Healthy Campus 2010 Midcourse Review Health Disparities Healthy People & Campus 2010 Overarching Goals 1. Increase quality and years of healthy life 2. Eliminate health disparities Cynthia Burwell, EdD, CHES, F-ACHA Norfolk State University Lori Dewald, EdD, ATC, CHES, F-AAHE Salisbury University Jim Grizzell, MBA, MA, CHES, ACSM-HFS, F-ACHA Cal Poly Pomona and George Washington University

Objectives The attendee should be able to: o Describe the Healthy Campus 2010 Coalition and midcourse review process o Explain how the midcourse review data can be used o Determining needs and problem descriptions for health disparities o Determining priority health disparity issues o Explain the limitations of the data and data needs ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review2

3 Agenda  ACHA Healthy Campus 2010 Coalition  Focus Areas and Objectives  Data sets used  Overview of progress Midcourse review p rogress quotient calculation Overarching goals  Details of progress Top 10 Health impediments to academic performance Top 10 physical and mental health problems Focus area 1-28 objectives  Limitations of the data & data needs

Purpose of ACHA Coalitions  To provide a multi-disciplinary issue oriented organizational mechanism from all regions for continuing education; advocacy; knowledge, standards, and professional development.  To enhance channels of communication between members with different professional identities from all regions to address issues based strategic initiatives of the Association.  To expand membership recruitment and participation opportunities. ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review4

Goal 1  ACHA will support and promote systems and programs that produce optimum health outcomes for college students and campus communities. The National Health Objectives in Higher Education Coalition will translate national health objectives (Healthy People 2020) into campus- based objectives and will create additional objectives that are specific to the needs of college students and campus communities. ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review5

Goal 2  ACHA will be the primary source of information, education and consultation on health and health promotion issues affecting college and university students within the campus community. The National Health Objectives in Higher Education Coalition will publish Healthy Campus 2020 (including a getting started on your campus section within the publication.) ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review6

Goal 3  ACHA will be the leading source of evidence-based knowledge about the field of college health. The National Health Objectives in Higher Education Coalition will relate college health objectives to available data sources. ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review7

Goal 4  ACHA will be the principal advocate for national policy affecting the health of all college students and campus communities. The National Health Objectives in Higher Education Coalition, utilizing the Healthy Campus 2020 document will assist with identifying key areas in need of changes in public policy. ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review8

9 Healthy People 2010 and Healthy Campus 2010 Focus Areas 1. Access to Quality Health Services (16/6/1)* 2. Arthritis, Osteoporosis & Chronic Back Conditions (11/0/0) 3. Cancer (15/3/2) 4. Chronic Kidney Disease (8/0/0) 5. Diabetes (17/4/3) 6. Disability & Secondary Conditions (13/2/1) 7. Educational & Community-Based Programs (12/5/1) 8. Environmental Health (30/8/0) 9. Family Planning (13/6/5) 10. Food Safety (7/3/0) 11. Health Communication (6/3/0) 12. Heart Disease & Stroke (16/6/2) 13. HIV (17/4/3) * Healthy People objectives / Healthy Campus objectives / Healthy Campus objectives with baseline data

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review10 Healthy People 2010 and Healthy Campus 2010 Focus Areas 14. Immunization & Infectious Diseases (31/8/1) 15. Injury and Violence Prevention (39/20/13) 16. Maternal, Infant, & Child Health (23/3/0) 17. Medical Product Safety (6/6/0) 18. Mental Health & Mental Disorders (14/6/2) 19. Nutrition & Overweight (18/15/4) 20. Occupational Safety & Health (11/6/0) 21. Oral Health (17/3/1) 22. Physical Activity & Fitness (15/11/3) 23. Public Health Infrastructure (17/11/3) 24. Respiratory Diseases (17/4/1) 25. Sexually Transmitted Diseases (19/9/6) 26. Substance Abuse (25/17/5) 27. Tobacco Use (21/8/1) 28. Vision and Hearing (18/3/0)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review11 ACHA-NCHA Data Sets FrequencyPercent Spring , Spring , Spring , Spring , Spring , Spring , Spring , Spring , Total348, Data sets by gender and ethnic groups are on the last slides.

