Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,s...Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,suicidal ideation and mental health service utilisation in this population.Aims This study examined national trends in the prevalence of clinically significant anxiety,depression,suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024.Methods This repeated cross-sectional study analysed annual data from the Healthy Minds Study,a national survey of collegiate mental health,including 44560 international students.Weighted prevalence estimates were calculated,and multivariable logistic regression models were used to examine temporal trends,controlling for demographic characteristics.Results The weighted annual prevalence of anxiety increased by 78.25%(from 20.46%in 2015-2016 to 36.47%in 2023-2024),depression increased by 73.04%(from 20.44%to 35.37%),suicidal ideation increased by 92.52%(from 5.35%to 10.30%)and service utilisation increased by 45.82%(from 5.26%to 7.67%).In logistic models controlling for demographic characteristics,the increasing trends in anxiety(adjusted odds ratio(aOR)2.21;95%CI 2.07 to 2.36;p<0.001),depression(aOR 1.93;95%CI 1.80 to 2.06;p<0.001),suicidal ideation(aOR 1.57;95%CI 1.41 to 1.74;p<0.001)and service utilisation(aOR 2.01;95%CI 1.79 to 2.26;p<0.001)remained statistically significant over time.Conclusions The prevalence of anxiety,depression and suicidal ideation nearly doubled among international students from 2015 to 2024,while counselling service utilisation increased at a slower rate,indicating persistent gaps in mental healthcare.These findings suggest the need for proactive interventions,culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.展开更多
目的了解我国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状并分析其影响因素,为优化“三高共管”策略和卫生服务体系改革提供依据。方法依托中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS...目的了解我国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状并分析其影响因素,为优化“三高共管”策略和卫生服务体系改革提供依据。方法依托中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS)于2020年开展的第五轮调查数据,共筛选中老年高血糖、血脂异常、高血压患者8227人作为研究对象,基于安德森模型框架,采用χ2检验和多因素Logistic回归分析影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结果研究对象体检服务利用率为54.13%。多因素Logistic回归分析结果显示年龄(≥65岁:OR=2.024,95%CI=1.831~2.236,P<0.001)、受教育程度(高中及以上:OR=1.303,95%CI=1.123~1.511,P<0.001)、个人收入(有:OR=1.440,95%CI=1.285~1.614,P<0.001)、养老保险类别(企业职工养老保险:OR=0.655,95%CI=0.516~0.833,P<0.001;城镇居民/城乡居民养老保险:OR=0.633,95%CI=0.493~0.813,P<0.001;新型农村居民社会养老保险:OR=0.602,95%CI=0.466~0.778,P<0.001;其他养老保险:OR=0.549,95%CI=0.390~0.772,P<0.001;无养老保险:OR=0.473,95%CI=0.361~0.619,P<0.001)、医保类别(新农合、其他医保、无医保:OR=0.834,95%CI=0.726~0.959,P=0.011)、抑郁症状(是:OR=0.885,95%CI=0.804~0.975,P=0.014)、慢性病患病数量(2种:OR=1.158,95%CI=1.004~1.337,P=0.045;3种:OR=1.273,95%CI=1.099~1.475,P=0.001;≥4种:OR=1.282,95%CI=1.117~1.472,P<0.001)、社交情况(有:OR=1.396,95%CI=1.274~1.530,P<0.001)、住院服务利用(利用/需求:OR=1.207,95%CI:1.080~1.348,P<0.001)、饮酒(是:OR=1.127,95%CI=1.019~1.246,P=0.020)及吸烟(是:OR=0.761,95%CI=0.681~0.849,P<0.001)是影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结论我国中老年高血糖、血脂异常、高血压人群体检服务利用率有待提高,建议将45~64岁人群纳入弹性体检补贴范围,推动体检费用医保报销,减轻贫困人群经费负担;深化医防融合机制,创新技术赋能,简化体检流程;加强慢性病防控政策及健康宣教,提升居民健康素养水平和健康管理依从性;针对低收入、低教育水平、有抑郁症状等人群,制定定向干预方案,实现慢性病防控关口前移,促进健康老龄化。展开更多
