First-generation college students are students for whom neither parents, natural or adoptive, mother/ father/ guardian, have completed a four-year college degree. The students are more likely to be racial and ethnic minorities, female, immigrants, low income, enrolled part-time, and/or work more than 13 hours a week. Similarly, first-generation college student-athletes are more likely to be students of color and from lower income families. First-generation college student -athletes come to college with lower standardized test scores and typically rely on scholarships, grants, and loans to pay for tuition. They have high college attrition rates. Seton Hill University, a small private school with a substantial population of first-generation student-athletes, seeks to improve available health programs and services for the students. The American College Health Association National College Health Assessment (ACHA--NCHA) consistently reports that among the students surveyed, stress, sleep difficulties, anxiety, and nutritional struggles affect academic performance. College exit surveys rarely ask questions related to health, so it is difficult to determine the extent to which physical and mental health issues contribute to college attrition. An assessment was completed to investigate stress, food insecurity, and sleep patterns among first generation college student-athletes at Seton Hill University. Recommended are improvements for stress, food insecurity, and sleep through programs and services for first-generation college student--athletes at the University. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]