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review12 Overview of Progress Percent of Targeted Change Achieved  Calculation (most recent value – baseline )/(2010 target - baseline)  Met or exceeded target 100% or greater (positive percent)  Movement toward target >0% to 99% of targeted change  Moved away from target Negative percent (i.e., -60%)

Overview of Progress Example from Healthy People 2010 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review13

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review14 Overview of Progress  Progress for 87 objectives and sub-objectives 5 (6%) met or exceeded target 32 (37%) moved toward targets 9 (10%) had no change 37 (43%) moved away from the targets 4 (5%) unable to calculate at this time  Receipt of Health Information, Health Problems, Health Impediments to Academic Performance 6 of 11 receipt of information topics moved away from the targets (1 had no change) 7 of the 10 health problems moved away from the targets 9 of top 10 health impediments to academic performance have moved away from the targets

Overview of Progress Goal 1: Quality of Healthy Life ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review15

Overview of Progress Goal 1: Quality of Healthy Life ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review16

Overview of Progress Excellent, Very Good, Good Goal 2: Eliminate Health Disparities ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review17

Overview of Progress Excellent, Very Good, Good Goal 2: Eliminate Health Disparities ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review18

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review19 Health Impediments to Academic Performance, Health Problems, Focus Areas I. Top 10 Health Impediments to Academic Performance Top 10 Health Impediments to Academic Performance II. Top 10 Medical Problems Top 10 Medical Problems 1. Access to Health Care Access to Health Care 2. Arthritis, Osteoporosis & Chronic Back Conditions 3. Cancer Cancer 4. Chronic Kidney Disease 5. Diabetes Diabetes 6. Disability & Secondary Conditions 7. Educ & Comm-Based Progs Educ & Comm-Based Progs 8. Environmental Health 9. Family Planning Family Planning 10. Food Safety 11. Health Communication 12. Heart Disease & Stroke Heart Disease & Stroke 13. HIV HIV 14. Immunization & Infectious Diseases Immunization & Infectious Diseases 15. Injury & Violence Prev Injury & Violence Prev 16. Maternal & Child Health 17. Medical Product Safety 18. Mental Health Mental Health 19. Nutrition & Overweight Nutrition & Overweight 20. Occup Safety & Health 21. Oral Health Oral Health 22. Physical Activity & Fitness Physical Activity & Fitness 23. Public Health Infrastructure 24. Respiratory Diseases Respiratory Diseases 25. STDs STDs 26. Substance Abuse Substance Abuse 27. Tobacco Use Tobacco Use 28. Vision and Hearing

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review20 Received Low Grade on exam/project, course, took incomplete/dropped Top 10 Health Impediments to Academic Performance

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review21 Percent of Targeted Change Achieved Took Incomplete or Dropped Course Top 10 Health Impediments to Academic Performance

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review22 University Learning Mission Objectives Health Impediments to Academic Performance NCHA data: N = ~17,000 to 46,000/yr, HIAP = Health Impediment to Academic Performance  9 away from target: Ave: 19%, Range: 5% - 79%  1 toward target: 8%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review23 University Learning Mission Objectives Stress  2000 Baseline: 28.7%  2007: 34.1%  2010 Target: 25%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review24 University Learning Mission Objectives Cold/Flu/Sore Throat  2000 Baseline: 21.5%  2007: 27.1%  2010 Target: 12%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review25 University Learning Mission Objectives Sleep Difficulties  2000 Baseline: 20.7%  2007: 26.1%  2010 Target: 16%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review26 University Learning Mission Objectives Concern for Troubled Family Member/Friend  2000 Baseline: 16.4%  2007: 19%  2010 Target: 12%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review27 University Learning Mission Objectives Relationship Difficulties  2000 Baseline: 15.1%  2007: 16.4%  2010 Target: 12%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review28 University Learning Mission Objectives Depression  2000 Baseline: 11.3%  2007: 16.3%  2010 Target: 7.5%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review29 University Learning Mission Objectives Internet / Computer Games  2000 Baseline: 8.9%  2007: 16.3%  2010 Target: 6%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review30 University Learning Mission Objectives Death of Family Member / Friend  2000 Baseline: 7.9%  2007: 9.4%  2010 Target: 6%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review31 University Learning Mission Objectives Sinus Infection / Strep Throat  2000 Baseline: 7.8%  2007: 8.8%  2010 Target: 6%

ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review32 University Learning Mission Objectives Alcohol  2000 Baseline: 7.9%  2007: 7.7%  2010 Target: 2.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review33 Percent of Targeted Change Achieved Top 10 Physical and Mental Health Problems (q43)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review34 Top 10 Medical / Mental Health Problems (Q43) Health Problems in the Last Year  7 away from target  3 toward target Low grade exam/project, course, took incomplete or dropped course. ACHA-NCHA data: N = ~16,000 to ~95,000/yr

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review35 1 st of Top 10 Health Problems in the Last Year Back Pain  2000 Baseline: 45%  2007: 47%  2010 Target: 39%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review36 2 nd of Top 10 Health Problems in the Last Year Allergies  2000 Baseline: 41.8%  2007: 47%  2010 Target: 37%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review37 3 rd of Top 10 Health Problems in the Last Year Sinus Infection  2000 Baseline: 26.4%  2007: 29.3%  2010 Target: 11%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review38 4 th of Top 10 Health Problems in the Last Year Depression  2000 Baseline: 16.4%  2007: 18.4%  2010 Target: 13%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review39 5 th of Top 10 Health Problems in the Last Year Strep Throat  2000 Baseline: 14.4%  2007: 14%  2010 Target: 13%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review40 6 th of Top 10 Health Problems in the Last Year Ear Infection  2000 Baseline: 10.5%  2007: 10%  2010 Target: 6%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review41 7 th of Top 10 Health Problems in the Last Year Asthma  2000 Baseline: 9.9%  2007: 11.9%  2010 Target: 6%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review42 8 th of Top 10 Health Problems in the Last Year Bronchitis  2000 Baseline: 9.2%  2007: 7.6%  2010 Target: 4%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review43 9 th of Top 10 Health Problems in the Last Year Anxiety  2000 Baseline: 6.7%  2007: 13.4%  2010 Target: 4%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review44 10 th of Top 10 Health Problems in the Last Year Repetitive Stress Syndrome  2000 Baseline: 5.9%  2007: 6.4%  2010 Target: 4%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 1-7

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 1

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review47 Objective 1-1 (q58) Have Any Kind of Health Insurance

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review48 Objective 1-1 (q58) Have Any Kind of Health Insurance  2000 Baseline: 83.3%  2007: 86.1%  2010 Target: 100%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review49 University Learning Mission Objective related to Having Insurance Concern for Troubled Family Member/Friend  2000 Baseline: 16.4%  2007: 19%  2010 Target: 12% 2007 Data Set: 86.1% have insurance, 8.3% don’t have, 5.6% don’t know Students without health insurance are about 30% more likely to have academics adversely affected due to concern for family member / friend. Could it be that their family members also don’t have health insurance, less access to health care and more stress for the student?

