ABSTRACT
Mental health is a desirable state globally and a requirement for optimum performance in any area of human endeavour. Studies have shown that a lot of people have one mental challenge or the other and that most people are unwilling to use mental healthcare services. There are indications that librarians in private universities may not be immune to factors that predispose to mental health challenges. Moreover, previous studies have focused on the factors that determine people’s willingness to use mental healthcare services without adequate consideration for health information rights awareness, perceived stigmatization and personal factors. The study examined the extent to which Health Information Rights Awareness (HIRA), Perceived Stigmatization (PS) and Personal Factors (PF) predict Willingness to use Mental Healthcare Services (WMHS) among librarians in private universities in South-West, Nigeria.
The survey design was used for the study. The population comprised 349 librarians in 22 private universities in South-west, Nigeria. The census was used to include the entire population in the study. The instrument was a validated questionnaire. The reliability test of the variables ranged between α = 0.63 – 0.74. Data were analysed using binary logistic and multiple regression.
The findings showed that health information rights awareness significantly predicted willingness to use mental healthcare services among the respondents (R2 = 0.334, p<.05). Also, perceived stigmatization significantly influenced the use of mental healthcare services (R2 = 0.176, p<.05). Furthermore, personal factors significantly predicted willingness to use mental healthcare with females less likely to use mental healthcare services (β = -0.043, p<.05). Respondents below 40 years (β = -0.172, p<.05);those with salary below N100, 000 (β= -0.020, p<.05) and those with higher education (β= -0.505, p<.05) were more willing to use mental healthcare services.
The study concluded that although health information rights awareness is high among academic librarians in South-West, Nigeria. Perceived stigmatization and personal factors such as education, age and gender could prevent them from using mental healthcare services. The study recommended that government should formulate and enforce anti-stigma policies and ensure strict adherence to ethical guidelines in management of health information by mental healthcare providers. Also, promotional efforts for mental healthcare services utilization should target women, youth and people with low level of education. Finally, libraries should create awareness on the need for mental health services utilization.
Keywords: Health information rights awareness, Librarians, Perceived stigmatization,
Personal factors, Willingness to use mental healthcare
Word Count: 379
TABLE OF CONTENTS
Content Page
Title page i
Certification ii
Dedication iii
Acknowledgements iv
Abstract vi
Table of Contents vii
List of Tables x
List of Figures xi
Abbreviations xii
CHAPTER ONE: INTRODUCTION
1.1 Background to the Study 1
1.2 Statement of the Problem 10
1.3 Objective of the Study 10
1.4 Research Questions 11
1.5 Hypotheses 12
1.6 Scope of the Study 12
1.7 Significance of the Study 13
1.8 Operational Definition of Terms 13
CHAPTER TWO: REVIEW OF LITERATURE
2.0 Introduction 15
2.1 Conceptual Definition of Health Information 16
2.2 Health Information Rights Awareness 19
2.3 Global Burden of Mental Health Challenges 27
2.4 Factors that Predispose to Mental Health Challenges 30
2.5 Mental Health Issues among Academic Librarians 33
2.6 Mental Healthcare Services in Nigeria 37
2.7 Perceived Stigmatization to Mental Healthcare 38
Content Page
2.8 Willingness to Use Mental Healthcare Services 40
2.9 Health Information Rights Awareness and Willingness to Use Mental Healthcare Services 41
2.10 Perceived Stigmatization and Willingness to Use Mental Healthcare Services 42
2.11 Personal Factors and Willingness to Use Mental Healthcare Services 43
2.12 Theoretical Framework 45
2.12.1 Property Rights Theory 45
2.12.2 Labeling Theory 47
2.12.3 Theory of Reasoned Action 48
2.13 Conceptual Model 51
2.14 Appraisal of Literature 53
CHAPTER THREE: METHODOLOGY
3.0 Introduction 55
3.1 Research Design 55
3.2 Population 55
3.3 Sample size and sampling Technique 57
3.4 Research Instrument 57
3.5 Validity of the Instrument 58
3.6 Reliability Test and Pilot Study 58
3.7 Method of Data Collection 59
3.8 Method of Data Analysis 59
3.9 Ethical Consideration 60
3.10 Model Specification 60
3.11 Coding of Personal Factors in the Logistic Regression 61
Content Page
CHAPTER FOUR: DATA ANALYSIS, RESULTS AND DISCUSSION OF FINDINGS
4.0 Introduction 62
4.1 Demographic Information of Respondents 62
4.2 Research Questions 69
4.3 Test of Hypotheses 79
4.4 Discussion of Findings 83
CHAPTER FIVE: SUMMARY, CONCLUSION AND RECOMMENDATIONS
5.0 Introduction 87
5.1 Summary 87
5.2 Conclusion 88
5.3 Recommendations 89
5.4 Contribution to Knowledge 90
5.5 Post Research Benefits 90
5.6 Suggestions for Further Study 91
REFERENCES 92
APPENDIX I: Consent Form 120
APPENDIX II: Questionnaire 121
APPENDIX III: Notification for Ethical Approval
LISTOF TABLES
Table Page
3.1: Population of Library Personnel in Private Universities in South-West, Nigeria 56
3.2: Summary of Pilot Test Result 59
4.1: Conditions that can predispose mental health challenges 69
4.2: Distribution of Respondents by Experience of Mental Health Challenges 71
4.3: Librarians’ Responses on Health Information Rights Awareness 72
4.4: Librarians’ Perception of Stigmatization of people with mental health challenge 75
4.5: Responses on attitude towards use of Mental Healthcare Services77
4.6: Barriers to the use of mental healthcare services 78
4.7: Willingness to Use Mental Healthcare Services 79
4.8: Result of Binary Logistic Regression to determine Respondents’ Willingness to Use Mental Healthcare Services by Awareness of Health Information Rights. 80
4.9: Result of Binary Logistic Regression to determine Respondents’ Willingness to Use Mental Healthcare Services by Perceived Stigmatization 81
4.10: Result of Binary Logistic Regression of Personal Factors on
Willingness to Use Mental Healthcare Services by Librarians in Southwest, Nigeria. 82
LISTOF FIGURES
Figure Page
2.1: Causal Diagram of Complete Components of the Theory of Reasoned Action 50
2.2: Conceptual model of Health Information Rights Awareness, Perceived Stigmatization Personal Factors and Willingness to use mental healthcare services 52
4.1: Gender D
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