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The Economic Impact of COVID-19 and Related Coping and Resilience Strategies: The Experience of Iranian Households 2019冠状病毒病的经济影响及相关应对和复原力战略:伊朗家庭的经验
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-07-01 DOI: 10.14485/hbpr.9.4.7
L. Zarei, Farimah Rahimi, Seyed Taghi Heydari, E. Parcham, Kamran Bagheri Lankarania
Objective: The health or livelihood paradox has become a significant issue due to the adverse effects of COVID-19 disease on the lives of millions of people in the world. In this study, we aimed to investigate the economic impacts resulting from the pandemic on Iranian households and their coping strategies and resilience. Methods: We recruited Iranian people > 18 years of age to complete a cross-sectional online survey from May 1 to June 20, 2020 (670 participants). It dealt with socio-economic and demographic features, exposure and death due to COVID-19, businesses influenced by COVID-19, household economic status after the pandemic, and coping and resilience strategies. Results: The most applied financial coping strategies were receiving loans or credits, decreasing household consumption, and selling assets and livelihoods, respectively. Half of households had already lost their income due to COVID-19-related job losses or its direct costs. Normalization of the economic situation would take more than 2 years for 8% of these households. Conclusions: The current study showed that COVID-19 economic effects could be severe and irreversible for vulnerable households. The support of policymakers, financial services providers, and private sector companies is critical in building financial resilience through the crisis and beyond.
目的:由于新冠肺炎疾病对世界上数百万人的生活造成的不利影响,健康或生计悖论已成为一个重要问题。在这项研究中,我们旨在调查疫情对伊朗家庭的经济影响,以及他们的应对策略和韧性。方法:我们招募了18岁以上的伊朗人,于2020年5月1日至6月20日完成一项横断面在线调查(670名参与者)。它涉及社会经济和人口特征、新冠肺炎造成的暴露和死亡、受新冠肺炎影响的企业、疫情后的家庭经济状况以及应对和复原策略。结果:最适用的金融应对策略分别是获得贷款或信贷、减少家庭消费、出售资产和生计。由于新冠肺炎相关的失业或其直接成本,一半的家庭已经失去了收入。对于这些家庭中的8%来说,经济状况的正常化需要2年以上的时间。结论:目前的研究表明,新冠肺炎对弱势家庭的经济影响可能是严重和不可逆转的。政策制定者、金融服务提供商和私营部门公司的支持对于在危机期间及以后建立金融韧性至关重要。
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引用次数: 0
Environmental Constructs Associated with School Readiness to Implement Wellness Initiatives 与学校准备实施健康计划相关的环境建设
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-07-01 DOI: 10.14485/hbpr.9.4.3
Emily Jones, Megan Weemer, Joseph Lee, Andrew D. Eberline, Tyler J. Kybartas
Objective: In this study, we examined school and environmental factors associated with readiness to implement school-based wellness initiatives. Methods: We used an exploratory mixed methods design to assess facilitators and barriers to school wellness policy implementation. We conducted school site visits in 8 K-12 schools in one midwestern school district. We collected quantitative and qualitative data to measure school wellness environments and readiness for change. We used a one-way ANOVA to examine associations between readiness for change and school wellness environments. We analyzed qualitative data inductively; school- and district-level themes emerged. Results: One-way ANOVA results revealed schools in the high readiness (HR) group reported more active school wellness teams than those in the low readiness (LR) group (F(1,6) = 8.442, p = .03). Qualitative data indicated that establishing local school wellness committees was an area of growth needed for all schools. Areas of need in HR schools included enhancing school wellness policy communication, leadership, and staff wellness initiatives. Areas of need in LR schools focused on providing more physical activity and wellness opportunities for students. Conclusion: Readiness for change is a promising metric that could associate with more physical activity opportunities, better wellness team function, and perhaps, wellness policy implementation.
