University Health Service

For other years and versions of U-M results, see National College Health Assessment.


Slide 1: Results of the National College Health Assessment
Ann Arbor Campus
February 2018

Slide 2: What is NCHA?

  • Survey designed by the American College Health Association (ACHA)
  • Aligns with Healthy Campus goals
  • U-M previously conducted:
    • 1998, 2006, 2010 – Undergrad only
    • 2014, 2016 - Undergrad & Grad/Prof
  • NCHA compiles national data

Slide 3: How Can the Data be Used?

  • To provide a “snapshot” in time of the behaviors, attitudes and beliefs of students
  • To compare with findings from other surveys and (especially) prior years at U-M
  • To develop goals to improve health outcomes and assess progress, evaluate impact

Slide 4: Methodology

(image of woman using laptop and cell phone)

  • Conducted in February 2018
  • Random sample of:
    • 8,003 undergraduates
    • 4,000 graduate/professional students
  • Over-sampled because of lower response rates:
    • Males
    • Undergrad minority students
  • Emailed “premail,” invitation and 6 reminders
  • Incentives offered for participation

Slide 5: Key

Direction of change, compared to 2016 U-M NCHA:

   (Increase) = Increase that is “statistically significant”

   (Decrease) = Decrease that is “statistically significant”

   (No change) = No change of statistical significance

Healthy Campus goals:

   X = did not meet goal

   ✔ = met goal

Slide 6: Response Rate and Analysis

  • 2,149 respondents (2,131 in working data file)
  • 18% overall response rate (Decrease from 21% in 2016)
  • Plus or minus 2.1% margin of sampling error
  • Data weighted by gender, race, domestic/international status, and  undergrad/grad/professional status to match U-M Winter 2018 enrollment
  • Analyses conducted on the weighted data

Slide 7: Respondent Profiles

(Pie charts that show the following)

  • Gender: 50% male, 48% female, 1% transgender
  • Race/Ethnicity: 60% white, 4% African American, 6% Hispanic, <1% American Indian/Alaskan, 14% Asian/Pacific Islander, 8% Other, 7% International
  • Sexual Orientation: 83% Heterosexual/straight, 5% Gay/Lesbian, 8% Bisexual, 4% Unsure

Slide 8: Perceived Health Status

In 2018, about 85% of all respondents perceived their health to be Excellent, Very Good or Good

Decrease from 90% in 2016

Health was rated better by:

  • Males
  • Whites (non-Hispanic)
  • Those with higher GPA

Slide 9: Impediments to Academic Success

The Top Five: Same as in 2016

  • More undergrads reported impediments than Grad/Professionals
  • Stress was most reported impediment for All
  • The effect of most impediments was unchanged in All since 2016

Stress:  29% (No change) of All respondents reported, did not meet Health Campus Goal of 25% X

Anxiety:  22% (No change) of All respondents reported, did not meet Health Campus Goal of 17% X

Sleep difficulties:  19% (increase) of All respondents reported, did not meet Health Campus Goal of 18% X

Depression:  15% (No change) of All respondents reported, no Health Campus Goal for depression

Cold/flu/sore throat: 14% (No change) of All respondents reported, met Health Campus Goal of <16% ✔

Work:  10% (No change) of All respondents reported, met Health Campus Goal of <12% ✔

Slide 10: Perception of Safety

  • Grad/Prof felt safer than Undergrads
  • Respondents overall felt safer:
    • On campus
    • During the day
  • On-campus during the day:  89% of All respondents felt "Very Safe"
  • On-campus at night: 38% of All respondents felt "Very Safe," met Healthy Campus Goal of >35% ✔
  • In Ann Arbor during the day: 69% of All respondents felt "Very Safe"
  • In Ann Arbor at night: 26% of All respondents felt "Very Safe"

Slide 11: Abuse and Violence (non-sexual)

  • Undergrads experienced more than Grad/Prof
  • 18% (~ 1 in 6) Undergrads vs 15% Grad/Prof reported non-physical abuse (verbal threat or stalking) in past year

Within the last 12 months:

