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School Health Databases:
Where are we today?
Presented by Donna A. Murnaghan
Team LeaderComprehensive School Health Research Team
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
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?
Health Behaviours in School-Aged Children (HBSC) Health Related Behaviour Questionnaire (HRBQ) Global School-Based Health Survey
National
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)
School Health Index School Health Policies and Programs Study (SHPPS) Youth Risk Behavior Surveillance System (YRBSS)
Canada United States
International
Legend
= conducted in schools = public access to data = studies all Atlantic provinces participated in
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)
Student Drug Survey
BC: Adolescent Health Survey (AHS) ON: Heart Health Resource Centre (HHRC) ON: School Health Action, Planning and Evaluation System (SHAPES) ON: School Health Assessment Survey
Canada
Regional
Provincial
Legend
= conducted in schools = public access to data = studies all Atlantic provinces participated in
International Surveys/Databases
Global School-Based Health Survey Health Behaviours in School-Aged Children
(HBSC) Health Related Behaviour Questionnaire
(HRBQ)
Survey/
DatabaseOrganization
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
International Surveys/Databases
Survey/
DatabaseOrganization
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
International Surveys/Databases
Survey/
DatabaseOrganization
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
International Surveys/Databases
National Surveys/Databases – United States
School Health Index (SHI) School Health Policies and Programs Study
(SHPPS) Youth Risk Behavior Surveillance System
(YRBSS)
Survey/Database
OrganizationDatabase
InformationParticipant
LevelBehaviours
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
National Surveys/Databases – United States
Survey/
DatabaseOrganization
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
National Surveys/Databases – United States
Survey/
DatabaseOrganization
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
National Surveys/Databases – United States
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)
National Surveys/Databases – CanadaSurvey/
DatabaseOrganization
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
National Surveys/Databases – Canada
Survey/
DatabaseOrganization
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
National Surveys/Databases – Canada
Survey/
DatabaseOrganization
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 child’s social, emotional, & behavioural development-Health-Physical development-Learning & behaviour-Social environment
National Surveys/Databases – Canada
Survey/
DatabaseOrganization
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
National Surveys/Databases – Canada
Survey/
DatabaseOrganization
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
Regional Surveys/Databases
Student Drug Use Survey
Regional Surveys/Databases
Survey/
DatabaseOrganization
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
Provincial Surveys/Databases
Adolescent Health Survey (AHS) Heart Health Resource Centre (HHRC) School Health Action, Planning and
Evaluation System (SHAPES) School Health Assessment Survey
Provincial Surveys/Databases – British Columbia
Survey/
DatabaseOrganization
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
Provincial Surveys/Databases - Ontario
Survey/
DatabaseOrganization
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
Provincial Surveys/Databases - Ontario
Survey/
DatabaseOrganization
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)
Provincial Surveys/Databases - Ontario
Survey/
DatabaseOrganization
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
Workshop Objective
Beginning a dialogue for school health research infrastructure – databases for school health