youth risk behavior survey 2013 results - dconc
TRANSCRIPT
Youth Risk Behavior Survey 2013 Results
August 14, 2014
Erika Samoff MPH PhD Epidemiologist and Coordinator
Partnership for a Healthy Durham
Erika Samoff PhD MPH
Acknowledgements
DCoDPH: Mel Downey-Piper, Gayle Harris
DPS: Larry McDonald, Michelle Smith, Kate Turner
Presentation Outline
YRBS Background
Durham County sample
YRBS limitations & benefits
Durham County health priorities
- Substance Abuse
- Mental Health
- Nutrition and physical activity
Hours of sleep per night
What is the YRBS?
National biannual school-based survey (CDC)
Monitors health behaviors of the adolescent population – Behaviors contributing to unintentional and intentional
injuries
– Substance use
– Sexual behaviors
– Diet, physical activity
Durham County YRBS
State-wide sample: Random high schools, every 2 years
Durham Sample: In 2007, Durham Public Schools began its commitment to a Durham sample
In 2013: random sample of classrooms in 3 high schools and 3 middle schools chosen to reflect district diversity
Passive parental consent
DPS draws sample and administers survey; DCoDPH analyzes data and creates reports
Sample
484
392
876
460 489
949
494
320
814
420
305
725
Middle School High School Total
# o
f St
ud
en
ts
2007
2009
2011
2013
Limitations and benefits
• Limitations – Data are self-reported
– Data do not reflect all adolescent youth
– Survey does not address how or why
• Benefits – Survey methodology is the best available for the setting
– We can add questions
– We have county-level data for Durham adolescent behaviors
MENTAL HEALTH (PAGE 8)
Mental health data
20%
15%
22%
16%
30%
10%
22%
11%
24%
12%
24%
13%
24%
12%
Felt so sad (≥2 weeks) that stopped doing
usual activities
Ever made a plan about how they would kill
themselves
Felt so sad (≥2 weeks) that stopped doing
usual activities
Ever made a plan about how they would kill
themselves
2007 2009 2011 2013
Middle School High School
Perc
ent
of
stu
de
nts
Mental health data
22%
32% 32%
13%
22%
26% 24%
29%
18%
13%
19%
29%
0%
10%
20%
30%
40%
Af. Am. Hisp. Other White Male Female Af. Am. Hisp. Other White Male Female
* * *
Middle School High School
Students reporting depression in the past year
Mental Health action
• Close collaboration with Duke, Durham Public Schools, and community agencies to provide mental health training and support to DPS staff – Charter and alternative schools?
• Suicide prevention training for Durham County
youth
• Data suggest a focus on methods effective among Latinos and girls; training for families could be useful
SUBSTANCE ABUSE (PAGES 9 AND 10)
Substance Abuse data – Middle School
Reported drug use has decreased over the past 6 years
15%
4%
16%
13%
3%
12%
9%
2%
8% 7%
2%
4%
Ever smoked marijuana Ever used cocaine Ever used inhalants
% o
f St
ud
en
ts
2007 n=484
2009 n=460
2011 n=494
2013 n=420
* *
Substance abuse data – High School
• More young men than women participated in the high school survey
• Drug use patterns differ between young men and women
• We accounted for this by presenting data separately
2009 2011 2013
Males 15% 17% 24%
Females 15% 12% 9%
0%
10%
20%
30%
Pe
rce
nt
High School Students Who Smoked Cigarettes in the Past
Month by Gender Durham County High School YRBS, 2009-2013
11%
41%
3%
25%
Middle School High School
Pe
rce
nt
Students Who Have Smoked Marijuana in the Past
Month by Gender 2013 Durham County Middle School and High School YRBS
Male Female
*
*
*
Substance abuse data – High School
• Reported drug use has increased over the past 6 years
32%
7% 11%
21%
39%
19% 21% 30%
41%
18% 24%
28%
0%
10%
20%
30%
40%
50%
Marijuana, past 30 days Ever used cocaine Ever used inhalants Ever used prescription drugs without a
prescription
Males 2009
2011
2013
Perc
ent
of
stu
de
nts
28%
2% 7%
14% 22%
6% 10% 12%
25%
7% 8% 18%
0% 10% 20% 30% 40% 50%
Marijuana, past 30 days Ever used cocaine Ever used inhalants Ever used prescription drugs without a
prescription
Females
*
Substance abuse action
• Collaboration with Durham TRY on safe disposal of prescription drugs
• Data support increased focus on high school students
• Request for training on how to talk to high school kids when high or disconnected
• Request for funding from county for training for DPS
HIV AND OTHER SEXUALLY TRANSMITTED INFECTIONS (PAGE 11)
HIV and STI data – High School
No questions
48%
Doctor or nurse, 19%
Adult family
member, 17%
Adult at school, 5%
Friend, Sibling, 5% Other, 6%
When you have questions about sexually
transmitted diseases or pregnancy
prevention, who do you talk to? 72%
50% 47%
62% 65% 59%
Condom Use
Pe
rce
nt o
f st
ud
en
ts
Used a Condom the Last Time They Had Sexual
Intercourse
Af. Am. Hisp. Other White Male Female
33%
24% 25%
41%
32% 33%
Alcohol/Drugs
Pe
rce
nt o
f st
ud
en
ts
Used Alcohol/Drugs Before the Last Time They
Had Sexual Intercourse 2013 Durham County High School YRBS (n=153)
Af. Am. Hisp. Other White Male Female
HIV and STI action
• DPS and DCoCPH deliver evidence-based curriculum on human growth and development
• Community Liaison for Health grant (DPS/DCoDPH) will have a focus on HIV
OBESITY AND CHRONIC ILLNESS: PHYSICAL ACTIVITY AND NUTRITION (PAGES 12-13)
U.S. DHHS recommends that people aged 6–17 years get at least 60 minutes of physical activity daily.
