How Structural Barriers and Cultural Expectations Shape International Students’ Wellbeing: A Social Justice Analysis of International Students’ Lived Experiences in Australia.

Authors

  • Shishir Bhatta
  • Shravankumar Guntuku
  • Neil R Hall Western Sydney University

Keywords:

International students, stress, mental health, social determinants of health, social justice

Abstract

Mental health challenges among international students are a pressing social and public health concern in Australia. Although, these students have a significant contribution in bolstering the country’s economy, their emotional well-being has been overlooked due to structural barriers and neoliberal policies. These policies often view mental well-being through an individualised and biomedical lens, which neglects the subtle impacts of structural inequities like financial precarity, racial discrimination, immigration policies, and cultural dislocation in exacerbating students’ mental health challenges. The scarcity of literature that critically explores the roles of these determinants in shaping students' mental health while acknowledging their lived experiences contextualises the need for this research. 

In this paper we will draw upon reflections on our lived experiences integrated with an analysis of existing literature to establish how social determinants contribute to psychological distress among international students. The critical analysis of autoethnographic vignettes and existing literature reveals students’ mental distress as a deliberate consequence of policy and structural biases, rather than individual deficits. The addition of every intersecting layer of a student’s identity further compounds their psychological vulnerability, which is already compromised due to limited working rights, impeded access to services, and erosion of former identity.  

In alignment with the Australian Association of Social Workers’ (AASW) Code of Ethics, these reflections mandate social workers to remain committed to critiquing systemic inequities and upholding human rights values. The findings suggest the urgency of including student voices in policy formulation and service design while keeping human rights and intersectional frameworks at its core. Policy changes that facilitate subsidized and fast-tracked qualification recognition, post-study visa stability, adequate provision of support services, and extended student health coverage equivalent to Medicare benefits should be prioritized to create a fair, inclusive, and equitable society for international students. 

Author Biographies

  • Shishir Bhatta

    Master of Social Work (Qualifying) Candidate 

     

  • Shravankumar Guntuku

    Doctor of Philosophy Candidate, Western Sydney University 

  • Neil R Hall , Western Sydney University

    Associate Professor of Social Work, School of Social Sciences

References

References

AASW. (2020). Code of Ethics. In Australian Association of Social Workers. Australian Association of Social Workers. https://aasw-prod.s3.ap-southeast-2.amazonaws.com/wp-content/uploads/2023/08/AASW-Code-of-Ethics-2020.pdf

Adam, H., Obodaru, O., Lu, J. G., Maddux, W. W., & Galinsky, A. D. (2018). The shortest path to oneself leads around the world: Living abroad increases self-concept clarity. Organizational Behavior and Human Decision Processes, 145, 16–29. https://doi.org/10.1016/j.obhdp.2018.01.002

Ahmed, S. (2022). The Marginalized and Critical Theory: Dialectics of Universalism. International Critical Thought, 12(2), 305–326. https://doi.org/10.1080/21598282.2022.2070857

Alegría, M., Álvarez, K., & DiMarzio, K. (2017). Immigration and Mental Health. Current Epidemiology Reports, 4(2), 145–155. https://doi.org/10.1007/s40471-017-0111-2

Allen, J., & Marmot, M. (2014). Social determinants of mental health. World Health Organization & Calouste Gulbenkian Foundation. https://www.who.int/publications/i/item/9789241506809

Australian Human Rights Commission. (2023). Rights to equality and non discrimination | Australian Human Rights Commission. Humanrights.gov.au. https://humanrights.gov.au/our-work/rights-and-freedoms/rights-equality-and-non-discrimination

Australian Human Rights Commission. (2025). Human Rights Based Approaches. Australian Human Rights Commission. https://humanrights.gov.au/our-work/rights-and-freedoms/human-rights-based-approaches

Australian Institute of Health and Welfare. (2024). Social determinants of health. Australian Institute of Health and Welfare. https://www.aihw.gov.au/reports/australias-health/social-determinants-of-health

Australian Senate Select Committee on COVID-19. (2022). Final report. Commonwealth of Australia. https://www7.austlii.edu.au/au/other/cth/AUSSelCPubInq/2022/3.pdf

Australian Trade and Investment Commission. (2023). Work hours limit for student visa holders to be re-introduced | Study Australia. Www.studyaustralia.gov.au. https://www.studyaustralia.gov.au/en/tools-and-resources/news/work-hours-limit-for-student-visa-holders-to-be-re-introduced

Berke, D. S., Reidy, D., & Zeichner, A. (2018). Masculinity, emotion regulation, and psychopathology: A critical review and integrated model. Clinical Psychology Review, 66(66), 106–116. https://doi.org/10.1016/j.cpr.2018.01.004

