Background: Self-rated health status (SRHS) is a reliable and valid measure for assessing the subjective and objective health of individuals. Previous studies have either focused predominantly on the elderly or investigated only a narrow range of factors potentially associated with SRHS. In examining student populations, these past studies were limited to single countries. The objectives of this study were to assess which candidate variables were independently associated with SRHS in university students, to compare these variables by country and by gender, and to investigate which of the variables was most important as a rating frame for SRHS.

The difference in prevalence of depressive symptoms in university students from Eastern and Western European countries persists 15 years after political changes have taken place and cannot be explained by differences in perceived sufficiency of income.

Aims This study sought to determine the relationship among gender, quality of life and subjective health complaints in university students from six European countries and Turkey. Subjects and methods In surveys conducted between 1998 and 2005, ten health complaints were measured in a sample of 5,317 university students by a symptom checklist with a self-administered questionnaire, which also contained questions on socio-demographic variables and a one-item quality of life measure. Results The gender-standardised prevalence was highest for nervousness and headache followed by back ache or neck/ shoulder ache in most of the countries. Overall, students from Turkey and Spain reported the highest level of complaints and students from Denmark and Lithuania the lowest. Female students were significantly more likely to report health complaints. The gender difference was consistent across types of complaints and study sites, but varied in size. It was on average smallest in Turkey and strongest in the Slavic countries, Poland and Bulgaria. Among all health complaints, depressive moods had the strongest negative impact on quality of life. Conclusion Although the results cannot be generalized to the general populations of the respective countries, the different profiles of reported complaints and gender differences should give rise to special interventions in these populations of young adults.

BackgroundAlcohol drinking was linked to self-rated health in different populations, but the observed association was inconsistent. We studied the association among university students across three European countries with different patterns of drinking.MethodsWe analyzed data from three universities, one from each country: Germany (beer dominant), Bulgaria (wine dominant), and Poland (unclassified among youths, spirits dominant in adults) (N = 2103). Frequency of drinking and problem drinking (≥2 positive responses on CAGE-scale), on the one side, and self-rated health, caring for one’s own health, and worsening of health since the last year, on the other side, were assessed by means of self-administered questionnaire. The association between alcohol- (independent) and health-related (dependent) variables was evaluated by means of logistic regression, adjusting for country and sex.ResultsPoor self-rated health and worsened health since previous year were associated with problem drinking {odds ratio 1.82 [95% confidence interval (CI) 1.21–2.73] and 1.61 (95% CI 1.17–2.21), respectively}, but not with a higher frequency of drinking. In contrast, not caring for one’s own health was associated with frequent drinking [1.40 (95% CI 1.10–1.78)], but not with problem drinking [1.25 (95% CI 0.95–1.63)]. The results were consistent across the studied countries and for both sexes.ConclusionThe health status of university students was associated with problem drinking. A high frequency of drinking was associated with the lack of care of own health, but it was not associated with current health status. These associations were independent of the predominant pattern of drinking across the studied countries.

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