
American College Health Association
At UC Riverside, the American College Health Association’s National College Health Assessment (ACHA-NCHA) plays a vital role in understanding the health and wellness needs of our student community. By collecting comprehensive data on behaviors such as mental health, nutrition, sleep, substance use, and more, the survey enables UCR to design informed, evidence-based programs and services that enhance student well-being and academic success. Through continued participation and analysis, we strive to create a healthier, more supportive campus environment for all Highlanders.
PURPOSE
- Monitor physical health and mental health, as well as substance use, academic impacts, and sense of belonging.
- Clarify what problems take priority in our campus and for specific student demographics to inform resource allocation.
- Track health trends over time to evaluate the effectiveness of campus wellness initiatives.
CHALLENGE
- Low student response rates reduce representativeness of findings.
- Survey fatigue and lack of awareness affect participation.
- Limited data can hinder accurate identification of health trends.
SOLUTION
- Provide participation incentives (e.g., gift cards, tech prizes).
- Use targeted email campaigns and social media promotion.
- Collaborate with campus partners to boost outreach.
WHY THIS PROJECT MATTERS
- This project matters because it provides systematic, campus-specific data on how student well-being directly impacts academic success and retention. This survey provides us detailed, disaggregated insights needed to understand which student groups are struggling, why they are struggling, and how those struggles affect their academic trajectories. The surveys allow us to move beyond anecdotal evidence and design interventions that are both targeted and data-driven. Without systematic data collection, our assessments of student well-being would rest on a small number of annecdotal, second-hand accounts that are subject to interpretive distortion and other biases.
IMPACT
- This research provides actionable insights into how student health and well-being. By identifying the most significant barriers to student success—such as mental health challenges, financial stress, or experiences of discrimination—the findings help the university prioritize interventions and allocate resources where they are most needed among the student body. The data also support institutional efforts to close equity gaps and improve academic progression for underrepresented groups.
WHAT WE ARE DOING
- Conducting the NCHA survey biennially at UCR.
- Analyzing results to identify trends and needs
- Applying findings to improve student health services and outreach.
LIMITATIONS
- Low response rates: The ACHA-NCHA survey typically receives less than 10% response at UCR.
- Biased sample: Students who are already more involved on campus or more aware of wellness resources might be overrepresented in the sample. This, among other unobserved confounders, could skew the findings
- Self-reported data: All findings are based on students’ self-reports, which may be subject to recall bias, social desirability bias, or inaccurate reporting on sensitive topics (e.g., substance use, mental health, discrimination)
- Survey fatigue: The length of the NCHA survey in particular may contribute to incomplete responses or lower engagement with later sections of the survey.
Mental Health
Depression:
The percentage of students diagnosed with depression peaked at 34.4% in 2019, but usually stays around 15-20%. It dropped significantly after 2019.

Anxiety:
Anxiety diagnoses peaked at 42.8% in 2019 but usually stay around 20%. It dropped sharply after 2019.

Bipolar Disorder:
The percentage has steadily decreased from about 4.7% in 2014 to 1.5% in 2024.

ADHD:
ADHD diagnoses slightly increased from 7.1% in 2014 to 7.6% in 2019, then dropped to about 6.2% in 2024.

Insomnia:
Insomnia diagnoses increased a little to 10.2% in 2019 but dropped to 4.5% by 2024.

Self Harm:
The percentage of students who self-harmed has steadily increased from 7.8% in 2014 to 11.0% in 2024.

Attempted Suicide:
The percentage of students who attempted suicide has also increased, from 2.1% in 2014 to 4.0% in 2024.

Health Related Behaviours
Tobacco Use:
Tobacco use among students dropped from 29% in 2014 to 22% in 2024.

Binge Drinking (Five or More Drinks):
Binge drinking dropped from 21% in 2014 to 9% in 2021, then slightly rose to 12% in 2024.

Driving After Drinking:
Students driving after drinking dropped from 11% in 2014 to about 3% in 2024.

Cannabis Use:
Cannabis use peaked at 39% in 2019, then dropped to 32% in 2024.

Alcohol Use:
Alcohol use peaked at 68% in 2019 and decreased to 54% in 2024.

Substance Abuse Diagnosis:
Diagnosed substance abuse dropped steadily from 2.8% in 2014 to 0.7% in 2024.

Other Drug Use:
Use of other drugs increased to a peak of 16% in 2021 but dropped to 12.5% by 2024.

No Birth Control Use in Last Vaginal Intercourse:
Not using birth control peaked at 11.5% in 2019 but is lower at 6.6% in 2024.