目的:在本研究中,我们调查了与实施基于学校的健康倡议的准备程度相关的学校和环境因素。方法:我们采用探索性混合方法设计来评估学校健康政策实施的推动者和障碍。我们对中西部一个学区的8所K-12学校进行了实地考察。我们收集了定量和定性数据,以衡量学校的健康环境和变革准备情况。我们使用单因素方差分析来检验变革准备与学校健康环境之间的关系。我们归纳分析了定性数据;学校和地区层面的主题出现了。结果:单因素方差分析结果显示,高准备状态(HR)组的学校报告的学校健康团队比低准备状态(LR)组更活跃(F(1,6)=8.442,p=0.03)。定性数据表明,建立当地学校健康委员会是所有学校都需要发展的领域。人力资源学校的需求领域包括加强学校健康政策沟通、领导力和员工健康倡议。LR学校的需求领域侧重于为学生提供更多的体育活动和健康机会。结论:改变的准备程度是一个很有前途的指标,它可能与更多的体育活动机会、更好的健康团队功能以及健康政策的实施有关。
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引用次数: 0
Predictors of Loss to Self-report Follow-up Data Collection in a Cancer Screening Intervention 癌症筛查干预中自我报告随访数据收集损失的预测因素
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-07-01 DOI: 10.14485/hbpr.9.4.1
W. Rakowski, T. Stump, P. Monahan, Eric Vachon, T. Imperiale, S. Rawl, V. Champion
Objective: Losing participants’ self-report data affects process and outcome analyses, and ultimately, conclusions about results. In this paper, we examine predictors of loss to self-report data collection and attempt to identify potential predictors that can be addressed prospectively. Methods: Data were from a study to increase colorectal and breast cancer screening in women 50-75 years of age (N = 1196). We collected self-report data at baseline (T1), 4 weeks (T2), and 6 months (T3) after consent. Analyses identified predictors of earliest loss (T1 vs T1,T2,T3), intermediate loss (T1 vs T1,T2), and later loss (T1,T2 vs T1,T2,T3). Results: Cancer knowledge and self-reported screening barriers were associated with loss to follow-up. More health problems were associated with less intermediate loss to follow-up, but higher loss to later follow-up. Two intervention groups (Web Only, and Web + Phone) showed greater loss compared to Usual Care. Being overdue for both screenings predicted early loss. Completing the T1 survey by phone was associated with greater loss to follow-up. Conclusions: Knowledge and barriers may have had an early effect, whereas health problems might have had a delayed impact. Intervention characteristics also need to be considered as a source of task demands on participants.
目的:丢失参与者的自我报告数据会影响过程和结果分析,并最终影响对结果的结论。在本文中,我们检查了自我报告数据收集损失的预测因素,并试图确定可以前瞻性解决的潜在预测因素。方法:数据来自一项增加50-75岁女性癌症结直肠癌和乳腺癌筛查的研究(N=1196)。我们收集了同意后基线(T1)、4周(T2)和6个月(T3)的自我报告数据。分析确定了最早损失(T1 vs T1,T2,T3)、中期损失(T1 vs T1,T2)和后期损失(T1,T2 vs T1,T2,T3)的预测因素。结果:癌症知识和自我报告的筛查障碍与随访损失相关。更多的健康问题与较少的中期随访损失有关,但与更高的后期随访损失有关。与常规护理相比,两个干预组(仅网络和网络+电话)显示出更大的损失。两次放映都逾期了,预计会提前损失。通过电话完成T1调查与更大的随访损失有关。结论:知识和障碍可能产生了早期影响,而健康问题可能产生了延迟影响。干预特征也需要被视为参与者任务需求的来源。
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引用次数: 0
Student Concerns Regarding School-based Weight Measurement: Implications for Policy 学生对校本体重测量的关注:对政策的影响
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.7
Eva C Igler, S. Everhart, Jillian E. Austin, Amy C. Lang, W. Hobart Davies
Objective: Many schools implement health screening programs that include weight measurement. The potential negative consequences and effectiveness of these programs in improving adolescent health remains unclear. The purpose of this study was to examine perceptions of weight measurement practices among emerging adults, some of whom (64%) had previously had their weight measured in a school setting. Methods: Altogether, 239 primarily white (75%) and female (66%) emerging adults provided their opinion regarding school weight measurement policies and experiences being weighed in middle and/or high school. Results: Overall, 37% of the total sample, regardless of personal experience, reported a negative reaction to school weight measurement policy, and 19% described course requirements for weight measurement as unhelpful. Of participants who reported being weighed in a school setting, 31% indicated a negative reaction, 57% rated the process as inappropriate, and 40% rated the process as uncomfortable. Conclusions: Many students may respond negatively to being weighed in the school setting. If schools implement a weight measurement policy, it is essential they mitigate risks and follow the American Academy of Pediatrics (AAP) criteria for general health screening programs in schools. We provide suggestions for implementing AAP criteria.
