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Background: Stress and depression are common mental health concerns among college students. Factors related to weight status and stigma are associated with poor mental health outcomes. We sought to describe the prevalence of weight dissatisfaction in relation to stress and depression among college students (n = 551). Methods: A cross-sectional study was conducted via a convenient sample between December 2020 and February 2021. Mean differences in the Perceived Stress Scale-10 scores and Center for Epidemiologic Studies Depression Scale scores were examined using a one-way analysis of variance. Associations between stress, depression, and weight dissatisfaction were measured by logistic regression. Results: Weight dissatisfied (75.1%) students had significantly higher mean depression scores compared to weight satisfied. The weight dissatisfied students were 1.05 times more likely to be depressed compared to those who were weight satisfied. Significant mean differences in stress and/or depression were found for weight dissatisfied students by gender, race, parental status, marital status, residence, and U.S. citizenship. Weight dissatisfaction was higher than that reported in the literature, possibly due to the influence of social isolation during the COVID-19 pandemic. Conclusions: Strategies to reduce the prevalence of weight dissatisfaction for improved mental health should be explored, particularly efforts to reduce weight stigmatization and expand access to mental health care. [ABSTRACT FROM AUTHOR]

Ten percent of Americans are food-insecure. Few known studies have accessed college food insecurity via random sampling. An online cross-sectional survey (n = 1087) was distributed via email to a random sample of undergraduate college students. Food insecurity was determined by the USDA Food Security Short Form. Data were analyzed using JMP Pro. Results: Thirty-six percent of the students were food-insecure. Most food-insecure students were enrolled full-time (93.6%), female (81.2%), received financial aid (77.9%), lived off-campus (75.0%), non-white (59.6%), and employed (51.7%). Food-insecure students had a significantly lower GPA (p < 0.001 *), were more likely to be non-white (p < 0.0001 *), and were more likely to have received financial aid compared to food-secure students (p < 0.0001 *). Food-insecure students were significantly more likely to have lived in government housing, had free or reduced lunch, used SNAP and WIC benefits, and received food from a food bank during childhood (p < 0.0001 * for all). Food-insecure students were significantly less likely to report that they experienced a food shortage to counseling and wellness personnel, a resident assistant, and their parents (p < 0.05 * for all). Discussion: College students might be at greater risk for food insecurity if they are non-white, first-generation students, employed, on financial aid, and have a history of accessing government assistance during childhood. [ABSTRACT FROM AUTHOR]

The high rate of obesity, ownership of smartphones, and online search for nutrition and dieting information among African American women (AAW) provide a unique opportunity to develop cost-effective, accessible, and acceptable mHealth weight management programs for them. Furthermore, they should participate in the development and evaluation of these programs. To explore ideal components of a culturally relevant mHealth weight management program for AAW and to examine how these components may vary by age group. Twelve focus group triads were conducted with AAW in north central Florida. The framework method was used to manage, organize, synthesize, and analyze data themes by age groups: 18 to 29 (young), 30 to 50 (middle age), and 51+ (older). Thirty-six smartphone owners who expressed a desire to lose weight were recruited through several community partnerships. Based on body mass index (BMI), young women were classified as overweight (BMI 26.23 ± 6.7), middle-aged women as obese (BMI30.72 ± 8.31), and older women as obese (BMI 31.03 ± 5.67). Most searched online for dieting information within the past 12 months. Five overarching themes for designing mHealth weight management programs were identified: (1) holistic program that goes beyond dieting; (2) social media integration for support and sense of community; (3) self-monitoring app; (4) two-way text messaging; and (5) programs of varying lengths and meaningful incentives. AAW were receptive to mHealth weight management programs, which may be appealing during and after the COVID-19 pandemic. Holistic programs of 4 to 6 weeks that addressed stress eating, had a social media component, and included a few educational texts per week may be appealing to AAW. [ABSTRACT FROM AUTHOR]

This exploratory paper describes associations between neonatal clinical data and behavioral outcomes among infants born with very low birth weight (VLBW) at 4 years of age. Statistical analysis of 24 VLBW infants was conducted using principal factor analysis (PFA). Multiple linear regressions were calculated to explore the relationship between identified risk factors (demographic and clinical data) and behavioral measures: the Battelle Developmental Inventory (2nd ed.) Screening Test (BDI-2 ST) and the Achenbach Child Behavior Checklist (CBCL). Gestational age was controlled for in the model. Exploratory PFA results indicated that two factors had greater ability to explain observed variations within the sample. The first factor significantly associated high-level neonatal care with aggressive behaviors (β = -0.7477, p < 0.05). The first factor was also predictive of lower personal-social, communication, and cognitive scores. The second factor significantly associated cardiopulmonary complications with pervasive developmental problems (attention deficit hyperactivity disorder, anxiety, depression, and oppositional defiant disorder) (β = 0.1977, p < 0.05). These results showed that behavioral consequences at 4 years of age were found among children born VLBW due to the severity of illness, the need of high-level care, and cardiopulmonary complications during the neonatal period. These findings suggest VLBW infants experience longer term effects from trauma early in life and warrant further study. [ABSTRACT FROM AUTHOR]