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Cited by 113International Student and Expatriate ChallengesMigration, Health and TraumaStudent Stress and Coping

Health and well-being of international university students, and comparison with domestic students, in Tasmania, Australia

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Skromanis, Sarah, Cooling, Nick, Rodgers, Bryan, Purton, Terry, Fan, Frances, Bridgman, Heather, Harris, Keith, Presser, Jennifer +1 more·2018·International Journal of Environmental Research and Public Health
DOI 10.3390/ijerph15061147PMC PMC6025303
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Abstract

International students comprise an increasingly larger proportion of higher education students globally. Empirical evidence about the health and well-being of these students is, however, limited. We sought to examine the health and well-being of international students, primarily from Asian countries, attending the University of Tasmania, Australia, using domestic students as a comparison group. Ethics approval was given to invite (via email) all currently enrolled students to participate in the study by completing a pilot-tested, online survey. The survey was completed by 382 international students (response rate = 8.9%) and 1013 domestic students (9.2%). Independent samples t-tests, analysis of variance (ANOVA) and chi-square tests were used for bivariate comparisons between international and domestic students, and between subgroups of international students. Regression models were used to examine the associations between student status (international vs. domestic) and health outcomes, controlling for demographic and enrolment variables. International students, particularly male students, were found to be at increased risk of several adverse health outcomes while also being less likely to seek help for mental health and related problems. The findings indicate the need for accessible, targeted, culturally-sensitive health promotion and early intervention programs.

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  • The present findings contrast with earlier studies (Skromanis et al., 2018) that suggested international students had poorer mental health and lower wellbeing than local students.

    “These findings contrast with those of earlier studies (Skromanis et al., 2018), which suggested that international students had poorer mental health and lower wellbeing than local students”

    From Social connections combat loneliness and promote wellbeing among college students coming out of the COVID-19 pandemic (2025) · cites this paper as Skromanis et al., 2018

    The Results (§3.2; page not provided) report poorer life satisfaction and lower social support among international students, supporting the lower-wellbeing part. They report no difference in general psychological distress, study stress, or financial stress, so the claim that this study found poorer mental health than among domestic students overstates its findings. (LLM, conf=0.88)

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Authors
Skromanis, S., Cooling, N., Rodgers, B., Purton, T., Fan, F., Bridgman, H., Harris, K., Presser, J., & Mond, J.
Affiliations
  • University of Tasmania (AU)
  • Australian National University (AU)
  • School of Education, University of Tasmania, Launceston 7250, Australia
Corresponding author
Mond, Jonathan
ORCID
Venue
International Journal of Environmental Research and Public Health
Publisher
MDPI AG
Published
2018-06-01
Volume
15
Issue
6
Pages
1147
ISSN
1660-4601 (ISSN-L)
DOI
10.3390/ijerph15061147
PMC
PMC6025303
OpenAlex
W2807034982
Cited by
113
References
33
Citations by year
2026: 17 · 2025: 18 · 2024: 20 · 2023: 16 · 2022: 13 · 2021: 14 · 2020: 10 · 2019: 5
FWCI
15.79
Type
journal article
Language
en
Open access
Licence
Locations
  • International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UTAS Research Repository (acceptedVersion)
  • eCite Digital Repository (University of Tasmania) (submittedVersion, cc-by)
  • Charles Sturt University Research Output (CRO) (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • Figshare (submittedVersion, cc-by)
  • ANU Open Research (Australian National University) (submittedVersion, cc-by)
Funders
Department of Health and Human Services (4200)
Topics
  • Social Sciences › Communication › International Student and Expatriate Challenges
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
Keywords
international students, student health, well-being, mental health help-seeking, domestic students, Asian international students, gender differences, health promotion, early intervention, University of Tasmania
MeSH terms
Adult, Asia, Australia, Mental Disorders, Female, Health Status, Health Surveys, Humans, Male, Personal Satisfaction, Students, Tasmania, Universities

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