2013 Health and Health-Related Behaviors St. Cloud State University Students
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2013 Health and Health-Related Behaviors St. Cloud State University Students
2013 College Student Health Survey Report Health and Health-Related Behaviors St. Cloud State University Students Boynton Health Service Boynton Health Service 2013 College Student Health Survey Report Health and Health-Related Behaviors St. Cloud State University Students Introduction iii Survey v Methodologyv Analysis Summary vi Results 1 Health Insurance and Health Care Utilization 1 Mental Health 7 Tobacco Use 13 Alcohol Use and Other Drug Use 19 Personal Safety and Financial Health 27 Nutrition and Physical Activity 33 Sexual Health 39 Implications 43 Appendices 45 Appendix 1 Colleges and Universities Participating in the 2013 College Student Health Survey 45 Appendix 2 St. Cloud State University Students Survey Demographics Based on Student Response 46 Glossary 47 References 49 ii Health and Health-Related Behaviors St. Cloud State University Students Introduction Q: What do the following health conditions and health-related behaviors have in common? • Health Insurance Status • Depression • Ability to Manage Stress • Tobacco Use • Alcohol Use • Engagement in Physical Activity • Credit Card Debt A: They all affect the health and academic achievement of college students. Across the state of Minnesota, 29 two-year and four-year postsecondary schools joined together with Boynton Health Service at the University of Minnesota in spring 2013 to collect information from undergraduate and graduate students about their experiences and behaviors in the areas of health insurance and health care utilization, mental health, tobacco use, alcohol and other drug use, personal safety and financial health, nutrition and physical activity, and sexual health. Of the 44,688 students who received a survey, 13,589 students completed the survey, for an overall response rate of 30.4%. This report highlights the findings of this comprehensive survey and serves as an essential first step in identifying health and health-related behavior issues affecting college students. Boynton Health Service hopes that the information contained in this report will be helpful to college and university leaders as they strive to develop programs and policies that will assure a safe institutional environment, promote access to health care and essential services, encourage responsible student decision making and behavior, and contribute to the health, well-being, and academic success of students enrolled in their schools. The survey results are also intended to raise awareness among state and local policymakers and community leaders concerning the importance of the health of college students to the overall educational, health, and economic status of Minnesota. Introduction iii iv Health and Health-Related Behaviors St. Cloud State University Students Survey Methodology Undergraduate and graduate students enrolled in 29 postsecondary institutions in Minnesota completed the 2013 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 (one), $500 (one), and $250 (one) at a variety of stores. In addition, all students who responded to the survey were entered into six separate drawings for an iPad mini™ and one drawing for a $100 Amazon gift card that included just students from their school. Randomly selected students were contacted through multiple mailings and e-mails: St. Cloud State University Methodology Highlights • Invitation postcard • Invitation e-mail • 2,700 students from St. Cloud State University were randomly selected to participate in this survey. • Reminder postcard and multiple reminder e-mails A total of 44,688 undergraduate and graduate students from 29 colleges and universities in Minnesota were invited to participate in the 2013 College Student Health Survey (see Appendix 1 for a list of participating • 531 students completed the survey. • 19.7% of the students responded. schools). Of the 44,688 students who received a survey, 13,589 students completed the survey, for an overall response rate of 30.4%. Y, students! E H Take a SWELL SURVEY in For a chance to w NEAT PRIZES! YOU have been selected by your school to participate in the 2013 COLLEGE STUDENT HEALTH SURVEY. Boynton Health Service University of Minnesota 410 Church Street S.E. Minneapolis, MN 55455 NON-PROFIT ORG. U.S. POSTAGE PAID TWIN CITIES, MN PERMIT #90155 Complete the survey and be entered into prize drawings for Amazon gift cards in the amount of $1,000, $500, $250, and $100. Plus, every week, between February 18 and March 29, 2013, students who complete the survey will have a chance to win one of six IPAD MINIS. The sooner you fill out your survey, THE MORE CHANCES YOU HAVE TO WIN! Go to www.bhs.umn.edu/healthsurvey and enter your username and password. Survey must be completed by noon, March 29, 2013. Katherine Lust, Ph.D., Survey Administrator boynton health service [email protected], 612-624-6214 Technical Concerns? [email protected] 2013 College Student Health Survey 2013 College Student Health Survey Postcard Survey v Survey Analysis Summary The information presented in this report documents the prevalence of various diseases, health conditions, and health-related behaviors across seven areas: • Health Insurance and Health Care Utilization • Mental Health • Tobacco Use • Alcohol and Other Drug Use • Personal Safety and Financial Health • Nutrition and Physical Activity • Sexual Health The prevalence of a disease, health condition, or health-related behavior is defined as the total number of occurrences in a population (in this case, college students) at a given time, or the total number of occurrences in the population divided by the number of individuals in that population. Prevalence is useful because it is a measure of the commonality of a disease, health condition, or health-related behavior. For example, the College Student Health Survey asked students if they had ever been diagnosed with depression within their lifetime. For the purpose of illustration, if 100 students completed the survey and 10 of them reported they had been diagnosed with depression within their lifetime, then the lifetime prevalence of depression among this population of students is 10.0% (10/100). The results from this survey are based on a random sample of students from each of the participating colleges and universities. Random sampling is a technique in which a group of subjects (in this case, the sample of college students) is selected for study from a larger group (in this case, the population of students enrolled at each of the participating institutions). Each individual is chosen entirely by chance, and each member of the population has an equal chance of being included in the sample. Random sampling ensures that the sample chosen is representative of the population and that the statistical conclusions (in this case, the prevalence) will be valid. vi Health and Health-Related Behaviors St. Cloud State University Students Results Health Insurance and Health Care Utilization Students’ current health influences their ability to realize their immediate goal of achieving academic success and graduating, and their future health affects their ability to accomplish their longer term goal of finding and sustaining a career. Access to health care has been shown to improve health. Although Results institutions of higher education differ in scope of services, each institution has a unique opportunity and bears a certain responsibility to address issues related to student health and to reduce barriers to health care access. Health Insurance and Health Care Utilization National Comparison This section examines the areas of health insurance, health services utilization, and preventive care. Recent research indicates that most young adults in the United States, ages 18 to 24, report good health. The majority of young adults in Minnesota (87.9%) and nationwide (82.9%) report excellent, very good, or good health (CDC, 2011). At the same time, young adults have relatively low rates of health insurance and preventive care utilization. In Minnesota, 77.6% of 18- to 24-year-olds report some kind of health care insurance, and nationwide the number is 75.2% (CDC, 2011). More young males (32.3%) than young females (23.9%) lack health insurance coverage (Ward et al, 2013). Among all age groups, young adults (70.8%) are least likely to identify a usual place for medical care (Ward et al, 2013). 1 Health Insurance Status—Uninsured All Students Students attending St. Cloud State University (St. Cloud State) report an overall uninsured rate Health Health Insurance Insurance Status—Uninsured Status—Uninsured All Students All60 Students of 10.7%. Males have a higher uninsured rate than 50 60 60 PercentPercent Percent females (13.8% vs. 9.0%, respectively). 51.1 40 50 50 51.1 51.1 30 40 40 20 30 30 10 20 20 0 10 10 13.8 10.7 9.0 11.7 8.7 9.5 13.8 13.8 Females* UnderAll NonInterMales* 11.7 11.7 Graduate/ 10.7 9.5 10.7 9.0 9.5 national 8.7 9.0 graduate* 8.7 Degree Students* Profes00 sional* Seeking* All InterFemales* All not Males* NonInterMales* international Females* UnderUnder- Graduate/ Graduate/ Non*Does include students. Students* graduate* Students* Degree national national graduate* ProfesProfes- Degree Seeking* sional* sional* Seeking* Results *Does *Doesnot notinclude includeinternational internationalstudents. students. Health Insurance Status—Uninsured All Students by Age Group Health Insurance and Health Care Utilization St. Cloud State University students ages 25–29 report the highest uninsured rate. The lowest Health Health Insurance Insurance Status—Uninsured Status—Uninsured All All Students Students by by Age Age Group Group 25 uninsured rate is among St. Cloud State students PercentPercent Percent ages 18–19. 23.4 25 20 25 10 5 10 00 19.6 19.6 13.5 15 10 15 055 19.6 23.4 23.4 20 15 20 6.8 6.8 6.8 11.5 13.5 13.5 11.5 11.5 18–19 20–24 25–29 30–39 40+ 18–19 18–19 20–24 20–24 Age Group 25–29 25–29 Age Age Group Group 30–39 30–39 40+ 40+ More than one-fourth (27.9%) of St. Cloud State Spouse and Dependent Health Care Coverage University students report having a spouse, and Spouse Spouse and and Dependent Dependent Health Health Care Care Coverage Coverage 15.5% of these students report that their spouse All Students All All Students Students Marital Status and Health Care Coverage is uninsured. Marital Marital Status Status and and Health Health Care Care Coverage Coverage Approximately one-seventh (14.1%) of St. Cloud State students report having dependent children. Of these dependent children, 10.7% lack health 72.1% insurance. 72.1% 72.1% 27.9% 15.5% of spouses are uninsured 27.9% 27.9% 15.5% of 15.5% of spouses spouses are are uninsured uninsured Have Spouse Have No Spouse Have Have Spouse Spouse Have No Have No Spouse Dependent Children and Health Care CoverageSpouse Dependent Dependent Children Children and and Health Health Care Care Coverage Coverage 14.1% 10.7% of dependent children are uninsured 14.1% 14.1% 10.7% 10.7% of of dependent dependent children children are uninsured are uninsured 85.9% 85.9% 85.9% 2 Health and Health-Related Behaviors St. Cloud State University Students Have Children Have No Children Have Have Children Children Have No Have No Children Children Health Insurance and Number of Sick Days— Past 30 Days Number of sick days is a measure of health-related quality of life. Sick days reflect a personal sense All Students of poor or impaired physical or mental health or the inability to react to factors in the physical and social environments (USDHHS, 2000). 3.5 3 2.5 2 St. Cloud State students without health insurance report on average 1.0 more sick day in the past 1 30 days than St. Cloud State students with health insurance. Uninsured All Students (Includes Onlyby Those Students Who Report St. Cloud StateHealth students without health insurance Care Service Location Percent Percent 20 20 15 15 16.2 16.2 Diagnosed With Mental Health Condition Diagnosed With Mental Health Condition 17.8 17.8 14.1 14.1 10 10 8.5 8.5 5 5 0 0 Insured Insured Uninsured Uninsured Insured Insured Uninsured Uninsured conditions and a lower rate of diagnosed mental Question asked: health conditions compared to St. the Cloud State health care services Where doasked: you obtain following Question while indoschool? Where you obtain the following health care services students with health insurance. while in school? Health Care Service (Percent of Students Health Care Service Who Obtained Service) (Percent of Students Who Obtained Service) Routine Doctor’s Visit (87.8) Doctor’s Visit Routine Preventive Health Care—Past 12 Months All Students byHealth Gender Care—Past 12 Months Preventive All Students by Gender 16.1 0.2 12.2 49.8 4.9 16.1 0.2 12.2 49.8 4.9 2.9 0.4 3.1 36.7 3.8 2.9 0.4 3.1 36.7 3.8 11.9 16.3 8.1 31.9 4.4 11.9 16.3 8.1 31.9 4.4 (37.3) 18.2 18.2 Testing for Sexually Transmitted Infections Testing for Sexually (37.3) Transmitted Infections 0 0 40.2 40.2 Medical Exam* Medical Exam* 60.3 60.3 33.8 27.1 33.8 27.1 Dental Exam and Cleaning Dental Exam and Cleaning Males Males Cholesterol Check Cholesterol Check Females Females Service Counseling Student attending the university.Service Blood Pressure BloodCheck Pressure Check *Includes medical exam and/or gynecological exam for females. *Includes medical exam and/or gynecological exam for females. Routine Medical Examination—Past 12 Months All StudentsMedical by GenderExamination—Past and Insurance Status Routine 12 Months 80 Clinic Community Clinic HMO HMO Priva Prac Priva Practi All Students by Insurance Status 80 80 60 60 40 40 20 20 All Students by Gender and Insurance Status 51.8 2.9 51.8 2.9 54.6 1.8 54.6 1.8 13.8 1.2 13.8 1.2 Vaccination Status All Students by Insurance Vaccination Status Status 60.2 60.2 63.4 63.4 45.3 45.3 20 20 67.1 57.8 67.1 57.8 7.6 56.6 3.0 7.6 56.6 3.0 Health Service and cleanings at higherSchool rates than male studentsHospital Student Counseling Community 52.0 52.0 54.5 54.5 40.0 40.0 40 40 66.1 66.1 75.8 75.8 1.0 1.0 20.1 1.4 7.9 (26.2) 20.1 1.4 7.9 Testing for HIV (30.7) for HIV 17.8 1.2 12.3 Testing (30.7) 17.8University 1.2 12.3 Female students attending St. Cloud State Emergency Care (79.3) 5.5 0.5 81.7 Emergency Care report obtaining routine medical exams, cholesterol (79.3) 5.5 0.5 81.7 checks, blood pressure checks, and dental School Health ServiceexamsHospital Percent Percent Percent Percent 80 80 Percent Who Report Obtaining S Percent Who Report Obtaining Se (87.8) Dental Care (84.7)Care Dental (84.7) Mental Health Service (30.1) Health Service Mental (30.1) Treatment for Sexually Transmitted Treatment forInfections Sexually (26.2) Transmitted Infections 60 60 Health Insurance and Health Care Utilization Obtaining Service inOnly the Past 12Students Months) Who Report All Studentsa (Includes Those report a higherObtaining rate of diagnosed a Service inchronic the Past 12 Months) All Students Diagnosed With Chronic Condition Diagnosed With Chronic Condition Results Health Care Service by Location Health Insurance and Health Status All Students Health Insurance and Health Status 36.3 36.3 Insured 34.9 34.9 38.1 38.1 18.7 18.7 0 46.1 46.1 48.0 48.0 36.0 36.0 Average Number of Sick Days 4 0 Results 3 0 Hepatitis A Hepatitis B Meningitis Influenza— HP Com Past 12 HP Hepatitis A Hepatitis B Meningitis Influenza— Ser Months Com Past 12 Vac Ser Months use and Dependent Health Care Coverage udents Marital Status and Health Care Coverage Routine Medical Examination—Past 12 Months Health insurance coverage appears to have an All Students by Gender and Insurance Status impact on whether St. Cloud State students 15.5% of 27.9% areexaminations uninsured obtained routinespouses medical within 80 the past 12 months. Uninsured male and female 72.1% students report lower rates of obtaining a routine Have No Spouse Percent medical examination than insured students. Dependent Children and Health Care Coverage 14.1% 10.7% of dependent children are uninsured 85.9% 34.7 21.6 All Students* Males Results Females* Uninsured *Includes medical exam and/or gynecological exam for females. Have Children Health Insurance and Health Care Utilization Have No Children Health Care Service by Location Among St. Cloud State University students, the All Students (Includes Only Those Students Who Report Obtaining a Service in the Past 12 Months) primary location for obtaining many health care tudents Chronic Condition Mental Health Condition Question asked: Where do you obtain the following health care services while in school? 17.8 16.2 Health Care Service (Percent of Students Who Obtained Service) 3.5 14.1 Percent Who Report Obtaining Service Routine Doctor’s Visit 2.5 (87.8) 8.5 16.1 Dental Care Mental Health Service Insured Uninsured Insured (30.1) Insured Uninsured Uninsured Testing for Sexually Transmitted Infections (37.3) Treatment for Sexually Transmitted Infections (26.2) Testing for HIV (30.7) entive Health Care—Past 12 Months dents by Gender Emergency Care (79.3) 66.1 75.8 67.1 60.3 57.8 40.2 27.1 0.2 12.2 49.8 4.9 22.7 0.4 3.1 36.7 3.8 53.6 11.9 16.3 8.1 31.9 4.4 30.0 18.2 1.0 7.6 56.6 3.0 15.7 20.1 1.4 7.9 51.8 2.9 15.1 17.8 1.2 12.3 54.6 1.8 14.7 5.5 0.5 81.7 13.8 1.2 4.5 2.9 (84.7) 1 School Health Service Hospital HMO Student Counseling Service Community Clinic Private Practice 33.8 Vaccination Status All Students by Insurance Status Blood Pressure Check 80 tine Medical Examination—Past 12 Months 20 0 16.0 Health and Health-Related Behaviors St. Cloud State University Students 36.3 39.9 4 40 18.7 Percent 60 34.9 38.1 *Includes medical exam and/or gynecological exam for females. 