Mental Health Help-Seeking Intentions and Preferences of Rural Chinese Adults
Open accessAbstract
PURPOSE: We aimed to investigate mental health help-seeking intentions and preferences of rural Chinese adults and determine predictors of the intentions. METHODS: A total of 2052 representative rural residents aged 18-60 completed a cross-sectional survey by face-to-face interviews. The survey included seven questions asking about respondents' help-seeking intentions and preferences, and a series of internationally validated instruments to assess self-perceived health status, depression, anxiety, alcohol abuse, mental health literacy, and attitudes towards mental illness. RESULTS: Nearly 80% of respondents were willing to seek psychological help if needed, and 72.4% preferred to get help from medical organizations, yet only 12% knew of any hospitals or clinics providing such help. A multivariate analysis of help-seeking intention revealed that being female, having lower education, higher social health, higher mental health knowledge, and physical causal attribution for depression were positive predictors of help-seeking intention. CONCLUSION: A huge gap exists between the relatively higher intention for help-seeking and significantly lower knowledge of helpful resources. Predictors of help-seeking intention for mental problems in the current study are consistent with previous studies. Interventions to increase help-seeking for mental problems by Chinese rural adults may be best served by focusing on increasing public awareness of help sources, as well as improving residents' mental health literacy and social health, with special focus on males and those more educated.
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Nearly 92% of individuals diagnosed with mental disorders in China never sought mental health care.
“Evidence shows that nearly 92% of the individuals diagnosed with mental disorders in China never sought mental health care [8-11].”
From Promoting the mental health of university students in China: Protocol for contextual assessment to inform intervention design and adaptation (2021) · cites this paper as [10]
The Introduction reports that over 90% of adults with mental disorders in China are not treated, which supports the claim’s broad scale. It does not give a figure of nearly 92%, specify that those adults were diagnosed, or establish that they never sought care; being untreated is not necessarily the same as never seeking care. (LLM, conf=0.85)
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- Authors
- Yu, Y., Liu, Z.-W., Hu, M., Liu, H.-M., Yang, J. P., Zhou, L., & Xiao, S.-Y.
- Affiliations
- Central South University (CN)
- University of Washington (US)
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-11-06
- Volume
- 10
- Issue
- 11
- Pages
- e0141889
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4636424
- OpenAlex
- W2156180797
- Cited by
- 79
- References
- 72
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 10 · 2023: 12 · 2022: 12 · 2021: 6 · 2020: 12 · 2019: 2 · 2018: 4 · 2017: 6 · 2016: 2
- FWCI
- 6.55
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- USF Scholarship Repository (University of San Francisco) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- U.S. Department of Veterans Affairs (I01 CX002015)
- Hunan Provincial Innovation Foundation for Postgraduate (CX2015B058)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- mental health help-seeking, help-seeking intentions, rural Chinese adults, mental health literacy, attitudes toward mental illness, social health, depression, anxiety, alcohol abuse, help-seeking preferences, predictors of help-seeking, gender differences, educational attainment
- MeSH terms
- Adolescent, Adult, China, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health, Middle Aged, Patient Acceptance of Health Care, Rural Population, Intention, Young Adult, Patient Preference
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