Omokhodion F O
Occupational Health Unit, Department of Community Medicine, University College Hospital, Ibadan, Nigeria.
Afr J Med Med Sci. 2003 Jun;32(2):135-8.
Recent changes in the psychosocial environment of the university campus such as the steep rise in student numbers, the high cost of living standards and the increase in violence and cult activities has prompted the need to assess the impact of these changes on the students. A cross sectional study was carried out among pre-clinical medical students to identify their psychosocial problems. A self-administered questionnaire was used to collect information about socio-demographic variables including age, sex, sources of financial support, type of accommodation, smoking and drinking habits and use of recreational facilities. Causes of insecurity and depression among students were also recorded. The General Health Questionnaire GHQ-12 was used to assess their mental health status. One hundred and seventy-six students responded to the enquiry, 94 males (53%) and 80 females (45%). One hundred and thirty-seven (79%) live on the campus while 37 (21%) live off campus. Only 9 of the students (5%) were smokers and 28 (16%) were drinkers. Monthly pocket money ranged from Naira 1,000 to Naira 25,000. Forty-one (23%) thought their pocket money was adequate, 92 (52%) thought it was fair and 39 (22%) thought it was inadequate. Causes of insecurity on the campus were cultism 34 (19%), lack of money 27 (15%), lack of textbooks 13 (7%) and stealing 10 (6%). Causes of depression include fear of failure of examinations, 62 (35%), lack of money, 48 (27%) and family problems 17 (10%). Mental health scores ranged from 1 to 10. Using a cut off point of 3 to delineate those with traits of poor mental health, 35 (21%) fell into the category 15 boys and 20 girls. Mean mental health score were higher for females, those living on campus, smokers and drinkers but this was not statistically significant. Fear of failure of examinations, cultism and lack of money are major concerns among medical students on the main university campus. Counselling services should be provided to assist students with these problems.
大学校园心理社会环境最近发生了变化，如学生人数急剧增加、生活成本高昂以及暴力和邪教活动增多，这促使人们有必要评估这些变化对学生的影响。在临床前医学生中开展了一项横断面研究，以确定他们的心理社会问题。采用一份自填式问卷收集有关社会人口统计学变量的信息，包括年龄、性别、经济支持来源、住宿类型、吸烟和饮酒习惯以及娱乐设施的使用情况。还记录了学生中不安全感和抑郁的原因。使用一般健康问卷GHQ - 12评估他们的心理健康状况。176名学生回应了调查，其中94名男性（53%），80名女性（45%）。137名（79%）住在校园内，37名（21%）住在校外。只有9名学生（5%）吸烟，28名（16%）饮酒。每月零花钱从1000奈拉到25000奈拉不等。41名（23%）认为他们的零花钱足够，92名（52%）认为还算公平，39名（22%）认为不足。校园内不安全感的原因有邪教活动34起（19%）、缺钱27起（15%）、缺少教科书13起（7%）和盗窃10起（6%）。抑郁的原因包括担心考试不及格62起（35%）、缺钱48起（27%）和家庭问题17起（10%）。心理健康得分从1到10分。以3分为分界点来界定那些有心理健康问题特征的人，35名（21%）属于此类，其中15名男生和20名女生。女性、住在校园内的学生、吸烟者和饮酒者的平均心理健康得分较高，但无统计学意义。担心考试不及格、邪教活动和缺钱是大学校园医学生的主要担忧。应提供咨询服务以帮助学生解决这些问题。