目的:许多学校实施包括体重测量在内的健康检查项目。这些项目在改善青少年健康方面的潜在负面影响和有效性尚不清楚。本研究的目的是调查新生成人对体重测量方法的看法,其中一些人(64%)以前曾在学校环境中测量过体重。方法:共有239名主要为白人(75%)和女性(66%)的新生成人提供了他们对学校体重测量政策和初中和/或高中称重经历的看法。结果:总体而言,无论个人经历如何,总样本中37%的人报告了对学校体重测量政策的负面反应,19%的人认为体重测量的课程要求没有帮助。在报告称在学校称重的参与者中,31%的人表示有负面反应,57%的人认为称重过程不合适,40%的人认为称重过程不舒服。结论:许多学生可能会对在学校环境中被称重产生负面反应。如果学校实施体重测量政策,那么降低风险并遵循美国儿科学会(AAP)在学校进行一般健康检查项目的标准是至关重要的。我们提供了实施AAP标准的建议。
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引用次数: 0
Energy Drink Consumption and Increased Risk of Smoking and Alcohol and Sweetened Beverages Use among University Students 大学生饮用能量饮料增加吸烟、饮酒和含糖饮料的风险
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.6
Ahmad Elslami, Fatemeh Bastami, Arash Ardalan, M. Almasian, Maryam Alibakhshi
Objective: Energy drink consumption has been increasing among youth. In this study, we aimed to examine the patterns of energy drink consumption and their relationships with the use of sweetened beverages such as soda and packaged fruit juice as well as alcohol consumption and smoking among college students. Methods: This was a cross-sectional analytical study in which data were collected during the 2018-2019 academic year for 9 months from October to July. Our sample was a random selection of 373 students attending Isfahan University of Medical Sciences. We used logistic regression analysis, chi-square, and independent t-tests for data analysis. Results: Overall, 31.6% of men and 27% of women had consumed energy drinks. Men consumed energy drinks 1.3 times more than women did. Preferring the taste was the most frequent reason (30.8%) for energy drink consumption. Having energy drinks was associated with consumption of sweetened beverages and alcohol (p < .001). The mean consumption of sweetened beverages and alcoholic drinks, and smoking was significantly higher among men than women (p < .05). Conclusion: A sizable percentage of students consumed energy drinks because of the taste. This indicates that they should be informed about the harmful ingredients in these drinks.
