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Objective: A campus-wide assessment examined the physical and mental health status of a midsize midwestern public university. Participants: Two thousand and forty-nine students, faculty, and staff on a single college campus were assessed in March–April 2013. Methods: Participants completed an online survey with sections devoted to demographics, physical and mental health status, and suicide knowledge and experiences. Results: This study captured broad physical and mental health indicators. Students, faculty, and staff in certain demographic groups were more likely to report significant problems associated with mental and physical health. Specifically, women, faculty and staff of color, and nonheterosexual persons reported worse health outcomes. Across 8 mental health indicators, students reported consistently worse mental health than their faculty/staff counterparts. Conclusions: This paper presents findings from a significant campus-wide physical and mental health surveillance initiative. Results indicate the need for targeted physical and mental health support and intervention among these demographic groups. [ABSTRACT FROM AUTHOR]

Abstract.Objective: To explore tanning behaviors and whether a discrepancy between current and ideal skin tones exists.Participants: The sample included 78 Caucasian women from a mid-sized midwestern university.Methods: Data were collected in spring 2012 via a paper questionnaire.Results: Sixty-two percent of the sample regularly engaged in salon tanning at least once per week, with an average frequency of 2.5 visits per week. Thirteen percent endorsed regularly tanning 4 or more times per week, and 26% reported visiting a tanning bed more than once in a 24-hour period. Ninety-four percent wished their current skin tone was darker, and ideal tone was significantly darker than current tone.Conclusions: The data suggest that the young Caucasian women in this sample tend to be dissatisfied with their current skin tone to an extent that leads the majority of them to engage in risky, potentially cancer-causing behavior by either salon tanning or considering tanning in the future as time and finances become available. [ABSTRACT FROM AUTHOR]

Objective: Using a framework informed by problem behavior theory,1the authors examined differential relationships between religiosity and the frequency of cigarette and waterpipe tobacco smoking.Participants: Six hundred fourteen individuals beginning their freshman year at a large, public, midwestern university.Methods: Paper-and-pencil surveys were administered to students who attended freshman orientation. Electronic surveys were sent to students who did not attend orientation.Results: Although a latent, generalized religiosity factor was negatively associated with frequency of cigarette smoking, there was no such relationship for frequency of waterpipe use.Conclusions: Conceptualizing waterpipe tobacco smoking in terms of problem behavior theory may be inappropriate, given its lack of association with religiosity. These results may reflect the perception that waterpipe use is a more socially acceptable form of tobacco use that is less harmful to health than cigarette smoking, despite medical evidence to the contrary. Implications for prevention and intervention are discussed. [ABSTRACT FROM AUTHOR]

Describe Greek life students' perspectives of party culture, safety, and College Sexual Violence (CSV) prevention. 27 US undergraduates: 5 fraternity underclassmen, 6 fraternity upperclassmen, 10 sorority underclassmen, 6 sorority upperclassmen. Students participated in one of four focus groups, separately by gender and academic year. Facilitation guide addressed partying, sexual violence, and safety. Greek life members described partying preferences, perceived safety threats, and actions they took to party safely. University efforts to support safe partying were not universally viewed as helpful. Although Greek life students strive to create safe partying environments, there remain missed opportunities to mitigate risks related to CSV. The responsibility to ensure safe partying falls too heavily on students, resulting in universities missing opportunities to provide measures that promote safety while mitigating risks and potentially serious harms. [ABSTRACT FROM AUTHOR]

Background: Nutrition professionals, who work with collegiate athletes, use Instagram to provide nutrition information. Although, limited focus is on the engagement of these athletes. The purpose of this descriptive study was to investigate collegiate athletes' engagement, as indicated by the total number of likes received on posts, based on the nutrition content posted on Instagram. Methods: Over a five-week period, 15 randomly selected accounts were examined daily for posts made within specific research-defined categories (n = 12). The number of posts and subsequent post likes were summed and tabulated per category. Results: The food feature post category received the highest number of likes (n = 1,130) and posts (n = 33), whereas the macronutrient post category received the fewest number of likes (n = 43) and posts (n = 2). A two-sample t-test assuming unequal variances was conducted to compare account engagement as defined by the mean number of post likes within the same conferences. Two conferences had differences in the number of posts (p < 0.05). Discussion: Posting on a weekly basis and within specific categories appeared to produce a higher degree of engagement on collegiate sports nutrition Instagram accounts. Future research is needed to determine the percentage of athletes following these Instagram accounts and the impact these nutrition posts influences dietary behaviors. [ABSTRACT FROM AUTHOR]

