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Comparison of Subjective Health Complaints between Chinese and German University Students: A Cross-Sectional Study

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  • Janet Junqing Chu

    (Department of Public Health Medicine, School of Public Health, Bielefeld University, Universitaetsstr. 25, Bielefeld 33615, Germany)

  • Mobarak Hossain Khan

    (Department of Public Health Medicine, School of Public Health, Bielefeld University, Universitaetsstr. 25, Bielefeld 33615, Germany)

  • Heiko J. Jahn

    (Department of Public Health Medicine, School of Public Health, Bielefeld University, Universitaetsstr. 25, Bielefeld 33615, Germany)

  • Alexander Kraemer

    (Department of Public Health Medicine, School of Public Health, Bielefeld University, Universitaetsstr. 25, Bielefeld 33615, Germany)

Abstract

High rates of health complaints (HCs) with substantial variation are reported in different university populations, which can be linked to socio-demographic, lifestyle-related factors, and cultural differences. HCs can be categorized into distinct components. This study aimed to identify and compare underlying dimensions of HCs (HC components); to access and compare HC prevalence, and the associations between HC components, socio-demographic, lifestyle-related factors, and perceived stress in German and Chinese university students. Two health surveys were conducted among 5159 university students (1853 Chinese, 3306 German). Factor analysis and logistic regression were applied. The prevalence of HC ranged from 4.6% to 40.2% over the two countries. Germans reported at least three HCs more often (47.2% vs. 35.8%). Chinese students more often reported gastrointestinal complaints. Perceived stress was positively associated with all three HC components in both countries (OR = 1.03–1.50) with stronger associations among Germans. Women more often reported HCs (OR = 1.32–2.43) with stronger associations among the Germans. Having a father with a low educational level was associated with high psychological symptoms among the Chinese (OR = 1.51), but with low gastrointestinal complaints among the Germans (OR = 0.79). The high prevalence of HCs in students requires country-specific interventions.

Suggested Citation

  • Janet Junqing Chu & Mobarak Hossain Khan & Heiko J. Jahn & Alexander Kraemer, 2015. "Comparison of Subjective Health Complaints between Chinese and German University Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 12(12), pages 1-13, December.
  • Handle: RePEc:gam:jijerp:v:12:y:2015:i:12:p:15019-15806:d:60405
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    References listed on IDEAS

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    1. Walid El Ansari & Khalid Khalil & Christiane Stock, 2014. "Symptoms and Health Complaints and Their Association with Perceived Stressors among Students at Nine Libyan Universities," IJERPH, MDPI, vol. 11(12), pages 1-20, November.
    2. Torsheim, Torbjorn & Aaroe, Leif Edvard & Wold, Bente, 2001. "Sense of coherence and school-related stress as predictors of subjective health complaints in early adolescence: interactive, indirect or direct relationships?," Social Science & Medicine, Elsevier, vol. 53(5), pages 603-614, September.
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    1. Walid El Ansari & Abdul Salam, 2020. "Is Achieving the Guidelines of Four Forms of Physical Activity Associated with Less Self-Reported Health Complaints? Cross-Sectional Study of Undergraduates at the University of Turku, Finland," IJERPH, MDPI, vol. 17(15), pages 1-19, August.

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