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Title: Mental health of Hong Kong University students under COVID-19 : protective ecological factors and underlying mechanism
Authors: Chai, W 
Shek, DTL 
Issue Date: Jun-2024
Source: Applied research in quality of life, June 2024, v. 19, no. 3, p. 921-943
Abstract: While the COVID-19 has brought severe challenges to university students’ mental health, there is inadequate research on the related protective factors from different ecological systems and the underlying mechanisms. Guided by the ecological systems theory and the positive youth development approach, this study investigated the associations between two protective factors in the ecological systems (i.e., positive family functioning in the microsystem and Chinese cultural beliefs of adversity in the macrosystem) and students’ mental health in Hong Kong higher education during the period of the pandemic, with resilience (i.e., an important positive youth development quality) proposed as a mediating factor. This study was based on data collected in a large-scale survey of 978 Hong Kong Chinese undergraduate students (mean age = 20.69 with 62.9% being female) in the summer of 2022. Validated measures were used to assess students’ mental health problems (anxiety and depression), the ecological protective factors (positive family functioning and Chinese cultural beliefs of adversity), and resilience. Structural equation modelling was conducted to examine the associations between ecological protective factors and mental health problems, as well as the mediating effects of resilience in the associations. Structural equation modelling revealed that both positive family functioning and Chinese cultural beliefs of adversity negatively predicted anxiety and depression, with resilience partially mediating all paths. The study contributes significantly to the understanding of different ecological protective factors in higher education students’ mental health and the mediating role of resilience. It also provides practical implications for intervention and prevention.
Keywords: COVID-19
Cultural beliefs of adversity
Family functioning
Mental health
Resilience
University students
Publisher: Springer Dordrecht
Journal: Applied research in quality of life 
ISSN: 1871-2584
EISSN: 1871-2576
DOI: 10.1007/s11482-024-10277-1
Rights: © The Author(s) 2024
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
The following publication Chai, W., Shek, D.T.L. Mental Health of Hong Kong University Students Under COVID-19: Protective Ecological Factors and Underlying Mechanism. Applied Research Quality Life 19, 921–943 (2024) is available at https://doi.org/10.1007/s11482-024-10277-1.
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