Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia

Abstract Background Worldwide, problematic test anxiety is a common health problem among medical students. The magnitude of problematic test anxiety ranges from 25 to 40% in undergraduate medical students and has a detrimental effect on academic achievement and success of students. However, data on...

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Main Authors: Light Tsegay, Shegaye Shumet, Woynabeba Damene, Gebrselassie Gebreegziabhier, Getinet Ayano
Format: Article
Language:English
Published: BMC 2019-11-01
Series:BMC Medical Education
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12909-019-1859-5
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author Light Tsegay
Shegaye Shumet
Woynabeba Damene
Gebrselassie Gebreegziabhier
Getinet Ayano
author_facet Light Tsegay
Shegaye Shumet
Woynabeba Damene
Gebrselassie Gebreegziabhier
Getinet Ayano
author_sort Light Tsegay
collection DOAJ
description Abstract Background Worldwide, problematic test anxiety is a common health problem among medical students. The magnitude of problematic test anxiety ranges from 25 to 40% in undergraduate medical students and has a detrimental effect on academic achievement and success of students. However, data on the prevalence of test anxiety among medical students is limited. Thus, the study aimed to assess the prevalence and associated factors of test anxiety among medical students. Methods In this cross-sectional study, a stratified random sampling technique was used to select the participants. The level of test anxiety was determined by the Westside Test Anxiety Inventory (WTAI). We utilized logistic regression to explore the association between test anxiety and the potential sociodemographic/student-related characteristics among medical students. Results The study included 423 medical students. Our study resulted the prevalence of problematic test anxiety among medical students to be 52.30% (95% CI 47.40–57.30). The prevalence of test anxiety was remarkably higher in women (79.75%) than in men (33.62%) students. Female sex [AOR = 3.25, 95% CI: (1.54, 6.89)], having low grade [AOR = 0.11,95% CI: (0.044,0.288)], being first year [AOR = 10.55,95% CI: (1.4,76.7)], excessive course load [AOR = 6.128,95% CI: (2.675,14.039)], and taking oral examination [AOR = 2.89,95% CI: (1.42,5.84)] were determined as some of the predicting factors of test anxiety among medical students. Additionally, lack of systemic study plan [AOR = 2.4, 95% CI: (1.25, 4.59)], poor social support [AOR = 3.6, 95% CI: (1.56, 8.29)], moderate social support [AOR = 3.39, 95% CI: (1.56, 7.4)], psychologically distressed [AOR = 2.68, 95% CI: (1.37, 5.27)] independently predicts test anxiety among medical students. Conclusion Findings suggest that a substantial percentage of medical students had problematic test anxiety in Ethiopia (52.30%). This study also showed a significant association between test anxiety and female sex, having poor grade point average, being the first year, excessive course load, oral examination, lack of study plan, poor social support, moderate social support, and having psychological distress. Problematic test anxiety, which is found to be common among medical students, deserves more attention.
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spelling doaj.art-c7836bc7e62f44f7bd7b6214d4f8315d2022-12-21T17:49:22ZengBMCBMC Medical Education1472-69202019-11-0119111010.1186/s12909-019-1859-5Prevalence and determinants of test anxiety among medical students in Addis Ababa EthiopiaLight Tsegay0Shegaye Shumet1Woynabeba Damene2Gebrselassie Gebreegziabhier3Getinet Ayano4Department of Psychiatry, College of Health Sciences, Axum UniversityDepartment of Psychiatry, College of Health Sciences, Axum UniversityResearch and training Department, Amanuel mental specialized hospitalResearch and training Department, Amanuel mental specialized hospitalResearch and training Department, Amanuel mental specialized hospitalAbstract Background Worldwide, problematic test anxiety is a common health problem among medical students. The magnitude of problematic test anxiety ranges from 25 to 40% in undergraduate medical students and has a detrimental effect on academic achievement and success of students. However, data on the prevalence of test anxiety among medical students is limited. Thus, the study aimed to assess the prevalence and associated factors of test anxiety among medical students. Methods In this cross-sectional study, a stratified random sampling technique was used to select the participants. The level of test anxiety was determined by the Westside Test Anxiety Inventory (WTAI). We utilized logistic regression to explore the association between test anxiety and the potential sociodemographic/student-related characteristics among medical students. Results The study included 423 medical students. Our study resulted the prevalence of problematic test anxiety among medical students to be 52.30% (95% CI 47.40–57.30). The prevalence of test anxiety was remarkably higher in women (79.75%) than in men (33.62%) students. Female sex [AOR = 3.25, 95% CI: (1.54, 6.89)], having low grade [AOR = 0.11,95% CI: (0.044,0.288)], being first year [AOR = 10.55,95% CI: (1.4,76.7)], excessive course load [AOR = 6.128,95% CI: (2.675,14.039)], and taking oral examination [AOR = 2.89,95% CI: (1.42,5.84)] were determined as some of the predicting factors of test anxiety among medical students. Additionally, lack of systemic study plan [AOR = 2.4, 95% CI: (1.25, 4.59)], poor social support [AOR = 3.6, 95% CI: (1.56, 8.29)], moderate social support [AOR = 3.39, 95% CI: (1.56, 7.4)], psychologically distressed [AOR = 2.68, 95% CI: (1.37, 5.27)] independently predicts test anxiety among medical students. Conclusion Findings suggest that a substantial percentage of medical students had problematic test anxiety in Ethiopia (52.30%). This study also showed a significant association between test anxiety and female sex, having poor grade point average, being the first year, excessive course load, oral examination, lack of study plan, poor social support, moderate social support, and having psychological distress. Problematic test anxiety, which is found to be common among medical students, deserves more attention.http://link.springer.com/article/10.1186/s12909-019-1859-5Test anxietyPrevalenceMedical studentsEthiopia
spellingShingle Light Tsegay
Shegaye Shumet
Woynabeba Damene
Gebrselassie Gebreegziabhier
Getinet Ayano
Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia
BMC Medical Education
Test anxiety
Prevalence
Medical students
Ethiopia
title Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia
title_full Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia
title_fullStr Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia
title_full_unstemmed Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia
title_short Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia
title_sort prevalence and determinants of test anxiety among medical students in addis ababa ethiopia
topic Test anxiety
Prevalence
Medical students
Ethiopia
url http://link.springer.com/article/10.1186/s12909-019-1859-5
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