46.1 48.0 36.0 Females 45.3 Males Cholesterol Check 60.2 63.4 Dental Exam and Cleaning 40.0 Medical Exam* 52.0 54.5 0 47.4 44.6 0 alth Insurance services and Number Days— clinics. appearsoftoSick be community st 30 Days Diagnosed With Diagnosed With 2 40 Insured dents 3 60.6 20 th Insurance and Health Status 4 69.5 60 Have Spouse All Students Chronic Condition All Students by Insurance Status Allergies 36.7 8.0 Chronic Condition Percent Who Report Being Diagn Asthma 13.0 2.1 Problems 1.0 St. Cloud StateAlcohol students with health insurance 3.0 Cancer 1.7 0.4 Allergies 36.7 8.0 obtain hepatitisDiabetes A, hepatitis Type IB, meningitis, influenza, 0.8 0.2 Asthma 13.0 2.1 and human papillomavirus vaccinations at0.8 Diabetes Type(HPV) II 0.2 Cancer 1.7 0.4 Drug Problems higher rates than students at the university without Diabetes TypeAlcohol) I 0.8 0.2 (Other Than 1.7 0.2 Vaccination Status 80 All Students by Insurance Status 16.0 36.3 39.9 36.3 39.9 18.7 34.9 38.1 34.9 38.1 45.3 45.3 60.2 63.4 40.0 60.2 63.4 52.0 54.5 0 46.1 46.1 48.0 48.0 36.0 36.0 20 40.0 20 40 52.0 54.5 Percent Percent 40 60 18.7 Uninsured health insurance. Additionally, Diabetes Type II among St. Cloud0.8 Genital Herpes 1.7 0.2 0.2 1.7 1.9 1.7 0.6 0.2 0.8 0.2 0.0 Genital Warts/ Hepatitis C 0.2 Human Papillomavirus 1.9 Currently, these immunizations are not required High Blood Pressure 4.0 Hepatitis B 0.6 for students enrolled in postsecondary institutions. High Cholesterol 5.6 Hepatitis C 0.2 HIV/AIDS Hepatitis B immunization, however, is required for 0.4 High Blood Pressure 4.0 6.0 Obesityin Minnesota. high school students High Cholesterol 5.6 Repetitive Stress Injury 3.0 HIV/AIDS 0.4 Tuberculosis 0.8 6.0 Obesity At Least One of the Repetitive StressConditions Injury 3.0 Above Chronic 49.7 Tuberculosis 0.8 0.0 0.8 1.6 0.0 2.7 0.0 0.2 1.6 2.3 2.7 0.6 0.2 0.4 2.3 0.6 16.7 0.4 State students,Drug 14.6% of males and 49.2% of Problems Genital Warts/ (Other Than Alcohol) Human Papillomavirus females report obtaining HPV vaccination. Genital Herpes Hepatitis B Average Number of Days Affected by Illness All Students by Gender Poor Physical Health Poor Mental Health Illness Poor Physical and/or Poor Physical Health Mental Health Affected Daily Activities Poor Mental Health Poor Physical and/or Mental Health Affected Daily Activities 16.7 Compared to male studentsWithin at St.Lifetime Cloud State Within Past 12 Months University, female students at the university report more days of poor physical health, more days of poor Average Number of Days Affected by Illness All Students by Gender Illness Within Past 12 Months 49.7 Health Insurance and Health Care Utilization Within Lifetime At Least One of the Above Chronic Conditions Results Insured 16.0 HPV— Complete Series of Vaccines 0 HPV— Hepatitis A Hepatitis B Meningitis Influenza— Complete Past 12 All Students Insured MonthsUninsured Series of Vaccines Hepatitis A Hepatitis B Meningitis Influenza— Past 12 Months All Students 1.0 3.0 Alcohol Problems Vaccination Status 60 80 Percent Who Report Being Diag Average Number of Days Affected— Past 30 Days 3.1 3.8 Average Number of Days Affected— 4.6 5.8 mental health, and more days when poor physical and/or mental health affected daily activities. Past 30 Days 3.1 2.2 4.6 Males 3.8 2.9 5.8 Females 2.2 Males 2.9 Females Acute Condition Diagnosis— Lifetime and Past 12 Months St. Cloud State students were asked to report if they have been diagnosed with selected acute illnesses All Students within the past 12 months and within their lifetime. Acute Condition Percent Who Report Being Diagnosed Urinary Tract Infection 2.6 0.4 0.4 1.7 10.9 0.9 39.2 0.2 22.8 1.0 0.0 0.0 0.2 1.4 0.0 4.6 0.0 7.4 At Least One of the Above Acute Conditions 51.7 12.8 Chlamydia Gonorrhea Hepatitis A Lyme Disease Mononucleosis Pubic Lice Strep Throat Syphilis Within Lifetime Within Past 12 Months The acute condition diagnosed most frequently within students’ lifetimes was strep throat, with 39.2% of St. Cloud State students reporting having this diagnosis. The acute condition diagnosed most frequently within the past 12 months was a urinary tract infection, with 7.4% of students reporting having each of these diagnoses. Overall, 51.7% of St. Cloud State students report being diagnosed with at least one acute condition within their lifetime, and 12.8% report being diagnosed with at least one acute condition within the past 12 months. Results Chronic Condition Diagnosis— Lifetime and Past 12 Months 5 rgency Care .3) 5.5 School Health Service 0.5 81.7 13.8 1.2 4.5 HMO Hospital Private Student Counseling Community Service Clinic are ongoingPractice Chronic conditions health concerns for students. Surveillance of these conditions provides Chronic Condition Diagnosis— Lifetime and Past 12 Months All Students a picture of longer term health care needs for students at St. Cloud State. Chronic Condition cination Status two most common chronic conditions udents by InsuranceThe Status Asthma Cancer Nearly one-half (49.7%) of students report being Diabetes Type I diagnosed with at least one chronic condition within Diabetes Type II 60.2 63.4 report being diagnosed with at least one chronic Genital Herpes condition within the past 12 months. Genital Warts/ Human Papillomavirus 16.0 Results 18.7 34.9 38.1 36.3 39.9 Drug Problems (Other Than Alcohol) 46.1 48.0 36.0 their lifetime, and approximately one-sixth (16.7%) 45.3 40.0 52.0 54.5 Allergies (36.7% lifetime) and asthma (13.0% lifetime). HPV— Complete Series of Vaccines Health Insurance and Health Care Utilization Alcohol Problems diagnosed in St. Cloud State students are allergies Hepatitis A Hepatitis B Meningitis Influenza— Past 12 Months All Students Insured Uninsured Percent Who Report Being Diagnosed Hepatitis B Hepatitis C High Blood Pressure High Cholesterol HIV/AIDS Obesity Repetitive Stress Injury Tuberculosis At Least One of the Above Chronic Conditions Within Lifetime age Number of Days Affected by Illness dents by Gender Average Number of Days Affected— Past 30 Days hysical Health ental Health hysical and/or Health d Daily Activities Males 6 3.1 4.6 3.8 5.8 2.2 2.9 Females Health and Health-Related Behaviors St. Cloud State University Students 3.0 36.7 13.0 1.7 0.8 0.8 1.0 8.0 2.1 0.4 0.2 0.2 1.7 1.7 0.2 0.2 1.9 0.6 0.2 4.0 5.6 0.4 6.0 3.0 0.8 0.8 0.0 0.0 1.6 2.7 0.2 2.3 0.6 0.4 49.7 16.7 Within Past 12 Months Results Mental Health Mental health issues can have a profound impact on students’ ability to engage fully in the opportunities presented to them while in college. These issues affect their physical, emotional, and cognitive well-being and can lead to poor academic performance, lower graduation rates, and poor interpersonal relationships. There is increasing diversity among college students. Among undergraduates nationwide, 37.5% are minorities, 56.8% are female, and 32.8% are age 25 or older (Snyder & Dillow, 2012). In addition, approximately 690,923 foreign students are studying at U.S. colleges and universities (Snyder & Dillow, 2012). This diversity presents a myriad of counseling concerns related to multicultural and gender Results issues, life transition, stress, career and developmental needs, violence, interpersonal relationships, and serious emotional and psychological problems. This array of mental health problems represents ever-increasing challenges as postsecondary institutions strive to meet the needs of their students. Mental Health National Comparison 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, (29.8%); and serious mental illness, i.e., mental illness that results in functional impairment, (7.6%), major depressive episode (8.3%), and having serious thoughts of suicide (6.6%) (SAMHSA, 2012a). More than one in 10 (11.4%) young adults between the ages of 18 and 25 have received treatment for a mental health problem in the previous year (SAMHSA, 2012a). 7 For St. Cloud State University students, anxiety and depression are the two most frequently reported mental health diagnoses for both within their lifetime and the past 12 months. Mental Health Condition Diagnosis— Lifetime and Past 12 Months Mental Health Condition Diagnosis— All Students Lifetime and Past 12 Months All Students Percent Who Report Being Diagnosed Percent Who Report 1.5 0.0 Being Diagnosed Mental Health Condition AnorexiaHealth Condition Mental Anxiety Anorexia Attention Deficit Disorder Anxiety Bipolar Disorder Attention Deficit Disorder BulimiaDisorder Bipolar Depression Bulimia Obsessive-Compulsive Disorder Depression Panic Attacks Obsessive-Compulsive Disorder Post-Traumatic Panic Attacks Stress Disorder Seasonal Affective Disorder Post-Traumatic Stress Disorder Social Phobia/ Seasonal Affective Disorder Performance Anxiety Social Phobia/ Performance Anxiety Within Lifetime 9.1 0.0 1.4 9.1 0.0 1.4 0.4 0.0 6.8 0.4 0.8 6.8 2.1 0.8 1.2 2.1 1.2 1.2 3.2 3.8 1.2 1.6 Within 3.8 Past 12 Months 1.6 Within Past 12 Months Mental Health Results Within Lifetime 19.6 1.5 5.1 19.6 1.7 5.1 1.3 1.7 20.0 1.3 2.4 20.0 7.2 2.4 2.4 7.2 3.2 2.4 Among St. Cloud State University students, 31.2% report being diagnosed with at least one mental health condition within their lifetime, and 13.0% Any Mental Health Condition Diagnosis— Lifetime and Past 12 Months Any Mental Health Condition Diagnosis— All Students by Gender Lifetime and Past 12 Months All Students by Gender 40 40 30 health condition within the past 12 months. Females report being diagnosed with a mental health condition within their lifetime and within the past 12 months at higher rates than males. Percent Percent report being diagnosed with at least one mental 30 20 31.2 Additional analysis shows that 20.6% of students report being diagnosed with two or more mental 0 health conditions within their lifetime. 35.3 24.1 24.1 20 10 10 0 35.3 31.2 13.0 13.0 Within Lifetime WithinAll Lifetime Students All Students 14.6 9.9 14.6 9.9 Within Past 12 Months Within PastFemales 12 Months Males Males Females Mental Health Stressors All Students Mental Health Stressors All Students Stressor Getting StressorMarried Failing Class GettingaMarried SeriousaPhysical Failing Class Illness of Someone Close to You Death of Someone Close You Serious Physical Illness of to Someone Close to You 8 Being Diagnosed a Serious Death of SomeoneWith Close to You Physical Illness Being Diagnosed Diagnosed With With aa Serious Serious Physical Mental Illness Being Illness Health and Health-Related Behaviors St. Cloud State University Divorce Students or Separation From Your Spouse Being Diagnosed With a Serious Mental Illness Termination of Personal Relationship Divorce or Separation From Your Spouse (Not Including Marriage) Termination of Personal Relationship Percent Who Report Experiencing Percent Within Past Who Report 12 Months Experiencing Within Past 2.8 12 Months 10.5 2.8 15.6 10.5 19.2 15.6 2.4 19.2 5.5 2.4 6.8 5.5 6.8 13.7 Stress and Mental Health, Acute, and Chronic Condition The most commonly experienced stressors among Diagnosis Mental Health Stressors All Students All Students St. Cloud State University students are death or Percent Who Report Experiencing Within Past 12 Months Stressor 2.8 10.5 15.6 19.2 2.4 5.5 6.8 Getting Married Failing a Class Serious Physical Illness of Someone Close to You Death of Someone Close to You Being Diagnosed With a Serious Physical Illness Being Diagnosed With a Serious Mental Illness Divorce or Separation From Your Spouse Termination of Personal Relationship (Not Including Marriage) Excessive Credit Card Debt Excessive Debt Other Than Credit Card Being Fired or Laid Off From a Job Roommate/Housemate Conflict Parental Conflict Issues Related to Sexual Orientation Bankruptcy Zero of the Above Stressors One or Two of the Above Stressors Three or More of the Above Stressors Managed Stress (Index ≤1) Unmanaged Stress (Ind Depression Diagnosis— Lifetime and Past 12 Months All Students by Gender 25 24.6 20 20.0 15 12.6 10 5 6.8 0 Within Lifetime Mental Health Stressors and Risky Behavior Males Females Lifetime and Past 12 Months number of stressors within All experienced Students by Age Groupthe past 12 months and various types of risk-taking behavior. 30 tend to have higher rates of current tobacco use, high-risk drinking, current marijuana use, 26.9 35.3 students who experienced three or more stressors 20 18.6 19.3 Two or Fewer Stressors High Credit Card Debt– Balance $3,000+ Any Gambling– Past 12 Months 0 All Students In an attempt to measure effectiveness in managing stress, students 20–24 25–29 Age Group Within Lifetime Three or More Stressors Ability to Manage Stress—Past 12 Months 18–19 4.1 7.7 Current High-Risk Current Marijuana Tobacco Use– Drinking–5+ Use– Any Use Drinks per Sitting Past 30 Days Past 2 Weeks Past 30 Days 4.9 10 14.8 students who experienced two or fewer stressors. 9.0 8.0 16.8 high credit card debt, and gambling compared to 8.0 13.3 20 29.1 28.6 30 39.1 40 40 period, St. Cloud State Over the same 12-month 25.5 52.9 50 Percent 60 Percent 7 An association appears to exist between reported Depression Diagnosis— All Students 0 5.7 Within Past 12 Mon All Students 10 3 0.8 Mental Health Lack of Health Care Coverage 16 24 17 16 2 3 11.4 13.6 Anxiety experiencing three or more stressors over that same 5.7 Depression 3.0 time period. Obsessive-Compulsive Disorder 0.3 Panic Attacks 1.6 Chronic Condition within the past Any 12 months, and 40.5% report Results Being Arrested students reportAny experiencing one or two stressors Acute Condition Percent Being Put on Academic Probation Percent Who Repo Being Diagnosed roommate/housemate Within the Past 12 Mo Conditionconflict. A total of 22.6% of Social Phobia/ Performance Anxiety 13.7 1.7 6.0 9.4 10.7 0.6 4.0 16.8 11.5 11.9 2.6 0.9 36.9 22.6 40.5 Attempted Suicide serious illness of someone close to them and 30–39 Within Past 12 Mo Currently Taking Medication for Depression All Students by Gender Results 9 10 3.8 mance Anxiety Within Lifetime 1.6 Within Past 12 Months than one-fourth (28.1%) of St. Cloud State Mental Condition Diagnosis— Mental Health HealthMore Condition Diagnosis— time Months time and and Past Past 12 12 Months students report they are unable to manage their dents by udents byGender Gender stress level. Additional analysis shows that among students, 16.7% also report they were Mental Healththese Condition Diagnosis— time and Past 12 Months diagnosed with depression within the past udents by Gender 31.2 31.2 24.1 24.1 31.2 24.1 35.3 35.3 12 months. Nearly three-fourths (71.9%) of Within Lifetime 71.9% 71.9% 28.1% 71.9% Within WithinPast Past12 12Months Months 13.0 Males Males Managed ManagedStress Stress(Index (Index≤1) ≤1) Unmanaged UnmanagedStress Stress(Index (Index>1) >1) Managed Stress (Index ≤1) Unmanaged Stress (Index >1) 14.6 Females Females 9.9 Within Past 12 Months Males Females An association appears to exist between tal unmanaged stress levels and higher rates of tal Health Health Stressors Stressors Stress Stress and and Mental Mental Health, Health, Acute, Acute, and and Chronic Chronic Condition Condition Diagnosis Diagnosis All AllStudents Students diagnosis for acute conditions as well as various mental health conditions. For example, 17.4% Percent Percent tal Health Stressors of St. Cloud State students with unmanaged Who Report Who Report Experiencing Experiencing stress levels report being Within diagnosed WithinPast Past with anxiety 12 12Months Months within the past year compared to only 5.7% of 2.8 2.8 Percent students with managed stress levels reporting the Who Report aaClass 10.5 Class 10.5 Experiencing same diagnosis. Within 15.6 15.6Past sPhysical PhysicalIllness Illnessof ofSomeone SomeoneClose Closeto toYou You or 12 Months 19.2 of 19.2 ofSomeone SomeoneClose Closeto toYou You 2.8 g Married 2.4 Diagnosed 2.4 DiagnosedWith WithaaSerious SeriousPhysical PhysicalIllness Illness a Class 10.5 5.5 Diagnosed 5.5 DiagnosedWith WithaaSerious SeriousMental MentalIllness Illness 15.6 s Physical Illness of Someone Close to You 6.8 eeor 6.8 orSeparation SeparationFrom FromYour YourSpouse Spouse 19.2 of Someone Close to You gMarried Married ation of nation ofPersonal PersonalRelationship Relationship Diagnosed With a Serious Physical Illness cluding Marriage) ncluding Marriage) Diagnosed With a Serious Mental Illness ted Suicide pted Suicide 2.4 13.7 13.7 5.5 1.7 1.7 6.8 6.0 6.0 eutoron Separation Your Spouse Academic Probation Put on AcademicFrom Probation ation of Personal Relationship 9.4 ve 9.4 iveCredit CreditCard CardDebt Debt 13.7 cluding Marriage) 10.7 ve 10.7 iveDebt DebtOther OtherThan ThanCredit CreditCard Card 1.7 pted Suicide Among St. Cloud State students, 0.6 Arrested 0.620.0% report Arrested 6.0 Put on Academic Probation being 4.0 ired or aaJob 4.0 within their Fired orLaid LaidOff OffFrom From Jobdiagnosed with depression 9.4 ive Credit Card Debt 16.8 mate/Housemate lifetime, and 6.8% report being 16.8diagnosed with mate/HousemateConflict Conflict 10.7 ive Debt Other Than Credit Card 11.5 alalConflict Conflict depression within the past 1211.5 months. Females 0.6 Arrested Health Care Coverage 11.9 f Health Care Coverage 11.9 report being diagnosed with depression at higher 4.0 Fired or Laid Off From a Job 2.6 Related 2.6 Relatedto toSexual SexualOrientation Orientation 16.8 mate/Housemate Conflict rates than males. 