澳大利亚维多利亚州 COVID-19 大流行之前和期间高等教育申请中特殊考虑因素比例的变化。

IF 2.1 4区 医学 Q3 PSYCHIATRY Early Intervention in Psychiatry Pub Date : 2025-01-01 Epub Date: 2024-08-14 DOI:10.1111/eip.13603
Caroline X Gao, Emily Clarke, Jennifer Nicholas, Shu Mei Teo, Caleb Koppe, Gavin Peter, Alex Lum, Tamara Barth, Steve Farish, Matthew Rudd, Yiting Gong, Daniel Z Q Gan, Vivienne Browne, Teresa Tjia, Kate M Filia, Eóin Killackey
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引用次数: 0

摘要

背景和目的:自 COVID-19 大流行以来,全球范围内的青少年,尤其是中学最后几年的学生,精神健康状况显著恶化。学生的负面经历正值关键的过渡时期,可能会扰乱社会和教育发展的里程碑。本研究旨在利用创新性的人口层面数据,绘制大流行对进入高等教育阶段的学生的影响图:大流行前(2019/2020 年)和大流行期间(2020/2021 年)的高等教育申请数据来自维多利亚州高等教育招生中心。比较了不同地理区域和申请人人口亚群之间申请与精神疾病有关的特殊考虑的普遍程度。使用相对风险回归模型来了解不同风险因素的作用:在所有申请中,与心理健康相关的特殊考虑申请率增加了 38%(大流行前:7.8%,n = 56 916;大流行:10.8%,n = 58 260)。增幅最大的是有过长时间和近距离封锁经历的地区,以及受 2019/2020 年黑色夏季丛林大火影响的地区的学生。12 年级学生和有其他特殊考虑需求(如身体状况、学习障碍)的学生的增幅更高。在社会经济地位较高的地区,增幅略高,这可能与获得心理健康服务方面的不平等有关:由于青少年心理健康困难和学业中断的后果可能是长期的,因此在高等教育内外建立一个心理健康支持框架以促进青少年从这一流行病中恢复过来至关重要。
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Changes in Rates of Special Considerations in Higher Education Applications Pre- and During the COVID-19 Pandemic in Victoria, Australia.

Background and aims: Since the onset of the COVID-19 pandemic, a significant rise in mental ill health has been observed globally in young people, particularly those in their final years of secondary school. Students' negative experiences coincide with a critical transitional period which can disrupt milestones in social and educational development. This study aimed to use innovative population-level data to map the impact of the pandemic on students entering higher education.

Methods: Pre-pandemic (2019/2020) and pandemic (2020/2021) tertiary education application data were obtained from the Victorian Tertiary Admissions Centre. Prevalence of applications for special consideration related to mental ill health were compared between cohorts across various geographical areas and applicant demographic subgroups. Relative risk regression models were used to understand the role of different risk factors.

Results: Rates of mental health-related special consideration applications increased by 38% among all applications (pre-pandemic: 7.8%, n = 56 916; pandemic: 10.8%, n = 58 260). Highest increases were observed among students in areas with both extended and close-quarter lockdown experiences, and areas impacted by 2019/2020 black summer bushfires. The increases were higher among Year 12 students and students with other special consideration needs (e.g., physical condition, learning disability). Slightly higher increases were observed in areas with higher socio-economic status, which may potentially be related to inequality in mental health service access.

Conclusion: As consequences of mental health difficulties and academic disruption in youth can be long lasting, it is critical to establish a mental health support framework both in and outside of higher education to facilitate young people's recovery from the pandemic.

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来源期刊
Early Intervention in Psychiatry
Early Intervention in Psychiatry 医学-精神病学
CiteScore
4.80
自引率
5.00%
发文量
112
审稿时长
6-12 weeks
期刊介绍: Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.
期刊最新文献
Young Adult Perspectives on Treatment Engagement and Family Communication During Psychosis. Criminal Offending and Incarceration in United States Adults With Early Phase Psychosis and Comorbid Substance Use Disorder. Exploring the Implementation of Cognitive Screening in First-Episode Psychosis Settings: The CogScreen Implementation Study. Understanding Participation in Integrated Youth Mental Health Service Research: Lessons Learned From a Feasibility Study With Jigsaw. Evaluating Response to a Cognitive Behavioural Therapy for Psychosis-Informed Family Intervention at Variable Duration of a Psychotic Illness.
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