Special Data Report on Disparities in Wellbeing among LGBTQ+ Students by uscwellbeingcollective

A Special Data Report on Disparities in Wellbeing among LGBTQ+ Students FOR RELEASE on October 2020

A Data Report provided by the USC Well-being Collective from the 2020 USC Student Wellbeing Index Survey

FOR INQUIRIES:

USC Student Health - Office for Health Promotion Strategy Paula Swinford, Director Prawit Thainiyom, Associate Director of Metrics and Data Oliver Tacto, Associate Director of Communication Amanda Vanni, Associate Director of Community Engagement Diane Medsker, Senior Learning and Development Specialist Alejandra Barreto, Research Assistant

RECOMMENDED CITATION USC Well-being Collective, October 2020, "A Special Data Report on Disparities in Wellbeing among LGBTQ+ Students"

For additional questions, please contact: USC Student Health, Office for Health Promotion Strategy, Backbone for USC Well-being Collective at wellbeingcollective@usc.edu

Table of Contents

About USC Well-being Collective Measuring Impact Introduction Methodology Limitations Demographic Definitions Student Wellbeing Key Performance Indicator Definitions Summary of Findings Positive Sense of Belonging Fairness and Equity in the Classroom Fairness and Equity out of the Classroom Positive Mental Health At-Risk Drinking At-Risk Drinking after Initial 6 Weeks On-Campus Sexual Assault Upstanding Behaviors Call to Action Appendix I: Participant Characteristics from SWIS Appendix II: Participant Characteristics from AlcoholEdu Acknowledgment

3 3 4 5 5 6 7 8 9 10 11 12 13 14 15 16 17 18-19 20-21 22

The compilation of projects in this report covers the research conducted on student data managed by the Office for Health Promotion Strategy. This represents only a snapshot of available research across USCâ&#x20AC;&#x2122;s academic units, researchers, and partners of the USC Wellbeing Collective. The Office for Health Promotion Strategy has also conducted analyses on National Assessment of Collegiate Campus Climates (NACCC) survey data from the USC Race and Equity Center and on medical diagnoses data from USC Student Health. If you are interested in sharing additional student data with us for analysis, please contact hpstrategy@usc.edu. It should also be noted that we will continue to update and revise these reports as we learn and receive feedback. As such, we welcome your feedback on this report. When sharing this report, please include the recommended citation located on the report cover page. This report was prepared by the USC Student Health Office for Health Promotion Strategy, backbone for the USC Well-being Collective.

About USC Well-being Collective

Guided by the principle that wellbeing is created where people live, learn, work and play, the USC Well-being Collective was established to bring together a coalition of campus partners to advance student health and wellbeing. The USC Well-being Collective harnesses the power of Collective Impact for a variety of distinct and often siloed academic departments, administrative units, recognized student organizations and local non-profits to come together and work with the whole student community towards one common agenda: strengthening a campus culture driven by student wellbeing. This common agenda is supported by four interrelated strategic goals: 1. Enhancing the culture of equity and inclusion 2. Creating a culture where individuals and communities thrive 3. Disrupting the culture of at-risk substance use 4. Fostering a culture of consent and healthy relationships Measuring Impact

To track progress, members of the student community and participating partners worked with USC Student Health Office for Health Promotion Strategy - backbone for the USC Well-being Collective and identified eight population-level Student Wellbeing Key Performance Indicators (KPIs) to regularly report and share with the whole USC community. These KPIs represent essential common priorities to address, and begin to measure movement towards the common agenda. The following is a list of the 8 Student Wellbeing KPIs: 1. Positive Sense of Belonging 2. Fairness and Equity in the Classroom 3. Fairness and Equity out of the Classroom 4. Positive Mental Health 5. At-risk Drinking among All Students 6. At-risk Drinking among Incoming Undergraduate Students 7. Sexual Assault 8. Upstanding Behaviors All of the Well-being Collective's data reports are located at uscwellbeingcollective.usc.edu.

Introduction

The University of Southern California is multi-faceted, consisting of traditions, aspirations and the settings we share. The wellbeing of students is at the core of our every day work. As such, it is critical that each of us take on a campus-wide responsibility to create health and wellbeing in each of our units and spaces throughout the university. Using a collective impact framework, we aspire to support our students to achieve their fullest potential by making wellbeing a strategic priority. This report is one of several that highlights the nuanced gaps, needs, and assets within our student communities based on their intersectional identities. I highly encourage you to explore the student wellbeing key performance indicators in this report, review the disparities of our student populations by different demographic factors, and see how certain student groups are presenting their wellbeing in comparison to the aggregated student population. It is our hope that USC staff, faculty and students can utilize the data in this report to conduct further research and gather community feedback to identify the risk and protective factors associated with their wellbeing in order to plan and advocate for appropriate resources. Ultimately, we need to narrow the disparities and achieve ever increasing wellbeing for all of our diverse student communities. I invite you to reflect on the valuable work each of us can contribute to strengthening a culture driven by student wellbeing on our campuses, both through personal actions and systemic change. At the University of Southern California, we are at the forefront of innovation and positive culture change in higher education. Together, we are shaping an important landscape to create a health promoting environment for our student community and for the wellbeing of the USC community as a whole. Your insight and feedback on this report is always welcome as it contributes to our common agenda. May we know wellbeing in person, place and planet. Sincerely. Paula Swinford, MS, MHA, FACHA Director, Office for Health Promotion Strategy, USC Student Health Clinical Instructor, Department of Family Medicine, Keck School of Medicine USC Student Health | Keck Medicine of USC University of Southern California

Methodology

The primary source of data in this report is derived from the Student Wellbeing Index Survey (SWIS) that was conducted online from April 9 - May 8, 2020. The goal of the SWIS is to provide annual tracking of USC students' views and experiences on student wellbeing and measure the USC Well-being Collective Key Performance Indicators (KPIs) in the areas of sense of belonging, perception of being treated fairly and equitably in and out of the classrooms, positive mental health, at-risk drinking, sexual assault, and upstanding behaviors. A random sample of 10,308 undergraduate students and 13,531 graduate students who were enrolled in oncampus programs at USC in the Spring 2020 were invited to participate in the SWIS. All USC students have a chance of being selected into the study. Their survey response rates were 20.5% for undergraduates and 23.4% for graduate students respectively. The estimated margin of error at 95% confidence level was +/-1.7% for both undergraduate and graduate student populations. The survey was subsequently weighted to be representative of the USC student census population by sex, race/ethnicity, campus location, degree level, and academic school. The weighted sample of 1,323 LGBTQ+ students (726 undergraduates and 597 graduate students) were used for data analysis in this report. Online students were also removed from analysis as another report for online students will be created.