DPS policy requires 30 minutes/day of physical activity for K-12
56% of middle school students had 3 or more hours of screen time per day (computer or TV)
Physical activity data – Middle School
58% 64% 66% 65%
2007 n=484
2009 n=460
2011 n=494
2013 n=420
% o
f St
ud
en
ts
Plays on one or more sports teams
52% 56% 51% 53%
2007 n=484
2009 n=460
2011 n=494
2013 n=420
% o
f St
ud
en
ts
Active for 60 minutes in past 5/7 or more days
Physical activity data – High School
38% 41% 32%
2009 2011 2013
% o
f St
ud
en
ts
Physically active for a total of at least 60 minutes per day on 5/7 or more days
48% reported 3 or more hours of screen time per day in 2013
50% 48%
2011 2013
% o
f St
ud
en
ts
Plays on one or more sports teams
Nutrition data - High School
Decreases in consumption of sweetened beverages
Small increases in eating fruit, eating carrots, eating other vegetables
all within margin of error
82% 89%
78% 82%
67% 73%
1 or more soda per day 1 or more of other sweetened beverage per day
Pe
rce
nt
of
Stu
de
nts
Percent of students who drank sweetened beverages ≥ 1 times per day during past 7 days
2009 n=489 2011 n=320 2013 n=284
* *
Physical activity and nutrition action
• Durham Public Schools policy prescribes 30 minutes per day of exercise for elementary and middle school
– Difficult to find the time in middle school
– Participation in supports physical activity
• Less opportunity for after-school physical activity for older kids
• Durham Public Schools has made many changes in nutrition program to support healthier eating
SLEEP HABITS (DATA AVAILABLE ON WWW.HEALTHYDURHAM.ORG HEALTH DATA PAGE)
Students getting 8 hours or more of sleep per night
18% 28%
16%
27% 19%
13% 20% 17%
Durham NC Af. Am. Hisp. Other Race
White Male Female
Pe
rce
nt
of
stu
de
nts
8 hours or more of sleep per night
Is there a correlation between sleep and grades?
22%
44%
33%
0%
25%
43%
25%
7%
Mostly A's Mostly B's Mostly C's
Pe
rce
nt
of
stu
de
nts
8 or more hours of sleep per night
Less than 8 hours of sleep per night
Mostly D’s or F’s
Is there a correlation between grades and depression?
73% 76%
27% 24%
8 or more less than 8
Pe
rce
nt
of
stu
de
nts
Hours of sleep
Did not report depression in past year Reported depression in past year
Overall distribution of hours of sleep
19% 14%
27% 21%
13% 3% 2%
4 or less hours
5 hours 6 hours 7 hours 8 hours 9 hours 10+ hours
Pe
rce
nt
of
stu
de
nts
Hours of sleep on an average night
Is there a correlation between sleep and grades?
22%
48%
26%
4%
28% 33%
28%
11%
Mostly A's Mostly B's Mostly C's
Pe
rce
nt
of
stu
de
nts
6 or more hours of sleep per night
Less than 6 hours of sleep per night
Mostly D’s or F’s
Students getting Cs or lower 6 hours or more: 30% <6 hours: 39%
Erika Samoff
919-560-7833
healthydurham.org
Facebook.com/healthydurham