Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic.
JAMA Netw Open
; 3(10): e2025591, 2020 10 01.
Article
in English
| MEDLINE | ID: covidwho-888008
ABSTRACT
Importance The coronavirus disease 2019 (COVID-19) pandemic and quarantine measures have raised concerns regarding their psychological effects on populations. Among the general population, university students appear to be particularly susceptible to experiencing mental health problems. Objectives:
To measure the prevalence of self-reported mental health symptoms, to identify associated factors, and to assess care seeking among university students who experienced the COVID-19 quarantine in France. Design, Setting, andParticipants:
This survey study collected data from April 17 to May 4, 2020, from 69â¯054 students living in France during the COVID-19 quarantine. All French universities were asked to send an email to their students asking them to complete an online questionnaire. The targeted population was approximately 1â¯600â¯000 students. Exposure Living in France during the COVID-19 quarantine. Main Outcomes andMeasures:
The rates of self-reported suicidal thoughts, severe distress, stress, anxiety, and depression were assessed using the 22-item Impact of Events Scale-Revised, the 10-item Perceived Stress Scale, the 20-item State-Trait Anxiety Inventory (State subscale), and the 13-item Beck Depression Inventory, respectively. Covariates were sociodemographic characteristics, precariousness indicators (ie, loss of income or poor quality housing), health-related data, information on the social environment, and media consumption. Data pertaining to care seeking were also collected. Multivariable logistic regression analyses were performed to identify risk factors.Results:
A total of 69â¯054 students completed the survey (response rate, 4.3%). The median (interquartile range) age was 20 (18-22) years. The sample was mainly composed of women (50â¯251 [72.8%]) and first-year students (32â¯424 [47.0%]). The prevalence of suicidal thoughts, severe distress, high level of perceived stress, severe depression, and high level of anxiety were 11.4% (7891 students), 22.4% (15â¯463 students), 24.7% (17â¯093 students), 16.1% (11â¯133 students), and 27.5% (18â¯970 students), respectively, with 29â¯564 students (42.8%) reporting at least 1 outcome, among whom 3675 (12.4%) reported seeing a health professional. Among risk factors identified, reporting at least 1 mental health outcome was associated with female gender (odds ratio [OR], 2.10; 95% CI, 2.02-2.19; P < .001) or nonbinary gender (OR, 3.57; 95% CI, 2.99-4.27; P < .001), precariousness (loss of income OR, 1.28; 95% CI, 1.22-1.33; P < .001; low-quality housing OR, 2.30; 95% CI, 2.06-2.57; P < .001), history of psychiatric follow-up (OR, 3.28; 95% CI, 3.09-3.48; P < .001), symptoms compatible with COVID-19 (OR, 1.55; 95% CI, 1.49-1.61; P < .001), social isolation (weak sense of integration OR, 3.63; 95% CI, 3.35-3.92; P < .001; low quality of social relations OR, 2.62; 95% CI, 2.49-2.75; P < .001), and low quality of the information received (OR, 1.56; 95% CI, 1.49-1.64; P < .001). Conclusions and Relevance The results of this survey study suggest a high prevalence of mental health issues among students who experienced quarantine, underlining the need to reinforce prevention, surveillance, and access to care.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
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Social Isolation
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Students
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Universities
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Coronavirus Infections
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Suicidal Ideation
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Pandemics
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Mental Disorders
Type of study:
Cohort study
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Observational study
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Prognostic study
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Randomized controlled trials
Limits:
Adolescent
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Adult
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Female
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Humans
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Male
/
Young adult
Language:
English
Journal:
JAMA Netw Open
Year:
2020
Document Type:
Article
Affiliation country:
Jamanetworkopen.2020.25591
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