Treatment Delivery Preferences Associated With Type of Mental Disorder and Perceived Treatment Barriers Among Mexican University Students
| Autor: | Sergio Cruz Hernández, Yesica Albor, Praxedis Cristina Hernández Uribe, Ronny Bruffaerts, Alvaro Julio Peláez Cedrés, Iris Ruby Monroy, Andrea K. Wittenborn, Karla Patricia Valdés-García, María Abigal Paz-Peréz, Eunice Vargas Contreras, Raúl A. Gutiérrez-García, Corina Benjet, María Elena Medina-Mora, Anabell Covarrubias Díaz-Couder, Guillermo E. Quevedo Chavez |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Universities media_common.quotation_subject education Psychological intervention Stigma (botany) Embarrassment 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires 030225 pediatrics medicine eHealth Humans 030212 general & internal medicine Students Mexico media_common Modalities Public Health Environmental and Occupational Health Mental health Preference Psychiatry and Mental health Psychotic Disorders Family medicine Pediatrics Perinatology and Child Health Cohort Female Psychology |
| Zdroj: | Journal of Adolescent Health. 67:232-238 |
| ISSN: | 1054-139X |
| DOI: | 10.1016/j.jadohealth.2020.01.025 |
| Popis: | Purpose Although Internet-based electronic health (eHealth) interventions could potentially reduce mental health disparities, especially in college students in under-resourced countries, little is known about the relative acceptability of eHealth versus in-person treatment modalities and the treatment barriers associated with a preference for one type over the other. Methods Participants were from the 2018–2019 cohort of the University Project for Healthy Students (PUERTAS), a Web-based survey of incoming first-year students in Mexico and part of the World Mental Health International College Student Survey initiative. A total of 7,849 first-year students, 54.73% female, from five Mexican universities participated. We estimated correlates of preference for eHealth delivery over in-person modalities with a multivariate logistic regression. Results Thirty-eight percent of students prefer in-person services, 36% showed no preference for in-person over eHealth, 19% prefer not to use services of any kind, and 7% preferred eHealth over in-person treatment delivery. Being embarrassed, worried about harm to one's academic career, wanting to handle problems on one's own, beliefs about treatment efficacy, having depression, and having attention-deficient hyperactivity disorder were associated with a clear preference for eHealth delivery methods with odds ratios ranging from 1.47 to 2.59. Conclusions Although more students preferred in-person services over eHealth, those reporting attitudinal barriers (i.e., embarrassment, stigma, wanting to handle problems on one's own, and beliefs about treatment efficacy) and with depression or attention-deficit hyperactivity disorder had a greater preference for eHealth interventions suggesting these are students to whom eHealth interventions could be targeted to alleviate symptoms and/or as a bridge to future in-person treatment. |
| Databáze: | OpenAIRE |
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