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review50 Objective 1-1 (q58) by Age Groups Have Any Kind of Health Insurance  2000 Baseline: 83.3%  2007: 86.1%  2010 Target: 100%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review51 Objective 3-9a (q42L) Use Sunscreen Daily

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review52 Objective 3-9a (q42L) Use Sunscreen Daily  Baseline: 14.7% in 2000  2007: 18.1%  2010 Target: 23.9%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review53 Objective 3-11c (q42I) Received Routine Gynecological Exam

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review54 Objective 3-11c (q42I) Received Routine Gynecological Exam  Baseline: 63.1% in 2000  2007: 59.0%  2010 Target: 83.2%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review55 Objective 5-2 (q43h1) Diabetes in Last Year

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review56 Objective 5-2 (q43h1) Diabetes in Last Year  Baseline: 8.4 per 1,000  2007: 9.7 per 1,000  2010 Target: 2.2 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review57 Objective 5-3 (q43h2) Ever Diagnosed with Diabetes

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review58 Objective 5-3 (q43h2) Ever Diagnosed with Diabetes  Baseline: 9.2 per 1,000  2007: 9.6 per 1,000  2010 Target: 2.5 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review59 Objective 5-4a Diabetes and Academic Performance

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review60 Objective 5-4a Diabetes and Academic Performance  Baseline: 1,400 per 10,000  2007: 2,439 per 10,000  2010 Target: per 10,000

00-07 Percent of Targeted Change Achieved Sub-Objectives 7-3: Received Information ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review61

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review62 Objective 7-3a Received Information in Last Year on All Topics  Baseline: 3.1% in 2000  2007: 2.9%  2010 Target: 17.4%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review63 Objective 7-3a Received Information on Tobacco Use Prevention  Baseline: 22.1% in 2000  2007: 24.0%  2010 Target: 55 %

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review64 Objective 7-3a Received Information on Alcohol and Other Drugs Use Prevention  Baseline: 47.5% in 2000  2007: 49.3%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review65 Objective 7-3a Received Information on Sexual Assault / Relationship Violence Prevention  Baseline: 42.5% in 2000  2007: 43.9%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review66 Objective 7-3a Received Information on Violence Prevention  Baseline: 18.9% in 2000  2007: 21.1%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review67 Objective 7-3a Received Information on Injury Prevention and Safety  Baseline: 13.9% in 2000  2007: 14.4%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review68 Objective 7-3a Received Information on Suicide Prevention  Baseline: 12.2% in 2000  2007: 15.3%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review69 Objective 7-3a Received Information on Pregnancy Prevention  Baseline: 29% in 2000  2006: 22.6%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review70 Objective 7-3a Received Information on HIV/AIDS Prevention  Baseline: 39.8% in 2000  2007: 28.7%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review71 Objective 7-3a Received Information on STD Prevention  Baseline: 42.3% in 2000  2007: 36.4%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review72 Objective 7-3a Received Information on Dietary Behaviors and Nutrition  Baseline: 32.5% in 2000  2007: 31.3%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review73 Objective 7-3a Received Information on Physical Activity and Fitness  Baseline: 33.3% in 2000  2006: 37.5%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review74 Objective 7-3a Received Information on No Health Topics  Baseline: 24.1% in 2000  2007: 24.7%  2010 Target: 18% (best by ethnicity Native Am 20.2% - 10%)

00-07 Percent of Targeted Change Achieved Objectives from Focus Area 9 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review75

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review76 Objective 9-3 Use of Contraceptive Method

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review77 Objective 9-3 Use of Contraceptive Method  Baseline: 88.4% in 2000 (revised)  2006: 92.4%  2010 Target: 100%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review78 Objective 9-5a Use of Emergency Contraception

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review79 Objective 9-5a Use of Emergency Contraception  Baseline: 6.0% in 2000  2007: 10.0%  2010 Target: 10.2%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review80 Objective 9-7a Reduce Unintentional Pregnancy (Females) Return to Focus Area Table of Contents

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review81 Objective 9-7a Reduce Unintentional Pregnancy (Females)  Baseline: 25.3 per 1,000 in 2000  2007: 16.5 per 1,000  2010 Target: 17.5 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review82 Objective 9-7b Reduce Unintentional Pregnancy (Males)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review83 Objective 9-7b Reduce Unintentional Pregnancy (Males)  Baseline: 23.9 per 1,000  2007: 17.3 per 1,000  2010 Target: 17.5 per 1,000

00-07 Percent of Targeted Change Achieved Objectives from Focus Area 12 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review84

