2015 College Student Health Survey Report

2015 College Student Health Survey Report Health and Health-Related Behaviors University of Minnesota–Twin Cities Students Boynton Health Service ...
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2015

College Student Health Survey Report

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Boynton Health Service

Boynton Health Service

2015

College Student Health Survey Report

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Introduction

iii



Survey

v

Methodology v Analysis Summary

vi

Results

1

Health Insurance and Health Care Utilization

1

Mental Health

5

Tobacco Use

13

Alcohol Use and Other Drug Use

19

Personal Safety and Financial Health

29

Nutrition and Physical Activity

35

Sexual Health

41

Implications

45



Appendices

47

Appendix 1 Colleges and Universities Participating in the 2015 College Student Health Survey

47

Appendix 2 University of Minnesota–Twin Cities Students Survey Demographics Based on Student Response

48

Glossary

49

References

51

ii

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Introduction

Q: What do the following health conditions and health-related behaviors have in common? • Health Insurance Status • Depression • Ability to Manage Stress • Tobacco Use • Alcohol Use • Engagement in Physical Activity • Credit Card Debt

A: They all affect the health and academic achievement of college students. Seventeen postsecondary institutions in Minnesota joined together with Boynton Health Service at the University of Minnesota in spring 2015 to collect information from undergraduate and graduate students about their experiences and behaviors in the areas of health insurance and health care utilization, mental health, tobacco use, alcohol and other drug use, personal safety and financial health, nutrition and physical activity, and sexual health. This report highlights the findings of this comprehensive survey and serves as an essential first step in identifying health and health-related behavior issues affecting college students. Boynton Health Service hopes that the information contained in this report will be helpful to college and university leaders as they strive to develop programs and policies that will assure a safe institutional environment, promote access to health care and essential services, encourage responsible student decision making and behavior, and contribute to the health, well-being, and academic success of students enrolled in their schools. The survey results are also intended to raise awareness among state and local policymakers and community leaders concerning the importance of the health of college students to the overall educational, health, and economic status of Minnesota.

Introduction

iii

iv

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Survey

Methodology Undergraduate and graduate students enrolled in seventeen postsecondary institutions in Minnesota completed the 2015 College Student Health Survey, developed by Boynton Health Service. As an incentive, all students who responded to the survey were entered into a drawing for Amazon gift cards valued at $1,000 (one), $500 (one), and $250 (one). In addition, one student from each participating school was randomly selected to win a $100 Amazon gift card.

Randomly selected students were contacted through multiple mailings and emails:

University of Minnesota–Twin Cities Methodology Highlights

• Invitation postcard • Invitation email

• 5,964 students from University of Minnesota–Twin Cities were randomly selected to participate in this survey and were sent an invitation via email.

• Reminder postcard and multiple reminder emails

• 2,023 students completed the survey. • 33.9% of the students who opened the invitation email responded.

HEY,

Students! Take a

SWELL SURVEY in For a chance to w NEAT PRIZES! $

1000

You’ve been selected to participate in the 2015 COLLEGE STUDENT HEALTH SURVEY Take the survey and you’ll be entered to win a $1,000, $500 and $250 Amazon gift card!

NON-PROFIT ORG. U.S. POSTAGE Boynton Health Service University of Minnesota 410 Church Street S.E. Minneapolis, MN 55455

PAID

TWIN CITIES, MN PERMIT #90155

To begin, check your school or personal email account and click on the survey link we sent you. Deleted the email? Another survey link will be emailed again soon. Can’t find it? Check your spam folder.

To be eligible for the prize drawings, complete your survey by NOON ON FRIDAY, MARCH 27, 2015! 500

$

To learn more, visit www.bhs.umn.edu/healthsurvey

survey questions Katherine Lust, Ph.D., Survey Administrator [email protected], 612-624-6214

technical help [email protected]

2015 College Student Health Survey Postcard

Survey

v

Survey

Analysis Summary The information presented in this report documents the prevalence of various diseases, health conditions, and health-related behaviors across seven areas: • Health Insurance and Health Care Utilization • Mental Health • Tobacco Use • Alcohol and Other Drug Use • Personal Safety and Financial Health • Nutrition and Physical Activity • Sexual Health The prevalence of a disease, health condition, or health-related behavior is defined as the total number of occurrences in a population (in this case, college students) at a given time, or the total number of occurrences in the population divided by the number of individuals in that population. Prevalence is useful because it is a measure of the commonality of a disease, health condition, or health-related behavior. For example, the College Student Health Survey asked students if they had ever been diagnosed with depression within their lifetime. For the purpose of illustration, if 100 students completed the survey and 10 of them reported they had been diagnosed with depression within their lifetime, then the lifetime prevalence of depression among this population of students is 10.0% (10/100). The results from this survey are based on a random sample of students from each of the participating colleges and universities. Random sampling is a technique in which a group of subjects (in this case, the sample of college students) is selected for study from a larger group (in this case, the population of students enrolled at each of the participating institutions). Each individual is chosen entirely by chance, and each member of the population has an equal chance of being included in the sample. Random sampling ensures that the sample chosen is representative of the population and that the statistical conclusions (in this case, the prevalence) will be valid.

vi

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Results

Health Insurance and Health Care Utilization Students’ current health influences their ability to realize their immediate goal of achieving academic success and graduating, and their future health affects their ability to accomplish their longer term goal of finding and sustaining a career. Access to health care has been shown to improve health. Although

Results

institutions of higher education differ in scope of services, each institution has a unique opportunity and bears a certain responsibility to address issues related to student health and to reduce barriers to health care access.

Health Insurance and Health Care Utilization

National Comparison This section examines the areas of health insurance, health services utilization, and preventive care. Recent research indicates that most young adults in the United States, ages 18 to 24, report good health. The majority of young adults in Minnesota (94.1%) and nationwide (91.7%) report excellent, very good, or good health (CDC, 2013). At the same time, young adults have relatively low rates of health insurance and preventive care utilization. In Minnesota, 82.8% of 18- to 24-year-olds report some kind of health care insurance, and nationwide the number is 76.4% (CDC, 2013). More young males (27.3%) than young females (21.5%) lack health insurance coverage (Schiller et al, 2014). Among all age groups, young adults (71.1%) are least likely to identify a usual place for medical care (Schiller et al, 2014).

1

Students attending the University of Minnesota– Twin Cities report an overall uninsured rate of 0.9%. Males have a lower uninsured rate than females (0.6% vs. 1.0%, respectively). International students

Health Insurance Health InsuranceStatus—Uninsured Status—Uninsured All AllStudents Students Health Insurance Status—Uninsured

A

1.5 1.2 1.2 Percent Percent Percent

attending the University of Minnesota–Twin Cities report an overall uninsured rate of 2.2%.

He H All A H

All Students 1.5 1.5

1.2 0.9 0.9

1.0 1.0 1.0

0.9 0.9 0.9

0.9 0.6 0.6

0.6 0.6 0.6

0.6 0.3 0.3 0.3 0.0 0.0

All AllStudents* Students*

He H De H De

1.2 1.2 1.2 0.6 0.6 0.6

Males* Males*

Females* Females* Undergraduate* Undergraduate* Graduate/ Graduate/ 0.0 Professional* Professional* All Students* Males* Females* Undergraduate* Graduate/ Professional* *Does *Doesnot notinclude includeinternational internationalstudents. students.

Me M Ro M Ro

Tes Ro Te (Inc (In Te Tre (In Tr (Inc (In Tr (In

University of Minnesota–Twin Cities students age 40 and older report the highest uninsured rate. The lowest uninsured rate is among U of M students

Health Insurance Status—Uninsured Health Insurance Status—Uninsured All AllStudents Studentsby byAge AgeGroup Group Health Insurance Status—Uninsured All Students by Age Group 55

4.9 4.9 4.9

5 44

ages 23–24. Percent Percent Percent

4 33 3 22 2 11 1 00 0

A

1.8 1.8 1.8

0.8 0.8 0.8

0.5 0.5 0.5

18–22 18–22

23–24 23–24

18–22

23–24

25–29 25–29 Age Group Age Group 25–29

1.2 1.2 1.2

35–39 35–39

40+ 40+

35–39

40+

Age Group

quality of life. Sick days reflect a personal sense of poor or impaired physical or mental health or the inability to react to factors in the physical and social environments (USDHHS, 2000). U of M students without health insurance report on average 0.3 more sick days in the past 30 days than U of M students with health insurance.

Health HealthInsurance Insuranceand andNumber Numberof ofSick SickDays— Days— Past 30 Days Past 30 Days Health Insurance and Number of Sick Days— All Students All Students Past 30 Days All Students 3.0 3.0

Average Number SickDays Days Average Number ofofSick Average Number of Sick Days

Number of sick days is a measure of health-related

3.0 2.5 2.5 2.5 2.0 2.0

2.6 2.6 2.6

2.9 2.9 2.9

2.0 1.5 1.5 1.5 1.0 1.0

Av AvS All All Av

1.0 0.5 0.5 0.5 0.0 0.0 0.0

Insured Insured

Uninsured Uninsured

Insured

Uninsured

Al

Illne Illn Poo Poo Illn

Poo Poo Poo Poo Men Me Affe Poo Aff Me Aff

Preventive Health Preventive HealthCare—Past Care—Past12 12Months Months All AllStudents Studentsby byGender Gender Preventive Health Care—Past 12 Months 2

Va V AlA V

Percent Percent Percent

Health Insurance and Health Care Utilization

Results

*Does not include international students.

Em D Em Me Em M

All Students by Gender

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students 100 100 100 80 80

82.0 82.0

4.3 2.3

Poor Mental Health Poor Physical Health Poor Physical and/or Mental Health Affected Daily Activities

2.3 Female students attending University of Minnesota–

Preventive Health Care—Past 12 Months All Students by Gender

2.7

Males Twin Cities report obtaining routine medicalFemales exams

and dental exams and cleanings at higher rates than

100

male students attending the university.

80

82.0

75.8

60

Percent

5.7 3.3

58.6

40

42.6

20 0

Medical Exam

Dental Exam and Cleaning Males

Females

All Students

Results

Acute Condition Diagnosis— Lifetime and Past 12 Months

Health Care Service Utilization

All Students

Acute Condition Diagnosis— Among University of Minnesota–Twin Cities

Lifetime and Past 12 Months Percent Who Report Being Diagnos Acute Condition

Percent

Routine Doctor’s Emergency Care Visit (Physical Condition)

88.5 16.3 52.2 39.0 27.4 Percent32.3 42.9 41.6 88.5 16.3 84.6 25.3 52.2 39.0

e/ nal*

Testing Sexually Transmitted Infections Mentalfor Health Service (Emergency/Crisis) (Includes HIV) Mental Health Service (Non-emergency) Treatment for Sexually Transmitted Infections (Includes HIV) Routine Doctor’s Visit

27.4 36.9 42.9 21.6 84.6

te/ nal*

Testing for Sexually Transmitted Infections Obtained Received Service at School 36.5 (Includes HIV) Service 36.9 (Within Past 12 Months) (Among Those That Received the Service) Treatment for Sexually Transmitted Infections (Includes HIV) 21.6 30.4

Dental Care Emergency Care (Physical Condition) Mental Service (Emergency/Crisis) Health Health Care Service Mental Dental Health Care Service (Non-emergency)

Obtained Service (Within Past 12 Months)

Health Insurance and Health Care Utilization

Health Care Service Utilization

Health Care Service All Students

32.3 36.5 41.6 30.4 25.3

Received Service at School (Among Those That Received the Service)

Studentsnon-emergency mental students who All obtained Chlamydia 3.2 health service, 32.3% received that care at the Gonorrhea 0.3

university.

Hepatitis A Acute Condition Mononucleosis Chlamydia Pubic Lice Gonorrhea Strep Throat Hepatitis A Syphilis Mononucleosis Urinary Tract Infection Pubic Lice

0.8 0.1 Percent Who Report Being Diagno 0.1 0.6 1.5 10.3 0.8 3.2 0.5 0.2 0.1 0.3 5.9 45.7 0.1 0.6 0.2 0.1 1.5 10.3 22.3 8.0 0.5 0.2

Urinary Tract Infection Within Lifetime

5.9 45.7 59.2 15.5 0.2 0.1 22.3 8.0 Within Past 12 Months

At Least One of the Above Acute Conditions

59.2

At Least One of the Strep Throat Above Acute Conditions Syphilis

Within Lifetime

Vaccination Status

15.5

Within Past 12 Months

U of M students with health insurance obtain

All Students by Insurance Status

Chronicand Condition Diagnosis— meningitis, influenza, human papillomavirus Lifetime and Past 12 Months

(HPV) vaccinations at higher rates than students at All Students

80

Vaccination Status

the university without health insurance. Additionally,

0

Meningitis

43.8

47.9

47.8

Meningitis All Students Influenza— Insured Past 12 Months

Insured

43.8

47.9

47.8

Influenza— Past 12 Months

All Students

All Students of females report obtaining HPV vaccination. Alcohol/Drug Problems

31.3

58.2

Lifetime and Past 12 Months Chronic Condition Percent Who Report Being Diagno

31.3

0 20

58.2

40

57.9

60 20

47.1

40

Diagnosis— among U of MChronic students,Condition 34.8% of males and 56.5%

57.9

47.1

61.6 61.6

80

61.3

Percent

Percent

60

61.3

All Students by Insurance Status

HPV— Complete Series of Vaccines HPV— Uninsured Complete Series of Vaccines Uninsured

0.7 2.2 Allergies 40.1 5.9 Currently, these immunizations for Report Being Diagn Asthma 17.3 1.6 Chronic Condition are not required Percent Who Cancer 0.9 students enrolled in postsecondary Alcohol/Drug Problems institutions. 2.2 Diabetes 0.8 Allergies Type I 40.1 Diabetes 1.5 Asthma Type II 17.3 Genital Herpes 1.6 Cancer 0.9 Genital Warts/ Diabetes Type I Human Papillomavirus Diabetes Type II Hepatitis B Genital Herpes Hepatitis C Genital Warts/ High Blood Pressure Human Papillomavirus

Tuberculosis High Cholesterol

0.8 2.8 1.5 0.6 1.6 0.5 3.2 2.8 4.0 0.6 0.2 0.5 Results 5.0 3.2 1.4 4.0

At Least One of the HIV/AIDS

0.2

High Cholesterol Hepatitis B HIV/AIDS Hepatitis C Obesity High Blood Pressure

0.1 0.7 0.2 5.9 0.1 1.6 0.7 0.1

3

0.2 0.9 0.1 0.1 0.7 0.1 0.9 0.9 1.2 0.1 0.1 0.1 1.8 0.9 0.3 1.2 0.1

Average Number of

2.0 1.5 1.0

Compared to male students at the University of

0.5

Minnesota–Twin Cities, female students at the

0.0

All Students by Gender

Uninsured collegeInsured report more days of poor physical health,

more days of poor mental health, and more days when poor physical and/or mental health affected daily activities.

lth Care Service Utilization

100 h Care Service

4.3 2.3

5.7 3.3

Poor Physical and/or Mental Health 2.3 Affected Daily ActivitiesDiagnosis— Acute Condition

2.7

Poor Mental Health

Lifetime and Past 12 Months All Students

Percent

Results

U of M students were asked to report if they have Care Service Utilization 88.5 16.3 allth Care 80 udents been diagnosed with selected acute82.0 illnesses within gency Care (Physical Condition) 52.2 39.0 75.8 60 the past 12 months and27.4 within their al Health Service (Emergency/Crisis) 32.3lifetime. 58.6 al Health Service (Non-emergency) 42.9 41.6 40 Service Percent h Care 42.6 The acute condition diagnosed ne Doctor’s Visit 84.6 25.3frequently most 88.5 16.3 al Care 20 ng for Sexually Transmitted within Infections students’ lifetimes was strep throat, with des HIV) 36.9 36.5 gency Care (Physical Condition) 52.2 39.0 45.7% ofInfections U of M students ment Transmitted al Health Service (Emergency/Crisis) 27.4reporting 32.3having this 0for Sexually des HIV) 21.6Exam and 30.4 Medical Exam Dental Cleaning diagnosis. The acute condition diagnosed most al Health Service (Non-emergency) 42.9 41.6 Health Insurance and Health Care Utilization

Average Number of Days Affected— Past 30 Days

Illness Poor Physical Health

Preventive Health Care—Past 12 Months udents All Students by Gender

Percent

Average Number of Days Affected by Illness

within the past 12 months ne Doctor’s Visit frequently Obtained Service Received Service at School 84.6 25.3was urinary Males Females (Within Past 12 Months) (Among Those That Received the Service) ng for Sexually Transmitted Infectionswith 8.0% of students reporting tract infection, des HIV) 36.9 36.5

having this diagnosis. Overall, 59.2% of U of M ment for Sexually Transmitted Infections des HIV) 21.6 30.4

students report being diagnosed with at least one

within at their lifetime, and 15.5% Obtained Service acute condition Received Service School (Within Past 12 Months) (Among Those That Received the Service)

Males

Acute Condition

Females

Percent Who Report Being Diagnosed

Acute Condition Diagnosis— Chlamydia 3.2 Lifetime and Past 12 Months

0.8 0.1 0.3 Hepatitis A 0.1 0.6 Mononucleosis 1.5 10.3 Percent Who Report Being Diagnosed Acute Condition Pubic Lice 0.5 0.2 Chlamydia 0.8 3.2 Strep Throat 5.9 45.7 Gonorrhea 0.1 0.3 0.2 Syphilis 0.1 Hepatitis A 0.1 0.6 Urinary Tract Infection 22.3 8.0 Mononucleosis 1.5 10.3 At Least One of the Pubic Lice 59.2 15.5 Above Acute Conditions 0.5 0.2 Strep Throat 5.9 45.7 Within Lifetime Within Past 12 Months 0.2 Syphilis 0.1 Urinary Tract Infection 22.3 8.0 All Students Gonorrhea

At Least One of the Above Acute Conditions

report being diagnosed with at least one acute

59.2

Within Lifetime

condition within the past 12 months.

15.5

Within Past 12 Months

cination Status

tudents by Insurance Status

Chronic conditions are ongoing health concerns for students. Surveillance of these conditions provides

0

47.9

47.8

58.2

43.8

47.1

(40.1% lifetime) and asthma (17.3% lifetime).

61.6

47.8

58.2

43.8

47.9

being diagnosed with at leastHPV— one chronic condition Influenza—

12lifetime, Months andComplete Series one in eight withinPast their approximately of Vaccines

31.3

Meningitis

57.9

More than one-half (54.7%) of students report

47.1

61.3

31.3

diagnosed in U of M students are allergies

(12.4%) report being diagnosed with at least one

0

0

57.9

61.6

61.3

The two most common chronic conditions

0 0

0 0

All Students

a picture of longer term health care needs for

0cination Statusstudents at the University of Minnesota–Twin Cities. tudents by Insurance Status

0 0

Chronic Condition Diagnosis— Lifetime and Past 12 Months

chronic condition within the past 12 months. All Students Insured Uninsured Meningitis

Influenza— Past 12 Months

All Students

Insured

HPV— Complete Series of Vaccines Uninsured

age Number of Days Affected by Illness

udents by Gender

Chronic Condition

0.7 40.1 5.9 Asthma 17.3 1.6 Cancer 0.9 0.1 Chronic Condition Percent Who Report Being Diagnosed Diabetes Type I 0.8 0.2 Alcohol/Drug Problems 0.7 2.2 Diabetes Type II 1.5 0.1 Allergies 40.1 5.9 Genital Herpes 1.6 0.7 Asthma 17.3 1.6 Genital Warts/ Human 2.8 0.9 Cancer Papillomavirus 0.9 0.1 Hepatitis B 0.6 0.1 Diabetes Type I 0.8 0.2 Hepatitis C 0.5 0.1 Diabetes Type II 1.5 High Blood Pressure 3.2 0.9 Genital Herpes 1.6 0.7 High Cholesterol 4.0 1.2 Genital Warts/ Human Papillomavirus 2.8 0.9 HIV/AIDS 0.2 0.1 Hepatitis B 0.6 0.1 Obesity 5.0 1.8 Hepatitis C 0.5 0.1 Tuberculosis 0.3 1.4 High Blood Pressure 3.2 0.9 At Least One of the High Cholesterol Above Chronic Conditions 4.0 1.2 54.7 12.4 HIV/AIDS 0.2 0.1 Within Lifetime Within Past 12 Months Obesity 5.0 1.8 Tuberculosis 0.3 1.4 All Students Allergies

Number of Days Affected— At Least OneStudents of the 4 HealthAverage and Health-Related Cities Past 30 Days Behaviors University of Minnesota–Twin Above Chronic Conditions age Number of Days Affected by Illness Mental Health 4.3 5.7

udents by Gender hysical Health

2.3

3.3

Percent Who Report Being Diagnosed

Chronic Condition Diagnosis— Alcohol/Drug Problems Lifetime and Past 12 Months2.2

Within Lifetime

54.7

12.4

Within Past 12 Months

Results

Mental Health Mental health issues can have a profound impact on students’ ability to engage fully in the opportunities presented to them while in college. These issues affect their physical, emotional, and cognitive well-being and can lead to poor academic performance, lower graduation rates, and poor interpersonal relationships. There is increasing diversity among college students. Among undergraduates nationwide, 40.7% describe their race/ethnicity as other than white, 56.4% are female, and 41.8% are age 25 or older (USDOE, 2013). In addition, approximately 764,495 international students are studying at U.S. colleges and universities (USDOE, 2013). This diversity presents a myriad of counseling concerns related to

Results

multicultural and gender issues, life transition, stress, career and developmental needs, violence, interpersonal relationships, and serious emotional and psychological problems. This array of mental health issues represents ever-increasing challenges as postsecondary institutions strive to meet the

Mental Health

needs of their students.

