Health Promoting Lifestyle Behaviour in Medical Students: a Multicentre Study from Turkey
Health Promoting Lifestyle Behaviour in Medical Students: a Multicentre Study from Turkey
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DOI：
10.7314/apjcp.2014.15.20.8969
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发表时间：
2014-01-01
影响因子：
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通讯作者：
Yilmaze, Gulay
中科院分区：
文献类型：
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作者：
Nacar, Melis;Baykan, Zeynep;Yilmaze, Gulay
背景资料：本研究的目的是确定健康促进生活方式的行为在医学生参加七所医学院在土耳其的预测。材料与方法：这项横断面描述性研究是在2011年3月至5月的第一年和最后一年（第六年）的第二学期进行的。具体设计了一份分两部分的调查问卷。第一部分包括人口统计学特征问题;第二部分包括健康促进生活方式概况II（HPLP）量表。在2，309名医学生中，2，118名（回复率91.7%）完成了问卷。资料分析采用描述性统计、t检验、方差分析、Tukey检验和二元Logistic回归分析。这项研究得到了Erciyes大学伦理委员会的批准。结果：平均年龄为20.7 ± 2.9岁，发现55.1%为男性，62.3%为第一年。吸烟率为19.1%，饮酒率为19.4%。一年级学生的HPLP平均分为129.2 +/- 17.7，去年为125.5 +/- 19.0。HPLP II的总体平均评分为2.5 +/- 0.4。他们在精神成长子量表（2.9 +/- 0.5），人际关系（2.8 +/- 0.5），健康责任子量表（2.3 +/-0.5），营养子量表（2.3 +/-0.5），压力管理子量表（2.3 +/- 0.4）和最低子量表体力活动（2.0 +/- 0.5）中得分最高。研究结果表明，学生的年级、父母的文化程度、家庭经济状况、婚姻状况、吸烟情况和学生的总体健康认知在HPLP量表总分和大部分分量表的平均分上存在显著性差异。当评估性别、慢性疾病、饮酒状况和BMI时，总HPLP之间没有统计学显著差异。结论：根据这些结果，特别是在医学生的课程，以增加积极的健康行为，包括体育活动，健康促进问题，并给予更多的空间，旨在改变这些问题的行为建议。
Background: The aim of this study was to determine the predictors of health promoting lifestyle behaviour among medical students attending seven of the medical schools in Turkey. Materials and Methods: This cross-sectional descriptive study was performed during the second semester of the first and last (sixth) years of study from March to May 2011. A questionnaire with two sections was specifically designed. The first section contained questions on demographic characteristics; the second consisted of the Health Promoting Lifestyle Profile II (HPLP) Scale. From a total of 2,309 medical students, 2,118 (response rate 91.7%) completed the questionnaire. Data were analyzed using descriptive statistics, t, Anova, Tukey test and binary logistic regression analysis. The research was approved by the Ethics Committee of Erciyes University. Results: The mean age was 20.7 +/- 2.9 years and it was found that 55.1% were men, 62.3% were in the first year. The overall prevalence of smoking was 19.1%, and for drinking alcohol was 19.4%. HPLP point averages of the first year students were 129.2 +/- 17.7, and for last year 125.5 +/- 19.0. The overall mean score for the HPLP II was 2.5 +/- 0.4. They scored highest on the spiritual growth subscale (2.9 +/- 0.5), interpersonal relations (2.8 +/- 0.5), health responsibility subscale (2.3 +/- 0.5), nutrition subscale (2.3 +/- 0.5), stress management subscale (2.3 +/- 0.4), and the lowest subscale physical activity (2.0 +/- 0.5). It is established that student's grade, educational level of parents, economic status of family, marital status, smoking and general health perception of the students resulted in a significant difference in HPLP Scale total score average and the mean score of majority of subscales. There was no statistically significant difference between the total HPLP when evaluated for gender, chronic disease, alcohol drinking status and BMI. Conclusions: Based on these results, particularly in the curriculum of medical students in order to increase positive health behaviours including physical activity, health promotion issues, and giving more space to aim at behaviour change in these matters is recommended.