2002-12-31-世界卫生组织-2003_GSHS_Fact_sheet_Philippines_Luzon_2页_362kb

Summary of 2003 Philippines (Luzon) Global School-based Student Health Survey

Overview

The 2003 Global School-based Student Health Survey conducted in Luzon, Philippines, aimed to assess health behaviors and factors among students in grades 10-12 (2nd, 3rd, and 4th years of high school). The survey included younger adolescents aged 13-15 years, with a total sample of 2,327 students, achieved through a two-stage cluster sampling method. Key metrics were collected on alcohol and drug use, dietary behaviors, hygiene, mental health, physical activity, protective factors, tobacco use, and unintentional injuries and violence. Response rates were high: 98% schools participated, 84% students responded, and an overall response rate of 83%.

Methodology Highlights

• Sampling: Probability proportional to enrollment size for schools, random selection of classes, and compulsory participation in selected classes.
• Data collection: Students self-reported answers on computer scannable sheets.
• Focus group: Sampled students aged 13-15 for analysis to ensure age-specific results.

Key Findings Summarized by Category

Alcohol and Other Drug Use

Alcohol consumption was more common among boys (22%) compared to girls (15.5%) over the past 30 days. Binge drinking incidents were higher in males (24.6%), along with alcohol-related health and social issues such as hangovers and fights (boys higher in most cases). Overall drug use remained low, with a smaller gender disparity.

Dietary Behaviours and Overweight

Some students reported food insecurity, with hunger incidence higher among boys (8.0%) than girls (4.9%) in the past 30 days. The survey covered dietary habits, but detailed data on overweight or obesity was not specified in the fact sheet.

Hygiene Practices

Handwashing behaviors showed variation: girls were more likely to report poor handwashing before eating (5.0%) and after using the toilet (3.1%), compared to boys. However, the differences were not substantial overall.

Mental Health

Mental health issues were prevalent, with about 9-13% of students feeling lonely or seriously considering suicide in the past 12 months. Mental health challenges did not show strong gender patterns, but suicidal ideation was slightly higher among boys (13.6%).

Physical Activity

Physical activity levels were low, with few students meeting daily recommendations (boys slightly higher: 9.6% vs. girls' 7.7%). High rates of sedentary behavior, particularly TV watching and similar activities, were reported across all genders.

Protective Factors

Students frequently reported uncritical behavior and lack of parental involvement in free time (higher in boys). This indicates potential risks for behavioral issues, with girls generally less likely to endorse dismissive school norms or parental disengagement.

Tobacco Use

Tobacco use was more common among boys, with higher cigarette smoking rates (18.3% vs. 8.3%) and significant use of non-cigarette tobacco products among some students.

Unintentional Injuries and Violence

Violence statistics showed high levels of physical fights (around 50%) and injuries requiring medical attention (boys more affected). Bullying was common, with similar rates across genders.