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1、Contents lists available at ScienceDirectAsian Journal of Psychiatryjournal homepage: www.elsevier.com/locate/ajpPerceptions of mental health and mental health services among college students in Vietnam and the United St

2、atesAkiko Kamimuraa,?, Ha N. Trinhb, Mitch Johansena, Jazmine Hurleya, Mu Pyea, Kai Sina, Hanh Nguyenca University of Utah, Salt Lake City, UT, USA b University of Kansas Medical Center, Kansas City, KS, USA c Vietnam Na

3、tional University, Ho Chi Minh City, Viet NamA R T I C L E I N F OKeywords:PerceptionMental illnessMental health servicesCollege studentsVietnamA B S T R A C TThe global burden of mental health disorders is a significant

4、 public health issue. One population that has a riskfor mental health issues is college students. Little is known about perceptions of mental illness and mental healthservices among college students in Vietnam. The purpo

5、se of this study is to describe perceptions of mental illnessand mental health services among college students in Vietnam, and to compare them with those in the UnitedStates (US). The cross-sectional data were collected

6、using a self-administered survey from January to March in2018 at a national university in Vietnam, and a state university in the US. The study revealed differences inperceptions of causes of mental health between Vietnam

7、ese and US participants. Vietnamese participants tendedto believe that individuals with mental illness were dangerous and need to be kept out from the community,while US participants perceived that mental illnesses are t

8、he same as other illnesses. An important indicator ofVietnamese perceptions of mental health was the low likelihood of seeking formal help because of preference forseeking help from family or friends for mental illness.

9、Interventions, such as mental health awareness campaignsor training courses should be provided for college students in Vietnam. Some strategies to improve mental healthamong college students used in the US may help to re

10、duce stigma toward mental illness in Vietnam.1. IntroductionThe global burden of mental health disorders is a significant publichealth issue (World Health Organizations, 2017). Mental health is oneof the most recent addi

11、tions to the United Nations Sustainable Devel-opment Goals, while historically the majority of the goals were forcommunicable diseases (World Health Organizations, 2018). One po-pulation that has a risk for mental health

12、 issues is college students(Balon et al., 2015; Bruffaerts et al., 2018). A previous study conductedin the United States (US) shows that mental health issues includinganxiety, depression, and relationship problems among

13、college studentsare increasing concerns (Mistler et al., 2012). Among college studentsin Singapore, the prevalence of social networking addiction, which isalso related to other sorts of addiction and affective disorder,

14、is high(Tang and Koh, 2017). A study on psychological distress among collegestudents in India suggests that psychological distress, which is asso-ciated with other negative outcomes (e.g. academic failures, substanceabus

15、e, suicidality), is common (Jaisoorya et al., 2017). Adolescents andyoung adults who reported self-injurious behaviors were more likely tohave suicidal intent in India (Bhola et al., 2017). Social phobia is also aproblem

16、 among university students in India (Joseph et al., 2018).Vietnam is a country that does not have much research on mentalhealth, since its main public health focuses are still on infectious dis-eases (US Agency for Inter

17、national Development, 2018). The highburden of mental illness and a lack of mental health legislation andresources are problems in Vietnam (Vuong et al., 2011). A householdstudy conducted in Vietnam found that the issues

18、 stem from a lack ofknowledge about mental illness, and the preference of combiningmedical treatment and family care to cure mental illness (van der Hamet al., 2011). A study conducted in Southeast Asian countries, inclu

19、dingVietnam, suggested that suicidal ideation rates among college studentswere 11.7%, while similar rates for this age group in the U.S. were at8.8% (Peltzer et al., 2017). Yet, little is known about perceptions ofmental

20、 illness and mental health services among college students inVietnam.The purpose of this study is to describe perceptions of mental illnessand mental health services among college students in Vietnam and tocompare them w

21、ith those in the US. The US comparison groups werehttps://doi.org/10.1016/j.ajp.2018.07.012Received 6 June 2018; Received in revised form 23 July 2018; Accepted 23 July 2018? Corresponding author at: Department of Sociol

22、ogy, University of Utah, 380 S 1530 E, Salt Lake City, UT 84112, USA.E-mail address: akiko.kamimura@utah.edu (A. Kamimura).Asian Journal of Psychiatry 37 (2018) 15–191876-2018/ © 2018 Elsevier B.V. All rights reserv

23、ed.Tparticipants (77.1%) while chemical imbalance was most commonamong US participants (42%).As for treatment options, there was also a significant difference bycountry, except regarding support from family and friends.

24、More than70% of the participants in both countries chose support from family andfriends to be the best treatment option. Vietnamese participants weremore likely to prefer the department of psychiatry/ psychiatric hospita

25、lcompared to US participants (p = 5 only) and independent samples t-tests for continuous variables comparingbetween Vietnamese and US participants.N.S. – Not significant.* P-value not listed because there is at least on

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