Dan Reilly and Evan Ramsey

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Missouri College Health Behavior Survey 2014 Dan Reilly and Evan Ramsey June 6, 2014

2012 2013 2014 N 9,151 9,599 8,994 MCHBS 2014 2

Demographics 2012 (n=9151) 2013(n=9599) 2014 (8994) Female/Male/Transgender/ Prefer Not Respond 55 / 45 / 0.2 / 0.2 57 / 43 /.02 /.02 59/40/0.1 0.3 Hispanic 3 3 3 American Indian/Alaskan Native 2 3 3 Asian 5 6 5 Hawaiian or Pacific Islander 0.4.05 0.5 Black or African American 7 8 7 White 83 82 84 Bi-racial/Multiracial 3 3 3 Other 2 2 2 Prefer not to respond 2 2 2 Demographics PIP21 3

Demographics 2012 2013 2014 Freshman 21 23 23 Sophomore 20 19 20 Junior 24 24 22 Senior 20 19 18 Bisexual 3 3 3 Gay 2 2 2 Heterosexual 89 89 89 Lesbian 1 1 1 Queer 0.3 0.6 1 Questioning 0.6 0.8 1 Prefer not to respond 5 4.3 3.6 Demographics PIP21 4

2012 2013 2014 Report a Disability 13% 15% 16% ADD/ADHD 6% 6.4% 6.9% Reported Disabilities 5

25% 20% 15% 10% 5% 0% Member of Armed Services 2011 2012 2013 2014 4% 4% 4% 4% 2011 2012 2013 2014 Service Members 6

24% of Students do not drink 2013 2014 Personal Beliefs/Values 63% 68% So I don t have to worry about negative consequences 57% 62% Too many academic responsibilities 55% 53% Too many personal responsibilities 54% 53% I don t want to do something I later regret 49% 52% Top 5 Reasons Students Don t Drink 7

Consumption 2011 2012 2013 2014 Alcohol in the Past Year 78% 79% 77% 76% 5+ Drinks in a 2 Hour Period 31% 27% 26% 27% 5+ Drinks in One Sitting 33% 29% 27% 28% 8

50% 45% 40% 35% 30% 25% National Average PIP 5+ in a 2 Hour PIP 5+ in One Sitting 20% 15% 10% 2009 2011 2012 2013 2014 Binge Drinking Trends 9

Intentions to change the way you drink alcohol? 2013 2014 I am currently trying to drink in a healthier/safer way. I am ready to try drinking in a healthier/safer way. I am thinking about drinking in a healthier/safer way. I see no need to change the way I drink alcohol. 27% 24% 4% 3% 5% 6% 60% 64% Behavior Change 10

Negative Consequences In the past year, 2011 2012 2013 2014 Hangover 51% 49% 51% 51% Rode with Someone Who Drove after Drinking 34% 30% 31% 29% Driven After Consumption 27% 26% 25% 24% Missed Class 18% 17% 17% 17% Forced to Drink More 14% 16% 17% 16% Hurt or Injured 12% 11% 12% 11% Poor Test/Assignment 11% 10% 10% 11% Trouble with Campus Administration 4% 3% 4% 3% 11

Riskiest Drinking Behavior In the past year 2013 2014 Drinking Games 61% 62% Drink Specials 41% 41% Beer Bong 27% 27% 21 birthday shots 8% 10% None of the above 29% 29% Which of these activities have you participated in during the past academic year? (Check all that apply) 12

Know where drink has been at all times Eaten before and/or during consumption 2012 2013 2014 81% 81% 81% 78% 77% 77% Use a designated driver 65% 64% 65% Make sure they go home with a friend 65% 65% 66% Limit amount of money spend on alcohol Alternate alcoholic and non-alcoholic drinks 61% 61% 62% 30% 31% 33% Protective Behavior Strategies 13

2013 2014 To have fun with friends 79% 81% To relax 57% 56% I like the taste 40% 40% I like how it feels 32% 32% To get drunk 26% 38% Top 5 Reasons Students Drink 14

