{"title":"Ethnic identity commitment, exploration, and alcohol use among students at a historically black college/university.","authors":"Riddhi Patel, Anne Lippert","doi":"10.1080/07448481.2026.2745120","DOIUrl":"https://doi.org/10.1080/07448481.2026.2745120","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether ethnic identity commitment and exploration are associated with alcohol use among historically black college and university (HBCU) students; experiential avoidance was examined as a coping-related correlate.</p><p><strong>Participants: </strong>Participants were 230 undergraduates at a large southeastern HBCU; 95.7% were ages 18-24, 74% were women, and 90.4% identified as Black.</p><p><strong>Methods: </strong>Students completed self-report measures of alcohol use, ethnic identity dimensions, experiential avoidance, and demographics. Hierarchical regressions tested direct associations; exploratory bootstrap models tested indirect effects.</p><p><strong>Results: </strong>Stronger commitment was associated with lower alcohol use, whereas exploration was not significantly associated with alcohol use. Experiential avoidance was not directly associated with alcohol use but was associated with lower commitment and exploration. Exploratory indirect associations between experiential avoidance and alcohol use through commitment and exploration were nonsignificant after correction for multiple testing.</p><p><strong>Conclusions: </strong>Findings extend prior ethnic identity and alcohol research by examining commitment and exploration separately in an HBCU sample. Commitment may be the more alcohol-relevant ethnic identity dimension, whereas experiential avoidance may be more closely related to identity processes than drinking.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Making long-acting HIV PrEP routine in college health: durable systems, not dedicated heroes.","authors":"Paul Broker","doi":"10.1080/07448481.2026.2748912","DOIUrl":"https://doi.org/10.1080/07448481.2026.2748912","url":null,"abstract":"<p><p>For many U.S. students, college health is the practical home of primary care and their most direct point of access to HIV prevention. In this commentary I argue that HIV pre-exposure prophylaxis (PrEP), including long-acting cabotegravir and lenacapavir, should be offered as routine preventive care in college health rather than as a specialty service. Nearly all responding student health services in national benchmarking data offer STI and HIV testing and contraception, while far fewer offer PrEP or prompt clinicians to educate patients on PrEP. That gap, the June 2025 approval of lenacapavir, and a quality improvement initiative that raised PrEP counseling from 3.0% to 97% point to a capacity-based framework of on-site, hybrid, and closed-loop referral models. The minimum standard is not identical infrastructure but a reliable pathway from routine offer to receipt of the chosen regimen. Clinics need durable systems rather than dedicated heroes.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reciprocal association between perceived social support and physical activity participation among college students: the mediating role of basic psychological needs.","authors":"Lingyi Fu, Yuhuan Xie, Yang Bai, Ryan Burns","doi":"10.1080/07448481.2026.2741616","DOIUrl":"https://doi.org/10.1080/07448481.2026.2741616","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined the mediating role of basic psychological needs (BPN) within the reciprocal associations between perceived social support (PSS) and physical activity (PA).</p><p><strong>Methods: </strong>This secondary analysis used Spring 2023 ACHA-NCHA data (<i>N</i> = 78,024). Structural equation models tested two pathways: (1) PSS→BPN→PA and (2) PA→BPN→PSS.</p><p><strong>Results: </strong>Both models showed a good fit (CFI = [0.984, 0.980], TLI = [0.972, 0.971], RMSEA = [0.023, 0.023], SRMR = [0.013, 0.014]). PSS showed a positive, nonsignificant association with MPA and MST in both directions, with small effect sizes (0.0002-0.006). The exploratory mediation analysis indicated that autonomy exhibited the strongest mediating role (PSS→PA: <i>β</i> = 0.101, <i>p</i> < 0.01; PA→PSS: <i>β</i> = 0.050, <i>p</i> < 0.01). MST showed the strongest indirect reciprocal associations with PSS through BPN, with effect sizes ranging from 0.008 to 0.059.</p><p><strong>Conclusion: </strong>BPN modestly mediated the reciprocal associations between PSS and PA. Need-supportive strategies that foster autonomy may help promote both PA and PSS. Longitudinal studies using validated measures and integrated theoretical frameworks are needed.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Franklin Akwasi Adjei, Justice Manu, Bernard Kwame Frempong, Augustine Afriyie
