Previous studies conducted in various nationally representative samples of the general population show that positive mental health is related to social prosperity. However, specific studies in university populations are scarce. In this study, we set out to explore factors associated with mental well-being (MWB) in a representative sample of first-year university students in Spain. MWB was assessed with the short version of the Warwick-Edinburgh Mental Well-Being Scale. Multinomial logistic regressions were performed to explore the association between different blocks of factors, including relational, adversity, stress, lifestyle, spiritual, health, and self-perceived health variables with high and low MWB, controlling for sociodemographic and university-related variables. Data from 2082 students (18.6 ± 1.2 years; 56.6 % females) were analysed. Being male, being born in a foreign country, “high” self-perceived support, and “high” self-perceived mental health increased the odds of high MWB. Growing up in the suburbs, stressful experiences, and anxiety disorders reduced the odds of high MWB. Mood and anxiety disorders increased the odds of low MWB. “Middle” self-perceived support, sleeping ≥8 h per day, and “high” self-perceived mental health reduced the odds of low MWB. The cross-sectional design precludes establishing causal relationships. Data were collected in the 2014–15 academic year using self-reported online surveys. The factors associated with high and low MWB do not always mirror each other, so specific plans are needed to successfully address each of the two poles. Interventions and policies targeting these factors for health promotion and disease prevention would improve the MWB of university students.

中文翻译：

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西班牙大学生心理健康状况高低的相关因素

先前对具有全国代表性的普通人群样本进行的研究表明，积极的心理健康与社会繁荣有关。然而，针对大学人群的具体研究却很少。在这项研究中，我们以西班牙一年级大学生的代表性样本为样本，探讨与心理健康 (MWB) 相关的因素。 MWB 使用沃里克-爱丁堡心理健康量表的简短版本进行评估。进行多项逻辑回归来探索不同因素之间的关联，包括关系、逆境、压力、生活方式、精神、健康和自我感知健康变量与高和低 MWB，控制社会人口学和大学相关变量。对 2082 名学生（18.6 ± 1.2 岁；56.6% 女性）的数据进行了分析。作为男性、出生在国外、“高”自我感知支持和“高”自我感知心理健康增加了高 MWB 的几率。在郊区长大、压力经历和焦虑症降低了高 MWB 的几率。情绪和焦虑障碍会增加低 MWB 的几率。 “中”自我感知支持、每天睡眠时间≥8小时和“高”自我感知心理健康降低了低 MWB 的几率。横截面设计排除了建立因果关系的可能性。数据是在 2014-15 学年通过自我报告的在线调查收集的。与高和低 MWB 相关的因素并不总是相互反映，因此需要具体的计划来成功解决这两个极点。针对这些因素的健康促进和疾病预防干预措施和政策将改善大学生的 MWB。