0.9 ptcy 0.9 uptcy 11.5 al Conflict 36.9 the Above Stressors 36.9 f the Above Stressors f Health Care Coverage 11.9 22.6 22.6 rTwo Twoof ofthe theAbove AboveStressors Stressors 2.6 Related to Sexual Orientation 40.5 or 40.5 orMore Moreof ofthe theAbove AboveStressors Stressors 0.9 uptcy f the Above Stressors Two of the Above Stressors or More of the Above Stressors 36.9 22.6 40.5 Stress and Mental Health, Percent PercentWho WhoReport Report Being BeingDiagnosed Diagnosed Acute, and Chronic Condition Diagnosis Condition Condition All Students Within Withinthe thePast Past12 12Months Months Any AnyAcute AcuteCondition Condition 16.7 11.4 16.7 11.4 13.6 24.1 13.6 24.1 Percent Who Report Being Diagnosed 17.4 5.7 17.4 5.7 Within the Past 12 Months 16.7 3.0 16.7 3.0 16.7 11.4 0.3 2.1 0.3 2.1 13.6 24.1 1.6 3.5 1.6 3.5 17.4 5.7 16.7 3.0 3.5 0.8 3.5 0.8 0.3 2.1 Unmanaged Unmanaged Stress(Index (Index >1) 1.6 Stress 3.5 >1) Any AnyChronic ChronicCondition Condition Anxiety Anxiety Condition Depression Depression Any Acute Condition Obsessive-Compulsive Obsessive-CompulsiveDisorder Disorder Any Chronic Condition Panic PanicAttacks Attacks Anxiety Social SocialPhobia/ Phobia/ Depression Performance PerformanceAnxiety Anxiety Obsessive-Compulsive Disorder Managed Stress (Index ≤1) Panic Managed Attacks Stress (Index ≤1) Social Phobia/ Performance Anxiety 3.5 0.8 Managed Stress (Index ≤1) Unmanaged Stress (Index >1) Depression Depression Diagnosis— Diagnosis— Lifetime Lifetime and and Past Past 12 12 Months Months All AllStudents Studentsby byGender Gender 25 25 Depression Diagnosis— 24.6 Lifetime and Past 12 24.6 Months All20 Students by Gender 20 Percent Percent Mental Health In an attempt to measure effectiveness in managing stress, students were asked to rate their stress level and their ability to manage stress, each on a scale of 1 to 10. The reported stress level is then divided by the reported ability to manage stress. Any result greater than 1 means a student28.1% is not effectively managing his or her stress. 28.1% 15 15 25 Percent Results All Students or or In to effectiveness stress, Inan anattempt attempt tomeasure measureStress—Past effectivenessin inmanaging managing stress,students students Ability to Manage 12 Months were asked were askedto torate ratetheir theirstress stresslevel leveland andtheir theirability abilityto tomanage manage All Students stress, stress,each eachon onaascale scaleof of11to to10. 10.The Thereported reportedstress stresslevel levelisisthen then divided dividedby bythe thereported reportedability abilityto tomanage managestress. stress.Any Anyresult resultgreater greater than than11means meansaastudent studentisisnot noteffectively effectivelymanaging managinghis hisor orher herstress. stress. to manage their level of stress. Only 3.0% of 35.3 these students report they were diagnosed with 14.6 14.6 13.0 13.0 depression within the past 9.9 9.912 months. All AllStudents Students dents All AllStudents Students St. Cloud State students report they are able Within WithinLifetime Lifetime dents dents Ability Ability to to Manage Manage Stress—Past Stress—Past 12 12 Months Months 55 15 10 10 20 00 10 5 0 10 Health and Health-Related Behaviors St. Cloud State University Students 20.0 20.0 12.6 12.6 24.6 20.0 6.8 6.8 12.6 Within WithinLifetime Lifetime All AllStudents Students Within Lifetime All Students 5.7 5.7 7.5 7.5 Within WithinPast Past12 12Months Months Males Males 6.8 Females Females7.5 5.7 Within Past 12 Months Males Females Number of Days of Adequate Sleep— Past Seven Days Depression Diagnosis— Lifetime and Past 12 Months All Students All Students by Age Group Number of Days of Adequate Sleep— Past Seven Days Number of Days of 17.7% 50.0% of stud St. Cloud State University students age 40Adequate and older Sleep— 19.7% All Students Past Seven Days get adequate s Depression Diagnosis— 40 Lifetime and Past 12 Months Depression Diagnosis— All Students by Age Group Lifetime and Past 12 Months 8.3 8.3 9.4 9.4 6.5 6.5 All Students Males Females All Students All Students Males Males Females Females All Students by Gender 12 Currently Taking Medication for Mental Health Other Currently TakingProblems Medication for Than Depression All Students by Gender Mental Health Problems Other Than Depression 10.3 9 All Students by Gender Percent Percent Percent 11.4 11.4 4–5 Days per We 2–3 Days per Week 6–7 Days per We 0–1 Day per Week 0–1 per Week 2–3Day Days per Week 2–3 Days per Week 4–5 Days per W 4–5 6–7Days Daysper perWe W 6–7 Days per We Adequate Sleep and Stress All Students Adequate Sleep and Stress Overall, 8.3% of St.All Cloud State students report Students Adequate Sleep and Stress 80 Percent Who Report They Percent Who Report They Percent Who Report They Manage Their Stress Level Manage Their Stress Level Manage Their Stress Level Percent Percent Percent 6.5 Currently Taking Medication for Mental Health Problems Other Than Depression 0 0 get adequate s 3 or fewer days a Students they currently are All taking medication for depression. 100 Females report a higher 60 rate of medication use for 65.2 100 depression than males, which correlates with the 80 51.4 40 higher depression diagnosis rates found in females 80 60 compared to males. 20 60 40 0 40 20 20 0 0 51.4 51.4 0–1 0–1 0–1 65.2 65.2 80.0 80.0 80.0 2–3 4–5 Days per Week 2–3 4–5 2–3Days per Week 4–5 Days per Week Female St. Cloud State students report a higher rate of medication use for mental health problems other than depression compared to male students. Overall, 9.1% of students report taking medication for a mental health problem other than depression. 9.1 7.1 9.1 9.1 10.3 10.3 7.1 7.1 All Students Males Females All Students All Students Males Males Females Females Eating Disorder Diagnosis—Lifetime All Students by Gender Results 11 Mental Health All Students by 8.3 Gender 3 3 50.0% of stud get adequate 50.0% ofdays stud 3 or fewer Results Currently Taking Medication for Depression All Students Taking by Gender Currently Medication for Depression 9.4 8 6 60 3 or fewer days a 100 10 9 93 32.3% 30.3% 32.3% 0–1 Day30.3% per Week 40+ 25–29 30–39 40+ Age Group 25–29 30–39 Age Group Within Past 12 Months Within Lifetime Within Past 12 Months Within Lifetime 20–24 20–24 All Students by Gender 12 126 11.4 4.1 30.4 30.4 26.9 Within Past 12 Months Currently Taking Medication for Depression 10 6 10 48 8 26 6 04 4 2 2 0 0 depression within their lifetime and within the past 32.3% 30.3% 17.7% 19.7% 12 months. 17.7% 19.7% 40+ 30–39 4.14.1 Within Lifetime 26.9 26.9 7.7 25.5 25.5 25.5 4.9 14.8 9.0 18–19 18–19 25–29 Age Group 7.77.7 0 0 14.8 14.8 4.94.9 10 10 20–24 18–19 9.09.0 20 200 18.6 30 30 10 18.6 18.6 Percent Percent Percent 40 40 20 All Students report the highest rates of being diagnosed with 30.4 All 30 Students by Age Group obia/ nce Anxiety 3.5 0.8 aged Stress (Index ≤1) Unmanaged Stress (Index >1) and 3.0% of females report being diagnosed with Eating Disorder Diagnosis—Lifetime All Students by Gender anorexia and/or bulimia within their lifetime. 3.0 sion Diagnosis— e and Past 12 Months 3.0 Among St. Cloud State students, 1.0% of males 6.8 Within Lifetime 5.7 Anorexia 7.5 1.5 1.0 0.0 1.0 0.5 12.6 1.3 0.5 1.0 20.0 2.1 1.5 1.5 Percent 24.6 2.0 2.3 2.5 ts by Gender Bulimia Anorexia and/or Bulimia All Students Males Within Past 12 Months All Students Males Females Number of Days of Adequate Sleep— Past Seven Days ion Diagnosis—In response to a question that asked St. Cloud State and Past 12 Months students how many of the past seven days they got Number of Days of Adequate Sleep— Past Seven Days Results sion Diagnosis— e and Past 12 Months ts by Age Group 17.7% 30.4 17.7% 32.3% 25.5 26.9 25.5 26.9 students report they received adequate sleep three 30.4 appears to have an impact on students’ ability to managefor their stress level. Only 51.4% of St. Cloud y Taking Medication Depression State students who report receiving zero to one day 9.4 also report the ability per week of adequate sleep to manage their stress, whereas 91.5% of students 9.4 6.5 six to seven days who report per week of adequate sleep also report the ability to manage their stress. 6.5 All Students All Students 4–5 Days per Week 2–3 Days per Week 6–7 Days per Week 4–5 Days per Week 2–3 Days per Week 6–7 Days per Week Males Females Adequate Sleep and Stress All Students Adequate Sleep and Stress All100 Students Percent Who Report Percent WhoThey Report They Manage Manage Their Stress Level Their Stress Level Receiving adequate sleep in the past seven days 8.3 50.0% of students get adequate sleep 3 or fewer days a week 0–1 Day per Week 40+ y Taking Medication for Depression 8.3 19.7% 30.3% Within Past 12 Months Within Lifetime s by Gender 50.0% of students get adequate sleep 3 or fewer days a week 0–1 Day per Week 40+ 20–24 Past 12 Months Within Lifetime 25–29Within 30–39 Age Group s by Gender 19.7% 30.3% 11.4 4.1 30–39 32.3% 11.4 25–29 Age Group 4.1 7.7 20–24 7.7 4.9 14.8 4.9 or fewer days over the previous seven days. 14.8 8–19 All Students in the morning, approximately one-half (50.0%) of 9.0 18–19 All Students enough sleep so they felt rested when they woke up Mental Health 9.0 18.6 ts by Age Group Females 80.0 60 80 65.2 40 60 51.4 20 40 51.4 0 20 0 Males 91.5 80 100 Females 12 Health and Health-Related Behaviors St. Cloud State University Students 91.5 80.0 65.2 0–1 2–3 4–5 Days per Week 6–7 0–1 2–3 4–5 Days per Week 6–7 Results Tobacco Use Young adults transitioning between high school and college find themselves in an environment with increased opportunities to make personal and lifestyle decisions without supervision or input from their parents. Coupling this newfound freedom with growing academic pressure and an expanding social network can lead to experimentation and risky behaviors such as smoking. Preventing smoking among young adults is critical to reducing long-term use of tobacco products and the subsequent negative health consequences. National Comparison Recent research shows that approximately one-third of 18- to 20-year-olds (31.6%) and 21- to 25-yearolds (34.7%) report current cigarette use (SAMHSA, 2012b). Approximately one in four (25.8%) full-time college students smoked cigarettes at least one time in the previous year; fewer than one in six (15.2%) smoked cigarettes at least one time in the previous 30 days; and fewer than one in 10 (7.3%) smoke Results cigarettes daily (Johnston et al, 2012). Among young adults ages 18–25, 5.4% used smokeless tobacco in the previous month (SAMHSA, 2012b). Current cigarette smokers are more likely to use other tobacco products, alcohol, or illicit drugs than nonsmokers (SAMHSA, 2012b). Among all current smokers, 45.3% Tobacco Use have stopped smoking for at least one day in the preceding 12 months (CDC, 2009). Of the 15 million college students in the United States, an estimated 1.7 million will die prematurely due to smokingrelated illnesses (Halperin, 2002). Clearly the current level of tobacco use among college students poses a major health risk. 13 The current tobacco-use rate for students at St. Cloud State University is 16.8%, with a daily Current and Daily Tobacco Use All Students by Gender Current and Daily Tobacco Use Current Daily Tobacco Use All Studentsand by Gender All Students by Gender 25 tobacco-use rate of 5.6%. Males report higher 25 25 20 rates of current tobacco use and daily tobacco use Definition: Current Tobacco Use 20 20 15 Percent Percent Percent rates compared to females. 15 15 10 22.6 22.6 22.6 16.8 16.8 16.8 13.3 13.3 13.3 10 10 5 5 05 Any tobacco use in the past 30 days. Tobacco use includes both smoking and smokeless tobacco. 5.6 5.6 5.6 Current 0 0 Current All Students Current All Students All Students St. Cloud State students ages 20–21 report the highest current tobacco use rate. Percent Percent Percent Results Tobacco Use State University students age 24 and older report 21.3 21.3 21.3 20 20 15 15 15 10 10 10 5 0 0 Approximately one in fourteen (7.7%) St. Cloud Daily Females Daily Females Females All Students by Age Group 25 5 05 among St. Cloud State students age 24 and older. Males Males Daily Current Tobacco Use All Students by Age Group Current Tobacco Use Current Use All StudentsTobacco by Age Group 25 25 20 The highest daily tobacco-use rate is found Males 4.2 4.2 4.2 8.0 8.0 8.0 12.5 12.5 12.5 11.7 11.7 11.7 18–19 18–19 18–19 20–21 22–23 20–21Age Group 22–23 20–21 22–23 Age Group Age Group 18.6 18.6 18.6 24+ 24+ 24+ Daily Tobacco Use All Students by Age Group Daily Tobacco Use Daily Tobacco All Students by Age Use Group All Students by Age Group 8 8 8 6 Percent Percent Percent using tobacco daily. 6 6 4 4 4 2 2 2 0 0 0 14 Health and Health-Related Behaviors St. Cloud State University Students 7.7 7.7 7.7 4.9 4.9 4.9 18–19 18–19 18–19 4.1 4.1 4.1 3.8 3.8 3.8 20–21 22–23 20–21Age Group 22–23 20–21 22–23 Age Group Age Group 24+ 24+ 24+ 0 Weekend Weekday Current Smokers Current Smokeless Tobacco Use Overall, 9.5% of male St. Cloud State students All Students by Gender report using smokeless tobacco during the past 30 days. 10 9.5 8 Percent Daily Smok Tobacco-Use Location 6 Current Smokers 4 4.3 1.2 2 Percent Who Indic at Specified Loc Location 5.1 * Residence Halls 1.3 Fraternity/Sorority * Bars/Restaurants 60.8 In a Car 16.5 Where I Live Smoke-Free Campus Policy Support 19.0 Private Parties All Students * Worksite Among students at St. Cloud State who report Smoke-Free Campus Policy Support 21.5 Parking Ramp/Garage using smoking tobacco in the past 30 days, All Students Question 10.1 Other asked: In my opinion, my campus should implement a smoke-free pol 50.6% do not consider themselves to be smokers. On Campus 20 40 Attempted 1–99 = Range of 0 20 to Quit Quit Attempts Have Not Attempted toAttempted Quit to Quit Do Not Consider Themselves Consider Smokers Themselves Smokers Disagree to Strongly Disagree 0 Have Not Attempted to Quit Do Not Consider Themselves Smokers Number of Cigarettes Smoked Neutral All Students Disagree to Strongly Disagree Nonsmokers Neutral All Students 79.7 75.2 75.2 60 10.6 of Quit Attempts Consider Themselves Smokers 12-month period. 10.6 1–99 = Range of Quit Attempts 7.2 = Average Number average of 7.2 quit 40 attempts during that same Nonsmokers Tobacco Use of Quit Attempts 80 the past 12 months. These students made an 5.2 7.2 = Average Number made at least one60attempt to quit smoking over 5.2 66.7% Results 49.4% 50.6% 66.7% 5.9 33.3% prohibiting smoking both indoors and outdoors. Outside 80 Question asked: In*Location my opinion, my campus should implement a smoke-free po do consider themselves tonotbeincluded smokers, 66.7% in question. prohibiting smoking both indoors and outdoors. Among St. Cloud State University students Inside who 5.9 33.3% 49.4% 50.6% 42.6 Current Smokers 42.6 Quit Attempts—Past 12 Months 15.1 Current Smokers 15.1 Quit Attempts—Past 12 Months 18.9 Females Males 18.9 All Students Percent Percent 0 Agree Strongly A Current Sm Agree Strongly Current S For St. Cloud State students who report smoking Current Smokers over the pastSecondhand 30 days, the percentage of those Smoke Exposure All Students Number of Cigarettes Smoked who say they smoke half a pack of cigarettes Current Smokers 7.7% 23.1% 66.7% 23.1% 66.7% Weekday 31.6% 7.7% .2% 10.2% 10 or more per day increases from 33.3% on a Secondhand Smoke Exposure 31.6% All Students Location 60.7% 60.7% Weekend Day Less Than 0.5 Pack per Day Weekday 0.5–1 Pack per Day Weekend Day More Than 1 Pack per Day Less Than 0.5 Pack per Day 0.5–1 Pack per Day More Than 1 Pack per Day Percent Who Indicate Exposure weekday to 39.3% on a weekend day. On Campus Residence Halls Location Fraternity/Sorority On Campus Bars/Restaurants Residence Halls In a Car Fraternity/Sorority Where I Live Bars/Restaurants Private Parties In a Car Worksite Where I Live Parking Ramp/Garage Private Parties Other Worksite N/A—Never Exposed Parking Ramp/Garage Other N/A—Never Exposed All Stud Nonsmokers Smokers 26.6 Exposure 3.0 3.1 Percent 36.5 Who 2.5 Indicate * 3.8 * 6.4 All Stu Smokers 0.0 1.3 0.0 0.2 36.5 2.5 26.6 3.0 ** ** 30.4 17.9 3.8 6.4 41.8 * 16.8 * 0.2 0.0 1.3 0.0 13.3 30.4 5.5* 17.9 10.1* 31.6 11.7* 16.5 8.7 41.8 34.2* 16.8 * 19.0 * 7.3 13.3 10.1 31.6 5.5 3.8 * 5.3 * 11.7 16.5 34.2 8.7 15.0 19.0 4.5* 7.3 5.1* 21.5 Results 15 20.3 36. 39.2 * 5.3 * 3.8 5.5 5.1 21.5 4.5 4.4 15.0 Outside Inside * 0.0 3.1 ** 12.4 0.0 4.6* 7.3 12.4 * 4.6 5.5 7.3 4.4* Nonsmokers 39.2 20.3 36 4.1 St.4.1 Cloud State students who are current smokers 3.8 increases from 9.2 per weekday to 9.4 20–21 slightly 24+ 22–23 18–19 Age Group per weekend day. For daily smokers, the average number decreases from 23.3 per weekday to 20.0 18–19 Current vs. Daily Smokers 3.8 The average number of cigarettes smoked by 4.9 Average Number of Cigarettes Smoked 7.7 20–21 22–23 per weekend day. 24+ Age Group 25 Average Number of Cigarettes Smoked Average Number of Cigarettes Average Number of Cigarettes 4.9 Current vs. Daily Smokers 23.3 20 23.3 20 10 100 9.4Weekend Day 9.2 Weekday 5 Daily Smokers Current Smokers Weekend Day Weekday ts by Gender 20.0 9.4 9.2 155 0 Smokeless Tobacco Use 20.0 25 15 Daily Smokers Current Smokers Smokeless Tobacco Use s by Gender 9.5 St. Cloud State students who smoked in the past 30 days report the most common locations of 9.5 their tobacco use are in a car and where they live 4.3 (outside). 