Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students

Abstract Background There are growing concerns about the mental health of university students in Australia and internationally, with universities, governments and other stakeholders actively developing new policies and practices. Previous research suggests that many students experience poor mental h...

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Main Authors: Anthony D. LaMontagne, Clare Shann, Erin Lolicato, Danielle Newton, Patrick J Owen, Adrian J. Tomyn, Nicola J. Reavley
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15123-x
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author Anthony D. LaMontagne
Clare Shann
Erin Lolicato
Danielle Newton
Patrick J Owen
Adrian J. Tomyn
Nicola J. Reavley
author_facet Anthony D. LaMontagne
Clare Shann
Erin Lolicato
Danielle Newton
Patrick J Owen
Adrian J. Tomyn
Nicola J. Reavley
author_sort Anthony D. LaMontagne
collection DOAJ
description Abstract Background There are growing concerns about the mental health of university students in Australia and internationally, with universities, governments and other stakeholders actively developing new policies and practices. Previous research suggests that many students experience poor mental health while at university, and that the risk may be heightened for international students. Mental health-related knowledge, attitudes and behaviours are modifiable determinants of mental health and thus suitable targets for intervention. This study assessed the mental health-related knowledge, stigmatising attitudes, helping behaviours, and self-reported experiences of mental health problems in the student population of a large multi-campus Australian university, and conducted a comparative assessment of international and domestic students. Methods Participants were 883 international and 2,852 domestic students (overall response rate 7.1%) who completed an anonymous voluntary online survey that was sent to all enrolled students in July 2019 (n = ~ 52,341). Various measures of mental health-related knowledge, attitudes and helping behaviours were assessed. A comparative analysis of international and domestic students was conducted, including adjustment for age and sex. Results Overall, there was evidence of improvements in mental health-related knowledge, attitudes and behaviours relative to previous studies, including higher depression recognition, intentions to seek help, and reported help-seeking behaviour. Comparative analysis indicated that international students scored predominantly lower on a range of indicators (e.g., depression recognition, awareness of evidence-based forms of help); however, differences were narrower difference between the two groups compared to what has been reported previously. Finally, some indicators were more favourable among international students, such as higher help-seeking intentions, and lower prevalence of self-reported mental health problems compared to domestic students. Conclusion Though there were some important differences between domestic and international students in this study, differences were narrower than observed in previous studies. Study findings are informing the on-going implementation and refinement of this university’s student mental health strategy, and may be used to inform evolving policy and practice in the university sector.
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spelling doaj.art-971481e26ea847b9815e6444528fba802023-01-29T12:23:46ZengBMCBMC Public Health1471-24582023-01-0123111210.1186/s12889-023-15123-xMental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international studentsAnthony D. LaMontagne0Clare Shann1Erin Lolicato2Danielle Newton3Patrick J Owen4Adrian J. Tomyn5Nicola J. Reavley6Institute for Health Transformation & School of Health & Social Development, Deakin UniversityShann AdvisoryDiversity & Inclusion, Deakin UniversityInstitute for Health Transformation & School of Health & Social Development, Deakin UniversityInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin UniversitySchool of Psychology, Deakin UniversityMelbourne School of Population & Global Health, University of MelbourneAbstract Background There are growing concerns about the mental health of university students in Australia and internationally, with universities, governments and other stakeholders actively developing new policies and practices. Previous research suggests that many students experience poor mental health while at university, and that the risk may be heightened for international students. Mental health-related knowledge, attitudes and behaviours are modifiable determinants of mental health and thus suitable targets for intervention. This study assessed the mental health-related knowledge, stigmatising attitudes, helping behaviours, and self-reported experiences of mental health problems in the student population of a large multi-campus Australian university, and conducted a comparative assessment of international and domestic students. Methods Participants were 883 international and 2,852 domestic students (overall response rate 7.1%) who completed an anonymous voluntary online survey that was sent to all enrolled students in July 2019 (n = ~ 52,341). Various measures of mental health-related knowledge, attitudes and helping behaviours were assessed. A comparative analysis of international and domestic students was conducted, including adjustment for age and sex. Results Overall, there was evidence of improvements in mental health-related knowledge, attitudes and behaviours relative to previous studies, including higher depression recognition, intentions to seek help, and reported help-seeking behaviour. Comparative analysis indicated that international students scored predominantly lower on a range of indicators (e.g., depression recognition, awareness of evidence-based forms of help); however, differences were narrower difference between the two groups compared to what has been reported previously. Finally, some indicators were more favourable among international students, such as higher help-seeking intentions, and lower prevalence of self-reported mental health problems compared to domestic students. Conclusion Though there were some important differences between domestic and international students in this study, differences were narrower than observed in previous studies. Study findings are informing the on-going implementation and refinement of this university’s student mental health strategy, and may be used to inform evolving policy and practice in the university sector.https://doi.org/10.1186/s12889-023-15123-xMental healthMental health literacyStigmaHelp-seekingUniversityTertiary
spellingShingle Anthony D. LaMontagne
Clare Shann
Erin Lolicato
Danielle Newton
Patrick J Owen
Adrian J. Tomyn
Nicola J. Reavley
Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students
BMC Public Health
Mental health
Mental health literacy
Stigma
Help-seeking
University
Tertiary
title Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students
title_full Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students
title_fullStr Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students
title_full_unstemmed Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students
title_short Mental health-related knowledge, attitudes and behaviours in a cross-sectional sample of australian university students: a comparison of domestic and international students
title_sort mental health related knowledge attitudes and behaviours in a cross sectional sample of australian university students a comparison of domestic and international students
topic Mental health
Mental health literacy
Stigma
Help-seeking
University
Tertiary
url https://doi.org/10.1186/s12889-023-15123-x
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