The purpose of this study was to develop a profile of at-risk 5 th-year students by assessing the relationships between heavy alcohol use and mental health issues, on academic performance in 5th-year students. This secondary analysis study used the National College Health Assessment (NCHA) datasets from survey years Fall 2000–Spring 2008. Using the Social Cognitive Theory as the conceptual framework, the outcome variable was C/D/F GPA in 5th-year college students. The independent variables were Alcohol Use and Mental Health Issues. T-tests, one-way ANOVA, and chi-square analysis were used to determine differences in groups. Logistic regression and Structural Equation Modeling were used to determine predictors of lower GPA in 5th-year students. The results indicate that 5th-year students are a distinct group from 1st–4 th-year college students in terms of increased alcohol use and increased prevalence of mental health issues. Alcohol use; experience of moderate and severe mental health symptoms; experiences of Bulimia, Depression, and Substance Abuse; and Mental Health Consequences were significant predictors of C/D/F GPA in 5th-year college students. Targeted policies and programs aimed at the unique profile of 5th-year college students should address 5th-year college students' alcohol use behaviors as well as mental health.
|Advisor:||Studnicki, James, Thompson, Michael E.|
|Commitee:||Boyd, Suzanne, Kazemi, Donna, Talbot, Laura A., Veach, Laura|
|School:||The University of North Carolina at Charlotte|
|Department:||Health Services Research (PhD)|
|School Location:||United States -- North Carolina|
|Source:||DAI-B 73/10(E), Dissertation Abstracts International|
|Subjects:||Mental health, Public health|
|Keywords:||Alcohol use, College students, Fifth-year students, Mental health|
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