2015 BPS High School YRBS Results by BPSHealth&Wellness

2015 Boston High School Youth Risk Behavior Survey What Youths Told Us

Results and Fact Sheets

2015 Boston High School Dear educators, youth-serving professionals and community members,

Youth Risk Behavior Survey

We know that healthy students are better learners. For BPS to be successful in our mission to provide an education for all students, we must prioritize student physical, social, and emotional health. The Boston Public Schools conducted the Boston High School Youth Risk Behavior Survey, a part of the Centers for Disease Control and Prevention national surveillance system, in the spring of 2015. The attached fact sheets were developed to share the student reported health-risk behavior data. As a community, we must reflect on these findings and collaborate to improve the health and wellness of Boston youth. We must address health inequities that act as barriers to learning. With this in mind, we are working tirelessly to make Boston Public Schools one of the healthiest school districts in the country. We will do this by creating a healthy and supportive school environment for all students, where the healthy choice is the easy choice, and students know how to make that choice. In June 2013, the School Committee passed a revised Wellness Policy that was recently rated as one of the most comprehensive policies in the country. It addresses health education, physical education and physical activity, food and nutrition, health services, a safe and supportive environment, a healthy physical environment, and staff wellness and integrates cultural proficiencies throughout. By taking a Whole School, Whole Community, Whole Child approach, we are working to ensure every child is healthy, safe, engaged, supported and challenged. The new Office of Social Emotional Learning and Wellness is collaborating with departments across BPS to build a multi-tiered system of supports that schools need to deliver high-quality services to students and families, and thus address the health needs of our students. Our efforts include: BPS is launching new, and expanding upon existing, strategies that include: Expanding comprehensive, skills-based health education K-12 Implementing K-12 physical education that promotes life long physical activity and fitness Integrating physical activity through out the school day Offering healthy, appealing, and free breakfast and lunch Increasing access to high-quality drinking water from the tap Implementing a Comprehensive Behavioral Health Framework Ensuring a tobacco-free environment and only environmentally friendly cleaners Launching a Safe Routes to School Program that encourages walking and biking Collaborating with adolescent medical providers to increase care coordination and referrals Ensuring inclusive practices for all students We strive to impact the most pressing student health issues by: Increasing physical activity and healthy eating and reducing obesity Increasing social emotional learning and improving mental and behavioral health Decreasing asthma Improving sexual health and decreasing teen pregnancy We want to ensure that Boston Public School students are ready for learning and ready for life. Please join us in this work! Yours in an effort to be one of the healthiest school districts in the country, Sincerely,

Dr. Tommy Chang Superintendent of Schools

November 2016

About the Youth Risk Behavior Surveillance System The high school Youth Risk Behavior Survey (YRBS), conducted by interested states, territories, tribal governments, and large urban school districts, is one component of the Youth Risk Behavior Surveillance Systems (YRBSS). Developed in 1990 by the Centers for Disease Control and Prevention (CDC) in collaboration with representatives from state and local departments of education and health, other federal agencies, and national education and health organizations, the YRBSS was designed to focus the nation on behaviors among youth related to leading causes of mortality and morbidity among both youth and adults and to assess how these risk behaviors change over time. The CDC divides behaviors into six categories: • Behaviors that result in unintentional injuries and violence; • Tobacco use; • Alcohol and other drugs; • Sexual behaviors that result in sexually transmitted infections and unintended pregnancies; • Dietary behaviors; and • Physical activity. The YRBS also measures asthma and self-reported height and weight to allow calculation of body mass index for assessment of overweight and obesity. More information about the YRBSS can be obtained from http://www.cdc.gov/yrbss.

Survey Methods The 2015 Youth Risk Behavior Survey (YRBS) was completed by 1,669 students in 33 public and vocational high schools in Boston during the spring of 2015. The school response rate was 100%, the student response rate was 80%, and the overall response rate was 80%. The results are representative of all students in grades 9-12. The weighted demographic characteristics of the sample can be seen in Table 1. Students completed a self-administered, anonymous, 99-item questionnaire. Survey procedures were designed to protect the privacy of students by allowing for anonymous and voluntary participation. Local parental permission procedures were followed before survey administration.

About these Fact Sheets Adults play an important role in supporting students in safe and healthy behaviors. Therefore, these fact sheets are directed toward educators, youth-serving professionals, and community members. The purpose of these fact sheets is to disseminate findings from the 2015 risk behavior survey for Boston high school students. This information may inform future wellness-related programs, practices, and policies that aim to improve the health and wellness of Boston youths. The intent of these fact sheets is not to attempt to provide solutions, but rather to highlight significant results to spark future conversations and collaborations. Results are presented by health risk-behavior area as follows: • Dietary Behaviors and Weight Management; • Physical Activity; • Sexual Health; • Social and Emotional Safety; • Physical Safety; and • Substance Use.

