Boynton Health Service 2012 College Student Health Survey Report Boynton Health Service Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans 2012 College Student Health Survey Report Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Introduction iii Survey v Methodologyv Analysis Summary vi Results 1 Health Insurance and Health Care Utilization 1 Mental Health 7 Tobacco Use 15 Alcohol Use and Other Drug Use 21 Personal Safety and Financial Health 29 Nutrition and Physical Activity 37 Sexual Health 43 Implications 47 Appendices 49 Appendix 1 Colleges and Universities Participating in the 2012 College Student Health Survey 49 Appendix 2 2012 College Student Health Survey Demographics Based on Student Response 50 Glossary 51 References 53 ii Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Introduction Q: What do the following health conditions and health-related behaviors have in common? • 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 A: They all affect the health and academic achievement of students, including military veterans returning to college. Introduction iii In August 2009, when the Post-9/11 Veterans Educational Assistance Act of 2008 took effect, more than 2 million veterans gained access to affordable college education benefits.1 The bill’s passage and subsequent influx of military veterans on college campuses present both a challenge and an opportunity for educational institutions to serve veterans in their transition from service member to student. For educational institutions to meet the needs of student veterans, issues unique to student veterans must be identified. In spring 2012, Boynton Health Service, in partnership with Minnesota State Colleges and Universities, conducted a comprehensive survey of a randomly selected group of students attending 11 colleges and universities in Minnesota. To gather information specific to veterans attending college, all veterans enrolled at and identified by the 11 postsecondary institutions in Minnesota were also invited to complete the survey. The data from one school were excluded from the comprehensive data set because of a low response rate and concerns about the representativeness of the data. This report presents the health and health-related behavior data collected from veterans attending the 10 colleges and universities in Minnesota included in the comprehensive data set that were invited to participate in the 2012 College Student Health Survey. Boynton Health Service and Minnesota State Colleges and Universities administrators hope the information in this report will help college and university leaders develop programs and policies that address the unique needs of student veterans enrolled in their schools. This report presents data collected from veterans, not Boynton Health Service’s interpretation of the data. In many instances, comparison data based on the aggregate student population that also completed the 2012 College Student Health Survey is included. The general student data are included solely for comparison; the student data have been adjusted to account for the gender and age differences between the veterans and the student population. For unadjusted prevalence rates for the aggregate student population, please refer to the 2012 College Student Health Survey Report: Health and Health-related Behaviors, Minnesota Postsecondary Students.2 The information in this report highlights the health and health-related behaviors of veterans currently enrolled in a Minnesota college or university. Data presented in this report should not be extrapolated to veterans not currently enrolled in a postsecondary institution. Veterans enrolled in a college or university may be at very different points in their transition back to civilian life and therefore may have health and health-behavior rates that are not comparable to veterans not currently enrolled in a postsecondary institution. Additional data analysis to examine whether veteran health profiles differ from those of the general student population is ongoing. iv Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Survey Methodology Undergraduate and graduate students enrolled in 11 postsecondary institutions in Minnesota completed the 2012 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 gift certificates valued at $1,000 (two) and $500 (one) at a variety of stores. In addition, all students who responded to the survey were entered into eight separate drawings for an iPod Touch™ and one drawing for a $100 Amazon gift card that included just students from their school. 2012 College Student Health Survey Methodology Highlights Randomly selected students were contacted through multiple mailings and e-mails: • Invitation postcard • 19,992 students from 10 Minnesota colleges and universities were selected to participate in this survey. • Invitation e-mail • Reminder postcard and multiple reminder e-mails The data from one school was excluded from the comprehensive • 6,170 completed the survey. data set because of a low response rate and concerns about the • 30.9% of the students responded. representativeness of the data. A total of 19,992 undergraduate and graduate students from the 10 colleges and universities in Minnesota included in the comprehensive data set were invited to participate in the 2012 College Student Health Survey (see Appendix 1 for a list of Veterans Methodology Highlights participating schools). In addition to the 19,992 randomly selected students, an oversample of • 1,234 veterans attending 10 Minnesota colleges and universities were identified to participate in this survey. 1,234 students who attended one of these 10 Minnesota schools and were identified as veterans of the United States Armed Forces were also invited to participate in the survey. The survey results for the oversample • 324 completed the survey. of veterans will be treated as a separate report. $ $ $ $ $ $$ $$ $ $ Do Good. Win BIG! $$$ $ $ $ $ $ $ $ $$ $$ $ $$ $ $ $ $ $ Fill out an online survey from your college Touch ! a chance to win gift cards and an iPod Survey results help bring funding to $ $ $ . your school to support student needs • 26.3% of the veterans responded. $ $ $ $ $$ $ $ $ $ $$$ $$$ $ $$ $ $ $$ $ $ $ Do Good. $ TM for $ YOU have been selected by your college to participate in the 2012 College Student Health Survey. Just for completing the survey, students will be entered into a grand prize drawing.* Two students will win $1,000, one student will win $500, and one student from each participating school will win a $100 gift card to Amazon. $ ! CHA-CHING Your odds are better than 1 in 1,000! Plus, every week, between February 13 and March 28, 2012, students who completed the survey will have a chance to win an iPod Touch™. The sooner you fill out your survey, the more chances you have to win! $ W$in$BIG$! $ $ $ Boynton Health Service University of Minnesota 410 Church Street S.E. Minneapolis, MN 55455 $ NONPROFIT ORG. U.S. POSTAGE PAID TWIN CITIES, MN PERMIT NO. 90155 $$ survey .umn.edu/health y, go to www.bhs -hand side of to begin the surve see on the right To learn more or and password you password. ame your usern ge the chan r to and ente be asked entering, you will . this card. Upon , March 28, 2012 completed by noon Survey must be Questions? Katherine Lust, Ph.D., Survey Administrator Boynton Health Service klust@bhs.umn.edu, (612) 624-6214 Login or Technical Concerns? healthsurvey@bhs.umn.edu 2012 College Student Health Survey *Grand prize winners will be notified by April 2, 2012. UP-2000-01/12 2012 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 and veterans attending college) 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). This report presents the actual rates reported among the veterans who participated in the survey. Comparison data collected from the general student population have been adjusted to correct for the differences in age and gender between veterans and the student population. The veteran survey sample comprises approximately 29.9% females and 70.1% males, with an average age of 33.4 years. The aggregate student survey sample comprises approximately 73.8% females and 25.8% males, with an average age of 27.1 years. This adjustment creates a more accurate comparison group for viewing the veteran data. Unadjusted prevalence rates for the student population can be found in the 2012 College Student Health Survey Report: Health and Health-related Behaviors, Minnesota Postsecondary Students.2 vi Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Results Health Insurance and Health Care Utilization 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 (89.0%) and nationwide (84.4%) report excellent, Results very good, or good health.3 At the same time, young adults have relatively low rates of health insurance and preventive care utilization. In Minnesota, 83.1% of 18- to 24-year-olds report some kind of health care insurance, and nationwide the number is 73.7%.3,4 More young males (28.8%) than young females Health Insurance and Health Care Utilization (23.8%) lack health insurance coverage.4 Among all age groups, young adults (73.8%) are least likely to identify a usual place for medical care.4 Information related to health care access among veterans is severely limited. A study published in 2007 documented that in 2004, 1,768,377 United States veterans had no health insurance and were not being cared for within the Veterans Administration.5 According to this study, 12.7% of working-age veterans lack health coverage.5 Among these uninsured veterans, 51.4% had no regular source of care (compared to 8.9% of insured veterans), and 26.5% reported failing to get needed care because of the cost (compared to 4.3% of insured veterans).5 1 Veterans who completed the 2012 College Student Health Survey report an overall uninsured rate of Health Insurance Status—Uninsured Veterans All Students by Gender Healthand Insurance Status—Uninsured Health Status—Uninsured Veterans Insurance and All Students by Gender Veterans and All Students by Gender 19.1%, which is a statistically significantly higher adjusted aggregate data from all students who completed the survey (14.0%) (p<0.05). Percent Percent Percent rate than the uninsured rate obtained from the Veterans who obtain health care through the Veterans Administration system may not consider themselves as having health insurance. 25 25 25 20 20 20 15 15 15 10 10 10 5 5 5 0 0 0 19.1 19.1 19.1 21.0 21.0 21.0 16.1 16.1 16.1 14.0 14.0 14.0 All* All* All* Veterans Veterans *StatisticallyVeterans significant. 14.6 14.6 14.6 9.0 9.0 9.0 Males Females Males Females Males Females All Students—Adjusted Data All Students—Adjusted Data All Students—Adjusted Data 18–19 18–19 18–19 20–24 20–24 20–24 Veterans Veterans Veterans More than three in five (61.1%) veterans report having a spouse, and 14.6% of these veterans report that their spouse is uninsured. The adjusted aggregate data indicate that more than one-half uninsured. More than two in five (43.5%) veterans who completed the survey report having dependent children. Of these dependent children, 12.1% lack health insurance. In comparison, the adjusted 9.5 9.59.5 10.3 10.3 10.3 16.0 16.0 16.0 Marital Status and Health Care Coverage Marital Status and Health Care Coverage Marital Status and Health Care Coverage 38.9% 38.9% 38.9% 61.1% 61.1% 61.1% 14.6% of spouses are uninsured 14.6% of 14.6% of spouses are uninsured spouses are uninsured Have Spouse Have Spouse No Spouse Have Spouse Have No Spouse Have No Spouse Dependent Children and Health Care Coverage Dependent Children and Health Care Coverage Dependent Children and Health Care Coverage report having dependent children, and 8.3% of 2 19.5 19.5 19.5 Veterans aggregate data show that 40.0% of all students these dependent children lack health insurance. 25–29 30–39 40+ 25–29 30–39 40+ Age Group 25–29 30–39 40+ Age Group Age AllGroup Students—Adjusted Data All Students—Adjusted Data All Students—Adjusted Data Spouse and Dependent Health Care Coverage Veterans Spouse and Dependent Health Care Coverage Spouse Veterans and Dependent Health Care Coverage (53.9%) of all students report having a spouse, and 12.4% of these students report that their spouse is 24.1 24.1 24.1 Percent Percent Percent also occurs among those ages 25–29. 28.8 28.8 28.8 completed the 2012 College Student Health Survey 30 30 30 25 25 25 20 20 20 15 15 15 10 10 10 5 5 5 0 0 0 8.4 8.48.4 the adjusted aggregate data from all students who 30.9 30.9 30.9 Veterans and All Students by Age Group 16.1 16.1 16.1 Health Insurance and Health Care Utilization rate. The highest uninsured rate obtained from Health Insurance Status—Uninsured Veterans All Students by Age Group Healthand Insurance Status—Uninsured Health Status—Uninsured Veterans Insurance and All Students by Age Group 4.0 4.04.0 Veterans ages 25–29 report the highest uninsured 20.0 20.0 20.0 Results *Statistically significant. *Statistically significant. 56.5% 56.5% 56.5% Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans 43.5% 43.5% 43.5% 12.1% of dependent 12.1%children of 12.1% of are uninsured dependent children dependent children are uninsured are uninsured Have Children Have Children Have Children No Children Have No Children Have No Children Health Insurance and Number of Sick Days— Past 30 Days 3.4 5.2 <0.05 2.9 3.6 <0.0 Poor Mental Health 4.6 7.2 <0.01 4.3 5.8 <0.0 Poor Physical and/or Mental Health Number of Affected sick days is a measure of health-related Daily Activities 2.5 2.9 4.5 <0.05 2.9 <0.0 quality of life. Sick days reflect a personal sense Veterans and All Students Veterans All Students—Adjusted Data of poor or impaired physical or mental health or 4 Average Number of Sick Days Physical Health the inability to react to factors in the physical and 3.5 3 social environments.6 3.4 2.9 Among veterans who completed the survey, 2.5 2 those with health insurance report on average 0.6 more sick days in the past 30 days than those 1 without health insurance. In contrast, the adjusted 0 Veterans All Students—Adjusted Data Insured Uninsured aggregate survey data obtained from all students show that those without health insurance report on average 0.9 more sick days in the past 30 days Results compared to those with health insurance. Among veterans who completed College Lifetime and Pastthe 12 2012 Months Veterans (Includes Only Those Veterans Who Report Obtaining a Service in the Past 12 Months) Veterans andthe All primary Students locations for Student Health Survey, obtaining many health care services appear to be a Who Report Being Diagnos hospital, community clinic, and privatePercent practice. Question asked: Where do you obtain the following health care services while in school? Health Care Service (Percent of Veterans Who Obtained Service) (87.0) Dental Care (83.6) Mental Health Service (36.7) Testing for Sexually Transmitted Infections (41.4) Treatment for Sexually Transmitted Infections (26.5) Testing for HIV (46.0) Emergency Care (86.1) Within Lifetime Acute Condition Percent Who Report Obtaining Service Routine Doctor’s Visit Health Insurance and Health Care Utilization Acute Condition Diagnosis— Health Care Service by Location 3.2 0.0 22.3 40.8 8.9 27.3 3.3 0.4 5.9 28.8 5.5 56.8 2.5 1.7 25.2 29.4 4.2 37.0 3.7 0.0 23.9 44.0 4.5 21.6 5.8 0.0 20.9 38.4 5.8 26.7 2.7 0.0 22.1 39.6 6.7 27.5 1.1 0.0 84.2 10.4 3.9 6.1 School Health Service Hospital HMO Student Counseling Service Community Clinic Private Practice Within Past p-value 12 Months p-v Examination of the adjusted aggregate data shows Chlamydia 5.2 4.5 ns that the primary locations for all students to obtain Gonorrhea 1.5 0.9 ns many healthHepatitis care services are a community clinic ns A 0.3 0.2 Lyme Disease and private practice. Mononucleosis Pubic Lice Strep Throat Syphilis Urinary Tract Infection 1.5 1.8 ns 7.7 8.7 ns 2.8 3.1 ns ns 39.5 43.6 1.2 0.2 <0.01 17.6 16.7 ns At Least One of the Above Acute Conditions 50.9 Veterans ns 53.3 ns 1.6 0.3 0.3 0.3 1.0 0.3 4.5 0.3 6.1 0.5 0.2 0.1 0.3 0.9 0.2 5.5 0.1 4.1 9.3 9.5 <0 All Students—Adjusted Data Not statistically significant. Chronic Condition Diagnosis— Lifetime and Past 12 Months Veterans and All Students Percent Who Report Being Diagnos Vaccination Status Acute Condition Veterans and All Students Alcohol Problems Allergies 80 73.8 20 0 65.3 Diabetes Type I Diabetes Type II 44.9 38.0 60.7 68.8 Cancer 49.1 40 50.6 Percent 60 Asthma Drug Problems (Other Than Alcohol) Genital Herpes Genital Warts/ Human Papilloma Virus Hepatitis A* Hepatitis B* Meningitis* Influenza— Hepatitis B Within Lifetime 10.2 7.6 38.0 39.5 12.0 14.9 2.2 2.8 0.0 0.9 1.9 2.4 Within Past p-value 12 Months pns ns ns ns ns ns 3.8 1.4 11.4 10.6 2.9 2.8 1.6 1.0 0.6 0.4 1.0 1.0 5.2 2.5 4.6 ns 1.2 ns Results 1.3 1.0 0.5 0.5 5.9 0.0 4.7 0.6 1.6 0.3 0.8 0.2 ns ns 3 < 40+ Veterans and All Students All Students—Adjusted Data 0 Have Spouse 14.6% of Results 44.9 65.3 44.9 65.3 38.0 Meningitis* Influenza— Past 12 Months* All Students—Adjusted Data *Statistically significant. Hepatitis A* Hepatitis B* Veterans 61.1% 49.1 60.7 Hepatitis B* Veterans spousesHave are uninsured No Spouse 38.9% 60.7 20 spouses are uninsured 38.9% Marital Status and Health Care Coverage 61.1% Meningitis* Influenza— Past 12 Months* All Students—Adjusted Data *Statistically significant. Dependent Children and Health Care Coverage Have Spouse Health Insurance and Health Care Utilization Have No Spouse 12.1% of dependent children are uninsured Dependent Children Health Coverage 43.5%and to Compared maleCare veterans who completed 56.5% the 2012 College Student Health Survey, female Have of Children 12.1% ofpoor physical health, veterans report more days Average Number of Days Affected by Illness Veterans and All Students by Gender dependent children Have No Children are uninsured more days of poor mental health, and more days 43.5% when poor physical and/or mental health affected 56.5% daily activities. Similarly, Haveaccording Children to the adjusted aggregate data from all students, females also Have No Children report more days of poor physical health, more days of poor mental health, and more days when ealth Insurancepoor andphysical Number of Sick Days— and/or mental health affected daily ast 30 Days terans and All Students activities compared to males. 4 alth Insurance and Number of Sick Days— st 30 Days 3.5 3.4 3 and All Students rans Average Number of Days Affected—Past 30 Days Average Number of Days Affected by Illness Veterans by Genderp-value Males Females p-value Illness and All Students Males Females Poor Physical Health 3.4 5.2 <0.05 2.9 3.6 <0.001 Poor Mental Health 2.5 the 2012 College Student Veterans who completed alth Care Service by Location erans (Includes OnlyHealth Those Veterans Who Report Survey were asked to report if they have been 3.5 in the Past 12 Months) a Service 3.4 3aining 1 Average Number of Days Affected—Past <0.01 7.2 4.6 5.8 30 Days 4.3 <0.001 Illness Poor Physical Males Females p-value Males Females and/or Poor Mental Health Physical 5.2 <0.05 2.9 3.6 AffectedHealth 3.4 Daily Activities 2.5 2.9 2.9 4.5 <0.05 Poor <0.01 7.2 4.6 5.8 Mental Health 4.3 Veterans All Students—Adjusted Data Poor Physical and/or Mental Health Affected Daily Activities 2.5 2.9 2.9 4.5 <0.05 2.9 42 Veterans 3.3the past 0.4 12 5.9 28.8 within months. .6) ntal Health Service .7) 5.5 56.8 2.5 1.7 25.2 29.4 4.2 37.0 The adjusted aggregate survey data obtained from ting for Sexually nsmitted Infections all students show that 53.3% report they have been .4) 3.7 0.0 23.9 44.0 4.5 21.6 atment for Sexually diagnosed with at least one acute condition within nsmitted Infections .5) ting for HIV .0) ergency Care 4 their5.8 lifetime, 9.5%38.4 report5.8 being26.7 diagnosed with 0.0and20.9 at least one acute condition within the past 12 months. 2.7 0.0 22.1 39.6 6.7 27.5 Hospital HMO Student Counseling Service Community Clinic Private Practice <0.001 <0.05 <0.001 <0.05 All Students—Adjusted Data Veterans and All Students Percent Who Report Being Diagnosed Acute Condition Chlamydia Gonorrhea Hepatitis A Lyme Disease Mononucleosis Pubic Lice Strep Throat Syphilis Urinary Tract Infection Within Lifetime 5.2 4.5 ns 1.5 0.9 ns 0.3 0.2 ns 1.5 1.8 ns 7.7 8.7 ns 2.8 3.1 ns ns 39.5 43.6 1.2 0.2 <0.01 17.6 16.7 ns At Least One of the Above Acute Conditions 50.9 Veterans ns Within Past p-value 12 Months p-value 53.3 ns 1.6 0.3 0.3 0.3 1.0 0.3 4.5 0.3 6.1 0.5 0.2 0.1 0.3 0.9 0.2 5.5 0.1 4.1 9.3 9.5 All Students—Adjusted Data Not statistically significant. 1.1 0.0 84.2 10.4 3.9 6.1 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans School Health Service p-value Acute Condition Diagnosis— Lifetime and Past 12 Months diagnosed with selected infectious acute illnesses 2.9 within the past 12 months 2.5 and within their lifetime. 