O-76 The First Turks and Caicos Islands Global School Health Survey: Brief Findings, Challenges, Lessons Learned, and Next Steps

Methods: In 2022, we administered the survey to high school students nationwide. The response rate at the school and student level was 81.2% and 66.5%, respectively. A total of 1,484 students between 13 and 17 years old completed the surveys (50% female; 78% 13 - 15 years). We conducted frequency analysis to determine the prevalence of sexual risk behaviors, substance use behaviors, and experiences of violence. We also conducted a Pearson chi-square test to determine differences in behaviors by sex. Finally, we present the challenges faced and lessons learned from the survey administration.

Results: Recent (30-day) substance use ranged from 9.7% for Cannabis use to 29.7% for Alcohol use. A quarter (25%) reported having sexual intercourse. Of these, 57.6% reported using a condom the last time they had sex. Experiences of violence ranged from 14.9% for being bullied off school premises to 32.2% for being in a physical fight. Several challenges emerged during the survey administration, including financial barriers, limited school and student engagement, and competing activities during the time of the survey administration. A consistent funding stream in the recurrent budget, better communication, and improved coordination with schools are among the lessons learned from this first iteration of the survey.

Conclusion: TCI adolescents’ health risk behaviors are consistent with the region but surpass global averages. Next steps, including plans to disseminate the findings, influence policy and establish adolescent health programming, are discussed.