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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 Promotion and Prevention Services Anne Kaufman Business Manager, Office of International Student Services
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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.

Mar 29, 2015

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Page 1: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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

Page 2: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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

Page 3: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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

Page 4: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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

Page 5: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

NCHA’s 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

Page 6: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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

*Direct reference from Modeste, N.M. & Tamayose, T.S. (2004). Dictionary of Public Health Promotion and Education: Terms and Concepts (2nd Ed.). Jossey-Bass: CA.

Page 7: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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)

Page 8: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

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 25th 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

Page 9: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Respondent Demographics & Representativeness (n=976)

Demographics/Characteristics USC NCHA Respondents

Total USC International Population

Female 44.7% 38.7%

Graduate 79.3% 71.3%

Undergraduate 20.7% 27.9%

Engineering 47.5% 43.4%

Business Administration 7.7% 10.1%

Citizen of India 24.5% 25%

Citizen of China 24.5% 21.2%

Citizen of South Korea 6.5% 11.1%

Citizen of Taiwan 7.4% 7.5%

Citizen of Canada 2.8% 4.3%

Page 10: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Impediments to Academic Success

Undergraduate Graduate

International All Students International All Students

Anxiety 14.5 17.7 11.3 9.7

Cold/Flu/Sore Throat

18.3 22.1 6.6 6.2

Concern for a troubled family member/friend

8.9 11.3 5.6 3.8

Internet Use/ Computer Games

18.2 16.6 12.8 8.5

Work 7.0 12.2 8.1 9.2

Page 11: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Substance UseWithin the last 30 days among Undergraduate students

(%)

Never Daily

International All Students International All Students

Alcohol 32.5 19.8 1.5 0.3

Cigarettes 73.8 66.3 3.4 2.3

Marijuana 82.0 59.4 1.5 1.4Within the last 30 days among Graduate students (%)

Never Daily

International All Students International All Students

Alcohol 34.7 20.5 0.6 0.8

Cigarettes 77.8 70.5 4.8 3.8

Marijuana 92.3 73.5 0.1 1.2

Page 12: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Drinking and Driving

Page 13: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Sexual Behaviors

Page 14: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Contraception

Methods of birth control used to prevent pregnancy the last time you had vaginal intercourse

Undergraduate Graduate

International All Students International All Students

Birth control pills (monthly or extended cycle)

33.3 63.2 28.4 49.0

Condom (male) 74.6 66.1 76.7 54.9

Withdrawal 18.3 21.1 19.4 14.1

Page 15: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Implications

Page 16: Health Promotion and Prevention Services Using the ACHA-NCHA to Assess Health in the International Student Populations Paula Swinford Director, Health.

Health Promotion and Prevention Services

Questions/Comments• Contact:

– Paula Swinford• [email protected], (213) 740-4777

– Anne Kaufman• [email protected], (213) 740-2666