Berkman, L. F., Glass, T., & Kawachi, I. (2000). Social Integration, Social Networks, Social Support, and Health. In Social Epidemiology. Oxford University Press. https://doi.org/10.1093/oso/9780195083316.003.0007

Braveman, P. (2014). What Are Health Disparities and Health Equity? We Need to Be Clear. Public Health Reports, 129(2), 5–8. https://doi.org/10.1177/00333549141291s203

Brown, C., Johnstone, M., Ross, N., & Doll, K. (2022). Challenging the Constraints of Neoliberalism and Biomedicalism: Repositioning Social Work in Mental Health. Qualitative Health Research, 32(5), 104973232110696. https://doi.org/10.1177/10497323211069681

Bywaters, P. (2009). Tackling inequalities in health: A global challenge for social work. British Journal of Social Work, 39(2), 353–367. https://doi.org/10.1093/bjsw/bcm096

Carbado, D. W., Crenshaw, K. W., Mays, V. M., & Tomlinson, B. (2013). Intersectionality: Mapping the Movements of a Theory. Du Bois Review: Social Science Research on Race, 10(2), 303–312. https://doi.org/10.1017/S1742058X13000349

Çimşir, E., & Kaynakçı, F. Z. Ü. (2024). Acculturative stress and depressive symptoms among international university students: A meta-analytic investigation. International Journal of Intercultural Relations, 102, 102041–102041. https://doi.org/10.1016/j.ijintrel.2024.102041

Clarke, M. (2025). Commonwealth Prac Payment (CPP) - Department of Education, Australian Government. Department of Education. https://www.education.gov.au/commonwealth-prac-payment-cpp

Coffey, J., Cook, J., Farrugia, D., Threadgold, S., & Burke, P. J. (2021). Intersecting marginalities: International students’ struggles for “survival” in COVID‐19. Gender, Work & Organization, 28(4), 1337–1351. https://doi.org/10.1111/gwao.12610

Corney, T., Karin du Plessis, Woods, B., Lou, C., Dewhurst, A., & Daveena Mawren. (2024). “If you are feeling alone and you are not feeling safe, it impacts everything”: a mixed-methods exploration of international students’ accommodation, subjective wellbeing and mental health help-seeking. BMC Public Health, 24(1). https://doi.org/10.1186/s12889-024-18691-8

Cultural Infusion. (2021). A Review of Australian Educational Policy and Curricula for Intercultural Understanding On the occasion of the UNESCO 2021 Forum on Education for Sustainable Development and Global Citizenship Where do we stand on Target 4.7? Prepared by Cultural Infusion. https://culturalinfusion.org.au/wp-content/uploads/2021/07/UNESCO-Report_4.pdf

Deacon, B. J. (2013). The Biomedical Model of Mental disorder: a Critical Analysis of Its validity, utility, and Effects on Psychotherapy Research. Clinical Psychology Review, 33(7), 846–861. https://doi.org/10.1016/j.cpr.2012.09.007

Deloitte Access Economics. (2024). Skills Assessment Pilot – Final evaluation report. Department of Employment and Workplace Relations. https://www.dewr.gov.au

Department of Education. (2024). International students studying in Australia between 2005 and 2023 - Department of Education, Australian Government. Department of Education. https://www.education.gov.au/international-education-data-and-research/international-students-studying-australia-between-2005-and-2023

Department of Education. (2025). Education export income - Financial Year - Department of Education, Australian Government. Department of Education. https://www.education.gov.au/international-education-data-and-research/education-export-income-financial-year

Funer, F. (2023). Admitting the heterogeneity of social inequalities: intersectionality as a (self-)critical framework and tool within mental health care. Philosophy, Ethics, and Humanities in Medicine, 18(1). https://doi.org/10.1186/s13010-023-00144-6

Gribble, C., Blackmore, J., & Rahimi, T. (2017). International student employability: What institutional support matters? Journal of Studies in International Education, 21(2), 143–162. https://doi.org/10.1177/1028315316671429

Gupta, R., & Pillai, V. K. (2002). Elder Care Giving in South Asian Families: Implications for Social Service. Journal of Comparative Family Studies, 33(4), 565–576. http://www.jstor.org/stable/41603843

Hall, N. R., Nepal, B., Chhetry, D. S., & Gauli, N. (2021). Reflections on “Chinta”: Nepalese community consultation on mental health literacy (Research report). Western Sydney University; Australia Nepal Public Link. https://www.researchgate.net/publication/355789432_Reflections_on_'Chinta'_Nepalese_Community_Consultation_on_Mental_Health_Literacy

Hall, N. R. (2023). Social Work and Global Public Health. ResearchGate, 1–16. https://www.researchgate.net/publication/371244189_Social_Work_and_Global_Public_Health

Hassan, S., Chuen Poon, W., & Alisa, I. (2023). Australian housing market: a descriptive study on key issues around housing affordability relevance to international university students in Melbourne, Australia. E3S Web of Conferences, 389, 09029. https://doi.org/10.1051/e3sconf/202338909029

