Impact of Perceived Campus Accessibility on Mental Health Help-Seeking Intentions in Students with Non-Apparent Disabilities
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Background: University students with non-apparent disabilities may encounter physical, institutional, and social barriers that influence their willingness to seek mental health support. Objective: To examine the association between perceived campus accessibility and mental health help-seeking intentions among university students with non-apparent disabilities. Methods: A cross-sectional study was conducted over four months in universities in the urban region of Sindh, Pakistan. Eighty-four students aged ≥18 years with self-reported non-apparent disabilities were recruited through purposive sampling. Perceived campus accessibility was assessed using the Campus Climate and Accessibility Perception Scale, and help-seeking intentions were assessed using the General Help-Seeking Questionnaire. Data were analyzed using Pearson correlation, independent-samples t-tests, one-way ANOVA, and multiple linear regression. Results: Participants had a mean age of 21.8 ± 2.4 years, and 58.3% were female. Mean accessibility and help-seeking scores were 68.9 ± 11.7 and 31.6 ± 7.8, respectively. Campus accessibility was positively associated with help-seeking intentions (r=0.58, 95% CI 0.42–0.71; p<0.001). Social inclusion showed the largest observed domain correlation (r=0.62, p<0.001). After adjustment for age, gender, academic level, and disability type, accessibility remained positively associated with help-seeking intentions (standardized β=0.52, p<0.001). Conclusion: Greater perceived campus accessibility was associated with stronger mental health help-seeking intentions among students with non-apparent disabilities
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