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Dey P, De Souza LR. Public Health Challenges for Post-secondary Students During COVID-19: A Scoping Review. COMMUNITY HEALTH EQUITY RESEARCH & POLICY 2025; 45:429-446. [PMID: 38821889 PMCID: PMC12059239 DOI: 10.1177/2752535x241257561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/02/2024]
Abstract
Research about public health impacts of COVID-19 on post-secondary students is slowly beginning to emerge. This scoping review identified common public health challenges among post-secondary students in higher-income countries during the COVID-19 pandemic. Five databases were searched to find relevant peer-reviewed literature up to March 2022. Results were categorized according to reported public health challenges and relevant socio-economic variables. After screening, 53 articles were reviewed. Most articles were from the USA (39/53). The seven main public health challenges identified were mental health (35/53), financial instability (25/53), physical health (13/53), food insecurity (12/53), social well-being (8/53), digital access (7/53), and housing or relocation (6/53). Students with low socioeconomic status experienced heightened public health challenges. This review offers insight and opportunities for the development of longitudinal tools to support social determinants of health in post-secondary populations in high-income countries and may offer insight into similar experiences for students in other settings.
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Affiliation(s)
- Pooja Dey
- Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
| | - Leanne R. De Souza
- University College, University of Toronto, Toronto, ON, Canada
- Factor-Inwentash Faculty of Social Work, Institute for Life Course and Aging, University of Toronto,Toronto, ON, Canada
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Liu X, Zhang Y, Ran F, Zeng J, Liu Y. Network Analysis of Basic Psychological Need Frustration and Depressive Symptoms Among Adolescents: A Longitudinal Study. Res Child Adolesc Psychopathol 2025:10.1007/s10802-025-01319-9. [PMID: 40198425 DOI: 10.1007/s10802-025-01319-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2025] [Indexed: 04/10/2025]
Abstract
Studies have shown a reciprocal relationship between basic psychological need frustration and depressive symptoms in adolescents. However, the underlying pattern of this relationship remains unclear. This longitudinal study employed network analysis to examine the central nodes, bridge nodes, and dynamic changes in the network structure of psychological need frustration and depressive symptoms among 1,381 Chinese adolescents (51.85% girls; Mage = 15.17, SD = 0.49, range: 13-16). The results revealed that competence frustration, mood, fatigue, and worthlessness were central nodes, exhibiting strong connections with other nodes in the network. Furthermore, competence frustration and worthlessness functioned as bridge nodes, linking psychological need frustration with depressive symptoms. Notably, the network structure remained stable over time, with no significant changes observed. These findings highlight the critical role of competence frustration and worthlessness in the co-occurrence of psychological need frustration and depressive symptoms. Targeting these nodes in interventions may help reduce adolescent distress and improve mental health outcomes.
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Affiliation(s)
- Xin Liu
- Research Center of Mental Health Education, Southwest University, Chongqing, 400715, China
| | - Yaoyao Zhang
- Research Center of Mental Health Education, Southwest University, Chongqing, 400715, China
- Yibin Research Institute of Southwest University, Yibin, 644005, China
| | - Fang Ran
- Chongqing Vocational Institute of Tourism, Chongqing, 409099, China
| | - Jinyi Zeng
- Research Center of Mental Health Education, Southwest University, Chongqing, 400715, China
| | - Yanling Liu
- Research Center of Mental Health Education, Southwest University, Chongqing, 400715, China.
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Wan J, Wee LH, Siau CS, Wong YH. Psychological well-being and its associated factors among university students in Sichuan, China. Front Psychol 2025; 16:1473871. [PMID: 40083756 PMCID: PMC11905163 DOI: 10.3389/fpsyg.2025.1473871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2024] [Accepted: 01/16/2025] [Indexed: 03/16/2025] Open
Abstract
Introduction Psychological well-being refers to a mental state that allows an individual to achieve their full potential, be productive and innovative in their work, and manage everyday stressors. This study aims to assess university students' psychological well-being by examining its associations with demographic factors such as gender, only child status, family background, grade level, financial aid status, and household income. Methods This cross-sectional, online study utilized the EPOCH Measure of Adolescent Well-being to examine five positive well-being indicators: Engagement, Perseverance, Optimism, Connectedness and Happiness among Chinese university students aged 18-25 years (N = 4,911). Results The results showed that females, only children, first-year students, and urban students exhibited higher levels of psychological well-being. Additionally, students who received the highest level of financial assistance were significantly associated with lower levels of psychological well-being. Conclusion Identifying the influence of these socioeconomic factors on psychological well-being allows for targeted interventions to improve the mental health and social well-being of at-risk groups.
