"Barriers To Mental Health Among International Students: Identifying Ch" by Esi TB Afful

Graduation Term

Spring 2025

Degree Name

Master of Science (MS)

Department

Department of Family and Consumer Sciences

Committee Chair

Luke Russell

Committee Co-Chair

Chang Su- Russell

Abstract

Objective: The purpose of this study was to examine barriers to mental health service utilization among international students, with a specific focus on challenges related to depressive symptoms and their coping mechanisms. The study also sought to identify factors that influence international students’ engagement with mental health resources.

Method: A total of 30 international students enrolled at a midwestern university participated in this mixed-methods study. Data were collected through an online survey, which included both closed- and open-ended questions. The quantitative portion of the survey assessed demographics, cultural and immigration challenges, mental health service utilization, and social support. Hierarchical multiple regression analysis was employed to evaluate the relationship between these factors and depressive symptoms. Qualitative data from open-ended responses were analyzed using thematic analysis to uncover common barriers and experiences related to mental health service use.

Results: Findings revealed that cultural stigma, limited awareness of available resources, and academic pressures were significant barriers to accessing mental health services. The regression analysis showed that social support and prior mental health service utilization were predictive of lower depressive symptoms. Additionally, qualitative themes highlighted the need for culturally competent services, peer support groups, and initiatives that reduce stigma around mental health care within the international student community.

Conclusion: This study provides valuable insights into the specific challenges faced by international students in seeking mental health support and emphasizes the importance of creating more accessible and culturally sensitive services to address the mental health needs of this population.

Access Type

Thesis-Open Access

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