The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students

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...

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Main Authors: Wattanapisit, Apichai, Raman, Hanif Abdul, Car, Josip, Abdul-Mumin, Khadizah H, de la Cruz, Ma. Henrietta Teresa O, Chia, Michael, Rosenberg, Michael, Ho, Moon-ho Ringo, Chaiyasong, Surasak, Mahmudiono, Trias
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Published: Archīum Ateneo 2022
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Online Access:https://archium.ateneo.edu/asmph-pubs/108
https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1111&context=asmph-pubs
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spelling ph-ateneo-arc.asmph-pubs-11112023-01-18T04:09:25Z The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students Wattanapisit, Apichai Raman, Hanif Abdul Car, Josip Abdul-Mumin, Khadizah H de la Cruz, Ma. Henrietta Teresa O Chia, Michael Rosenberg, Michael Ho, Moon-ho Ringo Chaiyasong, Surasak Mahmudiono, Trias 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. 2022-10-01T07:00:00Z text application/pdf https://archium.ateneo.edu/asmph-pubs/108 https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1111&context=asmph-pubs Ateneo School of Medicine and Public Health Publications Archīum Ateneo Diet Drinking Mental wellbeing Physical activity Smoking Students University Behavior and Behavior Mechanisms International Public Health Medicine and Health Sciences Mental and Social Health Public Health Substance Abuse and Addiction
institution Ateneo De Manila University
building Ateneo De Manila University Library
continent Asia
country Philippines
Philippines
content_provider Ateneo De Manila University Library
collection archium.Ateneo Institutional Repository
topic Diet
Drinking
Mental wellbeing
Physical activity
Smoking
Students
University
Behavior and Behavior Mechanisms
International Public Health
Medicine and Health Sciences
Mental and Social Health
Public Health
Substance Abuse and Addiction
spellingShingle Diet
Drinking
Mental wellbeing
Physical activity
Smoking
Students
University
Behavior and Behavior Mechanisms
International Public Health
Medicine and Health Sciences
Mental and Social Health
Public Health
Substance Abuse and Addiction
Wattanapisit, Apichai
Raman, Hanif Abdul
Car, Josip
Abdul-Mumin, Khadizah H
de la Cruz, Ma. Henrietta Teresa O
Chia, Michael
Rosenberg, Michael
Ho, Moon-ho Ringo
Chaiyasong, Surasak
Mahmudiono, Trias
The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students
description 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.
format text
author Wattanapisit, Apichai
Raman, Hanif Abdul
Car, Josip
Abdul-Mumin, Khadizah H
de la Cruz, Ma. Henrietta Teresa O
Chia, Michael
Rosenberg, Michael
Ho, Moon-ho Ringo
Chaiyasong, Surasak
Mahmudiono, Trias
author_facet Wattanapisit, Apichai
Raman, Hanif Abdul
Car, Josip
Abdul-Mumin, Khadizah H
de la Cruz, Ma. Henrietta Teresa O
Chia, Michael
Rosenberg, Michael
Ho, Moon-ho Ringo
Chaiyasong, Surasak
Mahmudiono, Trias
author_sort Wattanapisit, Apichai
title The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students
title_short The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students
title_full The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students
title_fullStr The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students
title_full_unstemmed The Clusters of Health-Risk Behaviours and Mental Wellbeing and Their Sociodemographic Correlates: A Study of 15,366 ASEAN University Students
title_sort clusters of health-risk behaviours and mental wellbeing and their sociodemographic correlates: a study of 15,366 asean university students
publisher Archīum Ateneo
publishDate 2022
url https://archium.ateneo.edu/asmph-pubs/108
https://archium.ateneo.edu/cgi/viewcontent.cgi?article=1111&context=asmph-pubs
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