Abstract
Background
Depression is common in medical students and the Mexican state of Guerrero has the highest rates of depression in the country. Acapulco, the seat of the state medical school, is a tourist destination that experienced early high rates of COVID-19. The COVID-19 pandemic closed all schools in Mexico, obliging a shift from face-to-face to virtual education. In this new context, medical students faced challenges of online teaching including inadequate connectivity and access technologies. Prolonged isolation during the pandemic may have had additional mental health implications.
Aim
Assess depression prevalence and its associated factors affecting medical students in Acapulco, Mexico during the COVID-19 pandemic.
Methods
A cross-sectional survey of students of the Faculty of Medicine of the Universidad Autónoma de Guerrero, in November 2020. After informed consent, students completed a self-administered questionnaire collating socio-demographic, academic and clinical variables, major life events and changes in mood. The Beck inventory provided an assessment of depression. Bivariate and multivariate analyses relied on the Mantel-Haenszel procedure to identify factors associated with depression. We estimated the odds ratio (OR) and 95% confidence intervals.
Results
33.8% (435/1288) of student questionnaires showed evidence of depression in the two weeks prior to the study, with 39.9% (326/817) of young women affected. Factors associated with depression included female sex (OR 1.95; 95%CI 1.48–2.60), age 18–20 years (OR 1.36; 95%CI 1.05–1.77), perceived academic performance (OR 2.97; 95%CI 2.16–4.08), perceived economic hardship (OR 2.18; 95%CI 1.57–3.02), and a family history of depression (OR 1.85; 95%CI 10.35–2.54). Covid-19 specific factors included a life event during the pandemic (OR 1.99; 95%CI 1.54–2.59), connectivity problems during virtual classes and difficulties accessing teaching materials (OR 1.75; 95%CI 1.33–2.30).
Conclusions
The high risk of depression in medical students during the COVID-19 pandemic was associated with perceived academic performance and technical barriers to distance learning, in addition to known individual and family factors. This evidence may be useful for the improvement of programs on prevention and control of depression in university students.
Publisher
Public Library of Science (PLoS)
Reference66 articles.
1. World Health Organization. Depression and Other Common Mental Disorders. Global Health Estimates. Geneva: World Health Organization, 2017. [Accessed 12 October 2021]. https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
2. The Institute for Health Metrics and Evaluation (IHME). Global Health Data Exchange (GHDx). GBD 2019 Data. [Accessed 12 October 2021]. http://ghdx.healthdata.org/gbd-results-tool?params=gbd-api-2019-permalink/d780dffbe8a381b25e1416884959e88b
3. Secretaría de Salud (SSA). Depresión puede causar incapacidad. Comunicado 293. Fecha de publicación 23 de julio de 2017. [Accessed 12 October 2021]. https://www.gob.mx/salud/prensa/293-depresion-puede-causar-incapacidad
4. Depressive Symptoms among Haramaya University Students in Ethiopia: A Cross-Sectional Study;M Teshome Hambisa;Depress Res Treat,2020
5. Prevalence of Depression among Chinese University Students: A Meta-Analysis;XY Lei;PLoS One,2016