  • 17% of All respondents reported being verbally threatened or stalked  
  • 3% of All respondents reported being in a physical fight
  • 2% of All respondents reported being physically assaulted, met Healthy Campus Goal of 4%  ✔

Slide 12: Sexual Assault and Relationship Abuse

  • Undergrads experienced more than Grad/Prof
  • 9% of Undergrads and 5% of Grad/Prof reported being sexually touched against will

Within the last 12 months:

  • 8% of All respondents reported being sexually touched against their will, did not meet Healthy Campus Goal of < 5%  X
  • 2% of All respondents reported attempted sexual penetration against their will, no Healthy Campus Goal
  • 2% of All respondents reported being sexually penetrated against their will, did not meet Healthy Campus Goal of < 1%  X
  • 6% of All respondents reported being in an emotionally abusive relationship, met Healthy Campus Goal of < 9% 
  • 2% of All respondents reported being in a physically or sexually abusive relationship, met Healthy Campus Goal of < 1-2%  ✔

Slide 13: Alcohol Use
(picture of many students in a large room, viewed from above)

For past 30 days, All respondents

  • 68% drank (72% in 2016)
  • 32% didn’t drink (~14,000 students)

Slide 14: Alcohol Use
Past 30 days, All respondents: (line graph shows the following)

  • 2006: 73%
  • 2010: 69%
  • 2014: 72%
  • 2016: 72%
  • 2018: 68%

Slide 15: Alcohol Use

(Line graph shows the following)
Past 30 days, Undergrads:

  • 2006: 73%
  • 2010: 69%
  • 2014: 70%
  • 2016: 69%
  • 2018: 65%

Past 30 days, Undergrads:

  • 2014: 77%
  • 2016: 76%
  • 2018: 74%

Slide 16: High-Risk Drinking in Past 2 Weeks

Defined as ≥ 4 drinks for females, ≥ 5 for males (Note: The definition of high-risk drinking changed over time. In 2006 & 2010, the definition was ≥ 5 drinks for both females and males.)

  • Undergrads more likely than Grad/Prof (39% vs 27% in 2018) 
  • Undergrads declined from 46% in 2016 to 39% in 2018 - Decrease
  • Grad/Prof declined from 33% in 2014  to 27% in 2018 - Decrease

(line graph showing the following)

Undergrads:

  • 2006: 45%
  • 2010: 41%
  • 2014: 45%
  • 2016: 46%
  • 2018: 39%

Grad/Prof:

  • 2014: 33%
  • 2016: 29%
  • 2018: 27%

Slide 17: “Stay in the Blue”

(Image of Stay in the Blue logo)

  • U-M campaign encourages students to keep BAC ≤.06
  • Grad/Prof  “Stay in the Blue” more than Undergrads (84% vs 56%)
  • 56% of Undergrads “Stay in the Blue” vs. 51% in 2016 (Increase)

Blood Alcohol Content (BAC) Last Time Partied/Socialized:

Key:

  • Stay in the Blue: ≤ .06 BAC
  • Maize: .061-.099 BAC
  • Orange: 10-199 BAC
  • Red:  > .20 BAC

Results: (chart showing the following)

Undergrads:

  • Stay in the Blue: 56%
  • Maize: 14%
  • Orange: 24%
  • Red: 6%

Grad/Prof:

  • Stay in the Blue: 84%
  • Maize: 7%
  • Orange: 8%
  • Red: 1%

Slide 18: Stay in the Blue

(Line graph showing the following)

Undergrads at Last Time Partied

  • 2006: 36%
  • 2014: 49%
  • 2016: 51%
  • 2018: 56%

Slide 19: Undesireable Consequences of Drinking

At last time partied/socialized, All respondents

  • After ~4 drinks, consequences more likely than not
  • Undergrads report more consequences than Grad/Prof

(Line graph shows at least one harm)

Number Drinks at Last Time Partied/Socialized:

  • < 1 drink: 19% reported at least one harm
  • 1 drink: 23% reported at least one harm
  • 2 drinks: 33% reported at least one harm
  • 3 drinks: 45% reported at least one harm
  • 4 drinks: 58% reported at least one harm
  • 5 drinks: 64% reported at least one harm
  • 6 drinks: 75% reported at least one harm
  • 7 drinks: 67% reported at least one harm
  • 8 drinks: 77% reported at least one harm
  • 9 drinks: 79% reported at least one harm
  • 10 drinks: 79% reported at least one harm
  • 11 drinks: 83% reported at least one harm

Slide 20: Marijuana Use

(picture of many students in a large room, viewed from above)

Past 30 days, All respondents

  • 19% used (17% in 2016)

  • 81% did NOT use marijuana (>35,000 students) 

Slide 21: Marijuana Use

(Line graph showing the following)

Past 30 days, All respondents

  • 2006: 18%
  • 2010: 20%
  • 2014: 17%
  • 2016: 17%
  • 2018: 19%

Slide 22: Tobacco and eCigarette Use
Past 30 days, All respondents

  • 2018 Use: Cigarettes = 6% , hookah = 1%, eCigarettes = 8%

  • Tobacco use has declined 2006 to 2016, no change in 2018

  • eCigarettes increased from 3% in 2016 to 8% in 2018 (Increase)

(Line graph showing the following)

Percentage Used in Past Month:

  • Cigarettes: 16% in 2006, 12% in 2010, 8% in 2014, 6% in 2016, 6% in 2018
  • Hookah: 3% in 2014, 3% in 2016, 1% in 2018
  • eCigarettes: 3% in 2016, 8% in 2018

Slide 23: Non-Medical Use of Prescription Drugs
Past 12 Months

In 2018, 8% of All respondents used ≥ 1 prescription drug non-medically, which met the Healthy Campus goal of < 14%  ✔.

(Line graph showing the following)

  • 2014: 13% of All respondents used ≥ 1 prescription drug non-medically
  • 2016: 9% of All respondents used ≥ 1 prescription drug non-medically
  • 2018: 8% of All respondents used ≥ 1 prescription drug non-medically

Slide 24: U-M Student Sexual Behavior

Results may challenge assumptions:

  • % Undergrads who have never engaged in:
    • Oral sex = 39%  (Increase)
    • Vaginal sex = 47%  (Increase)
    • Anal sex = 82%  (No change)
  • Number of partners:
    • 0 or 1 partners in past year = 77% Undergrads (Increase)
    • Mean # of partners =
      • 1.6 for Undergrads (No change)
      • 1.4 for Grad/Prof (No change)

Slide 25: Condom Use (among those who engaged in these types of sexual activities) and STI Diagnosis

Used condoms, Most of the Time or Always:

  • For vaginal sex: 49% of All (Decrease), 53% of Undergrads (Decrease), 43% of Grad/Prof (No change), which did not meet Health Campus goal of 56% X
  • For anal sex: 40% of All (No change), 47% of Undergrads (No change), 33% of Grad/Prof (No change), which met Healthy Campus Goal of 31% ✔
  • Decrease in use of condoms for vaginal sex coincides with increased use of long-acting reversible contraception (LARC) methods

No change in percentage of All respondents who reported diagnosis of a sexually transmitted infection (2%)

Slide 26: Contraception Use and Pregnancy

Contraception use at last vaginal intercourse:

  • 87% of All respondents used contraception (No change), which met the Healthy Campus Goal of 62% ✔  
  • 88% of Undergrads used contraception (No change) and 86% of Grad/Prof (Increase) used contraception.

Unintentional pregnancy in past 12 months: <1% of All respondents (No change) experienced unintentional pregnancy, which met Healthy Campus Goal of <1% ✔

Slide 27: Long-Acting Reversible Contraception (LARC)
Use last time had intercourse

LARC use has increased since 2014

(Graph showing use among All respondents)

IUD: 9% of All respondents used IUD in 2014, 14% in 2016 and 19% in 2018

Implant: 1% of All respondents used implant in 2014, 4% in 2016 and 4% in 2018

Slide 28: Drinks at Best Sexual Experience

  • 88% of All respondents said 0, 1 or 2 drinks (Increase)

  • 7% of All respondents said 3 or 4 drinks
  • 5% of All respondents said 5 drinks