1.2 Tobacco-Use Location Current Smokers Tobacco-Use Location Percent Who Indicate Use at Specified Location Location Current Smokers 5.1 39.2 * 11.4 Percent Who Indicate Use 6.3 at1.3 Specified Location 43.0 5.1* 39.2 60.8 * 11.4* 16.5 68.4 1.3 6.3 19.0 49.4 * 43.0 27.8 60.8* * 21.5 16.5 68.4* 10.1 24.1 19.0 49.4 On Campus 4.3 Males Results All Students Males Tobacco Use All Students Females 1.2 Females Residence Halls Fraternity/Sorority Location Bars/Restaurants On Campus In a Car Halls Residence Where I Live Fraternity/Sorority Private Parties Bars/Restaurants InWorksite a Car ParkingI Live Ramp/Garage Where Other Parties Private Worksite Parking Ramp/Garage * 21.5 10.1 Inside *Location Other not included in question. Inside Attempts—Past 12 Months t Smokers St. Cloud State students were asked their opinion regarding a smoke-free policy on their campus. 27.8 * 24.1 Outside Outside *Location not included in question. Smoke-Free Campus Policy Support All Students Nearly four-fifths (79.7%) of nonsmokers and a tobacco-free policy prohibiting all tobacco use Consider Attempted Themselves Smokers to Quit both indoors and outdoors. Do Not Consider Themselves Smokers Have Not Attempted to Quit 0 16 Health and Health-Related Behaviors St. Cloud State University Students All Students 10.6 42.6 Disagree to Strongly Disagree 5.2 20 5.9 Quit their Attempts to strongly agree that campus should have 40 15.1 than one in1–99 three= (Range 34.6% of) current smokers agree Percent of Quit Attempts 46.8 60 State students were asked their opinion regarding a tobacco-free policy on their campus. Nearly 7.2(70.0% = Average three-fourths ) ofNumber nonsmokers and more 75.2 80 79.7 Question asked: In my opinion, my campus should implement a smoke-free policy prohibiting smoking both indoors and outdoors. 18.9 50.6% nearly one-half (46.8%) of current smokers agree 33.3% to strongly agree that their campus should have 49.4% a smoke-free policy prohibiting 66.7% smoking both indoors and outdoors. Additionally, St. Cloud Neutral Agree to Strongly Agree Nonsmokers Current Smokers Tobacco-Use Status and Other Illegal Drug Use (Not Marijuana)—Past 12 Months All Students Secondhand Smoke Exposure For St. Cloud State12students who are nonsmokers, All Students Tobacco-Use Status andcampus Other Illegal at bars and restaurants (outside) and on Drug Use (Not Marijuana)—Past 12 Months 11.2 All Students (outside) are the most 9 commonly cited locations for Nonsmokers On Campus Residence Halls Fraternity/Sorority Location Bars/Restaurants On Campus In a Car Residence Halls Where I Live Fraternity/Sorority Private Parties Bars/Restaurants Worksite In a Car ParkingI Ramp/Garage Where Live Other Parties Private N/A—Never Exposed Worksite Parking Ramp/Garage Other 3.1 36.5 2.5 26.6 3.0 35.0 * 3.8Exposure * 6.0 * Percent 6.4 Who Indicate 0.0 0.2 0.0 1.3 0.0 0.4 All Students Nonsmokers Smokers * 19.8 * 30.4 17.9 * 3.1 36.5 2.5 26.6 3.0 35.0 41.8 * 16.8 * 12.4 * 3.8 * 6.0* * 6.4 5.5 16.0 4.6 13.3 0.0 31.6 0.0 1.3 0.0 0.4 0.2 10.1 16.5 34.2 15.1 11.7 7.3 8.7 * 19.8 * 30.4 * 17.9 7.3 * 16.8* 9.0 * * 41.8* 19.0 12.4* 3.8 * 5.3 * 5.5 4.6 13.3 10.1 31.6 5.5 16.0* 5.1 34.2 21.5 8.7 4.5 15.1 16.0 15.0 16.5 4.4 11.7 7.3 *20.3 *39.27.3 19.0 3.8 * * 5.5 Inside Outside 4.4 15.0 5.1 21.5 *Location not included in question. N/A—Never Exposed All Students Smokers Inside 12 6 exposure to secondhand reported locations for 11.2 smoke by students9 who are current smokers are in a 3 car and at private parties (outside). 3.6 6 3 0 0 2.0 All Students Non-Tobacco Users Tobacco 3.6 2.0 All Students Non-Tobacco Users Tobacco Us *36.39.0 5.3 * 4.5 16.0 20.3 39.2 exposure to secondhand smoke. The most frequently Percent All Students Location Percent Percent Who Indicate Exposure Secondhand Smoke Exposure 36.3 Outside *Location not included in question. Results Secondhand Smoke Exposure—Per Week Nonsmokers vs. Current Smokers 2.5% 4.3% 0.9% Secondhand Smoke Exposure—Per Week For St. Cloud State students who are nonsmokers, 12.6% 5.2% report being exposed to secondhand smoke 2.5% 23.0% 4.3% 0.9% 41.8% 12.6% 43.1% 71.8% 23.0% Tobacco Use Nonsmokers vs. Current Smokers two or more hours per week. For current smokers, 15.1% report being exposed to secondhand smoke for two or more hours per week. 41.8% 43.1% Current Smokers 71.8% Nonsmokers 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 2–6 Hours 7 or More Hours Tobacco-Use Status and High-Risk Drinking All Students 80 Tobacco-Use Status and High-Risk Drinking Percent Percent All Students 60 80 65.1 40 60 20 40 0 20 0 30.5 30.5 65.1 23.6 All Students Non-Tobacco Users All Students Non-Tobacco Users 23.6 Tobacco Users Tobacco Users Results 17 acco-Use Location nt Smokers Tobacco-Use Status and High-Risk Drinking St. Cloud State University students who use tobacco All Students tend to havePercent a higher rateIndicate of high-risk Who Use drinking ence Halls nity/Sorority Restaurants ar e I Live e Parties ite g Ramp/Garage at Specified Location compared to students who are non-tobacco users 5.1 39.2 (65.1% vs. 23.6%, respectively). * 11.4 1.3 6.3 * 43.0 Definition: High-Risk Drinking 60.8 * Consumption of five or more alcoholic 16.5 68.4 drinks at one sitting within the past 19.0 49.4 two weeks for both males and females. 27.8 A drink is defined *as a bottle of beer, wine cooler, glass 21.5of wine, shot glass*of liquor, or mixed drink. 10.1 24.1 Inside 80 60 Percent on mpus 0 All Students 23.6 Non-Tobacco Users Tobacco Users Tobacco-Use Status and Current Marijuana Use All Students tudents 30 0 79.7 75.2 the past 30 days by St. Cloud State students is Results higher among tobacco users (25.8%) compared 25 Tobacco-Use Status and Current Marijuana 25.8 Use All Students 20 Percent estion asked: Similar toimplement the relationship between high-risk my opinion, my campus should oke-Free Campus Policy Supporta smoke-free policy hibiting indoors and outdoors.use, use of marijuana in tudentssmoking both drinking and tobacco Disagree to Strongly Disagree All Students Percent 79.7 Agree to Strongly Agree Current Smokers Neutral Agree to Strongly Agree Nonsmokers Current Smokers 5.2 0 As with high-risk drinking and marijuana use, the use of other illegal drugs is associated with tobacco users use illegal drugs, other than marijuana, at a higher rate than non-tobacco users who attend the university (11.2% vs. 2.0% , respectively). Percent Who Indicate Exposure Smokers 10.0 All Students All Students 6.8 Non-Tobacco Users Tobacco Users 6.8 Non-Tobacco Users Tobacco Users All Students use. St. Cloud State students who are tobacco Nonsmokers All Students 25.8 Tobacco-Use Status and Other Illegal Drug Use (Not Marijuana)—Past 12 Months 12 Tobacco-Use Status and Other Illegal Drug Use (Not Marijuana)—Past 12 Months11.2 9 All Students Percent nents 150 5 Nonsmokers ndhand Smoke Exposure 10.0 205 10 ndhand Smoke Exposure dents 30 15 25 10 46.8 10.6 10.6 Neutral 5.9 All Students 15.1 18.9 0 5.2 5.9 42.6 42.6 15.1 Tobacco Use 18.9 Disagree to Strongly Disagree 75.2 four-fold increase in the rate. 00 46.8 stion asked: 0y opinion, my campus should implement a smoke-free policy to non-tobacco users (6.8%). This is nearly a hibiting smoking both indoors and outdoors. 0 30.5 Outside oke-Free Campus Policy Support 00 40 20 n not included in question. 00 65.1 126 3.1 36.5 2.5 26.6 3.0 35.0 93 * 3.8 * 6.0 * 6.4 3.6 Percent Who Indicate Exposure ity/Sorority 0.0 0.2 0.0 1.3 0.0 0.4 60 * 19.8 * 30.4 All Students estaurants * 17.9 n Nonsmokers Smokers All Students 3.0 35.0* mpus 3.1 36.5* 41.8 2.5 26.6* 16.8 r 12.4 3 * 31.6 * 16.0 * 13.3 3.8 6.0 Halls 6.4 10.1 5.5 Ice Live 4.6 3.6 0.0 34.2 ty/Sorority 0.0 1.3 0.0 0.4 0.2 16.5 Parties 7.3 11.7 8.7 15.1 0 ** 19.8 ** 30.4 staurants ** 17.9 te 19.0 9.0 7.3 All Students ** 16.8 ** ** 41.8 12.4 3.8 5.3 Ramp/Garage 5.5 I Live 4.6 5.1 31.6 21.5 5.5 4.5 16.0 16.0 15.0 10.1 4.4 13.3 18 Health and Health-Related Behaviors St. Cloud State University Students 34.2 8.736.3 15.1 Parties 7.339.211.7 16.520.3 Never Exposed * 19.0 e * * 9.0 7.3 Inside Outside * 5.3 * * 3.8 Ramp/Garage 5.5 11.2 mpus Percent nce Halls 2.0 Non-Tobacco Users Tobacco Users 2.0 Non-Tobacco Users Tobacco Users Results Alcohol Use and Other Drug Use For some young adults, college life includes an introduction to or increase in the use of alcohol, marijuana, and various illicit drugs. Whether students are using these substances to signify emergence into adulthood, enhance their social life, or cope with stress, substance abuse can lead to a decline in classroom performance, lower grades, aggressive behavior, property damage, and personal injury. National Comparison American college students consume alcohol and other drugs at very high rates. Among full-time college students, approximately four in five (80.5%) have consumed alcohol at least one time, more than three in four (77.4%) have consumed alcohol in the past year, and nearly two in three (63.5%) consume alcohol monthly (Johnston et al, 2012). 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 45.4% and is 31.2% among 18- to 20-year-olds (SAMHSA, 2012b). Young adults ages 18 to 22 who are enrolled in college full time are more likely than their peers who are not enrolled in college full time to consume alcohol Results monthly and to binge drink (SAMHSA, 2012b). Approximately one-half (49.2%) of full-time college students have used an illicit drug at least once in their lifetime, more than one-third (36.3%) of full-time college students have used an illicit drug at Alcohol Use and Other Drug Use least once in the past year, and more than one in five (21.4%) full-time college students have used an illicit drug in the last month (Johnston et al, 2012). Marijuana is the illicit drug of choice for full-time college students, with nearly half (46.6%) of students having used the drug at least once in their lifetime, approximately one-third (33.2%) having used it in the past year, and approximately one in five (19.4%) having used it in the past month (Johnston et al, 2012). Among full-time college students, 9.3% have used amphetamines, 3.3% have used cocaine, and 0.1% have used heroin in the previous year (Johnston et al, 2012). 19 Among St. Cloud State University students, Alcohol Use—Past 12 Months and Current Hig 73.6% report using alcohol in the past 12 months and 61.9% report using alcohol in the past 30 days. Alcohol Use—Past 12 Months and Current All Students by Gender Alcohol Use—Past 12 Months and Current 80 Hig All Hig Percent Percent Percent Definition: Past-12-Month Alcohol Use 60 40 60 74.5 73.6 73.6 71.9 71.9 74.5 74.5 61.9 59.8 61.9 61.9 59.8 59.8 63.0 63.0 63.0 0 Past 12All Months Students Past 12 Months All Students Males Current Females Current Females All Students Males Females Males Hig Current Alcohol Use All Students by Age Group Current Alcohol Use Hig All S Hig 80 60 80 Percent Percent Percent Results consuming alcohol in the past 30 days. 71.7 71.7 71.7 60 40 60 78.8 78.8 72.7 72.7 72.7 66.7 66.7 66.7 40.5 40.5 20 200 0 All 5S 78.8 40.5 40 20 40 0 18–20 21–22 18–20 21–22 18–20 21–22 23–24 Age Group 23–24 Age Group 23–24 25–27 28+ 25–27 28+ 25–27 28+ 5 4 5 4 3 4 3 2 3 2 1 2 1 1 Age Group Average Number of Drinks per Week Male St. Cloud State students consume a higher average number of drinks per week than female students at the university. The average number of drinks per week may serve as an indicator of overall alcohol use. All Students by Gender Average Number of Drinks per Week All Students by Gender Average Number of Drinks per Week Hi Pe Hi All Pe Hi All Pe 5 All Students by Gender Average Number of Drinks Average Number of Drinks Average Number of Drinks Alcohol Use and Other Drug Use All S All 80 Students by Age Group the past 30 days. More than three-fourths (78.8%) of St. Cloud State students ages 23–24 report 2 21 Current Alcohol Use All Students by Age Group students ages 18–20 report consuming alcohol in 3 32 1 Current Past 12 Months Any alcohol use within the past 30 days. Approximately two in five (40.5%) St. Cloud State 4 43 1 0 Definition: Current Alcohol Use 71.9 40 20 40 20 200 Any alcohol use within the past year. 73.6 Percent Percent Percent 80 60 80 month alcohol use and current alcohol use compared to males. All 4S All Students by Gender Percent Percent Percent Female students report higher rates of past-12- All All Students by Gender 5 4 5 4 3 4 3 2 3 2 1 2 1 0 1 0 0 4.2 3.1 3.1 3.1 All Students 4.2 4.2 2.4 2.4 2.4 Males Females All Students Males Females All Students Males Females Qu All In sch Qu (O In Qu co sch In ort (O sch con (On or con Hig or Dr Hig All Dr Hig Dri Hig All All No Hig Hig No No 20 Health and Health-Related Behaviors St. Cloud State University Students Blo 8+ 8+ Male students at St. Estimated Cloud State University report Content a Average Blood Alcohol 30 40 40 0 0 38.1 38.1 students (0.06 38.1% vs. 26.0%, respectively). 0.08 0.08 0.06 26.0 30.5 30.5 10 20 20 0 10 10 38.1 30.5 20 30 30 0.08 Average All StudentsEstimated by Gender Blood Alcohol Content higher rateAllofStudents high-risk bydrinking Gender compared to female 26.0 26.0 All Students Females Males All Students All Students Average BAC Average BAC Average BAC All Students by Gender High-Risk Drinking Females Females Males Males All Students by Age Group peak years for engaging in high-risk 0.09 drinking are 0.08 45.5 41.6 41.6 41.6 21–22 23–24 Age Group 21–22 21–22 0.10 ages 21–24. 0.10 45.5 45.5 27.3 27.3 18–20 18–20 All Students All Students Females Males Average Estimated Blood Alcohol Content 22.2 22.7 22.7 22.2 22.2 28+ 25–27 25–27 25–27 28+ 28+ 0.06 0.08 0.08 0.04 0.06 0.06 0.02 0.04 0.04 0.00 0.02 0.02 0.00 0.00 0.05 0.09 0.09 0.08 0.07 0.08 0.08 0.07 0.07 0.05 0.05 0.05 0.05 0.05 18–20 18–20 18–20 21–22 21–22 21–22 23–24 Age Group 25–27 23–24 23–24 Age Group Age Group 28+ 25–27 25–27 28+ 28+ Alcohol Use and Other Drug Use 23–24 23–24 Age Group Age Group 22.7 Average BAC Average BAC Average BAC Percent Percent Percent 0 0 All Students 0.10 Among St. Cloud State University students, the Content Average Estimated Alcohol All Students by Age GroupBlood All Students by Age Group 18–20 0.05 0.05 All Students by Age Group High-Risk Drinking 50Students by High-Risk Drinking All Age Group 27.3 0.02 0.04 0.04 0.07 0.07 Average Estimated Blood Alcohol Content All Students by Age Group 40 50 50 30 40 40 20 30 30 10 20 20 0 10 10 0.06 0.06 0.00 0.00 Females Females Males Males 0.05 0.04 0.06 0.06 0.00 0.02 0.02 0.07 Results + All Students by Gender High-Risk Drinking 40Students by High-Risk Drinking All Gender 7 .7 .7 Average Estimated Blood Alcohol Content All Students by Gender Percent Percent Percent 0 0 High-Risk Drinking High-Risk Drinking Rates on Campus— Perceived vs. Actual Consequences of Alcohol/Drug Use StudentsNegative Allattending Students St. Cloud State overestimate All Students the high-risk drinking rate on their campus. High-Risk Drinking Rates on Campus— High-Risk Drinking Perceived vs. ActualRates on Campus— Question asked: Perceived vs. Actual All Students Negative Consequences of ,Alcohol/Drug Use The estimate from all students is 37.8% and Negative Consequences of Alcohol/Drug Use Percent All Students the actual high-risk drinking rate at the university All Students InAllthe past two weeks, what percentage of students at your Students school do you think had five or more drinks at a sitting? (One drink = one shot of alcohol, 12-ounce beer, mixed drink Question asked: containing 1 or 1.5 ounces of alcohol, 12-ounce wine cooler, Question In the pastasked: two weeks, what percentage of students at your or 5-ounce glass of wine.) In the past twothink weeks, percentage of students at your school do you hadwhat five or more drinks at a sitting? schooldrink do you think had or more drinksbeer, at a sitting? (One = one shot of five alcohol, 12-ounce mixed drink Students’ Perception Actual (One drink 1= or one shot of alcohol, 12-ounce beer,wine mixed drink containing 1.5 ounces of alcohol, 12-ounce cooler, High-Risk Drinking wine cooler, High-Risk containing or 1.5 ofHigh-Risk alcohol, 12-ounce or 5-ounce 1glass of ounces wine.) of Drinking Status Drinking Rate or 5-ounce glass of wine.) by School Peers All Students High-Risk High-RiskDrinkers High-Risk Drinking Status Drinking Status All Students Drinkers Non-High-Risk All Students High-Risk Drinkers High-Risk Drinkers Non-High-Risk Drinkers Non-High-Risk Drinkers 37.8% Students’ Perception Students’ Perception of High-Risk Drinking of High-Risk 44.5%Drinking by School Peers by School Peers 37.8% 34.8% 37.8% 44.5% 44.5% 34.8% 34.8% Actual Actual High-Risk 30.5% High-Risk Drinking Rate of All Students Drinking Rate 30.5% 30.5% of All Students of All Students Blood Alcohol Content Blood Alcohol Content Blood Alcohol Content Blood alcohol content (BAC) measures the percentage of alcohol is 30.5%Negative . Those Consequence who have engaged in high-risk Due to Alcohol/Drug Use drinkingHad estimate a high-risk drinking rate of a Hangover 44.5%, Performed while those whoonhave not engaged in Poorly a Test orto Important Project Negative Consequence Due Alcohol/Drug Use Negative Consequence Due to Alcohol/Drug Use in Trouble With Police, Residence Hall, or high-riskBeen drinking estimate a rate of 34.8% . Had a Hangover Who Repor Experiencin Within Pas 12Percent Months Percent Who Repo 48.6 Who Repo Experiencin Experiencin Within Pas Within Pas 1216.8 Month 12 Month Other Authorities Had aCollege Hangover Performed Poorly on a Test or Alarms, Important Damaged Property, Pulled Fire etc.Project Performed Poorly on a Test or Important Project Been in Trouble With Police, Residence or Got into an Argument FightResidence Hall, Other Authorities Been inCollege Trouble With or Police, Hall, or Other College