Objective: Our pilot study tests whether university counseling centers (UCC) can apply the concept of cluster analysis, and geospatial analysis to identify clusters of "hot spots". Participants: Study participants were university students who received services from a large mid-western UCC between August 2015 and July 2016. The study was approved by the University's Institutional Review Board (IRB). Data collected include demographics, address, educational level and declared major. Methods: Data analysis, conducted using SYSTAT 13.1, IBM SPSS Statistics, ArcGIS Desktop and 10.2, ArcOnline, Microsoft excel to clean and analyze demographic data. Analysis included optimized cluster analysis with a p-value < 0.05 as statistically significant. Results: 927 participants, average age was 21.6. We identified "hotspots" using cluster analysis based on age, address, and country of origin. Conclusions: Our study shows that UCCs can apply cluster analysis, and geospatial analysis to identify clusters of "hot spots" to target risk populations. [ABSTRACT FROM AUTHOR]

Objective To recognize gaps between students' expectations of college counseling centers and centers' current practices and to identify strategies to improve care from both clinicians and students. Participants: As part of an ongoing study on mobile technologies for stress management, we gathered data from counseling center clinicians and students at two large Midwestern universities. Methods: Clinicians completed online questionnaires on their current practices and interest in digital mental health tools. Students and clinicians completed co-design workshops. In subsequent individual interviews, students identified barriers to care. Results: Both students and clinicians recognized a need for stress management and mental health support outside of counseling sessions. Conclusions: Students and clinicians recognize barriers to face-to-face therapy and are eager to collaborate to identify opportunities to address barriers to mental health services. We discuss digital mental health tools as a potential opportunity for support and benefits of including students in discussions of treatment resources. [ABSTRACT FROM AUTHOR]

Examine trends in e-cigarette use, and Juul use specifically, among U.S. college students. In 2016, we established a cohort of 529 incoming first-year students to a large Midwestern University. In 2018, these students (now third-years) were re-contacted, and a new sample of 611 incoming first-year students was enrolled. First-year students in 2016 completed a survey assessing their e-cigarette use; in 2018, first- and second-year students reported on e-cigarette use, and use of Juul specifically. From 2016 to 2018, past 30-day e-cigarette use rose from 5.9% to 27.7%. In 2018, for Juul alone, ever use was above 35% and past 30-day use was above 20% for both cohorts. Juul use did not differ by gender, but was associated with higher socioeconomic status (SES) and being White. Findings present disturbing possibilities for long-term nicotine addiction among the next generation, and underscore the need for a rapid public health response. [ABSTRACT FROM AUTHOR]

University students are at a greater risk for eating disorder attitudes and behaviors (EDAB) compared to the general population. This study examined the roles of rumination and perceived social support (PSS) from three domains in the occurrence of EDAB. Participants: A sample of students (N= 300) attending a rural Midwestern university. Methods: Participants completed online surveys which collected demographic information and assessed eating disorders, rumination, and PSS. Pearson's correlation and moderated regression were performed for analysis. Results: Of the sample, 63.6% of participants identified as women, 34.8% as men, and 1.7% with another gender. PSS from family and friends was negatively associated with EDAB. Rumination was positively associated with EDAB. High rumination and high PSS from significant others interacted to predict eating, shape, and weight concerns, but not dietary restraint. Conclusions: Findings support incorporating screening tools for PSS and rumination at on-campus counseling sessions to identify students at risk for EDAB. [ABSTRACT FROM AUTHOR]

