Healthy Lifestyle Behaviors of University Students: The Role of Sense of Coherence and Family Health Climate
Year 2025,
Volume: 9 Issue: 1, 23 - 32, 31.01.2025
Ece Cerrahoğlu
,
Buket Ünver
,
İpek Ülkümen
References
- World Health Organization. Constitution [Internet]. 2024 [cited 2024 May 2024]. Avaliable from: https://www.who.int/about/accountability/governance/constitution
- Çetinkaya S, Sert H. Healthy lifestyle behaviors of university students and related factors. Acta Paul Enferm. 2021;34:eAPE02942.
- Tamanal JM, Kim CH. Promoting healthy lifestyle in high school students: determination of the lifestyle status through the healthy lifestyle screen (HLS) assessment. J Lifestyle Med 2020;10(1):30-43.
- Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81.
- Debska U, Guła-Kubiszewska H, Starościak W, Kałwa M. Health behaviour of young adults in a globalizing world. J Educ Health Sport 2016; 6(13):82-95.
- Wang YY, Huang XC, Yuan J, Wu, YB. Exploring the Link between Family Health and Health Literacy among College Students: The Mediating Role of Psychological Resilience. Healthcare (Basel) 2023;11(13):1859.
- Cicchella A, Vecenane H, Usca S. Healthy lifestyles of university students, according to demographics, nationality, and study specialty with special reference to sport studies. Front Educ 2022;7:1-11.
- Da-Silva-Domingues H, Del-Pino-Casado R, Palomino-Moral PÁ, López Martínez C, Moreno-Cámara S, Frías-Osuna A. Relationship between sense of coherence and health-related behaviours in adolescents and young adults: a systematic review. BMC Public Health 2022;22(1):477.
- Galletta M, Cherchi M, Cocco A, Lai G, Manca V, Pau M, Tatti F, Zambon G, Deidda S, Origa P, Massa E, Cossu E, Boi F, Contu P. Sense of coherence and physical health-related quality of life in Italian chronic patients: the mediating role of the mental component. BMJ Open. 2019 Sep 17;9(9):e030001.
- Eriksson M, Lindström B. A salutogenic interpretation of the Ottawa Charter. Health Promot Int 2008;23(2):190-9.
- Kato Y, Greimel E, Hu C, Müller-Gartner M, Salchinger B, Freidl W, Saito S, Roth R. The relationship between sense of coherence, stress, body image satisfaction and eating behavior in japanese and austrian students. Psych Journal 2019;1(1):504-514.
- Carballo-Fazanes A, Rico-Díaz J, Barcala-Furelos R, Rey E, Rodríguez-Fernández JE, Varela-Casal C, Abelairas-Gómez C. Physical activity habits and determinants, sedentary behaviour and lifestyle in university students. Int J Environ Res Public Health 2020;17(9):3272.
- World Health Organization. WHO Regional Office for South-East Asia. Family as Centre of Health Development. Report of the Regional Meeting Bangkok, Thailand. 2013 Iris [Internet]. [cited 2023 August 2023]. Available from: https://iris.who.int/handle/10665/205062
- Carneiro FAT, Salvador VF, Costa PA, Leal IP. Family Sense of Coherence Scale: A confirmatory factor analysis in a Portuguese sample. Front Psychol 2022;12:1-10.
- Kalavana T, Lazarou C, Christodoulou C. Family environment influences lifestyle behaviors. Int J Med Health Sci, 2012;7:15-25.
- Speirs KE, Hayes JT, Musaad S, VanBrackle A, Sigman-Grant M; All 4 Kids Obesity Resiliency Research Team. Is family sense of coherence a protective factor against the obesogenic environment? Appetite 2016;99:268-276.
- Niermann CY, Kremers SP, Renner B, Woll A. Family Health Climate and Adolescents' Physical Activity and Healthy Eating: A Cross-Sectional Study with Mother-Father-Adolescent Triads. PLoS One 2015;10(11): e0143599.
- Niermann C, Krapf F, Renner B, Reiner M, Woll A. Family health climate scale (FHC-scale): development and validation. Int J Behav Nutr Phys Act 2014;11(1):30.