Authorities Got Nauseated or Vomited Damaged Property, Pulled Fire Alarms, etc. Damaged Property, Pulledthe Fire Alarms, etc. Driven a Car While Under Influence Got into an Argument or Fight Got into an Argument or Fight Missed a Class Got Nauseated or Vomited Got Nauseated orSomeone Vomited I Know Been Criticized by Driven a Car While Under the Influence Driven a Car While Under the Influence Thought I Might Have a Drinking or Other Drug Problem Missed a Class Missed a Class Had a Memory Loss Been Criticized by Someone I Know BeenSomething Criticized by Someone I Know Done Later Thought I Might IHave aRegretted Drinking or Other Drug Problem Thought I Might Have a Drinking or Other Drug Problem Been DWI/DUI Had aArrested Memoryfor Loss Results 21 Had a Memory Loss Have Taken Advantage of Sexually DoneBeen Something I Later Regretted Done Something I Later Have Advantage ofRegretted Another Sexually BeenTaken Arrested for DWI/DUI Been Arrested for DWI/DUI Tried Unsuccessfully to Stop Have Been Taken AdvantageUsing of Sexually 48.6 5.5 48.6 16.8 1.5 16.8 15.3 5.5 5.5 33.0 1.5 1.5 10.0 15.3 15.3 16.2 33.0 33.0 17.1 10.0 10.0 5.5 16.2 16.2 19.0 17.1 17.1 19.2 5.5 5.5 0.2 19.0 19.0 2.1 19.2 19.2 0.2 0.2 0.2 2.1 2.1 Bee Tho Had Don Blood Alcohol Content The blood alcohol content (BAC) of a student on the most recent socializing/partying occasion was Hav calculated based on answers to four different survey Hav 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: alcohol consumed, and time period of consumption). • Gender • Current body weight • Amount of alcohol consumed (number of drinks) • Time period of consumption • Concentration of alcohol in the beverage consumed (based on the alcohol content of one typical can of beer containing 4.5% alcohol) It should be noted that the BAC calculated in this study is an estimate. This information is selfreported, and students tend to underestimate the actual amount of alcohol they consume. High-Risk Drinking For students attending St. Cloud State University, High-Risk Drinking Results Percent 30 20 20 10 Alcohol Use and Other Drug Use 10 0 0 All Students All Students High-Risk Drinking 0 10 0 18–20 18–20 0.09, with the45.5 estimated BAC for all survey 41.6 respondents averaging 0.06. Students ages 21–22 45.5 report 41.6an average estimated BAC level of 0.09, which exceeds the legal driving of 0.08 for 22.7 limit 22.2 individuals of legal drinking age. 22.7 22.2 21–22 21–22 Females Males All Students Females Males 23–24 Age Group 23–24 Age Group 25–27 25–27 28+ 28+ 0.06 0.08 0.04 0.06 0.09 0.05 0.02 0.04 0.00 0.02 Hig All S 0.09 0.08 0.10 Average BAC Average BAC Percent 10 20 27.3 All Students All Students by Age Group 0.10 State University students range from 0.05 to 27.3 0.05 0.04 0.02 1 Average Estimated Blood Alcohol Content All50Students by Age Group 20 30 0.06 All Students by Age Group High-Risk Drinking The average estimated BAC levels for St. Cloud 30 40 0.07 0.05 1 Average Estimated Blood Alcohol Content All Students by Age Group 40 50 0.06 0.04 0.00 Females Males 0.06 0.02 0.00 Females Males All2 0.07 0.08 0.06 Average BAC Average BAC males compared to females at the university. 38.1 26.0 30.5 26.0 Av All Students by Gender 0.08 0.06. The average 38.1 estimated BAC is the lower for 30.5 All S Average Estimated Blood Alcohol Content on the last time the student partied/socialized, is All40Students by Gender Ser Ave All Students by Gender the average estimated blood alcohol content, based Ser Bee Average Estimated Blood Alcohol Content All Students by Gender Trie Average Number of Average Number of Negative Consequences Negative Consequences questions (gender, current body weight, amount of 40 30 Bee 0.07 0.07 0.08 0.08 0.00 18–20 All 0.05 0.05 0.05 18–20 Hi 21–22 21–22 23–24 Age Group 23–24 Age Group 25–27 25–27 28+ 28+ Neg Driv Ne Got Dri Perf Go Miss Per Have (Incl Mis Hav (Inc *The whi with *Th wh wi 22 Health and Health-Related Behaviors St. Cloud State University Students High-Risk Drinking Rates on Campus— Perceived vs. Actual Negative Consequences of Alcohol/Drug Use All Students Lik Negative Consequence Due to Alcohol/Drug Use 48.6 16.8 Had a Hangover Performed Poorly on a Test or Important Project Been in Trouble With Police, Residence Hall, or Other College Authorities 5.5 1.5 15.3 33.0 10.0 16.2 17.1 5.5 19.0 19.2 0.2 2.1 0.2 2.1 2.8 0.9 7.7 Damaged Property, Pulled Fire Alarms, etc. Got into an Argument or Fight Got Nauseated or Vomited Driven a Car While Under the Influence Missed a Class Been Criticized by Someone I Know Thought I Might Have a Drinking or Other Drug Problem Had a Memory Loss Done Something I Later Regretted Been Arrested for DWI/DUI Have Been Taken Advantage of Sexually Have Taken Advantage of Another Sexually Tried Unsuccessfully to Stop Using Seriously Thought About Suicide Seriously Tried to Commit Suicide Been Hurt or Injured All Students the influence of alcohol or drugs. Among St. Cloud State University students, 16.2% report missing a class and Response 16.8% report performing poorly on a test Percent 65.9 or projectVery as aLikely result of alcohol/drug use. Somewhat Likely 21.8 Somewhat Unlikely 6.8 Very Unlikely 5.5 All Students 69.5 19.5 5.5 5.5 Students Who Did Not Use Alcohol Within the Past 30 Days 63.9 22.9 7.6 5.6 Students Who Did Use Alcohol Within the Past 30 Days Marijuana Use—Past 12 Months and Current All Students by Gender 20 15 15.4 17.1 14.5 10 11.6 10.0 9.1 5 0 Past 12 Months Current All Students All Students by Average Number of Drinks and High-Risk Drinking 12average Months A strongSelected associationDrug existsUse—Past between the All Students number of drinks St. Cloud State students consumed2.0 per week and the total number of 20 1.7 reported negative consequences they experienced 1.5 12 months. An association also over the past exists between engaging in high-risk drinking 0.6 0.2 GHB/Rohypnol 0.4 Inhalants Opiates 0.4 Hallucinogens High-Risk Drinkers Sedatives Non-High-Risk Drinkers Amphetamines 6 or More Drinks per Week 0.0 Cocaine 5 or Fewer Drinks per Week 3.6 0.6 0.5 4.9 0.8 consequences. 5 Steroids within the1.0 past two weeks and reported negative 10 1.1 14.9 Ecstasy 16.1 1.3 15 0 Females Alcohol Use and Other Drug Use Average Number of Negative Consequences Males High-Risk Drinking and Selected Consequences* All Students Results Percent Negative Consequence Driven a Car While Under the Influence 10.0 4.3 22.8 Results 5 Percent Who Report Experiencing Within Past 12 Months Percent ol a students report having driven a car while under Alcohol/Drug-Related Situation Percent nts Likelihood of Calling 911 in an All Students Average Number of Negative Consequences k ate Approximately one in ten (10.0%) St. Cloud State Negative Consequences of Alcohol/Drug Use 23 Average Estimated Blood Alcohol Content All StudentsEstimated by Age GroupBlood Alcohol Content Average All Students by Age Group Average Estimated Blood Alcohol Content 0.10 All0.10 Students by Age Group The rates for the negative consequences identified 0.08 0.08 0.10 0.06 0.06 0.08 0.04 0.04 0.06 0.02 0.02 0.04 0.00 0.00 0.02 0.00 0.05 0.05 0.05 0.09 generally among St. Cloud 0.09 are three times higher 0.08 0.08 State students who have engaged in high-risk 0.07 0.07 0.09 drinking compared to students who have not 0.08 0.05 engaged in high-risk 0.05in four 0.07 drinking. Nearly one (22.8%) students who have engaged in high-risk 0.05 drinking has driven while under the influence of or drugs23–24 one or more times in the 18–20 alcohol 21–22 25–27 28+past 18–20 21–22 23–24 25–27 28+ Age Group 12 months. Age Group 18–20 21–22 23–24 Age Group 25–27 28+ High-Risk Drinking and Selected Consequences* All Students Drinking and Selected Consequences* High-Risk All Students High-Risk Drinking and Selected Consequences* All Students Negative Consequence Negative Consequence Driven a Car While Under the Influence Driven a Car While Under the Influence Got intoConsequence an Argument or Fight Negative Got into an Argument or Fight Performed PoorlyUnder on a Test Important Project Driven a Car While theor Influence Performed Poorly on a Test or Important Project Missed a Class Got into an Argument or Fight Missed a Class Have Been Takenon Advantage of SexuallyProject Performed Poorly aFemales) Test or Important (Includes Have BeenMales Takenand Advantage of Sexually (Includes Males and Females) Missed a Class All Students Non-High-Risk Have Been Taken Advantage of Sexually Drinkers AllMales Students Non-High-Risk Drinkers (Includes and Females) Percent Percent 10.0 4.3 22.8 10.0 4.3 22.8 15.3Percent 8.4 30.9 15.3 8.4 30.9 16.8 10.6 30.9 10.0 4.3 22.8 16.8 10.6 30.9 16.2 9.530.9 31.5 15.3 16.2 8.4 9.5 31.5 16.8 2.1 10.6 1.430.9 3.7 2.1 9.5 1.4 31.5 3.7 16.2 High-Risk Drinkers High-Risk 2.1 1.4Drinkers 3.7 *The rate for high-risk drinking is based on behavior in the past two weeks while the for negative consequences is based on reported experiences *The rate forrate high-risk drinking is based on behavior in the past two weeks All Students Non-High-Risk High-Risk Drinkers within the previous 12-month period. Drinkers while the rate for negative consequences is based on reported experiences within the previous 12-month period. *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. All Students Students were asked if they would call 911 when Negative Consequences of Alcohol/Drug Use someone passes out due to alcohol/drug use and they All Students Percent Percent are unable to wake the individual. InWho thisReport example of Alcohol Use and Other Drug Use Results Experiencing Who Report Within Past of all Experiencing a situation in which 911 must be called, 65.9% Negative Consequence Due to Alcohol/Drug Use 12 Months Within Past Percent Negative Consequence Due to Alcohol/Drug Use 12 Months Who Report St. Cloud State students report they would Had a Hangover 48.6be “very Experiencing Had a Hangover likely” to call for emergency assistance. 48.6 Within Past Performed Poorly on aDue Testto orAlcohol/Drug Important Project 16.8 Negative Consequence Use 12 Months Performed Poorly on a Test or Important Project 16.8 Been in Trouble With Police, Residence Hall, or Had a Hangover 48.6 Other 5.5 Been inCollege TroubleAuthorities With Police, Residence Hall, or Other College Authorities 5.5 erformed Poorly on a Test or Important Project 16.8 Damaged Property, Pulled Fire Alarms, etc. 1.5 Damaged Property, Fire Alarms,Hall, etc. or 1.5 een in Trouble WithPulled Police, Residence Got into an Argument or Fight 15.3 Other College Authorities 5.5 Got into an Argument or Fight 15.3 Got Nauseated or Pulled Vomited 33.0 Damaged Property, Fire Alarms, etc. 1.5 Got Nauseated or Vomited 33.0 Driven a Car While Under the Influence 10.0 Got into an Argument or Fight 15.3 Driven a Car While Under the Influence 10.0 Missed a Class 16.2 Got Nauseated or Vomited 33.0 Missed a Class 16.2 Been Criticized by Someone I Know 17.1 Driven a Car While Under the Influence 10.0 Been Criticized by Someone I Know 17.1 Thought I Might Have a Drinking or Other Drug Problem 5.5 Missed a Class 16.2 Thought I Might Have a Drinking or Other Drug Problem 5.5 Had a Memory Loss 19.0 een Criticized by Someone I Know 17.1 Had a Memory Loss 19.0 Done Something I Later Regretted 19.2 hought I Might Have a Drinking or Other Drug Problem 5.5 Done Something I Later Regretted 19.2 Been ArrestedLoss for DWI/DUI 0.2 Had a Memory 19.0 Been Arrested for DWI/DUI 0.2 Have Been Taken Advantage of Sexually 2.1 The rate for any marijuana use within the past Done Something I Later Regretted 19.2 Have Been Taken Advantage of Sexually 2.1 Have Taken Advantage of Another Sexually 0.2 een Arrested for DWI/DUI 12 months is 15.4% for all St. Cloud State 0.2 Have Taken Advantage of Another Sexually 0.2students, Tried Unsuccessfully to Stop Using 2.1 Have Been Taken Advantage of Sexually the current marijuana-use rate is2.1 10.0% for Tried Unsuccessfullywhile to Stop Using 2.1 Seriously Thought About Suicide 2.8 Have Taken Advantage of Another Sexually 0.2 all St.Suicide Cloud State students. Past 12 month Seriously Thought About 2.8 and Seriously Tried to Commit 0.9 ried Unsuccessfully to StopSuicide Using 2.1 Seriously Tried to Commit Suicide 0.9males current marijuana-use rates are higher for Been Hurt or Injured 7.7 eriously Thought About Suicide 2.8 Been Hurt or Injuredthan for females. 7.7 eriously Tried to Commit Suicide 0.9 7.7 een Hurt or Injured Definition: Past-12-Month Marijuana Use Any marijuana use within the past year. Likelihood of Calling 911 in an Likelihood of Calling 911 in an Alcohol/Drug-Related Situation All Students Alcohol/Drug-Related Situation All Students Likelihood of Calling 911 in an Alcohol/Drug-Related Situation AllResponse Students Response Very Likely Very Likely Somewhat Likely Response Somewhat Likely Somewhat Very Likely Unlikely Somewhat Unlikely Very Unlikely Somewhat Likely Very Unlikely SomewhatAll Unlikely Students All Very UnlikelyStudents Percent Percent 65.9 69.5 63.9 69.5 63.9 65.9 21.8 19.5 22.9 Percent 19.5 22.9 21.8 6.8 5.5 7.6 65.9 69.5 63.9 5.5 7.6 6.8 5.5 5.5 5.6 21.8 19.5 22.9 5.5 5.6 5.5 6.8 Who 5.5Students Who 7.6 Students Did Not Use Did Use Students Who Students Who 5.5Within 5.5Alcohol Within 5.6 Alcohol Did Not Use Did Use the PastWithin 30 Days Alcohol the Past Who 30 Days Students Did Not Use Alcohol Within the Past 30 Days All Students the PastWithin 30 Days Alcohol the Past Who 30 Days Students Did Use Alcohol Within the Past 30 Days Marijuana Use—Past 12 Months and Current All Students byUse—Past Gender Marijuana 12 Months and Current All Students by Gender Marijuana Use—Past 12 Months and Current 20 All Students by Gender 20 PercentPercent Percent Negative Consequences of Alcohol/Drug Use All StudentsConsequences of Alcohol/Drug Use Negative 2015 15 1510 10 10 5 5 50 0 0 Definition: Current Marijuana Use Any marijuana use within the past 30 days. 24 Health and Health-Related Behaviors St. Cloud State University Students 15.4 15.4 15.4 17.1 17.1 17.1 14.5 14.5 14.5 11.6 10.0 11.6 10.0 10.0 Past 12 Months Past 12 Months All Students All Students Past 12 Months All Students Males Males Males 9.1 9.1 11.6 9.1 Current Current Females Females Current Females Selected Drug Use—Past 12 Months The illicit drug most commonly used by St. Cloud All Students 2.0 Further analysis shows that among St. Cloud State 1.5 least one of the nine listed illicit drugs. In addition, 1.7 University students, 3.6% report having used at prescription drugs. 0.6 0.2 Steroids GHB/Rohypnol 1.1 Ecstasy Inhalants 0.4 0.8 Opiates 0.4 Hallucinogens Sedatives Cocaine isk ers 0.6 0.5 0.0 5.5% of students report using another person’s 1.3 1.0 Amphetamines Percent 9 State University students is cocaine (1.7%). Results 22.8 30.9 30.9 31.5 Alcohol Use and Other Drug Use 3.7 nkers s es .9 .9 .6 .6 ys Results 25 Results Alcohol Use and Other Drug Use 26 Health and Health-Related Behaviors St. Cloud State University Students Results Personal Safety and Financial Health The health of students and their subsequent success in academic life depends on a multitude of factors both intrinsic and extrinsic to the individual. Safety and personal finances are natural sources of concern for students, parents, and college personnel. A safe campus offers students the opportunity to pursue learning in an environment free from threats to their physical or emotional well-being. As college populations become more diverse, the challenge of creating a safe environment becomes more complex. Students’ decisions related to finances also affect their academic success. This section concentrates on the areas of personal safety and financial health. National Comparison Though many efforts are made to reduce violence and victimization on campus, these unfortunate events still occur. Current data show that 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 (Tjaden & Thoennes, 2006). 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 (Fischer et al, 2000). Financial health is another area of concern. According to the U.S. Department of Education, the average Results 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 (USDE, 2011). In 2007–2008, 65.6% of all undergraduates received some type of financial aid, and the average amount of aid received was $9,100 Personal Safety and Financial Health (USDE, 2011). Nearly two in five (38.5%) undergraduate students borrowed money through a school loan, and the average loan amount was $7,100 (USDE, 2011). More than four in five (84.0%) college students in the United States have at least one credit card, and one-half (50.0%) have four or more credit cards (Sallie Mae, 2009). The average credit card debt per U.S. college student is $3,173 (Sallie Mae, 2009). More than two-fifths (41.9%) of college students report they participated in some type of gambling activity during the previous school year (LaBrie et al, 2004). 27 Sexual Assault—Lifetime and Past 12 Months All Students by Gender Sexual Assault—Lifetime and Past 12 Months More than one in four (26.7%) female students at All Students by Gender St. Cloud State University report experiencing a 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 Withintwo yourquestions: lifetime or during the past 12 months, have you: following • Experienced actual or attempted sexual intercourse Within your your lifetime or during the past 12will? months, have you: without consent or against your • Experienced actual or attempted sexual intercourse • Experienced actual or attempted sexual touching without your your consent consent or or against against your your will? will? without • Experienced actual or attempted sexual touching 30 without your consent or against your will? sexual assault within their lifetime, with 5.9% reporting having been assaulted within the past 12 months. Male students at the university have experienced sexual assault at lower rates, with 4.0% reporting an assault within their lifetime and 1.6% reporting an assault within the past 12 months. 