20 estion asked: ere do you obtain the following health care services Veterans All Students—Adjusted Data le in school? The acute condition diagnosed most frequently within 1 Insured Uninsured lth Care Service veterans’ lifetimes is strep throat. Overall, 50.9% of cent of Veterans report diagnosed at least one Percent Whobeing Report Obtaining with Service 0o Obtained Service)veterans Veterans All Students—Adjusted Data tine Doctor’s Visit acute condition within their lifetime, and 9.3% report .0) 3.2 0.0 22.3 40.8 8.9 27.3 Uninsured beingInsured diagnosed with at least one acute condition ntal Care .1) Hepatitis A* 38.0 14.6% of 400 49.1 ouse and Dependent Health Care Coverage rans 6020 Percent at higher Marital Status and rates Health(p<0.001). Care Coverage 8040 73.8 for hepatitis A, hepatitis B, meningitis, and influenza 50.6 pouse and Dependent Health Carereport Coverage completed the survey obtaining vaccinations Veterans 60 and All Students 50.6 Veterans All Students—Adjusted Data veterans who 2012 College Student Health Survey, Vaccination Status 68.8 Age Group that, compared to all students who completed the 73.8 80 20–24 30–39 Analysis of25–29 the adjusted aggregate40+ data shows terans Vaccination Status 68.8 18–19 30–39 Percent Veterans 0 25–29 Age Group 9.5 5 8.4 4.0 20–24 10.3 18–19 0 Chronic Condition Diagnosis— <0.05 ns ns ns ns ns ns ns ns ns Chronic Condition Diagnosis— Lifetime and Past 12 Months Chronic conditions are ongoing health concerns for veterans and all students. Surveillance of these Veterans and All Students conditions provides a picture of longer term health Percent Who Report Being Diagnosed Acute Condition Alcohol Problems Allergies Asthma Cancer Diabetes Type I Diabetes Type II Drug Problems (Other Than Alcohol) Genital Herpes Hepatitis B Hepatitis C High Cholesterol HIV/AIDS Obesity Repetitive Stress Injury Tuberculosis 5.2 2.5 4.6 1.2 Veterans ns ns ns ns ns 3.8 1.4 11.4 10.6 2.9 2.8 1.6 1.0 0.6 0.4 1.0 1.0 1.3 1.0 0.5 0.5 5.9 4.7 1.6 ns 0.0 0.6 0.3 ns 0.9 0.6 0.3 ns 14.2 13.4 8.4 ns ns 17.3 14.5 10.6 0.3 0.4 0.3 ns ns 11.4 11.4 6.4 7.1 4.6 <0.05 1.6 0.6 0.8 1.0 ns 0.8 0.2 0.1 6.7 7.5 0.1 5.5 1.3 0.4 At Least One of the Above Chronic Conditions 66.3 63.9 ns ns ns ns ns 29.7 25.5 <0.01 ns ns ns The most common chronic condition diagnosed in veterans who completed the 2012 College Student Health Survey is allergies. Among veterans, approximately two-thirds (66.3%) report being ns diagnosed with at least one chronic condition ns within their lifetime, and nearly one-third (29.7%) ns ns ns ns ns ns report being diagnosed with at least one chronic condition within the past 12 months. The adjusted aggregate survey data obtained from all students show that 63.9% report being diagnosed with at least one chronic condition <0.05 within their lifetime, and 25.5% report being ns diagnosed with at least one chronic condition ns within the past 12 months. Health Insurance and Health Care Utilization High Blood Pressure 10.2 7.6 38.0 39.5 12.0 14.9 2.2 2.8 0.0 0.9 1.9 2.4 Within Past p-value 12 Months p-value Results Genital Warts/ Human Papilloma Virus Within Lifetime care needs for college students. ns ns ns All Students—Adjusted Data Not statistically significant. Results 5 Results Health Insurance and Health Care Utilization 6 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Results Mental Health This section examines areas related to the mental and emotional status 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 all age groups, 18- to 25-year-olds have the highest past-year prevalence of any mental illness, i.e., a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the Diagnostic and Statistic Manual of Mental Disorders-IV, (29.9%); and serious mental illness, i.e., mental illness that results in functional impairment, (7.7%), major depressive episode (8.2%), and having serious thoughts of suicide (6.6%).7 More than one in 10 (10.9%) young adults between the ages of 18 and 25 have received treatment for a mental health problem in the previous year.7 Results As a group, veterans may face an even greater challenge in making the adjustments necessary to succeed in college. For some veterans, there may be some lingering psychological issues related to their Mental Health military service, which affect their mental well-being. A recent Department of Defense Task Force report documented that among U.S. troops returning from Iraq and Afghanistan, nearly two-fifths of soldiers, one-third of Marines, and one-half of National Guard members report symptoms of psychological problems.8 Some veterans choose to struggle with their mental health issues in isolation due to concern over the stigma associated with disclosing mental health symptoms and asking for help within the military culture.9 Offering resources to all students struggling with mental health problems is important, whether or not these students are veterans. However, the unique life experiences of veterans require colleges to think critically about the types of programs and services they offer and whether they meet the particular needs of veterans. A report published in 2006 presents the results of a population-based analysis of 303,905 Army and Marine troops who completed a Post-Deployment Health Assessment between May 2003 and April 2004.10 The report documents that 19.1% of Operation Iraqi Freedom (OIF) veterans and 11.3% of Operation Enduring Freedom (OEF) veterans reported some mental health issue (e.g., anxiety, depression, and post-traumatic stress disorder) and 9.8% of OIF veterans and 4.7% of OEF veterans reported symptoms of post-traumatic stress disorder.10 In addition, the mental health symptoms that many soldiers experience often increase three or four months after their return.11 7 For veterans who completed the 2012 College Student Health Survey, depression, post-traumatic Mental Health Condition Diagnosis— Lifetime Veterans All Students by Gender Mentaland Health Condition Diagnosis— Lifetime Veterans and All Students by Gender stress disorder, and anxiety are the most frequently reported mental health diagnoses within their lifetime. The adjusted aggregate data show that compared to all students who completed the survey, male and female veterans report being diagnosed with post-traumatic stress disorder within their lifetime at higher rates than all male Results and female students who completed the survey. Percent Who Report Being Diagnosed Mental Health Condition Males Who p-value p-value Percent ReportFemales Being Diagnosed Anorexia Mental Health Condition Anxiety Anorexia Attention Deficit Disorder Anxiety Bipolar Disorder Attention Deficit Disorder Bulimia Bipolar Disorder Depression Bulimia Obsessive-Compulsive Disorder Depression Panic Attacks Obsessive-Compulsive Disorder Post-Traumatic Stress Disorder Panic Attacks Seasonal Affective Disorder Post-Traumatic Stress Disorder Social Phobia/ Seasonal Affective Disorder Performance Anxiety 0.4 0.5 Males 16.3 17.6 0.4 0.5 10.6 10.9 16.3 17.6 2.6 2.6 10.6 10.9 0.0 0.1 2.6 2.6 22.9 23.7 0.0 0.1 1.8 2.1 22.9 23.7 5.7 7.1 1.8 2.1 15.0 4.9 5.7 7.1 2.6 2.8 15.0 4.9 2.6 4.4 2.8 4.6 Social Phobia/ Performance Anxiety Veterans 4.6 3.3 2.1Data4.3 ns All4.4 Students—Adjusted ns Not statistically significant. Veterans ns Not statistically significant. 1.5 ns 23.4 ns 1.5 ns 9.4 ns 23.4 ns 2.8 ns 9.4 ns 2.3 ns 2.8 ns 30.4 ns 2.3 ns 2.0 ns 30.4 ns 11.7 <0.001 2.0 ns 3.8 <0.001 11.7 <0.001 2.5 ns 3.8 <0.001 2.5 ns 3.3 ns 1.0 38.1 1.0 9.3 38.1 6.2 9.3 4.1 6.2 41.2 4.1 4.1 41.2 17.5 4.1 18.6 17.5 4.1 18.6 4.1 2.1 2.9 29.2 2.9 6.2 29.2 2.3 6.2 2.1 2.3 33.3 2.1 3.0 33.3 13.5 3.0 5.3 13.5 5.0 5.3 5.0 4.3 ns p-value Females p-value ns ns ns ns <0.05 ns ns <0.05 ns ns ns ns ns ns <0.001 ns ns <0.001 ns ns ns M V All Students—Adjusted Data M V Mental Health S The most frequently reported mental health diagnoses within the past 12 months for veterans who completed the survey are anxiety, depression, and post-traumatic stress disorder. Male veterans have similar diagnosis rates for most mental health conditions within the past 12 months compared to all students. However, male veterans report being diagnosed with post-traumatic stress disorder within the past 12 months at a higher rate than all male students who completed the survey. Female veterans report being diagnosed with anxiety, bipolar disorder, and post-traumatic stress disorder within the past 12 months at higher rates than all female students who completed the survey. Mental Health Condition Diagnosis— Past 12 Months Veterans All Students by Gender Mentaland Health Condition Diagnosis— Past 12 Months Veterans and All Students by Gender Percent Who Report Being Diagnosed Mental Health Condition Males Who p-value p-value Percent ReportFemales Being Diagnosed Anorexia Mental Health Condition Anxiety Anorexia Attention Deficit Disorder Anxiety Bipolar Disorder Attention Deficit Disorder Bulimia Bipolar Disorder Depression Bulimia Obsessive-Compulsive Disorder Depression Panic Attacks Obsessive-Compulsive Disorder Post-Traumatic Stress Disorder Panic Attacks Seasonal Affective Disorder Post-Traumatic Stress Disorder Social Phobia/ Seasonal Affective Disorder Performance Anxiety 0.9 0.3 Males 6.8 7.3 0.9 0.3 3.6 3.3 6.8 7.3 0.9 0.7 3.6 3.3 0.5 0.1 0.9 0.7 8.6 8.0 0.5 0.1 0.9 0.7 8.6 8.0 3.2 2.9 0.9 0.7 6.5 2.2 3.2 2.9 0.9 1.2 6.5 2.2 0.9 2.2 1.2 3.2 Social Phobia/ Performance Anxiety Veterans ns Not statistically significant. Veterans ns Not statistically significant. 1.5 ns 23.4 ns 1.5 ns 9.4 ns 23.4 ns 2.8 ns 9.4 ns 2.3 ns 2.8 ns ns 30.4 2.3 ns 2.0 ns ns 30.4 11.7 ns 2.0 ns 3.8 <0.001 11.7 ns 2.5 ns 3.8 <0.001 2.5 ns 3.3 ns 0.0 22.1 0.0 4.3 22.1 4.4 4.3 1.1 4.4 16.0 1.1 1.1 16.0 7.5 1.1 5.4 7.5 3.2 5.4 3.2 1.1 0.5 12.7 0.5 2.1 12.7 0.9 2.1 0.3 0.9 11.4 0.3 1.1 11.4 4.4 1.1 1.7 4.4 1.6 1.7 1.6 <0.001 <0.05 <0.001 ns <0.05 <0.05 p-value Females p-value ns ns <0.05 ns ns ns ns ns ns <0.05 ns ns <0.05 3.2Students—Adjusted 2.2 3.3 1.1Data1.6 ns All All Students—Adjusted Data ns ns ns G S Fa G Se Fa D Se B D B B D B Te D (N Te A (N B A Ex B Ex Ex B Ex B B Ro B Pa Ro La Pa Is La B Is Ze B O Ze Th O Th ns Any Mental Health Condition Diagnosis— Lifetime Veterans and All Health Students Condition by Gender Diagnosis— Any Mental Lifetime ns Veterans and All Students by Gender 60 8 Percent Percent 50 60 52.6 40 50 30 40 38.8 38.8 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans 20 30 10 20 52.6 44.9 37.2 37.2 44.9 Veterans ns Any Mental Health Condition Diagnosis— Lifetime with at least one mental health condition within their lifetime. Female veterans report a higher rate 60 of being diagnosed with a mental health condition Mental Health Stressors and Risky Behavior Veterans within their lifetime compared to male veterans 52.6 38.8 that veterans have a higher though not statistically 37.2 significantly different rate of being diagnosed with 60 20 All Students—Adjusted Data* Males respectively). 20 Females 0 *Statistically significant. 5 30.1 Veterans* 34.7 0 32.8 compared to all40students (42.9% vs. 39.5%, Any Gamb High-Risk Current Current Drinking–5+ Marijuana Use— Tobacco Use— Past 12 Mo Drinks per Sitting Any Use Any Use Past 2 Weeks Past 30 Days* Past 30 Days* Two or Fewer Stressors Three or More Stress *Statistically significant. Any Mental Health Condition Diagnosis— Past 12 Months Female veterans report a statistically significantly Ability to Manage Stress—Past 12 Months higher rate of Veterans being diagnosed with a mental Veterans and All Students by Gender health condition within the past 12 months 30 compared to male veterans (27.4% vs. 16.1%, In an attempt to measure effectiveness in managing stress, stud 25 Percent Mental Health 1 5 48.4 Percent any mental health condition within their lifetime 10 14.7 30 (p<0.05). The adjusted aggregate survey data show 80 44.9 48.5 40 6.1 Percent 50 Results e All Students—Adjusted Data Not statistically significant. were asked to rate their stress level and their ability to manage respectively, p<0.001). The adjusted aggregate 27.4 stress, each on a scale of 1 to 10. The reported stress level is the divided the reported to manage stress. Any result grea survey data show thatbyveterans haveability a higher 20 than 1 means a student is not effectively managing his or her st 15 though not statistically significantly different 18.7 16.1 rate of being diagnosed with any mental health 14.8 10 condition within the past 12 months21.3% compared to all students (19.5% vs. 15.9%, respectively). 5 0 Veterans* 78.7% All Students—Adjusted Data* Males Females *Statistically significant. Managed Stress (Index ≤1) 1 d ns Among all veterans, 42.9% report being diagnosed Veterans and All Students by Gender d e 29.3 23.8 Three or More of the Above Stressors Unmanaged Stress (Inde Mental Health Stressors Veterans and All Students Stressor Percent Who Report Experiencing Within Past 12 Months p-value 4.3 3.5 ns Failing a Class 10.2 8.1 ns Serious Physical Illness of Someone Close to You 15.7 14.3 ns 21.6 19.9 Death of Someone Close to You ns 4.3 3.6 Being Diagnosed With a Serious Physical Illness ns 7.1 4.6 <0.05 Being Diagnosed With a Serious Mental Illness ns 12.7 9.8 Divorce or Separation From Your Spouse Stress and Mental Health, Acute, and Chronic Condition Diagnosis Veterans Getting Married Termination of Personal Relationship (Not Including Marriage) Attempted Suicide Being Put on Academic Probation Excessive Credit Card Debt Excessive Debt Other Than Credit Card Being Arrested 10.2 9.8 0.9 0.6 8.3 6.6 12.0 12.1 17.0 17.0 3.1 1.7 ns ns Condition Any Acute Condition Any Chronic Condition Anxiety Depression Obsessive-Compulsive Disorder Panic Attacks Social Phobia/ Performance Anxiety Percent Who Report Being Diagnosed Within the Past 12 Months 5.7 26.0 5.6 6.0 0.4 2.8 23.4 43.3 33.3 29.2 3.1 10.9 1.2 7.8 p-v <0 <0 <0 <0 <0 <0 ns Managed Stress (Index ≤1) ns ns ns ns Not statistically significant. Unmanaged Stress (Inde Results 9 ost-Traumatic Stress Disorder 15.0 4.9 <0.001 3.8 18.6 5.3 <0.001 <0.001ns 3.82.5 5.35.0 Traumatic Stress Disorder 15.02.64.92.8 <0.001 easonal Affective ns 18.64.1 onal Affective 2.6 2.8 2.5 4.1 5.0 ns ns ocial Phobia/ Disorder erformance Anxiety 4.4 4.6 3.3 2.1 4.3 ns ns l Phobia/ rmance Anxiety 4.4 4.6 3.3 2.1 4.3 ns ns Veterans Students—Adjusted Datastressors among The mostAll commonly experienced Veterans All Students—Adjusted Data Not statistically significant. veterans who completed the 2012 College Student statistically significant. Health Survey are the death of someone close to Mental Health Stressors Veterans and All Students Mental Health Stressors Veterans and All Students Percent Who Report Percent Experiencing Who Report Within Past Experiencing 12 Months p-value Within Past 12 Months 4.3 3.5p-valuens them, excessive debt other than credit card, and lack of health care coverage. A total of 37.7% of veterans report experiencing one or two stressors within the past 12 months, and 29.3% report Mental Health Condition Diagnosis— experiencing three or more stressors over that Past Months ntal12 Health Condition Diagnosis— eterans and All Students by Gender t 12 Months same time period. The adjusted aggregate data rans and All Students by Gender from all students who completed the survey show Percent Report Being experiencing Diagnosed that 42.3% of allWho students report one Who Report Diagnosed or two Percent stressors within theBeing past 12 months, Males Females p-value and ental Health Condition p-value Males p-value tal Health Condition23.8% report p-value <0.001stressors norexia 0.9 experiencing 0.3 1.5 0.0 0.5 ns Females three or more <0.001 0.96.8 0.37.3time 1.5 0.0 ns <0.05 23.4 22.10.5 12.7 ns within that same period. 6.83.67.33.3 23.4 12.72.1<0.05ns ns 9.4 ns 22.14.3 ntion Disorder 3.60.93.30.79.4 2.10.9 ns<0.05 ns 2.8 polarDeficit Disorder ns 4.34.4 ar Disorder 0.90.50.70.12.8 0.90.3<0.05ns ns 2.3 ulimia ns 4.41.1 mia 0.58.60.18.02.3 ns 1.1 ns 30.4 16.00.3 11.4 ns ns epression ns 2.0 30.4 11.41.1 ns ns ession bsessive-Compulsive Disorder8.60.98.00.7 ns 16.01.1 1.14.4 ns ns ssive-Compulsive Disorder 0.93.20.72.92.0 ns 11.7 anic Attacks ns 1.17.5 11.7 Attacks ns 3.8 7.55.44.41.7 ns<0.05 <0.001 ost-Traumatic Stress Disorder 3.26.52.92.2 3.82.5 1.71.6<0.05ns <0.001 Traumatic Stress Disorder 6.50.92.21.2 easonal Affective ns 5.43.2 onal Affective 0.9 1.2 2.5 3.2 1.6 ns ns ocial Phobia/ Disorder erformance Anxiety 3.2 2.2 3.3 1.1 1.6 ns ns l Phobia/ rmance Anxiety 3.2 2.2 3.3 1.1 1.6 ns ns exia nxiety Mental Health Results ety ttention Deficit Disorder Veterans Veterans Not statistically significant. All Students—Adjusted Data All Students—Adjusted Data statistically significant. Stressor Stressor Getting Married 4.3 10.2 3.58.1 ns ns Failing a Class 14.3 ns ns 15.7 8.1 Serious Physical Illness of Someone Close to You10.2 Serious Physical IllnessClose of Someone 19.9 ns ns 21.614.3 Death of Someone to You Close to You 15.7 19.9 21.6 Death of Someone Close to You 4.3 3.6 ns ns Being Diagnosed With a Serious Physical Illness Being Diagnosed With a Serious Physical Illness Being Diagnosed With a Serious Mental Illness 4.37.1 3.64.6 ns<0.05 7.1 Being Diagnosed With a Serious Mental Illness 12.7 4.69.8<0.05 ns Divorce or Separation From Your Spouse ns 9.8 12.7 Divorce or Separation From Your Spouse Termination of Personal Relationship 10.2 9.8 (Not Including Marriage) ns Termination of Personal Relationship 9.8 10.2 (Not Including Marriage) ns 0.9 0.6 Attempted Suicide ns 0.98.3 0.66.6 ns ns Attempted Suicide Being Put on Academic Probation 8.3 Being Put on Credit Academic 12.1 ns ns 12.0 6.6 Excessive CardProbation Debt 12.0 Excessive Credit Card Debt 17.0 ns ns 17.012.1 Excessive Debt Other Than Credit Card 17.03.117.01.7 ns ns Excessive Debt Other Than Credit Card Being Arrested 3.19.0 1.77.5 ns ns Being Arrested Being Fired or Laid Off From a Job 9.08.3 7.59.3 ns ns Being Fired or Laid Off FromConflict a Job Roommate/Housemate 8.37.1 9.37.9 ns ns Roommate/Housemate Conflict Parental Conflict 7.1 Parental Conflict 15.2 ns ns Lack of Health Care Coverage 16.7 7.9 LackIssues of Health Care 16.70.915.21.5 ns ns Related toCoverage Sexual Orientation 0.91.9 1.51.7 ns ns Issues Related to Sexual Orientation Bankruptcy 1.9 Bankruptcy 33.9 ns ns 33.0 1.7 Zero of the Above Stressors 33.0 Zero of the Above Stressors 42.3 ns ns 37.733.9 One or Two of the Above Stressors 37.729.342.3 OneThree or Two the of Above Stressors 23.8 ns ns or of More the Above Stressors 29.3 23.8 ns Three or More of the Above Stressors Getting Married Failing a Class Veterans Any Mental Health Condition Diagnosis— Lifetime y Mental Condition Veterans andHealth All Students by Gender Diagnosis— etime Veterans ns Not statistically significant. ns All Students—Adjusted Data All Students—Adjusted Data Not statistically significant. erans and All Students by Gender 0 10 0 use (p<0.01,) and engaging in gambling (p<0.05) compared to veterans who experienced two or fewer stressors. The adjusted aggregate data Veterans* All Students—Adjusted Data* obtained from all students who participated in Veterans* All Students—Adjusted Data* Males the survey show thatFemales students who experienced Females Males *Statisticallythree significant. or more stressors tend to have statistically *Statistically significant. significantly higher rates of current marijuana use, high-risk drinking, current tobacco use, and engaging in gambling compared to students who experienced two or fewer stressors. 60 60 40 40 20 20 0 0 48.5 48.5 62.1 62.1 0 20 80 80 30.1 30.1 48.4 48.4 0 30 Veterans 32.8 32.8 34.7 34.7 0 40 Mental Health Stressors and Risky Behavior Veterans Mental Health Stressors and Risky Behavior 6.1 14.7 14.7 0 50 Over the same 12-month period, veterans who 52.6 experienced three or more stressors tend to 52.6 44.9 higher 38.8 have statistically significantly 44.9 rates of 37.2 38.8 current marijuana use 37.2(p<0.05), current tobacco 6.1 0 60 Percent Percent 0 Any Gambling— High-Risk Current Current Drinking–5+ Marijuana Use— Tobacco Use— Past 12 Months* High-Risk Current Drinks per Sitting Current Any Use Any Use Any Gambling— Marijuana Use— Past 2 Weeks Tobacco Past 30 Days* Drinking–5+ Past Use— 30 Days*Past 12 Months* Drinks per Sitting Any Use Any Use Past 2 Weeks Past 30 Days* Past 30 Days* Two or Fewer Stressors Three or More Stressors Two or Fewer Stressors *Statistically significant. *Statistically significant. 10 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Three or More Stressors Depression Diagnosis—Past 12 Months Veterans and All Students by Gender Depression Diagnosis—Past 12 Months Ability to Manage Stress—Past 12 Months Veterans Ability to Manage Stress—Past 12 Months Veterans and All Students by Gender Veterans 21.3% Diagnosis—Past 12 Months 20 ApproximatelyDepression one-fifth (21.3% ) of veterans who Veterans and All Students by Gender 15 16.0Health Survey completed the 2012 College Student Percent Percent 15 10 20 16.0 report they are unable to manage their stress level. Additional analysis shows that 15.4% of male 10 8.6 veterans and 35.1% of female veterans report they8.0 5 15 16.0 8.6 8.0 are unable to manage their stress level. 