文摘Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,suicidal ideation and mental health service utilisation in this population.Aims This study examined national trends in the prevalence of clinically significant anxiety,depression,suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024.Methods This repeated cross-sectional study analysed annual data from the Healthy Minds Study,a national survey of collegiate mental health,including 44560 international students.Weighted prevalence estimates were calculated,and multivariable logistic regression models were used to examine temporal trends,controlling for demographic characteristics.Results The weighted annual prevalence of anxiety increased by 78.25%(from 20.46%in 2015-2016 to 36.47%in 2023-2024),depression increased by 73.04%(from 20.44%to 35.37%),suicidal ideation increased by 92.52%(from 5.35%to 10.30%)and service utilisation increased by 45.82%(from 5.26%to 7.67%).In logistic models controlling for demographic characteristics,the increasing trends in anxiety(adjusted odds ratio(aOR)2.21;95%CI 2.07 to 2.36;p<0.001),depression(aOR 1.93;95%CI 1.80 to 2.06;p<0.001),suicidal ideation(aOR 1.57;95%CI 1.41 to 1.74;p<0.001)and service utilisation(aOR 2.01;95%CI 1.79 to 2.26;p<0.001)remained statistically significant over time.Conclusions The prevalence of anxiety,depression and suicidal ideation nearly doubled among international students from 2015 to 2024,while counselling service utilisation increased at a slower rate,indicating persistent gaps in mental healthcare.These findings suggest the need for proactive interventions,culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.
文摘目的了解我国中老年高血糖、血脂异常、高血压人群健康体检服务利用现状并分析其影响因素,为优化“三高共管”策略和卫生服务体系改革提供依据。方法依托中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS)于2020年开展的第五轮调查数据,共筛选中老年高血糖、血脂异常、高血压患者8227人作为研究对象,基于安德森模型框架,采用χ2检验和多因素Logistic回归分析影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结果研究对象体检服务利用率为54.13%。多因素Logistic回归分析结果显示年龄(≥65岁:OR=2.024,95%CI=1.831~2.236,P<0.001)、受教育程度(高中及以上:OR=1.303,95%CI=1.123~1.511,P<0.001)、个人收入(有:OR=1.440,95%CI=1.285~1.614,P<0.001)、养老保险类别(企业职工养老保险:OR=0.655,95%CI=0.516~0.833,P<0.001;城镇居民/城乡居民养老保险:OR=0.633,95%CI=0.493~0.813,P<0.001;新型农村居民社会养老保险:OR=0.602,95%CI=0.466~0.778,P<0.001;其他养老保险:OR=0.549,95%CI=0.390~0.772,P<0.001;无养老保险:OR=0.473,95%CI=0.361~0.619,P<0.001)、医保类别(新农合、其他医保、无医保:OR=0.834,95%CI=0.726~0.959,P=0.011)、抑郁症状(是:OR=0.885,95%CI=0.804~0.975,P=0.014)、慢性病患病数量(2种:OR=1.158,95%CI=1.004~1.337,P=0.045;3种:OR=1.273,95%CI=1.099~1.475,P=0.001;≥4种:OR=1.282,95%CI=1.117~1.472,P<0.001)、社交情况(有:OR=1.396,95%CI=1.274~1.530,P<0.001)、住院服务利用(利用/需求:OR=1.207,95%CI:1.080~1.348,P<0.001)、饮酒(是:OR=1.127,95%CI=1.019~1.246,P=0.020)及吸烟(是:OR=0.761,95%CI=0.681~0.849,P<0.001)是影响我国中老年高血糖、血脂异常、高血压人群健康体检服务利用的主要因素。结论我国中老年高血糖、血脂异常、高血压人群体检服务利用率有待提高,建议将45~64岁人群纳入弹性体检补贴范围,推动体检费用医保报销,减轻贫困人群经费负担;深化医防融合机制,创新技术赋能,简化体检流程;加强慢性病防控政策及健康宣教,提升居民健康素养水平和健康管理依从性;针对低收入、低教育水平、有抑郁症状等人群,制定定向干预方案,实现慢性病防控关口前移,促进健康老龄化。
