Priya B Thomas, Baojiang Chen, Anna V Wilkinson, Emily T Hébert, Nalini Ranjit
{"title":"Disparities in mental health help-seeking and treatment utilization by race, ethnicity, and severity of mental health symptoms among college students.","authors":"Priya B Thomas, Baojiang Chen, Anna V Wilkinson, Emily T Hébert, Nalini Ranjit","doi":"10.1080/07448481.2026.2668611","DOIUrl":"10.1080/07448481.2026.2668611","url":null,"abstract":"<p><strong>Objective: </strong>Disparities in mental health care among racial/ethnic minority college students persist. Severity of mental health symptoms may explain these disparities.</p><p><strong>Participants: </strong><i>N</i> = 43,633 (weighted) college students from the Healthy Minds Study (2022-2023) with mental health symptoms.</p><p><strong>Methods: </strong>Mixed effects multinomial regression models investigated effects of race/ethnicity and severe mental health symptoms on mental health help-seeking and treatment utilization.</p><p><strong>Results: </strong>Students with severe symptoms were more likely to seek formal treatment modalities (aRRR range: 2.36-3.37; 95% CI range: 1.82-4.37) across all racial/ethnic groups. The impact of severe symptoms on seeking both counseling and medication was larger in racial/ethnic minority students (e.g., non-Hispanic Black with severe symptoms (aRRR: 3.37, 95% CI: 2.60-4.37)) than in non-Hispanic White students with severe symptoms (aRRR: 2.36, 95% CI: 2.19-2.56).</p><p><strong>Conclusion: </strong>Colleges should prioritize pathways to care for racial/ethnic minority students with severe symptoms to ensure timely care.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2363-2376"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147941576","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}
Bridget O'Neil, Casandra O'Rourke, Hannah Linss, Austen R Anderson
{"title":"The associations among athlete status, sleep, and well-being in a large national sample of college students.","authors":"Bridget O'Neil, Casandra O'Rourke, Hannah Linss, Austen R Anderson","doi":"10.1080/07448481.2026.2737809","DOIUrl":"https://doi.org/10.1080/07448481.2026.2737809","url":null,"abstract":"<p><p><b>Objective:</b> College students, specifically student athletes, experience environments that can support and create barriers to flourishing, a form of well-being reflecting positive functioning in relationships, self-esteem, purpose, and optimism. Sleep is one factor that can have implications for student athletes' flourishing. This study explored whether sleep characteristics, including duration, quality, and napping, accounted for part of the association between athlete status and flourishing, as measured using the eight-item Flourishing Scale. <b>Participants:</b> Using the Fall 2022 National College Health Assessment (<i>N</i> = 28,608), structural equation models assessed these associations. <b>Results:</b> Compared with non-athletes, athletes reported better sleep quality, smaller weekday-weekend differences in sleep duration, and longer sleep duration. Athletes also reported more frequent and longer naps. These sleep factors were associated with flourishing although indirect associations were small (<i>β</i> < .06). <b>Conculsion:</b> Overall, athletes reported several favorable sleep characteristics relative to non-athletes, alongside more frequent and longer naps. Sleep remains important in understanding student athletes' flourishing.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109856","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}
Duduzile P Mashinini, Nicole K Kelly, Nicholas M Bancroft, Amber McLarney-Vesotski, Paul L Delamater
{"title":"Vaccine attitudes among rural community college students: The impact of the COVID-19 pandemic on routine childhood vaccinations.","authors":"Duduzile P Mashinini, Nicole K Kelly, Nicholas M Bancroft, Amber McLarney-Vesotski, Paul L Delamater","doi":"10.1080/07448481.2026.2649527","DOIUrl":"10.1080/07448481.2026.2649527","url":null,"abstract":"<p><p><b>Objective:</b> Rural populations had lower COVID-19 vaccine uptake compared to urban counterparts, but little is known about how the pandemic affected their views on routine childhood vaccinations. This study examined whether the pandemic changed attitudes among rural community college students toward routine childhood vaccines and their intentions to vaccinate future children. <b>Methods:</b> From April to May 2023, an online survey was conducted among students aged 18 and older at a community college in northeastern lower Michigan. The survey assessed COVID-19 vaccination status, views on vaccinating children against COVID-19, and attitudes toward routine childhood vaccines before and after the pandemic. <b>Results:</b> A total of 174 students completed the survey (weighted <i>N</i> = 925); 54% were vaccinated against COVID-19. Support for COVID-19 vaccination increased with child age. Since the pandemic, more students believed children are vaccinated too young (28-34%) and expressed moral opposition (17-26%). <b>Conclusion:</b> The pandemic increased vaccine hesitancy among rural students, emphasizing the need to rebuild trust in rural communities.