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Testing positive, losing a loved one, and financial hardship: Real-world impacts of COVID-19 on US college student distress
Journal of Affective Disorders ( IF 4.9 ) Pub Date : 2022-07-22 , DOI: 10.1016/j.jad.2022.07.022
Abdelrahman ElTohamy 1 , Sunah Hyun 2 , Anjeli R Macaranas 3 , Justin A Chen 4 , Courtney Stevens 5 , Cindy H Liu 6
Affiliation  

Background

The COVID-19 pandemic has taken a particularly heavy toll on U.S. college students. In addition to facing academic-related stress and social pressures, these individuals are now increasingly susceptible to experiences such as contracting the virus, losing loved ones to COVID-19, or facing financial hardship due to the pandemic. The effects of such personal, pandemic-related experiences on young adult mental health — and the inherent racial disparities within these outcomes — remain largely understudied.

Methods

We analyzed 65,568 undergraduate students from the Spring 2021 American College Health Association-National College Health Assessment (ACHA-NCHA).

Results

The rates of the aforementioned COVID-19-related stressors were unevenly distributed across racial groups. A logistic regression analysis to identify predictors of moderate and serious psychological distress revealed that participants who had experienced the death of a loved one had 1.14 times greater odds of developing psychological distress (p < 0.0001). Those who experienced financial hardship had an odds ratio of 1.78 (p < 0.0001). Surprisingly, testing positive for COVID-19 was associated with an odds ratio of 0.82 of psychological distress (p < 0.0001).

Limitations

Self-reported measures are susceptible to recall bias and misinterpretation. Exposure and outcome variables were measured simultaneously in this cross-sectional study which limits inference on causality.

Conclusions

Financial burdens and bereavement are especially impactful stressors among college students during the pandemic, whereas contracting COVID-19 seemingly exhibits less impact on distress levels. When addressing student wellbeing, institutions should consider prioritizing the implementation of resources to support individuals affected by pandemic-related financial and familial losses.



中文翻译:

测试呈阳性、失去亲人和经济困难:COVID-19 对美国大学生困境的现实影响

背景

COVID-19 大流行给美国大学生造成了特别严重的损失。除了面临与学业相关的压力和社会压力外,这些人现在越来越容易受到诸如感染病毒、因 COVID-19 失去亲人或因大流行而面临经济困难等经历的影响。这种与流行病相关的个人经历对年轻成人心理健康的影响——以及这些结果中固有的种族差异——在很大程度上仍未得到充分研究。

方法

我们分析了来自 2021 年春季美国大学健康协会-全国大学健康评估 (ACHA-NCHA) 的 65,568 名本科生。

结果

上述与 COVID-19 相关的压力源的比率在不同种族群体中分布不均。确定中度和严重心理困扰预测因素的逻辑回归分析显示,经历过亲人死亡的参与者发生心理困扰的几率高 1.14 倍(p  < 0.0001)。那些经历经济困难的人的比值比为 1.78 ( p  < 0.0001)。令人惊讶的是,COVID-19 检测呈阳性与心理困扰的比值比为 0.82(p < 0.0001)相关。

限制

自我报告的措施容易受到回忆偏差和误解的影响。在此横断面研究中同时测量了暴露变量和结果变量,这限制了对因果关系的推断。

结论

在大流行期间,经济负担和丧亲之痛对大学生的压力尤其大,而感染 COVID-19 似乎对压力水平的影响较小。在解决学生福祉问题时,机构应考虑优先实施资源,以支持受大流行相关经济和家庭损失影响的个人。

更新日期:2022-07-22
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