Health-Promoting Factors Among Students in Higher Education within Health Care and Social Work: A Cross-Sectional Analysis of Baseline Data in a Multicentre Longitudinal Study

Abstract

Background: Educational environments are considered important for strengthening students’ health status and knowledge, which is associated with good educational outcomes. It has been suggested to establish healthy universities based on a salutogenic approach—namely, health promotion. The aim of this study was to describe health-promoting resources and factors among first-semester students in higher education in healthcare and social work.Methods: This cross-sectional study is based on a survey provided to all students in seven healthcare and social work programmes from six universities in southern Sweden. The survey was performed in 2018 using a self-reported, web-based questionnaire focussing on general health and well-being, lifestyle factors and three validated instruments measuring health-promoting factors and processes—the Sense of Coherence (SOC) scale, Salutogenic Health Indicator Scale (SHIS) and Occupational Balance Questionnaire (OBQ).Results: Of 2283 students, 851 completed the survey, where 742 (87.1%) were women; 722 students participated in healthcare programmes, and 129 students participated in social work programmes. Most reported good general health and well-being (88.1% and 83.7%, respectively). The total mean scores for the SOC scale, SHIS and OBQ were 59.09 (SD = 11.78), 44.04 (SD = 9.38) and 26.40 (SD = 7.07), respectively. Well-being and several health-promoting lifestyle factors were related to better general health and higher SOC, SHIS and OBQ scores. Multiple linear and logistic regressions showed that perceived well-being and no sleeping problems significantly predicted higher general health and higher SOC, SHIS and OBQ scores. Being less sedentary and non-smoking habits were significant predictors of higher SOC.Conclusions: Swedish students in higher education within the healthcare and social work sector report good general health and well-being in the first semester, as well as health-promoting resources (i.e. SOC, SHIS and OBQ), and in some aspects, a healthy lifestyle. High-intensity exercise, no sleeping problems and non-smoking seem to be of importance to both general health and health-promotive resources. This study contributes to the health promotive characteristics of students in the healthcare and social work sectors, which is of importance for planning universities with a salutogenic approach.