Social determinants of mental health: the roles of traumatic events, financial strain, housing instability, food insecurity, and commute time.

OBJECTIVE To identify social determinants of mental health embedded within college students' living and learning conditions. PARTICIPANTS Participants included 215 mostly undergraduate (95%) business students at a diverse, urban west coast public university (48% women; mean age 24). METHODS Participants completed an online self-report survey measuring affective state, global mental health, anxious and depressive symptoms, as well as social determinants of mental health. Data were analyzed using multiple regression controlling for self-esteem, gender, and race/ethnicity. RESULTS Results suggest that higher family income is positively related to mental health, whereas more adverse events (e.g., assault, robbery, serious illness or injury), food insecurity, and commute time are negatively related to mental health. Moderation results indicate a moderate buffering effect of belonging on global mental health among students who experience zero adverse events. CONCLUSIONS Social determinants can shed light on student's precarious living and learning conditions and resultant effects on students' mental health.

[1]  Martinque K. Jones,et al.  The Impact of COVID-19 on Black College Students' Mental Health , 2022, Journal of College Student Development.

[2]  C. Wood,et al.  Mental health impacts of the COVID-19 pandemic on college students. , 2022, Journal of American college health : J of ACH.

[3]  Justin E. Heinze,et al.  Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013-2021. , 2022, Journal of affective disorders.

[4]  A. Schwitzer,et al.  Delivering College Telehealth, Telemental Health, and Telesupport Today—Looking Back to look Forward , 2022, About Campus: Enriching the Student Learning Experience.

[5]  M. Worthen,et al.  An intersectional approach to understanding the correlates of depression in college students: Discrimination, social status, and identity , 2021, Journal of American college health : J of ACH.

[6]  A. Koyanagi,et al.  COVID-19 dimensions are related to depression and anxiety among US college students: Findings from the Healthy Minds Survey 2020 , 2021, Journal of Affective Disorders.

[7]  Hyun Ju Jeong,et al.  Stress, Anxiety, and Depression Among Undergraduate Students during the COVID-19 Pandemic and their Use of Mental Health Services , 2021, Innovative Higher Education.

[8]  J. Parker,et al.  Family support and psychological distress among commuter college students , 2021, Journal of American college health : J of ACH.

[9]  L. Black,et al.  Higher Education Case Management Amid COVID-19: Toward Holistic Student Self-Assessment to Allocate Emergency Resources on Campus , 2021, Community College Journal of Research and Practice.

[10]  M. Salzer,et al.  Mental health symptoms and academic achievement factors , 2021, Journal of American college health : J of ACH.

[11]  Alyssa M. Lederer,et al.  More Than Inconvenienced: The Unique Needs of U.S. College Students During the COVID-19 Pandemic , 2020, Health education & behavior : the official publication of the Society for Public Health Education.

[12]  Maria Hamdani A Multiskill, 5-Week, Online Positive Emotions Training for Student Well-Being , 2020 .

[13]  M. Couch Supporting Minority Students during a Crisis: Best Practices over Time , 2020 .

[14]  D. Novacek,et al.  Mental health ramifications of the COVID-19 pandemic for Black Americans: Clinical and research recommendations. , 2020, Psychological trauma : theory, research, practice and policy.

[15]  David J. Nguyen,et al.  Keeping up with the Joneses or feeling priced out?: Exploring how low-income students’ financial position shapes sense of belonging. , 2020 .

[16]  Veronica House,et al.  Food insecurity on a college campus: Prevalence, determinants, and solutions , 2020, Journal of American college health : J of ACH.

[17]  Kaprea F. Johnson,et al.  Social health needs and promotive health factors scale for college students: Scale development and initial validation , 2020, Journal of American college health : J of ACH.

[18]  N. Martinez Against All Odds: Increasing Latinx Postsecondary Completion through Sense of Belonging , 2019, About Campus: Enriching the Student Learning Experience.

[19]  U. Orth,et al.  The link between self-esteem and social relationships: A meta-analysis of longitudinal studies. , 2019, Journal of personality and social psychology.

[20]  Antonio Duran “Outsiders in a niche group”: Using intersectionality to examine resilience for queer students of color. , 2019 .

[21]  Cari Gillen-O’Neel Sense of Belonging and Student Engagement: A Daily Study of First- and Continuing-Generation College Students , 2019, Research in Higher Education.

[22]  M. Elliott,et al.  Food Insecurity and Academic Achievement Among College Students at a Public University in the United States , 2019, Journal of College Student Development.

[23]  Z. Aitken,et al.  The 'double precarity' of employment insecurity and unaffordable housing and its impact on mental health. , 2019, Social science & medicine.

[24]  Monideepa B. Becerra,et al.  Sleepless in school: The role of social determinants of sleep health among college students , 2018, Journal of American college health : J of ACH.

[25]  R. Daltry Embedded Therapy Dog: Bringing a Therapy Dog into Your Counseling Center , 2018, Journal of College Student Psychotherapy.

[26]  Alyssa M. Lederer,et al.  Trends in college students’ mental health diagnoses and utilization of services, 2009–2015 , 2018, Journal of American college health : J of ACH.

[27]  M. Greenberg,et al.  Ensuring College Student Success Through Mindfulness-Based Classes: Just Breathe , 2018 .

[28]  A. Arria,et al.  Student Hunger on Campus: Food Insecurity Among College Students and Implications for Academic Institutions , 2018, American journal of health promotion : AJHP.

