Search

In the context of the COVID-19 pandemic, this research aimed to explore the relationship between dormitory environment, learning engagement, and mental health among college students, with a special focus on college students of different gender groups. We conducted a cross-sectional survey of students from 45 universities in China. For mental health, we tested students for depression using the 5-Item WHO Well-Being Index (WHO-5). The dormitory environment is exemplified by a typical four-person dormitory layout in China, which is assessed in four main areas: site location, functional layout, maintenance management, and view from the window. Meanwhile, we examined the relationship between mental health and the dormitory environment using learning engagement as a mediating variable. We found that the dormitory environment positively influences college students’ mental health through the mediating role of learning engagement. We found gender differences in mental health among Chinese college students. The mental health of male students was better than that of female students. More importantly, we found differences in the influence of dormitory environment on the mental health of college students in different gender groups. In the dormitory environment-learning engagement pathway, the influence was more pronounced for male students. In the learning engagement— mental health pathway, the total and indirect effects were more substantial for women than for men. As our study took place during the epidemic, the examination of the relationship between dormitory environment and college students’ mental health in this study will also inspire college administrators to pay more attention to the dormitory environment and support the development of public health policies to promote college students’ mental health. We encourage further research on the relationship between dormitory environment and college students’ mental health, which will promote the greening of college dormitories and improve college students’ mental health. [ABSTRACT FROM AUTHOR]

Objectives: Increasing data about COVID-19 have been acquired from the general population. We aim to further evaluate the clinical characteristics of COVID-19 in patients with systemic autoimmune diseases (AIDs).Methods: We included all confirmed inpatients with COVID-19 and systemic AIDs in Wuhan Tongji Hospital from 29 January to 8 March 2020. We retrospectively collected and analysed information on epidemiology of 1255 inpatients and additional clinical characteristics of patients with systemic AIDs. Outcomes were followed up until 16 April 2020.Results: Of the 1255 patients with COVID-19, the median age was 64.0 years and 53.1% were male. More than half (63.0%) had chronic comorbidities. The proportions of elderly, male and patients with comorbidities were significantly higher in intensive care unit (ICU) than in the general ward (p<0.001). 17 (0.61%) patients with systemic AIDs were further screened and analysed from 2804 inpatients. The median age was 64.0 years and 82.4% were female. All patients were living in Wuhan and two family clusters were found. 1 (5.9%) patient was admitted to ICU and one died. 10 (62.5%) of 16 patients changed or stopped their anti-AIDs treatments during hospitalisation, and 5 of them felt that the disease had worsened after the quarantine.Conclusions: Older males with chronic comorbidities are more vulnerable to severe COVID-19. The lower proportion of COVID-19 in patients with systemic AIDs needs more high-quality human clinical trials and in-depth mechanism researches. Of note, the withdrawal of anti-AIDs treatments during hospitalisation can lead to flares of diseases. [ABSTRACT FROM AUTHOR]