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SHORE: Studies, Projects, and Publications

College Health Surveillance Network

College Health Surveillance Network (CHSN) is a multi-institutional, de-identified medical records dataset from student health centers (SHCs) that are part of a nationally representative sample of colleges and universities. CHSN allows for both the collection of medical diagnoses, services, and treatments of university students and the use of this information in epidemiologic and service utilization studies. Founded in 2011 with initial funding support from the CDC, CHSN is the first national effort to use data from electronic medical records of students seeking care at university student health centers to evaluate and monitor the health of the college student population in the United States.
Read More About CHSN

Student Health Research Database

The Student Health Research Database (SHRD) is a comprehensive integrated data repository which is created through linking multiple routinely collected student datasets across the university campus. The database has over 120,000 student cases from 2009 to the present. This database enables the de-identified following of students from time of first enrollment until graduation. It can serve as a cost-efficient longitudinal data source for multi-departmental surveillance, epidemiologic research, training, and service/quality improvement.

Current Clinical Trials and Studies

  • Student Health Research Database IRB-HSR #17141. PI: Christopher Holstege, MD
  • College Health Surveillance Network IRB-HSR #18454. PI: Christopher Holstege, MD
  • Magnesium and Ribloflavin Treatment for Post-Concussion Headache. IRB-HSR #21920. PI: Stephanie Hartman MD
  • Sexual Harm Incidence Analysis IRB-SBS #4260. PI: Jason Jones 

Past Clinical Trials

  • A Randomized Controlled Study to Assess SARS CoV-2 Infection, Viral Shedding, and Subsequent Potential Transmission in University Students Immunized with Moderna COVID-19 Vaccine. HSR-IRB # 210108  PI: Eric Houpt MD and Christopher Holstege MD.  2021.
  • Utilization of a screening and referral algorithm versus usual care in clinical decision making involving college students presenting with symptoms commonly associated with eating disorders. IRB-HSR #21292. PI: Tracy Buni, MD
  • A Rapid Test for COVID-19. IRB-HSR 200236 (in collaboration with UVA School of Arts and Sciences: Department of Chemistry). PI: James Landers, PhD, 2021.
  • Trends in STI Testing at a Student Health Center at a Public University. IRB-HSR #21736. PI: Karen Ahern, BSN, MBA, 2020.
  • A Phase 2b Randomized Blinded Study to Evaluate SYN023 Compared to Human Rabies Immune Globulin in Post Exposure Prophylaxis of Rabies in Adults with Different Rabies Exposure Risks. IRB-HSR 190039 (in collaboration with the Emergency Medicine Research Office) PI: Christopher Holstege, MD, 2020.
  • Clinical Performance of the Diassess Influenza A and B Test. IRB-HSR #19476 (in collaboration with the Emergency Medicine Research Office). PI:  Mark Sochar, MD
  • Head Injuries in the College Population. IRB-HSR #2069. PI: Jessica Simmons, MD
  • Physiological and Psychological Changes Following Sport Concussion. IRB-HSR #17960 (in collaboration with Samuel R. Walton Curry School of Education). PI: Jacob Resch, PhD
  • Transgender Students at the University of Virginia  IRB-HSR #210486.  PI: Jessica Simmons MD
  • Standardized Mutimodal Approach to Intrauterine Device (IUD) Insertion (SMArTII): Decreasing Pain and Complications for Patients in an Ambulatory Care Setting  IRB-HSR #210247.  PI: Dana Reddick, MD.  SHW Sub-investigators:  Karen Ahern BSN MBA CCRC, Carolyn Ward MSN CNM

Current Projects

  • Project 1: Alcohol intoxication among students presenting to the University hospital emergency department (ED)
  • Project 2: Developing a risk screening algorithm for alcohol and other substance abuse among UVA students – a data linkage study 
  • Project 3: Determinants, patterns, and costs of service utilization at the UVA Student Health Center
  • Project 4: MHealth intervention to prevent alcohol and substance abuse for high risk students attending the University Student Health Center clinic

