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Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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Presentation on theme: "Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health."— Presentation transcript:

1 Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health Promotion and Prevention Services Anne Kaufman Business Manager, Office of International Student Services

2 Health Promotion and Prevention Services Learning Objectives The participant will be able to: –Discuss the strengths of ACHA-NCHA as an assessment process of the health status of a population with regards to the Ottawa Charter for Health Promotion –Distinguish between the health behaviors/status of domestic and international students –Develop critical next questions in implementing evidence-based decision-making regarding the health and wellness of International students

3 Health Promotion and Prevention Services Ottawa Charter for Health Promotion Presents fundamental strategies and approaches for health promotion Conceptualizes health promotion actions –Includes building healthy public policy, creating supportive environments, strengthening community actions, developing personal skills, and reorienting health services

4 Health Promotion and Prevention Services What is the National College Health Assessment (NCHA)? Partnered with the American College Health Association Comprehensive & confidential survey of students health behaviors, beliefs, & perceptions 550+ participating colleges and universities since 2000 First administered at USC in 2000 Annual administration

5 Health Promotion and Prevention Services NCHAs 10 Assessment Areas 1.General health 2.Disease and injury prevention 3.Academic impacts 4.Alcohol, tobacco, & other drug use 5.Violence, abuse, and personal safety 6.Sexual behavior 7.Nutrition and exercise 8.Mental health 9.Sleep 10.Demographics and student characteristics

6 Health Promotion and Prevention Services Why Conduct the NCHA? Serves as a comprehensive needs assessment for student health and wellness –Needs Assessment: A formal process of identifiying problems and needs in a target population so as to make decisions, determine priorities, set objectives, and explore alternative approaches or methods to aid in the planning and implementation of programs.* A needs assessment is the first step in evidence-based programming models Assessing needs Setting goals and objectives Developing an intervention Implementing the intervention Evaluating the results *Direct reference from Modeste, N.M. & Tamayose, T.S. (2004). Dictionary of Public Health Promotion and Education: Terms and Concepts (2 nd Ed.). Jossey-Bass: CA.

7 Health Promotion and Prevention Services The NCHA Allows Us To… Gain an objective picture of students health and wellness Contrast with clinical indicators and anecdotal evidence (population-based vs. individual) Clarify priorities and allocate resources Advocate for policy change Establish a baseline and track change over time (USC data) Compare and Contrast (ACHA data from other institutions and aggregated, OTC data, Monitoring the Future, CIRP, NESSE, etc)

8 Health Promotion and Prevention Services The NCHA at USC (Methodology) Fall 2009 via web Sent to all international students (n=6,100) Invitation via email; two follow-up emails Incentives: –Every 25 th respondent: $10 iTunes gift card –Drawing for ten $100 Visa gift cards Final n=978 (16%) Comparison group is Spring 2009 survey of all UPC students, n=633

9 Health Promotion and Prevention Services Respondent Demographics & Representativeness (n=976) Demographics/CharacteristicsUSC NCHA Respondents Total USC International Population Female44.7%38.7% Graduate79.3%71.3% Undergraduate20.7%27.9% Engineering47.5%43.4% Business Administration7.7%10.1% Citizen of India24.5%25% Citizen of China24.5%21.2% Citizen of South Korea6.5%11.1% Citizen of Taiwan7.4%7.5% Citizen of Canada2.8%4.3%

10 Health Promotion and Prevention Services Impediments to Academic Success UndergraduateGraduate InternationalAll StudentsInternationalAll Students Anxiety14.517.711.39.7 Cold/Flu/Sore Throat 18.322.16.66.2 Concern for a troubled family member/friend 8.911.35.63.8 Internet Use/ Computer Games 18.216.612.88.5 Work7.012.28.19.2

11 Health Promotion and Prevention Services Substance Use Within the last 30 days among Undergraduate students (%) NeverDaily InternationalAll StudentsInternationalAll Students Alcohol32.519.81.50.3 Cigarettes73.866.33.42.3 Marijuana82.059.41.51.4 Within the last 30 days among Graduate students (%) NeverDaily InternationalAll StudentsInternationalAll Students Alcohol34.720.50.60.8 Cigarettes77.870.54.83.8 Marijuana92.373.50.11.2

12 Health Promotion and Prevention Services Drinking and Driving

13 Health Promotion and Prevention Services Sexual Behaviors

14 Health Promotion and Prevention Services Contraception Methods of birth control used to prevent pregnancy the last time you had vaginal intercourse UndergraduateGraduate InternationalAll StudentsInternationalAll Students Birth control pills (monthly or extended cycle) 33.363.228.449.0 Condom (male)74.666.176.754.9 Withdrawal18.321.119.414.1

15 Health Promotion and Prevention Services Implications

16 Health Promotion and Prevention Services Questions/Comments Contact: –Paula Swinford swinford@usc.edu, (213) 740-4777swinford@usc.edu –Anne Kaufman annekauf@usc.edu, (213) 740-2666annekauf@usc.edu


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