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Objective: The current paper presents a comparison of university policies and health and academic accommodations offered to undergraduate students following sexual assault (SA) and sports-related concussions (SRC). Procedures and protocols for universities to consider adapting from their SRC policies to their SA policies are detailed. Participants: The SRC and SA policies at the 50 United States public flagship universities were analyzed. Methods: The research team coded for a number of policy details including health referrals, academic and financial accommodations, and requirements for follow-up with university personnel. Results: Compared to SA polices, SRC policies at the public flagship universities offer more comprehensive academic accommodations and physical and mental health resources. Conclusions: Comprehensive policies for student SA survivors, like those available for students who suffer SRCs, would improve student health and academic outcomes and increase SA survivors' likelihood of graduating college, thereby reducing individual and societal human capital loses.

Objective: Colleges are at risk for communicable disease outbreaks because of the high degree of person-to-person interactions and relatively crowded dormitory settings. This report describes the US college student health screening requirements among US resident and international students for tuberculosis (TB) and vaccine-preventable diseases (VPDs) as they relate to the American College Health Association (ACHA) guidelines. Methods/Participants: In April 2012, US college health administrators (N = 2,858) were sent online surveys to assess their respective school's TB screening and immunization requirements. Results: Surveys were completed by 308 (11%) schools. Most schools were aware of the ACHA immunization (78%) and TB screening (76%) guidelines. Schools reported having policies related to immunization screening (80.4%), immunization compliance (93%), TB screening (55%), and TB compliance (87%). Conclusion: Most colleges were following ACHA guidelines. However, there are opportunities for improvement to fully utilize the recommendations and prevent outbreaks of communicable diseases among students in colleges.

To determine the prevalence and characteristics of food insecurity among female collegiate athletes. NCAA Division I female athletes attending a public university located in East Texas in 2018. A prospective cross-sectional online survey was employed to gather quantitative and qualitative data regarding food security status. Participants were instructed to complete the 26-item questionnaire, including the six-item USFSSM. Participants (N = 78) were 18–22 years of age, largely white (75%). Despite most (89.74%) receiving some form of scholarship and 80% reporting provision of some meals, 32.10% were classified as food insecure. Barriers to food intake were two-fold higher among the food insecure (88% vs 43%, p <.001); limited time (43.6%) and finances (23.1%) were the most frequently reported barriers. Despite university support, food insecurity exists in female collegiate athletes. Outcomes warrant screening for food insecurity, referral to support resources throughout matriculation, and tailored intervention programs. [ABSTRACT FROM AUTHOR]

Abstract Objective: This study explores the perceptions of mindfulness among students and administrators in a university setting. Participants: In Study 1, six focus groups were conducted with 34 students. In Study 2, semi-structured interviews were conducted with six administrators involved with implementing mindfulness-based activities. Methods: Thematic analysis was used to analyze the data in Study 1. Study 2’s data were examined according to the 4 major themes found in Study 1. Results: Students acknowledged the difficulty in defining the concept of mindfulness, yet its overall value for improving mental wellbeing was largely affirmed. Administrators perceived mindfulness as beneficial for students, but they expressed concern over low attendance at university-sponsored programs. Conclusions: For universities to harness the benefits of mindfulness, it is recommended that administrators mitigate barriers by having clearer guidance, preparing for emotional challenges, and integrating the practice into teaching, learning, and everyday activities. [ABSTRACT FROM AUTHOR]

Abstract College immunization policies vary. To evaluate the landscape of college immunization programs, we distributed a 45-item survey to college health administrators between July and September 2021. Items measured perceptions of institutionally recommended and required vaccines, enforcement strategies, barriers to vaccine uptake, and the impact of the COVID-19 pandemic. Of 566 invitations sent, only 66 college health administrators completed the survey (11.7% response rate). The majority of participating institutions (89%) required at least one vaccine, with measles-mumps-rubella (MMR) being the most commonly required (83%). Geographic region, school type, or size was not significantly correlated with immunization policies but state-level political leanings were. Common barriers to vaccine program implementation identified by respondents included student-based and institutional concerns. The COVID-19 pandemic was described as both exacerbating existing immunization program barriers and providing opportunities to strengthen programs. Future work will evaluate identified themes in a larger study population and monitor change in perceptions over time. [ABSTRACT FROM AUTHOR]

