Assessing the relationship between lifestyle factors and mental health outcomes among Afghan university students

Abstract

Background: Lifestyle factors such as physical activity, diet, and sleep can impact university students' mental health. This study examined the associations between lifestyle and mental health among students at Herat University in Afghanistan. Methods: A cross-sectional study was conducted among 677 students selected through stratified random sampling. Participants completed a questionnaire on socio-demographics, physical health, dietary habits, and the Depression Anxiety Stress Scale (DASS-42). Chi-square tests and logistic regression analyzed the relationships between lifestyle factors and DASS-42 scores. Results: Poor perceived health and irregular breakfast consumption were associated with higher odds of depression and anxiety. Low vegetable intake also increases the odds of depression and anxiety. Studying non-medical fields and irregular sleep patterns were linked to higher stress levels. Conclusion: Comprehensive health promotion and targeted interventions addressing dietary habits, sleep, and discipline-specific needs may improve the mental well-being of university students. A multidimensional approach is required to foster a healthy campus environment.

Keywords

• Lifestyle
• Mental health
• University students
• Afghanistan