Global School-based Student Health Survey (GSHS) Alfonso Contreras, M.D., M.P.H. Pan American Health Organization / W..H.O.

Encuesta Mundial de Salud a Escolares (GSHS) Alfonso Contreras, M.D., M.P.H. Organización Panamericana de la Salud / O.M.S.

Global School-based Student Health Survey (GSHS) Alfonso Contreras, M.D., M.P.H. Pan American Health Organization / W..H.O.

Objectives Brief overview Progress update - status of implementation of the GSHS in the Region Discuss strategies for improved effectiveness and sustainability Plan next steps The YTS includes questions on the following 7 areas

Global School-based Student Health Survey (GSHS) Core Questionnaire Modules Alcohol use Dietary behaviors Drug use Hygiene Mental health Physical activity Protective factors Sexual & Reproductive Health Tobacco use Violence & unintentional injury

Global School-based Student Health Survey (GSHS) Core Questionnaire Modules Alcohol use Dietary behaviors Drug use Hygiene Mental health Physical activity Protective factors Sexual & Reproductive Health Tobacco use Violence & unintentional injury

Módulos Básicos del Cuestionario de la GSHS Características demográficas Actividad física Alcohol Conductas de alimentación Drogas Factores protectores Higiene Salud mental Salud sexual y reproductiva Tabaco Violencia y lesiones no intencionales

GSHS Purpose To provide accurate data on students to: Help countries develop priorities, establish programs, and promote cross-sectoral policy dialogue Establish trends in the prevalence of health behaviors and protective factors by country Allow countries and international agencies to make comparisons across countries

Propósitos de la GSHS Proporcionar datos precisos sobre los estudiantes para: Ayudar a los países a establecer sus prioridades, desarrollar programas, y promover diálogo sobre políticas entre sectores Establecer tendencias en la prevalencia de conductas de riesgo y factores protectores en cada país Ayudar a los países y a los organismos internacionales a hacer comparaciones entre países

GSHS Questions Distribution

Distribución de preguntas en la GSHS

GSHS Methodology & Data Collection Procedures Focuses on grades with students aged 13 – 15 Two-stage scientific sample design of schools and classes Self-administered questionnaire and generic answer sheet Completed by students during one classroom period Anonymous and confidential

GSHS Capacity Building Plan Survey Implementation Workshop Sampling Survey administration Questionnaire Analysis & Reporting Workshop Epi Info training Analysis of data Report writing Data Application and Program Planning Workshop Policies Programmes Other interventions Conduct GSHS Report Data Best Practices identifies nine components of a comprehensive program Repeat GSHS Implement School Health and Youth Health Programmes

Plan de colaboración con los países en la implementación de la GSHS Taller de Implementación de la Encuesta Sampling Survey administration Questionnaire Taller de Análisis y Resultados Epi Info training Analysis of data Report writing Taller de los Datos a la Acción Policies Programmes Other interventions Reporte de Datos Aplicación la GSHS Best Practices identifies nine components of a comprehensive program Repetición de la GSHS Implementación de Programas de Salud Escolar

Global School-based Student Health Survey (GSHS) in the Americas* Anguilla Antigua & Barbuda Argentina Barbados Belize Bolivia British Virgin Islands Cayman Islands Chile Colombia Costa Rica Dominica Dominican Republic Ecuador Grenada Guatemala Guyana Honduras Jamaica Montserrat Nicaragua Peru St. Kitts & Nevis St. Lucia St. Vincent & The Grenadines Suriname Trinidad & Tobago Uruguay Venezuela * As of February, 2012 16

Global School-based Student Health Survey (GSHS) in the Americas* Anguilla Antigua & Barbuda Argentina Barbados Belize Bolivia British Virgin Islands Cayman Islands Chile Colombia Costa Rica Dominica Dominican Republic Ecuador Grenada Guatemala Guyana Honduras Jamaica Montserrat Nicaragua Peru St. Kitts & Nevis St. Lucia St. Vincent & The Grenadines Suriname Trinidad & Tobago Uruguay Venezuela * As of February, 2012