{"title":"Campus drinking water safety as a public health priority: a call to action for institutions of higher education.","authors":"Franklin Akwasi Adjei, Justice Manu, Bernard Kwame Frempong, Augustine Afriyie","doi":"10.1080/07448481.2026.2748346","DOIUrl":"https://doi.org/10.1080/07448481.2026.2748346","url":null,"abstract":"<p><p><b>Participants:</b> College students enrolled at U.S. colleges and universities, with particular attention to potential environmental health disparities affecting students from low-income communities and communities of color. <b>Methods:</b> This commentary draws on peer-reviewed literature examining drinking water contamination, associated health outcomes, environmental exposure disparities, and regulatory gaps affecting higher education institutions. <b>Results:</b> The existing literature documents associations between exposure to drinking water contaminants, including lead and per- and polyfluoroalkyl substances (PFAS), and adverse health outcomes such as neurotoxicity, cardiovascular disease, immune disruption, and cancer. Aging campus infrastructure and the absence of federal testing mandates specific to higher education raise concerns about drinking water safety. Despite these risks, colleges and universities have received limited attention in environmental health research and policy. Four strategies are proposed: comprehensive outlet-level testing and disclosure, infrastructure remediation, student-centered health promotion, and cross-sector community partnerships. <b>Conclusion:</b> Colleges and universities have an ethical and institutional responsibility to proactively address drinking water safety. Implementing these strategies may strengthen institutional accountability, reduce potential contaminant exposure, and promote equitable protection of student health.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-4"},"PeriodicalIF":1.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anu K Murthy, Richard A Goodman, Miranda A Moore, Kenneth G Castro
{"title":"A low-resource tracking workflow improves documentation and localizes the latent tuberculosis infection care gap in college student health.","authors":"Anu K Murthy, Richard A Goodman, Miranda A Moore, Kenneth G Castro","doi":"10.1080/07448481.2026.2739594","DOIUrl":"https://doi.org/10.1080/07448481.2026.2739594","url":null,"abstract":"<p><strong>Objective: </strong>To assess a low-resource tracking workflow for improved documentation of latent tuberculosis infection (LTBI) treatment status and describe identified follow-up gaps in a Student Health clinic.</p><p><strong>Participants: </strong>Students with confirmed LTBI before (2018-2023; <i>n</i> = 82) and after (2024-2025; <i>n</i> = 147) implementation.</p><p><strong>Methods: </strong>Retrospective before-after chart review. In 2024, the clinic added a tracking spreadsheet, nurse-initiated follow-up offering tuberculosis preventive treatment (TPT), 1-month dispensing, and standardized documentation. Outcomes were summarized descriptively.</p><p><strong>Results: </strong>Among students prescribed TPT at Student Health, documented completion rose from 45.8 to 71.4% and known status from 58.3 to 89.3%; documented completion among students managed outside Student Health rose from 23.1 to 56.1%. Undocumented final status was essentially unchanged (35.4-34.0%), but 46/50 (92%) unresolved post-intervention cases had no response after two messages.</p><p><strong>Conclusions: </strong>The workflow improved documentation among engaged students and identified nonresponse after TPT was offered as the main actionable gap.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth McEvoy, Lindsey Y Mortenson, Christopher J Frank
{"title":"Problem sports betting/gambling in U.S. undergraduate students at a large public university.","authors":"Elizabeth McEvoy, Lindsey Y Mortenson, Christopher J Frank","doi":"10.1080/07448481.2026.2744233","DOIUrl":"https://doi.org/10.1080/07448481.2026.2744233","url":null,"abstract":"<p><p><b>Objective:</b> To estimate the prevalence of potential problem gambling among college students at a large U.S. public university who reported having participated in sports betting/gambling. <b>Participants:</b> A customized Healthy Minds Study (HMS) Student Survey was administered to undergraduate students (<i>n</i> = 1,489) at a large U.S. public university in 2025. <b>Methods:</b> The survey assessed lifetime participation in sports betting/gambling excluding one-time events like March Madness, and the prevalence of potential problem gambling based on the 3-question NODS-CLiP, a validated screening tool. <b>Results:</b> Of weighted responses, 10% (152/1,471) had engaged in sports betting/gambling in their lifetime. Of students endorsing lifetime participation in sports betting/gambling, 38% (58/152) screened positive for potential problem gambling on the NODS-CLiP. <b>Conclusions:</b> Of college students who had engaged in sports betting/gambling, more than one third screened positive for potential problem gambling based on a validated screening tool.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-3"},"PeriodicalIF":1.5,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laila A Alzaidi, Cheryl Forchuk, Yolanda Babenko-Mould, Richard Garnet Booth
