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Abstract
The purpose of this study was to examine the changes in severity of anxiety and depression symptoms, stress and sleeping quality after three months of mass quarantine for COVID-19 among undergraduate fresh students compared to their pre-COVID-19 measures. We used participants from the Chinese Undergraduate Cohort (CUC), a national prospective longitudinal study to examine the changes in anxiety and depression symptoms severity, stress and sleep quality after being under mass quarantine for three months. Wilcoxon matched pair signed-rank test was used to compare the lifestyle indicators. Severity of anxiety, depression symptoms, stress and sleep quality were compared with Wilcoxon signed-rank test. We used generalized estimating equation (GEE) to further quantify the change in mental health indicators and sleep quality after the COVID-19 mass quarantine compared to baseline. This study found that there was no deterioration in mental health status among Chinese new undergraduate students in 2020 after COVID-19 mass quarantine compared with the baseline measures in 2019. There was an improvement in sleep quality and anxiety symptoms. After adjusting for age, sex, exercise habit, time spent on mobile gadgets, and time spent outdoors, year 2020 was significantly associated with severity of depression symptoms in males (OR:1.52. 95%CI:1.05–2.20, p-value = 0.027). Year 2020 was significantly associated with the improvement of sleeping quality in total (OR:0.45, 95%CI:0.38–0.52, p < 0.001) and in all the subgroups. This longitudinal study found no deterioration in mental health status among Chinese new undergraduate students after three months of mass quarantine for COVID-19.
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1 Binzhou Medical University, School of Public Health and Management, Yantai, China (GRID:grid.440653.0) (ISNI:0000 0000 9588 091X)
2 Hebei Medical University, Hebei Key Laboratory of Environment and Human Health, Department of Epidemiology and Statistics, School of Public Health, Shijiazhuang, China (GRID:grid.256883.2) (ISNI:0000 0004 1760 8442)
3 Zhengzhou University, School of Public Health, Zhengzhou, China (GRID:grid.207374.5) (ISNI:0000 0001 2189 3846)
4 Binzhou Medical University, The Second School of Clinical Medicine, Yantai, China (GRID:grid.440653.0) (ISNI:0000 0000 9588 091X)
5 Wuhan University, Department of Global Health, School of Health Sciences, Wuhan, China (GRID:grid.49470.3e) (ISNI:0000 0001 2331 6153)
6 Monash University, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Melbourne, Australia (GRID:grid.1002.3) (ISNI:0000 0004 1936 7857)
7 Binzhou Medical University, Department of Human Resources, Yantai, China (GRID:grid.440653.0) (ISNI:0000 0000 9588 091X)
8 Peking University, School of Public Health, Beijing, China (GRID:grid.11135.37) (ISNI:0000 0001 2256 9319)
9 The University of Western Australia, School of Population and Global Health, Perth, Australia (GRID:grid.1012.2) (ISNI:0000 0004 1936 7910)
10 Deakin University, Melbourne, Australia (GRID:grid.1021.2) (ISNI:0000 0001 0526 7079)
11 Binzhou Medical University, School of Public Health and Management, Yantai, China (GRID:grid.440653.0) (ISNI:0000 0000 9588 091X); Monash University, Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Melbourne, Australia (GRID:grid.1002.3) (ISNI:0000 0004 1936 7857)