The second data source for an indicator on the rates of at-risk drinking among incoming undergraduates after their initial six weeks on campus comes from the 2019/2020 AlcoholEdu Survey (as of May 12, 2020). AlcoholEdu is a research-based online alcohol education program designed to assist students in developing personal decision-making skills regarding alcohol use in college. All incoming first year and transfer undergraduate students are required to complete

34.6%

AlcoholEdu before the start of the semester and after six weeks in their first semester. Data were not weighted because all of the USC first-year and transfer undergraduates (N = 5,588) were required to complete the survey. For this report, 863 incoming undergraduates identified themselves as LGBTQ+ and completed the AlcoholEdu Survey. Please refer to the tables in the Appendix I: Participant Characteristics of SWIS and Appendix II: Participant Characteristics of AlcoholEdu for the breakdown of the number of survey participants by each demographic.

Limitations

Following the common practice in quantitative research to generate reliable estimates, only groups with a minimum of 20 survey respondents are displayed in this report.1 The main limitation of this report is the inadequate number of transgender respondents in the gender identity category (n = 7 for UG & n = 5 for G from SWIS; n = 17 from AlcoholEdu).2 In the interest of including as many results as possible and avoiding the erasure of experiences of transgender students because their group consists of less than 20 respondents, they are combined with students who identified as genderqueer/gender non-conforming, nonbinary or self-identify and reported in the TGNS category. Data from GN students (n = 44 for UG & n = 20 for G from SWIS and n = 32 from AlcoholEdu) are still shown separately as their sample size is above 20.

Future studies to highlight the experiences of the transgender student community with other intersectional identities (e.g., undergraduate transwomen of color who are also first generation students) should consider other research methods such as qualitative focus groups and in-depth interviews as alternative modes of data collection.

44.3%

1. Hill, R. (1998). What sample size is “enough” in internet survey research. Interpersonal Computing and Technology: An electronic journal for the 21st century, 6(3-4), 1-12. 2. See Appendix at the end of this report for the number of respondents in each gender identity category. 5

Disparities in Wellbeing USC Well-being Collective A Semi-Annual Special Data Report on LGBTQ+ Students Update

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DEMOGRAPHIC DEFINITIONS

UG - Total

Total sample of survey respondents who were undergraduate students and enrolled in an on-campus program at USC.

G UPC - Total

Total sample of survey respondents who were graduate students and enrolled in an on-campus program at University Park Campus, USC. Sample of undergraduate students who identi ed as LGBTQ+ and enrolled in an on-campus program at USC. Sample of undergraduate students who did not identify as LGBTQ+ and enrolled in an on-campus program at USC. Sample of graduate students who identi ed as LGBTQ+ and enrolled in an on-campus program at USC. Sample of graduate students who did not identify as LGBTQ+ and enrolled in an on-campus program at USC. Students whose gender identity and sex at birth are male and their sexual orientation is exclusively heterosexual. Students whose gender identity and sex at birth are female and their sexual orientation is exclusively heterosexual. For this report, it is an inclusive acronym for students who identi ed as lesbian, gay, bisexual, transgender, queer or questioning, plus other non-cisgender identities (genderqueer, gender nonconforming, non-binary or self-identify) and non-heterosexual orientations (asexual, pansexual or selfidentify). Students who reported their gender identity to be trans male/trans man, trans female/ trans woman, genderqueer/gender non-conforming, non-binary or self-identify. Students who reported their gender identity to be genderqueer/gender non-conforming or non-binary. Students who would be the rst generation in their family to graduate with a Bachelor's Degree. Students who reported to have been diagnosed with any of the following: ADHD, Autism Spectrum Disorder, Chronic mental health condition (e.g., depression, PTSD, anxiety disorder, etc), Chronic medical condition (e.g., cystic brosis, diabetes, chronic pain, etc.), Learning disability, Mobilityrelated disability (e.g., spinal cord injury, muscular dystrophy, etc.), Sensory disability (e.g., hard of hearing, low vision, etc.) or other disability /chronic condition. Students who were currently in Reserve OďŹ&#x192;cers' Training Corps (ROTC), in Military Reserves or National Guard, Now on active duty, on active duty in the past 12 months, or on active duty beyond the past 12 months.

