Post on 14-Jan-2016
description
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Partnering to Create a Canadian Student Health Data
Set:
A Tool to Build Bridges on Our Campuses
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Canadian Data Set Understand the student population Avoid relevance/context issues Bring attention to Canadian campus
issues Awareness of differences between US and
Canada health habits, concerns, experiences
Relevant comparison and best practices
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
American College Health Association National College Health Assessment Electronic survey, randomized sample Health impacts, mental health, safety,
violence, sex, alcohol, exercise, sleep, resilience, health care sources ( ~300 questions)
2004 and 2006 at UBC, 2006 at MRC, U of T
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
NCHA as Survey Instrument Well established questionnaire and protocols Ease of application; mail and web options Cost affordable as based on participant
numbers – any size campus Basic data analysis as part of the package Established reference group Established reputation of instrument
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
NCHA costs and arrangements
www.acha-ncha.org Members: 0.45/participant + 0.10 contact
fee +$300 report fee ( web) UBC total fee:10.821 students: 2147
respondents, extra questions :$6110ca Combined report 4 campuses: total
$347ca
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
THE DATA
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Demographics Canadian GroupBlack
1%Latin
2%
Other6%
Aboriginal2%
Asian28% White
61%
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Compare Demographics
0
10
20
30
40
50
60
70
80
WHI AS BL LAT AB OTHER
Canadian
NCHA
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Canadian Students Live
Parents44%
Other cam2%
Other10%
Off-camp32%
Frat house0%
Residence12%
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Compare where students live
0
5
10
15
20
25
30
35
40
45
Residence Frat house Other cam Off-camp Parents Other
NCHA
Canadian
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
05
101520253035404550
Problem
Per
cen
tag
e
Stress-46.4%Colds/Flu/Sore throat-36%Sleep prob. 34%Concern for fam/friends 25.3%Depression/Anxiety/SAD 23.1%Relationship problems 22.5%Internet/ comp. games 20.9%Death in family 12.1%Other 10.9%Sinusitis/Otitis/Strep. 9.9%
Percent of Students Reporting Negative Impact on Academic Performance
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
0
10
20
30
40
50
Stress Colds Sleep Concern Dep.
Canadian
NCHA
Percent of Students Reporting Negative Impact on Academic Performance
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
0
5
10
15
20
25
Rel.Pr IN Death Other Bac.Inf
Canadian
NCHA
Percent of Students Reporting Negative Impact on Academic Performance
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7Canadian Undergraduate Students
Alcohol UseAllergies
Depression/Anxiety Disorder/Seasonal Affective
Disorder
MononucleosisPregnancy (self or partner)
Stress
Assault (physical)
Assault (sexual)
Attention Deficit Disorder
Cold/Flu/Sore throatConcern for friend/family
Chronic illness
Chronic pain
Death of friend/family
Drug Use
Eating Disorder/Problem
HIV Infection
Injury
Internet Use/ Computer Games
Learning Disability
Relationship Difficulty
Sexually Transmitted Disease
Sinus Infection/Ear Infection/Bronchitis/ Strep
Throat
Sleep Difficulties
0
10
20
30
40
50
60
70
80
90
100
0 10 20 30 40 50 60 70 80 90 100
Percent in Population Experiencing Condition
Per
cen
t o
f T
ho
se E
xper
ien
cin
g
Co
nd
itio
n w
ith
Aca
dem
ic I
mp
act
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Common Conditions (>30%) that Often have Negative Impact on Academic Performance
Depression, anxiety, SAD Stress Sleep difficulties Colds, Flu, Sore throat Concern for family or friends Relationship difficulties Internet use/Computer Games
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7Canadian Undergraduate Students
Alcohol UseAllergies
Depression/Anxiety Disorder/Seasonal Affective
Disorder
MononucleosisPregnancy (self or partner)
Stress
Assault (physical)
Assault (sexual)
Attention Deficit Disorder
Cold/Flu/Sore throatConcern for friend/family
Chronic illness
Chronic pain
Death of friend/family
Drug Use
Eating Disorder/Problem
HIV Infection
Injury
Internet Use/ Computer Games
Learning Disability
Relationship Difficulty
Sexually Transmitted Disease
Sinus Infection/Ear Infection/Bronchitis/ Strep
Throat
Sleep Difficulties
0
10
20
30
40
50
60
70
80
90
100
0 10 20 30 40 50 60 70 80 90 100
Percent in Population Experiencing Condition
