Cent Eur J Public Health 2011, 19(4):197-204 | DOI: 10.21101/cejph.a3684

Health Promoting Behaviours and Lifestyle Characteristics of Students at Seven Universities in the UK

Walid El Ansari1, Christiane Stock2, Jill John3, Pat Deeny4, Ceri Phillips3, Sherrill Snelgrove3, Hamed Adetunji5, Xiaoling Hu6, Sian Parke3, Mary Stoate7, Andi Mabhala8
1 Faculty of Sport, Health and Social Care, University of Gloucestershire, Gloucester, United Kingdom
2 Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark, Esbjerg, Denmark
3 School of Human and Health Sciences, Swansea University, Swansea, Wales, United Kingdom
4 Institute of Nursing Research, School of Nursing, University of Ulster, Londonderry, Northern Ireland, United Kingdom
5 School of Health and Social Care, Oxford Brookes University, Oxford, United Kingdom
6 Faculty of Business, Education and Professional Studies, University of Gloucestershire, Cheltenham, United Kingdom
7 School of Science, Society and Management, Bath Spa University, Bath, United Kingdom
8 Faculty of Health and Social Care, University of Chester, Chester, United Kingdom

Aims: University students' wellbeing and health promoting and damaging behaviours are important and comprise many parameters. The purpose of this study was to assess a range of health behaviours and lifestyle characteristics of 3,706 undergraduate students from seven universities in England, Wales and Northern Ireland. We compared differences in these parameters between males and females, and across the participating universities.

Methods: A self-administered questionnaire assessed socio-demographic information (e.g., gender, age), nutrition, dietary intake and food consumption patterns, as well as the importance of healthy eating, three levels of physical activity, restful sleep, tobacco smoking, use of illicit substance (recreational drugs), frequency of binge drinking and problem drinking. The data was collected in 2007-2008.

Results: While females generally reported lower use of tobacco, illicit substances and alcohol (binge drinking/problem drinking) and consumed more fruits and vegetables, male students had a higher level of physical activity, consumed less sweets and had more restful sleep. When lifestyle characteristics of students were compared between the different universities we observed some clustering of the parameters under study, whereby favourable health practices would be exhibited at some universities; and conversely, the clustering of less favourable practices exhibited at other participating sites.

Conclusions: We conclude that only a minority of students exhibited positive health practices above recommended levels and the level of binge drinking and problem drinking was high. This calls for increased awareness of university administrators, leaders and policy makers to the risky health habits of their students. The observed clustering effects also indicate the need for local (university-specific) health profiles as basis and guidance for relevant health promotion programmes at universities.

Keywords: university students, gender, physical activity, healthy nutrition, smoking, illicit drug use, alcohol

Received: April 6, 2011; Revised: August 12, 2011; Accepted: August 12, 2011; Published: December 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
El Ansari W, Stock C, John J, Deeny P, Phillips C, Snelgrove S, et al.. Health Promoting Behaviours and Lifestyle Characteristics of Students at Seven Universities in the UK. Cent Eur J Public Health. 2011;19(4):197-204. doi: 10.21101/cejph.a3684. PubMed PMID: 22432394.
Download citation