Table 1

Demographic Characteristics

Female

48.9%

Male

51.1%

9th

28.1%

10th

24.4%

11th

25.0%

12th

21.5%

Other Grade

1.0%

Asian

10.2%

Black*

38.0%

Hispanic/Latino

35.4%

White*

12.8%

All Other Races*

0.9%

Multiple Races*

2.7%

*Non-Hispanic

Action Steps

Lead Person(s)

How will you meet this goal? (For Who will take responsibility to ideas refer to the BPS Wellness ensure steps are Policy Implementation Toolkit) accomplished?

b. c.

By When?

b. c.

The above information is from the 2015 Boston High School Youth Risk Behavior Survey (YRBS) and can be found in more detail at www.bpshealthandwellness.org. More information about the national YRBS can be found at http://www.cdc.gov/healthyyouth/data/yrbs/index.htm.

By what date will you accomplish each step?

Topic area of concern:

Goal

What resources are available to complete this action step?

Resources

Cultural proficiency School food and nutrition promotion Comprehensive physical activity and physical education Comprehensive health education Healthy school environments Safe and supportive schools Health services Staff wellness Other___________

Which district wellness priority does this meet? (check the box)

District Priority Met

Review the High School Youth Risk Behavior Fact Sheets with your Wellness Council. Select the two topic areas of highest concern and write them in the Wellness Action Plan template below. For strategies on how to address these issues refer to the Wellness Policy Implementation Toolkit â&#x20AC;&#x153;How to Get Startedâ&#x20AC;? Sections. For each topic area, develop a goal and up to three action steps to address the issue among students. Identify a lead person and deadline for each topic area, and write in any resources you plan to use. Check off the district priority area that this work addresses.

How to use the High School YRBS BPS to inform your Wellness Action Plan:

2015 Boston High School Youth Risk Behavior Survey

AREAS OF SUCCESS High school students reported several positive trends in health-related risk behaviors over the past 10 years. There were significant positive changes (i.e., increases in health-promoting behaviors or decreases in risk behaviors) in the following behavior areas: 2005

2015

17% (2007)

30%

Dietary Behavior & Weight Management

Percentage of students who do not drink a can, bottle, or glass of soda or pop

Physical Activity

Percentage of students who watch television 3+ hours per school day

45%

31%

Percentage of students who had sexual intercourse before age 13 years

11%

Percentage of students who are currently sexually active

38%

30%

Percentage of students who have been pregnant or gotten someone else pregnant

Percentage of students who carried a weapon on school property in the past month

Percentage of students who were in a physical fight on school property in the past year

13%

Percentage of students who currently smoke cigarettes

15%

Percentage of students who currently drink alcohol

36%

25%

Percentage of students who were offered, sold, or given an illegal drug on school property in the past year

29%

21%

Sexual Health

Change*

Physical Safety

Substance Use

*Based on 10-year trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. ^ Did not change 2005-2011, decreased 2011-2015. ~ Did not change 2005-2009, decreased 2009-2015.

AREAS FOR DEVELOPMENT 2005 Percentage of students who do not drink milk

2015

23%

28%

Percentage of students who do not eat breakfast

16% (2009)

15%

Percentage of students who play video or computer games or use a computer 3+ hours per school day

26% (2007)

44%

Percentage of students who attend physical education classes on 1+ school days

38%

37%

Percentage of students who drank alcohol or used drugs before last sexual intercourse

17%

18%

Percentage of students who used a condom during last sexual intercourse

74%

61%

Percentage of students who felt sad or hopeless in the past year

30%

27%

Percentage of students who rarely or never wear a seat belt as a passenger

23%

20%

Percentage of students who did not go to school because they felt unsafe at school or on their way to/from school

Percentage of students who currently use marijuana

21%

22%

Dietary Behavior & Weight Management

Physical Activity

Sexual Health

Social & Emotional Safety

Physical Safety

Substance Use

*Based on 10-year trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Although increases or decreases were observed, the differences were not statistically significant.

Change*

WHAT HIGH SCHOOL YOUTHS TOLD US ABOUT

DIETARY BEHAVIORS AND WEIGHT MANAGEMENT A FACT SHEET FOR EDUCATORS, YOUTH-SERVING PROFESSIONALS, AND COMMUNITY MEMBERS

WEIGHT MANAGEMENT 32%

FRUITS & VEGETABLES

of students describe themselves as slightly or very overweight

21%

49%

of students are trying to lose weight

of students vomited or took laxatives to lose weight or to keep from gaining weight

64%

21% of students eat fruit or drink 100% fruit juice 3+ times per day

5+ servings of fruits and vegetables are recommended daily as part of the dietary guidelines

30%

More students who get mostly A's eat breakfast daily compared to students who get mostly D/F's 44% vs 16%

vs.

