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Manitoba Youth Health Survey 2012/2013 User Guide

1. Acknowledgments The YHS was made possible through the efforts and dedication of many people We would like to thank e The Partners in Planning for Healthy Living YHS Implementation Team Ales Morga Alexandra Henteleff Bruce Krentz Tanis Campbell Debbie Viel Heather Lowe Jennifer Baker Jody Allan Leana Smith Michelle Gaber Nancy Hughes Vanessa Hamilton e Mike Tutthill for leading the Expert Working Groups and to all the experts who gave their time knowledge and experience e YHS Administrators Survey Working Group e Knowledge Exchange Working Group e Lin Xue Michelle Lu Katherine Fradette Carly Leggett Tannis Erickson Elizabeth Harland and Kate McGarry for the analysis of data and generation and review of school school division and regional reports e Healthy Child Manitoba Office Children and Youth Opportunities Manitoba Health Manitoba Healthy Living Seniors and Consumer Affairs and Manitoba Education e All Partners in Planning for Healthy Living members e School divisions school staff and teachers for their time e Students of Manitoba for their enthusiasm honesty and willingness to share personal information in filling out the Youth Health Survey e Catherine Hynes for her wisdom participation and leadership in the survey development and early implementation This User Guide was written by Kate McGarry Tannis Erickson Carly Leggett Elizabeth Harland and Jane Griffith Table of Contents
2. 5 Unhealthy dietary behaviors and 6 Physical inactivity Centre for Disease Control and Prevention These behaviors are often established during childhood and adolescence and extend into adulthood and not only effect ones health but can also effect educational and social outcomes Healthy students and better learners and better educated individuals are healthier JCSH 2012 Expert Working Groups In preparation for the second implementation of the YHS in Manitoba PPHL wanted to engage potential users of the survey data in the tool revision process As a result Expert Working Groups based on topic areas were brought together to provide input that would shape the next YHS Prior to bringing the expert working groups together an environmental scan of existing questionnaires was conducted Questions from various pre existing and validated surveys were pulled together into a dictionary organized by topic area in addition to the YHS 2008 questions All efforts were made to find previously validated survey questions whenever possible A summary listing of all health behaviour surveys that were accessed during the development of the 2012 survey can be found on the PPHL website http partners healthincommon ca tools and resources youth health survey scroll down to Questionnaire Each Expert Group met twice Initially in a focus group format where they were asked about their familiarity with the YHS the usability of data
3. Choose all that apply Internet O Friend s O Media TV movies magazines books pamphlets Parent caregiver O Sibling s Other family member O Community Resource Centre Teen Clinic O Telephone help line School teacher nurse or counsellor presenter Public health nurse Women s Health Clinic Nurse practitioner O Doctor 185501X 97 ONLY COMPLETE IF YOU ARE IN GRADE 11 OR 12 77 As part of your Physical Education Health 78 72 80 8 Education PE HE course this year approximately how many hours of physical activity time outside of regular class time are or were you required to participate in and report to your teacher This is not a requirement Less than 10 hours 10 hours 19 hours 20 hours 49 hours 50 hours 74 hours 75 hours or more hours O Idon t know Which of the following best describes how you receive instruction for your PE HE course this year Please choose one Face to face instruction from a teacher O Web based learning directed by a teacher O A combination of face to face and web based instruction Through an independent study option course Iam not currently taking PE HE Currently how many times in a school week do you receive PE HE I don t have PE HE this semester l class per week 2classes per week 3 classes per week 4classes per week Sclasses per week Have you ever met with yo
4. Economos C Sacheck JM Kwan Ho Chui K Irizzary L Guillemont J Collins JJ Hyatt RR 2008 School based behavioural assessment tools are reliable and valid for measurement of fruit and vegetable intake physical activity and television viewing in young children Journal of the American Dietetic Association 108 4 695 701 doi 10 1016 j jada 2008 01 001 Minaker LM McCargar L Lambraki Jessup L Driezen P Calengor K Hanning RM 2006 School region socioeconomic status and geographic locale is associated with food behaviour of Ontario and Alberta adolescents Canadian Journal of Public Health 97 5 357 61 Vareecken CA Maes L 2003 A Belgian study on the reliability and relative validity of the Health Behaviour in School Aged Children food frequency questionnaire Public Health Nutrition 6 6 581 588 doi 10 1079 PHN2003466 71 37 Where do you usually eat breakfast At home At school I do not usually eat breakfast Source IRHA 2009 YHS 38 What is the main reason you do not eat breakfast I do eat breakfast I do not have time for breakfast I cannot eat early in the morning There is not always enough food in my home Source Adapted from the 2008 Global School based Student Health Survey The answer options were modified slightly with I always eat breakfast being changed to I do eat breakfast and the removal of the 2008 Global School based Student Health Survey s la
5. If you do NOT want your child to complete the Youth Health Survey or if you have any questions about the survey please contact ieee or SE If you leave a phone message please include Your child or children s name s Your child or children s grade s The name of their school and The name of their homeroom classroom teacher 102 C5 Parent passive consent notification letter see below for further information on consent processes all all i artners n Panning for heathy Ung www healthincommon ca lt Insert date gt Dear Parent s Guardian s RE Manitoba Youth Health Survey Your child s school lt insert school here gt will participate in the Manitoba Youth Health Survey YHS during the fall winter 2012 The YHS was previously implemented by local regional health authorities RH As in schools across Manitoba between 2006 and 2008 The survey asks students about various youth health behaviours in order to provide schools RHAs and communities with local level information for program planning and development Since the last implementation of the YHS the questionnaire has been expanded to include new content areas such as mental health and injury prevention and sexual health Please read the details below and decide if you agree to have your child complete the survey Details about the Youth Health Survey Y HS Students will complete the survey which takes between 30 and 40 minutes to complete during scho
6. am part of this school c am happy to be at this school d I feel safe at my school e I feel safe in my community f I feel safe in my home o Ihave at least close friend that I can share things with h I feel my family supports me i I feel involved in my community Lej OD OF O OOO kOrero Rationale Items a d were present in the 2008 YHS items e i were added to the 2009 IRHA YHS Purpose of this question is to assess student connectedness with school community etc Similar questions appear in 2007 Adolescent Health Survey New Brunswick 2006 2007 Youth Physical Activity Survey SHAPES 2006 2007 Youth Physical Activity Survey Source IRHA 2009 YHS 61 15 Do you agree with each of the following statements Agree Disagree a At my school adults care about people my age b At my school there is an adult who I trust c If I need help I believe a counselor or other adult could help me d IfI need help I would talk toa counselor or other adult Source IRHA 2009 YHS 16 Please answer the following questions about how you have been feeling during the past month 30 days Fill in the box that best represents how often you have experienced or felt the following O a O O a o Re During the past month 30 days how often Never Once About 2or3 Almost Every did you feel or oncea timesa everyday day twice week week O a happy b interested in life c satisfied with life d that you had so
7. w Labels Student name PHIN MHSC Grade Coded Survey a Data for Surveillance Planning Evalua Surveysin packages ti a ion with accompanying lists Match DARP etc ciivetueestenewe ae returned Teacher front Grade pages et EEE EEEEe a il a with Coded Survey m A school Survey lists Datafor s Research s A E ees Uncoded Survey Data for Research ON ENEEEEEEEHEEEEER G Uncoded Survey Data for a Un Surveillance DARP etc Survey Planning Evalua_ responses tion Figure 1 Student Code Process Reliability and Validity Testing of Survey Instruments During the winter of 2012 a pilot study was undertake to test the updated YHS tool for face validity reliability the effect of student codes response burden implementation feasibility and analysis feasibility After analysis of the pilot test results the YHS was revised finalized and translated to French for implementation in the fall of 2012 For further information on the results of the Pilot Study and revisions made to the YHS tool see the Summary Report on the Manitoba Youth Health Survey Pilot Project 2011 which will be posted on the PPHL website in late 2013 11 YHS Implementation YHS Implementation Team After the survey tool was finalized the YHS implementation team was formed to oversee the implementation of the YHS The group consisted of RHA represen
8. work family etc Source Question loosely adapted from the 2009 IRHA YHS and 2007 Healthy Weights Baseline Survey administered by Alberta Health and Wellness Response options modified and added by experts Moderate physical activities are easier activities such as walking biking and recreational swimming 31 Mark how many minutes of moderate physical activity you did for each day last week Include activities that lasted for at least 15 minutes at one time during physical education class lunch recess after school evenings and spare time For example If you did J hour and 15 min of moderate activity on Monday you would shade Hours Minutes Monday G Q 000a Hours Minutes Monday 00900 OCOWG Tuesday 000 000G Wednesday OO 000 000 G Thursday OOOO 000 6G Fiay QOOO O 000G Saturday G W amp 69 43 Sunday OMOOO D 0GGG 68 Rationale This is matches the 2008 YHS and IRHA 2009 YHS SHAPES methodology was used to calculate total kilocalories per kilogram of body weight per day KKDs Note In an effort to increase validity this version of the YHS included both the hard physical activity and moderate physical activity questions on the same page This change was made when pilot testing found that youth would double enter their physical activity when the questions appeared on different pages Source 2008 YHS 2009 IRHA YHS 2006 2007 New Brunswick Youth Physical Activity Survey 2006 2007 New Brunswick Youth H
9. 7or more times per day Daily Fruit and Vegetable Consumption Graph Daily Fruits and Vegetables Consumption Example Percentage of students who consume fruit and vegetables 2 times or less per day Numerator Students who consumed fruit and vegetables 2 times or less per day Denominator Total of students who answered at least one of Q_36a Q_36f 35 Daily Fruit and Vegetable Consumption by Gender Graph Daily Fruits and Vegetables Consumption by Gender Example Percentage of female students who consume fruit and vegetables 2 times or less per day Numerator Students who consumed fruits and vegetables 2 times or less per day and answered B for Q_5 female Denominator Total of students who answered at least one of Q_36a Q_ 36f andBforQ_5 female Whole grains Graph Reported as text Collapsed categories 1 30rmore times per day Example Percentage of students who ate whole grains 3 or more times per day Numerator Students who answered D E F G H or to Q_36g Denominator Total of students who answered Q_36g Milk Graph Reported as text Collapsed categories 1 Less than 3 times per day 2 3 4 times per day 3 More than 4 times per day Example Percentage of students who consumed milk white chocolate or soy 3 4 times per day Numerator Students who answered D or E for Q_36m Denominator Total of students who answered Dairy Derived Variable Student answers from Q_36h and Q_36m were used to calculate dai
10. Fundraising charity school trips etc Helping in the community hospital volunteering etc Doing another volunteer activity without pay Graph Volunteer Activities Collapsed categories None Example The percentage of students who participate in activities at school Numerator Students who answered B for Q_13 Denominator Total of students who answered B C D E and or Fto Q_13 Note Denominator excludes those who reported not volunteering A Q_14 Do you agree with each of the following statements Q_14a feel close to people at this school Q_14b feellam part of this school Q_14c Iam happy to be at this school Q_14d feel safe at my school Q_14e feel safe in my community Q_14f I feelsafe in my home Q_14g Ihave at least 1 close friend that can share things with Q_14h feel my family supports me Q_14i feel involved in my community Response options A Agree B Disagree Graph Results presented in table format Collapsed categories None 24 Example Percentage of students who feel close to people at their school Numerator Students who answered A for Q_14a Denominator Total of students who answered Q_14a Example Percentage of students who do not feel close to people at their school Numerator Students who answered B for Q_14a Denominator Total of students who answered Q_14a Q_15 Do you agree with each of the following statements Q_ 15a At my school adults care about people my age
11. O B T E D0 0806 Hours Minutes onday Hours Minutes ee Q O TE Tuesday O09000 OOWG nday OOOOO 000G Wednesday OOOAOD OBOGB ednesda Tuesday QOOO O OOVG s Thursday ODOOO M 000G Friday MOOO OOVG Saurday OOOO O OOWG 000900 OOWG Wednesday O O O00 000G Thursday QOOOO OOV O Friday OQOOO O OOVO Saturday QOOOO OOUOO D00900 OO8U 30 What stops you from being more physically Sunday Sunday What helps you be physically active or choose to be physically active Choose all that apply active Choose all that apply O I believe I am active enough O Ido not like being physically active O The activities available do not interest me Ido not think physical activity is important O It costs too much O It s hard to find time to be physically active O Ido not have a place to be active It s not safe to be active in my neighbourhood It s hard to get to activities O My friends are not active O My family is not active O Medical reasons Other responsibilities e g work family etc Page 4 I am not physically active O Family support O Friend support O School programs Community programs O Sport Manitoba funding O Desire to be fit and healthy Desire to look a certain way SECTION 6 Sun Exposure 33 34 When you are outside for more than 30 minutes on a sunny day how often do you seek shade cover up or wear sunscreen
12. Q_15b At my school there is an adult who trust Q_15c IfI need help believe a counselor or other adult could help me Q_15d IfI need help would talk to a counselor or other adult Response options A Agree B Disagree Graph Results presented in table format Collapsed categories None Example Percentage of students who feel that adults at their school care about people their age Numerator Students who answered A for Q_15a Denominator Total of students who answered Q_15a Example Percentage of students who feel that adults at their school do not care about people their age Numerator Students who answered B for Q_15a Denominator Total of students who answered Q_15a Q_16 During the past month 30 days how often did you feel Q_ 16a Q_16b Q_16c Q_16d Q_16e Q_16f Q_16g Q_16h Q_16i Q_16j Q_16k Q_16l Q_ 16m Q_ 16n Happy Interested in life Satisfied with life That you had something important to contribute to society That you belonged to a community like a social group your school or neighbourhood That our society is becoming a better place for people like you That people are basically good That the way our society works makes sense to you That you liked most parts of your personality Good at managing the responsibilities of your daily life That you had warm and trusting relationships with others That you had experiences that challenged you to grow and become a better person
13. Student chose not to answer for Monday The response in the database would appear as no data no data Hours Minutes Monday Q OOOO 000 9 Hours would be 0 and minutes would be no data The response in the database would appear as 0 no data 114 Q35 If no response is shaded for a particular day of the week then the value for that day should be entered as no data This way we know the student chose not to answer the question as opposed to not having any screen time for that day Hours Per Day Monday Tuesday Wednesday The response for Tuesday would be no data The student chose not to fillin a response for Tuesday If a student has filled in two circles directly next to each other for a day of the week then the value for that day should be entered as no data Hours Per Day Monday Tuesday Wednesday The response for Tuesday would be no data If more than two circles are shaded in one row or two circles are shaded that are not adjacent to each other then the value for that day should be entered as no data Hours Per Day Monday Tuesday Wednesday The response for Tuesday would be no data 115 Q36 Ifno response is shaded for a food group then the value for that group should be entered as no data This way we know the student chose not to answer the question as Opposed to not eating that food 100 fruit juice Fruit not counting fr
14. 10 hours 19 hours 20 hours 49 hours 50 hours 74 hours 75 hours or more hours O Idon t know Which of the following best describes how you receive instruction for your PE HE course this year Please choose one Face to face instruction from a teacher O Web based learning directed by a teacher O A combination of face to face and web based instruction Through an independent study option course Iam not currently taking PE HE Currently how many times in a school week do you receive PE HE I don t have PE HE this semester l class per week 2classes per week 3 classes per week 4classes per week Sclasses per week Have you ever met with your PE HE teacher to discuss your out of class physical activity O Yes O No I don t know O Does not apply During a typical active PE HE class how much time do you spend being physically active None of the time Less than half of the time Half of the time More than half of the time All of the time I don t know Page 10 82 How hard vigorous do you find a typical active PE HE class Light easy you can do the activity and talk at the same time Moderate Hard vigorous causes you to sweat and be out of breath Thank you for participating in this Youth Health Survey 88 A 1o YOUTH HEALTH SURVEY Your answers are protected amp confidential SECTION 1 About Y
15. Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG 2002 Reliability of the 1999 Youth Risk Behavior Survey questionnaire Journal of Adolescent Health 31 336 342 60 During the past month 30 days how many times did you drive a car or other vehicle after you had been using illegal drugs including marijuana I have never done this Ihave done this but not in the past month 1 time 2 or 3 times 4 or more times 78 Source Developed by experts to mirror questions about driving after using alcohol 61 During the past month 30 days how many times did you ride in a car or other vehicle driven by someone who had been using illegal drugs including marijuana I have never done this I have done this but not in the past month 1 time 2 or 3 times 4 or more times Source Developed by experts to mirror questions about driving after using alcohol 62 How many times in the past year 12 months has anyone done any of the following TO YOU 6 Never 1 5 ormore Every times times day a Physically threatened or injured you O O O O b Threatened or injured you with a weapon such as a gun knife or club O O O O c Bullied taunted or ridiculed you O O O O d Said something bad about your race or culture O O O O e Said something bad about your sexual orientation or gender identity O O O O f Said something bad about your body shape size or appearance O O O O g Asked for personal informati
16. Jim Rondeau encouraging participation in this survey V Panes 99 C2 School division and school YHS briefing note What is the Youth Health Survey YHS Who will participate When will the YHS take place Partners About the Survey enclosed samples Other Details Letters of Support ENS GAEGEE p llection The Manitoba Youth Health Survey YHS was first implemented province wide in 2008 The purpose of the YHS is to provide a snapshot of youth health The information gathered from the survey is valuable for health planning and programming within your own school and community Manitoba Education is also using the YHS information on physical activity levels as part of an ongoing evaluation of its mandatory Grade 11 amp 12 physical education health education curriculum All youth in grades 7 12 October to December 2012 Partners in Planning for Healthy Living http partners healthincommon ca 30 40 minutes to complete during class time typically all students will complete the survey on same day and time Repeated Content Areas demographics physical activity healthy eating smoking alcohol and substance abuse Enhanced content Areas mental health school connectedness New Content Areas sleep patterns sun UV exposure injury prevention sexual health grade 11 amp 12 physical education health education curriculum The survey is also available in French The survey answ
17. Milk white chocolate or soy OO Oe O Oe Pop soda non diet slurpees slushies So V G O O G U Q Diet Pop soda oO Oo o0 0 o O 0 G Sports drinks Gatorade etc O OO B o0 o0 0 amp OF O Energy drinks Red Bull etc CO Ak O O o O 0 1 Coffee lattes iced coffee Oo 0 o oO O DOD GO OO Q Creatine other supplements O GO 0 Q 0 0 O 0 Q Meal replacement bars or shakes Vector Powerbars Oo 0 O B A U Q Q Q Source Adapted from the IRHA 2009 YHS The first six food categories listed are to retain consistency with 2008 YHS 1999 Canadian Community Health Survey 2004 National Population Health Survey 2009 amp 2010 Fairfax Youth Survey 2008 Healthy Youth Survey and 2009 Youth Risk Behavior Survey Whole grains e g whole grain break pasta cereal or brown rice was modified by healthy eating experts from three separate food categories White bread Brown bread and Pasta rice cereal Healthy eating experts also recommended the addition of meat alternatives to the Meat or fish category and combined the salty snacks category with the sugary snacks category resulting in Salty or sugary snacks e g potato chips cake chocolate or cookies Experts combined various categories in Fast food e g hot dogs hamburgers fries pizza or chicken nuggets and added Water as a category of its own Reference 24 hour dietary recall questionnaires have been found to be reliable and valid
18. None Example Percentage of students categorized as non smokers and susceptible to future smoking Numerator Students defined as non smokers and susceptible to smoking Denominator Total of students defined as non smokers Non smokers susceptibility to smoking by gender Graph Susceptibility to Smoking Amongst Non Smokers by Gender Collapsed categories None Example Percentage of female students who are non smokers and susceptible to smoking Numerator Students defined as non smokers and susceptible to smoking and who answered B female forQ_5 41 Denominator Total of students defined as non smokers and who answered B female for Q_5 Q_47 During the past month 30 days did you use chewing tobacco snuff or dip such as Redman Levi Garrett Beechnut Skoal Skoal Bandits or Copenhagen A Yes every day B Yes almost every day C Yes some D No Graph Reported as text Collapsed categories 1 A B amp C Example Percentage of students who used smokeless tobacco chewing tobacco snuff or dip in the past month Numerator Students who answered A B or C for Q_47 Denominator Total of students who answered Q_47 During the past month 30 days did you smoke cigars cigarillos or little cigars Yes every day Yes almost every day Yes some No Graph Reported as text Collapsed categories 1 A B amp C Example Percentage of students who smoked cigars or cigarillos within the last month Numerat
19. Overweight amp Obese Example Percentage of male students who were overweight obese Numerators Students who answered A male for Q_5 and were overweight obese Denominator Total of students who answered A for Q_5 and had a valid response to each of Q s 4 7 amp 8 BMI by Grade Graph Body Mass Index Collapsed categories 1 Overweight amp Obese Example Percentage of grade 7 and 8 students per BMI category Numerator Students who answered A or B for Q_3 grade 7 or 8 and were overweight obese Denominator Total of students who answered Aor B for for Q_3 and had a valid response to each of Q s 4 5 7 amp 8 Perceptions of Mental Health and Well being Q_9 In general how do you describe your health Excellent Very Good Good Fair Poor Graph Perception of Health Collapsed categories 1 A amp B 2 C amp D Example Percentage of students who describe their health as poor 22 Numerator Students who answered E for Q_9 Denominator Total of students who answered Q_9 Q_10 Do you consider yourself A Overweight B About the right weight C Underweight Graph Reported as text Collapsed categories None Example Percentage of students who consider themselves overweight Numerator Students who answered A for Q_10 Denominator Total of students who answered Q_10 By Gender Graph Perception of Body Weight by Gender Collapsed categories None Example Percentage of males who consider themse
20. SPF of 15 or higher Never Rarely Often Always Rationale Two sun UV safety questions were added to the YHS to reflect stakeholders interest and the increasing rate of skin cancer in Manitoba Source This question about protective behaviours was adapted by experts from a more detailed matrix in the SHAPES Tanning and Sun Exposure Survey year unknown Response options were modified to be consistent with the rest of the YHS 69 34 Have you ever used any artificial tanning equipment such as a tanning bed sunlamp or tanning light Yes O No Source SHAPES Sun and Tanning Exposure Sample Core Questionnaire year unknown Removed Don t know from response options to maintain consistency with the rest of the YHS SECTION 7 Screen Time 35 In a typical week mark how many hours outside of school you spend in front of a screen for example watching tv movies playing video computer games chatting text messaging and surfing the internet e g Facebook Twitter etc Hours Per Day Monday O Tuesday D O O Wednesday o Q amp Thursday D D Friday 0 Saturday Q O amp Sunday 0 o amp Source Adapted loosely from the 2008 YHS 2006 2007 New Brunswick Youth Physical Activity Survey 2006 SHAPES Youth Physical Activity Survey 2010 New Brunswick Student Wellness Survey Experts modified the sedentary activities listed in the questi
21. Yes No Don t work for Q_51c only Graph Where Students are Exposed to Second Hand Smoke Example Percentage of students who are exposed to second hand smoke at home Numerator Students who answered A for Q_51a Denominator Total of students who answered A or B for Q_51a Do you want to stop your use of tobacco have never used tobacco have already stopped for at least the last month Yes within a month Yes within 6 months Yes but am not sure when No do not want to stop 43 Graph Desire to Stop Using Tobacco Collapsed categories 1 C amp D Example Percentage of students who have already stopped using tobacco Numerator Students who answered B for Q_52 Denominator Total of students who answered B C D E or F for Q_52 Note Denominator excludes students who answered A for Q_52 ie students who have never used tobacco Q_53 If students are caught breaking the smoking rules at this school do they get into trouble A Yes B No C don t know Graph Enforcement of Smoking Rules Collapsed categories None Example Percentage of students who think that if students are caught breaking the smoking rules at their school they get into trouble Numerator Students who answered A for Q_53 Denominator Total of students who answered Q_53 Alcohol and Drug Use 54 During the past month 30 days on how many days did you have at least one drink of alcohol One drink of alcohol is defined as
22. a list of available variables http partners healthincommon ca tools and resources youth health survey NOTE This data is only available at the regional level No school or community specific data will be released If additional space is required please submit in attachment Page 4 of 6 Manitoba Youth Health Survey Data Access Request Form Aggregate Data September 2013 128 b What other data databases if any will the YHS data be compared to c Please indicate when you are expecting to begin analyses Note Data extractions by CCMB are performed on a priority basis and meeting your timelines cannot be guaranteed Once your request is received and the programming time required for the extraction determined an estimated delivery date will be provided Please provide any other information relevant to this application Page 5 of 6 Manitoba Youth Health Survey Data Access Request Form Aggregate Data September 2013 129 1 This request will be reviewed to determine if there are cost recovery requirements 2 The Requester will sign a Manitoba YHS Research Data Sharing Agreement once the Provider has approved the data access request and has agreed to share the requested data with the Requester Prior to publication s presentation s of Youth Health Survey data final copies of presentations papers or any other type of publication are to be sent to the attention of Bohdana Kinasevych Health in Common 200 141 B
