Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Best of Times, Worst of Times Best of Times, Worst of Times

School Health Profiles (2006) 2006) School Health Policies and Programs Study (2006) CDC Data Sources Youth Risk Behavior 2005) Survey (2005) Youth Risk Behavior 2005) Survey (2005)

Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004 * Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar State Median IowaNew Hampshire OklahomaDelawareNorth Carolina UtahWashington In Percent

Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004 Source: CDC School Health Profiles Median ChicagoDallasLos AngelesMemphisPhiladelphiaMiamiSan Diego

Black students are  Least likely to report use of tobacco, alcohol, cocaine, inhalants, hallucinogens, methamphetamine, and ecstasy.  Least likely to drive when drinking alcohol.  Most likely to report sexual risk behaviors and sedentary behaviors. Black students are  Least likely to report use of tobacco, alcohol, cocaine, inhalants, hallucinogens, methamphetamine, and ecstasy.  Least likely to drive when drinking alcohol.  Most likely to report sexual risk behaviors and sedentary behaviors YRBS: Racial/Ethnic Differences

White students are  Least likely to report physical fighting, sexual risk behaviors, and being overweight.  Most likely to report frequent cigarette use, smokeless tobacco use, and episodic heavy drinking. Hispanic students are  Most likely to report attempted suicide and use of cocaine, heroine, methamphetamine, and ecstasy.

Percentage of High School Students Who Ever Had Sexual Intercourse, by Sex and Race/Ethnicity,* 2005 * B > H > W Source: CDC, National Youth Risk Behavior Survey, 2005

Percentage of High School Students Who Actually Attempted Suicide,* by Sex and Race/Ethnicity,** 2005 Females Males * One or more times during the 12 months preceding the survey ** F > M; *** H > W, B Source: CDC, National Youth Risk Behavior Survey, 2005

DASH-Funded SEAs, TEAs, and LEAs  HIV: 48 SEAs, 7 TEAs, 18 LEAs  CSHP / PANT: 23 SEAs  Asthma: 6 LEAs, 1 SEA

NEW NGO PROGRAM ANNOUNCEMENT National Programs to Build the Capacity of Societal Institutions That Influence Youth Behavior HIV PREVENTION  SEAs and LEAs  SHAs and LHAs  Organizations that Serve Youth at High Risk YMSM African American and Latina Females Youth in Juvenile Justice and/or Alternative Schools Runaway and Homeless Youth  HBCUs  Sexual Abstinence

NEW NGO PROGRAM ANNOUNCEMENT National Programs to Build the Capacity of Societal Institutions That Influence Youth Behavior NON-HIV PREVENTION  Asthma for SEAs, LEAs, SHAs, and LHAs  Chronic Disease Prevention for SEAs and LEAs Physical Activity Nutrition Tobacco-Use Prevention  CSHP for SEAs and LEAs  School Mental Health Services for SEAs and LEAs  Professional Development for DASH-Funded NGOs

Coordinated School Health Program Healthy School Environment Health Promotion for Staff Health Promotion for Staff Family and Community Involvement Physical Education Health Education Health Services Counseling, Psychological, and Social Services Nutrition Services Nutrition Services

CDC School Health Guidelines

Emerging Areas of Activity for DASH  Mental health  Management of chronic diseases  School connectedness  Association between health and academics  Mental health  Management of chronic diseases  School connectedness  Association between health and academics

SHI Mini-Grants Awarded to 47 Schools

Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7, 2006 Best of Times, Worst of Times Best of Times, Worst of Times