{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:54:49Z","timestamp":1790790889112,"version":"4.1.0"},"reference-count":48,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"University of Mississippi"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Academic adaptation is crucial for the success and well-being of international students, especially in rural areas where cultural and social support resources may be limited. This study aimed to identify predictors of academic adaptation among international students in the rural southern United States, focusing on social support, cultural integration, alcohol use, and acculturative stress. A cross-sectional study was conducted with 141 international students from two universities: the University of Mississippi\/Oxford campus and the University of Alabama. Data were collected through a web-based survey using validated scales to measure cultural integration, acculturative stress, social support, alcohol use, and academic adaptation. Pearson correlation and multiple linear regression analyses were performed to identify significant predictors of academic adaptation. The sample consisted of 54.6% male and 45.4% female students, with a mean age of 29.4 years. The majority were graduate students (89.4%), with the majority being funded by graduate teaching or research assistantships (78.7%). Correlation analyses showed that social support was positively correlated with academic adaptation (r = 0.62, p &lt; 0.01). Also, cultural integration was positively corelated with academic adaptation (r = 0.33, p &lt; 0.001). However, acculturative stress was negatively correlated with academic adaptation (r = \u22120.20, p &lt; 0.05). The fully adjusted regression analyses identified social support as a positive predictor of academic adaptation among international students in rural U.S. universities. The model demonstrated that each unit increase in the social support score was associated with a 0.61 increase in the academic adaptation score (95% CI [0.44, 0.79], p &lt; 0.001). These findings highlight the need for tailored support programs addressing the unique challenges faced by this population to enhance their academic success and overall well-being.<\/jats:p>","DOI":"10.3390\/ijerph22020253","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T09:36:05Z","timestamp":1739266565000},"page":"253","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Predictors of Academic Adjustment Among International Students in Rural Southern USA"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8804-3755","authenticated-orcid":false,"given":"Ruaa","family":"Al Juboori","sequence":"first","affiliation":[{"name":"Department of Public Health, School of Applied Sciences, University of Mississippi, Oxford, MS 38677, USA"},{"name":"Institute of Child Nutrition (ICN), School of Applied Sciences, University of Mississippi, Oxford, MS 38677, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan","family":"Barker","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Applied Sciences, University of Mississippi, Oxford, MS 38677, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4338-5145","authenticated-orcid":false,"given":"Yi Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Social Work, School of Applied Sciences, University of Mississippi, Oxford, MS 38677, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"ref_1","unstructured":"Open Doors (2025, February 10). Open Doors Data. Available online: https:\/\/opendoorsdata.org\/."},{"key":"ref_2","unstructured":"Open Doors (2025, February 10). Open Doors 2023 Annual Data Release. Available online: https:\/\/opendoorsdata.org\/open-doors-2023-annual-data-release\/."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s10734-009-9284-z","article-title":"International students: A vulnerable student population","volume":"60","author":"Sherry","year":"2010","journal-title":"High. Educ."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.ijintrel.2010.11.011","article-title":"Predictors of international students\u2019 psychosocial adjustment to life in the United States: A systematic review","volume":"35","author":"Zhang","year":"2011","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_5","first-page":"816","article-title":"Characteristics of Academic Adaptation and Subjective Well-Being in University Students with Chronic Diseases","volume":"10","author":"Shamionov","year":"2020","journal-title":"Eur. J. Investig. Health Psychol. Educ."},{"key":"ref_6","first-page":"1774","article-title":"Enhancing Student Retention through Academic Support and Course Design: Satisfaction as Mediator","volume":"13","author":"Osman","year":"2024","journal-title":"Int. J. Acad. Res. Progress. Educ. Dev."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.ijintrel.2005.07.013","article-title":"Acculturation: Living successfully in two cultures","volume":"29","author":"Berry","year":"2005","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Kristiana, I.F., Karyanta, N.A., Simanjuntak, E., Prihatsanti, U., Ingarianti, T.M., and Shohib, M. (2022). Social Support and Acculturative Stress of International Students. Int. J. Environ. Res. Public. Health, 19.","DOI":"10.3390\/ijerph19116568"},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Gyamerah, K.G., Osafo, P.J., Gyasi-Gyamerah, A.A., and Boadu, E.S. (2024). Examining acculturative stress among international students in Ghana using an interpretative phenomenological approach. Unpacking the social support systems. PLoS ONE, 19.","DOI":"10.1371\/journal.pone.0311123"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/j.ijintrel.2011.08.004","article-title":"A review of the acculturation experiences of international students","volume":"35","author":"Smith","year":"2011","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_11","first-page":"28","article-title":"Barriers to Adjustment: Needs of International Students within a Semi-Urban Campus Community","volume":"34","author":"Poyrazli","year":"2007","journal-title":"J. Instr. Psychol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1177\/008124631004000302","article-title":"Sources of stress and support among rural-based first-year university students: An exploratory study","volume":"40","author":"Pillay","year":"2010","journal-title":"S. Afr. J. Psychol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1080\/02601370.2016.1197332","article-title":"Taking initiative and constructing identity: International graduate student spouses\u2019 adjustment and social integration in a rural university town","volume":"35","author":"Campbell","year":"2016","journal-title":"Int. J. Lifelong Educ."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1007\/s12144-018-9929-0","article-title":"Chinese International Students\u2019 Coping Strategies, Social Support Resources in Response to Academic Stressors: Does Heritage Culture or Host Context Matter?","volume":"40","author":"Cao","year":"2021","journal-title":"Curr. Psychol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/00220973.2019.1639598","article-title":"Sources of Perceived Social Support, Social-Emotional Experiences, and Psychological Well-Being of International Students","volume":"89","author":"Brunsting","year":"2021","journal-title":"J. Exp. Educ."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Wittgens, C., Muehlhan, M., Kr\u00e4plin, A., Wolff, M., and Trautmann, S. (2022). Underlying mechanisms in the relationship between stress and alcohol consumption in regular and risky drinkers (MESA): Methods and design of a randomized laboratory study. BMC Psychol., 10.","DOI":"10.1186\/s40359-022-00942-1"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"152","DOI":"10.15288\/jsad.2013.74.152","article-title":"Positive affect and stress reactivity in alcohol-dependent outpatients","volume":"74","author":"McHugh","year":"2013","journal-title":"J. Stud. Alcohol. Drugs"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"125","DOI":"10.15288\/jsad.2011.72.125","article-title":"Daily stress and alcohol consumption: Modeling between-person and within-person ethnic variation in coping behavior","volume":"72","author":"Roesch","year":"2011","journal-title":"J. Stud. Alcohol. Drugs"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1080\/03075070701794833","article-title":"Theoretical models of culture shock and adaptation in international students in higher education","volume":"33","author":"Zhou","year":"2008","journal-title":"Stud. High. Educ."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"698","DOI":"10.1093\/alcalc\/agn055","article-title":"Cross-cultural patterns in college student drinking and its consequences\u2014A comparison between the USA and Sweden","volume":"43","author":"Andersson","year":"2008","journal-title":"Alcohol. Alcohol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1080\/15332640.2013.830942","article-title":"Acculturation stress and drinking problems among urban heavy drinking Latinos in the Northeast","volume":"12","author":"Lee","year":"2013","journal-title":"J. Ethn. Subst. Abus."},{"key":"ref_22","first-page":"69","article-title":"Alcohol Use Patterns Among Urban and Rural Residents: Demographic and Social Influences","volume":"38","author":"Dixon","year":"2016","journal-title":"Alcohol. Res."},{"key":"ref_23","unstructured":"College Factual (2025, February 10). International Student Life at University of Mississippi. Available online: https:\/\/www.collegefactual.com\/colleges\/university-of-mississippi-main-campus\/student-life\/international\/."},{"key":"ref_24","unstructured":"College Factual (2025, February 10). International Student Life at The University of Alabama. Available online: https:\/\/www.collegefactual.com\/colleges\/the-university-of-alabama\/student-life\/international\/."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Zimet, G., Dahlem, N.W., Zimet, S.G., and Farley, G.K. (1988). The Multidimensional Scale of Perceived Social Support, Lawrence Erlbaum.","DOI":"10.1037\/t02380-000"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"435","DOI":"10.2466\/pr0.1994.75.1.435","article-title":"Development of an Acculturative Stress Scale for International Students: Preliminary findings","volume":"75","author":"Sandhu","year":"1994","journal-title":"Psychol. Rep."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ijintrel.2019.04.001","article-title":"The Vancouver Index of Acculturation (VIA): New evidence on dimensionality and measurement invariance across two cultural settings","volume":"71","author":"Testa","year":"2019","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1007\/s10212-022-00657-2","article-title":"Institutional support, social support, and academic performance: Mediating role of academic adaptation","volume":"38","author":"San","year":"2023","journal-title":"Eur. J. Psychol. Educ."},{"key":"ref_29","unstructured":"National Institute on Drug Abuse (2025, February 10). AUDIT, Available online: https:\/\/nida.nih.gov\/sites\/default\/files\/files\/AUDIT.pdf."