44% 17% of students drink 1+ servings of soda per day

64% of students drink 1+ glasses of water per day

21% of students eat vegetables 2+ times per day

MEALS

BEVERAGES 17%

21%

30% of students drink 1+ glasses of milk per day

31% of students eat breakfast daily

16% 40

100

31%

95% of students report having enough food in their home

95%

DIETARY BEHAVIORS AND WEIGHT MANAGEMENT WEIGHT MANAGEMENT Trends

Massachusetts

BPS

Percentage of high school students whoâ&#x20AC;Ś

1993

2015

describe themselves as slightly or very overweight

are trying to lose weight

Change*

National

1993

2015

1993

2015

DIETARY BEHAVIORS Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

2009

2015

do not drink 100% fruit juice

do not eat fruit do not drink a can, bottle, or glass of soda or pop

Massachusetts Change*

National

2009

2015

2009

2015

---

17 (2007)

21 (2007)

19 (2007)

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. --- Data not available

A CLOSER LOOK BY GENDER Male

Female

Weight management and dietary behaviors differ between male and females. Females are more likely to be concerned about weight management, while males are more likely to report unhealthy eating habits. 70

61%

60 50 40 30

36%

37%

27%

23%

19%

12%

14% 9%

0 % of students who describe themselves as slightly or very overweight*

% of students who are trying to lose weight*

% of students who do not eat fruit*

% of students who do not eat vegetables*

% of students who drink 1+ glasses of milk per day*

*Statistically significant difference based on t-test analyses, p < 0.05.

WHAT HIGH SCHOOL YOUTHS TOLD US ABOUT

PHYSICAL ACTIVITY A FACT SHEET FOR EDUCATORS, YOUTH-SERVING PROFESSIONALS, AND COMMUNITY MEMBERS PE is required in high school grades for at least * Weekly one semester each year. 23% of high schools are staffed

PHYSICAL EDUCATION

to meet this requirement. Overall, 65% of high schools offer PE.

Students who attend physical education classes on 1+ school days 9th

Nearly 4 in 10 students attend weekly PE

Attend daily PE

10th

30%

Male - 38%

75%

Female - 22%

16%

The percentage of Boston high school students who are physically active for 60+ minutesâ&#x20AC;¦

on all 7 days on 5+ days

on 1+ days

31%

44%

26% 20%

12th

Male

42%

Female

32%

SAFE ROUTES TO SCHOOL 30% of students

walk or ride their bike to school every day

The percentage of students who are inactive when they... watch television 3+ hours per school day

34%

11th

Physical education (PE) is the cornerstone of lifelong physical activity (PA). PE provides students with the knowledge and skills to participate in a variety of physical activity across the lifespan.

PHYSICAL ACTIVITY

63%

9th

34%

10th 11th 12th

play video or computer games or use a computer 3+ hours per school day

Statistically significant decrease from 2013-2015, based on t-test analysis, p < 0.05.

31% 30% 25%

PHYSICAL ACTIVITY PHYSICAL EDUCATION BPS

Trends Percentage of high school students whoâ&#x20AC;Ś attend physical education classes on 1+ school days

1993

2015

National

Massachusetts Change*

1993

2015

1993

2015

PHYSICAL ACTIVITY Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś watch television 3+ hours per school day play video or computer games or use a computer 3+ hours per school day

1999

2015

51 26 (2007)

Massachusetts Change*

National

1999

2015

1999

2015

---

29 (2007)

25 (2007)

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. ^Decreased from 1993-2007, did not change from 2007-2015. --- Data not available

A CLOSER LOOK BY ACADEMIC PERFORMANCE A

D/F

There is a significant association between physical inactivity and academic achievement. Students who get mostly D's/F's are more likely to be sedentary than students who get mostly A's. 56%

60 50

41%

40%

40 30

25%

30% 24%

21%

44%

47% 40%

33%

21%

20 10 0 % of students who are not physically active for 60+ minutes on at least 1 day in the past week*

% of students who watch television 3+ hours per school day*

% of students who play video or computer games or use a computer 3+ hours per school day*

*Significant association between grades and physical activity based on logistic regression analysis controlling for sex, race/ethnicity, and grade in school, p < 0.05.

WHAT HIGH SCHOOL YOUTHS TOLD US ABOUT

SEXUAL HEALTH A FACT SHEET FOR EDUCATORS, YOUTH-SERVING PROFESSIONALS, AND COMMUNITY MEMBERS

SEXUAL BEHAVIOR

42%

42% of students ever had sexual intercourse

6% of students had sexual intercourse before age 13 years

Gay, lesbian, or bisexual (GLB) students are more likely to be currently sexually active than heterosexual students. Nearly 1 in 3 students are currently sexually active

SEXUAL HEALTH 20%

20% of students were ever tested for HIV

12%

BIRTH CONTROL

89%

of students used at least one method to prevent pregnancy during last sexual intercourse

61%

of students used a condom during last sexual intercourse

of students have been pregnant or gotten someone else pregnant

Statistically significant increase from 2013-2015, based on t-test analysis, p < 0.05.

