[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-576632-105":59,"doc-detail-576632-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","effects-of-delaying-healthcare-on-mental-health-of-college-students","EFFECTS OF DELAYING HEALTHCARE ON MENTAL HEALTH OF COLLEGE STUDENTS","","College students experience healthcare insecurities, where underinsurance and limited care options restrict timely treatment. This study quantified delaying healthcare and tested how delays relate to mental health outcomes, including depression, anxiety, and suicide ideation, in a sample of n=498. Participants reported whether they delayed care due to cost or insurance and their use of university health services. Overall, 36.9% delayed care in the past 12 months and 38.8% used university health services. Delaying care increased odds of depression (ORadj 2.79), anxiety (ORadj 2.58), and suicide ideation (ORadj 4.14), while no significant association appeared for using university health services. Universities should improve logistics, access, and service quality, and strengthen off-campus referral pathways.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/effects-of-delaying-healthcare-on-mental-health-of-college-students/576632/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/effects-of-delaying-healthcare-on-mental-health-of-college-students/576632.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-19","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How many college students delayed healthcare in the past 12 months?","Question",{"text":112,"@type":113},"36.9% of participants reported delaying healthcare in the past 12 months.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What mental health outcomes were linked to delaying healthcare?",{"text":117,"@type":113},"Delaying care was associated with higher odds of screening positive for depression, anxiety, and suicide ideation.",{"name":119,"@type":110,"acceptedAnswer":120},"Did using university health services reduce the relationship between delayed care and mental health?",{"text":121,"@type":113},"No. Although delayed care related to worse mental health outcomes, the study found no significant relationship with using university health services.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},576632,1792418990,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":46,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":31},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","EFFECTS OF DELAYING HEALTHCARE ON MENTAL HEALTH OF COLLEGE STUDENTS  \nJonathan K. Noel, Ph. D., MPH  \nJohnson & Wales University  \nCara Sammartino, Ph. D., MSPH  \nJohnson & Wales University  \nSamantha L. Strong  \nJohnson & Wales University  \nKelsey A. Gately, OTD  \nJohnson & Wales University  \nSamantha R. Rosenthal, Ph. D., MPH  \nJohnson & Wales University  \nAbstract  \nCollege students experience healthcare insecurities, with underinsurance and limited care options highly prevalent. The current study measured the prevalence of delaying care, the relationship between delaying care and mental health outcomes, and the role of using university health services (UHSs) in a sample of n = 498 college students. Participants reported whether they delayed healthcare due to cost or insurance and their use of UHSs. Mental health outcomes included screening positive for depression, anxiety, and suicide ideation. Overall, 36.9% of participants delayed healthcare in the past 12 months, and 38.8% reported using UHSs. Delaying care was associated with higher odds of screening positive for depression (ORadjusted[95%CI] = 2.79 [1.81,4.31]), anxiety (ORadjusted [95%CI] = 2.58 [1.68,3.98]), and suicide ideation (ORadjusted [95%CI] = 4.14 [2.12,8.11]), although there was no significant relationship with using UHSs. Universities should consider improving logistics, access, and service quality of UHSs or improved access to off-campus services.  \nKeywords: healthcare, students, mental health, health services, depression  \nPlease direct inquires about this manuscript to: Jonathan K. Noel, [Jonathan.k.noel@outlook.com. ORCID ID: 0000-0002-4047-1785](Jonathan.k.noel@outlook.com. ORCID ID: 0000-0002-4047-1785)  \nCollege Student Affairs Journal, Volume 43(1), pp. 82-101 ISSN 2381-2338  \nCopyright 2025 Southern Association for College Student Affairs All rights of reproduction in any form reserved.  \n83 College Student Affairs Journal Vol. 43, No.1, 2025  \nH  \nealthcare insecurity is defined as uncertainty about one’s access to necessary healthcare services (Tomsik et al., 2014) . Although the percent-  \nage of adults in the United States (US), aged 18 to 64, without health insurance was at a historical low of 7.7% in 2023 (U.S. Department of Health and Human Services [HHS], 2023), high rates of underinsured individuals, defined as insurance coverage that does not provide affordable care (Collins et al., 2022), and limited access to care among insured individual, suggest healthcare insecurity remains a concern. Nearly half (49%) of 19- to 34-year-olds were underinsured in 2022 (Collins et al., 2022), and there were 7,475 designated health professional shortage areas in the US in 2024, affecting over 74 million people (HHS 2024a) . Approximately 15% of US adults did not see a doctor for care in the past 12 months in 2023 (National Center for Health Statistics [NCHS], 2024a), and 6.4% did not get needed care due to cost (NCHS, 2024b) . Additionally, 8.1% did not take necessary prescription drugs to save money (NCHS, 2024c) . Higher rates of delayed care occur in Black, non-Hispanic and Hispanic populations, as well as females (NCHS, 2024b) . Conversely, having health insurance was inversely associated with unmet healthcare needs among lesbian, gay, and bisexual adults in the 2021 National Health Interview Survey (NHIS) (Masa et al., 2024) .  \nYoung adults, including college and university students, are at higher risk of healthcare insecurities. One study conducted in 2022 reported that 10.9% of students at a federally designated Hispanic and minority-serving institution were unable to obtain needed healthcare services, such as mental health services, sexual health services, and routine screenings (Becerra et al., 2022) . More broadly, up to half of young adults may primarily use emergency departments to receive care (Holland et al., 2022), and young adults may be more likely to experience healthcare insecurity when living in a state that did not expand Medicai","cbCaieKPbFmcVhUF","https://ap.wps.com/l/cbCaieKPbFmcVhUF","pdf",870289,"English","# Abstract\n## Healthcare insecurity and delayed care\n## University health services utilization\n## Methods and mental health outcomes\n## Findings and implications","[{\"question\":\"How many college students delayed healthcare in the past 12 months?\",\"answer\":\"36.9% of participants reported delaying healthcare in the past 12 months.\"},{\"question\":\"What mental health outcomes were linked to delaying healthcare?\",\"answer\":\"Delaying care was associated with higher odds of screening positive for depression, anxiety, and suicide ideation.\"},{\"question\":\"Did using university health services reduce the relationship between delayed care and mental health?\",\"answer\":\"No. Although delayed care related to worse mental health outcomes, the study found no significant relationship with using university health services.\"}]","EFFECTS OF DELAYING HEALTHCARE ON MENTAL HEALTH OF COLLEGE STUDENTS | PDF",1792030132]