Evaluate the association between perceived risk of harm and self-reported binge drinking, cigarette smoking, and marijuana smoking among college students. Participants were 599 students (ages 19–28) at a large Midwestern university recruited from October 2015 to December 2017. Hurdle regression was used to test the relationship between perceived risk of harm from substance use (i.e., binge drinking, cigarette smoking, and marijuana smoking), and self-reported use. Demographic characteristics were tested as moderators of this relationship. Engagement in all three substance use behaviors was less likely when perceived risk was high. Age moderated the association between perceived risk and self-reported marijuana smoking with younger participants demonstrating a stronger relationship between perceived risk of smoking marijuana and self-reported marijuana smoking. Intervention programs will be most effective when perceived risk of substance use is high. Therefore, intervention programs should aim to increase college students' perceived risk of substance use. [ABSTRACT FROM AUTHOR]

Objective: Assess the impact of survey non-response and non-completion for a campus climate survey. Participants: Intended for all degree-seeking students at a large, public, midwestern university, November 2014. Methods: The survey covered sexual assault experiences and related attitudes. We identify the magnitude and potential impact of survey non-response by comparing demographic data between respondents and non-respondents, sexual assault prevalence between early and late respondents, and demographic and attitudinal data between survey completers and partial completers. Results: Demographic groups were differentially represented in the survey. Sexual assault prevalence based on survey results may be underestimated for men, overestimated for women. Sensitive questions did not increase drop-off. Students completing more of the survey differed from those completing less. Conclusions: Colleges must plan survey administration and data sensitivity analysis to reduce potential for bias. Resources for sexual assault-related needs based on estimates from campus climate surveys with high non-response will likely be misallocated. [ABSTRACT FROM AUTHOR]

Objective: To describe the relationships between the cardiovascular health, lifestyle behaviors, and lifestyle beliefs among college-aged students. Participants: Seven hundred and twenty-nine college-aged students participated between October 2016 and April 2017. Methods: Heart checks, consisting of a cross-sectional survey and biometric screening, were conducted on a large Midwestern university campus. Results: A small proportion of students (24.5%) engaged in the recommended 150+ minutes of physical activity per week and 7.9% consumed 5+ servings of fruit/vegetables daily. Half (49.6%) slept 7 hours or less per night. Biometric screenings found that 26.4% of the students had high stress, 31.9% were overweight or obese, and 17.3% had prehypertension or hypertension. Less sleep was significantly associated with higher risks of being stressed, being overweight/obese, and having elevated blood pressure. Conclusions: Early detection, treatment, and education is critical to identify individuals at risk for cardiovascular disease and to promote healthy lifestyle changes before heart disease develops or progresses. [ABSTRACT FROM AUTHOR]

Objective: The current study examined prospective, bidirectional relationships between 3 measures of spirituality (Daily Spiritual Experiences, Positive Religious Coping, and Negative Religious Coping) and frequency of heavy episodic drinking.Participants: Three hundred ninety-one students attending a large, public university in the Midwest.Methods: Electronic surveys assessing predictors of college alcohol use were sent to participants in the winter of their freshman and sophomore years. Structural equation modeling was used to analyze data.Results: A latent factor comprised of Daily Spiritual Experiences and Positive Religious Coping (ie, “positive spirituality”) was negatively related to future frequency of heavy episodic drinking. Negative Religious Coping was unrelated to heavy episodic drinking. Additionally, heavy episodic drinking did not prospectively predict any measures of spirituality.Conclusions: Data are supportive of continued efforts to integrate positive spirituality into interventions for collegiate heavy episodic drinking. [ABSTRACT FROM PUBLISHER]

Objective: To improve the CAGE (Cut down, Annoyed, Guilty, Eye opener) questionnaire's predictive accuracy in screening college students. Participants: The sample consisted of 219 midwestern university students who self-administered a confidential survey. Methods: Exploratory factor analysis, confirmatory factor analysis, receiver operating characteristics (ROC), and Cronbach's alpha were used to analyze factor structure, validity, and reliability. Results: The modified CAGE correctly classified students with alcohol abuse ("AA students"; area under the curve [AUC] D 0.7765) and students with alcohol dependency ("AD students"; AUC D 0.8392) more often than CAGE (AA students: AUC D 0.6977; AD students: AUC D 0.7437), and these differences are statistically significant (AA students: x2(1) D 14.72, p < .001; AD students: x2(1) D 7.71, p < .01). Using 2-point cut scores, CAGE correctly identified 59.38% of AD students as AD, whereas the modified CAGE correctly identified 87% of AD students as AD. Using 1-point cut scores, CAGE correctly identified 65% AA students, whereas the modified CAGE identified 85.29%. Conclusions: The modified CAGE has better accuracy than CAGE in predicting AA and AD among college populations. [ABSTRACT FROM AUTHOR]