  • There was little difference between Undergrad and Grad/Prof

Slide 29: Intimate Relationship Difficulties
Traumatic or Very Difficult to Handle in past 12 months

  • 1/4 (27%, No change) of All respondents reported intimate relationship difficulties
  • Relatively unchanged over time: 28% in 2016, 27% in 2014, 29% in 2010
  • Undergrads and Grad/Prof very similar
  • 8% of Undergrads report that relationship difficulty was an impediment to academic performance
  • U-M focuses programmatic efforts on healthy relationships, e.g. Relationship Remix

Slide 30: Physical Activity
In past 7 days

  • Undergrad and Grad/Prof results were similar
  • Respondents who did moderate/intense exercise ≥3 days/week: 58% of All (No change), 60% of Undergrad (No change), and 56% of Grad/Prof (No change) did moderate/intense exercise, ≥3 days/week, which met Healthy Campus Goal of 54% ✔
  • Respondents who did strength-training exercise ≥ 2 days/week: 34% of All (No change), 33% of Undergrad (No change), 35% of Grad/Prof (No change), which did not meet Healthy Campus Goal of 41% X

Slide 31: Fruits and Vegetables

  • Consumption decreased:  Respondents who ate ≤ 2 servings/day increased from 56% in 2016 to 64% in 2018

Respondents who ate ≥ 5 servings/day:  6% of All (No change), 6% of Undergrad (No change), 8% of Grad/Prof (No change), which did not meet Healthy Campus Goal of 7% X

Respondents who ate ≤ 2 servings/day: 64% of All (Increase), 66% of Undergrad (No change), and 61% of Grad/Prof (Increase)

Slide 32: Sleep

  • About 1 in 5 Undergrads reported that sleep difficulties affected academic performance
  • Grad/Prof increased from 2016 (Increase from 10% to 14%)
  • More females impacted than males
  • U-M developed Snooze campaign in response (Snooze campaign logo)

(Line graph showing the following)

Sleep Difficulties Harmed Academic Performance

  • All respondents: 17% in 2014, 17% in 2016, 19% in 2018
  • Undergrad: 27% in 2006, 20% in 2014, 21% in 2016, 21% in 2018
  • Grad/Prof: 11% in 2014, 10% in 2016, 14% in 2018

Slide 33: Received Immunizations

  • Met Healthy Campus Goals for immunizations except MMR and Hepatitis B
  • Measles, Mumps, Rubella: 76% of All received (No change), did not meet Healthy Campus Goal of 78% X
  • Hepatitis B: 71% of All received (No change), did not meet Healthy Campus Goal of 80% X
  • Meningitis: 69% of All received (No change), met Healthy Campus Goal of 60% ✔
  • Influenza (in last year): 55% of All received (No change), met Healthy Campus Goal of 44% ✔
  • HPV – female: 69% of All received (No change), met Healthy Campus Goal of 37% ✔
  • HPV – male: 52% of All received (Increase) met Healthy Campus Goal of 37% ✔
  • Varicella (chicken pox) - 69% of All received (Increase), met Healthy Campus Goal of 48% ✔

Slide 34: Mental Health Diagnosis and Treatment
All respondents, past 12 months

Anxiety (includes Anxiety Disorder, Panic Attacks, Obsessive Compulsive Disorder, Phobia):
18% of All respondents diagnosed (Increase), 79% treated of those diagnosed (No change)

Depression:
15% of All respondents diagnosed (Increase), 80% treated of those diagnosed (No change)

ADHD:
6% of All respondents diagnosed (Increase), 79% treated of those diagnosed (Decrease)

Insomnia:
4% of All respondents diagnosed (Increase), 71% treated of those diagnosed (Increase)

Eating disorders (Includes anorexia and bulimia):
2% of All respondents diagnosed (No change), 62% treated of those diagnosed (No change)

Slide 35: Emotional Disturbances
Past 12 months

  • Undergrads reported more disturbance more than Grad/Prof
  • More than half of respondents reported overwhelming anxiety
  • U-M developed “Do Something” campaign to prevent suicide

