Next Article in Journal
Determination of the Microbial and Chemical Loads in Rivers from the Quito Capital Province of Ecuador (Pichincha)—A Preliminary Analysis of Microbial and Chemical Quality of the Main Rivers
Previous Article in Journal
Effect of Simulated Matches on Post-Exercise Biochemical Parameters in Women’s Indoor and Beach Handball
Correction published on 28 December 2020, see Int. J. Environ. Res. Public Health 2021, 18(1), 148.
Article

Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities

1
Department of Child and Adolescent Health and Maternal Care, School of Public Health, Capital Medical University, Beijing 100069, China
2
Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei 230032, China
3
Department of Child and Women Health Care, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
4
Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT 06520, USA
5
Department of Pediatrics, Yale School of Medicine, New Haven, CT 06520, USA
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2020, 17(14), 5047; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17145047
Received: 1 June 2020 / Revised: 5 July 2020 / Accepted: 8 July 2020 / Published: 14 July 2020
(This article belongs to the Section Global Health)
Background: During the coronavirus disease (COVID-19) pandemic, harsh social distancing measures were taken in China to contain viral spread. We examined their impact on the lives of medical students. Methods: A nation-wide cross-sectional survey of college students was conducted from 4–12 February 2020. We enrolled medical students studying public health in Beijing and Wuhan to assess their COVID-19 awareness and to evaluate their mental health status/behaviors using a self-administered questionnaire. We used the Patient Generalized Anxiety Disorder-7 and Health Questionnaire-9 to measure anxiety disorders and depression. We used multivariable logistic regression and path analysis to assess the associations between covariates and anxiety disorder/depression. Results: Of 933 students, 898 (96.2%) reported wearing masks frequently when going out, 723 (77.5%) reported daily handwashing with soap, 676 (72.5%) washed hands immediately after arriving home, and 914 (98.0%) reported staying home as much as possible. Prevalence of anxiety disorder was 17.1% and depression was 25.3%. Multivariable logistic regression showed anxiety to be associated with graduate student status (odds ratio (aOR) = 2.0; 95% confidence interval (CI): 1.2–3.5), negative thoughts or actions (aOR = 1.6; 95% CI: 1.4–1.7), and feeling depressed (aOR = 6.8; 95% CI: 4.0–11.7). Beijing students were significantly less likely to have anxiety than those in the Wuhan epicenter (aOR = 0.9; 95% CI: 0.8–1.0), but depression did not differ. Depression was associated with female students (aOR = 2.0; 95% CI: 1.2–3.3), negative thoughts or actions (aOR = 1.7; 95% CI: 1.5–1.9), and anxiety disorder (aOR = 5.8; 95% CI: 3.4–9.9). Path analysis validated these same predictors. Conclusions: Despite medical students’ knowledge of disease control and prevention, their lives were greatly affected by social distancing, especially in the Wuhan epicenter. Even well-informed students needed psychological support during these extraordinarily stressful times. View Full-Text
Keywords: COVID-19; anxiety disorder; depression; social distancing; personal protective measures; medical students; knowledge; China COVID-19; anxiety disorder; depression; social distancing; personal protective measures; medical students; knowledge; China
Show Figures

Figure 1

MDPI and ACS Style

Xiao, H.; Shu, W.; Li, M.; Li, Z.; Tao, F.; Wu, X.; Yu, Y.; Meng, H.; Vermund, S.H.; Hu, Y. Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities. Int. J. Environ. Res. Public Health 2020, 17, 5047. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17145047

AMA Style

Xiao H, Shu W, Li M, Li Z, Tao F, Wu X, Yu Y, Meng H, Vermund SH, Hu Y. Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities. International Journal of Environmental Research and Public Health. 2020; 17(14):5047. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17145047

Chicago/Turabian Style

Xiao, Huidi, Wen Shu, Menglong Li, Ziang Li, Fangbiao Tao, Xiaoyan Wu, Yizhen Yu, Heng Meng, Sten H. Vermund, and Yifei Hu. 2020. "Social Distancing among Medical Students during the 2019 Coronavirus Disease Pandemic in China: Disease Awareness, Anxiety Disorder, Depression, and Behavioral Activities" International Journal of Environmental Research and Public Health 17, no. 14: 5047. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17145047

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop