Application form for access to data and biological samples Ref. no 2015-17 Project title: Er mental sundhed associeret med problematisk skolefravær blandt 11-12-årige børn i Danmark? Applicant: Other partners taking part in the project Names and work addresses: Anne Aggerholm Jønsson, stud.cand.scient.san. Aarhus Universitet, Institut for Folkesundhed Bartholins Allé 2, 8000 Århus C Carsten Obel, professor, læge, ph.d. Lena Hohwü, postdoc, ph.d, cand.scient.san. Aarhus Universitet, Institut for Folkesundhed Bartholins Allé 2, 8000 Århus C Project description (max 200 words) The description should contain 1) purpose, 2) method, material, data, 3) publishing and 4) up to 5 key words Formål Studiets formål er 1) at undersøge om nedsat mental sundhed er associeret med problematisk skolefravær blandt 11-12-årige danske børn, og 2) at undersøge, om styrken af associationen mellem mental sundhed og problematisk skolefravær afhænger af, hvilke typer mentale sundhedsproblemer barnet har. Materiale og metode Mental sundhed målt ved forælderrapporteret SDQ-score indhentes fra 11-års undersøgelsen i BSIG. Oplysninger om skolefravær indhentes fra Undervisningsministeriets elektroniske fraværsdatabase og kobles til børnene i BSIG via cpr.nr. Der anvendes data fra skoleårene 2010/11 til og med 2014/15. Oplysninger om potentielle confoundere indhentes fra 7- og 11-års undersøgelsen i BSIG. Publicering Undersøgelsen udføres som specialeprojekt ved Den Sundhedsfaglige Kandidatuddannelse ved Aarhus Universitet. Studiet forventes efterfølgende publiceret i et internationalt tidsskrift med Anne Aggerholm Jønsson som hovedforfatter. Key words: Mental health, school children, school absenteeism 1
Time schedule: Project start: Data analyses terminated : Final project report: September 2015 December 2016 Specialerapport: Maj 2016. Artikel: Marts 2017 Please indicate articles planned and their approx title(s): Based on the data applied for, I plan to publish Article no 1, titel: Is Mental Health Associated with Problematic Absenteeism among 11-12 Year Old Children in Denmark? Project protocol enclosed: yes no Interview Data Are you applying for interview data? no X yes Int 1 Int 2 Int 3 Int 4 Lifestyle during pregnancy (LDPS) X 7-year follow-up X 11-year follow-up Selection criteria: Inklusion i studiet kræver: 1) Besvarelse af forældreversionen af SDQ i 11-års undersøgelsen 2) Max ét ubesvaret spørgsmål i SDQ 3) Besvarelse af 11-års undersøgelsen inden den 30.juni 2014 Variabler fra 7-års undersøgelsen: UDFYLDTO, Z001, Z002, Z003, Z017, Z048, Z051, Z065, Z067, Z070_01-25, Z070_01-25_sdq, Z071, Z072, Z073, Z074_1-4, Z075, Z076_1-6, Z085DU, Z085AND, Z089, Z092_01-17 Specification of data required: (list of variables to be agreed with the DNBC data manager) Variabler fra forældreversionen af 11-års undersøgelsen: LBGRAFF, F_BESVAR, F_TYPE, F_QDATE, F_VERSION, F_SEX, F001, F002, F024, F025, F026, F027, F030, F032, F053, F054, F056, F057, F059, F060, F061, F062, F066, F067, F072, F073, F082, F085, F087, F091, F121, F156_1-25, F157, F158, F159, F160_1-4, F161, F162, F167, F168, F169, F170, F171, F172, F178_1-10, F202_1-19, F203_1-19, F204_1-19, F205_1-19 Variabler fra børneversionen af 11-års undersøgelsen: LBGRAFF, E_QDATE, E_VERSION, E_SEX, E001, E002, E003, E004, E005, E006, E007, E008, E009, E011_1-2, E012, E013E014_1-2, E015_1-4, E016, E017, E018, E019, E020, E021, E022_1-21, E023_1-2
15, E028_1-11, E083, E085_1-9, E086_1-5, E087, E092, E103_1-25, E104, E105, E106, E107_1-4, E108, E112, E113_1-2, E116_1-3 No. of individuals concerned: Ca. 48.000 3
Biological Specimens Are you applying for biological specimens? Please describe how your study design is adapted to make the best possible use of the biological specimens. Account for the feasibility of the analyses (requirements for transportation, treatment and storages must be taken into consideration). X no yes: from 1st sample quantity from 2nd sample quantity from 3rd sample quantity Only a minimum quantity of blood necessary for the analyses in question will be handed out. Please note that DNA is not yet available from all participants. DNA must be extracted at Statens Serum Institut. Number of persons, selection criteria, time period: For what kind of analyses? (state purpose and method): Where are the laboratory analyses carried out?: References from the laboratory may be enclosed. Supplementary Data Collection Sample analyses results Will you be collecting supplementary data/biological samples from cohort members, or will new analyses data be generated? In you application to the Danish Data Protection Agency (DDPA) remember to state that you will return supplementary data to the DNBC X No Yes Supplementary data and results from biological analyses, including genome-wide scans must be returned to the DNBC database after approval from the DDPA - and be made available for other scientists. If you are contacting DNBC participants by mail, this contact must be initiated by the DNBC secretariat. Which kind of data/biological samples? interview/questionnaire (to be enclosed) 4
X linkage with other registries (please specify) DNBC Application Form Der indhentes data på skolefravær fra Undervisningsministeriets fraværsdatabase for skoleårene 2010/11 til og med 2014/15 (svarende til alle eksisterende elektroniske data). Data vil efterfølgende være tilgængelig på BSIG-databasen. biological specimens (please specify) How many individuals will be concerned? During which time period will collection take place? Ca. 48.000 Sammenkobling af databaserne sker ultimo 2015. Other Approvals Is your project/data collection approved by: Danish Biomedical Research Ethics Committee yes (copy of approval to be enclosed) X no For your information: The DNBC is approved under 2012-54-0268 with the DDPA. Inform the DDPA about this number when you submit your project application to the DDPA. The Danish Data Protection Agency X yes Projektet er anmeldt til Datatilsynet den 30.04.2015. Journalnummer og godkendelse fremsendes, så snart det er modtaget. no 5
Finances The invoice for the data file should be sent to: Name: Carsten Obel Address: Aarhus Universitet, Institut for Folkesundhed Bartholins Allé 2 8000 Århus C Is the project fully financed? No X Yes, amount: ca. 15.000 kr. Name of the funding person/organisations: Aarhus Universitet, Institut for Folkesundhed Date and signature Date and signature: 07.05.2015 Anne Aggerholm Jønsson Save the application form to your harddisk and mail to IKM@ssi.dk together with your protocol and other relevant documentation. 6