5 0 10 78.7% Veterans Managed Stress (Index ≤1) Unmanaged Stress (Index >1) Managed Stress (Index ≤1) Unmanaged Stress (Index >1) significant. manage their stress*Statistically level. 0 11.4 All Students—Adjusted Dat 5 21.0% of all students report they are Males unable to Unmanaged Stress (Index >1) 78.7% 11.4 11.4 Veterans The adjusted aggregate survey 0 8.6 data show that 78.7% 21.3% Managed Stress (Index ≤1) 20 Percent In an attempt to measure effectiveness in managing stress, students were asked toto rate their stress level and their ability to manage Ability Manage Stress—Past 12 Months stress, each on a scale of 1 to effectiveness 10. The reported stress level is then In an attempt to measure in managing stress, students Veterans divided the reported ability to manage result greater wereby asked to rate their stress level andstress. their Any ability to manage thanstress, 1 means student is of not1 effectively his orlevel her stress. eacha on a scale to 10. The managing reported stress 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. 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 21.3% divided by the reported ability to manage stress. Any result greater than 1 means a student is not effectively managing his or her stress. 8.0 All Students—Adjusted Females Females Males *Statistically significant. Veterans All Students—Adjusted Females Males *Statistically significant. Currently Taking Medication for Depression Veterans and All Students by Gender Currently Taking Medication for Depression Veterans and All Students by Gender 25 Stress and Mental Health, Acute, and Chronic Condition Diagnosis Stress and Mental Health, Veterans Acute, and Chronic Condition Diagnosis 26.05.7 43.323.4 <0.01 <0.001 Percent Who Report <0.001 5.6 33.3 26.0 43.3 Being Diagnosed Within <0.01 p-value the Months 6.0 <0.001 5.6Past 1229.2 33.3 <0.001 <0.001 Any Acute Condition 5.7 23.4 ns Obsessive-Compulsive Disorder 0.46.0 3.129.2 Depression <0.001 Any Chronic Condition Disorder 2.826.0 <0.01 Panic Attacks 10.943.3 ns Obsessive-Compulsive 0.4 3.1 <0.05 Anxiety <0.001 5.6 33.3 Social Phobia/ Panic Attacks <0.05 2.8 10.9 Performance Anxiety 1.2 7.8 <0.05 Depression 6.0 29.2 <0.001 Social Phobia/ Performance Anxiety 1.2 7.8 ns Obsessive-Compulsive Disorder 0.4 3.1 (Index<0.05 Managed Stress (Index ≤1) Unmanaged Stress >1) Panic Attacks <0.05 2.8 10.9 Managed Stress (Index ≤1) Unmanaged Stress (Index >1) ns AnyAny Chronic AcuteCondition Condition Anxiety Any Chronic Condition Condition Depression Anxiety Not statistically significant. Managed Stress (Index ≤1) ns 7.8 <0.05 Unmanaged Stress (Index >1) Not statistically significant. 9and Operation Enduring Freedom Service Status and Gender 0 3 10.9 Percent Percent *Statistically significant. Veterans* 2.6 Males* *Statistically significant. Currently Taking Medication for Mental Health Problems Other Than Depression Currently for Veterans and All Taking Students Medication by Gender Mental Health Problems Other Than Depression Veterans and All Students by Gender 15 12 diagnosis rate 9of post-traumatic stress disorder 15 8.8 who did not serve in 9.3 compared to male 9 veterans 6 9.3 14.4 8.8 This same Iraq or Afghanistan (p<0.05). statistical Females 9 3 in Iraq or Afghanistan. 3 5.6 ServedMales* in Iraq or Afghanistan 2.6 Served in Iraq or Afghanistan *Statistically significant. 0 Males* Females Did Not Serve in Iraq or Afghanistan Did Not Serve in Iraq or Afghanistan Served in Iraq or Afghanistan Did Not Serve in Iraq or Afghanistan *Statistically significant. Veterans Males Females Veterans All Students—Adjusted Females Females All Students—Adjusted Males Females Eating Disorder Diagnosis—Lifetime Veterans and All Students by Gender Eating Disorder Diagnosis—Lifetime Veterans and All Students by Gender 5 *Statistically significant. Results Eating Disorder Diagnosis—Lifetime 5 4Veterans and All Students by Gender t Depression Diagnosis—Lifetime Veterans and All Students by Gender Depression Diagnosis—Lifetime 10.4 difference was3not found among female veterans. Males 5.3 10.4 12 6 0 2.6 Females Males 0 5.6 5.3 All Students—Adjusted 10.4 9.3 8.8 Among all veterans, report that they served All Students—Adjusted Dat 6 45.2%Veterans 5.6 5.3 Females *Statistically significant. conditions among0all students. 0 10.9 Females Males 5 ability to manage stress and various health Males Percent Percent Percent Percent 3 0 6 same diagnosis (p<0.001). The adjusted aggregate Veterans* All Students—Adjusted Dat 10 11.1 0 10.1 data show the same type of relationship Veterans* betweenAll Students—Adjusted 12Mental Health Problems Other Than Depression Post-Traumatic Stress Disorder Diagnosis— 12 12 Months Veterans by Operation Iraqi Freedom Past 10.9 6 9 16.2 Veterans and All Students 14.4 by Gender Afghanistan have a higher past-12-month and Operation Enduring Freedom Service Status and Gender 12 3 0 16.2 Taking Medication for Male veteransCurrently who Iraq or 15 served in either 14.4 Post-Traumatic Stress Disorder Diagnosis— Past 12 Months Veterans by Operation Iraqi Freedom Diagnosis— andPost-Traumatic Operation Enduring Stress FreedomDisorder Service Status and Gender Past 12 Months Veterans by Operation Iraqi Freedom 9 6 12 10 stress levels report diagnosed with 22.7anxiety 11.1 20 being 10.1 10 within the past5 year compared to only 5.6% of 11.1 10.1 15 veterans with managed stress levels reporting the 5 Percent Percent 1.2 16.2 25 For example, 33.3% 15 of veterans with unmanaged Mental Health Percent Who Report Stress and Mental Health, Being Diagnosed Within thePercent Past Diagnosis 12Who Months Condition Report p-value Acute, and Chronic Condition Being Diagnosed Within Veterans p-value AnyCondition Acute Condition 5.7 the Past 1223.4 Months <0.001 Percent Veterans Social Phobia/ ns Performance Anxiety Not statistically significant. Results 25 Currently Taking Medication for Depression 22.7by Gender 20Veterans andare All Students Unmanaged stress levels associated with 22.7 20 rates of diagnosis 15 for various health conditions. 4 4.1 11 4.0 Student Health Survey, females report being Depression Diagnosis—Lifetime Veterans and All Students by Gender diagnosed with depression within their lifetime at a 50 higher rate compared to males (p<0.01). Any Gambling— High-Risk Current Current Drinking–5+ Marijuana Use— Tobacco Use— Past 12 Months* Drinks per Sitting Any Use Any Use Past 2 Weeks Past 30 Days* Past 30 Days* Three or More Stressors 40 Percent Two or Fewer Stressors Percent 48.5 30.1 34.7 Among veterans who completed the 2012 College 32.8 6.1 14.7 48.4 62.1 V *Statistically significant. 41.2 30 20 33.3 23.7 22.9 10 0 Veterans* All Students—Adjusted Data* Males Females Results *Statistically significant. Male veterans report being diagnosed with ity to to Manage Manage Stress—Past Stress—Past 12 Months Months ity 12 ans ans depression within the past 12 months at a higher Depression Diagnosis—Past Diagnosis—Past 12 Months Depression Veterans and All Students by Gender 12 Months Veterans and All Students by Gender female veterans. According to the adjusted attempt to measureaseffectiveness in managing stress, students attempt measure effectiveness managing students asked toto rate their stress level andintheir ability stress, to manage asked to rate their stress level and their ability to manage aggregate survey data, female report s, each on a scale of 1 to 10. The reported stress level isstudents then s, on reported a scale ofability 1 to 10. reported stress then edeach by the to The manage stress. Any level resultisgreater ed by theareported todiagnosed managemanaging stress. greater withAny depression within the past 1 means student ability isbeing not effectively hisresult or her stress. 1 means a student is not effectively managing his or her stress. 12 months at a higher rate than male students (p<0.001). 21.3% 21.3% 20 20 15 15 Percent Percent Mental Health but not statistically significantly different rate 10 10 5 5 0 0 78.7% 78.7% 16.0 16.0 11.4 11.4 8.6 8.6 8.0 8.0 Veterans Veterans All Students—Adjusted Data* All Students—Adjusted Data* Males Males Managed Stress (Index ≤1) Managed Stress (Index ≤1) *Statistically significant. *Statistically significant. Unmanaged Stress (Index >1) Unmanaged Stress (Index >1) Overall, 13.9% of veterans who completed the 2012 College Student Health Survey report they Currently Taking Taking Medication Medication for for Depression Depression Currently Veterans and All Students by Gender Veterans and All Students by Gender currently are taking medication for depression. 25 25 ess and and Mental Mental Female Health,veterans report using medication for ess Health, te, and Chronic Condition Diagnosis Diagnosis te, and Chronicdepression Condition rans at a statistically significantly higher rate than male veterans (p<0.01). According to the Percent Who Reportdata, female students adjusted Percent aggregate Whosurvey Report Being Diagnosed Within Being Within p-value the Diagnosed Past 12 Months also report medication depression at theusing Past 12 Months forp-value ition ition <0.001 Acute Condition 5.7 23.4 a statistically rate than male Acute Condition 5.7significantly 23.4higher<0.001 Chronic Condition 26.0 43.3 <0.01 Chronic Condition students (p<0.001). 26.0 43.3 <0.01 ety <0.001 5.6 33.3 ety <0.001 5.6 33.3 ession 6.0 29.2 <0.001 ession 6.0 29.2 <0.001 ns ssive-Compulsive Disorder 0.4 3.1 ns ssive-Compulsive Disorder 0.4 3.1 c Attacks <0.05 2.8 10.9 Attacks <0.05 2.8 10.9 al Phobia/ l Phobia/Anxiety ormance 1.2 7.8 <0.05 ormance Anxiety 1.2 7.8 <0.05 Managed Stress (Index ≤1) Managed Stress (Index ≤1) 22.7 22.7 20 20 Percent Percent rans Females Females 15 15 10 10 5 5 0 0 16.2 16.2 11.1 11.1 10.1 10.1 Veterans* Veterans* All Students—Adjusted Data* All Students—Adjusted Data* Males Males Females Females *Statistically significant. *Statistically significant. Unmanaged Stress (Index >1) Unmanaged Stress (Index >1) 12 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans statistically significant. Currently Taking Taking Medication Medication for for statistically significant. Currently Mental Health Health Problems Problems Other Other Than Than Depression Depression Mental Veterans and All Students by Gender Veterans and All Students by Gender Days per per Week Week Days Currently Taking Taking Medication Medication for for Currently Mental Health Health Problems Problems Other Other Than Than Depression Depression Mental Veterans and All Students by Gender Veterans and All Students by Gender statistically significantly different rate of medication use for mental health problems other than 15 15 depression than male veterans. Overall, 10.5% 14.4 14.4 12 12 Percent Percent Female veterans report a higher though not of veterans report taking medication for a mental health problem other than depression. 9 9 9.3 9.3 8.8 8.8 6 6 10.4 10.4 3 3 0 0 Veterans Veterans All Students—Adjusted Students—Adjusted Data Data All Males Males Females Females Among veterans who completed the 2012 College Veterans and All Students by Gender Student Health Survey, 0.4% of males compared Mental Health to 4.1% of females report being diagnosed with 5 5 anorexia and/or bulimia within their lifetime 4 4 Percent Percent Results Eating Disorder Disorder Diagnosis—Lifetime Diagnosis—Lifetime Eating Veterans and All Students by Gender 4.1 4.1 3 3 4.0 4.0 (p<0.05). The adjusted aggregate data obtained from all students who participated in the survey show that 0.5% of all males and 4.0% of all 2 2 females report being diagnosed with anorexia 1 1 0.5 0.5 0.4 0.4 0 0 Veterans* Veterans* and/or bulimia within their lifetime (p<0.001). All Students—Adjusted Students—Adjusted Data* Data* All Males Males Females Females *Statistically significant. *Statistically significant. ** Number of Days of Adequate Sleep— Past Seven Days Veterans Approximately one-half (47.0%) of all veterans report they received enough sleep so they felt rested when they woke up in the morning on three or fewer days over the previous seven days. 19.7% 33.3% 25.3% 21.7% The adjusted aggregate data show that 48.5% of 47.0% of student veterans get adequate sleep 3 or fewer days a week all students who completed the 2012 College Student Health Survey report they received adequate sleep on three or fewer days over the previous seven days. 0–1 Day per Week 4–5 Days per Week 2–3 Days per Week 6–7 Days per Week Results 13 rently Taking Medication for Depression ans and All Students by Gender veterans’ ability to manage their stress level. Only 22.7 of veterans who report receiving zero to 58.5% one day per week of adequate sleep also report the 16.2 ability to manage their stress, whereas 93.8% of 10.1 veterans who report six to seven days per week of 11.1 adequate sleep also report the ability to manage their stress (p<0.001). A similar association between sleep and stress is seen in the adjusted Veterans* All Students—Adjusted Data* aggregate survey data from all students. Males Females Adequate Sleep and Stress Veterans 100 Percent Who Report They Manage Their Stress Level Receiving adequate sleep appears to affect 60 40 58.5 0–1 rently Taking Medication for ntal Health Problems Other Than Depression Mental Health Results ans and All Students by Gender 14.4 9.3 8.8 Veterans 10.4 All Students—Adjusted Data Males Females ng Disorder Diagnosis—Lifetime ans and All Students by Gender 4.1 4.0 0.5 0.4 Veterans* All Students—Adjusted Data* Males 93.8 2–3 4–5 Days per Week 6–7 68.6 20 0 *Statistically significant. 91.7 80 Females *Statistically significant. 14 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Results Tobacco Use Recent research shows that approximately one-third of 18- to 20-year-olds (31.9%) and 21- to 25-yearolds (35.8%) report current cigarette use.12 More than one in four (28.1%) full-time college students smoked cigarettes at least one time in the previous year; fewer than one in five (16.4%) smoked cigarettes at least one time in the previous 30 days; and fewer than one in 10 (7.6%) smoke cigarettes daily.13 Among young adults ages 18-25, 6.4% used smokeless tobacco in the previous month.12 Current cigarette smokers are more likely to use other tobacco products, alcohol, or illicit drugs than nonsmokers.12 Among all current smokers, 45.3% have stopped smoking for at least one day in the preceding 12 months.14 Of the 15 million college students in the United States, an estimated 1.7 million will die prematurely due to smoking-related illnesses.15 Clearly, the current level of tobacco use among college students poses a major health risk. Several studies have documented higher rates of tobacco use among veterans compared to the civilian Results population. According to the Department of Veterans Affairs (VA) National Smoking and Tobacco Use Cessation Program directive, the prevalence of smokers in the VA is 22.0% compared to 20.9% in the general population.16 A National Survey on Drug Use and Health report estimates that 18.1% of veterans Tobacco Use smoke cigarettes on a daily basis, compared to 14.3% of nonveterans.17 In a study of U.S. military personnel serving in the first Gulf War, 7.0% of respondents indicated they started smoking for the first time and 56.0% of preexisting regular smokers stated they increased consumption while deployed.18 15 The current tobacco-use rate for all veterans who completed the 2012 College Student Health Survey Current Tobacco Use Veterans and All Students by Gender Current Tobacco Use Veterans and All Students by Gender Current Tobacco Use Veterans and All Students by Gender 40 40 is statistically significantly higher than the current the survey (35.5% vs. 27.6%, respectively, p<0.01). Male veterans report a higher though not statistically significantly different rate of current tobacco use compared to female veterans (38.3% Percent Percent Percent tobacco-use rate among all students who completed 40 30 30 30 20 35.5 35.5 Definition: Current Tobacco Use 20.8 20.8 20.8 Females Males* Females All Students—Adjusted Data Males* Females All Students—Adjusted Data All Students—Adjusted Data *Statistically significant. Daily Tobacco Use Veterans and All Students by Gender Daily Tobacco Use Veterans and All Students by Gender Daily Tobacco Use Veterans and All Students by Gender 25 Percent Percent Percent significantly different that the rate for female 28.9 28.9 All* Veterans All* Veterans veterans (21.1% vs. 13.4%, respectively). 25 20 25 20 15 20 15 10 15 10 5 10 5 0 5 0 21.1 18.8 18.8 18.8 0 14.0 21.1 21.1 15.2 15.2 15.2 14.0 14.0 13.4 13.4 13.4 11.2 11.2 11.2 All* Males* All* Veterans Males* Females All Students—Adjusted Data Males* Females All Students—Adjusted Data All* *StatisticallyVeterans significant. Veterans *Statistically significant. Females All Students—Adjusted Data *Statistically significant. Overall, 11.5% of male veterans report using smokeless tobacco during the past 30 days compared to 4.1% of female veterans. This difference is not statistically significant. The current Current Smokeless Tobacco Use Veterans and All Students by Gender Current Smokeless Tobacco Use Veterans and All Students by Gender Current Smokeless Tobacco Use Veterans and All Students by Gender 12 smokeless tobacco-use rate for all veterans who completed the 2012 College Student Health Survey is higher though not statistically significantly different than the current smokeless tobacco-use rate among all students who completed the survey (9.3% vs. 6.7%, respectively). Percent Percent Percent Results Tobacco Use for male veterans is higher but not statistically 28.9 Males* *Statistically significant. the daily tobacco-use rate among all students respectively, p<0.05). The daily tobacco-use rate 30.5 30.5 All* *StatisticallyVeterans significant. Any tobacco use in the past 30 days. Tobacco use includes both smoking and smokeless tobacco. who completed the survey (18.8% vs. 14.0%, 30.5 10 0 Survey is statistically significantly higher than 38.3 38.3 27.6 27.6 20 10 0 completed the 2012 College Student Health 27.6 20 100 vs. 28.9%, respectively). The daily tobacco-use rate for all veterans who 38.3 35.5 12 11.5 129 11.5 11.5 9 96 6 9.3 9.3 9.3 6.7 6.7 6.7 63 3 30 0 0 9.2 9.2 9.2 4.1 4.1 4.1 0.7 0.7 Females* 0.7 All Males All Veterans Males Females* All Students—Adjusted Data Males Females* All Students—Adjusted Data All *StatisticallyVeterans significant. Veterans *Statistically significant. *Statistically significant. 16 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans All Students—Adjusted Data Tobacco-Use Location Quit Attempts—Past 12 Months Veterans and All Students: Current Percent TobaccoWho UsersIndicate Use Veterans: Current Smokers 30.4% Location 36.6% Quit Attempts—Past 12 Months 63.4% Veterans: Current Smokers 69.6% 30.4% 36.6% 63.4% 69.6% 30.4% 69.6% Consider Themselves Smokers Do Not Consider Themselves Smokers Consider Themselves Smokers Do Not Consider Themselves Smokers 6.2 = Average Number of Quit Attempts 36.6% 1–99 = Range of 63.4% Quit Attempts 6.2 = Average Number of Quit Attempts Attempted Quit of 1–99to= Range QuitNot Attempts Have Attempted Quit Number 6.2 =toAverage of Quit Attempts Attempted to =Quit 1–99 Range of HaveQuit NotAttempts Attempted to Quit Consider Themselves Smokers Attempted to Quit Do Not Consider Themselves Smokers Have Not Attempted to Quit Veterans: Current Tobacco Users 18.4% Number of Cigarettes Smoked 9.7% 11.7% average of 5.3Worksite quit attempts. * * 35.9 *Location 9.7 Other not included in question. 10.2 37.9 Veterans All Students—Adjusted Data 23.3 23.3 * Parking Ramp/Garage Secondhand Smoke Exposure Veterans Veterans All Students—Adjusted Data *Location not included in question. 9.7% 11.7% 78.6% 14.6% Weekday 67.0% 18.4% Weekend 78.6% Day 9.7% 11.7% Less Than 0.5 Pack per Day 0.5–1 Pack per Day Weekday per Day 67.0% More Than 1 Pack Weekend 78.6%Day Less Than 0.5 Pack per Day 0.5–1 Pack per Day Veterans Percent Who Indicate Exposure Location Inside 0.5 0.0 17.2 On Campus Secondhand Smoke Exposure Percent Who Indicate Exposure Among veterans who report Veterans * over the * 0.9 Residence Halls using tobacco past 30 days, the proportion who report0.0 smoking Location 0.0 Inside 2.9 Outside Fraternity/Sorority 0.5 0.0 17.2 Campus half a pack of On cigarettes or more per day increases * * 16.3 Bars/Restaurants Percent Who Indicate Exposure *a weekend * 0.9* Residence 49.5 Inaaweekday Car Hallsto 88.3% on9.0 from 81.6% on 0.0 2.9 0.0 Fraternity/Sorority 4.5 15.5 9.5Outside Where I Live Location Inside day. The adjusted aggregate survey data from all * * 16.3 Bars/Restaurants 7.2 13.6 8.1 Private Parties 0.5 0.0 17.2 On Campus students who currently use tobacco show that the 9.0** 49.5** * In a Car Halls 12.2 Worksite 0.9 Residence proportion of students who report they smoke half 4.5 15.5 9.5 Where 5.4 10.7 ParkingI Live Ramp/Garage 0.0 2.9 0.0* Fraternity/Sorority a pack of cigarettes or more per day increases from 7.2 13.6 8.1 Private 6.8 12.6 15.8 Other Parties * * 16.3 Bars/Restaurants 77.1% on a weekday to 82.7% on a weekend day. * * 12.2* Worksite 9.0 49.5 In a Car Nonsmoker Smoker 5.4 10.7 * Parking 4.5 15.5 9.5 Where IRamp/Garage Live *Location not included in question. 