- Wäsche H, Niermann C, Bezold J, Woll A. (2021). Family health climate: a qualitative exploration of everyday family life and health. BMC Public Health, 2021;21(1): 1261.
- Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The Influence of Parental Dietary Behaviors and Practices on Children's Eating Habits. Nutrients 2021;13(4):1138.
- Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91.
- James S, Mwembezi G, Chusi, T. Gender differences in healthy lifestyle behaviours: a case of students at the institute of rural development planning in Dodoma, Tanzania. Eur J Health Sci, 2022;7(2):37-46.
- Binkowska-Bury M, Januszewicz P. Sense of coherence and health-related behaviour among university students-a questionnaire survey. Cent Eur J Public Health 2010;18(3):145-150.
- Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Sağlıklı Yaşam Biçimi Davranışları Ölçeği II’nin geçerlik ve güvenirlik çalışması. C.U. Hemşirelik Yüksekokulu Derg 2008;12(1):1-13.
- Antonovsky A. The structure and properties of the Sense of Coherence scale. Soc Sci Med 1993;36(6):725–733.
- Bachem R, Maercker A. Development and psychometric evaluation of a revised Sense of Coherence Scale. Eur J Psychol Assess 2018;34(3):206–215.
- Tekin HH, Kırlıoğlu M. Revize Edilmiş Duygusal Tutarlılık Ölçeği’nin (R-DTÖ) değerlendirilmesi: Türkçe geçerlilik ve güvenirlilik çalışması. Sosyal Bilimler Araştırmaları Derg 2019;14(2):591-604.
- Antonovsky A, Sourani T. Family Sense of Coherence and Family Adaptation. J Marriage Fam 1988;50(1):79-92.
- Sagy S. Effects of personal, family and comunity characteristics of emotional reactions in a stress situation: The golan heights negotiations. Youth Soc, 1998;29: 311-329.
- Çeçen AR. The Turkish version of the Family Sense of Coherence Scale-short form (FSOC-S): Initial development and validation. Educ Sci: Theory Pract 2007;7(3):1211-1218.
- Güney E, Karataş Okyay E, Uçar T. Families' health behavior: validity and reliability of the Turkish version of the family health climate scale. Soc Work Public Health. 2021;36(6):707-722.
- Núñez-Rocha GM, López-Botello CK, Salinas-Martínez AM, Arroyo-Acevedo HV, Martínez-Villarreal RT, Ávila-Ortiz MN. Lifestyle, Quality of Life, and Health Promotion Needs in Mexican University Students: Important Differences by Sex and Academic Discipline. Int J Environ Res Public Health 2020;17(21):8024.
- Kargun M, Cenikli A, Dalkilic M, Ozturk H, Ramazanoglu F, Mamak H. Prospective physical education and sports teachers' healthy lifestyle behaviors. Int J Acad Res, 2013; 5(5): 325–329.
- Gomase P, Chhabra KG, Madhu P, Kharpate S, Bandre G. Effect of sense of coherence and health promoting behavior on overall health. J Res Med Dent Sci, 2021;9(11):162-166.
- Wainwright NW, Surtees PG, Welch AA, Luben RN, Khaw KT, Bingham SA. Sense of coherence, lifestyle choices and mortality. J Epidemiol Community Health 2008;62(9):829-831.
- Ornelas IJ, Perreira KM, Ayala GX. Parental influences on adolescent physical activity: a longitudinal study. Int J Behav Nutr Phys Act 2007;4(3):1-10.
- Moore J, Harré N. Eating and activity: the importance of family and environment. Health Promot J Austr 2007;18(2):143-148.
- Moksnes UK, Espnes GA, Lillefjell M. Sense of coherence and emotional health in adolescents. J Adolesc 2012;35(2):433-441.
- Yao CA, Rhodes, RE. Parental correlates in child and adolescent physical activity: a meta-analysis. Int J Behav Nutr Phys Act 2015;12(10):1-38.
- Sollerhed AC, Hedov G. Active Parents-Active Children-A Study among Families with Children and Adolescents with Down Syndrome. Int J Environ Res Public Health. 2021;18(2):660.
- Fleming MS. Associations between family functioning and adolescent health behaviors. Senior Honors Projects. 2015; Paper 445.
