scholarly journals Prevalence of insomnia and anxiety in university students during the COVID-19 lockdown: A cross-sectional study

2021 ◽  
Vol 15 (1) ◽  
pp. 9-12
Author(s):  
Ameer Hamza Mahmood-ul-Hassan ◽  
Abdul Sannan ◽  
Nehala Nooz ◽  
Ansa Ramay ◽  
Muhammad Huzaifa ◽  
...  

Background: The world is facing COVID-19 pandemic and almost 70% of the world had gone under Lockdown. People are facing stress, insomnia and anxiety. The lack of basic awareness and spread of fake news are common causes of all these issues. This study was done to determine the prevalence of insomnia and anxiety in medical and non-medical students. Subjects and methods: Subjects were approached through friends in universities using WhatsApp. People having insomnia and anxiety before quarantine were excluded from this study. People using anti-depressants and anti-psychotics before quarantine were also excluded from this study. A descriptive cross-sectional study was conducted among 965 students of medical and non-medical universities in the cities of Lahore, Rawalpindi and Islamabad. Consent was taken for using the Hamilton Anxiety Rating Scale and Insomnia Severity Index for scoring of anxiety and insomnia respectively. An online questionnaire made in Google forms was used for data collection. Independent t-tests, Pearson Correlation and Regression analysis were performed using SPSS v25. Results: Increased prevalence of anxiety and insomnia in non-medical students as compared to the medical students was observed. There was statistically significant strong correlation between anxiety and insomnia of the enrolled subjects (r=0.742, p<0.001). A linear regression equation was formulated. Increased prevalence of anxiety and insomnia in females was also determined. Conclusion: Non-medical students, compared to medical students, among which, females, compared to males, were more likely to suffer from anxiety and insomnia during lockdown.

Author(s):  
Muhammad Osama ◽  
Naureen Tassadaq ◽  
Admin

Abstract Pakistan is one of the only three countries in the world with an enduring poliovirus transmission, making poliomyelitis an important health concern for Pakistan. Paralytic scoliosis is a common musculoskeletal dysfunction associated with poliomyelitis. To determine the occurrence of paralytic scoliosis a cross-sectional study was conducted at Fauji Foundation Hospital, Rawalpindi from 2015 to 2018. All patients with poliomyelitis reporting to the hospital were included, whereas patients with scoliosis but no poliomyelitis were excluded. Cobb’s angle was used to determine the severity of scoliotic curves. Pearson correlation was used to determine the correlation of Cobb’s angle with age and Independent T-test was used to determine the difference in terms of gender. Confidence interval was kept at 95%. A total of 51 patients with poliomyelitis were included in the study with a mean age of 28.58±15.07 years.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamideh Zahedi ◽  
Mohammad Hasan Sahebihagh ◽  
Parvin Sarbakhsh ◽  
Leila Gholizadeh

Abstract Background Smoking remains a leading public health challenge globally. As a psychosocial determinant of health, social capital can influence health attitudes and behaviors, and thus it may have the capacity to reduce smoking rates. The aim of this research was to examine the association between social capital and attitudes towards smoking among university students. Methods This cross-sectional study was conducted among 538 health and medical students, recruited using the proportionate sampling method. Participants’ social capital and attitudes toward smoking were assessed using the social capital questionnaire (SCQ) and the scale of cigarette smoking attitude (CSA). Data were analyzed using descriptive statistics, Pearson correlation coefficient, and the multiple regression analysis. Results About one in four health and medical students reported smoking, either currently or in the past, and 30% had either positive or indifferent attitudes towards smoking. The mean scores of the SCQ and the CSA were 105.1 ± 19.7 and 48.6 ± 11.2, respectively. There was a statistically significant negative association between the SCQ and the CSA scores (r = − 0.24; p < 0.001). In the regression analysis, the SCQ scores were also negatively and statistically significantly associated with the CSA scores, after controlling potential confounders (B: -0.09; 95% CI: − 0.13 to − 0.004). Conclusions As future healthcare providers, who are expected to take the primary role in reducing smoking rates in the community, health and medical students should be supported to develop appropriate attitudes towards smoking. Promoting positive social capital among university students has the capacity to improve their attitudes towards smoking. Possessing negative attitudes towards smoking should hopefully reduce smoking behaviors among future health professionals and improve their participation in anti-smoking campaigns.


Author(s):  
Gustavo Costa Santos ◽  
Rafael Cunha de Almeida ◽  
Willany Veloso Reinaldo ◽  
Fernando Rocha Oliveira ◽  
Shaun Schofield ◽  
...  

