Reproductive Health & Safety Today we will continue the Reproductive Health & Safety Unit. During the next several days we will discuss decision making, abstinence, sexually transmitted diseases, FDA approved contraceptives, peer pressure, refusal skills and healthy and unhealthy relationships. In addition we will briefly review yesterday’s session. Please remember to ask questions during the lessons. Outside of the class, remember to get the facts by asking a reliable and responsible adult. Friends may not give you correct or accurate information. Lesson 2 – Decision Making

Reproductive Health & Safety The Lesson Objectives Answer Submitted Questions Review the Previous Lesson Discuss the Steps in Decision Making Analyze Risky Health Behaviors Recognize Health Outcomes Associated with Risky Health Behaviors Define Abstinence Identify Benefits of Abstinence from Sexual Activity The Lesson Objectives Answer Submitted Questions Review the Previous Lesson Discuss the Steps in Decision Making Analyze Risky Health Behaviors Recognize Health Outcomes Associated with Risky Health Behaviors Define Abstinence Identify Benefits of Abstinence from Sexual Activity Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety Ground Rules Be Respectful Exhibit Maturity Demonstrate Patience Remind students that they must follow the established ground rules that are posted. Be respectful of each other’s questions and comments. Due to the sensitivity of the topic please refrain from inappropriate comments, words or gestures. Some of the discussions may make you uncomfortable and you may feel the need to laugh. Remember we will be using the appropriate anatomical terms for our body and all of it’s parts. For example you call an arm and arm and a foot a foot, so we are going to be using words like vagina and penis. I will try to answer each question, however there are some are some questions that can be better answered privately or by your parent(s)/guardian(s). Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety The Question Box Remind students about the opportunity to submit questions to the question box. Students can place questions in the box to be answered throughout the unit. Some questions may be better answered privately or by your parents. Remember we want to maintain a mature and respectful classroom environment and if a question is inappropriate to the class then it will not be read. Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety Let’s Review We are going to spend the majority of this class period discussing decision making skills. However, at this time we will review the topics discussed in the last Reproductive Health and Safety session. Can anyone tell me something they recall from a previous class? Please remember during these classes will be using the medically and anatomically appropriate terms. Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety A Quick Review Puberty Physical Changes Female Reproductive System Male Reproductive System Menstruation What is Puberty? Can you name some of the physical changes that take place during puberty? Can anyone provide the appropriate anatomical names and describe the functions of organs of the female reproductive system? Can anyone provide the appropriate anatomical names and describe the functions of organs of the male reproductive system? What is menstruation? Wake County Public School System Reproductive Health & Safety

Let’s Talk Decisions Every day we make decisions… Raise your hand if you’ve made a decision today. Is anyone willing to share a decision they have made recently? Let’s discuss the number of decisions you may have made this morning before coming to school. Did you select what to wear? Did you select what you had for breakfast? How about your shoes? Let’s take a closer look at the steps taken during the decision making process. Wake County Public School System Reproductive Health & Safety

When Making a Decision… Sorting it Out! Activity # 1 “Sorting it All Out” Wake County Public School System Reproductive Health & Safety

The Steps in Decision Making State the Situation List Possible Situations or Solutions Consider the Outcomes Make the Decision Review each step. The “Steps to Decision Making” is often used without even thinking about it. Let’s think for a moment… Imagine this morning when you were deciding what to wear to school. Let’s say you were deciding between 2 different shirts. First, you realized it was cooler outside so you needed a long sleeve shirt. Maybe you had selected your favorite long sleeve, but then you remembered you just got a new long sleeve shirt over the weekend. Let’s go step-by-step through the process of selecting the shirt. State the situation – It’s cooler outside and you need a long sleeve shirt List the Possible Situations or Solutions – You could wear your favorite or you could wear the new shirt Consider the Outcomes – If you wear the new shirt, maybe your friends will notice and compliment you on it, however it’s a little stiff and hasn’t been washed yet. If you wear your favorite shirt, you know that it’s comfortable, however your friends have seen it a thousand times and it’s not as special anymore. Make the Decision – You decide to go with the new shirt Take Action – You put the shirt on and leave for school Evaluate the Decision – You stayed warm and you received a number of comments about your shirt. Everyone seemed to really like it. It was definitely the best choice for that day. Is it important to think about decisions you make. Absolutely! Some decisions require very little thought and others are much more complicated. Think about having to make a decision about whether to join your friends at a party where under-age drinking is going to take place, or what about when your boyfriend or girlfriend wants to come over when your parents aren’t home. It’s very important to make good decisions, because often the decisions you make can last a lifetime. Let’s take a closer look at some of these more complicated and serious decisions. Take Action Evaluate the Decision Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety Risky Business… You Make the Call Social Emotional Financial Legal Physical Activity # 2 “You Make the Call” During the next several slides we will revisit the risks we just discussed. I will ask you to tell me what you think might be the greatest risk for each of the slides. Wake County Public School System Reproductive Health & Safety

Youth & Risky Behaviors Leading Causes of Death by Age Group – 10 -14 United States - 2014 Let’s look at youth and risky behaviors, specifically the leading causes of death among 10-14 year olds. Source: National Vital Statistics System, National Center for Health Statistics, CDC. Produced by: Office of Statistics and Programming, National Center for Injury Prevention and Control, CDC. Wake County Public School System Reproductive Health & Safety

