Association between anxiety symptoms and social-ecological risk factors among medical students

WANG Kai; YONG Zhongtian; CHEN Jin; ZHU Wenhua; WANG Liyan; WANG Li

doi:10.16835/j.cnki.1000-9817.2024104

Volume 45 Issue 4

Apr. 2024

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2024 > 45(4): 488-491

WANG Kai, YONG Zhongtian, CHEN Jin, ZHU Wenhua, WANG Liyan, WANG Li. Association between anxiety symptoms and social-ecological risk factors among medical students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 488-491. doi: 10.16835/j.cnki.1000-9817.2024104

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WANG Kai, YONG Zhongtian, CHEN Jin, ZHU Wenhua, WANG Liyan, WANG Li. Association between anxiety symptoms and social-ecological risk factors among medical students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(4): 488-491. doi: 10.16835/j.cnki.1000-9817.2024104

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Association between anxiety symptoms and social-ecological risk factors among medical students

doi: 10.16835/j.cnki.1000-9817.2024104

1.
Department of Child and Adolescent Health, School of Public Health, Shanxi Medical University, Taiyuan (030001), Shanxi Province, China

Received Date: 2023-11-30
Rev Recd Date: 2024-01-30

Available Online: 2024-04-25

Publish Date: 2024-04-25

Abstract

Abstract

Objective To understand anxiety symptoms among medical college students and their relationship with social-ecological risk factors, so as to provide reference for mental health promotion among medical students. Methods From September to October 2021, a convenient cluster sampling method was used to include 1 274 freshmen to senior students of a medical school in Taiyuan City, and the Generalized Anxiety Disorder-7 and adolescent social-ecological risk factors assessment questionnaire were used. Multivariate binary Logistic regression was used to analyze the association between anxiety symptoms and social-ecological risk factors among medical students. Results The overall detection rate of anxiety symptoms among medical students was 16.2%. The rate of anxiety varied significantly by grade (freshman: 19.9%, sophomore: 13.0%, junior: 14.0%, senior: 18.9%) and number of friends (≤2: 22.8%, 3-5: 14.4%, ≥6: 11.8%) (χ²=8.70, 16.34, P < 0.05). Spearman correlation analysis showed that individual, family, school, community, policy, culture, time, and total score in socio-ecological risk factors were positively associated with anxiety symptom scores at different levels of risk (r=0.33, 0.25, 0.32, 0.16, 0.15, 0.16, 0.16, 0.35, P < 0.01). Logistic regression analysis showed that high risk for personal dimension of the socio-ecological risk factors was positively associated with rate of anxiety symptoms among medical students (OR=3.32, 95%CI=1.66-6.61), and remained positively associated (OR=2.98, 95%CI=1.49-5.94) after adjusting for grade and number of friends (P < 0.01). Conclusions Exposure to high personal dimensions of socio-ecological risk factors increases the risk of developing anxiety symptoms among medical students. A focus should be placed on the personal factors associated with anxiety to promote medical students' mental health.
- Anxiety,
- Cumulative ecological risk,
- Mental health,
- Regression analysis,
- Students

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References(23)

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