Evidence map›Paper›PMID 42505170›Full record

ArticleEuropean journal of investigation in health, psychology and education2026

Health-Promoting Lifestyle Scores, Academic Stress, and Health-Professional Advice Seeking Among Undergraduate Nursing Students: A Cross-Sectional Study.

Alexis Emmanuel Salinas-Santoyo, Gabriela Luna-Hernández, Victor Horacio Orozco-Covarrubias, Janvier Andre Martinez-Godinez, Jaime Briseno-Ramírez, Cecilia Alejandra Zamora-Figueroa

Abstract read
In one paragraph

Article in European journal of investigation in health, psychology and education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Alexis Emmanuel Salinas-SantoyoDepartamento de Enfermería para la Atención, Desarrollo y Preservación de la Salud Comunitaria, Especialidad de Enfermería en Salud Pública, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.ORCID 0009-0008-4022-9623
Gabriela Luna-HernándezDepartamento de Alimentación y Nutrición, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.ORCID 0000-0003-0258-6562
Victor Horacio Orozco-CovarrubiasDepartamento de Salud-Enfermedad como Proceso Individual y Colectivo, Centro Universitario de Tlajomulco, Universidad de Guadalajara, Tlajomulco de Zuniga 45641, Jalisco, Mexico.ORCID 0000-0002-7171-3441
Janvier Andre Martinez-GodinezDepartamento de Enfermería para la Atención, Desarrollo y Preservación de la Salud Comunitaria, Especialidad de Enfermería en Salud Pública, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.ORCID 0009-0000-2231-0884
Jaime Briseno-RamírezDivisión Salud, Centro Universitario de Tlajomulco, Universidad de Guadalajara, Tlajomulco de Zuniga 45641, Jalisco, Mexico.ORCID 0009-0006-1901-392X
Cecilia Alejandra Zamora-FigueroaDepartamento de Enfermería para la Atención, Desarrollo y Preservación de la Salud Comunitaria, Especialidad de Enfermería en Salud Pública, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.ORCID 0009-0007-6244-1257

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Undergraduate nursing students are trained to promote health in clinical and community settings, but their own health-promoting behaviors occur in the context of academic demands, clinical training, work responsibilities, and limited time for self-care. The primary objective of this cross-sectional analytic study was to estimate the adjusted association between health-professional advice seeking and global Health-Promoting Lifestyle Profile II (HPLP-II) scores among 506 undergraduate nursing students at the Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara. Secondary analyses described HPLP-II scores, stress ratings, information sources, subscale-specific associations, and propensity-score sensitivity analyses; exploratory analyses evaluated HPLP-II psychometrics, level-based lifestyle profiles, and stress-by-advice-seeking interaction. The overall median HPLP-II score was 2.40 (IQR: 2.06, 2.79). Internal consistency was high for the global scale (Cronbach's alpha = 0.961) and ranged from acceptable to high across subscales (alpha = 0.812-0.900). Ordinal exploratory factor analysis using polychoric correlations supported exploratory use of the theoretical six-domain structure but did not provide confirmatory validation; parallel analysis suggested eight factors. Two level-based lifestyle profiles were identified: Low HPLP (58.1%) and High HPLP (41.9%), reflecting broad score-level separation rather than distinct validated phenotypes. In the primary HC3 robust model, health-professional advice seeking was associated with higher global HPLP-II scores (

Indexed as

academic stresshealth-professional advicehealth-promoting lifestyleHPLP-IIIPTWnursing studentspropensity scorerobust regression

Identifiers

PMID42505170
PMCPMC13407694

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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.