Global School-based Student Health Survey 2005
Lebanon, 2005 - 2006
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LBN_2005_GSHS_v01_M
Global School-based Student Health Survey 2005
| Name | Country code |
|---|---|
| Lebanon | LBN |
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 2005 Lebanon Global School-based Student Health Survey (GSHS) is the first GSHS conducted in Lebanon during October 2005 - January 2006 by the Ministry of Education in collaboration with the Ministry of Public Health and the Lebanon Office of the World Health Organization. The survey was administered to students in grades 7-9 in 100 schools across Lebanon–chosen through a two-stage cluster sample design. Data was weighted to adjust for non response and varying probabilities of selection. The survey included questions on alcohol and other drug use, dietary behaviours, hygiene, mental health, protective factors, violence and unintentional injuries, and attitudes towards sexual and reproductive health and HIV related knowledge. Tobacco use was not included as the Global Youth Tobacco Survey had been implemented several months earlier in Lebanon.
The purpose of the survey was to:
- Gather data to develop priorities, establish programmes, and advocate for resources for school health and youth health programmes and policies;
- Establish a baseline - and subsequently trends, in the prevalence of health behaviours and protective factors for use in evaluation of school health and youth health promotion; and
- Launch a systematic effort to gather data on health risk behaviour and protective factors among school children
- Define youth policies that should be implemented
- Identify actions to be taken to improve student’s comprehensive health education.
Sample survey data [ssd]
Students aged 13-15 years
Version
- v01: Edited, anonymous datasets for public distribution.
Scope
The 2005 Lebanon GSHS measured alcohol and other drug use; unintentional injuries and violence; hygiene; dietary behaviours and overweight; mental health; and protective factors.
Coverage
National coverage
Producers and sponsors
| Name |
|---|
| Ministry of Public Health |
| Ministry of Education & Higher Education |
| World Health Organization |
| Centers for Disease Control and Prevention |
| Name |
|---|
| United Nations Children's Fund |
| United Nations Educational, Scientific and Cultural Organization |
| Joint United Nations Programme on HIV/AIDS |
| Name | Role |
|---|---|
| World Health Organization | Financial and Technical Assistance |
| Centers for Disease Control and Prevention | Financial and Technical Assistance |
Sampling
The Lebanon GSHS is a school-based survey of students aged 13-15 years. All schools containing seventh, eighth and ninth grade and that had 40 or more students were included in the sampling frame. A two-stage cluster sample design was used to produce a representative sample for Lebanon. This sample included 100 different schools (50 private and 50 public). Schools were selected with probability proportional to enrollment size; and classes were randomly selected. All students in the selected classes were eligible to participate.
National: A total of 5,115 students participated in the Lebanon GSHS.
Private: A total of 2,831 students participated in the Lebanon (Private) GSHS.
Public: A total of 2,284 students participated in the Lebanon (Public) GSHS.
National: The school response rate was 92%, the student response rate was 96%, and the overall response rate was 88%.
Private: The school response rate was 89%, the student response rate was 97%, and the overall response rate was 86%.
Public: The school response rate was 96%, the student response rate was 95%, and the overall response rate was 90%.
A weighting factor was applied to each student record to adjust for non-response and for the varying probabilities of selection. The weight used for estimation is given by:
W = W1 W2 f1 f2 f3
W1 = the inverse of the probability of selecting the school;
W2 = the inverse of the probability of selecting the classroom within the school;
f1 = a school-level nonresponse adjustment factor calculated by school size category (small, medium, large). The factor was calculated in terms of school enrollment instead of number of schools.
f2 = a student-level nonresponse adjustment factor calculated by class.
f3 = a poststratification adjustment factor calculated by grade.
The weighted results can be used to make important inferences about the priority health-risk behaviors and protective factors of all students in 7th, 8th, and 9th grades.
Survey instrument
The questionnaire is self-administered consisting of two sets of questions. The first set included “core” questions that are used by all the countries unless the information is not relevant to the country. This set of questions allows the comparison of results between countries. The second set included optional questions that countries may or may not use according to its needs and priorities. The GSHS questionnaire in Lebanon included data on alcohol and other drug use, dietary behaviours, hygiene, mental health, protective factors, violence and unintentional injury, and attitudes towards the teaching of sexual and reproductive health. It consisted of 66 multiple choice questions that were pre-tested with students of similar ages in Lebanon before GSHS was administered in schools. The survey was answered on special answer sheets and pencils were distributed to students from WHO in order to answer their survey. Pencils were kept with the students after completion of the survey as a gift.
Data collection
| Start | End |
|---|---|
| 2005-10 | 2006-01 |
| Name |
|---|
| Ministry of Public Health |
| Ministry of Education & Higher Education |
The survey administrators included School Health Supervisors from the Ministry of Education as well as MPH level professionals who had previous experience with survey administration.
Survey coordinators of different countries were trained at a regional workshop to conduct the GSHS in order to ensure that the survey is following the same procedures in all countries. In Lebanon, approximately 10 Survey Administrators were specially trained by the survey coordinator to conduct the GSHS. The survey administrators included School Health Supervisors from the Ministry of Education as well as MPH level professionals who had previous experience with survey administration. Survey procedures were designed to protect student privacy by allowing for anonymous and voluntary participation. Students completed the selfadministered questionnaire during one classroom period and recorded their responses directly on a computer-scannable answer sheet. (Note: the scannable sheet was in an English left to right format whereas the survey was an Arabic right to left format. The GSHS team would recommend that the scannable sheets be adjusted for the next administration of the survey)
After survey implementation was complete, a meeting was held with survey administrators to gather their insight into the survey implementation process. These insights will be invaluable at the subsequent implementation of the GSHS in Lebanon.
Data processing
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.
Data Access
| Name | Affiliation | URL | |
|---|---|---|---|
| Department of Chronic Diseases and Health Promotion | World Health Organization | http://www.who.int/chp/gshs/en/ | chronicdiseases@who.int |
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.
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 Public Health and Ministry of Education & Higher Education of Lebanon, World Health Organization and Centers for Disease Control and Prevention. Lebanon Global School-based Student Health Survey (GSHS) 2005, Ref. LBN_2005_GSHS_v01_M. Dataset downloaded from [url] on [date].
Disclaimer and copyrights
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.
Contacts
| Name | Affiliation | URL | |
|---|---|---|---|
| Department of Chronic Diseases and Health Promotion | World Health Organization | chronicdiseases@who.int | http://www.who.int/chp/gshs/en/ |
Metadata production
DDI_LBN_2005_GSHS_v01_M_WB
| Name | Affiliation | Role |
|---|---|---|
| Development Data Group | The World Bank | Documentation of the DDI |
2013-11-11
Metadata version
Version 01 (November 2013)