School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada.
Int J Environ Res Public Health. 2021 Dec 22;19(1):62. doi: 10.3390/ijerph19010062.
There is a dearth of evidence synthesis on the prevalence of anxiety among university students even though the risk of psychological disorders among this population is quite high. We conducted a quantitative systematic review to estimate the global prevalence of anxiety among university students during the COVID-19 pandemic. A systematic search for cross-sectional studies on PubMed, Scopus, and PsycINFO, using PRISMA guidelines, was conducted from September 2020 to February 2021. A total of 36 studies were included, using a random-effects model to calculate the pooled proportion of anxiety. A meta-analysis of the prevalence estimate of anxiety yielded a summary prevalence of 41% (95% CI = 0.34-0.49), with statistically significant evidence of between-study heterogeneity (Q = 80801.97, I = 100%, ≤ 0.0001). A subgroup analysis reported anxiety prevalence in Asia as 33% (95% CI:0.25-0.43), the prevalence of anxiety in Europe as 51% (95% CI: 0.44-0.59), and the highest prevalence of anxiety in the USA as 56% (95% CI: 0.44-0.67). A subgroup gender-based analysis reported the prevalence of anxiety in females as 43% (95% CI:0.29-0.58) compared to males with an anxiety prevalence of 39% (95% CI:0.29-0.50). University students seem to have a high prevalence of anxiety, indicating an increased mental health burden during this pandemic.
尽管大学生群体患心理障碍的风险相当高,但目前针对大学生群体焦虑症患病率的证据综合研究却十分匮乏。我们进行了一项定量系统综述,旨在评估 COVID-19 大流行期间大学生群体焦虑症的全球患病率。我们按照 PRISMA 指南,在 PubMed、Scopus 和 PsycINFO 上进行了系统的横断面研究检索,检索时间为 2020 年 9 月至 2021 年 2 月。采用随机效应模型计算焦虑症的汇总比例,纳入了 36 项研究。对焦虑症患病率的估计进行荟萃分析,得出了综合患病率为 41%(95%CI=0.34-0.49)的结论,且研究间存在统计学显著的异质性(Q=80801.97,I=100%,P<0.0001)。亚组分析报告称,亚洲的焦虑症患病率为 33%(95%CI:0.25-0.43),欧洲的焦虑症患病率为 51%(95%CI:0.44-0.59),美国的焦虑症患病率最高,为 56%(95%CI:0.44-0.67)。基于性别的亚组分析报告称,女性的焦虑症患病率为 43%(95%CI:0.29-0.58),而男性的焦虑症患病率为 39%(95%CI:0.29-0.50)。大学生似乎存在较高的焦虑症患病率,这表明在此次大流行期间,他们的心理健康负担有所加重。
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