Influence of Demographic Factors on Mental Health among College Students

Authors

DOI:

https://doi.org/10.31674/mjn.2026.v18i01.005

Abstract

Background: Demographic factors often influence the rise in mental health issues among college students globally. Understanding these factors is essential for designing early, targeted interventions and strengthening mental health services in academic settings. Objectives: This study aimed to examine the influence of age, gender, faculty, family income, physical health problems, and psychological trauma on the mental health of college students. Methods: A cross-sectional design was used with a total of 557 Indonesian university students as participants. Data were collected using a questionnaire and the Self-Reporting Questionnaire (SRQ-20). Data were analyzed using Spearman’s Rho, Mann-Whitney, and Kruskal-Wallis tests, followed by multivariable logistic regression analysis. Results: Statistical analyses revealed significant associations between mental health status and variables including age, gender, family income, physical health problems, and psychological trauma (p < 0.05), while the faculty variable showed no significant correlation. Psychological trauma emerged as the strongest independent predictor, with students who had experienced psychological trauma being more than nine times more likely to experience mental health problems.  Conclusion: Trauma-informed and demographically sensitive mental health support is crucial, especially for students who are identified as vulnerable. These insights may inform mental health nursing assessments and targeted interventions in academic settings.

Keywords:

College Students, Demographic Factors, Mental Health

Downloads

Download data is not yet available.

References

Allen, S. F., Thursby, S., Elkwood, L., & Carthy, N. L. (2025). A latent profile analysis of psychosocial factors and trauma exposure in UK students and their association with mental health and academic persistence. Psychological Trauma: Theory, Research, Practice, and Policy, 17(8), 1659. https://doi.org/10.1037/tra0001788

Alonso, J., Mortier, P., Auerbach, R. P., Bruffaerts, R., Vilagut, G., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Ennis, E., Gutiérrez-García, R. A., Green, J. G., Hasking, P., Lochner, C., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Zaslavsky, A. M., Kessler, R. C., Boyes, M., … Soto-Sanz, V. (2018). Severe role impairment associated with mental disorders: Results of the WHO World Mental Health Surveys International College Student Project. Depression and Anxiety, 35(9), 802–814. https://doi.org/10.1002/da.22778

American College Health Association. (2024). National College Health Assessment: Reference Group Executive Summary Spring 2024. https://www.acha.org/wp-content/uploads/NCHA-IIIb_SPRING_2024_REFERENCE_GROUP_DATA_REPORT.pdf

Aquino-malabanan, M. G. (2026). A Confirmatory Factor Analysis on the Risk Factors for Mental Health Challenges among University Students in Calabarzon: Basis for a Dual Continua Wellness Initiative (DCWI). International Journal of Behavioral and Social Analytics, 1(1), 1–27. https://doi.org/10.65166/fvqyqy91

Artime, T. M., Buchholz, K. R., & Jakupcak, M. (2019). Mental health symptoms and treatment utilization among trauma-exposed college students. Psychological Trauma: Theory, Research, Practice, and Policy, 11(3), 274–282. https://doi.org/10.1037/tra0000376

Assari, S., & Lankarani, M. M. (2018). Violence exposure and mental health of college students in the United States. Behavioral Sciences, 8(6), 53. https://doi.org/10.3390/bs8060053

Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Murray, E., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., Zaslavsky, A. M., & Kessler, R. C. (2018). WHO world mental health surveys international college student project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623–638. https://doi.org/10.1037/abn0000362

Ayad, H. Ben, Najdi, A., & Senhaji, M. (2024). Sociodemographic Variables and Psychological Distress of Moroccan College Students. Europe’s Journal of Psychology, 20(4), 262–271. https://doi.org/10.5964/ejop.11689

Baños, R. M., & Miragall, M. (2024). Gender matters: a critical piece in mental health. The Spanish Journal of Psychology, 27, e28. https://doi.org/10.1017/SJP.2024.29

Campbell, F., Blank, L., Cantrell, A., Baxter, S., Blackmore, C., Dixon, J., & Goyder, E. (2022). Factors that influence mental health of university and college students in the UK: a systematic review. BMC Public Health, 22(1), 1778. https://doi.org/10.1186/s12889-022-13943-x

Cerati, G. (2026). The Role of Adverse Life Events and Socioeconomic Conditions in Depression Onset: Insights from a Qualitative Study in Outpatient Clinics. Journal of Applied Social Science, 19367244261423913. https://doi.org/10.1177/19367244261423913

Cobo-Rendón, R., López-Angulo, Y., Pérez-Villalobos, M. V., & Díaz-Mujica, A. (2020). Perceived Social Support and Its Effects on Changes in the Affective and Eudaimonic Well-Being of Chilean University Students. Frontiers in Psychology, 11, 590513. https://doi.org/10.3389/fpsyg.2020.590513

Deng, Y., & Wang, X. (2024). The impact of physical activity on social anxiety among college students: the chain mediating effect of social support and psychological capital. Frontiers in Psychology, 15, 1406452. https://doi.org/10.3389/fpsyg.2024.1406452

Dong, J., Chen, J., Li, Y., Huang, X., Rong, X., & Chen, L. (2023). Relationship between Freshmen’s psychological health and family economic status in Chinese universities: a latent profile analysis. Psychology Research and Behavior Management, 3489-3502. https://doi.org/10.2147/PRBM.S424798

Droogenbroeck, F. V., Spruyt, B., & Keppens, G. (2018). Gender differences in mental health problems among adolescents and the role of social support: Results from the Belgian health interview surveys 2008 and 2013. BMC Psychiatry, 18(1), 1–9. https://doi.org/10.1186/s12888-018-1591-4

Hang, Y., Feng, Y., Zou, H., Zhao, H., Liu, F., Qin, X., & Qiao, Z. (2025). Tracing two decades: Non-linear temporal trends in mental health among Chinese university students (2005–2024). Journal of Affective Disorders, 120341. https://doi.org/10.1016/j.jad.2025.120341

Huang, Q., Wang, X., Ge, Y., & Cai, D. (2023). Relationship between self-efficacy, social rhythm, and mental health among college students: a 3-year longitudinal study. Current Psychology, 42(11), 9053–9062. https://doi.org/10.1007/s12144-021-02160-1

Ismail, N. A., & Jamil, N. A. (2023). Mental health of pre-clinical medical students in Indonesia during the first year of the COVID-19 pandemic: A reflection. Journal of Medical Education Development, 16(49), 36–43. https://doi.org/10.52547/edcj.16.49.5

Li, W., Zhao, Z., Chen, D., Peng, Y., & Lu, Z. (2022). Prevalence and associated factors of depression and anxiety symptoms among college students: a systematic review and meta-analysis. Journal of Child Psychology and Psychiatry, 63(11), 1222–1230. https://doi.org/10.1111/jcpp.13606

Litt, S. J., Liu, Y., & Yu, Q. (2024). Predictors of International College Students' Formal Help‐Seeking Grounded in Andersen's Behavioral Model. Journal of Counseling & Development, 103(2), 242-253. https://doi.org/10.1002/jcad.12553

Liu, X., Zhang, Y., Gao, W., & Cao, X. (2023). Developmental trajectories of depression, anxiety, and stress among college students: a piecewise growth mixture model analysis. Humanities and Social Sciences Communications, 10(1), 1-10. https://doi.org/10.1057/s41599-023-02252-2

Lu, Y., Yuan, Z., & Yang, R. (2026). Psychological crisis identification and multi-level intervention mechanism of college students based on mental health nursing. Schizophrenia Bulletin, 52, S67–S67. https://doi.org/10.1093/schbul/sbag003.098

Nogueira, M. J. C., & Sequeira, C. A. (2024). Positive and Negative Correlates of Psychological Well-Being and Distress in College Students’ Mental Health: A Correlational Study. Healthcare, 12(11), 1085. https://doi.org/10.3390/healthcare12111085