- Burns RD, Colotti TE, Pfledderer CD, Fu Y, Bai Y, Byun W. Familial factors associating with youth physical activity using a national sample. Children (Basel) 2020;7(7):79.
- Wahlqvist M, Björk M, Anderzén-Carlsson A, Huus K. Health-related quality of life, family climate and sense of coherence of families in which a parent has deafblindness. Front Educ 2020;5(143):1-10.
- Omiya T, Deguchi N, Togari T, Yamazaki Y. Factors Influencing Sense of Coherence: Family Relationships, High School Life and Autism Spectrum Tendency. Children (Basel). 2020; 21;7(9):108.
- Silventoinen K, Volanen SM, Vuoksimaa E, Rose RJ, Suominen S, Kaprio J. A supportive family environment in childhood enhances the level and heritability of sense of coherence in early adulthood. Soc Psychiatry Psychiatr Epidemiol 2014;49(12):1951-60.
- Franko DL, Thompson D, Affenito SG, Barton BA, Striegel-Moore RH. What mediates the relationship between family meals and adolescent health issues. Health Psychol 2008;27(2):109–117.
- Welsh EM, French SA, Wall M. Examining the relationship between family meal frequency and individual dietary intake: does family cohesion play a role? J Nutr Educ Behav 2011;43(4):229-35.
Healthy Lifestyle Behaviors of University Students: The Role of Sense of Coherence and Family Health Climate
Year 2025,
Volume: 9 Issue: 1, 23 - 32, 31.01.2025
Ece Cerrahoğlu
,
Buket Ünver
,
İpek Ülkümen
Abstract
Background and Purpose: This study aims to examine the predictive role of individual sense of coherence, family sense of coherence and family health climate variables on university students' healthy lifestyle behaviors.
Methods: The sample of the study consisted of 371 university students aged 18-25. Sociodemographic Information Form, Healthy Lifestyle Behaviors Scale, Sense of Coherence Scale, Family Sense of Coherence Scale, Family Health Climate Scale were applied to the participants in order to collect the research data. Correlation analysis, independent two-sample t-test, one-way ANOVA test and multiple linear regression analysis were used to analyze the data.
Results: According to the results of correlation analysis, a positive relationship was found between healthy lifestyle behaviors and individual sense of coherence, family sense of coherence and family health climate (p<.05). As a result of the multiple linear hierarchical regression analysis, after controlling for the gender variable, individual sense of coherence and family health climate variables significantly predicted healthy lifestyle behaviors (p<.05), while family sense of coherence had no significant predictive role on healthy lifestyle behaviors (p>.05).
Conclusion: The findings show that individual sense of coherence, family sense of coherence and family health climate variables are essential on university students' healthy lifestyle behaviors.
Ethical Statement
Ethics committee approval of the study was obtained from Işık University Ethics Committee with the decision dated 18.04.2023 and numbered 26034.
Supporting Institution
The study is supported within the scope of TÜBİTAK 2209-A University Students Research Projects Support Program.
References
- World Health Organization. Constitution [Internet]. 2024 [cited 2024 May 2024]. Avaliable from: https://www.who.int/about/accountability/governance/constitution
- Çetinkaya S, Sert H. Healthy lifestyle behaviors of university students and related factors. Acta Paul Enferm. 2021;34:eAPE02942.
- Tamanal JM, Kim CH. Promoting healthy lifestyle in high school students: determination of the lifestyle status through the healthy lifestyle screen (HLS) assessment. J Lifestyle Med 2020;10(1):30-43.
- Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36(2):76-81.
- Debska U, Guła-Kubiszewska H, Starościak W, Kałwa M. Health behaviour of young adults in a globalizing world. J Educ Health Sport 2016; 6(13):82-95.
- Wang YY, Huang XC, Yuan J, Wu, YB. Exploring the Link between Family Health and Health Literacy among College Students: The Mediating Role of Psychological Resilience. Healthcare (Basel) 2023;11(13):1859.
- Cicchella A, Vecenane H, Usca S. Healthy lifestyles of university students, according to demographics, nationality, and study specialty with special reference to sport studies. Front Educ 2022;7:1-11.