23. carry out the inspection review audit or investigation on its behalf if and to the extent that the deficiencies so identified were material This Agreement shall be in effect from the effective date noted on the first page until CCMB is no longer engaged to receive the Data This Agreement may be terminated if a CCMB ceases to be a partner of PPHL b the PROVIDER is no longer involved in the Survey or c Healthy Child Manitoba instructs the PROVIDER to stop providing the Data to CCMB This Agreement may also be terminated by the PROVIDER if any inspection review audit or investigation under section 6 j or I identifies material deficiencies in the information practices of CCMB 10 Where this Agreement is terminated for any reason by either party CCMB shall furnish to the PROVIDER for the PROVIDER s approval a written plan detailing the procedures by which CCMB proposes to return to the PROVIDER or dispose of or transfer to an information manager or Trustee within the meaning given to these terms under PHIA all Data received from the PROVIDER that CCMB may hold as of the date of termination In the event that the PROVIDER acting reasonably does not approve CCMB s submitted plan then CCMB shall comply with the PROVIDER s written instructions detailing the procedures by which CCMB will return the Data to the PROVIDER or dispose of or transfer to an information manager or Trustee all Data re
24. more than 30 minutes on a sunny day how often do you seek shade cover up or wear sunscreen with an SPF of 15 or higher A Never B Rarely C Often D Always Graph Use of Sun UV protection by Gender Collapsed categories 1 A amp B Example Percentage of students who never rarely seek shade cover up or wear sunscreen with an SPF of 15 or higher Numerator Students who answered A or B for Q_33 Denominator Total of students that answered Q_33 Q_34 Have you ever used any artificial tanning equipment such as a tanning bed sunlamp or tanning light A Yes B No Graph Use of Indoor Tanning Equipment by Gender Collapsed categories None Example Percentage of females who have used any artificial tanning equipment Numerator Students who answered A for Q_34 and B for Q_5 female Denominator Total of students that answered Q_33 and B for Q_5 female Screen Time Q_35 In a typical week mark how many hours outside of school you spend in front of a screen for example watching tv movies playing video computer games chatting text messaging and surfing the internet e g Facebook Twitter etc Graph Results presented as text Screen Time Derived Variable Calculation of screen time variable in hours 1 Average of screen time hours on weekdays Monday Tuesday Wednesday Thursday 4 2 Average of screen time hours on weekends Friday Saturday Sunday 3 Collapsed categories 1 gt 2 screen
25. often always find it difficult to stay awake during class or at school Numerator Students who answered C or D forQ 21 Denominator Total of students who answered Q_21 Physical Activity Q_22 How Physically active are you at the following times Q_ 22a Before school Q_22b Recess Spare Q_22c Lunch Q_22d After school Response options A Active B Somewhat active C Inactive D Does not apply 28 Graph Time of Day When Students are Active Collapsed categories None Example Percentage of students who were active before school Numerator Students who answered A to Q_22a Denominator Total of students who answered Q_22a Q_23 Your closest friends are the friends you like to spend the most time with How many of your 5 closest friends are physically active A O Graph Results are presented as text Collapsed categories 1 D E amp F Example The percentage of students who have 3 or more close friends that are physically active Numerator Students who answered D E or F for Q_23 Denominator Total of students who answered Q_23 Q_24 In the past month 30 days how often did you participate in before school lunch time or after school physical activities organized by your school e g intra murals dance club school team sports A Never B Less than once a week C 1 3 times per week D 4ormore times per week Overall Graph Results are presented as text Collapsed categories 1 B C amp D Exa
26. people at this school O O b I feel I am part of this school O O 12 How often do you take part in unpaid volunteer c lam happy to be at this school O O activities work d I feel safe at my school O O Never e I feel safe in my community O O O Once a year f I feel safe in my home O O O Once a month g Ihave at least 1 close friend that I O Once a week can share things with O O O Daily h Ifeel my family supports me O O i Ifeel involved in my community O O 13 What kinds of volunteer activities have you participated in Choose all that apply 15 Do you agree with each of the following O Ido not volunteer statements O Activities at school yearbook committee Agree Disagree student council etc O Support a cause food bank environment a At my school adults care about group etc people my age O O O Fundraising charity school trips ete b At my school there is an adult O Helping in the community hospital who I trust O O volunteering etc c IfI need help I believe a counselor O Doing another volunteer activity without pay or other adult could help me O O d IfI need help I would talk to a counselor or other adult O 16 Please answer the following questions about how you have been feeling during the past month 30 days Fill in the box that best represents how often you have experienced or felt the following During the past month 30 days how often Never Once About 2o r3 Almost Every did you feel or oncea times
27. skateboarding A None 1 day 2 days 3 days 4 days 5 days Graph Number of Days Students Actively Get To and From School Collapsed categories 1 B amp C 2 D amp E Example Percentage of students who in a typical week do not partly or fully actively travel to or from school Numerator Students who answered A for Q_27 Denominator Total of students who answered Q_ 27 Q_28 In a typical week how often is your parent caregiver physically active outside of work This can include walking running going to the gym doing yard work etc A Never B Rarely C Often D don t know Graph Results are presented as text Collapsed categories 1 A amp B Example Percentage of parent caregiver who are never rarely physically active outside of work Numerator Students who answered A or B for Q_28 Denominator Total of students who answered Q_28 31 Q_29 Mark how many minutes of hard vigorous physical activity you did for each day last week Include activities that lasted for at least 15minutes at one time during physical education class lunch recess after school evenings and spare time Student responses to Q_29 were used to calculate physical activity level Q_30 What stops you from being more physically active Choose all that apply believe am active enough do not like being physically active The activities available do not interest me do not think physical activity is important It costs too mu
28. students in your school receive an alternative delivery instead of a school based delivery for learning outcomes related to the following topics as part of a parental option in PE HE Yes No Idon t know a Substance Use Abuse Prevention O O O b Human Sexuality O OQO 33 Which aspects of tobacco use and control are addressed outside of the PE HE at your school for example through non health curricula or non classroom programs or activities Check all that apply Prevention of tobacco use O Quitting tobacco use Protection from secondhand smoke O Denormalization of tobacco industry for example awareness of tobacco industry tactics to promote tobacco use economics environmental issues Advocacy and or youth empowerment O None We only address tobacco use and control in the PE HE curriculum O 142 34 Which of the following tobacco use prevention programs has your school offered to students Check all that apply Review and Rate Students Working Against Tobacco SWAT Teams Not On Tobacco NOT a teen smoking cessation program Back off Tobacco BOT a k 12 teaching resource aligned with the expected learning outcomes Lungs for Life Tobacco Tackle Other please specify None of the above du ho oo et I don t know 35 Which aspects of healthy eating promotion are addressed outside of the PE HE curriculum at your school for example through non health curricula or non classroom programs or
29. the same groups reminding them about the upcoming YHS The letter again strongly encouraged participation and collaboration with the RHAs to administer and collect YHS data RHA staff followed up with School Division Superintendents in regards to both letters and coordinated the administration of the YHS to students in their division schools To share YHS information with schools teachers students and parents the YHS Implementation Team drafted briefing notes and letter templates for use by RHA and school administration staff Communication templates were used and adapted as necessary Communications drafted include See Appendix C for templates 1 RHA briefing note internal RHA communication 2 School division and school YHS briefing note 3 Teacher briefing note 4 Parent briefing note 5 Parent consent notification letter active and passive consent see below for further information on consent processes 12 Consent Process RHAs and school division had the option of using passive or active consent for survey administration Parents were notified via a letter from the school about the survey See Appendix C for letter templates If the school opted for passive consent they were given the option to withdraw their child from participating in the survey by phoning the school or RHA contact and leaving a message including e Child s name s e Child s grade s e The name of their school and e The name of their homeroom cla
30. time hours on weekdays on average 2 gt 2 screen time hours on weekends on average 34 Eating Q_36 Yesterday how many times did you eat or drink the following Q 36a Q_ 36b Q 36c Q 36d Q 36e Q_36f Q 36g Q 36h Q 36i Q 36j Q_36k Q_36l Q 36m Q 36n Q 360 Q_36 p Q 36q Q 36r Q 36s Q_36t A O 1 2 3 4 100 fruit juice Fruit not counting fruit juice Green salad Carrots Potatoes not including french fries or potato chips Other vegetables not counting carrots potatoes or salad Whole grains e g whole grain bread pasta cereal or brown rice Cheese yogurt Meat or fish not fried eggs nuts meat alternatives Salty or sugary snacks e g potato chips granola bars chocolate or cookies Fast food e g hot dogs hamburgers fries pizza or chicken nuggets Water Milk white chocolate or soy Pop soda non diet slurpees slushies Diet Pop soda Sports drinks Gatorade etc Energy drinks Red Bull etc Coffee lattes iced coffee Creatine other supplements Meal replacement bars or shakes Vector Powerbars Response options Fruit and Vegetables Derived Variable Student answers from Q_36a Q_36f were used to calculate total fruit and vegetables consumption per day of times a student consumed fruit and vegetables yesterday Q_36a Q_36b Q 36c Q 36d Q 36e Q 36f Collapsed categories 1 2 times or less per day 2 3 6 times per day 3
31. to CCMB the security confidentiality and protection of privacy that CCMB will have in place to protect the data and how and when the data can be accessed and used Any requests to access the Data by a group or individual other than the RHA owning the data including CCMB shall be considered by the PPHL Data Access and Review Panel The Data Access and Review Panel DARP is a working group of Partners in Planning for Healthy Living and has the responsibility for approving requests for access to and use of the YHS data DARP is composed of representatives from PPHL members with an emphasis on representatives from the data owners the RHAs Interested people must complete the Manitoba Youth Health Survey Data Access Request Form see Appendix G for the Manitoba YHS Data Access Request Form Aggregate Data Individual DARP members review each application and then the entire Panel meets to discuss the application DARP will only permit access to the data for research projects upon receipt of a specific research proposal approved by the applicable University Research Ethics Board and or the Province of Manitoba Health Information Privacy Committee If the application is successful the applicant must sign a Manitoba Youth Health Survey Research Data Sharing Agreement prior to the receipt of any data and must share final copies of presentations publications with DARP prior to their public release YHS data is available for use to community gove
32. walking school bus where parents or older students walk around the neighbourhood and pick up walkers at designated points h Organize occasional walk to school days or walking clubs Yes No O oO O oO O O O O O O O oO O oO G oO I don t know G 136 40 Which of the following PE HE delivery models best describes the model offered to GRADE 12 students in your school 100 teacher directed IN class time O 75 teacher directed IN class time and 25 OUT of class time for the physical activity practicum O 50 of teacher directed IN class time and 50 OUT of class time for the physical activity practicum O 25 of teacher directed IN class time and 75 OUT of class time for the physical activity practicum A combination of these Notapplicable 41 Has the PE HE delivery model used for GRADE 12 students changed since the 2008 year of implementation Yes the teacher directed IN class time has increased Yes the OUT of class time for the physical activity practicum has increased No I don t know O O Q Not applicable 42 Are grade 11 and 12 PE HE teachers allocated time in the schedule to meet with students to monitor their OUT of class physical activity practicum O Yes O No O Idon tknow Not applicable 137 Section 4 Partnerships and Services 17 During the past year 12 months have school staff received in service workshop training from outside partners e g Regional
33. with an SPF of 15 or higher O Never O Rarely O Often O Always Have you ever used any artificial tanning equipment such as a tanning bed sunlamp or tanning light O Yes O No 92 SECTION 7 Screen Time 35 In a typical week mark how many hours outside of school you spend in front of a screen for example watching tv movies playing video computer games chatting text messaging and surfing the internet e g Facebook Twitter etc Hours Per Day Monday OOO O Tuesday O0 O O Q Wednesday O amp Thursday 00000 Q Friday 0000000 Q Saturday OOO O O gQ Sunday Oo OO ODO Q SECTION 8 Eating 36 Yesterday how many times did you eat or drink the following 100 fruit juice Fruit not counting fruit juice Green salad Carrots Potatoes not including french fries or potato chips Other vegetables not counting carrots potatoes or salad Whole grains e g whole grain bread pasta cereal or brown rice Cheese yogurt Meat or fish not fried eggs nuts meat alternatives Salty or sugary snacks e g potato chips granola bars chocolate or cookies Fast food e g hot dogs hamburgers fries pizza or chicken nuggets Water Milk white chocolate or soy Pop soda non diet slurpees slushies Diet Pop soda Sports drinks Gatorade etc Energy drinks Red Bull etc Coffee lattes iced coffee Creatine other su
34. 249 01 mss 0000227539 58916 35 66 Hard vigorous physical activities increase your heart rate and make you breathe hard and sweat They can include jogging team sports fast dancing jump rope ete 29 Mark how many minutes of hard vigorous physical activity you did for each day last week Include activities that lasted for at least 15 minutes at one time during physical education class lunch recess after school evenings and spare time For example If you did I hour and 15 minutes of hard vigorous activity on Monday vou would shade Hours Minutes Monday 006046 Hours Minutes Monty ODOOO OOOO Tuesday OODOOO OOOO Wednestey HOODOO OG Thursty ODOOO OOOO Friday OQOOOO OOOO Saturty ODOOOD 000G Suney OODOOO 000G Rationale This is matches the 2008 YHS and IRHA 2009 YHS with the addition of the word vigorous to the definition by request of the Physical Activity Working Group SHAPES methodology was used to calculate total kilocalories per kilogram of body weight per day KKDs Note In an effort to increase validity this version of the YHS included both the hard physical activity and moderate physical activity questions on the same page This change was made when pilot testing found that youth would double enter their physical activity when the questions appeared on different pages Source 2008 YHS 2009 IRHA YHS 2006 2007 New Brunswick Youth Physical Activity Survey 2006 2007 New Brunswick Youth Healthy E
35. 8 in select RHAs The 2009 survey was a 51 item multiple choice questionnaire on health behaviours related to tobacco nutrition physical activity self esteem and school connectedness For 2012 it includes data from students in grades 7 12 in all 5 Manitoba RHAs The 2012 survey was an 82 item multiple choice questionnaire on health behaviors related to tobacco use alcohol and drug use nutrition physical activity and sedentary behavior mental health and school connectedness sleep and injury prevention The YHS database is housed on a secure server at CancerCare Manitoba CCMB and CCMB is therefore considered to be the trustee of the data Request for access to the database will only be made through The Data Access Review Panel and not the individual RHA s This data is available at the provincial level for the 2011 aggregate regions Winnipeg Churchill RHA Southern Health Sant Sud Interlake Eastern RHA Prairie Mountain Health Region and Northern Health Region Requests for RHA level data will be considered on a case by case basis No school or community specific data will be released The purpose of the YHS is to provide schools communities RHA s and other health partners with current local level information about risk factors for chronic disease in youth Findings from the survey are intended for use by local area planners for health promotion planning and evaluation activities The results are not age or sex standardized acros
36. Confident to think or express your own ideas or opinions That your life has a sense of direction or meaning to it Response options A Never 25 Once a week About twice a week 2 or 3 times a week Almost everyday Everyday mom OO Students answers were analyzed using the Keyes Mental Health Continuum to categorize children into three categories of mental health The first three statements a b c represent emotional wellbeing The next six statements d through i represent psychological and social wellbeing Keyes 2006 Keyes 2009 Student responses were categorized as follows to determine mental health status 1 Flourishing respond every day or almost every day to one of the first three statements and to at least six of the remaining eleven statements Flourishing is defined as being filled with positive emotion and functioning well psychologically i e have self acceptance positive relationships personal growth purpose in life and environmental mastery and autonomy and socially see society as meaningful and understandable see society as possessing the potential for growth when they feel they belong to and are accepted by their communities and see themselves as contributing to society 2 w Languishing respond never or once or twice to one of the first three statements and at least six of the remaining eleven statements Languishing is defined as possessing low level of well being an
37. ECTION 5 Physical Activity 22 How physically active are you at the following times Active Some Inactive Does what not active apply Before school O O Recess Spare O QO O O Lunch O O O O After school O O O Rationale This question is from the 2008 YHS and was kept at stakeholder request with the addition of spare Source 2008 YHS 64 23 Your closest friends are the friends you like to spend the most time with How many of your 5 closest friends are physically active O 0 OO0000 tan fe WO be Rationale Literature consistently shows that youth physical activity levels are highly correlated with those of their peers Source Kept from the 2008 YHS and also from SHAPES 2006 2007 Youth Physical Activity Survey New Brunswick 2006 2007 Youth Physical Activity Survey and 2006 2007 Youth Healthy Eating Survey New Brunswick 2010 Student Wellness Survey Validation Reference The 2006 2007 SHAPES Physical Activity Survey was found to have substantial reliability within its social influences section which includes this question Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 24 In the past month 30 days how often did you participate in before school lunch time or after school physical activities organized by your scho
38. Health Authority Healthy Schools Initiative local experts in the following areas Yes all staff Yes some staff No Idon t know Active living physical activity O O O O Nutrition O O Oo O Tobacco use prevention O O O Q Alcohol substance abuse prevention O O O O Mental well being suicide prevention O Oo Personal safety bullying O O O O Healthy sexuality promotion O O O O 18 Which of the following supports do your partnerships provide to help create a healthy school environment Check all that apply O O Funding Services health services volunteer activities training opportunuties professional development Material resources handouts signage computers equipment None of the above Other 19 Is your school community engaged in community service e g promoting community events promoting or coordinating food drives hosting blood donation clinics raising money for charities O O O O Not at all Minimally Somewhat Fully 138 20 How often do community members volunteer in your school including but not specific to health and well being activities O Rarely 1or2 days per week O Most days Every day 21 Do school staff have clear guidelines to refer students with the following suspected health issues to the appropriate school division counsellor clinician or community health professional or agency Yes No Idon t know O O a Eating disorders b Tobacco use d Depressi
39. ION 2 Work and Volunteering 11 Do you have a part time job outside of school hours babysitting restaurant etc Yes I work under 15 hours per week O Yes I work 15 or more hours per week No Rationale Were developed out of stakeholder interest in activities outside of school Source Adapted from the 2004 Youth Behaviour Survey of Mystery Lake School Division Manitoba 12 How often do you take part in unpaid volunteer activities work Never Once a year Once a month Once a week Daily Rationale Were developed out of stakeholder interest in activities outside of school Source Adapted from the New Brunswick 2010 Student Wellness Survey 60 13 What kinds of volunteer activities have you participated in Choose all that apply I do not volunteer Activities at school yearbook committee student council etc Support a cause food bank environment group etc Fundraising charity school trips etc Helping in the community hospital volunteering etc Doing another volunteer activity without pay OO O O Rationale Were developed out of stakeholder interest in activities outside of school Source Adapted from the New Brunswick 2010 Student Wellness Survey 06 07 National Longitudinal Survey of Children and Youth SECTION 3 Feelings 14 Do you agree with each of the following statements Agree Disagree a I feel close to people at this school O b I feel
40. Never Ome O B Threatened or injured you with a weapon such as a gun knife or club 6 ormore Every times day Never 1 5 times Oo O Fe OCoeoe oa oOo RA OL og og oO O FO 00O O0 O71 O FOTOO oU og Rarely Often Always Only when Ido not an adult do this makes me activity O O O O O O O O O O O O O O O O O 96 SECTION 13 Sexuality 64 What is your gender identity O Female O Male Trans 65 Have you ever questioned your gender identity O Yes O No I don t know 66 Who are you attracted to Please choose one O Males O Females O Both males and females O No one 67 How old were you when you first had sex Ihave not had sex Less than 13 years old O 13 years old 14 years old 15 years old 16 years old 17 years old 18 or more years O I don t know 68 Have you ever had sex when you didn t want to Ihave not had sex O Yes O No O Idon t know 69 If you have had sex which method s did you and your partner use to prevent sexually transmitted infections STI s and or pregnancy Choose all that apply O Ihave not had sex O No method was used to prevent pregnancy and or STT s O Withdrawal pulling out before ejaculation O Birth control pills injection patch or ring Condoms male or female O Morning after pill O Sex dam O Other method 70 In general when you have sex how often do you use condoms Ihave not had sex O Never O Rarely O
41. No Idon t know O Notapplicable 144
42. OUTH HEALTH SURVEY a in Planning for Healthy Living PLEASE READ INSTRUCTIONS BEFORE YOU BEGIN Use a dark pen or pencil to carefully fill in your answers Cy Like this OG Not like this If you want to change an answer put an X through it and colour in the correct circle There are no right or wrong answers This is not a test Please skip any questions you do not understand or do not want to answer Please be honest when you answer the questions This is voluntary you do not have to participate if you don t want to If you do not want to participate please work quietly on other school work Your answers on this survey are private and the results will be kept confidential This front page will be removed and only the researchers will see it No one not even your parents or teacher will ever know what you answered This survey is a way to find out about students health so that schools and regional health authorities can plan and implement programs for healthy living It will ask you questions about your own health behaviours 185501 X 86 ONLY COMPLETE IF YOU ARE IN GRADE 11 OR 12 77 As part of your Physical Education Health 78 72 80 8 Education PE HE course this year approximately how many hours of physical activity time outside of regular class time are or were you required to participate in and report to your teacher This is not a requirement Less than 10 hours
43. OV CIVIC Winna 4 BACK OF OUI O csini naaa a aai 5 P rpose of YHS nimiin a a a a aaa aaa 6 YHS Questionnaire Development sssssssssusnnennnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnmnnn nnmnnn 6 Survey Characteristics niisiis AA ARN AAS EARN 8 Student COGS isnin a a a aaa aaa aa 8 Reliability and Validity Testing of Survey Instruments ccccsceccsccscsccsccccsccsceccecescescsceecees 11 YHS Iimplementatioh ais seca ca cewcceiauanaceanevccaeauacs ca scwawahaiauauacs cuisacoasewace ci tavaced sveuzcacscannvctavessuchacavaxcoutaaneeais 12 Get ECGS ca tcate te csic sve ee cate T 15 FOTN See cecccasiiscestesnache tes tueutencec canis aa aaa 16 Data Sharime Agreements comian Ga Gasueeaabicuen N a a aa E a aaa 16 YHS Administrator SUL VEY isin iecesnvcacaecenivsnveasucedgccsnceotvanunesiuuinivcieanuansasuunsenteannasdenincsivonvaxcainsancesainineasis 17 Report Interpretation Guide cinta svctsncescceactniverseuvancasntenvaveacdnssasctnivanuauusieadnusivaitnuiasceschnivaiueuusivansauinnctanna 18 Analysis GUNG siiin a a aaa a 19 Reference Sonuna A 56 Appendix A List of YHS Question SOUrCeS sssssssssennnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnana 57 Appendix B YHS Questionnaire Version B cssssssscsssssecesesssesseneeesnsneenesesseseeeeesssseeeeeesssneeeeeessssesees 86 Appendix C YHS Communication Templates sssssssssssennnunnnnnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nn
44. Often O Always Page 9 71 Which of the following are the major reasons you do not use condoms all the time Choose all that apply O Ihave not had sex O IDO use condoms all the time O Price I can t afford it O Iuse another form of protection O I don t know how to use condoms O It is against my beliefs O I was under the influence of drugs or alcohol O I would be too embarrassed to get condoms O I want a baby I trust my partner s O My partner s won t wear a condom O My partner s and I are both females O I don t like how condoms feel Ionly have oral sex 72 How often do you feel comfortable talking to the person s you are having sex with about using condoms or birth control O Ihave not had sex O Never O Rarely O Often O Always 73 How often do you feel comfortable talking to the person s you are having sex with about STI s I have not had sex O Never O Rarely O Often O Always 74 In the past year did you have unplanned sex after using alcohol or drugs Please choose one O Ihave not had sex O I did not have sex in the past year O Yes I had unplanned sex after using alcohol or drugs No I did not have unplanned sex after using alcohol or drugs 75 Have you ever engaged in any type of sexual activity for money food shelter drugs or alcohol O Yes O No O I don t know 76 What are your preferred sources of information about sexuality puberty birth control STIT s