SEXUAL ORIENTATION Students described themselves as... Gay or Lesbian 2% Not sure 3%

12% of students have

Bisexual

asked an adult at their school for a condom

88%

81%

Heterosexual

81% of students have had sex education in school

SEXUAL HEALTH Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

1993

2015

ever had sexual intercourse

had sexual intercourse before age 13 years

National

Massachusetts Change*

1993

2015

1993

2015

had sexual intercourse with 4+ persons during their life

are currently sexually active

have been pregnant or gotten someone else pregnant

---

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. --- Data not available

A CLOSER LOOK BY RACE/ETHNICITY Asian

Black

Hispanic/Latino

White

Sexual risk behaviors differ by race/ethnicity with Black and Hispanic/Latino students more likely to be sexually active and engage in higher risk behaviors. 47%

48%

33%

30%

35%

23%

22% 20

16%

10 0

3% % of student who ever had sexual intercourse*

15%

13% 5%

% of students who had sexual intercouse with 4+ persons during their life*

% of students who are currently sexually active*

*Black and Hispanic/Latino more likely than Asian and White for each of the questions in the graph above based on t-test analyses, p < 0.05. No statistically significant difference between White and Asian.

WHAT HIGH SCHOOL YOUTHS TOLD US ABOUT

SOCIAL & EMOTIONAL SAFETY A FACT SHEET FOR EDUCATORS, YOUTH-SERVING PROFESSIONALS, AND COMMUNITY MEMBERS

BULLYING

12% of students were bullied on school property in the past year

12%

8% of students were electronically bullied in the past year

Male 6% Female 10%

7% of students have been the victim of teasing or name calling because someone thought they were gay, lesbian, or bisexual

MENTAL HEALTH 27%

of students felt sad or hopeless in the past year

14%

of students did something to purposely hurt themselves without wanting to die in the past year

11%

of students seriously considered attempting suicide in the past year

SLEEP 18%

21% Male - 33% Female

of students attempted suicide in the past year

18% of students get 8+ hours of sleep on an average school night

Statistically significant decrease from 2013-2015, based on t-test analysis, p < 0.05.

65%

65% of students report there is at least one teacher or other adult in their school that they can talk to if they have a problem

SOCIAL & EMOTIONAL SAFETY MENTAL HEALTH Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

1993

2015

32 (1999)

seriously considered attempting suicide in the past year

attempted suicide in the past year

felt sad or hopeless in the past year

Massachusetts Change*

National

1993

2015

1993

2015

30 (1999)

28 (1999)

BULLYING Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

2011

2015

were electronically bullied in the past year

have been the victim of teasing or name calling because someone thought they were gay, lesbian, or bisexual

Massachusetts Change*

National

2011

2015

2011

2015

---

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. --- Data not available ^Decreased from 1999-2007, did not change from 2007-2015. ~Decreased from 1993-2007, did not change from 2007-2015.

A CLOSER LOOK BY SEXUAL ORIENTATION Heterosexual

Gay, Lesbian, or Bisexual (GLB)

More students who identify as gay, lesbian, or bisexual experienced depression and seriously considered suicide than heterosexual students. 50%

50 40 30

23%

27%

24%

23%

20 10 0

9% 4% % of students who have been the victim of teasing or name calling because someone thought they were gay, lesbian, or bisexual*

% of students who felt sad or hopeless in the past year*

% of students who seriously considered attempting suicide in the past year*

6% % of students who attempted suicide in the past year*

*GLB more likely than heterosexual based on t-test analyses, p < 0.05.

WHAT HIGH SCHOOL YOUTHS TOLD US ABOUT

PHYSICAL SAFETY A FACT SHEET FOR EDUCATORS, YOUTH-SERVING PROFESSIONALS, AND COMMUNITY MEMBERS

TRANSPORTATION

80%

20% of students sometimes or always wear a bicycle helmet when riding a bike

of students sometimes or always wear a seat belt as a passenger

VIOLENCE

19%

32%

of students rode with a driver who had been drinking alcohol in the past month

of students texted or e-mailed while driving a car or other vehicle in the past month

DATING VIOLENCE

of students experienced physical dating violence in the past year

of students were ever physically forced to have sexual intercourse

1 in 5 students were in a physical fight in the past year

12% of students carried a weapon in the past month

6% of students did not go to school because they felt unsafe at school or on their way to/from school

4% of students were threatened or injured with a weapon on school property in the past year

PHYSICAL SAFETY TRANSPORTATION Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

1993

2015

rarely or never wear a seat belt as a passenger

rode with a driver who had been drinking alcohol at least once in the past month

Massachusetts Change*

National

1993

2015

1993

2015

---

VIOLENCE Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

1993

2015

carried a weapon in the past month

carried a weapon on school property in the past month did not go to school because they felt unsafe at school or on their way to/from school were threatened or injured with a weapon on school property in the past year

Massachusetts Change*

National

1993

2015

1993

2015

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. ^Decreased from 1993-2005, did not change from 2005-2015. --- Data not available

A CLOSER LOOK BY SEXUAL ORIENTATION Heterosexual

Gay, Lesbian, or Bisexual (GLB)

Students who identify as gay, lesbian, or bisexual are more likely to be in a physical fight and experience dating violence than heterosexual students. 29%

30 25 20

19%

18%

15 10

5 0

17%

14%

% of students who were in a physical fight in the past year*

% of students who were in a physical fight on school property in the past year*

% of students who were ever physically forced to have sexual intercourse*

5% % of students who experienced physical dating violence in the past year*

*GLB more likely than heterosexual based on t-test analyses, p < 0.05.

