Educational, psychosocial, and clinical impact of SARS-CoV-2 (COVID-19) pandemic on medical students in the United States

Table 6 Multivariate analyses of anxiety association factors after Least Absolute Shrinkage and Selection Operator

Survey questions	Rate ratio	Confidence interval	Sig.
I feel disenchanted with the healthcare system due to inadequate response, lack of PPE, lack of testing, etc.
Disagree (2) vs Strongly disagree (1)	0.93	0.5-1.72	0.81
Neutral (3) vs Strongly disagree (1)	1.39	0.85-2.27	0.19
Agree (4) vs Strongly disagree (1)	1.48	0.95-2.31	0.09
Strongly agree (5) vs Strongly disagree(1)	1.39	0.86-2.25	0.18
Does not apply vs Strongly disagree (1)	0.93	0.5-1.72	0.81
Volunteer Activities - Child care for health care workers: Yes vs No	0.68	0.49-0.93	0.02
Is the distance learning beneficial to you?
Agree vs Strongly agree	0.87	0.6-1.27	0.47
Neutral vs Strongly agree	0.93	0.62-1.37	0.7
Disagree vs Strongly agree	0.98	0.66-1.46	0.93
Strongly disagree vs Strongly agree	0.84	0.57-1.23	0.36
If applicable, have your USMLE exams or equivalent state exams been postponed?
No vs Yes	0.87	0.76-0.99	0.03
Does not apply vs Yes	1.01	0.87-1.18	0.85
Not sure vs Yes	1.19	0.96-1.48	0.12
How concerned are you that COVID-19 will affect the residency application process?
Slightly concerned (2) vs Not concerned (1)	1.3	0.79-2.13	0.3
Moderately concerned (3) vs Not concerned (1)	1.22	0.79-1.88	0.36
Very concerned (4) vs Not concerned (1)	0.86	0.58-1.26	0.43
Extremely concerned (5) vs Not concerned (1)	1	0.6-1.68	1
Does not apply vs Not concerned (1)	1.3	0.79-2.13	0.3
On a scale of 1-5 how supportive have school administration and faculty been regarding COVID-19?
2 vs Not supportive	0.81	0.63-1.04	0.1
Moderately supportive vs Not supportive	0.75	0.65-0.87	< 0.011
4 vs Not supportive	0.79	0.6-1.03	0.09
Extremely supportive vs Not supportive	0.89	0.78-1.02	0.11
Have you experienced episodes of depression during this time?	1.6	1.38-1.85	< 0.011
I am concerned about being unable to complete exams or rotations if I contract COVID-19
Strongly disagree (1) vs Strongly agree (5)	0.66	0.26-1.7	0.39
Disagree (2) vs Strongly agree (5)	0.77	0.62-0.96	0.02
Neutral (3) vs Strongly agree (5)	1.11	0.95-1.3	0.2
Agree (4) vs Strongly agree (5)	1.05	0.84-1.31	0.68
Does not apply vs Strongly agree (5)	0.88	0.69-1.14	0.34

¹These covariates were significant using a cut-off P value of < 0.01. COVID-19: Coronavirus disease 2019.