- Da-Silva-Domingues H, Del-Pino-Casado R, Palomino-Moral PÁ, López Martínez C, Moreno-Cámara S, Frías-Osuna A. Relationship between sense of coherence and health-related behaviours in adolescents and young adults: a systematic review. BMC Public Health 2022;22(1):477.
- Galletta M, Cherchi M, Cocco A, Lai G, Manca V, Pau M, Tatti F, Zambon G, Deidda S, Origa P, Massa E, Cossu E, Boi F, Contu P. Sense of coherence and physical health-related quality of life in Italian chronic patients: the mediating role of the mental component. BMJ Open. 2019 Sep 17;9(9):e030001.
- Eriksson M, Lindström B. A salutogenic interpretation of the Ottawa Charter. Health Promot Int 2008;23(2):190-9.
- Kato Y, Greimel E, Hu C, Müller-Gartner M, Salchinger B, Freidl W, Saito S, Roth R. The relationship between sense of coherence, stress, body image satisfaction and eating behavior in japanese and austrian students. Psych Journal 2019;1(1):504-514.
- Carballo-Fazanes A, Rico-Díaz J, Barcala-Furelos R, Rey E, Rodríguez-Fernández JE, Varela-Casal C, Abelairas-Gómez C. Physical activity habits and determinants, sedentary behaviour and lifestyle in university students. Int J Environ Res Public Health 2020;17(9):3272.
- World Health Organization. WHO Regional Office for South-East Asia. Family as Centre of Health Development. Report of the Regional Meeting Bangkok, Thailand. 2013 Iris [Internet]. [cited 2023 August 2023]. Available from: https://iris.who.int/handle/10665/205062
- Carneiro FAT, Salvador VF, Costa PA, Leal IP. Family Sense of Coherence Scale: A confirmatory factor analysis in a Portuguese sample. Front Psychol 2022;12:1-10.
- Kalavana T, Lazarou C, Christodoulou C. Family environment influences lifestyle behaviors. Int J Med Health Sci, 2012;7:15-25.
- Speirs KE, Hayes JT, Musaad S, VanBrackle A, Sigman-Grant M; All 4 Kids Obesity Resiliency Research Team. Is family sense of coherence a protective factor against the obesogenic environment? Appetite 2016;99:268-276.
- Niermann CY, Kremers SP, Renner B, Woll A. Family Health Climate and Adolescents' Physical Activity and Healthy Eating: A Cross-Sectional Study with Mother-Father-Adolescent Triads. PLoS One 2015;10(11): e0143599.
- Niermann C, Krapf F, Renner B, Reiner M, Woll A. Family health climate scale (FHC-scale): development and validation. Int J Behav Nutr Phys Act 2014;11(1):30.
- Wäsche H, Niermann C, Bezold J, Woll A. (2021). Family health climate: a qualitative exploration of everyday family life and health. BMC Public Health, 2021;21(1): 1261.
- Mahmood L, Flores-Barrantes P, Moreno LA, Manios Y, Gonzalez-Gil EM. The Influence of Parental Dietary Behaviors and Practices on Children's Eating Habits. Nutrients 2021;13(4):1138.
- Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91.
- James S, Mwembezi G, Chusi, T. Gender differences in healthy lifestyle behaviours: a case of students at the institute of rural development planning in Dodoma, Tanzania. Eur J Health Sci, 2022;7(2):37-46.
- Binkowska-Bury M, Januszewicz P. Sense of coherence and health-related behaviour among university students-a questionnaire survey. Cent Eur J Public Health 2010;18(3):145-150.
- Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Sağlıklı Yaşam Biçimi Davranışları Ölçeği II’nin geçerlik ve güvenirlik çalışması. C.U. Hemşirelik Yüksekokulu Derg 2008;12(1):1-13.
- Antonovsky A. The structure and properties of the Sense of Coherence scale. Soc Sci Med 1993;36(6):725–733.
- Bachem R, Maercker A. Development and psychometric evaluation of a revised Sense of Coherence Scale. Eur J Psychol Assess 2018;34(3):206–215.
