The vocational education setting for health promotion: a survey of students’ health risk behaviours and preferences for help
Billie Bonevski A D , Ashleigh Guillaumier A , Christine Paul B and Raoul Walsh C
+ Author Affiliations
- Author Affiliations
A School of Medicine and Public Health, University of Newcastle, Level 5, McAuley Centre, The Calvary-Mater Hospital, Cnr Edith Street and Platt Street, Waratah, NSW 2298, Australia.
B Health Behaviour Research Group, School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
C School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
D Corresponding author. Email: billie.bonevski@newcastle.edu.au
Health Promotion Journal of Australia 24(3) 185-191 https://doi.org/10.1071/HE13047
Submitted: 24 June 2013 Accepted: 25 November 2013 Published: 19 December 2013
Abstract
Background: Adolescence and young adulthood is a time of risky health behaviour initiation and experimentation. Smoking, risky drinking, poor nutrition and physical activity, and a lack of sun protection behaviour, often become established in early adulthood. Levels of health risk behaviours occurring amongst tertiary education and training students and their preferences for types of on-campus health promotion programs were examined.
Method: A cross-sectional pen-and-paper classroom survey was conducted at one Sydney-based TAFE New South Wales Institute campus in May 2010. The survey assessed demographics, smoking, alcohol use, sun protection, nutrition, physical activity and health promotion program preferences.
Results: Two hundred and twenty-four students participated (97% consent); the majority were aged 16–24 years (59%) and female (51%). Current smoking (35%), risky drinking (49%) and inadequate physical activity (88%) rates were high. Adequate vegetable intake (3.6%) and sun protection behaviours (5.4%) were low and 33% of students were overweight or obese. Popular health promotion programs included food and activity subsidies, practical skills classes and social outings.
Conclusion: Participation in health risk behaviours among this sample was high. The setting of tertiary education and workplace training represents an opportunity for early intervention into risky health behaviours among young people.
So what?: This study is the first to provide information on the prevalence of health risk behaviours and preferences for types of health promoting programs among students of an Australian community college. The results show that young adults regularly participate in multiple health risk behaviours, such as smoking, drinking, poor nutrition, physical activity and lack of sun protection.
References
[1] Australian Institute of Health and Welfare. Australia’s health 2010. Canberra: AIHW2010. Report No.: Cat. no. AUS 122.[2] Grunbaum JA, Kann L, Kinchen SA, Williams B, Ross JG, Lowry R, et al (2002) Youth Risk Behavior Surveillance — United States, 2001. J Sch Health 72, 313–28.
| Youth Risk Behavior Surveillance — United States, 2001.Crossref | GoogleScholarGoogle Scholar | 12389372PubMed |
[3] Von Ah D, Ebert S, Ngamvitroj A, Parj N, Kang D (2004) Predictors of health behaviours in college students. J Adv Nurs 48, 463–74.
| Predictors of health behaviours in college students.Crossref | GoogleScholarGoogle Scholar | 15533084PubMed |
[4] Leatherdale ST, Burkhalter R (2012) The substance use profile of Canadian youth: Exploring the prevalence of alcohol, drug and tobacco use by gender and grade. Addict Behav 37, 318–22.
| The substance use profile of Canadian youth: Exploring the prevalence of alcohol, drug and tobacco use by gender and grade.Crossref | GoogleScholarGoogle Scholar | 22100547PubMed |
[5] Warren CW, Kann L, Small ML, Santelli JS, Collins JL, Kolbe LJ (1997) Age of initiating selected health-risk behaviors among high school students in the united states. J Adolesc Health 21, 225–31.
| Age of initiating selected health-risk behaviors among high school students in the united states.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK2svkvFCgtQ%3D%3D&md5=5edc16ff41f7f14f35822718eda96346CAS | 9304453PubMed |
[6] Wechsler H, Rigotti NA, Gledhill-Hoyt J, Lee H (1998) Increased levels of cigarette use among college students. JAMA 280, 1673–8.
| Increased levels of cigarette use among college students.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1M%2FkvVygug%3D%3D&md5=ebc0183666fbb13c1b0cab4d4a57fd12CAS | 9831998PubMed |
[7] Bernat DH, Erickson DJ, Widome R, Perry CL, Forster JL (2008) Adolescent smoking trajectories: results from a population-based cohort study. J Adolesc Health 43, 334–40.
| Adolescent smoking trajectories: results from a population-based cohort study.Crossref | GoogleScholarGoogle Scholar | 18809130PubMed |
[8] Australian Institute of Health and Welfare. Young Australians: their health and wellbeing 2011. Canberra: AIHW2011 Contract No.: Cat no. PHE 140.