Background: Uncorrected refractive errors (Myopia, Hyperopia and Astigmatism) are one of the main causes of poor vision, attributing to 43% of vision deficiencies. Myopia is the most common visual disorder in the world and can progress until the age of 20-25, when many people are in universities. The etiological factors that cause myopia are still unclear and deserve to be studied. Our aim was to identify the prevalence of ametropies and self-perception of ophthalmic health in medical students at the Centro Universitário Saúde ABC/FMABC. Methods: This is a cross-sectional study with data collected at Centro Universitário Saúde ABC/FMABC from medical students. A total of 232 students participated in the survey, from the 1st to the 4th year of graduation. The data of the study were obtained from the application of a questionnaire, which evaluates the presence or not of some ophthalmologic health ametropia and self-perception. Result: It was observed that 74.57% of the students had some type of ametropy, being myopia the most recurrent (59.05%). The study shows us significant data to an increase in the grade of students from 1st to 4th grade throughout college. It was observed that the average daily study time of the students was 9.68 hours and a high average time of use of electronic means. Conclusion: The study presented a high prevalence of ametropies among students, in addition to a high prevalence of multifactorial myopia and a need to update their diopters (degrees) during the course.


2021 ◽  
Author(s):  
Radi Tofaha Alhusseini ◽  
Mohammed Alfatih Abdoalgadir ◽  
Khabab Abbasher Hussien Mohamed Ahmed ◽  
Rua Isameldin Bakhiet Mohamed ◽  
Monzer Omer Ahmed Abdalla ◽  
...  

Abstract Introduction: Since December 2019, an outbreak of severe respiratory infection (COVID-19) emerged in the city of Wuhan in China. It quickly spread around the world and is now a pandemic of epic proportions. Medical students are the future generation of doctors who will have to face this and any future similar catastrophe. The knowledge, awareness and practice of medical students toward Covid19 pandemic is of most importance as it demonstrates their preparedness to deal with this pandemic.Objective: To assess the knowledge, awareness and practice of medical students in 19 universities in Sudan about COVID 19.Methodology: This is a cross-sectional study done in 19 universities which have medical schools in Sudan. Data from at least 100 medical students from each university was included in the study. Data was collected using an online questionnaire in April 2020.Results: 2603 medical students from 19 universities were included. Overall good knowledge and practice were demonstrated by the medical students (88.9%) and (78.6%), respectively. Respondents answered that the most common clinical symptoms of COVID-19 were fever (51.9%), dry cough (40.5%). The main combination of clinical symptoms was dry cough, fatigue and fever in (27.7%), and the first initial symptom was headache (48.4%.).(60.2%) wear medical masks, (94.9%) said that avoiding crowded places protects against the spread of Covid19. (50.9%) have confidence that Sudan can win the battle against the COVID-19 with (48.6%) amongst males and (52.2%) amongst females. 69.0% agreed that COVID-19 will finally be successfully controlled.Conclusion: This study showed that medical students in Sudan demonstrated excellent Knowledge and good practice toward Covid19.Recommendations: Although the results were very positive, further education and awareness should be carried out to increase the preparedness of medical students towards such pandemics and public health modules should also focus more on the importance of the knowledge of newly emerging diseases and the practices toward them.


Author(s):  
Abhinav Pandey ◽  
Achyut Kumar Pandey ◽  
Pankaj Sureka ◽  
Amit Singh ◽  
Sanjay Gupta

Introduction: Medical students are exposed to tremendous pressure, leading to stress, depression and other psychiatric disorder at increasingly higher rates. The stress and depression can affect their learning and can lead to poor quality of life. The students of different professional year may have differing reasons for being under stress and in depression. Assessing stress and depression in students of different professional years may provide better insights, and help policy makers plan appropriate interventions. Aim: To measure and compare the prevalence and severity of stress, various aspects of life affected by stress and depressive symptoms among medical students of various professional years. Materials and Methods: A cross-sectional study was conducted from February 2018 to January 2019; on 150 undergraduate medical students (50 each from 1st, 2nd and 3rd professional year) of a medical institute in Northern part of India. Mini International Neuropsychiatric Interview (MINI version 5) was used to screen for depression, Student’s Stress Dimension Questionnaire (SSDQ) was used to assess for stress prevalence and severity and to find the various aspects of life affected by stress and Hamilton Depression Rating Scale (HAM-D) was used to measure the severity of depressive symptoms. Chi-square test and one-way Analysis of Variance (ANOVA) was used to make the group comparisons. Results: Overall stress and depressive symptoms were present in 66.67% and 52% of the participants, respectively. The three groups also differed significantly in the total score of SSDQ (H=13.664, p<0.05) and HAM-D (H=11.352, p<0.05) with first professional year students having higher scores than second and third professional year students. Domain wise comparison of SSDQ also showed higher prevalence and severity of impaired domains in first professional year students. Conclusion: Special care must be taken of the medical students. Interventions addressing stress and depression should be initiated from first professional year students itself.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S97-S104
Author(s):  
Saqib Ali ◽  
Beenish Fatima Alam ◽  
Faraz Farooqi ◽  
Khalid Almas ◽  
Sara Noreen

