Cent Eur J Public Health 2023, 31(4):248-255 | DOI: 10.21101/cejph.a7916

Are behavioural risk factors clusters associated with self-reported health complaints? University students in Finland

Walid El Ansari^{1, 2, 3}, Sakari Suominen^{4, 5, 6}, Kareem El-Ansari⁷, René Šebeňa⁸

¹ Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

² College of Medicine, Qatar University, Doha, Qatar

³ Department of Population Health, Weill Cornell Medicine Qatar, Doha, Qatar

⁴ School of Health and Education, University of Skövde, Skövde, Sweden

⁵ Department of Public Health, University of Turku, Turku, Finland

⁶ Wellbeing Services, County of Southwest Finland, Finland

⁷ School of Medicine, St. George's University, Grenada, West Indies

⁸ Department of Psychology, Faculty of Arts, Pavol Josef Šafárik University, Košice, Slovak Republic

Objectives: No previous research of university students in Finland assessed lifestyle behavioural risk factors (BRFs) and categorized students into clusters, explored the associations of the clusters with self-reported health complaints (HCs), whilst controlling for potential confounders. The current study undertook this task.

Methods: Students at the University of Turku (1,177) completed an online well-being questionnaire that assessed socio-demographic variables, 5 BRFs - problematic alcohol consumption, smoking, illicit drug use, food consumption habits, moderate-to-vigorous physical activity (MVPA), and 22 HCs. A food frequency questionnaire assessed students' consumption of a range of foods, and a dietary guideline adherence score was computed based on WHO dietary recommendations for Europe. Three separate regression models appraised the associations between the cluster membership and HCs factors, adjusting for sex, income sufficiency and self-rated health.

Results: Mean age was 23 ± 5.2 years, 77% had never smoked and 79% never used illicit drug/s. Factor analysis of HCs resulted in four-factors (psychological, circulatory/breathing, gastro-intestinal, pains/aches); cluster analysis of BRFs identified two distinctive student clusters. Cluster 1 represented more healthy students who never smoked/used illicit drugs, had no problematic drinking, and undertook MVPA on 4.42 ± 3.36 days/week. As for cluster 2 students, half the cluster smoked occasionally/daily, used illicit drug/s, and > 50% had problematic drinking and students undertook MVPA on 4.02 ± 3.12 days/week. More cluster 2 students adhered to healthy eating recommendations, but the difference was not significant between clusters. Regression analysis revealed that females, those with sufficient income, and with excellent/very good self-rated general health were significantly less likely to report all four HCs. Cluster 2 students were significantly more likely to report psychological complaints, circulatory/breathing and gastro-intestinal complaints. There was no significant association between BRFs clusters and pains/aches factor.

Conclusions: Risk taking students with less healthy lifestyles and behaviour were consistently associated with poorer psychological and somatic health.

Keywords: behavioural risk factors, psychological, somatic, complaints, university students, cluster analysis

Received: June 6, 2023; Revised: December 14, 2023; Accepted: December 14, 2023; Published: December 30, 2023  Show citation