UG - LGBTQ+ UG - Non-LGBTQ+ G - LGBTQ+ G - Non-LGBTQ+ Cis-hetero men Cis-hetero women LGBTQ+ TGNS GN First generation Diagnosed with disability

AďŹ&#x192;liated with military

*See Appendix at the end of this report for the number of respondents in each demographic category. Online students were removed from analysis in this report. 6

Disparities in Wellbeing USC Well-being Collective A Semi-Annual Special Data Report on LGBTQ+ Students Update

February 2020 February 2020 July 2020 October 2020

STUDENT WELLBEING KEY PERFORMANCE INDICATORS DEFINITIONS

Positive Sense of Belonging

Fairness and Equity in the Classroom Fairness and Equity out of the Classroom

Positive Mental Health

At-risk drinking

Sexual assault

Upstanding Behaviors

Sense of belonging is a composite index of 5 items ( e Healthy Minds Network, 2018) such as: "I feel valued as an individual at USC," "I feel I belong at USC," "I have considered leaving USC because I felt isolated or unwelcomed (reversed coded)," "USC is a place where I am able to perform up to my full potential," and "I have found one or more communities or groups where I feel I belong at USC." Respondents rated their agreement with these items from (1) strongly disagree to (5) strongly agree. Students with positive sense of belonging have a summative score of at least 20 out of 25 points on this index. Respondents rated their agreement from (1) strongly disagree to (5) strongly agree to this statement: “I am treated fairly and equitably in classrooms and classroom settings,” ( e Healthy Minds Network, 2018). Students who feel they are treated fairly and equitably in the classroom answer either (4) agree or (5) strongly agree. Respondents rated their agreement from (1) strongly disagree to (5) strongly agree to this statement: “I am treated fairly and equitably in out-of-classroom university spaces,” ( e Healthy Minds Network, 2018). Students who feel they are treated fairly and equitably out of the classroom answer either (4) agree or (5) strongly agree. Measured using the Flourishing Scale (Diener et al., 2010) with 8 items such as: "I lead a purposeful and meaningful life," "My social relationships are supportive and rewarding," "I am engaged and interested in my daily activities," "I actively contribute to the happiness and well-being of others," "I am competent and capable in the activities that are important to me," "I am a good person and live a good life," "I am optimistic about my future," and "People respect me." Participants rated their agreement from (1) strongly disagree to (7) strongly agree. People with a positive mental health score 48 or more out of 56 in the scale, an average of at least 6 (agree) for all the items. At-risk drinking is de ned as 4 or more drinks for women, 5 or more drinks for men, and 4 or more drinks for unknown biological sex/intersex in one occasion for the past two weeks (National Institute on Alcohol Abuse and Alcoholism, 2015). Participants were asked: "In the past 12 months, have you experienced any unwanted sexual contact? Please count any experience of unwanted sexual contact, e.g., touching of your sexual body parts, oral sex, anal sex, sexual intercourse, and penetration of your vagina or anus with a nger or object that you did not consent to and did not want to happen regardless of where it happened."( e Healthy Minds Network, 2018). Measured by students who have reported to have intervened (by trying to help) for someone in at least one of the following situations: 1) drinking too much; 2) at risk of being sexually assaulted; 3) using harassing language towards others; 4) under emotional distress or suicidal; and 5) physical altercations ( e Healthy Minds Network, 2018).

Diener, E., Wirtz, D., Tov, W., Kim-Prieto, C., Choi, D. W., Oishi, S., & Biswas-Diener, R. (2010). New well-being measures: Short scales to assess flourishing and positive and negative feelings. Social Indicators Research, 97(2), 143-156. The Healthy Minds Network (2018). The Healthy Minds Study (HMS): Questionnaire modules. Retrieved from http://www.healthymindsnetwork.org/research/data-for-researchers National Institute on Alcohol Abuse and Alcoholism. (2015). Drinking levels defined. Retrieved from https://www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderatebinge-drinking 7

Disparities in Wellbeing USC Well-being Collective A Semi-Annual Special Data Report on LGBTQ+ Students Update

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SUMMARY OF FINDINGS

Overall, LGBTQ+ students at USC experienced statistically significant disparities (p<.05) in six out of eight Student Wellbeing Key Performance Indicators (KPIs) when compared to the non-LGBTQ+ students. Two KPIs (sense of belonging and positive mental health) were also found to have small effect size (φ>.100). Among undergraduate students, LGBTQ+ undergraduates had significantly lower sense of belonging at USC (-14.7%, p=.000, φ=-.128) , were less likely to perceive to be treated fairly and equitably inside (-5.9%, p=.000) and outside of the classroom (-4.0%, p=.010), had less positive mental health (-16.8%, p=.000, φ=-.146), and experienced significantly higher rates of sexual assault (+5.6%, p=.000) when compared to the non-LGBTQ+ undergraduate students. Despite these challenges, LGBTQ+ undergraduates reported slightly more upstanding behaviors (+3.6%, p=.084) by intervening and helping other students who were in a risky situation.

Among the graduate student sample, LGBTQ+ students experienced statistically significant lower rates of sense of belonging (-8.3%, p=.000) and lower positive mental health (-9.1%, p=.000), lower perception to be treated fairly and equitably in and out of the classroom (-3.5%, p=.031 and -7.7%, p=.000 respectively), engaged in more at-risk drinking (+3.1%, p=.000), and experienced higher prevalence of sexual assault (+2.8%, p=.000) than nonLGBTQ+ students. LGBTQ+ graduate students also reported more upstanding behaviors (+3.1%, p=.124) to help other students while they were on campus at USC. The next section will provide further disaggregation of wellbeing data within the diverse LGBTQ+ student community that may help to identify unique gaps and needs, as well as learning opportunities from LGBTQ+ subgroups that experienced less disparities in some of the KPIs.

DISPARITIES BETWEEN LGBTQ+ AND NON-LGBTQ+ SAMPLES ON STUDENT WELLBEING

UG NonLGBTQ+

UG LGBTQ+

% Diﬀerence

G NonLGBTQ+

G LGBTQ+

% Diﬀerence

1. % of students who report positive sense of belonging

52.1%

37.4%

-14.7%***

46.2%

37.9%

-8.3%***

2. % of students who feel they are treated fairly and equitably in classrooms and classroom settings

86.3%

80.4%

-5.9%***

85.7%

82.2%

-3.5%*

3. % of students who feel they are treated fairly and equitably in out-of-classroom university spaces

85.0%

81.0%

-4.0%*

81.7%

74.0%

-7.7%***

4. % of students who report positive mental health

51.1%

34.3%

-16.8%***

53.1%

44.0%

-9.1%***

5. % of students who engage in at-risk drinking

25.0%

26.6%

+1.6%

20.2%

23.3%

+3.1%***

6. % of incoming undergraduate students who are at-risk drinkers after 6 weeks on campus*

