TY  - JOUR
PY  - 2020//
TI  - Treatment delivery preferences associated with type of mental disorder and perceived treatment barriers among Mexican university students
JO  - Journal of Adolescent Health
A1  - Benjet, Corina
A1  - Wittenborn, Andrea
A1  - Gutiérrez-García, Raúl A.
A1  - Albor, Yesica Cristina
A1  - Contreras, Eunice Vargas
A1  - Hernández, Sergio Cruz
A1  - Valdés-García, Karla Patricia
A1  - Monroy, Iris Ruby
A1  - Peláez Cedrés, Alvaro Julio
A1  - Hernández Uribe, Praxedis Cristina
A1  - Covarrubias Díaz-Couder, Anabell
A1  - Quevedo Chávez, Guillermo E.
A1  - Paz-Peréz, María Abigal
A1  - Medina-Mora, Maria Elena
A1  - Bruffaerts, Ronny
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1054-139X
UR  - http://dx.doi.org/10.1016/j.jadohealth.2020.01.025
ID  - ref1
ER  -