B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Partnering to Create a Canadian Student Health Data

Set:

A Tool to Build Bridges on Our Campuses

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

THE DATA

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Demographics Canadian GroupBlack

1%Latin

2%

Other6%

Aboriginal2%

Asian28% White

61%

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Compare Demographics

0

10

20

30

40

50

60

70

80

WHI AS BL LAT AB OTHER

Canadian

NCHA

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Canadian Students Live

Parents44%

Other cam2%

Other10%

Off-camp32%

Frat house0%

Residence12%

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Compare where students live

0

5

10

15

20

25

30

35

40

45

Residence Frat house Other cam Off-camp Parents Other

NCHA

Canadian

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

05

101520253035404550

Problem

Per

cen

tag

e

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%

Percent of Students Reporting Negative Impact on Academic Performance

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

0

10

20

30

40

50

Stress Colds Sleep Concern Dep.

Canadian

NCHA

Percent of Students Reporting Negative Impact on Academic Performance

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

0

5

10

15

20

25

Rel.Pr IN Death Other Bac.Inf

Canadian

NCHA

Percent of Students Reporting Negative Impact on Academic Performance

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7Canadian Undergraduate Students

Alcohol UseAllergies

Depression/Anxiety Disorder/Seasonal Affective

Disorder

MononucleosisPregnancy (self or partner)

Stress

Assault (physical)

Assault (sexual)

Attention Deficit Disorder

Cold/Flu/Sore throatConcern for friend/family

Chronic illness

Chronic pain

Death of friend/family

Drug Use

Eating Disorder/Problem

HIV Infection

Injury

Internet Use/ Computer Games

Learning Disability

Relationship Difficulty

Sexually Transmitted Disease

Sinus Infection/Ear Infection/Bronchitis/ Strep

Throat

Sleep Difficulties

0

10

20

30

40

50

60

70

80

90

100

0 10 20 30 40 50 60 70 80 90 100

Percent in Population Experiencing Condition

Per

cen

t o

f T

ho

se E

xper

ien

cin

g

Co

nd

itio

n w

ith

Aca

dem

ic I

mp

act

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7Canadian Undergraduate Students

Alcohol UseAllergies

Depression/Anxiety Disorder/Seasonal Affective

Disorder

MononucleosisPregnancy (self or partner)

Stress

Assault (physical)

Assault (sexual)

Attention Deficit Disorder

Cold/Flu/Sore throatConcern for friend/family

Chronic illness

Chronic pain

Death of friend/family

Drug Use

Eating Disorder/Problem

HIV Infection

Injury

Internet Use/ Computer Games

Learning Disability

Relationship Difficulty

Sexually Transmitted Disease

Sinus Infection/Ear Infection/Bronchitis/ Strep

Throat

Sleep Difficulties

0

10

20

30

40

50

60

70

80

90

100

0 10 20 30 40 50 60 70 80 90 100

Percent in Population Experiencing Condition

Per

cen

t o

f T

ho

se E

xper

ien

cin

g

Co

nd

itio

n w

ith

Aca

dem

ic I

mp

act

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7Canadian Undergraduate Students

Alcohol UseAllergies

Depression/Anxiety Disorder/Seasonal Affective

Disorder

MononucleosisPregnancy (self or partner)

Stress

Assault (physical)

Assault (sexual)

Attention Deficit Disorder

Cold/Flu/Sore throatConcern for friend/family

Chronic illness

Chronic pain

Death of friend/family

Drug Use

Eating Disorder/Problem

HIV Infection

Injury

Internet Use/ Computer Games

Learning Disability

Relationship Difficulty

Sexually Transmitted Disease

Sinus Infection/Ear Infection/Bronchitis/ Strep

Throat

Sleep Difficulties

0

10

20

30

40

50

60

70

80

90

100

0 10 20 30 40 50 60 70 80 90 100

Percent in Population Experiencing Condition

Per

cen

t o

f T

ho

se E

xper

ien

cin

g

Co

nd

itio

n w

ith

Aca

dem

ic I

mp

act

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Common Conditions (>30%) that Fewer Students Report Negative Impact on Academic Performance

Alcohol use Allergies

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

CrossTab Analysis of Factors

0102030405060708090

1stQtr

2ndQtr

3rdQtr

4thQtr

East

West

North

Sleep Difficulty and GPA

34%

22%

66%

78%

0%

20%

40%

60%

80%

100%

A/B C/D/F

Not HappenedHappened

Sleep Difficulty and GPA

58%

24%

42%

76%

0%

20%

40%

60%

80%

100%

A/B C/D/F

No ImpactImpact

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Depression Indicators Question # 40D:

Within the last school year, how often have you felt very sad?

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

0-2times

9 ormoretimes

Canadian

NCHA

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Depression Indicators Question # 40E:

Within the last school year, how often have you felt so depressed that it was difficult to function?

0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%90.00%

0-2times

9 ormoretimes

Canadian

NCHA

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Seasonal Affective Disorder in Students

College in Maine (Lowe & Feissner)13.2% incidence (compared symptoms

Oct. to Feb.)More common in womenMore common in students coming from

warm sunny climates Journal of American College Health:vol.47 #3-Nov.1998

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Social Norms Data

Perceptions of peer behaviour

vs.

Actual reported behaviour

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Vision into Action: Tools for Professional and Program

Development6 Standards of Practice

American College Health AssociationStandards of Practice for Health Promotion in

Higher Education

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Standard 1: Integration with the Learning Mission of Higher Education

1.1 Develop health-related programs and policies that support student learning.

1.2 Incorporate health promotion initiatives into academic research, courses, and programs.

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Standard 2. Collaborative Practice

2.1 Advocate for a shared vision that health promotion is the responsibility of all campus and community partners.

2.2 Develop and participate in campus and community partnerships that advance

health promotion activities.

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Standard 5. Evidence-Based Practice

5.2 Conduct population-based assessments of health status, needs, and

assets of students.

5.6 Report evaluation data and research results to students, faculty, staff

and campus community.

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

EnCana Wellness Centre

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Seven initiatives at MRC using the NCHA results to build bridges

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

1. “Do something different”

Accessed $500,000 funding donation to create a Health Education and Peer

Health Education Program

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Health issues impacting academic performanceMRC

11.4

19.7

22.7

24

33.6

34.9

41.9

13.1

0 10 20 30 40 50

Sin-earinfec/bronc/s. thr

Death-friend/family

Dprs/anxtydis./SAD

Relat. Diff

Conc. forfriend/family

Sleep difficulties

Cold/flu/sore thr.

Stress

Percent

Ref Group NCHA

8.3

15.7

15.6

18

23.9

26

32

8.4

0 5 10 15 20 25 30 35

Sin-earinfec/bronc/s. thr

Death-friend/family

Dprs/anxtydis./SAD

Relat. Diff

Conc. forfriend/family

Sleep difficulties

Cold/flu/sore thr.

Stress

Percent

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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 WishesXXXXX

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

4. Health Canada Grant

3 year proposal “Tobacco Free@MRC”

Year 1 completed - $94,215Total 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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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%

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

5. Academic research

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

Other research opportunities

Date Rape on Campus (faculty member’s PhD thesis)

Aboriginal Students Research courses using the data set in

assignments

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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)

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

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?

B u i l d i n g B r i d g e s — C A C U S S 2 0 0 7

PresentersPatricia Mirwaldt, MD

Student Health ServiceUniversity of British Columbia

Sara Taman, MDStudent Health Services

University of Toronto

Kandi McElary, MHKEnCana Wellness Centre

Mount Royal College