20.6%

18.5%

-2.1%

7. % of students who experience sexual assault in the last 12 months

6.6%

12.2%

+5.6%***

2.2%

5.0%

+2.8%***

8. % of students who report upstanding behaviors at USC

62.4%

66.0%

+3.6%

25.2%

28.3%

+3.1%

No data available in table

Key Performance Indicator

*% difference between LGBTQ+ and Non-LGBTQ+ students is statistically significant at *p<.05, **p<.01, ***p<.001. If the number is bolded, the effect size (Phi) is also above .100 Data for the student wellbeing KPI #6 are derived from AlcoholEdu Survey, with incoming undergraduates (first-year and transfer) only. 8

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

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October 2020

POSITIVE SENSE OF BELONGING GRADUATE

UNDERGRADUATE STUDENTS

*YTICINHTE/ECAR

28.9%

BAA only

35%

International Non-Asian

32.4%

White/European American only

**NOITATNEIRO LAUXES

/YTITNEDI REDNEG

53% 51.4% 37.4% 29.6% 31.8% 41.2% 33.8% 39.9% 32% 39.1% 37% 34.1%

LGBTQ+ TGNS GN Asexual

Fairness and

Bisexual

Equity out of Classroom**

Gay Lesbian

Pansexual Queer Questioning

+0.7%

29.4%

Mixed Race

White/European American only

39.9%

Cis-hetero women

41%

LCM only 84.9%

Cis-hetero men

53.6%

International Non-Asian

46.3%

36.8%

Mixed Race

38.7%

International Asian

Result

38.8%

LCM only

52.6%

BAA only

Spring 2020

International Asian

39.2%

AA/DASA only

37.7%

AA/DASA only

46.2%

G - Non-LGBTQ+

52.1%

UG - Non-LGBTQ+

STUDENTS

31.6%

48.2% 43.1% 37.9%

Cis-hetero men Cis-hetero women LGBTQ+

11.1%

TGNS

39.2%

Asexual

32%

Bisexual

82.2%

Gay Lesbian

32.3% 26.5%

Pansexual

51.0%

43.1% 41.4%

Queer

45.5%

Questioning

At-Risk Drinking among all students***

% of all students who engage in

UG - Total

38.6%

at-risk drinking

22.8%

-15.8%

G UPC - Total

20.0%

SCIHPARGOMED

REHTO

36.9% 33.1%

34.2%

First generation

44%

24.9%

Upstanding Behaviors***

58.1%

47.3%

34.6%

Diagnosed with disability

A liated with military***

34.9%

35%

44.3%40.5%

42.4% 33.1%

Masters

PhD/Other Doctorates

28.6%

44.3%

First generation

Diagnosed with disability

A liated with military***

*AA/DASA students who only identified as Asian/Asian American or Desi American/South Asian | BAA students who only identified as Black/African American LCM students who only identified as Latinx, Chicanx, Mestizx or Hispanic **TGNS are students who identify their gender identity as Transgender, Genderqueer/Gender Non-conforming, Non-binary or Self-Identify. GN are students whose gender identity is Genderqueer/Gender Non-conforming or Non-binary. ***There are not enough LGBTQ+ students who are affiliated with military in the survey sample to generate reliable numbers. 9

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

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October 2020

FAIRNESS AND EQUITY IN THE CLASSROOM UNDERGRADUATE STUDENTS

GRADUATE

*YTICINHTE/ECAR

UG - Non-LGBTQ+

86.3%

G - Non-LGBTQ+

AA/DASA only

86.2%

AA/DASA only

57.9%

BAA only

**NOITATNEIRO LAUXES

/YTITNEDI REDNEG

TGNS GN Asexual Bisexual Gay

Lesbian

Classroom**

Pansexual % of all students who report

Queer

International Non-Asian

85.7%

positive mental health

Questioning

86.4% 86.1% 80.4% 72.2% 70.5% 83.2% 79.2% 79.6% 84% 82.2% 70.8% 76.1% 45.3% 51.0% 72.6% 81.3%

drinkers at-risk drinking after 6 weeks on

REHTO

SCIHPARGOMED

76.6% 74.7%

campus

72.1%

86.8% 84.2% 82.2%

Cis-hetero men LGBTQ+

64.3% 65%

TGNS GN

83.3% 81.2% 88.4% 86.7% 76.7% 64.6% 81.8%

Asexual Bisexual Gay

+2.6%

Lesbian Pansexual +5.7%

Queer

Questioning

G UPC - Total 38.6%

86.0%

Diagnosed with disability

22.8% 20.0%

86%

First generation

81.9%

Cis-hetero women

UG - Total

78.3%

72.5%

White/European American only

% of incoming undergraduate students % of all students who are at-risk who engage in