WHAT HIGH SCHOOL YOUTHS TOLD US ABOUT

SUBSTANCE USE A FACT SHEET FOR EDUCATORS, YOUTH-SERVING PROFESSIONALS, AND COMMUNITY MEMBERS

Approximately 4 in 5 students do not currently use tobacco

Approximately 4 in 5 students do not currently use marijuana

OTHER DRUGS 95%

of students have never used inhalants

98%

of students have never used methamphetamines

21%

of students were offered, sold, or given an illegal drug on school property in the past year

98%

of students have never used heroin

92%

of students have never taken prescription drugs without a doctor's prescription

3 in 4 students do not currently drink alcohol

ALCOHOL

11%

35%

of students drank 5+ alcoholic of students usually obtain the drinks in a row in the past alcohol they drank by month someone giving it to them Statistically significant decrease from 2013-2015, based on t-test analysis, p < 0.05.

Statistically significant increase from 2013-15, based on t-test analysis, p < 0.05.

MOST STUDENTS DO NOT USE TOBACCO PRODUCTS 95%

of students do not currently smoke cigarettes

95%

of students do not currently smoke cigars, cigarillos, or little cigars

86%

of students do not currently use electronic vapor products

Letâ&#x20AC;&#x2122;s make sure they donâ&#x20AC;&#x2122;t start Limiting access can help prevent future tobacco use

Statistically significant increase from 2013-2015, based on t-test analysis, p < 0.05.

SUBSTANCE USE

Trends

BPS

Percentage of high school students whoâ&#x20AC;Ś

1993

2015

smoked a whole cigarette before age 13 years

currently smoke cigarettes

Massachusetts Change*

National

1993

2015

1993

2015

drank alcohol before age 13 years

currently drink alcohol

drank 5+ alcoholic drinks in a row in the past month

currently use marijuana

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. ^Did not change from 1993-2003, decreased from 2003-2015.

A CLOSER LOOK BY ACADEMIC PERFORMANCE A

D/F

There is a significant association between academic performance and using tobacco, alcohol, or other drugs. Fewer students who get mostly A's currently smoke, drink alcohol, or use other drugs compared to students who mostly get D's/F's 47%

50 40

33%

31% 26%

23% 17%

20 12% 10

3% 3%

% of students who currently smoke cigarretes*

% of students who currently drink alcohol*

18%

15% 16% 9%

% of students who drank 5+ alcoholic drinks in a row in the past month*

13% 10%

10% 6% 6% % of students who currently use marijuana*

% of students who ever took prescription drugs without a doctorâ&#x20AC;&#x2122;s prescription*

*Significant association between grades and substance use based on logistic regression analysis controlling for sex, race/ethnicity, and grade in school, p < 0.05.

20.5 16.9 63.9 30.3 68.9 4.9

Eat vegetables 2+ times per day

Drink 1+ servings of soda per day

Drink 1+ glasses of water per day

Drink 1+ glasses of milk per day

Do no eat breakfast daily

Report not having enough food in their home

21.3

4.4

66.1

30.9

61.2

16.4

19.3

22.9

2.9

55.3

29.0

9 (Reference)

24.5* 75.9*

4.7 17.7 26.4 12.8 78.9 41.6 54.6 4.0

Vomited or took laxatives to lose weight or to keep from gaining weight

Eat fruit or drink 100% fruit juice 3+ times per day

Eat vegetables 2+ times per day

Drink 1+ servings of soda per day

Drink 1+ glasses of water per day

Drink 1+ glasses of milk per day

Do no eat breakfast daily

Report not having enough food in their home

† Non-Hispanic. --- Fewer than 100 students in subgroup. * Significantly different than reference group (p < 0.05). An interpretation of these data would read "Compared to males (reference group), females were more likely to describe themselves as overweight or slightly overweight.” ~ GLB = Gay, Lesbian, or Bisexual.

5.5

56.0*

18.4

18.4*

28.1*

5.8

52.6

51.5

Are not trying to lose weight

26.6

Black†

3.4

63.2

37.7

76.4

3.8*

26.9

9.5*

3.4

56.6

28.6

Asian†

3.4

69.3

33.2

63.0

18.8

19.0

20.7

6.6*

47.4

34.0

68.2

69.6*

4.7

68.9

29.2*

4.7

64.7

16.3

20.5* 63.5*

80.1

79.6

5.8

51.5

31.2

Heterosexual (Reference)

17.9*

20.0

6.4

45.0

36.0

7.3

71.8

26.0

64.5

12.2

21.3

22.9

8.5*

45.2*

37.9*

6.9

71.4

76.9

60.9

20.1

76.9

74.1

8.3

44.4

36.3

GLB~

Sexual Identity %

5.3

68.4

30.9

67.6

18.9

22.5

18.0

6.9*

53.3

26.6

Grade %

Hispanic/ Latino

Race/Ethnicity %

4.0

72.8*

23.1*

66.6*

14.3*

35.5

5.8

64.9

37.1

61.2

19.6

19.7

18.6*

7.1

39.1*

36.1*

Describe themselves as slightly or very overweight

Percentage of Students who..