6.8 12.6 15.8 Other 7.2 13.6 8.1 Private Parties * 5.4 *Location 6.8 Other not included in question. Worksite Weekday More Than 1 Pack per Weekend Day Day Parking Ramp/Garage Less Than 0.5 Pack per Day 0.5–1 Pack per Day Outsid Tobacco Use 18.4% 67.0% Veterans:14.6% Current Tobacco Users in the past 30 Location days, 30.4% of veterans, compared 1.9Inside 0.3 3.9 Outside Fraternity/Sorority to 33.0% of allOn students who completed the 2.9* 2.8* 43.7 Campus 53.4 Bars/Restaurants Percent Who Indicate Use *smokers.73.3 * 4.9* survey, do notResidence consider themselves to be 68.0 In a Car Halls 1.9 0.3 3.9 Fraternity/Sorority 18.4 20.5 82.5 Where I Live Location Inside Outside Among those who do consider themselves to be * 52.9%17.1 * 53.4 Bars/Restaurants 50.5 Private Parties compared15.5 2.9 2.8 43.7 On Campus smokers, 63.4% of veterans, to 68.0** 73.3** * In a Car Halls 35.9 Worksite 4.9 Residence of all students, made at least one attempt to quit 18.4 20.5 82.5 Where 23.3 23.3 ParkingI Live Ramp/Garage 1.9 0.3 3.9* Fraternity/Sorority smoking over the past 12 months. These veterans 15.5 17.1 50.5 Private 9.7 10.2 37.9 Other Parties * * 53.4 Bars/Restaurants made an average of 6.2 quit attempts during * * 35.9* Worksite 68.0 73.3 In a Car Veterans All Students—Adjusted Data that same 12-month period, while all students 23.3 23.3 * Parking 18.4 20.5 82.5 Where IRamp/Garage Live *Location not included in question. who consider Other themselves to be smokers made an 9.7 10.2 37.9 15.5 17.1 50.5 Private Parties Results Veterans: Current 14.6% Tobacco Users Outsid Secondhand Smoke Exposure Number of Cigarettes Smoked Number of Cigarettes Smoked Inside 2.9 2.8 43.7 On Campus Tobacco-Use Location Percent Who Indicate Use Among those who report using smokingCurrent tobacco Veterans and All Students: * Tobacco*Users 4.9 Residence Halls Nonsmoker * 12.2 Smoker 10.7 * 12.6 15.8 Secondhand SmokeNonsmoker Exposure—Per Week Smoker More Than 1 Pack per Day Veterans: Nonsmokers vs. Current Smokers *Location not included in question. 2.7% 0.9%users smoke Veterans whoSecondhand are current tobacco Smoke Exposure—Per Week Average Number of Cigarettes Smoked Veterans: Current vs. Daily Tobacco Users Veterans: Nonsmokers vs. Current Smokers 20 Average Number of Cigarettes Smoked Average Number of Cigarettes Average Number of Cigarettes Average Number of Cigarettes 20.0 Users Veterans: Current vs. Daily Tobacco 17.2 15 20 13.9 Average Number of20.0 Cigarettes Smoked Veterans: Current vs. Daily Tobacco Users 10 12.5 17.2 15 205 13.9 20.0 10 150 5 10 0 5 Less Than 30 Minutes–1 Hour 17.2 Weekday 13.9 Current Tobacco Users Weekday Current Tobacco Users 0 12.5 Weekday similar average numbers of cigarettes per weekday 12.6% and per weekend day.19.0% Veterans who are daily 2.7% 0.9% 13.6% Secondhand Smoke Week 37.9% tobacco users smoke a higher but notExposure—Per statistically Veterans: Nonsmokers vs. Current Smokers 12.6% significantly different average77.4% numbers of cigarettes 35.9% 19.0% per weekday compared 2.7% to per0.9% weekend day. The13.6% 37.9% adjusted aggregate survey data show a statistically 12.6% 77.4% Nonsmokers Current Smokers significantly higher average 35.9% 19.0% number of cigarettes 0 Hours to on weekend 13.6% 2–6 Hours 37.9% smoked on weekdays compared Weekend Day 12.5 Daily Tobacco Users Weekend Day Daily Tobacco Users Weekend Day days for both current andNonsmokers daily tobacco users. 77.4% 7 or More Hou Current Smokers 35.9% 2–6 Hours 0 Hours Less Than 30 Minutes–1 Hour 7 or More Hours Nonsmokers Current Smokers 0 Hours Less Than 30 Minutes–1 Hour Results 2–6 Hours 7 or More Hour 17 Veterans who used tobacco in the past 30 days Attempts—Past 12 Months Attempts—Past 12 Months ns: Current Smokersreport the most common locations of their use ns: Current Smokersare where they live (outside), in a car, at bars and Tobacco-Use Location Veterans and All Students: Current Tobacco Users Tobacco-Use Location Veterans and All Students: Current Tobacco Users restaurants, and at private parties (outside). The most common locations obtained from the adjusted 30.4% aggregate data36.6% from all students who completed 30.4% 36.6% Health Survey were the 69.6%the 2012 College Student63.4% same as those reported by veterans. 63.4% 69.6% Private Where IParties Live Worksite Private Parties Consider Themselves Smokers Consider Do Not Consider Themselves Smokers Themselves Smokers Do Not Consider Themselves Smokers Quit Attempts Attempted to Quit Attempted Have Not Attempted to Quit to Quit Have Not Attempted to Quit Results For veterans who are nonsmokers, on campus (outside) is the most commonly cited location for Smoked exposure to secondhand smoke. For veterans mber of Cigarettes ans: Current Tobacco Users whoSmoked are smokers, where they live (outside) is mber of Cigarettes Tobacco Use Fraternity/Sorority Residence Halls Bars/Restaurants Fraternity/Sorority 6.2 = Average Number 1–99 of = Range of Quit Attempts Quit Attempts ans: Current Tobacco Users the most commonly cited location for exposure 9.7% 11.7% to secondhand smoke. Approximately two-fifths 14.6% 18.4% 9.7%report (39.5%) of veterans 11.7%never being exposed 14.6% 18.4% to secondhand smoke. Adjusted aggregate data from all students who completed the survey 78.6% show that 43.1% report never being exposed to 78.6% secondhand smoke. Weekday Weekend Day Parking WorksiteRamp/Garage Other Parking Ramp/Garage Other Veterans 0.5–1 Pack0.5 perPack Day per Day Less Than More Than 1 Pack 0.5–1 Pack per Dayper Day 10.2 37.9 36.8 All Students—Adjusted Data *Location not included in question. Secondhand Smoke Exposure Veterans Secondhand Smoke Exposure Veterans Percent Who Indicate Exposure Percent Who Indicate Exposure Inside Outside Location On Campus Location Residence On CampusHalls Fraternity/Sorority Residence Halls Bars/Restaurants Fraternity/Sorority In a Car Bars/Restaurants Where In a CarI Live Private Where IParties Live Worksite Private Parties Other More Than 1 Pack per Day 9.7 43.7Outside44.4 4.9 4.3 43.7 44.4 3.9 1.0 4.9 4.3 53.4 45.9 3.9 1.0 * * 53.4 45.9 82.5* 77.5* 50.5 50.2 82.5 77.5 35.9 38.4 50.5 50.2 * * 35.9 38.4 37.9* 36.8* Veterans *Location not included in question. All Students—Adjusted Data Parking WorksiteRamp/Garage Other Parking Ramp/Garage Weekday Less Than 0.5 Pack per Weekend Day Day 2.9 Inside 2.8 * * 2.9 2.8 1.9* 0.3* * * 1.9 0.3 68.0* 73.3* 18.4 20.5 68.0 73.3 15.5 17.1 18.4 20.5 * * 15.5 17.1 23.3* 23.3* 9.7 10.2 23.3 23.3 On Campus Location Residence On CampusHalls 6.2 = Average Number 1–99 = Range of 67.0% Percent Who Indicate Use Inside Outside Location In a Car Bars/Restaurants Where In a CarI Live of Quit Attempts 67.0% Percent Who Indicate Use 0.5 Inside 0.0 * * 0.5 0.0 0.0* 2.9* * * 0.0 2.9 9.0* 49.5* 4.5 15.5 9.0 49.5 7.2 13.6 4.5 15.5 * * 7.2 13.6 5.4* 10.7* 6.8 12.6 5.4 10.7 6.8 12.6 17.2Outside25.2 0.9 3.9 17.2 25.2 0.0 1.9 0.9 3.9 16.3 33.0 0.0 1.9 * * 16.3 33.0 9.5* 38.8* 8.1 30.1 9.5 38.8 12.2 17.5 8.1 30.1 * * 12.2 17.5 15.8* 30.1* Nonsmoker Smoker Nonsmoker *Location not included in question. Smoker 15.8 30.1 *Location not included in question. Secondhand Smoke Exposure—Per Week Veterans: Nonsmokers vs. Current Smokers Secondhand Smoke Exposure—Per Week Veterans: Nonsmokers vs. Current Smokers 2.7% 0.9% age Number of Cigarettes Smoked ns: Current vs. Daily Tobacco Users age Number of Cigarettes Smoked 2.7% 0.9% ns: Current vs. Daily Tobacco Users 19.0% 19.0% 20.0 20.0 13.9 17.2 12.5 13.9 17.2 12.5 18 77.4% 12.6% 12.6% 13.6% 37.9% 13.6% 37.9% 77.4% Nonsmokers 35.9% 35.9% Current Smokers Current 2–6Smokers Hours 0Nonsmokers Hours Than 30 Minutes–1 Hour 7 or More Hours Health and Health-Related Behaviors Minnesota Postsecondary Student Less Veterans 2–6 Hours 0 Hours Less Than 30 Minutes–1 Hour Weekday Weekend Day 7 or More Hours Secondhand Smoke Exposure—Per Week For veterans who are nonsmokers, 3.6% report Veterans: Nonsmokers vs. Current Smokers being exposed to secondhand smoke two or Tobacco-Use Status more hours per week. For veterans whoand are Other Illegal 2.7% 0.9% Drug Use (Not Marijuana)—Past 12 Months current smokers,Veterans 26.2% report being exposed to 12.6% secondhand smoke two or more hours per week. 13.6% 77.4% 8 37.9% 7.9 6 35.9% Nonsmokers Percent 19.0% 5.9 Current Smokers 0 Hours Less Than 30 Minutes–1 Hour 2 2–6 Hours 7 or More Hours 0 Tobacco-Use Tobacco-UseStatus Statusand andHigh-Risk High-RiskDrinking Drinking Veterans Veterans Percent Percent 33.3 33.3 Veterans who use tobacco have a higher rate of high-risk drinking compared to veterans who are p<0.001). This same relationship between tobacco use and high-risk drinking is seen in the adjusted aggregate 26.3 26.3 data from all students who completed the 2012 College Student Health Survey. 10 10 All Veterans All Veterans Non-Tobacco Users Non-Tobacco Users Tobacco Users Tobacco Users Definition: High-Risk Drinking Consumption of five or more alcohol 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. Tobacco-Use Tobacco-UseStatus Statusand andCurrent CurrentMarijuana MarijuanaUse Use Veterans Veterans 14.8 14.8 Percent Percent 12 12 6 3 0 9 6 days is higher among veterans who are tobacco users (14.8%) compared to veterans who are non-tobacco users (5.3%) (p<0.01). 8.6 8.6 A similar relationship between tobacco use and current marijuana use is seen in the adjusted 5.3 5.3 3 0 Similar to the relationship between high-risk drinking and tobacco use, the use of marijuana in the past 30 15 15 9 Tobacco Tobacco Use 20 20 0 Non-Tobacco Users Results 46.1 46.1 40 40 0 All Veterans non-tobacco users (46.1% vs. 26.3%, respectively, 50 50 30 30 4.8 4 All Veterans All Veterans Non-Tobacco Users Non-Tobacco Users aggregate data from all students who completed Tobacco Users Tobacco Users the survey. Results 19 dhand Smoke Exposure—Per Week s: Nonsmokers vs. Current Smokers 2.7% 0.9% 19.0% The use of other illegal drugs is also associated with tobacco use. Veterans who are tobacco users use 12.6% illegal drugs other than marijuana at nearly one and Tobacco-Use Status and Other Illegal Drug Use (Not Marijuana)—Past 12 Months Veterans 8 one-half the rate of non-tobacco 13.6% 37.9% users (7.9% vs. 7.9 4.8%, respectively). 35.9% The relationship between tobacco use and other seen in the adjusted aggregate Nonsmokers illegal drug useCurrent Smokers data from all students who completed the survey is 2–6 Hours 0 Hours similar to that seen7 among veterans. Less Than 30 Minutes–1 Hour or Morethe Hours 6 Percent 77.4% 5.9 4.8 4 2 All Veterans Tobacco Use Results 0 20 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Non-Tobacco Users Tobacco Users Results Alcohol Use and Other Drug Use American college students consume alcohol and other drugs at very high rates. Among full-time college students, more than four in five (82.3%) have consumed alcohol at least one time, nearly four in five (78.6%) have consumed alcohol in the past year, and nearly two in three (65.0%) consume alcohol monthly.13 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 45.5% and is 33.3% among 18- to 20-year-olds.12 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 monthly and to binge drink.12 Approximately one-half (49.1%) of full-time college students have used an illicit drug at least once in their lifetime, more than one-third (35.0%) of full-time college students have used an illicit drug at least once in the past year, and approximately one in five (19.2%) full-time college students have used an illicit drug in the last month.13 Marijuana is the illicit drug of choice for full-time college students, with nearly half (46.8%) of students having used the drug at least once in their lifetime and almost one-third (32.7%) having used it in the past year.13 Among full-time college students, 9.0% have used amphetamines, 3.5% Results have used cocaine, and 0.2% have used heroin in the previous year.13 The National Survey on Drug Use and Health, an annual survey sponsored by the Substance Abuse Alcohol Use and Other Drug Use and Mental Health Services Administration, examined differences in alcohol and drug use among veterans and nonveterans in two separate reports released in November 2005. The rates of alcohol and marijuana use were higher among veterans compared to nonveterans. The report estimated a pastmonth alcohol-use rate among veterans of 56.6%, compared to a rate of 50.8% among nonveterans, with 22.6% of veterans also reporting they consumed five or more drinks at one sitting over that same time period and 21.6% of nonveterans reporting having engaged in that same type of behavior.17 The second report, which highlighted the use of marijuana and other illicit drugs, estimated the rates of marijuana use within the past 30 days to be 3.5% among veterans and 3.0% among nonveterans. The use of illicit drugs within the past 30 days was slightly lower among veterans than among nonveterans (1.7% vs. 1.9%, respectively).19 21 completed the 2012 College Student Health Survey (85.5% vs. 86.6%, respectively). The rate for any use of alcohol within the past year is statistically significantly higher among veterans (85.8%) compared to the adjusted aggregate data from all students who completed the survey (80.5%) (p<0.05). Hi Vet Hi Hig Alcohol Use—Past 12 Months Veterans and All Students by Gender Alcohol Use—Past 12 Months Vet Vet Veterans and and All All Students Students by by Gender Gender Veterans 100 100 100 80 80 80 60 66 85.8 85.8 60 60 40 85.5 85.5 80.1 80.1 86.6 86.6 81.5 81.5 40 40 20 44 33 11 00 Any alcohol use within the past year. 55 22 20 20 0 Definition: Past-12-Month Alcohol Use 80.5 80.5 Percent Percent Percent months are similar for male and female veterans who Percent Percent Percent The rates for any use of alcohol in the past 12 Females All* Males* All* Veterans All* Females Males* Females Males* All Students—Adjusted Data Veterans *StatisticallyVeterans significant. All Students—Adjusted Students—Adjusted Data Data All *Statistically significant. significant. *Statistically Student Health Survey, the rate for alcohol use in the past 30 days is higher, though not statistically Current Alcohol Use Veterans and All Students by Gender Current Alcohol Use Veterans and and All All Students Students by by Gender Gender Veterans 80 80 80 significantly different, for males compared to report a statistically significantly higher rate of alcohol use within the past 30 days compared to all students who completed the survey (76.9% vs. 60 60 respectively, p<0.01). Analysis of the adjusted aggregate data shows that male veterans report a higher but not statistically significantly different average number of drinks per week compared to all males who completed the survey (5.4 vs. 4.6, respectively). Similarly, female veterans also report consuming a higher but not statistically significantly different average number of drinks per week compared to all females who completed the survey (3.3 vs. 2.6, respectively). 69.0 69.0 76.3 76.3 68.2 68.2 B i Bt B i in tt 20 00 Females All* Males* All* Veterans All* Females Males* Females Males* All Students—Adjusted Data Veterans *StatisticallyVeterans significant. All Students—Adjusted Students—Adjusted Data Data All *Statistically significant. significant. *Statistically Any alcohol use within the past 30 days. week than female veterans consume (5.4 vs. 3.3, 77.1 77.1 40 Definition: Current Alcohol Use Student Health Survey consume more drinks per 68.7 68.7 40 40 0 68.7%, respectively) (p<0.01). Male veterans who completed the 2012 College 76.9 76.9 20 20 Average Number of Drinks per Week Veterans and All Students by Gender Average Number of Drinks per Week Av Ve Av Veterans and and All All Students Students by by Gender Gender Veterans 6 Average Number of Average Number ofDrinks Drinks Average Number of Drinks Alcohol Use and Other Drug Use Results of the adjusted aggregate data shows that veterans Percent Percent Percent females (77.1% vs. 76.3%, respectively). Analysis 60 Bl Bl 665 554 443 4.8 4.8 4.0 4.0 332 5.4 5.4 Vet Vet 0. 4.6 4.6 221 110 00 All* All* Veterans All* Veterans *StatisticallyVeterans significant. 0. 0.0 0. 3.3 3.3 2.6 2.6 Average BAC Average BAC BAC Average Among veterans who completed the 2012 College 0. 0.0 0. 0. 0.0 0. 0. 0.0 0. 0. 0.0 0. Females 0. 0.0 0. Females Males Females Males All Students—Adjusted Data 0. 0.0 Males All Students—Adjusted Students—Adjusted Data Data All *Statistically significant. significant. *Statistically High-Risk Drinking 22 Health and Health-Related Behaviors Minnesota Postsecondary Veterans Student and Veterans All Students by Gender High-Risk Drinking Veterans and and All All Students Students by by Gender Gender Veterans 40 Av Vet Av Vet Vet *Statistically significant. High-Risk Drinking Veterans by Age Group 23.7%, respectively, p<0.05). Among all students who completed the 2012 College Student Health 0.15 Survey, males report a higher rate of high-risk Analysis of the adjusted aggregate data shows 0.06 0.05 that male veterans report a higher though not 0.06 10 0.09 0.06 21.2 0.08 23.7 20 0.13 0.12 drinking compared to females (p<0.001). 0.10 28.8 0.03significantly different high-risk drinking statistically 0 All Females Males Veterans All Students—Adjusted Data 0.04 32.0 0.08 33.3 0.05 37.5 Average BAC Percent 30 rate compared to that for all males who completed 0.00 23–24 18–20vs. 21–22 25–26 27–28Female 29–30 31–32 33–34 35+ the survey (37.5% 32.0% , respectively). Age Group veterans report a slightly higher, though not statistically significantly different, high-risk drinking rate compared to all females who completed the survey (23.7% vs. 21.2%, respectively). High-Risk Drinking Negative Consequences of Alcohol/Drug Use Veterans by Age Group Veterans and All Students 60 High-Risk Drinking Among veterans who completed the 2012 College Negative Consequences of Alcohol/Drug Use Percent Veterans by Age Group 50 and All Students StudentVeterans Health Survey, the peak years for engaging 51.8 in high-risk drinking are between ages 21 and 27. Percent 40 60 30 50 51.8 20 40 10 30 0 20 0 34.7 Among all students who completed the survey, the 30.3 peak years for engaging in high-risk drinking are also Performed Poorly on a Test or Important Project Negative Due Residence to Alcohol/Drug between ages 21Consequence andWith 27. Police, Been in Trouble Hall, orUse 39.2 30.3 18–20 21–22 23–24 Age Group 25–27 28+ 18–20 21–22 23–24 Age Group 25–27 28+ 17.6 Had a Hangover Blood Alcohol Content Blood Alcohol Content Blood alcohol content (BAC) measures the percentage of alcohol in a person’s blood. The calculation of BAC is based on a formula that takes into account the following factors: • Gender Blood alcoholbody content (BAC) measures the percentage of alcohol • Current weight in a person’s blood. The calculation of BAC is based on a formula • Amount ofaccount alcohol consumed (number of drinks) that takes into the following factors: • Time period of consumption • Gender • Concentration of alcohol in the beverage consumed •(based Currentonbody weight content of one typical can of beer the alcohol alcohol) •containing Amount of4.5% 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) 5.2 56.5 0.9 18.9 18.2 5.2 29.6 Damaged Property, Pulled Fire Alarms, etc. 0.9 Driven a Car While Under the Influence 14.5 Got Intoa an Argument or Fight 18.2 Missed Class 15.7 Got Nauseated or Someone Vomited I Know 29.6 Been Criticized by 15.7 Driven a Car While Under the Influence 14.5 Thought I Might Have a Drinking or Other Drug Problem 9.9 Missed a Class Loss 15.7 Had a Memory 16.4 Been Something Criticized byI Later Someone I Know 15.7 Done Regretted 15.4 Thought I Might Have a Drinking or Other Drug Problem 9.9 Been Arrested for DWI/DUI 2.2 Had aBeen Memory 16.4 Have TakenLoss Advantage of Sexually 0.6 Done Something I Later Regretted 15.4 Havealcohol Taken Advantage of Another The blood content (BAC) of a Sexually student on 0.0 Been Arrested for DWI/DUI 2.2 Tried Unsuccessfully to Stop Usingoccasion 3.7 the most recent socializing/partying Have Been Taken Advantage of Sexually 0.6 Seriously Thought Suicide 4.3 was calculated based onAbout answers to four different Have Taken Advantage of Another 0.0 Seriously Tried to Commit Suicide Sexually 0.6 survey questions (gender, current body weight, Tried Unsuccessfully to Stop Using 3.7 Been Hurt or Injured 6.2 amountSeriously of alcohol consumed, and time period of Thought About Suicide 4.3 All Students—Adjusted Data0.6 consumption). should be noted that the SeriouslyItTried toVeterans Commit Suicide BAC calculated study is an estimate. Been Hurtinorthis Injured 6.2 Other College Authorities Had a Hangover Damaged Property, Pulled Fire Alarms, etc. Performed Poorly on a Test or Important Project Got Into an Argument or Fight Been in Trouble With Police, Residence Hall, or Other College Authorities Got Nauseated or Vomited 3.2 48.0 0.8 14.7 12.1 3.2 23.9 0.8 14.2 12.1 13.5 23.9 14.0 14.2 7.3 13.5 13.6 14.0 16.2 7.3 1.3 13.6 1.2 16.2 0.3 1.3 2.6 1.2 2.6 0.3 0.5 2.6 4.9 2.6 0.5 4.9 Alcohol Use and Other Drug Use 10 17.6 34.7 Negative Consequence Due to Alcohol/Drug Use 39.2 Who Report Experiencing Within Past 12 Months Percent 56.5 48.0 Who Report Experiencing 18.9 Within14.7 Past 12 Months Results Percent 5 This information is self-reported, and students Veterans All Students—Adjusted Data tend to underestimate the actual amount of alcohol they consume. Average Number of Negative Consequences Veterans by Average Number of Drinks and High-Risk Drinking Average Estimated Blood Alchol Content Veterans and All Students by Gender 15 Results 23 Average Number of Negative Consequences Veterans by Average Number of Drinks and High-Risk Drinking 14.2 12 ber of uences 2 Blood Alcohol Content drinkingAverage comparedEstimated to female veterans (37.5% vs. 40 5 2 Male veterans report a higher rate of high-risk Veterans and All Students by Gender 15 11.9 *Statistically significant. Av Vet A Veterans and All Students by Gender Student Health Survey, the average estimated Average Number of Drinks per Week Average Estimated Blood Alchol Content female veterans is slightly 4.6 higher than the average 5.4 4.0 estimated BAC for male veterans. 