Objective: To evaluate the level of stress and cardiovascular risk factors among medical students at Joseph KI-ZERBO University. Methodology: This was a cross-sectional, prospective, descriptive, and analytical study with prospective data collection conducted from December 1 to 31, 2024. Results: During the study period, 440 students were included. The average age was 23.74 ± 1.62 years, ranging from 18 to 35 years. A male predominance (54.77%) was observed, with a sex ratio of 1.21. High stress was perceived by 32.5% of the students, with an average Perceived Stress Scale (PSS) score of 20.67, ranging from 4 to 37. In multivariate analysis, six (06) factors were significantly associated with high stress levels: Age above 30 years (OR = 2.58 [1.02 - 6.53], p = 0.041), Doctorate level of education (OR = 2.48 [1.01 - 6.12], p = 0.001), Repeating a year of study (OR = 1.54 [1.07 - 2.20], p = 0.018), Regular physical activity (OR = 2.23 [1.55 - 3.47], p = 0.000), Obesity (OR = 5.68 [1.96 - 16.47], p = 0.006), Waist circumference (OR = 3.96 [2.02 - 9.24], p = 0.002). Furthermore, the factors associated with high blood pressure were: Age above 30 years (OR = 1.45 [0.22 - 0.96], p = 0.007), Doctorate level of education (OR = 2.06 [1.21 - 3.52], p = 0.015), Participation in extracurricular activities (OR = 1.98 [1.81 - 2.25], p = 0.043), Tobacco consumption (OR = 2.05 [1.72 - 3.88], p = 0.007) and energy drink consumption (OR = 1.24 [1.01 - 1.77], p = 0.034), Obesity (OR = 3.28 [3.06 - 5.98], p = 0.001), Waist circumference (OR = 2.84 [1.98 - 7.22], p = 0.041). Conclusion: This study revealed a high prevalence of stress among medical students at Joseph KI-ZERBO University. Associated with multidimensional factors (demographic, academic and lifestyle-related).
References
[1]
Xavier (2024) Stress : Définition du stress selon l’OMS. https://www.stress.eu.com/comprendre-le-stress/definition-du-stress/
[2]
Graziani, P., Hautekee, M., Rusinek, S., et al. (2001) Stress, anxiété et trouble de l’adaptation. Masson, 203 p.
[3]
Laraqui, O., Laraqui, S., Tripodi, D., Caubet, A., Verger, C. and Laraqui, C.H. (2008) Évaluation du stress chez le personnel de santé au Maroc: À propos d’une étude multicentrique. Archives des Maladies Professionnelles et de l’Environnement, 69, 672-682. https://doi.org/10.1016/j.admp.2008.06.014
[4]
Frajerman, A. (2020) Quelles interventions pour améliorer le bien-être des étudiants en médecine? Une revue de la littérature. L’Encéphale, 46, 55-64. https://doi.org/10.1016/j.encep.2019.09.004
[5]
Ewane, M.E., Mandengue, S.H., Priso, E.B., et al. (2012) Dépistage des maladies cardiovascu-laires chez des étudiants de l’université de douala et influence des activités phy-siques et sportives. The Pan African Medical Journal, 11, Article 77.
[6]
Bonogo, Z. (2019) Troubles de l’humeur: Prévalence et facteurs associés. Cas des étudiants de médecine de l’université Joseph KI-ZERBO. Thèse de médecine, Université Joseph KI-ZERBO, 157 p.
[7]
Malik, K., Maiga, S., Pilabré, W.E., et al. (2024) Facteurs de risque cardiovasculaires et con-sommation des fruits et légumes chez les étudiants en médecine. Revue marocaine de santé publique, 11, 13-17.
[8]
Université Joseph KI-ZERBO (2023) Annuaire statistique UJKZ 2022-2023, 152 p.
[9]
El Madani, H., Yazghich, I. and Berraho, M. (2024) 5-4—Le stress perçu et la qualité de vie des étudiants en médecine au Maroc: Étude transversale. Journal of Epidemiology and Population Health, 72, Article 202578. https://doi.org/10.1016/j.jeph.2024.202578
[10]
Amamou, B., Saida, I.B., Bejar, M., et al. (2022) Stress, anxiété et dépression chez les étudiants à la faculté de médecine de Sousse. La TunisieMédicale, 100, 346-352.
[11]
Ladner, J. and Tavolacci, M.P. (2014) Prévalence de l’épuisement professionnel (EP), stress et facteurs associés chez les étudiants en médecine. Revue d’Épidémiologie et de Santé Publique, 62, S204. https://doi.org/10.1016/j.respe.2014.06.107
[12]
Fawzy, M. and Hamed, S.A. (2017) Prevalence of Psychological Stress, Depression and Anxiety among Medical Students in Egypt. Psychiatry Research, 255, 186-194. https://doi.org/10.1016/j.psychres.2017.05.027
[13]
Al Saadi, T., Zaher Addeen, S., Turk, T., Abbas, F. and Alkhatib, M. (2017) Psychological Distress among Medical Students in Conflicts: A Cross-Sectional Study from Syria. BMC Medical Education, 17, Article No. 173. https://doi.org/10.1186/s12909-017-1012-2
[14]
Oteri, A., Salvo, F., Caputi, A.P. and Calapai, G. (2007) Intake of Energy Drinks in Association with Alcoholic Beverages in a Cohort of Students of the School of Medicine of the University of Messina. Alcoholism: Clinical and Experimental Research, 31, 1677-1680. https://doi.org/10.1111/j.1530-0277.2007.00464.x
[15]
Raglin, J.S. (1990) Exercise and Mental Health. Beneficial and Detrimental Effects. Sports Medicine, 9, 323-329. https://doi.org/10.2165/00007256-199009060-00001
[16]
Epel, E.S., McEwen, B., Seeman, T., Matthews, K., Castellazzo, G., Brownell, K.D., et al. (2000) Stress and Body Shape: Stress-Induced Cortisol Secretion Is Consistently Greater among Women with Central Fat. Psychosomatic Medicine, 62, 623-632. https://doi.org/10.1097/00006842-200009000-00005
[17]
Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K. and He, J. (2005) Global Burden of Hypertension: Analysis of Worldwide Data. The Lancet, 365, 217-223. https://doi.org/10.1016/s0140-6736(05)17741-1
[18]
Laraqui, O., Laraqui, S., Tripodi, D., Caubet, A., Verger, C. and Laraqui, C.H. (2008) Évaluation du stress chez le personnel de santé au Maroc: À propos d’une étude multicentrique. Archives des Maladies Professionnelles et de l’Environnement, 69, 672-682. https://doi.org/10.1016/j.admp.2008.06.014
[19]
World Health Organization (2021) Global Report On trends in Tobacco Smoking 2000-2025. 4th Edition, WHO, 150 p.
[20]
Conté, N., Diakité, F., Barry, I.S., et al. (2021) Prévalence et facteurs associés à l’hypertension artérielle chez les travailleurs de l’usine TOPAZ à Conakry. CardiologieTropicale, 165, 20-24.
[21]
Higgins, J.P., Babu, K., Deuster, P.A., et al. (2018) Energy Drinks: A Contemporary Issue. Drug and Alcohol Dependence, 190, 1-10.
[22]
Mupepe, D.M., Kayembe, J.M.N., Nkodila, A.N., et al. (2020) Hypertension and Associated Cardiovascular Risk Factors among Candidates Enrolled at Kinshasa University for the Academic Year 2018-2019. Annales Africaines de Medecine, 13, 13-18.