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"121","DOI":"10.52963\/PERR_Biruni_V11.N2.08","article-title":"General Adaptation Scale for International Students: Development and Validation","volume":"11","author":"Polat","year":"2022","journal-title":"Psycho-Educ. Res. Rev."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"83","DOI":"10.3922\/j.psns.2009.1.12","article-title":"Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties","volume":"2","author":"Zuardi","year":"2009","journal-title":"Psychol. Neurosci."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1111\/j.1530-0277.2002.tb02534.x","article-title":"The alcohol use disorders identification test (AUDIT): A review of recent research","volume":"26","author":"Reinert","year":"2002","journal-title":"Alcohol. Clin. Exp. Res."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The Multidimensional Scale of Perceived Social Support","volume":"52","author":"Zimet","year":"1988","journal-title":"J. Personal. Assess."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1007\/s10464-008-9220-x","article-title":"Adaptation and psychometric evaluation of the multidimensional scale of perceived social support for Arab American adolescents","volume":"43","author":"Ramaswamy","year":"2009","journal-title":"Am. J. Community Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Sharif, M., Zaidi, A., Waqas, A., Malik, A., Hagaman, A., Maselko, J., LeMasters, K., Liaqat, R., Bilal, S., and Bibi, T. (2021). Psychometric Validation of the Multidimensional Scale of Perceived Social Support During Pregnancy in Rural Pakistan. Front. Psychol., 12.","DOI":"10.3389\/fpsyg.2021.601563"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/s41155-020-00168-3","article-title":"Validation of the brief scale for the evaluation of acculturation stress in migrant population (EBEA)","volume":"34","year":"2021","journal-title":"Psicol. Reflex\u00e3o E Cr\u00edtica"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1037\/pas0000198","article-title":"Development and validation of the Acculturative Stress Scale for Chinese College Students in the United States (ASSCS)","volume":"28","author":"Bai","year":"2016","journal-title":"Psychol. Assess"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1714101","DOI":"10.1080\/23311908.2020.1714101","article-title":"Development and Validation of the Acculturative Stress Scale for Pakistani Muslim Students","volume":"7","author":"Bashir","year":"2020","journal-title":"Cogent Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.ijintrel.2020.11.002","article-title":"Adaptation of the Vancouver Index of Acculturation to Turkish and Arabic","volume":"80","author":"Bilge","year":"2021","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.ijintrel.2013.04.004","article-title":"Comparative effects of belongingness on the academic success and cross-cultural interactions of domestic and international students","volume":"38","author":"Glass","year":"2014","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.1080\/13603116.2021.2008536","article-title":"Feeling excluded: International students experience equity, diversity and inclusion","volume":"28","author":"Tavares","year":"2024","journal-title":"Int. J. Incl. Educ."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1026\/0049-8637\/a000234","article-title":"The Importance of a Sense of University Belonging for the Psychological and Academic Adaptation of International Students in Germany","volume":"53","author":"Yildirim","year":"2021","journal-title":"Z. F\u00fcr Entwicklungspsychologie Und P\u00e4dagogische Psychol."},{"key":"ref_43","first-page":"6","article-title":"Cultural adaptation and its impact on the academic success and well-being of international students in U.S. higher education","volume":"21","author":"Olagunju","year":"2024","journal-title":"GSC Adv. Res. Rev."},{"key":"ref_44","first-page":"1175","article-title":"Is alcohol consumption associated with poor academic achievement in university students?","volume":"4","author":"Stock","year":"2013","journal-title":"Int. J. Prev. Med."},{"key":"ref_45","first-page":"38","article-title":"Binge Drinking Among African International Students Who are Studying and Living in China: An Emerging Concern","volume":"5","author":"Petlovanyi","year":"2023","journal-title":"Eur. J. Med Heal. Sci."},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"El Ansari, W., Salam, A., and Suominen, S. (2020). Is Alcohol Consumption Associated with Poor Perceived Academic Performance? Survey of Undergraduates in Finland. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17041369"},{"key":"ref_47","first-page":"35","article-title":"Social and Cultural Contexts of Alcohol Use: Influences in a Social-Ecological Framework","volume":"38","author":"Sudhinaraset","year":"2016","journal-title":"Alcohol. Res."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1093\/ijnp\/pyaa086","article-title":"The Neural Processes Interlinking Social Isolation, Social Support, and Problem Alcohol Use","volume":"24","author":"Le","year":"2021","journal-title":"Int. J. Neuropsychopharmacol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/2\/253\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:31:22Z","timestamp":1760027482000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/22\/2\/253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,11]]},"references-count":48,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["ijerph22020253"],"URL":"https:\/\/doi.org\/10.3390\/ijerph22020253","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,11]]}}}