30 25 26.7 Percent Percent 25 20 26.7 20 15 18.3 15 10 18.3 10 5 05 0 4.0 4.3 4.0 4.3 1.6 WithinAll Lifetime Students Within Past 12 Months Males Females Males Females Among female students at St. Cloud State University, Domestic Violence—Lifetime and Past 12 Months more than one in four (28.2%) report experiencing Domestic Violence—Lifetime and Past 12 Months All Students by Gender All Students by Gender domestic violence within their lifetime. More than Domestic violence is defined as answering yes to at least one of the following two questions: Domestic violence is defined as answering yes to at least one of yourtwo lifetime or during the past 12 months, have you: theWithin following questions: • Been slapped, kicked, or pushed by your significant Within your or during the past 12 months, have you: other or lifetime spouse/partner? • Been slapped, kicked, or pushed by or your significant • Been hurt by threats, “put-downs,” yelling by othersignificant or spouse/partner? your other or spouse/partner? • Been hurt by threats, “put-downs,” or yelling by 30 your significant other or spouse/partner? one in eight (13.6%) male students report having Results 5.9 5.9 Within Past 12 Months Within Lifetime All Students had the experience. Further examination of data shows that nearly one in ten (12.4%) students at the university report either sexually assaulting or inflicting 28.2 30 25 lifetime. Of those who report being a perpetrator 25 20 22.8 20 15 22.8 Percent Percent domestic violence on another person within their of sexual assault or domestic violence, 40.9% indicate they have been a victim of a sexual assault within their lifetime. 28.2 15 10 13.6 10 5 13.6 05 0 13.3 10.9 10.9 6.8 Within Past 12 Months Within All Lifetime Students Within PastFemales 12 Months Males Males Females Depression Diagnosis—Lifetime All Students by Sexual Assault/Domestic Violence Depression Diagnosis—Lifetime All Students by Sexual Assault/Domestic Violence 50 50 28 Health and Health-Related Behaviors St. Cloud State University 40 Students 40 30 13.3 6.8 Within Lifetime All Students ercent t Personal Safety and Financial Health 1.6 42.3 42.3 34.7 10.6 Percent 9 5.8 For students who report being victims of sexual Depression Diagnosis—Lifetime 3 All Students by Sexual Assault/Domestic Violence assault, 42.3% also say they have been diagnosed Students victims of domestic violenceAllsay they have had Males 40 a diagnosis of depression within their lifetime. It 42.3 34.7 30 Fem 20 should be noted these rates are higher than the lifetime depression rate reported among St. Cloud State students who have not experienced sexual 10 assault or domestic violence within their lifetime. 13.7 Students Who Have Not Experienced Sexual Assault/ Domestic Violence Sexual Assault– Within Lifetime Domestic Violence– Within Lifetime Sexual Assault Reporting by Victims—Lifetime Sexual Assault Victims Sexual Assault Reporting by Victims—Lifetime Sexual Assault Victims 28.9% 28.9% 71.1% 71.1% Percent Among Sexual Assault Victims Who Percent Reported Reported the Among Assault Assault to* Sexual Assault Victims 42.9Who Health Care Provider Reported Reported the Hall Director Assault Assault to* or 7.1 Community Adviser 42.9 Health Care Provider Campus Sexual 17.9 Violence Officeor Hall Director 7.1 Community Adviser 21.4 Police Campus Sexual 50.0 Other 17.9 Violence Office Transportation Safety—Past 12 Months All Students Transportation Safety—Past 12 Months 0 20 0 Bicycle Helmet Use Bicycle Helmet Use *Students may have reported incident to individuals in more than one category. Did Not Report Sexual Assault Reported Sexual Assault 33.4 31.0 Motorized Two-Wheeled Vehicle Helmet Use 33.4 Texting While Driving Always Motorized Two-Wheeled MostHelmet of the Use Time Vehicle Sometimes Always Never Most of the Time Texting While Drivin Results 21.4 Police Did Not Report Sexual Assault 50.0 Other Reported Sexual Assault 3.2 6.3 57.1 3.2 6.3 57.1 All Of St. Cloud State University students who indicate 100Students 12.9 38.0 they have experienced a sexual 7.9 assault within their 80 100only 28.9% 11.3 state they reported lifetime (18.3%), 12.9 38.0 60students67.9 7.9 chose to report the incident. Of who 80 15.8 11.3 it to a health care the incident, 42.9% reported 40 15.2 60 67.9 it to the police.15.8 provider and 21.4% reported 31.0 20 40 15.2 Percent Percent Percent 3 with depression within 0 their lifetime; 34.7% of 50 0 6 Personal Safety and Financial Health Sometimes Never *Students may have reported incident to individuals in more than one category. Injuries—Past 12 Months All Students Firearm Access Nearly one in six (16.0%) St. Cloud State students Injuries—Past 12 Months All Students All Students report they have immediate access to a firearm, Firearm Access All Students 16.0% 16.0% 84.0% Type of Firearm Handgun Rifle Type of Firearm Shotgun Handgun 84.0% Other Rifle Percent Among Students With Firearm Access Percent 47.1Among Students With Firearm 56.5Access 75.3 47.1 8.2 56.5 75.3 Other Firearm Access No Firearm Access 8.2 Shotgun Firearm Access No Firearm Access 18.1% for males 14.8% for females. Of those Typeand of Injury who have access to a firearm, 47.1% report they Assaulted by Another Person (Nonsexual) a Fire or Hot Substance Type ofbyInjury have access toBurned a handgun. Percent Who Rep Experiencing With Past 12 Months Percent Who 1.1 Rep Experiencing Wi 5.1 Past 12 Month 1.1 1.1 6.6 5.1 6.6 1.1 1.3 6.6 13.6 6.6 10.5 1.3 68.0 13.6 Motor Vehicle Related Person (Nonsexual) Assaulted by Another Team Sports Burned by a Fire or Hot Substance Further analysis shows that 11.7% of students Individual SportsRelated Motor Vehicle attending St. Cloud State University state they carried Bicycle Related Team Sports a weapon (e.g., gun, knife) within the past 12 months. Falls Individual Sports This does not Other include carrying a weapon while hunting. Bicycle Related Not FallsApplicable—I Was Not Injured 10.5 68.0 Other Not Applicable—I Was Not Injured Results 29 13.6 13.3 10.9 6.8 Within Lifetime Within Past 12 Months Male students at St. Cloud State University are Males All Students Females more likely to report having engaged in a physical Physical Fight—Past 12 Months All Students by Gender fight over the past 12 months compared to female 12 students at the university (10.6% vs. 3.0%, respectively). 10.6 Percent 9 6 5.8 sion Diagnosis—Lifetime 3 nts by Sexual Assault/Domestic Violence 0 3.0 All Students Males Females 42.3 34.7 100 80 60 12.9 7.9 12.9 11.3 7.9 11.3 67.9 60 40 67.9 100 80 Results 3.2 6.3 3.2 57.1 6.3 38.0 38.0 57.1 15.8 15.8 15.2 40 20 15.2 31.0 20 0 31.0 33.4 Motorized Two-Wheeled Vehicle Helmet Use Motorized Two-Wheeled Always Vehicle Helmet Use Most of the Time Always Sometimes Most of the Time Never Sometimes Texting While Driving Texting While Driving 0 Bicycle Helmet Use Bicycle Helmet Use Did NotinReport Sexual Assault entsReported may have Sexual reported incident to individuals more than one Assault category. dents may have reported incident to individuals in more than one category. 33.4 Never S A Approximately one-third (32.0%) of St. Cloud State students report experiencing at least one injury over earm Access tudents the past 12 months. The injuries most commonly rearm Access reported during this period are due to falls. Students 16.0% 16.0% 84.0% 84.0% Percent Among Students With Type of Firearm Firearm PercentAccess Among Students With Handgun 47.1Access Type of Firearm Firearm Rifle 56.5 Handgun 47.1 Shotgun Rifle Other Shotgun 75.3 56.5 8.2 75.3 8.2 Other Firearm Access Firearm Access No Firearm Access No Firearm Access Injuries—Past 12 Months All Students Injuries—Past 12 Months All Students Type of Injury Assaulted by Another Person (Nonsexual) Type of Injury Burned by Fire or Hot Person Substance Assaultedaby Another (Nonsexual) Motor Vehicle Related Burned by a Fire or Hot Substance Team Sports Motor Vehicle Related Individual Sports Team Sports Bicycle Related Individual Sports Falls Bicycle Related Other Falls Not Applicable—I Was Not Injured Other Not Applicable—I Was Not Injured 30 Health and Health-Related Behaviors St. Cloud State University Students Percent Who Report Experiencing Within Past 12 Who Months Percent Report Experiencing Within 1.1 Past 12 Months 5.1 1.1 1.1 5.1 6.6 1.1 6.6 6.6 1.3 6.6 13.6 1.3 10.5 13.6 68.0 10.5 68.0 Percent Personal Safety and Financial Health A All Students 50.0 Other Did Not Report Sexual Assault Reported Sexual Assault C Percent orSexual mostAssault– of the timeDomestic while riding the bicycle. More Violence– Students Who Percent Within Lifetime e Not Experienced Within Lifetime than one-half (53.8%) of St. Cloud State students Among Sexual Assault/ 28.9% Sexual Assault Percent omestic Violence who rode a motorized two-wheeled vehicle report Victims Who Among 28.9% Reported Reported the Sexual Assault they wear a helmet always or most of the time AssaultWho Assault to* Victims Reported Reported the 71.1% 42.9 Health Care while on the vehicle. Approximately two in three Assault Assault to*Provider 71.1% Hall Director or 42.9 Carereport Provider (66.6%Community ) Health students texting sometimes, most of 7.1 Adviser Hall Director or the time, or always while driving. Campus SexualAdviser 7.1 Community 17.9 Violence Office Campus Sexual 21.4 Police 17.9 Violence Office 50.0 Other 21.4 Police Transportation Safety—Past 12 Months All Students Transportation Safety—Past 12 Months Percent Percent ual Assault Reporting by Victims—Lifetime al Assault Victims Among students at St. Cloud State who rode a xual13.7 Assault Reporting by Victims—Lifetime ual Assault Victims bicycle, only 20.8% report wearing a helmet always Gambling—Past 12 Months All Students 2.6% 1.9% Current Credit Card Debt Nearly one in three (31.5%) St. Cloud State students All Students report carrying some level of credit card debt over the 21.8% past month. Of those who carry a monthly credit card 4.8% Amount Spent 39.4% 31.5% 57.9% the debt as $3,000 per month balance, 33.6% report 15.8% $1–$24 or more. 24.0% 41.3% $100 or More Definition: Current Credit Card Debt 20.4% Credit Card Debt $1–$99 No Credit Card Debt— Pay in Full Each Month $100–$999 $1,000–$2,999 Do Not Have a Credit Card 64.8 29.2 6.0 $25–$99 9.6% 29.1% Percent Amon Students Who Report Gambling More Than Once per Month Once per Month Any unpaid balance at the end of the 2–6 Times per Year past month. Once per Year Never $3,000–$4,999 $5,000 or More Credit Card Debt and Class Status Credit Card Debt and Class Status All Students The rate of monthly credit card debt of $3,000 or All Students more among St. Cloud State students is highest Number of Years Enrolled Number of Years Enrolled 20 20 17.4 17.4 Percent Percent 15 15 12.4 12.4 10 10 5 5 0 0 among those enrolled five or more years (17.4%). 8.4 8.4 4.1 4.1 1 1 A monthly debt of $3,000 or more. 7.9 7.9 6.8 6.8 4 5+ 4 5+ Master’s, Master’s, Graduate, Graduate, or Professional or Professional Program Program Non-Degree Non-Degree Seeking Seeking The percentage of St. Cloud State students who report All Students 39.7 39.7 30 30 Percent Percent a student loan balance of $20,000 or more increases from 5.1% among students enrolled one year to Number of Years Enrolled Number of Years Enrolled 40 40 39.7% among students enrolled for four years. 36.2 36.2 35.5 35.5 Definition: Student Loan Balance 20 20 10 10 0 0 Personal Safety and Financial Health Student Loan Balance and Class Status Student All StudentsLoan Balance and Class Status Results 2 3 2 3 Undergraduate Undergraduate Definition: Credit Card Debt 14.6 14.6 A student loan balance of $20,000 or more. 5.1 5.1 1 1 13.8 13.8 13.5 13.5 2 3 2 3 Undergraduate Undergraduate 11.1 11.1 4 5+ 4 5+ Master’s, Master’s, Graduate, Graduate, or Professional or Professional Program Program Non-Degree Non-Degree Seeking Seeking Results 31 More than two-fifths (42.1%) of St. Cloud State University students report engaging in gambling Gambling—Past 12 Months All Students 2.6% 1.9% over the past 12-month period. Approximately urrent Credit Card oneDebt in fourteen (4.5%) report gambling at least Students once a month. Of the 42.1% who gambled 4.8% spending within the past year, 6.0% report 57.9% $100 or more per month. 39.4% 31.5% 24.0% 20.4% Credit Card Debt $1–$99 No Credit Card Debt— Pay in Full Each Month $100–$999 $1,000–$2,999 Do Not Have a Credit Card Amount Spent 15.8% Percent Among Students Who Report Gambling $1–$24 $25–$99 41.3% 9.6% 29.1% 21.8% $3,000–$4,999 Personal Safety and Financial Health Results $5,000 or More 32 Health and Health-Related Behaviors St. Cloud State University Students $100 or More More Than Once per Month Once per Month 2–6 Times per Year Once per Year Never 64.8 29.2 6.0 Results Nutrition and Physical Activity For many students, the college years represent a time of new experiences and increased opportunities to make personal health decisions. Some of these decisions encompass the areas of nutrition and physical activity. Students are on their own, free to eat what they want, when they want. Busy academic and social schedules can take priority over eating well and exercising regularly. Class and work schedules vary from day to day and change every semester. Lifestyle changes, peer pressure, and limited finances may lead to an increase in stress, triggering overeating that results in weight gain. In addition, the steady availability of a wide variety of food, both nutritious and not so nutritious, can make wise food choices difficult. National Comparison Research shows that young adults in the United States generally eat fewer fruits and vegetables but are more physically active compared to older adults (CDC, 2011). Young adults between the ages of 18 and 24 (20.3%) are slightly less likely than all adults (23.4%) to eat fruits and vegetables five or more times per day (CDC, 2011). Young adults between the ages of 18 and 27 report consuming breakfast an average of 3.1 days per week and consuming fast food an average of 2.5 days per week (Niemeier, 2006). The rate of obesity among young adults ages 18 to 24 is 17.7% (CDC, 2011). Nationwide, 82.1% of young adults between the ages of 18 and 24 compared to 76.2% of all adults report participating in at least one physical activity during the last month (CDC, 2011). 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 51.0% (CDC, 2011). Results Nutrition and Physical Activity 33 BMI Category All Students BMI Category All Students Body mass index (BMI) is a common and reliable indicator of body fatness (CDC, 2007). BMI equals W A W 4.0% A 4.0% BMI Category All Students 16.4% 16.4% 4.0% weight in kilograms divided by height in meters 50.9% categories based on BMI ranges. 28.7% 16.4% 28.7% More than two-fifths (45.1%) of students at 28.7% 50.9% squared (BMI = kg/m2). This table presents weight 50.9% St. Cloud State University fall within the overweight or obese/extremely obese category. This is based on self-reported height and weight. BMI Range Weight Category Less 18.5 BMIThan Range Underweight Weight Category 18.5–24.9 Less Than 18.5 Normal Weight Underweight 25.0–29.9 18.5–24.9 BMI Range 30.0–39.9 25.0–29.9 Less Than 18.5 Overweight Normal Category Weight Weight Obese Overweight Underweight 40.0 and Greater Extremely Obese 30.0–39.9 Obese Weight 18.5–24.9 Normal 40.0 and Greater Extremely 25.0–29.9 OverweightObese Underweight 30.0–39.9 Obese Normal Weight Underweight 40.0 and Greater Extremely Obese Overweight Normal Weight Obese/Extremely Obese Overweight Underweight Obese/Extremely Obese Normal Weight W BA UB UU In U B I U U I Overweight Obese/Extremely Obese Bin All Bi Al the average BMI for female St. Cloud State students is 25.1. For both male and female students, this average falls in the overweight category. More than one in two (52.3%) males and about two in five (40.7%) females fall within the overweight or obese/extremely obese category. Bi Al All Students by Gender 60 BMI 60 Category All50Students by Gender 50 40 60 40 30 50 30 20 40 20 5.5 10 30 1.5 5.5 10 0 1.5 20 Underweight 0 Underweight 5.5 10 53.8 46.2 53.8 46.2 37.2 53.8 37.2 46.2 23.4 37.2 1.5 0 Percent Percent Percent index for male St. Cloud State students is 26.0, and BMI Category All Students by Gender BMI Category Percent Percent Percent Data analysis shows that the average body mass Results Underweight 23.4 Normal Weight Normal Weight Males Overweight Males Normal Weight Females Overweight Males Females 15.1 17.3 15.1 17.3 Obese/ 23.4 Extremely Obese Overweight Obese/ 17.3 15.1 Extremely Obese Females Obese/ Extremely Obese Bi All B 0 34 Health and Health-Related Behaviors St. Cloud State University Students Pills Use Laxatives All StudentsUse DietMales All Students Use Laxatives Males Use Diet Pills All Students Males Percent Percent Percent 4.5 4.5 4.2 4.2 4.2 8.5 8.5 8.5 8.0 8.0 Use Diet Pills 4.5 Use Laxatives 4.3 4.3 0 2 4.3 2 04 8.0 4 26 8.3 8.3 6 48 8.3 8 6 10 3.3 3.3 similar rates. All Students by Gender 8 3.3 Males and females engage in these behaviors at 10 Weight-Related Behaviors 10 4.5 4.5 laxative use, diet pill use, and induced vomiting. A All Students by Gender 4.5 activities in an attempt to control their weight: 3.8 3.8 to report their engagement in any of the following B Weight-Related Behaviors All Students by Gender Weight-Related Behaviors 3.8 Students at St. Cloud State University were asked Percent Percent Percent Nutrition and Physical Activity A Induce Vomiting Induce Vomiting Females Females Induce Vomiting Females M A M A All Students by BMI Category 80 7.1Percent 11.3 Overweight 6.9 3.3 5.3 4.6 Obese/Extremely 3.0 5.3 Obese 4.6 7.1 11.3 6.9 Overweight 3.3 5.3 Obese/Extremely Obese 4.6 Overweight Underweight Normal Weight Obese/Extremely Obese Binge-Eating Behavior—Past 12 Months Binge-Eating Behavior—Past 12 Months 20 All Students by Gender 17.7 Binge-Eating Behavior—Past 12 Months 15 20 Female 0.3 Femal 0.3 Female 5 10 15 05 10 5 0 0 5 or More Times Per Day students reportAllthey engaged in Category binge eating over Students by BMI 5 20 or More Times Per Day 19.9 All Students by BMI Category 19.5 Fruit and Vegetable Consumption— 15 20More Times Per Day 5 or 19.9 14.1 All Students by BMI Category 17.7 14.1 All Students Males All Students Females Males All Students Females Males 14.3 10 15 20 14.3 5 10 15 05 10 Underweight 5 Females 0 0 Binge-Eating Behavior—Past 12 Months Underweight 14.3 Overweight 15.3 Ob Extrem Overweight Obe Extremel Normal Weight 3. Daily Sweetened Beverage Consumption 17.2 Daily Sweetened Beverage Consumption All15Students 19.7 17.2 Normal Weight Overweight Obese/ Extremely Obese Normal Weight Overweight Obese/ Extremely Obese Normal Weight Overweight Obese/ Extremely Obese 9 12 15 6 9 12 3 6 9 0 3 6 3 ng 0 Meal Patterns All Students by BMI Category 0 11.5 14.9 11.5 14.9 4.9 4. 