The Clery Act was created to provide transparency around campus safety, including sexual assault. This includes making timely warnings to the campus community about safety threats on campus. While all universities are mandated to follow the Clery Act, the legislation does not provide guidance on what language universities should employ, how much leeway an institution has in determining if a sexual assault represents an immediate public safety threat, or recommended best practices for Timely Warning Notices. The need for guidance is evident to address timeliness, language, and prevention science. Victim blaming, racial/ethnic stereotypes and LGBTQ + inclusivity can all be implied through the nature of recommendations that colleges offer. Language matters, especially when timely warnings are one of the few forms of communication a university sends to everyone affiliated with their institution. We provide recommended next steps for researching timely warnings as a sexual assault prevention tool. [ABSTRACT FROM AUTHOR]

Globalization has become a major force in higher education. Yet, far too little attention has been paid to the effects of the globalization of higher education, whether positive or adverse, on student health. We examine the applicability of the perspectives on the benefits and challenges of globalized healthcare to university student health. Specifically, we question: (1) Do the international healthcare resources adequately meet the needs of adolescents who are living and studying outside their home country? (2) Is a Western framework of medicine being imposed on non-Western cultures? (3) Can student health regulations, best practices, and policies be implemented at an international level? We conclude each section with modest proposals. Our hope is that this article will start the conversation that will expand the research and broaden the perspectives on the globalization of higher education for the benefit of students and the universities and healthcare providers that serve them. [ABSTRACT FROM AUTHOR]

Objective Examine the sociodemographic and gun possession factors associated with gun policy attitudes among undergraduates. Methods Undergraduates at a west coast university (N = 1,474) completed a questionnaire with measures of country of birth, political ideology, gender identity, gun possession at one's own residence, friends' and family's gun possession, and attitudes about concealed carry, ban on assault weapons, and guns at home. Results Participants born outside of the United States are likely to oppose all types of gun policies; the effects of gender identity and political ideology are consistent with existing research, with conservatism supporting policies that make more guns available, and female and gender-identity-minority participants opposing them; and the effects of gun possession are not fully consistent with existing research. Conclusion More research is needed to reconcile the results. University administrators may employ this study's main takeaways to tailor programs for foreign-born students, female students, and politically motivated students. [ABSTRACT FROM AUTHOR]

Objective: Students are at risk of food insecurity. We aimed to determine: the prevalence of food insecurity among students; the variables associated with student food insecurity; and appropriate solutions. Participants: We collected data from 339 students at a large state university in the western United States between December 2016 and February 2017. Methods: We used an anonymous online survey that incorporated the USDA US Six-Item Short Food Security Survey. Results: First, 54% of respondents had been food insecure within the last year. Second, students in receipt of financial aid were significantly more likely to be food insecure. Third, respondents proposed solutions to student food insecurity that included on-campus food assistance programs, education initiatives, and off-campus food assistance programs. Conclusions: Our paper contributes to a growing body of knowledge about the extent and causes of, and solutions to, food insecurity among college students. [ABSTRACT FROM AUTHOR]

Objective: This study's purpose was to examine the prevalence and sociodemographic factors associated with stalking victimization among a diverse sample of college students. Participants: Data were collected through a cross-sectional survey administered in November 2015 to students 18 and older on 8 academic universities in a Southwestern university system (N = 26,417). Methods: Descriptive statistics were used to assess the prevalence of stalking experiences across student populations. Multivariate logistic regression was used to examine associations between sociodemographic factors and stalking victimization. Results: A total of 17.4% of students reported stalking victimization since entering college. Cisgender females, transgender/gender-nonconforming, and sexual minority students had higher odds of stalking victimization than their counterparts, whereas Latino/a students had lower odds of stalking victimization compared to White nonHispanic students. Conclusions: A notable proportion of college students have experienced stalking. Disparities found among student populations are concerning and warrant further investigation. [ABSTRACT FROM AUTHOR]

Objective: Participation in recreational sport clubs on campus is a popular student activity nationwide. These sport-based organizations provide a host of benefits within recognized dimensions of health and wellness. Understanding participants' motives for engaging in these types of activities can provide insight in design and delivery and enhance participant health. This study focuses on outcomes related to the social motivations for participation in a recreational sport swim club and their potential relationship to social health. Participants: Current members of recreational swimming clubs were contacted for participation in the study from March-April 2016. Methods: A Leisure Motivation Scale (LMS) survey was sent electronically to 196 collegiate swim clubs nationwide. Aggregate and multivariate analyses from 1011 responses were conducted to examine the social motivation and motivational differences of participants. Results: Social motivations emerged as the predominate motivational construct, indicating important implications for social health improvement through participation. Demographically, results indicated no statistically significant differences in social motivation factors based on participant gender, and statistically significant differences within participant race, university affiliation and practice frequency. Conclusions: Impacts of these findings are important for practitioners and participants when evaluating the potential these programs have to influence participant social health. [ABSTRACT FROM AUTHOR]