3.3 4.6 4.0 2.6 Analysis of the adjusted aggregate data shows 3.3 that the average estimated BAC level for2.6 male and female students is similar to the average estimated All* Males 0 Veterans All* *Statistically significant. Veterans All Students—Adjusted Data Females Males 0.05 0.05 0.05 0.03 0.04 All All All Students—Adjusted Data 0 21.2 The adjusted aggregate data from all students who completed the 2012 College Student Health Survey Males Females show that the average estimated BAC level ranges Veterans All Students—Adjusted Data . Females Allfrom 0.04 to 0.11 Males All Students—Adjusted Data 0.09 0.12 0.06 0.09 0.03 0.06 0.00 0.03 0.00 0.10 0.10 23.7 Veterans Vet Hi Ve Neg 0.12 0.15 0.08 0.08 32.0 BAC levels that exceed the 31–32 report estimated 28.8 37.5 legal driving limit of 0.08 for individuals of legal 33.3 23.7 32.0 21.2 drinking 28.8 age. All Hig Veterans by Age Group 0.15 AverageAverage BAC BAC Results 10 0 All Students—Adjusted Data Average Estimated Blood Alcohol Content range from 37.5 0.04 to 0.13. Veterans ages 21–22 and 20 10 Alcohol Use and Other Drug Use PercentPercent 30 20 All Students—Adjusted Data Females Males Veterans by Age Group Veterans and All Students by Gender 40 The average estimated BAC levels for veterans 33.3 Veterans Average Estimated Blood Alcohol Content High-Risk Drinking 40 30 Females Males Veterans *Statistically significant. Veterans and All Students by Gender 0.06 0.01 0.02 0.00 High-Risk Drinking 0.06 0.02 0.03 0.00 0.01 Females BAC levels for male and female veterans. 0.05 Driv Ne Got Dri Perf Go Mis Per 0.04 0.04 0 1 0.05 0.06 0.05 0.05 1 2 0.05 0.06 0.13 0.13 2 3 0.06 0.06 0.06 4.8 0.04 0.05 0.06 0.06 0.06 4.8 0.05 0.06 0.08 0.08 3 4 socialized, is5.4 0.06. The average estimated BAC for 0.05 0.05 4 5 Veterans and All Students by Gender 0.06 AverageAverage BAC BAC of Drinks AverageAverage NumberNumber of Drinks Veterans and All Students by Gender 6 BAC, based on the last time the student partied/ 5 6 Ve Average Estimated Blood Alchol Content Veterans and All Students by Gender For veterans who completed the 2012 College of AverageAverage NumberNumber of Negative Consequences Negative Consequences Average Number of Drinks per Week 18–20 21–22 23–24 25–26 27–28 29–30 31–32 33–34 35+ Age Group 18–20 21–22 23–24 25–26 27–28 29–30 31–32 33–34 35+ Age Group 24 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Mis *The wh wit *Th wh wi 8+ ol la hol ula Negative Consequence Due to Alcohol/Drug Use Had a Hangover Performed Poorly on a Test orto Important Project Negative Consequence Due Alcohol/Drug Use Been in Trouble With Police, Residence Hall, or Had aCollege Hangover Other Authorities Performed Poorly a Test or Alarms, Important Damaged Property,on Pulled Fire etc.Project 56.5 5.2 18.9 0.9 48.0 3.2 14.7 0.8 18.2 5.2 29.6 0.9 Driven a Car While Under the Influence 14.5 Got Into an Argument or Fight 18.2 Missed a Class or Vomited 15.7 Got Nauseated 29.6 Been Criticized by Someone I Know 15.7 Driven a Car While Under the Influence 14.5 Thought 9.9 Missed aI Might Class Have a Drinking or Other Drug Problem 15.7 Had a Memory Loss 16.4 Been Criticized by Someone I Know 15.7 Done Something LateraRegretted Thought I Might IHave Drinking or Other Drug Problem 15.4 9.9 Been DWI/DUI 2.2 Had aArrested MemoryforLoss 16.4 Have Taken Advantage of Sexually 0.6 DoneBeen Something I Later Regretted 15.4 Have Taken Advantage of Another Sexually 0.0 Been Arrested for DWI/DUI 2.2 Tried to Stop Using 3.7 HaveUnsuccessfully Been Taken Advantage of Sexually 0.6 Seriously Thought About Suicide 4.3 Have Taken Advantage of Another Sexually 0.0 Seriously Tried to Commit Suicide 0.6 Tried Unsuccessfully to Stop Using 3.7 Been Hurt Thought or InjuredAbout Suicide 6.2 Seriously 4.3 12.1 3.2 23.9 0.8 14.2 12.1 13.5 23.9 14.0 14.2 7.3 13.5 13.6 14.0 16.2 7.3 1.3 13.6 1.2 16.2 0.3 1.3 2.6 1.2 2.6 0.3 0.5 2.6 4.9 2.6 Seriously Tried to Commit Suicide 0.6 Veterans All Students—Adjusted Data Been Hurt or Injured 6.2 0.5 4.9 Been in an Trouble With or Police, Got Into Argument FightResidence Hall, or Other College Authorities Got Nauseated or Vomited Damaged Property, Pulled Fire Alarms, etc. Veterans Alcohol/Drug-Related Situation 14.5% report having driven while under the Veterans Percent Response influence, and 18.9% report performing poorly on Very Likely 70.7 a test or project as a result of alcohol/drug use. Somewhat Likely 17.3 Response Somewhat 6.2 Very LikelyUnlikely 70.7 Very Unlikely 5.9 Somewhat Likely 17.3 Somewhat Unlikely All Veterans Very Unlikely All Veterans Veterans6.2 Who Did Not 5.9 Use Alcohol Within the Past 30 Days Veterans Who Did Not Use Alcohol Within the Past 30 Days Veterans and All Students by Gender 15 20 All Students—Adjusted Data 10 15 5 10 15.4 12.7 15.4 12.7 12.3 All Males Veterans All 0 3 14.2 11.9 0 11.9 5.0 5 or Fewer Drinks per Week 3.5 6 or More Drinks per Week 6 or More Drinks per Week Non-High-Risk 3.5 Drinkers Non-High-Risk Drinkers High-Risk Drinkers High-Risk Drinkers High-Risk Drinking and Selected Consequences* Veterans High-Risk Drinking and Selected Consequences* Veterans Negative Consequence Driven a Car While Under the Influence 6.2 All Students—Adjusted Data Females Males All Students—Adjusted Data and the total numberMarijuana of reportedUse negative Current 12 Veterans All Studentsover by Gender consequences theyand experienced the past 12 months (p<0.001). An association also 10.6exists Percent 14.5 6.9 29.6 between engaging in high-risk drinking within 8.6 7.9 the past two weeks and reported negative 10.6 69 7.0 consequences (p<0.001). 8.6 7.9 36 7.0 The adjusted aggregate survey data from all 03the same relationships between students show All Males average number of drinks consumed per week, Veterans 4.1 negative consequences. 4.8 Females All Students—Adjusted Data Males Veterans 4.8 4.1 engagement in0 high-risk drinking, and reported All 9.6 6.2 Females 9 12 14.2 5 or Fewer Drinks per Week 9.6 Current Marijuana Use Veterans by Average Number of Drinks and High-Risk Drinking 5.0 13.5 and All Students by Gender number ofVeterans drinks veterans consumed per week Average Number of Negative Consequences 15 3 6 13.5 12.3 A strong association exists between the average Veterans by Average Number of Drinks and High-Risk Drinking 6 9 Alcohol Within the Past 30 Days Veterans Who Did Use Alcohol Within the Past 30 Days Marijuana Use—Past 12 Months 20 Veterans 9 12 2.7 Veterans Who7.2 Did Use 9.3 4.8 Veterans and All Students by Gender 0 12 15 68.7 19.3 7.2 68.7 4.8 19.3 Marijuana Use—Past 12 Months 05 Average Number of Negative Consequences 77.3 10.7 Percent 2.7 77.3 9.3 10.7 Alcohol Use and Other Drug Use 06 Percent Who Report Experiencing Within Past 12 Percent Months Who Report 56.5 48.0 Experiencing Within Past 18.9 14.7 12 Months Results 6 Veterans and All Students Among all veterans, 15.7% report missing class, Likelihood of Calling 911 in aan Percent Percent + Veterans Negative Consequences of Alcohol/Drug Use Percent Percent .3 Likelihood of Calling 911 in an Alcohol/Drug-Related Situation Veterans and All Students Averageof Number of Average Number Consequences Negative Negative Consequences 3 Negative Consequences of Alcohol/Drug Use Females All Students—Adjusted Data Selected Drug Use—Past 12 Months Veterans and All Students Selected Drug Use—Past 12 Months Veterans and All Students Drug Cocaine Results 25 Use Percent Who Report Within Past 12 Months p-value 1.2 Percent Who 1.3 Report Usens The rates for the negative consequences identified Average Estimated Blood Alcohol Content Veterans by Age Group are generally three to four times higher among Negative Consequence high-risk drinking. More than one-fourth (29.6%) Driven a Car While Under the Influence of veterans who have engaged in high-risk drinking Got Into an Argument or Fight have driven while under the influence of alcohol or Performed Poorly on a Test or Important Project 0.08 0.10 0.04 0.05 0.06 0.06 drugs one or more times in the past 12 months. 0.05 0.08 0.09 0.00 compared to veterans who have not engaged in 0.13 0.12 0.03 Veterans veterans who have engaged in high-risk drinking 0.15 0.06 High-Risk Drinking and Selected Consequences* Higher rates are seen in the adjusted aggregate data from the 2012 College Student Health Survey, 18–20 21–22 23–24 25–26 27–28 29–30 31–32 33–34 35+ with 31.3% ofAge allGroup students who engage in high-risk Percent Missed a Class All Veterans Non-High-Risk Drinkers High-Risk Drinkers *The rate for high-risk drinking is based on behavior in the past two weeks while the rate for negative consequences is based on reported experiences within the previous 12-month period. D C A S H O I E S G drinking behavior also reporting they have driven A A while under the influence of alcohol or drugs within the past 12 months. n Negative Consequences of Alcohol/Drug Use call 911 when Veterans were asked if they would eterans and All Students Negative Consequences of Alcohol/Drug Use someone passes out due to alcohol/drug use eterans and All Students and they are unable to wake the individual. In an Percent Who Report example of a situation in which 911 must be called, Percent Experiencing Who Report Within 70.7% of all veterans report theyExperiencing wouldPast be “very egative Consequence Due to Alcohol/Drug Use 12 Months Within Past likely” to call for emergency assistance. egative Consequence Due to Alcohol/Drug Use 12 Months ad a Hangover 56.5 48.0 Results ad a Hangover 56.5 14.7 48.0 erformed Poorly on a Test or Important Project 18.9 According to the adjusted aggregate survey erformed Poorly on a Test or Important Project 18.9 14.7data, een in Trouble With Police, Residence Hall, or ther College Authorities 5.2 3.2 een in Trouble With 66.8% Police, Residence Hall, or of all students report they would be “very ther College Authorities 5.2 3.2 amaged Property, Pulled Fire Alarms, etc. 0.9 0.8 likely” to call for emergency assistance if they found Alcohol Use and Other Drug Use amaged Pulled Fire Alarms, etc. 0.9 12.1 0.8 ot Into anProperty, Argument or Fight 18.2 someone passed out due to alcohol/drug use. ot Nauseated Into an Argument or Fight 18.2 23.9 12.1 ot or Vomited 29.6 29.6 14.2 23.9 14.5 14.5 14.2 15.7 13.5 Missed a Class by Someone I Know 13.5 een Criticized 15.7 14.0 een Criticized by Someone I Know 15.7 hought I Might Have a Drinking or Other Drug Problem 9.9 14.0 7.3 hought I Might Have a Drinking or Other Drug Problem 9.9 13.6 7.3 ad a Memory Loss 16.4 ad aSomething Memory Loss 16.4 16.2 13.6 one I Later Regretted 15.4 The rate for any marijuana use within the past one Arrested Something Later Regretted 15.4 een forI DWI/DUI 2.2 16.2 1.3 12 months is 12.7% for all veterans who een Arrested for DWI/DUI 2.2 1.3 ave Been Taken Advantage of Sexually 0.6 1.2 completed the 2012 College Student Health ave Taken Been Taken Advantage of Sexually 0.6 1.2Survey. ave Advantage of Another Sexually 0.0 0.3 This rate is slightly ave Taken Advantage of Another Sexuallyhigher though not 0.0 statistically 0.3 ied Unsuccessfully to Stop Using 3.7 2.6 ied Unsuccessfully to Stop Using 3.7 2.6 significantly different than the past-12-month eriously Thought About Suicide 4.3 eriously Tried Thought About Suicide 4.3all students 2.6 eriously to Commit Suicide 0.6 0.5 marijuana-use rate reported among in eriously to Commit Suicide 0.6 0.5 een HurtTried or Injured 6.2 4.9 the adjusted aggregate data. een Hurt or Injured 6.2 4.9 Likelihood of Calling 911 in an Alcohol/Drug-Related Situation Likelihood of Calling 911 in an Veterans Alcohol/Drug-Related Situation Veterans Response Response Very Likely Very Likely Likely Somewhat Somewhat Unlikely Likely Somewhat Somewhat Unlikely Very Unlikely Very Unlikely All Veterans All Veterans ot Nauseated or Vomited riven a Car While Under the Influence riven a Car While Under the Influence issed a Class Veterans All Students—Adjusted Data Veterans All Students—Adjusted Data Definition: Past-12-Month Marijuana Use Any marijuana use within the past year. 15 15 14.2 Percent Percent 77.3 70.7 70.7 17.3 17.3 6.2 6.2 5.9 5.9 Veterans Who Did Not Use VeteransWithin Who Alcohol Did Past Not Use the 30 Days Alcohol Within the Past 30 Days 77.3 10.7 10.7 2.7 2.7 9.3 9.3 68.7 68.7 19.3 19.3 7.2 7.2 4.8 4.8 Veterans Who Did Use VeteransWithin Who Alcohol Did Past Use 30 Days the Alcohol Within the Past 30 Days Marijuana Use—Past 12 Months Veterans and All Students by Gender Marijuana Use—Past 12 Months Veterans and All Students by Gender Percent Percent 20 20 15 15 10 10 12.7 12.7 12.3 12.3 15.4 15.4 5 5 0 0 12 12 13.5 13.5 6.2 6.2 All All Veterans Veterans 9.6 9.6 Females Males Females Males All Students—Adjusted Data All Students—Adjusted Data Average Number of Negative Consequences Current Marijuana Use Veterans by Average Number of Drinks and High-Risk Drinking Average Number of Negative Consequences Veterans and All Students by Gender Marijuana Use Veterans by 26 Average Number Drinks and High-Risk DrinkingMinnesota Postsecondary Current Health andofHealth-Related Behaviors Student Veterans Veterans and All Students by Gender es 14.5 6.9 29.6 18.2 10.2 34.3 18.9 13.0 30.8 15.7 10.2 26.9 CurrentMarijuana MarijuanaUse Use Current Veterans and All Students by Gender different compared to the rate obtained from the adjusted aggregate data from all students who 10.6 10.6 Percent Percent 99 66 8.6 8.6 7.0 7.0 completed the 2012 College Student Health Survey (8.6% vs. 7.0%). 7.9 7.9 4.8 4.8 4.1 4.1 33 Definition: Current Marijuana Use Any marijuana use within the past 30 days. 00 All All Veterans Veterans Females Females Males Males AllStudents—Adjusted Students—AdjustedData Data All SelectedDrug DrugUse—Past Use—Past12 12Months Months Selected Veterans and All Students The illicit drugs most commonly used by veterans Veterans and All Students are sedatives (5.2%) and cocaine (1.2%). Among veterans, 5.9% report having used at least one of PercentWho WhoReport ReportUse Use Percent WithinPast Past12 12Months Months Within Drug Drug Cocaine Cocaine 1.3 1.3 0.5 0.5 2.8 2.8 0.9 0.9 0.2 0.2 0.2 0.2 0.7 0.7 0.1 0.1 0.0 0.0 LeastOne Oneofofthe the AtAtLeast AboveDrugs Drugs Above 5.9 5.9 5.0 5.0 Amphetamines Amphetamines Sedatives Sedatives Hallucinogens Hallucinogens Opiates Opiates Inhalants Inhalants Ecstasy Ecstasy Veterans Veterans nsns the nine listed illicit drugs. In addition, 3.4% of veterans report using another person’s prescription drugs. nsns <0.05 <0.05 nsns nsns nsns nsns Among all students, 5.0% report having used at least one of the listed illicit drugs within the past 12 months. In addition, 3.1% of students report Alcohol Use and Other Drug Use Steroids Steroids GHB/Rohypnol GHB/Rohypnol 1.2 1.2 0.6 0.6 5.2 5.2 0.6 0.6 0.3 0.3 0.6 0.6 0.6 0.6 0.3 0.3 0.3 0.3 p-value p-value Results ers rs slightly higher though not statistically significantly 12 12 k s 9.6 .6 4.3 .3 0.8 .8 6.9 .9 The current marijuana-use rate among veterans is Veterans and All Students by Gender using another person’s prescription drugs. nsns nsns nsns AllStudents—Adjusted Students—AdjustedData Data All Notstatistically statisticallysignificant. significant. Not ns ns Results 27 Results Alcohol Use and Other Drug Use 28 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Results Personal Safety and Financial Health Though many efforts are made to reduce violence and victimization on campus, these unfortunate events still occur. Current data show that almost one in six (17.6%) women and one in 33 (3.0%) men in the United States have been victims of rape or attempted rape in their lifetime.20 Based on estimates by the National Institute of Justice, 20.0% of American women experience rape or attempted rape while in college, but fewer than 5.0% of college rape victims report the incident to the police.21 According to the 2006 Gender Relations Survey of Active Duty Members, 6.8% of female active-duty members and 1.8% of male active-duty members reported experiencing unwanted sexual contact.22 Of the active-duty members who indicated experiencing unwanted sexual contact, 16% of women and 16% of men sought professional help and 21% of women and 22% of men discussed the incident with an authority or organization but the majority (79% of women and 78% of men) chose not to report it.22 Financial health is another area of concern. According to the U.S. Department of Education, the average price of college attendance was $14,000 for all undergraduates and $22,400 for all full-time, full-year undergraduate students during the 2007–2008 school year.23 In 2007–2008, 65.6% of all undergraduates received some type of financial aid, and the average amount of aid received was $9,100.23 Nearly two in five (38.5%) undergraduate students borrowed money through a school loan, and the average loan Results amount was $7,100.23 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.13 The average credit card debt per U.S. college student is $3,173.24 Personal Safety and Financial Health Gambling represents one possible obstacle to achieving and maintaining financial health. Gambling is a form of entertainment for many people. Approximately 68.0% of the U.S. adult population has gambled legally within the past year, and more than two-fifths (41.9%) of college students report participating in some type of gambling activity in the previous school year.25,26 However, for some individuals, gambling becomes a problem. Nationally, between 1.6% and 3.4% of the general population may experience a gambling problem within their lifetime.27 The rate of problem gambling is even higher among veterans of a similar age, especially among veterans being treated for post-traumatic stress disorder.27 29 Based on data from the 2012 College Student Sexual Assault—Lifetime Veterans All Students by Gender Sexual and Assault—Lifetime Veterans and All Students by Gender Health Survey, female veterans report experiencing sexual assault within their lifetime Sexual assault is defined as answering yes to at least one of the following two questions: Sexual assault is defined as answering yes to at least one of the following two questions: Within your lifetime, have you: Within your lifetime, have you: • Experienced actual or attempted sexual intercourse your actual consent against your will? • without Experienced oror attempted sexual intercourse without youractual consent against your will? • Experienced or or attempted sexual touching your actual consent against your will? • without Experienced oror attempted sexual touching without your consent or against your will? 40 40 39.6 at a higher rate than male veterans (39.6% vs. 9.3%, respectively, p<0.001). Analysis of the adjusted aggregate data shows that female veterans report experiencing sexual assault within their lifetime at a higher rate than all female students who completed the survey (39.6% vs. Percent Percent 27.4%, respectively, p<0.05). 