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埃塞俄比亚西南部本奇-谢科地区大学生中新冠疫情的心理影响:一项基于社区的横断面研究

The Psychological Impacts of COVID-19 Pandemic Among University Students in Bench-Sheko Zone, South-west Ethiopia: A Community-based Cross-sectional Study.

作者信息

Aylie Nigusie Shifera, Mekonen Mengistu Ayenew, Mekuria Rahel Matiyas

机构信息

Nursing Department, College of Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia.

Public Health Department, College of Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia.

出版信息

Psychol Res Behav Manag. 2020 Sep 30;13:813-821. doi: 10.2147/PRBM.S275593. eCollection 2020.

Abstract

BACKGROUND

Coronaviruses are a large family of viruses that cause a wide range of illness from the common cold to more severe diseases. The COVID-19 pandemic is a public emergency of international concern that affects several nations. The widespread outbreak of COVID-19 virus has brought not only the risk of death but also major psychological pressure. However, the psychological impact on university students has not been studied in Ethiopia.

OBJECTIVE

To assess the psychological impacts of COVID-19 pandemic among university students in Bench-Sheko Zone, South-west, Ethiopia, 2020.

METHODS

A community-based cross-sectional study was conducted from May 15 to June 15/2020. A systematic sampling technique was employed to select the study participants. The data were entered into EpiData 3.1 and exported to SPSS version 24 for analysis. Bivariate and multivariable logistic regression were used to identify candidates and independent factors respectively. Independent factors of depression, anxiety, and stress were assessed using AORs with 95% confidence level at -value <0.05 cut point.

RESULTS

Three hundred and twenty-two university students were included with a 97.5% response rate. The prevalence of depression, anxiety, and stress was 21.2%, 27.7%, and 32.5%, respectively. Being female, staying at home, history of medical illness, and poor and moderate social support increased the risk of depression. Not living with their parents, relatives got coronavirus and low family income were risk factors for anxiety. Moreover, substance use, depression, anxiety, and poor social support were increasing the risk of stress among university students.

CONCLUSIONS AND RECOMMENDATIONS

This study revealed a higher prevalence of depression, anxiety, and stress among university students. Thus, governments and policy makers should develop health system strategies to provide crisis-oriented psychological services for university students to minimize the mental health impact of the outbreak.

摘要

背景

冠状病毒是一大类病毒,可引发从普通感冒到更严重疾病的广泛病症。新冠疫情是一场影响多个国家的国际关注的突发公共卫生事件。新冠病毒的广泛传播不仅带来了死亡风险,还造成了巨大的心理压力。然而,在埃塞俄比亚尚未对大学生的心理影响进行研究。

目的

评估2020年埃塞俄比亚西南部本奇-谢科地区大学生中新冠疫情的心理影响。

方法

于2020年5月15日至6月15日开展了一项基于社区的横断面研究。采用系统抽样技术选取研究参与者。数据录入EpiData 3.1并导出至SPSS 24版进行分析。分别使用二元和多变量逻辑回归来确定候选因素和独立因素。使用调整后的比值比(AOR)及95%置信区间,在P值<0.05的切点处评估抑郁、焦虑和压力的独立因素。

结果

纳入了322名大学生,应答率为97.5%。抑郁、焦虑和压力的患病率分别为21.2%、27.7%和32.5%。女性、居家、有病史以及社会支持差和中等会增加抑郁风险。不与父母同住、亲属感染新冠病毒以及家庭收入低是焦虑的风险因素。此外,物质使用、抑郁、焦虑和社会支持差会增加大学生的压力风险。

结论与建议

本研究显示大学生中抑郁、焦虑和压力的患病率较高。因此,政府和政策制定者应制定卫生系统策略,为大学生提供以危机为导向的心理服务,以尽量减少疫情对心理健康的影响。

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