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Affiliation(s)
- Juan Wan
- School of Software Engineering, Chengdu University of Information Technology, Chengdu, China
- Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Lei Hum Wee
- Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
- School of Medicine, Faculty of Health and Medical Sciences, Taylor’s University, Subang Jaya, Selangor Darul Ehsan, Malaysia
- Digital Health and Medical Advancement Impact Lab, Taylor’s University, Subang Jaya, Selangor Darul Ehsan, Malaysia
| | - Ching Sin Siau
- Centre for Community Health Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Yin How Wong
- School of Medicine, Faculty of Health and Medical Sciences, Taylor’s University, Subang Jaya, Selangor Darul Ehsan, Malaysia
- Digital Health and Medical Advancement Impact Lab, Taylor’s University, Subang Jaya, Selangor Darul Ehsan, Malaysia
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Chen J, Liu Y, Zhu K, Dai J, Wang C. The development and evolution of the research topic on the mental health of college students: A bibliometric review based on CiteSpace and VOSviewer. Heliyon 2024; 10:e29477. [PMID: 38638989 PMCID: PMC11024628 DOI: 10.1016/j.heliyon.2024.e29477] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Revised: 04/02/2024] [Accepted: 04/08/2024] [Indexed: 04/20/2024] Open
Abstract
Background With the advances in society and in response to changing times, college students have had to face multiple challenges. These challenges frequently affect the mental health of college students, leading to significant consequences for their social lives, personal well-being, and academic achievements, thereby attracting extensive societal attention. Therefore, examining the current status of research topics related to the mental health of college students can assist academia in dissecting the influencing factors and seeking solutions at their source or through early intervention. This can contribute to a better understanding of and effectively address this challenge. Method CiteSpace and VOSviewer were used to conduct a bibliometric analysis of 1609 journal articles indexed in the Web of Science (WoS) database over the past two decades (2000-2022), which helped identify the current state of research and hot topics in the field based on development trends. Furthermore, this study analyzes and discusses the core authors, high-productivity countries and organizations, key journals, and keyword clustering in this field. This study clarifies the current research landscape, analyzes evolving trends based on developmental trajectories, and identifies forefront research hotspots. This study provides scholars with reference research directions and ideas for conducting subsequent studies. Results Since the beginning of the 21st century, research on college students' mental health has increased, especially in the past three years, and due to the impact of the COVID-19 pandemic and online distance learning, the number of publications has increased rapidly. With the increase in attention and publication volume, the countries and organizations contributing papers as well as core journals have all started to take shape. Cluster and evolution analyses found that several stable research topics have been formed in this research field, and many new and diverse topics are continuously emerging with time. Conclusion and prospect: The findings prove that the field of college students' mental health has begun to take shape, gradually shifting from conceptual research to the implementation of specific interventions. However, whether specific interventions are effective and how effective they are require further investigation.
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Affiliation(s)
- Jingying Chen
- School of Marxism, Zhejiang University of Technology, Hangzhou, China
| | - Yidan Liu
- School of Humanities and Social Sciences, Beihang University, Beijing, China
| | - Keke Zhu
- College of Foreign Languages, Zhejiang University of Technology, Hangzhou, China
| | - Jian Dai
- School of Management, Zhejiang University of Technology, Hangzhou, China
| | - Chengliang Wang
- Department of Education Information Technology, Faculty of Education, East China Normal University, Shanghai, China
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Bower E, Ramsey E, Seiler S. Alcohol and cannabis use among rural university students: A quantitative analysis of barriers to care, student resilience, and school climate. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2023:1-12. [PMID: 37910656 DOI: 10.1080/07448481.2023.2272198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 10/09/2023] [Indexed: 11/03/2023]
Abstract
Objective: This article examines impacts of student resilience, school climate, and barriers to mental health care on problematic drinking behavior and cannabis use among rural university students. Participants: A total of 948 students from a public university in a southeastern state that completed the 2019-2020 Healthy Minds Study. Methods: Cross-tabulations and multivariate logistic regression analyses were employed to test study hypotheses. Results: Students who binge drink are more likely to engage in problematic drinking behaviors than students who do not binge drink; students who engage in problematic drinking are more likely to use cannabis than those who do not engage in problematic drinking. As students face more barriers to mental health care, they are more likely to engage in problematic drinking and cannabis use; students who are more resilient are less likely to engage in problematic drinking. Conclusions: To promote health and wellbeing, universities must understand factors that impact substance use among students.
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Affiliation(s)
- Erica Bower
- The Crime and Justice Institute, A Division of Community Resources for Justice, Boston, Massachusetts, USA
| | - Elizabeth Ramsey
- School of Human Ecology, Tennessee Tech University, Cookeville, Tennessee, USA
| | - Steven Seiler
- Department of Sociology & Political Science, Tennessee Tech University, Cookeville, Tennessee, USA
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Shek DTL, Dou D, Zhu X, Wong T, Tan L. Need Satisfaction and Depressive Symptoms Among University Students in Hong Kong During the COVID-19 Pandemic: Moderating Effects of Positive Youth Development Attributes. Front Psychiatry 2022; 13:931404. [PMID: 35873261 PMCID: PMC9300911 DOI: 10.3389/fpsyt.2022.931404] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Accepted: 06/20/2022] [Indexed: 12/27/2022] Open
Abstract
As studies on the mental health status of university students during the COVID-19 pandemic are almost non-existent in Hong Kong, we examined four research questions in this paper: What is the prevalence of depressive symptoms in university students in Hong Kong? What are the socio-demographic correlates of depressive symptoms? Do need satisfaction and positive youth development (PYD) attributes, including beliefs about adversity, psychosocial competence (resilience and emotional competence) and family functioning predict depression? Do PYD attributes moderate the predictive effect of need satisfaction on depression? We examined the above research questions using the Centre for Epidemiologic Studies Depression Scale Revised (CESD-R) in 1,648 university students in Hong Kong. For PYD attributes, we utilized validated measures of Chinese beliefs about adversity, psychosocial competence (resilience and emotional competence), and family functioning. For need satisfaction, we used a measure derived from two focus group interviews involving university students. Results showed that 48.4% of the respondents (95% confidence interval = [45.9%, 51.1%]) scored 16 or above (i.e., "at-risk" for clinical depression). As predicted, age, gender, student status (local vs. international), and family financial hardship were significant socio-demographic correlates of depressive symptoms. Besides, need satisfaction and PYD attributes negatively predicted depression scores. Finally, multiple regression analyses controlling for gender, age, and student status as covariates showed that all PYD attributes moderated the impact of need satisfaction on depression. The findings reinforce the theoretical proposition that PYD attributes serve as important factors in protecting the mental health of university students during the pandemic.
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Affiliation(s)
- Daniel T. L. Shek
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
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