References

  1. Lee DH, Kang S, Zum S. A qualitative assessment of personal and academic stressors among Korean Collage students: an exploratory study. College Student Journal. 2005;39(3):442.
  2. El Ansari W, Stock C. Is the health and wellbeing of university students associated with their academic performance? Cross sectional findings from the United Kingdom. Int J Environ Res Public Health. 2010 Feb;7(2):509-27. Go to original source... Go to PubMed...
  3. Quintiliani L, Allen J, Marino M, Kelly-Weeder S, Li Y. Multiple health behavior clusters among female college students. Patient Educ Couns. 2010 Apr;79(1):134-7. Go to original source... Go to PubMed...
  4. Allgöwer A. Health promotion at the university: The health status of students. Opladen: Leske and Budrich; 2000.
  5. Gores SE.Addressing nutritional issues in the college-aged client: strategies for the nurse practitioner. JAmAcad Nurse Pract. 2008 Jan;20(1):510. Go to original source...
  6. Krinke U. Adult nutrition. In: Brown J, editor. Nutrition through the life cycle. Belmont: Wadsworth/Thomson Learning; 2002. p. 383-407.
  7. Lowry R, Galuska DA, Fulton JE, Wechsler H, Kann L, Collins JL. Physical activity, food choice, and weight management goals and practices among US college students. Am J Prev Med. 2000 Jan;18(1):18-27. Go to original source...
  8. Lee RL, Loke AJ. Health-promoting behaviors and psychosocial wellbeing of university students in Hong Kong. Public Health Nurs. 2005 May-Jun;22(3):209-20. Go to PubMed...
  9. Skemiene L, Ustinaviciene R, Piesine L, Radisauskas R. Peculiarities of medical students' nutrition. Medicina (Kaunas). 2007;43(2):145-52.
  10. Manson JE, Greenland P, LaCroix AZ, Stefanick ML, Mouton CP, Oberman A, et al. Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med. 2002 Sep 5;347(10):716-25. Go to original source... Go to PubMed...
  11. Richardson CR, Kriska AM, Lantz PM, Hayward RA. Physical activity and mortality across cardiovascular disease risk groups. Med Sci Sports Exerc. 2004 Nov;36(11):1923-9. Go to original source...
  12. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al.; Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002 Feb 7;346(6):393-403. Go to original source... Go to PubMed...
  13. Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, IlanneParikka P, et al.; Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001 May 3;344(18):1343-50. Go to original source... Go to PubMed...
  14. Blumenthal JA, Babyak MA, Moore KA, Craighead WE, Herman S, Khatri P, et al. Effects of exercise training on older patients with major depression. Arch Intern Med. 1999 Oct 25;159(19):2349-56. Go to original source...
  15. Wolin KY,YanY, Colditz GA, Lee IM. Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer. 2009 Feb 24;100(4):611-6. Go to original source... Go to PubMed...
  16. American College Health Association. American College Health Association National College Health Assessment (ACHA-NCHA) Spring 2005 Reference Group Data Report (Abridged). J Am Coll Health. 2006 Jul-Aug;55(1):5-16. Go to original source... Go to PubMed...
  17. Lehnkering H, Siegmund R. Influence of chronotype, season, and sex of subject on sleep behavior of young adults. Chronobiol Int. 2007;24(5):875-88. Go to original source... Go to PubMed...
  18. Teixeira LR, Fischer FM, Lowden A. Sleep deprivation of working adolescents - a hidden work hazard. Scand J Work Environ Health. 2006 Aug;32(4):328-30. Go to original source...
  19. Richmond R. Teaching medical students about tobacco. Thorax. 1999 Jan;54(1):70-8. Go to original source...
  20. Davis R. When doctors smoke. Tob Contr. 1993;2(3):187-8. Go to original source...
  21. Young EH. Relationship of residents' emotional problems, coping behaviors, and gender. J Med Educ. 1987 Aug;62(8):642-50. Go to original source...
  22. Stewart SM, Betson C, Marshall I, Wong CM, Lee PW, Lam TH. Stress and vulnerability in medical students. Med Educ. 1995 Mar;29(2):119-27. Go to original source...
  23. Khader YS, Alsadi AA. Smoking habits among university students in Jordan: prevalence and associated factors. East Mediterr Health J. 2008 Jul-Aug;14(4):897-904.
