title: Differences in health determinants between international and domestic students at a German university.
abstract: The authors used a standardized questionnaire to survey 201 international and 193 German students at the University of Bielefeld, Germany, to determine differences in health practices between the 2 groups and to identify targets for health-promoting interventions. Multivariate logistic regression models revealed that long-term female international students (those whose duration of residency in Germany was more than 2 years) had lower levels of physical activity and alcohol consumption than their German counterparts and higher rates of smoking independently associated with international citizenship. Short-term international female students were less likely than German students to receive social support. Among men, long-term international student status was associated with daily smoking and inconsistent seat belt use, whereas short-term student status was associated with a lower rate of seat belt use, a higher level of perceived stress, and a healthier diet, compared with domestic students. Findings from the study could give rise to health-promotion activities for international students at German universities; additional studies at other European universities are necessary before making further recommendations.
authors.affiliation: Department of Public Health Medicine, School of Public Health, University of Bielefeld, Germany. alexander.kraemer@uni-bielefeld.de
authors.forename: Alexander
authors.initials: A
authors.lastname: Krämer
authors.forename: Luise
authors.initials: L
authors.lastname: Prüfer-Krämer
authors.forename: Christiane
authors.initials: C
authors.lastname: Stock
authors.forename: Jacques Tshiang
authors.initials: JT
authors.lastname: Tshiananga
mesh_terms: D000328:Adult; D005260:Female; D005858:Germany; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D038622:Internationality; D008297:Male; D012307:Risk Factors; D013334:Students / Q000145:classification* / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014495:Universities