{"title":"Pathways to mental health help-seeking among female college students: a grounded theory study.","authors":"Laila A Alzaidi, Cheryl Forchuk, Yolanda Babenko-Mould, Richard Garnet Booth","doi":"10.1080/07448481.2026.2745119","DOIUrl":"https://doi.org/10.1080/07448481.2026.2745119","url":null,"abstract":"<p><strong>Objective: </strong>To develop a grounded theoretical understanding of how female college students navigate mental health help-seeking.</p><p><strong>Participants: </strong>Twenty-two self-identified female undergraduate students aged 18-30 years from a public university in Canada.</p><p><strong>Methods: </strong>A qualitative study using a constructivist grounded theory approach was conducted. Data were collected through semi-structured interviews and analyzed using constant comparative methods.</p><p><strong>Results: </strong>Four themes were identified: self-reliance and self-help, nonprofessional support, semi-formal and integrated support, and professional support. Findings revealed that help-seeking is a dynamic and non-linear process, with students moving between multiple sources of support depending on their needs and context. Self-reliance often served as the initial step, while professional support was least utilized.</p><p><strong>Conclusions: </strong>The diverse pathways of mental health support sources theory highlight the need for flexible, accessible, and integrated mental health systems that align with students' preferences and promote timely help-seeking.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brittany E Canady, Cameron Cook, Sabel Peterson, Penny Koontz
{"title":"Food insecurity, adverse childhood experiences, and eating disordered behavior in college students.","authors":"Brittany E Canady, Cameron Cook, Sabel Peterson, Penny Koontz","doi":"10.1080/07448481.2026.2738886","DOIUrl":"https://doi.org/10.1080/07448481.2026.2738886","url":null,"abstract":"<p><p><b>Objective:</b> Food insecurity (FIS) is a substantial concern for many college students. Evidence suggests that FIS and adverse childhood events (ACEs) are separately linked to higher rates of eating disordered behavior. <b>Method:</b> The present study examines food insecurity and ACEs together as predictors of eating disordered behavior in a sample of students (<i>n</i> = 346) from an Appalachian university. <b>Results</b>: indicate that rates of food insecurity were fairly high in this sample, with approximately 70% of the sample experiencing childhood and current food insecurity. Current food insecurity and ACEs were each associated with eating disordered behavior, with a model including both variables accounting for more of the variance in eating disordered behavior. <b>Conclusions:</b> Implications for these findings within a college campus are discussed, including consideration of trauma-informed approaches to better understand and address the combination of food insecurity, ACEs, and eating disordered behavior.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heather B Edelblute, Zeinab M Baba, John Omole-Matthew, Oluwatobi Opeyemi
{"title":"Social support, belonging, and positive mental health for African students at US universities.","authors":"Heather B Edelblute, Zeinab M Baba, John Omole-Matthew, Oluwatobi Opeyemi","doi":"10.1080/07448481.2026.2733864","DOIUrl":"https://doi.org/10.1080/07448481.2026.2733864","url":null,"abstract":"<p><strong>Objective: </strong>African students represent one of the fastest growing demographics at US colleges, yet little is known about their mental health and successful adjustment to college.</p><p><strong>Participants: </strong>African students (<i>N</i> = 405) pooled from three years (2020-2023) of the cross-sectional Healthy Minds Study (HMS).</p><p><strong>Methods: </strong>We used tests of association to examine differences between age at migration and positive mental health. Stepwise linear regression analysis was used to examine predictors of positive mental health.</p><p><strong>Results: </strong>African students who came to the US as children reported lower levels of positive mental health than those who came as adults. Time in the US was negatively associated with positive mental health, while sense of belonging and perceived social support contributed to positive mental health.</p><p><strong>Conclusions: </strong>Universities should consider culturally appropriate ways to cultivate a sense of belonging and access to supportive relationships to promote the well-being and success of this subsection of students.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rebecca M Achen, Saryn Mandak, Sierra Slepicka, Jennifer L Barnes, Deborah L Feairheller
{"title":"Exploring dietary challenges and nutrition knowledge gaps among Hispanic and non-Hispanic student populations.","authors":"Rebecca M Achen, Saryn Mandak, Sierra Slepicka, Jennifer L Barnes, Deborah L Feairheller","doi":"10.1080/07448481.2026.2744229","DOIUrl":"https://doi.org/10.1080/07448481.2026.2744229","url":null,"abstract":"<p><p><b>Objective:</b> Changes in dietary habits occur in college. Hispanic Americans have cultural backgrounds with distinct dietary patterns and barriers to healthy eating. The objective of this study is to assess differences in dietary patterns and barriers to healthy eating between Hispanic American and non-Hispanic American college students. <b>Participants:</b> We examined dietary habits and barriers of 135 Hispanic and 178 non-Hispanic college students (18-35 yrs) in the United States. <b>Methods:</b> Students were provided with an online survey. <b>Results:</b> Hispanic American students admit more \"lack of knowledge about what foods are healthy\" [χ<sup>2</sup>(1) = 9.415, p = . 002], consume less fruit (1.2 ± 0.8 vs 1.4 ± 1.1 servings/day, p = . 04), and report beef (41.5% vs 28.1%) as a main protein source [χ<sup>2</sup>(1) = 6.147, p = . 013]. More Hispanic students (64%) eat processed while more non-Hispanic students (50.6%) eat fresh foods [χ<sup>2</sup>(1) = 6.3, <i>p</i> = . 01]. <b>Conclusion:</b> Non-Hispanic students seem to have healthier food options, but Hispanic students admittedly have less knowledge about healthy eating.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}