45. Reporting CancerCare Manitoba analyzed the YHS data and generated reports at the school school division and regional level using a standardized report template Development of the report template was overseen by the YHS Knowledge Exchange Group A consultant was hired to review the literature and update the first YHS report and to generate the new health topic sections for the YHS 2012 2013 report This included updating generating background information for each topic area as well as evidence based practices and resources for end users The template was then shared with several YHS stakeholders to ensure that the report would meet all YHS end users needs This included the topic area experts that were identified in the tool development phase the YHS Implementation Team the YHS Knowledge Exchange Team and Louis Riel School Division These groups represented end users from both health and education including health practitioners teachers government health and education and not for profit community groups Each group was asked to review the report and or section that pertained to them to ensure that the literature and resources included were relevant and reflective of current practices and that data presented was useful and easy to understand The input was gathered through several meetings focus groups and the report template revised based on feedback The final report template was organized by health topic area with a summary of results at the beg
46. Survey SHAPES 2006 2007 Youth Physical Activity Survey 2010 New Brunswick Student Wellness Survey 2010 2011 Youth Smoking Survey 2011 Core Indicator Measures of Youth Tobacco Control 47 During the past month 30 days did you use chewing tobacco snuff or dip such as Redman Levi Garrett Beechnut Skoal Skoal Bandits or Copenhagen Yes every day Yes almost every day Yes some days O No Source Adapted from 2009 IRHA YHS 2009 Canadian Tobacco Use Monitoring Survey 2008 Global Youth Tobacco Survey 2007 Adolescent Health Survey 2008 Healthy Youth Survey and 2009 Youth Risk Behaviours Survey Time frame was changed from During the past 30 days to During the past month to maintain consistency with the time frame of the 2012 YHS Answer categories reflecting frequency were also modified to maintain consistency with those used in the 2012 YHS Example brands Redman Levi Garrett Beechnut and Skoal Bandits were added by experts 74 48 During the past month 30 days did you smoke cigars cigarillos or little cigars Yes every day Yes almost every day Yes some days No Source Adapted from 2009 IRHA YHS 2008 Healthy Youth Survey and the 2009 Youth Risk Behaviour Survey Time frame was changed from During the past 30 days to During the past month to maintain consistency with the time frame of the 2012 YHS Answer categories reflecting frequency were also modified to mai
47. Thank you for taking the time to read this information Sincerely 104 ae www heal th mecommon ca AB in Panning for Hoathy Uvieg Parent Consent Form for Student Participation in Manitoba Youth Health Survey I give permission for our child to participate in the Manitoba Youth Health Survey We also understand that participation in this project is voluntary and that we or our child may choose to withdraw participation at any time Results of this project will be kept private and confidential I hereby consent without further consideration that my child may take part in the Manitoba Youth Health Survey Name of Student Name of Parent please print Name of School Parent Signature Date ees ee 105 Appendix D Teacher and Classroom Instructions for the Administration of the YHS Insert RHA Logo F artners in Punning for Healthy Manitoba Youth Healtt TEACHER INSTRUCTIONS General information Please advise your students of this survey one week prior to the survey date so that they are aware that it will be taking place The survey will take approximately 30 40 minutes to complete Please administer the survey as you would a test That is students should work independently and quietly For confidentiality reasons do not help students with interpretation of questions Students should skip questions they have difficulty answering The survey is voluntary students may choose t
48. a analysis data interpretation and school school division and regional report generation Concurrent with the YHS was the implementation of the YHS Administrators Survey that collected information about the student s school environment This survey asked school administrators questions that help describe the healthy living policies and programs that take place in their schools This survey data will be used during secondary analysis of the YHS data to gain further understanding of youth health This report provides YHS end users with additional information on the YHS 2012 2013 design methodology implementation and analysis interpretation Background Youth Health Survey The Youth Health Survey YHS initiative resulted from the Manitoba RHAs recognition that there was a lack of local level data available for planning purposes and that provincial and national level data did not meet the needs of local communities schools and regions While data from other surveillance provides some data at the health region level for Manitoba the data are not specific to the local level Many other national health surveys such as the Youth Smoking Survey YSS and Canadian Tobacco Use Monitoring Survey CTUMS are related to specific content areas such as tobacco and are therefore not applicable across all health behaviours In response to this need for local level data the Interlake Health Promotion Working Group developed the first YHS in 2005 This
49. a Access Request Form Aggregate Data September 2013 126 Description of the request lt 350 words Please provide a general description of the planned use of the information including its purpose and the proposed analytical methodology Purpose of the request Please check all that apply Research Education Planning or delivering a program or policy Evaluating or monitoring a program or policy Lecture presentation rounds Other Please explain Is the data going to be published Yes If yes where Grant funding Have you received grant funding for this project Yes Pending From whom For what amount Page 3 of 6 Manitoba Youth Health Survey Data Access Request Form Aggregate Data September 2013 127 Approvals Attach copies of all ethics proposals and approvals Please check all that apply University of Manitoba or other University based Health Research Ethics Board CCMB Research Review Impact Committee Other Committee approval Name of other committee facility Awaiting approvals No Committee approval required reason a Please list the specific variables of the study you are requesting incl the outcome variable and describe in general terms how the variables of the study relate to the purpose hypotheses and study questions If the information does not relate directly to these provide an explanation as to why the information is required Please refer to the YHS survey for
50. a bottle of beer a glass of wine a shot of liquor or a cooler A have never drank alcohol have drank alcohol but not in the past month 1 or 2 days 3 to 5 days 6 to 9 days 10 or more days Overall Graph Reported as text Collapsed categories 1 B C D E amp F 2 C D E amp F 3 E amp F Example Percentage of students who had a least one drink of alcohol in their lifetime Numerator Students who answered B C D E or F for Q_54 Denominator Total of students who answered Q_54 44 Example Percentage of students who consumed alcohol in the past month and drank alcohol on six or more days Numerator Students who answered E or F for Q_54 Denominator Total of students who answered C D E or F for Q_54 By Grade Graph Reported as text Collapsed categories 1 C D E amp F Example Percentage of Grade 9 10 students who consumed alcohol in the past month Numerator Students who answered C D E or F for Q_54 and C or D grade 9 or 10 for Q 3 Denominator Students who answered Q_54 and Cor D grade 9 or 10 for Q_ 3 Q_55 During the past month 30 days on how many days did you have five 5 or more drinks of alcohol within a couple of hours One drink of alcohol is defined as a bottle of beer a glass of wine a shot of liquor or a cooler have never drank alcohol have drank alcohol but not in the past month 1 or 2 days 3 to 5 days 6 to 9 days 10 or more days Overall Graph Reported as text Coll
51. a everyday day twice week week a happy b interested in life c satisfied with life d that you had something important to contribute to society e that you belonged to a community like a social group your school or neighbourhood f that our society is becoming a better place for people like you g that people are basically good h that the way our society works makes sense to you i that you liked most parts of your personality j good at managing the responsibilities of your daily life k that you had warm and trusting relationships with others l that you had experiences that challenged you to grow and become a better person m confident to think or express your own ideas and opinions n that your life has a sense of direction or meaning to it OOE O E2100 O Fe O BOG olca O ERTO OS O Bee O GOR oE O ROBOG O fee O GOR ORs O ROTOR OR O He O BOG One O BesO OG O ee O BOe Ones O e808 OD O He O BOE Page 2 17 During the past 12 months did you ever feel so sad or hopeless that you stopped doing some usual activities for awhile O Yes O No SECTION 4 Sleep 18 On an average school night Sunday to Thursday how many hours of sleep do you get O 4 or less hours O 5 hours O 6 hours O 7 hours 8 hours O 9 hours 10 or more hours 19 On an average weekend night Friday or Saturday how many hours of sleep do you get 4 or less hours O 5 hours O 6 hours O 7 hours 8 hours O 9 hours 10 or
52. activities Check all that apply Healthy eating promotional events presentations Foods skills Nutrition classes e g Human Ecology Cooking classes i e after school Gardening e g growing produce Field trips e g grocery store farmers market farm OOdaqda Oo None of the above 36 Do students play a leadership role in the organization of school activities within the school and community O Inno activities O In some activities In most activities O In all activities 143 37 Does your school offer a student peer support or mentoring program O Yes O No O I don t know ONLY COMPLETE THE FOLLOWING IF YOU HAVE GRADE 11 OR 12 STUDENTS IN YOUR SCHOOL 38 Which of the following PE HE delivery models best describes the model offered to GRADE 11 students in your school 100 teacher directed IN class time O 75 teacher directed IN class time and 25 OUT of class time for the physical activity practicum 50 of teacher directed IN class time and 50 OUT of class time for the physical activity practicum 25 of teacher directed IN class time and 75 OUT of class time for the physical activity practicum Acombination of these Notapplicable 39 Has the PE HE delivery model used for GRADE 11 students changed since the 2008 year of implementation Yes the teacher directed IN class time has increased O Yes the OUT of class time for the physical activity practicum has increased O
53. agree to take part Students who choose not to participate will continue to work quietly on other school work e Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to connect the 2012 YHS with future YHS datasets This will only be done ina secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics e The data we gather from the survey will be stored at CancerCare Manitoba for 7 years Only research staff will have access to the written surveys e Although we do not anticipate any risks from participation in this study you should be aware that taking part in the survey may expose your son or daughter to information on topics which are new e You can see a copy ofthe survey questions in the school s main office Permission You and your child are the only ones who will decide whether your child will to be part of the Youth Health Survey There are no known risks for students to take part in this survey If your child is 18 or older they have the legal right to decide about the survey on their own If you or our child has any concerns about the survey please contact Giga Ruin eee Saket E Taco If you would like your child to have the opportunity to participate in the survey please sign the attached form and return it to the school office
54. al health school connectedness tobacco use drug and alcohol use sexual health and safety injury prevention and whenever possible questions are from validated sources New to the YHS is the addition of student codes A complex coding process was developed to track students health behaviors long term while maintaining student anonymity This process will allow for the linkage of the YHS dataset to other Manitoba datasets such as provincial Early Child Development and other education data and to link the 2012 2013 YHS dataset with future YHS datasets All Manitoba schools were invited to participate including independent Francophone Colony and First Nation schools 64 000 students in grade 7 to 12 in 475 schools completed the YHS across the province Regional Health Authorities assumed responsibility for the data collection including school recruitment as well as the dissemination of feedback reports for schools school divisions and regions Ministers from the Provincial Ministries of Children and Youth Opportunities Education and Healthy Living Seniors and Consumer Affairs wrote a letter to encourage school and school division participation in the YHS through a collaborative effort with their regional health authority The Interlake Eastern RHA Prairie Mountain Health Region Northern RHA and CancerCare Manitoba shared responsibility for scanning the completed surveys The Epidemiology Unit at CancerCare Manitoba took responsibility for dat
55. all cooperate fully in any such inspections reviews audits or investigations and shall permit the PROVIDER and its representatives access at all reasonable times to its premises and equipment including computer equipment and to records and information relating to CCMB s information or privacy practices policies procedures or security arrangements or to this Agreement for these purposes If the PROVIDER has reason to believe that there are deficiencies in CCMB s information policies and or practices as they apply to the Data or to CCMB s handling of the Data it may request CCMB to conduct at CCMB s own expense an internal review of CCMB s policies and practices as they apply to the Data or to CCMB s handling of the Data with any such request to be Page 5 of 7 122 accompanied by a description of the PROVIDER s reason s for requesting same CCMB will provide the review to the PROVIDER immediately upon completion and m If any inspection review audit or investigation under section 6 j or I identifies deficiencies in the information practices of CCMB CCMB will 1 take steps at its own cost to correct the deficiencies immediately to the reasonable satisfaction of the PROVIDER and will promptly notify the PROVIDER in writing as to the steps taken and 2 bear the cost of any such inspections review audit or investigations including but not limited to the cost of any third parties which the PROVIDER hires to
56. ally by phone or in a separate email Note we would prefer all passwords to come via phone All databases should be sent to Tannis Erickson at tannis erickson cancercare mb ca with a CC to Lin Xue lin xue cancercare mb ca Passwords can be phoned in to Tannis Erickson at 204 235 3326 or Lin Xue at 204 787 8793 Please do not leave passwords ina voicemail message 3 When labeling data whether by electronic file or CD please label by RHA with a note of the school divisions included in the dataset Please use the pre assigned RHA and School Division codes included on your Master School List 108 Part B General Rules for Scanning 1 Ifa student selects fills in more than one circle when only one circle is allowed this should be entered as no data as we can not assume to know which answer they meant Be careful as the scanner will often choose a random answer arbitrarily Exception if you can tell for certain that one selection is the correct answer Students have been instructed to put an X through an incorrect answer and fill in the correct circle if they make a mistake or want to change an answer Similarly if they have made a note or another clear indication of which answer they would like you can choose that answer 9 In general how do you describe your health O Excellent Very Good Good O Fair Poor Enter as no data 9 In general how do you describe your health O Excellent Very Good X Goo
57. althy living The survey covers topics of physical activity healthy eating smoking alcohol substance use school connectedness mental health injury prevention sleep patterns sun UV exposure sexual health and grade 11 amp 12 physical education health education curriculum Remember there are NO RIGHT OR WRONG ANSWERS This is not a test The survey is private and the results will be kept confidential This survey is voluntary you do not have to participate if you don t want to If you do not wish to participate please continue quietly with your other school work No one will ever know what YOU answered e g parents teachers Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to connect the 2012 YHS with future YHS datasets This will only be done in a secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics Once you are finished please place your survey into the classroom envelope It is very important that you answer honestly and truthfully otherwise the information will not be useful Please skip any questions you do not understand or do not want to answer You can withdraw from participating in this survey at any time Use a PEN to fill in your answers Carefully fill in the boxes or it won t scan properly Show stu
58. ank alcohol but not in the past month 1 or 2 days 3 to 5 days 6 to 9 days 10 or more days Source Adapted from IRHA 2009 YHS 2008 YHS 2007 Adolescent Health Survey and 2009 Youth Risk Behaviour Survey The time frame was modified from past 30 days to past month to maintain consistency with the time frame used throughout this survey The definition of one drink of alcohol was added from the IRHA 2009 YHS and the answer options were modified in that O days was further broken down into I have and I have drank alcohol but not in the past month and 10 or more days was made never drank alcoho as the upper limit Reference This question was found to have substantial reliability assuming that this question was unchanged between the 1999 YRBS and the 2009 YRBS could not locate the 1999 YRBS Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG 2002 Reliability of the 1999 Youth Risk Behavior Survey questionnaire Journal of Adolescent Health 31 336 342 SECTION 11 Drug Use 56 In the past month 30 days how many times have you 0 2 3 9 10 or times times times more times a Used marijuana hashish pot weed etc O O O O b Used cocaine or crack O O O O c Used methamphetamines speed crystal meth crank or ice O O O O d Used ecstasy O O O O e Used LSD or other hallucinogens shrooms acid etc O O O O f Taken a prescription or over the counter dru
59. annatyne Ave Winnipeg Manitoba R3B OR3 PLEASE NOTE There may be costs associated with the release of the requested data have read and understand the conditions outlined in this application Date Signature Office Use Only Data Request File Number Request Received on Data Access Review Panel Decision Approved LJ Not Approved O Cost recovery required Yes O No O Estimate Expected Completion Date Programmer Completion Date Page 6 of 6 Manitoba Youth Health Survey Data Access Request Form Aggregate Data September 2013 130 Appendix H YHS Administrator Survey Questionnaire Youth Health Survey Administrator Survey Welcome to the Partners in Planning for Healthy Living PPHL Online YHS Administrator Survey The purpose of this survey is to explore and learn more about the relationship between healthy school policies and practices and how they impact the health of Manitoba youth This survey acts as a complement to the 2012 Youth Health Survey YHS which is being implemented in Grades 7 12 across Manitoba during the current school year The YHS Administrator Survey is targeting School Principals but may be completed by an alternate such as the Vice Principal a Student Services Staff Member or a Physical Education Health Education Teacher Your cooperation in this important project is very much appreciated The survey will take approximately 15 minutes to complete All information collected wi
60. answered Q_57a Safety During the past month 30 days how many times did you drive a car or other vehicle after you had been drinking alcohol have never done this have done this but not in the past month 1 time 2 or 3 times 4 or more times Graph Reported as text Collapsed categories 1 B C D amp E 2 C D amp E Example Percentage of students who have driven a car or other vehicle after drinking alcohol at least once in their lifetime Numerator Students who answered B C D or E for Q_58 Denominator Total of students who answered Q_58 Example Percentage of students who have driven a car or other vehicle one or more time after drinking alcohol in the past month Numerator Students who answered C D or E for Q_58 Denominator Total of students who answered Q_58 Q_59 During the past month 30 days how many times did you ride in a car or other vehicle driven by someone who had too much to drink A have never done this have done this but not in the past month 1 time 2 or 3 times 4 or more times Graph Reported as text Collapsed categories 1 B CD amp E 2 C DandE 47 Example Percentage of students who have rode ina car or other vehicle at least once in their lifetime driven by someone who had too much to drink Numerator Students who answered B C D or E for Q_59 Denominator Total of students who answered Q_59 Example Percentage of students who have rode in car or other vehicle i
61. any one of the response categories for these questions The resulting graph or table featured an S to indicate that the data has been suppressed or was reported as too small to report in the text The following questions were deemed as sensitive e Q16 Mental health continuum e Q7 amp 8 amp BMI overweight and obese categories only e Q42 amp 43 Smoking status e Q47 amp 48 Use of other tobacco products e Q49 How students obtain cigarettes e Q52 Desire to stop smoking e Q54 amp 55 Alcohol use e Q56 amp 57 Drug use e Q58 61 Drinking drug use while driving or riding in a car e Q64 75 Sexual health except for preferred sources of information Each report was reviewed individually and suppression rules applied to ensure that students privacy and confidentiality were maintained 18 Missing Data Each question had a certain amount of missing data i e students who chose not to answer that question or answered illegibly The results presented only included students who had a valid answer for the question being reported on In cases where there was a large amount of missing data gt 10 a footnote was included in the graph or text to reflect this Data Analysis The results for each question represent the percentage of students answering for each of the response categories of that question In some cases response categories were combined due to small numbers or for easier interpretation e g combinat
62. any of the following Yes No Cafeteria O O Snack bar Tuck shop O O Vending machines s O O 26 How do you rate the nutritional quality of the food and beverages that are served or available for sale in your school Allhealthy choices Mainly healthy choices Some healthy choices I don t know O O O 0 No food or beverages are served or sold in our school 140 27 How many days make up your school s cycle 2 days 3 days 4 days 6 days 7 days 8 days 9 days oO oO O 9 0 28 On average in your school how many days per cycle do students taking Physical Education Health Education PE HE have a class 5 days Monday Friday Lessthan1 1 Grade7 O Grade8 O Grade9 O Grade 10 Grade 11 O Grade 12 O 29 In which of the following grades is PE HE offered all year Check all that apply Grade 7 Grade 8 Grade 9 Grade 11 Grade 12 None O O O O Grade 10 O O O O O O O 0 2 Oo O00 0 0 0 3 0000 0 0 4 O O 9 amp 5 00 00 O 6 o0 0 06 DO 7 0000 0 0 8 O0O000 0 0 9 O0O000 0 0 141 30 Are PE HE classes in your school taught by a teacher or teachers with specialized training in this area e g Bachelor of PE or Kinesiology O Yes O No Idon t know 31 To what extent is physical activity integrated into classes other than PE HE in your school O Alot Some Very little Not at all O00 0 I don t know 32 Do
63. appens choose Everyday If any other combination of two circles are filled in enter no data If you are ever in doubt don t hesitate to contact US sis Carly Leggett CancerCare Manitoba Ph 204 235 3119 Email carly leggett cancercare mb ca Jamie Simard NOR MAN Regional Health Authority Ph 204 687 1307 Email jsimard normanrha mb ca 117 Appendix F Youth Health Survey Data Sharing Agreement 2012 Youth Health Survey Data Sharing Agreement THIS AGREEMENT is effective as of the day of est y ee 3 BETWEEN Regional Health Authority hereinafter referred to as PROVIDER or Provider and CancerCare Manitoba hereinafter referred to as CCMB Whereas 1 The Provider has an obligation to assess the health of residents of the Health Region The Provider is a member of Partners in Planning for Healthy Living PPHL 2 PPHL is a Manitoba partnership formed by partners across the province who are working together to build a province wide chronic disease risk factor surveillance system integrated with community planning and best practices PPHL consists of the following partners All Province of Manitoba regional health authorities Healthy Child Manitoba CancerCare Manitoba Manitoba Physical Education Supervisors Association Manitoba Education Manitoba Health Manitoba Healthy Living Youth and Seniors Public Health Agency of Canada Health in Common Heart and Stro
64. apsed categories 1 C D E amp F Example Percentage of students who consumed five or more drinks of alcohol within a couple hours on at least one day in the past month Numerator Students who answered C D E or F for Q_55 Denominator Total of students who answered Q_55 By Grade Graph Binge Drinking in the Past Month by Grade reported only for grade 9 12 Collapsed categories 1 C D E amp F Example Percentage of Grade 9 10 students who consumed five or more drinks of alcohol within a couple hours on at least one day in the past month Numerator Students who answered C D E or F for Q_55 and Cor D grade 9 or 10 forQ_ 3 Denominator Total of students who answered Q_55 and Cor D grade 9 or 10 forQ 3 Q_56 In the past month 30 days how many times have you Q_56a Used marijuana hashish pot weed etc 45 Q_56b Q_56c Q_ 56d Q_56e Q_5 f Used cocaine or crack Used methamphetamines speed crystal meth crank or ice Used ecstasy Used LSD or other hallucinogens shrooms acid etc Taken a prescription or over the counter drug to get high painkillers Ritalin Oxycontin Xanax etc Response options A Otimes B 1 2 times C 3 9 times D 10 or more times Graph Reported as text Collapsed categories 1 B C amp D Example Percentage of students who in the past month used an illegal prescription or over the counter drug for the purposes of getting high in the past month Numerato
65. as changed to after based on stakeholder and expert feedback The answer option 0 times was expanded into I have never done this and I have done this but not in the past month Reference This question was found to have moderate reliability assuming that this question was unchanged between the 1999 YRBS and the 2009 YRBS could not locate the 1999 YRBS Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG 2002 Reliability of the 1999 Youth Risk Behavior Survey questionnaire Journal of Adolescent Health 31 336 342 59 During the past month 30 days how many times did you ride in a car or other vehicle driven by someone who had too much to drink Ihave never done this I have done this but not in the past month 1 time 2 or 3 times 4 or more times Source Adapted from 2007 Adolescent Health Survey 2008 Global School based Student Health Survey 2008 Healthy Youth Survey and 2009 Youth Risk Behavior Survey Instead of During the past 30 days the time frame was changed to During the past month to be consistent with the time frame throughout this survey The answer option O times was expanded into I have never done this and I have done this but not in the past month Reference This question was found to have substantial reliability assuming that this question was unchanged between the 1999 YRBS and the 2009 YRBS could not locate the 1999 YRBS
66. atalog 56 Appendix A List of YHS Question Sources va YOUTH HEALTH PD ner S U RV EY Planning bor Realty Living Your answers are protected amp confidential SECTION 1 About You 1 The name of my school ts Rationale Not in the 2008YHS added to the 2009 IRHA YHS in effort to link student home community and school 2 The name of my home community ts Rationale Standard question 3 What grade are you in O7 O 8 O9 O 10 Rationale Standard question Senior 1 4 was removed after 2008 YHS l1 because stakeholders felt that the terminology was outdated 12 4 How old are you today O 11 or younger O 12 O 13 O 14 O 15 O 16 O 17 O 18 Source 2010 2011 YSS O 19 or older Rationale Standard question Today was added for specificity as per the 2010 2011 Youth Smoking Survey YSS 5 Are you O Male O Female Rationale Considered various forms of this question including What were you born M F Source 2010 2011 YSS 57 6 How long have you lived in Canada All of my life Less than 1 year to 2 years 3to5 years 6 or more years Rationale This question was added to the 2012 YHS due to interest from stakeholders specifically in Winnipeg urban areas with large immigration populations Source Adapted from multiple sources including the 2009 2010 Health Behaviour of School Aged Children New Brunswick Student Wellness Survey and the 2007 Adolescent Healt
