At-Risk Behaviors

North Dakota Department of Public InstructionKirsten Baesler, State Superintendent600 E. Boulevard Avenue, Dept. 201

Bismarck, ND 58505-0440

Presented by: Gail SchauerAssistant Director, Safe and Healthy

SchoolsFebruary 2014

Dept. Of Public InstructionSafe and Healthy Schools

All students achieve their maximum education and social

potential in a healthy and safe school and community

environment.

Youth Risk Behavior Survey (YRBS)

Designed to: Monitor trends Compare state and national

health risk behaviors Plan, evaluate and improve

schools and communities

What Helps Us Understand Risk Behavior in Children?

Developed in 1990 North Dakota participation began in 1995 Includes grades 7-12 Conducted in odd years Voluntary and anonymous No cost or fee for district, regional, state, or

national reports

Information on the YRBS

Six priority health risk behavior categories1. Alcohol and Other Drug Use2. Dietary Behaviors3. Injury & Violence4. Physical Activity5. Sexual Behaviors 6. Tobacco

What Questions are Asked?

Random participation identification◦ Gender◦ Age◦ Urban/rural – typical student

Weighted data results◦ All years but 1997◦ Results represent all student populations

2013 Survey Results◦ MS – 2135 students from 74 schools (84%)◦ HS – 1,981 students from 62 schools (83%)

2011 National YRBS◦ Overall response rate = 71%

Participation and Results

Student honesty?

Remember, when…Did you or someone you know…◦ Drink before age 21?◦ Have sex in high school?◦ Engage in unprotected sex?◦ Smoke cigarettes?◦ Try drugs?◦ Call someone names or make fun of them?◦ Go to the local soda shop or burger restaurant?

CDC has a list of reliability checks

Is it reliable?

www.cdc.gov/yrbs ◦ 2013 questionnaire and item rationale◦ Youth Online

National Data and states’ data◦ Data and codebooks for the national surveys◦ Publications, journal articles, and fact sheets

Morbidity and Mortality Weekly Report: Youth Risk Behavior Surveillance – United States 2011

YRBSS Information

Leading Causes of Death Among Persons Aged 10 – 24 Years in

the United States, 2010

Motor Vehicle Crashes

28%

Homicide18%

Suicide18%

Other Causes17%

Other Unintentional Injuries

19%

CDC, 2010.

Unintentional injuries and violence Tobacco use Alcohol and other drug use Sexual behaviors Unhealthy dietary behaviors Inadequate physical activity

Behaviors That Contribute to the Leading Causes of Morbidity and Mortality

CDC, 2013

5 smoke

7 are overweight

5 binge drink

12 lack physical activity

21 don’t eat enough fruits and vegetables

ND HS Classroom of 25(YRBS 2013)

5 smoked cigarettes

4 smoked marijuana

4 were offered, sold, or given illegal drug - osp

5 binge drink

10 believe in their community teenage drinking is

ok

ND HS Classroom of 25(YRBS 2013)

ND HS Classroom of 25(YRBS 2013)

18 do not get enough sleep

4 seriously considered attempting suicide

4 do not have adult to talk to @ problems

Areas of decrease between 2001 and 2013

Rode in car w/ someone who drank 43.5% in 2001 to 21.9% in 2013

Drove a car after drinking26.8% in 2001 to 10.7% in 2013

Binge drank41.5% in 2001 to 21.9% in 2013

Positive ND Trends

Areas of decrease between 2001 and 2013

Had first drink of alcohol other than a few sips before age 1339.8% in 2001 to 15.2% in 2013

