University of California San Diego. Executive Summary. Spring 2019. The ACHA-NCHA II supports the health of the campus community by fulfilling the academic
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Copyright 2019 All Rights Reserved. University of California San Diego Executive Summary Spring 2019 The ACHA-NCHA II supports the health of the campus community by fulfilling the academic mission, supporting short- and long-term healthy behaviors, and gaining a current profile of health trends within the campus community. American College Health Association National College Health Assessment II ACHA-NCHA II
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Table of Contents I. Introduction 2 II. Findings A. General Health of College Students 3 B. Disease and Injury Prevention 4 C. Academic Impacts 5 D. Violence, Abusive Relationships and Personal Safety 5 E. Tobacco, Alcohol, and Marijuana Use 6 F. Sexual Behavior 10 G. Nutrition and Exercise 12 H. Mental Health 13 I. Sleep 16 III. Demographics and Student Characteristics 17 Suggested citation for this document: American College Health Association. American College Health Association-National College Health Assessment II: University of California San Diego Executive Summary Spring 2019. Silver Spring, MD: American College Health Association; 2019. ACHA, the nation’s principal advocate and leadership organization for college and university health, represents a diverse membership that provides and supports the delivery of health care and prevention and wellness services for the nation’s 20 million college students. For more information about the association’s programs and services, visit www.acha.org, and www.acha-ncha.org.
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Introduction Notes about this report: The overall response proportion was 11.4%. 2 3. A note about the use of sex and gender in this report: Survey responses are reported by sex based on the responses to questions 47a, 47b, and 47c. For the purpose of the ACHA-NCHA report documents, respondents are reported as male or female only when their responses to these three questions are consistent with one another. If students’ gender identity is consistent with their sex at birth AND the student selects “no” for transgender, then respondents are designated as either male or female. If respondents select “yes” for transgender OR their sex at birth is not consistent with their gender identity, then they are designated as non-binary. A respondent that skips any of the three questions is designated as unknown. Totals displayed in this report include non-binary and unknown students. survey for University of California San Diego consisting of 797 respondents. This Executive Summary highlights results of the ACHA-NCHA II Spring 2019 2. Students responding “not applicable” were excluded from several analyses, which are specifically noted throughout this document. This will often explain differences observed between this document and the full data report. The ACHA-National College Health Assessment II (ACHA-NCHA II) is a national research survey organized by the American College Health Association (ACHA) to assist college health service providers, health educators, counselors, and administrators in collecting data about their students’ habits, behaviors, and perceptions on the most prevalent health topics. ACHA initiated the original ACHA-NCHA in 2000 and the instrument was used nation wide through the spring 2008 data collection period. The ACHA-NCHA now provides the largest known comprehensive data set on the health of college students, providing the college health and higher education fields with a vast spectrum of information on student health. A revised survey, the ACHA-NCHA-II, has been in use since the fall 2008 data collection period. Please note the ACHA-NCHA II is not appropriate for trend comparison with items from the original ACHA-NCHA survey. Directly comparing pre- and post-redesign estimates on similar data points, without taking into account the impact of the email Mary T Hoban, PhD, MCHES, (mhoban@acha.org), E. Victor Leino, PhD (vleino@acha.org), or visit www.acha-ncha.org. 1. Missing values have been excluded from analysis and only valid percents are included in this document.