67. ating Survey 2006 2007 SHAPES Youth Physical Activity Survey 2010 New Brunswick Student Wellness Survey and the 2010 2011 Youth Smoking Survey Validation Reference This question was found to have modest Wong Leatherdale amp Manske to high Bates 2006 reliability and acceptable Wong Leatherdale amp Manske to moderate high Bates 2006 validity Reliability increased with higher grades Bates 2006 However youth were found to over report physical activity Wong Leatherdale amp Manske 2006 Bates H 2006 Daily physical activity for children and youth Report written for Alberta Education Available http education alberta ca media 318711 dpa4youth pdf Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 67 30 What stops you from being more physically active Choose all that apply I believe I am active enough Ido not like being physically active The activities available do not interest me Ido not think physical activity is important It costs too much It s hard to find time to be physically active Ido not have a place to be active It s not safe to be active in my neighbourhood It s hard to get to activities My friends are not active My family is not active Medical reasons Other responsibilities e g
68. cal Psychology 67 1 99 110 62 17 During the past 12 months did you ever feel so sad or hopeless that you stopped doing some usual activities for awhile O Yes No Rationale This question appeared in the 2008 YHS and was kept at the request of schools and stakeholders It is intended as a pre indicator to depression and poor mental wellbeing Similar questions are asked by 2009 and 2010 Fairfax 2009 Youth Risk Behavior Survey 2009 IRHA YHS 2009 2010 Health Behaviours of School aged Children 2008 Healthy Youth Survey Source 2008 YHS adapted versions in the 2009 and 2010 Fairfax 2009 IRHA YHS 2011 YRBS 2009 2010 Health Behaviours of School aged Children 2008 Healthy Youth Survey Validation Reference This question in the 2009 Youth Risk Behavior Survey was found to have moderate reliability assuming that this question was unchanged between the 1999 YRBS and the 2009 YRBS could not locate the 1999 YRBS Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG 2002 Reliability of the 1999 Youth Risk Behavior Survey questionnaire Journal of Adolescent Health 31 336 342 SECTION 4 Sleep 18 On an average school night Sunday to Thursday how many hours of sleep do you get 4 or less hours 5 hours 6 hours 7 hours 8 hours 9 hours 10 or more hours Rationale Sleep is a new content area for the 2012 YHS and was added due to feedback from stakeholders and students Week n
69. cannot eat early in the morning D There is not always enough food in my home Graph Reported as text Collapsed categories None Example Percentage of students who do not have time for breakfast Numerator Students who answered B for Q_38 Denominator Students who answered B C or D for Q_38 Note Denominator in example excludes those who answered A for Q_38 ie those that do eat breakfast Q_39 For lunch on school days do you Choose all that apply Bring lunch from home Eat lunch at home Buy lunch at the school cafeteria canteen Eat at a fast food restaurant or store Don t eat lunch My school provides lunch 38 Graph Lunch Habits Collapsed categories None Example Percentage of students that bring lunch from home Numerator Students who answered A for Q_39 Denominator Total of students that answered any one of A B C D E or F for Q_39 How often do you eat dinner the evening meal with the people you live with Never Rarely Often Always Graph Reported as text Collapsed categories 1 C amp D Example Percentage of students who often or always eat dinner with the people they live with Numerator Students who answered C or D for Q_40 Denominator Total of students that answered Q_40 Tobacco Use Q_41 Have you ever tried smoking a cigarette even just a few puffs A Yes B No This question was not analyzed and not reported Q_42 Have you smoked 100 or more whole cigarettes in your en
70. ceived from the PROVIDER that CCMB may hold as of the date of termination In any event of termination the parties agree to cooperate to ensure that any projects papers or publications then in progress on the date of termination shall be allowed to proceed until completion Page 6 of 7 123 12 Sections of this Agreement containing obligations which by their nature are intended to survive termination of this Agreement and to which CCMB hereby agrees will survive the termination of this Agreement include without limitation Sections 4 6 a 6 b 6 c 6 d 6 i 10 11 and 14 together with the relevant definitions in the recitals or Section 1 13 The recitals to this Agreement are hereby incorporated herein by reference and form an integral part of this Agreement 14 This Agreement is governed by the laws in force in the Province of Manitoba and represents the entire agreement and understanding between the parties regarding the subject matter of this Agreement THIS AGREEMENT has been executed on behalf of the Regional Health Authority PROVIDER by its duly authorized representative and on behalf of CancerCare Manitoba CCMB by its duly authorized representative each on the dates noted below FOR Regional Health Authority Name Title Date FOR CancerCare Manitoba Name Donna Turner Title Date Page of 7 124 Appendix G Manitoba Youth Health Survey Data Access Request Form Youth Hea
71. ch It s hard to find time to be physically active do not have a place to be active It s not safe to be active in my neighbourhood It s hard to get to activities My friends are not active My family is not active Medical reasons Other responsibilities e g work family etc lt _FrArTTrtannmonowp Graph Results are presented as text Collapsed categories None The percentages for each response were ranked and the four highest rankings reported Example Percentage of students who do not like being physically active Numerator Students who answered B for Q_30 Denominator Total of students who answered Q_30 Q_31 Mark how many minutes of moderate physical activity you did for each day last week Include activities that lasted for at least 15minutes at one time during physical education class lunch recess after school evenings and spare time Student responses to Q_31 were used to calculate physical activity level Student Physical Activity Level Derived variable using Q_29 amp Q_ 31 Physical activity is measured in average daily Metabolic Equivalents METs which is an indicator of the average intensity of a student s daily physical activity Moderate intensity physical activity eg walking biking and recreational swimming burns 3 to 6 METs Vigorous intensity physical activity eg jogging team sports fast dancing jump rope burns more than 6 METs Average Daily METs of Vigorous hours x 6MET
72. cher The school contact collected the completed surveys envelope and survey front pages envelope from each classroom teacher and returned them to the RHA contact Survey Scanning Process The scanning of the surveys was a collaborative effort between the Interlake Eastern Prairie Mountain and Northern RHAs and CancerCare Manitoba Scanning took place in six locations across Manitoba Winnipeg Flin Flon Eriksdale Shoal Lake Brandon and Roblin The RHA contact bundled surveys by grade by school and by school division and then sent them to one of the scanning locations Staff were hired and trained to complete the scanning of all surveys At the scanning site scanners recorded surveys received by grade by school and by school division and reviewed completed surveys for any handwritten notes that implied abuse harming oneself or harming others etc Surveys with handwritten notes had the page with the notes photocopied and faxed to RHA contact for follow up within the region Surveys were then scanned into a database by grade and by school according to the established scanning protocol See section on Data Edits Kofax Ascent Capture V10 was used to capture the scanned survey responses All original surveys were returned to the RHAs for storage Each RHA will retain their completed surveys for a period of 7 years Scanning staff then transmitted raw school division survey data stored in a Microsoft Access Database to CCMB for data analys
73. chools and school divisions in their regions 147 schools completed the YHS Admin survey Report Interpretation Guide The following section is focused on the specific analysis of the YHS data It is intended to assist end users in further understanding the data in their reports Results were either presented as percentages of the total student responses for each question or as a derived variable A derived variable is one that uses multiple survey questions in order to calculate another variable For example BMI is derived using information from the height and weight questions in the survey Weighting and Comparison of Data The YHS data is not weighted and therefore comparing school school division regional or other combinations of YHS survey reports is not appropriate The YHS data is only intended for internal use at the local level and not for the ranking or comparison of communities school divisions and regions It is also not appropriate to directly compare school school division or regional reports to previous YHS reports because some questions have changed between implementations and different grade levels were involved in each cycle of the survey Suppression Rules Suppression rules were drafted to protect the privacy of students in cases where only a small number of students answered any response category to a pre determined set of sensitive questions Results were suppressed when lt 6 students or lt 6 of students answered in
74. condoms all the time Price can t afford it use another form of protection don t know how to use condoms It is against my beliefs was under the influence of drugs or alcohol would be too embarrassed to get condoms 52 want a baby trust my partner s My partner s won t wear a condom My partner s and are both females don t like how condoms feel only have oral sex Top three most common reasons reported as text Collapsed categories None Example Percentage of students who do not use condoms all of the time because of price Numerator Students who answered C for Q_71 Denominator Total of students who answered B C D E F G H J K L M and or N to Q 71 Denominator excludes those who have not had sex A for Q_71 Q_72 How often do you feel comfortable talking to the person s you are having sex with about using condoms or birth control A Ihave not had sex Never Rarely Often Always Graph Reported as text Collapsed categories 1 B amp C Example Percentage of students who Never Rarely feel comfortable talking to the persons they are having sex with about using condoms or birth control Numerator Students who answered B or C for Q_72 Denominator Total of students who answered B C D or E for Q _ 72 Denominator excludes those who have not had sex A for Q_72 How often do you feel comfortable talking to the person s you are having sex with about STI s have n
75. d Fair Enter as Very Good O Poor 2 Ifa student only fills outa part of the survey or only a few questions the survey still counts and all the questions left blank are entered as no data 3 No data does not equal 0 These are not interchangeable no data should only be used when the question is left blank or two or more answers were selected Exceptions Q 7 8 29 31 35 amp 36 have specific rules See Question Specific Rules for more detailed information 4 There are a number of questions on the survey that instruct the student to Choose all that apply For these questions the scanner will allow the student to fill in as many possible answer choices as they would like ie more than one bubble may be coloured in As a result you will be prompted to validate each of the answer choices If a choice is shaded you will enter the answer choice if it is left blank you will enter no data If none of the possible bubbles are shaded in every answer choice will be entered as no data 5 Please keep a blank survey on hand with the random ID blacked out If you come across a Survey that is missing a page just scan the appropriate page from your blank copy in the correct order All of the answers for the substitute page will be no data Since the scanner is programmed to recognize a 10 page survey there can be no missing pages or it will throw the whole batch off 109 Part C Dealing
76. d may be conceived as a life of emptiness and stagnation constituting of quiet despair that parallels accounts of individuals who describe themselves and life as a shell and a void hollow empty 3 Moderate are neither flourishing nor languishing Overall Graph Results presented in the text Collapsed categories None Example Percentage of students who have flourishing mental health Numerator Students who have flourishing mental health Denominator Total of students placed into one of the three mental health categories flourishing languishing or moderate By Gender Graph Metal Health Continuum by Gender Collapsed categories None Example Percentage of male students with flourishing mental health Numerator Number of students with flourishing mental health who also answered A male for Q_5 Denominator Number of students categorized flourishing moderate and languishing and answered A male for Q_5 26 Q_17 During the past 12 months did you ever feel so sad or hopeless that you stopped doing some usual activities for a while A Yes B No Graph Feelings of Hopelessness Collapsed categories None Example The percentage of students who felt sad or hopeless in the past 12 months Numerator Students who answered A for Q_17 Denominator Total of students who answered Q_17 Q_18 On an average school night Sunday to Thursday how many hours of sleep do you get 4 or less hours 5 hours 6
77. dents Like this JE Not like this 107 Appendix E Rules for Scanning and Validating the Youth Health Survey D CD artners R Panning tor Healttry Lg ules for scanning and validating Youth Health Surveys Part A Labeling and Transferring Data to CancerCare Manitoba CCMB 1 Survey data should only be sent once a school division has been scanned completely You may send data in larger batches eg two school divisions together or by RHA but it should never be sent in smaller batches eg only one school at a time or incomplete school divisions 2 There are two ways you can send the data to CCMB a Electronic file by email if your system allows it you can send the Access databases by email If so the data must be in a zipped password protected folder The password must be sent verbally by phone or in a separate email Note we would prefer all passwords to come via phone All databases should be sent to Tannis Erickson at tannis erickson cancercare mb ca with a CC to Lin Xue lin xue cancercare mb ca Passwords can be phoned in to Tannis Erickson at 204 235 3326 or Lin Xue at 204 787 8793 Please do not leave passwords in a voicemail message b By CD you can also send hard copies of the Access databases on a CD by mail or courier If so the CD must be password protected You may send CD s by regular mail or courier but the RHA is responsible for all delivery expenses The CD password must be sent verb
78. e same column anywhere within a feet inches or a centimeters response the answer is invalid and should be entered as no data Height in Height in Feet Inches Centimetres 000 O O 00 Enter no data for all columns The response in OQO the database wouid appear as no data no data O O00 for feet and inches and no data no data no data O10 for centimeters OO 0o OO OO amp O 113 Q29 amp Q31 If there is no response for both Hours and Minutes for a particular day of the week then the values should be entered as no data This way we know the student chose not to answer the question as opposed to not doing any exercise that day Hours Minutes Monday D amp G O 6 5 Hours would be 2 and minutes would be 15 Student did 2hours and 15 minutes of exercise on Monday The response in the database would appear as 2 15 Hours Minutes Monday D O 69 Hours would be no data and minutes would be 15 Student did 15 minutes of exercise on Monday The response in the database would appear as nodata i5 Hours Minutes Monday D Q 9 69 Hours would be O and minutes would be 0 Student did not exercise on Monday The response in the database would appear as 0 00 Hours Minutes Monday D 6 69 6 Hours would be no data and minutes would be no data
79. ealthy Eating Survey 2006 2007 SHAPES Youth Physical Activity Survey and the 2010 New Brunswick Student Wellness Survey Validation Reference This question was found to have modest Wong Leatherdale amp Manske to high Bates 2006 reliability and acceptable Wong Leatherdale amp Manske to moderate high Bates 2006 validity Reliability increased with higher grades Bates 2006 However youth were found to over report physical activity Wong Leatherdale amp Manske 2006 Bates H 2006 Daily physical activity for children and youth Report written for Alberta Education Available http education alberta ca media 318711 dpa4youth pdf Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 32 What helps you be physically active or choose to be physically active Choose all that apply I am not physically active Family support Friend support School programs Community programs Sport Manitoba funding Desire to be fit and healthy Desire to look a certain way OQO000000 Rationale Identified by experts as useful Source Adapted from the 2009 IRHA YHS with response options added by experts SECTION 6 Sun Exposure 33 When you are outside for more than 30 minutes on a sunny day how often do you seek shade cover up or wear sunscreen with an
80. ect the 2012 YHS with future YHS datasets This will only be done in a secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics School divisions will receive reports at the school division and school levels The survey is also available in French insert regional contact information Date that survey will take insert date here 101 C4 Parent briefing note Your child s school has agreed to participate in the Manitoba Youth Health Survey YHS The survey asks students about various health behaviours in order to provide schools and RHAs with local level information for program planning and development What is the Youth e The Manitoba Youth Health Survey YHS was first implemented province wide in 2008 Health Survey YHS The purpose of the YHS is to provide a snapshot of youth health Who will participate When will the YHS take place Partners About the Survey enclosed samples Contact Person Permission e The information gathered from the survey is valuable for health planning and programming within your own school and community e Manitoba Education is also using the YHS information on physical activity levels as part of an ongoing evaluation of its mandatory Grade 11 amp 12 physical education health education curriculum All youth in grades 7 12 Partners in Planning for Healthy Living http partners healthinco
81. eer a glass of wine a shot of liquor or a cooler Ihave never drank alcohol Ihave drank alcohol but not in the past month 1 or 2 days 3 to 5 days 6to 9 days 10 or more days Source Adapted from IRHA 2009 YHS 2008 Healthy Youth Survey 2007 Adolescent Health Survey 2008 YHS and 2009 Youth Risk Behavior Survey The time frame was modified from past 30 days to past month maintain consistency with the time frame used throughout this survey The definition of one drink of alcohol was added from the IRHA 2009 YHS Answer options most closely resembled those in the 2008 Healthy Youth Survey although O days was further broken down into I have never drank alcohol and I have drank alcohol but not in the past month and 10 or more days was made as the upper limit Reference This question was found to have substantial reliability assuming that this question was unchanged between the 1999 YRBS and the 2009 YRBS could not locate the 1999 YRBS Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG 2002 Reliability of the 1999 Youth Risk Behavior Survey questionnaire Journal of Adolescent Health 31 336 342 76 55 During the past month 30 days on how many days did you have five 5 or more drinks of alcohol within a couple of hours One drink of alcohol is defined as a bottle of beer a glass of wine a shot of liquor or a cooler Ihave never drank alcohol Ihave dr
82. eneration as all analysis was done by school not community Intended for use in YHS secondary analysis Q_3 What grade are you in 19 F 12 Graph Grade Level of Students Collapsed categories None The following calculation was repeated for those who answered B C D E or FforQ_ 3 Example Percentage of students in grade 7 Numerator Students who answered A Denominator Total of students who answered Q 3 Q_4 How old are you today 11 or younger 12 13 14 15 16 17 18 19 or older ZXTO OOBVDY Graph Student Age Collapsed categories 1 A amp B 2 H amp l Example Percentage of students age 12 or younger Numerator Students who answered A or B for Q_4 Denominator Total of students who answered Q 4 Q_5 Are you A Male B Female Graph Reported as text Collapsed categories None Example Percentage of students of students who are male Numerator Students who answered A for Q_5 Denominator Total of students who answered Q_5 Q_6 How long have you lived in Canada A All of my life B Less than 1 year C 1to2 years 20 D D 3 to5 years E 6ormore years Graph Number of Year Lived in Canada Collapsed categories 1 A C amp D Example Percentage of students who have lived in Canada all of their lives Numerator Students who answered A for Q_6 Denominator Total of students who answered Q_6 Q_7 Without my shoes on believe my weight is Weight was cons
83. ers provided by students will be protected and confidential Participation by students is voluntary Parents will receive a letter informing them of the survey and the process that allows them to opt out their child from participation if they chose Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to connect the 2012 YHS with future YHS datasets This will only be done in a secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics Schools amp school divisions will receive feedback reports containing the results for their youth Superintendents and school principals have received a letter jointly signed by Hon Kevin Chief Hon Nancy Allan and Hon Jim Rondeau encouraging participation in this survey Contact Information insert regional contact information 100 C3 Teacher briefing note UN FT ta Collectior Your school has agreed to participate in the Manitoba Youth Health Survey YHS The survey asks students about various health behaviours in order to provide schools and RHAs with local level information for program planning and development What is the Youth Health Survey YHS Who will participate When will the YHS take place Partners About the Survey enclosed samples Contact Person place in yo
84. ert panel included Paul Paquin Grant McManes and Jon McGavock 79 Currently how many times in a school week do you receive PE HE I don t have PE HE this semester 1 class per week 2 classes per week 3 classes per week 4 classes per week 5 classes per week Source This question was created based on expert feedback expert panel included Paul Paquin Grant McManes and Jon McGavock 30 Have you ever met with your PE HE teacher to discuss your out of class physical activity O Yes O No I don t know Does not apply Source This question was created based on expert feedback expert panel included Paul Paquin Grant McManes and Jon McGavock 1 During a typical active PE HE class how much time do you spend being physically active None of the time Less than half of the time Half of the time More than half of the time All of the time I don t know 84 Source This question was created based on expert feedback expert panel included Paul Paquin Grant McManes and Jon McGavock 82 How hard vigorous do you find a typical active PE HE class Light easy you can do the activity and talk at the same time Moderate Hard vigorous causes you to sweat and be out of breath Source This question was created based on expert feedback expert panel included Paul Paquin Grant McManes and Jon McGavock 85 Appendix B YHS Questionnaire Version B Y
85. escribe the prevalence of a health risk behaviour e Monitor trends in health risk behaviours over time e Evaluate and improve health promotion activities The intent is that end users utilize the YHS data for e Community health planning health promotion and programming at the school school division and RHA levels e Policy development that promotes healthy living and healthy school environments e Policy program evaluation at the school community regional and provincial levels e Policy evaluation for example Provincial policy to implement Grade 11 and 12 Active Healthy Lifestyles Physical Health Education curriculum YHS Questionnaire Development Rationale for YHS Topic Areas The topic areas of the YHS include e Student Demographics e Mental Health and Well being e Work and Volunteering e Sleep e Sun UV Exposure e Tobacco Use e Injury Preventiont and Safety e Physical Activity and Sedentary Behavior e Healthy Eating e Alcohol and Drug Use and e Healthy Sexuality Many of these topics areas are aligned with the behaviours that have been found to contribute to the leading causes of morbidity and mortality among youth and adults including 1 Behaviors that contribute to unintentional injuries and violence 2 Sexual behaviors that contribute to HIV infection other STDs and unintended pregnancy Expanded health topic for YHS 2012 2013 New health topic for YHS 2012 2013 3 Tobacco use 4 Alcohol and other drug use
86. essional health care facility public body or health services agency that collects or maintains Personal Health Information Page 3 of 7 120 The PROVIDER and CCMB are each a Trustee of Personal Health Information and subject to the provisions of PHIA in that capacity and each is a Public Body and subject to the provisions of FIPPA in that capacity The PROVIDER shall provide anonymized Data to CCMB in the form of the Youth Health Survey The PROVIDER shall assume any costs it has incurred or will incur in compiling and providing the Data to CCMB The PROVIDER consents to CCMB including the anonymized Data from the Health Region in CCMB s summary of the Province wide findings from the Survey The PROVIDER further consents to CCMB including the anonymized Data from the Health Region in a Provincial summary of the findings provided to the other regional health authorities and available on the PPHL website provided that any receiving regional health authority has 1 also consented to allow the data from the Survey in their regional health authority to form a part of the Provincial Summary and 2 also consented to allow the data from the Survey in their regional health authority to form a part of the Provincial Summary provided to the PROVIDER By accepting the Data CCMB recognizes acknowledges and agrees that a CCMB will comply with all the obligations of a Trustee as prescribed within PHIA and all obligations
87. from the previous YHS report and what information they would like to see within their area of focus Based on this information questions were pulled from the dictionary of questions related to their topic area and brought to the second Expert Group meeting Each expert group then reviewed chose and amended the questions to best gather the information they felt was important A preliminary draft of the YHS tool was reviewed by a group of young people that volunteer with a Teen Talk program and also by several educators The YHS questionnaire that was developed through the Expert Working Group process was then referred to the Youth Health Survey Tools and Methods Working Group The Tools and Methods group used this feedback to develop a new YHS tool that attempted to meet the needs of stakeholders while keeping certain elements of the original YHS in place for continuity and to ensure data can be used to track selected health behaviours over time See Appendix A for the YHS Questions Sources Survey Characteristics Survey Population The YHS is conducted every four years and is currently in its second cycle This on going survey includes a census of Manitoba students Individual schools retain the ability to opt out of the survey therefore not all schools are represented in the survey Schools are identified through the Manitoba Schools Book which is updated every school year In addition every attempt is made to identify and engage
88. g playing fields paved activity area O O O baseball diamond d Equipment e g balls skipping ropes basketballs Oo O O 15 Outside of school hours before and or after school evenings and weekends does your schol permit regular student access to the following Yes No Idon t a Gymnasium b Indoor facilities e g fitness room dance studio yoga O room c Outdoor facilities e g playing fields paved areas O baseball diamond Equipment e g balls skipping ropes basketballs O 16 Does your school promote active transportation to and from school in any O O know O O Not Applicable O O of the following ways Check all that apply Active transportation means that students are physically active during their commute e g walking cycling or skateboarding a Identify safe routes to use for walking and cycling to and from school e g with signs in newsletters etc b Provide crossing guards at intersections to encourage safe walk to school routes c Designate a car free zone to provide safe walking areas around the school d Allow students to bring bicycles on school property e Allow students to bring small wheel vehicles e g rollerblades scooters skateboards on school property f Encourage the use of helmets and safety gear for those who use bicycles and small wheel vehicles to get to school g Organize a walking cycling to school program e g
89. g to get high painkillers Ritalin Oxycontin Xanax etc O O O O Source This question was created based on stakeholder and expert feedback and frequency options were based on the analysis of the 2008 YHS 57 In the past year 12 months how many times have you 0 1 2 3 9 10 or times times times more times Used marijuana hashish Used cocaine or crack Used methamphetamines speed crystal meth crank or ice Used ecstasy Used LSD or other hallucinogens shrooms acid etc Taken a prescription or over the counter drug to get high painkillers Ritalin Oxycontin Xanax etc Ao oo Oo O Coo00o O BOR Om O 00000 O 00000 Source This question was created based on stakeholder and expert feedback and frequency options were based on the analysis of the 2008 YHS 77 SECTION 12 Safety 58 During the past month 30 days how many times did you drive a car or other vehicle after you had been drinking alcohol I have never done this I have done this but not in the past month 1 time 2 or 3 times 4 or more times Source Adapted from 2007 Adolescent Health Survey 2008 Global School based Student Health Survey 2008 Healthy Youth Survey and 2009 Youth Risk Behavior Survey Instead of During the past 30 days the time frame was changed to During the past month to be consistent with the time frame throughout this survey Also in the wording of the question when w
90. h Survey 7 Without my shoes on I believe my weight IS Example 127 lbs Weight Weight in Weight in Pounds Pounds Kilograms 00 OOO OO OR 010 Rationale This format was used in the IRHA 2009 YHS and was found to be more accurate than the fill in the blank version used in the 2008 YHS For the 2012 YHS an extra column was added for youth who report being 500 pounds or more Scanning rules were determined for weight upper and lower limits Valid weight in pounds ranges from 58 to 500 Ibs and valid weight in kilograms ranges from 27 to 227 kgs These limits were in part from analyst estimates based on the 99 percentile and median weights from 2006 08 YHS data and from CDC s 3 and 97 percentile for boys and girls aged 11 to 18 available http www cdc gov growthcharts clinical charts htm Summary Source 2009 IRHA YHS New Brunswick 2006 2007 Physical Activity Survey New Brunswick 2006 2007 Youth Healthy Eating Survey SHAPES 2006 2007 Youth Physical Activity Survey New Brunswick 2010 Student Wellness Survey 2010 2011 YSS Validation Reference This question was found to be reliable and valid Self reported and measured body mass index were found to be significantly correlated however youth were found to underreport height and weight by an average of 1 2 centimetres and 0 3 kilograms respectively Wong S Leatherdale S amp Manske S 2006 Reliability and validity of a school based physical activity ques
91. had been using illegal drugs Numerator Students who answered B C D or E for Q_59 Denominator Total of students who answered Q_59 Example Percentage of students who have rode in car or other vehicle one or more times in the past month driven by someone who had been using illegal drugs Numerator Students who answered C D or E for Q_59 Denominator Total of students who answered Q_59 Q_ 62 How many times in the past year 12 months has anyone done any of the following TO YOU Q 62a Physically threatened or injured you Q_62b Threatened or injured you with a weapon such as a gun knife or club Q_ 62c Bullied taunted or ridiculed you Q_62d Said something bad about your race or culture Q_ 62e Said something bad about your sexual orientation or gender identity Q_62f Said something bad about your body shape size or appearance Q_62g Asked for personal information over the internet e g address phone or last name Q_ 62h Made you feel unsafe when you were in contact with them over Q_62i The internet Q_62j Bullied or picked on you through the internet e g posted something on Facebook or emailed you Response options A Never 1 5 times B C 6or more times D Every day Graph Responses presented in a table Collapsed categories 1 B C amp D Example Percentage of students who were physical threatened or injured 1 or more times in the past year Numerator Students who answered B C or D for Q_62a Denominat
92. hours 7 hours 8 hours 9 hours 10 or more hours Graph Amount of Sleep on an Average School Night and Weekend Night Collapsed categories 1 A amp B 2 C D amp E 3 F amp G Example Percentage of students who get 5hrs or less of sleep on a n average school night Numerator Students who answered A or B forQ_ 18 Denominator Total of students who answered Q_18 Q_19 On an average weekend night Friday or Saturday how many hours of sleep do you get A 4orless hours 5 hours 6 hours 7 hours 8 hours 9 hours 10 or more hours Graph Amount of Sleep on an Average School Night and Weekend Night Collapsed categories 1 A amp B 2 C D amp E 3 F amp G 27 Example Percentage of students who get 5hrs or less of sleep on an average weekend night Numerator Students who answered A or B for Q_19 Denominator Total of students who answered Q_19 How often do you have trouble going to sleep or staying asleep Never Rarely Often Always Graph Results are presented as text Collapsed categories 1 C amp D Example Percentage of students who often always have trouble going to sleep or staying asleep Numerator Students who answered C or D for Q_20 Denominator Total of students who answered Q_20 How often do you find it difficult to stay awake during class or at school Never Rarely Often Always Graph Results are presented as text Collapsed categories 1 C amp D Example Percentage of students who
93. hy Child Manitoba database to identify all students that had completed the survey The clean database with only student information from those that had completed the survey i e had consented to their identification was then sent to Manitoba Health Manitoba Health scrambled the student PHINs and sent the database back to Healthy Child Manitoba This process created two separate databases housed at two distinct organizations The survey numbers and survey responses are housed on a secure server at CCMB and student information including scrambled PHINs and survey numbers is on a secure server at Healthy Child Manitoba Therefore no single organization has all the data elements to link a student s survey responses to the student allowing for increased confidentiality of the information collected during the YHS In order to link data for analysis or research projects it must be done in a secure environment in addition to seeking approval from relevant authorities e g Data Access and Review Panel DARP Health Information Privacy Committee HIPC Research Ethic Boards when applicable PPHL s Data Access and Review Panel DARP has developed a detailed process and protocol to access and link data see Figure 1 10 Name PHIN MHSC Gender Postal code DOB Survey MH List School MH Lists List School division Postal code School MET Scrambled ferambled Classperiod Gender Surveys List PHIN Teacher DOB burvey
94. idered valid between 58 500lbs 26 227kg If student filled in both Ibs and kgs priority was given to kgs Q_7 was converted to kilograms and used as a variable to calculate BMI Q_8 Without my shoes on think am this tall Height was considered valid if it was between 3ft 7ft 5 91cm 229cm If a student filled in both ft inches and cm priority was given to ft inches Q 8 was converted to metres and used as a variable to calculate BMI Derived Variable Body Mass Index BMI 2 2 BMI kg m Q_8 Q_7 In order to be assigned to a BMI category students needed to have a valid response to all of the following questions 1 Q_ 5 Gender 2 Q 4 Age 3 Q_ 7 Weight 4 Q 8 Height The 2000 Centre for Disease Control and Prevention BMI for age growth charts for boys and girls were used to classifying students as Kuczmarski et al 2000 Underweight Less than the 5th percentile Healthy weight 5th percentile to less than the 85th percentile Overweight 85th to less than the 95th percentile Obese Equal to or greater than the 95th percentile Overall BMI of Students Graph Results presented as text 21 Collapsed categories 1 Overweight amp Obese Example Percentage of students who are overweight obese Numerator Number of overweight obese students Denominator Total of students with a valid response to each of Q s 4 5 7 amp 8 BMI by Gender Graph Body Mass Index Collapsed categories 1
95. ights were separated from weekend nights based on research suggesting that youth differ in sleep patterns for these two time periods Source 2009 amp 2010 Fairfax County Youth Surveys 2008 Global School based Student Health Survey 19 On an average weekend night Friday or Saturday how many hours of sleep do you get 4 or less hours 5 hours 6 hours 7 hours amp hours 9 hours 10 or more hours O QO O O O O O Rationale This question was created by stakeholders to capture the difference between youth s weekday sleep behaviours and weekend sleep behaviours Source 63 20 How often do you have trouble going to sleep or staying asleep Never Rarely Often Always Rationale This question is meant to assess sleep quality Source This question appeared in the 2007 Canadian Health Measures Survey the 2004 National Population Health Survey and the 1999 Canadian Community Health Survey Response options were reduced to maintain consistency across the survey 21 How often do you find it difficult to stay awake during class or at school Never Rarely Often Always Rationale This question is meant to assess sleep quality Source This question was adapted from the 2007 Canadian Health Measures Survey the 2004 National Population Health Survey and the 1999 Canadian Community Health Survey Response options were reduced to maintain consistency across the survey S
96. il this page along with the name of the school involved to the RHA contact on the YHS Implementation Team Examples of comments that need to be addressed include anything to do with abuse harming oneself or harming others etc Part D Question Specific Rules Q1 The RHA school division and school names are entered during the batch creation You will enter these only once at the beginning of each batch no validation is required on individual surveys Note Although RHA and School Division are not asked on the survey a field will appear for you to fill them in at the beginning of each batch Please use the pre assigned RHA Division and School codes included on your Master School List Q2 The home community will have to be verified re typed for each individual survey Students may use a variety of spellings and short names for communities The scanner should choose the full name of the community and enter it consistently whenever possible Example The community of Point Douglas in Winnipeg may be entered as Pt Doug PD Point Doug Pt Douglas Point Doug Winnipeg etc The scanner should fill in Point Douglas in all cases where there is an obvious nickname spelling error However if the nickname is different enough that you are unsure eg most students say Point Douglas but one student says North Main Street you cannot assume that they mean Point Douglas In any case where you are unsure enter the community name exactly as it is wri
97. inning of the report Quick Facts Survey questions were presented alongside tables and graphs relating to each In some cases results were presented by grade and gender Where possible data from national or provincial surveys were presented as benchmarks for health behaviours Following the results for each health topic area was an Ideas for Action section that included evidence based promising practices and links to resources Each regional contact received the reports and added their RHA logo and contact information before distributing the school and school division reports In some cases regions and school divisions were requested to group smaller schools together to avoid having to supress data in the reports i e middle schools with feeder high schools nearby communities together etc See Suppression Rules Section Data Sharing Agreements CCMB has created a data repository for the YHS data This data repository on Manitoba youth will contain aggregated data that can be available to communities regions and other partners to monitor changes and impacts on health status 16 To facilitate the creation of the data repository and subsequent data sharing CCMB and each RHA have reached an agreement called the Youth Health Survey Data Sharing Agreement refer to Appendix F Youth Health Survey Data Sharing Agreement These Data Sharing Agreements outline the terms and conditions of the data transfer from the RHAs
98. ion of strongly agree agree or strongly disagree disagree This is noted throughout the analysis guide The numerator represents the number of students who answered a particular response category for a question The denominator is the total number of students who answered that question For example if 100 students answered the question about what grade they were in and 20 of them indicated that they were in Grade 7 then the report would show that 20 of students were in Grade 7 Only valid responses were counted in the denominator i e students with missing responses or who had their answers deemed as invalid were excluded The results were presented in the tables graphs and text throughout the YHS reports The following pages include the calculations used for each question in the survey with the exception of the Physical and Health Education Curriculum questions These questions were not included in the school or school division reports as they were only intended for use in the evaluation of the Grade 11 and 12 Active Healthy Lifestyles Physical Health Education Curriculum Note Question numbers follow that of survey version B i e with sexual health and are presented in the order that they appeared in the actual survey as opposed to the order they appeared in the feedback reports Analysis Guide About You Q_1 The name of my school is Q_1 was used to group schools Q_2 The name of my home community is Not used in report g
99. ions were made in SAS as the databases were being imported Programmers also used SAS to check responses for range and biological plausibility Data deemed invalid were set to missing Specific Body Mass Index BMI Edits BMI was calculated using Height and Weight in the following formula 2 2 BMI kg m Weight in kg Height in m If Height or Weight were missing BMI was set to no data BMI scores were then categorized into Underweight Healthy Weight Overweight or Obese This variable was calculated using a table of cut offs for each of these four categories by age and sex This table was based on the World Health Organization WHO guidelines Additionally if age or sex was missing BMI was set to no data because the BMI percentiles for youth are based on age and sex Further edits were applied to height and weight to ensure that the results were biologically plausible Height and weight were set to missing when an observation was outside the following plausible limits e Height 3ft 7ft 5 91cm 229cm e Weight 58 500Ilbs 26 227kg 15 Suspicious Surveys Scanners monitored for survey fatigue and suspicious surveys by looking for surveys that were not completed or filled out with genuine responses The survey numbers for these surveys were recorded in a log Surveys were not scanned if they were returned with a large amount of scribbling or other markings indicating that it was not genuinely filled out
100. ipation in this study you should be aware that taking part in the survey may expose your son or daughter to information on topics which are new e You can see a copy of the survey questions in the school s main office Permission You and your child are the only ones who will decide whether your child will be part of the Youth Health Survey There are no known risks for students to take part in this study If your child is 18 or older they have the legal right to decide about the survey on their own If you or your child has any concerns about the survey please contact lt insert RHA contact amp number gt or lt insert school contact amp If you do NOT want your child to complete the Youth Health Survey or if you have any questions about the survey please contact lt insert school contact amp number gt or RFA contact eimai If you leave a phone message please include e your child or children s name s e your child or children s grade s e the name of their school and e the name of their homeroom classroom teacher Thank you for taking the time to read this information Sincerely School contact RHA contact 103 C6 Parent active consent notification letter Insert School Logo Dear Parent s Guardian s RE Manitoba Youth Health Survey Your child s school lt insert school here gt will participate in the Manitoba Youth Health Survey Insert RHA YHS during the fall winter 2012 Logo The YHS
101. is interpretation and report production The databases were sent either electronically in a zipped password protected folder or on a password protected CD with passwords shared via the phone The data is stored on a securer server at CCMB that requires clearance to access 14 Data Edits CancerCare Manitoba developed a scanning guide to ensure consistency and integrity of all scanned YHS surveys see Appendix E for Rules for scanning and validating Youth Health Surveys The purpose of this document was to provide general rules for scanning to ensure consistency between the various scanning locations Included were rules describing how to handle multiple answers per question blank questions and corrected responses as well as tips for recognizing suspicious survey responses Hands on training was provided for scanning staff in the CCMB s computer lab CCMB staff were also available to answer questions as they arose during the scanning process When YHS databases were received at CCMB a review was conducted to ensure that key fields were entered correctly Following is a list of verifications that were made 1 RHA school division and school names were correct and consistent throughout the database 2 Survey ID numbers were within acceptable ranges and included the correct number of digits RHA s were asked to correct any errors that were detected by updating the fields and resubmitting the database Where appropriate the correct
102. ke Foundation of Manitoba Canadian Cancer Society Addictions Foundation of Manitoba and the Alliance for the Prevention of Chronic Disease 3 The Manitoba s Youth Health Survey the Survey was created to be a province wide survey designed to provide a clear evidence based picture of the health of Manitoba youth asking questions of youth about their physical activity levels nutrition sexuality mental health overall wellbeing personal safety and tobacco alcohol and illegal drug use The Survey results serve as guides for planning and evaluation of policies and programs locally and across the Province to improve the health of Manitoba youth 4 The regional health authorities take the lead in implementing the Survey and collecting the Survey s data Each regional health authority works with the individual Page 1 of 7 118 school divisions within their region to encourage the school divisions to participate in the Survey If a school division agrees to participate in the Survey then the youth of that school division will be asked to participate in the Survey The regional health authorities of Manitoba Manitoba s school divisions and PPHL work together to implement the Survey The Survey is completed by youth in grades 7 to 12 at school during school hours and supervised by a teacher or other staff member Asa partner in PPHL CCMB collects the Surveys data from each regional health authority CCMB studies and
103. l health questions The versions were marked on the surveys with the corresponding letter A or B before the survey number In addition Survey B including sexual health questions was translated into French The French surveys were made available to French Immersion and Francophone schools Student Codes The YHS is a rich source of information about the health behaviours of our youth By linking the survey to individual students students can be tracked over the long term to monitor changes in health behaviours as well as study health outcomes in later life In addition it will allow the connection of the YHS dataset to other Manitoba datasets such as provincial Early Child Development data or to connect the 2012 YHS dataset with future YHS datasets The authorization and protection of the student health information collected is guided by The Healthy Child Manitoba Act The Freedom of Information and Protection of Privacy Act FIPPA and The Personal Health Information Act PHIA To ensure compliance with the legislation and the confidentiality and privacy of student information a group of legal and privacy experts were consulted Together they created the student code process outlined below that maintains the security and confidentiality of the information collected from students If the school division chose to participate in the student code process they followed a series of instructions developed by Healthy Child Manitoba to securely u
104. l intercourse when they didn t want to but usually use words forced or pressured 69 If you have had sex which method s did you and your partner use to prevent sexually transmitted infections STI s and or pregnancy Choose all that apply I have not had sex No method was used to prevent pregnancy and or STT s Withdrawal pulling out before ejaculation Birth control pills injection patch or ring O Condoms male or female Morning after pill Sex dam Other method Source This question was created based on expert feedback 70 In general when you have sex how often do you use condoms Ihave not had sex Never Rarely Often Always Source This question was created based on expert feedback but is adapted from the 2008 Global School based Student Health Survey 81 71 Which of the following are the major reasons you do not use condoms all the time Choose all that apply Ihave not had sex I DO use condoms all the time Price I can t afford it Iuse another form of protection I don t know how to use condoms It is against my beliefs I was under the influence of drugs or alcohol I would be too embarrassed to get condoms I want a baby I trust my partner s My partner s won t wear a condom My partner s and I are both females I don t like how condoms feel Lonly have oral sex Source Adapted from 2004 Youth Behaviou
105. ll be kept strictly confidential and respondents will not be identified individually Results will be rolled up into a provincial report and no comparisons will be made between schools school divisions or regions If you have any questions or comments regarding this survey please feel free to contact Paul Paquin Curriculum Consultant Physical and Health EducationManitoba Education204 945 3529 or Paul Paquin gov mb ca Katherine Fradette Health Outcomes AnalystCancerCare Manitoba204 235 3432 or katherine fradette cancercare mb ca Thank you for responding Section 1 Your School 1 The name of your school is 131 2 What is your position in the school Please choose one O Principal O Vice principal O Student Services Staff Member e g resource teacher counsellor clinician O PE HE Teacher 3 The population of students in your school Which of the following grades are in your school Check all that apply 7 4 O oO 8 o 9 O 10 H 11 oO 12 Section 2 Health Policies and Practices 5 Does your school have a process in place to plan for a healthy school i e healthy living practices services and behaviours in the school O Yes O No Idon t know 6 Is school health i e healthy living practices services and behaviours in the school included in your school s strategic business action plan i e school plan O Yes O No I don t know 132 7 Which of the following areas are add
106. lth Survey artners in Planning for Healthy Living Data Access Request Form AGGREGATE DATA Please submit this request form and any attachments electronically to contact healthincommon ca If certain attachments are only available in hard copy please advise us by email and forward those attachments by mail to YHS Partners in Planning for Healthy Living c o Bohdana Kinasevych Health in Common 200 141 Bannatyne Ave Winnipeg Manitoba R3B 0R3 Phone 204 946 1888 1 800 731 1792 Instructions e This form is to be completed when requesting aggregated and anonymized Youth Health Survey data held by CancerCare Manitoba on behalf of the Manitoba Regional Health Authorities e Filling out the form in Adobe Reader Use the cursor to advance to the next input field with the document text being protected from inadvertent changes Checkboxes may be checked by clicking with a mouse Once completed save the document and submit electronically together with any required attachments to the email address above A copy may be printed for your records e If you have questions or require further information regarding data content please contact the above individual The Manitoba Youth Health survey database The Manitoba Youth Health Survey YHS database holds data from the 2009 and 2012 cycles of the YHS For 2009 it includes data from students in grades 9 to 12 in all 11 Manitoba Regional Health Authorities RHA plus grades 6 to
107. luded a supply of blank surveys for students who are not on the class list but are present in the classroom on the day of the survey The teacher wrote the student name gender and DOB on the front page of these surveys prior to survey distribution During the administration of the survey the front pages with the student identifying information were removed and placed in a separate classroom envelope sealed and returned to Healthy Child Manitoba Completed surveys were sent to CancerCare Manitoba Winnipeg Interlake RHA Eriksdale Northern RHA Flin Flon or Prairie Mountain RHA Brandon Shoal Lake or Roblin for scanning The survey number and student responses were entered into an Access database that was securely sent for analysis and storage on a secure server at CancerCare Manitoba To ensure that the Healthy Child Manitoba database contains only student information from those that completed the survey the front pages were cross referenced to the student enrolment database This is an important step as consent to collect such information was implied if a student completed the survey see Consent Process Section for further details However in some instances not all front pages were returned To address this issue CancerCare Manitoba sent a database to Healthy Child Manitoba containing limited demographic information school name age grade and survey number after scanning all surveys This information was cross referenced with the Healt
108. lves overweight Numerator Students who answered A for Q_10 and A for Q_5 male Denominator Total of students who answered Q_10 and A for Q_5 male By Grade Graph Perception of Body Weight by Grade Collapsed categories None Example Percentage of grade 7 amp 8 students who consider themselves overweight Numerator Students who answered A for Q_10 and A or B for Q_3 grade 7 or 8 Denominator Total of students who answered Q_10 and A or B for Q_3 grade 7 or 8 Q_11 Do you have a part time job outside of school hours babysitting restaurant etc A Yes work under 15 hours per week B Yes work 15 or more hours per week C No Graph Number of Work Hours Outside of School Collapsed categories None Example Percentage of students who work less than 15hrs per week Numerator Students who answered A for Q_11 Denominator Total of students who answered Q_11 Q_12 How often do you take part in unpaid volunteer activities work A Never 23 Once a year Once a month Once a week Daily Graph Volunteering Collapsed categories None Example The percentage of students who never volunteer Numerator Students who answered A for Q_12 Denominator Total of students who answered Q_12 Q_13 What kinds of volunteer activities have you participated in Choose all that apply do not volunteer Activities at school yearbook committee student council etc Support a cause food bank environment group etc
109. maintains the Survey s scanned data CCMB provides statistical and analytic expertise in analyzing the data CCMB is working toward the creation of a data repository for the Survey This data repository on Manitoba youth contains aggregated data that can be available to communities regions and other partners to monitor changes and impacts on health status CCMB with the support of the CancerCare Manitoba Foundation has established a risk factor surveillance unit in the Department of Epidemiology and Cancer Registry The objectives of this unit are to partner with Provincial Regional and Community efforts in support of healthy living and chronic disease prevention by analyzing the data from the Survey CCMB creates reports for each school school division regional health authority and the Province These reports are sent to each regional heath authority and the regional health authority distributes each report back to the relevant school divisions and schools 10 Healthy Child Manitoba and the Provider are partners of PPHL and have collected certain health related data by way of the Survey in the Health Region hereafter referred to as the Data 11 The PROVIDER must disclose the Data to CCMB so that CCMB can analyze and store the Data CCMB wishes to receive the Data for the same reason and has agreed to analyze and store the Data and give the PROVIDER information that will support healthy living and chronic disease pre