White† (Reference)

21.4

Eat fruit or drink 100% fruit juice 3+ times per day

Health Behavior

5.1

6.1

Vomited or took laxatives to lose weight or to keep from gaining weight 24.2

62.6

50.9

Are not trying to lose weight

27.0

Female

Sex % Male (Reference)

31.6

Total %

Describe themselves as slightly or very overweight

Percentage of Students who..

Health Behavior

DIETARY BEHAVIORS AND WEIGHT MANAGEMENT

44.4 62.8 91.4 30.1

Play video or computer games or use a computer 3+ hours per school day

Do not attend physical education classes on 1+ school days

Do not attend physical education classes on all 5 school days

Walk or ride their bike to or from school every day

61.3 18.4 21.8 45.1 63.7 94.9 28.2

Are not physically active for 60+ minutes on 5+ days

Are not physically active for 60+ minutes on 1+ days

Watch television 3+ hours per school day

Play video or computer games or use a computer 3+ hours per school day

Do not attend physical education classes on 1+ school days

Do not attend physical education classes on all 5 school days

Walk or ride their bike to or from school every day

32.5

92.4

67.9*

45.4

28.2

29.5*

34.2

84.4

36.9

49.0

32.8

24.2

67.9

83.6

25.9

92.5

63.8

41.0

38.0*

25.8

68.3

82.2

Black†

31.5

95.8

58.4

62.8*

11.7*

26.1

81.7*

94.7*

Asian†

30.5

92.4

66.4*

48.1

36.8

26.6

69.3

81.5

35.9*

88.4*

64.5

42.7

32.3*

25.6

70.2

84.2

24.6*

94.5*

79.9*

40.8*

28.4

28.8

76.6*

88.0

30.9

91.2

62.1

43.3

31.3

25.4

68.6

83.4

Heterosexual (Reference)

23.6

89.5

66.5

52.6*

31.7

23.4

74.9

87.1

GLB~

Sexual Identity %

29.6

95.7*

74.1*

38.5*

25.9

21.7

66.7

83.6

Grade %

Hispanic/ Latino

9 (Reference)

Race/Ethnicity %

27.6

90.4

57.9

21.0

78.0*

90.4*

Female

† Non-Hispanic. --- Fewer than 100 students in subgroup. * Significantly different than reference group (p < 0.05). An interpretation of these data would read "Compared to males (reference group), females were more likely to not be physically active for at least 60 minutes per day on all 7 days.” ~ GLB = Gay, Lesbian, or Bisexual.

77.7

Are not physically active for 60+ minutes on all 7 days

Percentage of Students who..

White† (Reference)

43.5

30.9

Watch television 3+ hours per school day

Health Behavior

33.1

25.4

Are not physically active for 60+ minutes on 1+ days

62.0

69.9

Are not physically active for 60+ minutes on 5+ days

78.1

Male (Reference)

Sex %

84.1

Total %

Are not physically active for 60+ minutes on all 7 days

Percentage of Students who..

Health Behavior

PHYSICAL ACTIVITY

17.8

11.7 39.4 10.5 4.5 79.6 80.7

11.6

Had sexual intercourse with 4+ persons during their life

Did not use a condom during last sexual intercourse

Did not use at least one method to prevent pregnancy during last sexual intercourse

Have been pregnant or gotten someone else pregnant

Were never tested for HIV

Have had sex education in school

Have asked an adult at their school for a condom 15.6

80.2

79.6

2.7 22.8 5.3 ----2.1 87.7 74.6 2.9

Had sexual intercourse before age 13 years

Are currently sexually active

Had sexual intercourse with 4+ persons during their life

Did not use a condom during last sexual intercourse

Did not use at least one method to prevent pregnancy during last sexual intercourse

Have been pregnant or gotten someone else pregnant

Were never tested for HIV

Have had sex education in school

Have asked an adult at their school for a condom

7.4*

81.2

79.5

3.7

11.3

51.1*

6.1*

28.6

2.2*

37.6*

7.7

78.1

88.1

2.3

---

7.1

14.7

5.8

24.6

9 (Reference)

15.4*

82.7

75.0*

5.8*

8.3

30.6

15.8*

33.4*

7.5*

46.9*

Black†

3.2

81.7

90.3

0.3

---

3.3

15.1

0.0

21.7

Asian†

10.3

80.7

83.6

4.3

---

11.1

27.1*

10.3

40.6*

13.2*

82.0

78.0*

5.3*

11.2

42.6

13.3*

34.5*

8.4*

47.6*

17.1*

83.9

67.4*

6.2

10.7

42.7

18.7*

45.5*

5.2

58.3*

11.4

80.8

80.4

4.1

8.5

38.0

11.5

29.4

5.8

41.1

Heterosexual (Reference)

13.5

85.7

74.9

7.9

23.9

51.5

10.8

40.1*

8.6

51.8*

GLB~

Sexual Identity %

11.6

80.8

78.0*

5.2*

---

9.8

36.2*

2.1

47.6*

Grade %

Hispanic/ Latino

Race/Ethnicity %

† Non-Hispanic. --- Fewer than 100 students in subgroup. * Significantly different than reference group (p < 0.05). An interpretation of these data would read "Compared to males (reference group), females were less likely to have ever had sexual intercourse.” ~ GLB = Gay, Lesbian, or Bisexual.

