Original Article
Survey of Health Attitudes and Behaviors of a Chiropractic College Population

https://doi.org/10.1016/j.jmpt.2009.06.001Get rights and content

Abstract

Objectives

We gathered information about health behaviors on a chiropractic campus, including compliance with recent guidelines for exercise as well as diet, smoking, and binge drinking. We also assessed the perceived importance of the chiropractic physician in role modeling and teaching healthy behaviors to patients.

Methods

A survey instrument composed of 16 questions was designed and distributed to 279 students, faculty, and staff at a chiropractic college campus in northern California. Confidentiality was maintained throughout the process, and a response rate of 92% was obtained. Statistical analysis was performed on the data collected.

Results

The levels of obesity, inactivity, and smoking on this college campus are lower than the levels reported for the metropolitan area, the state, and the nation. The level of binge drinking among our students was high but similar to the reported rates for college students generally. We found interesting and significant relationships between the behaviors of physical activity and diet (red meat consumption), obesity, and self-reported perceived health in our surveyed chiropractic college population. Without exception, all surveyed members of our campus community view doctors of chiropractic as having a responsibility to role model healthy behaviors and to educate their patients with regard to healthy behaviors; however, we also found that less importance was placed on role modeling and patient education by those who were obese or who consumed red meat in excess.

Conclusions

This chiropractic college campus places a high level of importance on both educating patients and role modeling healthy behaviors. In the behavioral domain, the rates of smoking, obesity, and inactivity are lower than what is seen in the general population. However, there remains room for considerable improvement to bring actual health behaviors closer in line with evidence-informed behavioral health practices.

Section snippets

Survey Development

We surveyed age and sex demographics, as well as height/weight. Aside from height/weight, which was collected as interval-level data to allow us to calculate body mass index (BMI), all other survey queries were posed as either categorical (eg, student term as 4 categories, age as 6 categories) or dichotomous (eg, yes/no) survey items.

Response Rates

Of the 279 hand-delivered surveys, 258 were returned for an overall response rate of 92%. By group, survey response rates of students (94%) matched that of faculty (94%), but only 81% of staff returned their surveys.

Demographics and BMI

As reported in Table 1, 62% of our respondents were male, and most respondents (73%) were younger than 34 years old. Body mass index is calculated as weight in kilograms divided by the square of height in meters. The BMI was calculated for each participant based on his or her

Discussion

Chronic diseases are epidemic in modern society. Poor diet and insufficient physical activity have been estimated to have contributed to 400 000 deaths in the United States in 2000.2 We compiled information pertaining to the BMI of various groups within the campus community. Figure 1 is a histogram that shows a frequency distribution of BMI ranges among our survey participants. We found that 15.1% of the participants were obese. It has been estimated that 14.7% of residents in the San

Conclusion

This study indicates that students, faculty, and staff at this chiropractic college campus generally place a high level of importance on both educating patients and role modeling healthy behaviors to patients. We attempted to determine if the members of the campus community “walk the walk” in terms of living a lifestyle that is consistent with healthy behaviors and, in general, found that to be true in terms of our low rates of smoking, obesity, and inactivity relative to those of the general

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