Evidence map›Paper›PMID 42029979›Full record

ArticleJournal of racial and ethnic health disparities2026

Loneliness and Mental Health Distress among University Students and Staff in Trinidad and Tobago: A Cross-Sectional Survey.

Ngozika Esther Ezinne, Virgina Mary Victor, Isaac Koomson, Nnamdi Mgbemena, Uchechukwu Levi Levi Osuagwu

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Ngozika Esther EzinneFaculty of Health, Bathurst Rural Clinical School, Western Sydney University - Campbelltown Campus Bathurst, NSW, 2795, Bathurst, Australia.
Virgina Mary VictorFaculty of Medical Sciences, Couva Multi Training Facility, The University of the West Indies, Sir Solomon Hochoy Highway, Couva, Republic of Trinidad and Tobago.
Isaac KoomsonCentre for the Business and Economics of Health, The University of Queensland, QLD, 4072, Brisbane, Australia.
Nnamdi MgbemenaFaculty of Health, Southern Cross University, Coffs Harbour, Australia.
Uchechukwu Levi Levi OsuagwuFaculty of Health, Bathurst Rural Clinical School, Western Sydney University - Campbelltown Campus Bathurst, NSW, 2795, Bathurst, Australia. l.osuagwu@westernsydney.edu.au.ORCID http://orcid.org/0000-0002-1727-6914

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6 · The paper itself

Abstract

objectiveTo examine the association between loneliness and mental health conditions (depression, anxiety, and stress) among university students and staff in Trinidad and Tobago (T&T).

methodsA cross-sectional, institution-based online survey was conducted between April 2024 and April 2025. Eligible participants who were drawn from the University of the West Indies, T & T, completed validated questionnaires that included the DASS-21 for assessing depression, anxiety, and stress and the UCLA Loneliness Scale (Version 3). Multivariable ordinary least squares regressions were used to assess associations, controlling for sociodemographic characteristics. Subgroup analyses were conducted by age cohorts.

resultsOf the 423 eligible individuals invited, 372 completed the survey (response rate 87.9%). About 72.5% reported moderate to severe loneliness scores, and 76.2% experienced symptoms of at least one mental health condition. A one-unit increase in loneliness score was associated with a 0.31-point increase in depression score (p < 0.01), a 0.18-point increase in anxiety score (p < 0.01), and a 0.20-point increase in stress score (p < 0.01). Associations were strongest in the 26–40 years age group. Participants who had a mixed-ethnicity background had significantly higher stress levels than Afro-Trinidadians (β = 1.12, p < 0.05).

conclusionLoneliness was significantly associated with increased mental distress among university populations in Trinidad and Tobago. Findings provide post-pandemic evidence from the Caribbean supporting the need for institutional strategies that promote social connectedness and culturally responsive mental health support

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AnxietyDASS-21DepressionLonelinessMental healthPost-pandemicStressTrinidad and TobagoUCLA loneliness scale.University staffUniversity students

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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.