National Comparison This section examines areas related to the mental health of college and university students. Recent research shows that young adults in the United States have relatively high rates of mental health problems compared to other age groups. Among 18- to 25-year-olds, 19.4% had a mental illness, i.e., a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the Diagnostic and Statistical Manual of Mental Disorders-IV; 4.2% had a serious mental illness, i.e., a mental illness that results in functional impairment; 8.7% had a major depressive episode; and 7.4% had serious thoughts of suicide (CBHSQ, 2014). Approximately one in eight (12.2%) young adults between the ages of 18 and 25 have received treatment for a mental health problem in the previous year (CBHSQ, 2014). A relatively new area of study is examining the relationship between cumulative effects of childhood abuse (i.e., physical abuse, sexual abuse, and psychological or emotional abuse), commonly referred to as adverse childhood experiences (ACEs), and subsequent development of chronic physical and mental health conditions (CDC, 2014a; Chapman, 2003; Edwards, 2003). Findings from the Minnesota Behavioral Risk Factor Surveillance System (BRFSS) survey, which includes ACEs, showed that 60% of adults reported two or more ACEs and 15% reported five or more ACEs. In the Minnesota study, 36% of adults with an ACE score of five or more report being diagnosed with depression compared to 8% among adults with an ACE score of zero (MDH, 2013).

5

All Students Percent Who Report Mental Health Condition Diagnosis—

anxiety and depression are the two most frequently reported mental health diagnoses for both lifetime and the past 12 months.

Being Diagnosed

2.5 0.5 Mental Health Condition Diagnosis— Anxiety 10.3 Lifetime and Past 12 Months 21.7 All Students Attention Deficit Disorder 5.6 1.8 Percent Who Report Mental Health Condition Being Diagnosed Bipolar Disorder 1.2 0.3 Anorexia 2.5 Who Report 0.5 Percent Bulimia 1.9 0.4 Mental Health Condition Being Diagnosed Anxiety 21.7 10.3 20.8 7.6 Depression Anorexia 2.5 0.5 Attention Deficit Disorder 5.6 1.8 2.4 0.8 Obsessive-Compulsive Disorder Anxiety 21.7 10.3 Bipolar Disorder 1.2 0.3 10.4 4.3 Panic Attacks Attention Deficit Disorder 5.6 1.8 Bulimia 1.9 0.4 3.4 1.4 Post-Traumatic Stress Disorder Bipolar Disorder 1.2 0.3 20.8 7.6 Depression Seasonal Affective Disorder 5.5 2.2 Bulimia 1.9 0.4 2.4 0.8 Obsessive-Compulsive Disorder Social Phobia/ 20.8 7.6 Depression Performance 6.3 3.2 10.4 4.3 Panic AttacksAnxiety 2.4 0.8 Obsessive-Compulsive Disorder 3.4 1.4 Post-Traumatic Stress Disorder Within Lifetime Within Past 12 Months 10.4 4.3 Panic Attacks Seasonal Affective Disorder 5.5 2.2 3.4 1.4 Post-Traumatic Stress Disorder Social Phobia/ Performance Anxiety 6.3 3.2 Seasonal Affective Disorder 5.5 2.2 Social Phobia/ Within Lifetime Performance Anxiety

Percent

For University of Minnesota–Twin Cities students,

Mental Health Condition Lifetime and Past 12 Months All Students Anorexia

Within Past 12 Months

6.3

Within Lifetime

3.2

Within Past 12 Months

Depression Diagnosis— Lifetime and Past 12 Months

Mental Health

being diagnosed with depression within their lifetime, and 7.6% report being diagnosed with depression within the past 12 months. Females report being diagnosed with depression at higher rates than males.

25

Depression Diagnosis— Lifetime and Past 12 23.5 Months All20Students by Gender 20.8 Depression Diagnosis— Lifetime and Past 12 Months 15

Percent

Among U of M students, 20.8% report

25 16.2 All Students by Gender 10 20 25

PercentPercent

Results

All Students by Gender

5 15 20 0 10 15

23.5

20.8 20.8

16.2

7.6

23.5

Within Lifetime 16.2

50

age 40 and older report the highest rate of being

5.8

8.3

7.6

Within Past 5.812 Months

All Students Within Lifetime

Males Females Within Past 12 Months

All Students

University of Minnesota–Twin Cities students

Females 8.3

7.6 Males

Within Lifetime

0

8.3

Within Past 12 Months

All Students

105

5.8

Males

Females

Depression Diagnosis— Lifetime and Past 12 Months All Students by Age Group

diagnosed with depression within their lifetime

0

6

20–24

8.5

39.0 39.0 39.0 0.0 40+

Within Past 12 Months

25–29 Age Group

30–39

0.0

24.8 30–39

40+

0.0

8.5

Within Lifetime

18–19 18–19

25–29 Age Group

3.0

8.5

20.6

16.6 8.3

20–24

8.3

100

18–19

20.6 20.6

20 10

8.3

30 20 0

16.6 16.6

PercentPercent

40 30 10

22.9

All Students by Age Group 40 20

24.8 24.8 3.0 3.0

Percent

past 12 months.

7.4

of being diagnosed with depression within the

40

Depression Diagnosis— Lifetime and Past 12 Months All Students by Age Group 30 Depression Diagnosis— Lifetime and Past 12 Months

22.9 22.9 7.4 7.4

and students ages 20–24 report the highest rate

40+ 20–24 25–29 30–39 Within Past 12 Months Within Lifetime Age Group

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Within Lifetime

Within Past 12 Months

Eating Disorder Diagnosis—Lifetime

Among U of M students, 1.2% of males and 5.8%

All Students by Gender

of females report being diagnosed with anorexia and/or bulimia within their lifetime.

5.8

6

Anorexia

1.2

0.7

1 0

1.9

0.7

2

3.0

3

3.7

3.9

4

2.5

Percent

5

Anorexia and/or Bulimia

Bulimia

All Students

Females

Males

Any Mental Health Condition Diagnosis— Lifetime and Past 12 Months

Mental Health Stressors All Students

All Students by Gender

Any Mental Health Condition Diagnosis— 40 Lifetime and Past 12 Months

Percent

20 30

at least one mental health condition within

32.7 32.7

24.0

Stressor their lifetime, and 15.2% report being diagnosed

38.5

10 20

24.0

0 10

Within Lifetime

Arrested with at least one mental health condition within

15.2

17.7

15.2

Within Past 12 Months Males

Within Lifetime

10.5

Females

Within Past 12 Months

All Students

Males

Females

Currently Taking Medication for a Mental Health Condition All Students by Gender

Currently Taking Medication 20a Mental Health Condition for

Percent

Percent

All Students by Gender

15.1 12.6 8.7

15.1

5 10

12.6

0 5

All Students

Males

Females

All Students

Males

Females

0

Bankruptcy

diagnosed with a mental health condition within Arrested Attempted Suicidethe past 12 months at their lifetime and within Diagnosed With a Serious Mental Illness Bankruptcy higher rates than males. Diagnosed With a Serious Physical Illness

Death of Someone Close to You Excessive Credit Card Debt Diagnosed With a Serious Mental Illness Excessive Debt Otherthat Than22.6% Credit Card Additional analysis shows of students Diagnosed With a Serious Physical Illness Failing a Class report being diagnosed with two or more mental Excessive Credit Card Debt Fired or Laid Off From a Job health conditions within their lifetime. Excessive Debt Other Than Credit Card Getting Married Failing a Class Issues Related to Sexual Orientation Fired or Laid Off From a Job Lack of Health Care Coverage Getting Married Parental Conflict Issues Related to Sexual Orientation Put on Academic Probation Overall, 12.6% of U of M students report they Lack of Health Care Coverage Roommate/Housemate Conflict currentlyParental are taking medication for a mental Conflict Serious Physical Illness of Someone Close to You health condition. Females report a higher rate of Put on Academic Probation Spouse/Partner Conflict (Includes Divorce or Separation) medication use for a mental health Roommate/Housemate Conflictcondition than

0.3 0.3 15.6 0.8 6.7 0.3 2.4 15.6 5.1 6.7 11.4 2.4 7.0 5.1 1.8 11.4 3.5 7.0 3.2 1.8 3.5 3.5 12.6 3.2 3.5 3.5 19.2 12.6 13.7 3.5 6.6 19.2

Termination of Personal Relationship Serious Physical Illness Someone Close to You males, which correlates with of the higher diagnosis (Not Including Marriage)

15 20 10 15

Attempted Suicide

the past 12 months. Females report being Stressor Death of Someone Close to You

10.5

All Students

0

17.7

Percent Who Report Experiencing Within Past 12 Months Percent Who0.3 Report Experiencing 0.8Past Within 12 Months

Mental Health

Percent

30 40

Mental Health Stressors

students,All 32.7% report being diagnosed with Students

38.5

Results

All Students by Gender

Among University of Minnesota–Twin Cities

8.7

Mental Health Crisis Line Contacted— Past 12 Months All Students

Mental Health 2.1% Crisis Line Contacted—

13.7 15.3 Spouse/Partner Conflict rates forZero any of mental health condition found in 40.0 the Above 6.6 (Includes Divorce orStressors Separation) females compared to males. One or Two of the Above Stressors 41.6 Termination of Personal Relationship 15.3 (Not Including Marriage) 18.4 Three or More of the Above Stressors 40.0 Zero of the Above Stressors Note: Items in this table are based on the Holmes and Rahe41.6 Stress One or Twofound of the Above Stressors Scale (Homes and Rahe, 1967). The items included in the stress scale were 18.4 Three or More of the Above Stressors adapted to college students. Note: Items found in this table are based on the Holmes and Rahe Stress Scale (Homes and Rahe, 1967). The items included in the stress scale were adapted to college students.

ResultsBehavior 7 Mental Health Stressors and Risky All Students 40

Within Past 12 Months

All Students 7.6

thin Lifetime

0

Males

Females

All Students

8.3

5.8

Scale (Homes and Rahe, 1967). The items included in the stress scale were adapted to college students.

Males

Females

Within Past 12 Months

Mental Health Crisis Line Contacted— Past 12 Months

Among U of M students, 2.1% report contacting a Females

All Students

Males

mental health crisis line within the past 12 months. Among the 2.1% of students who report Mental Healththey Crisis Line Contacted—

2.1%

Past 12 Months

All Students contacted a crisis line, the majority (97.2%) report

All Students

2.1%

20–24

18–19

39.0 24.8

22.9

Results

3.7

3.0

0.7

same time period.

Past 2 Weeks

Females

Males

5.8

All Students

5 0

Within Lifetime

4

Within Past 12 Months

All Students

Females

Males

3.7

3.9

Percent

All Students

Mental Health Stressors All Students

In an attempt to measure effectiveness in managing stress, students were asked to rate their stress level and their ability to manage stress, each on a scale of 1 to 10. The reported stress level is then divided by the reported ability to manage stress. Any result greater than 1 means a student is not effectively managing his or her stress.

Bulimia

All Students Currently Taking MedicationMales for a Mental Health Condition

1.2 Anorexia and/or Bulimia Females

Attempted Suicide Bankruptcy Diagnosed With a Serious Mental Illness Diagnosed With a Serious Physical Illness Excessive Credit Card Debt Excessive Debt Other Than Credit Card

Getting Married Issues Related to Sexual Orientation Lack of Health Care Coverage Parental Conflict Put on Academic Probation Roommate/Housemate Conflict

All Students by Gender

Serious Physical Illness of Someone Close to You Spouse/Partner Conflict (Includes Divorce or Separation)

20

Termination of Personal Relationship (Not Including Marriage)

15

15.1

Three or More of the Above Stressors

8.7

5

Zero of the Above Stressors One or Two of the Above Stressors

12.6

10

34.7%

Fired or Laid Off From a Job

0.7

0.7

1.9

2.5 Anorexia

Stressor Arrested

Failing a Class

3.0

3

Three or More Stressors

Ability to Manage Stress—Past 12 Months

Death of Someone Close to YouManaged Stress (Index ≤1)

10.5

Anorexia and/or Bulimia

Bulimia

6

17.7

15.2

1.2

1.9

orexia

Percent Who Report Experiencing Within Past 12 Months

0.3 0.8 0.3 Unmanaged 15.6Stress (Index >1) 6.7 2.4 5.1 11.4 7.0 1.8 3.5 3.2 3.5 12.6 3.5 19.2 13.7

65.3%

6.6 15.3 40.0 41.6 18.4

Note: Items found in this table are based on the Holmes and Rahe Stress Scale (Homes and Rahe, 1967). The items included in the stress scale were adapted to college students.

All Students

8

8.6

0 Current High-Risk Current High Credit Card Marijuana Use— Drinking—5+ Tobacco Use— Debt— 1 Time 2 Times 3 Times Drinks per Sitting Past 30 Days Balance $3,000+ Any Use

5.8

3.9 Health Mental

within the past 12 months, and 18.4% report 24.0 experiencing three or more stressors over that

Students by Gender 10

2.8

40+

30–39

students report experiencing one or two stressors

32.7

4.4

8.3

0.0

3.0

7.4

25–29 Age Group

20 ating Disorder Diagnosis—Lifetime

0.7

12.1

10.2

Past 30 Days

of someone 38.5close to them. A total of 41.6% of

30

0

0

20.7

19.9

40 20

roommate/housemate conflict and the death

40

0

3 Times

10

60

26.5

88.9

Did Not Contact a Mental Health Crisis Line

All Students by Gender

1

2 Times

31.2

80

or Fewer Stressors Contacted a MentalTwo Health Crisis Line

University of Minnesota–Twin Cities students are rder Diagnosis—Lifetime

2

2.8

Did Not Contact a Mental Health Crisis Line

Any Mental Health Condition Diagnosis— TheLifetime most commonly experienced stressors among Lifetime andWithin Past 12 Months Within Past 12 Months

Gender

1 Time

8.3

0.0

Within Past 12 Months

Within Lifetime

0

0

97.9%

40+

30–39

8.5

8.3

25–29 Age Group

40

100

20

Contacted a Mental Health Crisis Line

3.0

20.6

7.4

16.68.5

20–24

10

60

88.9

20

24.8

22.9

20.6

20

30

Percent

97.9%

39.0

40

Percent

80

30

40

100

Age Group

A

Mental Health Stressors and Risky Behavior

they contacted a crisis line one or two times within epression Diagnosis— etime and Past 12 past Months the 12 months. Diagnosis—

by Age Group dStudents Past 12 Months

M

All Students

Percent

Within Lifetime

16.2

Males

Females

Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Mental Health Crisis Line Contacted—

Mental Health Stressors and Risky Behavior

All Students

Adequate Sleep and Stress All Students

Mental Health Stressors and Risky Behavior 40

An association appears to exist between reported

All Students

number of stressors experienced within past Adequate Sleep andthe Stress 100 All Students

Percent Percent

30 40

12 months and various types of risk-taking behavior.

31.2

80 Over the same 12-month period, U of M students 100

26.5

20 30

19.9

10 20

Percent Who Report They Percent Who Report They Manage Their Stress Level Manage Their Stress Level

s

Mental Health Stressors and Risky Behavior

who experienced three or more stressors tend to 60

20.7

31.2 26.5

12.1

10.2 19.9

20.7

4.4

8.6

0 10

12.1 Current High-Risk Current 4.4 High Credit Card 10.2 Drinking—5+ Marijuana Use— Tobacco Use— Debt— 8.6 Drinks per Sitting Past 30 Days Balance $3,000+ Any Use 0 Past 30 Days Past 2 Weeks Current High-Risk Current High Credit Card Use— Drinking—5+ TobaccoTwo Use— Debt— or Fewer Stressors Marijuana Three or More Stressors Drinks per Sitting Past 30 Days Balance $3,000+ Any Use Past 2 Weeks Past 30 Days Two or Fewer Stressors

have higher rates of80current tobacco use,58.8 high-risk 40 drinking, current marijuana47.5 use, and high credit 60

8 70.6 70.6

card debt compared 58.8 20to students who experienced 40 47.5 two or fewer stressors. 0 20 0

0–1

2–3 4–5 Days per Week

0–1

2–3 4–5 Days per Week

Three or More Stressors

Results

Ability to Manage Stress—Past 12 Months

Approximately one-third (34.7%) of U of M

All Students

students report they are unable to manage

Ability to Manage Stress—Past 12 Months

among these students, 13.3% report they were diagnosed with depression within the past 12 months. Approximately two in three (65.3%) U of M students report they are able to manage their level of stress. Only 4.6% of these students report they were diagnosed with depression within

34.7% 34.7%

their stress level. Additional analysis shows that Mental Health

All Students In an attempt to measure effectiveness in managing stress, students were asked to rate their stress level and their ability to manage stress, each on a scale of 1 to 10. The reported stress level is then divided by the reported ability to manage stress. Any result greater In an1attempt measure effectiveness managinghis stress, than means atostudent is not effectivelyinmanaging or herstudents stress. were asked to rate their stress level and their ability to manage stress, each on a scale of 1 to 10. The reported stress level is then divided by the reported ability to manage stress. Any result greater than 1 means a student is not effectively managing his or her stress.

the past 12 months.

65.3% 65.3%

Managed Stress (Index ≤1)

Unmanaged Stress (Index >1)

Managed Stress (Index ≤1)

Unmanaged Stress (Index >1)

Impact of Health and Personal Issues

on Academic An association appears to exist Performance between

Stress and Mental Health, Acute, and Chronic Condition Diagnosis

All Students

unmanaged stress levels and higher rates of

All Students

diagnosis for acute conditions as well as various

Students were asked to respond to the following question:

Condition Any Acute Condition Any Chronic Condition Anxiety Depression Obsessive-Compulsive Disorder Panic Attacks Social Phobia/ Performance Anxiety Managed Stress (Index ≤1)

Percent Who Report Being Diagnosed Within the Past 12 Months

14.4 10.9 6.7 4.6 0.5 2.7 1.6

17.7 14.2 17.1 13.3 1.5 7.3 6.4

Unmanaged Stress (Index >1)

mental health conditions. For 12 example, ofthe following affected During the past months,17.1% how have your academic performance?

U of M students with unmanaged stress levels

The response options were: • I do not have this issue/not applicable • I have have not been affected past year compared to this onlyissue—my 6.7% of academics students with • I have this issue—my academics have been affected

report being diagnosed with anxiety within the

managed stress levels reporting the same diagnosis. Health or Personal Issue

Pe

Alcohol Use Any Disability (Learning, ADD/ADHA, Physical, etc.) Chronic Health Condition Concern for Family Member or Friend Eating Disorder Excessive Computer/Internet Use Financial Difficulties Food Insecurity

Number of Days of Adequate Sleep—

Homeless Marijuana Use

Results

9

22.0 8.2 10.8 32.9 4.7 49.1 32.8 6.1 0.7 7.9

3.5 3.2 19.2 3.5 13.7 12.6 6.63.5 In response to a question that asked U of M of Personal Relationship 19.2 te/Housemate Conflict 15.3 g Marriage) students on how many of the past seven days they hysical Illness of Someone Close to You 13.7 40.0 Above Stressors got enough sleep so they felt rested when they Partner Conflict of the Above Stressors 6.6 one-half (45.8%) of Divorce or Separation) woke up in the morning,41.6 nearly 18.4 re of the Above Stressors tion of Personal Relationship students report they received 15.3adequate sleep three uding Marriage)

emic Probation lated to Sexual Orientation Housemate Conflict ealth Care Coverage ical Illness of Someone Close to You Conflict ner Conflict orce or Separation) cademic Probation

Number of Days of Adequate Sleep— Past Seven Days All Students

Number of Days of Adequate Sleep— 16.2% 45.8% of students Past Seven Days

get adequate sleep three or fewer days a week

All Students 16.0%

29.6% 16.2%

38.1% 16.0%

und in thisStressors table are based on thedays Holmes andthe Raheprevious Stress or fewer over 40.0 seven days. he Above

and Rahe, 1967). The items included in the stress scale were

29.6%

41.6 18.4

wo the Above Stressors llegeofstudents.

More of the Above Stressors

45.8% of students get adequate sleep three or fewer days a week

0–1 Day per Week

4–5 Days per Week

2–3 Days per Week

6–7 Days per Week

38.1%

ms found in this table are based on the Holmes and Rahe Stress mes and Rahe, 1967). The items included in the stress scale were o college students.

0–1 Day per Week

4–5 Days per Week

2–3 Days per Week

6–7 Days per Week

l Health Stressors and Risky Behavior Receiving adequate sleep in the past seven days

Results

appears to have an impact on students’ ability to

manageand theirRisky stressBehavior level. Only 47.5% of U of M ntal Health Stressors

Mental Health

udents

19.9

10.2

students who report receiving zero to one day per 31.2 26.5week of adequate sleep report the ability to manage their stress, whereas 82.0% of students who report 20.7 six to seven days per week of adequate sleep report 31.2 12.1 the ability to manage their4.4 stress. 26.5 8.6

20.7

19.9

Current High-Risk Current High Credit Card Drinking—5+ Marijuana Use— obacco Use— Debt— 30 Days Balance Drinks per Sitting Past12.1 Any Use $3,000+ 4.4 Past 2 Weeks Past10.2 30 Days 8.6 Two or Fewer Stressors Three or More Stressors Current High-Risk Current High Credit Card Drinking—5+ Marijuana Use— Tobacco Use— Debt— Drinks per Sitting Past 30 Days Balance $3,000+ Any Use Past 2 Weeks Past 30 Days Two or Fewer Stressors

Adequate Sleep and Stress All Students 100

Adequate Sleep and Stress

Percent Who Report They Manage Their Stress Level Percent Who Report They Manage Their Stress Level

nts

All Students 80

82.0 70.6

60 100 40 20 0

80

58.8 47.5

40

58.8 47.5 0–1

20 0

0–1

Three or More Stressors

y to Manage Stress—Past 12 Months

ents

empt to measure effectiveness in managing stress, students

lity torate Manage Stress—Past Months ked to their stress level and their 12 ability to manage

udents ach on a scale of 1 to 10. The reported stress level is then by the reported ability to manage stress. Any result greater means a student is not effectively managing his or her stress.

n attempt to measure effectiveness in managing stress, students e asked to rate their stress level and their ability to manage s, each on a scale of 1 to 10. The reported stress level is then ed by the reported ability to manage stress. Any result greater 1 means a student is not effectively managing his or her stress.

34.7%

65.3% 34.7%

naged Stress (Index ≤1)

82.0 70.6

60

65.3%

Unmanaged Stress (Index >1)

Unmanaged Stress (Index >1) Managed Stress ≤1)and Health-Related 10 (Index Health Behaviors University of Minnesota–Twin Cities Students

2–3 4–5 Days per Week

2–3 4–5 Days per Week

6–7

6–7

Number of Adverse Childhood Experiences

Impact of Health and Personal Issues on Academic Performance

The four most commonly reported issues among All Students U of M students are stress (72.6%), excessive

All Students

40 (49.1%), sleep difficulties computer/internet use

(40.2%), and concern for family member or 36.3

Students were asked to respond to the following question: During the past 12 months, how have the following affected your academic performance?

30

Percent

friend (32.9%). Among students who reported a particular issue, the issues with the greatest impact 24.0 20 on academic performance reported by students 16.3issues are any disability (57.1%), mental health

The response options were: • I do not have this issue/not applicable • I have this issue—my academics have not been affected • I have this issue—my academics have been affected

10

(56.3%), sleep difficulties (52.0%), and sexual10.3 Health or Personal Issue Alcohol Use Any Disability (Learning, ADD/ADHA, Physical, etc.) Chronic Health Condition Concern for Family Member or Friend Eating Disorder Excessive Computer/Internet Use Financial Difficulties Food Insecurity Marijuana Use Mental Health Issue (Depression, Anxiety, etc.) Relationship Issue with Roommate/Housemate Relationship Issue with Someone Other Than Roommate/Housemate Serious Injury

0

0

21.8 35.7 2.5 42.6

2.0 1.7 Sleep Difficulties 40.2 Stress 72.6 Upper Respiratory Infection (Cold/Flu, Sinus, Strep, etc.) 30.7 Sexual Assault

Sexually Transmitted Infection

47.4 6.3 52.0 45.6 34.5

Report Having the Issue Report the Issue Impacted Academics (Among Those Who Report Having the Issue)

Adverse Childhood Experiences All Students

Adverse childhood experiences (ACEs) questions were developed in 2008 by the Centers for Disease Control and Prevention (CDC) with the goal of studying the associations between childhood maltreatment and health and well-being issues that appear later in life (CDC, 2014a). There is a growing body of research supporting a connection between childhood experiences of abuse, neglect, and family dysfunction and adverse health outcomes in adulthood including chronic disease, lower educational achievement, poor physical and mental health, lower economic success, and social problems. This is the first time the ACEs questions appear within the College Student Health Survey. Percent Who Responded ACEs Question Yes, Once, or (Questions pertain to events happening before age 18) More Than Once Did you live with anyone who was depressed, mentally ill, or suicidal?

27.6

Did you live with anyone who was a problem drinker or alcoholic?

16.2

Did you live with anyone who used illegal street drugs or who abused prescription medications?

10.1

Did you live with anyone who served time or was sentenced to serve time in prison, jail, or other

2.8

1 2 3 4 5 6– Number of Adverse Childhood Experiences

Mental Health

Pregnancy

10.7 57.1 19.4 28.5 26.7 42.8 26.1 31.6 38.5 12.7 56.3 34.9 28.5

4.1

Results

Homeless

Percent

22.0 8.2 10.8 32.9 4.7 49.1 32.8 6.1 0.7 7.9 31.4 2.3 19.1

assault (47.4%).

5.9

Results

11

Adverse Childhood Experiences

Among U of M students, 39.8% report a parent or

equate Sleep and Stress

tudents

All Students

adult in their home swore at them, insulted them, or put them down before they were age 18, and

Adverse childhood experiences (ACEs) questions were developed in 2008 by the Centers for Disease Control and Prevention (CDC) with the goal of studying the associations between childhood maltreatment and health and well-being issues that appear later in life (CDC, 2014a). There is a growing body of research supporting a connection between childhood experiences of abuse, neglect, and family dysfunction and adverse health outcomes in adulthood including chronic disease, lower educational achievement, poor physical and mental health, lower economic success, and social problems. This is the first time the ACEs questions appear within the College Student Health Survey.

27.6% report they lived with someone who was depressed, mentally ill, or suicidal before they were 82.0 age 18. 70.6 58.8

47.5

2–3 4–5 Days per Week

6–7

Mental Health

Approximately two-thirds (63.7%) of U of M of Health and Personal Issues students report experiencing at least one adverse demic Performance

Did you live with anyone who was a problem drinker or alcoholic?

16.2

Did you live with anyone who used illegal street drugs or who abused prescription medications?

10.1

Were your parents separated or divorced?

4.1 20.3

How often did your parents or adults in your home ever slap, hit, kick, punch, or beat each other up?

10.8

How often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? (Do not include spanking.)

13.6

How often did a parent or adult in your home ever swear at you, insult you, or put you down?

39.8

How often did anyone at least 5 years older than you or an adult, ever touch you sexually?

6.5

How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually?

3.8

How often did anyone at least 5 years older than you or an adult, force you to have sex?

1.2

All Students

childhood experience.

40

were asked to respond to the following question: he past 12 months, how have the following affected demic performance?

onse options were: t have this issue/not applicable his issue—my academics have not been affected his issue—my academics have been affected

Personal Issue

27.6

Number of Adverse Childhood Experiences

30 Percent

nts

Did you live with anyone who was depressed, mentally ill, or suicidal?

Did you live with anyone who served time or was sentenced to serve time in prison, jail, or other correctional facility?

Results

0–1

Percent Who Responded ACEs Question Yes, Once, or (Questions pertain to events happening before age 18) More Than Once

36.3 24.0

20

16.3

10 Percent

0

10.3 0

1

2

3

5.9

4

4.1

2.8

5

6–8

22.0 10.7 Number of Adverse Childhood Experiences bility (Learning, ADD/ADHA, Physical, etc.) 8.2 57.1 ealth Condition 10.8 19.4 or Family Member or Friend 32.9 28.5 order 4.7 26.7 Computer/Internet Use 49.1 42.8 Difficulties 32.8 26.1 curity 6.1 31.6 0.7 38.5 a Use 7.9 12.7 ealth Issue (Depression, Anxiety, etc.) 31.4 56.3 University of Minnesota–Twin Cities Students 12 Health and Health-Related Behaviors y 2.3 34.9 hip Issue with Roommate/Housemate 19.1 28.5

se

0.3 9–11

Results

Tobacco Use Young adults transitioning between high school and college find themselves in an environment with increased opportunities to make personal and lifestyle decisions without supervision or input from their parents. Coupling this newfound freedom with growing academic pressure and an expanding social network can lead to experimentation and risky behaviors such as smoking. Preventing smoking among young adults is critical to reducing long-term use of tobacco products and the subsequent negative health consequences.

National Comparison Recent research shows that more than one-fourth (28.2%) of 18- to 20-year-olds and more than one-third (34.1%) of 21- to 25-year-olds report current cigarette use (SAMHSA, 2014). Nearly one in four (23.2%) full-time college students smoked cigarettes at least one time in the previous year, more than one in seven (14.0%) smoked cigarettes at least one time in the previous 30 days, and

Results

about one in 20 (5.6%) smoke cigarettes daily (Johnston et al, 2013). Among young adults ages 18–25, 5.5% used smokeless tobacco in the previous month (SAMHSA, 2014). Current cigarette smokers are more likely to use other tobacco products, alcohol, or illicit drugs than nonsmokers (SAMHSA, 2014).

Tobacco Use

Among all current smokers, 68.8% want to completely stop smoking, 52.4% made a quit attempt in the past year, and 6.2% had successfully quit within the past year (CDC, 2011). In 2011, use of an electronic cigarette among a Minnesota college cohort (ages 20–28) was 7.0%, with 1.2% reporting past 30-day use (Choi & Forster, 2013). Nationally, use of electronic cigarettes among adults 18 years of age or older ranges between 0.6% and 6.2% (Chapman and Wu, 2014). Of the 15 million college students in the United States, an estimated 1.7 million will die prematurely due to smoking-related illnesses (Halperin, 2002). Clearly the current level of tobacco use among college students poses a major health risk.

13

18- to 24-Year-Old Students

Current Tobacco Use—Longitudinal 18-50to 24-Year-Old Students

decreased from 41.8% in 1998 to 13.4% in 2015.

Definition: Current Tobacco Use Any tobacco use in the past 30 days. Tobacco use includes both smoking and smokeless tobacco.

18- to 24-Year-Old Students 30 41.8 28.2 40

Percent Percent

Minnesota–Twin Cities students ages 18–24 has

41.8

40 Current Tobacco 50 38.1 Use—Longitudinal

50 20 30

Percent

The current tobacco use rate for University of

30 0 10

40 10 20

20 0 10 0

38.1

20.9

18.4

28.2

41.8

20.9

38.1

18.4

28.2

15.4

13.4

15.4

13.4 2015

1998

2001

2004 2007 2010 2013 20.9 College Student Health18.4 Survey

1998

2001

2004 2007 2010 2013 College Student Health Survey

15.4

13.4 2015

1998

2001

2004 2007 2010 2013 College Student Health Survey

2015

Current Tobacco Use—Longitudinal 18- to 24-Year-Old Students by Gender

50 20 30

30 0 10

40 10 20

20 0 10 0

24.2 35.1

36.3

44.8 40.0

39.3 36.3

24.2 35.1

24.9

25.8

18.3 24.9

12.0

8.9 2015

1998

2001

13.5 2010 2013 2004 12.0 Males2007 Females College Student Health Survey

2015

1998

2001

Males Females 2007 2010 2013 2004 College Student Health Survey

2015

20.5 8.9

Females

Current Tobacco Use

All25Students by Age Group and Gender 20

0

All Students Campus

Males

18–24 Years All Students

Males

Current 14 Health and Health-Related Behaviors University of Minnesota–Twin CitiesTobacco StudentsUse—Longitudinal First-Year Students

Current Tobacco Use—Longitudinal First-Year Students 60

7.8

16.6

7.8

16.6

All Students Males 18–24 Years

25+ Years

Females 25+ Years

7.8

Campus

11.4

20.5 20.5

8.9

13.4 13.4

8.6 8.6

18–24 Years

8.9

5

Campus

13.4

10 0

8.6

15 0 5

20 5 10

19.1

25 10 15

19.1

All Students by Age Group and Gender 15 20

16.6

19.1

20.5

25 Current Tobacco Use

12.0

tobacco use rate than female students.

13.5

25.8 2013 24.9 2010 2004 24.2 2007 21.0 College Student Health Survey 18.3

2001

12.0

age group, male students report a higher current

8.9 20.5

1998

12.0

(13.4% vs. 11.4%, respectively). Within each

12.0 21.0

All Students by Age Group and Gender

Percent Percent

use compared to students age 25 and older

13.5 25.8

Current Tobacco Use

Percent

ages 18–24 have a higher rate of current tobacco

20.5

18.3

Males

University of Minnesota–Twin Cities students

21.0

11.4

rate than males.

44.8

40.0 39.3 40 50 Current Tobacco Use—Longitudinal 36.3 35.1 18- to 24-Year-Old Students by Gender 44.8 30 40.0 40 39.3

11.4

shows that females tend to use tobacco at a lower

Tobacco Use

Results

U of M students ages 18–24 by gender over time

18-50to 24-Year-Old Students by Gender

8.9

1998. Comparing the current tobacco use rate of

Current Tobacco Use—Longitudinal

Percent Percent

female students ages 18–24 have decreased since

Percent

The current tobacco use rates for U of M male and

Females 25+ Years Females

All Students

Current Tobacco Use—Longitudinal

attending the University of Minnesota–Twin Cities decreased from 53.3% in 1998 to 13.5% in 2015.

60

Percent

53.3

40

28.9

30

20.5

20

19.7

19.3

13.2

13.5

2004 2007 2010 2013 College Student Health Survey

2015

10 0

1998

2001

Daily Tobacco Use—Longitudinal

Quit Attempts—Past 12 Months

Daily Use—Longitudinal 10 Tobacco 9.8

The daily tobaccoQuit use rate for University of12 Months Attempts—Past

18- to 24-Year-Old Students

Current Smokers

18- to 24-Year-Old Students

Smokers Minnesota–Twin Current Cities students ages 18–24 has 22.0% decreased from 9.8% in 1998 to 1.2% in 2015.

8

Percent

8 4

0

3.7 2.6

5.6

41.7% 1.9

3.7 1998

2001

1998

2001

2.6 2004 2007 2010 2013 1.9 College Student Health Survey

2015

2004 2007 2010 2013 College Student Health Survey

2015

0–20 = Range of to Quit

Do Not Consider Themselves Smokers Consider Themselves Smokers

Quit Attemp Have Not Attemp to Quit Have Attempted to Quit

Do Not Consider Themselves Smokers

Have Not Attemp to Quit

3.8

1.2%, respectively). Within each age group, male Average of Cigarettes students report a higherNumber daily tobacco use rate Smoked Per Week Within the Past 30 Days 2.2

than female students. Current vs. Daily Smokers

2.2

0.8 Males

25+ Years Females 25+ Years Females

Average Number of Cigarettes Smoked 60 Per Week Within the Past 30 Days Current vs. Daily Smokers 50

2.8

1.6 Males

18–24 Years All Students

3.8

2.8 All Students Campus

1.6

1.2 1.2

1.3 1.3

Percent

2.3 2.3

1.6 1.6

18–24 Years

0.8

0

Campus

of Quit Attemp Have Attempted

Consider Themselves Smokers

use compared to students ages 18–24 (2.8% vs.

3 4

0 1

of Quit Attemp

25 and older have a higher rate of daily tobacco

All Students by Age Group and Gender

58.3%

0–20 = Range of Quit Attempt 3.6 = Average Numb

University of Minnesota–Twin Cities students age

4 Tobacco Use Daily

58.3%

3.6 = Average Numb

1.2

All Students by Age Group and Gender

1 2

78.0%

1.2

Daily Tobacco Use

2 3

41.7%

78.0%22.0%

Tobacco Use

2

5.6 6.9

6 2 4 0

6.9

Average of Cigarettes Average Number ofNumber Cigarettes

9.8

Results

Percent

10 6

Percent

Females

The current tobacco use rate for first-year students

First-Year Students

50

Males

51.7

60 40 50 30

51.7

40 20 30 10 20 0 10 0

9.6 Current Smokers

Daily Smokers

Current Smokers

Daily Smokers

9.6

Results

15

nt Tobacco Use

ents by Age Group and Gender

20.5

Overall, 2.8% of U of M students report using

16.6

19.1

smokeless tobacco, 4.6% report using a hookah,

Current Smokeless Tobacco, Hookah, and Electronic Cigarette Use All Students by Gender 8

7.8

11.4

0

Any use of tobacco from a water pipe (hookah) within the past 30 days.

6.3 4.0

4.8

2.8

2

Definition: Current Hookah Use

5.6

4

4.6

Years Yearstobacco use25+ Any18–24 smokeless in the past 30 days. All Students Males Females

1.1

Campus

6

5.8

Definition: Current Smokeless Tobacco Use

Percent

8.9

8.6

12.0

during the past 30 days.

2.8

13.4

and 4.0% report using an electronic cigarette

Smokeless Tobacco

Hookah

All Students

Electronic Cigarette

Males

Females

Definition: Current Electronic Cigarette Use

Any electronic cigarette use in the nt TobaccoUse—Longitudinal Use—Longitudinal yr Students Tobacco past 30 days.

Quit Attempts—Past 12 Months

24-Year-Old Students

Current Smokers

9.8

53.3 Use—Longitudinal Tobacco Among students at the U of M who report using

-Year-Old Students

6.9

smoking tobacco in the past 30 days, 78.0% do

Quit Attempts—Past 12 Months 22.0% Current Smokers

41.7%

not 5.6consider themselves to be smokers. Among the students who do consider themselves to be 20.5 19.3 3.7 19.7 smokers, 58.3% made at least one attempt to quit 6.9 2.6 13.2 13.5 1.9 smoking over the past 12 months. These students 5.6 1.2 made an average of 3.6 quit attempts during that 1998 2007 3.72007 2010 2004 12-month 2010 2013 2013 2015 2015 1998 2001 2001 2004 same period. College Student Health Survey 2.6 Survey College Student Health 1.9 1.2

28.9

78.0% 22.0%

1998

2001

2004 2007 2010 2013 College Student Health Survey

58.3% 3.6 = Average Number

78.0%

of Quit Attempts

0–20 = Range of

Quit Attempts

Consider Themselves Smokers

2015

Do Not Consider Themselves Smokers

y Tobacco Use

3.6 = Average Number Have Attempted

of Quit Attempts to Quit 0–20 =Have Range of Attempted Quit Not Attempts to Quit

Consider Themselves Smokers

Have Attempted to Quit

Do Not Consider Themselves Smokers

Have Not Attempted to Quit

udents by Age Group and Gender

3.8

Tobacco Use

ents by Age Group and Gender

The average number of cigarettes smoked per

2.8

week over the past 30 days by U of M students

Current vs. Daily Smokers

0.8

18–24 Years All Students

Males

Average Number of Cigarettes Average Number of Cigarettes

1.6

1.2

1.3

Males

60

Average Number of Cigarettes Smoked Per Week Within the Past 30 Days 50

51.7

Current vs. Daily Smokers

2.2

2.8

0.8

1.6

1.2

1.3

2.3

18–24 Years All Students

2.2

3.8

2.3 1.6 1.6

Campus

Campus

Average Number of Cigarettes Smoked Per Week Within the Past 30 Days

is 9.6 among current smokers and 51.7 among daily smokers.

