A cross-lagged study on health risk perception and life consciousness in college students during the COVID-19 epidemic.

Objective: To explore the relationship between health risk perception and life consciousness in college students during the COVID-19 epidemic. Methods: A total of 320 college students were assessed twice at 6- month intervals with the Health Risk Perception Scale (HRPS) and Questionnaire of Life Consciousness for College Students (QLCCS). The subjects were divided into middle and high-risk areas group (n = 165) and low-risk areas group (n = 131) according to the COVID-19 epidemic risk level of their location. A structural equation model was established to analyze the cross-lag effect of HRPS score and QLCCS score, and the group difference test was conducted to reveal the inter-group difference. Results: The baseline HRPS scores were lower in the middle and highrisk areas group than in the low-risk areas group (P < 0. 05) . After 6 months, the HRPS scores decreased, and the QLCCS scores increased in both groups (Ps < 0. 05). In the cross-lagged model analysis, the baseline HRPS scores positively associated with the QLCCS scores 6 months later (β = 0. 22), while the baseline QLCCS scores positively associated with the HRPS scores 6 months later (β = 0. 15). There was difference in the relationship between HRPS scores and QLCCS scores between two groups (Δχ² = 9. 28, P < 0. 05). Conclusion: During the COVID-19 epidemic, the health risk perception and life consciousness of college students are associated with interaction, and the relationship between them is affected by regional risk level. (English) [ABSTRACT FROM AUTHOR] 目的：探讨新冠肺炎流行期间大学生健康风险感知与生命意识的关系。方法：选取 320 名大 学生，采用健康风险感知量表（HRPS)、大学生生命意识调查表 (QLCCS）间隔 6 个月进行 2 次测查；根 据被试所在地新冠肺炎疫情风险等级，分为中高风险地区组（n=165）与低风险地区组（n=131)。建立 结构方程模型分析 HRPS 总分与 QLCCS 总分的交叉滞后效应并进行群组差异检验。结果：中高风险地区组 基线 HRPS 总分低于低风险地区组；两组 ６个月后 HRPS总分均降低，QLCCS 总分均提高（均 P < 0. 05)。 基线 HRPS 总分正向预测６个月后 QLCCS 总分（β＝0.22)、基线 QLCCS 总分正向预测６个月后 HRPS 总 分（β＝0.15)，HRPS 总分与 QLCCS 总分的关系在中高风险地区组与低风险地区组之间存在差异（Δχ２＝ 9.28，P < 0. 05)。结论：新冠肺炎流行期间，大学生的健康风险感知与生命意识交互预测，二者关系受地 区风险等级的影响。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)