title: Erratic electricity supply (Dumsor) and anxiety disorders among university students in Ghana: a cross sectional study.
abstract: BACKGROUND
  Ghana is currently experiencing electricity supply crisis that is believed to have some impact on the mental wellbeing of the population, especially among university students that have become increasingly dependent on uninterrupted electricity supply to fully function academically. There is no known study that explores the link between infrequent electricity supply and generalized anxiety disorders in sub-Saharan Africa. This study aimed to explore that link and determine the proportion of university students whose anxiety levels may be influenced by the electricity supply crisis that the country is experiencing at the moment.
  
  
  METHODS
  This exploratory study used the Generalized Anxiety Disorder 7-item scale (GAD-7) to conduct the study on the University of Ghana campus. The likelihood ratio (LR) test and Fisher's Exact tests were used to determine any association between the electricity supply crisis and anxiety levels among students. Unadjusted odds ratio and corresponding confidence intervals were estimated and ordinal logistic regression technique was used for the effect of covariates on anxiety.
  
  
  RESULTS
  Overall, nearly 26 % of students interviewed felt nervous, anxious or on edge almost every day due to the erratic power supply. The proportion of students determined to be classified having minimal, mild, moderate and severe anxiety due to the erratic power supply was 24.2, 30.7, 22.1 and 23.1 % respectively. Students were significantly more likely to be anxious if the frequency of power outage increased (OR 1.36; CI 1.23-1.49).
  
  
  CONCLUSIONS
  Our finding in this study suggests that although the erratic power supply does not allude to any clinical confirmation of the students having anxiety disorders, it does point to a fact that even in a resource-poor country like Ghana, where constant supply of electricity is not always guaranteed, students may not be entirely immune to the health and well-being implications of failures in some sectors of the economy such as power supply.
authors.affiliation: Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
authors.forename: Abdallah
authors.initials: A
authors.lastname: Ibrahim
authors.affiliation: Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
authors.forename: Genevieve Cecilia
authors.initials: GC
authors.lastname: Aryeetey
authors.affiliation: Department of Social and Behavioural Sciences, School of Public Health, University of Ghana, Accra, Ghana.
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Asampong
authors.affiliation: Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana.
authors.forename: Duah
authors.initials: D
authors.lastname: Dwomoh
authors.affiliation: Department of Health Policy, Planning and Management, School of Public Health, University of Ghana, Accra, Ghana.
authors.forename: Justice
authors.initials: J
authors.lastname: Nonvignon
keywords: Electricity crisis; Generalized anxiety disorder; Mental disorders; University of Ghana