1887
Volume 2024, Issue 4
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

Background: Wars are escalating globally with devastating impacts on all aspects of life. The conflict between Ukraine and Russia began on February 24, 2022. Approximately 80,000 students of 155 nationalities were studying in Ukraine when the war started, disrupting their education and forcing many to leave the country. We aimed to determine the physical, emotional, and moral effects of the Ukrainian war on foreign medical students, as well as the secondary impacts of the war on the students due to the ongoing conflict.

Methods: The participants were non-Ukrainian medical students aged 18 years and over, studying at a medical school in Ukraine before the war started. A survey including the depression anxiety stress scales-21 (DASS-21) scale variables, a validated and reliable measure of depression, anxiety, and stress dimensions, and other questions on participants’ demographics, education, and current socio-economic status was sent to all eligible students via their registered university emails and distributed using an online link.

Results: A total of 99 students were included in the study. 52 (52.5%) of the students were female and 49 (49.5%) were between the ages of 23 and 24 years old. Participants reported high levels of depression (86.9%) and anxiety (82.8%), with significant percentages experiencing extreme levels: 40.4% for depression and 55.6% for anxiety. Additionally, 74.7% reported feeling stressed, with 18.2% indicating extreme stress. Reasons for leaving Ukraine included safety concerns (67.7%), seeking a more secure educational environment (63.6%), the impact of the ongoing war and conflict on their future (56.6%), and the loss of educational opportunities (28.3%).

Conclusion: It is not easy to predict how the war in Ukraine will affect the education of international students in the near future. This uncertainty situation may explain students’ depression, anxiety, and stress. As a result, it is necessary to design effective strategies to maintain the training of health professionals during wartime. Research should be conducted on how to rebuild health education systems after the wartime crises stabilize, both for students who are citizens of the country exposed to war and for foreign students who went to that country to receive education, and solutions for this should be put forward.

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2024-11-11
2024-11-20
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References