Within the last 12 months have you…

Felt overwhelming anxiety:
57% of All respondents, 57% Undergrads and 57% Grad/Prof (No change for any)

Felt so depressed that it was difficult to function:
39% of All respondents, 40% of Undergrads , 36% of Grad/Prof (Increase in each group)

Seriously considered attempting suicide:
10% of All respondents (No change), 12% of Undergrads (No change), 7% of Grad/Prof (Increase)

Intentionally injured self:
6% of All respondents (No change), 7% of Undergrads (Increase), 3% of Grad/Prof (No change)

Attempted suicide:
1% of All respondents, 2% of Undergrads, 1% of Grad/Prof (No change in each group), did not meet Healthy Campus Goal of <1% X

Slide 36: Felt Very Lonely
Past 12 months

All respondents: 64%
Undergrads: 68%
Grad/Prof: 56%
Male: 56%
Female: 71%

(Line graph as follows)
All respondents who reported feeling Very Lonely in past 12 months:
2014: 60%
2016: 62%
2018: 64%

Slide 37: Traumatic or Very Difficult to Handle
Top 6 topics, past 12 months

  • Almost half of All respondents experienced Academics as traumatic or very difficult to handle

Females reported significantly more trauma/difficulty

Academics:  48% of All respondents, 41% of male, 56% of female

Career-related issue: 30% of All respondents, 27% of male, 34% of female

Sleep difficulties: 27% of All respondents, 24% of male, 34% of female

Intimate relationships: 27% of All respondents, 23% of male, 30% of female

Other social relationships: 25% of All respondents, 21% of male, 29% of female

Personal appearance:  23% of All respondents, 18% of male, 28% of female

Slide 38: Disability or Medical Conditions
Most common plus total

  • More than 1 in 5 students manages a disability or medical condition

Psychiatric condition: 9% of All respondents (No change), 9% of Undergrad (No change), 8% of Grad/Prof (Increase)

ADHD: 7% of All respondents (No change), 8% of Undergrad (Increase), 4% of Grad/Prof (No change)

Chronic illness: 5% of All respondents, 4% of Undergrad, 7% of Grad/Prof (No change in each of these groups)

≥ 1 disability or medical concern: 22% of All respondents (Increase), 23% of Undergrad (Increase), 19% of Grad/Prof (No change)

Slide 39: Want Information from U-M
Top five topics, All respondents

  • Sleep difficulties showed the biggest difference between Interest and Ever Received, and respondents were least likely to report having received information on Sleep difficulties
  • Grad/Prof and Undergrads very similar re: Ever received, Interested in receiving

Stress reduction: 
70% ever received information from U-M
70% is interested in receiving information from U-M
(No change in both groups)

How to help others in distress:
50% ever received information from U-M
66% are interested in receiving information from U-M
(Increase in both groups)

Sleep difficulties:
23% ever received information from U-M (No change)
63% are interested in receiving information from U-M (Increase)

Nutrition:
48% ever received information from U-M (Decrease)
63% are interested in receiving information from U-M (No change)

Depression/Anxiety:
83% ever received information from U-M (No change)
62% are interested in receiving information from U-M (Increase)

Slide 40: Student Life Health and Wellness Learning Outcomes

  • Grad/Prof had greater understanding

  • All respondents had similar trends in understanding (e.g. “Meaning and purpose” least well understood)

I understand how to… (Strongly Agree + Somewhat Agree):

Make thoughtful choices that reduce harm and promote well-being:
90% of All respondents (Decrease), 90% of Undergrads (No change), 90% of Grad/Prof (Decrease)

Integrate health and well-being as a part of success:
83% of All respondents (Decrease), 82% of Undergrads (Decrease), 85% of Grad/Prof (No change)

Build resilience and manage the fluctuations of life:
79% of All respondents (Decrease), 78% of Undergrads (Decrease), 81% of Grad/Prof (Decrease)

Find meaning and purpose:
71% of All respondents (Decrease), 68% of Undergrads (Decrease), 77% of Grad/Prof (No change)

Slide 41: For more information

uhs.umich.edu/ncha

ContactUHS@umich.edu

(images of U-M students)