Hunt, P. (2008). Report of the Special Rapporteur on the Right of Everyone to the Enjoyment of the Highest Attainable Standard of Physical and Mental Health, Paul Hunt :: addendum. United Nations Digital Library System; UN,. https://digitallibrary.un.org/record/622451?ln=en&v=pdf

Hynie, M. (2017). The Social Determinants of Refugee Mental Health in the Post-Migration Context: A Critical Review. The Canadian Journal of Psychiatry, 63(5), 297–303. https://doi.org/10.1177/0706743717746666

Hyun, J., Quinn, B., Madon, T., & Lustig, S. (2007). Mental Health Need, Awareness, and Use of Counseling Services Among International Graduate Students. Journal of American College Health, 56(2), 109–118. https://doi.org/10.3200/jach.56.2.109-118

Jackson, D. (2018). Shifting from extra curricular internships to work integrated learning. International Journal of Work Integrated Learning, 19(1), 23–35

Jackson, J. W., Williams, D. R., & VanderWeele, T. J. (2016). Disparities at the intersection of marginalized groups. Social Psychiatry and Psychiatric Epidemiology, 51(10), 1349–1359. https://doi.org/10.1007/s00127-016-1276-6

Jakubowicz, A., & Monani, D. (2015). Mapping Progress : Human Rights and International Students in Australia. Cosmopolitan Civil Societies, 7(3), 61–80. https://doi.org/10.5130/ccs.v7i3.4473

Jewkes, R., Morrell, R., Hearn, J., Lundqvist, E., Blackbeard, D., Lindegger, G., Quayle, M., Sikweyiya, Y., & Gottzén, L. (2015). Hegemonic masculinity: Combining theory and practice in gender interventions. Culture, Health & Sexuality, 17(2), 112–127. https://doi.org/10.1080/13691058.2015.1085094

Jobs and Skills Australia. (2025, April 30). Australian labour market for migrants – April 2025 [PDF]. Retrieved from https://www.jobsandskills.gov.au/download/19766/australian-labour-market-migrants-april-2025/3219/australian-labour-market-migrants-report-april-2025/pdf

Kaphle, S., Shrestha, A. L., Karishma, F. S., Lees, R. A., & Shrestha, L. (2023). Living with Insecurities During COVID-19: The Impact of Hard Restrictions on South Asian International Students in Australia. Journal of Intercultural Studies, 44(2), 324–337. https://doi.org/10.1080/07256868.2022.2159343

Kenyon, K. H., Forman, L., & Brolan, C. E. (2018). Deepening the relationship between human rights and the social determinants of health: A focus on indivisibility and power. Health and Human Rights, 20(2), 1–10. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293351/

Kilanowski, J. F. (2017). Breadth of the socio-ecological Model. Journal of Agromedicine, 22(4), 295–297. https://doi.org/10.1080/1059924x.2017.1358971

Kirkbride, J. B., Anglin, D. M., Colman, I., Dykxhoorn, J., Jones, P. B., Patalay, P., Pitman, A., Soneson, E., Steare, T., Wright, T., & Griffiths, S. L. (2024). The social determinants of mental health and disorder: Evidence, prevention and recommendations. World Psychiatry : Official Journal of the World Psychiatric Association (WPA), 23(1), 58–90. https://doi.org/10.1002/wps.21160

Lee, J.-S., Koeske, G. F., & Sales, E. (2004). Social support buffering of acculturative stress: a study of mental health symptoms among Korean international students. International Journal of Intercultural Relations, 28(5), 399–414. https://doi.org/10.1016/j.ijintrel.2004.08.005

Liu, Z., & Zhou, S. (2022). Political favoritism towards resource allocation: Evidence of grants by natural science foundation in China. Emerging Markets Review, 51, 100866. https://doi.org/10.1016/j.ememar.2021.100866

Maharaj, R., Ndwiga, D., & Chutiyami, M. (2024). Mental health and wellbeing of international students in Australia: a systematic review. Journal of Mental Health, 1–19. https://doi.org/10.1080/09638237.2024.2390393

Maker, Y., & McSherry, B. (2023). Human rights and the social determinants of mental health: fostering interdisciplinary research collaboration. Psychiatry, Psychology and Law, 31(6), 1–14. https://doi.org/10.1080/13218719.2023.2243297

Marmot, M., & Wilkinson, R. (Eds.). (2005). Social determinants of health. Oup Oxford.