Objective: Tobacco-control policy proposals are usually met with opposition on college campuses. Research to understand students’ viewpoints about health-related policy proposals and messaging strategies, however, does not exist. This study investigated students’ perceptions about a smoke-free policy proposal to help understand their positions of support and opposition and to inform the development of effective messaging strategies.Participants: In January 2012, 1,266 undergraduate students from a midwestern university completed an online questionnaire about smoke-free campus policies.Methods: Responses were coded and analyzed using Linguistic Inquiry and Word Count software and chi-square, independent-samplesttests, and binary logistic models.Results: Most students who supported a smoke-free policy considered environmental or aesthetic conditions, whereas most opponents used personal freedom frames of thought. Supporters viewed smoking policies in personal terms, and opponents suggested means-ends policy reasoning.Conclusions: Taken together, points of reference and emotions about proposed policies provided insight about participants’ perspectives to help inform effective policy advocacy efforts. [ABSTRACT FROM PUBLISHER]

Objective: This study reviews an initiative to educate providers on pediatric cancer survivor care and to establish a cancer survivor registry in a college health center.Participants: Participants were University of Georgia (UGA) college health providers.Methods: Providers attended lectures on survivor care and were encouraged to register on Cancer SurvivorLink. Changes in provider familiarity and practice were measured using baseline and follow-up surveys. A survivor registry was created using health entrance forms and medical records abstraction.Results: Twenty-four providers registered on SurvivorLink, and 16 completed both surveys. Familiarity with survivor care (p= .003) and a survivor health care plan (p= .016) increased. Likelihood to deliver survivor care increased (p= .01). UGA follows 95 survivors; 71 diagnosed at < 21 years. Among survivors diagnosed at < 21 years, 91% reported their diagnosis on entrance forms.Conclusions: Through education and optimization of health informatics, college health centers can identify and provide survivor care to this medically vulnerable population. [ABSTRACT FROM PUBLISHER]

Substance use and abuse among pharmacy students is a concern of pharmacy schools, boards of pharmacy, and training sites alike. Pharmacy students must complete approximately 30% of their academic coursework in experiential settings such as community pharmacies, hospitals, and other health systems as part of any accredited pharmacy school's curriculum, and these training sites are starting to require drug testing of pharmacy students as part of their contractual agreements with schools of pharmacy. The authors describe the implementation of a mandatory random urine drug screening program at their school as well as the changes that occurred owing to assessment of the program. The authors report the basic results to date of the drug screening program. The authors also speculate on secondary benefits of the drug screening program. Finally, the authors describe current and future evaluations that they are undertaking regarding this program. [ABSTRACT FROM AUTHOR]

Hearing the national call for higher education accountability, the author of this tripartite article urges university administrators to move towards a more data-driven approach to counseling center supervision. Toward that end, the author first examines a key factor—perceived increase in student pathology—that appears to shape budget and staffing decisions in many university centers. Second, she reviews the emerging but conflicting research of clinician-scholars who are trying to empirically verify or refute that perception; their conflicting results suggest that no study alone should be used as the “final word” in evidence-based decision-making. Third, the author delineates the campus-specific data that should be gathered to guide staffing and budgeting decisions on each campus. She concludes by reminding readers that data-driven decisions can and should foster high-quality care that is concurrently efficient, effective, and in sync with the needs of a particular university and student body. [ABSTRACT FROM PUBLISHER]

Objective: The authors estimated the number of violations of a university policy that prohibited smoking within 25 ft of all campus buildings. Participants: The project was conducted by 13 student researchers from the university and a member of the local public health department. Methods: Students quantified cigarette butts that were littered in a 30-day period inside the prohibited smoking area of 7 campus buildings (large residential hall, small residential hall, administrative building, 2 academic buildings, campus cafeteria, and student union). Results: Investigators found a total of 7,861 cigarette butts (large residential hall: 1,198; small residential hall: 344; administrative building: 107; 2 academic buildings: 1,123 and 806; campus cafeteria: 2,651; and student union: 1,632). Conclusions: Findings suggest that there is low compliance with the university's smoking policy. The described project may be repeated by students at other universities as a method to advocate for policy change. [ABSTRACT FROM PUBLISHER]