2013 2014 Academic obligations the next day 61% 61% Not in the mood 58% 59% High Cost of drinks/alcohol 52% 53% Being a designated driver 50% 50% Chance of getting sick or hangover 39% 42% Top 5 Reasons Students Drink Less 15

Underage Drinking Consumed Alcohol Past Year Binge Social Gathering/Friends House 2 hours 30% One Sitting 32% 2011 2012 2013 2014 69% 71% 67% 69% 26% 27% 26% 25% 26% 26% 45% 42% 75% 73% Where I live 19% 19% 35% 36% Fraternity Sorority House 13% 13% 21% 22% Bar/Restaurant 11% 13% 15% 17% Residence Hall 8% 9% 12% 12%

80% 70% 60% 50% 40% 30% 20% 10% 0% 2011 2012 2013 Underage Accessing Alcohol 17

Underage Negative Consequences In the past year, due to alcohol use: 2011 2013 2014 Rode with Someone who Drove After Drinking 27% 23% 21% Experienced a Blackout or Memory Loss 25% 26% Driven After Consumption 18% 17% 15% Missed Class 17% 17% 17% Forced to Drink More 13% 17% 16% Poor Test/Assignment 11% 10% 11% Hurt or Injured 11% 12% 11% Were Taken Advantage of Sexually 7% 8% 7% 18

45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 2011 2013 2014 Underage Drinking Consequences 19

Fraternity & Sorority Students 20

Overview 2013 n=1219 2014 N=1469 Drank in past year 92% 92% Drank in past month 85% 90% Drank in past two weeks 79% 86% Consumed 5+ drinks in two hours 52% 54% Fraternity & Sorority Drinking 21

Where consumed MOST alcohol, last time drank 2013 n=1219 2014 N=1469 Social gathering or friend s house (off campus) 40% 39% Bars/restaurants 21% 24% Fraternity or sorority house 18% 17% Where I live 13% 11% Fraternity & Sorority Drinking 22

84% know where their drink has been at all times 75% use a designated driver 74% make sure to go home with a friend 59% have at least one person in the group who was sober 54% avoid trying to keep up or outdrink others 16% avoid drinking games Fraternity & Sorority Protective Factors 23

76% experienced a hangover 53% experienced a blackout or memory loss 37% rode with someone who drove after drinking 37% missed class 30% were forced to drink more than they wanted 27% drove after drinking 29% engaged in risky sexual behavior 13% experienced alcohol poisoning Fraternity & Sorority Consequences 24

Intercollegiate Athlete 25

Overview 2013 n=582 2014 N=561 Drank in past year 77% 78% Drank in past month 66% 74% Drank in past two weeks 57% 70% Consumed 5+ drinks in two hours 35% 34% Intercollegiate Athlete Drinking 26

Where consumed MOST alcohol, last time drank Social gathering or friend s house (off campus) 2013 n=582 2014 N=561 51% 42% Bars/restaurants 16% 20% Where I live 16% 23% Fraternity or sorority house 7% 7% Intercollegiate Athlete Drinking 27

87% know where their drink has been at all times 73% use a designated driver 77% make sure to go home with a friend 68% have at least one person in the group who was sober 57% avoid trying to keep up or outdrink others 20% avoid drinking games Intercollegiate Athlete Protective Factors 28

58% experienced a hangover 34% experienced a blackout or memory loss 28% rode with someone who drove after drinking 16% were forced to drink more than they wanted 19% engaged in risky sexual behavior 22% drove after drinking 17% missed class 7% experienced alcohol poisoning Intercollegiate Athlete Consequences 29

Residence Hall & Off Campus Students 30

Overview 2013 2014 Drank in past year 68% (82%) Drank in past month 52% (69%) Drank in past two weeks 44% (61%) Consumed 5+ drinks in two hours 24% (25%) 63% (81%) 54% (77%) 49% (73%) 22% (26%) Residence Hall & (Off Campus) Students Drinking 31

