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  1. Article: The role of mental health and protective factors in student academic persistence and retention during a global crisis.

    Zhai, Yusen / Carney, JoLynn V

    Global mental health (Cambridge, England)

    2024  Volume 11, Page(s) e15

    Abstract: The COVID-19 pandemic has exacerbated challenges for millions of students globally, leading to enrollment cliff. This study addresses the existing research gap by investigating the influence of students' mental health and various protective factors (i.e., ...

    Abstract The COVID-19 pandemic has exacerbated challenges for millions of students globally, leading to enrollment cliff. This study addresses the existing research gap by investigating the influence of students' mental health and various protective factors (i.e., optimism, help-seeking behaviors, social support) on academic persistence, an indicator of student retention. We utilized the structural equation modeling approach to examine the effect of students' mental health conditions, risk perception of COVID-19 and protective factors on academic persistence through a sample of 1,051 students from 45 states. Students' mental health positively predicted academic persistence. Risk perception of COVID-19 was negatively associated with mental health but positively predicted academic persistence and help-seeking behaviors. Optimism fully mediated the effect of mental health on help-seeking behaviors but did not mediate the effect of risk perception on help-seeking behaviors. Social support positively predicted academic persistence. This study underscores the integral role of mental health and protective factors in supporting student retention. Universities should develop targeted programs to address students' mental health needs and promote protective behaviors. These initiatives can enhance academic persistence, thereby aiding in the retention of students affected by this pandemic or any future global crisis.
    Language English
    Publishing date 2024-02-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2806466-5
    ISSN 2054-4251
    ISSN 2054-4251
    DOI 10.1017/gmh.2024.12
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: A Call for Addressing Barriers to Telemedicine: Health Disparities during the COVID-19 Pandemic.

    Zhai, Yusen

    Psychotherapy and psychosomatics

    2020  Volume 90, Issue 1, Page(s) 64–66

    MeSH term(s) COVID-19 ; Humans ; Pandemics ; SARS-CoV-2 ; Telemedicine
    Keywords covid19
    Language English
    Publishing date 2020-06-04
    Publishing country Switzerland
    Document type Letter ; Comment
    ZDB-ID 209490-3
    ISSN 1423-0348 ; 0033-3190
    ISSN (online) 1423-0348
    ISSN 0033-3190
    DOI 10.1159/000509000
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Ue I Zs.231: Show issues Location:
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  3. Article: The Moderating Role of Anxiety and Depressive Symptoms in Protective Effects of Health Behaviors among Clients Using Mental Health Services.

    Zhai, Yusen / Almaawali, Mahmood / Du, Xue

    Journal of clinical medicine

    2024  Volume 13, Issue 6

    Abstract: College-student clients using mental health services contend with increased anxiety and depressive symptoms, and their vulnerability to infectious respiratory diseases and severe clinical outcomes rises. To mitigate severe outcomes, health behaviors ... ...

    Abstract College-student clients using mental health services contend with increased anxiety and depressive symptoms, and their vulnerability to infectious respiratory diseases and severe clinical outcomes rises. To mitigate severe outcomes, health behaviors serve as essential protective tools to reduce the risk of infectious diseases, including COVID-19. Considering the escalating prevalence of anxiety and depression among college-student clients, little is known about how anxiety and depressive symptoms could potentially attenuate the protective effects of COVID-19 health behaviors (i.e., masking, social distancing, and hygiene practice). This study aims to examine the interactive effects of anxiety/depression and health behaviors in predicting COVID-19 infection.
    Language English
    Publishing date 2024-03-18
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13061753
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Association between COVID-19 testing uptake and mental disorders among adults in US post-secondary education, 2020-2021.

    Zhai, Yusen / Du, Xue

    BJPsych open

    2022  Volume 8, Issue 5, Page(s) e171

    Abstract: Summary: Fear and uncertainty have worsened mental health outcomes during the COVID-19 pandemic. COVID-19 testing is essential yet underutilised, and many people may experience difficulties accessing testing if the US federal government fails to sustain ...

