School Health Databases: Where are we today?

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School Health DatabasesWhere are we today?

• Presented by
• Donna A. Murnaghan
• Team Leader
• Comprehensive School Health Research Team

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Why are databases of interest to the
Comprehensive School Health Research Team?

• Current surveillance systems
• Inconsistent methods and irregular survey
  intervals
• Difficulties
• Monitoring exactly how the behaviour is changing
• Estimating the impact of policy changes
• Impact of data collection on schools and students
• Data gaps

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Environmental Diagnostics

• What are the tools schools need to conduct high
  quality research?
• Examples
• Surveys
• Guidelines/protocols (e.g. Best Practice Model
  Guide)
• Media messages (e.g. TV, telephone)
• Curriculum
• Posters
• Other examples?

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International
Canada
United States

• Legend
• ? conducted in schools
• public access to data
• ? studies all Atlantic provinces participated
  in

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Canada
Regional
Provincial

• Legend
• ? conducted in schools
• public access to data
• ? studies all Atlantic provinces participated
  in

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International Surveys/Databases

• Global School-Based Health Survey
• Health Behaviours in School-Aged Children (HBSC)
• Health Related Behaviour Questionnaire (HRBQ)

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International Surveys/Databases
Survey/ Database Organization Database Information Participant Level Behaviours
Global School-Based Health Survey World Health Organization and the CDC Surveillance project to help countries measure assess behavioural risk factors protective factors in key areas 22 participating countries (Canada not included as yet) Youth (13-15 years) Alcohol drug use Tobacco use Nutrition Hygiene Mental health Physical activity Sexual health Violence
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International Surveys/Databases
Survey/ Database Organization Database Information Participant Level Behaviours
Health Behaviours in School-Aged Children (HBSC) Health Canada and the Public Health Agency of Canada Division of Childhood Adolescence - administered in 36 countries Allows for trend comparisons of various adolescent health behaviours influences on their health - Year span 4 years (2001 last) Grades 6-10 SES Tobacco, alcohol, cannabis use Physical activity Sedentary behaviour Eating habits Body image Body weight Oral health - Sexual health Bullying
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International Surveys/Databases
Survey/ Database Organization Database Information Participant Level Behaviours
Health Related Behaviour Questionnaire (HRBQ) School Health Education Unit (SHEU) Over 5,000 health-related behaviour surveys HRBQ is the main survey administered - HRBQ data stored in SHEU databank Young people (primary secondary schools) Health Social development Nutrition Drugs Hygiene Relationships Mental health Leisure money Exercise
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National Surveys/Databases United States

• School Health Index (SHI)
• School Health Policies and Programs Study (SHPPS)
• Youth Risk Behavior Surveillance System (YRBSS)

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National Surveys/Databases United States
Survey/ Database Organization Database Information Participant Level Behaviours
School Health Index (SHI) Centers for Disease Control and Prevention - It is a self-assessment and planning guide for schools - Can be used by schools, teachers, parents, students, community - Can be administered online n/a (school level index) Health education Physical education Health services Mental health Food service School policy environment Faculty staff health promotion Family community involvement
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National Surveys/Databases United States
Survey/ Database Organization Database Information Participant Level Behaviours
School Health Policies and Programs Study (SHPPS) Centers for Disease Control and Prevention Program designed to assess the state of student health identify aspects of school environment that influence school health Assessment at the state, district, school, classroom level Conducted in 1994, 2000 will be again in 2006 - Different surveys for elementary, junior, senior high schools Health education Physical education Health services Mental health Food service School policy environment Faculty staff health promotion Family community involvement
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National Surveys/Databases United States
Survey/ Database Organization Database Information Participant Level Behaviours
Youth Risk Behavior Surveillance System (YRBSS) Centers for Disease Control and Prevention Goal to monitor priority health risk behaviours to achieving the Healthy People 2010 objectives National, state, local based surveys Conducted every 2 years Some states coordinate YRBSS with other surveys to reduce burden on schools students Grades 9-12 Tobacco use Alcohol drug use Nutrition Physical activity Sexual health Unintentional injuries violence
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National Surveys/Databases Canada

• Canadian Community Health Survey (CCHS)
• Canadian Tobacco Use Monitoring Survey (CTUMS)
• National Longitudinal Survey of Children and
  Youth (NLSCY)
• School Smoking Profile (SSP)
• Youth Smoking Survey (YSS)

