Mental Health Disparities Among College Students of Color

Lipson, Sarah Ketchen; Kern, Adam; Eisenberg, Daniel; Breland‐Noble, Alfiee M.

doi:10.1016/j.jadohealth.2018.04.014

Cited by 315 publications

(173 citation statements)

References 31 publications

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“…In Study B, we estimated ORs from unadjusted logistic regressions for suicidal ideation and suicide attempts with eating disorder symptoms (WCS, binge eating, purging) as the independent variable of interest. For suicidal ideation, we also estimated adjusted models controlling for the following covariates: (a) age (18-22, 23-25, 26-30 (Lipson, Kern, Eisenberg, & Breland-Noble, 2018).…”

Section: Discussionmentioning

confidence: 99%

Understanding suicide risk and eating disorders in college student populations: Results from a National Study

Lipson

Sonneville

2019

Intl J Eating Disorders

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Objective To examine suicide risk by eating disorder severity and symptom presentation in a nationwide sample of college students. Method The Healthy Minds Study is the largest mental health survey of college populations in the United States. We analyzed the most recent available data (2015–2017) with 71,712 randomly selected students from 77 campuses. We estimated associations between two measures of suicidality (ideation and attempts) and three validated measures of eating disorder symptoms (the SCOFF, weight concerns scale, and the eating disorder examination questionnaire binge and purge items). Importantly, we also controlled for co‐occurring symptoms of depression and anxiety, based on validated screening tools. The large, diverse sample provided a unique opportunity to assess whether certain individual characteristics were associated with increased risk. Results Eating disorder symptoms, even at subthreshold levels, were highly predictive of suicidality. Relative to students with no apparent eating disorder symptoms, students with the highest symptom levels (a SCOFF score of 5) had 11 times higher odds of attempting suicide, while those with subthreshold symptoms had two times higher odds. We also observed a strong association between suicide attempts and eating disorder presentations that included purging. Students from marginalized backgrounds, particularly gender and sexual minorities, were at increased risk for suicide and eating disorders. Discussion In the largest known study to date, findings suggest that eating disorders should be a priority within broader campus suicide prevention efforts, should be assessed along a continuum of severity and symptom presentation, and should focus on reaching vulnerable students.

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Section: Discussionmentioning

confidence: 99%

Understanding suicide risk and eating disorders in college student populations: Results from a National Study

Lipson

Sonneville

2019

Intl J Eating Disorders

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“…T h e p r e s e n t s t u d y m a y i n f o r m t h e d e s i g n a n d implementation of mHealth interventions on college campuses, as it demonstrated that racially diverse emerging adult college students have high smartphone ownership and usage rates, and unique preferences for text messages that may be implemented in new or via refinements to existing mHealth interventions. The pervasiveness of such ownership and use identified in the present study, for one, is particularly noteworthy in light of evidence that adults with racial and ethnic minority identities exhibit poorer physical and mental health and engage with healthcare services less frequently than their majority counterparts (10,11,43). As such, employing mobile technology to deliver health-related interventions to these populations may prove particularly advantageous in advancing the holistic health of minority groups in need of care.…”

Section: Clinical and Research Implicationsmentioning

confidence: 66%

“…This suggests smartphones are more commonly owned by college students than age-matched non-students and may serve as an advantageous outlet for delivering interventions to college students in particular. Considered alongside the low help-seeking rates for in-person treatment among college students (9)(10)(11), and that use of mobile technology can overcome common barriers to seeking in-person care, such as personal stigma and time constraints (3,4), employing mHealth treatments to augment this population's health may be worthwhile.…”

Section: Overall Mobile Phone Plan and Use Characteristicsmentioning

confidence: 99%

“…In particular, college students report relatively high rates of anxiety (11-17%), depression (14-17%), and suicidality (6-11%) (5,6), and engage in maladaptive health behaviors and inadequate levels of health promoting behaviors (5,7,8), which can adversely impact their psychosocial and physiological wellbeing. Despite these data, few seek treatment for affective or behavioral concerns (9)(10)(11) due to barriers such as stigma, lack of perceived need for care, and time constraints (9). Disconcertingly, male and ethnic minority college students seek and engage in treatment less frequently than female and White students (10,11), highlighting the need for developing novel means of engaging diverse populations in treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Despite these data, few seek treatment for affective or behavioral concerns (9)(10)(11) due to barriers such as stigma, lack of perceived need for care, and time constraints (9). Disconcertingly, male and ethnic minority college students seek and engage in treatment less frequently than female and White students (10,11), highlighting the need for developing novel means of engaging diverse populations in treatment. mHealth platforms can overcome multiple help-seeking barriers (3,4), and thus, may serve as a valuable means of delivering care to these individuals.…”

Section: Introductionmentioning

confidence: 99%

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Mobile technology use and mHealth text message preferences: an examination of gender, racial, and ethnic differences among emerging adult college students

Heron¹,

Romano

Braitman³

2019

mHealth

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Background: Mobile health (mHealth) interventions are a potentially feasible way of targeting emerging adult college students' physical and mental health concerns, decreasing health-risk, and augmenting health promoting behaviors. However, there is limited evidence attesting to advantageous ways of designing mHealth treatments in a manner that is apt to be well-received by emerging adult college students at large, and gender, racial, and ethnic subgroups in particular. To address these research gaps, this exploratory study examined general trends, and gender (male, female), racial (White, Black), and ethnic (Latino, non-Latino) differences, in emerging adult college students' mobile technology ownership and phone plan characteristics, technology use behaviors, and mHealth text message preferences. Methods: Participants included 1,371 college students aged 18 to 25 (20.54±1.80) years. Between July 2015 and April 2016, students from three universities in the Mid-Atlantic United States completed an online survey assessing technology use. Descriptive statistics and chi-square tests were run to answer primary study questions. Results: Results suggest that students frequently engage with mobile devices and inherent features. Overall, nearly all (99.5%) students owned smartphones, 89.5% had long-term phone contracts, 94.6% had unlimited texting, and 38.6% reported having unlimited data plans. Further, 96.8% reported texting, 92.0% accessing email, 97.3% accessing the internet, and 97.2% using apps on their mobile devices at least once per day. When asked about the types of text messages they would prefer to receive in the context of mHealth interventions, most students preferred messages that did not contain textese, were longer vs. shorter, contained a single vs. multiple exclamation marks, had a smiley face emoticon, used capitalization for emphatic purposes, contained a statement vs. a question, were polite in tone, and were non-directive. There was also multiple gender, racial, and ethnic group differences in mobile device ownership and plan attributes, usage patterns, and text message preferences. Conclusions: The present research provides evidence that smartphones are commonly used by college students and may be a feasible platform for health intervention delivery among diverse student groups. mHealth interventions could use the present results to inform the design of future mHealth interventions and, in turn, increase the acceptability, usability, and efficacy of such treatments for college students at large and diverse student groups in particular.

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Muslim Young Adult Mental Health and the 2016 US Presidential Election

et al. 2020

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Role of the Funder/Sponsor: The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. Disclaimer:The opinions, findings, and conclusions herein are those of the authors and not necessarily represent those of the Regents of the University of California or any of its programs.

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Mental Health Disparities Among College Students of Color

Cited by 315 publications

References 31 publications

Understanding suicide risk and eating disorders in college student populations: Results from a National Study

Understanding suicide risk and eating disorders in college student populations: Results from a National Study

Mobile technology use and mHealth text message preferences: an examination of gender, racial, and ethnic differences among emerging adult college students

Muslim Young Adult Mental Health and the 2016 US Presidential Election

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