  1. Leaning J, Guha-Sapir D. Natural disasters, armed conflict, and public health. N Engl J Med. 2014; 370:(8):783–4. https://doi.org/10.1056/NEJMra1109877
    [Google Scholar]
  2. Ugalde A, Selva-Sutter E, Castillo C, Paz C, Cañas S. Conflict and health: The health costs of war: can they be measured? Lessons from El Salvador. BMJ. 2000Jul15; 321:(7254):169–72. https://doi.org/10.1136/bmj.321.7254.169
    [Google Scholar]
  3. Dobiesz VA, Schwid M, Dias RD, Aiwonodagbon B, Tayeb B, Fricke A, et al.. Maintaining health professional education during war: A scoping review. Med Educ. 2022Aug; 56:(8):793–804. https://doi.org/10.1111/medu.14808
    [Google Scholar]
  4. Srichawla BS, Khazeei Tabari MA, Găman MA, Munoz-Valencia A, Bonilla-Escobar FJ. War on Ukraine: Impact on Ukrainian medical students. Int J Med Stud. 2022Jan–Mar; 10:(1):15–7. https://doi.org/10.5195/ijms.2022.1468
    [Google Scholar]
  5. Jain N, Panag DS, Srivastava M, Mohan S, Chodnekar SY, Akbari AR, et al.. Fate and future of the medical students in Ukraine: A silently bubbling educational crisis. Med Educ. 2022Aug; 56:(8):779–82. https://doi.org/10.1111/medu.14818
    [Google Scholar]
  6. Henry JD, Crawford JR. The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. Br J Clin Psychol. 2005Jun; 44(Pt 2):227–39. https://doi.org/10.1348/014466505X29657
    [Google Scholar]
  7. Goncharuk-Khomyn M, Kaliy V, Pohorilyak R, Cavalcanti A, Keniuk A, Yavuz Y, et al.. Impact of war on foreign students’ satisfaction with quality of dental and medical education in Ukraine. Braz Oral Res. 2023; 37:e026. https://doi.org/10.1590/1807-3107bor-2023.vol37.0026
    [Google Scholar]
  8. Sarkar S. Medical students escape war torn Ukraine but face limbo. BMJ. 2022; 377:o908. https://doi.org/10.1136/bmj.o908
    [Google Scholar]
  9. Lafta R, Al-Ani W, Dhiaa S, Cherewick M, Hagopian A, Burnham G. Perceptions, experiences and expectations of Iraqi medical students. BMC Med Educ. 2018Mar27; 18:(1):53. https://doi.org/10.1186/s12909-018-1156-8
    [Google Scholar]
  10. De Vos P. “No one left abandoned”: Cuba’s national health system since the 1959 revolution. Int J Health Serv. 2005; 35:(1):189–207. https://doi.org/10.2190/M72R-DBKD-2XWV-HJWB
    [Google Scholar]
  11. Kronfol NM, Sibai AM, Rafeh N. The impact of civil disturbances on the migration of physicians: the case of Lebanon. Med Care. 1992Mar; 30:(3):208–15. https://doi.org/10.1097/00005650-199203000-00003
    [Google Scholar]
  12. Willis EA, Taghipour J. Effects of prolonged war and repression on a country’s health status and medical services: some evidence from Iran 1979–90. Med War. 1992Jul–Sep; 8:(3):185–99. https://doi.org/10.1080/07488009208409045
    [Google Scholar]
  13. Challoner KR, Forget N. Effect of civil war on medical education in Liberia. Int J Emerg Med. 2011Feb16; 4:6. https://doi.org/10.1186/1865-1380-4-6
    [Google Scholar]
  14. Chumachenko D, Chumachenko T. Ukraine war: The humanitarian crisis in Kharkiv. BMJ. 2022Mar; 376:o796. https://doi.org/10.1136/bmj.o796
    [Google Scholar]
  15. Barnett-Vanes A, Hassounah S, Shawki M, Ismail OA, Fung C, Kedia T, et al.. Impact of conflict on medical education: A cross-sectional survey of students and institutions in Iraq. BMJ Open. 2016; 6:e010460. https://doi.org/10.1136/bmjopen-2015-010460
    [Google Scholar]
  16. Mayer A, Yaremko O, Shchudrova T, Korotun O, Dospil K, Hege I. Medical education in times of war: a mixed-methods needs analysis at Ukrainian medical schools. BMC Med Educ. 2023Oct26; 23:(1):804. https://doi.org/10.1186/s12909-023-04768-2
    [Google Scholar]
  17. McFarlane AC, Van Hooff M, Goodhew F. Anxiety disorders and PTSD. In: Neria Y, Galea S, Norris FH, editors. Mental health and disasters. CambridgeCambridge University Press;2012. pp. 47–66.
    [Google Scholar]
  18. Neria Y, Nandi A, Galea S. Post-traumatic stress disorder following disasters: A systematic review. Psychol Med. 2008Apr; 38:(4):467–80. https://doi.org/10.1017/S0033291707001353
    [Google Scholar]
  19. Norris FH, Friedman MJ, Watson PJ, Byrne CM, Diaz E, Kaniasty K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry. 2002Fall; 65:(3):207–39. https://doi.org/10.1521/psyc.65.3.207.20173
    [Google Scholar]
  20. Haydabrus A, Santana-Santana M, Lazarenko Y, Giménez-Llort L. Current war in Ukraine: lessons from the impact of war on combatants’ mental health during the last decade. Int J Environ Res Public Health. 2022Aug24; 19:(17):10536. https://doi.org/10.3390/ijerph191710536
    [Google Scholar]
  21. Bendavid E, Boerma T, Akseer N, Langer A, Malembaka EB, Okiro EA, et al.. The effects of armed conflict on the health of women and children. Lancet. 2021Feb6; 397(10273):522–32. https://doi.org/10.1016/S0140-6736(21)00131-8
    [Google Scholar]
  22. Kovnick MO, Young Y, Tran N, Teerawichitchainan B, Tran TK, Korinek K. The impact of early life war exposure on mental health among older adults in northern and central Vietnam. J Health Soc Behav. 2021Dec; 62:(4):526-544. https://doi.org/10.1177/00221465211039239
    [Google Scholar]
  23. Cheung F, Kube A, Tay L, Diener E, Jackson JJ, Lucas RE, et al.. The impact of the Syrian conflict on population well-being. Nat Commun. 2020Aug6; 11:(1):3899. https://doi.org/10.1038/s41467-020-17369-0
    [Google Scholar]
  24. Amano MA, French B, Sakata R, Dekker M, Brenner AV. Lifetime risk of suicide among survivors of the atomic bombings of Japan. Epidemiol Psychiatr Sci. 2021Jun4; 30:e43. https://doi.org/10.1017/S204579602100024X
    [Google Scholar]
  25. Ohta Y, Mine M, Wakasugi M, Yoshimine E, Himuro Y, Yoneda M, et al.. Psychological effect of the Nagasaki atomic bombing on survivors after half a century. Psychiatry Clin Neurosci. 2000; 54:97–103. https://doi.org/10.1046/j.1440-1819.2000.00643.x
    [Google Scholar]
  26. Kulsoom B, Afsar NA. Stress, anxiety, and depression among medical students in a multiethnic setting. Neuropsychiatr Dis Treat. 2015; 11:1713. https://doi.org/10.2147/NDT.S83577
    [Google Scholar]
  27. Alvi T, Assad F, Ramzan M, Khan FA. Depression, anxiety and their associated factors among medical students. J Coll Physicians Surg Pak. 2010; 20:122–6.
    [Google Scholar]
  28. Al Saadi T, Zaher Addeen S, Turk T, Abbas F, Alkhatib M. Psychological distress among medical students in conflicts: A cross-sectional study from Syria. BMC Med Educ. 2017Sep20; 17:(1):173. https://doi.org/10.1186/s12909-017-1012-2
    [Google Scholar]
  29. Honney K, Buszewicz M, Coppola W, Griffin M. Comparison of levels of depression in medical and non-medical students. Clin Teach. 2010; 7:180–4. https://doi.org/10.1111/j.1743-498X.2e010.00384.x
    [Google Scholar]
  30. Kaya M, Genç M, Kaya B, Pehlivan E. Prevalence of depressive symptoms, ways of coping, and related factors among medical school and health services higher education students. Turk Psikiyatri Derg. 2007; 18:(2):137–46.
    [Google Scholar]
  31. De Juan A, Koos C. Survey participation effects in conflict research. J Peace Res. 2021; 58:(4):623–39. https://doi.org/10.1177/0022343320971034
    [Google Scholar]
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  • Article Type: Research Article
Keyword(s): foreign studentsMedical educationUkraine and war
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