25+ Years Females

60 50 40

25+ Years Females

58.3%

41.7%

Tobacco Use

Results

9.8

30 20

40 30

51.7

20 10 0

10

0 Cities Students 16 Health and Health-Related Behaviors University of Minnesota–Twin

9.6 Current Smokers

Daily Smokers

9.6 Current Smokers

Daily Smokers

Secondhand Smoke Exposure

For U of M students, 43.9% of nonsmokers

All Students

and 33.5% of smokers report being exposed to secondhand smoke on campus (outside). Percent Who Indicate Exposure

Location

Nonsmokers Current Smokers

In a Car

4.2 N/A 5.2 43.7 3.0 43.9 9.5 2.1 3.0 13.9 22.8

Off Campus On Campus Where I Live Other N/A—Never Exposed

Inside

N/A 26.1 11.9 51.4 3.7 33.5 7.3 18.8 8.7 23.9 19.3

All Students

6.5 N/A 5.9 44.5 3.1 42.8 2.7 16.5 3.7 14.9 22.4

Outside

Results Tobacco Use

Results

17

Results Tobacco Use

18 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Results

Alcohol Use and Other Drug Use For some young adults, college life includes an introduction to or an increase in the use of alcohol, marijuana, and various illicit drugs. Whether students are using these substances to signify emergence into adulthood, enhance their social life, or cope with stress, substance abuse can lead to a decline in classroom performance, lower grades, aggressive behavior, property damage, and personal injury.

National Comparison American college students consume alcohol and other drugs at very high rates. Among full-time college students, approximately four in five (78.0%) have consumed alcohol at least one time, more than three in four (75.6%) have consumed alcohol in the past year, and nearly three in five (63.1%) consume alcohol monthly (Johnston et al, 2013). The rate of binge drinking (consuming five or more alcoholic beverages in a row in the previous two weeks) peaks between ages 21 and 25 at 45.1% and is 30.5% among 18- to 20-year-olds (SAMHSA, 2014). Young adults ages 18 to 22 who are enrolled in college full time are more likely than their peers who are not enrolled in college full time to consume alcohol

Results

monthly and to binge drink (SAMHSA, 2014). Approximately one-half (51.0%) of full-time college students have used an illicit drug at least once in their lifetime, more than one-third (38.9%) of full-time college students have used an illicit drug at

Alcohol Use and Other Drug Use

least once in the past year, and more than one in five (22.5%) full-time college students have used an illicit drug in the last month (Johnston et al, 2013). Marijuana is the illicit drug of choice for full-time college students, with nearly half (47.7%) of students having used the drug at least once in their lifetime, approximately one-third (35.5%) having used it in the past year, and approximately one in five (20.6%) having used it in the past month (Johnston et al, 2013). Among full-time college students, 10.6% have used amphetamines, 4.5% have used hallucinogens, and 2.7% have used cocaine in the previous year (Johnston et al, 2013).

19

Alcohol Use—Past 12 Months

Av

0 20 0

Any alcohol use within the past year.

89.4 89.4 89.4

83.8 83.8 83.8

87.2 87.2 87.2

20 40 20 18–24 Years Old 18–24 Years Old All Students Males Males 18–24 Years Old Campus All Students Campus Campus

0

All Students

Males

25+ Years Old 25+ Years Old Females Females 25+ Years Old

Average Number of Drinks Average Number of of Drinks Average Number Drinks

Definition: Past 12-Month Alcohol Use

40 60 40

80.8 80.8 80.8

PercentPercent Percent

past 12-month alcohol use rate than male students.

60 80 60

18-

78.0 78.0 78.0

80 100 80

ages 18–24 (87.2% vs. 79.3%, respectively). Within each age group, female students report a higher

18-

All100 Students by Age Group and Gender 100

79.3 79.3 79.3

alcohol in the past 12 months compared to students

Av 18Av

83.3 83.3 83.3

students age 25 and older have a higher rate of using

All Students by Age Group and Gender

80.0 80.0 80.0

of Minnesota–Twin Cities students is 81.8%. U of M

Alcohol Use—Past 12 Months All StudentsUse—Past by Age Group12 and Gender Alcohol Months

81.8 81.8 81.8

The past 12-month alcohol-use rate for all University

Females

Current Alcohol Use—Longitudinal 18- to 24-Year-Old Students Current Alcohol Use—Longitudinal 18- to 24-Year-Old Students

18-80 to 24-Year-Old Students 76.9 75.2 80 71.2

71.1

70.0

69.7

Av All Av All

Av All

1998 1998 1998

2004 2001 2007 2010 2013 2004Student 2001 College 2007 Health2010 Survey 2013 College Student Health Survey 2004 2001 2007 2010 2013 College Student Health Survey

2015 2015 2015

Current Alcohol Use

40 60 40 20 40 20 0 20 0 0

81.6 81.6 81.6

60 80 60

78.3 78.3 78.3

80 100 80

80.2 80.2 80.2

All100 Students by Age Group and Gender 100

H 18 H

18

H

18 18–24 Years Old 18–24 Years Old All Students Males Males 18–24 Years Old Campus All Students Campus Campus

All Students

Current Alcohol Use All StudentsAlcohol by Age Use Current

All Students by Age 20 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students Current Alcohol Use All100 Students by Age 100

Males

25+ Years Old 25+ Years Old Females Females 25+ Years Old Females

PercentPercent Percent

students ages 18–24.

73.7

69.9 69.9 69.9

lower current alcohol-use rate than males among

71.2

70.6 70.6 70.6

alcohol-use rate than males but females report a

75.2

All Students by Age Group and Gender

(80.2% vs. 69.7%, respectively). Among students age 25 and older, females report a higher current

76.9

69.7 69.7

69.7 69.7 69.7

alcohol-use rate compared to students ages 18–24

70.0 70.0

Current Alcohol Use All StudentsAlcohol by Age Group Current Useand Gender

PercentPercent Percent

Alcohol Use and Other Drug Use

students age 25 and older have a higher current

71.1 71.1

20 40 20

0

Minnesota–Twin Cities students is 66.5%. U of M

73.7 73.7

40 60 40

200 0

The current alcohol-use rate for all University of

71.2

Average Number of Drinks Average Number of of Drinks Average Number Drinks

Results

Any alcohol use within the past 30 days.

60 80 60

75.2

73.3 73.3 73.3

Definition: Current Alcohol Use

PercentPercent Percent

decreased from 76.9% in 1998 to 69.7% in 2015.

76.9

72.9 72.9 72.9

Minnesota–Twin Cities students ages 18–24 has

Current Alcohol Use—Longitudinal

66.5 66.5 66.5

The current alcohol-use rate for University of

Per

10

Current Alcohol Use

The rate of current alcohol consumption increases 0

All Students by Age

2007 to 2010 2001 2004 from 55.2% of 18-year-old U of M students

2013 College Student Health Survey

57.3

55.2

78.4

84.9

82.4

80.6

86.6

77.2

77.6

79.3

Percent

60

66.9

80

40

High-Risk Drinking

All Students by Age Group and Gender

20

0

18

20

21

19

20

21

23 Age

22

23 Age

2015

0

25

24

25

26

26

18

High-Risk Drinking Rates on Campus— Perceived vs. Actual All Students

Question asked: University of Minnesota–Twin Cities students

Average Number of Drinks per Week

20.6

16.4

24

27

2

27

2

Alcohol Use and Other Drug Use

2010 2013 2007 College Student Health Survey

2004

22.1

21.0 27.2

30.4

36.6

22

28.2

34.1

19

10

9.7

In the past two weeks, what percentage of students at your

All Students by Gender

do you thinkdrinks had five or week. more at a sitting? High-Risk Rates ondrinks Campus— consume anschool average ofDrinking 4.1 per

(One drink = one of alcohol; 12-ounce beer; mixed drink Perceived vs.shot Actual

containing or 1.5 ounces of alcohol; 12-ounce wine cooler; or U of M students ages118–24 consume a higher All Students 5-ounce glass of wine.)

8 Average Number ofAverage Drinks Number of Drinks

9.7

average number of drinks per week compared

0

3.5

3.5

4.0

4.9

6.6

4.9

Females

3.5

Males

25+ Years Old

4.0

3.5

18–24 Years Old

All Students

number of drinks per week than female students. 33.7% Non-High-Risk Drinkers Students’ Perception High-Risk Drinking Status

4.7

Campus

3.5

2

4.1

0 4

6.0

2 6

6.6

3.5

4.1

4 8

4.7

6.0

All Students by Gender

Students’ Perception Actual High-Risk In the past two weeks, what percentage of students at your Drinking Status by School Peers Drinking Rat school do you think hadage fivegroup, or more drinks at a sitting? 4.0, respectively). Within each male (One drink = one shot of alcohol; 12-ounce beer; mixed drink 37.2% All Students1 or 1.5 ounces of alcohol; containing students report consuming a higher average 12-ounce wine cooler; or 5-ounce glass of wine.) 27.4% 45.0% High-Risk Drinkers Question asked: to U of M students 4.7 vs. Drinking High-Riskage 25 and older of(High-Risk

Average Number of Drinks per Week 6

of High-Risk Drinking by School Peers

All Students

37.2%

High-Risk Drinkers

45.0%

Non-High-Risk Drinkers

33.7%

of All Studen

Actual High-Risk Drinking Rat

27.4%

of All Studen

Blood Alcohol Content Campus

18–24 Years Old

All Students

Males

25+ Years Old Females

Blood alcohol content (BAC) measures the percentage of alcoho in a person’s blood. The calculation of BAC is based on a formula that takes into account the following factors: Blood Alcohol Content

81.6

015

20

Results

1

30 0

16.4

2015

Females

28.2

40

10 drinks per week. average of 4.7

2010 2013 2007 College Student Health Survey

2004

U of M students ages 18–24 report consuming an

25+ Years Old

27.2

4.1

30.4

2

4.5

36.6

3 0

4.5

4.3

4.7

40 All Students by Age Campus 18–24 Years Old by University30of Minnesota–Twin Cities students All Students Males ages 18–24 has 50 remained fairly constant since 2004. 20

High-Risk The average number ofDrinking drinks consumed per week 0 35.2

4.1

18- to 24-Year-Old Students 3

4 1

50 10

4.7

4.5

Average Number of Drinks per Week—Longitudinal 5 2

20

31.5

4

4.5

4.3

All Students by Age

35.2

5

30 High-Risk Drinking

39.9

18- to 24-Year-Old Students

39.9

Average Number of Drinks per Week—Longitudinal

40

28.2

28+

25.8

27

36.8

26

31.5

25

33.2

24

27.4

23 Age

33.2

22

31.2

21

31.2

20

Percent

19

Percent

18

44.1

50

Percent

0

ld

015

2015

86.6% of 24-year-old U of M students.

100

Average Number ofAverage Drinks Number of Drinks

89.4

89.4

d

20

High-Risk Drinking—Longitudinal 18- to 24-Year-Old Students

• Gender Results 21 • Current body weight • Amount of alcohol consumed (number of drinks) Blood alcohol content (BAC) measures the percentage of alcoho • Time period of consumption

81.6 81.6

78.3 78.3

80.2 80.2

69.9 69.9

70.6 70.6

69.7 69.7

73.3 73.3

72.9 72.9

60

66.5 66.5

The high-risk drinking rate for University of

40

Minnesota–Twin Cities students ages 18–24 has

20

High-Risk Drinking—Longitudinal 18- to 24-Year-Old Students

decreased from 43.0% in 2001 to 34.1% in 2015.

0

18–24 Years Old

Campus

All Students

50

25+ Years Old Females

Males

40 Percent Percent

Percent

80

43.0

41.6

39.6

37.5

35.2

34.1

2007 2010 2013 2004 College Student Health Survey

2015

30 20 10

Current Alcohol Use

0

All Students by Age

2001

High-Risk Drinking

All Students by Age Group and Gender

in high-risk drinking. U of M students ages 18–24

40

compared to female students.

Results

Campus

All Students

0

1

20

31.5

Percent

2

30

39.9

40

0

27.2

4.1

3

Al

50

4.7

33.2

4.5

31.2

4.3

4.5

A

All Students by Age

36.6

drinking are between ages 21 and 23.

5

Females

Males

High-Risk Drinking

35.2

students, the peak years for engaging in high-risk

25+ Years Old

18–24 Years Old

30.4

Alcohol Use and Other Drug Use

0

18- to 24-Year-Old Students

0

20 10

Among University Minnesota–Twin Cities Average Number of Drinks per of Week—Longitudinal

4

30

10 2004

2010 2013 2007 College Student Health Survey

2015

0

18

19

20

21

22

23 Age

24

25

26

27

28+

Average BAC

students report a higher rate of high-risk drinking

18.1

21.0%, respectively). Within each age group, male

20.6 20.6

28+

22.1 22.1

27

16.4

26

21.0 21.0

25

28.2

24

28.2 28.2

23 Age

44.1 44.1

22

34.1 34.1

21

to U of M students Age age 25 and older (34.1% vs.

25.8 25.8

20

36.8 36.8

19

50

report a higher high-risk drinking rate compared

27.4 27.4

18

Average Average BAC BAC

78.4 78.4

84.9 84.9

82.4 82.4

80.6 80.6

86.6 86.6

77.2 77.2

77.6 77.6

66.9 66.9

Minnesota–Twin Cities students report engaging

20 0

More than one-fourth (27.4%) of University of

Percent Percent

40

55.2 55.2

60

57.3 57.3

80

79.3 79.3

100

0

0

0

High-Risk Drinking Rates on Campus— 22 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students Perceived vs. Actual All Students

Ne All

High-Risk Drinking Rates on Campus— High-Riskvs. Drinking Rates on on Campus— Campus— Perceived ActualRates High-Risk Drinking All Students vs. Perceived vs. Actual Actual Perceived

Students attending U of M overestimate the high-risk drinking rate on their campus. The estimate from all

All Students Students All

Question asked: InQuestion the past asked: two weeks, what percentage of students at your Question asked: school you think had what five orpercentage more drinks a sitting? In the thedo past two weeks, what percentage of at students at your your In past two weeks, of students at (One drink = one shothad of alcohol; 12-ounce mixed school do do you you think had five or or more more drinksbeer; at aa sitting? sitting?drink school think five drinks at containing 1 or 1.5 ounces of alcohol; 12-ounce wine cooler; (One drink = one shot of alcohol; 12-ounce beer; mixed drinkor (One drink = one shot of alcohol; 12-ounce beer; mixed drink 5-ounce glass of 1.5 wine.) containing or 1.5 ounces of of alcohol; alcohol; 12-ounce 12-ounce wine wine cooler; cooler; or or containing 11 or ounces 5-ounce glass glass of of wine.) wine.) 5-ounce Students’ Perception Actual High-Risk ofStudents’ High-RiskPerception Drinking High-Risk Students’ Perception Actual Actual Drinking Status School Peers Drinking Rate High-Risk ofby High-Risk Drinking High-Risk High-Risk of High-Risk Drinking High-Risk Drinking Status Status by School School Peers Peers Drinking Rate Rate Drinking by Drinking 37.2% All Students 37.2% All Students Students 37.2% All 27.4% 45.0% High-Risk Drinkers of All27.4% Students 27.4% 45.0% High-Risk Drinkers 45.0% High-Risk Drinkers of All All Students Students 33.7% Non-High-Risk Drinkers of 33.7% Non-High-Risk Drinkers Drinkers 33.7% Non-High-Risk

Blood Alcohol Content Blood Alcohol Alcohol Content Content Blood

engaged in high-risk drinking estimate a high-risk drinking rate of 45.0%, while those who have not engaged in high-risk drinking estimate a rate of 33.7%. Negative Consequence Due to Alcohol Use Negative Consequence Consequence Due to Alcohol Use Negative Arrested for a DWI/DUI Due to Alcohol Use Arrested for DWI/DUI Arrested by forSomeone aa DWI/DUI Criticized I Know Criticized by by Someone Someone II Know Know Criticized Damaged Property, Pulled Fire Alarm, etc. Damaged Property, Property, Pulled Pulled Fire Fire Alarm, Alarm, etc. etc. Damaged Done Something I Later Regretted Done Something I Later Regretted Done Something Later Regretted Driven a Car WhileI Under the Influence Driven aa Car Car While While Under Under the the Influence Driven Got Into an Agrument or Fight Influence Got Into Into an an Agrument Agrument or or Fight Fight Got Got Nauseated or Vomited Got Nauseated Nauseated or Vomited Got Had a Hangover or Vomited Had aa Hangover Hangover Had Had a Memory Loss Had aa Memory Memory Loss Had Have Been TakenLoss Advantage of Sexually Have Been Taken Advantage Advantage of of Sexually Sexually HaveTaken Been Advantage Taken Have of Another Sexually The BACHave of aTaken student on the most recent Have Taken Advantage of Another Sexually Advantage of Another Sexually Hurt or Injured socializing/partying Hurt or or Injured Injuredoccasion was calculated based Hurt Missed a Class Missed a Classdifferent survey questions on answers to Missed afour Class Performed Poorly on a Test or Important Project Performed Poorlyweight, on aa Test Testamount or Important Important Project Performed Poorly on or Project (gender, current body of alcohol Seriously Thought About Suicide Seriously Thought Thought About About Suicide Seriously Seriously CommitofSuicide Suicide consumed, andTried timetoperiod consumption). It Seriously Tried to Commit Suicide SeriouslyI Might Tried to Commit Suicide Thought Have a Drinking Problem should be noted that the BAC calculated in this Thought II Might Might Have Have aa Drinking Drinking Problem Problem Thought Unsuccessfully Stop Using is selfstudy isTried an estimate. Thistoinformation Tried Unsuccessfully Unsuccessfully to to Stop Stop Using Using Tried Trouble with Police, Residence Hall, reported and students tend to underestimate the orTrouble Other University/College Authorities with Police, Residence Hall, Trouble with Police, Residence Hall, or Other Other University/College University/College Authorities Authorities or

Percent Who Report Percent Percent Experiencing Who Report Repor Who Within Past Experiencin Experiencing 12 Months Within Past Within Past 12 Months Months 12

0.2 0.2 0.2 12.3 12.3 12.3 1.3 1.3 1.3 26.0 26.0 26.0 5.6 5.6 5.6 11.5 11.5 11.5 35.1 35.1 35.1 49.1 49.1 49.1 20.7 20.7 20.7 3.2 3.2 3.2 0.4 0.4 0.4 5.0 5.0 5.0 9.4 9.4 9.4 6.4 6.4 6.4 2.1 2.1 2.1 0.4 0.4 0.4 7.0 7.0 7.0 1.4 1.4 1.4 4.4 4.4 4.4

actual amount of alcohol they consume.

