Journal of American College Health最新文献

{"title":"Gambling in fraternity and sorority life: leadership perspectives on social influences, risk, and prevention.","authors":"Jackie F Stanmyre, Alexander Cohen, Lia Nower","doi":"10.1080/07448481.2026.2746416","DOIUrl":"https://doi.org/10.1080/07448481.2026.2746416","url":null,"abstract":"<p><p><b>Objective:</b> To examine Greek life leaders' perceptions of gambling prevalence, peer influences, capacity for member support, and prevention strategies. <b>Participants:</b> Eleven Greek life leaders from a northeastern university were recruited in Summer/Fall 2025. <b>Methods:</b> The qualitative study used semi-structured interviews analyzed using a thematic approach combining collaborative deductive and inductive coding. <b>Results:</b> Gambling-notably online sports betting and poker-was described as widespread in fraternities, where it is normalized within the social culture and integrated into recruitment and other social activities. Leaders noted that the private nature of online gambling makes problematic involvement difficult to identify. Participants highlighted limited gambling-specific resources and a lack of university-level gambling policy and education. <b>Conclusions:</b> Findings illustrate how fraternity social environments may normalize and reinforce gambling while its increasingly online nature makes escalating problems difficult to detect. These insights highlight the need for institutional gambling policies and prevention initiatives tailored to Greek life, ideally incorporating personal testimony.</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":"149181796","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":"Development and initial validation of the Campus Food Aid Self-Assessment Tool.","authors":"Sara R González, Chih-Hsuan Wang, Alicia R Powers","doi":"10.1080/07448481.2026.2745118","DOIUrl":"https://doi.org/10.1080/07448481.2026.2745118","url":null,"abstract":"<p><p><b>Objective:</b> To develop and evaluate a survey instrument assessing campus responses to college student food insecurity. <b>Participants:</b> Experts in college student food insecurity and/or survey development participated in expert panel review. College representatives participated in cognitive interviewing and the pilot study. <b>Methods:</b> Expert panel review, cognitive interviewing, and exploratory factor analysis determined instrument face and content validity. Internal consistency tests assessed reliability. <b>Results:</b> Expert panelists (<i>n</i> = 7) and cognitive interviewing participants (<i>n</i> = 8) confirmed face and content validity. Sampling was not adequate to support factor analysis (KMO < 0.7). Internal consistency tests confirmed instrument reliability (Cronbach's <i>α</i> ≥ 0.60). In the pilot study, campuses had the highest average scores for campus advocacy (<i>M</i> = 2.79, SD = 0.67). No schools reported the ability to meet all nutritional needs of food insecure students. <b>Conclusions:</b> This study establishes preliminary validation for an instrument for assessment of campus food insecurity response.</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":"149181790","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":"Navigating challenges: Digital health literacy and innovative promotion strategies for modern college students.","authors":"Yongsheng Huang, Hongxin Guo, Jiangping Huang, Min Wu","doi":"10.1080/07448481.2026.2737810","DOIUrl":"https://doi.org/10.1080/07448481.2026.2737810","url":null,"abstract":"<p><p><b>Background:</b> The deep integration of digital technology is reshaping the health service model in higher education. As digital natives, college students' digital health literacy directly affects their ability to obtain, evaluate and apply health information. However, there is still a significant gap in the research on the current status and intervention strategies of digital health literacy among this group. <b>Method:</b> This study adopts a mixed-methods approach combining a PRISMA-compliant systematic literature review and empirical data analysis to conduct an in-depth investigation of relevant studies published from 2019 to 2026. A two-round Delphi expert consultation and multiple cross-sectional questionnaire surveys were also implemented to collect original empirical data for quantitative analysis. <b>Result:</b> The analysis revealed that college students' digital health literacy exhibited significant intergroup differences and structural deficiencies, particularly in information evaluation competence and critical thinking capacity. Digital mental health interventions are feasible and accepted, but they still face many difficulties such as technical access barriers, privacy protection problems and cultural adaptability issues when being carried out. Digital decision support systems-based mental health education intervention has an obvious effect on improving anxiety symptoms. Low burden preventative digital mental health intervention is also possible for freshman to have good feasibility. <b>Conclusion:</b> Enhancing college students' digital health literacy requires the construction of a multi-level and three-dimensional support system. We can combine educational resources, technical platforms and policy guarantees together for this purpose. Future directions include the development of intelligent and personalized digital health literacy enhancement tools; to set up long-term evaluation mechanisms; and also to carry out digital health literacy education in all stages of talent cultivation in universities.