Objective: The object of this study is to extend prior evaluations of Elemental, a sexual assault protection program that combines primary prevention and risk reduction strategies within a single program. Participants and Methods: During 2012 and 2013, program group and control group students completed pretest, posttest, and 6-week and 6-month follow-up surveys assessing sexual attitudes and knowledge as well as experiences with assault. Results: The results reinforce previous findings that Elemental is effective in reducing sexual assault risk. Program effects were both direct, in that participation was associated with lower risk of assault, and mediated, in that participation impacted attitudes and beliefs that are empirically linked to risk of later assault. Conclusions: By combining both primary prevention and risk reduction approaches, Elemental is not only effective at reducing incidences of assault, it is also consistent with a number of recent recommendations for directions in sexual assault prevention programming. [ABSTRACT FROM AUTHOR]

Objective: This study sought to (1) examine perceived stress and resources to cope with stress as predictors of emotional eating during the transition to college and (2) determine whether body mass index (BMI) moderated the emotional eating-stress relationship.Participants: Participants were 97 college freshmen (73% female; BMI:M= 25.3 kg/m2,SD= 5.7 kg/m2). Research was conducted in September 2012.Methods: Participants completed the Perceived Stress Scale, Emotional Eating Scale, and Eating and Appraisal Due to Emotions and Stress Questionnaire during the first month of college. Height and weight were measured objectively.Results: BMI moderated the relationship between perceived stress and emotional eating. Higher stress predicted greater emotional eating for the lower BMI groups, but not the highest group. Greater resources to cope with stress predicted lower emotional eating.Conclusions: Greater perceived stress and poorer resources to cope with stress may contribute to emotional eating during the transition to college. The relationship between perceived stress and emotional eating may vary by BMI. [ABSTRACT FROM AUTHOR]

Abstract.Objectives: This study explored God locus of control beliefs (ie, God's control over behavior) regarding their influence on alcohol use and sexual behavior as an alternative religiosity measure to religious behaviors, which does not capture perceived influence of religiosity. Additionally, demographic differences in religious beliefs were explored.Methods: College students aged 18–24 (N= 324) completed a survey between April 2012 and March 2013. Principal components and multivariate analyses were conducted.Results: Findings suggest that measures provide reliable, valid data from college students. God locus of control is linked to not consuming alcohol or engaging in sex. There were differences regarding relationship status and religious denomination.Conclusions: God locus of control beliefs are an appropriate construct for collecting data about college students’ religiosity. Furthermore, health educators at faith-based institutions could incorporate this construct into their programming, encouraging abstinence but also behaving responsibly for those who do drink and are sexually experienced. [ABSTRACT FROM AUTHOR]

Objective: In this study, the relationships between measures of interpersonal resilience, intrapersonal resilience, and mental health were examined with respect to academic and social integration, key determinants of academic persistence. Participants: A sample (n = 605) of undergraduate students was recruited from 2 midwestern universities during the 2007-2008 academic year. Methods: Hierarchal (or sequential) regression analysis examined whether the inter- and intrapersonal resilience and mental health measures contributed to explaining variance in the response variables of university cumulative grade point average (GPA) and university sense of belonging. Results: The intrapersonal resilience factors contributed to explaining variance in cumulative GPA in addition to aptitude and achievement. Furthermore, there was a strong statistical correlation between the inter- and intrapersonal resilience factors and mental health. Conclusions: The demands in college are significant and there is a need for more research on the concept of resilience as it relates to college health and academic persistence. [ABSTRACT FROM AUTHOR]