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Building Bridges—CACUSS 2007 Partnering to Create a Canadian Student Health Data Set: A Tool to Build Bridges on Our Campuses Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS THE DATA 2007 Building Bridges—CACUSS 2007 Demographics Canadian Group Aboriginal 2% Latin 2% Black 1% Asian 28% Other 6% White 61% Building Bridges—CACUSS 2007 Compare Demographics 80 70 60 50 Canadian 40 NCHA 30 20 10 0 WHI AS BL LAT AB OTHER Building Bridges—CACUSS Canadian Students Live Other 10% Frat house 0% Residence 12% Parents 44% Off-camp 32% Other cam 2% 2007 Building Bridges—CACUSS 2007 Compare where students live 45 40 35 30 25 NCHA Canadian 20 15 10 5 0 Residence Frat house Other cam Off-camp Parents Other Building Bridges—CACUSS 2007 Percent of Students Reporting Negative Impact on Academic Performance 50 P e rc en ta g e 45 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% 40 35 30 25 20 15 10 5 0 Problem Building Bridges—CACUSS 2007 Percent of Students Reporting Negative Impact on Academic Performance 50 40 30 Canadian NCHA 20 10 0 Stress Colds Sleep Concern Dep. Building Bridges—CACUSS 2007 Percent of Students Reporting Negative Impact on Academic Performance 25 20 15 Canadian NCHA 10 5 0 Rel.Pr IN Death Other Bac.Inf Building Bridges—CACUSS 2007 Canadian Undergraduate Students Percent of Those Experiencing Condition with Academic Impact 100 90 80 70 60 Learning Disability Attention Deficit Disorder Depression/Anxiety Disorder/Seasonal Affective Disorder Stress 50 Sleep Difficulties Mononucleosis Pregnancy (self or partner) Relationship Difficulty Death of friend/fam ily Cold/Flu/Sore throat 40 30 20 10 0 Concern Internet Use/ Com puter Gamfor es friend/fam ily Sinus Infection/Ear Chronic pain Eating Disorder/Problem Chronic illness Infection/Bronchitis/ Strep Throat Assault (sexual) Injury Drug Use Sexually Transm itted Disease Assault (physical) Allergies Alcohol Use HIV Infection 0 10 20 30 40 50 60 70 80 Percent in Population Experiencing Condition 90 100 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 Canadian Undergraduate Students Percent of Those Experiencing Condition with Academic Impact 100 90 80 70 60 Learning Disability Attention Deficit Disorder Depression/Anxiety Disorder/Seasonal Affective Disorder Stress 50 Sleep Difficulties Mononucleosis Pregnancy (self or partner) Relationship Difficulty Death of friend/fam ily Cold/Flu/Sore throat 40 30 20 10 0 Concern Internet Use/ Com puter Gamfor es friend/fam ily Sinus Infection/Ear Chronic pain Eating Disorder/Problem Chronic illness Infection/Bronchitis/ Strep Throat Assault (sexual) Injury Drug Use Sexually Transm itted Disease Assault (physical) Allergies Alcohol Use HIV Infection 0 10 20 30 40 50 60 70 80 Percent in Population Experiencing Condition 90 100 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 Canadian Undergraduate Students Percent of Those Experiencing Condition with Academic Impact 100 90 80 70 60 Learning Disability Attention Deficit Disorder Depression/Anxiety Disorder/Seasonal Affective Disorder Stress 50 Sleep Difficulties Mononucleosis Pregnancy (self or partner) Relationship Difficulty Death of friend/fam ily Cold/Flu/Sore throat 40 30 20 10 0 Concern Internet Use/ Com puter Gamfor es friend/fam ily Sinus Infection/Ear Chronic pain Eating Disorder/Problem Chronic illness Infection/Bronchitis/ Strep Throat Assault (sexual) Injury Drug Use Sexually Transm itted Disease Assault (physical) Allergies Alcohol Use HIV Infection 0 10 20 30 40 50 60 70 80 Percent in Population Experiencing Condition 90 100 Building Bridges—CACUSS 2007 Common Conditions (>30%) that Fewer Students Report Negative Impact on Academic Performance Alcohol use Allergies Bridges—CACUSS Building 2007 CrossTab Analysis of Factors Sleep Difficulty and GPA 100% Sleep Difficulty and GPA Not Happened Happened 78% 80% 66% 60% 40% 90 80 80% 70 60 50 60% 40 30 40% 20 10 20% 0 100% 34% 22% 20% 0% 0% A/B C/D/F No Impact Impact 76% 58% East West North 42% 24% 1st 2nd 3rd 4th Qtr Qtr Qtr Qtr A/B C/D/F Building Bridges—CACUSS 2007 Depression Indicators Question # 40D: Within the last school year, how often have you felt very sad? 60.00% 50.00% 40.00% 30.00% Canadian NCHA 20.00% 10.00% 0.00% 0-2 9 or times more times Building Bridges—CACUSS 2007 Depression Indicators Question # 40E: Within the last school year, how often have you felt so depressed that it was difficult to function? 