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Strategies to Close the Educational Achievement Gap. Reducing educationally relevant health disparities. Standards and accountability Revising school financing Teacher preparation Rigorous curricula. 7 Priority, Educationally Relevant Health Factors. 1) Vision 2) Asthma
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Strategies to Close the Educational Achievement Gap Reducing educationally relevant health disparities • Standards and accountability • Revising school financing • Teacher preparation • Rigorous curricula
7 Priority, Educationally Relevant Health Factors 1) Vision 2) Asthma 3) Teen pregnancy 4) Aggression and violence 5) Physical activity 6) Breakfast 7) ADHD
National High Prevalence • Visual problems: ~20% of youth • Asthma: ~14% of youth <18 • Teen pregnancy: 1 in 3 teens • Violence: 28% of adolescents bullied at school • Physical activity: ~2 in 3 don’t get enough • Breakfast: ~20% of youth skip it • Hyperactivity: ~8% of youth 6-17 diagnosed
Lenoir City Schools2011-12 854 Students screened (PreK, K, 2, 4, 6, 8 and freshmen) 102 vision referrals (12%) 119 blood pressure referrals (14%) 374 BMI referrals (44%) (overweight and obese) (Physical Activity) 10 hearing referrals (5%)
Lenoir City Schools • Asthma - 91 students have Asthma IHP’s (4%) • Teen Pregnancy • 52% of all HS students have had sex (YRBS) • Loudon County teen pregnancy rates: Number of pregnancies with rates per 1,000 females aged 15-17
Lenoir City Schools • Violence • 171 Skyward entries for fights and violence (7% of total student population) • 4.5% of HS students brought a weapon to school at least once in the last 30 days. (YRBS) • 17% of HS have been bullied at school. (YRBS) • 5.5% of HS students missed school because of fear of being bullied. (YRBS) • 7% of HS students have been threatened with a weapon while on school property (YRBS) • 10% of HS students have been physically hurt (intentionally) by their boyfriend or girlfriend. (YRBS)
Lenoir City Schools • Physical Activity: • 18% of HS students got 60 minutes or more physical activity in the past 7 days. (YRBS) • Breakfast: • 60% of LCS is eligible for free or reduced lunch/breakfast • 85% at LCES • 73% at LCMS • 43% at LCHS • ADHD • 176 students (7.5%) have IHP (medication at school)
Lenoir City Schools • 12% of HS students have seriously considered suicide in the past 12 months. (YRBS) • 7% of HS students have attempted suicide in the past 12 months. (YRBS) • 19% of HS students have engaged in binge drinking within the last 30 days. (YRBS) • 19% of HS students have been offered illegal drugs while on school campus. (YRBS)
Number of students in a class of 30 who: • Visual problems (4) • Asthma (1) • Teen pregnancy (.5) 0.5 • Violence* (2) • Physical activity (14) • Breakfast (18) • Hyperactivity (2) *(Skyward for fighting or violence)
Tennessee Youth Risk Behavior Survey, 2011 Number of students in a high school class of 30 who: Contemplated suicide (12%) Attempted suicide1(7%) Used marijuana2 (20%) Smoked cigarettes2(21%) Had been in a physical fight1(32%) Had at least one drink of alcohol2 (34%) Had ever had sexual intercourse (52%) Did not get enough physical activity3 (76%) 4 2 6 6 10 10 16 23 1 - During the past 12 months; 2 – During the past 30 days; 3 – During the past week Source: Youth Risk Behavior Survey
What are we doing to address these issues? • Nutrition • Physical Education and Physical Activity • Health Education • CSH • Counseling Services • Health Services • Healthy School Environment • Staff Wellness • Parent and Community Involvement
Coordination of Interventions, Programs and Services Targeted Interventions, i.e. Guidance, FRC, SRO, Health Services CSH General Interventions