    Abstract Summary: Fear and uncertainty have worsened mental health outcomes during the COVID-19 pandemic. COVID-19 testing is essential yet underutilised, and many people may experience difficulties accessing testing if the US federal government fails to sustain the testing capacity. To date, limited evidence exists about the role of COVID-19 testing in mental health. We examined the associations of COVID-19 testing uptake with certain mental disorders, through a nationally representative cohort of adults in US post-secondary education (
    Language English
    Publishing date 2022-09-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 2829557-2
    ISSN 2056-4724
    ISSN 2056-4724
    DOI 10.1192/bjo.2022.580
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  6. Article ; Online: A Call for Addressing Barriers to Telemedicine

    Zhai, Yusen

    Psychotherapy and Psychosomatics

    Health Disparities during the COVID-19 Pandemic

    2020  , Page(s) 1–3

    Keywords Applied Psychology ; Clinical Psychology ; Psychiatry and Mental health ; General Medicine ; covid19
    Language English
    Publisher S. Karger AG
    Publishing country ch
    Document type Article ; Online
    ZDB-ID 209490-3
    ISSN 1423-0348 ; 0033-3190
    ISSN (online) 1423-0348
    ISSN 0033-3190
    DOI 10.1159/000509000
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

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  7. Article ; Online: Disparities and intersectionality in social support networks

    Yusen Zhai / Xue Du

    Humanities & Social Sciences Communications, Vol 9, Iss 1, Pp 1-

    addressing social inequalities during the COVID-19 pandemic and beyond

    2022  Volume 5

    Abstract: Abstract The COVID-19 pandemic has brought social injustice and inequalities to the forefront of global public health. Members of marginalised communities, such as racial/ethnic and sexual minorities, and persons with disabilities, have been shown to be ... ...

    Abstract Abstract The COVID-19 pandemic has brought social injustice and inequalities to the forefront of global public health. Members of marginalised communities, such as racial/ethnic and sexual minorities, and persons with disabilities, have been shown to be more vulnerable to certain consequences of the pandemic. Research suggests a protective role of social support in health and wellness promotion, yet little is known about the disparities in specific social support sources (i.e., family, friends, and a significant other) between marginalised populations and their counterparts. Also unclear is the role of intersections of these marginalised identities in social support structures affected by the pandemic. Hence, it is crucial to capture and characterise such differences and intersectionality in order to address social inequalities in a time of global crisis. To that end, we surveyed U.S. adults across 45 states to examine their social support from family, friends, and a significant other. Results revealed the disproportionate impacts of the pandemic on social support among racial/ethnic and sexual minorities and persons with disabilities. Additionally, we found that White individuals with a marginalised identity received less social support than their White counterparts but received a similar level of social support when compared with racial/ethnic minorities without additional marginalised identities. This article seeks to elucidate the social support disparities associated with disproportionately increased social isolation for marginalised populations due to socioeconomic disadvantages. Specific recommendations are provided for addressing issues around social disparities and inequalities. With the experience and awareness attained working with marginalised populations, mental health professionals, public health officials, and community stakeholders should be poised to attend to social capital inequalities for diversity, equity, and inclusion now and in the post-pandemic era.
    Keywords History of scholarship and learning. The humanities ; AZ20-999 ; Social Sciences ; H
    Subject code 300
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher Springer Nature
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Trends and prevalence of suicide 2017-2021 and its association with COVID-19: Interrupted time series analysis of a national sample of college students in the United States.

    Zhai, Yusen / Du, Xue

    Psychiatry research

    2022  Volume 316, Page(s) 114796

    Abstract: Background: Suicide is among the leading causes of death for college students. We aimed to assess the impact of the pandemic on trends in suicidal thoughts and behaviors among college students, and whether suicidal thoughts and behaviors were associated ...

