1. Health at Skidmore Jennifer Burden, ScD, CHES Director of Health Promotion jburden@skidmore.edu 580-5684

2. Skidmore Student Data  Mental health  Physical Activity  Sexual Assault and Relationship Violence – prevalence and perceptions  Body Image  Disordered Eating and Eating Disorders  Nutrition  Sex  “Hooking up” / The “hookup culture”  Tobacco Use  Alcohol and drug use/abuse  Relationships with parents – associations with drug and alcohol use

3. Alcohol and Drug Use

4. Alcohol vs. Other Drugs Percent of students who have used in past month Alcohol84% Marijuana32% Cocaine6% Amphetamines (diet pills, speed)5% Sedatives3% Hallucinogens2% Opiates (heroin, smack)1% InhalantsLess than 1% Designer drugsLess than 1% CORE, 2006

5. Age of First Consumption At what age did you first use alcohol (beer, wine, liquor)? CORE, 2006

6. Alcohol consumption among first year students No significant differences by participation in athletics, pre-orientation programming, or gender This is an increase from 26% of students in 2006 (not statistically significant) Percent of Students Freshman Orientation Survey, 2008

7. Drinking Patterns Over Time Alcohol Survey, Fall 2007

8. Among students who did not drink on Friday night… Among students who had 5+ drinks on Friday night… Alcohol Survey, Fall 2007

9. Alcohol Abuse Prevention Efforts Services Policy Culture Research Education BASICS Parental Notification NIH Recom- mendations Annual Surveys MyStudentBody

10. Disordered Eating

11. EAT-26 Scoring  26 questions  A total score on the EAT-26 that exceeds 20 is indicative of a possible eating disorder.  The EAT-26 is not a diagnostic tool, but identifies the presence of symptoms that are consistent with a possible eating disorder 321000

12. EAT – 26 at Skidmore  452 female Skidmore students completed the EAT- 26 in February of 2008.  15.8% had scores high enough to indicate a probable eating disorder Our athletes are significantly LESS likely to have high scores on the EAT  6.6% of female athletes  18.3% of female non-athletes Our dance majors do not differ significantly from the general female student body

13. Weight and Self Image  Of those with potential eating disorders, 95.5% believe that they would feel better about who they are as a person if they lost weight  Among those with healthy eating habits, 61.8% believe that they would feel better about who they are as a person if they lost weight. Weight Category Percent of females who believe that it would be good for their health if they lost weight Percent of females who would feel better about who they are if they lost weight Overweight95%96% Normal weight 38%73% Underweight7%20%

14. Unhealthy Weight Loss Strategies

15. Disordered Eating Services Policy Culture Research Education Health Services, Nutritionist & Counseling Collaboration Annual Events Annual Surveys Conferences

16. Sleep

17.  Less than 25% of students get 8 or more hours of sleep on average through the week. The average is about 6 hours per night  65.2% of students report that they often have trouble falling asleep The #1 reason cited = Anxiety, worry, stress (86.6%)  82% of students report that it is generally difficult for them to wake up in the morning  During the 2006-2007 academic year 28.9% used over the counter meds to help them sleep 11.2% used prescription sleep medications

18. Employees and Sleep  Only 14% of employees get at least 8 hours of sleep per night 76.6% sleep between 6 and 7 hours per night 9.5% sleep fewer than 6 hours per night

19. Mental Health

20. Depression  To assess depressive symptoms, students were asked if they experienced any of the following for at least a two week period during the 2006-2007 academic year  Feelings of excessive, persistent lack of energy (34%)  Diminished ability to think/concentrate (26%)  Feelings of excessive, persistent restlessness (25%)  Depressed mood most of the day, nearly every day (24%)  Diminished pleasure in activities all/almost all activities (24%)  Difficulty sleeping nearly every day (21%)  Feelings of worthlessness (20%)  Significant weight changes without attempts to change wt (12%)  Recurrent thoughts of suicide or death (7%)

21. Depression  52.6% of students reported at least one symptom of depression  45.8% of students reported two or more symptoms of depression  14.5% reported five or more symptoms of depression

22. More on Depression  Among students who experienced depressive symptoms 36% reported that symptoms negatively impacted their participation in extracurricular activities 45% reported that symptoms negatively impacted their social relationships 42% reported that symptoms negatively impacted their academic performance

23. Linkages…  Depressive symptoms are highly correlated with: Sleeping less than 7 hours per night (p<0.01) Poor academic performance:  Those with GPA’s under 3.0 are twice as likely to experience bouts of depressive symptoms

24. Stress  54% of students worry that they will not be able to keep up with work in classes  13% of students worry that they might not graduate on time  28% of students feel that they do NOT have strong social connections at Skidmore  55% of students feel that it is difficult for them to get everything done that they need to accomplish  76% of students find college to be stressful

25. Employee Stress  40% of employees reported high/above average stress levels during the academic year This falls to 10% during the non-academic year Those reporting fewer than 8 hours of sleep per night were significantly more likely to report high levels of stress than those sleeping 8 or more hours per night Those working over 40 hours per week were also significantly more likely to report high levels of stress

