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Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study
OBJECTIVE: To determine the association between different aspects of study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems. DESIGN, SETTING AND PARTICIPANTS: We recruited a cohort of 4262 Swedish university students of whom 2503 (59%) were witho...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503358/ https://www.ncbi.nlm.nih.gov/pubmed/37709330 http://dx.doi.org/10.1136/bmjopen-2023-072178 |
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author | Johansson, Fred Billquist, Jessica Andreasson, Hanna Jensen, Irene Onell, Clara Berman, Anne H Skillgate, Eva |
author_facet | Johansson, Fred Billquist, Jessica Andreasson, Hanna Jensen, Irene Onell, Clara Berman, Anne H Skillgate, Eva |
author_sort | Johansson, Fred |
collection | PubMed |
description | OBJECTIVE: To determine the association between different aspects of study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems. DESIGN, SETTING AND PARTICIPANTS: We recruited a cohort of 4262 Swedish university students of whom 2503 (59%) were without moderate or worse mental health problems and 2871 (67%) without activity-limiting musculoskeletal problems at baseline. The participants were followed at five time points over 1 year using web surveys. EXPOSURES: Self-rated discrimination, high study pace, low social cohesion and poor physical environment measured at baseline. OUTCOMES: Self-rated mental health problems defined as scoring above cut-off on any of the subscales of the Depression, Anxiety and Stress Scale. Self-rated activity-limiting musculoskeletal problems in any body location assessed by the Nordic Musculoskeletal Questionnaire. STATISTICAL ANALYSIS: Discrete survival-time analysis was used to estimate the hazard rate ratio (HR) of each exposure–outcome combination while adjusting for gender, age, living situation, education type, year of studies, place of birth and parental education as potential confounders. RESULTS: For discrimination, adjusted HRs were 1.75 (95% CI 1.40 to 2.19) for mental health problems and 1.39 (95% CI 1.12 to 1.72) for activity-limiting musculoskeletal problems. For high study pace, adjusted HRs were 1.70 (95% CI 1.48 to 1.94) for mental health problems and 1.25 (95% CI 1.09 to 1.43) for activity-limiting musculoskeletal problems. For low social cohesion, adjusted HRs were 1.51 (95% CI 1.29 to 1.77) for mental health problems and 1.08 (95% CI 0.93 to 1.25) for activity-limiting musculoskeletal problems. For perceived poor physical study environment, adjusted HRs were 1.20 (95% CI 0.99 to 1.45) for mental health problems and 1.20 (95% CI 1.01 to 1.43) for activity-limiting musculoskeletal problems. CONCLUSIONS: Several aspects of the study environment were associated with the incidence of mental health problems and activity-limiting musculoskeletal problems in this sample of Swedish university students. |
format | Online Article Text |
id | pubmed-10503358 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-105033582023-09-16 Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study Johansson, Fred Billquist, Jessica Andreasson, Hanna Jensen, Irene Onell, Clara Berman, Anne H Skillgate, Eva BMJ Open Epidemiology OBJECTIVE: To determine the association between different aspects of study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems. DESIGN, SETTING AND PARTICIPANTS: We recruited a cohort of 4262 Swedish university students of whom 2503 (59%) were without moderate or worse mental health problems and 2871 (67%) without activity-limiting musculoskeletal problems at baseline. The participants were followed at five time points over 1 year using web surveys. EXPOSURES: Self-rated discrimination, high study pace, low social cohesion and poor physical environment measured at baseline. OUTCOMES: Self-rated mental health problems defined as scoring above cut-off on any of the subscales of the Depression, Anxiety and Stress Scale. Self-rated activity-limiting musculoskeletal problems in any body location assessed by the Nordic Musculoskeletal Questionnaire. STATISTICAL ANALYSIS: Discrete survival-time analysis was used to estimate the hazard rate ratio (HR) of each exposure–outcome combination while adjusting for gender, age, living situation, education type, year of studies, place of birth and parental education as potential confounders. RESULTS: For discrimination, adjusted HRs were 1.75 (95% CI 1.40 to 2.19) for mental health problems and 1.39 (95% CI 1.12 to 1.72) for activity-limiting musculoskeletal problems. For high study pace, adjusted HRs were 1.70 (95% CI 1.48 to 1.94) for mental health problems and 1.25 (95% CI 1.09 to 1.43) for activity-limiting musculoskeletal problems. For low social cohesion, adjusted HRs were 1.51 (95% CI 1.29 to 1.77) for mental health problems and 1.08 (95% CI 0.93 to 1.25) for activity-limiting musculoskeletal problems. For perceived poor physical study environment, adjusted HRs were 1.20 (95% CI 0.99 to 1.45) for mental health problems and 1.20 (95% CI 1.01 to 1.43) for activity-limiting musculoskeletal problems. CONCLUSIONS: Several aspects of the study environment were associated with the incidence of mental health problems and activity-limiting musculoskeletal problems in this sample of Swedish university students. BMJ Publishing Group 2023-09-14 /pmc/articles/PMC10503358/ /pubmed/37709330 http://dx.doi.org/10.1136/bmjopen-2023-072178 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Epidemiology Johansson, Fred Billquist, Jessica Andreasson, Hanna Jensen, Irene Onell, Clara Berman, Anne H Skillgate, Eva Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study |
title | Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study |
title_full | Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study |
title_fullStr | Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study |
title_full_unstemmed | Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study |
title_short | Study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the SUN cohort study |
title_sort | study environment and the incidence of mental health problems and activity-limiting musculoskeletal problems among university students: the sun cohort study |
topic | Epidemiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10503358/ https://www.ncbi.nlm.nih.gov/pubmed/37709330 http://dx.doi.org/10.1136/bmjopen-2023-072178 |
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