Aims Coronavirus disease 2019 (COVID-19) pandemic is a major public health concern all over the world. Little is known about the impact of COVID-19 pandemic on mental health in the general population. This study aimed to assess the mental health problems and associated factors among a large sample of college students during the COVID-19 outbreak in China. Methods This cross-sectional and nation-wide survey of college students was conducted in China from 3 to 10 February 2020. A self-administered questionnaire was used to assess psychosocial factors, COVID-19 epidemic related factors and mental health problems. Acute stress, depressive and anxiety symptoms were measured by the Chinese versions of the impact of event scale-6, Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Univariate and hierarchical logistic regression analyses were performed to examine factors associated with mental health problems. Results Among 821 218 students who participated in the survey, 746 217 (90.9%) were included for the analysis. In total, 414 604 (55.6%) of the students were female. About 45% of the participants had mental health problems. The prevalence rates of probable acute stress, depressive and anxiety symptoms were 34.9%, 21.1% and 11.0%, respectively. COVID-19 epidemic factors that were associated with increased risk of mental health problems were having relatives or friends being infected (adjusted odds ratio = 1.72–2.33). Students with exposure to media coverage of the COVID-19 ≥3 h/day were 2.13 times more likely than students with media exposure <1 h/day to have acute stress symptoms. Individuals with low perceived social support were 4.84–5.98 times more likely than individuals with high perceived social support to have anxiety and depressive symptoms. In addition, senior year and prior mental health problems were also significantly associated with anxiety or/and depressive symptoms. Conclusions In this large-scale survey of college students in China, acute stress, anxiety and depressive symptoms are prevalent during the COVID-19 pandemic. Multiple epidemic and psychosocial factors, such as family members being infected, massive media exposure, low social support, senior year and prior mental health problems were associated with increased risk of mental health problems. Psychosocial support and mental health services should be provided to those students at risk.
Adolescents' PTSD symptoms showed an anniversary reaction. Although many adolescents remain euthymic or recover over time, some adolescents, especially those with the risk factors noted above, exhibit chronic, delayed or relapsing symptoms. Thus, the need for individualized intervention with these adolescents is indicated.
Land use/land cover (LULC) has a profound impact on economy, society and environment, especially in rapid developing areas. Rapid and prompt monitoring and predicting of LULC's change are crucial and significant. Currently, integration of Geographical Information System (GIS) and Remote Sensing (RS) methods is one of the most important methods for detecting LULC's change, which includes image processing (such as geometrical-rectifying, supervised-classification, etc.), change detection (post-classification), GIS-based spatial analysis, Markov chain and a Cellular Automata (CA) models, etc. The core corridor of Pearl River Delta was selected for studying LULC's change in this paper by using the above methods for the reason that the area contributed 78.31% (1998)-81.4% (2003) of Gross Domestic Product (GDP) to the whole Pearl River Delta (PRD). The temporal and spatial LULC's changes from 1998 to 2003 were detected by RS data. At the same time, urban expansion levels in the next 5 and 10 years were predicted temporally and spatially by using Markov chain and a simple Cellular Automata model respectively. Finally, urban expansion and farmland loss were discussed against the background of China's urban expansion and cropland loss during 1990-2000. The result showed: (1) the rate of urban expansion was up to 8.91% during 1998-2003 from 169,078.32 to 184,146.48 ha; (2) the rate of farmland loss was 5.94% from 312,069.06 to 293,539.95 ha; (3) a lot of farmland converted to urban or development area, and more forest and grass field converted to farmland accordingly; (4) the spatial predicting result of urban expansion showed that urban area was enlarged ulteriorly compared with the previous results, and the directions of expansion is along the existing urban area and transportation lines.
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