  24. Carvalho KA, Sant'Anna MJ, Coates V, Omar HA. Medical students: abuse of psychoactive substances and sexuality aspects. Int J Adolesc Med Health. 2008 Jul-Sep;20(3):321-8. Go to original source... Go to PubMed...
  25. Stempliuk Vde A, Barroso LP, Andrade AG, Nicastri S, Malbergier A. Comparative study of drug use among undergraduate students at the University of São Paulo - São Paulo campus in 1996 and 2001. Rev Bras Psiquiatr. 2005 Sep;27(3):185-93. Go to original source... Go to PubMed...
  26. Dusenbury L, Botvin GJ. Applying the competency enhancement model to substance abuse prevention. In: Albee GW, Kessler M, Goldston SE, Joff JM, editors. The present and future of prevention: in honor of George W. Albee. Newbury Park: Sage Publications; 1992. p. 182-95.
  27. Hillman SB, Sawilowsky SS. A comparison of two grouping methods in distinguishing levels of substance use. J Clin Child Psychol. 1992;21(4):348-53. Go to original source...
  28. Karam E, Kypri K, Salamoun M.Alcohol use among college students: an international perspective. Curr Opin Psychiatry. 2007 May;20(3):213-21. Go to original source... Go to PubMed...
  29. Martens MP, Dams-O'Connor K, Beck NC. A systematic review of college student-athlete drinking: prevalence rates, sport-related factors, and interventions. J Subst Abuse Treat. 2006 Oct;31(3):305-16. Go to original source... Go to PubMed...
  30. Stock C, Mikolajczyk R, Bloomfield K, Maxwell AE, Ozcebe H, Petkeviciene J, et al.Alcohol consumption and attitudes towards banning alcohol sales on campus among European university students. Public Health. 2009 Feb;123(2):122-9. Go to original source... Go to PubMed...
  31. Barber MW, FaircloughA.Acomparison of alcohol and drug use among dental undergraduates and a group of non-medical, professional undergraduates. Br Dent J. 2006 Nov 11;201(9):581-4; discussion 576. Go to original source... Go to PubMed...
  32. El Ansari W, Maxwell AE, Mikolajczyk RT, Stock C, Naydenova V, KrämerA. Promoting public health: benefits and challenges of a Europeanwide research consortium on student health. Cent Eur J Public Health. 2007 Jun;15(2):58-65. Go to original source...
  33. El Ansari W, Clausen SV, Mabhala A, Stock C. How do I look? Body image perceptions among university students from England and Denmark. Int J Environ Res Public Health. 2010 Feb;7(2):583-95. Go to original source... Go to PubMed...
  34. Kelsey J, WhittemoreAS, EvansAS, Thompson WD. Methods in observational epidemiology. New York: Oxford University Press; 1996.
  35. ElAnsariW, MaxwellAE, Stock C, Mikolajczyk R, NaydenovaV, Krämer A. Nurses' involvement in international research collaborations. Nurs Stand. 2007 Mar 7-13;21(26):35-40. Go to original source... Go to PubMed...
  36. Mikolajczyk RT, ElAnsari W, MaxwellAE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J. 2009 Jul 15;8:31. Go to original source... Go to PubMed...
  37. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al.; American College of Sports Medicine; American Heart Association. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007 Aug 28;116(9):1081-93. Go to original source... Go to PubMed...
  38. Hurrelmann K, Kolip P. The Youth Health Survey. Public Relations Service, SFB 227, No 11. Bielefeld: University of Bielefeld; 1994.
  39. Winther Ringgard L, Birk Nissen S, Nielsen GA. Lifestyle and everyday life of the youth 2003. Copenhagen, Denmark: Danish Cancer Society and National Board of Health; 2005.
  40. Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984 Oct 12;252(14):1905-7. Go to original source...
  41. Stock C, Kücük N, Miseviciene I, Guillén-Grima F, Petkeviciene J, Aguinaga-Ontoso I, et al. Differences in health complaints among university students from three European countries. Prev Med. 2003 Dec;37(6 Pt 1):535-43. Go to original source...
  42. Mikolajczyk RT, Brzoska P, Maier C, Ottova V, Meier S, Dudziak U, et al. Factors associated with self-rated health status in university students: a cross-sectional study in three European countries. BMC Public Health. 2008 Jun 18;8:215. Go to original source... Go to PubMed...
