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Best of Times, Worst of Times. Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006. CDC Data Sources. School Health Profiles (2006). Youth Risk Behavior Survey ( 2005). School Health Policies and Programs Study ( 2006).
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Best of Times, Worst of Times Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006
CDC Data Sources School Health Profiles (2006) Youth Risk Behavior Survey (2005) School Health Policies and Programs Study (2006)
Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004 93 89 72 67 55 36 35 100 75 65 In Percent 50 25 0 State Iowa New Oklahoma Delaware North Utah Washington Median Hampshire Carolina * Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar
100 93 75 86 83 80 50 56 25 16 11 9 0 Median Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004 Chicago Dallas Los Angeles Memphis Philadelphia Miami San Diego Source: CDC School Health Profiles 2004
SLIMs School Level Impact Measures
2005 YRBS: Racial/Ethnic Differences Black students are • Least likely to report use of tobacco, alcohol, cocaine, inhalants, hallucinogens, methamphetamine, and ecstasy. • Least likely to drive when drinking alcohol. • Most likely to report sexual risk behaviors and sedentary behaviors.
White students are Least likely to report physical fighting, sexual risk behaviors, and being overweight. Most likely to report frequent cigarette use, smokeless tobacco use, and episodic heavy drinking. Hispanic students are Most likely to report attempted suicide and use of cocaine, heroine, methamphetamine, and ecstasy. 2005 YRBS: Racial/Ethnic Differences
Percentage of High School Students Who Ever Had Sexual Intercourse, by Sex and Race/Ethnicity,* 2005 * B > H > W Source: CDC, National Youth Risk Behavior Survey, 2005
Percentage of High School Students Who Actually Attempted Suicide,* by Sex and Race/Ethnicity,** 2005 Females Males * One or more times during the 12 months preceding the survey ** F > M; *** H > W, B Source: CDC, National Youth Risk Behavior Survey, 2005
HIV: 48 SEAs, 7 TEAs, 18 LEAs CSHP / PANT: 23 SEAs Asthma: 6 LEAs, 1 SEA DASH-Funded SEAs, TEAs, and LEAs
NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal InstitutionsThat Influence Youth Behavior HIV PREVENTION SEAs and LEAs SHAs and LHAs Organizations that Serve Youth at High Risk YMSM African American and Latina Females Youth in Juvenile Justice and/or Alternative Schools Runaway and Homeless Youth HBCUs Sexual Abstinence
NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal InstitutionsThat Influence Youth Behavior NON-HIV PREVENTION Asthma for SEAs, LEAs, SHAs, and LHAs Chronic Disease Prevention for SEAs and LEAs Physical Activity Nutrition Tobacco-Use Prevention CSHP for SEAs and LEAs School Mental Health Services for SEAs and LEAs Professional Development for DASH-Funded NGOs
Coordinated School Health Program Health Education Physical Education Family and Community Involvement Health Services Health Promotion for Staff Nutrition Services Healthy School Environment Counseling, Psychological, and Social Services
Emerging Areas of Activity for DASH • Mental health • Management of chronic diseases • School connectedness • Association between health and academics
Best of Times, Worst of Times Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006