Healthy Kids Colorado Survey

2. Healthy Kids Colorado Survey Background, Process & Results

3. Introduction Healthy Kids Colorado Survey (HKCS) State-wide effort High schools are randomly selected Conducted every two years

4. HKCS Survey Design Module 1: Youth Risk Behavior Survey (YRBS) • 2005 weighted state sample • 2007 un-weighted state sample • 2009 weighted state sample Module 2: Colorado Supplement • 2005 weighted state sample • 2007 un-weighted state sample • 2009 un-weighted state sample

5. Partners State Survey Strategic Planning Team CO Department of Education CO Department of Public Health and Environment CO Department of Human Services, Division of Behavioral Health OMNI Institute

6. Behaviors Measured - Module I Unintentional Injuries and Violence Tobacco Use Alcohol and other Drug Use Sexual Behaviors Weight Management and Diet Physical Activity

7. Behaviors Measured - Module II • Risk and Protective Factors • Community: laws and norms favorable to drug use, perceived availability of drugs • School: poor achievement, low commitment, prosocial opportunities and rewards • Family: attitudes favorable to antisocial behavior and drug use, poor family management • Peer-Individual: favorable attitudes to antisocial behavior and drug use, low perceived risk of drugs, friends’ use of drugs, religious activity

8. Purpose & Applications Determine prevalence of health-risk behaviors Monitor behaviors over time Create awareness Develop programs and policies Support health-related legislation Offer comparison data Seek funding

9. Sampling and Weighting Sampling Framework Schools selected based on probability proportional to enrollment size Equal probability classroom sampling Weighting Each response weighted to accurately represent the statewide student population Response Rates Module I= 62% Module II = 57%

10. 2009 Sample Total Sample Size 1,511 students 36 schools 15 school districts

11. 2009 YRBS Results Key findings Comparison to 2005 Comparison to National sample Comparisons between demographic groups Associations between behaviors Limitations

12. Unintentional Injury Prevalence Compared to 2009 National and 2005 Colorado

14. Fighting & Violence Prevalence Compared to 2009 National and 2005 Colorado

16. Substance Use Prevalence Compared to 2009 National and 2005 Colorado

19. Sexual Behaviors Prevalence Compared to 2009 National and 2005 Colorado

21. Mental Health Prevalence Compared to 2009 National and 2005 Colorado

23. Physical Activity Prevalence Compared to 2009 National and 2005 Colorado

25. Prevalence of Overweight and Obesity Prevalence Compared to 2009 National and 2005 Colorado

27. Nutrition Prevalence Compared to 2009 National and 2005 Colorado

29. What does this mean? • Take 3-5 minutes to talk at your table about what this data means for YOU in your work in Colorado. • How will this data inform the work that you do? • Are any of these findings surprising?

30. Differences by Gender 2009 Prevalence Rates for Males and Females

31. Colorado Males were at greater risk compared to Colorado Females for: • Behaviors leading to Unintentional Injury and Violence: • likely to wear a seat belt • likely to carry a weapon, fight, be threatened at • school or report partner violence. • Behaviors related to Sexual Activity • likely to report having ever had sex, having had • 4+ partners and having had sex before age 13. • males and females were not different for • reporting current sexual activity (sex 3 months • prior to the survey)

32. Colorado Females were at greater risk compared to Colorado Males for: • Violence • likely to report being physically forced to have • sex • Mental Health Symptoms • likely to report symptoms of depression, and to • report seriously considering suicide • males and females were no different for • reported suicide attempts or related injuries

33. Colorado Males and Females showed similar risks for: • Behaviors related to Substance Use • Males were likely to report tobacco use; however • males and females were not different for • cigarette use. • Females were likely to report ever drinking • alcohol, while males were likely to report • trying alcohol before age 13. • there were no other differences between males and females for lifetime or current substance use.

34. Physical Activity • Males were likely to report frequent physical activity; however • Males were also likely to report frequent sedentary activities (watching tv and playing computer/video games). • There was no difference in the prevalence of overweight or obese, though females were likely to perceive themselves as overweight and engage in both healthy and un-healthy weight loss behaviors. • Nutrition • Males were likely to report more frequent servings of fruit and vegetables, and to drink 3+ glasses of milk per day, however • Males were also likely to report drinking soda daily

35. Differences by Race/Ethnicity 2009 Prevalence Rates for Hispanic/Latino students and non-Hispanic White students

36. Hispanic/Latino students were at greater risk compared to non-Hispanic White students for: • Behaviors leading to Unintentional Injury and Violence: • likely to wear a seat belt and bike helmet • likely to ride with a driver who has been drinking • likely to fight and be threatened at school • were not different for having been bullied at school

37. Hispanic/Latino students were at greater risk compared to non-Hispanic White students for: • Behaviors related to Substance Use: • likely to report early initiation of alcohol and • marijuana use • likely to report ever smoking cigarettes • likely to report having ever used heroin or cocaine, • and current cocaine use • likely to report having been offered, given, or sold • drugs on school property • likely to report current cigarette, alcohol, and • marijuana use

38. Hispanic/Latino students were at greater risk compared to non-Hispanic White students for: • Physical Activity • Hispanic/Latino students were likely to report frequent physical activity or participation in sports teams • There were no differences in Hispanic/Latino and non-Hispanic White students in playing computer or video games, although Hispanic/Latino students were likely to watch 3+ hours of TV in an average day • There were no differences in being overweight, but Hispanic/Latino students were likely to be obese

39. Hispanic/Latino and non-Hispanic White students showed similar risks for: • Behaviors related to Sexual Activity • likely to report having ever had sex, having had • 4+ partners and having had sex before age 13; but • Hispanic/Latino students were likely to report current • sexual activity • Behaviors related to Mental Health • likely to report suicidal thoughts, attempts, injuries; • Hispanic/Latino students likely to report symptoms of • depression than non-Hispanic White students

40. What does this mean? • Take 3-5 minutes to talk at your table about what this data means for YOU in your work in Colorado. • How will this data inform the work that you do? • Are any of these findings surprising?

41. Associations Between Youth Behaviors

42. Understanding How Youth Behaviors Are Related Relationships of interest were tested with Module I 2009 data 13 behaviors from five domains Violence: fighting, bullied at school Current Binge Drinking, Tobacco, & Marijuana Use Current Sexual Activity Mental Health sad 2+ weeks, suicidal ideation Physical Activity, Nutrition, and Health frequent physical activity, sports team participation, playing video games 3+ hours, eating fruits/vegetables, overweight or obese

43. Unintentional Injury and Violence Associations Between Youth Behaviors

46. Substance Use Associations Between Youth Behaviors

49. Mental Health Associations Between Youth Behaviors