a negative and significant effect on students' mental health disorder (β = -0.53). Mental health disorders have a negative and significant effect on the quality of life in students (β = -0.49), and health literacy has a positive and significant effect on the quality of life (β = 0.35). Based on Sobel criterion, mental health disorder was a partial mediator for the indirect effect of coping threat strategy on quality of life.

CONCLUSIONS

Considering the effect of mental health and health literacy on the quality of life and the effectiveness of coping strategies, it is recommended to evaluate the mental health and health literacy of students in universities and provide educational programs for identity coping in the early years after entering the university.

摘要

目的

青少年在进入大学时面临许多挑战。本研究的目的是确定应对身份威胁和健康素养对学生生活质量和心理健康的预测作用。

方法

这是一项结构方程研究的描述性分析研究。随机抽样选取了符合条件的 300 名阿尔伯兹医科大学学生进入研究。通过社交网络向学生提供问卷链接。使用问卷研究身份威胁、心理健康、健康素养和生活质量。

结果

结构方程的结果表明,健康素养具有负向显著影响(β=-0.22),身份威胁策略对学生心理健康障碍具有负向显著影响(β=-0.53)。心理健康障碍对学生的生活质量有负向显著影响(β=-0.49),而健康素养对生活质量有正向显著影响(β=0.35)。根据 Sobel 标准,心理健康障碍是应对威胁策略对生活质量的间接影响的部分中介变量。

结论

考虑到心理健康和健康素养对生活质量的影响以及应对策略的有效性,建议在大学评估学生的心理健康和健康素养,并在进入大学后的早期阶段为应对身份问题提供教育计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c072/10275290/43172ec01182/NPR2-43-195-g002.jpg

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