目的:能量饮料的消费在年轻人中呈上升趋势。在这项研究中,我们旨在研究大学生中能量饮料的消费模式及其与含糖饮料(如苏打水和包装果汁)的使用以及酒精消费和吸烟的关系。方法:采用横断面分析方法,收集2018-2019学年(10 - 7月)9个月的数据。我们的样本是随机选择的373名伊斯法罕医科大学的学生。我们采用逻辑回归分析、卡方检验和独立t检验进行数据分析。结果:总体而言,31.6%的男性和27%的女性喝过能量饮料。男性饮用能量饮料的次数是女性的1.3倍。喜欢味道是饮用能量饮料最常见的原因(30.8%)。饮用能量饮料与饮用含糖饮料和酒精有关(p < 0.001)。含糖饮料和酒精饮料的平均消费量以及吸烟在男性中显著高于女性(p < 0.05)。结论:相当大比例的学生饮用能量饮料是因为它的味道。这表明他们应该被告知这些饮料中的有害成分。
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引用次数: 0
Effect of Emotional Distress Monitoring and Intervention in Preventing Non-suicidal Self-injury (NSSI) of College Students 情绪困扰监测与干预在预防大学生非自杀性自伤中的作用
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.2
Chun-Yin Chen, Xianrong Li, Yu Deng
Objective: In this study, we monitored and intervened in the emotional status of college students to understand the effect of intervention measures on the prevention and control of non-suicidal self-harm, and to provide a reference for the prevention and control of self-harm in college students. Methods: We conducted a baseline survey of 1832 first-year students across 3 vocational colleges in Chongqing, China in October 2019. In October 2020, we followed-up regarding the nonsuicidal self-injury (NSSI) occurrences among our original respondents. During the year, students’ emotions were regularly monitored. The students who scored > 10 and had moderate suicidal thoughts were provided counseling to reduce their emotional stress. If the students could not reduce these emotions, their counselors contacted the school psychological center for professional counseling. If the school psychological counseling center diagnosed the students with severe depression, the counselors informed their parents and suggested hospital treatment. Results: The detection rate of NSSI history was 18.52% (320/1728), and the detection rate of the follow-up survey was 8.13% (137/1685); the difference in the detection rate was statistically significant (χ2 = 128.3103, p < .001). Conclusions: Our results show that monitoring and intervening in college students’ emotional states can prevent the occurrence of NSSI behavior.
目的:本研究通过对大学生的情绪状态进行监测和干预,了解干预措施对预防和控制大学生非自杀性自我伤害的效果,为预防和控制大学生自我伤害提供参考。方法:于2019年10月对重庆市3所高职院校1832名一年级学生进行基线调查。2020年10月,我们对原始受访者的非自杀性自伤(NSSI)事件进行了随访。在这一年里,学生们的情绪会被定期监测。研究人员为得分为bb10分、有中度自杀念头的学生提供心理咨询,以减轻他们的情绪压力。如果学生不能减少这些情绪,他们的辅导员联系学校心理中心进行专业咨询。如果学校心理咨询中心诊断出学生患有严重的抑郁症,咨询师会通知家长并建议去医院治疗。结果:自伤史检出率为18.52%(320/1728),随访调查检出率为8.13% (137/1685);检出率差异有统计学意义(χ2 = 128.3103, p < 0.001)。结论:通过对大学生情绪状态的监测和干预,可以预防自伤行为的发生。
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引用次数: 1
Non-reimbursable Workload in Pediatric Diabetes Care – the Providers’ Perspective 儿科糖尿病护理中不可报销的工作量-提供者的观点
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.1
Ksenia N. Tonyushkina, Nicholas Koran, I. Guttmann-Bauman
Objective: In this study, we quantified the amount of time that pediatric diabetes care providers spend in non-reimbursable activities and evaluated the predictors related to clinic structure and educational and behavioral care diabetes support. Methods: We distributed an anonymous electronic survey via email to Pediatric Endocrine Society (PES) members and requested information about their practice and about non-reimbursable time spent during an average week not on call. Results: A total of 96 diabetes providers completed the survey. Most providers spent 1-2 hours a day on non-billable activities and 60% of them worked on weekends. Providers from medium sized programs and those without fellowships saw more patients than providers from small and large programs and those with fellowships. The same groups had the least assistance from certified diabetes care and education specialists (CDCES) and social workers. Providers from practices allowing CDCES to review blood glucose data and adjust insulin spent significantly less time on this activity themselves. Conclusions: We call for the development of new reimbursement models, noting increasing demands of technology, need for longitudinal care between visits and ensuring sustainability and equity of pediatric diabetes care.