110. mething important to contribute to society e that you belonged to a community like a social group your school or neighbourhood f that our society is becoming a better place for people like you g that people are basically good h that the way our society works makes sense to you i that you liked most parts of your personality j good at managing the responsibilities of your daily life k that you had warm and trusting relationships with others l that you had experiences that challenged you to grow and become a better person m confident to think or express your own ideas and opinions n that your life has a sense of direction or meaning to it Ole o mico o He o Bos Om o BRBOBOR o Be o Bo oka o 000000 0 09000 oki o BRBOBOR o Bae o Bo 00 0 000000 0 09000 OMe o BEBOBOR o mi o Boe Rationale Matrix represents the 14 item adolescent Mental Health Continuum Short Form MHC SF developed and validated by C L Keyes This is a nationally and internationally accepted and used indicator of mental well being There are two versions of this matrix which differ only by their response options On the advice of Dr Corey Keyes we used the response options listed above Source MHC SF Validation Reference This tool was found to be reliable and valid by Lamers S Westerhof GJ Bohlmeijer ET ten Klooster PM Keyes CLM 2010 Evaluating the psychometric properties of the Mental Health Continuum Short Form MHC SF Journal of Clini
111. mmon ca e 30 40 minutes to complete during class time typically all students will complete the survey on same day and time e Multiple choice questions on physical activity healthy eating smoking alcohol substance abuse school connectedness mental health injury prevention sleep patterns sun UV exposure sexual health and grade 11 amp 12 physical education health education curriculum e The survey answers provided by students will be protected and confidential Participation by students is voluntary You will receive a letter informing you of the survey and the process that allows you to opt out your child from participation if you chose e Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to connect the 2012 YHS with future YHS datasets This will only be done in a secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics Schools amp school divisions will receive feedback reports containing the results for their youth e The survey is also available in French You and your child are the only ones who will decide whether your child will be part of the Youth Health Survey There are no known risks for students to take part in this study If you child is 18 or older they have the legal right to decide about the survey on their own
112. mnnn 99 Appendix D Teacher and Classroom Instructions for the Administration of the YHS 106 Appendix E Rules for Scanning and Validating the Youth Health SUrVEey ssssssssssssnsnnnnnnnnnnnnnnn 108 Appendix F Youth Health Survey Data Sharing AgreeMment cssssscccssssssccessssssceeeessseseceeeesnss 118 Appendix G Manitoba Youth Health Survey Data Access Request FOrmM ssssssssssssunsnnnnnnnnnnnnn 125 Appendix H YHS Administrator Survey Questionnaire sssssssssnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnan 131 Overview The second cycle of the Manitoba Youth Health Survey YHS was implemented in the 2012 2013 school year The purpose of the YHS is to provide evidence to policy makers educators and health practitioners for use in the planning and evaluation of programs and policies that promote healthy living Support for the YHS is provided by Partners in Planning for Healthy Living This is a network of partners across Manitoba that share a common mandate for the prevention of chronic diseases PPHL partners work together in a collegial manner to develop organizational community and regional capacity to use evidence in planning programs for healthy living in communities across Manitoba Partners include government non government organizations and all Manitoba regional health authorities The YHS is a self administered paper survey The survey asks questions about physical activity nutrition sun safety ment
113. more hours 20 How often do you have trouble going to sleep or staying asleep O Never O Rarely O Often O Always 21 How often do you find it difficult to stay awake during class or at school O Never O Rarely O Often O Always SECTION 5 Physical Activity 22 How physically active are you at the following times Active Some Inactive Does what not active apply Before school O O O G Recess Spare O O O O Lunch O O R J After school O O O e Page 3 23 24 25 26 i 28 Your closest friends are the friends you like to spend the most time with How many of your 5 closest friends are physically active O 0 OO000 nm ft bo Ne In the past month 30 days how often did you participate in before school lunch time or after school physical activities organized by your school e g intra murals dance club school team sports O Never O Less than once a week 1 3 times per week 4 or more times per week In the past month 30 days how often did you participate in physical activities organized outside of your school with a coach e g hockey soccer figure skating dance etc O Never O Less than once a week 1 3 times per week O 4 or more times per week In the past month 30 days how often have you played sports or been physically active without a coach or instructor present e g biking skateboarding skipping hiking road hockey ete O Never Less than once a
114. mple The percentage of students who in the past month participated in before school lunch time or after school physical organized by their school Numerator Students who answered B C or D for Q_24 Denominator Total of students who answered Q_24 By Gender Graph Participation in Physical Activity One or More Times per Week Collapsed categories 1 C amp D 29 Example The percentage of female students who in the past month participated in before school lunch time or after school physical organized by their school one or more times per week Numerator Students who answered C or D for Q_24 and B female for Q_5 Denominator Total of students who answered Q_24 and B female for Q_5 Q_25 In the past month 30 days how often did you participate in physical activities organized outside of your school with a coach e g hockey soccer figure skating dance etc A Never B Less than once a week C 1 3 times per week D 4ormore times per week Overall Graph Results are presented as text Collapsed categories 1 B C amp D Example The percentage of students who in the past month participated in physical activity organized outside their school with a coach Numerator Students who answered B C or D for Q_25 Denominator Total of students who answered Q_25 By Gender Graph Participation in Physical Activity One or More Times per Week Collapsed categories 1 C amp D Example The percentage of female
115. n the past month driven by someone who had too much to drink Numerator Students who answered C D or E for Q_59 Denominator Total of students who answered Q_59 Q_60 During the past month 30 days how many times did you drive a car or other vehicle after you had been using illegal drugs including marijuana have never done this have done this but not in the past month 1 time 2 or 3 times 4 or more times Graph Reported as text Collapsed categories 1 B CD amp E 2 C DandE Example Percentage of students who have driven in a car or other vehicle at least once in their lifetime after using illegal drugs Numerator Students who answered B C D or E for Q_60 Denominator Total of students who answered Q_60 Example Percentage of students who have driven a car or other vehicle one or more time in the past month after using illegal drugs Numerator Students who answered C D or E for Q_60 Denominator Total of students who answered Q_60 Q_61 During the past month 30 days how many times did you ride in a car or other vehicle driven by someone who had been using illegal drugs including marijuana A have never done this have done this but not in the past month 1 time 2 or 3 times 4 or more times Graph Reported as text Collapsed categories 1 B C D amp E 2 C DandE Example Percentage of students who have rode ina car or other vehicle at least once in their lifetime 48 driven by someone who
116. nformation about an identifiable individual including a the individual s name b the individual s home address or home telephone facsimile or e mail number c information about the individual s age sex sexual orientation marital or family status d information about the individual s ancestry race colour nationality or national or ethnic origin e information about the individual s religion or creed or religious belief association or activity f personal health information about the individual g the individual s blood type fingerprints or other hereditary characteristics h information about the individual s political belief association or activity i information about the individual s education employment or occupation or educational employment or occupational history j information about the individual s source of income or financial circumstances activities or history k information about the individual s criminal history including regulatory offences I the individual s own personal views or opinions except if they are about another person m the views or opinions expressed about the individual by another person and n an identifying number symbol or other particular assigned to the individual Public Body has the meaning given to this term in PHIA and FIPPA Trustee has the meaning given to this term in PHIA and without limiting the generality of the foregoing includes a health prof
117. not release the Data to any person group organization or researcher without the prior written consent of the PPHL Data Access and Review Panel The PPHL Data Access and Review Panel will only permit access to the Data for research projects upon receipt of a specific research proposal approved by the applicable University Research Ethics Board CCMB shall immediately upon becoming aware of any of the following notify the PROVIDER in writing of 1 any use of access to or disclosure of the Data not authorized by this Agreement or 2 any breach of any term or condition of this Agreement with full details of the unauthorized use access or disclosure or of the breach CCMB shall immediately take all reasonable steps to prevent the recurrence of any unauthorized use access or disclosure of the Data and to remedy the breach and shall notify PROVIDER in writing of the steps taken The PROVIDER and or its representatives may carry out such inspections reviews audits or investigations respecting CCMB s information and privacy practices policies procedures and security arrangements as well as the use and handling of the Data by CCMB as the PROVIDER considers necessary to ensure that CCMB is complying with the terms and conditions of this Agreement and that the Data is adequately protected provided that such inspections investigations or audits are conducted during regular business hours and upon reasonable notice to CCMB CCMB sh
118. ntain consistency with those used in the 2012 YHS 49 Where do you usually get your cigarettes Choose all that apply I do not smoke I buy them myself at a store I buy them from a friend or someone else I ask someone to buy them for me My brother or sister gives them to me My parent or caregiver gives them to me A friend or someone else gives them to me I take them from my mother father or siblings I take them from a friend or someone else OOO 000000 Source Adapted from New Brunswick 2010 Student Wellness Survey and 2010 2011 Youth Smoking Survey Other was removed from the answer options in order to simplify analysis and provide more meaningful data My mother or father gives them to me was changed to My parent or caregiver gives them to me and take them from a friend or someone else was added in order to capture this behaviour 50 How often are you exposed to second hand smoke O Every day O Almost every day About once a week About once a month O Less than once a month Never Source 2011 Core Indicator Measures of Youth Tobacco Control 51 During the past month 30 days were you exposed to second hand smoke Yes No Don t Work O a in your home b on school grounds c while at work Q d in a vehicle e in public Q Q Oe Oe 75 Source Adapted from 2011 Core Indicator Measures of Youth Tobacco Control 1999 Canadian Community Health Sur
119. o not participate Step by step instructions for day of survey ving Please read aloud the attached Classroom Instructions enclosed form Distribute one survey per student gt Please distribute surveys according to the student name printed on the front of survey Remove front page from each survey as you are distributing them and place these front pages in the enclosed classroom envelope gt Please check your list of students without consent or those who have opted out to ensure that students on this list do not receive a survey gt Ifa student indicates to you that they do not wish to participate please do not give them a survey and ask them to continue with their other school work Complete the teacher feedback form on the attached classroom envelope As students complete the survey place completed surveys in the second large classroom envelope Seal envelopes once all surveys are returned Return sealed envelopes and unused surveys to the school office 106 CLASSROOM INSTRUCTIONS Teacher Please read the following instructions aloud to your students before distributing questionnaires Thousands of students across the province just like you will be completing this Youth Health Survey It will take approximately 30 40 minutes to complete This important survey will help your school and local regional health authority better understand the health of students so that they can plan and implement programs for he
120. of a Public Body as prescribed within FIPPA b CCMB has established and will abide by policies and procedures to ensure security confidentiality and protection of privacy of the Data in accordance with PHIA and FIPPA and all other Acts governing the use of the Data c CCMB shall inform its employees agents and contractors of the provisions of PHIA FIPPA and this Agreement and shall ensure that each of its employees agents and contractors that have access to the Data are aware of their obligations d CCMB will use the Data only for the purpose of facilitating analyses of the Data for production of feedback reports and other analyses as required and authorized by the PROVIDER e CCMB will analyze the anonymized Data and will report to the Provider a written summary of the findings for each school school division sub regional health authority and for the entire Health Region f CCMB will be collecting and analyzing data from the Surveys conducted in other regional health authorities CCMB will obtain consent from the other regional health authorities authorizing CCMB to include data from the Surveys Page 4 of 7 121 conducted in the other regional health authorities to compile a summary of the Provincial findings CCMB will provide a copy of the Provincial summary to the PROVIDER Any requests to review the Data by a group or individual including CCMB shall be considered by the PPHL Data Access and Review Panel CCMB shall
121. ol e g intra murals dance club school team sports Never Less than once a week 1 3 times per week 4 or more times per week Source Adapted from the 2009 IRHA YHS 2007 Adolescent Health Survey 2006 SHAPES Youth Physical Activity Survey New Brunswick 2006 2007 Youth Physical Activity Survey and New Brunswick 2010 Student Wellness Survey Validation Reference School environment questions were found to have moderate reliability Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 25 In the past month 30 days how often did you participate in physical activities organized outside of your school with a coach e g hockey soccer figure skating dance etc Never Less than once a week 1 3 times per week 4 or more times per week Source Adapted from the 2009 IRHA YHS 2007 Adolescent Health Survey New Brunswick 2006 2007 Youth Physical Activity Survey and New Brunswick 2010 Student Wellness Survey 65 26 In the past month 30 days how often have you played sports or been physically active without a coach or instructor present e g biking skateboarding skipping hiking road hockey etc Never Less than once a week 1 3 times per week 4or more times a week Source Developed by experts to address vario
122. ol hours with a teacher present to supervise on a date chosen by the school e The survey asks students multiple choice questions about physical activity healthy eating smoking alcohol substance abuse school connectedness mental health injury prevention sleep patterns sexual health sun UV exposure and grade 11 amp 12 physical education health education curriculum e The survey answers provided by students will be protected and confidential They will not be given to teachers the school or anyone else e Participation by students is voluntary You can refuse to have your child take part in the survey at any time with no penalty Your child will not take part in the survey if you as a parent decide they should not do so OR if they do not agree to take part Students who choose not to participate will continue to work quietly on other school work e Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to connect the 2012 YHS with future YHS datasets This will only be done in a secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics e The data we gather from the survey will be stored at CancerCare Manitoba for 7 years Only research staff will have access to the written surveys e Although we do not anticipate any risks from partic
123. ol STI s Choose all that apply A Internet Friend s Media TV movies magazines books pamphlets Parent caregiver Sibling s Other family member Community Resource Centre Teen Clinic Telephone help line School teacher nurse or counselor presenter Sos ae Gy mS oo 54 Public health nurse Women s Health L Clinic Nurse practitioner M Doctor Graph Where students access information about sexuality puberty birth control STls Collapsed categories None Example Percentage of students who prefer the Internet as their source of information about sexuality puberty birth control STI s Numerator Students who answered A for Q_76 Denominator Total of students who answered Q_76 Q_77toQ 82 were not analyzed for the YHS report Answers to these questions will be used to assist the Department of Education in the evaluation of the Grade 11 and 12 Active Healthy Lifestyles Physical Health Education Curriculum 55 References 1 2 Centre for Disease Control and Prevention 2013 Methodology of the Youth Risk Behaviour Surveillance System 2013 MMWR 62 1 Joint Consortium for School Health 2012 Comprehensive school health framework Retrieved from http www jcsh cces ca index php school health Kuczmarski RJ Ogden CL Guo SS Et al 2000 CDC growth charts for the United States Methods and development National Center for Health Statistics Vital Health Stat 11 246 2002 Library of Congress C
124. ominator Students who answered B C or D for Q_68 Note Denominator excludes those who have not had sex A for Q_68 51 Q_69 If you have had sex which method s did you and your partner use to prevent sexually transmitted infections STI s and or pregnancy Choose all that apply A have not had sex No method was used to prevent pregnancy and or STI s Withdrawal pulling out before ejaculation Birth control pills injection patch or ring Condoms male or female Morning after pill Sex dam Other method Graph Reported as text Collapsed categories None Example Percentage of students who are sexually active and use no method to prevent pregnancy and or STI s Numerator Students who answered B for Q_69 Denominator Total of students who answered B C D E F G and or H for Q_69 Note Denominator excludes those who have not had sex A for Q_69 In general when you have sex how often do you use condoms have not had sex Never Rarely Often Always Graph Reported as text Collapsed categories None Example Percentage of students who reported always wearing a condom when having sex Numerator Students who answered E for Q_70 Denominator Total of students who answered B C D or E for Q_70 Note Denominator excludes those who have not had sex A for Q_70 Q_71 Which of the following are the major reasons you do not use condoms all the time Choose all that apply A Ihave not had sex DO use
125. on Stakeholders identified in a typical week as providing more useful information than in the last week The answer categories were converted to an open ended input of hours per day and instead of listing each day of the week the question asks for typical weekday and typical weekend day Validation Reference This question was found to have moderate reliability Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 70 SECTION amp Eating 36 Yesterday how many times did you eat or drink the following 0 1l 2 3 4 5 6 7 8 100 fruit juice G O0 0 O O 9 0 0 Fruit not counting fruit juice Oo O O OO O amp O op Green salad O Q O ip O 0O G 0 Q Carrots Oo O U 0 O U Q Potatoes not including french fries or potato chips O O O O O O O g G Other vegetables not counting carrots potatoes or salad O O O0 O O O O0 O O b prenns e g whole grain bread pasta cereal or oO 86 6 8 606 6 oO Drown rice Cheese yoeurt 2 O oO 8 O 9 amp Meat or fish not fried eggs nuts meat alternatives 63 C G amp amp G Salty or sugary snacks e g potato chips granola bars chocolate or cookies 9 O 0 BeoTe 88 ras food e g hot dogs hamburgers fries pizza or SoS Bo Ss Go 5 0 chicken nuggets Water cr 0 te Ce gog
126. on over the internet e g address l phone or last name 9 O Q 9 h Made you feel unsafe when you were in contact with them over the internet 0 9 0 0 i Bullied or picked on you through the internet e g posted something on p y g e g p g O O oO O Facebook or emailed you Source IRHA 2009 YHS Added e Said something bad about your sexual orientation or gender identity and f Said something bad about your body shape size or appearance which were adapted from 2007 Adolescent Health Survey but removed IRHA 2009 YHS s Sexually abused or assaulted you 79 63 In general do you wear Never Rarely Often Always Only when Ido not an adult do this makes me activity a A helmet when you ride a bike O O O QO O b A helmet when you ride other vehicles e g snowmobile ATV dirt bike O O O O O O motorcycle l l c A seatbelt when riding in a car truck or SUV Q Q O O O d A life vest when you re in a small boat e g canoe raft small motor boat Source This question was created based on expert feedback Reference Although this question was created based on expert feedback the questions about wearing a helmet when riding a bike and seatbelt use when riding in a car truck SUV are very similar to those posed in the 2009 YRBS According to an evaluation of reliability and validity these questions in the YRBS were both found to have substantial reliability assuming that this question was
127. on suicidal tendencies O O c Alcoho substance abuse O O e Sexual physical abuse O O O00 0 0 gt O QO 0 f STIs pregnancy contraception 22 Does your school work on healthy living promotion services and or activities for students with the following partners Check all that apply School board division consultant clinician or specialist Provincial Government Municipal Government Regional Health Authority Teen primary health clinic Teen Talk G E EOG oo Community health agency e g Canadian Cancer Society Canadian Diabetes Association Child Nutrition Council Heart and Stroke Foundation Parks or Recreation department Municipal Community Centre Youth organization e g YMCA YWCA Boys Girls Clubs Boy Scouts Girl Guides Di O Health or fitness club 139 23 What role does your Regional Health Authority play when working with your school on health promotion and or activities for students Check all that apply O Provide information resources programs e g posters toolkits O Solve problems jointly O Develop implement program activities jointly O No contact with Regional Health Authority regarding health promotion and or activities 24 Does your school make the following available to all students regardless of ability to pay Yes No Idon tknow Not Applicable Breakfast program Oo oOo O Lunch program O O O O Snack program O oO oO O Milk program O 0O o O 25 Does your school have
128. or Students who answered A B or C for Q_48 Denominator Total of students who answered Q_48 Where do you usually get your cigarettes Choose all that apply do not smoke buy them myself at a store buy them from a friend or someone else ask someone to buy them for me My brother or sister gives them to me My parent or caregiver gives them to me A friend or someone else gives them to me take them from my mother father or siblings COMM OOWDYD Graph How Students Obtain Cigarettes Collapsed categories None Example Percentage of students who smoke and buy cigarettes at the store 42 Numerator Students who answered B for Q_49 Denominator Students who answered B C D E F G and or H to Q_49 Note Denominator excludes students who answered A to Q_49 I do not smoke How often are you exposed to second hand smoke Every day Almost every day About once a week About once a month Less than once a month Never Graph Student Exposure to Second Hand Smoke Collapsed categories 1 A amp B 2 E amp F Example Percentage of students who are exposed to second hand smoke everyday almost everyday Numerator Students who answered A or B for Q_50 Denominator Total of students who answered Q_50 Q_51 During the past month 30 days were you exposed to second hand smoke Q_51a In your home Q_51b On school grounds Q 51c While at work Q 51d Ina vehicle Q_51e In public Response options
129. or Total of students who answered Q_62a Q_63 In general do you wear Q_ 63a A helmet when you ride a bike Q_63b A helmet when you ride other vehicles e g snowmobile ATV dirt bike motorcycle Q_ 63c A seatbelt when riding in a car truck or SUV Q_63d Alife vest when you re in a small boat e g canoe raft small motor boat Response options A Never B Rarely C Often D Always 49 E Only when an adult makes me F Ido not do this activity Graph Reported as text Collapsed categories 1 A amp B Example Percentage of students who never rarely wear a helmet when they ride a bike Numerator Students who answered A or B for Q_63a Denominator Students who answered A B C D or E for Q_63a Note Denominator excludes those who do not do the activity F Sexuality Q_ 64 What is your gender identity A Female B Male C Trans Graph Reported as text Collapsed categories None Example Percentage of students who identity as transgender or identify with a different sex that what they report inQ_5 Numerator Students who answered C for Q_64 or A male for Q_64 and B female for Q_5 or B female for Q_64 and A male for Q_5 Denominator Total of students who answered Q_64andQ_5 Q_65 Have you ever questioned your gender identity A Yes B No C don t know Graph Reported as text Collapsed categories None Example Percentage of students who have questioned their gender iden
130. ort O Yes O No O Idon tknow O Our school did not participate 11 Does your school follow an approach that addresses school health in a planned integrated and holistic way e g comprehensive school health approach Never Rarely Often Always O00 0 I don t know O oo O O Q oo oOo O20 0 I don t know 134 12 Does your school or division have written policies or practices related to the following Yes No Idon t know a Physical activity O b Healthy eating c Tobacco use e Mental well being O O O d Alcohol substance use O O f Personal safety bullying O O gt O Q O O 0 0 O0O0000 0 0 g Sexual reproductive health 13 Does your school or division have guidelines on how teachers and other school staff should enforce or implement your school s written policies or practices related to the following Yes No Idon t know a Physical activity O b Healthy eating c Tobacco use e Mental well being O O O d Alcohol substance use O O f Personal safety bullying O O O00 0 0 0 oo O O OOOO g Sexual reproductive health Section 3 Physical Environment 14 During school hours both structured and unstructured time do the majority of students at your school have access to the following Yes No Idon t Not know Applicable a Gymnasium Oo O O O b Indoor facilities e g fitness room dance studio yoga O O Ss O room 135 c Outoor facilities e
131. ot had sex Never Rarely Often Always Graph Reported as text Collapsed categories 1 B amp C 53 Example Percentage of students who Never Rarely feel comfortable talking to the persons they are having sex with about STI s Numerator Students who answered B or C for Q_73 Denominator Total of students who answered B C D or E for Q_73 Denominator excludes those who have not had sex A for Q_73 In the past year did you have unplanned sex after using alcohol or drugs Please choose one have not had sex did not have sex in the past year Yes had unplanned sex after using alcohol or drugs No did not have unplanned sex after using alcohol or drugs Graph Reported as text Collapsed categories None Example Percentage of students that had unplanned sex after using alcohol or drugs Numerator Students who answered C for Q_74 Denominator Students who answered B C or D for Q_74 Denominator excludes those who have not had sex A for Q_74 Q_75 Have you ever engaged in any type of sexual activity for money food shelter drugs or alcohol A Yes B No C don t know Graph Reported as text Collapsed categories Example Percentage of students who engaged in sexual activity for money food shelter drugs or alcohol Numerator Students who answered A for Q_75 Denominator Total of students who answered Q_75 Q_76 What are your preferred sources of information about sexuality puberty birth contr
132. ou 1 The name of my school is 2 The name of my home community is hat grade are you in 7 8 9 1 1 1 OO0000 ow old are you today 11 or younger 18 19 or older OOOQO00000 Dr 5 Are you O Male O Female 6 How long have you lived in Canada All of my life O Less than 1 year O 1to2 years O 3to5 years O 6 or more years IS Example 127 Ibs Weight Weight in Pounds Pounds 000 OOO 000 000 000 OOO OJO OOOOYO 00000 7 Without my shoes on I believe my weight Weight in Kilograms 000 OOO D00 pw OOOO VOEO OOCOVOO 8 Without my shoes on I think I am this tall Example 5 ft 10 Height Height in Feet Inches Feet Inches O O 00000000 Q Height in Centimetres 000 OOO 000 000 O oR OO OO 00 OJO OO 9 In general how do you describe your health Excellent O Very Good O Good O Fair Poor 10 Do you consider yourself O Overweight About the right weight Underweight 100501X 89 SECTION 2 Work and Volunteering SECTION 3 Feelings 11 Do you have a part time job outside of school 14 Do you agree with each of the following hours babysitting restaurant etc statements O Yes I work under 15 hours per week Agree Disagree O Yes I work 15 or more hours per week O No a I feel close to