39.6 30 30 20 20 10 10 27.4 27.4 18.3 18.3 0 0 12.7 12.7 All* All* Veterans Veterans *Statistically significant. *Statistically significant. The past-12-month rate for experiencing a sexual assault is higher but not statistically significantly 9.3 9.3 6.7 6.7 Males Females* Males Females* All Students—Adjusted Data All Students—Adjusted Data Sexual Assault—Past 12 Months Veterans All Students by 12 Gender Sexual and Assault—Past Months Veterans and All Students by Gender Sexual assault is defined as answering yes to at least one of the following two questions: Sexual assault is defined as answering yes to at least one of the following two questions: Within the past 12 months, have you: Within the past 12 months, have you:sexual intercourse • Experienced actual or attempted your actual consent against your will? • without Experienced oror attempted sexual intercourse without youractual consent against your will? • Experienced or or attempted sexual touching your actual consent against your will? • without Experienced oror attempted sexual touching without your consent or against your will? 4 4 Percent Percent Personal Safety and Financial Health Results veterans (3.2% vs. 0.5%, respectively). 3 3 3.2 3.2 2 2 1 1 0 0 1.5 1.5 1.3 1.3 All All Veterans Veterans 0.5 0.5 2.9 2.9 0.9 0.9 Males Females Males Females All Students—Adjusted Data All Students—Adjusted Data Domestic Violence—Lifetime Veterans and Violence—Lifetime All Students by Gender Domestic Veterans and All Students by Gender Student violence Veteransis defined as answering yes to at least one of 30 Health and Health-Related Behaviors Minnesota Postsecondary Domestic the following two questions: Domestic violence is defined as answering yes to at least one of the following two questions: Within your lifetime, have you: Within your lifetime, haveor you: • Been slapped, kicked, pushed by your significant Percent Percent different among female veterans compared to male Perc Am Sexual Victim Repo Ass 39.0% Based on data from the 2012 College Student Reported the Domestic Violence—Lifetime Veterans and All Students by Gender Assault to* 61.0% Health Survey, female veterans report experiencing 34 Health Care Provider domestic violence within their lifetime at a higher Domestic violence is defined as answering yes to at least one of the following two questions: Within your lifetime, 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? Campus Sexual Violence Office respectively, p<0.001). 0 39 65 Other Analysis of the adjusted aggregate data shows that female veterans report experiencing domestic Did Not Report Sexual As Reported Sexual Assault violence within their lifetime at a higher, though *Veterans may have reported incident to individuals in more than one 40 Percent 0 Police 50 not statistically significantly different, rate than all 43.8 female students who completed the survey (43.8% 34.6 30 20 Hall Director or rate than male veterans (43.8% vs. 22.0%, Community Adviser 28.5 24.5 22.0 vs. 34.6%, respectively). 20.4 10 0 All Males Veterans Females All Students—Adjusted Data Domestic Violence—Past 12 Months The past-12-month rate for experiencing domestic Veterans and All Students by Gender violence is higher though not statistically significantly different among female veterans compared to male Domestic violence is defined as answering yes to at least one of the following two questions: veterans (13.8% vs. 9.7%, respectively). Results Within 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? Personal Safety and Financial Health 15 13.8 Percent 12 9 12.2 11.2 10.4 9.7 9.6 6 3 0 All Males Veterans Females All Students—Adjusted Data Firearm Access Veterans 34.6% Depression Diagnosis—Lifetime 71. 71. 71. 10. Handgun 65.4% Veterans by Sexual Assault/Domestic Violence Type of Firearm Percent A Students Firearm A Rifle Shotgun Other 50 rcent 40 30 44.1 43.5 Firearm Access Results 31 No Firearm Access al Assault—Past 12 Months Depression Diagnosis—Lifetime ns and All Students by Gender Veterans by Sexual Assault/Domestic Violence exual Assault—Past 12 Months assaultand is defined as answering to at leastdiagnosis one of thewithin their eterans All Students by Gender The rates ofyes depression ing two questions: 50Depression Diagnosis—Lifetime Veterans by Sexual Assault/Domestic Violence thin the past 12 months, have you: being victimssexual ofyes sexual (44.1% • Experienced or attempted intercourse exual assault isactual defined as answering to atassault least one of the ) and withouttwo yourquestions: consent or against your will? llowing veterans who report being victims of domestic • Experienced actual or attempted sexual touching Within the 12 months, haveyour you: without yourpast consent or against violence (43.5%)will? than for veterans who have • Experienced actual or attempted sexual intercourse without your consent or against your will?assault or domestic not experienced sexual • Experienced actual or attempted sexual touching violence 21.7%your ). This same relationship between without your consent or(against will? 40 experiencing sexual assault 3.2 or domestic violence 2.9 and depression diagnosis is seen in the adjusted 4 aggregate data from all students who completed 3.2 2.9 the 2012 College Student Health Survey. 0.5 0.9 3 2 1.5 1.3 1.5 All 1.3 1 Veterans 0 Males Percent 30 20 Percent lifetime are higher for both veterans who report 10 0 44.1 43.5 50 40 44.1 30 20 21.7 Have Not Experienced Sexual Assault— 10Sexual Assault/ Within Lifetime Domestic Violence 0 43.5 21.7 Domestic Violence— Within Lifetime Have Not Experienced Sexual Assault— Within Lifetime Sexual Assault/ Domestic Violence Domestic Violence— Within Lifetime Females 0.5 0.9 All Students—Adjusted Data All Males Females Veterans All Students—Adjusted Data Of the veterans who indicate they have experienced stic Violence—Past 12assault Months a sexual within their lifetime (18.3%), Sexual Assault Reporting by Victims—Lifetime Veterans: Sexual Assault Victims s and All Students by Gender approximately two in five (39.0%) state they reported the incident. Of the veterans who reported the Sexual Assault Reporting by Victims—Lifetime Veterans: Sexual Assault Victims tic violence is defined as answering yesreported to at leastitone of police and 34.8% incident, 39.1% to the owing two questions: 39.0% estic Violence—Lifetime reported it to a health care provider. hin the past 12 months, have you: ns and All Students by Gender Been slapped, kicked, or pushed by your significant other or spouse/partner? According to the adjusted omestic Violence—Lifetime Been hurt by threats, “put-downs,” or yelling by aggregate survey data, stic is Students defined as answering eterans and All by Gender yes to at least one of yourviolence significant other or spouse/partner? among all students who report they have experienced lowing two questions: 50 Personal Safety and Financial Health Results a sexual thin your lifetime, have you: assault within their lifetime (12.7%), only •omestic Been slapped, kicked, or by your significant 34.6%pushed indicate theyyes reported the incident. violence is defined as answering to at least one of 13.8 or spouse/partner? eother following two questions: 12.2 • Been hurt by threats, “put-downs,” or yelling by 11.2 Within your lifetime, have you: your significant 10.4 other or spouse/partner? 9.7 or pushed 9.6 by your significant • Been slapped, kicked, other or spouse/partner? • Been hurt by threats, “put-downs,” or yelling by your significant other or spouse/partner? 20 10 0 39.0% 61.0% 34.6 24.5 Veterans 28.5 Males Females 43.8 22.0 20.4 All Students—Adjusted Data 65.2 Other in more than one category. *Veterans may have reported incident to individuals Males Did Not Report Sexual Assault Reported Sexual Assault *Veterans may have reported incident to individuals in more than one category. 34.6 More than one-third (34.6%) of veterans report 24.5 22.0 they have immediate 20.4 access to a firearm, 37.9% All Did Not Report Sexual Assault 39.1 Police Reported Sexual Assault 43.8 40 28.5All 30 61.0% Percent Among Sexual Assault Victims Who Reported Reported the Percent Assault Assault to* Among 34.8 Assault Health Care Provider Sexual Victims Who Hall Director Reported Reportedorthe 0.0 Community Adviser Assault Assault to* Campus Sexual Health Care Provider 0.034.8 Violence Office Hall Director or Police Community Adviser 39.1 0.0 65.2 Other Campus Sexual 0.0 Violence Office Firearm Access Veterans Females for males and 25.8% for females. The adjusted Veterans All Students—Adjusted Data aggregate survey data show that 21.6% of all All Maleshaving immediate Females students report access to a Veterans firearm. n Diagnosis—Lifetime 34.6% All Students—Adjusted Data Handgun 65.4% exual Assault/Domestic Violence Type of Firearm Rifle Among those who report having access to a firearm, Shotgun veterans report a higher rate of access to a handgun Other compared to all students who completed the survey 44.1 43.5 (71.2% vs. 55.6%, respectively, p<0.01). Firearm Access 21.7 32 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans ot Experienced Sexual Assault— Within Lifetime ual Assault/ stic Violence Domestic Violence— Within Lifetime Percent Among Students With Firearm Access No Firearm Access 71.2 71.2 71.2 10.8 $5,000 or Physical Fight—Past 12 Months PhysicalandFight—Past Months Veterans All Students by12 Gender The rate of engaging in a physical fight within the Veterans and All Students by Gender 8 8 significantly different among male veterans compared to female veterans (7.5% vs. 3.1%, 7.5 7.5 6.2 6.2 4.7 4.7 4 4 respectively). 5.7 5.7 Veterans The rate of engaging in a physical fight within the 3.1 3.1 2 2 0 0 Credit Card Debt and Class Status Credit Card Debt and Class Status Veterans Number of Years Enrolled 2.4 2.4 Females Males Females Males All Students—Adjusted Data All Students—Adjusted Data All All Veterans Veterans Number of Years Enrolled 50 though not statistically past 12 months is higher 50 significantly different among veterans than among 40 40 aggregate survey data all students in the adjusted 30 (6.2% vs. 4.7%, respectively). 30 Percent Percent Percent Percent 6 6 past 12 months is higher though not statistically 20 20 10 10 All Students 17.2 17.2 8.9 8.9 12.1 12.1 61.8 61.8 60 60 40 40 43.4 43.4 12.3 12.3 20.8 20.8 36.0 36.0 Individual Sports Bicycle Related Falls Other Not Applicable—I Was Not Injured 11.0 11.0 7.2 7.2 1 1 2 3 2 3 Undergraduate Veterans Undergraduate report experiencing at least one injury over the 1.2 4.3 3.7 4.9 6.2 0.6 5.9 13.6 69.1 All Students—Adjusted Data 1.4 4.5 2.2 5.9 6.0 1.0 7.4 12.7 69.0 past 12 months. The injuries most commonly reported during this period are due to individual 17.9% sports and falls. 47.5% Amount Spent 22.2% Analysis of the adjusted aggregate data from the Percent Am Veterans Who Repo Gamblin 56.1 32.5 11.4 $1–$24 2012 College Student Health Survey indicates that $25–$99 31.0% of all students report experiencing at$100 least or More one injury over the past 12 months. More Than Once per Month Once per Month 2–6 Times per Year Once per Year Never Results 26.7 26.7 4 5+ 4 5+ Master’s, Gradu Master’s, Gradu Professional Pro Professional Pro % 6.5 5.9% Team Sports 22.6 22.6 25.0 25.0 Personal Safety and Financial Health Motor Vehicle Related 25 25 20 20 15 15 10 10 5 5 0 0 Months ApproximatelyGambling—Past one-third (30.9%)12 of veterans Percent Who Report Experiencing Within Past 12 Months Burned by a Fire or Hot Substance Number of Years Enrolled 30 on the vehicle. or most of the time while Results Texting Texting While Driving While Driving Veterans and All Students Assaulted by Another Person (Nonsexual) Veterans 47.8% of all students who rode a motorized two30 Motorized Two-Wheeled Motorized Two-Wheeled Vehicle Helmet Use Vehicle Helmet Use Always Always Most of the Time Most of the Time Sometimes Sometimes Never Never Type of Injury According to the adjusted aggregate survey data, Student Loan Balance and Class Status Veterans Number of Years Enrolled wheeled vehicle report they wear a helmet always Injuries—Past 12 Months Veterans report texting sometimes, most of the time, or Student Loan Balance and Class Status 23.6 23.6 Bicycle Bicycle Helmet Use Helmet Use vehicle. About two-thirds (64.0%) of veterans always while driving. 20 20 0 0 4 5+ 4 5+ Master’s, Gradu Master’s, Gradu Professional Pro Professional Pro a helmet always or most of the time while on the Percent Percent Percent Percent 80 80 1 1 a motorized two-wheeled vehicle report they wear 2.6 2.6 6.0 6.0 55.4 55.4 24.4 24.4 5.5 5.5 2 3 2 3 Undergraduate More than one-half (55.7%) of veterans who rode Undergraduate Transportation Safety—Past 12 Months Transportation Safety—Past 12 Months All Students 100 100 20.7 20.7 14.4 14.4 0 0 28.3 28.3 33 rm Access ns m Access s More than one-half (52.9%) of all veterans Percent Amongcard debt report carrying some level of credit Students With Percent Among 34.6%over the Firearm Typepast of Firearm Students month, which is Access aWith rate similar to 34.6% Type of Firearm Firearm Access Handgun 71.2 that found in the adjusted aggregate survey Handgun 71.2 Rifle 71.2 dataRifle among all students (47.6%). Among those 71.2 Shotgun 71.2 whoShotgun report carrying some monthly credit card 71.2 Other 10.8 debt,Other veterans report a higher rate of carrying 10.8 65.4% 5.4% Current Credit Card Debt Veterans Credit Card Debt Current Veterans 4.1% 4.1% 24.8% 24.8% 22.3% 22.3% a debt of $3,000 per month or more compared Firearm Access No Firearm Access Firearm Access No Firearm Access to all students (38.6% vs. 19.2%, respectively, p<0.001). 22.2% 22.2% 52.9% 52.9% 25.2% 25.2% $1–$99 $1–$99 $100–$999 $100–$999 $1,000–$2,999 $1,000–$2,999 $3,000–$4,999 Credit Card Debt Credit Card Debt No Credit Card Debt— PayCredit in FullCard EachDebt— Month No Pay FullHave Eacha Month Doin Not Credit Card Definition: Current Credit Card Debt 32.2% 32.2% 16.4% 16.4% Do Not Have a Credit Card $3,000–$4,999 $5,000 or More $5,000 or More Any unpaid balance at the end of the past month. Fight—Past 12 Months nd All Students by Fight—Past 12Gender Months d All Students by Gender 7.5 7.5 6.2 .2 5.7monthly credit card debt of $3,000 The rate of 5.7 or more for veterans who completed the 2012 4.7 4.7 College Student Health Survey was lowest among 3.1 3.1 enrolled 2.4 four years (5.5%) undergraduate students 2.4 and highest among students enrolled in a master’s, Females graduate, program (45.4%). Males or professional Veterans Veterans Results Veterans Females Males All Students—Adjusted Data All Students—Adjusted Data The adjusted aggregate data from all students who completed the survey show that the rate of monthly Personal Safety and Financial Health 30 30 20 20 10 10 0 0 among undergraduate students enrolled four years to 28.7% students enrolled in a master’s, rtation Safety—Past 12 among Months s tation Safety—Past 12 Months graduate, or professional program. 14.4 14.4 1 1 20.7 20.7 28.3 28.3 24.4 24.4 5.5 5.5 2 3 2 3 Undergraduate Undergraduate 4 5+ 4 5+ Master’s, Graduate, or Professional Program Master’s, Graduate, or Professional Program 2.6 2.6 6.0 6.0 55.4 55.4 A monthly debt of $3,000 or more. 12.3 12.3 20.8 20.8 23.6 23.6 Motorized Two-Wheeled VehicleTwo-Wheeled Helmet Use Motorized Vehicle Helmet Use Always Always Most of the Time Most of the Time Sometimes Sometimes Never Never 36.0 36.0 Student Loan Balance and Class Status Veterans Loan Balance and Class Status Student Veterans Texting While Driving Texting While Driving Percent Percent Bicycle Helmet BicycleUse Helmet Use 43.4 Definition: 43.4 Credit Card Debt 45.4 45.4 40 40 credit card debt of $3,000 or more ranges from 16.6% 17.2 17.2 8.9 8.9 12.1 12.1 61.8 61.8 Number of Years Enrolled Number of Years Enrolled 50 50 Percent Percent All All Credit Card Debt and Class Status VeteransCard Debt and Class Status Credit 30 30 25 25 20 20 15 15 10 10 5 5 0 0 Number of Years Enrolled Number of Years Enrolled 22.6 22.6 7.2 7.2 1 25.0 25.0 26.7 26.7 18.2 18.2 11.0 11.0 2 3 2 3 Undergraduate Undergraduate 1 34 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans 4 5+ 4 5+ Master’s, Graduate, or Professional Program Master’s, Graduate, or Professional Program Student Loan Balance and Class Status The percentage of veterans who report a student Veterans loan balance of $20,000 or more increases from 25 Percent 7.2% among undergraduate students enrolled one year to 26.7% among undergraduate students Number of Years Enrolled 30 22.6 20 25.0 18.2 15 10 5 0 enrolled five or more years. 26.7 completed the survey show that the rate of carrying a student loan balance of $20,000 or more ranges 11.0 from 9.5% among undergraduate students enrolled 7.2 1 The adjusted aggregate data from all students who 2 4 3 Undergraduate one year to 41.1% among students enrolled in a 5+ master’s, graduate, or professional program. Master’s, Graduate, or Professional Program Definition: Student Loan Balance A student loan balance of $20,000 or more. Gambling—Past 12 Months More than one-half (52.5%) of veterans who Veterans completed the 2012 College Student Health Survey report engaging in gambling over the past 12 months. According to the adjusted aggregate 17.9% 47.5% 22.2% Amount Spent Percent Among Veterans Who Report Gambling % 6.5 5.9% $25–$99 $100 or More Once per Month 2–6 Times per Year Once per Year Never not statistically significantly different, rate as all students who completed the survey (52.5% vs. 45.2%, respectively). Personal Safety and Financial Health More Than Once per Month 56.1 32.5 11.4 over the past 12 months at a higher, though Results $1–$24 survey data, veterans report engaging in gambling Among those who report gambling within the past 12 months, 11.4% of veterans, compared to 11.3% of all students who completed the survey, report spending $100 or more per month. Results 35 Results Personal Safety and Financial Health 36 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Results Nutrition and Physical Activity Research shows that young adults in the United States generally eat fewer fruits and vegetables but are more physically active compared to older adults.3 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.3 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.28 The rate of obesity among young adults ages 18 to 24 is 16.7%.3 Nationwide, 83.7% of young adults between the ages of 18 and 24 compared to 76.1% of all adults report participating in at least one physical activity during the last month.3 Approximately three out of five (61.4%) 18- to 24-year-olds report engaging in at least 30 minutes of moderate physical activity five or more days per week or at least 20 minutes of vigorous physical activity three or more days per week; for all adults, the rate is 49.0%.3 According to data from the 2003 and 2004 Behavioral Risk Factor Surveillance System surveys, 28.3% of veterans had a body mass index (BMI) that placed them in the normal weight category, 23.9% were obese, and 47.6% were overweight. After adjustment for age, gender, race, education, and smoking status, obesity prevalence in veterans and nonveterans was similar.29 Only 37.4% of overweight veterans and 65.5% of obese veterans reported they were trying to lose weight.29 When adjusted for age, gender, diabetes, and personal doctor status, the rates for trying to lose weight were similar among veterans and nonveterans.29 Among those who completed the 2003 Behavioral Risk Factor Surveillance System survey, when adjusted for age and gender, more veterans than nonveterans reported engaging in at least 30 minutes Results of moderate physical activity five or more days per week or at least 20 minutes of vigorous physical activity three or more days per week (46.0% vs. 42.0%, p<0.001).30 Nutrition and Physical Activity 37 Body mass index (BMI) is a common and reliable BMI Category indicator of body fatness. BMI equals the weight in BMI Category 31 based on BMI ranges. More than two out of three (70.9%) veterans who completed the 2012 College Student Health Survey fall within the overweight and obese/extremely obese categories compared to 65.8% of all BMI Range Weight Category Less 18.5 BMIThan Range 18.5–24.9 Less Than 18.5 Underweight Weight Category Normal Weight Underweight 25.0–29.9 18.5–24.9 30.0–39.9 25.0–29.9 40 30 Percent Percent B UB U Overweight Normal Weight Obese Overweight 40.0 and Greater Extremely 30.0–39.9 Obese Obese 40 40.0 and Greater Extremely Obese students who completed the survey. Calculated BMI is based on self-reported height and weight. V Veterans and All Students kilograms divided by the height in meters squared (BMI = kg/m2). This table presents weight categories W Veterans and All Students 32.9 In 39.5 39.5 28.5 32.9 28.5 30 20 35.1 35.1 * 31.4 30.7 31.4 30.7 20 10 10 0 0 0.6 1.3 0.6 1.3 Underweight Normal Overweight Obese/ Weight Extremely Obese Underweight Normal Overweight Obese/ Extremely VeteransWeightAll Students—Adjusted Data Obese Veterans BMI Category The average body mass index for male veterans is 28.8 compared to 26.5 for female veterans Veterans by Gender BMI Category 50 40 According to the adjusted aggregate survey data 40 30 30 20 20 10 10 0 among students who completed the 2012 College 0 Student Health Survey, the average BMI for all 42.1 42.0 42.1 42.0 33.7 34.8 33.7 34.8 22.8 0.4 Ve 1.1 0.4 Underweight Underweight Normal Weight Normal Weight Males Males Overweight Obese/ Extremely Obese Overweight Obese/ Extremely Obese Females B Ve B Females V Percent 27.2 (p<0.001). 