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2232-2238"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772008","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}
Jocelyn I Meza, Juliane Martinez, Phuc T Nguyen, Lilian Bravo, Daniel Eisenberg
{"title":"Discrimination and self-harm outcomes among college students: The paradoxical moderating effect of belongingness.","authors":"Jocelyn I Meza, Juliane Martinez, Phuc T Nguyen, Lilian Bravo, Daniel Eisenberg","doi":"10.1080/07448481.2026.2668618","DOIUrl":"10.1080/07448481.2026.2668618","url":null,"abstract":"<p><strong>Objective: </strong>This study examines the associations between discrimination and suicidality, and the moderating role of sense of belonging.</p><p><strong>Participants: </strong>Data came from a sample of 66,497 college students (Mage = 23.4; SDage = 7.3) in a nationally representative study.</p><p><strong>Methods: </strong>Multilevel logistic regressions examined associations between discrimination and suicidality-including suicidal ideation (SI), suicide attempts (SA), and non-suicidal self-injury (NSSI)-and moderating effects of belonging.</p><p><strong>Results: </strong>Discrimination was associated with greater odds of NSSI (OR = 1.21, <i>p</i> < 0.001), SI (OR = 1.29, <i>p</i> < 0.001), and SA (OR = 1.46, <i>p</i> < 0.001). Belonging moderated these associations: NSSI (OR = 1.02, <i>p</i> < 0.001), SI (OR = 1.04, <i>p</i> < 0.001), and SA (OR = 1.05, <i>p</i> = 0.010).</p><p><strong>Conclusion: </strong>Findings revealed a paradoxical pattern: although belonging was associated with reduced odds of suicidality, discrimination was more strongly associated with suicidality among students with higher belonging.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2386-2396"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147987628","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":"Childhood emotional support is associated with adaptive behavioral and emotional processes over the first year of college.","authors":"Brittany J Baugher, Karin G Coifman","doi":"10.1080/07448481.2026.2672450","DOIUrl":"10.1080/07448481.2026.2672450","url":null,"abstract":"<p><strong>Objective: </strong>Protective childhood experiences (PCEs) promote positive outcomes throughout life, but the mechanism of this relationship is unclear. The current study examined how facets of PCEs (emotional support, home stability, and parental education) are associated with adaptive daily emotion and coping.</p><p><strong>Participants: </strong><i>N</i> = 114 college students participated in this study across their first academic year.</p><p><strong>Methods: </strong>Participants completed weekly diaries reporting affect, coping behaviors, stressful events, and a text-entry of the most stressful event. Facets of PCEs were considered as predictors of affect, behavioral engagement, and in-vivo emotional reactivity.</p><p><strong>Results: </strong>Childhood emotional support was associated with increased positive affect, and higher frequency of adaptive coping. Results suggest that higher emotional support may buffer against stress-related variability in positive emotion.</p><p><strong>Conclusion: </strong>These results provide preliminary evidence that PCEs, specifically childhood emotional support, may facilitate coping behaviors during stressful periods.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2397-2407"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217761","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}
Brad Love, Margaret Raber, Lauren Kriss, Nadia Sesay, Ellen Shin, Rosemary Coffman, Katherine Oestman, Haley Gardiner, Mayra Aquino, Ruth Rechis
