Depression and anxiety and their related factors among college students in Lanzhou,Gansu Province
Objective To investigate the prevalence of depression and anxiety symptoms and related factors in college students.Methods From March 2023 to July 2023,a cross-sectional random sampling study on psy-chological health issues was conducted among 625 college students from four universities in Gansu Province,China,using the Depression Self-Rating Scale and the Anxiety Self-Rating Scale.Chi-square tests,univariate and multivariate binary logistic regression analyses were conducted to explore the factors associated with depression and anxiety.Results The detection rates of depression and anxiety among university students were 48.3%and 22.9%,respectively.In single-factor analysis,factors associated with depression included age≥21 years(χ2=17.74),majoring in medicine(χ2=19.93),lower academic year(χ2=24.5)and urban residence(χ2=8.6)(P<0.05).Participation in sports significantly reduced the risk of depression(P<0.05).Factors associated with anxiety included age≥21 years(χ2=4.518),having more siblings(χ2=11.96),and less time spent on communica-tion with family members(χ2=3.882).Depression and anxiety also showed a significant correlation(OR=5.035,95%CI:[3.236,7.737],P<0.001).Multivariate analysis revealed that majoring medicine(OR=2.02,95%CI:[1.37,2.98])and urban residence(OR=1.48,95%CI:[1.03,2.13])were risk factors for depression among uni-versity students(P<0.05).Higher academic year(junior year OR=0.44,95%CI:[0.30,0.64];senior year OR=0.22,95%CI:[0.06,0.78])and participating in sports(OR=0.63,95%CI:[0.41,0.97])were associated with reduced risk of depression(P<0.05).Having multiple siblings was a risk factor for anxiety(2 siblings OR=2.35,95%CI:[1.27,4.36];≥3 siblings OR=3.24,95%CI:[1.70,6.17]),while longer conversations with family members(≥30 minutes)reduced the risk of anxiety(OR=0.63,95%CI:[0.43,0.93],P<0.05).Older age(≥21 years)was a common risk factor for both depression(OR=1.98,95%CI:[1.44,2.73]and anxiety(OR=1.50,95%CI:[1.03,2.18]).Prolonged engagement in internet-related activities(e.g.,online gaming,watching series online)also increased the probability of depression and anxiety(P<0.05).Conclusion The situation of depres-sion and anxiety among college students in Lanzhou is quite serious.It is necessary to pay immediate attention to issues concerning the mental health of all college students.