Sociodemographic and Health Correlates of Health-Promoting Behaviors among Nursing Students

Background/Objectives: Limited research exists on the correlates of lifestyle habits among nursing students, particularly regarding their engagement with the Health-Promoting Lifestyle Profile-II, a widely used instrument. Bridging this gap is essential to advance nursing education and practice both at national and international levels. The objectives of this study were to assess health-promoting lifestyle behaviors, examine their relationships, and identify the correlates of positive health behaviors among nursing students. Methods: A cross-sectional study was conducted among 476 students in Spain. Collected data included sociodemographic–academic and health-related variables, along with Health-Promoting Lifestyle Profile-II scale. Correlation and hierarchical multivariate logistic regression analyses were performed. Results: The participants reported modest health-promoting behaviors (2.62±0.33), especially in health responsibility (2.20±0.48) and stress management (2.33±0.44). Health-related variables were more strongly associated with positive behaviors than sociodemographic–academic variables (p<0.001). Significant correlates included Mediterranean diet adherence (high vs. medium and low adherence: AOR = 0.30 [95%CI=0.19–0.49]; p<0.001 and AOR = 0.06 [95%CI=0.02–0.20]; p<0.001), physical activity (high vs. moderate and low level: AOR = 0.52 [95%CI=0.32–0.85]; p=0.008 and AOR = 0.37 [95%CI=0.17–0.80]; p=0.012), and working status (employed vs. unemployed: AOR = 0.56 [95%CI=0.32–0.98]; p=0.042). Conclusions: Strengthening nursing curricula and training environments is essential to promote healthy behaviors. Empowering students can improve self-care, enhance their role as health educators, and support the sustainability of the nursing profession.