Maharaj, R., Ndwiga, D., and Chutiyami, M. (2024). Mental health and wellbeing of international students in Australia: a systematic review. Journal of Mental Health, 1–19. https://doi.org/10.1080/09638237.2024.2390393

Morley, C., Hodge, L., Clarke, J., McIntyre, H., Mays, J., Briese, J., & Kostecki, T. (2023). “This Unpaid Placement Makes You Poor”: Australian social work students’ experiences of the financial burden of field education. Social Work Education, 43(4), 1–19. https://doi.org/10.1080/02615479.2022.2161507

Newton, D. C., Tomyn, A. J., & LaMontagne, A. D. (2021). Exploring the challenges and opportunities for improving the health and wellbeing of international students: Perspectives of international students. Journal of the Australian and New Zealand Student Services Association, 29(1), 18–34. https://doi.org/10.30688/janzssa.2021.1.02

Office Of The High Commissioner For Human Rights. (2000). CESCR General Comment No. 14: The Right to the Highest Attainable Standard of Health (Art. 12). https://www.ohchr.org/sites/default/files/Documents/Issues/Women/WRGS/Health/GC14.pdf

O’Kane, M., Behrendt, L., Glover, B., Macklin, J., Nash, F., Rimmer, B., & Wikramanayake, S. (2023). Australian Universities Accord: Interim report. Department of Education. https://www.education.gov.au/download/16699/australian‐universities‐accord‐interim‐report/33941/document/pdf

Pham, T., Saito, E., Bao, D., & Chowdhury, R. (2018). Employability of international students: Strategies to enhance their experience on work integrated learning (WIL) programs. Journal of Teaching and Learning for Graduate Employability, 9(1), 62–83.

Pan, J.-Y., Fu Keung Wong, D., Joubert, L., & Chan, C. L. W. (2007). Acculturative Stressor and Meaning of Life as Predictors of Negative Affect in Acculturation: A Cross-Cultural Comparative Study between Chinese International Students in Australia and Hong Kong. Australian & New Zealand Journal of Psychiatry, 41(9), 740–750. https://doi.org/10.1080/00048670701517942

Peterie, M., Ramia, G., Broom, A., Choi, I., Brett, M., & Williams Veazey, L. (2024). “You’re on your own, kid”: A critical analysis of Australian universities’ international student mental health strategies. Australian Journal of Social Issues/the Australian Journal of Social Issues, 60(1). https://doi.org/10.1002/ajs4.349

Sawir, E. (2005). Language difficulties of international students in Australia: The effects of prior learning experience. International Education Journal, 6(5), 567–580. https://www.researchgate.net/publication/290711903_Language_difficulties_of_international_students_in_Australia_The_effects_of_prior_learning_experience

Seidler, Z. E., Dawes, A. J., Rice, S. M., Oliffe, J. L., & Dhillon, H. M. (2016). The role of masculinity in men’s help-seeking for depression: A systematic review. Clinical Psychology Review, 49(1), 106–118. https://doi.org/10.1016/j.cpr.2016.09.002

Smith, R. A., & Khawaja, N. G. (2011). A review of the acculturation experiences of international students. International Journal of Intercultural Relations, 35(6), 699–713. https://doi.org/10.1016/j.ijintrel.2011.08.004

Snoubar, Y. (2017). International students bringing diversity and receiving discrimination: Anti-oppressive and anti-discriminatory social work practice. Journal of International Social Research, 10(51), 1126–1130. https://doi.org/10.17719/jisr.2017.1843

UNSW Sydney. (2023). UNSW leads QILT Graduate Outcomes Surveys for salaries and employment. Retrieved from Inside UNSW (discussing Go8 outcomes). https://www.inside.unsw.edu.au/academic-excellence/unsw-leads-qilt-graduate-outcomes-surveys-salaries-and-employment?

Wildeman, S. (2013). Protecting rights and building capacities: Challenges to global mental health policy in light of the Convention on the Rights of Persons with Disabilities. Journal of Law, Medicine & Ethics, 41(1), 48–73.

Wilson, S., Hastings, C., Morris, A., Ramia, G., & Mitchell, E. (2022). International students on the edge: The precarious impacts of financial stress. Journal of Sociology, 59(4), 144078332210847. https://doi.org/10.1177/14407833221084756

Wilkinson, R., & Marmot, M. (2003). Social determinants of health: the solid facts. In iris.who.int. World Health Organization. Regional Office for Europe. https://iris.who.int/handle/10665/326568

World Health Organization. (2025). Taking action on the social determinants of health. Www.who.int. https://www.who.int/westernpacific/activities/taking-action-on-the-social-determinants-of-health

Xiong, W., Quinney, B., King, D. L., Ali, K., Radunz, M., Zhao, Y., Kyrios, M., & Fassnacht, D. B. (2025). The acculturation challenge: A longitudinal investigation of acculturative stress and mental health of Chinese international students in Australia. Journal of Affective Disorders, 374, 477–485. https://doi.org/10.1016/j.jad.2025.01.082

Downloads

Published

2025-09-25

Issue

Section

Undergraduate and Post graduate Student papers