29.7

5.3

9.8

27.5

White† (Reference)

Ever had sexual intercourse

Percentage of Students who..

Health Behavior

31.5

29.9

Are currently sexually active

10.5

6.2

Had sexual intercourse before age 13 years

46.3

Female

Sex % Male (Reference)

41.8

Total %

Ever had sexual intercourse

Percentage of Students who..

Health Behavior

SEXUAL HEALTH

8.1 6.5 26.7

Were electronically bullied in the past year

Have been the victim of teasing or name calling because someone thought they were gay, lesbian, or bisexual

Felt sad or hopeless in the past year

82.4 65.4

Did not have 8+ hours of sleep on an average school night

Report there is at least one teacher or other adult in their school that they can talk to if they have a problem

62.8

83.7

8.2

14.1*

17.6*

32.6*

5.4

10.0*

14.0*

58.8

75.6

8.3

11.9

12.9

23.9

7.0

7.9

12.3

9 (Reference)

9.4 6.9*

8.4 24.1 11.0 6.8 3.2 85.1 75.8

Have been the victim of teasing or name calling because someone thought they were gay, lesbian, or bisexual

Felt sad or hopeless in the past year

Did something to purposely hurt themselves without wanting to die in the past year

Seriously considered attempting suicide in the past year

Attempted suicide in the past year

Did not have 8+ hours of sleep on an average school night

Report there is at least one teacher or other adult in their school that they can talk to if they have a problem

† Non-Hispanic. --- Fewer than 100 students in subgroup. * Significantly different than reference group (p < 0.05). An interpretation of these data would read "Compared to males (reference group), females were more likely to have been bullied on school property in the past year.” ~ GLB = Gay, Lesbian, or Bisexual.

66.9*

79.3

11.9

26.6

4.4*

5.7*

12.8

Were electronically bullied in the past year

11.7

Black†

56.5*

85.8

4.5

8.9

10.3

22.1

4.5

5.0*

7.0

Asian†

61.3

81.1

8.1

8.3

15.0

29.4

7.1

9.0

13.5

63.7*

83.6

9.8*

13.1*

17.3*

29.0

7.1

8.4

13.2

73.2*

86.3*

5.8

11.2

13.1

28.9

5.4

6.1

8.9

65.7

82.3

6.3

9.0

12.1

23.8

4.3

7.4

10.9

Heterosexual (Reference)

68.5

83.2

23.3*

27.0*

35.2*

49.6*

23.3*

12.8

13.8

GLB~

Sexual Identity %

69.4*

88.2*

9.7

11.7

16.2

24.4

5.9

8.6

11.5

Grade %

Hispanic/ Latino

Race/Ethnicity % 9.9

67.8

81.4

Were bullied on school property in the past year

Percentage of Students who..

White† (Reference)

8.1

Attempted suicide in the past year

Health Behavior

7.3

11.0

Seriously considered attempting suicide in the past year

7.9

11.3

20.7

7.3

5.9

9.3

Female

Sex % Male (Reference)

14.4

Did something to purposely hurt themselves without wanting to die in the past year

11.8

Total %

Were bullied on school property in the past year

Percentage of Students who..

Health Behavior

SOCIAL & EMOTIONAL SAFETY

Health Behavior

22.9 7.9 6.1 5.5

11.7 3.8 6.1 4.3 20.0 7.1 7.6 6.4

Carried a weapon in the past month

Carried a weapon on school property in the past month

Did not go to school because they felt unsafe at school or on their way to/from school

Were threatened or injured with a weapon on school property in the past year

Were in a physical fight in the past year

Were in a physical fight on school property in the past year

Were ever physically forced to have sexual intercourse

Experienced physical dating violence in the past year

17.1

Rode with a driver who had been drinking alcohol in the past month

5.6

5.8

8.5

24.3

3.1

5.1

4.4

11.6

6.5 4.7 19.1 7.7

4.1 4.1 20.9 4.1 3.8 ---

Did not go to school because they felt unsafe at school or on their way to/from school

Were threatened or injured with a weapon on school property in the past year

Were in a physical fight in the past year

Were in a physical fight on school property in the past year

Were ever physically forced to have sexual intercourse

Experienced physical dating violence in the past year

---

2.5

2.0

7.6*

0.3*

4.1

0.6

5.5

---

15.4

15.9*

---

Asian†

† Non-Hispanic. --- Fewer than 100 students in subgroup. Fewer than 30 students in subgroup if GLB. * Significantly different than reference group (p < 0.05). An interpretation of these data would read "Compared to males (reference group), females were less likely to never have worn a bicycle helmet, among students who rode a bicycle.” ~ GLB = Gay, Lesbian, or Bisexual.

