Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China : Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities
BACKGROUND: During the coronavirus disease (COVID-19) pandemic, harsh social distancing measures were taken in China to contain viral spread. We examined their impact on the lives of medical students.
METHODS: A nation-wide cross-sectional survey of college students was conducted from 4-12 February 2020. We enrolled medical students studying public health in Beijing and Wuhan to assess their COVID-19 awareness and to evaluate their mental health status/behaviors using a self-administered questionnaire. We used the Patient Generalized Anxiety Disorder-7 and Health Questionnaire-9 to measure anxiety disorders and depression. We used multivariable logistic regression and path analysis to assess the associations between covariates and anxiety disorder/depression.
RESULTS: Of 933 students, 898 (96.2%) reported wearing masks frequently when going out, 723 (77.5%) reported daily handwashing with soap, 676 (72.5%) washed hands immediately after arriving home, and 914 (98.0%) reported staying home as much as possible. Prevalence of anxiety disorder was 17.1% and depression was 25.3%. Multivariable logistic regression showed anxiety to be associated with graduate student status (odds ratio (aOR) = 2.0; 95% confidence interval (CI): 1.2-3.5), negative thoughts or actions (aOR = 1.6; 95% CI: 1.4-1.7), and feeling depressed (aOR = 6.8; 95% CI: 4.0-11.7). Beijing students were significantly less likely to have anxiety than those in the Wuhan epicenter (aOR = 0.9; 95% CI: 0.8-1.0), but depression did not differ. Depression was associated with female students (aOR = 2.0; 95% CI: 1.2-3.3), negative thoughts or actions (aOR = 1.7; 95% CI: 1.5-1.9), and anxiety disorder (aOR = 5.8; 95% CI: 3.4-9.9). Path analysis validated these same predictors.
CONCLUSIONS: Despite medical students' knowledge of disease control and prevention, their lives were greatly affected by social distancing, especially in the Wuhan epicenter. Even well-informed students needed psychological support during these extraordinarily stressful times.
| Errataetall: |
ErratumIn: Int J Environ Res Public Health. 2020 Dec 28;18(1):. - PMID 33379414 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
International journal of environmental research and public health - 17(2020), 14 vom: 14. Juli |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Xiao, Huidi [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 31.07.2020 Date Revised 31.12.2020 published: Electronic ErratumIn: Int J Environ Res Public Health. 2020 Dec 28;18(1):. - PMID 33379414 Citation Status MEDLINE |
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| doi: |
10.3390/ijerph17145047 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM312506880 |
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| 245 | 1 | 0 | |a Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China |b Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities |
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| 500 | |a Date Revised 31.12.2020 | ||
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| 500 | |a ErratumIn: Int J Environ Res Public Health. 2020 Dec 28;18(1):. - PMID 33379414 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: During the coronavirus disease (COVID-19) pandemic, harsh social distancing measures were taken in China to contain viral spread. We examined their impact on the lives of medical students | ||
| 520 | |a METHODS: A nation-wide cross-sectional survey of college students was conducted from 4-12 February 2020. We enrolled medical students studying public health in Beijing and Wuhan to assess their COVID-19 awareness and to evaluate their mental health status/behaviors using a self-administered questionnaire. We used the Patient Generalized Anxiety Disorder-7 and Health Questionnaire-9 to measure anxiety disorders and depression. We used multivariable logistic regression and path analysis to assess the associations between covariates and anxiety disorder/depression | ||
| 520 | |a RESULTS: Of 933 students, 898 (96.2%) reported wearing masks frequently when going out, 723 (77.5%) reported daily handwashing with soap, 676 (72.5%) washed hands immediately after arriving home, and 914 (98.0%) reported staying home as much as possible. Prevalence of anxiety disorder was 17.1% and depression was 25.3%. Multivariable logistic regression showed anxiety to be associated with graduate student status (odds ratio (aOR) = 2.0; 95% confidence interval (CI): 1.2-3.5), negative thoughts or actions (aOR = 1.6; 95% CI: 1.4-1.7), and feeling depressed (aOR = 6.8; 95% CI: 4.0-11.7). Beijing students were significantly less likely to have anxiety than those in the Wuhan epicenter (aOR = 0.9; 95% CI: 0.8-1.0), but depression did not differ. Depression was associated with female students (aOR = 2.0; 95% CI: 1.2-3.3), negative thoughts or actions (aOR = 1.7; 95% CI: 1.5-1.9), and anxiety disorder (aOR = 5.8; 95% CI: 3.4-9.9). Path analysis validated these same predictors | ||
| 520 | |a CONCLUSIONS: Despite medical students' knowledge of disease control and prevention, their lives were greatly affected by social distancing, especially in the Wuhan epicenter. Even well-informed students needed psychological support during these extraordinarily stressful times | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a personal protective measures | |
| 650 | 4 | |a social distancing | |
| 700 | 1 | |a Shu, Wen |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Menglong |e verfasserin |4 aut | |
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| 700 | 1 | |a Tao, Fangbiao |e verfasserin |4 aut | |
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| 700 | 1 | |a Vermund, Sten H |e verfasserin |4 aut | |
| 700 | 1 | |a Hu, Yifei |e verfasserin |4 aut | |
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