</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":"149181851","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":"When victimization hurts more: Psychological disability status moderates the relationships between bullying victimization and mental health outcomes among college students.","authors":"Gary W Giumetti, Michael J Sheehan, Robin M Kowalski, Richard S Feinn","doi":"10.1080/07448481.2026.2736613","DOIUrl":"https://doi.org/10.1080/07448481.2026.2736613","url":null,"abstract":"<p><strong>Objective: </strong>We examined differences in prevalence and severity for three victimization types (traditional and cyberbullying, technology-facilitated sexual exploitation) among college students who reported/did not report a psychological disability. Furthermore, we explored disability status as a moderator of victimization-health outcome relations (depression, anxiety, stress, substance use, and somatic symptoms).</p><p><strong>Participants & methods: </strong>We collected two waves of survey data from 138 fourth-year students from two US-based universities.</p><p><strong>Results: </strong>We found that students who reported a psychological disability reported higher prevalence/severity of cyberbullying victimization. Additionally, disability status moderated the prospective relationships between Wave 1 traditional bullying victimization and Wave 2 substance use, such that individuals who reported a psychological disability had a stronger positive relationship. Conversely, the prospective relationships between Wave 1 traditional bullying victimization and Wave 2 depression and stress were weaker among people who reported a psychological disability.</p><p><strong>Conclusions: </strong>These findings have implications for prevention/intervention among college students with disabilities.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-12"},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127573","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":"Normal-weight obesity and low muscle mass in college students: Associations with physical activity and bone health.","authors":"Melissa Cline, Michael Paalani, W Lawrence Beeson, Ernesto Medina","doi":"10.1080/07448481.2026.2744901","DOIUrl":"https://doi.org/10.1080/07448481.2026.2744901","url":null,"abstract":"<p><strong>Objective: </strong>Body mass index (BMI) may fail to identify cardiometabolic risk in young adults with unfavorable body composition. This study examined associations between low skeletal muscle mass, lifestyle behaviors, and bone health in normal-weight college students, defined as those with a BMI in the normal range (18.5-24.9 kg/m²).</p><p><strong>Participants: </strong>Eighty-seven students (85% female; mean age 20.9 years) with normal-range BMI from California Polytechnic State University, San Luis Obispo.</p><p><strong>Methods: </strong>Dual-energy X-ray absorptiometry assessed body composition and bone mineral density. Low muscle mass was defined as appendicular lean mass index z-score ≤ -1.0. Multivariable regression examined predictors of muscle mass and bone outcomes.</p><p><strong>Results: </strong>Twenty-two percent exhibited low muscle mass despite normal BMI. Physically active students had 93% lower odds of low muscle mass compared to inactive students (OR = 0.07, 95% CI: 0.01; 0.54, <i>p</i> = .010). Physical activity (<i>β</i> = 0.85, 95% CI: 0.35; 1.36, <i>p</i> = .001) and meal skipping (<i>β</i> = -0.71, 95% CI: -1.23; -0.20, <i>p</i> = .007) independently predicted bone density. Despite normal BMI, 61% had elevated triglycerides.</p><p><strong>Conclusions: </strong>BMI-based screening may underestimate health risk. Body composition and lifestyle assessment may improve early identification.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127628","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":"Doing \"a lot of learning myself\": how college students learn about sexual and dating relationships.","authors":"Swati Sah, Clara Wellons, Jacquelyn Mesenbrink-Sainz, Anne E Dufault, Nadeeka Karunaratne","doi":"10.1080/07448481.2026.2739593","DOIUrl":"https://doi.org/10.1080/07448481.2026.2739593","url":null,"abstract":"<p><p><b>Objective:</b> The purpose of this study was to explore how first-year college students learn about dating and sexual relationships prior to and during their first semester of college. <b>Participants:</b> Twenty-seven first-year students from two large public research universities participated in this study. <b>Methods:</b> Participants engaged in an initial interview at the beginning of their first-semester of college, completed eight weekly journal prompts throughout the semester, and participated in a follow-up focus group or interview at the end of the semester. <b>Results:</b> Students learn about sex and dating by 1) directly receiving information, 2) observing others and the media, 3) engaging in sexual and dating relationships themselves, and 4) filling gaps through searching for information. <b>Conclusions:</b> Employing the concept of conscientization and social cognitive theory, we demonstrate that students learn more from experiences and their family and peers' behaviors, as school-based education does not critically engage students to deepen their understanding. We discuss implications for campus sex education and sexual violence prevention programming.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127562","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":"Agreement of physical activity metrics from ActivPAL and ActiGraph accelerometers worn concurrently among college students at a residential university.","authors":"Ainsley Harkin, Makayla Cawley, Emma Morrow, Stephanie P Kurti, Trent A Hargens","doi":"10.1080/07448481.2026.2741615","DOIUrl":"https://doi.org/10.1080/07448481.2026.2741615","url":null,"abstract":"<p><strong>Objective: </strong>To examine agreement between concurrently worn ActivPAL (AP) and ActiGraph (AG) accelerometers in college students.