Kreniske Philip, Mellins Claude A, Shea Eileen, Walsh Kate, Wall Melanie, Santelli John S, Reardon Leigh, Khan Shamus, Hirsch Jennifer S
HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, New York State Psychiatric Institute & Columbia University.
Heilbrunn Department of Population & Family Health, Columbia University Mailman School of Public Health.
Emerg Adulthood. 2023 Jun;11(3):710-720. doi: 10.1177/21676968221124649. Epub 2022 Sep 22.
Completing college can be difficult and students who are first-generation (FG) or low-income (LI) or both (FGLI) encounter unique structural challenges. We conducted a population-based survey (N=1671) at two interconnected highly-selective institutions of higher education and examined measures related to belonging, mental health, and well-being. Means and standard deviations for continuous measures and proportions for categorical measures were calculated for the whole sample and for each subgroup (FG, LI, FGLI). After adjusting for age and race/ethnicity, differences in these measures between each group (FG vs not FG, LI vs not LI, and FGLI vs not FGLI) were tested with linear and logistic regression models (multinomial logistic regression was used where applicable). We found the overall sample (including FG, LI, and FGLI students) reported a strong sense of belonging, low levels of mental health symptoms, and good general health and well-being - though a majority had poor or fair sleep. Yet, FG, LI, and FGLI students reported lower levels of belonging, worse mental health, and poorer general health and well-being compared to students who were not FG, LI, and FGLI, respectively. Notably, FG, LI, and FGLI students had the lowest levels of hazardous alcohol consumption. This is one of the few studies to consider in detail how FG, LI, and FGLI students are experiencing challenges across multiple domains. Colleges must address these disparities and tailor health services and interventions to serve the unique needs of FG, LI, and FGLI students.
完成大学学业可能具有挑战性,而第一代大学生(FG)、低收入大学生(LI)或两者兼具的大学生(FGLI)会面临独特的结构性挑战。我们在两所相互关联的高选择性高等教育机构进行了一项基于人群的调查(N = 1671),并研究了与归属感、心理健康和幸福感相关的指标。计算了整个样本以及每个亚组(FG、LI、FGLI)连续指标的均值和标准差以及分类指标的比例。在对年龄和种族/族裔进行调整后,使用线性和逻辑回归模型检验了每组之间(FG与非FG、LI与非LI、FGLI与非FGLI)这些指标的差异(适用时使用多项逻辑回归)。我们发现总体样本(包括FG、LI和FGLI学生)报告有强烈的归属感、低水平的心理健康症状以及良好的总体健康和幸福感——尽管大多数人睡眠质量较差或一般。然而,与非FG、非LI和非FGLI的学生相比,FG、LI和FGLI的学生分别报告了较低的归属感、较差的心理健康以及较差的总体健康和幸福感。值得注意的是,FG、LI和FGLI的学生有害酒精消费量最低。这是少数详细考虑FG、LI和FGLI学生如何在多个领域面临挑战的研究之一。高校必须解决这些差异,并调整健康服务和干预措施,以满足FG、LI和FGLI学生的独特需求。