26. Mental Health Services Policy Culture Research Education Counseling Center PHQ-9 Annual Events PHQ-9 & Annual Surveys National Depression Screening Day

27. Sexual Safety

28. Condom Use  Among sexually active students (approximately 75% of the student body) Only 35.4% reported that they ALWAYS use a condom when having intercourse 58% reported that they used a condom the last time they had intercourse

29. Why No Condom  “I'm in a monogamous relationship and on the pill.”  “It was the second time in one morning, the first time we did, the second we did not for no specific reason.”  “Didn't have one “  “Put one on towards the end”  “I was drunk and forgot to ask and it didn't seem as though one was readily available.”  “It feels better without a condom. I hoped/ doubted she had anything.”  “I was virgin, guess he didn't think it necessary, plus kinda drunk”

30. Sexually Transmitted Infections  45.5% of sexually active respondents have NEVER been tested for STI’s 77% do not feel that they are at risk 8% are frightened of the tests 9% do not know where to get tested 3% are worried that parents or friends might find out about the testing  Among those who have been tested, 9% have received a positive STI test

31. Percent of students who have Had a one night stand51.9% Been in a “friends with benefits” relationship 56.4% Made out with someone who you knew for less than 24 hours 67.4% Had oral sex with someone who you knew for less than 24 hours 32.5% Had sexual intercourse with someone who you knew for less than 24 hours 26.2%

32. Drugs and Alcohol  63.4% of students reported that they have had sex with someone who they were not in a committed relationship with. Of these: 57% were under the influence of alcohol or drugs the last time this occurred  “I usually hook up with someone for the first time when I'm drunk and then we have sober encounters afterwards.”

33. From hook up to monogamy  55.3% of students have had a hook up become a committed relationship “Most relationships naturally begin as flings or hookups and develop into more committed relationships.” “We were first friends, then we hooked up, then we became friends with benefits, and eventually stared going out.”

34. Physical Activity

35. Use of Skidmore Services & Facilities

36. Physical Activity  The current recommendations for physical activity: Moderate physical activity - at least 30 minutes on 5 or more days per week  25% of Skidmore students meet this recommendation Vigorous physical activity - at least 20 minutes on 3 or more days per week  29% of Skidmore student meet this recommendation 7.5% of Skidmore students meet the recommendation for BOTH moderate and vigorous physical activity  Over 75% of Skidmore employees reported that they engage in physical activity. Of these, 70% report levels of exercise that meet or exceed the national recommendations.

37. Reasons for Inactivity  Among the students who did not exercise in the week preceding the survey: 69.6% said they did not have enough time to exercise 46.4% said that exercise is not convenient 46.4% said that they lack will power for exercise 30.4% said that they feel self conscious of how they look when exercising 30.4% said that they don’t have someone to exercise with Other reasons given for not exercising included lack of interest, bad weather, lacking energy, not having needed equipment, and not enjoying physical activity.

38. Health and Academic Success  Academic failure, poor attendance rates, poor grades, and poor concentration are consistently linked to: Health-related factors such as hunger, physical and emotional abuse, and chronic illness Health-risk behaviors including substance use, violence, and physical inactivity  In addition: Academic success is an excellent indicator for overall well-being and is predictive of adult health outcomes Health-related behavioral choices made during young adulthood are predictive of adult health outcomes

39. In a class of 20 students: Over 10 engaged in binge drinking at least once in the past 2 weeks Three are struggling with depression Six feel that they do not have strong social connections at Skidmore

40. In a class of 20 students: 15 slept less than 7 hours last night Only 5 got enough physical activity this week

41. In a class of 20 students: 9 did not use a condom the last time they had sex Nearly 10, despite being sexually active, have never been tested for STI’s

42. In a class of 20 students: Nearly 3 have been victims of sexual assault One is in an abusive relationship Two are struggling with eating disorders

43. Campus Resources  Health Promotions Staff: Jennifer Burden, ScD, CHES, Director  jburden@skidmore.edu jburden@skidmore.edu  580-5684 Kate Rose Bobseine, MPH, Prevention Coordinator  kbobsein@skidmore.edu kbobsein@skidmore.edu  580-5484 Kate Child, MA, Health Educator  kchild@skidmore.edu kchild@skidmore.edu  580-8256  The Counseling Center 580-5555  Health Services 580-5550  The Center for Sex & Gender Relations Third floor of Case Center Weekend cell # 256 - 1439  Campus Safety Emergencies: 580-5566 Non-emergencies: 580-5567

44. Skidmore Data Available  Mental health  Physical Activity  Sexual Assault and Relationship Violence – prevalence and perceptions  Body Image  Disordered Eating and Eating Disorders  Nutrition  Sex  “Hooking up” / The “hookup culture”  Tobacco Use  Alcohol and drug use/abuse  Relationships with parents – associations with drug and alcohol use