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Findings A. General Health of College Students 39.9 % of college students surveyed ( 46.7 % male and 36.4 % female) described their health as very good or excellent . 74.8 80.5 % male and 72.3 % female) described their health as good, very good or excellent . Proportion of college students who reported being diagnosed or treated by a professional for any of the following health problems within the last 12 months: Allergies: 14.0 % Hepatitis B or C: 0.4 % Asthma: 8.1 % High blood pressure: 4.1 % Back pain: 10.2 % High cholesterol: 3.7 % Broken bone/Fracture/Sprain: 4.4 % HIV infection: 0.3 % Bronchitis: 4.4 % Irritable Bowel Syndrome: 2.4 % Chlamydia: 1.9 % Migraine headache: 6.7 % Diabetes: 0.8 % Mononucleosis: 0.9 % Ear infection: 3.8 % Pelvic Inflammatory Disease: 0.4 % Endometriosis: 0.6 % Repetitive stress injury: 1.9 % Genital herpes: 1.0 % Sinus infection: 8.7 % Genital warts/HPV: 0.9 % Strep throat: 4.1 % Gonorrhea: 0.5 % Tuberculosis: 0.6 % Urinary tract infection: 9.4 % 45.8 % of college students ( 38.5 % male, 50.0 % female) reported being diagnosed or treated by a professional with one or more of the above conditions within the last 12 months. Proportion of college students who reported any of the following: Attention Deficit and Hyperactivity Disorder (ADHD) 6.7 % Chronic illness (e.g., cancer, diabetes, auto-immune disorders) 4.8 % Deafness/Hearing loss 0.8 % Learning disability 2.7 % Mobility/Dexterity disability 0.8 % Partial sightedness/Blindness 2.7 % Psychiatric condition 9.6 % Speech or language disorder 0.8 % Other disability 1.9 % 3 % of college students surveyed (
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Findings continued B. Disease and Injury Prevention College students reported receiving the following vaccinations (shots): 80.8 % reported receiving vaccination against hepatitis B. 69.0 % reported receiving vaccination against Human Papillomavirus/HPV (cervical cancer vaccine). 57.0 % reported receiving vaccination against influenza (flu) in the last 12 months (shot or nasal mist). 85.0 % reported receiving vaccination against measles, mumps, rubella. 80.3 % reported receiving vaccination against meningococcal meningitis. 80.5 % reported receiving vaccination against varicella (chicken pox). Other disease prevention practices reported by college students: 71.4 % reported having a dental exam and cleaning in the last 12 months. 27.1 % of males reported performing a testicular self exam in the last 30 days. 30.6 % of females reported performing a breast self exam in the last 30 days. 34.2 % of females reported having a routine gynecological exam in the last 12 months. 51.1 % reported using sunscreen regularly with sun exposure. 30.0 % reported ever being tested for Human Immunodeficiency Virus (HIV) infection. College students reported the following behaviors within the last 12 months: 4 33.1 Never* N/A, did not do this activity within the last 12 months 2.0 Mostly or always* Percent (%) Rarely or sometimes* 26.7 Wear a seatbelt when you rode in a car 90.9 88.6 5.6 57.8 Wear a helmet when you rode a bicycle 97.8 0.1 0.1 40.3 Wear a helmet when you rode a motorcycle 52.5 11.1 * Students responding “N/A, did not do this activity within the last 12 months” were excluded. 12.2 Wear a helmet when you were inline skating 83.3 30.0
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Findings continued C. Academic Impacts academic performance, defined as: received a lower grade on an exam, or an important project; received a lower grade in the course; received an incomplete or dropped the course; or experienced a significant disruption in thesis, dissertation, research, or practicum work; (listed alphabetically): Alcohol use: 1.9 % Gambling: 0.3 % Allergies: 2.2 % Homesickness: 4.7 % Anxiety: 27.4 % Injury: 2.8 % Assault (physical): 1.0 % Internet use/computer games: 15.2 % Assault (sexual): 1.8 % Learning disability: 3.4 % Attention Deficit/Hyperactivity Disorder: 6.2 % Participation in extracurricular Cold/Flu/Sore throat: 18.0 % activities: 12.0 % Concern for a troubled friend Pregnancy (yours or partner’s): 0.6 % or family