82.1%

Mixed Race

84.9%

85.7%

LGBTQ+

Equity out of

86.2%

LCM only

76.3%

Cis-hetero women

65%

International Asian

58.2%

White/European American only

Fairness and

Result

94.1% 46.3%

International Non-Asian

Cis-hetero men

76.9%

BAA only

86.1%

Mixed Race

85.7%

Spring 2020

International Asian

LCM only

STUDENTS

A liated with military***

-15.8%

86.6% 81.4%

79.7%78.1%

85.7%84.1%

81.8% 76.2%

Masters

PhD/Other Doctorates

72.7%

44.3%

First generation

Diagnosed with disability

A liated with military***

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

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October 2020

FAIRNESS AND EQUITY OUT OF THE CLASSROOM GRADUATE

UNDERGRADUATE STUDENTS

85%

*YTICINHTE/ECAR

UG - Non-LGBTQ+

White/European American only

89.3%

/YTITNEDI REDNEG

**NOITATNEIRO LAUXES

Cis-hetero men

Cis-hetero women LGBTQ+ TGNS GN Asexual Bisexual

Fairness and

Gay

Classroom**

Lesbian

Pansexual Queer

% of all students who report positive mental health

Questioning At-Risk Drinking

UG - Total

% of all students who engage in

among all

67.9%

LCM only

69.2%

82.6% 84.9%

Mixed Race

Equity out of

International Non-Asian

64.2%

LCM only

at-risk drinking

students***

REHTO

SCIHPARGOMED

76% 73.5%

77.1% 75.7%

75%

International Asian

67.6%

International Non-Asian

60%

BAA only

76.3%

International Asian

80.4%

AA/DASA only

53.8%

BAA only

81.7%

G - Non-LGBTQ+

87.8%

AA/DASA only

STUDENTS

86.6% 83.8% 81% 81.5% 81.4% 84.2% 77.4% 79.6% 82.2% 84.6% 80% 82.6% 51.0% 45.3% 76.7% 84.6% 38.6%

82.2% 79.7% 74% 65.4% 71.4% 74% 74.4% 75.2% 75.9% 64.5% 61.2% 84.1%

Cis-hetero men LGBTQ+ TGNS GN Asexual Bisexual

+2.6%

Gay

Lesbian Pansexual

+5.7%

Queer Questioning

-15.8%

76%

89.5%

75.9%

Cis-hetero women

22.8%

89.5%

70.6%

Mixed Race White/European American only

-1.4%

70.1%

G UPC - Total 74.9%71.2%

76.7%

79.9%75.6%

78.9% 70.9%

Masters

PhD/Other Doctorates

-2.5%

First generation

Diagnosed with disability

A liated with military***

44.3%

+9.7%

First generation

Diagnosed with disability

A liated with military***

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

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October 2020

POSITIVE MENTAL HEALTH UNDERGRADUATE STUDENTS

51.1%

UG - Non-LGBTQ+ *YTICINHTE/ECAR

2018-19

Spring 2020

Baseline

Result

40%

International Asian Description

57.1%

International Non-Asian 43.2%

Mixed Race % of all students who feel they are

Fairness and Equity

37.3%

84.2%

84.9%

White/European American classroom and classroom settings 33.5% only treated fairly and equitably in