11.5 Regular Soda 4.9 Sports Drinks Regular Soda 4.9Drinks Sports Regular Soda Sports Drinks Coffee Drinks with Sugar 4 Other Sw Beve (e.g., Ene Coffee Drinks with Sugar Other4.5 S Bev (e.g., Ene Coffee Drinks with Sugar Results Daily Regular Soda Consumption Meal Patterns All Students by BMI Category Behavior 14.9 12 Daily 15 Sweetened Beverage Consumption All Students Percent Percent 17.1 ting Normal Weight 3 All Students 17.1 Underweight obese. Percent Percent Percent Percent 17.2 14.3 0 Obe Extreme underweight, normal weight or obese/extremely 19.7 19.7 14.3 Underweight Overweight 15.3 All Students by BMI Category Percent Nutrition and Physical Activity All Students by BMI Category 0 Normal Weight in binge eating than students classified as 17.1 Binge-Eating Behavior—Past 12 Months 15 20 5 Underweight 3 Results All Students by BMI Category 05 10 Underweight 15.3 as overweight report a higher rate of engaging Binge-Eating Behavior—Past 12 Months 20 5 10 15 19.5 St. Cloud State University students classified All Students by BMI Category 10 15 20 19.5 14.3 bese 4.2 0.3 Fruit and Vegetable Consumption— the past 12 months. 14.1 17.7 19.9 Percent Percent 10 15 20 3 4.2 84.7 Consumption— More than oneFruit out ofand six (Vegetable 17.7%) St. Cloud State Percent Percent Percent Percent All Students by Gender ese ng 84.7 15.0 All Students by Gender .3 ese 15.0 Percent Percent 9.6 0.0 Use Diet Pills 4.8 Behavior Underweight Induce Vomiting 9.6 Use Laxatives Normal Weight 0.0 Use Diet Pills 4.8 Underweight Induce Vomiting Normal Weight 9.6 Induce Vomiting Use Laxatives 4.6 6.9 4.6 4.6 All Students by 15.6 Gender 16.6 St. Cloud State University students in the 60 80 overweight category report 83.1 the highest rates of80.4 100 40 15.6 16.6 laxative use and diet Underweight students 60 pill use. 80 at St. Cloud State20 University report the highest80.4 rate 83.1 40 of induced vomiting. 1.3 3.0 60 0 20 All Students Males 40 1.3 3.0 5 or More Times per Day 0 1–4 Times per Day All Students Males 20 0 Times per Day 5 or More 1.3 3.0 Times per Day 0 1–4 Times All Students Malesper Day 0 Times per Day 5 or More Times per Day 1–4 Times per Day 0 Times per Day Percent 3.0 5.3 7.1 Percent 11.3 3.3 5.3 3.0 5.3 All Students by BMI Category Use Diet Pills 4.8 Behavior 15.0 16.6 83.1 Fruit Consumption—Per Day84.7 80.4 100 and Vegetable Percent Weight-Related Behaviors Use Laxatives 0.0 se 3 15.6 All Students by BMI Category Behavior t ory ese All Students by Gender Weight-Related Behaviors ry ht y se Fruit 100 and Vegetable Consumption—Per Day 35 Other Sw Bever (e.g., Ener Underweight St. Cloud State students report the highest rates of never eating breakfast within the Meal Patterns All Students by BMI Category past seven days and of fast-food consumption once per week or more within the past 12 months. Behavior Obese/extremely obese students report the Breakfast Consumption (Past 7 Days) highest rate of eating at a restaurant once a week 0 Days per Week or more within the past 12 months. 1–3 Days per Week Percent 9.6 42.8 47.6 4–7 Days per Week 4.5 23.8 71.7 9.2 25.0 65.8 3.4 27.6 69.0 47.6 52.4 61.0 39.0 53.9 46.1 50.6 49.4 71.4 28.6 65.8 34.2 66.4 33.6 58.6 41.4 Fast Food Consumption (Past 12 Months) 1–2 Times per Month or Less Once per Week or More Eat at Restaurant (Past 12 Months) 1–2 Times per Month or Less Once per Week or More Underweight Normal Weight Overweight Obese/Extremely Obese Fruit and Vegetable Consumption—Per Day All Students by Gender ght-Related Behaviors udents by BMI Category 0.0 3.0 5.3 4.6 vegetables five or more times per day. 4.8 7.1 11.3 6.9 Based on the9.6 reported 3.3 number of5.3 times per day 4.6 fruits and Percent Laxatives Diet Pills ce Vomiting vior vegetables are consumed, Laxatives 0.0 3.0 5.3an average 4.6 number of Overweight Underweight times can be calculated. Male Diet Pills 4.8per day7.1 11.3 6.9 students at Normal Weight Obese/Extremely Obese ce Vomiting 5.3 and vegetables 4.6 the9.6 university3.3 consume fruits on All Students by Gender 80 Percent ight-Related Behaviors fruits and vegetables one to four times per day. vior Percent udents by BMI Category Only 15.6% of all students consume fruits and 100 15.6 Fruit and Vegetable Consumption—Per Day15.0 16.6 Percent A majority of St. Cloud State students consume average 3.1 times per day, and female students 100 60 80 40 83.1 80.4 84.7 15.6 16.6 15.0 83.1 80.4 84.7 1.3 3.0 0.3 All Students Males Females 60 20 40 0 20 Overweight Underweight consume them on average 3.2 times per day. Normal Weight Obese/Extremely Obese 5 or More Times per Day 0.3 3.0per Day 1–4 Times 0 Times per Day Males Females 1.3 0 All Students Results 5 or More Times per Day 1–4 Times per Day 0 Times per Day e-Eating Behavior—Past 12 Months Nutrition and Physical Activity dents by Gender Across all BMI categories, the majority of St. Cloud e-Eating Behavior—Past 12 eat Months State students less than the 19.9recommended 17.7 17.7 amount of fruits and vegetables per day. Only 3.4% of obese/extremely obese students eat fruits and 14.1 vegetables five or more times19.9 per day. All Students by BMI Category 20 and Vegetable Consumption— Fruit 5 or More Times Per 19.5 Day All Students by BMI Category 15 Percent dents by Gender Fruit and Vegetable Consumption— 5 or More Times Per Day 14.1 14.3 20 19.5 10 All Students All Students Males Males Females Females Percent 15 5 14.3 0 5 0 Underweight Underweight 36 Health and Health-Related Behaviors St. Cloud State University Students e-Eating Behavior—Past 12 Months udents by BMI Category 15.3 10 Normal Weight Normal Weight Overweight 15.3 Overweight 3.4 Obese/ Extremely Obese 3.4 Obese/ Extremely Obese Daily Daily Sweetened Sweetened Beverage Beverage Consumption Consumption All Students Students were asked to report their consumption of Screen Screen Time—Moderate Time—Moderate to to High High Level Level All Students higher rates of daily consumption coffee drinks with 15 15 12 12 Percent Percent 99 All by Category sweetened beverages. St. Cloud State students report All Students Students by BMI BMI Category 14.9 14.9 sugar (14.9%) andScreen regular soda (11.5%) than of time levels—zero, low, moderate, and high—were Screen time levels—zero, low, moderate, and high—were determined based on question determined based on aa survey survey question that that asked asked respon respon sports drinks (4.9% and other sweetened beverages to)report the average number of hours they watch TV or u 11.5 11.5 to report the average number of hours they watch TV or u computer or device computer or handheld handheld device in in the the course course of of aa day: day: including energy drinks (4.5% ). Zero Zero Screen Screen Time: Time: 0.0 0.0 Hours Hours of of Viewing Viewing Low Level: 0.5–1.5 Hours per Low Level: 0.5–1.5 Hours per Day Day Moderate Moderate Level: Level: 2.0–3.5 2.0–3.5 Hours Hours per per Day Day High Level: 4.0 or More Hours per High Level: 4.0 or More Hours per Day Day 66 4.9 4.9 33 Regular Regular Soda Soda Sports Sports Drinks Drinks 100 100 Other Other Sweetened Sweetened Beverages Beverages (e.g., Energy (e.g., Energy Drinks) Drinks) Coffee Coffee Drinks Drinks with with Sugar Sugar 40 40 00 soda is highest among consumption of regular Underweight Underweight Normal Normal underweight students. It should be notedWeight that the Weight 25 25 Percent Percent 60 60 Among St. Cloud State students, the level of daily All Students by BMI Category Overweight Overweight O O Extre Extre number of students who consume regular soda on 23.8 23.8 a daily basis does not reflect the actual quantity of soda consumed per day. 15 15 10 10 11.9 11.9 55 00 89.4 89.4 89.2 89.2 20 20 Daily Daily Regular Regular Soda Soda Consumption Consumption All Students by BMI Category 20 20 90.5 90.5 80 80 Percent Percent 00 4.5 4.5 Underweight Underweight Normal Normal Weight Weight 12.6 12.6 8.6 8.6 Overweight Overweight Obese/ Obese/ Extremely Extremely Obese Obese Results Physical Activity Level Based on their response to the two questions, All Students students were classified into one of four physical activity levels (zero, low, moderate, or high). The moderate and high classifications meet the CDC’s The Centers for Disease Control and Prevention’s recommendations for adults are to: them in the moderate or high classification, meeting • Engage in moderate-intensity physical activity for at least 30 minutes on five or more days of the week or • Engage in vigorous-intensity physical activity for at least 20 minutes on three or more days per week (CDC, 2008). Zero Low 11.6% 35.7% Nutrition and Physical Activity Students were asked several questions related to their physical activity level. The two survey questions that relate to recommendations outlined by the Centers for Disease Control and Prevention (CDC) are: In the past seven days, how many hours did you spend doing the following activities? • Strenuous exercise (heart beats rapidly) • Moderate exercise (not exhausting) recommended level of physical activity. More than one-half (54.5%) of St. Cloud State students report levels of physical activity that place the CDC’s recommendations. 23.9% 28.8% Moderate High Results 37 nts by BMI Category Average BMI nd Vegetable Consumption— More Times Per Day All Students by Physical Activity Level and Gender 19.5 ents by BMI Category average BMI tends to decrease as physical activity 19.5 level increases. BMI is lowest among female students with a high level of physical activity. 15.3 3.4 14.3 nderweight Normal Weight Underweight Normal Weight Overweight 15.3 Overweight Obese/ Extremely Obese 3.4 30 Average BMI All Students by Physical Activity Level and Gender 25 26.3 Average BMI Average BMI For both male and female St. Cloud State students, 14.3 15 25 26.3 10 20 25.6 25.4 20 30 25.6 25.4 0 10 Obese/ Extremely Obese Low Among St. Cloud State students, obese/extremely obese students report a slightly higher rate Males Low or handheld device (not for work or school) two 4.9 4.5 hours or more per day. Among all students, 0.0% Moderate Coffee Drinks Other Sweetened 4.9screen time, of 28.0% report a moderate level Beverages with Sugar 4.5 (e.g., Energy Drinks) Percent Results egular Soda Consumption nts by BMI Category ents by BMI Category 23.8 90.5 80 40 40 0 Underweight Underweight 12.6 11.9 8.6 12.6 11.9 nderweight Normal Weight Underweight Normal Weight Overweight 8.6 Overweight 93.1 89.2 89.4 93.1 60 20 0 23.8 Females 100 60 20 Regular Soda Consumption Nutrition and Physical Activity Percent of screen time, and 61.8% report a high level of Other Sweetened Beverages (e.g., Energy Drinks) High 100Low Level: 0.5–1.5 Hours per Day Moderate Level: 2.0–3.5 Hours per Day Hours per Day 89.4 90.54.0 or More89.2 80High Level: report zero screen time, 10.2% report a low level Sports Drinks screen Sports Drinkstime. Coffee Drinks with Sugar Females Zero Screen Time: 0.0 Hours Viewing and high—were Screen time levels—zero, low,ofmoderate, determined based on a survey question that asked respondents Low Level: 0.5–1.5 Hours per Day to report the average number of hours they watch TV or use a ModerateorLevel: 2.0–3.5 Hours computer handheld device in per theDay course of a day: High Level: 4.0 or More Hours per Day Zero Screen Time: 0.0 Hours of Viewing students report watching TV or using a computer Regular Soda High Screen Time—Moderate to High Level nearly nine in 14.9 ten (89.8%) St. Cloud State University egular Soda 24.4 Screen time levels—zero, low, moderate, and high—were All Students by BMI Category determined based on a survey question that asked respondents to report the average number of hours they watch TV or use a computer or handheld device in the course of a day: students. Additional data analysis shows that 11.5 26.0 All Students by BMI Category 14.9 underweight, normal weight, and overweight 11.5 24.4 Screen Time—Moderate to High Level Sweetened Beverage Consumption of moderate to high screen time compared to ents 25.6 Moderate 5 Males weetened Beverage Consumption 26.0 5 15 0 nts 25.6 Obese/ Extremely Obese Obese/ Extremely Obese 38 Health and Health-Related Behaviors St. Cloud State University Students Normal Weight Normal Weight Overweight Overweight Obese/ Extremely Obese Obese/ Extremely Obese Results Sexual Health College is a time of great transition. With its increase in freedom and decision-making opportunities, this transitional period poses many challenges for students. Some of the most important decisions facing college students concern sexual health. Choices relating to sexual behavior have the potential for significant, and oftentimes long-term, consequences. So important is the issue of sexual health that Healthy People 2020 states that improving sexual health is crucial to eliminating health disparities, reducing rates of infectious diseases and infertility, and increasing educational attainment, career opportunities, and financial stability (USDHHS, 2011). National Comparison The majority of young adults in the United States are sexually active. Among males, 60.9% of 18- to 19year-olds and 70.3% of 20- to 24-year-olds report that they have engaged in vaginal intercourse within their lifetime, 59.4% of 18- to 19-year-olds and 73.5% of 20- to 24-year-olds report that they received oral sex from a partner of the opposite sex within their lifetime, and 9.7% of 18- to 19-year-olds and 23.7% of 20- to 24-year-olds report that they engaged in insertive anal intercourse within their lifetime (Herbenick et al, 2010). Among females, 64.0% of 18- to 19- year-olds and 85.6% of 20- to 24-year-olds report that they have engaged in vaginal intercourse within their lifetime, 62.0% of 18- to 19-year-olds and 79.7% of 20- to 24-year-olds report that they received oral sex from a partner of the opposite sex within their lifetime, and 20.0% of 18- to 19-year-olds and 39.9% of 20- to 24-year-olds report that they engaged in anal intercourse within their lifetime (Herbenick et al, 2010). During their most recent vaginal intercourse event, 42.6% of 18- to 24-year-old males and 36.7% of 18- to 24-year-old females used a condom (Sanders et al, 2010). Due to a combination of behavioral, biological, and cultural reasons, sexually active young adults are at increased risk for acquiring sexually transmitted infections (STIs) (CDC, 2012). The higher prevalence of STIs among young adults reflects multiple barriers to accessing quality STI prevention services, including lack of health insurance or ability to pay, lack of transportation, and concerns Results about confidentiality (CDC, 2012). Among all males, 20- to 24-year-olds have the highest rate of chlamydia (1,343.3 cases per 100,000 people), gonorrhea (450.6 cases per 100,000 people), and syphilis (23.4 cases per 100,000 people) (CDC, 2012). Among all females, 20- to 24-year-olds have the Sexual Health highest rates of chlamydia (3,722.5 cases per 100,000 people), gonorrhea (584.2 cases per 100,000 people), and syphilis (3.8 cases per 100,000 people) (CDC, 2012). 39 Female students attending St. Cloud State University report higher rates of sexual activity within their lifetime and within the past 12 months compared to All Students by Gender 100 100 100 80 80 80 60 60 60 40 40 40 20 20 20 0 0 0 Percent Percent Percent male students. Sexually Active—Lifetime and Active—Lifetime andPast Past12 12Months Months AllSexually Students by Gender All StudentsActive—Lifetime by Gender Sexually and Past 12 Months More than three in four (78.8%) students report that they had zero or one partner within the past Results more than four in five (83.2%) report that their most recent sexual partner was either a fiancé(e)/spouse or an exclusive dating partner. Percent Percent Percent 60 60 60 50 50 50 40 40 40 30 30 30 20 26.8 20 26.8 20 26.8 10 10 10 0 0 0 0 0 0 Within Past 12 Months Within Past 12 Months Within Past 12 Months Females Males Females Males Females Males 52.0 52.0 52.0 7.8 7.8 7.8 1 1 1 4.6 4.6 4.6 2.9 2.9 2.9 2 4 3 2 4 3 Number 2Numberofof 4 3Partners Partners Number of Partners 1.7 1.7 1.7 5 5 5 4.2 4.2 4.2 6+ 6+ 6+ Most Sexual MostRecent Recent SexualPartner—Past Partner—Past12 12Months Months Sexually Active Students SexuallyRecent Active Students Most Sexual Partner—Past 12 Months Sexually Active Students 0.5% 1.6% 1.6% 0.5% 1.6% 0.5% 4.24%.2% 4.2% .