Online Information Searches and Help Seeking for Mental Health Problems in Urban China

Original Article

Abstract

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.

Keywords

China Mental health Information search Help seeking Digital divide Survey 

References

  1. Andersson, G., Carlbring, P., & Berger, T. (2009). What makes internet therapy work? Cognitive Behaviour Therapy, 38(1), 55–60.CrossRefPubMedGoogle Scholar
  2. 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
  3. Baker, L., Wagner, T. H., Singer, S., & Bundorf, M. K. (2003). Use of the Internet and e-mail for health care information: results from a national survey. JAMA, 289(18), 2400–2406.CrossRefPubMedGoogle Scholar
  4. Bell, V. (2007). Online information, extreme communities and internet therapy: Is the internet good for our mental health? Journal of Mental Health, 16(4), 445–457.CrossRefGoogle Scholar
  5. Berger, M., Wagner, T. H., & Baker, L. C. (2005). Internet use and stigmatized illness. Social Science and Medicine, 61(8), 1821–1827.CrossRefPubMedGoogle Scholar
  6. Billon, M., Marco, R., & Lera-Lopezc, F. (2009). Disparities in ICT adoption: A multidimensional approach to study the cross-country digital divide. Telecommunications Policy, 33(10–11), 596–610.CrossRefGoogle Scholar
  7. Boey, K. W. (1998). Help-seeking pattern of psychiatric outpatients in urban China. International Journal of Psychiatric Nursing Research, 4(1), 433–443.PubMedGoogle Scholar
  8. Chan, K. W., & Zhang, L. (1999). The hukou system and rural-urban migration: Processes and changes. The China Quarterly, 160, 818–855.CrossRefPubMedGoogle Scholar
  9. Chen, J. (2011). Internal migration and health: Re-examining the healthy migrant phenomenon in China. Social Science and Medicine, 72(8), 1294–1301.CrossRefPubMedGoogle Scholar
  10. Chen, J. (2012). Seeking help for psychological distress in urban China. Journal of Community Psychology, 40(3), 319–341.CrossRefGoogle Scholar
  11. 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.
  12. Christensen, H., & Griffiths, K. (2000). The Internet and mental health literacy. Australian and New Zealand Journal of Psychiatry, 34(6), 975–979.CrossRefPubMedGoogle Scholar
  13. 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
  14. 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
  15. 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
  16. Gould, M. S., Munfakh, J. L. H., Lubell, K., Kleinman, M., & Parker, S. (2002). Seeking help from the internet during adolescence. Journal of the American Academy of Child and Adolescent Psychiatry, 41(10), 1182–1189.CrossRefPubMedGoogle Scholar
  17. Horgan, A., & Sweeney, J. (2010). Young students’ use of the Internet for mental health information and support. Journal of Psychiatric and Mental Health Nursing, 17(2), 117–123.CrossRefPubMedGoogle Scholar
  18. 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
  19. Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., & Zaslavsky, A. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189.CrossRefPubMedGoogle Scholar
  20. Landry, P. F., & Shen, M. (2005). Reaching migrants in survey research: The use of global positioning system to reduce coverage bias in China. Political Analysis, 13(1), 1–22.CrossRefGoogle Scholar
  21. Morahan-Martin, J., & Anderson, C. D. (2000). Information and misinformation online: Recommendations for facilitating accurate mental health information retrieval and evaluation. CyberPsychology and Behavior, 3(5), 731–746.CrossRefGoogle Scholar
  22. National Bureau of Statistics of China. (2014). China Statistical Yearbook 2014. Beijing: China Statistical Press.Google Scholar
  23. Oh, E., Jorm, A. F., & Wright, A. (2009). Perceived helpfulness of websites for mental health information. Social Psychiatry and Psychiatric Epidemiology, 44(4), 293–299.CrossRefPubMedGoogle Scholar
  24. 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