Where consumed MOST alcohol, last time drank Social gathering or friend s house off campus Residence Hall & (Off Campus) Students Drinking 2013 2014 52% (36%) Bars/restaurants 11% (30%) Where I live 13% (27%) 52% (26%) 9% (30%) 10% (28%) Fraternity or sorority house 9% (2%) 11% (2%) Residence Hall 6% (0.3%) 7% (0.4%) 32

82% know where their drink has been at all times (77%) 74% make sure to go home with a friend (62%) 63% use a designated driver (65%) 64% have at least one person in the group who was sober (59%) 59% avoid trying to keep up or outdrink others (61%) 28% avoid drinking games (31%) Residence Hall & (Off Campus) Students Protective Factors 33

37% experienced a hangover (55%) 22% experienced a blackout or memory loss (26%) 18% rode with someone who drove after drinking (34%) 15% were forced to drink more than they wanted (16%) 14% engaged in risky sexual behavior (15%) 11% drove after drinking (30%) 14% missed class (17%) 11% experienced alcohol poisoning (6%) Residence Hall & (Off Campus) Students Consequences 34

Would call 911 if you were in the presence of a student whom you suspected had alcohol poisoning? 2013 2014 State-wide students 64% 63% Fraternity or Sorority Students 60% 61% Intercollegiate Athletes 51% 57% Residence Hall Students 64% 64% Off Campus Students (64%) (63%) Subpopulation Bystander 35

Drugs 36

Marijuana Use 2011 2012 2013 2014 Did not use 70% 79% 76% 76% 1-6 times per year 10% 12% 13% 12% 1-2 times per month 3% 3% 3% 4% 1-2 times per week 2% 2% 2% 2% 3 or more times per week 4% 4% 4% 2% Every day - - 3% 3% 24% used in the past year, 7% use on a weekly basis 37

Marijuana Use 90% 80% 70% 60% 50% 2011 40% 30% 20% 2012 2013 2014 10% 0% Did not use 1-6 times per year 1-2 times per month 1-2 times per week 24% used in the past year, 7% use on a weekly basis 38

Driving after drugs use 2012 2013 2014 11% 13% 13% 5 or more times 5% 4% 5% Using marijuana in a car* Car was parked 51% 49% 8% 38%* 43% 4% On Campus 45% Off Campus 7% On Campus 45% Off Campus Car was being driven 49% 46% 43% Drugs and Cars 39

Prescription Drug Use 2011 2012 2013 2014 Have not used 78% 79% 85% 86% Pain Medication 7% 5% 8% 7% Stimulants 6% 5% 7% 8% Sedatives/Anxiety 3% 2% 3% 3% Sleeping Medicine 2% 1% 2% 2% Without a doctor prescription 40

Prescription Drug Use How do you obtain your Rx Drugs without a Rx? 2014 I purchase them 32% Was given them 50% Other 7% PNR 11% 41

Prescription Drug Use From whom do you access your Rx drugs? 2014 Family 16% Friends 55% Roommates/Floormates 4% Strangers 2% Other 7% PNR 16% 42

Prescription Drug Use How easy do you think it is for the typical student to obtain Rx drugs? 2014 Very easy 17% Fairly easy 36% Somewhat 31% Difficult 11% Very difficult 2% 43

Prescription Drug Reasons Importance of Rx drugs? (Important of Very Important) 2014 Stress Reduction 33% Sleep Aid 24% Mood Enhancement 30% Increase Energy 10% Fun 22% Pain Reduction 37% Academic Performance 44% 44

Prescription Drug Consequences To what extent have you experienced the following? (quite a bit, to great extent) 2014 Academic Problems 4.2% Strained Relationships 3.0% Poor Health 2.8% Lowered Psych Well-being 3.4% Legal Troubles 2.6% Financial Problems 2.7% Reduced Pain 26.1% Improved Academics 28.5% 45

