Evidence map›Paper›PMID 40217329›Full record

SynthesisBMC psychology2025

Prevalence of depression among university students in China: a systematic review and meta-analysis.

Zhou-Zhou Lin, Hao-Wei Cai, Yu-Fei Huang, Ling-Ling Zhou, Zhi-Yang Yuan, Lian-Ping He, Jia Li

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zhou-Zhou LinThe clinical school, Hainan Medical University, Haikou, Hainan, 571199, China.
Hao-Wei CaiSchool of Science, Huzhou University, Huzhou, Zhejiang, 313000, China.
Yu-Fei HuangSchool of International Education, Hainan Medical University, Haikou, Haikou, Haina, 571199, China.
Ling-Ling ZhouSchool of Medicine, Taizhou University, Taizhou, Zhejiang, 318000, China.
Zhi-Yang YuanThe clinical school, Hainan Medical University, Haikou, Hainan, 571199, China.
Lian-Ping HeSchool of Medicine, Taizhou University, Taizhou, Zhejiang, 318000, China.
Jia LiDepartment of Psychiatry and Psychology, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), Hai Kou, Hainan, 570311, China. jennysea007@163.com.

Funding

National Undergraduate Training Program for Innovation and Entrepreneurship 20241180013
6 · The paper itself

Abstract

backgroundDepression among university students in China represents a critical public health challenge, with emerging evidence suggesting exacerbated risks during the COVID-19 pandemic. Despite prior regional studies, a comprehensive national analysis comparing pre-pandemic and pandemic-era prevalence, while accounting for profession-specific stressors, remains lacking. This study aims to quantify depression prevalence across Chinese universities, identify high-risk subgroups, and assess the pandemic's impact.

methodsA systematic search was conducted on PubMed, CNKI, Wang-fang Database, and Web of Science. The articles were cross-sectional studies focusing on the prevalence of depression among university students in China, with clearly defined criteria for diagnosing depression included. MetaXL 5.3 was used to pool the outcomes and perform a meta-analysis, assessing the prevalence of depression among university students and influential factors such as the impact of COVID-19.

resultsData from 32 cross-sectional studies (n = 93,679) on depression prevalence among students were analyzed. The prevalence estimates ranged from 12.1% to 77.1%, with a summary prevalence of 34.70% after meta-analytic pooling. Subgroup investigations based on major, sample size, geographical region, gender, and the influence of COVID-19 were conducted. Prior to the pandemic, student depression prevalence was 35.0% (95%CI, 26.9%-43.4%), which increased to 38.7% (95%CI, 33.6%-44.0%) during and after the pandemic. DISCUSSION: This study underscores a substantial mental health burden among Chinese university students, intensified by pandemic-related disruptions. Medical students and those in high-stress regions warrant prioritized interventions. Systemic reforms in healthcare education and regionally tailored mental health policies are urgently needed. Longitudinal studies are critical to track post-pandemic recovery trajectories. SYSTEMATIC REVIEW REGISTRATION: CRD42024502949.

Indexed as

COVID-19DepressionStudentsChinaCross-Sectional StudiesFemaleHumansMalePrevalenceSARS-CoV-2UniversitiesYoung AdultChinaDepressionMeta-analysisPrevalenceUniversity students

Identifiers

PMID40217329
PMCPMC11992738

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.