[29]  Brenton M. Wiernik,et al.  Does perceived stress mediate the relationship between commuting and health-related quality of life? , 2017 .

[30]  A. Kavanagh,et al.  Time Spent Commuting to Work and Mental Health: Evidence From 13 Waves of an Australian Cohort Study , 2017, American journal of epidemiology.

[31]  Patton O. Garriott,et al.  Stress, Coping, and Perceived Academic Goal Progress in First-Generation College Students: The Role of Institutional Supports , 2017, Journal of Diversity in Higher Education.

[32]  R. Veenhoven,et al.  MOOD DURING COMMUTE IN THE NETHERLANDS What way of travel feels best for what kind of people? , 2017 .

[33]  A. Hurst,et al.  “The poor kids’ table”: Organizing around an invisible and stigmatized identity in flux. , 2016 .

[34]  Grace Campagna,et al.  Linking crowding, housing inadequacy, and perceived housing stress , 2016 .

[35]  J. Prince University student counseling and mental health in the United States: Trends and challenges , 2015 .

[36]  Sharrika D. Adams,et al.  Student Affairs Case Management: Merging Social Work Theory With Student Affairs Practice , 2014 .

[37]  Michael Marmot,et al.  Social determinants of mental health , 2016 .

[38]  Krista M. Soria,et al.  First-Generation Students' Sense of Belonging, Mental Health, and Use of Counseling Services at Public Research Universities , 2014 .

[39]  W. Moturi,et al.  External Built Residential Environment Characteristics that Affect Mental Health of Adults , 2014, Journal of Urban Health.

[40]  É. Dewailly,et al.  Household crowding is associated with higher allostatic load among the Inuit , 2014, Journal of Epidemiology & Community Health.

[41]  David L Streiner,et al.  Exploring the social determinants of mental health service use using intersectionality theory and CART analysis , 2013, Journal of Epidemiology & Community Health.

[42]  M. Marmot,et al.  Inequality and mental disorders: opportunities for action , 2013, The Lancet.

[43]  Betty T. Izumi,et al.  Neighborhood food environment role in modifying psychosocial stress–diet relationships , 2013, Appetite.

[44]  Amanda Kraha,et al.  Coping with stressful or traumatic events: what aspects of trauma reactions are associated with health outcomes? , 2013, Stress and health : journal of the International Society for the Investigation of Stress.

[45]  Douglas R. May,et al.  Student Well-Being Interventions , 2012 .

[46]  T. Strayhorn Satisfaction and Retention Among African American Men at Two-Year Community Colleges , 2012 .

[47]  M. Dahlin,et al.  Mental distress, alcohol use and help-seeking among medical and business students: a cross-sectional comparative study , 2011, BMC medical education.

[48]  P. Dolan,et al.  "It's driving her mad": Gender differences in the effects of commuting on psychological health. , 2011, Journal of health economics.

[49]  Jose A. Del Pilar Mental Health and Latino/a College Students A Psychological Perspective and New Findings , 2009 .

[50]  R. Hays,et al.  Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items , 2009, Quality of Life Research.

[51]  J. F. Ybema,et al.  Employment Contracts: Cross‐sectional and Longitudinal Relations with Quality of Working Life, Health and Well‐being , 2009, Journal of occupational health.

[52]  F. Lorenz,et al.  Family Antecedents and Consequences of Trajectories of Depressive Symptoms from Adolescence to Young Adulthood: A Life Course Investigation∗ , 2008, Journal of health and social behavior.

[53]  Alois Stutzer,et al.  Stress that Doesn't Pay: The Commuting Paradox , 2008 .

[54]  J. Ostrove,et al.  Social Class and Belonging: Implications for College Adjustment , 2007 .

[55]  Colleen Milligan Yoga for Stress Management Program as a Complementary Alternative Counseling Resource in a University Counseling Center , 2006 .

[56]  Carol T Mowbray,et al.  Campus mental health services: recommendations for change. , 2006, The American journal of orthopsychiatry.

[57]  Michael Marmot,et al.  Social determinants of health inequalities , 2005, The Lancet.

[58]  William A. V. Clark,et al.  Mobility, Housing Stress, and Neighborhood Contexts: Evidence from Los Angeles , 2005 .

[59]  G. Evans,et al.  Cross-cultural differences in tolerance for crowding: fact or fiction? , 2000, Journal of personality and social psychology.

[60]  M. Doef,et al.  The Job Demand-Control (-Support) Model and psychological well-being: A review of 20 years of empirical research , 1999 .

[61]  B. gray-Little,et al.  An Item Response Theory Analysis of the Rosenberg Self-Esteem Scale , 1997 .

[62]  R. Baumeister,et al.  The need to belong: desire for interpersonal attachments as a fundamental human motivation. , 1995, Psychological bulletin.

[63]  G. Evans,et al.  Household crowding and social support: a quasiexperimental analysis. , 1993, Journal of personality and social psychology.

[64]  M. Weinstein,et al.  Performance of a Five-Item Mental Health Screening Test , 1991, Medical care.

[65]  D. J. Lee Society and the Adolescent Self-Image , 1969 .

[66]  M. Whitehead,et al.  Social policies and the pathways to inequalities in health: a comparative analysis of lone mothers in Britain and Sweden. , 2000, Social science & medicine.

[67]  R. Kessler,et al.  The effects of stressful life events on depression. , 1997, Annual review of psychology.