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Saskatchewan Alliance for
Community Well-Being and
the Health of Youth
SSBA Spring Assembly
April 11, 2013
Dr. Jon Tonita, Vice President Population Health, Sask Cancer Agency
Rob Currie, Director of Education, Regina Catholic School Division
Health of Children
We are faced with the following:
For the first time in more than 100 years,
Canadian children may be less healthy and
have shorter lives than their parents
Unhealthy children lead to more unhealthy
adults
Ref: Curbing Childhood Obesity: A FPT framework for Action to
Promote Healthy Weights
Risk Factor/Outcomes
Risk Time Outcome
Smoking → Cancer, CVD, stroke
Overweight/Obesity →
CVD, stroke, diabetes,
cancer, mental illness
Alcohol abuse → CVD, cancer, mental illness,
injury
Where Does Information Come From?
Most used is the Canadian Community
Health Survey (CCHS)
Repeated every 5 years
Samples from Canadian population
In 2009-10, Saskatchewan total sample =
7,449 and 12-19 years of age = 903
Youth Smoking
Declining in Canada:
12% of 15-19 year olds are current
smokers (CCHS 2010)
In Saskatchewan:
20% of 15-19 year olds reported as current
smokers (CCHS 2010)
25% off-reserve aboriginal youth in Grades
9-12 reported as current smokers
Source: Canada Year Book 2012 – Catalogue # 11-402-X
Alcohol Consumption in Youth 12-19
(2010)
Males Females
Canada 16.3% 11.2%
Saskatchewan 29.1% 13.1%*
*unstable estimate (CCHS)
Source: Statistics Canada, Cansim table 105-0501
Overweight or Obese Youth 12-17 (2010)
Males Females
Canada 23.7% 16.1%
Saskatchewan 24.3% 21.5%*
*unstable estimate (CCHS)
Source: Statistics Canada, Cansim table 105-0501
Source: http://www.bdlc.umontreal.ca/chmd/prov/can/can.htm
Comments to consider
Saskatchewan Epidemiology Association (SEA) meeting on November 9, 2011: Dr. David Butler Jones, Chief Public Health Officer, Public Health Agency of Canada
We have to move upstream to make a difference in health
Need practical solutions and actions at the community level
Current approaches are siloed, we need an approach that is integrated and interdisciplinary
Re the social determinants of health he stated "just do something“
And finally "public health is local”
Communities are Key
In 1986, the World Health Organization (WHO) adopted a new approach to health promotion that stressed increasing peoples’ control over the determinants of health, high-level public participation and intersectoral cooperation
WHO: a healthy community is one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to perform all functions of life and develop their maximum potential.
Source: Community Organizing & Community Building for Health – Meredith Minkler, editor
YOUTH HEALTH
SURVEY
STAKEHOLDERS
MEETING November 23, 2011
Why is the SCA leading a provincial
youth health survey meeting?
As per “The Cancer Agency Act”,
“…the agency shall:
d) evaluate the cancer care services that
are provided in Saskatchewan;
e) establish provincial protocols and
standards for cancer care services;
g) promote and encourage health
and wellness; …pg 7
Why do we care?
Cancer is mostly in people over 50
True, but it is not good enough to wait for
people to get cancer (or any other
disease) and then have to try to cure them.
Ongoing funding for cancer and all chronic
diseases combined will threaten
sustainability of the health system and all
other ministries.
Is the Cancer Agency leading this
effort?
The SCA decided to take the lead to bring
this group together, but we are one partner
among everyone who attended.
We are provincial in scope.
The SCA’s vision: a population-based,
coordinated, and collaborative approach,
integrated with health promotion and
chronic disease prevention.
Is the time right now?
What are we waiting for? When is it the
right time? Why wouldn't it be the right
time?
We have a system undergoing
transformational change right now;
prevention is a pillar.
Saskatchewan Population Health Council
alignment
Partners who want to work with us now
Is the time right now?
This has to be the next big Saskatchewan legacy - right up there with the first cobalt radiation therapy unit, provincial cancer care services coverage 20 years prior to Medicare, establishing the Canadian Cancer Society, and one of the worlds oldest cancer registries.
We can do this. We have the history of collaboration on our side to make great things happen.
Saskatchewan Alliance for Youth &
Community Well-Being (SAYCW)
Targets:
Establish a provincial Steering Committee to link health promotion and chronic disease prevention agencies, cancer agencies, regional health authorities, schools and education agencies, academic researchers, First Nations and Métis authorities, and governments to support and guide a youth health survey and eventual risk factor surveillance process/knowledge exchange system in Saskatchewan.
Saskatchewan Alliance for Youth &
Community Well-Being (SAYCW)
Targets:
Develop and implement a provincial Youth
Health Survey targeted to youth ages 11 to
19 with a focus on risk and protective
factors for chronic disease.
Develop and implement a knowledge
exchange strategy to support the
distribution, understanding and use of
survey results by stakeholders in multiple
settings (schools, communities, health
regions).
Saskatchewan Alliance for Youth &
Community Well-Being (SAYCW)
Targets: Disseminate survey reports to appropriate
provincial stakeholders (schools/school divisions, health regions, community-based organizations, government ministries).
Conduct an evaluation of the process utilized in implementing the provincial survey and the immediate outcomes associated with the survey results and knowledge of health issues at the local level.
Establish a sustainability strategy that includes plans to conduct future cycles of the Youth Health Survey and expansion to coordinated community-led risk and protective factor surveillance/ knowledge exchange system in Saskatchewan.
Saskatchewan Alliance for Youth &
Community Well-Being (SAYCW)
To Date:
Four working groups have been
established
Funding in place for two years
Adopting the Manitoba model
Manitoba Experience
Bumpy road at first
Almost all schools came on board and participated
Schools own their own data, community level, population-based
Central group (CancerCare Manitoba) are the stewards of data
Very successful: second round of survey is underway, Ministries bought in.
Has replaced other survey in system
Saskatchewan Plan for Growth:
Vision 2020 and Beyond
A couple of the key goals in The
Saskatchewan Plan for Growth include: Reduce the difference in graduation rates
between Aboriginal and non- Aboriginal students
by 50 per cent by 2020;
Lead the country in Grade 12 graduation rates by
2020;
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