Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China

Background: Studies exploring the relationship between air pollution levels and mental stress have rarely been done, and no studies have been done comparing university student mental stress levels based on regional air pollution levels.Objectives: The objective of this study was to evaluate the asso...

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Main Authors: Weifang Zhang, Sihui Peng, Jialu Fu, Ke Xu, Huihui Wang, Yu Jin, Tingzhong Yang, Randall R. Cottrell
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.685431/full
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author Weifang Zhang
Sihui Peng
Jialu Fu
Ke Xu
Huihui Wang
Yu Jin
Tingzhong Yang
Randall R. Cottrell
author_facet Weifang Zhang
Sihui Peng
Jialu Fu
Ke Xu
Huihui Wang
Yu Jin
Tingzhong Yang
Randall R. Cottrell
author_sort Weifang Zhang
collection DOAJ
description Background: Studies exploring the relationship between air pollution levels and mental stress have rarely been done, and no studies have been done comparing university student mental stress levels based on regional air pollution levels.Objectives: The objective of this study was to evaluate the association between air pollution and mental stress among university students.Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process conducted in 50 universities. Regional air pollution levels were retrieved from a national database, and mental stress was measured using a perceived stress scale. Both unadjusted and adjusted methods were utilized in the data analyses.Results: Mental stress prevalence was 36.9% (95% Confidence Interval: 24.4–49.5%). The final model indicated that regional air pollution levels were positively associated with students' mental stress.Conclusions: This study provided new and direct evidence of the health hazards of air pollution. The findings underscore the need to develop and implement stringent environmental protection policies, while simultaneously raising public awareness of environmental protection.
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spelling doaj.art-41488dc521a946739fc341caf7825fb82022-12-21T22:41:21ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-07-01910.3389/fpubh.2021.685431685431Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in ChinaWeifang Zhang0Sihui Peng1Jialu Fu2Ke Xu3Huihui Wang4Yu Jin5Tingzhong Yang6Randall R. Cottrell7The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, ChinaSchool of Medicine, Jinan University, Guangzhou, ChinaThe Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, ChinaEpidemiology Department, Emory University, Atlanta, GA, United StatesThe Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, ChinaZhejiang University Educational Foundation, Hangzhou, ChinaWomen' s Hospital/Center for Tobacco Control Research, Zhejiang University School of Medicine, Hangzhou, ChinaPublic Health Program, School of Health and Applied Human Sciences, University of North Carolina, Wilmington, NC, United StatesBackground: Studies exploring the relationship between air pollution levels and mental stress have rarely been done, and no studies have been done comparing university student mental stress levels based on regional air pollution levels.Objectives: The objective of this study was to evaluate the association between air pollution and mental stress among university students.Methods: Participants were 11,942 students, who were identified through a multistage survey sampling process conducted in 50 universities. Regional air pollution levels were retrieved from a national database, and mental stress was measured using a perceived stress scale. Both unadjusted and adjusted methods were utilized in the data analyses.Results: Mental stress prevalence was 36.9% (95% Confidence Interval: 24.4–49.5%). The final model indicated that regional air pollution levels were positively associated with students' mental stress.Conclusions: This study provided new and direct evidence of the health hazards of air pollution. The findings underscore the need to develop and implement stringent environmental protection policies, while simultaneously raising public awareness of environmental protection.https://www.frontiersin.org/articles/10.3389/fpubh.2021.685431/fullair pollutionmental stresspublic healthenvironmental policyuniversity students
spellingShingle Weifang Zhang
Sihui Peng
Jialu Fu
Ke Xu
Huihui Wang
Yu Jin
Tingzhong Yang
Randall R. Cottrell
Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China
Frontiers in Public Health
air pollution
mental stress
public health
environmental policy
university students
title Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China
title_full Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China
title_fullStr Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China
title_full_unstemmed Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China
title_short Urban Air Pollution and Mental Stress: A Nationwide Study of University Students in China
title_sort urban air pollution and mental stress a nationwide study of university students in china
topic air pollution
mental stress
public health
environmental policy
university students
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.685431/full
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