大学生对 COVID-19 的恐惧：系统评价和荟萃分析。
Fear of COVID-19 Among College Students: A Systematic Review and Meta-Analysis.
机构信息
School of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, China.
Department of Public Health, Second Affiliated Hospital of Shandong First Medical University, Tai'an, China.
出版信息
Front Public Health. 2022 Mar 1;10:846894. doi: 10.3389/fpubh.2022.846894. eCollection 2022.
BACKGROUND
Mental health issue among college students is routinely a major public health concern, and coronavirus disease 2019 (COVID-19) pandemic may have exacerbated the students' mental health issues which include psychological distress, panic disorder, insomnia, and posttraumatic stress symptoms. However, few studies reached a consensus on the impact of COVID-19 fear on mental health among college students. Therefore, we aimed to conduct a systematic review and meta-analysis that quantitatively synthesized the fear among college students during the COVID-19 pandemic.
METHODS
PubMed, EMBASE, CINAHL, and PsycINFO electronic databases were systematically searched to identify cross-sectional study reporting the state of COVID-19 fear examined by the Fear of COVID-19 Scale (FCV-19S) published up until November 20, 2021. Methodological quality was complied with the evaluation criteria of the Agency for Healthcare Research and Quality. The random effects model was employed to estimate the pooled mean of FCV-19S score. Subgroup analysis and meta-regression analysis were also conducted. Publication bias was assessed by Begg's test and funnel plot.
RESULTS
A total of 16 studies with a sample size of 11,872 were included. A pooled mean of FCV-19S score was 17.60 [95% confidence interval (CI): 16.41-18.78]. The mean of COVID-19 fear in women (17.11, 95% CI: 16.59-17.64) was higher than that in men (15.21, 95% CI: 14.33-16.08). The highest and lowest pooled means of FCV-19S score were observed in the studies conducted in multiple countries that include Israel, Russian, and Belarus (21.55, 95% CI: 20.77-22.33) and in Europe (16.52, 95% CI: 15.26-17.77), respectively. No significant publication bias was detected by Begg's test.
CONCLUSIONS
College students experienced a moderate level of fear caused by COVID-19 pandemic. It is necessary to design and implement prevention programs that target the mental health of college students.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021287017, identifier: CRD42021287017.
背景
大学生的心理健康问题一直是一个主要的公共卫生关注点，而 2019 年冠状病毒病（COVID-19）大流行可能加剧了学生的心理健康问题，包括心理困扰、恐慌症、失眠和创伤后应激症状。然而，很少有研究就 COVID-19 恐惧对大学生心理健康的影响达成共识。因此，我们旨在进行一项系统评价和荟萃分析，定量综合 COVID-19 大流行期间大学生的恐惧情况。
方法
系统检索 PubMed、EMBASE、CINAHL 和 PsycINFO 电子数据库，以确定截至 2021 年 11 月 20 日发表的报告使用 COVID-19 恐惧量表（FCV-19S）评估的 COVID-19 恐惧状态的横断面研究。采用医疗保健研究与质量局的评估标准来评估方法学质量。采用随机效应模型估计 FCV-19S 评分的汇总均值。还进行了亚组分析和荟萃回归分析。采用 Begg 检验和漏斗图评估发表偏倚。
结果
共纳入 16 项研究，样本量为 11872 人。FCV-19S 评分的汇总均值为 17.60[95%置信区间（CI）：16.41-18.78]。女性（17.11，95%CI：16.59-17.64）的 COVID-19 恐惧均值高于男性（15.21，95%CI：14.33-16.08）。FCV-19S 评分最高和最低的汇总均值分别出现在包括以色列、俄罗斯和白俄罗斯在内的多个国家进行的研究（21.55，95%CI：20.77-22.33）和欧洲（16.52，95%CI：15.26-17.77）。Begg 检验未检测到显著的发表偏倚。
结论
大学生经历了由 COVID-19 大流行引起的中度恐惧。有必要设计和实施针对大学生心理健康的预防计划。
系统评价注册
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021287017，标识符：CRD42021287017。
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