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review85 Objective 12-12a Blood Pressure Checked

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review86 Objective 12-12a Blood Pressure Checked in Past 2 Years  Baseline: 90.1% in 2000  2007: 88.5%  2010 Target: 95.3%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review87 Objective Cholesterol Checked in Last 5 Years

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review88 Objective Cholesterol Checked in Last 5 Years  Baseline: 45.2% in 2000  2007: 44.7%  2010 Target: 62.1%

00-07 Percent of Targeted Change Achieved Objectives for Focus Area 13 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review89

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review90 Objective 13-6b-1 (Females) Condom Use (Oral Intercourse)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review91 Objective 13-6b-1 (Females) Condom Use (Oral Intercourse)  Baseline: 2.2% in 2000  2007: 3.4%  2010 Target: 15%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review92 Objective 13-6b-2 (Males) Condom Use (Oral Intercourse)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review93 Objective 13-6b-2 (Males) Condom Use (Oral Intercourse)  Baseline: 3.4% in 2000  2007: 4.1%  2010 Target: 15%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review94 Objective 13-6c-1 (Females) Condom Use (Vaginal Intercourse)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review95 Objective 13-6c-1 (Females) Condom Use (Vaginal Intercourse)  Baseline: 37.6% in 2000  2007: 44.0%  2010 Target: 70%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review96 Objective 13-6c-2 (Males) Condom Use (Vaginal Intercourse)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review97 Objective 13-6c-2 (Males) Condom Use ( Vaginal Intercourse)  Baseline: 44% in 2000  2007: 52.3%  2010 Target: 70%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review98 Objective 13-6d-1 (Females) Condom Use (Anal Intercourse)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review99 Objective 13-6d-1 (Females) Condom Use (Anal Intercourse)  Baseline: 16.2% in 2000  2007:21.4%  2010 Target: 70%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review100 Objective 13-6d-2 (Males) Condom Use ( Anal Intercourse)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review101 Objective 13-6d-2 (Males) Condom Use (Anal Intercourse)  Baseline: 35.5% in 2000  2007: 39.7%  2010 Target: 70%

00-07 Percent of Targeted Change Achieved Objective from Focus Area 14 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review102

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review103 Objective 14-3/9 Hepatitis B and C

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review104 Objective 14-3/9 Hepatitis B and C Diagnosed in Last Year  Baseline: per 100,000  2007: per 100,000  2010 Target: 49.1 per 100,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Area 15

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review106 Objective Seatbelt Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review107 Objective Seatbelt Use  Baseline: 69.5% in 2000  2007: 77.7%  2010 Target: 94%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review108 Objective Motorcycle Helmet Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review109 Objective Motorcycle Helmet Use  Baseline: 50.6% in 2000  2007: 71.2%  2010 Target: 71.8%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review110 Objective Bicycle Helmet Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review111 Objective Bicycle Helmet Use  Baseline: 11.4% in 2000  2007: 19.9%  2010 Target: 24.1%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review112 Objective 15-23a Inline Skating Helmet Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review113 Objective 15-23a Inline Skating Helmet Use  Baseline: 5.7% in 2000  2007: 13.2%  2010 Target: 19.6%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review114 Objective Physical Assault by Partners Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review115 Objective Physical Assault by Partners  Baseline: 23.0 per 1,000  2007: 23.7 per 1,000  2010 Target: 18.6 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review116 Objective 15-34a Emotionally Abusive Relationships Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review117 Objective 15-34a Emotionally Abusive Relationships  Baseline: 126 per 1,000  2007: per per 1,000  2010 Target: 93.9 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review118 Objective 15-34b Sexually Abusive Relationships Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review119 Objective 15-34a Sexually Abusive Relationships  Baseline: 18 per 1,000  2007: 17.1 per 1,000  2010 Target: 15.3 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review120 Objective 15-35a Rape or Attempted Rape Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review121 Objective 15-35a Rape or Attempted Rape  Baseline: 34.6 per 1,000  2007: 30.8 per 1,000  2010 Target: 23.3 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review122 Objective Sexual Assault Other than Rape Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review123 Objective Sexual Assault Other than Rape  Baseline: 95.8 per 1,000  2007: 83.5 per 1,000  2010 Target: 56.4 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review124 Objective Physical Assault Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review125 Objective Physical Assault  Baseline: 37.0 per 1,000  2007: 42.3 per 1,000  2010 Target: 21.3 per 1,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review126 Objective Physical Fighting Violence and Abuse Prevention

