Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing 100069, China.
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China.
Int J Environ Res Public Health. 2020 Jul 14;17(14):5047. doi: 10.3390/ijerph17145047.
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.
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.
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.
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.
在冠状病毒病（COVID-19）大流行期间，中国采取了严格的社交隔离措施来控制病毒传播。我们研究了这些措施对医学生生活的影响。
我们于 2020 年 2 月 4 日至 12 日对全国大学生进行了一项横断面调查。我们招募了在北京和武汉学习公共卫生的医学生，以评估他们对 COVID-19 的认识，并使用自我管理问卷评估他们的心理健康状况/行为。我们使用患者广泛性焦虑症-7 项和健康问卷-9 来衡量焦虑症和抑郁症。我们使用多变量逻辑回归和路径分析来评估协变量与焦虑症/抑郁症之间的关联。
在 933 名学生中，898 名（96.2%）报告外出时经常戴口罩，723 名（77.5%）报告每天用肥皂洗手，676 名（72.5%）回家后立即洗手，914 名（98.0%）报告尽可能待在家里。焦虑症的患病率为 17.1%，抑郁症为 25.3%。多变量逻辑回归显示，焦虑与研究生身份（比值比（aOR）=2.0；95%置信区间（CI）：1.2-3.5）、负面想法或行为（aOR=1.6；95%CI：1.4-1.7）和感到沮丧（aOR=6.8；95%CI：4.0-11.7）有关。与武汉疫区的学生相比，北京学生发生焦虑的可能性显著降低（aOR=0.9；95%CI：0.8-1.0），但抑郁无差异。抑郁与女学生（aOR=2.0；95%CI：1.2-3.3）、负面想法或行为（aOR=1.7；95%CI：1.5-1.9）和焦虑症（aOR=5.8；95%CI：3.4-9.9）有关。路径分析验证了这些相同的预测因素。
尽管医学生了解疾病控制和预防知识，但社交隔离措施对他们的生活产生了重大影响，尤其是在武汉疫区。即使是知识渊博的学生在这些极其紧张的时期也需要心理支持。