Alcohol Use and Other Drug Use

11

All Students Consequences Negative Consequences of of Alcohol Alcohol Use Use Negative

All Students Students rate at the university is 27.4%. Those who have All

Results

Blood alcohol content (BAC) measures the percentage of alcohol inBlood a person’s blood. The(BAC) calculation of BAC based on aof Blood alcohol content (BAC) measures theispercentage percentage offormula alcohol alcohol content measures the alcohol that intoblood. account the followingof factors: in aatakes person’s blood. The calculation of BAC is is based based on on aa formula formula in person’s The calculation BAC that takes takes into into account account the the following following factors: factors: that • Gender Genderbody weight •••Current Gender Currentof body weight •••Amount alcohol consumed (number of drinks) Current body weight • Amount of alcohol consumed (number (number of of drinks) drinks) ••Time period of consumption Amount of alcohol consumed Time period period of ofofconsumption consumption •••Concentration alcohol in the beverage consumed Time on the alcohol content of beverage one typical can of beer Concentration of alcohol alcohol in the the beverage consumed ••(based Concentration of in consumed containing alcohol) (based on on4.5% the alcohol alcohol content of of one one typical typical can can of of beer beer (based the content containing 4.5% 4.5% alcohol) alcohol) containing

Negative of Alcohol Use students is 37.2%Consequences , and the actual high-risk drinking

Average Number of Alcohol-Related Average Number Number of of Alcohol-Related Alcohol-Related Negative Consequences Average All Students by Average Number of Drinks and High-Risk Drinking Negative Consequences Negative Consequences

All Students Students by by Average Average Number Number of of Drinks Drinks and and High-Risk High-Risk Drinking Drinking All

Average Estimated Blood Alcohol Content All Students Estimated by Gender Average Estimated Blood Alcohol Alcohol Content Content Average Blood

Average BAC Average BAC Average BAC

0.08 0.08 0.08 0.06 0.06 0.06

0.07 0.07 0.07

0.07 0.07 0.07

0.08 0.08 0.08

0.04 0.04 0.04 0.02 0.02 0.02 0.00 0.00 0.00

All Students All Students Students All

Males Males Males

Average Number Average Number of Average Number of of Negative Consequences Negative Consequences Negative Consequences

All Students Students by by Gender Gender All

55

18 18 Twin Cities,15the average estimated blood 15 15.1 15 alcohol content, based on the last15.1 time the 15.1 12 12 12 student partied/socialized, is 0.07. The average 9 estimated BAC 99 for females is slightly higher than 6 the average 66estimated BAC for males. 2.4 3 2.4 2.4 3.1 33 3.1 0 3.1 6 or More Non-High-Risk 00 5 or Fewer Drinkers or More More or Fewer Fewer Non-High-Risk 66Drinks or 55Drinks or Non-High-Risk perDrinks Week perDrinks Week Drinks Drinks Drinkers Drinkers per Week Week per Week Week per per

For students attending University of Minnesota– 18

14.4 14.4 14.4

High-Risk Drinkers High-Risk High-Risk Drinkers Drinkers

Females Females Females

Results

23

High-Risk Drinking

Average Estimated Blood Alcohol Content

All Students by Age

All Students by Age

18

19

20

21

22

23 Age

24

26

27

0.03

23 Age

22

0.07

24

25

26

0.06

0.06

0.06

0.06

0.07

0.08

0.07 0.07

0.08

0.08 21

27

0.06

20

0.08

0.09

0.09 19

0.06

18

A D

0.06

28+

0.06 0.00

H

0.06

27

0.09 0.03

0.09

18.1

16.4

25

26

0.12 0.06

0.09

28.2

27.2 25

18.1

24

28.2

30.4

23 Age

16.4

22

0.10

35.2

35.2

21

10 0

36.6

39.9

20

All Students by Age 0.09

0.10

36.6

39.9

31.5

19

drinking age.

27.2

18

the legal driving limit of 0.08 for individuals of legal

31.5

200

respondents averaging 0.07. Students ages 18–20 all report average estimated BAC levels that exceed

33.2

10 30

30.4

20 40

to 0.10, with the estimated BAC for all survey

33.2

31.2

30 50

31.2

Percent

All Students by Age 40 Minnesota–Twin Cities students range from 0.06

0.12

Average Estimated Blood Alcohol Content Average BAC Average BAC

50

High-Risk Drinking The average estimated BAC levels for University of

28+

G

NH ( DM

GP H (In

M 28+

0.00

*

18

19

20

21

22

23 Age

24

25

26

27

28+

Pe

*T w w

High-Risk Drinking Rates on Campus— Perceived vs. Actual All Students

Approximately one in twenty (5.6%) U of M students Question asked: High-Risk Drinking Rates on Campus— reportwhat having drivenof a car whileatunder In the past two percentage students your the influence Perceived vs.weeks, Actual

school do you think had five or more drinks at a sitting? All Students alcohol or drugs. Among (One drink = one of shot of alcohol; 12-ounce beer;University mixed drinkof Minnesota– containing 1 or 1.5 ounces of alcohol; 12-ounce wine cooler; or Twin Cities students, 9.4% report missing a class and 5-ounce glass of wine.) Question asked: 6.4% report performing poorly a test or project as In the past two weeks, what percentage of students at on your Perception Actual school do you think had five Students’ or more drinks at a sitting? High-Risk of alcohol High-Risk Drinking High-Risk a result of use. (One drink = one shot of alcohol; 12-ounce beer; mixed drink Drinking Status by School Peers wine cooler; Drinking containing 1 or 1.5 ounces of alcohol; 12-ounce or Rate 5-ounce glass of wine.) 37.2% All Students

Results

High-Risk Drinkers High-Risk Drinking Status Drinkers Non-High-Risk

Students’45.0% Perception of High-Risk Drinking 33.7% by School Peers

37.2%

High-Risk Drinkers

45.0%

Non-High-Risk Drinkers

33.7%

Alcohol Use and Other Drug Use

All Students

27.4% Actual ofHigh-Risk All Students Drinking Rate 27.4%

of All Students

Blood Alcohol Content

in a person’s blood. The calculation of BAC is based on a formula that takes into account the following factors:

• Gender • Current weight Blood alcohol body content (BAC) measures the percentage of alcohol • Amountblood. of alcohol consumed (number drinks) in a person’s The calculation of BAC is of based on a formula that •takes account the following factors: Timeinto period of consumption Concentration of alcohol in the beverage consumed ••Gender (based on the alcohol content of one typical can of beer • Current body4.5% weight containing alcohol) • Amount of alcohol consumed (number of drinks) • Time period of consumption • Concentration of alcohol in the beverage consumed (based on the alcohol content of one typical can of beer containing 4.5% alcohol)

All Students

Negative Consequences of Alcohol Use All Students

Negative Consequence Due to Alcohol Use Arrested for a DWI/DUI Criticized by Someone I Know DamagedConsequence Property, Pulled Alarm, etc. Negative DueFire to Alcohol Use Done Something I Later Regretted Arrested for a DWI/DUI Driven a Car While Under the Influence Criticized by Someone I Know Got Into an Agrument or Fight Damaged Property, Pulled Fire Alarm, etc. Got Nauseated or Vomited Done Something I Later Regretted Had a Hangover Driven a Car While Under the Influence Had a Memory Loss Got Into an Agrument or Fight Have Been Taken Advantage of Sexually Got Nauseated or Vomited Have Taken Advantage of Another Sexually Had a Hangover Hurt or Injured Had a Memory Loss Missed a Class Have Been Taken Advantage of Sexually Performed Poorly on a Test or Important Project Have Taken Advantage of Another Sexually Seriously Thought About Suicide Hurt or Injured Seriously Tried to Commit Suicide Missed a Class Thought I Might Have a Drinking Problem Performed Poorly on a Test or Important Project Tried Unsuccessfully to Stop Using Seriously Thought About Suicide Trouble with Police, Residence Hall, Seriously to Commit Suicide or OtherTried University/College Authorities Thought I Might Have a Drinking Problem

Percent Who Report Experiencing Within Past 12 Months

0.2 Percent Who Report 12.3 Experiencing Within Past 1.3 12 Months 26.0 0.2 5.6 12.3 11.5 1.3 35.1 26.0 49.1 5.6 20.7 11.5 3.2 35.1 0.4 49.1 5.0 20.7 9.4 3.2 6.4 0.4 2.1 5.0 0.4 9.4 7.0 6.4 1.4 2.1 0.4 4.4

Tried Unsuccessfully to Stop Using

7.0 1.4

Trouble with Police, Residence Hall, or Other University/College Authorities

4.4

L A

A

R

V

S

S

V

Average Number of Alcohol-Related Negative Consequences

All Students by Average Number of Drinks and High-Risk Drinking

Average Estimated Blood Alcohol Content All Students by Gender

18 Average Number of Alcohol-Related Negative Consequences

All Students by Average Number of Drinks and High-Risk Drinking 15

e Number of Number of Average Consequences Negative Consequences

erage BAC

BloodAlcohol alcohol content (BAC) measures the percentage of alcohol Blood Content

Negative Consequences of Alcohol Use

12 18 Average Estimated Blood Alcohol Content 0.08 9 All Students by Gender 0.07 0.07 15 0.06 24 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students 6 12 0.08 3 0.04 0.08 9 3.1 0.08

15.1

14.4

15.1 2.4

14.4

C

A strong association exists between the average

All Students by Average Number of Drinks and High-Risk Drinking

Males

Females

number of drinks U of M students consumed per week and the total number of reported alcoholrelated negative consequences they experienced over the past 12 months. An association also

15

15.1

12

14.4

within the past two weeks and reported negative

9

Current Marijuana Use—Longitudinal consequences. 18- to 24-Year-Old Students

6

2.4

3 0

exists between engaging in high-risk drinking

20

3.1 5 or Fewer Drinks per Week

6 or More Drinks per Week

High-Risk Drinkers

Non-High-Risk Drinkers

18.7 16.5

15 Percent

Average Number of Negative Consequences

18

15.7 13.5

17.

15.5

15.1

10 5

Current Marijuana Use Current All StudentsMarijuana by Age Group Use and Gender

All0Students by Age Group and Gender 2004 1998 2001 2007 2010 2013 The rates for 25 the alcohol-relatedCollege negative Student Health Survey 25

consequences identified are three or more 20

All Students All Students

Non-High-Risk Drinkers Non-High-Risk Drinkers

High-Risk Drinkers High-Risk Drinkers

*The rate for high-risk drinking is based on behavior in the past two weeks *The for high-risk drinking is based onisbehavior the pastexperiences two weeks whilerate the rate for negative consequences based oninreported while the previous rate for negative consequences is based on reported experiences within 12-month period. within the previous 12-month period.

Likelihood of Calling 911 in an Likelihood Calling 911 Situation in an Alcoholor of Drug-Related AlcoholAll Students or Drug-Related Situation

All Students All Students

who have engaged in high-risk drinking has 5 5

driven while under the influence of alcohol or 0

0 times drugs one or more in the past 1218–24 months. Campus Years Old

Campus 18–24 Years Old All Students Males All Students Males

12.3 12.3

10

drinking. About 10one in eight (12.6%) students

10.3 10.3

15

to students who have not engaged in high-risk

25+ Years Old 25+ Years Old Females Females

Students were asked if they would call 911 when

Negative Consequences of Marijuana Use

Negative of use Marijuana Use Students someoneAll passes out Consequences due to alcohol/drug and All Students

All Students

Response Response Very Likely Very Likely Somewhat Likely Somewhat Likely Somewhat Unlikely Somewhat Unlikely Very Unlikely Very Unlikely

have engaged15in high-risk drinking compared

17.2 17.2

12.6 12.6 27.1 27.1 6.5 6.5 24.4 24.4 16.1 16.1

12.0 12.0

2.9 2.9 5.6 5.6 1.9 1.9 3.7 3.7 2.8 2.8

19.0 19.0

5.6 5.6 11.5 11.5 3.2 3.2 9.4 9.4 6.4 6.4

times higher among U of M students who 20

13.7 13.7

Percent Percent

Percent Percent

Negative Consequence Due to Alcohol Use Negative Consequence Due to Alcohol Use Driven a Car While Under the Influence Driven a Car While Under the Influence Got into an Argument or Fight Got into an Argument or Fight Have Been Taken Advantage of Sexually (Includes Males andAdvantage Females) of Sexually Have Been Taken (Includes Males and Females) Missed a Class Missed a Class Performed Poorly on a Test or Important Project Performed Poorly on a Test or Important Project

14.0 14.0

All Students

201

22.4 22.4

High-Risk Drinking and Selected Consequences* High-Risk All Students Drinking and Selected Consequences*

they are unable to wake the individual. In this

65.0 65.0 24.9 24.9 7.3 7.3 2.8 2.8

Percent Percent

Students Who Students Who Did Not Use Did NotWithin Use Alcohol Alcohol Within the Past 30 Days the Past 30 Days

Marijuana Use—Past 12 Months Marijuana Use—Past Months All Students by Age Group and12 Gender All Students by Age Group and Gender 40 40

9

0.06 0.06

All Students

Average Number of Alcohol-Related Negative Consequences

25+ Years Ol

18–24 Years Old

Alcohol Use and Other Drug Use

t ort ort ng cing st ast hs hs

Campus

Results

8+ 28+

0

67.5 67.5 23.9 23.9 5.2 5.2 3.4 3.4

Percent Percen Who Repo Who Rep Experienci Experienc Within Pa Within P 12 Month 12 Mont

example of a situation in which 911 must be called,

64.1 64.1 25.2 25.2 8.1 8.1 2.6 2.6

Students Who Students Did Use Who Did UseWithin Alcohol Alcohol Within the Past 30 Days the Past 30 Days

65.0% of all U of M students report they would be Negative Due to Marijuana Use “very likely” to callConsequence for emergency assistance.

Negative Consequence Due to Marijuana Use Arrested for a DWI/DUI Arrested for a DWI/DUI Criticized by Someone I Know Criticized by Someone I Know Damaged Property, Pulled Fire Alarm, etc. Damaged Property, Pulled Fire Alarm, etc. Done Something I Later Regretted Done Something I Later Regretted Driven a Car While Under the Influence Driven a Car While Under the Influence Got Into an Argument or Fight Got Into an Argument or Fight Got Nauseated or Vomited Got Nauseated or Vomited Had a Hangover Had a Hangover Had a Memory Loss Had a Memory Loss Have Been Taken Advantage of Sexually Have Been Taken Advantage of Sexually Have Taken Advantage of Another Sexually Have Taken Advantage of Another Sexually Hurt or Injured Hurt or Injured Results Missed a Class Missed a Class Performed Poorly on a Test or Important Project Performed Poorly on a Test or Important Project Seriously Thought About Suicide

25

0.1 0.1 2.2 2.2 0.1 0.1 0.8 0.8 4.0 4.0 0.5 0.5 1.3 1.3 1.2 1.2 1.6 1.6 0.2 0.2 0.1 0.1 0.3 0.3 1.0 1.0 0.8 0.8 0.3

20.7 49.1 3.2 a Memory Loss 20.7 ave Taken Advantage of Another Sexually 0.4 e Been Taken Advantage of Sexually 3.2 urt or Injured 5.0 eissed Taken Advantage of Another Sexually 0.4 a Class The rate for any marijuana use within9.4 the past trformed or Injured 5.0 Poorly on a Test or Important Project 6.4 12 months is 27.5% for all University of Minnesota– sed a Class 9.4 riously Thought About Suicide 2.1 Twin Cities students. U of M students ages 18–24 ormed Poorly on a Test or Important Project 6.4 0.4 riously Tried to Commit Suicide a higher rate of using marijuana in the past ously Abouthave 2.1 oughtThought I Might Have aSuicide Drinking Problem 7.0 0.4 ously Tried to Commit Suicide months 25 and older ed Unsuccessfully to12 Stop Using compared to students age 1.4 ught I Might Have a Drinking Problem 7.0 (31.2% Hall, vs. 19.5%, respectively). Within each age ouble with Police, Residence University/College Authorities 4.4 dOther Unsuccessfully to Stop Using group, male students report a higher1.4 past 12-month

Ha Had Ha Had Ha

ad a Memory Loss a Hangover ave Been Taken Advantage of Sexually

Marijuana Use—Past 12 Months

Have Hu Have M

All Students by Age Group and Gender

Marijuana Use—Past 12 Months

Hurt Pe Miss Se

Definition:

0

28.4

31.2 35.9 35.9

31.2

24.7

19.5

Campus

0

12-Month Marijuana Use Average NumberPast of Alcohol-Related Negative Consequences Any marijuana use within the pastDrinking year. All Students by Average Number of Drinks and High-Risk verage Number of Alcohol-Related egative Consequences

All Students

15.1

Males

S

Females

A

Se

12 9 6 3

9 6

ages 18–24 has fluctuated slightly since 1998,

3

ranging from a high of2.4 18.7% in 2001 to a low of

3.1

13.5% in 2007. The current marijuana-use rate for 2.4 18–24 is 17.2% . High-Risk More ages 5 or Fewer U of 6Morstudents Non-High-Risk 3.1 Drinks

per Week 5 or Fewer Drinks per Week

Results

0

14.4

15.1 The current marijuana-use rate for14.4 U of M students

0

All

Drinks Drinkers per Week 6 or More Non-High-Risk Drinks Drinkers Definition: per Week Current Marijuana Use

D

Current Marijuana Use—Longitudinal Current Marijuana Use—Longitudinal 18- to 24-Year-Old Students 20

18.7

20 15

Drinkers

High-Risk Drinkers

Any marijuana use within the past 30 days.

15 10 10

Alcohol Use and Other Drug Use

5

U of M students. U of M students ages 18–24 have

16.5

15.7

18.7

16.5

13.5

15.7

13.5

15.5

15.1 15.1

17.2 17.2

15.5

0

Use 1998 1998

2001 2001

2004 2007 2010 2013 College Student Health Survey

2004 2007 2010 2013 College Student Health Survey

2015 2015

Current Marijuana Use

All Students by Age Group and Gender

a higher current marijuana-use rate compared

rformed Poorly on a Test or Important Project All Students

Non-High-Risk Drinkers

High-Risk Drinkers

0

Campus

18–24 Years Old All Students

25+ Years Old

Males

he rate for high-risk drinking is based on behavior in the past two weeks hile the rate for negative consequences is based on reported experiences ithin the previous 12-month period.

26 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

ikelihood of Calling 911 in an Alcohol- or Drug-Related Situation

12.3

14.0

17.2

5

10.3

3.2 1.9 6.5 9.4 3.7 24.4 6.4 2.8 16.1

7.5

ssed a Class

10

12.0

ve Been Taken Advantage of Sexually cludes Males and Females)

15

13.7

report a higher current marijuana-use rate than 5.6 2.9 12.6 female students. ot into an Argument or Fight 11.5 5.6 27.1

iven a Car While Under the Influence

Percent

Percent

19.0

20

respectively). Within each age group, male students

egative Consequence Due to Alcohol Use

22.4

25

to students age 25 and older (17.2% vs. 10.3%,

GH In Hal O

Sed U Use U

igh-Risk Drinking and Selected Consequences* Students

Coc G Ecs H

Inh Se Opi U

5

0

The current marijuana-use rate is 13.7% for all

A Dru C Am E

18- to 24-Year-Old Students

Percent Percent

12 15

Trou or O

Females 25+ Years Old

Students by Average Number of Drinks and High-Risk Drinking 18

15 18

Serio Tri Thou Tro or Tried

25+ Years Old

18–24 Years Old All Students Males 18–24 Years Old

Campus

19.5 22.3 22.3 16.6 16.6

10

Perf Se Serio Th

28.4

20 10

24.7

uble with Police, Residence Hall, marijuana use rate than female students. ther University/College Authorities 4.4

30 20

27.5

Percent Percent

40 30

27.5 31.4 31.4

All Students by Age Group and Gender 40

Negative Consequences of Marijuana Use

Females

Use

16.6 16.6

Negative NegativeConsequences Consequencesof ofMarijuana MarijuanaUse Use

Approximately one in twenty-five (4.0%) U of M

All AllStudents Students

Negative NegativeConsequence ConsequenceDue Dueto toMarijuana MarijuanaUse Use

students report having driven a car while under Percent Percent Who WhoReport Report Experiencing Experiencing Within WithinPast Past 12 12Months Months

Tried TriedUnsuccessfully Unsuccessfullyto toStop StopUsing Using

0.1 0.1 2.2 2.2 0.1 0.1 0.8 0.8 4.0 4.0 0.5 0.5 1.3 1.3 1.2 1.2 1.6 1.6 0.2 0.2 0.1 0.1 0.3 0.3 1.0 1.0 0.8 0.8 0.3 0.3 0.1 0.1 1.2 1.2 0.4 0.4

Trouble Troublewith withPolice, Police,Residence ResidenceHall, Hall, or orOther OtherUniversity/College University/CollegeAuthorities Authorities

0.2 0.2

Arrested Arrestedfor foraaDWI/DUI DWI/DUI Criticized Criticizedby bySomeone SomeoneI IKnow Know Damaged DamagedProperty, Property,Pulled PulledFire FireAlarm, Alarm,etc. etc. Done DoneSomething SomethingI ILater LaterRegretted Regretted Driven DrivenaaCar CarWhile WhileUnder Underthe theInfluence Influence Got GotInto Intoan anArgument Argumentor orFight Fight Got GotNauseated Nauseatedor orVomited Vomited Had HadaaHangover Hangover Had HadaaMemory MemoryLoss Loss Have HaveBeen BeenTaken TakenAdvantage Advantageof ofSexually Sexually Have HaveTaken TakenAdvantage Advantageof ofAnother AnotherSexually Sexually Hurt Hurtor orInjured Injured Missed MissedaaClass Class Performed PerformedPoorly Poorlyon onaaTest Testor orImportant ImportantProject Project Seriously SeriouslyThought ThoughtAbout AboutSuicide Suicide Seriously SeriouslyTried Triedto toCommit CommitSuicide Suicide Thought ThoughtI IMight MightHave HaveaaDrug DrugProblem Problem

the influence of marijuana. Among University of Minnesota–Twin Cities students, 1.0% report missing a class, and 1.2% report thinking they might have a drug problem.