Per
cen
t o
f T
ho
se E
xper
ien
cin
g
Co
nd
itio
n w
ith
Aca
dem
ic I
mp
act
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Less Common Conditions (<30%) that have Negative Impact on Academic Performance
Attention Deficit Disorder/Learning Disabilities Infectious mononucleosis Pregnancy Death in the Family Sinus infections /Otitis media/Strep Throat
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7Canadian Undergraduate Students
Alcohol UseAllergies
Depression/Anxiety Disorder/Seasonal Affective
Disorder
MononucleosisPregnancy (self or partner)
Stress
Assault (physical)
Assault (sexual)
Attention Deficit Disorder
Cold/Flu/Sore throatConcern for friend/family
Chronic illness
Chronic pain
Death of friend/family
Drug Use
Eating Disorder/Problem
HIV Infection
Injury
Internet Use/ Computer Games
Learning Disability
Relationship Difficulty
Sexually Transmitted Disease
Sinus Infection/Ear Infection/Bronchitis/ Strep
Throat
Sleep Difficulties
0
10
20
30
40
50
60
70
80
90
100
0 10 20 30 40 50 60 70 80 90 100
Percent in Population Experiencing Condition
Per
cen
t o
f T
ho
se E
xper
ien
cin
g
Co
nd
itio
n w
ith
Aca
dem
ic I
mp
act
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Common Conditions (>30%) that Fewer Students Report Negative Impact on Academic Performance
Alcohol use Allergies
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CrossTab Analysis of Factors
0102030405060708090
1stQtr
2ndQtr
3rdQtr
4thQtr
East
West
North
Sleep Difficulty and GPA
34%
22%
66%
78%
0%
20%
40%
60%
80%
100%
A/B C/D/F
Not HappenedHappened
Sleep Difficulty and GPA
58%
24%
42%
76%
0%
20%
40%
60%
80%
100%
A/B C/D/F
No ImpactImpact
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Depression Indicators Question # 40D:
Within the last school year, how often have you felt very sad?
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
0-2times
9 ormoretimes
Canadian
NCHA
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Depression Indicators Question # 40E:
Within the last school year, how often have you felt so depressed that it was difficult to function?
0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%
0-2times
9 ormoretimes
Canadian
NCHA
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Seasonal Affective Disorder in Students
College in Maine (Lowe & Feissner)13.2% incidence (compared symptoms
Oct. to Feb.)More common in womenMore common in students coming from
warm sunny climates Journal of American College Health:vol.47 #3-Nov.1998
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Social Norms Data
Perceptions of peer behaviour
vs.
Actual reported behaviour
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
ALCOHOL- # of drinks last time you partied
67.3% of students thought the typical student had 5 or more drinks the last time they partied
23.5% of students actually drank 5 or more drinks
64.8% of students had never had 5 or more drinks at a sitting
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
SEXUAL ACTIVITY:# of partners
82.4% of students thought the typical student had 2 or more sexual partners in the last school year
30.4% of students reported 0 partners
47.4% had 1 partner 22.2% had 2 or more
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
SMOKING 89.1% of students
thought the typical student smoked within the previous 30 days
65% never used 82.2% had not used
in past month
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
MARIJUANA 85.2% of students
thought a typical student had used in the last 30 days and 20% thought they used it daily
80% had not used marijuana in the past month
59.7% reported they had never used it
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Vision into Action: Tools for Professional and Program
Development6 Standards of Practice
American College Health AssociationStandards of Practice for Health Promotion in
Higher Education
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Standard 1: Integration with the Learning Mission of Higher Education
1.1 Develop health-related programs and policies that support student learning.
1.2 Incorporate health promotion initiatives into academic research, courses, and programs.
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Standard 2. Collaborative Practice
2.1 Advocate for a shared vision that health promotion is the responsibility of all campus and community partners.
2.2 Develop and participate in campus and community partnerships that advance
health promotion activities.
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Standard 5. Evidence-Based Practice
5.2 Conduct population-based assessments of health status, needs, and
assets of students.
