1. North Dakota Department of Public Instruction Kirsten Baesler, State Superintendent 600 E. Boulevard Avenue, Dept. 201 Bismarck, ND 58505-0440 Presented by: Gail Schauer Assistant Director, Safe and Healthy Schools February 2014

2. All students achieve their maximum education and social potential in a healthy and safe school and community environment.

3.  Youth Risk Behavior Survey (YRBS)  Designed to:  Monitor trends  Compare state and national health risk behaviors  Plan, evaluate and improve schools and communities

4.  Developed in 1990  North Dakota participation began in 1995  Includes grades 7-12  Conducted in odd years  Voluntary and anonymous  No cost or fee for district, regional, state, or national reports

5. Six priority health risk behavior categories 1.Alcohol and Other Drug Use 2.Dietary Behaviors 3.Injury & Violence 4.Physical Activity 5.Sexual Behaviors 6.Tobacco

6.  Random participation identification ◦ Gender ◦ Age ◦ Urban/rural – typical student  Weighted data results ◦ All years but 1997 ◦ Results represent all student populations  2013 Survey Results ◦ MS – 2135 students from 74 schools (84%) ◦ HS – 1,981 students from 62 schools (83%)  2011 National YRBS ◦ Overall response rate = 71%

7.  Student honesty?  Remember, when…Did you or someone you know… ◦ Drink before age 21? ◦ Have sex in high school? ◦ Engage in unprotected sex? ◦ Smoke cigarettes? ◦ Try drugs? ◦ Call someone names or make fun of them? ◦ Go to the local soda shop or burger restaurant?  CDC has a list of reliability checks

8.  www.cdc.gov/yrbs ◦ 2013 questionnaire and item rationale ◦ Youth Online  National Data and states’ data ◦ Data and codebooks for the national surveys ◦ Publications, journal articles, and fact sheets  Morbidity and Mortality Weekly Report: Youth Risk Behavior Surveillance – United States 2011

9. CDC, 2010.

10.  Unintentional injuries and violence  Tobacco use  Alcohol and other drug use  Sexual behaviors  Unhealthy dietary behaviors  Inadequate physical activity CDC, 2013

13.  5 smoke  7 are overweight  5 binge drink  12 lack physical activity  21 don’t eat enough fruits and vegetables

14.  5 smoked cigarettes  4 smoked marijuana  4 were offered, sold, or given illegal drug - osp  5 binge drink  10 believe in their community teenage drinking is ok

15.  18 do not get enough sleep  4 seriously considered attempting suicide  4 do not have adult to talk to @ problems

16. Areas of decrease between 2001 and 2013  Rode in car w/ someone who drank 43.5% in 2001 to 21.9% in 2013  Drove a car after drinking 26.8% in 2001 to 10.7% in 2013  Binge drank 41.5% in 2001 to 21.9% in 2013

17. Areas of decrease between 2001 and 2013  Had first drink of alcohol other than a few sips before age 13 39.8% in 2001 to 15.2% in 2013  Had at least one drink of alcohol in last 30 days 59.2% in 2001 to 35.3% in 2013

18. Areas of decrease between 2001 and 2013  Tried cigarette smoking 67.9% in 2001 to 41.4% in 2013  Smoked a whole cigarette before age 13 25.4% in 2001 to 7.9% in 2013  Smoked in last 30 days 35.3% in 2001 to 19.0% in 2013

19. Areas of decrease between 2001 and 2013  Offered, sold, or given illegal drug 27.3% in 2001 to 14.1% in 2013

20. Grades 9-12 Levels of Suicide 2001200320052007200920112013 Considering19.013.615.410.412.414.716.1 Planned13.911.312.28.110.512.113.5 Attempted7.57.26.48.85.710.711.5

21.  Chewed tobacco, snuff, or dip 10.3% in 2003 to 13.8% in 2013  Had sexual intercourse 42.0% in 2001 to 44.9% in 2013  Played video/computer games 3 or more hours per day 18.6% in 2007 to 34.4% in 2013

22.  Students who were obese 12.3% in 2001 to 13.5% in 2013  Students who were overweight 9.1% in 2001 to 15.1% in 2013  Obese or overweight 21.4% in 2001 to 28.6% in 2013

23. www.cdc.gov/obesity/data/adult.html

25.  Coordinated School Health  School Health Advisory Council  School Connectedness  Comprehensive Physical Activity Plan  Social – Emotional Skills Training  Plus more …

26.  Health Education  Physical Education  Health Services  Nutrition Services  Counseling and Psychological Services  Healthy School Environment  Health Promotion for Staff  Family/Community Involvement Coordinated School Health

27.  School Health Advisory Council (SHAC) (school health team)  Review all school data  Use the School Health Index  Get involved in the school’s health plan o Goals o Activities o Who’s responsible

28.  Making the health and academic connection!  Letting students know they are important and they are cared about! www.cdc.gov/HealthyYouth/AdolescentHealth/pdf/connectedness.pdf

29.  ↓ Knee arthritis pain & disability by 47%  ↓ Dementia and Alzheimer’s by 50%  ↓ Diabetes by 58%  ↓ Risk of hip fractures in women by 41%  ↓ Anxiety by 48%  ↓ Depression by 30% - 47%  ↓ Risk of death by 32%  The # 1 treatment for fatigue

30. This treatment has been shown over and over again to improve the quality of life!!!

31. 23 ½ hours: www.youtube.com/watch?v=aUaInS6HIGo

32.  Physical Education  Physical Activity During School  Physical Activity Before/After School  Staff Involvement  Family and Community Engagement

33. www.casel.org

34.  Family Connectedness  Promote Parent Engagement  Mentoring Effects  Building Reliance  Plus more….

35.  DPI Youth Risk Behavior Survey www.dpi.state.nd.us/health/YRBS/index.shtm  CDC Youth Risk Behavior Survey www.cdc.gov/HealthyYouth/yrbs/index.htm  CDC Health & Academics Data & Statistics www.cdc.gov/healthyyouth/health_and_acade mics/data.htm  CDC Adult Obesity Facts www.cdc.gov/obesity/data/adult.html

36.  Coordinated School Health www.cdc.gov/HealthyYouth/cshp/  School Health Advisory Council (SHAC) www.dpi.state.nd.us/health/resource/index.sht m#s  School Connectedness www.cdc.gov/healthyyouth/adolescenthealth/c onnectedness.htm

37.  Comprehensive Physical Activity Plan www.cdc.gov/healthyyouth/physicalactivity/cs pap.htm  Social – Emotional Skills Training www.casel.org  Mentoring www.mentoring.org/mentoringeffect

38. If you have any question, feel free to contact me at: Gail Schauer, Assistant Director Dept of Public Instruction Safe and Healthy Schools Unit (701) 328-2265 gschauer@nd.gov www.dpi.state.nd.us