INDEPTH Healthy Transitions to Adulthood Studies (IHTAS) The Health and Health behaviours of young people (13-24) in Kilifi Analysis Plan Mark Otiende Questionnaire • • • • Alcohol consumption Cigarette and tobacco use Drug use (marijuana and glue) • • • • • • • Cleaning teeth and hand washing practices • Anthropometric measures Major depression Inventory • • • Physical activities Free time activities Experiences at school and at home Physical fights Injuries in the past Bullying Marital status Pregnancy Sexual behaviors • Food and drinks Objective 1 To estimate the prevalence of alcohol and substance abuse among young people Limits of data 1. Study population: 13-24 year olds 2. Data type: Categorical (Ordinal and Nominal) Primary Endpoints 1. Prevalence of alcohol consumption 2. Prevalence of tobacco 3. Prevalence of marijuana and sniffing glue usage Analysis sub-groups 1. 2. 3. 4. 5. Age strata Sex Source of substance Education Anthropometric measures Analysis strategy: contingency tables & test for interaction Objective 2 To assess the nutritional status and the dietary behaviors of young people Limits of data 1. Study population: 13-24 year olds 2. Data type: Categorical (Ordinal and Nominal) Primary Endpoints 1. 2. 3. 4. 5. Analysis sub-groups 1. Age strata 2. Sex 3. Hygiene practices 4. Physical activities 5. Education 6. Anthropometric measures Analysis strategy: contingency tables & test for interaction Prevalence of food inadequacy Prevalence of consumption of fruits Prevalence of consumption of vegetables Prevalence of consumption of carbonated drinks Prevalence of consumption of fast food Objective 3 To describe the hygiene practices of young people Limits of data 1. Study population: 13-24 year olds 2. Data type: Categorical (Ordinal) Primary Endpoints 1. Prevalence of oral health behaviors 2. Prevalence of hand washing behaviors (using soap; before eating; after using the latrine Analysis sub-groups 1. Age strata 2. Sex 3. Substance use 4. Education 5. Anthropometric measures Analysis strategy: contingency tables & test for interaction Objective 4 To determine the prevalence of major depression among young people Limits of data 1. Study population: 13-24 year olds 2. Data type: Categorical (Ordinal) Primary Endpoints 1. Mean MDI total scores 2. Prevalence of DSM-IV major depression 3. *Cronbach’s alpha Analysis sub-groups 1. 2. 3. 4. 5. Age strata Sex Substance use Education Anthropometric measures Analysis strategy: contingency tables & test for interaction Objective 4 To determine the prevalence of major depression among young people Objective 4 To determine the prevalence of major depression among young people Objective 5 To describe how physical violence and unintentional injury affect young people Limits of data 1. Study population: 13-24 year olds 2. Data type: Categorical (Ordinal) Primary Endpoints 1. Prevalence of Physical activities and sedentary behaviors 2. Prevalence of physical fights 3. Prevalence of physical injuries 4. Prevalence of bullying Analysis sub-groups 1. 2. 3. 4. 5. Age strata Sex Substance use Education Anthropometric measures Analysis strategy: contingency tables & test for interaction Objective 6 To describe the sexual behaviors (including sexual violence) that contribute to HIV infection, other STIs, and unintended pregnancies Limits of data 1. Study population: 18-24 year olds 2. Data type: Categorical (Ordinal and Nominal) Primary Endpoints 1. Prevalence of pregnancies 2. Prevalence of sex , usage of contraceptives and other sexual behavior 3. Prevalence of unwilling sex, forcefully or otherwise Analysis sub-groups 1. Age strata 2. Sex 3. Substance use 4. MDI 5. Education 6. Anthropometric measures Analysis strategy: contingency tables & test for interaction