Abstract

College students represent a large group of people who frequently travel across regions, which increased their risk of infection and exacerbated the risk of COVID-19 spread throughout China. This study uses survey data from the end of April 2020 to analyze the status of COVID-19-infected cases, the group differences, and influencing factors in college students in Wuhan. The sample size was made up 4355 participants, including 70 COVID-19-infected students. We found that during the COVID-19 outbreak in early 2020, college students in Wuhan were primarily infected during off-campus events after winter break or infected in their hometowns after leaving Wuhan; the percentage of college students with severe cases was relatively low, and most had mild cases; however, a large proportion of asymptomatic cases may exist; there were significant group differences in gender, age and place of residence; and the risk of infection was closely related to the campus environment, in which the population density and number of faculty and students on campus had a significant impact. The results indicated that the infection of students did not occur at random, thus strengthening student health education and campus management can help curb the spread of COVID-19 among students.

Highlights

  • On 11 March 2020, the World Health Organization (WHO) declared the coronavirus disease 2019 (COVID-19) a pandemic [1].With large-scale populations traveling withinChina and around the world during the Spring Festival period, including a large number of college students and international students, COVID-19 spread across the globe [2,3,4].Wuhan is one of the cities with the largest populations of college students in the world, with as many as 1.2 million

  • Such a large number of students returning home from college can increase their risk of infection and exacerbate the risk of COVID-19 spreading throughout China and beyond

  • First, 13 representative colleges were randomly selected from 83 colleges, and the number of students selected from each college was proportional to the number of enrollments in each college; second, 30% of the departments were randomly selected in each selected college, and the number of students selected from each department was proportional to the number of students in the department; the sample pool in the department was established using the students’ identity (ID) number, and the corresponding students

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Summary

Introduction

Wuhan is one of the cities with the largest populations of college students in the world, with as many as 1.2 million. Such a large number of students returning home from college can increase their risk of infection and exacerbate the risk of COVID-19 spreading throughout China and beyond. College students often have highly concentrated activities and frequent interactions on campus and travel across China in large numbers; after the outbreak, all colleges and universities across the country (all levels and all types) closed and instead, students attended online classes at home.

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