Mental Health Disparities Among Cisgender, Transgender, and Gender Nonconforming College Students in the United States

ABSTRACT

Many researchers attribute factors of identity, acculturation, sexual orientation, and substance use and other maladaptive behaviors as potential risk factors associated with increased mental illnesses reported by college students (Castillo & Schwartz, 2013;Wyatt & Oswalt, 2013). [...]the COVID-19 pandemic has further exacerbated mental health problems in college students (Lopez Steinmetz et al., 2021;Son et al., 2020), with 71% experiencing more stress, anxiety, problems with concentration, and worry about a loved one's health as well as their own (Son et al., 2020). Approximately 75% of first-year college students with any mental illness do not seek help (Bruffaerts et al, 2019). [...]there is a growing need to address possible factors contributing to reduced help seeking and to identify vulnerable groups in college populations (Castillo & Schwartz, 2013). Men's decreased treatment utilization may be in part due to shame, stigma, and parental and peer norms toward seeking out mental health services (Seehuus et al, 2021). Given the impact that gender-related stressors play in the rise of mental illness in college students, this study aims to bridge the gap in mental health clinicians' and researchers' understanding of how diverse gender identities influence mental health-related outcomes and mental illness. [...]this study addresses two research questions (1) Do gender differences (i.e., between cisgender men, cisgender women, and TGNC individuals) exist among college students in the prevalence of mental illness, utilization of psychological services, and mental health-related outcomes (i.e., psychological distress, stress, resilience, overall health, and loneliness)? (2) Do mental health-related variables differentially predict mental illness diagnoses among college students? METHOD Participants and Data Collection The ACHA (2020) National College Health Assessment-Ill Fall 2020 (NCHA-III) is a survey that gathers information regarding students' health.