133. ould appear as no data no data no data Weight in Pounds 000 00 000 00O 000 000 OR Weight in Pounds 000 00 OOO 000 000 000 111 Q8 If both feet inches and centimeters are completed enter both If neither is filled out enter no data When entering feet inches if either column feet or inches is blank then the answer is invalid and should be entered as no data Height in Feet Inches Enter no data for feet and no data for inches The response in the database would appear as no data no data 00000000 OOOOOCOCOOOO0O When entering centimeters if the first column hundreds is blank but the second and third columns tens and ones are filled in correctly enter a no data in the first column and the respective amounts in the second and third columns Height in Centimetres 000 OOO OQO Enter no data for the first column 9 for the second column and 9 for OQO _ the third column The response in the database would appear as no data OO 99 112 e ifthe first column hundreds is filled in but either the second or third columns tens and ones are left blank the whole answer is invalid and must be entered as no data Height in Centimetres OOO 00 OQO Enter no data for ali columns The response in the database would OOO appearas no data no data no data e Ifa studentfills in two bubbles in th
134. pload the information provided to the Healthy Child Manitoba server Student Code Process Schools were asked to provide and upload student information onto the Healthy Child Manitoba s secured online server The sharing of such information is standard procedure within government Each winter the Department of Education shares student enrolment information with Healthy Child Manitoba However due to survey implementation beginning in the fall schools were asked to provide the information directly to Healthy Child Manitoba to accelerate survey implementation The annual information sent by the Department of Education was used to validate the information given by the schools The schools provided the following student information e School division name e School name e Class period for survey administration if known e g Day 4 Period 2 e Teacher name e Student name e Grade e MET Manitoba Education student number e Gender e Date of Birth e PHIN when available e Student s home postal code Healthy Child Manitoba then created and affixed labels with the students name date of birth grade teacher name school name and class period in which the student would be taking the survey if applicable to the front of each survey Surveys were bundled by class by grade by school by school division and forwarded either to the appropriate RHA contact for distribution to the schools or directly to the schools Each classroom bundle also inc
135. pplements Meal replacement bars or shakes Vector Powerbars O G O O gG Og Opo O SORTOCOGOGs OBOBOBOCORe O DB ORRTO GO gO g m OPBOSCOCOGORG oOo GOMA0GOGCOGY OS OTOOTO O O ORTO gogog o O G ODO gG ODORS 0 00 0 OO909000 OOOOQO0000 O OOTO OO gO a OGOOGO OEI O SCORmA0eGOeoe OOOO00000 0 0 00 0 go gog g O0O0000000 0 0 00 0 OO0000a4 00501X Page 5 37 Where do you usually eat breakfast At home O At school Ido not usually eat breakfast 38 What is the main reason you do not eat breakfast I do eat breakfast O Ido not have time for breakfast Icannot eat early in the morning There is not always enough food in my home 39 For lunch on school days do you Choose all that apply O Bring lunch from home Eat lunch at home O Buy lunch at the school cafeteria canteen Eat at a fast food restaurant or store O Don t eat lunch My school provides lunch 40 How often do you eat dinner the evening meal with the people you live with O Never O Rarely O Often O Always SECTION 9 Tobacco Use 41 Have you ever tried smoking a cigarette even just a few puffs O Yes O No 42 Have you smoked 100 or more whole cigarettes in your entire life O Yes O No 43 During the past month 30 days did you smoke a cigarette even just a few puffs O Yes every day O Yes almost every day O Yes some days O No 44 At any time during the next year do you think you will smoke a cigarette O Definitely
136. program in secondary schools All youth in grades 7 12 2012 2013 school year Partners in Planning for Healthy Living http partners healthincommon ca 30 40 minutes to complete during class time typically all students will complete the survey on same day and time The YHS has been updated from the 2009 version through a lengthy process involving various stakeholders and content experts Many questions are the same however there are some new sections including sleep patterns sun UV exposure sexual health phys ed curriculum grades 11 amp 12 The survey is also available in French The survey answers provided by students will be protected and confidential Participation by students is voluntary Parents will receive a letter informing them of the survey and the process that allows them to opt out their child from participation if they chose Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to connect the 2012 YHS with future YHS datasets This will only be done in a secure environment and only for projects that are approved by relevant research authorities ie University of Manitoba Ethics School divisions will receive reports at the school division and school levels Superintendents and school principals have received a letter jointly signed by Hon Kevin Chief Hon Nancy Allan and Hon
137. r Students who answered A B or C for Q_36a Denominator Total of students who answered Q_ 36a Creatine other supplements Graph Reported as text Collapsed categories 1 Atleast once per day Example Percentage of students who consume creatine or other supplements at least once per day Numerator Students who answered B C D E F G Hor to Q_36s Denominator Total of students who answered Q_36s Meal replacement bars or shakes Graph Reported as text Collapsed categories 1 Atleast once per day 37 Example Percentage of students who consume a meal replacement bar or shake at least once per day Numerator Students who answered B C D E F G H or for Q_36t Denominator Total of students who answered Q_36t Q_37 Where do you usually eat breakfast A Athome B Atschool C Ido not usually eat breakfast Graph Reported as text Collapsed categories None Example Percentage of students who do not usually eat breakfast Numerator Students who answered C for Q_37 Denominator Total of students who answered Q_37 Example Percentage of students who eat their breakfast at home Numerator Students who answered C for Q_37 Denominator Total of students who answered A or B for Q_37 Note Denominator in 2 example excludes those who answered C for Q_37 ie those that do not eat breakfast Q_38 What is the main reason you do not eat breakfast A Ido eat breakfast B Ido not have time for breakfast C
138. r Students who answered B C or D to any of Q_56a f Denominator Total of students who answered any of Q_56a f Example Most commonly used drug by students in the past month The following calculation was repeated for students who answered B C or D for Q_56a Q_56f Numerator Students who answered B C and D for Q_56a Denominator Total of students who answered any Q_56a f Answers were ranked from highest use to lowest use Only the highest used drug was reported Q_57 In the past year 12 months how many times have you Graph Q_57a Q_57b Q_57c Q_57d Q_57e Q_57f Used marijuana hashish Used cocaine or crack Used methamphetamines speed crystal meth crank or ice Used ecstasy Used LSD or other hallucinogens shrooms acid etc Taken a prescription or over the counter drug to get high painkillers Ritalin Oxycontin Xanax etc Response options A Otimes B 1 2 times C 3 9 times D 10o0r more times Reported as text Collapsed categories 1 B C amp D 46 Example Percentage of students who used an illegal prescription or over the counter drug for the purposes of getting high in the past year Numerator Students who answered B C or D to any of Q_57a f Denominator Total of students who answered Q_57a f Example Percentage of students who used marijuana hashish in the past year Numerator Students who answered B C or D for Q_57a Denominator Total of students who
139. r Survey Experts adapted some response options and created additional response options 72 How often do you feel comfortable talking to the person s you are having sex with about using condoms or birth control Ihave not had sex Never Rarely Often Always Source This question was created based on expert feedback 73 How often do you feel comfortable talking to the person s you are having sex with about SITs Ihave not had sex Never Rarely Often Always Source This question was created based on expert feedback T4 In the past year did you have unplanned sex after using alcohol or drugs Please choose one Ihave not had sex I did not have sex in the past year Yes I had unplanned sex after using alcohol or drugs No I did not have unplanned sex after using alcohol or drugs Source Adapted from the 2007 Student Drug Use Survey in the Atlantic provinces Past 12 months was changed to past year to be consistent with terminology used throughout this survey Response options were adapted based on expert feedback in order to make them clearer 75 Have you ever engaged in any type of sexual activity for money food shelter drugs or alcohol Yes No I don t know Source Adapted from the 2004 Youth Behaviour Survey 76 What are your preferred sources of information about sexuality puberty birth control STIT s Choose all that apply Internet F
140. ressed by your school health wellness planning process Check all that apply kb as oD We do not have a process in place to plan for a healthy school We have a specific committee or committees to plan for a healthy school Physical activity Healthy eating Tobacco use Alcohol substance use Mental well being Personal safety bullying Sun safety Sexual reproductive health 8 Who regularly participates at your school in planning for a healthy school Check all that apply UAUA NMO G D i We do not have a process in place for planning for a healthy school Students Teaching staff member s Other staff member s Principal Vice Principal School parent council representative Parents families guardians Health sevices professionals Community organization non profit organization representative School district division board representative Other please specify 133 9 Does your school use data from a formal assessment e g in house data collection or the previous Youth Health Survey to determine the student s attitudes knowledge beliefs and behaviours on the following topics to plan for a healthy school Yes No a Physical activity b Healthy eating c Tobacco use e Mental well being O O O d Substance use O O f Personal safety bullying O O g Sexual reproductive health 10 Did your school review and or use the data presented in your school s previous Youth Health Survey Rep
141. riend s Media TV movies magazines books pamphlets Parent caregiver Sibling s Other family member Community Resource Centre Teen Clinic Telephone help line School teacher nurse or counsellor presenter Public health nurse Women s Health Clinic Nurse practitioner Doctor A a a ek Source Adapted from 2004 Youth Behaviour Survey Experts adapted some response options and created additional response options ONLY COMPLETE IF YOU ARE IN GRADE 11 OR 12 TT As part of your Physical Education Health Education PE HE course this year approximately how many hours of physical activity time outside of regular class time are or were you required to participate in and report to your teacher This is not a requirement Less than 10 hours 10 hours 19 hours 20 hours 49 hours 50 hours 74 hours 75 hours or more hours I don t know Source This question was created based on expert feedback expert panel included Paul Paquin Grant McManes and Jon McGavock 78 Which of the following best describes how you receive instruction for your PE HE course this year Please choose one Face to face instruction from a teacher Web based learning directed by a teacher A combination of face to face and web based instruction Through an independent study option course Iam not currently taking PE HE Source This question was created based on expert feedback exp
142. rnment and university researchers seeking to carry out activities that will further enhance and advance our understanding of youth health and well being in Manitoba All data access requests will be considered in the spirit of respecting the needs and priorities of the communities that provided their information for study YHS Administrators Survey The YHS Administrators Survey YHS Admin Survey was new to the 2012 2013 YHS The purpose of the YHS Admin Survey is to collect additional information about the school environment in which students are immersed The primary use of the data is for YHS secondary analysis to help further understand youth health and behaviours An ad hoc working group was formed to develop the YHS Admin Survey This working group used the Comprehensive School Health Framework from the Joint Consortium on School Health to help develop the survey tool The survey asked questions on physical environment health policies and practice social environment partnerships and services and teaching and learning See Appendix H for a copy of the YHS Admin Survey A school administrator principal vice principal student services staff member counsellor or the physical health education teacher completed the survey on line at approximately the same time as the YHS was administered to 17 the students at their school The YHS Admin Survey was promoted through communications developed for the YHS and through conversations with the s
143. ry consumption per day times a student consumed dairy yesterday Q_36h Q_ 36m Graph Reported as text by gender Collapsed categories 1 3 or more times per day Example Percentage of female students who consumed dairy 3 times or more times per day Numerator Students consumed dairy 3 or more times per day and answered B for Q_5 female Denominator Total of students who answered at least one of Q 36h orQ_36mandB forQ_5 female Salty Sugary Snacks Graph Daily Consumption of Salty Sugary Snack and Fast Food 36 Collapsed categories 1 2 times or less per day 2 3 6 times per day 3 7or more times per day Example Percentage of students who ate salty food 2 times or less per day Numerator Students who answered A B or C for Q_36j Denominator Total of students who answered Q_ 36 Fast Food Graph Daily Consumption of Salty Sugary Snack and Fast Food Collapsed categories 1 2 times or less per day 2 3 6 times per day 3 7or more times per day Example Percentage of students who ate fast food 2 times or less per day Numerator Students who answered A B or C for Q_36k Denominator Total of students who answered Q_36k Drinks Graph Drink Consumption includes student answers from Q36_ a amp Q36_ through Q36_r Collapsed categories 1 2 times or less per day 2 3 6 times per day 3 7or more times per day Example Percentage of students who consumed 100 fruit juice less than three times Numerato
144. s of Moderate hrs x 3METs 7days 32 e Inactive Average Daily METs are less than 3 e Moderately active Average Daily METs range from 3 to 8 e Active Average Daily METs are greater than 8 Overall Graph Results presented as text Collapsed categories None Example Percentage of inactive Students Numerator Inactive students Denominator Total number of students placed in the three categories of activity using Q_29 and or _31 inactive moderately active or active By Grade Graph Physical Activity Rate by Grade Collapsed categories None Example Percentage of inactive students in gr 7 amp 8 Numerator Inactive students and who answered A or B for Q_3 Denominator Inactive moderately active and active students who answered A or B grade 7 amp 8 forQ 3 Q_32 What helps you be physically active or choose to be physically active Choose all that apply A lam not physically active Family support Friend support School programs Community programs Sport Manitoba funding Desire to be fit and healthy Desire to look a certain way Graph Results are presented as text Collapsed categories None The percentages for each response were ranked and the four highest rankings reported Example Percentage of students who feel that family support helps them be active Numerator Students who answered B for Q_32 Denominator Total of students that answered Q_32 33 Sun Exposure Q_ 33 When you are outside for
145. s regions and are therefore not suitable for comparisons between regions Aggregated data presents the total number of occurrences within a defined population stratified by age gender or geographic area or over a given time penod f Anonymized data excludes any information that when combined with other information or linked with other databases could allow the individual to be identified Page 1 of 6 Manitoba Youth Health Survey Data Access Request Form Aggregate Data September 2013 125 The YHS data is available to community government and university researchers seeking to carry out activities that will further enhance and advance our understanding of youth health and well being in Manitoba The Youth Health Survey applied community based approaches and principles to data collection analysis interpretation and dissemination To that end all data access requests will be considered in the spirit of respecting the needs and priorities of the communities that provided their information for study Date of request YYYY MM DD Date data is required Title of Proposal Name of Principal Investigator who will be responsible for the data List all others who will have access to the data e g co investigators collaborators Affiliation or Organization Email Address Phone Postal Code Fax Have you engaged with any community partners to conduct this research Please explain Page 2 of 6 Manitoba Youth Health Survey Dat
146. school grounds O O c while at work O O d in a vehicle O Q e in public Oe 2 94 52 Do you want to stop your use of tobacco O have never used tobacco O Ihave already stopped for at least the last month O Yes within a month Yes within 6 months O Yes but I am not sure when O No I do not want to stop 53 If students are caught breaking the smoking rules at this school do they get into trouble O Yes O No O I don t know SECTION 10 Aicohol This includes drinking such things as beer wine coolers and liquor such as rum gin vodka or whiskey For these questions drinking alcohol does not include drinking a few sips of wine for religious purposes 54 During the past month 30 days on how many days did you have at least one drink of alcohol One drink of alcohol is defined as a bottle of beer a glass of wine a shot of liquor or a cooler O Ihave never drank alcohol O Ihave drank alcohol but not in the past month 1or2 days O 3to5 days O 6to9 days 10 or more days 55 During the past month 30 days on how many days did you have five 5 or more drinks of alcohol within a couple of hours One drink of alcohol is defined as a bottle of beer a glass of wine a shot of liquor or a cooler O Ihave never drank alcohol Ihave drank alcohol but not in the past month O lor2 days O 3to5 days O 6to9 days 10 or more days SECTION 11 Drug Use 56 In the past month 30 days how many times have yo
147. ssroom teacher If the school opted for active consent parents had to sign a consent form and return it to the school in order for the student to participate For both passive and active consent teachers were given a list of students without consent or those who choose to opt out They were asked to review the list to ensure that students on the list did not receive a copy of the survey In addition if a student indicated that they do not wish to participate the student was not given a survey If a student did not participate in the survey they were asked during the survey administration to work quietly on other work Survey Administration The RHA members on the Implementation Team recruited school divisions schools and Independent schools to participate in the survey Recruitment of on reserve First Nations schools occurred at the regional level through coordination with local Tribal Councils and communities One RHA representative coordinated with the Frontier School Division to administer the survey in their schools through out Manitoba and another coordinated with the Division scholaire franco manitobaine Schools school divisions decided on the best time to administer the survey Schools then provided class lists and student information to Healthy Child Manitoba Healthy Child generated and affixed labels to the front page of each survey For more information see Student Codes Section Surveys were bundled by class by grade by school b
148. st option Some other reason 39 For lunch on school days do you Choose all that apply Bring lunch from home Eat lunch at home Buy lunch at the school cafeteria canteen Eat at a fast food restaurant or store Don t eat lunch My school provides lunch Source Adapted from IRHA 2009 YHS Modifications based on expert and stakeholder feedback include rewording the sentence from During school do you usually to For lunch on school days do you and the addition of the answer option My school provides lunch 40 How often do you eat dinner the evening meal with the people you live with Never Rarely Often Always Source Adapted from the 2008 Healthy Youth Survey Modifications include adding the specification the evening meal and changing wording to the people you live with from family Also the response options were modified to maintain consistency with other questions in the YHS 72 SECTION 9 Tobacco Use 41 Have you ever tried smoking a cigarette even just a few puffs Yes O No Source 2008 YHS 2009 IRHA YHS 2005 2007 Alberta Web Survey of Physical Activity and Nutrition and only slightly different from the wording Have you ever tried cigarette smoking from the 2007 Adolescent Health Survey New Brunswick 2006 2007 Youth Healthy Eating survey New Brunswick 2006 2007 Youth Physical Activity Survey New Brunswick 2010 S
149. students who in the past month participated in physical activity organized outside their school with a coach one or more times per week Numerator Students who answered C or D for Q_25 and B female for Q_5 Denominator Total of students who answered Q_25 and B female for Q_5 Q_26 In the past month 30 days how often have you played sports or been physically active without a coach or instructor present e g biking skateboarding skipping hiking road hockey etc A Never B Less than once a week C 1 3 times per week D 4or more times a week Overall Graph Results are presented as text Collapsed categories 1 B C amp D Example The percentage of students who in the past month have played sports or been physically active without a coach or instructor present 30 Numerator Students who answered B C or D for Q_26 Denominator Total of students who answered Q_26 By Gender Graph Participation in Physical Activity One or More Times per Week Collapsed categories 1 C amp D Example The percentage of female students who in the past month have played sports or been physically active without a coach or instructor present one or more times per week Numerator Students who answered C or D for Q_26 and B female for Q_5 Denominator Total of students who answered Q_26 and B female for Q_5 Q_27 In atypical week how many days did you partly or fully actively travel to or from school e g walking biking
150. survey was piloted with grade 6 12 students in the Interlake region in 2005 2006 Through regional leadership the first province wide implementation of the Manitoba Youth Health Survey YHS was conducted between November 2005 and October 2008 46 900 students in grades 6 to 12 participated in the YHS The implementation of the YHS is now the primary risk factor surveillance activity in Manitoba The first YHS results were included in reports prepared at the school school division district and regional level to assist in local level planning Provincial level reports generated from the YHS included the Manitoba Youth Health Survey Technical Report and the Youth Health Survey Report 2009 The Manitoba Youth Health Survey Technical Report provides a detailed overview of the background design and methods used in the first Manitoba YHS as well as the results presented in the Youth Health Survey Report 2009 The Youth Health Survey Report 2009 includes the results of all participating students in Manitoba in grades 9 to 12 All reports are available on the PPHL website Various knowledge exchange products are also available on this website www healthincommon ca pphl Partnership Development In conjunction with the first province wide YHS implementation a group of partners came together and formed Partners in Planning for Healthy Living PPHL PPHL is a unique Manitoba based community of practice Members of PPHL share a common mandate for the preven
151. tatives from each of the RHAs Winnipeg Interlake North East South East Parkland Central Brandon Assiniboine NORMAN Burntwood and Churchill RHA and CancerCare Manitoba An Epidemiologist from CancerCare Manitoba chaired the group During the period of the YHS implementation the Manitoba government amalgamated the existing 11 RHAs into 5 RHAs However the YHS Implementation Team decided to keep the original membership given the volume of work needed to implement the YHS Ad hoc members were consulted as needed throughout implementation The Implementation Team members were the main YHS contacts for the regions They recruited School Divisions created standardized communication materials and protocols and supported each other throughout YHS implementation Work was distributed amongst members to continuously move the YHS implementation forward Communications In June 2012 a joint letter from the Ministers Children and Youth Opportunities Education and Healthy Living Seniors and Consumer Affairs was sent to the School Board Chairs the School Division Superintendents Directors of First Nations Education Authorities and Tribal Councils and School Principals Grades 7 12 The letter explained the YHS and accompanying Administrators Survey and strongly encouraged participation and collaboration with the RHAs to administer and collect YHS data In September 2012 the Manitoba Education Assistant Deputy Ministers sent a follow up letter to
152. the 2011 Core Indicator Measures of Youth Tobacco Control 44 At any time during the next year do you think you will smoke a cigarette Definitely yes Probably yes Probably not Definitely not 73 Source IRHA 2009 YHS 2008 Global School based Student Health Survey 2008 Global Youth Tobacco Survey 2008 Healthy Youth Survey New Brunswick 2006 2007 Youth Healthy Eating Survey New Brunswick 2006 2007 Youth Physical Activity Survey New Brunswick 2010 Student Wellness Survey SHAPES 2006 2007 Youth Physical Activity Survey 2010 2011 Youth Smoking Survey 2011 Core Indicator Measures of Youth Tobacco Control 45 Do you think in the future you might try smoking cigarettes Definitely yes Probably yes Probably not Definitely not Source New Brunswick 2006 2007 Youth Healthy Eating Survey New Brunswick 2006 2007 Youth Physical Activity Survey New Brunswick 2010 Student Wellness Survey SHAPES 2006 2007 Youth Physical Activity Survey 2010 2011 Youth Smoking Survey 2011 Core Indicator Measures of Youth Tobacco Control 46 If one of your best friends was to offer you a cigarette would you smoke it Definitely yes Probably yes Probably not Definitely not Source 2009 IRHAYHS 2008 Global School based Student Health Survey 2008 Global Youth Tobacco Survey 2008 Healthy Youth Survey New Brunswick 2006 2007 Youth Healthy Eating Survey New Brunswick 2006 2007 Youth Physical Activity
153. timetres and 0 3 kilograms respectively Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 9 In general how do you describe your health O Excellent O Very Good Good Fair Poor 59 Rationale Multiple national international surveys ask this or a similar question in order to assess youth self perception of overall health status 1999 Canadian Community Health Survey 2008 General Social Survey 2006 National Longitudinal Survey of Children and Youth 2006 NOR MAN Youth Health Survey Chronic Disease Risk Factors Survey 2007 Student Drug Use Survey in the Atlantic Provinces 2007 Adolescent Health Survey 2009 2010 Health Behaviours of School Aged Children Source IRHA 2009 YHS 10 Do you consider yourself O Overweight About the right weight Underweight Rationale Asked on both the 2008 YHS and 2009 IRHA YHS although the number of answer categories was reduced from five to three for 2009 IRHA YHS removing the specifier for Very overweight and Slightly overweight resulting in Overweight as well as removing the specifier for Very underweight and Slightly underweight resulting in Underweight Source IRHA 2009 YHS 1999 Canadian Community Health Survey 2006 National Population Health Survey SECT