目的:在本研究中,我们量化了儿科糖尿病护理提供者花在非报销活动上的时间,并评估了与诊所结构、教育和行为护理糖尿病支持相关的预测因素。方法:我们通过电子邮件向儿科内分泌学会(PES)会员发送了一份匿名电子调查,询问他们的实践信息和平均每周不随叫随到的不可报销时间。结果:共有96名糖尿病提供者完成了调查。大多数医疗服务提供者每天花1-2个小时在不收费的活动上,60%的人在周末工作。来自中型项目和没有奖学金的供应商比来自小型和大型项目以及有奖学金的供应商看到更多的病人。同样的群体从认证糖尿病护理和教育专家(CDCES)和社会工作者那里得到的帮助最少。来自允许CDCES审查血糖数据和调整胰岛素的实践的提供者在这项活动上花费的时间显着减少。结论:我们呼吁发展新的报销模式,注意到不断增长的技术需求、就诊之间的纵向护理需求以及确保儿科糖尿病护理的可持续性和公平性。
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引用次数: 0
School Nurses’ Perspectives of Bullying Involvement of Adolescents with Chronic Health Conditions 学校护士对慢性健康状况青少年欺凌行为的看法
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.5
Sally S. Cohen, Laura Grunin, T. Guetterman
Objective: Our primary objective was to understand bullying as it pertains to middle school students with chronic physical or behavioral health conditions by examining it through the lens of school nurses. A second objective was to understand issues pertaining to implementation of New York’s bullying prevention law with a focus on these same students. Methods: We employed a qualitative descriptive design with purposive sampling to explore perspectives of school nurses in New York State who worked in public middle schools. Using a semi-structured protocol, we conducted audio-recorded telephone interviews that were transcribed for subsequent thematic analysis. Results: Twelve nurses agreed to be interviewed. Results revealed participants’ understanding of bullying as related to students with chronic health conditions, especially those with behavioral health issues. Results also showed nurses’ limited understanding of New York’s bullying prevention law and missed opportunities for school nurses as champions of students with chronic health conditions who are bullied. Conclusions: Education and health care professionals should collaborate to disseminate information to school personnel about the risks of bullying for students with chronic health conditions and operationalize plans for prevention.
目的:我们的主要目的是通过学校护士的视角来了解欺凌,因为它与患有慢性身体或行为健康状况的中学生有关。第二个目标是了解与实施纽约欺凌预防法有关的问题,重点关注这些学生。方法:采用定性描述性设计和目的性抽样,探讨纽约州公立中学学校护士的观点。使用半结构化的协议,我们进行了录音电话采访,这些采访被转录下来用于随后的主题分析。结果:12名护士同意接受访谈。结果显示,参与者对欺凌的理解与患有慢性健康状况的学生有关,尤其是那些有行为健康问题的学生。结果还显示,护士对纽约的欺凌预防法了解有限,并错过了学校护士作为受欺凌的慢性病学生的拥护者的机会。结论:教育和卫生保健专业人员应合作,向学校工作人员传播有关患有慢性疾病的学生遭受欺凌风险的信息,并实施预防计划。
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引用次数: 3
Locus of Control and Gender as Moderators of Perceived Stress in Indian Adolescents 控制点和性别在印度青少年压力感知中的调节作用
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.4
Anmol Anmol, Sangeeta Rath
Objective: In this study, we examined the effect of locus of control and gender on perceived stress in adolescents. Methods: Using random sampling, 400 adolescents (200 boys and 200 girls) were selected from 5 different educational institutions in the city of Cuttack, India. We administered Rotter’s Locus of Control Scale, and the obtained scores were subjected to an extreme group analysis for shortlisting 200 adolescents (100 boys and 100 girls) with extreme (low and high) scores. Subsequently, the shortlisted students were administered Cohen’s Perceived Stress Scale, and the scores obtained were analyzed using a between-subjects ANOVA. Results: The effect of locus of control on perceived stress was found to be statistically significant, and internal-control adolescents reported lower perceived stress than external-control adolescents. However, both the main effect of gender and the interaction effect (locus of control x gender) were not statistically significant. Conclusion: Our results suggest that adolescents with internal locus of control report lower perceived stress than their external counterparts. We discuss the implications and directions for future research.
