JOURNAL OF AMERICAN COLLEGE HEALTH

Determinants of healthy eating and physical activity in commuter college students: a qualitative study
Pinto AM and Mercedes J
This study explored facilitators and barriers of healthy eating (HE) and physical activity (PA) among commuter college students and opportunities for campus-based interventions to support these behaviors. Participants were 39 undergraduates (56.4% female, 73.0% students of color, 19.6 ± 2.5 years) attending an urban commuter college. Six semi-structured focus groups (mean duration = 55.8 ± 17.2 min) were conducted. Focus groups were audio recorded and transcribed and transcripts were coded in NVivo 2020 Plus using thematic analysis. Determinants of HE and PA were classified as personal, social, and environmental and encompassed factors unique to the commuter experience. Key themes for campus-based interventions reflected relevant barriers and included providing education, creating a campus community oriented to eating healthy and being active, and building off-campus partnerships to support these behaviors. Approaches for implementing initiatives to support HE and PA in a commuter college setting are discussed.
Childhood emotional abuse and mental health in college students: the mediating role of total and interpersonal stressor exposure
Selvey-Bouyack AM, Nguyen-Feng VN, Merians AN and Frazier PA
Childhood emotional abuse is related to mental health disorders, yet little is known about mechanisms underlying this association. We examined daily stressors as mediators of this link.
Elevated psychological pain and related symptoms among sexual minority young adults
Preda AM, Robinaugh DJ, Shin J, Rodebaugh TL, Baker AW and Frumkin MR
Sexual minority (SM) young adults experience worse mental health outcomes than heterosexual peers, including increased depression and suicide risk. Psychological pain may play an important role in this relationship.
Anchored by connection: Faculty mentorship as a catalyst for student belonging and retention
Hathaway ED and Hamilton KC
This study examined the associated between faculty mentor-student relationship quality and student well-being, and whether specific relationship dimensions (closeness, commitment, and complementarity) predicted well-being indicators. A total of 146 undergraduate students (age = 21.4, 73% female, 84% white) completed an online survey assessing faculty mentor-student relationship quality and five domains of well-being using validated measures. Data were analyzed using Spearman's correlations and bootstrapped linear regression models. Closeness and complementarity were positively associated with all well-being indicators. Commitment was associated with higher perseverance and engagement. Regression analyses revealed that closeness positively predicted connectedness ( = 0.014), while commitment negatively predicted it ( = 0.019). Other well-being outcomes were not significantly predicted. Faculty mentor relationships are positively associated with student well-being though different dimensions influence well-being in distinct ways. Closeness supports broader connectedness, while high commitment may reflect reliance on mentors in lieu of wider social integration.
Presence of meaning in life mediates the relationship between mindfulness and resilience in young adults
Harris K, Petitt K, Rocha J, Sharp C and Penner F
Bolstering resilience may protect against adverse health outcomes. Literature has established a positive link between mindfulness and resilience, though potential underlying mechanisms are still being identified. Evidence suggests increased mindfulness enhances meaning in life, and meaning in life is positively associated with resilience. We examined whether presence of and search for meaning in life explain the relationship between mindfulness and resilience. Subjects were undergraduates ( = 778, 81.4% female) at a large public university. An online survey including the Meaning in Life Questionnaire, Brief Resilience Scale, and Mindful Attention Awareness Scale was distributed and a parallel mediation model was tested in R with gender as a covariate. A significant indirect effect was found for presence of meaning (β = .12,  < .001), but not search for meaning (β = .01,  > .05). Mindfulness may bolster resilience by increasing presence of meaning in life. Findings may inform interventions to improve resilience in young adults.
Systemic arterial hypertension, dyslipidemia, diabetes mellitus, obesity, and physical inactivity in nursing students: a prospective longitudinal study
Lacerda MS, Rossi MB, Altino DM, da Silva TLS, Santos VB, de Barros ALBL and Lopes JL
: To evaluate changes in the proportion of nursing students with hypertension, dyslipidemia, diabetes mellitus, obesity, and physical inactivity throughout the undergraduate program. : A prospective longitudinal study was conducted with first-year nursing students from a Brazilian university, followed over four years. Sociodemographic, clinical, anthropometric, blood pressure, lipid, and glycemic data were collected and analyzed using Generalized Linear Mixed Models. : Total cholesterol declined in the first year but rose significantly in the second, while abnormal HDL levels progressively increased, particularly among women. Triglycerides tended to rise in the third year, with a protective effect among evangelical students. Obesity and BMI increased markedly, peaking in the final year; greater distance from the university was protective. Waist and neck circumference also rose. Physical inactivity remained stable; participation in intercollegiate athletics and extracurricular activities was protective, while other activities increased sedentary risk. : The proportion of students with cardiovascular risk factors progressively worsened throughout the nursing program.