Tobacco 46

Tobacco Use Used past year 2011 2012 2013 2014 I do not use any tobacco 56% 57% 62% 62% Cigarettes 19% 18% 21% 18% Cigars 12% 12% 14% 14% Hookah 16% 14% 20% 22% Smokeless Tobacco 5% 5% 6% 5% Tobacco Pipes 3% 2% 3% 3% E-Cigarettes x 3% 5% 10% 47

Smoke Free Policy Section Should your university have smoke free 2011 2012 2013 2014 Residence halls 91% 93% 91% - All University buildings 92% 93% 91% - All outdoor University areas Prefer to go to a completely smoke free restaurant or bar 56% 58% 59% 77% 82% 61% 85% 62% 78% 81% 48

Sexual Relationships & Violence 49

Partners in Past Year 2014 0 partners 33% 1 partner 39% 72% 2 partners 9% 3-4 partners 7% 16% 5-7 partners 3% 8+ partners 2% 5% Prefer not to respond 7% 7% Sexual Partners 50

Perceived - Partners in Past Year 2014 0 partners 2.1% 1 partner 10.3% 12.4% 2 partners 24.5% 3-4 partners 35.5% 60% 5-7 partners 13.7% 8+ partners 3.5% 17.2% Prefer not to respond 10.3% 10.3% Sexual Partners 51

15% reported experiencing non-consensual sexual contact against their will Of these, 29% reported that it took place while attending their current school 19% reported using drugs or alcohol to become more comfortable with a sexual partner 21% reported going further than they wanted sexually because of alcohol or drug use Sexual Assault 52

Emotionally-verbally abusive 2012 2013 2014 17% 18% 18% Mentally abusive 13% 14% 14% Physically abusive 6% 6% 6% Financially abusive 5% 6% 6% Sexually abusive 3% 4% 4% Not applicable/ None of the above 63% 74% 74% Abusive Relationships 53

Driving 54

Someone who has not had any alcohol Someone who had a couple, but is sober enough to drive The least drunk person in the group 2012 2013 2014 78% 81% 81% 21% 18% 18% 1% 1% 0.4% Designated Driver Definition 55

2012 2013 2014 Always use a DD (100% of the time) 34% 36% 37% More than half of the time (51-99%) 29% 29% 29% Did not use a DD because they stayed there 11% 12% 12% Did not use a DD because they walked 6% 6% 6% Did not use a DD at all 10% 4% 4% Almost never use a DD (1-24%) 5% 4% 3% Used a Designated Driver 56

Safe Driving Wear a Seat Belt 2012 2013 2014 Never 1% 1% 1% 3% Rarely 2% 2% 2% Sometimes 4% 4% 3% 3% Most of the Time 13% 11% 10% 90% Always 80% 78% 80% 57

Safe Driving Text Message While Driving 2012 2013 2014 Never 20% 24% 26% Rarely 36% 35% 37% Sometimes 33% 29% 25% Most of the Time 8% 7% 6% Always 3% 2% 1% 58

40% 35% 30% 25% 20% 15% 10% 2012 2013 2014 5% 0% Never Rarely Sometimes Most of the Time Always Safe Driving 59

Mental Health 60

2012 2013 2014 At least some stress 98% 98% 99% Overwhelming or unbearable 20% 20% 24% Impacted their personal lives 20% 23% 25%% Impacted their academics 16% 18% 19% Stress, past two weeks 61

2012 2013 2014 Friends/Peers 63% 74% 76% University Counseling Center 22% 26% 22% Faculty/Professor 18% 22% 23% Academic Advisor 15% 16% 17% I don t feel like I can go to anyone on campus when personal concerns arise 13% 14% 15% On Campus Support 62

Past Year 2012 2013 2014 Suicidal Thoughts 14% 14% 15% Attempted Suicide 1% 1% 1% Sought Assistance 31% 30% 32% Mental Health 63

Past Year 2012 2013 2014 Anxiety 34% 39% 44% Chronic Sleep Issues 15% 18% 19% Depression 13% 18% 19% Panic Attacks 12% 13% 15% None of the above 42% 47% 43% Mental Health Experiences 64

