Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International...
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Transcript of Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International...
Health Promotion and Prevention Services
Using the ACHA-NCHA to Assess Health in the International Student
Populations
Paula Swinford
Director, Health Promotion and Prevention Services
Anne Kaufman
Business Manager, Office of International Student Services
Health Promotion and Prevention Services
Learning Objectives• The participant will be able to:
– Discuss the strengths of ACHA-NCHA as an assessment process of the health status of a population with regards to the Ottawa Charter for Health Promotion
– Distinguish between the health behaviors/status of domestic and international students
– Develop critical next questions in implementing evidence-based decision-making regarding the health and wellness of International students
Health Promotion and Prevention Services
Ottawa Charter for Health Promotion
• Presents fundamental strategies and approaches for health promotion
• Conceptualizes health promotion actions– Includes building healthy public policy,
creating supportive environments, strengthening community actions, developing personal skills, and reorienting health services
Health Promotion and Prevention Services
What is the National College Health Assessment (NCHA)?
• Partnered with the American College Health Association• Comprehensive & confidential survey of students’ health
behaviors, beliefs, & perceptions• 550+ participating colleges and universities since 2000• First administered at USC in 2000• Annual administration
Health Promotion and Prevention Services
NCHA’s 10 Assessment Areas
1. General health
2. Disease and injury prevention
3. Academic impacts
4. Alcohol, tobacco, & other drug use
5. Violence, abuse, and personal safety
6. Sexual behavior
7. Nutrition and exercise
8. Mental health
9. Sleep
10. Demographics and student characteristics
Health Promotion and Prevention Services
Why Conduct the NCHA?• Serves as a comprehensive needs assessment for
student health and wellness – Needs Assessment: A formal process of identifiying problems
and needs in a target population so as to make decisions, determine priorities, set objectives, and explore alternative approaches or methods to aid in the planning and implementation of programs.*
• A needs assessment is the first step in evidence-based programming models
*Direct reference from Modeste, N.M. & Tamayose, T.S. (2004). Dictionary of Public Health Promotion and Education: Terms and Concepts (2nd Ed.). Jossey-Bass: CA.
Health Promotion and Prevention Services
The NCHA Allows Us To…• Gain an objective picture of students’ health and
wellness• Contrast with clinical indicators and anecdotal evidence
(population-based vs. individual)• Clarify priorities and allocate resources• Advocate for policy change• Establish a baseline and track change over time (USC
data)• Compare and Contrast (ACHA data from other
institutions and aggregated, OTC data, Monitoring the Future, CIRP, NESSE, etc)
Health Promotion and Prevention Services
The NCHA at USC (Methodology)
• Fall 2009 via web• Sent to all international students (n=6,100)• Invitation via email; two follow-up emails• Incentives:
– Every 25th respondent: $10 iTunes gift card– Drawing for ten $100 Visa gift cards
• Final n=978 (16%)• Comparison group is Spring 2009 survey of all
UPC students, n=633
Health Promotion and Prevention Services
Respondent Demographics & Representativeness (n=976)
Demographics/Characteristics USC NCHA Respondents
Total USC International Population
Female 44.7% 38.7%
Graduate 79.3% 71.3%
Undergraduate 20.7% 27.9%
Engineering 47.5% 43.4%
Business Administration 7.7% 10.1%
Citizen of India 24.5% 25%
Citizen of China 24.5% 21.2%
Citizen of South Korea 6.5% 11.1%
Citizen of Taiwan 7.4% 7.5%
Citizen of Canada 2.8% 4.3%
Health Promotion and Prevention Services
Impediments to Academic Success
Undergraduate Graduate
International All Students International All Students
Anxiety 14.5 17.7 11.3 9.7
Cold/Flu/Sore Throat
18.3 22.1 6.6 6.2
Concern for a troubled family member/friend
8.9 11.3 5.6 3.8
Internet Use/ Computer Games
18.2 16.6 12.8 8.5
Work 7.0 12.2 8.1 9.2
Health Promotion and Prevention Services
Substance UseWithin the last 30 days among Undergraduate students
(%)
Never Daily
International All Students International All Students
Alcohol 32.5 19.8 1.5 0.3
Cigarettes 73.8 66.3 3.4 2.3
Marijuana 82.0 59.4 1.5 1.4Within the last 30 days among Graduate students (%)
Never Daily
International All Students International All Students
Alcohol 34.7 20.5 0.6 0.8
Cigarettes 77.8 70.5 4.8 3.8
Marijuana 92.3 73.5 0.1 1.2
Health Promotion and Prevention Services
Drinking and Driving
Health Promotion and Prevention Services
Sexual Behaviors
Health Promotion and Prevention Services
Contraception
Methods of birth control used to prevent pregnancy the last time you had vaginal intercourse
Undergraduate Graduate
International All Students International All Students
Birth control pills (monthly or extended cycle)
33.3 63.2 28.4 49.0
Condom (male) 74.6 66.1 76.7 54.9
Withdrawal 18.3 21.1 19.4 14.1
Health Promotion and Prevention Services
Implications
Health Promotion and Prevention Services
Questions/Comments• Contact:
– Paula Swinford• [email protected], (213) 740-4777
– Anne Kaufman• [email protected], (213) 740-2666