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Healthy Campus 2010 Midcourse Review Health Disparities. Healthy People & Campus 2010 Overarching Goals Increase quality and years of healthy life Eliminate health disparities. Cynthia Burwell , EdD, CHES, F-ACHA Norfolk State University Lori Dewald, EdD, ATC, CHES, F-AAHE
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Healthy Campus 2010Midcourse ReviewHealth Disparities Healthy People & Campus 2010 Overarching Goals Increase quality and years of healthy life Eliminate health disparities Cynthia Burwell, EdD, CHES, F-ACHA Norfolk State University Lori Dewald, EdD, ATC, CHES, F-AAHE Salisbury University Jim Grizzell, MBA, MA, CHES, ACSM-HFS, F-ACHA Cal Poly Pomona and George Washington University
ObjectivesThe attendee should be able to: • Describe the Healthy Campus 2010 Coalition and midcourse review process • Explain how the midcourse review data can be used • Determining needs and problem descriptions for health disparities • Determining priority health disparity issues • Explain the limitations of the data and data needs ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Agenda • ACHA Healthy Campus 2010 Coalition • Focus Areas and Objectives • Data sets used • Overview of progress • Midcourse review progress quotient calculation • Overarching goals • Details of progress • Top 10 Health impediments to academic performance • Top 10 physical and mental health problems • Focus area 1-28 objectives • Limitations of the data & data needs ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Purpose of ACHA Coalitions • To provide a multi-disciplinary issue oriented organizational mechanism from all regions for continuing education; advocacy; knowledge, standards, and professional development. • To enhance channels of communication between members with different professional identities from all regions to address issues based strategic initiatives of the Association. • To expand membership recruitment and participation opportunities. ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Goal 1 • ACHA will support and promote systems and programs that produce optimum health outcomes for college students and campus communities. • The National Health Objectives in Higher Education Coalition will translate national health objectives (Healthy People 2020) into campus-based objectives and will create additional objectives that are specific to the needs of college students and campus communities. ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Goal 2 • ACHA will be the primary source of information, education and consultation on health and health promotion issues affecting college and university students within the campus community. • The National Health Objectives in Higher Education Coalition will publish Healthy Campus 2020 (including a getting started on your campus section within the publication.) ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Goal 3 • ACHA will be the leading source of evidence-based knowledge about the field of college health. • The National Health Objectives in Higher Education Coalition will relate college health objectives to available data sources. ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Goal 4 • ACHA will be the principal advocate for national policy affecting the health of all college students and campus communities. • The National Health Objectives in Higher Education Coalition, utilizing the Healthy Campus 2020 document will assist with identifying key areas in need of changes in public policy. ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Access to Quality Health Services(16/6/1)* Arthritis, Osteoporosis & Chronic Back Conditions(11/0/0) Cancer (15/3/2) Chronic Kidney Disease(8/0/0) Diabetes (17/4/3) Disability & Secondary Conditions(13/2/1) Educational & Community-Based Programs(12/5/1) Environmental Health(30/8/0) Family Planning(13/6/5) Food Safety(7/3/0) Health Communication(6/3/0) Heart Disease & Stroke(16/6/2) HIV (17/4/3) Healthy People 2010 and Healthy Campus 2010Focus Areas * Healthy People objectives / Healthy Campus objectives / Healthy Campus objectives with baseline data ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Immunization & Infectious Diseases(31/8/1) Injury and Violence Prevention(39/20/13) Maternal, Infant, & Child Health(23/3/0) Medical Product Safety(6/6/0) Mental Health & Mental Disorders(14/6/2) Nutrition & Overweight(18/15/4) Occupational Safety & Health(11/6/0) Oral Health(17/3/1) Physical Activity & Fitness(15/11/3) Public Health Infrastructure(17/11/3) Respiratory Diseases(17/4/1) Sexually Transmitted Diseases(19/9/6) Substance Abuse(25/17/5) Tobacco Use(21/8/1) Vision and Hearing(18/3/0) Healthy People 2010 and Healthy Campus 2010Focus Areas ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
ACHA-NCHA Data Sets Data sets by gender and ethnic groups are on the last slides. ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of ProgressPercent of Targeted Change Achieved • Calculation • (most recent value – baseline )/(2010 target - baseline) • Met or exceeded target • 100% or greater (positive percent) • Movement toward target • >0% to 99% of targeted change • Moved away from target • Negative percent (i.e., -60%) ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of ProgressExample from Healthy People 2010 ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of Progress • Progress for 87 objectives and sub-objectives • 5 (6%) met or exceeded target • 32 (37%) moved toward targets • 9 (10%) had no change • 37 (43%) moved away from the targets • 4 (5%) unable to calculate at this time • Receipt of Health Information, Health Problems, Health Impediments to Academic Performance • 6 of 11 receipt of information topics moved away from the targets (1 had no change) • 7 of the 10 health problems moved away from the targets • 9 of top 10 health impediments to academic performance have moved away from the targets ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of ProgressGoal 1: Quality of Healthy Life ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of Progress Goal 1: Quality of Healthy Life ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of ProgressExcellent, Very Good, GoodGoal 2: Eliminate Health Disparities ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Overview of ProgressExcellent, Very Good, Good Goal 2: Eliminate Health Disparities ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Top 10 Health Impediments to Academic Performance Top 10 Medical Problems Access to Health Care Arthritis, Osteoporosis & Chronic Back Conditions Cancer Chronic Kidney Disease Diabetes Disability & Secondary Conditions Educ & Comm-Based Progs Environmental Health Family Planning Food Safety Health Communication Heart Disease & Stroke HIV Immunization & Infectious Diseases Injury & Violence Prev Maternal & Child Health Medical Product Safety Mental Health Nutrition & Overweight Occup Safety & Health Oral Health Physical Activity & Fitness Public Health Infrastructure Respiratory Diseases STDs Substance Abuse Tobacco Use Vision and Hearing Health Impediments to Academic Performance, Health Problems, Focus Areas ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Received Low Grade on exam/project, course, took incomplete/droppedTop 10 Health Impediments to Academic Performance ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
Percent of Targeted Change Achieved Took Incomplete or Dropped CourseTop 10 Health Impediments to Academic Performance ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesHealth Impediments to Academic Performance • 9 away from target: Ave: 19%, Range: 5% - 79% • 1 toward target: 8% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review NCHA data: N = ~17,000 to 46,000/yr, HIAP = Health Impediment to Academic Performance
University Learning Mission ObjectivesStress • 2000 Baseline: 28.7% • 2007: 34.1% • 2010 Target: 25% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesCold/Flu/Sore Throat • 2000 Baseline: 21.5% • 2007: 27.1% • 2010 Target: 12% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesSleep Difficulties • 2000 Baseline: 20.7% • 2007: 26.1% • 2010 Target: 16% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesConcern for Troubled Family Member/Friend • 2000 Baseline: 16.4% • 2007: 19% • 2010 Target: 12% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesRelationship Difficulties • 2000 Baseline: 15.1% • 2007: 16.4% • 2010 Target: 12% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesDepression • 2000 Baseline: 11.3% • 2007: 16.3% • 2010 Target: 7.5% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesInternet / Computer Games • 2000 Baseline: 8.9% • 2007: 16.3% • 2010 Target: 6% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesDeath of Family Member / Friend • 2000 Baseline: 7.9% • 2007: 9.4% • 2010 Target: 6% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesSinus Infection / Strep Throat • 2000 Baseline: 7.8% • 2007: 8.8% • 2010 Target: 6% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission ObjectivesAlcohol • 2000 Baseline: 7.9% • 2007: 7.7% • 2010 Target: 2.5% ACHA-NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Percent of Targeted Change AchievedTop 10 Physical and Mental Health Problems (q43) ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
Top 10 Medical / Mental Health Problems (Q43)Health Problems in the Last Year • 7 away from target • 3 toward target Low grade exam/project, course, took incomplete or dropped course. ACHA-NCHA data: N = ~16,000 to ~95,000/yr ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
1st of Top 10 Health Problems in the Last YearBack Pain • 2000 Baseline: 45% • 2007: 47% • 2010 Target: 39% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
2nd of Top 10 Health Problems in the Last YearAllergies • 2000 Baseline: 41.8% • 2007: 47% • 2010 Target: 37% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
3rd of Top 10 Health Problems in the Last YearSinus Infection • 2000 Baseline: 26.4% • 2007: 29.3% • 2010 Target: 11% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
4th of Top 10 Health Problems in the Last YearDepression • 2000 Baseline: 16.4% • 2007: 18.4% • 2010 Target: 13% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
5th of Top 10 Health Problems in the Last YearStrep Throat • 2000 Baseline: 14.4% • 2007: 14% • 2010 Target: 13% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
6th of Top 10 Health Problems in the Last YearEar Infection • 2000 Baseline: 10.5% • 2007: 10% • 2010 Target: 6% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
7th of Top 10 Health Problems in the Last YearAsthma • 2000 Baseline: 9.9% • 2007: 11.9% • 2010 Target: 6% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
8th of Top 10 Health Problems in the Last YearBronchitis • 2000 Baseline: 9.2% • 2007: 7.6% • 2010 Target: 4% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
9th of Top 10 Health Problems in the Last YearAnxiety • 2000 Baseline: 6.7% • 2007: 13.4% • 2010 Target: 4% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
10th of Top 10 Health Problems in the Last YearRepetitive Stress Syndrome • 2000 Baseline: 5.9% • 2007: 6.4% • 2010 Target: 4% ACHA NCHA 2000-2006 Trends and Healthy Campus 2010 Midcourse Review
00-07 Percent of Targeted Change AchievedObjectives from Focus Areas 1-7 ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
00-07 Percent of Targeted Change AchievedObjectives from Focus Areas 1 ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Objective 1-1 (q58)Have Any Kind of Health Insurance ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Objective 1-1 (q58)Have Any Kind of Health Insurance • 2000 Baseline: 83.3% • 2007: 86.1% • 2010 Target: 100% ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
University Learning Mission Objective related to Having InsuranceConcern for Troubled Family Member/Friend Students without health insurance are about 30% more likely to have academics adversely affected due to concern for family member / friend. Could it be that their family members also don’t have health insurance, less access to health care and more stress for the student? • 2000 Baseline: 16.4% • 2007: 19% • 2010 Target: 12% 2007 Data Set: 86.1% have insurance, 8.3% don’t have, 5.6% don’t know ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review
Objective 1-1 (q58) by Age GroupsHave Any Kind of Health Insurance • 2000 Baseline: 83.3% • 2007: 86.1% • 2010 Target: 100% ACHA NCHA 2000-2007 Trends and Healthy Campus 2010 Midcourse Review