Observational studyHealth promotion international2024
Psychological distress, health-promoting lifestyle and sociodemographic factors in Honduran university students: a structural equation model.
Observational study in Health promotion international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Pathological Narcissism and Psychological Distress Among University Students: The Interplay of Family Dynamics, Trauma, and Health-Related Factors.Healthcare (Basel, Switzerland) · 2026Article
- Psychometric validation and measurement invariance of the Health-Promoting Lifestyle Profile II in Honduran university students.BMC public health · 2025Article
- Dimensionality, reliability, invariance, and item analysis of the depression, anxiety, and stress scale-21 (DASS-21) in Honduran and Colombian university students.BMC psychology · 2025Article
- Psychometric Assessment of Screening Measures for Depression, Anxiety, Somatization, and Life Satisfaction in Honduran University Students.Behavioral sciences (Basel, Switzerland) · 2025Article
- Health-promoting lifestyle as a predictor of well-being in Honduran university students: a structural equation modeling approach with mental health and sleep quality as mediators.Frontiers in psychology · 2025Article
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Authors and funding
4 authors.
Funding
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Abstract
This study sought to analyze an explanatory model on the relationship among sociodemographic factors, health-promoting lifestyle behaviors and psychological distress (depression, anxiety and stress) in college students. This is an observational, analytical and cross-sectional study conducted on a national sample of 4203 students who entered a macro university in Honduras in 2021, 2022 and 2023. We used a sociodemographic survey, the Health-Promoting Lifestyle Profile (HPLP-II) and the Depression, Anxiety and Stress Scales (DASS-21). Univariate analysis and a multivariate structural equation model were conducted. The average HPLP-II score was 117.45 (± 23.41), and the average DASS-21 score was 20.06 (± 14.16). The multivariate model showed a good data fit (comparative fit index = 0.951; Tucker-Lewis index = 0.957; root mean square error of approximation = 0.067 [90% CI = 0.067-0.068]). Results indicate that being a woman (β = 0.11; p < 0.001) and being enrolled in biological and health sciences (β = 0.09; p < 0.001) significantly predict HPLP-II scores. Furthermore, being a woman (β = 0.17; p < 0.001), age (β = 0.10; p < 0.001) and having pre-existing medical conditions (β = 0.16; p < 0.001) significantly explain part of the variance of DASS-21. A significant reverse relationship between health-promoting behavior and psychological distress was shown (r = -0.36; p < 0.001). This study identifies protective and risky sociodemographic factors linked to health-promoting lifestyle behaviors and psychological distress. Our findings have implications for developing comprehensive intervention policies and strategies to promote health in higher education settings.
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