"Welcome home": Exploring the role of campus veteran offices in addressing health concerns among student veterans
Heuer JN
Campus veteran offices aid student veterans in the processing of their education benefits. Many also provide other services and a sense of community for their student veterans. This research explored the role of campus veteran offices in mitigating the effects of community reintegration and food insecurity for student veterans. The sample included 10 veteran office staff at colleges in Florida. Campus veteran office staff completed semi-structured interviews which explored the themes of community reintegration and food insecurity. Campus veteran office staff described their current programming and their plans for program expansion. In doing so, a series of best practices were identified as potential areas of improvement for campus veteran offices. Campus veteran offices provide a range of services and are uniquely situated to help student veterans address challenges related to community reintegration and food insecurity.
Mediating effects of physical activity on the association between adverse childhood experiences and quality of life in college students
Schmidt D, Fu Y and Burns R
Adverse Childhood Experiences (ACEs) are potentially traumatic events that occur during childhood and increase one's likelihood to experience negative health outcomes. Physical activity (PA) has been shown to buffer negative affects posed by ACEs on perceived quality of life (QoL). This research examines how PA may mediate the association between ACEs and poor QoL among college students. The relationship between ACEs exposure and PA engagement is also explored. 271 actively enrolled college students between 18 and 50 years of age. By using self-report data, students' perceived QoL, PA engagement, and exposure to ACEs are quantified. This data was then examined using mediation analyses and statistical tests which explored correlations and comparisons among study variables. Positive associations are seen between ACEs and poor QoL (Direct Effect = 16.2%,  = 0.02), PA did not significantly mediate this relationship. ACEs show a negative relationship with PA (Direct Effect = 11.5%).ACE scores were significantly affected when covariates, namely overweight status and financial stress, were controlled ( = 0.008,  < 0.001). To improve the QoL of college students with ACEs, interventions should focus on weight management and financial stress.
Coping strategies for food management among graduate students experiencing different levels of food insecurity
Enriquez JP, Tuuri G, Briley C and Gollub E
This study explored coping strategies (CSs) used by food-insecure graduate students with different levels of food insecurity (FI) and examined resource-related factors influencing these strategies.
Dental behaviors of college students: application of the theory of planned behavior
Moore J, Turner LW, Stellefson M, Chaney BH and Payne M
Poor dental hygiene is deleterious to overall health. The objective of this study is to assess factors that influence dental health behaviors of college students by applying constructs of the TPB.
Does self-esteem instability explain the link between academic contingent self-worth and mental health threats? Dimensionality matters
Lawrence JS and Gonzales JE
Theory suggests that students who base their self-worth on academic successes and setbacks risk poor mental health because their self-esteem is unstable. This hypothesis should be revisited given recent evidence that academic contingent self-worth (ACSW) is multidimensional, with some dimensions related to threats to mental health and other dimensions unrelated or inversely related to said threats. Therefore, the present research examined, in an undergraduate sample ( = 273), whether self-esteem instability mediated the link between different ACSW dimensions and stress and three types of well-being (psychological, emotional, and social). Supporting predictions, at two time points, self-esteem instability mediated the link between the general-contingency dimension and heightened stress and diminishment of the three types of well-being; conversely, the positive-contingency dimension related to lower stress and higher psychological and emotional well-being. We discuss possible reasons different ACSW dimensions differentially relate to mental health threats and suggest ways to reduce the vulnerability of students high in general ACSW.
Healthy habits, healthy minds: An exploration of lifestyle behaviors and mental health among college students
Long LD
To examine the relationship between lifestyle behaviors and anxiety and depression among college students, accounting for demographic, economic, and social factors. Undergraduate students ( = 12,371) attending doctoral universities in the United States who completed the 2021-2022 Healthy Minds Study. A cross-sectional study examining physical activity, work and study patterns, sleep, substance use, and contextual factors, including identity variables, financial stress, belonging, loneliness, and religiosity. Anxiety and depression were measured using the GAD-7 and PHQ-9, respectively. Associations were assessed using multiple linear regression models. Approximately 38.2% of students screened positive for anxiety, and 44.2% for depression. Sleep was the strongest behavioral correlate. Physical activity showed protective effects, while e-cigarette and cannabis use were associated with poorer outcomes. Loneliness, belonging, and financial stress were strong contextual correlates. Lifestyle and contextual factors both shape student mental health, underscoring the value of holistic approaches in research and care.
The intersection of disabilities and the risk of sexual assault victimization among female college students
Molenaar M, Santos Laanan F and Burrow-Sanchez J
To expand understanding of how disability status, disability type, and contextual factors shape past-year sexual assault victimization among female college students. ACHA-NCHA III (Fall 2020-Spring 2022) data from 94,284 female students at U.S. 4-year institutions. Separate logistic regressions modeled five past-year outcomes-any sexual assault, sexually touched, attempted assault, completed assault, and relationship assault-with predictors for disability status and specific types (ADD/ADHD, learning disability, blindness/low vision, deaf/hearing loss, autism spectrum disorder, mobility/dexterity, and speech/language) and interaction terms with contextual factors: sexual orientation, Greek life membership, and alcohol/cannabis use frequency. Female students with disabilities had higher predicted probabilities across all outcomes, with the largest disparities for ADD/ADHD, learning disability, and blindness/low vision. Interaction models revealed amplified risk among non-heterosexual and Greek-affiliated students and increased as alcohol and cannabis use frequency rose. Findings support disability-informed prevention through coordinated campus advocacy and disability services.
