title: Barriers to healthcare seeking among medical students: a cross sectional study from South India.
abstract: OBJECTIVE
  To determine the barriers to seeking help from healthcare services reported by medical students at an Indian medical school, and to compare the barriers for using physical health services with those for using mental health services.
  
  
  METHODS
  In 2014, we invited all medical students across the nine semesters of training at a government medical college in Puducherry, India, to complete a 28 item questionnaire about perceived barriers to seeking healthcare services. The questionnaire enquired about barriers to using physical and mental healthcare services separately.
  
  
  RESULTS
  Completed responses were available from 461 of 509 students (response rate 90.6%). Stigma, confidentiality issues, lack of awareness about where to seek help and fear of unwanted intervention were more commonly reported for mental healthcare seeking (OR 4.21, 4.01, 3.19 and 2.43, respectively), while issues relating to cost, lack of time and fear of side effects were observed less frequently (OR 0.45, 0.46 and 0.57, respectively) compared with physical healthcare seeking. In comparison with physical health, students were more indifferent to their mental health issues and preferred self-diagnosis and informal consultations over formal documented care.
  
  
  CONCLUSIONS
  Barriers to seeking healthcare services differ for mental and physical health issues. Many system based barriers such as stigma, confidentiality issues and poor awareness of service location were reported by students. Institutional programmes should use this information for improving the usage, satisfaction and effectiveness of healthcare delivery systems for medical students.
authors.affiliation: Department of Psychiatry, JIPMER, Puducherry, India.
authors.forename: Vikas
authors.initials: V
authors.lastname: Menon
authors.affiliation: Department of Psychiatry, JIPMER, Puducherry, India.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Sarkar
authors.affiliation: Department of Urology, JIPMER, Puducherry, India.
authors.forename: Santosh
authors.initials: S
authors.lastname: Kumar
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology* / Q000523:psychology; D003219:Confidentiality; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009784:Occupational Diseases / Q000453:epidemiology* / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D013337:Students, Medical / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: HEALTH SERVICES ADMINISTRATION & MANAGEMENT; MEDICAL EDUCATION & TRAINING; MENTAL HEALTH; PUBLIC HEALTH