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CABLE C hild and A dolescent B ehaviors in L ong-term E volution

CABLE C hild and A dolescent B ehaviors in L ong-term E volution. CABLE Research Team PI ： Hsing-yi Chang （張新儀） Lee-Lan Yen ( 李 蘭 ) Szu-Hsien T. Lee ( 李思賢 ) Wen-Chi Wu ( 吳文琪 ) Chi-Chen Wu （吳其臻） Yi-Chen Chiang （江宜珍）. Outline. Background & Purposes Study Design

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CABLE C hild and A dolescent B ehaviors in L ong-term E volution

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  1. CABLEChild and Adolescent Behaviors in Long-term Evolution CABLE Research Team PI：Hsing-yi Chang（張新儀） Lee-Lan Yen (李 蘭) Szu-Hsien T. Lee (李思賢) Wen-Chi Wu (吳文琪) Chi-Chen Wu （吳其臻） Yi-Chen Chiang （江宜珍）

  2. Outline • Background & Purposes • Study Design • Work Completed in 2001~2005 • Work Will Be Conducted in 2006

  3. Background • Childhood is an important developmental stage. • Early and successful interventions can improve children’s health behaviors and health status and can reduce social cost. • A lifestyle based study following the development of children and their health related behaviors has never previously been conducted in Taiwan.

  4. Datasets of Child Health in Other Countries • HBSC Health Behavior in School-Aged Children, by WHO, Europe • NLSC National Longitudinal Survey of Children, by Canada • ADD National Longitudinal Study of Adolescent Health by North Carolina, Chapel Hill • YRBSS Youth Risk Behavior Surveillance System, by US, CDC

  5. Specific Aims • To observe the change of health behavior, health status, mental health and lifestyle of children and adolescents. • To examine the determinants of change. • To differentiate the typologies of developmental trajectories.

  6. Study Design (1) • Cross-sectional • Longitudinal • Individual • Family/Group • Community/Society • Changeability

  7. Study Design (2) A1-A10: The 1st cohort 2001-2010, include metropolitan and rural area;B1-B10: The 2nd cohort of 2001-2010, include metropolitan and rural area.

  8. Intrapersonal Factors Interpersonal Factors Health Lifestyle Health Status Organizational Factors Study FrameworkCross-Sectional Survey

  9. Study FrameworkLongitudinal Follow-up Independent Variable Child & Parental Factors Family Factors School Factors Other Factors Intermediate Variable Time 1 → Time 2 Intrapersonal Factors Interpersonal Factors Organizational Factors Dependent Variable Time 1 → Time 2 Health Lifestyle Health Status

  10. Study Subjects of 2001~2004 Add new participants

  11. Follow-up rate

  12. Field Survey, 2001-2006 Student name list Cohort 1& 2 2001-2002 Inform consent Cohort 2 2004 Cohort 2 2005 Cohort 2 2006 Subject name list Check name list Rearrange name list Rearrange name list Rearrange name list Cohort 1& 2 2001-2006 • Mail survey • -Student • -Parent • Website • survey • -Student • School survey • -Student • -Parent Mail survey -Student

  13. Intrapersonal Factors Interpersonal Factors Health Lifestyle Health Status Organizational Factors Study Instruments &Data Collection CABLE Questionnaires Students+Parents +Teachers School & Community Profiles School Health Records

  14. CABEL QuestionnaireStudent Version • For 1st– 3rd graders • Animal & Plant Version • For 4th graders and older students • Student Version

  15. Contents of Student Version

  16. Previous Achievements (I) • Development of Positive Health Behaviors • Sun protecting behavior is the lowest from 2001 to 2004 and decline annually. • For cohort 2, most behaviors have increased before 2003, but decreased at 2004. • Development of Negative Health Behaviors • Staying up late, eating before sleeping, and using vulgar language are increased annually. • For cohort 2, destroying public property are increased. • Some Health Behaviors aggregated together. （邱靜如，2003；吳文琪，2005 ）

  17. Previous Achievements (II) • Correlates of health behaviors • Student’s and parent’s characteristics, family interaction, school’s characteristics, community’s characteristics. • Correlates of suicide ideation • living in Taipei, using substance frequently, higher degree of depression, older mother, being punished frequently, lower family support, and girl with higher social loneliness • Correlates of internal mental health • student’s sex, family relationship, family conflict, school attachment （怜燕、李蘭、吳文琪、江宜珍，2002；陳如毓，2002；邱靜如，2003；林芳美2003；江宜珍，2003 ；陳俐婷，2003 ； 吳其臻，2003； 張弘潔，2004；Szu-Hsien Lee, Lee-Lan Yen, and Li-Ting Chen, 2004 ；高啟賢，2004 ；傅建泰2004； 吳文琪，2005 ）

  18. Results Disseminationfrom 2001 to 2004 • Annual reports • Annual Report 2001 has been published • Annual Report 2002 has been published • Annual Report 2003-2004 has been published • 2002 CABLE conference • Reference for parents • Application of CABLE questionnaires

  19. Presentations and Publications from 2001 to 2004 (I) • Conference papers • 2002 ISHPA (2) • 2002 APA (1 paper) • 2002 TPA (1 paper) • 2002-2004 APHA (8 papers) • 2004 First Conference on Statistical Methodology (1 paper) • 2004 TPHA Annual Meeting (3 papers) • 2005 Biennial Meeting of SRCD (1 paper)

  20. Paper Writing & Publishing from 2001 to 2004 (II) • Journal Article • Yen LL, Chen L, Lee SH, Hsiao C, Pan LY. IUHPE- Promotion and Education 2002; Suppl. 1: 33- 40. • Lee SH, Yen LL, Cheng LT. J Med Sci 2004; 24(4): 185-190. • 江宜珍, 吳肖琪, 李蘭. 台灣衛誌 2005. (printed) • 3 papers submitted

  21. Professional Training 2001-2005

  22. CABLE’s Websitehttp://cable.nhri.org.tw/

  23. Data collection in 2006 • Sixth graders (1st cohort) • Subjects: Students + Parents • Field survey at 19 primary schools in 2 area • School health records transcribing • Ninth graders (2nd cohort) • Subjects: Students • Field survey at 27 junior high schools • Mail survey and internet survey for those who didn’t attend major those junior high schools

  24. Major focus of 2006 • Childhood overweight/obesity • Mental health • Effect of physical punishment • Aggressive and addictive behavior • Emerging issues

  25. Data analysis in 2006 • Cross-sectional and Longitudinal Analysis • Multiple linear and logistic regression • Multilevel analysis • Structure equation model • Latent growth curve model

  26. Data Released • A data-releasing guideline was drawn-up at 2003 October. • Data of 2001 & 2002 were released. • 1 foreign scholar and 3 domestic researchers are analyzing the data. • The dataset of 2003 will be released in 2006.

  27. CABLE’s Website in 2006 • Maintain CABLE website • Access the effectiveness of CABLE website for retrieving participants who didn’t be interviewed in school.

  28. Significance • The findings of CABLE will generate a dataset for observing the development of child and adolescent in Taiwan. • According to the evidence based information from CABLE, related agencies can develop supporting and learning programs to improve child health.

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