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Compliance with rec...
Compliance with recommendations limiting COVID-19 contagion among university students in Sweden : associations with self-reported symptoms, mental health and academic self-efficacy
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- Berman, Anne H., Professor (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för psykologi,Centre for Psychiatry Research, Karolinska Institutet and Stockholm Health Care Services, Sweden
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- Bendtsen, Marcus, 1982- (author)
- Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten
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- Molander, Olof (author)
- Karolinska Institutet
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- Lindfors, Petra (author)
- Stockholms universitet,Arbets- och organisationspsykologi,Department of Psychology, Stockholm University, Sweden
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- Lindner, Philip (author)
- Karolinska Institutet
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- Granlund, Lilian (author)
- Uppsala universitet,Institutionen för psykologi
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- Topooco, Naira, 1980- (author)
- Linköpings universitet,Psykologi,Filosofiska fakulteten
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- Engström, Karin (author)
- Karolinska Institutet
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- Andersson, Claes (author)
- Uppsala universitet,Malmö universitet,Institutionen för kriminologi (KR),Department of Psychology, Uppsala University, Sweden ; Department of Criminology, Malmö University, Sweden,Institutionen för psykologi,Malmö Univ, Dept Criminol, Malmö, Sweden
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- 2021-07-02
- 2022
- English.
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In: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 50:1, s. 70-84
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Abstract
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- Aims: The COVID-19 containment strategy in Sweden uses public health recommendations relying on personal responsibility for compliance. Universities were one of few public institutions subject to strict closure, meaning that students had to adapt overnight to online teaching. This study investigates the prevalence of self-reported recommendation compliance and associations with self-reported symptoms of contagion, self-experienced effects on mental health and academic self-efficacy among university students in Sweden in May–June 2020.Methods: This was a cross-sectional 23 question online survey in which data were analysed by multinomial regression, taking a Bayesian analysis approach complemented by null hypothesis testing.Results: A total of 4495 students consented to respond. Recommendation compliance ranged between 70% and 96%. Women and older students reported higher compliance than did men and younger students. Mild to moderate COVID-19 symptoms were reported by 30%, severe symptoms by fewer than 2%; 15% reported being uncertain and half of the participants reported no symptoms. Mental health effects were reported by over 80%, and changes in academic self-efficacy were reported by over 85%; in both these areas negative effects predominated. Self-reported symptoms and uncertainty about contagion were associated with non-compliance, negative mental health effects, and impaired academic self-efficacy.Conclusions: Students generally followed public health recommendations during strict closure of universities, but many reported considerable negative consequences related to mental health and academic self-efficacy. Digital interventions should be developed and evaluated to boost coping skills, build resilience and alleviate student suffering during the pandemic and future similar crises.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Psychology (hsv//eng)
Keyword
- COVID-19
- pandemics
- epidemiology
- social medicine
- higher education
- students
- recommendation compliance
- mental health
- academic self-efficacy
- digital interventions
- psykologi
- Psychology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Berman, Anne H., ...
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Bendtsen, Marcus ...
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Molander, Olof
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Lindfors, Petra
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Lindner, Philip
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Granlund, Lilian
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show more...
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Topooco, Naira, ...
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Engström, Karin
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Andersson, Claes
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Psychology
- Articles in the publication
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Scandinavian Jou ...
- By the university
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Stockholm University
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Malmö University
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Linköping University
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Uppsala University
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Karolinska Institutet