Othman, N., Ahmad, F., El Morr, C., & Ritvo, P. (2019). Perceived impact of contextual determinants on depression, anxiety and stress: A survey with university students. International Journal of Mental Health Systems, 13(1), 1–9. https://doi.org/10.1186/s13033-019-0275-x

Ozmat, E. E., Martin, J. L., & Cimini, M. D. (2024). Self-judgment and depression among students of color during the transition to college: Gender differences. Journal of College Student Retention: Research, Theory & Practice, 28(1), 69-91. https://doi.org/10.1177/15210251241230077

Ramadianto, A. S., Kusumadewi, I., Agiananda, F., & Raharjanti, N. W. (2022). Symptoms of depression and anxiety in Indonesian medical students: association with coping strategy and resilience. BMC Psychiatry, 22(1), 92. https://doi.org/10.1186/s12888-022-03745-1

Rubio, R. R. M. A., Covarrubias, S., Carpio, L. B., Orquia, J. A., & Tan, M. (2025). Toward sustainable well-being in higher education: mental health status, attitudes, social support, and service utilization among college students. Mental Health Global Challenges Journal, 8(1), 128–139. https://doi.org/10.56508/mhgcj.v8i1.269

Russell, N. G., Rodney, T., Peterson, J. K., Baker, A., & Francis, L. (2025). Nurse-led mental health interventions for college students: A systematic review. Preventing Chronic Disease, 22, E17. https://doi.org/10.5888/pcd22.240200

Sari, M. K., & Susmiatin, E. A. (2023). Deteksi Dini Kesehatan Mental Emosional pada Mahasiswa [Early Detection of Emotional Mental Health Issues Among University Students]. Jurnal Ilmiah STIKES Yarsi Mataram, 13(1), 10–17. https://doi.org/10.57267/jisym.v13i1.226

Seehuus, M., Moeller, R. W., & Peisch, V. (2019). Gender effects on mental health symptoms and treatment in college students. Journal of American College Health, 69(1), 95–102. https://doi.org/10.1080/07448481.2019.1656217

Segú-Odriozola, M. (2025). The mental health of university students: a social ecology perspective. Societies, 15(4), 110. https://doi.org/10.3390/soc15040110

Shu, H., & Lin, W. (2026). 62. Application of mental health nursing education in depression prevention among college students. Schizophrenia Bulletin, 52 (Supplement_1), S42-S43. https://doi.org/10.1093/schbul/sbag003.062

Simões D.A.R., Rodrigues, A., Tavares, S., Barreto, J. F., Marques, A., & Trigueiro, M. J. (2025). Mental Health and Lifestyle Factors Among Higher Education Students: A Cross-Sectional Study. Behavioral Sciences, 15(3), 253. https://doi.org/10.3390/bs15030253

Stirparo, G., Pireddu, R., D’Angelo, M., Bottignole, D., Mazzoli, R., & Gambolò, L. (2024). Is mental health worse in medical students than in the general population? A cross-sectional study. Medicina, 60(6), 863. https://doi.org/10.3390/medicina60060863

Stuart, G. W. (2013). Principles and Practices of Psychiatric Nursing. In AORN Journal (10th ed.). Elsevier Mosby. Missouri.

Wang, X., & Cheng, Z. (2020). Cross-sectional studies: strengths, weaknesses, and recommendations. Chest, 158(1), S65-S71. https://doi.org/10.1016/j.chest.2020.03.012

Wu, F., Freeman, G., Wang, S., & Flores, I. (2024). The Future of College Student Mental Health : Student Perspectives the Future of College Student Mental Health : Student. Journal of College Student Mental Health, 38(4), 975–1010. https://doi.org/10.1080/28367138.2024.2400612

Published

11-08-2026

How to Cite

Yuliastuti, E., Istiqomah, N., Widyastuti, Y., Sari, A. L., Purwaningsih, H., & Hudiyawati, D. . (2026). Influence of Demographic Factors on Mental Health among College Students. The Malaysian Journal of Nursing (MJN), 18(1), 46-55. https://doi.org/10.31674/mjn.2026.v18i01.005

Metrics