    Abstract Background: Suicide is among the leading causes of death for college students. We aimed to assess the impact of the pandemic on trends in suicidal thoughts and behaviors among college students, and whether suicidal thoughts and behaviors were associated with COVID-19 infection and psychosocial factors.
    Methods: We analyzed 2017-2021 data from 4 waves of Healthy Minds Study including a random sample of college students (N = 354,473) from 286 U.S. institutions. We performed interrupted time series analysis to model the effect of the pandemic on trends in suicidal ideation (SI), plan (SP), and attempt (SA). At the peripandemic assessment, we utilized multivariable logistic regression to examine the association of SI, SP, and SA with COVID-19 infection and psychosocial factors.
    Results: We observed significant decreases in SI, SP, and SA among college students from 2017 to 2021. The pandemic was significantly associated with a 1.33 percentage points reduction in SI and a 0.85 percentage points reduction in SP but was not associated with a significant reduction in SA. Adjusted associations of SI, SP, and SA with risk factors showed the significant odds ratio (OR) for suspected COVID-19 infection (SI: 1.33, SP: 1.22, SA: 1.32), severe depression (SI: 6.39, SP: 6.63, SA: 5.63), severe anxiety (SI: 3.66, SP: 3.62, SA: 3.60), COVID-19-related financial stress (SI: 1.35, SP: 1.34, SA: 1.48), food insecurity (SI: 2.12, SP: 2.13, SA: 2.79), and academic impairment (SI: 2.07, SP: 2.05, SA: 2.14) but not for test-confirmed COVID-19.
    Conclusion: Certain COVID-19 mitigation strategies might have protected college students from suicidal thoughts/behaviors.
    MeSH term(s) COVID-19/epidemiology ; Humans ; Interrupted Time Series Analysis ; Prevalence ; Risk Factors ; Students/psychology ; Suicidal Ideation ; Suicide ; Suicide, Attempted/psychology ; United States/epidemiology
    Language English
    Publishing date 2022-08-14
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2022.114796
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1541: Show issues Location:
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    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: Responding to the HIV Health Literacy Needs of Clients in Substance Use Treatment: The Role of Universal PrEP Education in HIV Health and Prevention.

    Zhai, Yusen / Isadore, Kyesha M / Parker, Lauren / Sandberg, Jeremy

    International journal of environmental research and public health

    2023  Volume 20, Issue 19

    Abstract: Health literacy, particularly HIV health literacy, is a key social determinant of health and can be significantly improved through targeted health education. This paper explores the often-overlooked potential of pre-exposure prophylaxis (PrEP) education ... ...

    Abstract Health literacy, particularly HIV health literacy, is a key social determinant of health and can be significantly improved through targeted health education. This paper explores the often-overlooked potential of pre-exposure prophylaxis (PrEP) education as a powerful tool to enhance HIV health literacy among people with substance use disorders (PWSUD), a population notably susceptible to HIV. Given the syndemic interplay of substance use disorders (SUDs) and HIV, health professionals, especially substance use counselors, are uniquely positioned to bolster HIV health literacy and positively influence health outcomes. This article offers a brief introduction to PrEP, delineates potential barriers and facilitators to its use and education, and proposes strategies for effective PrEP education, implementation, and adherence. By equipping substance use counselors with essential knowledge and skills, we aim to encourage and promote the integration of PrEP education into substance use treatment. The overarching objective is to empower counselors to proactively engage in HIV prevention efforts, thereby fulfilling pressing health literacy needs and contributing to improved health outcomes among PWSUD.
    MeSH term(s) Humans ; HIV Infections/prevention & control ; HIV Infections/drug therapy ; Health Literacy ; Acquired Immunodeficiency Syndrome/drug therapy ; Substance-Related Disorders/prevention & control ; Substance-Related Disorders/drug therapy ; Pre-Exposure Prophylaxis ; Anti-HIV Agents/therapeutic use
    Chemical Substances Anti-HIV Agents
    Language English
    Publishing date 2023-10-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20196893
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Mental health care for international Chinese students affected by the COVID-19 outbreak.

    Zhai, Yusen / Du, Xue

    The lancet. Psychiatry

    2020  Volume 7, Issue 4, Page(s) e22

    MeSH term(s) Adolescent ; Adult ; COVID-19 ; China ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Counseling ; Health Services Accessibility ; Humans ; Internationality ; Mental Health ; Mental Health Services ; Patient Advocacy ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; Social Discrimination ; Social Isolation ; Students/psychology ; Travel ; Triage ; Young Adult
    Keywords covid19
    Language English
    Publishing date 2020-03-19
    Publishing country England
    Document type Letter
    ISSN 2215-0374
    ISSN (online) 2215-0374
    DOI 10.1016/S2215-0366(20)30089-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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