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review127 Objective Physical Fighting  Baseline: 6.6%  2007: 7.4%  2010 Target: 4.2%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 18

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review129 Objective 18-2 Attempted Suicide

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review130 Objective 18-2 Attempted Suicide  2000 Baseline: 1.5%  2007: 1.5%  2010 Target: 0.53%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review131 Objective 18-9b Recognized Depression and Received Treatment 34.9%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review132 Objective 18-9b Recognized Depression and Received Treatment  2000 Baseline: 34.9%  2007: 36.7%  2010 Target: 50%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objective from Focus Areas 19

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review134 Objective 19-1 In Healthy Weight Range

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review135 Objective 19-1 In Healthy Weight Range (BMI 18.5 – 24.9)  Baseline: 65.2% in 2000  2002: 62.4%  2010 Target: 75%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review136 Objective 19-2 Obesity

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review137 Objective 19-2 Obesity  Baseline: 8.1% in 2000  2007: 11.7%  2010 Target: 3%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review138 Objective 19-3 Overweight or Obese

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review139 Objective 19-3 Overweight or Obese  Baseline: 29.5% in 2000  2007: 32.9%  2010 Target: 16%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review140 Objective 19-5/6 Fruit and Vegetable Intake

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review141 Objective 19-5/6 Fruit and Vegetable Intake (5+ serv/day)  Baseline: 7.4% in 2000  2007: 6.7%  2010 Target: 25.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 21

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review143 Objective Dental Care (exam in last year)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review144 Objective Dental Care (exam in last year)  Baseline: 77.1% in 2000  2007: 77.7%  2010 Target: 92%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Area 22

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Objective 22-2/3 Physical Activity: Moderate/Vigorous

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Objective 22-2/3 Physical Activity: Moderate/Vigorous  Baseline: 40.3% in 2000  2007: 42.7%  2010 Target: 55%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Objective 22-2 Muscular Strength/Endurance

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Objective 22-2 Muscular Strength/Endurance  Baseline: 47.2% in 2000  2007: 48.2%  2010 Target: 65%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Objective 22-15a Bicycling

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Objective 22-15a Bicycling (rode in the last year)  Baseline: 52.7% in 2000  2007: 47.9%  2010 Target: 65%

00-07 Percent of Targeted Change Achieved Objectives from Focus Area 23 ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review152

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 24

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review154 Objective 24-5a Asthma Adversely Affected Academic Performance

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review155 Objective 24-5a Asthma Adversely Affected Academic Performance  Baseline: 581 per 10,000 in 2000  2007: 761 per 10,000  2010 Target: 387 per 10,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 25

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review157 Objective 25-1 (Women) Chlamydia Infections

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review158 Objective 25-1 (Women) Chlamydia Infections  Baseline: 0.89% in 2000  2007: 0.92%  2010 Target: 0.2%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review159 Objective 25-1 (Men) Chlamydia Infections

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review160 Objective 25-1 (Men) Chlamydia Infections  Baseline: 0.74% in 2000  2007: 0.58%  2010 Target: 0.2%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review161 Objective 25-2 Gonorrhea Infections

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review162 Objective 25-2 Gonorrhea Infections  Baseline: 367 per 100,000 in 2000  2007: 210 per 100,000  2010 Target: 49 per 100,000

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review163 Objective 25-4 Genital Herpes Infections

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review164 Objective 25-4 Genital Herpes Infections  Baseline: 0.96% in 2000  2007: 0.95%  2010 Target: 0.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review165 Objective 25-5 Human Papillomavirus