目的:在本研究中,我们检验了控制源和性别对青少年感知压力的影响。方法:采用随机抽样的方法,从印度卡塔克市的5个不同教育机构中选出400名青少年(200名男孩和200名女孩)。我们使用Rotter的控制点量表,对获得的分数进行极端组分析,筛选出200名得分极端(低分和高分)的青少年(100名男孩和100名女孩)。随后,对入围学生进行科恩感知压力量表,并使用受试者间方差分析对获得的分数进行分析。结果:控制点对感知压力的影响具有统计学意义,内部控制青少年的感知压力低于外部控制青少年。然而,性别的主要效应和交互效应(控制点x性别)在统计学上都不显著。结论:我们的研究结果表明,有内部控制源的青少年比他们的外部控制源报告的感知压力更低。我们讨论了未来研究的意义和方向。
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引用次数: 0
Cross-sectional Study of College Students’ Depression, Coping Techniques, and Health Risk Behaviors during the Initial Transition to Remote Learning: COVID-19 Pandemic 新冠肺炎大流行病期间大学生抑郁、应对技术和健康风险行为的跨部门研究
IF 0.8 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-05-01 DOI: 10.14485/hbpr.9.3.3
Claudia X. Aguado Loi, Taylor Koester, Cindy Parsons, M. Martinasek
Objective: COVID-19 has brought many challenges to college campuses. In this cross-sectional study, we assessed depression, coping, and past 30-day health risk behaviors of college students attending a mid-sized liberal arts university in Florida. Methods: We sent a survey link to all undergraduates. The data, which included depression scores (PHQ-9), coping techniques (Brief COPE), health risk behaviors (alcohol and vape use) and demographics were collected approximately 40 days after the university transitioned from face-to-face to online learning during the COVID-19 pandemic. We used descriptive and regression analyses using SPSS to analyze data. Results: A total 45.6% of the respondents (N = 759) self-reported moderate to severe depression (PHQ-9 mean= 9.96, SD = 6.2). Students indicated positive and negative coping strategies. Alcohol and vape use increased with higher depressive symptoms scores (p < 0.01). Seniors had a greater odds of alcohol consumption (p < .01); however, freshmen and juniors had greater odds of vape use. Our data revealed some opportunities for positive behavior change. Conclusion: The online transition did modify students’ behaviors. Students who self-reported depressive symptoms were most vulnerable to adopting greater risk behaviors. These students require ongoing monitoring and resources. Colleges should implement rapid assessment of students’ depressive status and risk behaviors during volatile times.
目的:新冠肺炎给大学校园带来诸多挑战。在这项横断面研究中,我们评估了佛罗里达州一所中等规模文科大学的大学生的抑郁、应对和过去30天的健康风险行为。方法:我们向所有本科生发送了一个调查链接。这些数据包括抑郁评分(PHQ-9)、应对技术(简要COPE)、健康风险行为(酒精和电子烟使用)和人口统计数据,是在新冠肺炎大流行期间大学从面对面学习过渡到在线学习约40天后收集的。我们使用SPSS对数据进行描述性和回归分析。结果:45.6%的受访者(N=759)自我报告中度至重度抑郁症(PHQ-9平均值=9.96,SD=6.2)。学生表示积极和消极的应对策略。酒精和电子烟的使用随着抑郁症状评分的升高而增加(p<0.01)。老年人饮酒的几率更大(p<0.01);然而,大一和大三学生使用电子烟的几率更大。我们的数据揭示了一些积极行为改变的机会。结论:网络过渡确实改变了学生的行为。自我报告抑郁症状的学生最容易采取更高风险的行为。这些学生需要持续的监督和资源。大学应该对学生在动荡时期的抑郁状态和风险行为进行快速评估。
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引用次数: 1
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