National College Health Assessment III 2022

The ACHA-National College Health Assessment III (NCHA) is a nationally recognized survey that assists college health service providers, educators, counselors, wellness programmers, and administrators in collecting data about their students’ health habits. The survey provides a comprehensive picture on student health behaviors, perceptions of health, and identifies prevalent health issues on campus. The topic area of this survey consists of issues on campus concerning alcohol, tobacco, drug use, sexual health, weight management, exercise, nutrition, mental health, personal safety and violence. Different campus communities vary in need, and these data collected provides invaluable feedback on how we can better provide relevant resources, services, and programs for our campus community.

To support the recommendations and the requirements of the Drug Free Schools and Communities Act (DFSCA) and Drug Abuse and Alcohol Prevention Program (DAAPP), this biennial survey influences campus policies that address the possession, use and distribution of alcohol and illicit drugs, as well as drug and alcohol prevention programming on campus. More information on DFSCA and DAAPP can be found HERE.

Below are the key findings and action items based off the National College Health Assessment III 2022 survey results. A full executive summary can be found HERE.

Survey Respondent Demographics

17.9% of HSC students participated in this survey (413 survey responses).

  • 70.9% Cis Women
  • 25.2% Cis Men
  • 1.7% Transgender/ Gender Non-conformning

General Health and Campus Climate

  • 58.1% of students surveyed described their health to be very good or excellent.
  • 95.0% of respondents described their health as good, very good or excellent.
  • 70.5% of respondents felt that they belonged at HSC.
  • 59.3% of respondents felt that student health and well-being is a priority at HSC.
  • 68.0% of respondents felt that the campus climate encourages free and open discussion of students’ health and well-being.
  • 66.3% of respondents felt that the campus community looked out for each other.

Nutrition, BMI, Physical Activity, and Food Security

35.9% of respondents reported drinking 0 sugar-sweetened beverages within 7 days of taking the survey.

63.0% of respondents reported drinking 0 energy drinks within 30 days of taking the survey.

Within 7 days of taking the survey, 13.8% respondents reported eating 3 or more servings of fruit per day and 29.5% reported eating 3 or more servings of vegetables.

  • BMI
    • 52.5% of respondents had a BMI within the healthy weight range (18.5 – 24.9), 26.6% fell within the overweight range (25 – 29.9), and 8.6% fell within the obese range (30 – 34.9).
  • Physical Activity
    • 57% of respondents met the guidelines for aerobic exercise only.
    • 37.0% of respondents met the criteria for Active Adults.
    • 27.9% of respondents met the criteria for Highly Active Adults.
  • Food Security
    • In the 30 days leading up to the survey, 21.5% of respondents reported experiencing low food security, and 10.5% reported very low food security.
    • In the 30 days leading up to the survey, 32.0% of respondents reported experiencing any food insecurity.

Health Care Utilization

Within the last 12 months, respondents reported experiencing the following:

  • 26.3% receiving psychological or mental health services.

Of the respondents who received psychological or mental health services, 35.2% of students used a resource on campus.

  • 76.6% visited a medical provider within the last 12 months.
    • 55.9% used campus health center.
    • 51.5% used medical service provider in their home town.

Impediments to Academic Performance

Within the last 12 months, students reported the following factors negatively impacting their individual academic performance:

  • 38% Procrastination
  • 33% Stress
  • 26% Anxiety
  • 25% Ongoing/chronic condition
  • 15% Sleep difficulties
  • 14% Depression

Violence, Abusive Relationships, and Personal Safety

Within 12 months of taking the survey, students reported the following experiences with violence, abusive relationships, and personal safety:

  • 2.7% Verbal threat
  • 1.7% Sexual touching without their consent
  • 0.5% Sexual penetration without their consent
  • 2.2% Being the victim of stalking
  • 7.1% A partner called me names, insulted me, or put me down to make me feel bad.
  • 39.9% of college students felt very safe on campus at night
  • 24.5% felt very safe in the community surrounding campus at night

Tobacco, Alcohol, and Other Drug Use

Within 3 months of taking the survey, students reported the following concerning tobacco, alcohol, and other drug use:

  • 9.9% Tobacco products.
    • Cigarettes(2.4%) and E-cigarettes (6.5%) were most reported.
  • 63.9% Alcoholic beverages.
  • 12.3% Cannabis.
  • 2.2% Prescription stimulants for nonmedical use.
  • 1.2% Hallucinogens.
  • 0.5% Prescription opioids for nonmedical use.
  • 0.9% of students surveyed indicated they were in recovery from alcohol or other drug use.

Within 30 days of taking the survey, of the respondents who reported driving and drinking or driving and using cannabis within the past 30 days:

  • 17.1% reported driving after having any alcohol.
  • 27.3% reported driving within 6 hours of using cannabis.

Of survey respondents who drank alcohol reported experiencing the following in the last 12 months when drinking:

  • 10.0% Did something they later regretted
  • 4.9% Blackout
  • 13.5% Brownout
  • 6.5% Had unprotected sex
  • 1.3% Physically injured themselves
  • 0.0% Seriously considered suicide

Sexual Behavior

  • 41.3% of respondents had vaginal intercourse within two weeks of taking the survey
  • 32.0% or respondents had oral sex within two weeks of taking the survey
  • 1.8% had anal sex within two weeks of taking the survey

Of the respondents who were sexually active within 12 months of taking the survey reported the following number of sexual partners:

    • 1 Partner: 83.7%
    • 2 Partners: 6.2%
    • 3 Partners: 3.9%
    • 4 Or more partners: 5.8%

Of the respondents who were sexually active within 30 days of taking the survey used a condom “most of the time” or “always” when engaged in:

    • 26.9% Vaginal Intercourse
    • 5.6% Oral sex
    • 15.4% Anal intercourse

Of the respondents who had vaginal intercourse within the last 12 months, 79.5% used some form of contraception.

Mental Health and Wellbeing

Regarding psychological distress and loneliness:

    • 35.0% of respondents had no or low psychological distress.
    • 50.9% of respondents had moderate psychological distress.
    • 14.1% of respondents had serious psychological distress.
    • 41.5% of respondents scored positive for loneliness.

3.2 % of respondents indicated they had intentionally cut, burned, bruised, or otherwise injured themselves within the last 12 months.

0.5% of respondents indicated they had attempted suicide within the 12 months leading up to the survey, and 19.7% of respondents had a positive suicidal screening.

Within the 12 months leading up to the survey, respondents’ overall level of stress was the following:

    • 2.5% No stress
    • 20.9% Low stress
    • 48.5% Moderate stress
    • 28.1% High stress

Ongoing or Chronic Conditions

  • Survey respondents were diagnosed with the following chronic conditions at some point in their lives:
    • 25.1% Anxiety
    • 19.2% Depression
    • 10.7% ADD/ADHD
    • 2.5% Obsessive-compulsive and related conditions
    • 3.7% PTSD
    • 2.0% Eating disorders

Sleep

In the 7 days leading up to the survey, respondents reported the following about how many days they experienced daytime sleepiness:

    • 3.9% 0 days
    • 21.5% 1-2 days
    • 44.1% 3-5 days
    • 30.5% 6-7 days

In the 7 days leading up to the survey, respondents reported the follow about how many days a week they felt well rested:

    • 18.0% 0 days
    • 39.5% 1-2 days
    • 31.7% 3-5 days
    • 10.7% 6-7 days