Wu Siyao, Li Gen, Wortham Andrew, Hall Brian J
Center for Global Health Equity, New York University Shanghai, Room N812, No. 567 Yangsi West Road, Pudong New District, Shanghai, 200122, People's Republic of China.
Duke Kunshan University, Suzhou, China.
Soc Psychiatry Psychiatr Epidemiol. 2024 Nov 6. doi: 10.1007/s00127-024-02790-3.
In 2022, the Shanghai municipal government enforced strict COVID-19 lockdown measures. Lockdown experiences for college students varied. Local students normally returned home and had familial support while non-local students relied more on institutional support when quarantining in dormitories. The difference could profoundly impact their access to necessary material resources and emotional support, affecting their mental health. This study compared the psychological effects of the Shanghai Lockdown on local and non-local college students using an explanatory-sequential mixed methods design.
Quantitative analyses of data from 327 college students examined local and non-local students' mental health outcomes during the lockdown. Follow-up qualitative interviews (N = 12) contextualized their sources of stress and group differences.
Higher prevalences of probable anxiety (34.6%), depression (45.1%), and poor subjective mental well-being (65.4%) are found among non-local students compared to local students (23.7% anxiety, 29.4% depressive symptoms, and 47.9% poor well-being). Suicidal ideation was higher among local students (8.6% prevalence difference). Being a non-local college student was associated with increased odds of probable anxiety, depression, and poor well-being. Interviews identified group differences such that non-local students received more school support (i.e., food and financial) and perceived emotional support but faced poorer quarantine living environments compared to local peers.
Non-local college students were more vulnerable to the impact of lockdown. Our findings also provide insights into the impact of familial versus institutional support on student mental health during times of crisis.
2022年，上海市政府实施了严格的新冠疫情封锁措施。大学生的封控经历各不相同。本地学生通常回家并获得家庭支持，而非本地学生在宿舍隔离时更多地依赖学校支持。这种差异可能会深刻影响他们获得必要物质资源和情感支持的机会，进而影响他们的心理健康。本研究采用解释性序列混合方法设计，比较了上海封控对本地和非本地大学生的心理影响。
对327名大学生的数据进行定量分析，考察封控期间本地和非本地学生的心理健康状况。后续进行定性访谈（N = 12），以了解他们的压力来源和群体差异。
与本地学生（焦虑症患病率23.7%、抑郁症状患病率29.4%、幸福感差患病率47.9%）相比，非本地学生中可能存在的焦虑症（34.6%）、抑郁症（45.1%）和主观心理健康状况差（65.4%）的患病率更高。本地学生的自杀意念更高（患病率差异为8.6%）。作为非本地大学生，可能患焦虑症、抑郁症和幸福感差的几率增加。访谈确定了群体差异，即与本地同龄人相比，非本地学生获得了更多的学校支持（即食物和经济支持），并感受到了情感支持，但面临的隔离生活环境较差。
非本地大学生更容易受到封控的影响。我们的研究结果还为危机时期家庭支持与学校支持对学生心理健康的影响提供了见解。