Objective: Multicomponent tobacco control programs have been implemented at the state and community levels and have led to a reduction in tobacco use. The purpose was to review the public health research literature on tobacco prevention and control programs on college campuses and derive evidence-based implications for comprehensive program implementation. Methods: MEDLINE, PsycINFO, ERIC, and PubMed databases were used to search the research literature concerning tobacco prevention and control programs conducted on college campuses published between 2000 and 2009. Results: No studies were found that implemented all 5 recommended components of a comprehensive program. Tobacco control programs containing policy and prevention education were used the most and promotion of tobacco-free environments and banning sales of tobacco products were used the least. Conclusion: The review suggests that despite the recommendation of comprehensive tobacco control programs to reduce tobacco use on college campuses, few institutions have implemented and evaluated programs consisting of multiple components. [ABSTRACT FROM AUTHOR]

Objective: Researchers examined the prevalence of self-identified and researcher-identified stalking victimization among college students. Participants and Methods: A representative sample of 1,573 (70.1% female; 29.9% male) student respondents completed an online stalking questionnaire. Results: Overall, 12% self-identified as having been stalked. Additionally, 42.5% (45.4% female; 35.7% male) of students reported experiencing at least 1 behavioral indicator of stalking victimization; however, only 24.7% of those self-identified as being stalked (25.6% female; 22.0% male). Conclusions: Stalking is a serious problem in the college community. A concern that needs to be addressed is the disparity between the number of those who met the behavioral criteria for stalking victimization, but who did not self-identify as a victim. The consequences of stalking victimization are highlighted. Recommendations for addressing this issue on campus are detailed in a plan that may help improve the retention, progression, and graduation rates for stalking victims. [ABSTRACT FROM AUTHOR]

Objective: Rates of serious mental illnesses (SMIs) among university students are increasing, and universities are struggling with how to respond to students who show SMI symptoms. Psychiatric advance directives (PADs) allow individuals, when well, to document their wishes for treatment during a psychiatric crisis. This project explored the feasibility of using PADs in university settings by examining students’ views towards PADs. Participants: Forty university students with SMIs were recruited for this study from 1 large university. Methods: A mixed-methods design was used, with both quantitative survey instruments and qualitative interviews with students. Results: Respondents were positive about PAD utility for students. Respondents saw PADs as beneficial because PADs gave students control over their treatment. However, students also considered PADs potentially problematic because PAD use raised a risk of breaching student privacy and stigmatizing students with SMIs. Conclusions: Although a promising intervention for students with SMI, this approach requires further research. [ABSTRACT FROM PUBLISHER]

Objective: Develop a tool to ease the burden of H1N1 influenza on a campus clinic by promoting self-care, generating medical notes, and identifying vulnerable students. Participants: Students at Brock University, a mid-sized urban campus; Brock's Student Health Services; and Niagara Public Health. Methods: Students accessed a controlled portal of Brock's Web site and self-identified onset/offset of influenza-like symptoms. Daily sign-in numbers were monitored and nonidentifiable aggregate data transferred to the local public health unit. Results: There was concordance among the number of college students signing in, local school absenteeism rates, and local rates of laboratory-confirmed influenza. Many visits to the campus health clinic were averted, 1,432 students used the tool. Conclusion: The online, real-time surveillance tool was effective in monitoring influenza activity on campus, providing timely health advice, decreasing unnecessary visits to the campus medical clinic, and assisting local public health in surveillance activities. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to examine challenges and recommendations (identified by college administrators) to enforcing alcohol policies implemented at colleges in the southeastern United States. Methods: Telephone interviews were conducted with 71 individuals at 21 institutions. Results: Common challenges included inconsistent enforcement, mixed messages received by students, and students' attitudes toward alcohol use. The most common recommendations were ensuring a comprehensive approach, collaboration with members of the community, and enhanced alcohol education. [ABSTRACT FROM AUTHOR]

This article presents an historical review of the organization known as Student Health Services at Academic Medical Centers (SHSAAMc). The authors discuss characteristics of health service directors as well as the history of meetings, discussion, and leadership. The focus of the group is the healthcare needs of health professions students at academic medical centers. [ABSTRACT FROM AUTHOR]

Universities are taking a more active approach in understanding and monitoring employees’ modifiable health risk factors and chronic care conditions by developing strategies to encourage employees to start and sustain healthy behaviors. WellBama, the University of Alabama's signature health and wellness program, utilizes a collaborative model in partnership with select colleges and departments to implement strategies to improve employees’ health status. The program provides onsite health screenings and assessments, timely health advising sessions, assistance in setting and monitoring individual health goals to promote improved health, and preventive examination referrals. [ABSTRACT FROM PUBLISHER]