/YTITNEDI REDNEG

**NOITATNEIRO LAUXES

Cis-hetero men Cis-hetero women LGBTQ+

22.2% 13.6%

Asexual

Lesbian

Classroom**

Pansexual Queer

% of all students who report

At-Risk Drinking among all At-Risk students*** Drinking among

SCIHPARGOMED

all incoming undergraduate

42.9%

48.2% 53.4%

43.1%

Mixed Race

+0.7%

39.3%

49.8% 54.9%

Cis-hetero men LGBTQ+

40.8%

Asexual Bisexual

43% 33.3% 34.8%

82.2%

+2.6%

Gay

Lesbian

26.7%

Pansexual

45.3%

51.0%

38.6%

22.8%

Queer

34.9%

-15.8%

drinkers after 6 weeks on campus

21.4%

REHTO

33.1%

Assault***

32%

49.9% 41.9%

7.4%

51.3% 46.9%

47.7% 38.2%

Masters

PhD/Other Doctorates

36.1% 30.8%

18.7%

Upstanding

34.6%

Behaviors***

First generation

62.8%

20.0%

56.1%

44.9%

G UPC - Total

% of incoming undergraduate students who are at-risk

44% 40.7% 40% 44.2% 44.2% 45.4% 51.7%

+5.7%

Questioning

students***

Sexual

51.3%

LCM only

% of all students who engage in at-risk drinking

39.3%

International Non-Asian

TGNS

23.3% 27.5%

UG - Total

Change

Cis-hetero women

positive mental health

Questioning

44%

International Asian

White/European American only

79.6%

Gay

Equity out of

34.3%

29.2%

Bisexual

Fairness and

35%

46.3%

35.8%

LCM only

51.9%

BAA only

Indicator

TGNS

53.1%

AA/DASA only

7.9%

Key Performance

in Classroom

STUDENTS

G - Non-LGBTQ+

32.5%

AA/DASA only BAA only

GRADUATE

Diagnosed with disability

A liated with military***

44.3%

First generation

Diagnosed with disability

A liated with military***

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

AT-RISK DRINKING

UNDERGRADUATE STUDENTS

GRADUATE

25%

UG - Non-LGBTQ+ *YTICINHTE/ECAR

35.9% 15.2%

International Asian Description

Indicator

Spring 2020

Baseline

Result

32.4% 43.2%

% of all students who feel they are Mixed Race

Fairness and Equity

treated fairly and equitably in

White/European American classroom and classroom settings only

in Classroom

/YTITNEDI REDNEG

**NOITATNEIRO LAUXES

Cis-hetero men Cis-hetero women LGBTQ+ TGNS GN Asexual

Bisexual Fairness and

Gay

Equity out of

8.3%

Lesbian

Classroom**

Pansexual Queer

% of all students who report positive mental health

At-Risk Drinking

students*** Drinking among

SCIHPARGOMED

all incoming undergraduate

UG - Total

REHTO

19%

21.4%

84.9%

38.5%

LCM only

19.6%

Mixed Race

+0.7%

White/European American only

31.6%

28.2%

18.4% 20.5% 23.3% 14.8%

Cis-hetero men Cis-hetero women LGBTQ+ TGNS

10%

16.5%

Asexual

26.5% 25.6% 20.7%

Bisexual 82.2%

+2.6%

Gay

23.3% 25.3%

45.3%

37%

Pansexual

51.0%

+5.7%

Queer

22.7%

Questioning

38.6%

22.8%

33.3% 31.3%

G UPC - Total

-15.8%

% of incoming undergraduate students who are at-risk

21.4%

20.0%

drinkers after 6 weeks on campus

students***

Sexual

Change

Lesbian

% of all students who engage in at-risk drinking

International Asian

International Non-Asian

27.4% 23.1% 26.6% 20.4% 20.9% 16.9% 32.3% 79.6% 26.6%

Questioning

among all At-Risk

31.4%

84.2%

20.1%

46.3%

25.8%

36.8%

BAA only

2018-19

International Non-Asian LCM only

13.7%

AA/DASA only

BAA only

Key Performance

20.2%

G - Non-LGBTQ+

15.6%

AA/DASA only

STUDENTS

26.2%

31.9% 29.4%

35.1% 25.1% 20.3%

7.4%

26.9%28.1%

22.7%

23.2% 20.1%

19.9%22.5%

Masters

PhD/Other Doctorates

Assault***

Upstanding

34.6%

Behaviors***

First generation

Diagnosed with disability

A liated with military***

44.3%

First generation

Diagnosed with disability

A liated with military***

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

AT-RISK DRINKING AFTER INITIAL 6 WEEKS ON-CAMPUS* INCOMING UNDERGRADUATE STUDENTS (FIRST-YEAR & TRANSFER)

20.6%

Incoming UG - Non-LGBTQ+

16.9%

YTICINHTE/ECAR

Asian/Asian American only

14%

Black/African American only

9.5%

International Asian

Key Performance Indicator

22%

International Non-Asian Latinx/Hispanic only

19.8%

Mixed

19.7% 21.7%

Other/Unknown

Fairness and Equity in Classroom

22.6%

White/European American only

Incoming UG - LGBTQ+

**NOITATNEIRO LAUXES

/YTITNEDI REDNEG

21.2% 21.5%

Cis-hetero men Cis-hetero women

18.5% 17.2%

LGBTQ+ TGN

15.6%

Genderqueer/Gender non-conforming

11.1%

Asexual

19%

Bisexual

Fairness and Equity out of

22.5%

Gay

Classroom**

12.5%

Lesbian % of all students who report positive mental health

26.2%

Queer

20%

Questioning At-Risk Drinking % of all students who engage in

among all students***

at-risk drinking % of incoming undergraduate

REHTO

SCIHPARGOMED

students who are at-risk

38.6%

22.8%

Incoming 21.4% UG - Total20.0%

-15.8%

Incoming UG - LGBTQ+

drinkers after 6 weeks on campus

14.4% 15.2%

19.4% 18.4%

23.2%

22.3% 21.1%

17.8%

14.7%

17.7%

13.6%

13.6% 11.7%

Spring 2020 admit - 1st year

Spring 2020 admit - transfer

First generation

Diagnosed with disability

A liated with military**

Fall 2019 admit 1st year

Fall 2019 admit transfer

*Data on this page comes from the AlcoholEdu dataset from 2019/2020 academic year. All entering undergraduates (entering first-year or transfer) are required to take the AlcoholEdu survey. **TGN are students who identify their gender identity as Transgender, Genderqueer/Gender Non-conforming or Not listed. Less than 20 students identify as transgender, pansexual or affiliated with military, therefore, their numbers are not included. 14

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

SEXUAL ASSAULT

UNDERGRADUATE STUDENTS

6.6%

UG - Non-LGBTQ+ *YTICINHTE/ECAR

3.8%

International Asian

Description

Indicator

Mixed Race% of all students who feel they are

White/European Americanclassroom and classroom settings only treated fairly and equitably in

/YTITNEDI REDNEG

**NOITATNEIRO LAUXES

1.3%

TGNS GN

3.4%

Asexual

Lesbian

At-Risk Drinking

positive mental health

UG - Total

12.5%

% of all students who engage in at-risk drinking

SCIHPARGOMED

16.7%

all incoming

students***

REHTO

7.8%

13.9%

Mixed Race

+0.7%

White/European American only

11.1%

0.8%

Cis-hetero women LGBTQ+

9.4%

2.7%

Bisexual 82.2%

+2.6%

21.7%51.0% 45.3%

Gay

12.9%

Queer

18.7% 22.8%

21.4%

6.6% 4.7%

+5.7%

4.5%

Questioning

38.6%

10%

Pansexual

-15.8%

16.3%

G UPC - Total

20.0%

11.6% 8.1%

7.4%

1.8% Diagnosed with disability

7.4%

Assault***

First generation

3.5% 5%

TGNS

13.6%

undergraduate

Sexual

84.9%

5.1%

LCM only

Lesbian

% of all students who report

students*** Drinking among

17.8%

79.6%

Questioning

among all At-Risk

84.2%

16.8%

8.2% 8%

Classroom**

3.6%

Asexual

Bisexual Gay

Change

Cis-hetero men

LGBTQ+

Fairness and

2.1%

International Asian

46.3%

10.8% 12.2% 11.1% 13.6%

Cis-hetero women

Queer

Result

10.4%

Fairness and Equity

Pansexual

Baseline

International Non-Asian

LCM only

Equity out of

Spring 2020

43.2%

Cis-hetero men

15.8%

BAA only

2018-19

5.9%

International Non-Asian

AA/DASA only

13.2%

BAA only

Key Performance

STUDENTS

2.2%

G - Non-LGBTQ+

10.7%

AA/DASA only

in Classroom

GRADUATE

3.1%

A liated with military***

4.8%

5.9%

44.3%

4.5%

4.3%

First generation

Diagnosed with disability

A liated with military***

2.3% Masters

3.8%

PhD/Other Doctorates

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

UPSTANDING BEHAVIORS

UNDERGRADUATE STUDENTS

GRADUATE

62.4%

UG - Non-LGBTQ+ *YTICINHTE/ECAR

International Asian

Indicator

42.5%

Description

84.2%

White/European American classroom and classroom settings only treated fairly and equitably in

