Online Information Searches and Help Seeking for Mental Health Problems in Urban China
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In recent years, the Internet has emerged as an alternative information source on mental health problems. Yet, the profile of the typical Internet help seeker is to be determined. Based on data from a household survey of 2558 Beijing residents, the study investigates online information searches and help seeking for mental health problems. Multinomial logistic regressions are estimated for respondents’ access to the Internet, and mental-health-related information searches and help seeking on the Internet for the whole community sample and the most psychologically distressed subsample. The study identifies a digital divide in online help seeking for mental health issues based on age, migration and hukou status, and socio-economic factors. Youth and high socio-economic status are significant predictors of Internet access and use. Among the whole community sample, rural-to-urban migrants are less likely to have access to the Internet and search information or seek help online. Among the most psychologically distressed subsample, urban-to-urban migrants are significantly more likely to have access to the Internet and search information or seek help online. Given the shortage of mental health professionals in China, online information dissemination and guided self-help, if properly designed, could offer a means to reach large numbers of individuals in a cost-effective manner.
KeywordsChina Mental health Information search Help seeking Digital divide Survey
The 2013 household survey in Beijing was funded by the General Research Fund of the Research Grants Council of Hong Kong (PolyU5411/12H). The authors are grateful for the research collaboration of the Research Center for Contemporary China (RCCC) at Peking University during the implementation of the survey.
- Anthony, K., Jung, A., Rosenauer, D., Nagel, D. M., & Goss, S. (2010). Interview with Audrey Jung, president of the international society for mental health online (ISMHO), presented at the online counselling and therapy in action conference, 25 April 2009. British Journal of Guidance and Counselling, 38(4), 483–494.CrossRefGoogle Scholar
- China Internet Network Information Center. (2014). The 34th Statistical Report on Internet Development in China. Retrieved April 23, 2015 from http://www.cnnic.net.cn/hlwfzyj/hlwxzbg/hlwtjbg/201407/P020140721507223212132.pdf.
- Dewan, S., & Riggins, F. J. (2005). The digital divide: Current and future research directions. Journal of the Association for Information Systems, 6(12), 298–336.Google Scholar
- DiMaggio, P., Hargittai, E., Celeste, C., & Shafer, S. (2004). From unequal access to differentiated use: A literature review and agenda for research on digital inequality. In K. Neckerman (Ed.), Social inequality (pp. 355–400). New York: Russell Sage Foundation.Google Scholar
- Fong, M. W. L. (2009). Digital divide between urban and rural regions in China. The Electronic Journal on Information Systems in Developing Countries, 36(6), 1–12.Google Scholar
- Hsieh, J. J. P.-A., Rai, A., & Keil, M. (2008). Understanding digital inequality: Comparing continued use behavioral models of the socio-economically advantaged and disadvantaged. MIS Quarterly, 32(1), 97–126.Google Scholar
- National Bureau of Statistics of China. (2014). China Statistical Yearbook 2014. Beijing: China Statistical Press.Google Scholar
- Park, L., Xiao, Z., Worth, J., & Park, J. M. (2005). Mental health care in China: Recent changes and future challenges. Harvard Health Policy Review, 6(2), 35–45.Google Scholar
- Solinger, D. J. (1999). Contesting citizenship in urban China: Peasant migrants, the state, and the logic of the market. Berkeley: University of California Press.Google Scholar
- Wang, F. (2008). Boundaries and categories: Rising inequality in post-socialist urban China. Stanford: Stanford University Press.Google Scholar
- World Health Organization (WHO) & United Nations Human Settlements Programme (UN Habitat) (2010). Hidden cities: Unmasking and overcoming health inequities in urban settings. Kobe, Japan: World Health Organization Centre for Health Development and Nairobi, Kenya: United Nations Human Settlements Programme.Google Scholar
- Yuen, L. (2013, July 29). Unable to cope: China’s inadequate care of the mentally ill. The Atlantic. Retrieved May 14, 2015 from http://www.theatlantic.com/china/archive/2013/07/unable-to-cope-chinas-inadequate-care-of-the-mentally-ill/278170/.
- Zhu, S. (2011). A two-level theoretical model on digital divide in individual e-commerce utilization in China. Paper presented at the 2011 IEEE 3rd International Conference on Communication Software and Networks (ICCSN), Xi’an, China, May 27–29, 2011.Google Scholar