College Student Health Survey Report St. Cloud State University College Student Health Survey Katherine Lust, PhD, MPH, RD Director of Research: Boynton Health Service, University of Minnesota Adjunct Assistant Professor, Division of Epidemiology & Community Health, University of Minnesota March 25, 2013 Methodology Paper Work FERPA IRB Logistics List of students IT Test, Test. Test Over sampled Veterans Methodology 2,928 students were sent a survey (2008) 3,558 students (2009) 3,517 students (2010) 3,511 students (2011) 5,928 students (2012) 31.6% Response rate (2008) 33.4% (2009) 34.5% (2010) 35.7% (2011) 15.9% (2012) Over the 5 years 19,442 students received a survey and 5,520 completed a survey Demographics Survey participants ‘08 ‘09 ‘10 ‘11 ‘12 23.5 23.1 23.3 24.4 24.6 Male 39.0 40.1 38.6 39.9 40.0 Female 60.7 59.7 61.1 59.4 59.7 Transgender/Other 0.3 0.2 0.3 0.5 0.3 White-Non Hispanic 85.9 86.6 85.7 85.7 85.7 Live Residence Hall or Fraternity/Sorority 19.7 20.5 22.4 19.4 17.4 Average age (years) Gender Race/Ethnicity Analysis: Academic performance Grade Point Average: self report Areas to be Examined Mental Health Financial Nutrition and Physical Activity Financial Mental Health Conditions •Anorexia •Anxiety •Attention Deficit Disorder •Bipolar Disorder •Bulimia •Depression •Obsessive-Compulsive Disorder •Panic Attacks •Post-Traumatic Stress Disorder •Social Phobia/ Performance Anxiety Mental Health Conditions Percent Who Report Being Diagnosed Within Lifetime Percent Who Report Being Diagnosed Within Past 12 Months Anorexia 2.3 0.6 Anxiety 18.4 9.2 Attention Deficit Disorder 7.0 2.4 Bulimia 1.8 0.6 Depression 20.7 7.9 Panic Attacks 7.8 2.7 Social Phobia/Performance Anxiety 3.5 2.2 Mental Health Condition 33.2% of students report being diagnosed with mental condition with their lifetime 15.2% of students report being diagnosed with mental condition within past 12 months SCSU 2011 CSHS Depression Diagnosis: Lifetime All student 40 30 Percent 20.9 17.9 18.2 2009 2010 20.7 20.1 20 10 0 2008 2011 2012 Depression Diagnosis: Lifetime All student Males 40 30 Percent 31.5 26.4 26 20 20.7 17.1 13 10 0 Aggregate (2011) SCSU (2011) Females Depression Diagnosis: Past 12 Months All student 15 8.4 Percent 10 6.4 6.1 7.9 6.4 5 0 2008 2009 2010 2011 2012 Depression Diagnosis: Past 12 Months All student Males 20 Percent 15 10 5 10.5 11.3 9.4 7.9 5.9 3.7 0 Aggregate (2011) SCSU (2011) Females Mental Health Conditions and GPA Have condition Do Not have condition Grade Point Average 3.4 3.35 3.33 3.33 3.3 3.25 3.25 3.2 P< 0.0001 3.23 P< 0.0001 3.15 Within Lifetime Within Past 12 Months Aggregate 2010 CSHS Poor Mental Health and Grade Point Average Grade Point Average 2010 Aggregate CSHS 3.4 3.3 3.32 3.35 3.35 3.2 3.3 3.21 Mean =3.34 3.1 Mean =3.26 3.0 0 1-2 3-5 6-10 11-30 Number of Days-Past 30 Days Students who report experiencing six or more days of poor mental health within the past 30 days have a lower mean GPA than students who report five or fewer days of poor mental health (3.26 vs. 3.34, respectively, p < .0001). Mental Health Stressors Stressor Percent Experienced Within Past 12 Months 2008 2009 2010 2011 2012 Getting Married 2.4 2.2 3.1 3.3 2.2 Failing a Class 15.4 14.7 13.3 15.5 13.3 Serious Physical Illness of Someone Close to You Death of Someone Close to You 18.5 17.1 15.3 15.9 15.1 21.1 19.9 19.9 19.3 20.6 Being Diagnosed With a Serious Physical Illness Being Diagnosed With a Serious Mental Illness Divorce or Separation From Your Spouse 2.3 3.0 2.8 2.6 2.5 4.2 3.7 3.1 4.9 5.4 1.4 1.3 1.3 7.4 5.9 Termination of Personal Relationship (Not Including Marriage) Attempted Suicide 18.4 18.1 16.3 17.7 17.6 0.8 0.6 0.7 0.7 0.7 Being Put on Academic Probation 4.2 5.2 7.2 6.9 5.0 Excessive Credit Card Debt 14.7 13.6 11.3 11.4 9.4 (cont.) Mental Health Stressors Percent Experienced Within Past 12 Months Stressor 2008 2009 2010 2011 2012 Excessive Debt Other Than Credit Card 15.4 12.0 11.6 