154. tion of chronic diseases and work together in a collegial manner to support the generation and use of evidence in planning and evaluating interventions that promote healthy living in communities across Manitoba PPHL s formalized partnership network includes member representation from all Manitoba regional health authorities provincial Health Healthy Living Seniors and Consumer Affairs Child and Youth Opportunities and Education and federal Public Health Agency MB and SK division governments CancerCare Manitoba Canadian Cancer Society MB division Health in Common the Addictions Foundation of Manitoba Alliance for the Prevention of Chronic Disease Heart and Stroke Foundation of Manitoba Manitoba Physical Education Supervisors Association For further information visit the PPHL website www healthincommon ca pphl The partnership is committed to supporting the YHS and its implementation approximately every four years Purpose of YHS The YHS focuses on health risk behaviours The decision to focus the survey in this way was made because many of the health risk behaviours not only relate directly to health outcomes but also are associated with educational and social outcomes including absenteeism poor academic achievement and dropping out of school Centre for Disease Control and Prevention 2013 The YHS is designed to give policy makers educators and health practitioners information on youth health that enables them to e D
155. tionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1249 01 mss 0000227539 58916 35 8 Without my shoes on think I am this tall Example 5 ft 10 Height Height in Height in Feet Inches Feet Inches Centimetres 000 000 OOO OOO O oR Q OJO OO 00 O OOGOOOO0OOO DOO OOQOOOOOO0 O OOVOQOOO OOOO Rationale This format was used in the second IRHA YHS and was found to be more accurate than the fill in the blank version used in the original YHS Scanning rules were determined for height upper and lower limits Valid height in feet ranges from 3 0 to 7 5 and valid height in centimetres ranges from 91 to 229 cms These limits were in part from analyst estimates based on the 99 percentile and median heights from 2006 08 YHS data and from CDC s 3 and 97 percentile for boys and girls aged 11 to 18 available http www cdc gov growthcharts clinical_charts htm Summary Source IRHA 2009 YHS New Brunswick 2006 2007 Physical Activity Survey New Brunswick 2006 2007 Youth Healthy Eating Survey SHAPES 2006 2007 Youth Physical Activity Survey New Brunswick 2010 Student Wellness Survey 2010 2011 YSS Validation Reference This question was found to be reliable and valid Self reported and measured body mass index were found to be significantly correlated however youth were found to underreport height and weight by an average of 1 2 cen
156. tire life A Yes B No Q_ 42 was used to calculate smoking status Q_43 During the past month 30 days did you smoke a cigarette even just a few puffs A Yes every day B Yes almost every day C Yes some days D No Q_43 was used to calculate smoking status Smoking Status Derived Variable Q_ 42 and Q_43 were used to define occasional daily smokers and non smokers Students were defined as non smokers if they answered either 39 e BforQ 42 andDforQ 43 or e BforQ 42 and missing for Q_43 or e Missing Q_42 and D for Q_43 Students were defined as occasional smokers if they answered either e AforQ_42or e CforQ 43 Students were defined as daily smokers if they answered either e AforQ 43 or e BforQ 43 Current smokers Daily smokers Occasional smokers Smoking by Grade Graph Student Smoking Status by Grade Collapsed categories None Reported only grade 9 12 results Example Percentage of students who are current smokers in grade 9 Numerator Students defined as current smokers and answered C for Q_3 Denominator Total of students defined as current and non smoking students who answered C Grade 9 forQ 3 Smoking by Gender Graph Student Smoking Status by Gender Collapsed categories None Example Percentage of female students who are current smokers Numerator Students defined as current smokers and answered B female for Q_5 Denominator Total of students defined as current and non smoking studen
157. tity Numerator Students who answered A for Q_65 Denominator Total of students who answered Q_65 Q_66 Who are you attracted to Please choose one A Males B Females C Both males and females 50 D Noone Graph Reported as text Collapsed categories None Example Percentage of students who are attracted to both males and females or members of the same sex Numerator Students who answered C for Q_66 or A male for Q_66 and A male forQ_5orB female for Q_66 and B female for Q_5 Denominator Total of students who answered Q_66andQ_5 Q_67 How old were you when you first had sex have not had sex Less than 13 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 or more years don t know gt ZOAa MIND Graph Reported as text Collapsed categories None Example 1 Most common age that students reported having sex for the first time The mode most commonly reported age of initiation was used students who reported not being sexually active A were not included Example 2 Percentage of students who reported that they had not had sex Numerator Students who answered A for Q_67 Denominator Total of students who answered Q_6 7 Have you ever had sex when you didn t want to have not had sex Yes No don t know Graph Reported as text Percentage of students who had sex when they didn t want to Numerator Students who answered B for Q_68 Den
158. ts who answered B female forQ_5 Q_ 44 At any time during the next year do you think you will smoke a cigarette A Definitely yes B Probably yes C Probably not D Definitely not Q_44 was used to calculate smoking susceptibility Q_45 Do you think in the future you might try smoking cigarettes A Definitely yes B Probably yes C Probably not D Definitely not 40 Q_45 was used to calculate smoking susceptibility Q_46 If one of your best friends was to offer you a cigarette would you smoke it A Definitely yes B Probably yes C Probably not D Definitely not Q_46 was used to calculate smoking susceptibility Susceptibility to Smoking Derived Variable Q 44 Q_ 45 and Q 46 were used to calculate student Smoking Susceptibility Non Susceptible Students were defined as non susceptible to smoking if they answered D for each of Q_44 Q_ 45 and Q_46 Susceptible Students were defined as susceptible to smoking if they answered A B or C to any of Q _44 Q 45 and Q_ 46 If any of Q 44 Q 45 0rQ 46 was blank susceptibility was set to missing Smoking Susceptibility of all students Graph Reported as text Collapsed categories None Example Percentage of students who were susceptible to smoking Numerator Students defined as susceptible Denominator Total of students who were defined as susceptible and non susceptible Non smokers susceptibility to smoking Graph Reported as text Collapsed categories
159. tten on the survey 110 Q6 Q7 It is possible that a student may accurately enter both All of my life and 6 or more years If this happens choose All of my life If any other combination of two circles are filled in enter no data If both pounds and kilograms are completed enter both If neither is filled out enter no data When entering either pounds or kilograms respectively if the first column hundreds is blank but the second and third columns tens and ones are filled in correctly enter a no data in the first column and the respective amounts in the second and third columns Enter no data for the first column 9 for the second column and 5 for the third column The response in the database would appear as 95 If the first column hundreds is filled in but either the second or third columns tens and ones are left blank the whole answer is invalid and must be entered as no data Enter no data for all columns The response in the database would appear as no data no data no data Weight in Pounds 000 OOO OOO 000 000 000 0O Weight in Pounds 000 0O0 000 000 000 000 if a student fills in two bubbles in the same column anywhere within a pounds or kilograms response the answer is invalid and should be entered as no data Enter no data for all columns The response in the database w
160. tudent Wellness Survey SHAPES 2006 2007 Youth Physical Activity Survey 2009 Youth Risk Behavior Survey 2010 2011 Youth Smoking Survey and the 2011 Core Indicator Measures of Youth Tobacco Control 42 Have you smoked 100 or more whole cigarettes in your entire life Yes O No Rationale Entire was added by stakeholders as a qualifier Source 2008 YHS 2009 IRHA YHS 2007 Addictions Foundation of Manitoba Survey New Brunswick 2006 2007 Youth Healthy Eating survey New Brunswick 2006 2007 Youth Physical Activity Survey New Brunswick 2010 Student Wellness Survey SHAPES 2006 2007 Youth Physical Activity Survey 1999 Canadian Community Health Survey 2009 Canadian Tobacco Use Monitoring Survey 2004 National Population Health Survey 2007 Student Drug Use in the Atlantic Provinces Survey 2005 Alberta Web Survey of Physical Activity and Nutrition 2010 2011 Youth Smoking Survey 43 During the past month 30 days did you smoke a cigarette even just a few puffs Yes every day Yes almost every day Yes some days No Source Adapted from the 2008 YHS and 2005 Alberta Web Survey of Physical Activity and Nutrition The wording of the question has been modified slightly from Think of the past 30 days to establish consistency in the wording of the 2012 YHS One of the answer options Yes one or two days was removed and as a result the answer categories are identical to those for this question in
161. u 0 1 2 3 9 10 or times times times more times Used marijuana hashish pot weed etc Used cocaine or crack Used methamphetamines speed crystal meth crank or ice Used ecstasy Used LSD or other hallucinogens shrooms acid etc Taken a prescription or over the counter drug to get high painkillers Ritalin Oxycontin Xanax etc rho oO amp QO Pogo O OO000 O OGO O O0O000 57 In the past year 12 months how many times have you 0 1 2 3 9 10 or times times times more times a Used marijuana hashish O O O O b Used cocaine or crack O O O O c Used methamphetamines speed crystal meth crank or ice O O O O d Used ecstasy O O O O e Used LSD or other hallucinogens shrooms acid etc O O O O f Taken a prescription or over the counter drug to get high painkillers Ritalin Oxycontin Xanax etc O O O O Page 7 100501X 95 SECTION 12 Safety 58 During the past month 30 days how many times did you drive a car or other vehicle after you had been drinking alcohol Ihave never done this Ihave done this but not in the past month O 1 time 2 or 3 times 4 or more times 59 During the past month 30 days how many times did you ride in a car or other vehicle driven by someone who had too much to drink Ihave never done this O Ihave done this but not in the past month O l1time 2 or 3 times 4 or more times 60 61 During the past month 30 days how man
162. uit juice Green salad The response for Fruit would be no data The student chose not to fill in a response for Fruit If a student has filled in two circles directly next to each other for a food you should enter the average of these two numbers 100 fruit juice Fruit not counting fruit juice Green salad The response for Fruit would be 4 5 If more than two circles are shaded in one row or two circles are shaded that are not adjacent to each other then the value for that food should be entered as no data The response for Fruit would be no data 100 fruit juice Fruit not counting fruit juice Green salad Q51c If No and Don t Work are both shaded input Don t Work If Yes and Don t Work are both shaded this should be considered no data 51 During the past month 30 days were you exposed to second hand smoke Yes No Don t Work O 8 8e0 in your home Enter as Don t Work on school grounds O While at work O e in a vehicle O in public Conn eS 116 51 During the past month 30 days were you exposed to second hand smoke Yes No Don t Work Enter as no data a in your home O b on school grounds O c while at work O amp d in a vehicle O e in public O Q62 Itis possible that a student may accurately enter both 6 or more times and Everyday If this h
163. unchanged between the 1999 YRBS and the 2009 YRBS could not locate the 1999 YRBS Brener ND Kann L McManus T Kinchen SA Sundberg EC Ross JG 2002 Reliability of the 1999 Youth Risk Behavior Survey questionnaire Journal of Adolescent Health 31 336 342 SECTION 13 Sexuality 64 What is your gender identity Female Male Trans Source 2006 Nine Circles Survey shared by experts 65 Have you ever questioned your gender identity Yes No I don t know Source This question was created based on expert feedback 66 Who are you attracted to Please choose one Males Females Both males and females No one Source This question was created based on expert feedback O 67 How old were you when you first had sex Ihave not had sex Less than 13 years old 13 years old 14 years old 15 years old 16 years old 17 years old 18 or more years I don t know Source Adapted from the 2007 Adolescent Health Survey 2009 Fairfax 2008 Global School based Student Health Survey 2009 2010 Health Behaviours for School Aged Children 2009 Youth Risk Behaviours Survey and 2001 National Survey of Adolescents and Youth 68 Have you ever had sex when you didn t want to I have not had sex Yes No I don t know Source This question was created based on expert feedback A number of similar questions ask if the participant has had sex sexua
164. ur PE HE teacher to discuss your out of class physical activity O Yes O No I don t know O Does not apply During a typical active PE HE class how much time do you spend being physically active None of the time Less than half of the time Half of the time More than half of the time All of the time I don t know Page 10 82 How hard vigorous do you find a typical active PE HE class Light easy you can do the activity and talk at the same time Moderate Hard vigorous causes you to sweat and be out of breath Thank you for participating in this Youth Health Survey 98 Appendix C YHS Communication Templates C1 RHA briefing note internal RHA communication Manitoba Yout Background 2012 Target Sample Anticipated data collection Partners About the survey enclosed sample Other details Letters of Support Contact information The Manitoba Youth Health Survey YHS was first implemented province wide in 2009 to provide a snapshot of youth health behaviors The information gathered from the survey is used to create school specific feedback reports for schools school divisions and RHAs so these communities could begin discussing youth health and create plans that best fits their population Manitoba Education is also using the YHS information on physical activity levels as part of an ongoing evaluation of its mandatory physical education
165. ur classroom The Manitoba Youth Health Survey YHS was first implemented province wide in 2008 The purpose of the YHS is to provide a snapshot of youth health The information gathered from the survey is valuable for health planning and programming within your own school and community Manitoba Education is also using the YHS information on physical activity levels as part of an ongoing evaluation of its mandatory Grade 11 amp 12 physical education health education curriculum All youth in grades 7 12 October to December 2012 Partners in Planning for Healthy Living http partners healthincommon ca 30 40 minutes to complete during class time typically all students will complete the survey on same day and time Multiple choice questions on physical activity healthy eating smoking alcohol substance abuse school connectedness mental health injury prevention sleep patterns sun UV exposure sexual health and grade 11 amp 12 physical education health education curriculum The survey answers provided by students will be protected and confidential Participation by students is voluntary Parents will receive a letter informing them of the survey and the process that allows them to opt out their child from participation if they chose Student code information that is collected during the YHS will be used in the future to connect the YHS dataset to other datasets such as provincial Early Child Development data or to conn
166. us venues and levels of programming for youth physical activities Supplementary to questions 24 and 25 27 In a typical week how many days did you partly or fully actively travel to or from school e g walking biking skateboarding None 1 day 2 days 3 days 4 days 5 days Source Adapted from the 2008 YHS 2009 IRHA YHS 2008 Global School based Student Health Survey 2005 2007Alberta Web Survey of Physical Activity and Nutrition 2008 Healthy Youth Survey and 2002 International Physical Activity Questionnaire Stakeholders identified in a typical week as providing more useful information than in the last week 28 In atypical week how often is your parent caregiver physically active outside of work This can include walking running going to the gym doing yard work etc O Never Rarely Often I don t know Source Adapted from 2006 2007 New Brunswick Youth Physical Activity Survey 2006 SHAPES Youth Physical Activity Survey and the 2010 New Brunswick Student Wellness Survey Stakeholders identified in a typical week as providing more useful information than in the last week Validation Reference School environment questions were found to have moderate reliability Wong S Leatherdale S Manske S 2006 Reliability and validity of a school based physical activity questionnaire Medicine and Science in Sports and Exercise 38 9 1593 1600 doi 10 1
167. vention 12 The parties wish to enter into this Agreement to provide the conditions under which the Data from the PROVIDER will be disclosed to CCMB NOW THEREFORE the parties agree as follows In this Agreement Page 2 of 7 119 FIPPA shall mean The Freedom of Information and Protection of Privacy Act Manitoba and any amendments made thereto any replacement legislation thereof and any regulations passed thereunder PHIA shall mean The Personal Health Information Act Manitoba and any amendments made thereto any replacement legislation thereof and any regulations passed thereunder Personal Health Information shall have the meaning given to this term in PHIA and without limiting the generality of the foregoing includes recorded information about an identifiable individual that relates to a the individual s health or health care history including genetic information about the individual b the provision of health care to the individual or c payment for health care provided to the individual and includes d the PHIN and any other identifying number symbol or particular assigned to an individual and e any identifying information about the individual that is collected in the course of and is incidental to the provision of health care or payment for health care Personal Information has the meaning given to this term in FIPPA and without limiting the generality of the foregoing includes recorded i
168. vey and the 2009 Canadian Tobacco Use Monitoring Survey Time frame During the past 30 days was changed to During the past month in order to maintain consistency throughout the 2012 YHS Also this survey removed the qualifier excluding your own use from the 2011 Core Indicator Measures of Youth Tobacco Control based on stakeholder and expert feedback 52 Do you want to stop your use of tobacco I have never used tobacco Ihave already stopped for at least the last month Yes within a month Yes within 6 months Yes but I am not sure when No I do not want to stop Source Adapted from 2011 Core Indicator Measures of Youth Tobacco Control The modifications include the wording in the second and third answer option where this survey uses month instead of 30 days to maintain consistency with the time frame used throughout the survey 53 If students are caught breaking the smoking rules at this school do they get into trouble Yes No I don t know Source New Brunswick 2010 Student Wellness Survey SECTION 10 Alcohol This includes drinking such things as beer wine coolers and liquor such as rum gin vodka or whiskey For these questions drinking alcohol does not include drinking a few sips of wine for religious purposes 54 During the past month 30 days on how many days did you have at least one drink of alcohol One drink of alcohol is defined as a bottle of b
169. was previously implemented by local regional health authorities RH As in schools across Manitoba between 2006 and 2008 The survey asks students about various youth health behaviours in order to provide schools and RHAs with local level information for program planning and development Since the last implementation of the YHS the questionnaire has been expanded to include new content areas such as mental health injury prevention and sexual health ENS ui Please read the details below and decide if you will agree to have your child complete the survey Details about the Youth Health Survey YHS Students will complete the survey which takes between 30 and 40 minutes to complete during school hours with a teacher present to supervise on a date chosen by the school e The survey asks students multiple choice questions about physical activity healthy eating smoking alcohol substance abuse school connectedness mental health injury prevention sleep patterns sexual health sun UV exposure and grade 11 amp 12 physical education health education curriculum e The survey answers provided by students will be protected and confidential They will not be given to teachers the school or anyone else e Participation by students is voluntary You can refuse to have your child take part in the survey at any time with no penalty Your child will not take part in the survey if you as a parent decide they should not do so OR if they do not
170. week 1 3 times per week O 4 or more times a week In a typical week how many days did you partly or fully actively travel to or from school e g walking biking skateboarding O None O 1 day 2 days O 3 days O 4 days O 5 days In a typical week how often is your parent caregiver physically active outside of work This can include walking running going to the gym doing yard work etc O Never O Rarely O Often I don t know 100501X 91 Moderate physical activities are easier activities such as walking biking and recreational swimming Hard vigorous physical activities increase your heart rate and make you breathe hard and sweat They can include jogging team sports fast dancing STE TOPE ERG 31 Mark how many minutes of moderate physical activity you did for each day last week Include activities that lasted for at least 15 minutes at one time during physical education class lunch recess after school evenings and spare time 29 Mark how many minutes of hard vigorous physical activity you did for each day last week Include activities that lasted for at least 15 minutes at one time during physical education class lunch recess after school evenings and For example If you did 1 hour and 15 min of spare time moderate activity on Monday you would shade For example If you did 1 hour and 15 minutes of Hours Minutes hard vigorous activity on Monday you would shade Monday B
171. with Suspicious Surveys Survey Fatigue amp Written Comments 1 Be aware of suspicious survey answers meaning that the student clearly did not fill out the survey with genuine responses Use the Suspicious Surveys amp Fatigue Tracking Log to keep track of the survey id s bottom right corner of odd pages You should still scan these surveys as normal just make a note if something seems suspicious so that the analysts at CancerCare can go back and check if they need to Example of suspicious surveys e Q 36 a student says that they ate 8 of every food listed in the entire question e Q55or57 a student says that they used every drug listed ten or more times e Students have scribbled all over the survey and or written profane or joke comments throughout 2 Track survey fatigue on the Suspicious Surveys amp Fatigue Tracking Log If you notice that at the beginning of a survey the circles are shaded in neatly but towards the end of the survey they become sloppy this may indicate survey fatigue Continue to scan this survey normally but keep track of how often this happens on the same Suspicious Surveys and Fatigue Tracking Log Note You only need to use one Suspicious Survey and Fatigue Log but please try to organize it by school or school division if possible 3 Written Comments on Surveys If a student has written a comment on a survey that needs to be addressed please photocopy the page with the comment on it only and email ma
172. with schools not listed in the Manitoba Schools Book such as some First Nations Colony and Independent schools In the current YHS cycle students in grade 7 to 12 were invited to participate in the survey A new element in the 2012 2013 Youth Health is the addition of an Administrators Survey which was completed by a school administrator on the same day as the students completed the student s survey See YHS Administrators Survey section for further details Survey Design The YHS is a self administered survey The survey design is a paper booklet that is computer scannable each with a unique survey number Students record their answers directly in the booklet The perforated binding allows for the ease of feeding each sheet into a scanner to collect responses Skip patterns are not included in the survey to ensure that the time required to complete the survey is similar regardless of health risk behaviours The average time to complete the survey is 30 40 minutes Survey Versions and Translation Two versions of the YHS were created Version A Version B See Appendix B YHS Questionnaire Version B They are identical except that Version A does not include the sexual health questions whereas Version B does The two versions were created because not all schools felt comfortable with the new sexual health questions Schools and school divisions could choose to opt out of the sexual health section and complete survey version A with no sexua
173. y times did you drive a car or other vehicle after you had been using illegal drugs including marijuana Ihave never done this Ihave done this but not in the past month time O 2 or 3 times O 4 or more times During the past month 30 days how many times did you ride in a car or other vehicle driven by someone who had been using illegal drugs including marijuana Ihave never done this O Ihave done this but not in the past month O 1 time 2 or 3 times 4 or more times 62 How many times in the past year 12 months has anyone done any of the following TO YOU Physically threatened or injured you Bullied taunted or ridiculed you egamoenf amp f amp phone or last name h Made you feel unsafe when you were in contact with them over the internet i Bullied or picked on you through the internet e g posted something on Facebook or emailed you 63 In general do you wear a A helmet when you ride a bike b A helmet when you ride other vehicles e g snowmobile ATV dirt bike motorcycle c A seatbelt when riding in a car truck or SUV d A life vest when you re in a small boat e g canoe raft small motor boat Page 8 Said something bad about your race or culture Said something bad about your sexual orientation or gender identity Said something bad about your body shape size or appearance Asked for personal information over the internet e g address
174. y school division by Healthy Child Manitoba and forwarded to the appropriate RHA contact for distribution to the school contacts Each classroom bundle also included a supply of blank surveys for students who were not on the class list but were present in the classroom on the day of the survey The teacher wrote the student name gender and DOB on the front page of these surveys prior to survey distribution In addition there were also detailed teacher instructions and classroom instructions See Appendix D for Teacher and Classroom Instruction Sheets that the teachers read to the students Surveys were then distributed according to list and the student names on the surveys to only those students whose parents had not opted their child out of the survey or provided consent The teacher removed the front page of the survey as they were distributing the surveys to the students and placed it in an envelope that was sealed immediately 13 Classroom teachers recorded the reason for each uncompleted survey i e opted out absent refused moved on the student list provided These incomplete surveys were returned to the RHA contact along with all completed surveys Students placed their completed surveys in the classroom envelope that was sealed after the last student inserted their survey to protect confidentiality Some schools chose to provide each student with an envelope into which they placed their completed survey prior to returning it to the tea
175. yes Probably yes O Probably not O Definitely not Page 6 45 Do you think in the future you might try smoking cigarettes O Definitely yes O Probably yes Probably not O Definitely not 46 If one of your best friends was to offer you a cigarette would you smoke it O Definitely yes O Probably yes Probably not Definitely not 47 During the past month 30 days did you use chewing tobacco snuff or dip such as Redman Levi Garrett Beechnut Skoal Skoal Bandits or Copenhagen O Yes every day Yes almost every day Yes some days O No 48 During the past month 30 days did you smoke cigars cigarillos or little cigars O Yes every day O Yes almost every day Yes some days O No 49 Where do you usually get your cigarettes Choose all that apply O I do not smoke I buy them myself at a store O I buy them from a friend or someone else O I ask someone to buy them for me O My brother or sister gives them to me O My parent or caregiver gives them to me O A friend or someone else gives them to me O I take them from my mother father or siblings O I take them from a friend or someone else 50 How often are you exposed to second hand smoke O Every day Almost every day About once a week About once a month O Less than once a month O Never 5 During the past month 30 days were you exposed to second hand smoke Yes No Don t Work a in your home b on

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