  43. Mikolajczyk RT, Maxwell AE, El Ansari W, Naydenova V, Stock C, Ilieva S, et al. Prevalence of depressive symptoms in university students from Germany, Denmark, Poland and Bulgaria. Soc Psychiatry Psychiatr Epidemiol. 2008 Feb;43(2):105-12. Go to original source... Go to PubMed...
  44. American College HealthAssociation.American College HealthAssociation National College Health Assessment Spring 2006 Reference Group data report (abridged). J Am Coll Health. 2007 Jan-Feb;55(4):195-206. Go to original source... Go to PubMed...
  45. US Department of Health and Human Services. Healthy people 2010: understanding and improving health. Washington, DC: US Government Printing Office; 2000.
  46. Keller S, Maddock JE, Hannöver W, Thyrian JR, Basler HD. Multiple health risk behaviors in German first year university students. Prev Med. 2008 Mar;46(3):189-95. Go to original source... Go to PubMed...
  47. Richards A, Kattelmann KK, Ren C. Motivating 18- to 24-year-olds to increase their fruit and vegetable consumption. J Am Diet Assoc. 2006 Sep;106(9):1405-11. Go to original source... Go to PubMed...
  48. National Institute on Drug Abuse. National survey results on drug use from monitoring the future study. Rockville: National Institute on Drug Abuse; 2000.
  49. O'Malley PM, Johnston LD. Epidemiology of alcohol and other drug use among American college students. J Stud Alcohol Suppl. 2002 Mar;(14):23-39. Go to original source...
  50. Wechsler H, Austin SB. Binge drinking: the five/four measure. J Stud Alcohol. 1998 Jan;59(1):122-4. Go to original source... Go to PubMed...
  51. Gill JS. Reported levels of alcohol consumption and binge drinking within the UK undergraduate student population over the last 25 years. Alcohol Alcohol. 2002 Mar-Apr;37(2):109-20. Go to original source...
  52. Vickers KS, Patten CA, Bronars C, Lane K, Stevens SR, Croghan IT, et al. Binge drinking in female college students: the association of physical activity, weight concern, and depressive symptoms. J Am Coll Health. 2004 Nov-Dec;53(3):133-40. Go to original source... Go to PubMed...
  53. Barnes GM, Welte JW, Dintcheff B. Alcohol misuse among college students and other young adults: findings from a general population study in New York State. Int J Addict. 1992;27(8):917-34. Go to original source... Go to PubMed...
  54. Berkowitz AD, Perkins HW. Problem drinking among college students: a review of recent research. J Am Coll Health. 1986 Jul;35(1):21-8. Go to original source... Go to PubMed...
  55. Wechsler H, Kuo M. College students define binge drinking and estimate its prevalence: results of a national survey. J Am Coll Health. 2000 Sep;49(2):57-64. Go to original source... Go to PubMed...
  56. Hingson R, Heeren T, Winter M, Wechsler H. Magnitude of alcohol-related mortality and morbidity among U.S. college students ages 18-24: changes from 1998 to 2001. Annu Rev Public Health. 2005;26:259-79. Go to original source... Go to PubMed...
  57. Saunders JB, Kypri K, Walters ST, Laforge RG, Larimer ME.Approaches to brief intervention for hazardous drinking in young people. Alcohol Clin Exp Res. 2004 Feb;28(2):322-9. Go to original source...
  58. El Ansari W, Stock C; UK Student Health Group, Snelgrove S, Hu X, Parke S, et al. Feeling healthy? A survey of physical and psychological wellbeing of students from seven universities in the UK. Int J Environ Res Public Health. 2011 May;8(5):1308-23. Go to original source... Go to PubMed...
  59. Felton GM. Female adolescent contraceptive use or nonuse at first and most recent coitus. Public Health Nurs. 1996 Jun;13(3):223-30. Go to original source... Go to PubMed...
  60. Felton GM, Parsons MA. Factors influencing physical activity in average-weight and overweight young women. J Community Health Nurs. 1994;11(2):109-19. Go to original source... Go to PubMed...
  61. Gillis AJ. Determinants of health-promoting lifestyles in adolescent females. Can J Nurs Res. 1994;26(2):13-28.
  62. Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987 Mar-Apr;36(2):76-81. Go to original source...
  63. Pei-Lin H. Factors influencing students' decisions to choose healthy or unhealthy snacks at the University of Newcastle, Australia. J Nurs Res. 2004 Jun;12(2):83-91. Go to original source...