DDI_KWT_2010_GSHS_v01_M_WB Development Data Group 2013-11-11 NADA Version 01 (November 2013) Global School-based Student Health Survey 2010 GSHS 2010 KWT_2010_GSHS_v01_M Ministry of Health Ministry of Education World Health Organization Centers for Disease Control and Prevention United Nations Children's Fund United Nations Educational, Scientific and Cultural Organization Joint United Nations Programme on HIV/AIDS NADA World Health Organization Centers for Disease Control and Prevention Department of Chronic Diseases and Health Promotion World Health Survey [hh/whs] The Global school-based student health survey (GSHS) is a collaborative surveillance project designed to help countries measure and assess the behavioural risk factors and protective factors in 10 key areas among young people aged 13 to 17 years. The GSHS is a relatively low-cost school-based survey which uses a self-administered questionnaire to obtain data on young people's health behaviour and protective factors related to the leading causes of morbidity and mortality among children and adults worldwide. The GSHS was developed by the World Health Organization (WHO) in collaboration with United Nations' UNICEF, UNESCO, and UNAIDS; and with technical assistance from CDC. As of December 2011, representatives from more than 107 countries have been trained and 73 countries have completed a GSHS. Twenty-nine countries have been trained but have not conducted their surveys because of insufficient funds, staff turnover, or other in-country barriers. More than 420,000 students have participated in a GSHS survey. The 2010 Kuwait Global School-based Student Health Survey (GSHS) was the first GSHS conducted in Kuwait by the Ministry of Health in the academic year 2010-2011. It is a school based cross sectional survey targeting the 13 to 15 year age group. The purpose of the GSHS is to provide accurate data on health behaviours and protective factors among students to: - Help countries develop priorities, establish programmes, and advocate for resources for school health and youth health programmes and policies; - Allow countries, international agencies, and others to make comparisons across countries and within countries regarding the prevalence of health behaviours and protective factors; and - Establish trends in the prevalence of health behaviours and protective factors by country for use in evaluation of school health and youth health promotion. Kuwait National coverage Students aged 13-15 years Sample survey data [ssd] The 2010 Kuwait GSHS measured dietary behaviours; drug use; hygiene; mental health; physical activity; protective factors; tobacco use; and violence and unintentional injury. Ministry of Health Ministry of Education The 2010 Kuwait GSHS employed a two-stage cluster sample design to produce a representative sample of students in grades 8, 9 and 10. The first-stage sampling frame was performed on the school level. It consisted of all governmental schools of boys and girls containing grades 8, 9, and 10 in the six governments in Kuwait were included in the sampling frame. Grades eight, nine and ten classes were selected because they contained the target groups of the 13 to 15year age groups. Enrolment of schools was obtained from the Ministry of Education. Schools were selected systematically with probability proportional to school enrollment size. A total of 31 schools (16 girls' schools and 15 boys' schools) were selected to participate in the Kuwait GSHS study in the academic year 2010-2011. Thirty schools participated with 97% response rate. The second stage of sampling was performed on the class level. Randomly selected intact classrooms (using a random start) from each school took place. All classrooms in each selected school were included in the sampling frame. All students in the sampled classrooms were eligible to participate in the GSHS. A total of 2,674 students of the 3,051 sampled students completed questionnaires with a response rate of 88%. The overall response rate (school response rate *student response rate) was 85%. Face-to-face [f2f] The Kuwait GSHS questionnaire contained 69 questions. The questionnaire addressed the following topics: - Respondent's demographics - Respondent's anthropometric measurements (weight and height) - Dietary behaviours - Hygiene - Mental health - Physical activity - Protective factors - HIV-Related Knowledge - Tobacco use - Violence and unintentional injury - Alcohol use - Drug use The questionnaire was developed by the survey investigators with assistance from MOE. WHO (HQ) and CDC provided assistance in developing and updating the questionnaire. Consultations for the final version of the questionnaire were obtained from representatives from the Ministry of Health and Ministry of Education. Permission to carry out the survey was obtained from the Ministry of Health who then applied to the Ministry of Education for permission to carry out the survey. Consent was also obtained from the Regional Directors of Education. These consent forms were then used to obtain permission from the schools. No difficulties were faced once the school heads saw the confirmation letters from the regional offices. Letters were sent to all heads of schools inviting them to participate in the GSHS. Signed replies from all schools, confirming agreement of school enrollment in the study were received by the survey coordinator. Another letter was designed and sent to all schools confirming getting signed consent forms from parents of students to allow them participate in the study. A pilot study was implemented to ensure understanding of the questionnaire by the students. The results of the pilot study ensured high-level of students' understanding and acceptance of the questionnaire. Students completed the self-administered questionnaire during one classroom period and recorded their responses directly on a computer-scannable answer sheet. Follow up was made by the survey investigators to ensure quality control of data collection. Survey procedures were designed to protect student privacy by allowing for anonymous and voluntary participation. Confidentiality for the students was guaranteed by ensuring that they did not write their names on the forms and members of staff at the schools were asked to excuse themselves at the time of questionnaire administration. WHO Regional Office (EMRO) supervised the survey. A weighting factor was applied to each student record to adjust for non-response and for the varying probabilities of selection. The weighted results can be used to make important inferences about the priority health-risk behaviors and protective factors of all students in grades 8, 9, and 10. The dataset was cleaned and edited for inconsistencies. Missing data were not statistically imputed. Software that takes into consideration the complex sample design was used to compute prevalence estimates and 95% confidence intervals. GSHS data are representative of all students attending grades 8,9,10 in KUWAIT. The school response rate was 97%, and the student response rate of 88% with an overall response rate of 85%. A total of 2674 students participated in the survey. Department of Chronic Diseases and Health Promotion Use of the dataset must be acknowledged using a citation which would include: - the Identification of the Primary Investigator - the title of the survey (including country, acronym and year of implementation) - the survey reference number - the source and date of download Example: Ministry of Health and Ministry of Education of Kuwait, World Health Organization and Centers for Disease Control and Prevention. Kuwait Global School-based Student Health Survey (GSHS) 2010, Ref. KWT_2010_GSHS_v01_M. Dataset downloaded from [url] on [date]. GSHS data release and publication policies and procedures are based on the following guiding principles: - GSHS data are owned by the official country-level agency (ex. Ministry of Health) conducting or sponsoring the survey. - Public health and scientific advancement are best served by an open and timely exchange of data and data analyses. - The privacy of participating schools and students must be protected. - Data quality must be maintained. The user of the data acknowledges that the original collector of the data, the authorized distributor of the data, and the relevant funding agency bear no responsibility for use of the data or for interpretations or inferences based upon such uses.