Trends in college student health based on an annual survey of college
freshmen administered for 30 consecutive years (1966-1995) at colleges
and universities nationwide are described. Trends in the following ar
eas are covered: (1) alcohol and drugs, (2) physical health, (3) psych
ological health, and (4) sexual attitudes. Gender and institutional di
fferences in health behaviors and attitudes among the 1995 class of co
llege freshmen are also considered. Major trends include declines in b
eer drinking and in physical and emotional self-confidence and an incr
ease in stress and cigarette smoking. ''Unhealthy'' behaviors and atti
tudes are reported most often by freshmen at public 2-year institution
s.