Association between anxiety symptoms and social-ecological risk factors among medical students
Objective To understand anxiety symptoms among medical college students and their relationship with social-ecolog-ical risk factors,so as to provide reference for mental health promotion among medical students.Methods From September to Oc-tober 2021,a convenient cluster sampling method was used to include 1 274 freshmen to senior students of a medical school in Taiyuan City,and the Generalized Anxiety Disorder-7 and adolescent social-ecological risk factors assessment questionnaire were used.Multivariate binary Logistic regression was used to analyze the association between anxiety symptoms and social-ecological risk factors among medical students.Results The overall detection rate of anxiety symptoms among medical students was 16.2％.The rate of anxiety varied significantly by grade(freshman:19.9％,sophomore:13.0％,junior:14.0％,senior:18.9％)and number of friends(≤2:22.8％,3-5:14.4％,≥6:11.8％)(x2=8.70,16.34,P＜0.05).Spearman correlation analysis showed that indi-vidual,family,school,community,policy,culture,time,and total score in socio-ecological risk factors were positively associated with anxiety symptom scores at different levels of risk(r=0.33,0.25,0.32,0.16,0.15,0.16,0.16,0.35,P＜0.01).Logistic re-gression analysis showed that high risk for personal dimension of the socio-ecological risk factors was positively associated with rate of anxiety symptoms among medical students(OR=3.32,95％CI=1.66-6.61),and remained positively associated(OR=2.98,95％CI=1.49-5.94)after adjusting for grade and number of friends(P＜0.01).Conclusions Exposure to high personal dimen-sions of socio-ecological risk factors increases the risk of developing anxiety symptoms among medical students.A focus should be placed on the personal factors associated with anxiety to promote medical students'mental health.
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