[9] Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA (1998) The audit alcohol consumption questions (audit-c): An effective brief screening test for problem drinking. Arch Intern Med 158, 1789–95.
| The audit alcohol consumption questions (audit-c): An effective brief screening test for problem drinking.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1cvgvV2rug%3D%3D&md5=969ca45ed267c7fd4a356ede977fbba6CAS | 9738608PubMed |
[10] Giskes K, Kunst AE, Benach J, Borrell C, Costa G, Dahl E, et al (2005) Trends in smoking behaviour between 1985 and 2000 in nine European countries by education. J Epidemiol Community Health 59, 395–401.
| Trends in smoking behaviour between 1985 and 2000 in nine European countries by education.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2M7psl2quw%3D%3D&md5=b35c4e765ea08aa5f836f690a6410a51CAS | 15831689PubMed |
[11] James R. Socioeconomic background and higher education participation: An analysis of school students’ aspirations and expectations. Canberra: Department of Education, Science and Training; 2002.
[12] Kypri K, Langley JD, Saunders JB, Cashell-Smith ML, Herbison P (2008) Randomized controlled trial of web-based alcohol screening and brief intervention in primary care. Arch Intern Med 168, 530–6.
| Randomized controlled trial of web-based alcohol screening and brief intervention in primary care.Crossref | GoogleScholarGoogle Scholar | 18332300PubMed |
[13] Kypri K, Saunders JB, Williams SM, McGee RO, Langley JD, Cashell-Smith ML, et al (2004) Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial. Addiction 99, 1410–7.
| Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial.Crossref | GoogleScholarGoogle Scholar | 15500594PubMed |
[14] NSW Department of Education and Communities. Annual report 2011. Sydney: 2012.
[15] Department of Industry Innovation Science Research and Tertiary Education. 2011 Student Full Year. 2012. Available from: http://www.innovation.gov.au/highereducation/HigherEducationStatistics/StatisticsPublications/Pages/2011StudentFullYear.aspx [Verified August 2013]
[16] NSW Department of Education and Training. Annual report 2006. Sydney: DET; 2007.
[17] Edwards D, Wakefield M, Roberts L, Owen N (1997) Smoking behaviour, stage of change and preferences for cessation assistance among young people attending an institute of Technical and Further Education (TAFE). Health Promot J Austr 7, 18–21.
[18] Fisher KJ, Stanton WR, Lowe JB (1999) Healthy behaviors, lifestyle, and reasons for quitting smoking among out-of-school youth. J Adolesc Health 25, 290–7.
| Healthy behaviors, lifestyle, and reasons for quitting smoking among out-of-school youth.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MvjtlKltA%3D%3D&md5=3da34845b10fa203a9c7159a726d257bCAS | 10505847PubMed |
[19] Stanton WR, Lowe JB, Fisher J, Gillespie AM, Rose JM (1999) Beliefs about smoking cessation among out-of-school youth. Drug Alcohol Depend 54, 251–8.
| Beliefs about smoking cessation among out-of-school youth.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK1MzgtVSisQ%3D%3D&md5=0522c0b9eab41b76e066304b1e6bc8a3CAS | 10372798PubMed |
[20] Australian Institute of Health and Welfare. Australia’s health 2008. Cat. no. AUS 99. Canberra: AIHW; 2008.
[21] Australian Institute of Health and Welfare. Cancer in Australia: an overview, 2008. Canberra: 2009.
[22] Bradley KA, DeBenetti AF, Volk RJ, Williams EC, Frank D, Kivlahan DR (2007) AUDIT-C as a brief screen for alcohol misuse in primary care. Alcohol Clin Exp Res 31, 1208–17.
| AUDIT-C as a brief screen for alcohol misuse in primary care.Crossref | GoogleScholarGoogle Scholar | 17451397PubMed |
[23] Saunders JB, Aasland OG, Babor TF, De La Fuente JR, Grant M (1993) Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II. Addiction 88, 791–804.
| Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK3szitVOltw%3D%3D&md5=20076dd14933e48ed56aa47ec7023a2bCAS | 8329970PubMed |
[24] Fleming MF, Barry KL, Macdonald R (1991) The Alcohol Use Disorders Identification Test (AUDIT) in a college sample. Subst Use Misuse 26, 1173–85.
| The Alcohol Use Disorders Identification Test (AUDIT) in a college sample.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK38%2FnslOqtQ%3D%3D&md5=639405b48935831255160b99d0995a55CAS |
[25] National Health and Medical Research Council. Australian guidelines to reduce health risks from drinking alcohol. Canberra: Australian Government; 2009.
