ArticleInternational journal of qualitative studies on health and well-being2025
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Article in International journal of qualitative studies on health and well-being, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeInternational university students (ISs) experience elevated rates of psychological distress due to the unique challenges of living and studying in a new country. Nonetheless, their utilisation of mental health services tends to be low. This study aimed to explore ISs' experiences of help-seeking via the Scottish primary healthcare services.
methodsA qualitative design using semi-structured interviews and interpretative phenomenological analysis (IPA) was employed. The sample included nine female ISs from a range of cultural backgrounds, who sought mental health support from the Scottish primary healthcare services within the previous year.
resultsParticipants' help-seeking experiences, contextualised within the challenging, liminal reality of living and studying in Scotland as an IS, were hindered by challenges with navigating two healthcare systems simultaneously and culturally-mediated attitudes towards mental health. Positive and negative experiences of patient-GP interactions had a considerable impact on participants' subsequent help-seeking endeavours.
conclusionsTransnational and relational lenses are key for understanding ISs' help-seeking. Beyond individual factors, help-seeking trajectories hinge on perceived quality of patient-doctor relationships and the accessibility of both local and home-country systems. These findings highlight the need for universities to implement targeted mental wellbeing interventions for ISs, and primary care to improve the quality patient-GP interactions.
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