República Dominicana Bahamas Islas Caimán Islas Vírgenes Británicas Mexico Puerto Rica Belize San Cristóbal y Nieves Guatemala Antigua y Barbuda Anguila Jamaica El Salvador Nicaragua Montserrat San Vicente y Las Granadinas Costa Rica Dominica Panamá Santa Lucia Colombia Venezuela Ecuador Barbados Granada Trinidad y Tobago Perú Suriname Guayana Paraguay Brasil Argentina Chile Uruguay GSHS en fase de implementación GSHS finalizado

GSHS in progress GSHS completed Cayman Islands Bahamas Dominican Republic British Virgin Islands Mexico Puerto Rica Belize St. Kitts and Nevis Guatemala Antigua y Barbuda Anguila Jamaica El Salvador Nicaragua Montserrat St. Vincent and the Grenadines Costa Rica Dominica Panama St. Lucia Colombia Venezuela Ecuador Barbados Granada Trinidad y Tobago Peru Suriname Guyana Paraguay Brazil Argentina Chile Uruguay GSHS in progress GSHS completed

GSHS in progress GSHS completed

Countries Using GSHS in the Americas

Porcentaje de fumadores y no fumadores entre los estudiantes de 13-15 años que han tenido relaciones sexuales *diferencia significativa, p<.05

Percentage of Current Cigarette Smokers and Non-smokers Who Ever Had Sexual Intercourse *statistically different, p<.05

GSHS Regional Implementation 2003-04 Venezuela - Brazil (separate GSHS) Guyana - Mexico (Puebla state only) Chile - Peru (lost questionnaires?) - Costa Rica (?) 2006-07 Colombia - Guatemala (50% response) Ecuador (pending) - Uruguay Cayman Islands - St. Vincent and the Grenadines Trinidad and Tobago - St. Lucia 2007-08 Argentina - Grenada Dominica

Implementación de la EMSE AMRO Taller de Implementación de la Encuesta – Octubre 2005 Colombia - Guatemala Ecuador - Uruguay Taller de Implementación de la Encuesta – Marzo 2006 Islas Caimán - St. Vincent y las Granadinas Jamaica - Trinidad y Tobago St. Lucía

Conclusions High risk behaviors are likely to occur in clusters GSHS provides opportunities for advocacy and intersectoral cooperation in tailoring interventions to target multiple risk and protective factors

Conclusions High risk behaviors are likely to occur in clusters. Interventions designed to reduce HIV/AIDS should take into consideration the likelihood that youth may be at risk for other health risk behaviors. GSHS provides opportunities for advocacy and intersectoral cooperation in tailoring interventions to target multiple risk and protective factors.

Porcentaje de estudiantes, de 13 a 15 años, que comieron habitualmente frutas o vegetales cinco o más veces al día en los últimos 30 días Ranking de países

Percentage of Students 13 to 15 Years of Age Who Usually Ate Fruits and Vegetables Five or More Times Per Day During the Past 30 Days Ranking by Country

Percentage of Students 13 to 15 Years of Age Who Hadd at Least One Drink of Alcohol During the Past 30 Days

Percentage of Students, 13 to 15 Years Old, Who Smoked Cigarrettes One or More Times During the Past 30 Days

Percentage of Students, 13 to 15 Years Old, Who Seriously Considered Attempting Suicide During the Past 12 Months Ranking by Country

Porcentaje de estudiantes que consideraron seriamente la posibilidad de suicidarse en los últimos 12 meses. Ranking de Países

Porcentaje de estudiantes, de 13 a 15 años, que fueron intimidados en los últimos 30 días Ranking de países

Percentage of students 13 to 15 years old who were bullied during the past 30 days Ranking by Country

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