23.1 23.1 22.8 1.1 males is 28.4, and the average BMI for all females is Weight-Related Behaviors Veterans by Gender Weight-Related Behaviors Veterans by Gender 20 20 15 Percent Percent Results Nutrition and Physical Activity overweight or obese/extremely obese categories. Percent Percent overweight category. More than three-fourths half (56.8%) of female veterans fall within the B Veterans by Gender 50 (p<0.001). Both these averages fall within the (76.8%) of male veterans and more than one- Ve Percent Percent All Students—Adjusted Data Bi 17.5 17.5 15 10 10 8.2 38 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans 5 5 0 2.6 8.2 7.5 7.5 7.2 0.8 0.8 7.2 Percent 5 of the following activities in an attempt to control their weight: laxative0 use, diet pill use, and induced vomiting. 20 Underweight* 17.5 15 Normal Weight Overweight Obese/ Extremely Ob *Insufficient data. Compared to male veterans, female veterans report Percent engaging in laxative use, diet pill use, and induced 10 vomiting at statistically significantly higher rates (p<0.05, 8.2 5 0 7.5 7.2 0.8 2.6 Use Laxatives* Use Diet Pills* Males p<0.05, and p<0.01, respectively). Among all students who completed the 2012 College Student Health Survey, females engage in laxative use, diet pill use, and induced Induce Vomiting* vomiting at statistically significantly higher rates than males (p<0.001). Meal Patterns Females Veterans by BMI Category *Statistically significant. Percent Behavior Breakfast Consumption (Past 7 Days) 9.9 Day 8.7 0 Days per Week * Fruit and Vegetable Consumption—Per Veterans by Gender 25.3 29.4 1–3 Days per Week * Fruit and Vegetable Consumption—Per Day Weight-Related Behaviors Veterans by BMI Category Weight-Related Behaviors Behavior Percent Induce Use Diet Vomiting Pills * ** ** Induce Vomiting * UseLaxatives Diet Pills Use Underweight Normal Weight Underweight Normal Weight *Insufficient data. 4.4Percent 4.0 8.8 11.9 4.4 4.0 4.4 1.6 8.8 11.9 4.4 Overweight 4.0 10.0 4.0 3.0 10.0 1.6 Obese/Extremely Obese Overweight Obese/Extremely Obese *Insufficient data. 3.0 14.6vomiting. highest rates of100 laxative use and induced 1–2 Times per Month or Less * 80 14.6 The highestOnce rateper of diet pill use is found among 83.2 Week or More * 80 veterans within category. 83.2 Eat atthe Restaurant (Past 12 Months) 60 overweight 61.9 21.9 62.6 50.0 21.9 37.4 50.0 76.0 Percent Percent Veterans by BMI Category Use Laxatives Behavior 64.8 Gender 4–7Veterans Days perby Week Veterans classified as normal weight report the * 100 Fast Food Consumption (Past 12 Months) 76.0 69.2 58.7 1–2 Times 60 per Month or Less * 40 30.8 41.3 per Weekaggregate or More data from the* Analysis of Once the adjusted 40 2012 College Student 20 Health Survey shows that Overweight Underweight students classified obeseObese/Extremely report 20 as obese/extremely Normal Weight 2.2 2.1 Obese 0 the highest rate of diet pill use, while Males students 2.2 2.1 Females *Insufficient 0 data. classified as underweight report the Males highest rates Times of Females 5 or More per Day laxative use and induced vomiting. 1–4 Times per Day 5 or More Times per Day 0 Times 1–4 Timesper perDay Day 2 6 4 5 4 5 0 Times per Day Veterans by Gender 25.8 25.8 2015 0 14.5 14.5 Veterans by BMI Category 20 Examining the adjusted aggregate data from all 19.8 20 students who completed the survey similarly 17.6 19.8 15 shows that females report engaging in binge eating 17.6 15 at a higher, though 10not statistically significantly Percent Percent 2520 50 5 or More Times Per Day 5 or More Times Per Day Fruit andbyVegetable Consumption— (25.8% vs. 14.5% , respectively, p<0.05). Veterans BMI Category 3025 105 Student Health Survey report engaging in binge Fruit Vegetable Consumption— eating at a higher rateand compared to male veterans 30 1510 Female veterans who completed the 2012 College different, rate than 10 males (15.5% vs. 14.0%, Males Males Females Females respectively). 5 0 Underweight* Normal Weight Underweight* Normal *Insufficient data. Weight Overweight Overweight *Insufficient data. Results Binge-Eating Behavior—Past 12 Months Veterans by BMI Category 13 13. 5 0 ese Nutrition and Physical Activity Binge-Eating Behavior—Past 12 Months Veterans by Gender Binge-Eating Behavior—Past 12 Months 1 se 10 Results ese se 15.9 15.4 Veterans were asked to report their engagement in any Veterans by Gender Percent Percent 7 Weight-Related Behaviors 15 39 Ob Extreme Obe Extremely 10 0 0 1.1 0.4 Underweight Underweight Normal Weight Normal Weight Males Overweight Obese/ Extremely Obese Overweight Obese/ Extremely Obese Females The highest rate of reported Males Females binge-eating behavior among veterans was reported by those classified as Binge-Eating Behavior—Past 12 Months Veterans by BMI Category Binge-Eating Behavior—Past 12 Months Veterans by BMI Category 25 obese/extremely obese. According to the adjusted aggregate survey data, the rate of reported binge-eating behavior among all students who completed the 2012 College Weight-Related Behaviors Percent Percent 25 20 Veterans by Gender 20 5 0 0 17.5 17.5 15 10 10 5 8.2 5 0 2.6 8.2 Use 2.6Laxatives* 0 Use Diet Pills* Underweight* *Insufficient data. Normal Weight Normal Weight Overweight Obese/ Extremely Obese Overweight Obese/ Extremely Obese 7.2 0.8 Induce Vomiting* highest rate of neverFemales eating breakfast within the Males *Statistically significant. past seven days. The highest rates of fast food *Statistically significant. consumption once a week or more and of eating at a restaurant once per week or more within the past 12 months are found among veterans classified as obese/extremely obese. The adjusted aggregate data show that among all students who completed the 2012 College Student Health Survey, students classified as obese/ extremely obese have the highest rates of never eating breakfast within the past seven days and of Results Underweight* 7.2 0.8 Use Laxatives* Use Diet Pills* Induce Vomiting* Females VeteransMales classified as normal weight have the Nutrition and Physical Activity 15.9 15.4 *Insufficient data. 7.5 7.5 15.9 15.4 15 10 10 5 20 15 23.0 20 15 eterans by Gender Student Health Survey increases as BMI increases. Weight-Related Behaviors 23.0 fast food consumption and eating at a restaurant once per week or more within the past 12 months. Meal Patterns Veterans by BMI Category Meal Patterns Veterans by BMI Category Percent Behavior Breakfast Behavior Consumption (Past 7 Days) 0Breakfast Days per Week Consumption (Past 7 Days) 1–3 Daysper perWeek Week 0 Days 4–7 1–3Days Daysper perWeek Week Percent * ** ** 9.9 25.3 9.9 64.8 25.3 ** * * ** 37.4 69.2 30.8 69.2 Fast (Past 12 Months) 4–7Food Days Consumption per Week * 1–2 Times per Month or Fast Food ConsumptionLess (Past 12 Months)* Once per Week or Moreor Less 1–2 Times per Month Eat at Restaurant 12 Months) Once per Week or(Past More 1–2 per Month or 12 Less Eat Times at Restaurant (Past Months) Once per Week or More 1–2 Times per Month or Less Once per Week or More Underweight Normal Weight Underweight Normal Weight *Insufficient data. *Insufficient data. 40 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans 64.8 62.6 37.4 62.6 * Overweight 30.8 8.7 9.0 26.0 29.4 8.7 9.0 65.0 61.9 29.4 26.0 61.9 65.0 50.0 45.0 50.0 45.0 50.0 55.0 50.0 55.0 58.7 46.0 41.3 46.0 58.7 54.0 41.3 54.0 Obese/Extremely Obese Overweight Obese/Extremely Obese All Students 100 14.6 21.9 Fruit and Vegetable Consumption—Per Day 80 Veterans by Gender The Centers for Disease Control and Prevention’s recommendati Physical Activity Level for adults are to: All Students Only 14.6% of •male veterans and 21.9% ofphysical femaleactivity for at least Engage in moderate-intensity Physical Activity Level 83.2 76.0 Day Fruit and Vegetable Consumption—Per 20 80 60 0 60 40 21.9 83.2 14.6 21.9 76.0 83.2 2.2 76.0 2.1 Males Females 30 minutes on five or more days of the week or • Engage in vigorous-intensity physical activity for at least 20 minutes on three Control or moreand days per week.32 recommendati Theday. Centers forveterans Disease Prevention’s more times per Male consume fruits for adults are to: and vegetables on average Disease 3.2 times per day, Prevention’s which 40 The Centersinfor Control and recommendati • Engage moderate-intensity physical activity for at least for adults are to: minutes onsignificantly five or more days of the week or is lower, but not 30 statistically different, 37.7 vigorous-intensity physical • Engagewho in moderate-intensity physicalactivity activityfor foratatleast least 34 than female veterans consume fruits and 3030 32 20 minutes on five three more days oror more days ofper theweek. week or vegetables on average times per day. physical activity for at least • Engage 3.6 in vigorous-intensity 32 26.2 4020 minutes on three or more days per week. 25.3 25.3 20 All Students veterans consume fruits and vegetables five or Percent 40 100 80 14.6 5 or More Times per Day 1–4 Times per Day 2.2 2.1 0 Times per Day Males Females 40 20 200 2.2 0 22.5 40 The adjusted aggregate survey data show that 30 10 14.5 13.9 the average number of times per day fruits and 2.1 Zero 0 Zero Veterans by BMI Category Low 10 5 5 0 0 Underweight* eat less than the recommended amount of fruits 17.6 Normal Weight Overweight 13.1 13.1 Obese/ Extremely Obese *Insufficient data. Underweight* *Insufficient data. Underweight* Normal Weight Overweight Normal Weight Overweight Obese/ Extremely Obese and vegetables per30day. Only 13.1% of obese/ 29.4 BMI 28.4 extremely obeseAverage veterans eat fruits and vegetables 25 26.9 Veterans by Physical Activity Level and Gender 26.9 five or more times per day. Average BMI 20 Veterans by Physical Activity Level and Gender 30 15 According to the adjusted aggregate survey28.4 data, 29.4 25 30 26.9 26.9 10 the percentage of all students that eat fruits and 29.4 28.4 20 255 26.9 vegetables five or more times per day ranges from 26.9 15 20 15.7% among overweight and obese/extremely 0 Low Moderate obese students to15 19.3% among normal weight 10 students. Obese/ Extremely Obese Males 105 0 Low Low Males Moderate Females 33.3 Daily Regular Soda Consumption Veterans by BMI Category 15 25 Percent Nutrition and Physical Activity obese. It should be noted that the number of Veterans by BMI Category 20 Percent Percent Females to those classified as overweight or obese/extremely 24.2 Daily Regular Soda Consumption 17.5 19.0 33.3 24.2 33.3 105 *Insufficient data. Normal Weight 17.5 17.5 Overweight 19.0 19.0 Obese/ Extremely Obese basis does not reflect the actual quantity of soda The adjusted aggregate survey data from all students shows that the rate of daily consumption of regular soda ranges from 15.9% among normal weight students to 25.2% among students classified as underweight. Underweight* Normal Weight Overweight Obese/ Extremely Obese *Insufficient data. Underweight* Normal Weight Overweight Obese/ Extremely Obese *Insufficient data. students who consume regular soda on a daily consumed per day. 24.2 0 15 10 Underweight* 0 Females level of daily consumption of regular soda compared 25 50 High Veterans classified as normal weight report a higher Veterans by BMI Category 5 20 15 28.4 Moderate Males 10 25 20 28.4 Results Results 50 *Insufficient data. Daily Regular Soda Consumption 28.4 Average BMI 13.1 19.8 17.6 All Students—Adjusted Data Across all BMI categories, majority ofLevel veterans Veterans by the Physical Activity and Gender Average BMI BMI Average Percent Percent Percent 15 10 0 High Veterans Low All Students—Adjusted Data Moderate High Veterans 19.8 Moderate Average BMI 20 20 15 5 34 14.5 13.9 10 0 Fruit and Vegetable Consumption— 5 or More Times Per Day Veterans by BMI Category 20 10 37.7 34 30 25.3 26.2 vegetables were males and 20consumed is 3.1 for all25.3 22.5 0 3.3 for all females (p<0.01). 26.2 Zero Low Moderate High 25.3 25.3 20 22.5 14.5 10 13.9Veterans All Students—Adjusted Data 5 or More Times per Day Males Females 1–4 Times per Day 5 or More Times per Day 0 Times per Day 1–4 Times per Day 0 Times per Day Fruit and Vegetable Consumption— 19.8 5 or More Times Per Day 17.6 Veterans by BMI Category Consumption— 15 and Fruit Vegetable 5 or More Times Per Day 37.7 Percent Percent Percent Percent Percent Veterans by Gender 60 100 41 High High uit and Vegetable Consumption—Per Day Physical Activity Level Students were asked several questions related erans by Gender All Students to their physical activity level. The two survey questions to recommendations 14.6 that relate 21.9 outlined by the Centers for Disease Control and 83.2 Prevention (CDC) (see CDC’s recommendations 76.0 0 0 at right) are: and Vegetable listed Consumption—Per Day ns by Gender 0 In the past seven days, how many hours did you 14.6 spend doing the 21.9 following activities? 2.2 2.1 • Strenuous exercise (heart beats rapidly) 83.2 76.0 Males Females • Moderate exercise (not exhausting) 0 0 5 or More Times per Day 1–4 Times per Day Based0 on their response to the two questions, Times per Day The Centers for Disease Control and Prevention’s recommendations for adults are to: • Engage in moderate-intensity physical activity for at least 30 minutes on five or more days of the week or Physical Activity Level • Engage in vigorous-intensity physical activity for at least All Students 20 minutes on three or more days per week.32 40 The Centers for Disease Control and Prevention’s recommendations 37.7 for adults are to: 34.5 30 • Engage in moderate-intensity physical activity for at least 30 minutes on five or more days of the week or 25.3 26.2 25.3 20 • Engage in vigorous-intensity physical activity for at least 22.5 20 minutes on three or more days per week.32 Percent 0 40 10 students were classified into one of four physical activity levels (zero, 2.2 2.1low, moderate, or high). The moderate and high classifications meet the Males Females 1–4 Times per Day 0 Times perthree Day in five (63.0%) veterans report More than levels of physical activity that place them in the uit and Vegetable Consumption— r More Times Per Day moderate or high classification, meeting the CDC’s erans by BMI Category recommendations, compared to 60.7% of all 0 and Vegetable Consumption— More Times Per Day 0 0 the 2012 College Student Health Survey decreases Underweight* Obese/ Normal Overweight as physical activity level increases. Extremely Obese Weight *Insufficient data. Zero Moderate 30 25 Average BMI 29.4 26.9 28.4 15 by Physical Activity Level and Gender Veterans 30 25 20 10 5 0 29.4 26.9 28.4 Low Moderate Low 19.0 Obese/ Normal Overweight 19.0 42 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Extremely Obese Weight 17.5 Underweight* *Insufficient data. Females 5 24.2 33.3 25.5 High 10 24.2 5 28.4 26.9 Males 15 5 17.5 25.5 20 Moderate Males 5Regular Soda Consumption ns by BMI Category 0 28.4 26.9 Average BMI 0 33.3 High All Students—Adjusted Data Veterans by Physical Activity Level and Gender ily Regular Soda Consumption 0 26.2 Low erans by BMI Category 0 High Average BMI Veterans Average BMI Results Nutrition and Physical Activity BMI for male and female students who completed 34.5 14.5 13.9 10 *Insufficient data. According to the adjusted aggregate data, average Moderate 22.5 s by BMI Category Male and female veterans who engage in a high 19.8 level of physical activity have lower average BMIs 17.6 0 male and female veterans who engage in a low Obese/ Underweight* than Normal Overweight Extremely Obese Weight level of physical activity. 13.1 Low Veterans25.3 All25.3 Students—Adjusted Data 13.1 5 Zero 20 students who completed the survey. 19.8 17.6 5 37.7 30 0 Percent CDC’s recommended level of physical activity. 5 or More Times per Day 14.5 13.9 High Females Results Sexual Health The majority of young adults in the United States are sexually active. Among males, 60.9% of 18- to 19- year-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-yearolds and 23.7% of 20- to 24-year-olds report that they engaged in insertive anal intercourse within their lifetime.33 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.33 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.34 Due to a combination of behavioral, biological, and cultural reasons, sexually active young adults are at increased risk for acquiring sexually transmitted infections (STIs).35 The higher prevalence of STIs among young adults reflects multiple barriers to accessing quality STI prevention services, including lack of health insurance or other ability to pay, lack of transportation, and concerns about confidentiality.35 Among all males, 20- to 24-year-olds have the highest rate of chlamydia (1,187.0 cases per 100,000 people), gonorrhea (421.05 cases per 100,000 people), and syphilis (21.9 cases per 100,000 people).35 Among all females, 20- to 24-year-olds have the highest rates of syphilis (4.5 cases per 100,000 people) and chlamdyia (3,407.9 cases per 100,000 people), while 15- to 19-year-olds have the highest rate of gonorrhea (570.9 cases per 100,000 people).34 Results Sexual Health 43 Student Health Survey report a slightly higher but not statistically significantly different rate of sexual activity within their lifetime compared to female veterans (94.7% vs. 93.8%, respectively). The adjusted aggregate data collected from all students who completed the survey show that 94.4% of veterans, compared to 88.6% of all students, report engaging in sexual activity within their lifetime (p<0.01). Sexually Active—Lifetime Veterans by Gender Sexually Active—Lifetime Sexually VeteransActive—Lifetime by Gender Veterans 100 by Gender 94.4 100 100 80 94.7 88.6 94.4 80 94.4 80 60 Percent Percent Percent Male veterans who completed the 2012 College 94.7 94.7 88.6 88.6 93.8 88.3 88.3 88.3 89.4 93.8 93.8 89.4 89.4 60 60 40 40 40 20 20 20 0 0 All* 0 Females Males* All* Veterans All* *Statistically significant. Veterans Veterans All Students—Adjusted Data Females Males* Females Males* All Students—Adjusted Data All Students—Adjusted Data *Statistically significant. *Statistically significant. Sexually Active—Past 12 Months Veterans by Gender Student Health Survey report a slightly higher but not statistically significantly different rate of sexual activity within the past 12 months compared to female veterans (89.0% vs. 87.6%, respectively). The adjusted aggregate data collected from all students who completed the 2012 College Student Health Survey show that 88.6% of veterans, compared to 80.3% of all students, report engaging in sexual activity within the past 12 months Sexually Active—Past Months Sexually 12 12 Months VeteransActive—Past by Gender Veterans 100 by Gender 100 100 80 88.6 80 80 60 88.6 88.6 Percent Percent Percent Male veterans who completed the 2012 College 60 60 40 89.0 80.3 89.0 89.0 80.3 80.3 87.6 80.0 80.0 80.0 81.0 87.6 87.6 81.0 81.0 40 40 20 20 20 0 0 All* 0 (p<0.001). Females Males* All* Veterans All* *Statistically significant. Veterans Veterans All Students—Adjusted Data Females Males* Females Males* All Students—Adjusted Data All Students—Adjusted Data *Statistically significant. *Statistically significant. Number of Sexual Partners—Past 12 Months On average, veterans who completed the 2012 College Student Health Survey had 2.5 sexual partners over the past 12-month period. The adjusted aggregate data collected from all students showed on average 2.2 sexual partners. The average number of sexual partners is based on the experience of all veterans and students, both those who were sexually active and those who were not sexually active. Number of Sexual Partners—Past 12 Months Number Veteransof Sexual Partners—Past 12 Months 80 Veterans 80 80 60 Percent Percent Percent Sexual Health Results Veterans 67.2 67.2 67.2 60 60 40 40 40 20 11.1 20 11.1 20 011.1 0 0 0 0 0 6.5 1 1 1 3.7 4.0 5.3 2.2 6.5 5.3 6.5 2 3.73.7 2.2 4 3 4.04.0 2.2 5 5.3 6+ Number of Partners 2 4 3 2 4 3 Number of Partners Number of Partners 5 5 6+ 44 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Most Recent Sexual Partner—Past 12 Months Sexually Active Veterans Most Recent Sexual Partner—Past 12 Months Most Recent Sexually ActiveSexual VeteransPartner—Past 12 Months 6+ 7.1% (87.5%) report that their most recent sexual 0.3% 0.7% Involved partner was either a fiancé(e)/spouse or an Unintentional 5.6%% 5 .9 in Pregnancy Fiancé(e)/Spouse Exclusive Dating Partner Close but Not Exclusive Dating Partner Casual Acquaintance 65.5% Stranger 20 10 0 Sexually Active Female Veterans 5.3% 44.7 44.7 38.6 38.6 rate of condom use during last vaginal intercourse was higher but not statistically significantly different 32.8 32.8 25.2 25.2 among all sexually active students compared to sexually active veterans. 