Publications

  • Simmons J, Hartman S, Tanabe KO, Hayden M. Gender-Diverse Health on Campus: Developing a Comprehensive Multidisciplinary Gender-Diverse Care Team. J Am Coll Health 2023. Read Article
  • Kotay SM, Tanabe KO, Colosi LM, Poulter MD, Barry KE, Holstege CP, Mathers AJ, Porter MD. Building-Level Wastewater Surveillance for SARS-CoV-2 in Occupied University Dormitories as an Outbreak Forecasting Tool: One Year Case Study. ACE EST Water 2022. Read Article
  • Tanabe KHayden M, Rege S, Simmons JHolstege, CP.  Risk Factors Associated with Concussions in a College Student Population. Ann Epidemiol. 2021 Read Article
  • Hayden M, Rozycki D, Tanabe K, Pattie M, Casteen L, Davis S, Holstege CPCOVID-19 Isolation and Quarantine Experience for Residential Students at a Large, 4-year Public University American Journal of Public Health. Am J Public Health. 2021. Read Article
  • Tanabe KHayden M, Zunder B, Holstege CP*.  Identifying Vulnerable Populations at a University during the COVID-19 Pandemic. J Am Coll Health, 2021. Read Article
  • Holstege CP, Ngo DA, Borek H, Ait-Daoud N, Davis S, Rege S. Trends and Risk Markers of Student Hazardous Drinking – A Comparative Analysis Using Longitudinally Linked Datasets in a Public University. J Am Coll Health, 2020; October: 1-8. Read Article
  • Kim J, Ngo DA, Rege STolley WHolstege CP. Impact of Instituting Hard-Waiver on a Student Health Insurance Program at a Public University. J Am Coll Health, 2019. Read Article
  • Ngo DA, Rege SV, Ait-Daoud N, Holstege CP.  Development and validation of a risk predictive model for student alcohol intoxication associated with emergency department visits – a longitudinal data-linkage study. Drug Alcohol Dependence, 2019; 197:102-7. Read Article
  • Nobles AL, Curtis BA, Ngo DA, Vardell E, Holstege CP.  Health insurance literacy: A mixed methods study of college students. J Am Coll Health, 2018; Jul 6:1-37. Read Article
  • Ngo DA, Ait-Daoud N, Rege SVHolstege C. (2018). Validity of diagnostic coding of alcohol intoxication associated with student university hospital emergency department visits. Addiction Medicine. J Addict Med, 2018; Jun 28. Read Article
  • Ngo DA, Rege SV, Ait-Daoud N, Holstege CP.  Trends in incidence and risk markers of student emergency department visits with alcohol intoxication in a U.S. public university-A longitudinal data linkage study.  Drug Alcohol Depend. 2018 Jul 1;188:341-347. Read Article
  • Ngo DA, Ait-Daoud N, Rege SV, Ding C, Gallion L, Davis S. et al. (2018).  Differentials and trends in emergency department visits due to alcohol intoxication and co-occurring conditions among students in a U.S. public university.  Drug and Alcohol Dependence. 183: 89-95. Read Article
  • Vakkalanka JP, King JD, Holstege CPAbuse, misuse, and suicidal substance use by children on school property. Clin Toxicol (Phila). 2015; 53(9):901-7. Read Article

National/International Meeting Presentations

  • Holstege CP. Study of the Composition of Medical Students Electing to Rotate on Unique Wilderness Medicine Rotation. Wilderness Medical Society Summer Conference 2023 Poster.
  • Buni T, Suarez D, Tanabe KO. Utilization of a screening tool and referral algorithm in clinical decision making for students presenting with symptoms commonly associated with eating disorders. American College Health Association Meeting 2023. Poster.
  • Hartman S, Dowdell K, Tanabe KO, Hayden ME. Increasing access to specialty care through eConsults. American College Health Association Meeting 2023. Poster.
  • Kim C, Mezey L, Hartman S. Psychiatric Consultation in Primary Care at Student Health: A Collaborative Care Program. American College Health Association Meeting 2023. Poster.
  • Mezey L, Tanabe KO. Measuring Acuity and Complexity at Presentation for Care in a College Counseling Center. American College Health Association Meeting 2023. Poster.
  • Shepley K, Hawkins A. The Evolution of an Eating Disorder Treatment Team at a Public University. American College Health Association Meeting 2023. Poster.
  • Tanabe KO, Duncan G, Ruzek N, Rege SV, Holstege CP. Evaluating the Effects of the COVID-19 Pandemic and Telehealth on University Student Use of Mental Health Resources. American Public Health Association Meeting 2022. Oral Presentation.
  • Hartman SL, Surguine-Smith M, Tanabe KO, Simmons J.  Trends in Emergency Department Use among University Students.  American College Health Association Meeting 2022  Poster
  • Hartman SL, Surguine-Smith M, Tanabe KO, Hayden ME. On-Call: Trends in healthcare needs among University students accessing an after-hours phone service. American College Health Association Meeting 2022. Poster
  • Ferey J, Tanabe KO, Hayden ME. Investigation of relationship continuity of care between students and student health medical services in a major public university. American College Health Association Meeting 2022. Poster
  • Holstege SC, Hayden ME, Tanabe KO, Burns L, Suarez D. Leveraging a Self-scheduled, Self-collected COVID Testing Clinic and Non-traditional Staff to Expand Access for Symptomatic Students American College Health Association Meeting 2022.  Poster
  • Stewart T, Tanabe KO, Ruzek N, Davis S, Holstege CP. Examining Mental Health in University Graduate Students American College Health Association Meeting 2022. Poster
  • Podwika S, Rozycki D, Tanabe KO, Rogan A, McGraw D.  Improving HPV Vaccination Rates at a large, public university: A Quality Improvement Project American College Health Association Meeting 2022. Poster
  • Wrentmore A, Barry D, McDermid JM, Brede M. Taking Care of Ourselves and Others with Food—A New Elective in Culinary Medicine.  UVA SOM Excellence in Education Conference 2022 Poster
  • Leonard J. More Than Bricks and Mortar: Building an Inclusive Student Well-being and Health Center American College Health Association Meeting 2022. Presentation
  • Simmons J, Hayden ME, Holstege CP Engaging Nature to Increase Health, Wellness, and Equity American College Health Association Meeting 2022.  Presentation
  • Tanabe KO, Hayden ME, Rege SV, Simmons J, Hostege CP.  Risk Factors Associated with Concussion in a University Student Population.  European Society for Emergency Medicine 2021 Congress.  Presentation
  • Peng K, Hayden ME, Tanabe KO, Rozycki D.  HPV Vaccination Rates at a Large, Public University:  A Quality Improvement Project. South Atlantic Association of Obstetricians and Gynecologists 2021. Presentation
  • Zimmerman M, Tanabe KOHayden MEEmbedding Psychology Services within a University Medical Services Clinic. American College Health Association Annual Meeting (virtual). June 2021. Poster
  • Hartman S, Simmons J, Rege S, Tanabe KHayden M. Lessons Learned from SARS-Co-V-2 Testing in College Students: What Particular Symptoms Tell Us. American College Health Association Annual Meeting (virtual). June 2021. Poster
  • Tanabe KHayden M, Rege S, Holstege CPThe Impact of COVID-19 on Student Health Centers. Presented at the North American Primary Care Research Group (NAPCRG) Annual Meeting (virtual). November, 2020.  
  • Rege S, Tanabe K, Borek H, Holstege CTrends and Risk Markers of Student Hazardous Drinking – A Comparative Analysis Using Longitudinally Linked Datasets in a U.S. Public University. Presented at the 2020 North American College of Clinical Toxicology (virtual). Published in Clinical Toxicology 2020; 58(10):7.   
  • Ahern KA, Downs A. Reducing Barriers to Improve Access to STI Testing Amond Students at a Major Public University.  Poster Presentation (virtual) American College Health Association Annual Meeting.  May 2020. Poster
  • Hendrix K. Comprehensive Trauma Informed Care of the Student Following an Acute Sexual Assault.  Poster Presentation (virtual) American College Health Association Annual Meeting. May 2020.
  • Rege SV, Holstege CPTrends in Student Emergency Department Visits with Mental Health Illness In A U.S. Public University – A Data Linkage Study. Presented at the European Society for Emergency Medicine Congress. Prague, Czech Republic. October 2019.
  • Holstege CP, Ngo DA, Rege S A model of big data linkage to monitor student emergency department visits with intoxication and associated risk markers in a US public university.  Clinical Toxicology, 2019; 57(6): 115.  Presented at the 39th International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) in Naples, Italy. May 21-24 2019. Presentation
