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Educational, psychosocial, and clinical impact of SARS-CoV-2 (COVID-19) pandemic on medical students in the United States

引用

World Journal of Virology 2022年第3期11卷 150-169页

作者： Veronica Frank anjali doshi Natalie L Demirjian Brandon K K Fields Catherine Song Xiaomeng Lei Sravanthi Reddy Bhushan Desai Drayton C Harvey Steven Cen Ali Gholamrezanezhad Semmelweis University Faculty of Medicine Semmelweis University Faculty of MedicineBudapest 1085Hungary Keck School of Medicine of University of Southern California Los AngelesCA 90033United States Department of Integrative Anatomical Sciences Keck School of Medicine of University of Southern CaliforniaLos AngelesCA 90033United States Department of Radiology Keck School of Medicine of University of Southern CaliforniaLos AngelesCA 90033United States

BACKGROUND The coronavirus disease 2019(COVID-19)pandemic altered education,exams,and residency applications for United States medical *** To determine the specific impact of the pandemic on US medical students and its correlation to their anxiety *** An 81-question survey was distributed via email,Facebook and social media groups using *** investigate risk factors associated with elevated anxiety level,we dichotomized the 1-10 anxiety score into low(≤5)and high(≥6).This cut point represents the 25th *** were 90(29%)shown as low anxiety and 219(71%)as high *** descriptive analyses,we used contingency tables by anxiety categories for categorical measurements with chi square test,or mean±STD for continuous measurements followed by t-test or Wilcoxson rank sum test depending on data *** Absolute Shrinkage and Selection Operator was used to select important predictors for the final multivariate *** Poisson regression model was used to fit the final multivariate model by considering the nested data structure of students clustered within *** 397 medical students from 29 states were *** half of respondents reported feeling depressed since the pandemic onset.62%of participants rated 7 or higher out of 10 when asked about anxiety *** correlated with higher anxiety scores included“concern about being unable to complete exams or rotations if contracting COVID-19”(RR 1.34;95%CI:1.05-1.72,P=0.02)and the use of mental health services such as a“psychiatrist”(RR 1.18;95%CI:1.01-1.3,P=0.04).However,those students living in cities that limited restaurant operations to exclusively takeout or delivery as the only measure of implementing social distancing(RR 0.64;95%CI:0.49-0.82,P<0.01)and those who selected“does not apply”for financial assistance available if needed(RR 0.83;95%CI:0.66-0.98,P=0.03)were less likely to have a high *** COVID-19 significantly

关键词： Medical student SARS-CoV-2 Anxiety Stress Psychological Impact clinical

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