The clusters of health-risk behaviours and mental wellbeing and their sociodemographic correlates: a study of 15,366 ASEAN university students.

Autor: Wattanapisit A; School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.; Walailak University Hospital, Nakhon Si Thammarat, Thailand., Abdul Rahman H; Institute of Health Sciences, Universiti Brunei Darussalam, Gadong, Brunei Darussalam.; University of Michigan, Ann Arbor, MI, USA., Car J; Centre for Population Health Sciences, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore., Abdul-Mumin KH; Institute of Health Sciences, Universiti Brunei Darussalam, Gadong, Brunei Darussalam.; School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia., de la Cruz MHTO; Faculty Ateneo School of Medicine and Public Health, Ateneo de Manila University, Quezon City, The Philippines., Chia M; Physical Education & Sports Science, National Institute of Education, Nanyang Technological University, Singapore, Singapore., Rosenberg M; School of Human Sciences (Sport Science, Exercise and Health), University of Western Australia, Perth, WA, Australia.; College of Sports Science and Technology, 999 Mahidol University, Phutthamonthon Sai 4 Rd, Salaya, Phutthamonthon District, Nakhon Pathom, 73170, Thailand., Ho MR; School of Social Sciences, Nanyang Technological University, Singapore, Singapore., Chaiyasong S; Alcohol and Health Promotion Policy Research Unit, Faculty of Pharmacy, Mahasarakham University, Kantharawichai, Mahasarakham, Thailand., Mahmudiono T; Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia., Rodjarkpai Y; Faculty of Public Health, Burapha University, Saen Suk, Chon Buri, Thailand., Dinov ID; University of Michigan, Ann Arbor, MI, USA., Ottom M; University of Michigan, Ann Arbor, MI, USA.; Department of Information Systems, Yarmouk University, Irbid, Jordan., Amornsriwatanakul A; School of Human Sciences (Sport Science, Exercise and Health), University of Western Australia, Perth, WA, Australia. areekulk@gmail.com.; College of Sports Science and Technology, 999 Mahidol University, Phutthamonthon Sai 4 Rd, Salaya, Phutthamonthon District, Nakhon Pathom, 73170, Thailand. areekulk@gmail.com.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2022 Oct 01; Vol. 22 (1), pp. 1840. Date of Electronic Publication: 2022 Oct 01.
DOI: 10.1186/s12889-022-14233-2
Abstrakt: Background: This study investigated, through cluster analysis, the associations between behavioural characteristics, mental wellbeing, demographic characteristics, and health among university students in the Association of Southeast Asian Nations (ASEAN) University Network - Health Promotion Network (AUN-HPN) member universities.
Methods: Data were retrieved from a cross-sectional self-administered online survey among undergraduate students in seven ASEAN countries. A two-step cluster analysis was employed, with cluster labels based on the predominant characteristics identified within the clusters. The 'healthy' cluster was assigned as the reference group for comparisons using multinomial logistic regression analysis.
Results: The analytic sample size comprised 15,366 university students. Five clusters of student-types were identified: (i) 'Healthy' (n = 1957; 12.7%); (ii) 'High sugary beverage consumption' (n = 8482; 55.2%); (iii) 'Poor mental wellbeing' (n = 2009; 13.1%); (iv) 'Smoker' (n = 1364; 8.9%); and (v) 'Alcohol drinker' (n = 1554; 10.1%). Being female (OR 1.28, 95%CI 1.14, 1.45) and being physically inactive (OR 1.20, 95%CI 1.04, 1.39) increased the odds of belonging to the 'High sugary beverage consumption' cluster. Being female (OR 1.21, 95%CI 1.04, 1.41), non-membership in a sports club (OR 1.83, 95%CI 1.43, 2.34) were associated with 'Poor mental wellbeing'. Obesity (OR 2.03, 95%CI 1.47, 2.80), inactively commuting to campus (OR 1.34, 95%CI 1.09, 1.66), and living in high-rise accommodation (OR 2.94, 95%CI 1.07, 8.07) were associated with membership in the 'Smoker' cluster. Students living in The Philippines, Singapore, Thailand, and Vietnam had a higher likelihood of being alcohol drinkers, compared with those who lived in Brunei.
Conclusions: ASEAN university students exhibited health-risk behaviours that typically clustered around a specific health behaviour and mental wellbeing. The results provided support for focusing interventions on one dominant health-risk behaviour, with associated health-risk behaviours within clusters being potential mediators for consideration.
(© 2022. The Author(s).)
Databáze: MEDLINE
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