• Oluwaseun Mercy Idowu, OyinOluwa Gloria Adaramola, Boluwatife Samson Aderounmu, Ifeoluwa Delight Olugbamigbe, Olaoluwa Ezekiel Dada, Adeyinka Christopher Osifeso, Oluseun Peter Ogunnubi, and Oluwakemi Ololade Odukoya.
• College of Medicine, University of Lagos, Nigeria.
• Afr Health Sci. 2022 Mar 1; 22 (1): 541-550.

BackgroundThe Coronavirus disease (COVID-19) pandemic as a large scale stressor could have negative effects on the mental health of medical students. Since gender differences in mental health may exist, it is important to see if a large scale stressor like the pandemic may be associated with variances in the psychological distress between both genders.ObjectivesTo assess and compare the psychological distress of male and female medical students during the COVID-19 pandemic.MethodsA cross-sectional survey was carried out among 1010 medical students from three universities in southwestern Nigeria within the first six months of the first reported case of the COVID-19 pandemic. The respondents were purposively selected. Data was obtained online on participants' demographic and psychological distress using the General Health Questionnaire 12 (GHQ-12). Data was analyzed using the SPSS version 21, student t and chi-square tests were used to assess gender differences, and multivariate regression to assess the predictors of psychological distress among both genders. p values less than 0.05were considered statistically significant.ResultsOverall, female participants (OR=1.455, 95% CI= 1.095-1.936) were twice more likely to have experienced psychological distress than males during the COVID-19 pandemic. Age (OR=0.922, 95% CI= 0.867-0.979), being in pre-clinical years (OR= 1.394, 95% CI= 1.004-1.938), having a family income less than 100,000 naira (OR= 1.379, 95% CI=1.442-6.723) a previous history of mental illness (OR=3.077, 95% CI= 1.430-6.615) and having a relative/acquaintance diagnosed with COVID 19(OR=1.646, 95% CI= 1.062-2.551) were independently associated with psychological distress among the respondents. When comparing both genders, among females, age (OR=0.886, 95% CI= 0.803-0.978), family income less than 100,000 naira (OR=1.898, 95% CI= 1.306-2.759) and a previous history of mental illness (OR=5.266, 95% CI= 1.894-14.635) were associated with psychological distress, while, being in pre-clinical years (OR= 1.713, 95% CI= 1.052-2.790) was associated with psychological distress among males.ConclusionFemales had more psychological distress compared to male students. It is recommended that gender-specific interventions addressing psychological distress among medical students are instituted.© 2022 Idowu OM et al.

17 keywords...

hide…