Abstract Objective The aims of this study were to investigate the awareness, knowledge, and attitudes of Pakistani medical and dental undergraduate students toward COVID-19 during the surge of its outbreak. Materials and Methods The multicentered, cross-sectional study was carried out nationwide among undergraduate medical and dental students. A convenience sampling technique was used. A self-developed online questionnaire was pretested to be completed by the participants. It was distributed using social media. The survey was comprised of questions related to demographics, health status, general hygiene perception, understanding, and the learning attitudes of the students. Comparisons of the knowledge scores and the attitude responses with the demographic information were done using the independent t-test, one-way ANOVA, and Chi-square, as appropriate. Results Of the 937 total respondents, 353 (38%) were males and 582 (62%) were females; two students did not mark their gender. Of these, 680 (73%) were dental students and 257 (27%) were medical students. The mean knowledge score of the female dental students (5.15 ± 1.08) was significantly higher than that of the male students (4.87 ± 1.09). Overall, the mean knowledge score was statistically higher among the medical students in comparison to the dental students (5.21 ± 1.15, 5.05 ± 1.09; p = 0.054), respectively. Conclusion The medical and dental students were both aware of the importance of the use of a mask. The medical students had a greater awareness regarding the mode of transmission, symptoms, and origin of COVID-19. However, the dental students showed better understanding of the use of surgical masks and the correct protocol for hand washing. Social media was considered the main source for COVID-19 related information.


2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Julius Steffen ◽  
Jenny Schlichtiger ◽  
Stefan Brunner ◽  
Bruno C. Huber

AbstractTo investigate the COVID-19 pandemic related alteration of health promoting behaviour during lockdown among medical students compared to other students.In this cross-sectional study, we enrolled 1940 Bavarian students. Participants were asked to complete an online questionnaire 3 weeks after lockdown implementation, evaluating their lifestyle behaviour focusing on self-reported and objectively assessed physical activity.1154 medical (59.5%) and 786 non-medical (40.5%) students were included (median age 22.0 [IQR, 20.0–25.0], 71.5% female). Physical activity decreased in both groups after lockdown implementation. During lockdown, medical students reported higher physical activity levels compared to non-medical students. This was corroborated by daily step count data assessed by wearables (median steps per day [IQR], 6979 [5218–9348] versus 6581 [4497–8491], p = 0.02). Smoking behaviour during lockdown did not differ between medical and non-medical students (increased in 11.8% vs 13.6%, decreased in 31.9% versus 36.9%).During the COVID-19 pandemic, alteration of lifestyle behaviour among medical students was significantly different compared to non-medical students. This result suggests that medical students are more concerned about health promoting behaviour even in crisis situations.


Author(s):  
Nilank Saroha ◽  
Nitin Tomar ◽  
Varun Singh

Introduction: Self-medication is a prevalent problem worldwide. Especially, knowing the pattern among medical students is pertinent as they would be future physicians. It would be interesting to find out their self-medication practices in common ailment such as sore throat. Aim: To study the patterns of self-medication in sore throat among medical students. Materials and Methods: This was a cross-sectional, online questionnaire based survey (via google forms) conducted in Muzaffarnagar Medical College in October 2020-November 2020. Total 450 students form 2nd, 3rd and final year (150 per batch) were enrolled. Out of these, only 213 consented and participated in the study (82 from 2nd year, 93 from 3rd year and 38 from final year). Results were expressed as counts (n) and percentages (%) statistical analysis was done wherever appropriate. Results: Out of 213 (113 females and 100 males), who participated in the survey, 190 (89.2%) suffered from sore throat in last 1 year and 111 (58.42%) of these self-medicated for it. Self-medication practices increased with professional year, highest being in final year (27 of 38, 71.05%). Most common class of drug used was antibiotic (consumed by n=95, 85.59%). It was followed by analgesic/antipyretic (n=82, 73.87%) and antihistaminic (n=75, 67.57%). Overall, azithromycin was the most favoured independent drug for sore throat (n=68, 71.58%). More than half of the students who preferred antibiotic other than azithromycin (n=14/27, 51.85%), discontinued it within 3 days. Majority of students (n=126, 59.15%) did not support self-medication whereas 87 students (40.85%) believed self-medication to be good. Almost 1/5th of the students (n=46, 21.60%) confirmed that they will self-medicate in future, 107(50.23%) were not sure and only 60 (28.17%) refused to practice self-medication. One fifth students (n=42, 19.72%) felt that self-medication is a part of self-care and 30 (14.08%) would recommend it to others also. Prevalence of self-medication in sore throat was in 111 students (58.42%). Conclusion: A rising trend with progression of professional year was observed. An alarming fact in the present study was the high use of antibiotic in sore throat by our undergraduates. The students need to understand the indications of the medicines they prescribe to themselves or others.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 797
Author(s):  
Mitesh Karn ◽  
Dipendra Kandel ◽  
Nuwadatta Subedi