/YTITNEDI REDNEG

NOITATNEIRO LAUXES

Cis-hetero men LGBTQ+ TGNS GN

43.7%

Asexual

Bisexual Fairness and

Gay

Lesbian

Pansexual Queer

% of all students who report positive mental health

Questioning

At-Risk Drinking among all At-Risk students*** Drinking among

SCIHPARGOMED

all incoming undergraduate

54.9%

UG - Total

% of all students who engage in at-risk drinking

International Asian Change

28.6%

International Non-Asian

84.9%

62% 62.7% 66% 66.7% 75%

33.3%

LCM only Mixed Race

41.2%

White/European American only

41.4%

+0.7%

21.9% 27.3% 28.3%

Cis-hetero men Cis-hetero women LGBTQ+

51.9% 57.1%

TGNS GN

69.1% 79.6% 82.2% 69% 68% 76.1% 45.3% 72.6% 51.0% 70.3%

38.6%

18%

46.3%

71%

Cis-hetero women

Classroom**

Result

63.6%

Mixed Race % of all students who feel they are

Fairness and Equity

Equity out of

Baseline

65.7%

LCM only

in Classroom

Spring 2020

43.2%

36.8%

BAA only

2018-19

67.6%

International Non-Asian

35.3%

AA/DASA only

82.1%

BAA only

Key Performance

25.2%

G - Non-LGBTQ+

68.3%

AA/DASA only

STUDENTS

22.8%

17.7%

Asexual

33.1% 24.8% 31%

Bisexual +2.6%

Gay

Lesbian Pansexual

41.9%

+5.7%

Queer

36.4%

Questioning

-15.8%

53.1%

G UPC - Total

% of incoming undergraduate

71.5% 71.5%

students who are at-risk

drinkers after 6 weeks on campus

students***

21.4%

20.0%

59.6%

REHTO

37.8%

41.6% 7.4%

Sexual

21.1%21.7%

Assault***

Upstanding

34.6%

Behaviors***

First generation

Diagnosed with disability

44.2%

A liated with military***

23.9%25.4%

20.5%

38.4% 29.2%

44.3%

First generation

Diagnosed with disability

A liated with military***

Masters

PhD/Other Doctorates

Call to Action: Get Connected with the USC Well-being Collective

While the university has made some progress towards creating a culture driven by student wellbeing, there is still much to be done particularly surrounding efforts on disparities of wellbeing among students of diverse identities.

The university’s investment to “embrace the inclusive spirit” and fund Undergraduate and Graduate Student Governments to address issues of diversity, inclusion, equity, opportunity, and access at USC is the forefront to exemplary progress (diversity.usc.edu).

In addition, the USC Well-being Collective encourages the shared responsibility of the USC community by generating opportunities for students, faculty and staff to be involved by engaging in efforts to enhance the culture of equity and inclusion.

The following section lists various projects, programs, and services that are offered to all members of the Trojan Family and administered by the USC Student Health – Office for Health Promotion Strategy, backbone for the USC Wellbeing Collective:

For Students

Participate in a Wellbeing Listening Session

Facilitated by trained student Community Health Organizers, these focus groups aim to: Explore what contributes to sense of belonging in a university setting Identify what students see as their role in creating an inclusive campus community Gather recommendations to share with university administrators

Become a USC Wellbeing Champion RSO

Wellbeing Champions are Recognized Student Organizations (RSOs) who are making a significant commitment to the health and wellbeing of their members. RSOs complete a wellbeing consultation to identify what practices and/or policies can be shifted to best support the wellbeing of the organization and its members.

Apply for a Wellbeing Microgrant

Wellbeing Microgrants are a new approach to engage and empower undergraduate and graduate students looking to make a positive change in their communities. Designed to support the assets, knowledge and motivation of current students, the USC Well-being Collective provides up to $500 for strategies that are focused on small-scale action to improve student wellbeing.

For Faculty and Staff

Initiate a Wellbeing Consultation

Faculty, staff and administrators interested to align their respective units to promote student wellbeing can request for a Wellbeing Consultation. After each consultation, a report with short- and longterm recommendations will be provided using various wise-practice health promotion strategies. An opportunity to become a Well-being Collective participating organization will also be explored.

Connect with Campus Resources

Office of Equity, Equal Opportunity and Title IX (eeotix.usc.edu)

USC Student Affairs, Student Equity and Inclusion Programs (seip.usc.edu)

USC Student Health (studenthealth.usc.edu)

To learn more, visit uscwellbeingcollective.usc.edu

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

APPENDIX I: PARTICIPANT CHARACTERISTICS FROM SWIS

Demographic Categories

UG - Total

UG - LGBTQ+

G UPC - Total

G - LGBTQ+

(N = 2,923)

(n = 726)

(N = 2,464)

(n = 597)

Asian/Asian American or Desi American/South Asian only

678

23.2%

123

16.9%

243

9.8%

8.6%

Black/African American only

134

4.6%

5.3%

3.3%

3.2%

International Asian

245

8.4%

10.9%

1,091

44.3%

284

47.6%

International Non-Asian

123

4.2%

4.7%

199

8.1%

4.7%

Latinx/Chicanx/Mestizx/Hispanic only

276

9.4%

9.2%

168

6.8%

6.5%

Middle Eastern/Arab American only

2.4%

1.0%

0.7%

Mixed

371

12.7%

118

16.2%

148

6.0%

8.5%

Other/Unknown

0.6%

0.5%

1,007

34.4%

245

33.8%

494

20.1%

117

19.5%

964

33.4%

1,015

42.0%

1,196

41.1%

879

36.3%

726

25.2%

726

100.0%

526

21.7%

597

100.0%

Cisgender men

1,286

44.0%

303

41.7%

1,290

52.4%

275

46.0%

Cisgender women

1,582

54.1%

369

50.8%

1,144

46.4%

294

49.4%

1.8%

7.4%

1.1%

4.6%

- Trans male/Trans man

0.1%

0.5%

0.1%

0.5%

- Trans female/Trans woman

0.1%

0.6%

0.1%

0.3%

- GN (Genderqueer, gender non-conforming, or non-binary)

