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Commentary: Healthcare-seeking behaviours in college students and young adults: a review

The reviewed study was an interesting study looking into what is known about how and when students seek and access healthcare services. It started with an overview of the literature, described the conduct of a scoping review and provided recommendations for service providers and users. College students tend to have lifestyles that put them at increased health risk. The young age of the students and being contained as a group are good opportunities for targeted public health interventions to increase health literacy and influence healthy behaviours. In the current context of the Covid-19 pandemic and the recent findings in a community testing programme in England (Riley et al., 2020) that the highest rates of infection were found in young adults aged 18–24 years, who also tended to display no or only minor symptoms, the necessity to design appropriately targeted interventions becomes more pertinent. The reviewed study identified three themes: healthcare-seeking behaviour among college students; health information resource utilisation and its influence on healthcare-seeking behaviour; and barriers to accessing care among college students. The review did not make use of existing theoretical frameworks; for example, Andersen’s Behavioural Model of Health Services Use (Andersen and Davidson, 2001). The behavioural model is a multilevel model that incorporates both individual and contextual determinants of health services use, which are classified into predisposing (demographic characteristics, attitudes, knowledge, social norms, perceived control), enabling (individual financing, transportation, travel time to and waiting time for healthcare, structure of healthcare systems, policies) and need (perceived and evaluated) factors. There are benefits in following validated models, one of them being guidance with interpretation of findings. The main finding was that student healthcare facilities were underutilised both as care providers and health information sources. The internet, family or friends were utilised more for their health information. Price et al. (2013) operationalised the underutilisation of health