Vitamin K, executive functioning, and emotional regulation in African American college students
Robinson JN and Singleton G
The purpose of this study was to determine the association of vitamin K with executive functioning and emotional regulation.
Driving value in college health by transforming clinical decision-making with evidence-based laboratory standards: Insights from a signal detection study
Kasdin RG, Frisina P, Ganesan G, Lewis V and Marks M
Assess the impact of interventions on laboratory testing practices, focusing on alignment with evidence-based medicine (EBM), clinical decision-making, and value of care.
Differentiation of suicide outcomes using network analysis: The role of non-suicidal self-injury characteristics, negative affective states, and stressful life experiences
Webster AE, Orlowski EW, Bozzay ML, Gryglewicz K and Karver M
To evaluate the role of non-suicidal self-injury (NSSI) characteristics, negative affective states, and stressful life experiences (SLEs) in differentiating risk for suicidal ideation (SI) vs suicide attempt (SA) in college students. College students ( = 1,940; 1,493 women, 447 men) from a Florida university. Participants recruited email completed an online survey. Network analysis was used to estimate and compare four risk networks. Cutting, trauma, worthlessness, and depression were directly associated with both SI and SA, with cutting demonstrating the strongest associations. Cutting and discrimination were uniquely associated with SA, while burning and anger were uniquely associated with SI. Several gender differences were identified in associations between suicide risk factors. Our findings highlight the role of gender in differentiating NSSI features associated with suicide risk. Moreover, they emphasize the need to evaluate NSSI method and SLEs, particularly cutting and discrimination, in suicide risk assessment for college students.
Reducing burnout and enhancing mindfulness: a prospective longitudinal study of a wellness curriculum for first-year nursing students
Strout K, Gayer K, Sapp M, Schwartz-Mette R and O'Brien L
To evaluate the impact of a two-part, thirteen-week holistic mindfulness intervention on perceived stress, burnout risk, mindfulness levels, life satisfaction, academic resilience, and first-semester retention among first-year nursing students.
From well-rested to wrecked: identifying college sleep patterns with latent profile analysis
Peltz JS and Rogge R
This study sought to classify the myriad profiles that might exist of undergraduate sleepers by examining diverse sleep and sleep-related indicators.
The roles of mental health literacy and social media in shaping college students' intentions to use teletherapy services
Anderson J and Park H
This study examines how mental health literacy and social media use for health information influence intentions to use teletherapy among college students. Using the theory of planned behavior, the present study also explores how these relationships are mediated by attitudes toward teletherapy, subjective norms, and perceived behavioral control.Data were collected through an online survey with 143 college students. We conducted a series of hierarchical regression analyses and a path analysis using structural equation modeling to test hypotheses.The results indicate that mental health literacy is a stronger predictor of intentions to use teletherapy than social media use. While social media use directly affects intentions to use teletherapy, the influence of mental health literacy is mediated by students' attitudes toward teletherapy and subjective norms.The overall results highlight the importance of mental health literacy as a key antecedent to positive attitudes toward teletherapy and favorable perceptions of supportive surroundings.The findings suggest that health centers at higher education institutions should adopt a more proactive approach through social media to raise awareness about mental health issues, reduce stigma, and educates students on available care options.
In-person and digital health promotion interventions in higher education: an integrative literature review
Islam J and Räisänen AM
Health promotion programs in university settings can enhance individual and community well-being. This integrative literature review examined digital and in-person health promotion interventions in higher education. From 11,986 articles across PubMed, Embase, and PsycINFO, 286 met inclusion criteria. Most targeted students ( = 220), with fewer focusing on employees ( = 42) or campus-wide approaches ( = 24). In-person programs were most common ( = 139), followed by digital ( = 105) and hybrid formats ( = 42). Among student interventions, mental health was the leading focus ( = 54), followed by multi-domain ( = 40) and alcohol, tobacco, and other drugs ( = 38). Employee programs primarily addressed physical activity ( = 20), multiple domains ( = 18), and weight management ( = 2). The findings suggest that a holistic approach to student health and well-being has been adopted, but there is paucity of interventions to support employee well-being. Expanding programs beyond physical health to support faculty and staff-especially in mental health-is essential, as their well-being contributes to student success and flourishing.
Longitudinal examination of social anxiety safety behaviors in college students
Kelly AG, Hernández Ortiz J, Fenton K, Brosof L and Tonge N
Safety behaviors are meant to mitigate social anxiety but can exacerbate symptoms over time. College health professionals work with many students experiencing social anxiety. Understanding how safety behaviors change over a semester could inform work with these students. This study aimed to 1) examine longitudinal changes in safety behaviors in college students, 2) examine potential moderators of change in safety behaviors.