Results

ld Old

The illicit drug most commonly used by

All AllStudents Students

Drug Drug Amphetamines Amphetamines Cocaine Cocaine Ecstasy Ecstasy GHB/Rohypnol GHB/Rohypnol Hallucinogens Hallucinogens Inhalants Inhalants Opiates Opiates Sedatives Sedatives Use Useof ofatatLeast LeastOne Oneof ofthe theAbove AboveListed ListedDrugs Drugs Use Useof ofAnother AnotherPerson’s Person’sADHD ADHDMedication Medication Use Useof ofAnother AnotherPerson’s Person’sMedication MedicationOther OtherThan ThanADHD ADHD

Alcohol Use and Other Drug Use

.2 7.2

Selected SelectedDrug DrugUse—Past Use—Past12 12Months Months

University of Minnesota–Twin Cities students is Percent Percent Who WhoReport Report Use Use Within WithinPast Past 12 12Months Months

0.5 0.5 2.3 2.3 2.4 2.4 0.2 0.2 3.1 3.1 0.4 0.4 0.4 0.4 0.9 0.9 6.6 6.6 7.4 7.4 2.4 2.4

hallucinogens (3.1%). Further analysis shows that among University of Minnesota–Twin Cities students, 6.6% report having used at least one of the eight listed illicit drugs. In addition,

7.4% of students report using another person’s ADHD medication and 2.4% indicate they used another person’s prescription medication other than ADHD medication.

15 015

Results

27

Results Alcohol Use and Other Drug Use

28 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Results

Personal Safety and Financial Health The health of students and their subsequent success in academic life depends on a multitude of factors, both intrinsic and extrinsic to the individual. Safety and personal finances are natural sources of concern for students, parents, and college personnel. A safe campus offers students the opportunity to pursue learning in an environment free from threats to their physical or emotional well-being. As college populations become more diverse, the challenge of creating a safe environment becomes more complex. Students’ decisions related to finances also affect their academic success. This section concentrates on the areas of personal safety and financial health.

National Comparison Though many efforts are made to reduce violence and victimization on campus, these unfortunate events still occur. Current data show that nearly one in five (18.3%) women and one in 70 (1.4%) men in the United States have been victims of rape or attempted rape in their lifetime (Black et al, 2011). Based on estimates by the National Institute of Justice, 20.0% of American women experience rape or attempted rape while in college, and more than one in nine (12.0%) student victims state the victimization was not important enough to report (Sinozich and Langton, 2014). Financial health is another area of concern. According to the U.S. Department of Education, the

Results

average total cost of attendance at a four-year school for first-year, full-time students living on campus was $21,680 at public institutions and $42,960 at private nonprofit institutions. For first-year students living on campus at a two-year public institution the average cost is $13,280 (USDE, 2013). In

Personal Safety and Financial Health

2011–2012, the average amount of grants for first-year, full-time students was $17,040 for students at four-year nonprofit institutions and $6,270 for students at four-year public institutions (USDE, 2013). Over one-half (53.0%) of first-year students attending a four-year public institution, 63.0% of firstyear students attending a nonprofit private school, and 27.0% attending a two-year public institution borrowed money through a school loan (USDE, 2013). More than four in five (84.0%) college students in the United States have at least one credit card, and one-half (50.0%) have four or more credit cards (Sallie Mae, 2009). The average credit card debt per U.S. college student is $3,173 (Sallie Mae, 2009). More than two-fifths (41.9%) of college students report they participated in some type of gambling activity during the previous school year (LaBrie et al, 2004).

29

Sexual Assault—Lifetime and Past 12 Months All Students by Gender

Sexual assault is defined as answering yes to12 at least one of the Sexual Assault—Lifetime and Past Months

Approximately one in three (32.4%) female students

following All Studentstwo by questions: Gender

at the University of Minnesota–Twin Cities report

Within your lifetime or during the past 12 months, have you: • Experienced actual or attempted sexual intercourse withoutisyour consent or againstyes your Sexual assault defined as answering to will? at least one of the following two questions: • Experienced actual or attempted sexual touching without your consent or against your Within your lifetime or during the past 12 will? months, have you: • Experienced actual or attempted sexual intercourse 40 without your consent or against your will? • Experienced actual or attempted sexual touching 30 without your consent or against your will?

experiencing a sexual assault within their lifetime, with 8.9% reporting having been assaulted within the past 12 months. Male students at the college have experienced sexual assault at lower rates, with

Percent

10.7% reporting an assault within their lifetime and 2.7% reporting an assault within the past 12 months.

32.4

40

23.7

20

Percent

30

32.4

10

23.7

20 0

10.7

6.6

Within Lifetime

10

Within Lifetime

who indicate they have experienced a sexual assault within their lifetime (23.7%), more than one-half (58.2%) state they reported the incident. Of students who chose to report the incident,

Results

23.2% reported it to a health care provider, 7.9% reported it to the police, and 5.4% reported it to a

Personal Safety and Financial Health

campus authority.

Males

6.6

Females8.9 2.7

Within Past 12 Months

All Students

Of University of Minnesota–Twin Cities students

8.9

Within Past 12 Months

10.7 All Students

0

2.7

Males

Females

Sexual Assault Reporting by Victims—Lifetime Sexual Assault Victims

Sexual Assault Reporting by Victims—Lifetime Sexual Assault Victims

41.8%

58.2%

Reported the Assault to* Campus Authority

41.8%

58.2%

Reported Sexual Assault

Family Reported the Friend or Assault to* Intimate Partner Campus Authority Health Care Provider Family Police Friend or SomeonePartner Else Intimate

Percent Among Sexual Assault Victims Who Reported Assault Percent Among 5.4 Sexual 41.5 Assault Victims Who Reported Assault

84.2 5.4 23.2 41.5 7.9 14.1 84.2

Health Care Provider 23.2 Did Not Report Sexual Assault 7.9 Police

*Students may have reported incident to individuals category. 14.1 Someone Else in more than one

Reported Sexual Assault

Did Not Report Sexual Assault

*Students may have reported incident to individuals in more than one category.

Domestic Violence—Lifetime and Past 12 Months All Students by Gender

Domestic violence is defined as answering to at one of Domestic Violence—Lifetime andyes Past 12least Months the following two questions:

30

All Students by Gender Within your lifetime or during the past 12 months, have you: • Been slapped, kicked, or pushed by your significant other or spouse/partner? Domestic violence is defined as answering yes to at least one of the following two questions: • Been hurt by threats, “put-downs,” or yelling by Health and Health-Related Behaviors University of Minnesota–Twin Cities Students your significant or spouse/partner? Within your lifetime other or during the past 12 months, have you: • Been slapped, kicked, or pushed by your significant 25 other or spouse/partner?

8 6

All Students by Gender

Percent

Domestic Violence—Lifetime and Past 12 Months

6.1

Among female students at the University of 4

Minnesota–Twin Cities, nearly one in five (23.0%)

Domestic violence is defined as answering yes to at least one of the following two questions: Within your lifetime or during the past 12 months, have you: • Been slapped, kicked, or pushed by your significant other or spouse/partner? • Been hurt by threats, “put-downs,” or yelling by your significant other or spouse/partner?

4.8 2.9

report experiencing 2 domestic violence within their 0.6 (12.4%) male students lifetime. About one in eight 0.2 1.1 0 report having had the experience. Sexual Assault

All Students

Domestic Violence Females

Males

25

23.0

20

18.7

Percent

15

12.4

10

Physical Fight—Past 12 Months

9.3

7.5

5

All Students by Gender

5.6 8

0

Within Lifetime

Transportation Safety—Past 12 Months

Within Past 12 Months

Domestic Violence Reporting by Victims—Lifetime Males

0.6 Percent 55.8

Campus Authority Family

Among Friend or Domestic Intimate Partner Violence Victims 84.0 Who Reported Reported the Health Care Provider 16.0 Assault Violence to* Police 0.6 7.4 Campus Authority

50.0%

Friend or Intimate Partner 84.0 Violence Did Not Report Domestic Reported Domestic Violence Police

Someone Else

Percent

4.1

22.6

Transportation Safety—Past 12 Months 15.5

2 Of UniversityAllofStudents Minnesota–Twin Cities students who

1.2 5.8 Females 58.934.1

100 0 40(18.7%), about one-half (50.0%) within their lifetime All Students Males 22.643.9 state they reported the incident. Of students who 80 20

15.5 reported it to a chose to report the incident, 16.0%

60 0 health care provider, 7.4% reported 18.0 it to the police,

Texting, Emailing, or Inte While Driving

Bicycle Helmet Use

and 0.6% reported it to a campus authority. 40 43.9 20 0

Always 34.1 Most of the Time Sometimes Never Texting, Emailing, or Internet While Driving

Bicycle Helmet Use

Always Most of the Time Sometimes Never

*Students may have reported incident to individuals in more than one category.

Current Credit Card Debt All Students

Depression Diagnosis—Lifetime

For students who report being victims of sexual assault,

All Students by Sexual Assault/Domestic Violence 40

40.0

38.4 Percent

30 Depression Diagnosis—Lifetime All Students by Sexual Assault/Domestic Violence 40

s

Percent

30 20 10 0

0

38.4% say they have been diagnosed with depression 13.8% within their lifetime; 40.0% of victims of domestic 20.7% 15.0% Current Credit Card Debt violence say they have had a diagnosis of depression 34.8% 11.1% All Students within their lifetime. These rates are higher than the lifetime depression rate (14.4%44.5% ) reported among U of

46.

29.1%

M students who have not experienced or 13.8% 20.7% sexual assault15.0%

20 10

2.4

60

18.0 violence indicate they have experienced domestic

Did Not Report Domestic Violence

Reported Domestic Violence

1.2 5.8 58.9

Personal Safety and Financial Health

16.0 7.4 11.0

Health Care Provider

*Students may have reported incident to individuals in more than one category.

80

6.3

Results

55.811.0

Someone Else Family

100 4

Percent

Percent Among Domestic Domestic Violence Reporting by Victims—Lifetime Violence Victims Domestic Violence Victims Who Reported Reported the 50.0% 50.0% Assault Violence to*

50.0%

All Students 6

Females

Percent

Domestic Violence Victims All Students

14.4

40.0

38.4

domestic violence within their lifetime. 34.8% Credit Card Debt

No Credit Card Debt— Pay in Full Each Month

44.5%

Sexual Assault— Students Who Have Not Experienced Within Lifetime Sexual Assault/ Domestic Violence

Domestic Violence— Within Lifetime

14.4

Do Not Have a Credit Card

Credit Card Debt No Credit Card Debt— Pay in Full Each Month

Sexual Assault— Students Who Have Not Experienced Within Lifetime

Domestic Violence— Within Lifetime

Do Not Have a Credit Card

11.1%

$1–$999

46.0%

$1,000–$2, 29.1% $3,000–$4,

$5,000 or M $1–$999

Results $1,000–$2,999 31 $3,000–$4,999

$5,000 or More

Reported ReportedSexual SexualAssault Assault

Did DidNot NotReport ReportSexual SexualAssault Assault

nts may have reported incident to individuals in more than one category. ents may have reported incident to individuals in more than one category.

Approximately one in one hundred (1.1%) male students at the University of Minnesota–Twin Cities

Sexual SexualAssault Assaultand andDomestic DomesticViolence Violence Perpetrator—Past 12 Months Perpetrator—Past 12 Months All Students by Gender All Students by Gender

report being a perpetrator of sexual assault within

88

the past 12 months. More than one in twenty (6.1%) female students at the university report they have

mestic Violence—Lifetime and mestic andPast Past12 12Months Months udents byViolence—Lifetime Gender same time period.

tudents by Gender

66 Percent Percent

been a perpetrator of domestic violence within that

6.1 6.1 4.8 4.8

44 22

Further examination of data shows that about more

estic violence isisdefined mestic violence definedasasanswering answeringyes yestotoatatleast leastone oneofof ollowing than one in eight (11.1%) students at the university followingtwo twoquestions: questions: Within the 12 have report either sexually assaulting or inflicting domestic Withinyour yourlifetime lifetimeor orduring during thepast past 12months, months, haveyou: you: ••Been slapped, kicked, ororpushed bybyyour significant Been slapped, kicked, pushed your significant violence on another person within their lifetime. Of other otherororspouse/partner? spouse/partner? ••Been hurt by threats, “put-downs,” yelling those who reportororbeing abyperpetrator of sexual assault Been hurt by threats, “put-downs,” yelling by your yoursignificant significantother otherororspouse/partner? spouse/partner?

0.6 0.6

00

2.9 2.9 1.1 1.1

0.2 0.2

Sexual SexualAssault Assault

Domestic DomesticViolence Violence

All AllStudents Students

Males Males

Females Females

or domestic violence, 49.0% indicate they have been a victim of a sexual assault within their lifetime. 23.0 23.0

18.7 18.7 12.4 12.4Male students at the University of Minnesota– 9.3 9.3 7.5 Twin Cities are more 7.5 likely to report having 5.6 5.6 engaged in a physical fight over the past 12 months

Physical Fight—Past 12 Physical Fight—Past 12Months Months All Students by Gender All Students by Gender 88

Within Within Past compared to female students at the university WithinLifetime Lifetime Within Past12 12Months Months Males Females (Students 6.3% vs. 2.4% , respectively). All Males Females AllStudents Percent Percent

66

6.3 6.3

44

4.1 4.1

00

Among students at the U of M who rode a bicycle,

omestic Violence Reporting by Victims—Lifetime more than one in three (38.1%) report wearing a mestic Violence Victims

50.0%

100

bicycle. Approximately two-thirds (65.9%) of U of Percent M students report texting, emailing, or using the Among

Violence to*

Assault

0.6 Campus Authority Additionally, (12.4%) U of M Familyalmost one in eight 55.8 or they rode in a vehicle with a driver studentsFriend report Intimate Partner 84.0

who wasHealth impaired due to alcohol16.0 consumption Care Provider within the past 12 months. Police Someone Else Reported Domestic Violence

All AllStudents Students

Males Males

Females Females

All Students

helmet always or most of the time while riding the

Domestic internet sometimes, most ofViolence the time, or always Victims Who Reported Reported the 50.0% while driving.

2.4 2.4

Transportation Safety—Past 12 Months

80 Percent

Personal Safety and Financial Health

Results

22

60 40

1.2 5.8 58.9

22.6 15.5 18.0 43.9

34.1

20 0

Bicycle Helmet Use

7.4 11.0

Did Not Report Domestic Violence

nts may have reported incident to individuals in more than one category.

32 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Texting, Emailing, or Internet Use While Driving Always Most of the Time Sometimes Never

All Students

13.8% 15.0%

20.7%

Current Credit Card Debt 34.8% All Students

11.1%

44.5%

More than one in five (20.7%) U of M students

46.0%

the past month. Of those who carry a monthly credit

29.1%

card balance, 24.9% report the debt as $3,000 per

13.8% 15.0%

20.7% 34.8%

11.1%

Credit Card Debt

month or more. $1–$999 46.0%

$1,000–$2,999

No Credit Card Debt— Pay in44.5% Full Each Month

29.1%$3,000–$4,999

Do Not Have a Credit Card

$5,000 or More

Credit Card Debt

$1–$999

No Credit Card Debt— Pay in Full Each Month

$1,000–$2,999 $3,000–$4,999

Do Not Have a Credit Card

more among U of M students is highest among students enrolled in a master’s, graduate, or

12

11.0

Credit9 Card Debt and Class Status Percent

All Students

Percent

6

8.2

6 3

0.8

0.4 0

1

1.4

2 4 3 Number of Years Enrolled Undergraduate 1.4

0.8

0.4

8.2

5+

3.7Master’s, Graduate,

or Professional Program

2 4 3 Number of Years Enrolled

5+

Master’s, Graduate, or Professional Program

Undergraduate

Student Loan Balance and Class Status

The percentage of U of M students who report

All Students

a student loan balance of more than $25,000 increases from 4.9% among first-year undergraduate

60

students to 57.6% among undergraduate students

57.6

50

Student Loan Balance and Class Status

49.6

Percent

40 All Students 60

Percent

50 40 30

0

enrolled for five or more years.

30 20

4.9

10 0

1

20 10

A monthly debt of $3,000 or more.

Personal Safety and Financial Health

1

Definition: Credit Card Debt

11.0

3.7

professional program (11.0%).

Results

3 0

Any unpaid balance at the end of the past month.

The rate of monthly credit card debt of $3,000 or

All Students

9

Definition: Current Credit Card Debt

$5,000 or More

Credit Card Debt and Class Status

12

report carrying some level of credit card debt over

4.9 1

9.0

22.6

49.6

2 4 3 Number of Years Enrolled

22.6 Undergraduate 9.0

A student loan balance of $25,000 or more.

5+

24.4

Master’s, Graduate, or Professional Program

2 4 3 Number of Years Enrolled Undergraduate

Definition: Student Loan Balance

24.4 57.6

5+

Master’s, Graduate, or Professional Program

Results

33

Results Personal Safety and Financial Health

34 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Results

Nutrition and Physical Activity For many students, the college years represent a time of new experiences and increased opportunities to make personal health decisions. Some of these decisions encompass the areas of nutrition and physical activity. Students are on their own, free to eat what they want, when they want. Busy academic and social schedules can take priority over eating well and exercising regularly. Class and work schedules vary from day to day and change every semester. Lifestyle changes, peer pressure, and limited finances may lead to an increase in stress, triggering overeating that results in weight gain. Limited finances may also translate into budget challenges pitting dollars for tuition, textbooks, and housing against food dollars.

National Comparison Research shows that young adults in the United States generally eat fewer fruits and vegetables but are more physically active compared to older adults (CDC, 2013). Young adults between the ages of 18 and 24 (20.3%) are slightly less likely than all adults (23.4%) to eat fruits and vegetables five or more times per day (CDC, 2013). Young adults between the ages of 18 and 27 report consuming breakfast an average of 3.1 days per week and consuming fast food an average of 2.5 days per week (Niemeier, 2006). The rate of obesity among young adults ages 18 to 24 is 15.6% (CDC, 2013). Though research examining food insecurity (see definition on page 34) among young adults is limited, the prevalence of food insecurity and its negative outcomes is an issue of increasing concern. Three studies conducted in the United States among college students showed 45%–59% of students were either food insecure or at risk of food insecurity (Chaparro et al, 2009; Maroto et al, 2015; Patton-Lopez et al, 2014).

Results

Nationwide, 82.8% of young adults between the ages of 18 and 24 compared to 74.7% of all adults report participating in at least one physical activity during the last month (CDC, 2013). More than one-half (54.4%) of 18- to 24-year-olds report participating in 150 minutes or more of aerobic physical

Nutrition and Physical Activity

activity per week; for all adults, the rate is 50.2% (CDC, 2013).

