Partnering to Create a Canadian Student Health Data Set:

1. Partnering to Create a Canadian Student Health Data Set: A Tool to Build Bridges on Our Campuses

2. 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

3. 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

4. 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

5. 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

6. THE DATA

7. Demographics Canadian Group

8. Compare Demographics

9. Canadian Students Live

10. Compare where students live

11. Percent of Students Reporting Negative Impact on Academic Performance

12. Percent of Students Reporting Negative Impact on Academic Performance

13. Percent of Students Reporting Negative Impact on Academic Performance

15. 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

17. 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

19. Common Conditions (>30%) that Fewer Students Report Negative Impact on Academic Performance • Alcohol use • Allergies

20. CrossTab Analysis of Factors

21. Depression Indicators • Question # 40D: Within the last school year, how often have you felt very sad?

22. Depression Indicators • Question # 40E: Within the last school year, how often have you felt so depressed that it was difficult to function?

23. 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

24. Social Norms Data Perceptions of peer behaviour vs. Actual reported behaviour

25. 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 ALCOHOL- # of drinks last time you partied

26. 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 SEXUAL ACTIVITY:# of partners

27. 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 SMOKING

28. 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 MARIJUANA

29. 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

30. 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.

31. 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.

32. 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.

33. EnCana Wellness Centre

34. Seven initiatives at MRC using the NCHA results to build bridges

35. 1. “Do something different” Accessed $500,000 funding donation to create a Health Education and Peer Health Education Program

36. 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 Over 80% of our students never received information from MRC

37. 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

38. Health issues impacting academic performance

39. 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

40. 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

41. 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

42. CigarettesReported vs Perceived Use

43. 5. Academic research

44. Other research opportunities • Date Rape on Campus (faculty member’s PhD thesis) • Aboriginal Students • Research courses using the data set in assignments

45. 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

46. 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

47. Leadership for a Healthy CampusAn 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)

48. 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?

49. 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