- Tekin HH, Kırlıoğlu M. Revize Edilmiş Duygusal Tutarlılık Ölçeği’nin (R-DTÖ) değerlendirilmesi: Türkçe geçerlilik ve güvenirlilik çalışması. Sosyal Bilimler Araştırmaları Derg 2019;14(2):591-604.
- Antonovsky A, Sourani T. Family Sense of Coherence and Family Adaptation. J Marriage Fam 1988;50(1):79-92.
- Sagy S. Effects of personal, family and comunity characteristics of emotional reactions in a stress situation: The golan heights negotiations. Youth Soc, 1998;29: 311-329.
- Çeçen AR. The Turkish version of the Family Sense of Coherence Scale-short form (FSOC-S): Initial development and validation. Educ Sci: Theory Pract 2007;7(3):1211-1218.
- Güney E, Karataş Okyay E, Uçar T. Families' health behavior: validity and reliability of the Turkish version of the family health climate scale. Soc Work Public Health. 2021;36(6):707-722.
- Núñez-Rocha GM, López-Botello CK, Salinas-Martínez AM, Arroyo-Acevedo HV, Martínez-Villarreal RT, Ávila-Ortiz MN. Lifestyle, Quality of Life, and Health Promotion Needs in Mexican University Students: Important Differences by Sex and Academic Discipline. Int J Environ Res Public Health 2020;17(21):8024.
- Kargun M, Cenikli A, Dalkilic M, Ozturk H, Ramazanoglu F, Mamak H. Prospective physical education and sports teachers' healthy lifestyle behaviors. Int J Acad Res, 2013; 5(5): 325–329.
- Gomase P, Chhabra KG, Madhu P, Kharpate S, Bandre G. Effect of sense of coherence and health promoting behavior on overall health. J Res Med Dent Sci, 2021;9(11):162-166.
- Wainwright NW, Surtees PG, Welch AA, Luben RN, Khaw KT, Bingham SA. Sense of coherence, lifestyle choices and mortality. J Epidemiol Community Health 2008;62(9):829-831.
- Ornelas IJ, Perreira KM, Ayala GX. Parental influences on adolescent physical activity: a longitudinal study. Int J Behav Nutr Phys Act 2007;4(3):1-10.
- Moore J, Harré N. Eating and activity: the importance of family and environment. Health Promot J Austr 2007;18(2):143-148.
- Moksnes UK, Espnes GA, Lillefjell M. Sense of coherence and emotional health in adolescents. J Adolesc 2012;35(2):433-441.
- Yao CA, Rhodes, RE. Parental correlates in child and adolescent physical activity: a meta-analysis. Int J Behav Nutr Phys Act 2015;12(10):1-38.
- Sollerhed AC, Hedov G. Active Parents-Active Children-A Study among Families with Children and Adolescents with Down Syndrome. Int J Environ Res Public Health. 2021;18(2):660.
- Fleming MS. Associations between family functioning and adolescent health behaviors. Senior Honors Projects. 2015; Paper 445.
- Burns RD, Colotti TE, Pfledderer CD, Fu Y, Bai Y, Byun W. Familial factors associating with youth physical activity using a national sample. Children (Basel) 2020;7(7):79.
- Wahlqvist M, Björk M, Anderzén-Carlsson A, Huus K. Health-related quality of life, family climate and sense of coherence of families in which a parent has deafblindness. Front Educ 2020;5(143):1-10.
- Omiya T, Deguchi N, Togari T, Yamazaki Y. Factors Influencing Sense of Coherence: Family Relationships, High School Life and Autism Spectrum Tendency. Children (Basel). 2020; 21;7(9):108.
- Silventoinen K, Volanen SM, Vuoksimaa E, Rose RJ, Suominen S, Kaprio J. A supportive family environment in childhood enhances the level and heritability of sense of coherence in early adulthood. Soc Psychiatry Psychiatr Epidemiol 2014;49(12):1951-60.
- Franko DL, Thompson D, Affenito SG, Barton BA, Striegel-Moore RH. What mediates the relationship between family meals and adolescent health issues. Health Psychol 2008;27(2):109–117.
- Welsh EM, French SA, Wall M. Examining the relationship between family meal frequency and individual dietary intake: does family cohesion play a role? J Nutr Educ Behav 2011;43(4):229-35.