35

R

BMI Category Less Than 18.5

Underweight

18.5–24.9 BMI Range 25.0–29.9

Normal Weight Weight Category Overweight

Less Than 18.5 30.0–39.9 18.5–24.9 40.0 and Greater

Underweight Obese Normal Weight Extremely Obese

25.0–29.9 BMI Range Underweight 30.0–39.9 Less Than 18.5 Normal Weight 40.0 and Greater 18.5–24.9 Overweight

Overweight Weight Category Obese Underweight Extremely Obese Normal Weight

Obese/Extremely Underweight 25.0–29.9Obese

Overweight

5.0% 21.0% 9.1% BMI Category

Body mass index (BMI) is a common and reliable

All Students 64.9%

indicator of body fatness (CDC, 2015). BMI equals

21.0%

weight in kilograms divided by height in meters

5.0%

9.1% 64.9%

squared (BMI = kg/m2). This table presents weight categories based on BMI ranges.

21.0% Nearly one in three (30.1%) students at the

64.9%

University of Minnesota–Twin Cities fall within the overweight or obese/extremely obese category.

Normal30.0–39.9 Weight Overweight 40.0 and Greater

Obese/Extremely Obese

This is based on self-reported height and weight.

Underweight

Me

All S

Obese/Extremely Obese

M

All Beh

BMI Category

All Students by Gender

Percent

60 80

62.0

All Students by Gender 60 20 80 40

obese/extremely obese category.

3.1

Percent

3.1

6.3

0

Overweight

Males

Females

Normal Weight

6.3

Males

Underweight

Normal Weight Males

18.1

Overweight

26.0

Females 18.1

Overweight

9.3

Obese/ Extremely 9.3 8.9 Obese Obese/ Extremely Obese

8.9

Fas

1–2

On

9.3

Obese/ Extremely Obese

F

A

Females

F

Weight-Loss Methods

A

Students Attempting to Lose Weight

attempt to control their weight, 88.0% of students

Percent

100 Weight-Loss Methods

report engaging in exercise and 61.7% of students

Students Attempting to Lose Weight 80 100 60

Weight-Loss Methods

61.7

Students Attempting to Lose Weight 80 88.0 40

Percent

Percent

Percent

report restricting their diet.

88.0

60 100 20 40 80 0 20 60

3.0 Diet Pills

0

88.0

Exercise

3.0

0 40 Diet Pills 20

1.1

3.0 Diet Pills

0.9

Induce

0.9 Laxatives Restricted Diet

Vomiting Binge-Eating Behavior—Past 12 Months All Students by Gender

36 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students 20 Binge-Eating Behavior—Past 12 Months All Students by Gender

11.3 Other

11.3

61.7

Induce Laxatives Restricted Vomiting Diet

1.1 Exercise

61.7

Induce Laxatives Restricted Vomiting Diet

1.1

Exercise

0.9

F

A

Percent

report they were attempting to lose weight. In an

26.0

8.9

1–3 1–2 Be 4–7 Onc Bre Fas 0D 1–2 1–3 On 4–7

Other

11.3 Other

Percent

More than two in five (43.2%) U of M students

18.1

66.3 Normal 62.0 Weight

Underweight

3.1

Results

26.0

0 60 Underweight 20 40 0

66.3

62.0

6.3

20

Nutrition and Physical Activity

66.3

BMI 40 Category

Percent

four females (27.4%) fall within the overweight or

0D Be M 1–3 All Bre 4–7 0D Fast

All Students by Gender

index for male U of M students is 24.4, and the

one-third of males (34.9%) and more than one in

Bre

80 Category BMI

Data analysis shows that the average body mass

fall within the normal weight category. More than

A

Extremely Obese

Overweight

For both male and female students, these averages

R

Obese

Normal Weight

average BMI for female U of M students is 23.6.

A

Percent

Weight Category

Percent

BMI Range

Percent

All Students 9.1%

Binge-Eating Behavior—Past 12 Months

ese se

12 months.

19.0

18.6

19.1

All Students

Males

Females

Percent

15 10 5 0

RegularSupplement SupplementUse Use Regular All Students

More than one in three (34.5%) U of M students

All Students

Food Insecurity—Past 12Months Months reported using a multi-vitamin or multi-mineral Food Insecurity—Past 12 All Students All Students

supplement, and nearly one in five (17.8%) report

4040

Percent Percent

3030

using a select vitamin or mineral supplement on a

34.5 34.5

2020

17.8 17.8

1010

In the 1990s, the United States Department of Agriculture (USDA developed a series of questions designed toSecurity measure “food(HFSS) insecurity”. The18-item 18-item Household FoodSecurity Survey insecurity”. The Household Food Survey (HFSS) serves as the gold standard in assessing household food security serves asetthe gold standard into assessing household food“food security (Bickel al, 2000). In order gain some insight into (Bickel et al, 2000). In order to gain some insight into “food insecurity”among amongthe thecollege collegepopulation, population,a avalidated validatedtwo-questio two-questi insecurity” screeningbased basedonon theHFSS HFSSwas wasselected selectedtotoappear appearwithin withinthe the screening the CollegeStudent StudentHealth HealthSurvey Survey(Hager (Hageretetal,al,2010). 2010).These Thesetwo two College questions inquired whether a household was worried about havi questions inquired whether a household was worried about havin moneytotobuy buyfood food andwhether whether therewere were timeswhen when membe money and there times members thehousehold householdwent wentwithout withoutfood. food. ofofthe

Indeveloped the 1990s,athe United States Department Agriculture (USDA) regular basis. series of questions designed toofmeasure “food

5.4 5.4

11.0 11.0

00 Proteinoror Multi-vitamin Select Select Herbal/ Protein Multi-vitamin Herbal/ AminoAcids Acids or Vitaminoror Botanical Botanical Amino or Vitamin Multi-mineral Mineral Mineral Multi-mineral

6.1 6.1 Other Other

Foodsecurity securityisisa anecessary necessarycomponent componenttotohousehold householdand andpersona perso Food well-being.Food Foodinsecurity, insecurity,though thoughit’s it’sconceptual, conceptual,measures measures well-being. somethingdifferent differentthan thannutritional nutritionaldeprivation deprivationand andcan canbebea a something precursortotonutritional, nutritional,health, health,and anddevelopmental developmental problems precursor problems (Bickel et al, 2000). Mental and physical changes accompanying (Bickel et al, 2000). Mental and physical changes accompanying inadequate foodintake intake will have bearing learning, productiv inadequate food will have a abearing ononlearning, productivit and physical and psychological health (Sharkey et al,2011; 2011; and physical and psychological health (Sharkey et al, McLaughlinetetal,al,2012). 2012). McLaughlin Question Percent Question Percent Withinthe thepast past1212months, months,I I Within Obese/Extremely obese U my ofmy M students worried whether food wouldrun run worried whether food would 3.1 14.4 14.4 80.6 80.6 out before I got money buymore. more. 3.1 out before I got money totobuy report the highest rates of never eating breakfast Within the past 12 months, the food Within thejust pastdidn’t 12 months, the food I bought last and I didn’t within the past seven and of fast-food I bought justdays didn’t last and I didn’t 2.0 8.2 8.2 87.9 87.9 have money to get more. 2.0 have money to get more.

Results

MealPatterns Patterns Meal All Students by BMI Category All Students by BMI Category

Behavior Behavior BreakfastConsumption Consumption(Past (Past7 7Days) Days) Breakfast

Percent Percent

Daysper perWeek Week 0 0Days 1–3 Days per Week 1–3 Days per Week

5.5 4.9 4.9 4.2 4.2 6.1 6.1 5.5 21.3 14.3 14.3 21.6 14.3 14.3 21.6 21.3 72.6 80.2 80.8 80.8 74.2 74.2 72.6 80.2

1–2Times Timesper perMonth MonthororLess Less 1–2 Onceper perWeek WeekororMore More Once

58.8 70.4 68.9 68.9 65.0 65.0 58.8 70.4 41.2 35.0 41.2 29.6 30.2 30.2 35.0 29.6

consumption once per week or more within the OftenTrue True Often Sometimes True Sometimes True

past 12 months.

NeverTrue True Never Don’t Know Don’t Know

4–7Days Daysper perWeek Week 4–7 Fast-Food Consumption (Past1212Months) Months) Fast-Food Consumption (Past

Underweight Underweight Normal Weight Normal Weight

Overweight Overweight Obese/ExtremelyObese Obese Obese/Extremely

1

All Students 1212

10.7 10.7

Percent Percent

99 66 33 All Students by Gender

1

DailySweetened SweetenedBeverage BeverageConsumption Consumption Daily All Students

bese ese

Fruitand and VegetableConsumption—Per Consumption—PerDay Day Fruit All StudentsVegetable by Gender

Nutrition and Physical Activity

3

report they engaged in binge eating over the past

20

ory ry

ht

Nearly one in four (19.0%) U of M students

All Students by Gender

00

5.4 5.4 Results RegularSoda Soda Regular

CoffeeDrinks Drinks Coffee

37

4.2 4.2

OtherSweeten Sweet Other

A majority of U of M students consume fruits and vegetables one to four times per day. Only 18.1%

Fruit and Vegetable Consumption—Per Day All Students by Gender

of all students consume fruits and vegetables five

100

Weight-Loss Methods or more times per day. Based on the reported Students Attempting to Lose Weight

80

number of times per day fruits and vegetables are

100 80

can be calculated. Both male and female students 88.0 at the university consume fruits and vegetables on

60

average 3.2 times per day.

0

Diet Pills

1.1 Exercise

81.3

82.1

81.4

Ph All

20

61.7

0

3.0

17.9

40

40 20

17.5

60

Percent

consumed, an average number of times per day

18.1

0.6

0.4

0.7

All Students

Males

Females

11.3

0.9

Induce Laxatives Restricted Vomiting Diet

Stu acti rec an In fol

5 or More Times per Day 1–4 Times per Day 0 Times per Day

Other

Th for •

egular Supplement Use

l Students

More than one in ten (10.2%) U of M students inge-Eating Behavior—Past 12 Months report experiencing a food shortage and lacking

Food Insecurity—Past 12 Months All Students



l40 Students by Gender

money to get more within the past 12 months.

34.5

30 20

More than one-sixth (17.5%) report worrying about

food would run out before they had 19.1 19.0 whether their18.6 money to buy more.

20 15

17.8 10 10 05

6.1

Multi-vitamin Select or Vitamin or Multi-mineral Mineral

Herbal/ Botanical

All Students

Protein or Amino Acids

Males

Other

Females

Results

0

11.0 5.4

In the 1990s, the United States Department of Agriculture (USDA) developed a series of questions designed to measure “food insecurity”. The 18-item Household Food Security Survey (HFSS) serves as the gold standard in assessing household food security (Bickel et al, 2000). In order to gain some insight into “food insecurity” among the college population, a validated two-question screening based on the HFSS was selected to appear within the College Student Health Survey (Hager et al, 2010). These two questions inquired whether a household was worried about having money to buy food and whether there were times when members of the household went without food. Food security is a necessary component to household and personal well-being. Food insecurity, though it’s conceptual, measures something different than nutritional deprivation and can be a precursor to nutritional, health, and developmental problems (Bickel et al, 2000). Mental and physical changes accompanying inadequate food intake will have a bearing on learning, productivity, and physical and psychological health (Sharkey et al, 2011; McLaughlin et al, 2012). Question

Nutrition and Physical Activity

eal Patterns

Students by BMI Category

Percent

Within the past 12 months, I worried whether my food would run out before I got money to buy more.

3.1

14.4

80.6

1.9

Within the past 12 months, the food I bought just didn’t last and I didn’t have money to get more.

2.0

8.2

87.9

1.9

Percent

avior

ays per Week Days per Week Days per Week

5.5 14.3 80.2

4.9 14.3 80.8

4.2 21.6 74.2

6.1 21.3 72.6

68.9 30.2

65.0 35.0

58.8 41.2

Never True

Often True Sometimes True

akfast Consumption (Past 7 Days)

Don’t Know

t-Food Consumption (Past 12 Months) Times per Month or Less

e per Week or More Underweight Normal Weight

70.4 29.6

Overweight

Daily Sweetened Beverage Consumption All Students

Obese/Extremely Obese 12

10.7

Percent

9 6 38 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

5.4 3

4.2



2.6

Daily Sweetened Beverage Consumption Daily Sweetened Beverage Consumption All Students All Students

50 50

6

3

3

6

0

10.710.7

5.4 5.4

0

Regular SodaSoda Regular

Percent

9

(10.7%) by U of M40students. 40

4.2 4.2

41.941.9

3

30 30

Percent

Percent

9

sweetened beverages. Coffee drinks with sugar is the

sweetened beverage consumed daily at the highest rate

12 12

Percent

8.8 1.2

to report the average number of hours theythey watch TV orTVuso to report the average number of hours watch computer or handheld device in the of a of day: computer or handheld device in course the course a day: ZeroZero Screen Time: 0.0 Hours of Viewing Screen Time: 0.0 Hours of Viewing Low Low Level: 0.5–1.5 Hours per Day Level: 0.5–1.5 Hours per Day Moderate Level: 2.0–3.5 Hours per Day Moderate Level: 2.0–3.5 Hours per Day Students were asked to Level: report4.0their consumption of High or More Hours per High Level: 4.0 or More Hours Day per Day

20 20 10 10 0

0

0.8 0.8 ZeroZero

17.717.7

Low Low LevelLevelModerate LevelLevelHig Moderate

Sweetened Coffee Drinks Other Sweetened Coffee Drinks Other with Sugar Beverages with Sugar (e.g.,Beverages Energy Drinks) (e.g., Energy Drinks)

Physical Activity Level Physical Activity Level All Students

Based on their response to the two questions,

All Students

students were classified into one of three physical activity levels (none/limited, moderate, or high). The high classification meets the CDC’s recommended level of physical activity for moderate- and vigorousintensity physical activity. More than one-half (59.1%) of U of M students report levels of physical activity that place them in the high classification, meeting the CDC’s recommendations.

Results

Students werewere asked several questions related to their physical Students asked several questions to their physical activity level.level. The The two survey questions thatrelated relate to activity two survey questions that relate to recommendations outlined by the Centers for Disease Control outlined by the Centers for Disease Control and recommendations Prevention (CDC) are: and Prevention (CDC) are: In the past seven days, how manymany minutes did you doing the the In theactivities? past seven days, how minutes did spend you spend doing following following activities? • Strenuous exercise (heart beatsbeats rapidly) • Strenuous exercise (heart rapidly) • Moderate exercise (not (not exhausting) • Moderate exercise exhausting) • Exercises to strengthen or tone your muscles • Exercises to strengthen or tone your muscles The The Centers for Disease Control and Prevention’s recommendations Centers for Disease Control and Prevention’s recommendations for adults are to: for adults are to: • Engage in 150 minutes of moderate-intensity physical activity • Engage in 150 minutes of moderate-intensityactivities physical activity every weekweek and engage in muscle-strengthening two every and engage in muscle-strengthening activities two or more days a week (CDC, 2014b). or more days a week (CDC, 2014b). Or Or • Engage in 75inminutes of vigorous-intensity physical activity everyevery • Engage 75 minutes of vigorous-intensity physical week and and engage in muscle-strengthening activities twoactivity or more engage in muscle-strengthening activities two or more daysweek a week (CDC, 2014b). days a week (CDC, 2014b). Or Or • Engage in aninequivalent mix of and and vigorous-intensity • Engage an equivalent mixmoderateof moderatevigorous-intensity aerobic activity and muscle-strengthening activities two two or more aerobic activity and muscle-strengthening activities or more daysdays a week (CDC, 2014b). a week (CDC, 2014b).

Nutrition and Physical Activity

21.0% 21.0% 59.1% 59.1%

19.9% 19.9%

None/Limited None/Limited Moderate Moderate

HighHigh

Results

39

Average BMI

All Students by Physical Activity Level and Gender

security—Past 12 Months

nts

Average BMI 30

Body mass index is lowest among male and

All Students by Physical Activity Level and Gender

nsecurity—Pastfemale 12 Months students who engage in a high level of

e past 12 months, I whether my food would run 14.4Percent 80.6 1.9 e n I got money to buy more. 3.1 ehepast 1212months, the past months, I food ust didn’t last and would I didn’t whether my food run 8.2 87.9 1.9 ey to get more. 3.1 14.4 80.6 1.9 re I got money to buy more.all2.0 Among students, 39.6% report spending four

he past 12 months, or themore food per True day watching TV or using a just didn’tOften last and I didn’t hours Never True 2.0 8.2 87.9 1.9 ney to get more. computer or Don’t handheld Sometimes True Knowdevice for something that

25 Average BMI Average BMI

ents 90s, the United States Department of Agriculture (USDA) physical activity. ed a series of questions designed to measure “food y”. The 18-item Household Food Security Survey (HFSS) the gold standard in assessing household food security t990s, al, 2000). In order to gain some insight into “food (USDA) the United States Department of Agriculture y” among population, ped a seriesthe of college questions designedatovalidated measuretwo-question “food gity”. based the HFSS was selected appearSurvey within(HFSS) the Theon 18-item Household Food to Security tudent Health Surveyin(Hager et al, 2010). These as the gold standard assessing household foodtwo security s inquired household worried et al, 2000).whether In orderato gain somewas insight intoabout “food having oity” buyamong food and there wereatimes whentwo-question members the whether college population, validated ousehold went without food. ng based on the HFSS was selected to appear within the Student Health Survey (Hager et al, 2010). These two urity is a necessary towas household personal ns inquired whethercomponent a household worriedand about having ng. Foodfood insecurity, thoughthere it’s conceptual, to buy and whether were timesmeasures when members ng differentwent thanwithout nutritional deprivation and can be a household food. r to nutritional, health, and developmental problems t al, 2000). Mental and physical changes accompanying ecurity is a necessary component to household and personal ate will have a bearing on learning, productivity, ing.food Foodintake insecurity, though it’s conceptual, measures ical different and psychological health deprivation (Sharkey et al, ing than nutritional and2011; can be a hlin etnutritional, al, 2012). health, and developmental problems or to et al, 2000). Mental and physical changes accompanying uate food intake will have a bearing on learning, productivity, ysical and psychological health (Sharkey et al, 2011; Percent ghlin et al, 2012).

Regular Soda

Coffee Drinks with Sugar Coffee Drinks with Sugar

10 0

None/Limited

24.2

Moderate Males

None/Limited

23.4

High Females

Moderate

30 40

High Females

41.9

20 30

0.8

0 10

Zero

0

39.6

17.7

10 20

0.8

Zero

Other Sweetened Beverages (e.g., Energy Drinks)

Activity Level Activity Level

23.6

Screen Time

Percent Other Sweetened Beverages (e.g., Energy Drinks)

24.7

23.4

15 5

Percent

Results Nutrition and Physical Activity

Regular Soda

4.2

24.4

24.2

23.6

All Students Screen time levels—zero, low, moderate, and high—were determined based on a survey question that asked respondents to report the average number of hours they watch TV or use a computer or handheld device in the course of a day: Screen time levels—zero, low, moderate, and high—were Zero Screenbased Time:on 0.0aHours Viewing that asked respondents determined surveyofquestion to report the0.5–1.5 average number of hours they watch TV or use a Low Level: Hours per Day computer or handheld device in the course of a day: Moderate Level: 2.0–3.5 Hours per Day Zero Screen Time: 0.0 Hours of Viewing High Level: 4.0 or More Hours per Day Low Level: 0.5–1.5 Hours per Day 50Moderate Level: 2.0–3.5 Hours per Day High Level: 4.0 or More Hours per Day 40 41.9 50 39.6

Sweetened Beverage Consumption

5.4

24.8

24.7

All Students

dents

4.2

24.4

Screen Time

ents

10.7

24.8

Males

Sweetened Beverage Consumption

5.4

20 10

0

Don’t Know

10.7

25 15

5

is not work- orNever school-related. True

Often True Sometimes True

30 20

s asked several questions related to their physical ere el. The two survey questions that relate to dations outlined by the Centers for Disease Control tion (CDC) are: were questions their physical evenasked days, several how many minutesrelated did youtospend doing the vel. The two survey questions that relate to tivities? ndations outlined by the Centers for Disease Control ous exercise (heart beats rapidly) ntion (CDC) (not are: exhausting) ate exercise esseven to strengthen toneminutes your muscles days, howormany did you spend doing the activities? for Disease Control and Prevention’s recommendations uous exercise (heart beats rapidly) re to:exercise (not exhausting) rate ses150 to strengthen tone your musclesphysical activity in minutes of or moderate-intensity 40 inHealth and Health-Related University of Minnesota–Twin Cities Students eek and engage muscle-strengthening activitiesBehaviors two rsdays for Disease Control and Prevention’s recommendations a week (CDC, 2014b). are to: e in 150 minutes of moderate-intensity physical activity week engage in muscle-strengthening two in 75 and minutes of vigorous-intensity physicalactivities activity every

17.7

Low Level

Low Level

Moderate Level

Moderate Level

High Level

High Level

Results

Sexual Health College is a time of great transition. With its increase in freedom and decision-making opportunities, this transitional period poses many challenges for students. Some of the most important decisions facing college students concern sexual health. Choices relating to sexual behavior have the potential for significant, and oftentimes long-term, consequences. So important is the issue of sexual health that Healthy People 2020, a science-based, 10-year agenda for improving the health of all Americans, states that improving sexual health is crucial to eliminating health disparities, reducing rates of infectious diseases and infertility, and increasing educational attainment, career opportunities, and financial stability (USDHHS, 2014).