Concerned about friend s suicidal thoughts/actions Would complete an online course Visited ALR in the past year when concerned for a friend 2012 2013 2014 18% 21% 23% 40% 43% 44% 3% 23% 16% Ask, Listen, Refer 65

In the past two weeks, how stressed have you felt? (Overwhelmed & Unbearable) Subpopulation Stress Level 2013 2014 State-wide 20% 24% Fraternity and Sorority Students 21% 21% Residence Hall Students 20% 23% Lesbian, Gay, Bisexual, Queer, and Questioning Students (LGBQQ) 27% 30% 66

Suicidal Thoughts Suicide Attempts Sought Assistance Statewide 15% 1% 32% Fraternity & Sorority Residential Hall Students 14% 1% 33% 15% 1% 34% LGBQQ 39% 3% 36% Subpopulation Suicide Thoughts, Attempts, & Assistance 67

When personal concerns arise: 92% go to on campus friends 80% go to parents off campus 22% go to the University Counseling Center 8% go to Residential Life staff 6% report not having anyone to go to on campus 3% report not having anyone to go to off campus Fraternity & Sorority Support 68

Experienced in past year Fraternity & Sorority 2013 2014 Anxiety 41% 46% Chronic Sleep Issues 18% 20% Major Depression 17% 18% Panic Attacks 16% 18% Self-Injury (not suicidal) 5% 3% None of those listed 45% 42% Experiences 69

When personal concerns arise: 87% go to on campus friends 76% go to parents off campus 26% go to the University Counseling Center 24% go to Residential Life staff 9% report not having anyone to go to on campus 4% report not having anyone to go to off campus Residence Hall Students Support 70

Experienced in past year 2013 2014 Anxiety 34% 41% Major Depression 15% 18% Chronic Sleep Issues 15% 16% Panic Attacks 12% 16% Self-Injury (not suicidal) 5% 4% None of those listed 52% 46% Residence Hall Students Experiences 71

When personal concerns arise: 70% go to on campus friends 56% go to parents off campus 27% go to the University Counseling Center 10% go to Residential Life staff 19% report not having anyone to go to on campus 6% report not having anyone to go to off campus LGBQQ Students Support 72

Experienced in past year LGBQQ Students 2013 2014 Anxiety 58% 61% Major Depression 37% 38% Chronic Sleep Issues 33% 31% Panic Attacks 23% 28% Self-Injury (not suicidal) 11% 11% None of those listed 25% 22% Experiences 73

Student Involvement 74

Campus Community Feel I am a member of.. Feel sense of belonging to.. Strongly disagree 9% 10% Disagree 12% 13% Neither agree nor disagree 20% 22% Agree 41% 38% Strongly agree 18% 17% Sense of Belonging 75

Student Involvement 40% 35% 30% 25% 20% 15% 10% 5% 0% 2010 2011 2012 2013 2014 Not Involved Service/Volunteer Group 76

Your stats Compare with the state. Better or worse? Trends. Getting better or worse? Look for good social norm stats Search for stats to share with your coalition and other stakeholders What questions do you wish were asked? Note them and tell us! MCHBS All changes in by end of September 2012, unless required by your IRB What should you do now? 77

Subpopulations Trends (including changes to cleaning) Comparisons with the state average Cross tabulations Correlations Other items that can be requested 78

Data Calls and Strategic Planning Help Phone conversation regarding results, trends of interest and comparisons with state data. Fill out request form located at: pip.missouri.edu/data What should you do now? 79

Joan Masters Senior Coordinator 573.884.7551 mastersj@missouri.edu Dan Reilly Prevention & Research Coordinator 573.884.7534 reillyd@missouri.edu Chelsie Covey Graduate Research Assistant (Partnership) 573.882.7907 cmc764@mail.missouri.ed u Evan Ramsey Graduate Research Assistant 573.884.8253 jrkvd@mail.missouri.edu Contact Information 80 Missouri Partners in Prevention @MissouriPIP