Sæther Marie Husøy, Sivertsen Børge, Bjerkeset Ottar
Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway.
Department of Health Promotion, Norwegian Institute of Public Health, Bergen, Norway.
Front Psychiatry. 2021 Oct 20;12:727237. doi: 10.3389/fpsyt.2021.727237. eCollection 2021.
Existing studies have documented high levels of mental distress in University and college students, complemented with poor help-seeking behavior. Colleges and universities offer a unique setting to address mental health problems that might overcome some of the most prominent barriers to help-seeking. We aim to describe the use of campus-based health care services and health services available in the near-by community among students in Norwegian student welfare organizations. We compare health care service use between non-local (in-movers) and local students, students at large and small welfare organizations, and students with severe and medium-low levels of mental distress. Data stem from the SHoT study (Students' Health and Well-being Study), a national survey from 2018 of all students aged 18-35 undertaking higher education in Norway. Mental distress was assessed using the Hopkins Symptom Checklist-25 (HSCL-25), and we also obtained self-report data on use of health care services. Data on health care services offered at Norwegian student welfare organizations was obtained from semi-structural telephone interviews. Non-local students used health care services that are low threshold, easily accessible and close to campus (health clinics and services organized by the student welfare organization) to a larger extent than local students. Students with symptoms of severe mental distress used almost all types of health services more than other students. We found big differences in reported use of health services in large and small organizations, yet these differences mirrored services available, and not necessarily student demand and preferences. Services offered by the student welfare organizations seem to play a particularly important role for non-local students and students reporting symptoms of severe mental distress.
现有研究记录了大学生中严重的心理困扰水平，且他们寻求帮助的行为不佳。高校提供了一个独特的环境来解决心理健康问题，这可能会克服一些寻求帮助的最突出障碍。我们旨在描述挪威学生福利组织中的学生对校内医疗服务以及附近社区可用医疗服务的使用情况。我们比较非本地学生（迁入者）和本地学生、大型和小型福利组织的学生以及心理困扰程度严重和中等偏低的学生之间的医疗服务使用情况。数据源自SHoT研究（学生健康与幸福研究），这是一项2018年对挪威所有18至35岁接受高等教育学生的全国性调查。使用霍普金斯症状清单-25（HSCL-25）评估心理困扰，我们还获取了关于医疗服务使用情况的自我报告数据。挪威学生福利组织提供的医疗服务数据来自半结构化电话访谈。非本地学生比本地学生更多地使用低门槛、易于获得且靠近校园的医疗服务（学生福利组织组织的健康诊所和服务）。有严重心理困扰症状的学生比其他学生更多地使用几乎所有类型的医疗服务。我们发现大型和小型组织在报告的医疗服务使用方面存在很大差异，但这些差异反映的是可用服务，而不一定是学生的需求和偏好。学生福利组织提供的服务似乎对非本地学生和报告有严重心理困扰症状的学生起着特别重要的作用。
