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GMDS 2012: 57. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V. (GMDS)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie

16. - 20.09.2012, Braunschweig

Prevalence of perceived stress and associated factors among University students in China

Meeting Abstract

  • Heiko Jürgen Jahn - AG 2 Bevölkerungsmedizin, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Deutschland
  • Anna Maria Steinmann - AG 2 Bevölkerungsmedizin, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Deutschland
  • Li Ling - Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China
  • Wenyi Niu - Department of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, China
  • Alexander Krämer - AG 2 Bevölkerungsmedizin, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Deutschland
  • Janet Junqing Chu - AG 2 Bevölkerungsmedizin, Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld, Deutschland

GMDS 2012. 57. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e.V. (GMDS). Braunschweig, 16.-20.09.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12gmds206

DOI: 10.3205/12gmds206, URN: urn:nbn:de:0183-12gmds2062

Veröffentlicht: 13. September 2012

© 2012 Jahn et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: The changing life-worlds university students face after the beginning of their studies constitute various challenges in students’ lives. They need to cope with changing living situations, such as changing physical and social environments and challenging administrational and study requirements. The period from adolescence to young adulthood is a crucial transitional phase which may cause high stress levels in students, particularly in case of deficient coping with these demands [1]. Chinese students additionally face extreme peer competition before and during their studies accompanied by many economic and psychosocial demands that may increase their stress level [2]. This study investigated the prevalence and factors associated with perceived stress among students from two Chinese universities.

Methods: Standardised interviews were conducted among university students at Peking University, Beijing and Sun Yat-sen University, Guangzhou, China in 2010 and 2011. Descriptive and bivariable analyses were applied to describe the stress level of the students and to characterize subgroup differences. Adjusted binary logistic regression models were applied to estimate the strength of association (odds ratio) of factors associated with perceived stress (Cohen’s perceived stress scale).

Results: The sample of 1,856 students was almost gender-balanced with 52.1% males and 47.9% females. The proportion of stressed students was substantial (38.5%). Adjusted for age, sex, income situation, birth place (rural vs. urban), partnership, only-child status, religion, and parents’ educational level, we found that social support (high vs. low level: OR=0.3), self-efficacy (high vs. low level: OR=0.1), sense of coherence (high vs. low level OR=0.04), self-rated health status (poor vs. good OR=1.8), satisfaction with health status (unsatisfied vs. satisfied OR=2.1), satisfaction with weight (unsatisfied vs. satisfied OR=1.3), satisfaction with study performance (unsatisfied vs. satisfied OR=1.6), and having concrete plans after studies (no vs. yes OR=1,5) were significantly (p<0.001) associated with the level of perceived stress.

Discussion: The results clearly show that the examined students suffer from high level of perceived stress. Personal traits like self-efficacy and sense of coherence have strong influence on perceived stress. This should motivate universities to create a study environment that increases these resources, for example through establishing comprehensible curricula, providing transparent grading criteria and improving the study-ability of academic courses. Additionally, universities should open perspectives to students for future job plans after studies, for instance by conducting job fairs. In order to strengthen students’ perceived social support, universities are called upon to enable students to continue their existing social ties with friends and families and to enable students to establish stable and reliable social interaction with peers and teaching staff at universities, e.g. by arranging sport or cultural events. Besides these contextual factors, physical health was also related to perceived stress. This emphasizes the association between somatic and mental health and constitutes great potential for stress reducing measures in the university setting.


References

1.
Williams S, Arnold P, Mills J. Coping with stress: a survey of Murdoch University veterinary students. J Vet Med Educ. 2005;32(2):201-12.
2.
He FX, Lopez V, Leigh MC. Perceived acculturative stress and sense of coherence in Chinese nursing students in Australia. Nurse Educ Today. 2011;3:3.