Evidence map›Paper›PMID 27422635›Full record

ArticleBMC public health2016

Do socio-cultural factors influence medical students' health status and health-promoting behaviors? A cross-sectional multicenter study in Germany and Hungary.

Henna Riemenschneider, Péter Balázs, Erika Balogh, Axel Bartels, Antje Bergmann, Károly Cseh, Nora Faubl, Zsuzsanna Füzesi, Ferenc Horváth, István Kiss and 3 more

Abstract readMulticenter Study
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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  6. Factors Affecting Health-Promoting Behaviors among Nursing Students.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Henna RiemenschneiderDepartment of General Practice, Medical Clinic 3, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany. henna.riemenschneider@uniklinikum-dresden.de.
Péter BalázsDepartment of Public Health, Faculty of Medicine, Semmelweis University Budapest, Nagyvárad tér 4, H-1089, Budapest, Hungary.
Erika BaloghDepartment of Public Health Medicine, University of Pécs Medical School, Szigeti str 12, H-7624, Pécs, Hungary.
Axel BartelsDepartment of General Practice, Medical Clinic 3, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Antje BergmannDepartment of General Practice, Medical Clinic 3, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Károly CsehDepartment of Public Health, Faculty of Medicine, Semmelweis University Budapest, Nagyvárad tér 4, H-1089, Budapest, Hungary.
Nora FaublDepartment of Behavioral Sciences, University of Pécs Medical School, Szigeti str 12, H-7624, Pécs, Hungary.
Zsuzsanna FüzesiDepartment of Behavioral Sciences, University of Pécs Medical School, Szigeti str 12, H-7624, Pécs, Hungary.
Ferenc HorváthDepartment of Public Health, Faculty of Medicine, Semmelweis University Budapest, Nagyvárad tér 4, H-1089, Budapest, Hungary.
István KissDepartment of Public Health Medicine, University of Pécs Medical School, Szigeti str 12, H-7624, Pécs, Hungary.
Jörg SchellingDepartment of General and Family Medicine, Medical Faculty, Ludwig-Maximilians-Universität München, Pettenkoferstr. 8a, 80336, Munich, Germany.
András TerebessyDepartment of Public Health, Faculty of Medicine, Semmelweis University Budapest, Nagyvárad tér 4, H-1089, Budapest, Hungary.
Karen VoigtDepartment of General Practice, Medical Clinic 3, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical and mental health is important for coping with the high requirements of medical studies that are associated with a higher risk for severe stress, insomnia, smoking, harmful alcohol consumption and easier access to drugs. Health behaviors of medical students influence not just their own health but also the health of their future patients. We examined whether socio-cultural factors can explain differences in students' health status and health-promoting behaviors.

methodsA multicenter cross-sectional survey in Germany (Dresden, Munich) and Hungary (Budapest, Pécs) enclosed international medical students in their 1st, 3rd and 5th academic years. The students were invited to voluntarily and anonymously complete a questionnaire on different aspects of health behavior during obligatory seminars and lectures in 2014. The response rate of the total sample was 56.2 % (n = 2935); the subgroup analysis enclosed data of German (n = 1289), Hungarian (n = 1057) and Norwegian (n = 148) students.

resultsA high number of Norwegian students (84.5 %) assessed their health status as very good/excellent. In comparison, only 60.3 % of the Hungarian and 70.7 % of the German participants reported a very good/excellent health status. The distributions were comparable between the study sites. Although gender, financial situation and nationality were significant health status predictors, they could explain only 8.2 % of the total variance of health status in the multivariable model. A comparably high number of Hungarian students (95.3 % vs. 67.4 % German and 56.7 % Norwegian) reported that they can currently do a lot/very much for their health. In contrast, a significant number of Norwegians (73.0 % vs. 63.7 % Hungarian and 51.5 % German) reported that they currently do a lot/very much for their health (chi(2)-test, p ≤ 0.001). Financial situation, study site and study year were the strongest predictors for health promotion activities (Nagelkerkes R(2) = 0.06).

conclusionsBased on our study, gender and study year played only a minor role in the health status and health promotion beliefs and activities of medical students. Structural (study site) and somewhat socio-cultural factors (nationality, financial situation) mainly explained the differences regarding health promoting behaviors. Obligatory, free-of-charge courses for health promotion (activity and relaxation) should be included in study curriculums.

Indexed as

Health StatusAdultCross-Sectional StudiesFemaleGermanyHealth BehaviorHealth PromotionHumansHungaryMaleNorwaySocioeconomic FactorsStudents, MedicalSurveys and QuestionnairesYoung AdultHealth behaviorHealth promotionHealth statusMedical studentsMulticenter studySocio-cultural factors

Identifiers

PMID27422635
PMCPMC4946193

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.