12.0 13.4 Being Arrested 2.5 2.9 1.2 1.4 1.3 Being Fired or Laid Off From a Job 4.1 5.8 6.5 5.6 5.9 Roommate/Housemate Conflict 29.8 29.2 24.3 23.9 22.7 Parental Conflict 16.6 16.9 15.4 13.7 12.6 Lack of Health Care Coverage 12.8 12.4 13.4 11.8 12.2 Issues Related to Sexual Orientation 2.7 2.1 1.7 2.4 2.0 1.2 0.8 Bankruptcy Zero of the Above Stressors 26.4 25.3 30.9 30.8 30.8 One or Two of the Above Stressors 41.8 45.7 43.8 40.0 43.2 Three or More of the Above Stressors 30.2 28.0 25.3 29.2 26.0 Number of Mental Health Stressors and Grade Point Average 3.5 3.42 3.38 3.4 Grade Point Average 3.28 3.3 3.21 P< 0.0001 3.2 3.08 3.1 3.03 3 2.91 2.9 2.87 2.9 2.8 2.7 0 1 2 3 4 5 6 7 8+ Number of Stressors-Past 12 Months Aggregate 2010 CSHS Ability to Manage Stress Perceived Level of Stress (Scale 1 to 10) / Ability to Manage Stress (Scale 1 to 10) 29.5 70.5 Unmanaged Stress Manages Stress SCSU 2012 CSHS Perceived Stress Level and Grade Point Average 3.5 Grade Point Average 3.4 3.34 3.31 3.3 3.3 3.32 3.31 3.32 3.31 3.34 3.23 3.24 3.2 3.1 3 Low stress 2 3 4 5 6 7 8 9 Perceived Stress Level (Scale 1 to 10) Aggregate 2010 CSHS High stress Ability to Manage Stress and Grade Point Average 3.5 3.36 Grade Point Average 3.4 3.32 3.3 3.19 3.36 3.3 3.24 3.19 3.38 P<0.0001 3.2 3.2 3.1 3.06 3 Ineffective 2 3 4 5 6 7 8 9 Very effective Ability to manage stress level (Scale 1 to 10) Aggregate 2010 CSHS Number of Days of Adequate Sleep- Past Seven Days 16.0 18.8 31.8 33.4 0-1 days 50.6% of SCSU students get adequate sleep on 3 or fewer days 2-3 days 4-5 days 6-7 days SCSU 2012 CSHS Days of Adequate Sleep and grade Point Average 3.5 Grade Point Average 3.41 3.38 3.4 3.32 3.29 3.3 3.28 3.34 P<0.0001 3.29 3.22 3.2 0 1 2 3 4 5 6 7 Days per week Aggregate 2010 CSHS Body Mass Index All Students 3.7% Underweight 15.7% Normal Weight Overweight 25.2% Obese/Extremely Obese 55.4% BMI Range Weight Category Less Than 18.5 Underweight 18.5 to 24.9 Normal Weight 25.0 to 29.9 Overweight 30.0 to 39.9 Obese 40.0 and Greater Extremely Obese SCSU 2012 CSHS Body Mass Index Overweight/Obese All student 60 41.2 39.2 40.4 42.6 40.9 Percent 40 20 0 2008 2009 2010 2011 2012 Physical Activity Level All Students 9.9% 37.6% Zero Low 23.0% 29.5% Moderate High 67.1% meet CDC recommendation for physical activity 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 per week Engage in vigorous-intensity physical activity for at least 20 minutes on three or more days per week SCSU 2012 CSHS Physical Activity Meet CDC recommendations All student 80 64.3 67.7 68.5 68.7 67.1 Percent 60 40 20 0 2008 2009 2010 2011 2012 Hours of Television Watching and Grade Point Average 3.5 3.41 Grade Point Average 3.4 3.38 p≤ 0.0001 3.35 3.28 3.3 3.22 3.2 3.14 3.11 3.1 3 0 <1 1 2 Hours of Viewing 3 4 5+ Aggregate 2010 CSHS Hours of Computer Use and Grade Point Average 3.5 3.41 Grade Point Average 3.4 3.33 3.41 p≤ 0.0001 3.29 3.3 3.21 3.17 3.2 3.11 3.1 3 0 <1 1 2 3 Hours of Playing Games 4 5+ Aggregate 2010 CSHS 91.3% of SCSU students (2012) report watching TV, using the computer or handheld device two or more hours per day (non work or school related) Average hours spent studying per week and GPA Grade Point Average 3.6 3.47 3.5 3.49 3.53 3.42 3.39 3.4 3.33 P < 0.0001 3.26 3.3 3.21 3.18 3.2 3.1 Zero 1-5 6-10 11-15 16-20 21-25 26-30 31-40 40 or more Hours spent studying per week 11.9 hours (SCSU) Aggregate 2010 CSHS Financial Considerations Parental Income Level 30 20 Percent 20.2 20.3 15.9 16.7 16.7 10 10.2 0 CSHS 2011 0 to $39,999 $84K to $99,999 $40K to $64,999 $100K Plus $65K to $83,999 Prefer to not answer 2012 SCSU CSHS Financial Considerations Estimate of Outstanding Loan Balance 30 89.2% indicated they are responsible for the loan debt 27.3 25.2 22.7 Percent 20 10 10 10.5 4.3 0 CSHS 2011 $0 $15,001 to $30K $1 to $5K $30,001 to $50K $5,001 to $15K $50,001 or More 2012 SCSU CSHS 41.7% report they are dependent on parents for financial support Questions?