Objective To report the prevalence of tinnitus among college students in Zhanjiang City,as well as risk factors and potential correlation with anxiety and depression.Methods By convenience sampling,2,197 college students from Guangdong Medical University,Guangdong Ocean University,and Lingnan Normal University were recruited as the objects.They were divided into a tinnitus group(n=191)and a non-tinnitus group(n=l,994),and required to complete a tinnitus questionnaire,regarding epidemiological and related influencing factors.Results The prevalence of tinnitus was 8.7%(191/2,185).Single factor analysis suggested that age,year in school and closed management were correlated with the occurrence of tinnitus.Online learning and time of headset use were correlated with anxiety and depression(P<0.05).Age,Anxiety and depression increased the risk of tinnitus(P<0.05).Univariate analysis suggested that duration of tinnitus,tinnitus loudness rating and sleep disorders may be associated with concomitant anxiety(P<0.05),newly onset tinnitus and sleep disorders were associated with increased risk for anxiety(P<0.05).Male gender had an increased risk for tinnitus with depression(P<0.05).Conclusion While the prevalence of tinnitus among college students in Zhanjiang is not high,online classes and headphone use may affect its occurrence.Appropriate online class time reasonably and adequate mental healthcare are needed for college students.Anxiety and depression in tinnitus may be related to disease course and sleep disorders.