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Geographic Distribution of Mental Health Problems Among Chinese College Students During the COVID-19 Pandemic: Nationwide

发布时间:2021-07-13 信息来源:出生人口健康教育部重点实验室 作者:rkjkys 浏览:0
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Geographic Distribution of Mental Health Problems Among Chinese College Students During the COVID-19 Pandemic: Nationwide, Web-Based Survey Study

Highlight本研究采用新冠肺炎流行期间,调查全国16个省、自治区和直辖市大学生对疫情认知、行为、心理反应的地理特征。结果发现,当前居住在武汉、过去一个月有武汉旅居史、大学所在地为武汉均与大学生焦虑症状和抑郁症状呈正性关联。此外,当前居住在武汉、大学所在地为武汉的大学生自我感知的感染风险更高,且与焦虑症状、抑郁症状呈正性关联。了解新冠肺炎疫情对不同地区大学生心理健康的影响,将为政府相关部门、高校和大学生疫情防控提供针对性防控策略。

Abstract

Background:Since the COVID-19 outbreak was first reported, considerable attention has been drawn to mental health problems among college students.

Objective:We aimed to estimate the prevalence of anxiety and depressive symptoms among college students in different geographical areas of China during the early stage of the COVID-19 outbreak.

Methods:A nationwide cross-sectional survey was conducted among Chinese college students of 16 provinces or municipalities from February 4 to 12, 2020. A web-based survey was adopted to collect information from these college students, including demographics, perceived risk of infection, attitudes toward the epidemic and its control, and mental health status. Anxiety symptoms were assessed using the Generalized Anxiety Disorder scale, and depressive symptoms were assessed using the Patient Health Questionnaire. Chi-square test was used to compare the percentage of perceived risk of infection and attitude toward COVID-19 among college students in different geographic locations. Binary logistic models were used to identify associations between geographic locations and mental health problems after controlling for covariates.

Results:A total of 11,787 participants were analyzed in this study (response rate: 79.7%). The prevalence of anxiety and depressive symptoms among college students was 17.8% (95% CI 17.1%-18.5%) and 25.9% (95%CI 25.1%-26.7%), respectively. After controlling for covariates, current residence area in Wuhan city was found to have a positive association with anxiety symptoms (odds ratio [OR] 1.37, 95% CI 1.11-1.68) and depressive symptoms (OR 1.32, 95% CI 1.09-1.59). Similarly, college location in Wuhan city was found to have a positive association with anxiety symptoms (OR 1.20, 95% CI 1.07-1.35) and depressive symptoms (OR 1.22, 95% CI 1.10-1.36). History of residence in or travel to Wuhan city in the past month was also positively associated with anxiety symptoms (OR 1.62, 95% CI 1.46-1.80) and depressive symptoms (OR 1.48, 95% CI 1.35-1.63). Furthermore, the perceived risk of COVID-19 was higher among students whose college location and current residence area were in Wuhan city, and it was positively associated with anxiety and depressive symptoms.

Conclusions:During the COVID-19 pandemic, mental health problems among Chinese college students were widespread and geographically diverse. Our study results provide further insight for policymakers to develop targeted intervention strategies.

 

Wu X, Tao S, Zhang Y, Li S, Ma L, Yu Y, Sun G, Li T, Tao F. Geographic Distribution of Mental Health Problems Among Chinese College Students During the COVID-19 Pandemic: Nationwide, Web-Based Survey Study. J Med Internet Res. 2021;23(1):e23126. doi: 10.2196/23126.

 

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