{"title":"Leveraging community colleges for cancer prevention: aligning health communication science and higher education to reduce modifiable risk factors.","authors":"Brad Love, Margaret Raber, Lauren Kriss, Nadia Sesay, Ellen Shin, Rosemary Coffman, Katherine Oestman, Haley Gardiner, Mayra Aquino, Ruth Rechis","doi":"10.1080/07448481.2026.2652362","DOIUrl":"10.1080/07448481.2026.2652362","url":null,"abstract":"<p><p><b>Objective</b>: This report describes a model for integrating health communication science into cancer center-community college partnerships to promote cancer prevention initiatives and reduce modifiable cancer risk factors among emerging adults. <b>Participants</b>: The collaboration leverages the expertise of a Comprehensive Cancer Center and a Community College in partnership with a Center for Health Communication. Each partner brings an essential skillset to serve diverse populations facing elevated cancer risk factors. <b>Methods</b>: The framework uses health communication science for continuous improvement through theory-driven messaging, audience segmentation, and multi-channel campaign design. The approach supports coalition formation, capacity building, and implementation of evidence-based interventions for modifiable risk factors. <b>Results</b>: The partnership demonstrated documented improvements in modifiable behaviors and significant relationships between campaign awareness and behavioral intentions. Perceived institutional care was a critical moderator that strengthened intervention effectiveness. <b>Conclusions</b>: This collaborative model offers a replicable, theoretically grounded framework for expanding evidence-based cancer prevention to emerging adult populations through institutional partnerships.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2199-2204"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638880","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}
Emily M Douglas, Emma J Morgan, Leticia Sanchez, JoseCarlos Aguilar, Iliana Woodhull
{"title":"Health communications about infant abandonment and safe haven laws: recommendations from a diverse sample of university students in the U.S.","authors":"Emily M Douglas, Emma J Morgan, Leticia Sanchez, JoseCarlos Aguilar, Iliana Woodhull","doi":"10.1080/07448481.2026.2660181","DOIUrl":"10.1080/07448481.2026.2660181","url":null,"abstract":"<p><strong>Objective: </strong>It is estimated that annually, several hundred infants are abandoned in the United States. Infant safe haven laws (SHLs) allow parents to legally surrender their infants, but knowledge of these laws is limited and use of SHLs may be tied to racial. Most infants are abandoned or relinquished by young adults; the primary targets of SHLs are young adults and yet, their knowledge and where they learned about SHLs remains unexamined.</p><p><strong>Methods: </strong>Using a quantitative, online survey, this study examined the knowledge of SHLs and recommendations concerning public health communications regarding SHLs of a diverse sample of university students (<i>n</i> = 222).</p><p><strong>Results: </strong>Findings showed modest knowledge about SHLs (59.1%); most students learned about SHLs from the media and TV shows; recommendations about how to communicate with the public varied by some racial characteristics.</p><p><strong>Conclusions: </strong>This brief ends with recommendations for how to educate a diverse university population about SHLs and recommendations for future research.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2208-2212"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147772171","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}
Julia C Hews-Girard, Anne Duffy, Emma Cullen, Thomas Qiao, Noah Furlani, Kayla Brill, Scott Patten, Nathan King, Jennifer E Thannhauser, Andrew C H Szeto, Gina Dimitropoulos
{"title":"Exploring undergraduate student perceptions of the appropriateness of standardized mental health screening measures: a qualitative descriptive study.","authors":"Julia C Hews-Girard, Anne Duffy, Emma Cullen, Thomas Qiao, Noah Furlani, Kayla Brill, Scott Patten, Nathan King, Jennifer E Thannhauser, Andrew C H Szeto, Gina Dimitropoulos","doi":"10.1080/07448481.2026.2661245","DOIUrl":"10.1080/07448481.2026.2661245","url":null,"abstract":"<p><strong>Objectives: </strong>Stepped care models (SCM) for mental health support use standardized measures to assess post-secondary students' mental health and assign care. Understanding students' perceptions of these measures and data use is essential for effective outcomes. This study explored students' views regarding utility of standardized measures and their recommendations for data use by providers.</p><p><strong>Participants: </strong>Eighteen Canadian undergraduates who completed a survey with standardized measures and a diagnostic interview.