School Health Databases: Where are we today? Presented by Donna A. Murnaghan Team Leader Comprehensive School Health Research Team

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


Survey/



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


Survey/



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


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


Survey/



Participant Level

Behaviours

School Health Policies and Programs Study

(SHPPS)


-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


Survey/



Participant Level

Behaviours

Youth Risk Behavior Surveillance System (YRBSS)


-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 – 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/



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


Survey/



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


Survey/



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


Survey/



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


Survey/



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/



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/



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/



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


Survey/



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)


Survey/



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

Documents

School Health Databases: Where are we today? Presented by Donna A. Murnaghan Team Leader Comprehensive School Health Research Team