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At-Risk Behaviors. North Dakota Department of Public Instruction Kirsten Baesler, State Superintendent 600 E. Boulevard Avenue, Dept. 201 Bismarck, ND 58505-0440. Presented by: Gail Schauer Assistant Director, Safe and Healthy Schools February 2014.
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At-Risk Behaviors North Dakota Department of Public Instruction Kirsten Baesler, State Superintendent 600 E. Boulevard Avenue, Dept. 201 Bismarck, ND 58505-0440 Presented by: Gail Schauer Assistant Director, Safe and Healthy Schools February 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.
What Helps Us Understand Risk Behavior in Children? • Youth Risk Behavior Survey (YRBS) • Designed to: • Monitor trends • Compare state and national health risk behaviors • Plan, evaluate and improve schools and communities
Information on the YRBS • 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
What Questions are Asked? Six priority health risk behavior categories • Alcohol and Other Drug Use • Dietary Behaviors • Injury & Violence • Physical Activity • Sexual Behaviors • Tobacco
Participation and Results • 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%
Is it reliable? • 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
YRBSS Information • 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
Leading Causes of Death Among Persons Aged 10 – 24 Years in the United States, 2010 CDC, 2010.
Behaviors That Contribute to the Leading Causes of Morbidity and Mortality • Unintentional injuries and violence • Tobacco use • Alcohol and other drug use • Sexual behaviors • Unhealthy dietary behaviors • Inadequate physical activity CDC, 2013
ND HS Classroom of 25(YRBS 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) • 18 do not get enough sleep • 4 seriously considered attempting suicide • 4 do not have adult to talk to @ problems
Positive ND Trends 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 drinking 26.8% in 2001 to 10.7% in 2013 • Binge drank 41.5% 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 13 39.8% in 2001 to 15.2% in 2013 • Had at least one drink of alcohol in last 30 days 59.2% in 2001 to 35.3% in 2013
Positive ND Trends Areas of decrease between 2001 and 2013 • Tried cigarette smoking 67.9% in 2001 to 41.4% in 2013 • Smoked a whole cigarette before age 13 25.4% in 2001 to 7.9% in 2013 • Smoked in last 30 days 35.3% in 2001 to 19.0% in 2013
Positive ND Trends Areas of decrease between 2001 and 2013 • Offered , sold, or given illegal drug 27.3% in 2001 to 14.1% in 2013
Non-Positive ND Trends • Chewed tobacco, snuff, or dip 10.3% in 2003 to 13.8% in 2013 • Had sexual intercourse 42.0% in 2001 to 44.9% in 2013 • Played video/computer games 3 or more hours per day 18.6% 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
Protective Factors • Coordinated School Health • School Health Advisory Council • School Connectedness • Comprehensive Physical Activity Plan • Social – Emotional Skills Training • Plus more …
Coordinated School Health • Health Education • Physical Education • Health Services • Nutrition Services • Counseling and Psychological Services • Healthy School Environment • Health Promotion for Staff • Family/Community Involvement
Get Involved! • 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 • Goals • Activities • Who’s responsible
School Connectedness • Making the health and academic connection! • Letting students know they are important and they are cared about! 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!!!
School Comprehensive Physical Activity Plan • Physical Education • Physical Activity During School • Physical Activity Before/After School • Staff Involvement • Family and Community Engagement
Social – Emotional Development and Learning www.casel.org
Other Factors • Family Connectedness • Promote Parent Engagement • Mentoring Effects • Building Reliance • Plus more….
Resources • DPI Youth Risk Behavior Survey www.dpi.state.nd.us/health/YRBS/index.shtm • CDC Youth Risk Behavior Survey www.cdc.gov/HealthyYouth/yrbs/index.htm • CDC Health & Academics Data & Statistics www.cdc.gov/healthyyouth/health_and_academics/data.htm • CDC Adult Obesity Facts www.cdc.gov/obesity/data/adult.html
Resources • Coordinated School Health www.cdc.gov/HealthyYouth/cshp/ • School Health Advisory Council (SHAC) www.dpi.state.nd.us/health/resource/index.shtm#s • School Connectedness www.cdc.gov/healthyyouth/adolescenthealth/connectedness.htm
Resources • Comprehensive Physical Activity Plan www.cdc.gov/healthyyouth/physicalactivity/cspap.htm • Social – Emotional Skills Training www.casel.org • Mentoring www.mentoring.org/mentoringeffect
THANK YOU If you have any question, feel free to contact me at: Gail Schauer, Assistant Director Dept of Public Instruction Safe and Healthy Schools Unit (701) 328-2265 gschauer@nd.gov www.dpi.state.nd.us