Anxiety and Sleep Problems of College Students During the Outbreak of COVID-19.

This study aimed to explore the psychological situation and the influence of the outbreak of COVID-19 on college students. An online questionnaire survey was conducted among 3,092 Chinese college students who were quarantined at home as a result of the COVID-19 pandemic. The survey tools included the Generalized Anxiety Disorder 7-Item Scale (GAD-7), the Perceived Stress Scale (PSS-10), and the Self-Rating Scale of Sleep (SRSS). Of all the respondents, the prevalence of anxiety symptoms, sleep problems, any of the two, and both of the two, were 16.8, 13.5, 25.1, and 5.3%, respectively. Of the participants, 43.7% of the college students had higher perceived stress. Factors associated with anxiety symptoms included reading the daily news with higher frequency (1-3 times; 4-7 times; more than 7 times), having sleep problems, higher stress, and carelessness with the number of remaining masks. Factors associated with sleep problems included postgraduates, reading the news with higher frequency daily (1-3 times), the frequency of going out per week (1-3 times), having anxiety symptoms and higher stress. Factors associated with higher perceived stress included reading the daily news with higher frequency (4-7 times), anxiety about the number of remaining masks (1-10; more than 20), having anxiety symptoms, and having sleep problems. The prevalence of anxiety symptoms, sleep problems, and higher perceived stress among college students was high during the COVID-19 outbreak. Particular attention should be paid to psychological support for college students quarantined at home, especially those at high risk of psychological problems.

Home quarantine compliance is low in children with fever during COVID-19 epidemic.

BACKGROUND: The coronavirus disease 2019 (COVID-19) outbreak began in China at the end of 2019. The disease is highly infectious. In order to prevent and control the epidemic situation, the state has issued a series of measures to guide the prevention and control of the epidemic. At the same time, it also introduced the measure of home isolation for children with fever. However, due to the nature of children, the implementation of the home isolation turned out to be quite difficult, and questions regarding the home isolation were brought out by parents when seeing doctors. For this reason, we decided to conduct this study. AIM: To study factors that influence home quarantine compliance in children with fever during the COVID-19 epidemic. METHODS: A total of 495 paediatric patients with respiratory tract infection and fever were selected from the general fever clinic at Xiamen Children's Hospital from February 6-27, 2020. On day 8 after the hospital visit, follow-up was conducted by telephone to evaluate the compliance of home quarantine. RESULTS: Among the ten quarantine measures, the proportion of families adhering to keeping 1.5 m distance, proper hand hygiene, wearing masks at home, and proper cough etiquette was very low (< 30% for each measure). Our analysis showed that compliance was related to gender and age of children, gender and age of primary caregiver, number of children in the family, and intensity of information on quarantine measures. We observed that compliance increased with the age of children. Compared with children whose caregivers were young adults, children with elderly caregivers were 2.461 times more likely to show poor compliance. Furthermore, children who received intensive information on quarantine measures had significantly better compliance. CONCLUSION: Compliance of children with fever to quarantine measures at home is low during the COVID-19 epidemic. Strengthening education on the quarantine measures is critical to improve compliance, in particular in young children with elderly caregivers.