Abstract:Objective To analyze the prevalence, influencing factors and changes of anxiety/depression among adult students in the early control period and regular prevention and control period of the SARS-CoV-2 pandemic. Methods Online questionnaires were distributed in WeChat groups of students in March 2020 and March 2021 respectively. Generalized Self-rating Anxiety Disorder-7 Scale (GAD-7) andPatient Health Questionnaire(PHQ-9) were used to assess anxiety/depression respectively. Multiple logistic regression analysis was applied to identifying the factors affecting anxiety/depression. The changes of anxiety/depression were analyzed based on 1:1 matching method. Results Nine hundred and forty-one adult students were enrolled into the study in 2020, and 764 ones in 2021. The proportions of anxiety/depression were 34.9%/43.0% in 2020, and 36.4%/48.4% in 2021 respectively. After the matching, no statistically significant differences were found in the changes of proportions of anxiety (P=0.359) and depression (P=0.186), but the proportions of moderate-to-severe anxiety (P=0.015) and severe depression (P=0.012) decreased to some extent. Multivariate analysis displayed that poor health, suffering fromchronic diseases and negative impact on medical service need (OR=1.708-6.415, P<0.050) were risk factors foranxiety/depression in 2020 and 2021. Compared with college students and undergraduates, postgraduates showed higher possibilities of anxiety/depression in 2020 (OR=1.613-1.752, P<0.010). Students who reported severe perceived risk of SARS-CoV-2 infection were more likely to have anxiety (OR=1.750, P=0.048), and those who lived in cities were prone to anxiety than those who lived in the rural areas (OR=1.384, P=0.030). Students who reported items in shortage were more likely to suffer from anxiety/depression in 2021 (OR=1.758-1.854, P<0.05), but they were only more prone to suffering from anxiety in 2020 (OR=1.507, P=0.010). Conclusion From the early remission stage to the regular prevention and control period, the prevalence of anxiety/depression in the adult students showed a decrease change, but was still at a high level. It is recommended that continuous attention should be paid to the psychological health change of adult students in China, especially for those with poorer health status and suffering from negative impact on medical service need.
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