Background: Substance abuse by medical students poses a significant risk not only on their personal life but also on their professional life by putting their patients at risk. Our study aims to find out the prevalence of substance abuse and factors associated with it among medical students. Methods: A descriptive, online-questionnaire based, cross-sectional study was carried out at Gandaki Medical College, a medical school in Gandaki Province of Nepal. Whole sampling technique was used. SPSS-25.0 software was used for statistical analysis. Descriptive statistics were used for analyzing demographic and substance abuse related variables. Chi square and Fishers exact test was used to find out if any differences existed in substance abuse by demographic characteristics. Results: Among 420 eligible participants, 219 participated in the survey (response rate: 52.2%). Alcohol was the most commonly used substance with overall lifetime prevalence of 58% followed by cigarette smoking and illegal drug abuse at 21.9% and 13.7%, respectively. The abuse of substances was significantly higher (p<0.05) in males, who were offered substances by friends, and amongst study participants who worked with an intoxicated colleague. The most common reason for substance abuse was “For pleasure, curiosity or to go along with friends” (23%, n=18). Major and minor dysfunction due to alcohol abuse was reported by 8(3.7%) and 33(15.1%) participants, while the same dysfunctions due to drug abuse were reported by 1(0.5%) and 14(6.4%) participants, respectively. Conclusions: The prevalence of substance abuse was high among medical students and was found to be associated with male gender, if offer of substances were made by friends, and amongst those who worked with an intoxicated colleague. This problem of substance abuse among medical students should be addressed timely as failing to do so might have serious consequences on the healthcare system of the country.


2019 ◽  
Author(s):  
Yuan Li ◽  
Kun Li ◽  
Wenqi Wei ◽  
Jianyu Dong ◽  
Canfei Wang ◽  
...  

Abstract Background Medical students are supposed to utilize critical thinking (CT) to resolve problems in healthcare settings. And the complex clinical environment requires effective collaboration and communication. Students with higher emotional intelligence (EI) are more sensitive and can cope with the interpersonal communication better. Conflict is also inevitable in the medical workplace. This study aimed to evaluate the levels of CT, EI and conflict management modes (CMM) of the medical undergraduates, explore the correlation between CT and EI, CMM, and provide a theoretical evidence basis for the medical education. Methods A cross-sectional study of medical students from Jilin University was conducted using a questionnaire containing three parts: Critical Thinking Disposition Inventory-Chinese Version (CTDI-CV), Emotional Intelligence Scale (EIS) and Rahim Organizational Conflict Inventory-II (ROCI-II). Demographic data relating to gender, grade and specialty were also collected. Data was analysed using T-tests, Pearson correlation analysis and multiple regression analysis. Results A total of 282 (95.39% response rate) medical undergraduates participated in this study. Students had a positive level of CT (Mean (SD) =281.12(27.40)). There was a positive correlation between the overall CT skills and the overall EI competencies (P < 0.01). For each dimension of ROCI-II, the total CTDI-CV score was significantly positively associated with integration and compromise scores (p < 0.01), significantly negatively associated with domination and compliance scores (p < 0.01) but not with avoidance score. The integration, perceived mood, compliance, dominance, and self-emotional regulation were good predictors of overall CT (adjusted R2 = 0.355). Conclusions Our findings showed medical undergraduates’ CT had significant correlations with EI and CMM. In other words, it was possible that the development of EI and conflict management skills might improve medical students’ CT. Therefore, further study is needed to uncover how educators can effectively foster EI and conflict management abilities to enhance the level of CT. The trial registration number (TRN) ChiCTR1800015784 Date of registration 2018/04/20 Keywords Critical thinking, Emotional intelligence, Conflict management modes, Medical undergraduates


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