</p><p><strong>Methods: </strong>Thirty-six students (age 21.6 ± 2.4 years) wore AP and AG accelerometers for 4-8 days. Agreement was assessed using paired t-tests, intraclass correlation coefficients, mean absolute percentage error, Bland-Altman analyses, and ±10% equivalence testing.</p><p><strong>Results: </strong>AG wear time averaged 15.5 ± 1.0 h/day. Compared with AP, AG measured 698 ± 805 fewer steps/day, 69 ± 70 more sedentary min/day, and 112 ± 57 fewer zero cadence min/day. Peak 1-min and 30-min cadence demonstrated strong agreement and met equivalence criteria. Daily steps showed agreement but did not meet equivalence; sedentary and zero cadence time demonstrated the weakest agreement.</p><p><strong>Conclusions: </strong>Device agreement varied by metric, emphasizing the importance of measurement selection in college student research. Reliable step-based measurement may support research needed to develop step recommendations and physical activity promotion strategies for college students.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127622","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":"The effects of racial discrimination on Black STEM students' health: A daily diary study.","authors":"Hannah K Allen-King, Lori Nichols, Frank Fernandez, Kenya G Bledsoe, Marquita S Smith","doi":"10.1080/07448481.2026.2673433","DOIUrl":"10.1080/07448481.2026.2673433","url":null,"abstract":"<p><p><b>Objective:</b> Black STEM students at Predominantly White Institutions face unique challenges related to racial discrimination, which negatively affect health outcomes and academic achievement. <b>Participants and Methods:</b> This study employed a quantitative exploratory design using experience sampling to examine the daily-level associations between discrimination and mental health and substance use among <i>n</i> = 117 Black STEM students. <b>Results:</b> Students were more likely to engage in substance use on days where they experienced racial discrimination compared to days they did not, even after controlling for person-level covariates. While mental health was significantly worse on days with discrimination in bivariate analyses, these associations were not significant in multivariable models. <b>Conclusions:</b> Results highlight the daily toll of racism and call for policy and programming to address racism and support Black STEM students on college campuses.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2225-2231"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138151","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":"PrEP awareness and barriers to uptake: insights from college campuses across South Carolina.","authors":"William Capell, Marco Tori","doi":"10.1080/07448481.2026.2652363","DOIUrl":"10.1080/07448481.2026.2652363","url":null,"abstract":"<p><p><b>Objective:</b> To assess PrEP awareness, HIV risk perception, uptake, and factors influencing pre-exposure prophylaxis (PrEP) use among college students in South Carolina. <b>Participants:</b> A total of 174 students attending sexual health and HIV testing events at 20 college campuses, including all eight HBCUs in South Carolina. <b>Methods:</b> A 17-item electronic survey was administered (September-October 2024). Descriptive analyses examined demographics, PrEP awareness, HIV risk, preferences, and use. <b>Results:</b> Half of the respondents had heard of PrEP, and 2% reported current use. Most considered themselves at no or low HIV risk, including 80% of those with a recent sexually transmitted infection (STI) and 85.6% with inconsistent condom use. Barriers included low perceived risk, lack of knowledge, and cost concerns. Nonheterosexual men had higher PrEP awareness and risk perception but low uptake. <b>Conclusions:</b> Findings highlight the need for focused education, improved risk perception, and expanded PrEP access through trusted providers, including college health centers and primary care clinics.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2239-2246"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147929772","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":"Disordered eating and vaping in athlete and non-athlete college students: Does sex matter?","authors":"Jessica Jung, Flavius Lilly, Jennifer Owens, Carol Vidal","doi":"10.1080/07448481.2026.2674301","DOIUrl":"10.1080/07448481.2026.2674301","url":null,"abstract":"<p><strong>Objective: </strong>Vaping prevalence is rising among young adults, with linked evidence to disordered eating. Given the unique pressures of performance and body image in athletics, this study examines vaping-eating disorder (ED) risk associations comparing college athletes and non-athletes.</p><p><strong>Participants: </strong>Data was gathered from U.S. college students in the 2021-2022 Healthy Minds Study.</p><p><strong>Methods: </strong>Students reported past-30-day vaping and completed the SCOFF (Sick, Control, One, Fat, Food) questionnaire. Logistic regressions tested vaping-ED risk associations with athlete status as a covariate, adjusting for confounders.</p><p><strong>Results: </strong>Overall, 18.1% of respondents reported vaping and 32.8% screened positive for ED risk. Vaping was associated with higher ED risk (adjusted OR = 1.45, <i>p</i> < .001). Athlete status did not independently predict ED risk or moderate the vaping-ED risk associations, while sex did moderate this association.</p><p><strong>Conclusions: </strong>Findings highlight the need for integrated mental health campus initiatives addressing substance use and disordered eating behaviors among athletes and non-athletes.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2477-2483"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217779","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}