90.00% 80.00% 70.00% 60.00% 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% Canadian NCHA 0-2 9 or times more times Building Bridges—CACUSS 2007 Seasonal Affective Disorder in Students College in Maine (Lowe & Feissner) 13.2% incidence (compared symptoms Oct. to Feb.) More common in women More common in students coming from warm sunny climates Journal of American College Health:vol.47 #3-Nov.1998 Building Bridges—CACUSS Social Norms Data Perceptions of peer behaviour vs. Actual reported behaviour 2007 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 Vision into Action: Tools for Professional and Program Development 6 Standards of Practice American College Health Association Standards of Practice for Health Promotion in Higher Education Building Bridges—CACUSS 2007 Standard 1: Integration with the Learning Mission of Higher Education 1.1 1.2 Develop health-related programs and policies that support student learning. Incorporate health promotion initiatives into academic research, courses, and programs. Building Bridges—CACUSS 2007 Standard 2. Collaborative Practice 2.1 2.2 Advocate for a shared vision that health promotion is the responsibility of all campus and community partners. Develop and participate in campus and community partnerships that advance health promotion activities. Building Bridges—CACUSS 2007 Standard 5. Evidence-Based Practice 5.2 5.6 Conduct population-based assessments of health status, needs, and assets of students. Report evaluation data and research results to students, faculty, staff and campus community. Building Bridges—CACUSS EnCana Wellness Centre 2007 Building Bridges—CACUSS 2007 Seven initiatives at MRC using the NCHA results to build bridges Building Bridges—CACUSS 2007 1. “Do something different” Accessed $500,000 funding donation to create a Health Education and Peer Health Education Program Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Bridges—CACUSS Building 2007 Health issues impacting academic performance Ref Group NCHA MRC Cold/flu/sore thr. 34.9 Cold/flu/sore thr. Conc. for friend/family 22.7 Dprs/anxty dis./SAD 19.7 13.1 Death-friend/family Sin-ear infec/bronc/s. thr 11.4 0 10 23.9 Conc. for friend/family 24 Relat. Diff 26 Sleep difficulties 33.6 Sleep difficulties 32 Stress 41.9 Stress 20 30 Percent 40 18 Relat. Diff 15.6 Dprs/anxty dis./SAD 15.7 Death-friend/family 8.4 Sin-ear infec/bronc/s. thr 8.3 50 0 5 10 15 20 Percent 25 30 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Wishes XXXXX Building Bridges—CACUSS 2007 4. Health Canada Grant 3 year proposal “Tobacco Free@MRC” Year 1 completed - $94,215 Total 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 Building Bridges—CACUSS 2007 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% Building Bridges—CACUSS 2007 5. Academic research Building Bridges—CACUSS 2007 Other research opportunities Date Rape on Campus (faculty member’s PhD thesis) Aboriginal Students Research courses using the data set in assignments Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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 Building Bridges—CACUSS 2007 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) Building Bridges—CACUSS 2007 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? Building Bridges—CACUSS Presenters Patricia Mirwaldt, MD Student Health Service University of British Columbia Sara Taman, MD Student Health Services University of Toronto Kandi McElary, MHK EnCana Wellness Centre Mount Royal College 2007