Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia
Despite the various theoretical frameworks of acculturation, the mechanisms by which acculturation affects health and well-being remain unclear. This cross-sectional study explores the role of acculturation in self-rated health (SRH) among international medical students. The study was conducted in 2...
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| Format: | Article |
| Language: | English |
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Medical University - Pleven
2025-02-01
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| Series: | Journal of Biomedical & Clinical Research |
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| Online Access: | https://jbcr.arphahub.com/article/136313/download/pdf/ |
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| author | Joana Simeonova Angelika Velkova Lidia Georgieva Peshka Pesheva Kristina Popova Nikolai Hristov Elia Georgieva Maria Pravchanska |
| author_facet | Joana Simeonova Angelika Velkova Lidia Georgieva Peshka Pesheva Kristina Popova Nikolai Hristov Elia Georgieva Maria Pravchanska |
| author_sort | Joana Simeonova |
| collection | DOAJ |
| description | Despite the various theoretical frameworks of acculturation, the mechanisms by which acculturation affects health and well-being remain unclear. This cross-sectional study explores the role of acculturation in self-rated health (SRH) among international medical students. The study was conducted in 2024 at the Medical University – Sofia and included 326 participants. The Stephenson Multigroup Acculturation Scale (SMAS) was employed to assess cultural influences from both the host and home countries, focusing on two dimensions: Ethnic Society Immersion (ESI) and Dominant Society Immersion (DSI). SRH was measured using a five-category Likert scale. Covariates included perceived stress, social support, and health behaviour factors. Logistic binary regression was applied for analysis. The findings revealed that most international medical students rated their health as good (56.4%). Poor health was significantly associated (p < 0.05) with lower ESI (Mdn = 3.4), higher stress levels (Mdn = 22), and a lack (31.9%) or insufficiency (54.2%) of physical activity (PA). ESI emerged as a significant predictor of good health (Exp(B) = 0.403; p = 0.004). The impact of DSI on poor SRH was mediated by PA (Exp(B) = 4.629 and Exp(B) = 2.699, p < 0.05 for both risk groups). The results of this study can be useful in planning health and social services for international students, considering their specific needs. |
| format | Article |
| id | doaj-art-c52697e8299442038aaaa428a984b8c1 |
| institution | Kabale University |
| issn | 1313-9053 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Medical University - Pleven |
| record_format | Article |
| series | Journal of Biomedical & Clinical Research |
| spelling | doaj-art-c52697e8299442038aaaa428a984b8c12025-02-07T08:31:45ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532025-02-01181233210.3897/jbcr.e136313136313Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – SofiaJoana Simeonova0Angelika Velkova1Lidia Georgieva2Peshka Pesheva3Kristina Popova4Nikolai Hristov5Elia Georgieva6Maria Pravchanska7Medical University – SofiaMedical University – SofiaMedical University – SofiaMedical University – SofiaMedical University – SofiaMedical University – SofiaMedical University – SofiaMedical University – SofiaDespite the various theoretical frameworks of acculturation, the mechanisms by which acculturation affects health and well-being remain unclear. This cross-sectional study explores the role of acculturation in self-rated health (SRH) among international medical students. The study was conducted in 2024 at the Medical University – Sofia and included 326 participants. The Stephenson Multigroup Acculturation Scale (SMAS) was employed to assess cultural influences from both the host and home countries, focusing on two dimensions: Ethnic Society Immersion (ESI) and Dominant Society Immersion (DSI). SRH was measured using a five-category Likert scale. Covariates included perceived stress, social support, and health behaviour factors. Logistic binary regression was applied for analysis. The findings revealed that most international medical students rated their health as good (56.4%). Poor health was significantly associated (p < 0.05) with lower ESI (Mdn = 3.4), higher stress levels (Mdn = 22), and a lack (31.9%) or insufficiency (54.2%) of physical activity (PA). ESI emerged as a significant predictor of good health (Exp(B) = 0.403; p = 0.004). The impact of DSI on poor SRH was mediated by PA (Exp(B) = 4.629 and Exp(B) = 2.699, p < 0.05 for both risk groups). The results of this study can be useful in planning health and social services for international students, considering their specific needs.https://jbcr.arphahub.com/article/136313/download/pdf/Acculturationbinary logistic regressionhealth |
| spellingShingle | Joana Simeonova Angelika Velkova Lidia Georgieva Peshka Pesheva Kristina Popova Nikolai Hristov Elia Georgieva Maria Pravchanska Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia Journal of Biomedical & Clinical Research Acculturation binary logistic regression health |
| title | Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia |
| title_full | Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia |
| title_fullStr | Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia |
| title_full_unstemmed | Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia |
| title_short | Predictive abilities of acculturation for differences in self-rated health among international medical students from Medical University – Sofia |
| title_sort | predictive abilities of acculturation for differences in self rated health among international medical students from medical university amp ndash sofia |
| topic | Acculturation binary logistic regression health |
| url | https://jbcr.arphahub.com/article/136313/download/pdf/ |
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