1.5%

6.0%

0.8%

3.4%

- Self-identify

0.1%

0.4%

0.1%

0.3%

Race/Ethnicity

White/European American only Gender Identity and Sexual Orientation Cis-hetero men Cis-hetero women LGBTQ+ Gender Identity

TGNS

*Student Wellbeing Index Survey (SWIS) data in this table have been weighted. 18

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

APPENDIX I: PARTICIPANT CHARACTERISTICS FROM SWIS

Demographic Categories

UG - Total

UG - LGBTQ+

G UPC - Total

G - LGBTQ+

(N = 2,923)

(n = 726)

(N = 2,464)

(n = 597)

Asexual

119

4.1%

119

16.4%

161

6.5%

181

30.4%

Bisexual

312

10.7%

312

42.9%

162

6.6%

181

30.3%

Gay

158

5.4%

158

21.7%

117

4.7%

130

21.7%

Lesbian

0.8%

3.4%

1.1%

4.9%

Pansexual

1.6%

6.3%

1.1%

5.1%

Queer

2.5%

10.0%

1.7%

8.1%

Questioning

3.1%

12.5%

1.4%

7.3%

First Generation

578

19.8%

148

20.4%

552

22.4%

167

28.0%

Diagnosed with disability

693

23.7%

245

33.8%

439

17.8%

146

24.5%

A liated with the military

2.0%

0.6%

1.8%

1.0%

2,923

100.0%

726

100.0%

Masters

1,626

66.0%

393

65.9%

PhD or Professional Doctorate

681

27.7%

172

28.9%

1,417

50.8%

354

48.8%

718

31.4%

139

23.2%

Middle class

763

27.4%

189

26.1%

997

43.5%

257

43.1%

Working class

330

11.8%

101

13.9%

394

17.2%

108

18.2%

Low income or poor

278

10.0%

8.3%

181

7.9%

9.2%

Sexual Orientation

Degree Level Undergraduate

Social Class Wealthy, upper-middle or professional middle class

*Student Wellbeing Index Survey (SWIS) data in this table have been weighted.

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

APPENDIX II: PARTICIPANT CHARACTERISTICS FROM ALCOHOLEDU

Demographic Categories

Incoming UG - Total

Incoming UG LGBTQ+

(N = 5,588)

(n = 867)

Asian/Asian American only

1,299

23.2%

178

20.5%

Black/African American only

251

4.5%

5.8%

International Asian

589

10.5%

116

13.4%

International Non-Asian

360

6.4%

4.7%

Latinx/Hispanic only

450

8.1%

9.3%

Mixed

637

11.4%

122

14.1%

Other/Unknown

109

2.0%

2.7%

1,738

31.1%

252

29.2%

Cis-hetero men

2,070

37.0%

Cis-hetero women

2,246

40.2%

867

15.5%

867

100.0%

Cisgender men

2,856

51.1%

318

36.7%

Cisgender women

2,505

44.8%

491

56.6%

1.0%

6.7%

- Trans male/Trans man

0.2%

1.4%

- Trans female/Trans woman

0.1%

0.6%

- GN (Genderqueer or gender non-conforming)

0.6%

3.7%

- Not listed

0.2%

1.0%

Race/Ethnicity

White/European American only Gender Identity and Sexual Orientation

LGBTQ+ Gender Identity

TGN

*AlcoholEdu data in this table are unweighted since all incoming UG are required to take this survey.

Disparities in Wellbeing A Special Data Report on LGBTQ+ Students

February 2020

October 2020

APPENDIX II: PARTICIPANT CHARACTERISTICS FROM ALCOHOLEDU

Demographic Categories

Incoming UG - Total

Incoming UG LGBTQ+

(N = 5,588)

(n = 867)

Asexual

189

3.4%

189

21.8%

Bisexual

357

6.4%

357

41.2%

Gay

120

2.1%

120

13.8%

Lesbian

0.6%

3.7%

Queer

0.8%

4.8%

Questioning

1.6%

10.4%

Other

0.6%

4.0%

1,238

22.2%

243

28.0%

Diagnosed with disability

418

7.5%

11.3%

A liated with the military

1.2%

1.6%

- Fall 2019 admit - 1st year

3219

57.6%

546

63.0%

- Fall 2019 admit - transfer

1,504

26.9%

217

25.0%

- Spring 2020 admit - 1st year

327

5.9%

5.1%

- Spring 2020 admit - transfer

538

9.6%

6.9%

Sexual Orientation

First generation

Incoming Cohort

*AlcoholEdu data in this table are unweighted since all incoming UG are required to take this survey.

Acknowledgment The USC Well-being Collective expresses sincere gratitude to all participating organizations and wellbeing champions for our university-wide shared efforts to create a campus culture driven by student wellbeing.

A special acknowledgment to USC Student Health for efforts engaging with our diverse student communities to address individual and community health through the multiple and overlapping processes of health care, health promotion, health insurance, and health communication.

We extend special thanks to the various academic schools, especially the Ostrow School of Dentistry, Viterbi School of Engineering and Gould School of Law, for their promotion of the Student Wellbeing Index Survey.

The narratives and lived-experiences of our students would not be fully contextualized without the involvement and leadership of Student Affairs, Student Equity and Inclusion Programs, and stories gathered by our student Community Health Organizers. Finally, this report would not be complete without the participation of over 6,000 undergraduate and graduate students who represent many identities across the globe.

uscwellbeingcollective.usc.edu

For additional questions, please contact: USC Student Health, Office for Health Promotion Strategy, Backbone for USC Well-being Collective at wellbeingcollective@usc.edu

Special Data Report on Disparities in Wellbeing among LGBTQ+ Students﻿

Special Data Report on Disparities in Wellbeing among LGBTQ+ Students