[26] Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG. The Alcohol Use Disorders Identification Test: guidelines for use in primary care. Geneva: World Health Organization; 2001.
[27] Australian Bureau of Statistics. National nutrition survey users’ guide 1995. Catalogue No. 4801.0. Canberra: ABS; 1998.
[28] Australian Bureau of Statistics. National health survey 2007–2008: summary of results. Cat no 4364.0. Canberra: 2009.
[29] Australian Government Department of Health and Ageing. Dietary guidelines for Australians: a guide to healthy eating. 2005. Available from: http://www.nhmrc.gov.au/_files_nhmrc/file/publications/synopses/n31.pdf [Verified 4 May 2011]
[30] Australian Institute of Health and Welfare. The active Australia survey: a guide and manual for implementation, analysis and reporting. Canberra: AIHW; 2003.
[31] Department of Health and Aged Care. An active way to better health. National physical activity guidelines for adults. 1999.
[32] Dobbinson S, Jamsen K, Francis K, Dunlop S, Wakefield M. 2006–07 National Sun Protection Survey: Report 1. Cancer Council Australia, Australian Government Department of Health and Ageing; 2007.
[33] Livingston PM, White V, Hayman J, Dobbinson S (2007) Australian adolescents’ sun protection behavior: Who are we kidding? Prev Med 44, 508–12.
| Australian adolescents’ sun protection behavior: Who are we kidding?Crossref | GoogleScholarGoogle Scholar | 17400286PubMed |
[34] SAS Institute Inc. 9.2 edn. Cary, NC.
[35] Prochaska JJ, Spring B, Nigg CR (2008) Multiple health behavior change research: an introduction and overview. Prev Med 46, 181–8.
| Multiple health behavior change research: an introduction and overview.Crossref | GoogleScholarGoogle Scholar | 18319098PubMed |
[36] Peterson S, Duncan DP, Null DB, Roth SL, Gill L (2010) Positive changes in perceptions and selections of healthful foods by college students after a short-term point-of-selection intervention at a dining hall. J Am Coll Health 58, 425–31.
| Positive changes in perceptions and selections of healthful foods by college students after a short-term point-of-selection intervention at a dining hall.Crossref | GoogleScholarGoogle Scholar | 20304754PubMed |
[37] Dick M, Lee A, Bright M, Turner K, Edwards R, Dawson J, et al (2012) Evaluation of implementation of a healthy food and drink supply strategy throughout the whole school environment in Queensland state schools, Australia. Eur J Clin Nutr 66, 1124–9.
| Evaluation of implementation of a healthy food and drink supply strategy throughout the whole school environment in Queensland state schools, Australia.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC38fnvFyruw%3D%3D&md5=e55a01d2070cbc4a4710eb2da51112ceCAS | 22892436PubMed |
[38] Dobbins M, De Corby K, Robeson P, Husson H, Tirilis D (2009) School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6–18. Cochrane Database Syst Rev 1, CD007651
[39] Eagle TF, Gurm R, Smith CA, Corriveau N, Durussell-Weston J, Palma-Davis L, et al (2013) A middle school intervention to improve health behaviors and reduce cardiac risk factors. Am J Med 126, 903–8.
| A middle school intervention to improve health behaviors and reduce cardiac risk factors.Crossref | GoogleScholarGoogle Scholar | 23932159PubMed |
[40] Williams CL, Eng A, Botvin GJ, Hill P, Wynder EL (1979) Validation of students’ self-reported cigarette smoking status with plasma cotinine levels. Am J Public Health 69, 1272–4.
| Validation of students’ self-reported cigarette smoking status with plasma cotinine levels.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaL3c%2Fmt1Oqsw%3D%3D&md5=5cb0c9d798e283646f0b0fe690e9cae4CAS | 507259PubMed |