member: 11.0 % Relationship difficulties: 12.9 % Chronic health problem or serious illness: 4.3 % Roommate difficulties: 8.4 % Chronic pain: 3.3 % Sexually transmitted disease/ Death of a friend or family member: 6.1 % infection (STD/I): 0.4 % Depression: 22.2 % Sinus infection/Ear infection/ Discrimination: 2.4 % Bronchitis/Strep throat: 3.5 % Drug use: 1.8 % Sleep difficulties: 23.7 % Eating disorder/problem: 2.0 % Stress: 39.0 % Finances: 9.1 % Work: 15.4 % Other: 2.4 % D. Violence, Abusive Relationships and Personal Safety Within the last 12 months, college students reported experiencing: Percent (%) Male Female Total A physical fight 4.4 1.6 2.5 A physical assault (not sexual assault) 2.6 2.8 2.7 A verbal threat 16.2 12.3 13.5 Sexual touching without their consent 6.3 12.3 10.1 Sexual penetration attempt without their consent 0.7 4.3 3.0 Sexual penetration without their consent 1.1 2.6 2.1 Stalking 2.2 5.3 4.4 An emotionally abusive intimate relationship 4.8 8.9 7.6 A physically abusive intimate relationship 1.5 1.6 1.5 A sexually abusive intimate relationship 1.5 2.6 2.3 5 Within the last 12 months, students reported the following factors affecting their individual
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Findings continued Alcohol Percent (%) Male Female Total Male Female Total Never used 28.6 24.7 25.9 5.9 3.5 4.2 Used, but not in the last 30 days 19.8 20.2 20.0 4.0 1.6 2.7 Used 1-9 days 42.9 45.7 44.8 56.4 52.5 53.7 Used 10-29 days 7.7 9.1 8.7 28.9 36.7 34.1 Used all 30 days 1.1 0.2 0.5 4.8 5.7 5.3 Any use within the last 30 days 51.6 55.1 54.0 90.1 94.9 93.2 Marijuana Percent (%) Male Female Total Male Female Total Never used 62.3 59.5 60.5 11.1 6.9 8.2 Used, but not in the last 30 days 13.6 18.4 16.8 6.6 3.9 4.9 Used 1-9 days 17.9 17.4 17.4 49.8 50.8 50.4 Used 10-29 days 4.0 3.6 3.8 26.9 29.3 28.7 Used all 30 days 2.2 1.0 1.5 5.5 9.1 7.7 Any use within the last 30 days 24.2 22.1 22.7 82.3 89.2 86.8 Drinking and Driving 0.2 % of college students reported driving after having 5 or more drinks in the last 30 days.* 18.2 % of college students reported driving after having any alcohol in the last 30 days.* Estimated Blood Alcohol Concentration (or eBAC) of college students reporting 1 or more drinks the last time they “partied” or socialized. Students reporting 0 drinks were excluded from the analysis . Due to the improbability of a student surviving a drinking episode resulting in an extremely high eBAC, all students with an eBAC of 0.50 or higher are also omitted from these eBAC figures. eBAC is an estimated figure based on the reported number of drinks consumed during the last time they “partied” or socialized, their approximate time of consumption, sex, weight, and the average rate of ethanol metabolism. Estimated BAC Percent (%) Male Female Total < .08 79.6 68.3 72.2 < .10 85.2 74.8 78.3 Mean 0.05 0.07 0.06 Median 0.02 0.05 0.04 Std Dev 0.06 0.07 0.07 7 Actual Use Perceived Use *Students responding "N/A, don't drive" and "N/A don't drink" were excluded from this analysis. Actual Use Perceived Use
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Findings continued Reported number of drinks consumed the last time students "partied" or socialized. Only students reporting one or more drinks were included. Number of drinks* Percent (%) Male Female Total 4 or fewer 68.3 74.4 72.0 5 11.6 9.5 10.1 6 4.9 6.0 5.8 7 or more 15.2 10.1 12.1 Mean 4.07 3.55 3.74 Median 3.00 3.00 3.00 Std Dev 3.04 2.56 2.73 * Students reporting 0 drinks were excluded. Reported number of times college students consumed five or more drinks in a sitting within the last two weeks: Percent (%) Male Female Total N/A don't drink 37.9 34.1 35.4 None 39.3 51.6 47.2 1-2 times 19.1 11.9 14.5 3-5 times 3.3 2.2 2.6 6 or more times 0.4 0.2 0.3 Percent of college students who reported using prescription drugs that were not prescribed to them within the last 12 months: Percent (%) Male Female Total Antidepressants 1.5 3.7 2.9 Erectile dysfunction drugs 1.1 1.4 1.3 Pain killers 2.6 4.1 3.8 Sedatives 2.6 4.1 3.8 Stimulants 4.8 6.7 6.1 Used 1 or more of the above 8.1 10.3 9.9 8
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