@article{ref1,
title="Treatment delivery preferences associated with type of mental disorder and perceived treatment barriers among Mexican university students",
journal="Journal of Adolescent Health",
year="2020",
author="Benjet, Corina and Wittenborn, Andrea and Gutiérrez-García, Raúl A. and Albor, Yesica Cristina and Contreras, Eunice Vargas and Hernández, Sergio Cruz and Valdés-García, Karla Patricia and Monroy, Iris Ruby and Peláez Cedrés, Alvaro Julio and Hernández Uribe, Praxedis Cristina and Covarrubias Díaz-Couder, Anabell and Quevedo Chávez, Guillermo E. and Paz-Peréz, María Abigal and Medina-Mora, Maria Elena and Bruffaerts, Ronny",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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. <br><br>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. <br><br>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. <br><br>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.<br><br>Copyright © 2020. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2020.01.025",
url="http://dx.doi.org/10.1016/j.jadohealth.2020.01.025"
}