4.6

9.0*

3.8

2.4

Carried a weapon on school property in the past month

12.1

32.6

17.0

23.4*

85.4*

Black†

---

16.4

22.6

82.7

9 (Reference)

Race/Ethnicity %

7.0

8.9*

6.3

17.0*

3.0

6.4

2.0*

5.4*

27.1

20.0

10.4

5.6

17.1

35.2

16.9

18.0

74.9*

Carried a weapon in the past month

---

5.7

Rarely or never wear a seat belt as a passenger

Texted or e-mailed while driving a car or other vehicle in the past month

52.2

Rarely or never wear a bicycle helmet when riding a bike

Percentage of Students who..

White† (Reference)

5.4

31.8

Texted or e-mailed while driving a car or other vehicle in the past month

Health Behavior

5.7

18.5

Rode with a driver who had been drinking alcohol in the past month

21.2

19.8

Rarely or never wear a seat belt as a passenger

83.3

Female

Sex %

Male (Reference)

79.9

Total %

Rarely or never wear a bicycle helmet when riding a bike

Percentage of Students who..

PHYSICAL SAFETY

8.1

8.2*

8.7*

23.3

4.8

6.4

4.5

12.6

29.5

22.3

21.5*

87.2*

4.8

5.9

3.6

12.2

---

16.3

16.5

78.0

9.9

9.7

6.1

17.1

3.3

6.8

4.1

12.7

41.8

21.6

19.7

78.3

5.0

6.0

6.4

19.3

3.9

5.7

3.5

11.5

30.2

17.4

18.9

81.4

Heterosexual (Reference)

17.2*

18.1*

13.5*

28.6*

6.7

10.9

6.6

11.7

---

23.7

66.5*

GLB~

Sexual Identity %

5.9

8.1

4.7

17.7*

Grade %

Hispanic/ Latino

3.5

7.5

9.5

18.5

5.4

7.0

2.0

9.6

---

19.3

18.1

79.3

Health Behavior

28.9 22.8 5.6 3.0 3.5 8.3

35.5 22.3 4.7 1.8 2.4 7.9 20.5

Drank 5+ alcoholic drinks in a row at least once in the past month

Usually obtain the alcohol they drank by someone giving it to them

Currently use marijuana

Ever used inhalants

Ever used heroin

Ever used methamphetamines

Ever took prescription drugs without a doctor's prescription

Were offered, sold, or given an illegal drug on school property in the past year

11.4 18.1* 4.7* ---

14.9 35.4 22.5 ---

Currently use electronic vapor products

Currently drink alcohol

Drank 5+ alcoholic drinks in a row at least once in the past month

Usually obtain the alcohol they drank by someone giving it to them

2.1

Ever used heroin

22.3

Were offered, sold, or given an illegal drug on school property in the past year

† Non-Hispanic. --- Fewer than 100 students in subgroup. * Significantly different than reference group (p < 0.05). An interpretation of these data would read "Compared to males (reference group), females were less likely to currently smoke cigarettes.” ~ GLB = Gay, Lesbian, or Bisexual.

6.0

9.7

22.8

1.9

2.6

Ever took prescription drugs without a doctor's prescription

Ever used methamphetamines

4.5

1.8

Ever used inhalants

1.3

21.7

21.9

Currently use marijuana

15.8

19.8

Currently use tobacco products

3.2

Black†

5.3

Percentage of Students who..

19.3

7.4

1.1*

0.4*

3.6

21.7

40.0*

11.1

28.4*

14.3

18.7

3.4*

8.9*

3.1*

1.6

0.9

4.3

9.5*

---

4.2*

14.5*

8.9*

10.5*

2.6

Asian†

14.7

5.9

0.8

0.7

5.6

13.9

---

7.6

17.9

14.8

17.8

3.1

20.1

7.3

2.9

2.5

3.8

20.2

---

10.3

23.3

16.0

19.4

3.4

22.7

9.5

2.9

1.7

5.1*

26.0

34.8

15.5

31.8

20.1

26.9*

5.7

Hispanic/ Latino

9 (Reference)

Race/Ethnicity %

Currently smoke cigarettes

White† (Reference)

10.8

10.9

Currently drink alcohol

Health Behavior

21.3

24.8

Currently use electronic vapor products

21.7

21.0 14.7

19.9 14.5

Currently use tobacco products

6.0

Female

Sex %

Male (Reference)

4.8

Total %

Currently smoke cigarettes

Percentage of Students who..

SUBSTANCE USE 11

4.6

21.2*

10.5*

2.2

1.0

4.5

28.7*

32.0

16.4*

35.4*

13.9

22.9

7.3*

19.9

7.3

1.7

1.4

4.2

20.6

34.5

10.6

23.3

13.6

18.3

3.8

Heterosexual (Reference)

23.7

10.9

3.5

2.8

3.6

39.6*

37.8

18.3

47.4*

22.4*

34.4*

13.1*

GLB~

Sexual Identity %

25.8*

7.6

3.0*

2.9*

4.5

25.3*

---

10.4

23.9

12.5

18.3

Grade %