  25. Phillips, M. R., Zhang, J., Shi, Q., Song, Z., Ding, Z., Pang, S., & Wang, Z. (2009). Prevalence, treatment, and associated disability of mental disorders in four provinces in China during 2001-05: An epidemiological survey. The Lancet, 373(9680), 2041–2053.CrossRefGoogle Scholar
  26. Pick, J. B., & Azari, R. (2008). Global digital divide: Influence of socioeconomic, governmental, and accessibility factors on information technology. Information Technology for Development, 14(2), 91–115.CrossRefGoogle Scholar
  27. Powell, J., & Clarke, A. (2006). Internet information-seeking in mental health: Population survey. The British Journal of Psychiatry, 189(3), 273–277.CrossRefPubMedGoogle Scholar
  28. Renahy, E., & Chauvin, P. (2006). Internet uses for health information seeking: A literature review. Revue d’Épidémiologie et de Santé Publique, 54(3), 263–275.CrossRefPubMedGoogle Scholar
  29. Renahy, E., Parizot, I., & Chauvin, P. (2008). Health information seeking on the Internet: A double divide? Results from a representative survey in the paris metropolitan area, France, 2005-2006. BMC Public Health, 8, 69.CrossRefPubMedPubMedCentralGoogle Scholar
  30. Richards, D. (2009). Features and benefits of online counselling: Trinity college online mental health community. British Journal of Guidance and Counselling, 37(3), 231–242.CrossRefGoogle Scholar
  31. Shen, Y., Zhang, M., Huang, Y., He, Y., Liu, Z., Cheng, H., & Kessler, R. C. (2006). Twelve-month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychological Medicine, 36(2), 257–267.CrossRefPubMedGoogle Scholar
  32. 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
  33. van Straten, A., Cuijpers, P., & Smits, N. (2008). Effectiveness of a web-based self-help intervention for symptoms of depression, anxiety, and stress: Randomized controlled trial. Journal of Medical Internet Research, 10(1), e7.CrossRefPubMedPubMedCentralGoogle Scholar
  34. Wang, F. (2008). Boundaries and categories: Rising inequality in post-socialist urban China. Stanford: Stanford University Press.Google Scholar
  35. Warmerdam, L., van Straten, A., Twisk, J. T., Heleen, R., & Pim, C. (2008). Internet-based treatment for adults with depressive symptoms: Randomized controlled trial. Journal of Medical Internet Research, 10(4), e44.CrossRefPubMedPubMedCentralGoogle Scholar
  36. Wells, M., Mitchell, K. J., Finkelhor, D., & Becker-Blease, K. A. (2007). Online mental health treatment: Concerns and considerations. CyberPsychology and Behavior, 10(3), 453–459.CrossRefPubMedGoogle Scholar
  37. WHO World Mental Health Survey Consortium. (2004). Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. Journal of the American Medical Association, 291(21), 2581–2590.CrossRefGoogle Scholar
  38. Wong, D. F. K., & Li, J. C. M. (2014). Cultural influence on Shanghai Chinese People’s help-seeking for mental health problems: Implications for social work practice. British Journal of Social Work, 44(4), 868–885.CrossRefGoogle Scholar
  39. 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
  40. Yang, G., Wang, Y., Zeng, Y., Gao, G. F., Liang, X., Zhou, M., & Murray, C. J. L. (2013). Rapid health transition in China, 1990-2010: Findings from the Global Burden of Disease Study 2010. The Lancet, 381(9882), 1987–2015.CrossRefGoogle Scholar
  41. Ybarra, M. L., & Eaton, W. W. (2005). Internet-based mental health interventions. Mental Health Services Research, 7(2), 75–87.CrossRefPubMedGoogle Scholar
  42. Ybarra, M. L., & Suman, M. (2006). Help seeking behavior and the Internet: A national survey. International Journal of Medical Informatics, 75(1), 29–41.CrossRefPubMedGoogle Scholar
  43. 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/.
  44. 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
  45. Zhu, S., & Chen, J. (2013). The digital divide in individual e-commerce utilization in China: Results from a national survey. Information Development, 29(1), 69–80.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Applied Social SciencesThe Hong Kong Polytechnic UniversityKowloon China
  2. 2.School of ManagementGuangdong University of TechnologyGuangzhouChina

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