5.6 Report evaluation data and research results to students, faculty, staff
and campus community.
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
EnCana Wellness Centre
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Seven initiatives at MRC using the NCHA results to build bridges
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
1. “Do something different”
Accessed $500,000 funding donation to create a Health Education and Peer
Health Education Program
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Over 80% of our students never received information from MRC
Tobacco use prevention Alcohol and other drug use Sexual assault/relationship Violence prevention Injury prevention and safety Suicide prevention Pregnancy AIDS or HIV infection Sexually transmitted infections Dietary behaviours and nutrition
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
2. Student Health Issues
The results from the NCHA provide two key pieces of data: students’ health habits, behaviours, &
perceptions health issues that impact academic
performance
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Health issues impacting academic performanceMRC
11.4
19.7
22.7
24
33.6
34.9
41.9
13.1
0 10 20 30 40 50
Sin-earinfec/bronc/s. thr
Death-friend/family
Dprs/anxtydis./SAD
Relat. Diff
Conc. forfriend/family
Sleep difficulties
Cold/flu/sore thr.
Stress
Percent
Ref Group NCHA
8.3
15.7
15.6
18
23.9
26
32
8.4
0 5 10 15 20 25 30 35
Sin-earinfec/bronc/s. thr
Death-friend/family
Dprs/anxtydis./SAD
Relat. Diff
Conc. forfriend/family
Sleep difficulties
Cold/flu/sore thr.
Stress
Percent
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
3. Institutional “Buy In”
College Management Group, Deans’ Council, Registrar’s Office, Enrollment Services, Dean’s Advisory Groups, IT, Maintenance, Retention
Committee, RA’s, External Relations, Academic Development Centre, Faculty Departments, Academic Planning Committee, Student’s
Association, Classrooms
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Dear Kandi:
Thank you for taking the time to discuss the issues of wellness at the Bissett School meeting earlier this afternoon. As a Department Chair who has had to personally attend the funeral of one of my students who was successful in committing suicide, I can appreciate how serious issues of wellness can be for students.
On an unrelated note, given the recent discussions around the institution and within the Bissett School on faculty retention, do you suppose there may be any plans to conduct a similar survey about wellness for Faculty and Staff?
Best WishesXXXXX
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
4. Health Canada Grant
3 year proposal “Tobacco Free@MRC”
Year 1 completed - $94,215Total grant proposal of $265,430
*Year 2 –3 Not hopeful*AADAC Grant $66,000 Tobacco Cessation program for 18 to 24 year old population just approved
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Cigarettes Reported vs Perceived Use
Never used Used one or more days
Used daily
Reported use
Perception of typical use
Reported use
Perception of typical use
Reported use
Perception of typical use
Ref 64.9%
14.3% 13.4% 53.6% 4.3% 32.1%
MRC 54.1%
4.9% 15.7% 42.4% 11.2%
52.7%
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
5. Academic research
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Other research opportunities
Date Rape on Campus (faculty member’s PhD thesis)
Aboriginal Students Research courses using the data set in
assignments
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
6. Gen Ed Transition from a College to a University
General Education—4 clusters of learning
Two courses proposed Wellness and the Student: From Personal Health to
Community Action Wellness and the Student: From Community Health
To Global Action
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
7. Collaboration with Regional Health Authority
Presented results of NCHA Tobacco Reduction collaboration Sexually Transmitted Infections campaign Sharing Information Appropriately Pandemic Planning COPD and Asthma Education Program Living Well with Chronic Disease GO2 Initiative-Active Living in Calgary
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Leadership for a Healthy Campus An Ecological Approach for Student Success
To successfully address the health of today’s college students, the focus must move beyond
individuals and their behaviours to establishing a healthy campus community. Campus health
concerns need to expand from the student health centre to integration throughout the institution’s
various systems. (NASPA)
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
Discussion
What do you think about the differences between NCHA and Canadian Reference groups?
How can we build a better Canadian Reference group?
Next steps?
B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7
PresentersPatricia Mirwaldt, MD
Student Health ServiceUniversity of British Columbia
Sara Taman, MDStudent Health Services
University of Toronto
Kandi McElary, MHKEnCana Wellness Centre
Mount Royal College