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National Surveys/Databases Canada
Survey/ Database Organization Database Information Participant Level Behaviours
Canadian Community Health Survey (CCHS) Statistics Canada All provinces territories participate Household survey Conducted to provide regular estimates of health determinants, health status, health system use for 136 regions Last conducted in 2003 People 12 years (separated into age ranges one range from 12-19 years old) Mental health Nutrition Social support Substance use
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National Surveys/Databases Canada
Survey/ Database Organization Database Information Participant Level Behaviours
Canadian Tobacco Use Monitoring Survey (CTUMS) Health Canada and Statistics Canada Goal to provide consistent reliable data on smoking prevalence tobacco issues Data collected by telephone interviews Conducted annually measure changes from year to year Youth (ages 15-24 years) Tobacco
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National Surveys/Databases Canada
Survey/ Database Organization Database Information Participant Level Behaviours
National Longitudinal Survey of Children and Youth (NLSCY) Statistics Canada National partnership with all sectors of government Programs based on information need Follows development from birth to early adulthood Began in 1994 census every 5 years Longitudinal cross-sectional samples (0-11, 8-19 participants are in the study until they are 25 years old) Factors that influence a childs social, emotional, behavioural development Health Physical development Learning behaviour Social environment
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National Surveys/Databases Canada
Survey/ Database Organization Database Information Participant Level Behaviours
School Smoking Profile (SSP) Population Health Research Group, University of Waterloo The smoking module for SHAPES Survey in 189 schools over 80,000 students since 2000 Schools communities can use it for program evaluation Secondary school students Smoking
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National Surveys/Databases Canada
Survey/ Database Organization Database Information Participant Level Behaviours
Youth Smoking Survey (YSS) Health Canada YSS first administered in 1994 conducted every 2 years (last in 2004-05) Used to track changes in the attitudes behaviour of Canadian children with respect to tobacco Includes adolescent tobacco behaviour, school policies, social influences Students in grades 5-9 Smoking
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Regional Surveys/Databases

• Student Drug Use Survey

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Regional Surveys/Databases
Survey/ Database Organization Database Information Participant Level Behaviours
Student Drug Use Survey - PEI Dept. of Health Social Services NS Dept. of Health Dalhousie NB Dept. of Health Wellness NL Dept. of Health Community Services Each province performs its own survey, adhering to a standard protocol developed collaboratively in 1994 Conducted in 1996, 1998, 2002, 2003 Grades 7, 9, 10, and 12 students Substance use including cigarette, alcohol, cannabis use Problem gambling Other risky behaviours
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Provincial Surveys/Databases

• Adolescent Health Survey (AHS)
• Heart Health Resource Centre (HHRC)
• School Health Action, Planning and Evaluation
  System (SHAPES)
• School Health Assessment Survey

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Provincial Surveys/Databases British Columbia
Survey/ Database Organization Database Information Participant Level Behaviours
Adolescent Health Survey (AHS) McCreary Centre Society Conducted in 1992, 1998, 2003 Conducted in 1,500 classrooms in 16 administration regions Collaboration with public health system school districts Key findings available to public Grades 7-12 Physical health Emotional health Risk behaviours Other health concerns
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Provincial Surveys/Databases - Ontario
Survey/ Database Organization Database Information Participant Level Behaviours
Heart Health Resource Centre (HHRC) Ontario Public Health Association Programs resources database Mandate to implement comprehensive, multi-risk factor, community-based heart health programs Linkage with other organizations Community based all ages Heart health
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Provincial Surveys/Databases - Ontario
Survey/ Database Organization Database Information Participant Level Behaviours
School Health Action, Planning and Evaluation System (SHAPES) Population Health Research Group, University of Waterloo Machine readable questionnaire producing feedback report for schools Many modules included to produce local data collection system Generate evidence-driven interventions for youth Schools health units can use this tool Secondary school students Physical activity Smoking Healthy eating (module being developed)
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Provincial Surveys/Databases - Ontario
Survey/ Database Organization Database Information Participant Level Behaviours
School Health Assessment Survey Peel Health (Local Public Health unit) This survey assists teachers, administrators, parents, nurses, other health professionals to develop programs Grades 7-12 students Grades 7 8 Eating habits Physical activity Tobacco, drugs, alcohol Mental health self-esteem Relationships Oral health Sun safety Safety bullying Grades 9-12 also includes sexual health
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Workshop Objective

• Beginning a dialogue for school health research
  infrastructure databases for school health