</p><p><strong>Methods: </strong>Semi-structured Zoom interviews. Codebook thematic analysis identified key themes.</p><p><strong>Results: </strong>Most participants self-identified as female and South/East Asian or Canadian. Three themes emerged: <i>Enhanced Engagement and Empowerment, Greater Responsiveness to Diversity and Context,</i> and <i>Data-Driven Improvement.</i> Students reported that completing measures increased self-awareness and engagement. Students wanted their data to inform improvements to campus-based services.</p><p><strong>Conclusions: </strong>Standardized measures can enhance student self-awareness and empowerment. The ability to contextualize experiences and using student data to inform care may inform more effective support.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2306-2315"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838085","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}
Qingqing Yin, Annabelle M Mournet, Shireen L Rizvi, Evan M Kleiman
{"title":"Latent profiles of emotion coping behaviors among college students with suicidal thinking.","authors":"Qingqing Yin, Annabelle M Mournet, Shireen L Rizvi, Evan M Kleiman","doi":"10.1080/07448481.2026.2655965","DOIUrl":"10.1080/07448481.2026.2655965","url":null,"abstract":"<p><p><b>Objective:</b> Rates of suicidal thoughts and behaviors are elevated among college students. Improved understanding of the emotion coping strategies employed by college students is critical for informing suicide interventions teaching coping skills. <b>Participants:</b> The current study involved 334 college students who completed momentary questions about suicidal and self-harm thinking and daily questions about coping behaviors for 8 wk. <b>Method:</b> We conducted latent profile analysis to derive subgroups based on their engagement of coping behaviors and compared outcomes of suicidal/self-harm thinking across subgroups. <b>Results:</b> The best fitting model yielded three subgroups: (1) \"low engagers\" with a low frequency of coping behaviors; (2) \"selective engagers\" who most frequently endorsed mindfulness, acceptance, distraction, avoidance, and intentional no coping; and (3) \"broad engagers\" with a broad repertoire of effective and ineffective strategies. Engagement in a broad repertoire was associated with less suicidal or self-harm thinking, whereas no outcome differences were found between those with limited or narrow repertoires. <b>Conclusions:</b> The results provide empirical evidence for the importance of arming college students with a variety of coping strategiesfor suicide intervention and prevention purposes.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2290-2296"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147771506","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 role of sleep hygiene in the co-occurrence of GAD and MDD symptoms in an undergraduate sample.","authors":"Anna K Quesada, Matt R Judah, Morgan Middlebrooks","doi":"10.1080/07448481.2026.2653180","DOIUrl":"10.1080/07448481.2026.2653180","url":null,"abstract":"<p><p><b>Objective:</b> Sleep hygiene may contribute to the frequent co-occurrence of major depressive disorder (MDD) and generalized anxiety disorder (GAD), which is linked to more severe impairment than either disorder alone. MDD and GAD share sleep dysfunction, which may involve poor sleep hygiene. This study tested whether poor sleep hygiene strengthens the relationship between GAD and MDD symptoms. <b>Participants:</b> 180 undergraduate students from a large Southern university participated. <b>Methods:</b> In this cross-sectional design, participants completed measures of anxiety, depression, and sleep hygiene. Moderation analyses were conducted to examine whether sleep hygiene altered the association between GAD and MDD symptoms. <b>Results:</b> Analyses revealed that the positive relationship between GAD and MDD symptoms was stronger among individuals reporting poorer sleep hygiene, particularly in environmental and behavioral domains. <b>Conclusions:</b> These findings support the role of sleep hygiene in the co-occurrence of GAD and MDD symptoms. Poor sleep hygiene may intensify symptom co-occurrence, highlighting the importance of targeting sleep-related behaviors in interventions for young adults experiencing GAD and MDD symptoms.</p>","PeriodicalId":14900,"journal":{"name":"Journal of American College Health","volume":" ","pages":"2256-2261"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638915","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}