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Profile of a High School. Student Health Index. CDC assessment tool Divided into 8 modules 6 Meetings held during the month of April & May 2003 Attendance (staff, parents, students, teachers) Results solely based on task force feedback. Strengths. Policy
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Student Health Index • CDC assessment tool • Divided into 8 modules • 6 Meetings held during the month of April & May 2003 • Attendance (staff, parents, students, teachers) • Results solely based on task force feedback
Strengths • Policy • Health education class is a requirement • Counseling services refer students w/problems & disorders • Community access to facilities • PE requirement
Strengths • Environment • PA facilities available at school & community (track, field, weight room, pool) • *Teen health center • Students have access to school breakfast & lunch • Cafeteria is clean • Meals include variety & low fat items • *Extracurricular sports/activities (choir, African Drum, Girls dance team
Strengths • Curriculum • *Health Class is being moved to Consumer Science • *Food & nutrition classes • Health Services • *Nutritionist on campus once a week • *Full time nurse
Weaknesses • Policy • No restrictions on accessing junk food on school grounds • *Low participation in free & reduced lunch programs • Environment • Healthy food items not offered outside of school cafeteria • Easy access to unhealthy foods off campus. • *Undrinkable water • *50% turn over in student attendance
Weaknesses • Curriculum • Health education lesson plans are limited & more culturally appropriate examples would help the students • *Teachers need to motivate students who do not suit up for PE
Weaknesses • Other • Lack of collaboration w/school staff to promote healthy eating/physical activity • Lack of community/staff/parent involvement in planning school programs related to healthy eating & physical activity.
Group Composition • 7 groups • Divided by sex • Girls – 21 total • 4-6 participants / group • 4 groups • Boys – 22 total • 6-8 participants / group • 3 groups
Nutrition Questions • What kinds of foods do you get in and around school and from where do you get them? • What makes you choose those foods/places? • What makes it easy to eat healthy foods while at school? • What makes it hard to eat healthy foods while at school? • What changes could be made at school to make it easier to eat healthy foods?
Physical Activity Questions • What physical activities do you do during school and where do you do them? • What makes you decide to do these activities? • What makes it easy to be physically active while at school? • What makes it hard to be physically active while at school? • What changes could be made at school to make it easier to be physically active?
Emerging Themes – Quality • Food in cafeteria perceived as low quality • Cleanliness/sanitation of kitchen questioned • Think food is “greasy” and not healthy • Little variety, same menu (e.g., pizza every day) • Need for more Asian foods mentioned several times • Prepackaged foods seen as “safe” “You can spend $2.50 in the lunchroom and get something that’s nasty, or you can spend the same at QFC for candy and chips and get quality”
Emerging Themes – Quality • Don’t like leftovers being served next day • Want food to look appealing • Suspicious of other students serving food to them, although also suspicious of “old people” • Breakfast perceived as higher quality “If you get used to eating good food at school you’ll start eating it other places, instead of spending $5 at McDonald’s for food that will hurt your heart.”
Emerging Themes – Price • Price is a major determinant of food choice • Amount of money in pocket determines what and where to eat • Healthy food often perceived as more expensive • Cafeteria perceived as inexpensive by some, too expensive by others “I can’t always afford a sub, but I can afford $.50 jojos”
Emerging Themes – Food Environment / Availability • Availability is determinant of food choice • Unhealthy food – “it’s everywhere” • Healthy food hard to find • Seeing what others are eating influences choice • Smell is determinant “If you see a banana when you’re getting your lunch, you’re going to eat it.” “When I smell chicken from QFC, I’d rather eat that.”
Emerging Themes – Commercial Influence • Ads influence food choice • Sprite Remix always used as example • Listed promotion as method of making it easier to eat healthy foods at school “… a lot of hype from commercials”
Emerging Themes – “RB is a sports school” • Many activities available, just have to join • Some unforgiving of less athletic students • Others felt no support from students/teachers if not really good player • B-ball gets too much attention; need emphasis on other sports “If you got a body, you’re an athlete” “If you try, people respect you… If you’re really good, they’ll respect you more”
Emerging Themes – Activities • Many activities wanted, but not currently offered • Boxing classes/competition came up independently in girls and boys groups • Not sure if would ↑ or ↓ number of fights • Dancing (social dances, classes, etc.) • Tai Bo, aerobics, hip hop aerobics, kick-boxing, roller-skating • Competition is important to make it fun • Said right people had to join to make it good “Get the cool cats, not losers to be on dance team”
Emerging Themes – Facilities • Track, fields, and gym often closed to students; on irregular schedule • If open and supervised, students would use • If equipment provided, students would play • Weight room equipment needs updating • Need more PE equipment
Survey of 48 Staff Top things that they wanted to participate in were: • Activities that helped reduce stress • Walking • Being in some type of support group (e.g. wellness, nutrition, weight control) • Fitness program/activity (e.g. weight training, aquatics, cardio, karate, kickboxing, biking).
Staff Survey, Cont. • 25 said that they would not like something added at the beginning or end of their school day – wanted things incorporated in their work day. • Ideas from staff to make the school environment healthier: • Fewer after school meetings • Healthier foods and water available at school • Group physical activity opportunities.
Student Survey • ~ 20 % speak a language other than English at home. Number/% of students with BMI percent over 85% and 95% at RBHS? - These data broken down by gender and ethnicity - Frequencies of TV viewing for each category - total and also broken down by gender and ethnicity. - Frequency of soda consumption by gender and ethnicity - Use of cafeteria by gender and ethnicity - The best total indicator of physical activity by total, gender and ethnicity.
Soda Consumption – Times per week Range (0-5+) Total Students (n=162) Mean 2.8 +/- 1.6 Males (n=77) Mean 2.9 +/- 1.6 Females (n=85) Mean 2.8 +/- 1.6 American Ind. (n=6) Mean 3.8+/- 1.6 Black (n=99) Mean 3.0 +/- 1.5 Hispanic (n=4) Mean 1.5 +/- 1.3 Asian (n=16) Mean 1.7 +/- 1.7 Pacific Island (n=15) Mean 3.3 +/- 1.4 White (n=4) Mean 3.2 +/- 2.0 Bi/Multi Racial (n=16) Mean 2.3 +/- 1.6
Cafeteria Users (breakfast, lunch or a la carte) N ( %) Total Students 120 (69.8) Male 64 (77.1) Female 56 (62.9) American Indian 4 (66.7) Black 70 (66.0) Hispanic 3 (75.0) Asian 15 (93.8) Pacific Islander 13 (86.7) White 4 (100) Bi/Multi Racial 11 (61.1)
