Date of Award

Fall 12-1-2014

Document Type

Thesis

Degree Name

Master of Science in Health Sciences

Department

Applied Health Science

Abstract

Access to health care is important to obtain health equity and improve quality of life (Healthy People, 2012). Various factors such as religion, education, family income, geographic location, and travel constraints act as barriers to access health care (Celeya et al., 2010). On the other hand, the health behaviors of medical students vary from general population of same age (Clair, Wilson, & Clore, 2004). Consequently, the perceived barriers may also vary based on the majors of students. Therefore, the main purpose of this research was to identify the difference in perceived barriers between students with health-based majors and non-health based majors. Collecting these data would help to design interventions to facilitate people’s access to health services (Sharkey, Chopra, Jackson, Winch, & Minkoviyz, 2011). The Health Belief Model (HBM) was used to explain the health behaviors of students. The study participants were 248 undergraduate students in an introductory personal health course, and participants were recruited using census method. An online survey was distributed to all students to obtain information on their perceived barriers to seek health care. The Barriers to Help Seeking Scale (BHSS) was used as a part of the survey to collect data on perceived barriers (Mansfield, Addis, & Courtenay, 2005). A cross-sectional study design was used. The data collection method was quantitative except for one open-ended question. Data was analyzed using descriptive statistics, a t-test, the Chi-squared test of association, and coding and summarizing of qualitative data. The results show that the mean scores for total score and five subscales’ (Need for Control and Self-reliance, v Minimizing Problem and Resignation, Concrete Barriers and Distrust of Caregivers, Privacy, and Emotional Control) scores of the BHSS were significantly higher for non-health based majors compared to health-based majors. Previous studies in literature review supports the study findings indicating that non-health-based majors’ students perceived more barriers to seek health care than students in health-based majors. Also, the HBM was used to discuss the findings and to recommend future steps to public health professionals, student health centers, university administrators and staff to help students to seek health care. Future research was recommended using broader population and more qualitative questions.

Share

COinS