Had at least one drink of alcohol in last 30 days59.2% in 2001 to 35.3% in 2013

Positive ND Trends

Areas of decrease between 2001 and 2013

Tried cigarette smoking67.9% in 2001 to 41.4% in 2013

Smoked a whole cigarette before age 1325.4% in 2001 to 7.9% in 2013

Smoked in last 30 days35.3% in 2001 to 19.0% in 2013

Positive ND Trends

Areas of decrease between 2001 and 2013

Offered , sold, or given illegal drug27.3% in 2001 to 14.1% in 2013

Positive ND Trends

ND TrendsGrades 9-12 Levels of Suicide

2001 2003 2005 2007 2009 2011 2013

Considering 19.0 13.6 15.4 10.4 12.4 14.7 16.1

Planned 13.9 11.3 12.2 8.1 10.5 12.1 13.5

Attempted 7.5 7.2 6.4 8.8 5.7 10.7 11.5

Chewed tobacco, snuff, or dip10.3% in 2003 to 13.8% in 2013

Had sexual intercourse42.0% in 2001 to 44.9% in 2013

Played video/computer games 3 or more hours per day18.6% in 2007 to 34.4% in 2013

Non-Positive ND Trends

Students who were obese 12.3% in 2001 to 13.5% in 2013

Students who were overweight 9.1% in 2001 to 15.1% in 2013

Obese or overweight 21.4% in 2001 to 28.6% in 2013

Non-Positive ND Trends

www.cdc.gov/obesity/data/adult.html

SO, WHAT DOES THE DATA TELL US, AND

HOW DO WE RESPOND?

Coordinated School Health School Health Advisory Council School Connectedness Comprehensive Physical Activity Plan Social – Emotional Skills Training Plus more …

Protective Factors

Health Education Physical Education Health Services Nutrition Services Counseling and

Psychological Services Healthy School

Environment Health Promotion for

Staff Family/Community

Involvement

Coordinated School Health

School Health Advisory Council (SHAC)(school health team)

Review all school data Use the School Health Index Get involved in the school’s health plan

o Goalso Activitieso Who’s responsible

Get Involved!

Making the health and academic connection!

Letting students know they are important and they are cared about!

School Connectedness

www.cdc.gov/HealthyYouth/AdolescentHealth/pdf/connectedness.pdf

Prescription ↓ Knee arthritis pain & disability by 47% ↓ Dementia and Alzheimer’s by 50% ↓ Diabetes by 58% ↓ Risk of hip fractures in women by 41% ↓ Anxiety by 48% ↓ Depression by 30% - 47% ↓ Risk of death by 32% The # 1 treatment for fatigue

Prescription

This treatment has been shown over and over again

to improve the quality of life!!!

23 ½ hours: www.youtube.com/watch?v=aUaInS6HIGo

Physical Education Physical Activity During School Physical Activity Before/After School Staff Involvement Family and Community Engagement

School Comprehensive Physical Activity Plan

Social – Emotional Development and

Learning

www.casel.org

Family Connectedness Promote Parent Engagement Mentoring Effects Building Reliance Plus more….

Other Factors

DPI Youth Risk Behavior Surveywww.dpi.state.nd.us/health/YRBS/index.shtm

CDC Youth Risk Behavior Surveywww.cdc.gov/HealthyYouth/yrbs/index.htm

CDC Health & Academics Data & Statisticswww.cdc.gov/healthyyouth/health_and_academics/data.htm

CDC Adult Obesity Factswww.cdc.gov/obesity/data/adult.html

Resources

Coordinated School Healthwww.cdc.gov/HealthyYouth/cshp/

School Health Advisory Council (SHAC)www.dpi.state.nd.us/health/resource/index.shtm#s

School Connectednesswww.cdc.gov/healthyyouth/adolescenthealth/connectedness.htm

Resources

Comprehensive Physical Activity Planwww.cdc.gov/healthyyouth/physicalactivity/cspap.htm

Social – Emotional Skills Trainingwww.casel.org

Mentoring www.mentoring.org/mentoringeffect

Resources

If you have any question, feel free to contact me at:

Gail Schauer, Assistant DirectorDept of Public Instruction Safe and Healthy Schools Unit(701) 328-2265gschauer@nd.govwww.dpi.state.nd.us

THANK YOU