Mental Health Status and Its Influencing Factors among College Students during the Epidemic of Coronavirus Disease 2019:A Multi-center Cross-sectional Study.
10.3881/j.issn.1000-503X.14144
- Author:
Hao WANG
1
;
Ming-Yu SI
1
;
Xiao-You SU
1
;
Yi-Man HUANG
1
;
Wei-Jun XIAO
1
;
Wen-Jun WANG
2
;
Xiao-Fen GU
3
;
Li MA
4
;
Jing LI
5
;
Shao-Kai ZHANG
6
;
Ze-Fang REN
7
;
You-Lin QIAO
1
Author Information
1. Department of Epidemiology and Biostatistics,School of Population Medicine and Public Health, CAMS and PUMC,Beijing 100730,China.
2. Department of Environmental Health,School of Public Health,Jining Medical University,Jining,Shandong 272067,China.
3. Student Affairs Office,Affiliated Tumor Hospital of Xinjiang Medical University,Urumqi 830011,China.
4. Department of Epidemiology,School of Public Health,Dalian Medical University,Dalian,Liaoning 116044,China.
5. Department of Epidemiology and Biostatistics,West China School of Public Health,Sichuan University,Chengdu 610041,China.
6. Henan Office for Cancer Control and Research,Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China.
7. Department of Epidemiology and Biostatistics,School of Public Health,Sun Yat-sen University,Guangzhou 510080,China.
- Publication Type:Multicenter Study
- Keywords:
associated factors;
coronavirus disease 2019;
negative emotion;
post-traumatic stress disorder
- MeSH:
COVID-19/epidemiology*;
Cross-Sectional Studies;
Female;
Health Status;
Humans;
Male;
Students/psychology*;
Universities
- From:
Acta Academiae Medicinae Sinicae
2022;44(1):30-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To measure the prevalence of mental health symptoms and identify the associated factors among college students at the beginning of coronavirus disease 2019(COVID-19)outbreak in China. Methods We carried out a multi-center cross-sectional study via snowball sampling and convenience sampling of the college students in different areas of China.The rates of self-reported depression,anxiety,and stress and post-traumatic stress disorder(PTSD)were assessed via the 21-item Depression-Anxiety-Stress Scale(DASS-21)and the 6-item Impact of Event Scale-Revised(IES-6),respectively.Covariates included sociodemographic characteristics,health-related data,and information of the social environment.Data pertaining to mental health service seeking were also collected.Multivariate Logistic regression analyses were performed to identify the risk factors. Results A total of 3641 valid questionnaires were collected from college students.At the beginning of the COVID-19 outbreak,535(14.69%)students had negative emotions,among which 402(11.04%),381(10.49%),and 171(4.90%)students had the symptoms of depression,anxiety,and stress,respectively.Meanwhile,1245(34.19%)college students had PTSD.Among the risk factors identified,male gender was associated with a lower likelihood of reporting depression symptoms(AOR=0.755,P=0.037],and medical students were at higher risk of depression and stress symptoms than liberal arts students(AOR=1.497,P=0.003;AOR=1.494,P=0.045).Family support was associated with lower risks of negative emotions and PTSD in college students(AOR=0.918,P<0.001;AOR=0.913,P<0.001;AOR=0.899,P<0.001;AOR=0.971,P=0.021). Conclusions College students were more sensitive to public health emergencies,and the incidence of negative emotions and PTSD was significantly higher than that before the outbreak of COVID-19.More attention should be paid to female college students who were more likely to develop negative emotions.We should strengthen positive and proper propaganda via mass media and help college students understand the situation and impact of COVID-19.Furthermore,we should enhance family support for college students.The government and relevant agencies need to provide appropriate mental health services to the students under similar circumstances to avoid the deterioration of their mental well-being.