%5%.5% 1.0510 10 Sexual Health were sexually active within the past 12 months, Within Lifetime Within Lifetime Within Lifetime All Students All Students All Students 77.0 77.0 72.6 72.6 65.0 72.6 65.0 77.0 65.0 All Students who were sexually active in the past 12 months had Among St. Cloud State University students who 82.8 82.8 82.8 Number of Sexual Partners—Past 12 Months AllNumber Students of Sexual Partners—Past 12 Months All Studentsof Sexual Partners—Past 12 Months Number 12 months. On average, St. Cloud State students 2.9 sexual partners over the past 12-month period. 78.5 78.5 71.4 78.5 71.4 71.4 36.0% 36.0% 36.0% 47.2% 47.2% 47.2% Condom Use 40 Health and Health-Related Behaviors St. Cloud State University Students Condom Sexually ActiveUse Students Within Lifetime Sexually Active Students Within Condom Use (Does Not Include Those Who AreLifetime Married or Fiancé(e)/Spouse Fiancé(e)/Spouse Exclusive Dating Partner Fiancé(e)/Spouse Exclusive Dating Partner Exclusive Dating Partner Close but Not Close but Not Partner Exclusive Dating Exclusive Close but Dating Not Partner Casual Acquaintance Exclusive Dating Partner Casual Acquaintance Casual Acquaintance Stranger Stranger Stranger Other Other Other (Does Not Include Those Within Who Are Married or Sexually Active Students Lifetime With a Domestic Partner) With aNot Domestic (Does IncludePartner) Those Who Are Married or With a Domestic Partner) Emergency Contraception Use—Past 12 Mont Condom Use Among St. Cloud Sexually State students sexually active Active Female Students Sexually Active Students Within Lifetime (Does Not Include Those Who Are Married or With a Domestic Partner) 59.9 13.5 1.4 85.1 30.0 Percent 80 2.0 68.0 60 0.3 39.8 40 intercourse, and 13.5% used a condom during their last oral sex experience. Percents are based solely 78.5% in the activity. on those who indicated they engaged 8.7 % 54.3 28.3% Data analysis shows that of the 78.5% of St. Cloud 20 0 2.2% used a condom during the last time21.1% they had anal 6.5% 100 within their lifetime, 59.9% used a condom the last 0.4% time they engaged in vaginal intercourse, 30.0% Vaginal Intercourse Anal Intercourse Oral Sex Used Condom State students who report sexually active Usedbeing Emergency Contraception 1 Time Did Notengaged Use within their lifetime, 94.4% in vaginal 2 Times Emergency Contraception 3 Times intercourse, 89.4% engaged in oral sex, and 31.0% Don’t Know 4 Times engaged in anal intercourse. Don’t Know 5+ Times Did Not Use Condom Pregnancy Prevention Methods The two most common methods that St. Cloud Sexually Active Students Within Lifetime Transmitted Infection Diagnosis— State studentsSexually report using to prevent pregnancy Lifetime and Past 12 Months All Students the last time they engaged in vaginal intercourse 50 Percent 40 are condoms (41.5%) and birth control pills 41.5 30 20 10 0 Condoms Birth Control Pills Type of Method Percent Who Report (40.8%). Use Sexually of the withdrawal Transmittedmethod Infectionis reported Being Diagnosed by 14.6% of St. Cloud State University students. 3.4 Chlamydia 1.2 40.8 14.6 5.3 Withdrawal Intrauterine Device Percent Who Report Using Method Depo-Provera Emergency Contraception Fertility Awareness Diaphragm Other Don’t Know/Can’t Remember Unintended Pregnancy Outcome— Past 12 Months All Students Within Past 12 Months Results 4.0% 0.0% 2.8 Sexual Health Ortho Evra Within Lifetime 0.2 1.0 0.0 0.2 0.0 0.0 Results 2.9 2.6 2.2 1.9 0.5 0.5 7.2 1.0 NuvaRing Other methods of pregnancy Genital Herpes prevention reported 1.9 Genital Warts/HPV 2.4 by students are identified in the table. Gonorrhea 0.2 HIV/AIDS Among St. Cloud State students, 8.2% report not 0.5 Pubic Lice 1.2 using any method of pregnancy prevention the last 0.2 Syphilis time they engaged in vaginal intercourse. At Least One of the Above Sexually Transmitted Infections 8.9 41 1 4.2 5 st Recent Sexual Partner—Past 12 Months students has been involved in a pregnancy ally Active Students within the past 12 months. Of those involved in a pregnancy, 33.3% state it was 33.3% Unintended Pregnancy Outcome— Past 12 Months 66.7% 96.0% 4.0% 0.0%Involved Exclusive Dating Partner Recent Sexual Partner—Past Months parenting, 28.6%12 resulted in miscarriage, 36.0% Close but Not Datingand Partner 42.9% resultedExclusive in abortion, 14.3% are Casual Acquaintance Involved in Pregnancy Stranger 4.2% % .5 Other Fiancé(e)/Spouse Not Involved in Pregnancy Don’t Know Exclusive Dating Partner 36.0% Close but Not Exclusive Dating Partner Casual Acquaintance 47.2% 42.8% Birth and Parenting Miscarriage Abortion 3% 14. 4.2% % .5 10 Not Involved 33.3% in Pregnancy Don’t Know 66.7% 96.0% Fiancé(e)/Spouse still pregnant. Unintentional Intentional in Pregnancy pregnancies, 14.3% resulted in birth and 47.2% 1.6% 0.5% 28.6% All Students unintentional. Among the unintentional Active Students 3% 14. A total of 4.0% of St. Cloud State University 1.6% 0.5% 4.0% 0.0% 6+ 14 .3% 1.7 2 4 3 Number of Partners 1 0 2.9 14 .3% 4.6 28.6% Unintentional Intentional Still Pregnant 42.8% Birth and Parenting Miscarriage Abortion Still Pregnant Stranger Other m Use Analysis shows that within the past 12 months, Active Students Within Lifetime 21.1% of sexually active female students at ot Include Those Who Are Married or omestic Partner) St. Cloud State University have used emergency Sexually Active Female Students 0.4% 21.1% Sexually Active Female Students 0.3 39.8 2.0 68.0 Anal Intercourse Did Not Use Emergency Contraception Don’t78.5% Know % 1 Time 2 Times 28.3% 54.3% 3 Times 4 Times 5+ Times Did Not Use Condom Results Sexual Health sexually active within their lifetime, 8.9% report Don’t Know Did Notdiagnosed Use Condom being with a sexually transmitted 12 months. Chlamydia is the STI most commonly Condoms Birth Control Pills infection (STI) within their lifetime and 2.8% 40.8 report being diagnosed with an STI within the past Used Emergency Contraception 1 Time Did Not Use Emergency Contraception 2 Times 4 Times Sexually Transmitted Infection Diagnosis— Lifetime and Past 12 Months 5+ Times All Students Sexually Transmitted Infection Syphilis 1.2 0.2 1.0 0.0 0.2 0.0 0.0 At Least One of the Above Sexually Transmitted Infections 8.9 2.8 Genital Herpes Genital Warts/HPV past 12 months. Gonorrhea 5.3 Withdrawal Intrauterine Device Percent Who Report Using Method Percent Who Report Being Diagnosed 3.4 1.9 2.4 0.2 0.5 1.2 0.2 Chlamydia diagnosed within students’ lifetimes and within the 14.6 3 Times Don’t Know HIV/AIDS Pubic Lice 2.9 Depo-Provera 2.6 Emergency Contraception 2.2 Fertility Awareness 1.9 Diaphragm 0.5 Ortho Evra 0.5 42 Health and Health-Related Behaviors St. Cloud State University Students Other 7.2 1.0 Don’t Know/Can’t Remember NuvaRing 8.7 Don’t Know Oral Sex ally Active Students Within Lifetime Among St. Cloud State students who have been Used Condom Type of Method 2.2% Used Condom nal Intercourse Anal Intercourse gnancy Prevention Methods 41.5 0.4% Used Emergency Contraception Oral Sex 54.3% 28.3% 78.5% 6.5% aginal Intercourse % 21.1% 13.5 1.4 85.1 30.0 8.7 Emergency Contraception Use—Past 12 Months mestic Partner) 0.3 39.8 59.9 2.2% 6.5% contraception. Among those who used 13.5 emergency have used 59.9 30.0 contraception, 54.3% 1.4 it once, 28.3% have used 85.1 it twice, and 17.4% Use 2.0 tive Students Withinused Lifetime it at least three times. 68.0or nclude Those Who Are Married Emergency Contraception Use—Past 12 Months Within Lifetime Within Past 12 Months Implications Healthy individuals make better students, and better students make healthier communities. Results from the 2013 College Student Health Survey presented in this report document the health and health-related behaviors of students enrolled in the participating institutions. These data, therefore, offer a comprehensive look at the diseases, health conditions, and health-related behaviors that are impacting students attending postsecondary schools in Minnesota. Identification of these health-related issues is critical because the health of college students in Minnesota affects not only their academic achievement but also the overall health of our society. While it is intuitively obvious that health conditions can affect academic performance, the link to overall societal health is more subtle but no less profound. Given that there are now more students enrolled in postsecondary institutions than in high schools, that college students help set the norms of behavior for our society and serve as role models for younger students, that college students are establishing and solidifying lifestyles and behaviors that will stay with them for the rest of their lives, and that obtaining a college degree is one of the major determinants of future health and economic status, the importance and the impact of the health of college students on our society becomes evident. Implications 43 44 Health and Health-Related Behaviors St. Cloud State University Students Appendix 1 Colleges and Universities Participating in the 2013 College Student Health Survey School Location Enrollment—Spring 2013* Anoka Technical College Anoka, MN Anoka-Ramsey Community College Cambridge, MN Coon Rapids, MN 3,366 12,256 Bemidji State University Bemidji, MN Carleton College Northfield, MN Central Lakes College Brainerd, MN Staples, MN Concordia University, St. Paul St. Paul, MN Fond du Lac Tribal and Community College Cloquet, MN Itasca Community College Grand Rapids, MN Lake Superior College Duluth, MN M State Detroit Lakes, MN Fergus Falls, MN Moorhead, MN Wadena, MN eCampus Mesabi Range Community & Technical College Eveleth, MN Virginia, MN 2,345 Metropolitan State University Minneapolis, MN St. Paul, MN 11,379 Minneapolis Community & Technical College Minneapolis, MN Minnesota School of Business–Blaine Blaine, MN Minnesota School of Business–Elk River Elk River, MN Minnesota State University Moorhead Moorhead, MN Minnesota West Community & Technical College Canby, MN Granite Falls, MN Jackson, MN Pipestone, MN Worthington, MN 14,072 488 351 8,772 5,264 Northwest Technical College Bemidji, MN Pine Technical College Pine City, MN Rainy River Community College International Falls, MN Southwest Minnesota State University Marshall, MN St. Cloud State University St. Cloud, MN The College of St. Scholastica Brainerd, MN Duluth, MN Rochester, MN St. Cloud, MN St. Paul, MN University of Minnesota–Crookston Crookston, MN University of Minnesota–Duluth Duluth, MN University of Minnesota–Morris Morris, MN University of Minnesota–Rochester Rochester, MN University of Minnesota–Twin Cities Minneapolis, MN St. Paul, MN Vermilion Community College Ely, MN 6,645 1,991 6,253 2,941 2,888 1,612 8,982 9,063 2,361 1,849 452 7,909 20,895 3,912 2,300 10,735 1,784 377 49,180 976 *Includes full-time and part-time students. Appendix 1 References Carleton College. (2013). About Carleton. Retrieved April 17, 2013, from http://apps.carleton.edu/admissions/about/. Concordia University. (2012). Facts & statistics. Retrieved April 17, from http://www.csp.edu/about-concordia/facts-statistics/. Minnesota State Colleges and Universities. (2013). Colleges and universities. Retrieved April 17, 2013, from http://www.mnscu.edu/collegesearch/index.php/institution/. The College of St. Scholastica. (2013). Spring 2013 enrollment report. Retrieved April 17, 2013, from http://www2.css.edu/resources/IR/Spring2013Enrollment.pdf. University of Minnesota. (2013). Official enrollment statistics: Spring 2013. Retrieved April 17, 2013, from http://www.oir.umn.edu/student/enrollment/term/1133/current/12544. Appendices 45 Appendix 2 St. Cloud State University Students Survey Demographics Based on Student Response Average Age (Years) Age Range (Years) 18–24 Years 25 Years or Older Average GPA All Students 25.3 18–57 63.4% 36.6% 3.35 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 11.3% 12.2% 13.9% 13.9% 13.0% 23.4% 11.9% 0.4% Gender Male Female Transgender Other Unspecified 37.5% 62.3% 0.2% 0.0% 0.0% Ethnic Origin American Indian/Alaska Native Asian/Pacific Islander Black—Not Hispanic Latino/Hispanic White—Not Hispanic (Includes Middle Eastern) Other 1.3% 10.0% 3.8% 2.3% 83.2% 2.6% Current Residence Residence Hall or Fraternity/Sorority Other 13.6% 86.4% Enrollment in Online Classes This Term No Online Classes Some Online Classes All Online Classes 46 Health and Health-Related Behaviors St. Cloud State University Students 67.9% 25.3% 6.8% 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 47 48 Health and Health-Related Behaviors St. Cloud State University Students References Centers for Disease Control and Prevention. (2007). About BMI for adults. April 19, 2013, from http://www.cdc.gov/nccdphp/dnpa/bmi/adult_BMI/about_adult_BMI.htm#Interpreted. Centers for Disease Control and Prevention. (2008). Physical activity for everyone. Retrieved April 19, 2013, from http://www.cdc.gov/nccdphp/dnpa/physical/everyone/recommendations/. Centers for Disease Control and Prevention. (2009). Cigarette smoking among adults and trends in smoking cessation—United States, 2008. Morbidity and Mortality Weekly Report, 58(44), 1227–1232. Centers for Disease Control and Prevention. (2011). Behavioral Risk Factor Surveillance System [survey data]. Atlanta, GA: U.S. Department of Health and Human Services. Retrieved April 18, 2013, from http://apps.nccd.cdc.gov/brfss. Centers for Disease Control and Prevention. (2012). Sexually transmitted disease surveillance 2011. Atlanta, GA: U.S. Department of Health and Human Services. Retrieved April 19, 2013, from http://www.cdc.gov/std/stats10/default.htm. Fischer BS, Cullen FT, Turner MG. (2000). The sexual victimization of college women (Report NCJ 182369). Washington, DC: National Institute of Justice. Halperin AC. (2002, March). State of the union: Smoking on US college campuses. A report for the American Legacy Foundation. Washington, DC. (unpublished, internal report). 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. Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. (2012). Monitoring the Future national survey results on drug use, 1975–2011: Volume II, College students and adults ages 19–50. Ann Arbor: Institute for Social Research, The University of Michigan. 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. 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. 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. 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. Snyder TD, Dillow SA. (2012). Digest of Education Statistics 2011 (NCES 2012-001). National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education. Washington, DC. Substance Abuse and Mental Health Services Administration. (2012). Results from the 2011 National Survey on Drug Use and Health: Mental health findings (NSDUH Series H-45, HHS Publication No. (SMA) 12-4725). Rockville, MD: Substance Abuse and Mental Health Services Administration. Substance Abuse and Mental Health Services Administration. (2012). Results from the 2011 National Survey on Drug Use and Health: Summary of national findings (NSDUH Series H-44, HHS Publication No. (SMA) 12-4713). Rockville, MD: Substance Abuse and Mental Health Services Administration. Tjaden P, Thoennes N. (2006). Extent, nature, and consequences of rape victimization: Findings from the National Violence Against Women Survey (Report NCJ 210346). Washington, DC: National Institute of Justice. U.S. Department of Health and Human Services. (2000). Healthy People 2010: Understanding and improving health. 2nd ed. Washington, DC: U.S. Government Printing Office. U.S. Department of Education. (2011). Trends in student financing of undergraduate education: Selected years, 1995–96 to 2007–08 (NCES 2011-218). Washington DC: National Center for Education Statistics. U.S. Department of Health and Human Services. (2011). Reproductive and sexual health. Retrieved April 19, 2013, from http://www.healthypeople.gov/2020/LHI/reproductiveHealth.aspx. Ward BW, Schiller JS, Freeman G, Peregoy JA. (2013). Early release of selected estimates based on data from the January–September 2012 National Health Interview Survey. Hyattsville, MD: National Center for Health Statistics. Retrieved April 18, 2013, from http://www.cdc.gov/nchs/nhis.htm. References 49 Funding Partial funding for the 2013 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. The Statewide Health Improvement Program of the Minnesota Department of Health Boynton Health Service, 410 Church Street S.E., Minneapolis, MN 55455 2013 Boynton Health Service Survey Team Principal Investigator Katherine Lust, Ph.D., M.P.H., R.D. 612-624-6214 • [email protected] Co-Investigator David Golden Recruitment/College Coordinator Maria Rudie, M.P.H. Web/E-Communications Team Evelyn Kokes Kirk Marshall Sarah Martin Project Coordinator/Editor Jolene Johnson Writer/Editor Julia Sanem, M.P.H. Research Assistant Meghan Mason, M.P.H. Senior Graphic Designers Amy Bartkus Amy Westberg Office Manager Carol Uchal Published October 2013 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. 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