Amiri Mohammad, Raei Mehdi, Sadeghi Elham, Keikavoosi-Arani Leila, Khosravi Ahmad
Department of Public Health, School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2023 Jul 29;12:239. doi: 10.4103/jehp.jehp_963_22. eCollection 2023.
Health-promoting lifestyle is one of the fundamental health-related components. The aim of this study was to determine the status of the health-promoting lifestyle and its determining factors among students of public and private medical universities.
In this cross-sectional study conducted in 2018, 1000 students from different public and private universities of medical sciences were selected by a multi-stage, stratified random sampling procedure and were studied using health-promoting lifestyle, self-efficacy, and well-being questionnaires. Data were analyzed using t-test, Chi-square, Pearson's correlation coefficient, and backward regression model.
The health-promoting lifestyle was relatively acceptable in 775 people (77.5%); 649 (64.9%) had low self-efficacy, and 560 students (56%) had abnormal health conditions. The mean scores of health-promoting lifestyle, self-efficacy, and well-being in all students were 130.74 ± 22.14, 51.19 ± 12.66, and 15.22 ± 5.43, respectively. There were statistically significant differences between the mean scores of most aspects of health-promoting lifestyle, self-efficacy, and well-being in public and private universities. There was a statistically significant relationship between well-being (r = 0.08, = 0.02) and self-efficacy (r = -0.19, < 0.001) with health-promoting lifestyle.
Students' well-being, self-efficacy, and physical activities of students were not at an acceptable level. Moreover, the health-promoting lifestyle of students was moderate. Implementing of health-related educational, developmental, and psycho-social programs for promotion and encouraging students to promote healthy behaviors is necessary.
促进健康的生活方式是与健康相关的基本要素之一。本研究的目的是确定公立和私立医科大学学生促进健康的生活方式状况及其决定因素。
在这项于2018年进行的横断面研究中，通过多阶段分层随机抽样程序从不同的公立和私立医科大学选取了1000名学生，并使用促进健康的生活方式、自我效能感和幸福感问卷进行研究。数据采用t检验、卡方检验、皮尔逊相关系数和向后回归模型进行分析。
775人（77.5%）的促进健康的生活方式相对可接受；649人（64.9%）自我效能感较低，560名学生（56%）健康状况异常。所有学生促进健康的生活方式、自我效能感和幸福感的平均得分分别为130.74±22.14、51.19±12.66和15.22±5.43。公立和私立大学在促进健康的生活方式、自我效能感和幸福感的大多数方面的平均得分存在统计学显著差异。幸福感（r = 0.08，P = 0.02）和自我效能感（r = -0.19，P < 0.001）与促进健康的生活方式之间存在统计学显著关系。
学生的幸福感、自我效能感和身体活动水平未达到可接受水平。此外，学生促进健康的生活方式处于中等水平。有必要实施与健康相关的教育、发展和心理社会项目，以促进和鼓励学生养成健康行为。