  • Holstege CP, Ngo DA, Rege S.  Demographic trends in injury with alcohol intoxication associated with emergency department visits among students in a US public university.  Clinical Toxicology, 2019; 57(6): 75.  Presented at the 39th International Congress of the European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) in Naples, Italy. May 21-24 2019. Poster
  • Hayden ME, Hartman S. Herpes Zoster in the College Student. Poster presentation. American College Health Association Annual Meeting. May 2019.
  • Borek H, Rege S, Ngo DA, Ait-Daoud N, Mann T, Eisenstat M, Holstege CP.  Novel program development and cross-disciplinary collaboration including the poison center in targeting collegiate alcohol misuse. Clinical Toxicology, 2018; 56(10): 1037. Presented at the 2018 North American Congress of Clinical Toxicology.  Chicago, IL. October, 2018. Poster
  • Ngo DA, Rege S, Ait-Daoud N, Holstege CP.  Development and validation of a risk predictive model for student alcohol intoxication associated with emergency department visits – a longitudinal data linkage study. Clinical Toxicology, 2018; 56(10): 1047. Presented at the 2018 North American Congress of Clinical Toxicology.  Chicago, IL. October, 2018. Poster
  • Ngo A, Rege S, Ait-Daoud N, Holstege C.  Trends and Determinants of Student Hazardous Drinking – A comparative analysis using multiple datasets in a U.S. Public University.  European Society for Emergency Medicine 2018 Congress.  Glasgow, Scotland.  September 8-12, 2018. Presentation
  • Ngo DA, Rege S, Ait-Daoud N, Holstege CP. Trends and Risk Markers of Emergency Department Visits with Alcohol Intoxication Among Students in a Public University—a Longitudinal Data Linkage Study.  Journal of Medical Toxicology 2018;14:17. Presented at the ACMT Annual Scientific Meeting - Washington, DC.  April, 2018. Poster
  • Ngo DA, Rege S, Ait-Daoud N, Holstege CP. Drinking Among High-Risk Students Receiving the Brief Alcohol Screening and Intervention in a Public University in the USA.  Journal of Medical Toxicology 2018;14:17. Presented at the ACMT Annual Scientific Meeting - Washington, DC.  April, 2018. Poster
  • Holstege CP, Ngo DA, Rege S, Ait-Daoud N. Trends and risk markers of emergency department visits with alcohol intoxication among students in a public university – A longitudinal data linkage study. European Psychiatry (supplement) 2018;49. 26th European Congress of Psychiatry (European Psychiatric Association - EPA). Nice, France. March 2018. Poster
  • Holstege CP, Ngo DA, Rege S, Ait-Daoud N.  Drinking among high risk students receiving the brief alcohol screening and intervention in a U.S. public university.  European Psychiatry (supplement) 2018;49. 26th European Congress of Psychiatry (European Psychiatric Association - EPA). Nice, France.  March 2018. Poster
  • Ngo DA, Ait-Daoud, N Holstege CPRege S. Ding C, Miley L, Rege S. Validity of code-based recording of alcohol intoxication among college students presenting to a university hospital emergency department. Ann Emerg Med 2017;70(4):S69-70. American College of Emergency Physicians Research Forum. Washington, DC. October, 2017. Presentation
  • Ngo DA, Holstege CP, Ait-Daoud N, Rege S, Gallion L, Ding C. Trends in alcohol intoxication among students presenting to a university hospital emergency department using code-based records.  North American Congress of Clinical Toxicology.  Clin Tox 2017;55(7):791.  Vancouver, Canada.  October, 2017. Poster
  • Nobles AL*, Ngo DA, Curtis B, Holstege CP. Health Insurance Literacy Among College Students. American College Health Association Annual Meeting.  San Antonio, TX. 2017. Poster
  • Ngo DA*, Tolley WHolstege CP. Trends In and Risk Markers of Sexually Transmitted Infections in University Students in the United States – Findings from the College Health Surveillance Network.  American College Health Association Annual Meeting. San Antonio, TX.  2017. Poster
  • Torbey S*, Robinson DM, Vakkalanka P, Holstege CP, Thomson JA. A Silent Epidemic: Suicidality in the College Student Population. American Academy of Children and Adolescent Psychiatry 63rd Annual Meeting. New York City, New York, 2016. Poster
  • Blevins D*, Vakkalanka P, Robinson D, Khanna, SK, Ait-Daoud Tiouririne N, Holstege CP. Impact of Substance Abuse Discharge Recommendation Compliance on ED Readmission Rate in a College Population. American Psychiatric Association Annual Meeting. Atlanta, Georgia, 2016. Poster
  • Torbey S*, Robinson DM, Vakkalanka P, Holstege CP, Thomson JA. Suicide crisis on campus: Suicide attempts and ideation in the collegiate population evaluated in the emergency department. American Psychiatric Association Annual Meeting. Atlanta, Georgia, 2016.
  • Vakkalanka P., Ruzek N, Holstege CP. Student Health Center Response to a Crisis on Campus. American College Health Association Annual Meeting.  San Francisco, CA. 2016. Poster
  • Vakkalanka JP, Ait-Daoud Tiouririne N, Blevins D, Robinson D, Khanna S, Holstege CP*.  The Epidemiology of Alcohol and Substance-Related Emergency Department Admissions within a University Population. Clinical Toxicology (publication pending). NACCT. San Francisco, CA. 2015. Poster
  • Vakkalanka JP, King J*, Holstege CP. Intentional exposures on school property reported to US Poison Centers. Clinical Toxicology 2015;53(4):242.  EAPCCT. St. Julian's, Malta. 2015.
  • Blevins D, Khanna S, Vakkalanka P, Holstege CP, Ait-Daoud, N.  Prevalence and Impact of Substance and Alcohol Misuse on College Students Presenting to the Emergency Department and Evaluation of Practical Referrals. 168th American Psychiatric Association Annual Meeting. Toronto, Canada. 2015. Poster