94.7% 94.7% 11.7 11.78.2 10 Used Emergency Contraception Did NotContraception Use Emergency engaged in anal intercourse. Emergency Contraception Percent 10 The most common methods that veterans report 0 using to prevent pregnancy the last time they engaged in vaginal intercourse are birth control pills 30 (26.5%) and condoms (19.3%). The withdrawal 25 26.5 method is reported by 9.5% of veterans. Other 26.5 20 15 10 5 methods of pregnancy prevention reported by Sexually Transmitted Infection Diagnosis— Sexually Infection Diagnosis— Lifetime andTransmitted Past 12 Months 19.3 19.3 veterans are identified inand theAlltable. Among Lifetime and Past 12veterans Months Veterans Students Veterans and All Students who completed the survey, 19.0% report not using 9.5 9.5 8.2 8.2 0 Birth Control Condoms Withdrawal Intrauterine Birth Condoms Withdrawal Device Intrauterine Pills Control Pills Device Percent Who Report Percent Who Report Using Method Type of Method Using Method Type of Method Depo-Provera 3.3 Depo-Provera 3.3 NuvaRing 2.0 NuvaRing 2.0 Fertility Awareness 1.3 Fertility Awareness 1.3 Emergency Contraception 1.0 Emergency Contraception 1.0 Diaphragm 0.7 Diaphragm 0.7 Ortho Evra 0.3 Ortho Evra 0.3 Other 20.6 Other 20.6 any method of pregnancy prevention thePercent last time Who Report Being Diagn Sexually they engaged inTransmitted vaginal intercourse. Sexually Percent Who Report Being D Within Past Within Within Pa Within p-value 12 Months Lifetime p-value 12 Mont Lifetime Transmitted Infection Infection Chlamydia 1.7 5.6 5.0 ns Chlamydia 5.6 5.0 ns The adjusted aggregate data from the 2012 ns Genital Herpes 1.0 2.6 1.4 ns Genital Herpes 2.6 1.4 College StudentGenital Health Survey shows that Warts/HPV ns 1.7 5.3 6.2 among Genital Warts/HPV ns 6.2 5.3 all students, theGonorrhea most common methods 0.3 1.0to ns 1.6 used Gonorrhea ns 1.6 1.0 prevent pregnancy the last time they engaged in HIV/AIDS 0.3 0.3 0.5 ns HIV/AIDS 0.3 0.5 ns Pubicare Licebirth control pills ns 0.3 3.3 ) and 2.9(27.1% vaginal intercourse Pubic Lice ns 2.9 3.3 0.3 0.2 1.3 Syphilis <0.01 condoms (24.1%). Syphilis Among all students, 16.9% 0.2 <0.01 1.3 report At Least One of the not using any method of pregnancy At Sexually Least One of theprevention the Above Above Sexually 3.4 ns Transmitted Infections 15.7 13.5 last time they engaged in vaginal intercourse. 15.7 13.5 ns Transmitted Infections Veterans Veterans ns Sexual Health 5 1 Time 1 Time 2 Times 2 Times Results 15 active within their lifetime, 95.6% engaged in vaginal Used Emergency Contraception intercourse, 91.9% engaged in oral sex, and 38.6% Did Not Use Sexually Active Veterans Within Lifetime 20 50.0% 50.0% 50.0% 50. Of the 94.4% of veterans who report being sexually 8.2 0 Oral Sex Vaginal Intercourse Anal Intercourse Oral Sex Vaginal Intercourse Anal Intercourse Veterans All Students—Adjusted Data Veterans All Students—Adjusted Data 25 5.3% veterans compared to all sexually active students. The 20 30 87.3% of all students report that their most recent Sexually Active significantly different among all Female sexuallyVeterans active 50 30 The adjusted aggregate survey data show that Emergency Use—Past 12 Month and last oral sex were higherContraception butContraception not statistically Emergency Use—Past 12 Mon Pregnancy Prevention Methods Pregnancy Prevention Methods Sexually Active Veterans Within Lifetime Percent Percent Percent 30 in Pregnancy Don’t Know The rates of condom use during last anal intercourse Sexually ActiveThose Students Lifetime (Does Not Include WhoWithin Are Married or Not Include Those Who Are Married or With(Does a Domestic Partner) With a Domestic Partner) 40 exclusive dating partner. Not Involved exclusive dating partner. Condom Use Condom Use Within Lifetime Sexually Active Students 40 Birth and P Misca Abor Still P Intentional sexual partner was either a fiancé(e)/spouse or an Other 50 20.0% 10.0% Sexually Active Veterans 22.0% 30.0% 4 Among veterans who were sexually active45.5% within 54.5% 92.9% the past 12 months, more than five out of six Most Recent Sexual Partner—Past 12 Months Not statistically significant. ns Not statistically significant. 0.6 1.7 0.5 1.0 0.9 1.7 0.3 0.3 0.1 0.3 0.3 0.3 0.1 0.3 0 0 0 0 0 0 0 2.0 3.4 2 All Students—Adjusted Data All Students—Adjusted Da Results 45 1 2 4 3 Number of Partners 5 6+ A total of 7.1% of veterans who completed the 2012 College Student Health Survey has been involved in a Unintended Pregnancy Outcome— Past 12 Months Veterans pregnancy within the past 12 months, which is higher 7.1% though not statistically significantly different than the .3% 0.7% Among the unintentional pregnancies reported by 5.6% veterans, 40.0% resulted in birth and parenting, Fiancé(e)/Spouse 20.0% resulted in Dating abortion, and 10.0% resulted in Exclusive Partner Close but Not miscarriage. Among the unintentional pregnancies Exclusive Dating Partner tive Students Withinreported Lifetime by all students who completed the survey, 65.5%Who Are Married Casual Acquaintance nclude Those or estic Partner) 38.2% resulted in birth and parenting, 12.5% resulted Stranger %Use 45.5% 92.9% Involved in Pregnancy 30.0% 40.0% 54.5% 20.0% 10.0% 6.6% of all students who completed the survey. Among those involved in a pregnancy, 45.5% of veterans and cent Sexual Partner—Past 12 Months tive Veterans 29.8% of all students state it was unintentional. Unintentional Intentional Not Involved in Pregnancy Don’t Know Birth and Parenting Miscarriage Abortion Still Pregnant Emergency Contraception Use—Past 12 Months Sexually Active Female Veterans Other in abortion, 8.8% resulted in miscarriage, and 40.5% ctive Students Within Lifetime 8.6 Include Those Who Within Are Married or 12 months, 5.3% of sexually the past mestic Partner) 32.8 active female veterans have used emergency 25.2 contraception. Among those who used emergency 38.6 contraception, 50.0% have used it once and 50.0% 11.7 have used it twice within the past 12 months. 8.2 nal Intercourse 32.8 Anal Intercourse 44.7 Veterans ginal Intercourse Oral Sex TheAlladjusted 25.2aggregate survey Students—Adjusted Data data show that 9.5% of all sexually active female students report having used emergency 11.7contraception within the 8.2 past 12 months, and among those who have used Anal Intercourse Oral Sex emergency contraception, 60.9% have used it once, Veterans 24.2% All Students—Adjusted have used it twice,Data and 14.9% have used it nancy Prevention Methods 5.3% indicated they were still pregnant. Emergency Contraception Use—Past 12 Months Sexually Active Female Veterans 50.0% 50.0% 94.7% 5.3% m Use 44.7 1 Time Used Emergency Contraception 50.0% 50.0%2 Times Did Not Use 94.7% Emergency Contraception Used Emergency Contraception 1 Time Did Not Use Emergency Contraception 2 Times y Active Veterans Within Lifetime three or more times within the past 12 months. 26.5 nancy Prevention Methods Results ly Active Veterans Within Lifetime Among veterans who have been sexually active Sexual Health 26.5 Birth Control Pills Type of Method Depo-Provera 19.3 within their lifetime, 15.7% report being diagnosed Veterans and All Students with a sexually transmitted infection within their 9.5 to 13.5% of all students who lifetime compared 8.2 completed the survey. A total of 3.4% of veterans who report having been sexually active within their Condoms Withdrawal Intrauterine 19.3 Device lifetime also report having been diagnosed with a Percent Who Report sexually transmitted infection within the past 12 9.5 Using Method 8.2 months compared to 2.0% 3.3of all students who completed the survey. 2.0 NuvaRing Birth Control Condoms Withdrawal Intrauterine Fertility Awareness 1.3 Device Pills Emergency Contraception 1.0 Genital warts/human papilloma virus and chlamydia Percent Who Report Diaphragm 0.7 Using Method Type of Method are the most commonly diagnosed sexually Ortho Evra Depo-Provera Other NuvaRing Sexually Transmitted Infection Diagnosis— Lifetime and Past 12 Months 0.3 3.3 veterans. transmitted infections among 20.6 2.0 Percent Who Report Being Diagnosed Sexually Within Past Transmitted Within Sexually Transmitted Infection Diagnosis— 12 Months p-value Infection p-value Lifetime Lifetime and Past 12 Months 5.0 1.7 0.6 <0.05 ns ns ns 1.0 0.5 1.4 ns ns 1.7 0.9 6.2 5.3 Percent Who Report Being Diagnosed ns ns 0.3 0.3 1.6 1.0 Within Past Within ns 0.1 p-value 0.3 0.5 p-value 0.3Lifetime ns 12 Months ns ns 0.3 0.3 3.3 2.9 1.7 0.6 <0.05 5.6 5.0 ns 0.1 0.3 0.2 1.3 ns ns ns 1.0 0.5 2.6 1.4 <0.01 Chlamydia 5.6 Veterans and All Students Genital Herpes 2.6 Genital Warts/HPV Gonorrhea Sexually Transmitted HIV/AIDS Infection Pubic Lice Chlamydia Syphilis Genital Herpes 1.7 0.9 3.4 0.3 0.3 2.0 HIV/AIDS 0.3 0.1 0.3 0.5 ns Veterans All Students—Adjusted Data Pubic Lice ns 0.3 0.3 2.9 3.3 ns Not statistically significant. 1.3 0.2 <0.01 0.3 0.1 Syphilis AtGenital Least One of the Warts/HPV 6.2 5.3 Above Sexually Transmitted Gonorrhea Infections 15.7 1.0 1.6 13.5 1.3 Emergency Contraception 1.0 Diaphragm At Least One of the 0.7 Above Sexually Minnesota Postsecondary Student Veterans Ortho Evra46 Health and Health-Related Behaviors Transmitted Infections 15.7 0.3 Other 20.6 Fertility Awareness Veterans 13.5 ns ns nsns nsns ns 3.4 2.0 All Students—Adjusted Data ns ns ns ns Implications Healthy individuals make better students, and better students make healthier communities. Results from the 2012 College Student Health Survey document the health and health-related behaviors of veterans enrolled in participating Minnesota postsecondary institutions. These data offer a comprehensive look at the diseases, health conditions, and health-related behaviors of student veteran respondents. The data show that health-related issues among student veterans are similar to those of the general student body, but there are key differences that should be noted. More research in this area is needed to determine why these differences exist. Colleges and universities should consider developing groups to address the unique needs of student veterans on their campuses. Creating a college environment that supports veterans through coordinating services to address the academic, financial, physical, health-related, and social needs of student veterans will help veterans succeed academically, and in their lives beyond postsecondary education. Implications 47 48 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Appendix 1 Colleges and Universities Participating in the 2012 College Student Health Survey Kittson Roseau Hallock Roseau Baudette Lake of the Woods International Falls Marshall Koochiching Warren Thief River Falls Polk Beltrami Cook Pennington Red Lake Falls Grand Marais Red Lake Crookston St. Louis Clearwater Norman Lake Bemidji Bagley Mahnomen Ada Mahnomen Itasca Hubbard Two Harbors Grand Rapids Walker Cass Becker Park Rapids Detroit Lakes Moorhead Duluth Aitkin Clay Carlton Wadena Otter Tail Wilkin Crow Wing Wadena Fergus Falls Breckenridge Bemidji State University Brainerd Douglas Elbow Lake Little Falls Morrison Grant Kanabec Benton Traverse Milaca Foley Glenwood Morris Pope Stearns Big Stone St. Cloud Isanti Sherburne Meeker Willmar Chippewa Lac Qui Parle Anoka Buffalo Washington Chaska Carver Shakopee Glencoe Renville Lyon Redwood Falls Le Center St. Peter New Ulm Nicollet Rice Le Sueur North Mankato Murray Pipestone Slayton Cottonwood Windom Nobles Washington St. James Owatonna Waseca Waseca Watonwan Martin Jackson Jackson Blue Earth Fairmont Faribault Blue Earth Goodhue Faribault Brown Pipestone Winona State University Steele Mower Austin Bemidji State University Century College Concordia University Martin Luther College Bemidji, MN White Bear Lake, MN St. Paul, MN New Ulm, MN Minnesota West Community and Technical College Canby, MN Granite Falls, MN Jackson, MN Pipestone, MN Worthington, MN Rochester Community and Technical College Rochester, MN Southwest Minnesota State University St. Catherine University Marshall, MN Minneapolis, MN St. Paul, MN St. Cloud State University St. Cloud Technical and Community College Winona State University St. Cloud, MN St. Cloud, MN Winona Rochester Albert Lea Location Winona Olmsted Dodge Freeborn Winona, MN Minnesota West Community and Technical College Wabasha Wabasha Mantorville School *Includes full-time and part-time students. Martin Luther College Red Wing Sibley Redwood Hastings Dakota Scott Gaylord Marshall Southwest Minnesota State University Hennepin Olivia Granite Falls Yellow Medicine Ramsey St. Paul Minneapolis Kandiyohi Montevideo St. Catherine University Stillwater Wright Litchfield McLeod Luverne Concordia University Center City Benson Madison Rock Chisago Anoka Swift Lincoln Century College Cambridge Elk River Ortonville Ivanhoe St. Cloud State University Pine City Mora Long Prairie Alexandria Stevens St. Cloud Technical and Community College Pine Mille Lacs Todd Wheaton Carlton Aitkin Fillmore Preston Rochester Community and Technical College Houston Caledona Enrollment— Spring 2012* 6,87036 15,21936 2,80037 65538 5,06836 8,20636 7,73236 5,22739 22,02436 6,30036 9,69136 49 Appendix 2 2012 College Student Health Survey Demographics Based on Student Response Average Age (Years) Age Range (Years) 18–24 Years 25 Years or Older Average GPA Veterans 33.4 18–69 22.4% 77.6% 3.32 All Students— Adjusted Data 33.0 19–92 22.4% 77.6% 3.40 All Students— Unadjusted Data 27.1 18–92 56.8% 43.2% 3.37 25.6% 25.6% 16.4% 11.1% 13.9% 3.4% 0.0% 15.0% 19.9% 16.4% 12.9% 19.4% 11.5% 4.8% 20.9% 19.9% 16.6% 12.8% 14.8% 10.0% 4.7% 4.0% 0.1% 0.3% 70.1% 29.9% 0.0% 70.7% 29.3% 0.0% 25.8% 73.8% 0.1% 0.0% 0.0% 0.0% 0.0% 0.1% 0.2% 3.7% 5.2% 4.0% 3.1% 2.8% 5.3% 5.2% 2.3% 2.1% 6.6% 4.4% 2.8% 85.8% 2.5% 86.5% 2.0% 85.8% 1.9% 4.9% 95.1% 8.1% 91.9% 20.1% 79.9% 58.0% 33.0% 9.0% 59.2% 26.2% 14.6% 66.5% 22.7% 10.8% 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 Gender Male Female Transgender Other Unspecified Ethnic Origin American Indian/Alaska Native Asian/Pacific Islander Black–Not Hispanic Latino/Hispanic White—Not Hispanic (Includes Middle Eastern) Other Current Residence Residence Hall or Fraternity/Sorority Other Enrollment in Online Classes This Term No Online Classes Some Online Classes All Online Classes 50 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans Glossary 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 Marijuana Use Any marijuana use within the past 30 days. Current Tobacco Use Any use of tobacco in the past 30 days. Tobacco use includes both smoking and smokeless tobacco. Credit Card Debt A monthly debt of $3,000 or more. 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 $20,000 or more Glossary 51 52 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans References 1. American Council on Education. (2009). ACE issue brief: From soldier to student: Easing the transition of service members on campus. Retrieved May 8, 2012, from http://www.acenet.edu/AM/Template. cfm?Section=Papers_Publications&CONTENTID=33242&TEMPLATE=/CM/ContentDisplay.cfm. 2. Boynton Health Service. (2012). Health and health-related behaviors, Minnesota postsecondary students. Minneapolis, MN: Boynton Health Service, University of Minnesota. 3. Centers for Disease Control and Prevention. (2010). Behavioral Risk Factor Surveillance System [survey data]. Atlanta, GA: U.S. Department of Health and Human Services. Retrieved March 12, 2012, from http://apps.nccd.cdc.gov/brfss. 4. Ward BW, Barnes PM, Freeman G, Schiller JS. (2011). Early release of selected estimates based on data from the January–June 2011 National Health Interview Survey. Hyattsville, MD: National Center for Health Statistics. Retrieved March 12, 2012, from http://www.cdc.gov/nchs/nhis.htm. 5. Himmelstein DU, Lasser KE, McCormick D, Bor DH, Boyd JW, Woolhandler S. (2007). Lack of health coverage among US veterans from 1987 to 2004. 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Washington, DC: National Institute of Justice. 22. Lipari RN, Cook PJ, Rock LM, Matos K. (2008). 2006 Gender Relations Survey of active duty members (DMDC Report No. 2007-022). Arlington, VA: Defense Manpower Data Center. Retrieved April 22, 2011, from http://handle.dtic.mil/100.2/ADA476661. References 53 References 23. U.S. Department of Education. (2011, January). Trends in student financing of undergraduate education: Selected years, 1995–96 to 2007–08 (NCES 2011-218). Washington DC: National Center for Education Statistics. 24. Sallie Mae. (2009). How undergraduate students use credit cards. Sallie Mae’s national study of usage rates and trends 2009. Retrieved April 2, 2010, from http://www.salliemae.com/NR/rdonlyres/0BD600F1-9377-46EA-AB1F- 6061FC763246/10744/SLMCreditCardUsageStudy41309FINAL2.pdf. 25. LaBrie RA, Shaffer HJ, LaPlant DA, Wechsler H. (2003). Correlates of college student gambling in the United States. Journal of American College Health, 52(2), 53–62. 26. National Research Council. (1999). Pathological gambling: A critical review. Washington D.C.: National Academy Press. 27. Biddle D, Hawthorne G, Forbes D, Coman G. (2005). Problem gambling in Australian PTSD treatment-seeking veterans. Journal of Traumatic Stress, 18(6), 759–767. 28. 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. 29. Koepsell TD, Forsberg CW, Littman AJ. (2009). Obesity, overweight, and weight control practices in U.S. veterans. Preventive Medicine, 48, 267–271. 30. Littman AJ, Forsberg CW, Koepsell TD. (2009). Physical activity in a national sample of veterans. Medicine & Science in Sports & Exercise, 41(5), 1006–1013. 31. Centers for Disease Control and Prevention. (2007). About BMI for adults. Retrieved March 12, 2012, from http://www.cdc.gov/nccdphp/dnpa/bmi/adult_BMI/about_adult_BMI.htm#Interpreted. 32. Centers for Disease Control and Prevention. (2008). Physical activity for everyone. Retrieved March 12, 2012, from http://www.cdc.gov/nccdphp/dnpa/physical/everyone/recommendations/. 33. Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. (2010). Sexual behavior in the United States: Results from a national probability sample of men and women ages 14–94. Journal of Sexual Medicine, 7(suppl 5), 255–265. 34. Sanders SA, Reece M, Herbenick D, Schick V, Dodge B, Fortenberry JD. (2010). Condom use during most recent vaginal intercourse event among a probability sample of adults in the United States. Journal of Sexual Medicine, 7(suppl 5), 362–373. 35. Centers for Disease Control and Prevention. (2011). Sexually transmitted disease surveillance 2010. Atlanta, GA: U.S. Department of Health and Human Services. Retrieved March 12, 2012, from http://www.cdc.gov/std/stats10/default.htm. 36. Minnesota State Colleges and Universities. (2012). Colleges and universities. Retrieved May 2, 2012, from http://www.mnscu.edu/collegesearch/index.php/institution/. 37. Concordia University. (2012). Facts & statistics. Retrieved May 2, 2012, from http://www.csp.edu/about-concordia/facts-statistics/?source=search-result. 38. Martin Luther College. (2012). Total enrollment numbers increasing. Retrieved May 2, 2012, from http://www.mlc-wels.edu/today/news/total-enrollment-numbers-increasing. 39. St. Catherine University. (2012). Quick facts. Retrieved May 2, 2012, from http://www.stkate.edu/pages/aboutstkates/quick_facts.php. 54 Health and Health-Related Behaviors Minnesota Postsecondary Student Veterans References 55 Funding Partial funding for the 2012 College Student Health Survey was provided by the following groups. Thank you for your support of this important project. Grant P116Z090310 through a congressionally directed award to the Minnesota State Colleges and Universities. The contents do not necessarily represent the policy or endorsement of the U.S. Department of Education or the federal government. Boynton Health Service, 410 Church Street S.E., Minneapolis, MN 55455 2012 Boynton Health Service Survey Team Principal Investigator Katherine Lust, Ph.D., M.P.H., R.D. (612) 624-6214 • klust@bhs.umn.edu Investigator David Golden Recruitment/College Coordinator Maria Rudie, M.P.H. Web/E-Communications Coordinator Evelyn Kokes Project Coordinator/Editor Jolene Johnson Writer/Editor Julia Sanem, M.P.H. Senior Graphic Designer Amy Bartkus Office Manager Carol Uchal Published October 2012 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 cuchal@bhs.umn.edu. Boynton Health Service Boynton Health Service www.bhs.umn.edu 410 Church Street S.E., Minneapolis, MN 55455 Phone (612) 625-6410 • Fax (612) 625-2925 ©2012 Regents of the University of Minnesota. All rights reserved.