Youth & Risky Behaviors Leading Causes of Death by Age Group – 15 - 24 United States - 2014 Often youth make choices that result in injury or even death. Youth between the ages of 15-19 have the highest rate of death due to unintentional injuries. The greatest number of injuries are associated with motor vehicle accidents. Often this is associated with risky behaviors like driving too fast, or getting in a car with someone who has been drinking or riding an ATV without a helmet. Let’s look at some other statistics that show the dangers associated with poor decision making. Pay close attention to the potential risk associated with these decisions. Source: National Vital Statistics System, National Center for Health Statistics, CDC. Produced by: Office of Statistics and Programming, National Center for Injury Prevention and Control, CDC. Wake County Public School System Reproductive Health & Safety

Risky Health Behaviors According to the CDC’s 2015 High School YRBS Approximately 29% of NC high school students had at least one drink on 1 day during the 30 days before the survey Approximately 14% of NC high school students had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey According to the CDC’s 2015 High School Youth Risk Behavioral Survey: Approximately 29% of NC high school students had at least one drink on 1 day during the 30 days before the survey Approximately 14% of NC high school students had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey What are some of the risks associated with underage drinking? Wake County Public School System Reproductive Health & Safety

Risky Health Behaviors According to the CDC’s 2015 High School YRBS Approximately 17% of NC high school students rode with a driver who had been drinking alcohol one or more times during the 30 days before the survey According to the CDC’s 2009 High School Youth Risk Behavioral Survey: Approximately 17% of NC high school students rode with a driver who had been drinking alcohol one or more times during the 30 days before the survey. Approximately 4% of NC high school students drove when drinking alcohol one or more times during the 30 days before the survey What are some of the risks associated with drinking and driving or riding with an intoxicated driver? Approximately 4% of NC high school students drove when drinking alcohol one or more times during the 30 days before the survey Wake County Public School System Reproductive Health & Safety

Risky Health Behaviors Tobacco According to the 2015 North Carolina Youth Tobacco Survey, approximately 28% of high school students and 12% of middle school students currently use some type of tobacco product. According to the 2015 North Carolina Youth Tobacco Survey, approximately 28% of high school students and 12% of middle school students currently smoke. What are some of the risks associated with tobacco use? Wake County Public School System Reproductive Health & Safety

Risky Health Behaviors Marijuana According to the CDC’s 2013 Middle School YRBS, approximately 13% of middle school students have ever used marijuana According to the CDC’s Middle School YRBS, approximately 13% of middle school students and 22% of high school students used marijuana one or more time during the 30 days before the survey. What are some of the risks associated with marijuana use? According to the CDC’s 2015 High School YRBS, approximately 22% of high school students used marijuana one or more times during the 30 days before the survey Wake County Public School System Reproductive Health & Safety

Risky Health Behaviors Sexual Activity According to the CDC’s 2015 High School YRBS, approximately 44% of high school students have ever had sexual intercourse According to the CDC’s 2009 High School YRBS, approximately 44% of high school students have ever had sexual intercourse. What are some of the risks associated with pre-marital sexual activity? Wake County Public School System Reproductive Health & Safety

Risky Health Behaviors Sexual Activity According to the CDC’s 2015 High School YRBS, among students who are sexually active: - approximately 17% used alcohol or other drugs prior to last sexual intercourse According to the CDC’s 2015 High School YRBS, among students who are sexually active, approximately 17% used alcohol or other drugs prior to last sexual intercourse and approximately 29% of high school students, who are sexually active, did not use a condom during last sexual intercourse. What are some of the risks associated with drugs and sexual activity and lack of contraceptive use and sexual activity? - approximately 29% did not use a condom during last sexual intercourse Wake County Public School System Reproductive Health & Safety

Health Outcomes Teen Pregnancy (ages 15 – 19) Rates in NC per 1,000 Rates in Wake 32.3 20 Total # of NC Pregnancies Total # of Wake Pregnancies 10,398 682 According to the North Carolina Department of Health and Human Services – State Center for Health Statistics, in 2014 there were 10,398 teen pregnancies reported (ages 15 – 19) in the state of North Carolina and 682 in Wake County. In North Carolina, that rate of teen pregnancies between the ages of 15-19 is 32.3 per 1,000, while Wake County reported a rate of 20 per 1,000 thus ranking it 72nd among all North Carolina counties. http://www.schs.state.nc.us/SCHS/data/county.cfm Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety Remaining Abstinent abstinence  ab·sti·nence (āb'stə-nəns) voluntarily refraining from intimate sexual contact that could result in unintended pregnancy or disease Abstinence is voluntarily refraining from intimate sexual contact that could result in unintended pregnancy or disease Let’s discuss the benefits of remaining abstinent. Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety Decisions to be Made.. Take a Moment Activity #3 Take a Moment Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety Knowledge Assessment Now I am going to ask you some questions based upon the information we’ve recently covered. Please remember to answer these questions to the best of your ability. Knowledge Assessment: #2 Wake County Public School System Reproductive Health & Safety

Reproductive Health & Safety The End That concludes our second lesson in the Reproductive Health and Safety unit. The next several days we will continue to discuss topics that relate to reproductive health and safety. Thank you for your patience and maturity. Remember if you have any questions regarding the information we covered, please take a moment to write them down and place them in the question box. We will answer these questions in the near future. In addition, you have homework this evening. Homework – Breaking Story… Wake County Public School System Reproductive Health & Safety