National Comparison The majority of young adults in the United States are sexually active. Among males, 60.9% of 18- to 19year-olds and 70.3% of 20- to 24-year-olds report that they have engaged in vaginal intercourse within their lifetime, 59.4% of 18- to 19-year-olds and 73.5% of 20- to 24-year-olds report that they received oral sex from a partner of the opposite sex within their lifetime, and 9.7% of 18- to 19-year-olds and 23.7% of 20- to 24-year-olds report that they engaged in insertive anal intercourse within their lifetime (Herbenick et al, 2010). Among females, 64.0% of 18- to 19- year-olds and 85.6% of 20- to 24-year-olds report that they have engaged in vaginal intercourse within their lifetime, 62.0% of 18- to 19-year-olds and 79.7% of 20- to 24-year-olds report that they received oral sex from a partner of the opposite sex within their lifetime, and 20.0% of 18- to 19-year-olds and 39.9% of 20- to 24-year-olds report that they engaged in anal intercourse within their lifetime (Herbenick et al, 2010). During their most recent vaginal intercourse event, 42.6% of 18- to 24-year-old males and 36.7% of 18- to 24-year-old females used a condom (Sanders et al, 2010). Due to a combination of behavioral, biological, and cultural reasons, sexually active young adults are at increased risk for acquiring sexually transmitted infections (STIs) (CDC, 2014c). The higher prevalence of STIs among young adults reflects multiple barriers to accessing quality STI prevention services:

Results

ability to pay, lack of transportation, and concerns about confidentiality (CDC, 2014c). Among all males, 20- to 24-year-olds have the highest rate of chlamydia (1,325.6 cases per 100,000 people), gonorrhea (459.4 cases per 100,000 people), and syphilis (27.7 cases per 100,000 people) (CDC, 2014c). Among

Sexual Health

all females, 20- to 24-year-olds have the highest rates of chlamydia (3,621.1 cases per 100,000 people), gonorrhea (541.6 cases per 100,000 people), and syphilis (3.9 cases per 100,000 people) (CDC, 2014c).

41

All Students by Gender 80

Sexually Active—Lifetime and Past 12 Months All Students by Gender

sexual activity within their lifetime and within the

74.5

All Students by Gender 80 4080 60

Percent Percent

past 12 months compared to male students.

Percent

Minnesota–Twin Cities report higher rates of

74.3

74.1

70.4 Sexually Active—Lifetime and Past 1268.3 Months 60

Female students attending the University of

74.1 74.1

2060 40

63.0

74.3

74.5

74.3

63.0

74.5

63.0

040 20

All Students

68.3

70.4

Females

Males

Within Past 12 Months

Within Lifetime

0

70.4

Within Past 12 Months

Within Lifetime

20 0

68.3

Students WithinAll Lifetime

Males Within PastFemales 12 Months

All Students

Males

Females

Number of Sexual Partners—Past 12 Months All Students 50

Number of Sexual Partners—Past 12 Months

More than three in four (79.3%) students report 12 months. On average, U of M students who were sexually active in the past 12 months had 2.0 sexual

All Students 40 Number of Sexual 42.0 Partners—Past 12 Months All Students 50 37.3 30 50 40 20

Percent Percent

partners over the past 12-month period.

Percent

that they had zero or one partner within the past

40 30 10 30 20 0 20 10 10 0 0

42.0

37.3

8.1

2.9

28.1 4 3 4.7Partners Number of 2.9

1

0

4.7

8.1

0

1

0

1

4.7

2.9

2 4 3 Number of Partners 2 4 3 Number of Partners

1.8

3.2

5

6+

1.8

3.2

1.8 5

3.2

5

6+

Sexually Active Students

students who were sexually active within the past 12 months, about three in four (77.2%) report

1.7%

1.5%Sexual Partner—Past 12 Months Most Recent

that their most recent sexual partner was either a

Sexually Active Students

% 7.1

Most Recent Sexual Partner—Past 12 Months Fiancé(e)/Spouse

fiancé(e)/spouse or an exclusive dating partner.

Sexually Active Students

1.7% 27.0% 12.5% 1.5%

Sexual Health

% % 7.1 7.1

1.7%

1.5%

12.5% 50.2% 27.0% 12.5%

27.0%

50.2% 50.2%

Exclusive Dating Partner Close but Not Exclusive Dating Partner Fiancé(e)/Spouse Casual Acquaintance Exclusive Dating Partner Stranger Fiancé(e)/Spouse Close but Not Other Exclusive Dating Dating Partner Partner Exclusive Casual Acquaintance Close but Not Exclusive Dating Partner Stranger Casual Acquaintance Other Stranger Other

Condom Use

Sexually Active Students Within Lifetime (Does Not Include Those Who Are Married or With a Domestic Partner)

Condom Use

100 Sexually Active Students Within Lifetime (Does Not Include Those Who Are 38.0 Married or 52.5 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students Condom Use With a Domestic Partner) Sexually Active Students Within Lifetime 80 (Does Not Include Those Who Are Married or With 100 a Domestic Partner) 3.0 60 ent

42

6+

Most Recent Sexual Partner—Past 12 Months

Among University of Minnesota–Twin Cities

Results

42.0

37.3

8.9 1.0 90.1 8.9 1.0

Used Emergency Contraception

1 Time

Did Not Use Emergency Contraception

2 Times 3 Times 4 Times

Condom Use

100

52.5

their lifetime, 52.5% used a condom the last time they engaged in vaginal intercourse, 38.0%

8.9 1.0 90.1

38.0

Percent

80

3.0 59.0

60

1.0 46.5

40

used a condom during the last time they had anal intercourse, and 8.9% used a condom during their last oral sex experience. Percent is based solely on those who indicated they engaged in the activity.

Sexually Transmitted Infection Diagnosis—

Lifetime Past of 12UMonths Data analysis shows that of and the 74.1% of M All Students

20 0

5+ Times

Among U of M students sexually active within

Sexually Active Students Within Lifetime (Does Not Include Those Who Are Married or With a Domestic Partner)

students who report being sexually active within their lifetime, 95.2% engaged in oral sex, 90.6% Vaginal Intercourse

Anal Intercourse

Oral Sex

Sexually Transmitted Infection

engaged in vaginal intercourse, and 30.2% engaged

Syphilis

4.3 2.0 3.8 0.4 0.2 0.6 0.2

Sexually Transmitted Infections

9.3

Chlamydia

Used a Condom

in anal intercourse.

Genital Herpes

Don’t Know

Genital Warts/HPV

Did Not Use a Condom

Gonorrhea HIV/AIDS Pubic Lice

Pregnancy Prevention Methods Sexually ActivePrevention Students Within Lifetime Pregnancy Methods

The two methodsAtthat U One of Mofstudents Least the Abovereport using

Sexually Active Students Within Lifetime

most commonly to prevent pregnancy the last Percent Who Report UsingWho Method Percent Report Using Method

43.5 43.5 42.6 42.6 1.5 1.5 0.4 0.4 1.8 1.8 2.4 2.4 1.9 1.9 8.9 8.9 2.8 2.8 0.4 0.4 2.0 2.0 16.2 16.2 1.2 1.2 1.2 1.2 3.3 3.3

of the withdrawal method is reported by 16.2% of University of Minnesota–Twin Cities students.

A total of 2.4% of University of Minnesota–Twin Cities students has been involved in a pregnancy

All Students

within the past 12 months. Of those involved in

2.4% 0.3%2.4% 0.3%

a pregnancy, 36.7% state it was unintentional.

36.7% 63.3% 36.7% 63.3%

11.111 %.1%

97.3% 97.3%

control pills (43.5%) and condoms (42.6%). Use

Sexual Health

Unintended Pregnancy Outcome— Unintended Pregnancy Outcome— Past 12 Months All Students Past 12 Months

time they engaged in vaginal intercourse are birth Within Past 12 Months Within Lifetime

Results

Type of Method Type of Method Birth Control Pills Birth Control Pills Condoms Condoms Depo-Provera (Shots) Depo-Provera (Shots) Diaphragm and Spermicide Diaphragm and Spermicide Emergency Contraception Emergency Contraception Fertility Awareness Fertility Awareness Implanon (Hormone Implant) Implanon (Hormone Implant) Intrauterine Device Intrauterine Device NuvaRing NuvaRing Patch Patch Sterilization (Hysterectomy, Vasectomy) Sterilization (Hysterectomy, Vasectomy) Withdrawal Withdrawal Other Other Don’t Know/Can’t Remember Don’t Know/Can’t Remember Report Not Using any MethodNot of Using Pregnancy Report any Prevention Method of Pregnancy Prevention

Percent Who Rep Being Diagnose

38.9% 38.9% 44.4% 44.4%

Among the unintentional pregnancies, 44.4% resulted in abortion, 11.1% resulted in birth and parenting, and 5.6% resulted in miscarriage.

5.6% 5.6% Involved in Pregnancy Involved in Pregnancy Not Involved in Pregnancy Not Involved in Pregnancy Don’t Know Don’t Know

Unintentional Unintentional Intentional Intentional

Birth and Parenting Birth and Parenting Abortion Abortion Miscarriage

Miscarriage Still Pregnant Still Pregnant

Results

43

1.7%

1.5%

t Recent Sexual Partner—Past 12 Months

lly Active Students

Sexually Active Female Students

Fiancé(e)/Spouse

7.1

%

2.5% 1.7%

Emergency Contraception Use—Past 12 Months

7.1

Exclusive Dating Partner 15.7% of sexually active female students at the Casual Acquaintance Fiancé(e)/Spouse

2.6%

Emergency Contraception Use—Past 12 Months 15.7% Sexually Active Female Students

50.2% University of Minnesota–Twin Cities have used Stranger Exclusive Dating Partner 27.0% Other but Not Among those who used emergency contraception. Close

5.1% 2.6% 27.4% 58.1%

%

2.5%

emergency contraception, 58.1% have used it once, Casual Acquaintance

27.4% have used it twice, and 14.5% used it three Stranger or more times.Other

84.3% Contraception Used Emergency

m Use

m Use

Active52.5 Students Within Lifetime 38.0 t Include Those Who Are Married or omestic Partner)

1.0

Oral Sex

with an STI within the past 12 months. Chlamydia is Used a Condom

the STI most commonly diagnosed within students’ Don’t Know

ginal Intercourse

lifetimes, and genital warts/HPV is the STI most Did Not Use a Condom Anal Intercourse

Oral Sex

commonly diagnosed within the past 12 months. Used a Condom Don’t Know Did Not Use a Condom

Did Not Use Emergency Contraception

2 Times

Used Emergency Contraception

4 Times 1 Time 5+ Times

3 Times

2 Times

3 Times

8.9 1.0 90.1

active within their lifetime, 9.3% report being 3.0 diagnosed with a sexually transmitted infection (STI) 59.0 within their lifetime and 3.1% report being diagnosed Anal Intercourse

58.1%

1 Time

4 Times

3.0 8.9 59.0 1.0 38.0 Among U of M students who 90.1have been sexually

ginal46.5 Intercourse

27.4%

Did Not Use Emergency Contraception

Active Students Within Lifetime t Include Those Who Are Married or omestic Partner)

52.5 1.0 46.5

8% 6.

84.3% 15.7%

Exclusive Dating Partner

50.2%

5.1%

8% 6.

Exclusive Dating Partner 27.0% Not the past 12 months, Analysis showsClose that but within 1.5%

5+ Times

Sexually Transmitted Infection Diagnosis— Lifetime and Past 12 Months All Students

Percent Who Report Sexually Transmitted Infection Diagnosis— Sexually Transmitted Infection Being Diagnosed

Lifetime and Past 12 Months

All Students Chlamydia

Genital Herpes Genital Warts/HPV Sexually Transmitted Infection Gonorrhea Chlamydia HIV/AIDS Genital Herpes Pubic Lice Genital Warts/HPV Syphilis Gonorrhea At Least One of the Above HIV/AIDSTransmitted Infections Sexually Pubic Lice Syphilis

Within Lifetime

At Least One of the Above Sexually Transmitted Infections

Sexual Health

Results

Within Lifetime

44 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

1.1 4.3 0.9 2.0 Percent Who Report 1.2 3.8 Being Diagnosed 0.1 0.4 1.1 4.3 0.2 0.1 0.9 2.0 0.2 0.6 1.2 3.8 0.2 0.1 0.1 0.4 0.2 0.1 3.1 9.3 0.2 0.6 Within Past 12 Months 0.2 0.1 9.3

3.1

Within Past 12 Months

Implications

Healthy individuals make better students, and better students make healthier communities. Results from the 2015 College Student Health Survey presented in this report highlight the health and health-related behaviors of students enrolled in the participating institutions. These data, therefore, offer a comprehensive look at the diseases, health conditions, and health-related behaviors that are impacting students attending postsecondary schools in Minnesota. Identification of these health-related issues is critical because the health of college students in Minnesota affects not only their academic achievement but also the overall health of our society. While it is intuitively obvious that health conditions can affect academic performance, the link to overall societal health is more subtle but no less profound. Given that there are now more students enrolled in postsecondary institutions than in high schools, that college students help set the norms of behavior for our society and serve as role models for younger students, that college students are establishing and solidifying lifestyles and behaviors that will stay with them for the rest of their lives, and that obtaining a college degree is one of the major determinants of future health and economic status, the importance and the impact of the health of college students on our society becomes evident.

Implications

45

46 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Appendix 1 Colleges and Universities Participating in the 2015 College Student Health Survey School

Location

Augsburg College

Minneapolis, MN Rochester, MN

Carleton College

Northfield, MN

Century College

White Bear Lake, MN

M State

Detroit Lakes, MN Fergus Falls, MN Moorhead, MN Wadena, MN

Minneapolis Community and Technical College

Minneapolis, MN

Minnesota State University Moorhead

Moorhead, MN

Normandale Community College

Bloomington, MN

Rainy River Community College

International Falls, MN

Rochester Community and Technical College

Rochester, MN

St. Catherine University

Minneapolis, MN St. Paul, MN

St. Cloud State University

St. Cloud, MN

St. Cloud Technical & Community College

St. Cloud, MN

The College of St. Scholastica

Brainerd, MN Cloquet, MN Duluth, MN Grand Rapids, MN Inver Grove Heights, MN Rochester, MN St. Cloud, MN St. Paul, MN Surprise, AZ

University of Minnesota–Crookston

Crookston, MN

University of Minnesota–Duluth

Duluth, MN

University of Minnesota–Twin Cities

Minneapolis, MN St. Paul, MN

Winona State University

Winona, MN

Enrollment—Spring 2015* 3,464 2,023 14,462 8,798

13,853 8,140 14,693 486 8,374 5,055 19,912 6,397 4,237

2,241 10,068 47,810 9,993

*Includes full-time and part-time students.

Appendix 1 References Augsburg College. (2015). About Augsburg College. Retrieved May 27, 2015, from http://www.augsburg.edu/about/facts/. Carleton College. (2013). About Carleton. Retrieved May 27, 2015, from http://apps.carleton.edu/about/. Minnesota State Colleges and Universities. (2015). Colleges and universities. Retrieved May 27, 2015, from http://webproc.mnscu.edu/college-search/public/institution/. St. Catherine University. (2014). About St. Kate’s. Retrieved May 27, 2015, from http://www.stkate.edu/menu/aboutus.php. The College of St. Scholastica. (2014). Fast facts. Retrieved May 27, 2015, from http://www.css.edu/about/fast-facts.html. University of Minnesota. (2015). Official enrollment statistics: Spring 2015. Retrieved May 27, 2015, from http://www.oir.umn.edu/student/enrollment/term/1153/current/12943.

Appendix 1

47

Appendix 2 University of Minnesota–Twin Cities Students Survey Demographics Based on Student Response

Average Age (Years) Age Range (Years) 18–24 Years 25 Years or Older Average GPA

All Students 23.5 18–60 68.6% 31.4% 3.46

Class Status Undergraduate—Enrolled One Year Undergraduate—Enrolled Two Years Undergraduate—Enrolled Three Years Undergraduate—Enrolled Four Years Undergraduate—Enrolled Five or More Years Master’s, Graduate, or Professional Program Non-Degree Seeking Unspecified

13.5% 13.7% 14.7% 10.7% 3.0% 31.6% 0.2% 12.6%

Gender Male Female

36.0% 52.8%

TransMale, TransFemale, Genderqueer, Preferred Another Descriptor (Write-in)

1.3% 9.9%

Preferred to Not Answer

Racial Identity American Indian/Alaska Native Asian/Pacific Islander Black or African American Native Hawaiian/Other Pacific Islander White (Includes Middle Eastern) Preferred Another Descriptor (Write-in) Preferred to Not Answer

1.3% 14.1% 3.4% 0.3% 70.6% 2.8% 0.9%

Ethnic Identity Hispanic or Latino Hmong Somali None of the Above Preferred to Not Answer

2.9% 0.9% 0.7% 82.4% 2.3%

Current Residence Residence Hall or Fraternity/Sorority Other

19.9% 80.1%

Enrollment in Online Classes This Term No Online Classes Some Online Classes All Online Classes

74.4% 1.4% 24.2%

Other Status International Student Veteran of United States Armed Forces Reported at Least One Disability

10.2% 1.4% 9.6%

48 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

Glossary Credit Card Debt A monthly debt of $3,000 or more.

Current Alcohol Use

Any alcohol use within the past 30 days.

Current Credit Card Debt

Any unpaid balance at the end of the past month.

Current Electronic Cigarette Use

Any use of an electronic cigarette within the past 30 days.

Current Hookah Use

Any use of tobacco from a water pipe (hookah) within the past 30 days.

Current Marijuana Use

Any marijuana use within the past 30 days.

Current Smokeless Tobacco Use

Any smokeless tobacco use in the past 30 days.

Current Tobacco Use

Any use of tobacco in the past 30 days. Tobacco use includes both smoking and smokeless tobacco.

High-Risk Drinking

Consumption of five or more alcoholic drinks at one sitting within the past two weeks for both males and females. A drink is defined as a bottle of beer; wine cooler; glass of wine; shot glass of liquor; or mixed drink.

Past 12-Month Alcohol Use

Any alcohol use within the past year.

Past 12-Month Marijuana Use

Any marijuana use within the past year.

Student Loan Balance

A student loan balance of $25,000 or more.

Glossary

49

50 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

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Adverse childhood experiences in Minnesota: Findings & recommendations based on the 2011 Minnesota Behavioral Risk Factor Surveillance System. Retrieved May 13, 2015, from http://www.health.state.mn.us/divs/cfh/program/ace/. Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR. (2006). Fast food consumption and breakfast skipping: Predictors of weight gain from adolescence to adulthood in a nationally representative sample. Journal of Adolescent Health, 39(6), 842–849.

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51

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52 Health and Health-Related Behaviors University of Minnesota–Twin Cities Students

2015 Boynton Health Service Survey Team Principal Investigator Katherine Lust, Ph.D., M.P.H., R.D. 612-624-6214 • [email protected]

Co-Investigator David Golden

Survey Team Amy Bartkus Kate Elwell, M.P.H. Anne Hodgson Cheryl Hoffman Jolene Johnson Kirk Marshall Julia Sanem, M.P.H. Amy Westberg

Published October 2015 The University of Minnesota is an equal opportunity educator and employer. This publication is available in alternative formats upon request. Contains a minimum of 10% post-consumer waste. For more information or additional copies, contact the Boynton Health Service Marketing Department at 612-625-6410 or [email protected].

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