American College Health Association National College Health Assessment - Spring 2023 - Reference Group Data Report III - Demographics of Participating Institutions - Data reporting changes for transgender and gender-nonconforming students

Q: What institutions and student responses are included in the Spring 2023 reference group dataset?

The analysis includes U.S. institutions that surveyed all students or used a random sampling technique and used ACHA-NCHA III (web survey). The final dataset includes 78,024 students from 125 schools.

Q: Why was the reporting of transgender and gender-nonconforming (TGNC) results changed beginning in Spring 2021?

The change supports privacy protection while improving accessibility for campus surveyors. As TGNC representation increased, the report could provide clearer access to TGNC-related results to address documented health disparities.

Q: How is TGNC reporting different from earlier ACHA-NCHA report documents?

Earlier reports relied on protecting TGNC students’ privacy by not displaying TGNC results explicitly, especially in smaller campuses. From Spring 2021 onward, TGNC responses are readily available directly in the report documents.

Sep 14, 2026

Uploaded by Felix Montgomery

Reference group demographics and data-reporting updates for the Spring 2023 American College Health Association National College Health Assessment (ACHA-NCHA III) web survey. The report describes how 125 U.S. postsecondary institutions and 78,024 students were included for analysis, outlining campus characteristics by institution type, geography, size, setting, Carnegie classification, ACHA membership, religious affiliation, and minority-institution status. It also explains a reporting policy change beginning Spring 2021, making transgender and gender-nonconforming student responses explicitly available while detailing the rationale and guidance for using redesigned documents.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages117

Reading Time4 h 55 min

AccessFree to download

Demographics of Participating Institutions

Institution and student sample selection

Campus characteristics

Reporting changes for TGNC students

How results have been reported to date

Why change and what is different

A C H A N C H A II American College Health Association National College Health Assessment SPRING 2023 Reference Group Data Report III Demographics of Participating Institutions One hundred twenty-seven postsecondary institutions self-selected to participate in the Spring 2023 ACHA National College Health Assessment and 79,137 surveys were completed by students on these campuses. For the purpose of forming the Reference Group, only institutions located in the United States that surveyed all students or used a random sampling technique, and used the ACHA-NCHA III (currently only offered as a web survey) are included in the analysis, yielding a final data set consisting of 78,024 students at 125 schools. Demographic characteristics of the 125 campuses follow. | Demographical Characteristics of the 125 US Postsecondary Institutions Included in the Spring 2023 ACHA-NCHA III Reference Group | | | --- | --- | | Campus Characteristic | n | | Type of Institution
Public
Private
2-year
4-year or above | 80
45
11
114 | | Location of Campus
Northeast (CT, ME, MA, NH, NJ, NY, PA, RI, VT)
Midwest (IL, IN, IA, KS, MI, MN, MO, NE, ND, OH, SD, WI)
South (AL, AR, DE, DC, FL, GA, KY, LA, MD, MS, NC, OK, SC, TN, TX, VA, WV)
West (AK, AZ, CA, CO, HI, ID, MT, NV, NM, OR, UT, WA, WY) | 27
17
25
56 | | Campus Size
< 2,500 students
2,500 – 4,999 students
5,000 – 9,999 students
10,000 – 19,999 students
20,000 students or more | 30
23
21
13
38 | | Campus Setting
Very large city (population over 500,000)
Large city (population 250,000-499,999)
Small city (population 50,000-249,999)
Large town (population 10,000-49,999)
Small town (population 2,500-9,999)
Rural community (population under 2,500) | 24
12
46
25
14
4 | | Carnegie Classification
Associates Colleges
Baccalaureate Colleges Baccalaureate/Associates Colleges Masters Colleges and Universities Doctoral Universities
Special Focus Institutions | 11
19
4
27
64
0 | | Demographical Characteristics of the 125 US Postsecondary Institutions Included in the Spring 2023 ACHA-NCHA III Reference Group | | | --- | --- | | Campus Characteristic | n | | ACHA Membership Status
Institutional Member
Nonmember | 99
26 | | Religious Affiliation
No
Yes
If yes:
Catholic
Protestant or Other Christian | 108
17
9 8 | | Postsecondary Minority Institution (US Department of Education) No
Yes
*If yes:
Historically Black College or University (HBCU)
Hispanic-serving Institution (HSI)
Tribal College or University
Predominately Black Institution
Asian American and Native American Pacific Islander-serving Alaska Native-serving or Native Hawaiian-serving Institution Native American-serving Nontribal Institution
*institutions may hold more than one type of minority status
NOTE: In an effort to protect the identity of the participating institutions, the minority institution status variables have been recoded into a single dichotomous (yes/no) variable in the Reference Group SPSS data files. Secondary researchers with access to the blind data files will not be able to ascertain which type of minority status designation an institution holds. | 101
24
0
12
2 0
13
0 4 | | | Spring 2023
Institutions | | --- | --- | | Number of institutions | 125 | | Number of students | 78,024 | | Mean response proportion | 11% | | Median response proportion | 10% | We need to draw your attention to an important change in your ACHA-NCHA Report documents. Beginning in Spring 2021, responses for transgender and gender-nonconforming students are readily available directly in the report documents. This represents an important change in the way we have been reporting ACHA-NCHA results. We’ve prepared the following information to better explain the specific changes, our reasoning for doing so, and tips for using these redesigned report doc

FAQs

What institutions and student responses are included in the Spring 2023 reference group dataset?

The analysis includes U.S. institutions that surveyed all students or used a random sampling technique and used ACHA-NCHA III (web survey). The final dataset includes 78,024 students from 125 schools.

Why was the reporting of transgender and gender-nonconforming (TGNC) results changed beginning in Spring 2021?

The change supports privacy protection while improving accessibility for campus surveyors. As TGNC representation increased, the report could provide clearer access to TGNC-related results to address documented health disparities.

How is TGNC reporting different from earlier ACHA-NCHA report documents?

Earlier reports relied on protecting TGNC students’ privacy by not displaying TGNC results explicitly, especially in smaller campuses. From Spring 2021 onward, TGNC responses are readily available directly in the report documents.

Sep 14, 2026

Uploaded by Felix Montgomery