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review166 Objective 25-5 Human Papillomavirus  Baseline: 1.35% in 2000  2007: 2.51%  2010 Target: 0.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review167 Objective 25-6 Pelvic Inflammatory Disease

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review168 Objective 25-6 Pelvic Inflammatory Disease  Baseline: 1.42% in 2000  2007: 0.76%  2010 Target: 0.4%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Areas 26

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review170 Objective 26-6a Driving After Drinking

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review171 Objective 26-6a Driving After Drinking  Baseline: 30.9% in 2000  2007: 24.0%  2010 Target: 15.3%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review172 Objective 26-7a Injured Self from Drinking Alcohol

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review173 Objective 26-7a Injured Self from Drinking Alcohol  Baseline: 13.1% in 2000  2007: 15.2%  2010 Target: 2.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review174 Objective 26-7b Involved in Fight from Drinking

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review175 Objective 26-7b Involved in Fight from Drinking  Baseline: 5.1% in 2000  2007: 5.7%  2010 Target: 1.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review176 Objective 26-10a Illicit Drug Use by Under 21 yr olds

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review177 Objective 26-10a Illicit Drug Use by Under 21 yr olds  Baseline: 14.8% in 2000  2007: 16.3%  2010 Target: 1%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review178 Objective 26-10b Marijuana Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review179 Objective 26-10b Marijuana Use  Baseline: 14.8% in 2000  2007: 16.3%  2010 Target: 1%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review180 Objective 26-10c Illicit Drug Use (alcohol not included)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review181 Objective 26-10c Illicit Drug Use (alcohol not included)  Baseline: 14.8% in 2000  2007: 16.3%  2010 Target: 1%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review182 Objective 26-11b (Females, 5+ drinks) High Risk Drinking Last 2 Weeks NCHA, % 33.2%.

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review183 Objective 26-11b (Females, 5+ drinks) High Risk Drinking Last 2 Weeks  Baseline: 33.2% in 2000  2007: 32.3%  2010 Target: 10.5% (10% better than Black).

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review184 Objective 26-11b (Males, 5+ drinks) High Risk Drinking Last 2 Weeks NCHA, 2000 ???% 35.8%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review185 Objective 26-11b (Males, 5+ drinks) High Risk Drinking Last 2 Weeks  Baseline: 50.4% in 2000  2007: 50.0%  2010 Target: 31% (10% better than Black rate)

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review186 Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2008). Monitoring the Future national survey results on drug use, 1975–2007: Volume II, College students and adults ages 19–45 (NIH Publication No B). Bethesda, MD: National Institute on Drug Abuse. Accessed on Feb, 18, 2007 at vol2_2007.pdf

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review187

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review Percent of Targeted Change Achieved Objectives from Focus Area 27

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review189 Objective 27-1/2a Cigarette Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review190 Objective 27-1a Cigarette Use  Baseline: 25.1% in 2000  2007: 18.5%  2010 Target: 10.5%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review191 Objective 27-1/2ab Smokeless Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review192 Objective 27-1/2b Smokeless Use  Baseline: 3.7% in 2000  2007: 3.5%  2010 Target: 1%

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review193 Objective 27-1/2c Cigar Use

ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review194 Objective 27-1/2c Cigar Use  Baseline: 5.7% in 2000  2007: 5.6%  2010 Target: 2%

Limitations  Cross-sectional data collection  Self-selected IHEs Random representative sampling of students  ACHA member institutions only  Sampling method varied Classroom and online  Self-report data for the “past year” ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review195

Contact Information  Jim Grizzell, MBA, MA, CHES, ACSM-HFS   (909) ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review196

Data by Gender ACHA-NCHA Trends and Healthy Campus 2010 Midcourse Review197

Data by Ethnic Groups ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review198

Data by Ethnic Groups ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review199

Data by Ethnic Groups ACHA NCHA Trends and Healthy Campus 2010 Midcourse Review200