Association between healthy lifestyle choices and mental health among students: a cross sectional study

Abstract Background The prevalence of mental health problems among college students, both domestically and internationally, has emerged as a significant public health concern. College students are in a period of transition to independent living. Adopting a healthy lifestyle can have advantageous eff...

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Main Authors: Yan Wang, Jiayu Zhang, Lihua Huang, Xiaonan Li, Yanyan Zhong
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21482-4
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author Yan Wang
Jiayu Zhang
Lihua Huang
Xiaonan Li
Yanyan Zhong
author_facet Yan Wang
Jiayu Zhang
Lihua Huang
Xiaonan Li
Yanyan Zhong
author_sort Yan Wang
collection DOAJ
description Abstract Background The prevalence of mental health problems among college students, both domestically and internationally, has emerged as a significant public health concern. College students are in a period of transition to independent living. Adopting a healthy lifestyle can have advantageous effects on their overall well-being. Thus, this study aimed to investigate the impact of healthy lifestyle choices on mental health problems among college students in China. Methods We conducted a cross-sectional online survey of college students from 2021 to 2023 at a university in Wuhan (N = 1826) using the cluster sampling method. We employed Chi-square tests and binary logistic regression to evaluate the association between healthy lifestyle choices and mental health and identify other influencing factors. Results A total of 969 (53.1%) students met standard criteria for poor mental health. Multiple analysis revealed that personal characteristics including female (1.280[1.035—1.582]), obesity (2.015[1.278—3.175]), general or poor health status (1.738[1.380—2.188]; 4.265[1.125—16.165]), occasionally attending health knowledge lectures or paying attention to health books and information (1.376[1.055—1.795]), healthy lifestyle choices including occasionally or seldom eating breakfast (1.393[1.105—1.757]; 1.825[1.287—2.587]), occasionally or seldom getting enough sleep (2.800[2.179—3.597]; 3.544[2.209—5.685]), a poor or very poor irregular schedule (1.792[1.222—2.628]; 3.619[1.380—9.486]), seldom or no physical exercise (1.395[1.053—1.847]; 1.377[1.066—1.779]), and often smoking (3.320[1.281—8.604]) were identified as significant predictors of poor mental health. Conclusion The prevalence of poor mental health among college students was high. A few types of healthy lifestyles, such as a lack of health knowledge and physical exercise, seldom eating breakfast, not getting enough sleep, an irregular schedule, and chronic smoking were closely related to abnormal psychological health symptoms. Interventions such as health education knowledge lectures and regular exercise programs should be given to college students to improve their mental health.
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spelling doaj-art-b82a25863e3c41e3b05943554b6a72162025-01-26T12:56:08ZengBMCBMC Public Health1471-24582025-01-0125111010.1186/s12889-025-21482-4Association between healthy lifestyle choices and mental health among students: a cross sectional studyYan Wang0Jiayu Zhang1Lihua Huang2Xiaonan Li3Yanyan Zhong4Hospital of China University of Geosciences (Wuhan)Graduate School, Huazhong University of Science and TechnologyHuazhong University of Science and Technology HospitalHuazhong University of Science and Technology HospitalHuazhong University of Science and Technology HospitalAbstract Background The prevalence of mental health problems among college students, both domestically and internationally, has emerged as a significant public health concern. College students are in a period of transition to independent living. Adopting a healthy lifestyle can have advantageous effects on their overall well-being. Thus, this study aimed to investigate the impact of healthy lifestyle choices on mental health problems among college students in China. Methods We conducted a cross-sectional online survey of college students from 2021 to 2023 at a university in Wuhan (N = 1826) using the cluster sampling method. We employed Chi-square tests and binary logistic regression to evaluate the association between healthy lifestyle choices and mental health and identify other influencing factors. Results A total of 969 (53.1%) students met standard criteria for poor mental health. Multiple analysis revealed that personal characteristics including female (1.280[1.035—1.582]), obesity (2.015[1.278—3.175]), general or poor health status (1.738[1.380—2.188]; 4.265[1.125—16.165]), occasionally attending health knowledge lectures or paying attention to health books and information (1.376[1.055—1.795]), healthy lifestyle choices including occasionally or seldom eating breakfast (1.393[1.105—1.757]; 1.825[1.287—2.587]), occasionally or seldom getting enough sleep (2.800[2.179—3.597]; 3.544[2.209—5.685]), a poor or very poor irregular schedule (1.792[1.222—2.628]; 3.619[1.380—9.486]), seldom or no physical exercise (1.395[1.053—1.847]; 1.377[1.066—1.779]), and often smoking (3.320[1.281—8.604]) were identified as significant predictors of poor mental health. Conclusion The prevalence of poor mental health among college students was high. A few types of healthy lifestyles, such as a lack of health knowledge and physical exercise, seldom eating breakfast, not getting enough sleep, an irregular schedule, and chronic smoking were closely related to abnormal psychological health symptoms. Interventions such as health education knowledge lectures and regular exercise programs should be given to college students to improve their mental health.https://doi.org/10.1186/s12889-025-21482-4ChinaCollege studentsMental healthHealthy lifestyle choicesInfluencing factors
spellingShingle Yan Wang
Jiayu Zhang
Lihua Huang
Xiaonan Li
Yanyan Zhong
Association between healthy lifestyle choices and mental health among students: a cross sectional study
BMC Public Health
China
College students
Mental health
Healthy lifestyle choices
Influencing factors
title Association between healthy lifestyle choices and mental health among students: a cross sectional study
title_full Association between healthy lifestyle choices and mental health among students: a cross sectional study
title_fullStr Association between healthy lifestyle choices and mental health among students: a cross sectional study
title_full_unstemmed Association between healthy lifestyle choices and mental health among students: a cross sectional study
title_short Association between healthy lifestyle choices and mental health among students: a cross sectional study
title_sort association between healthy lifestyle choices and mental health among students a cross sectional study
topic China
College students
Mental health
Healthy lifestyle choices
Influencing factors
url https://doi.org/10.1186/s12889-025-21482-4
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AT xiaonanli associationbetweenhealthylifestylechoicesandmentalhealthamongstudentsacrosssectionalstudy
AT yanyanzhong associationbetweenhealthylifestylechoicesandmentalhealthamongstudentsacrosssectionalstudy