University Students' Self-Rated Health and Use of Health Services: A Secondary Analysis

被引:6
|
作者
MacLeod, Emily [1 ]
Steenbeek, Audrey [2 ]
Latimer, Margot [3 ]
Bombay, Amy [4 ]
机构
[1] Cape Breton Univ, Dept Nursing, 1250 Grand Lake Rd, Sydney, NS B1P 6L2, Canada
[2] Dalhousie Univ, Sch Nursing, Halifax, NS, Canada
[3] Dalhousie Univ, IWK Hlth Ctr, Halifax, NS, Canada
[4] Dalhousie Univ, Sch Nursing, Dept Psychiat, Halifax, NS, Canada
关键词
Nursing; students; self-rated health; race and ethnicity; access and use of health services; CHINESE INTERNATIONAL STUDENTS; MENTAL-HEALTH; COLLEGE-STUDENTS; SOCIAL SUPPORT; STRESS; ACHIEVEMENT; ADJUSTMENT; DEPRESSION; RESILIENCE; BEHAVIORS;
D O I
10.1177/0844562119870044
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background University students belonging to various ethnic groups have specific health needs that influence their self-rated health and health service use. Purpose To examine which determinants of health serve as key predictors of self-rated health and health service use in a sample of ethnically diverse undergraduate students. Methods Data were abstracted from the 2012 Maritime Undergraduate Student Sexual Health Services Survey (N = 10,512). Logistic regression was used to explore the predictors of self-rated health and use of university-based health services according to ethnicity. Results Social support (Caucasian: odds ratio (OR) = 1.018; 95% confidence interval (CI) [1.008, 1.028]; African: OR = 1.890; 95% CI [1.022, 1.160]; Other: OR = 1.096; 95% CI [1.023, 1.175]), and depression risk (Caucasian: OR = .899; 95% CI [.844, .914]; Indigenous: OR = .904; 95% CI [.844, .969]; Asian: OR = .894; 95% CI [.839, .953]; Multiracial: OR = .892; 95% CI [.812, .980]) were the most frequent predictors of self-rated health across the different ethnic groups; while year of study (Caucasian: OR = 1.855; 95% CI [1.764, 1.952]; African: OR = 2.979; 95% CI [2.068, 4.291]; Indigenous OR = 1.828; 95% CI [1.371, 2.436]; Asian: OR = 1.457; 95% CI [1.818, 1.797]; Middle Eastern: OR = 1.602; 95% CI [1.088, 2.359]; Other: OR = 1.485; 95% CI [1.093, 2.018]; Multiracial: OR = 2.064; 95% CI [1.533, 2.778]) was found to be the most significant predictor of health service use. Conclusion Findings from this research shed light on the various factors that impact university students belonging to different ethnic groups, their health, and their access to healthcare that addresses their distinct health needs. Nurses can advocate for the development of health promotion and illness prevention strategies that target the needs of the diverse student population.
引用
收藏
页码:308 / 316
页数:9
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