1. MoCAN Presentation January 26, 2012 Missouri Department of Health & Senior Services

2.  Conducted in even-numbered springs by MO Dept. of Elementary & Secondary Education in collaboration with CDC Division of Adolescent & School Health  School buildings with any grades 6-12 randomly selected to participate – 392 in 2010  Two different questionnaires sent for principal and lead health education teacher ◦ 310/392 principals responded ◦ 302/392 health education teachers responded ◦ Response sufficient to generalize data to all secondary school buildings and lead health education teachers Missouri Department of Health & Senior Services

3. Progress in school health programs & policies: Less access to snack foods and beverages high in fats and calories More school environments tobacco-free More required health education taught More individualized physical activity plans taught Missouri Department of Health & Senior Services

4. Concerns about school health programs & policies: o Fewer school health advisory groups o Less parent & community representation on groups o Fewer designated coordinators of school health o Less assessment of health programs & policies o Less professional development received by health education and physical education teachers although more desired by health education teachers Missouri Department of Health & Senior Services

5.  Percentage of secondary schools with someone who coordinates school health programs 2008 – 98.5%2010 – 90.4%*  Percentage of secondary schools with school health advisory group 2008 – 78.2%2010 – 62.8% *Statistically significant decrease Missouri Department of Health & Senior Services

6. Percentage of secondary schools with representation on school health advisory groups from: 20082010  Health services staff94.389.5  School administrators95.994.7  Health education teachers92.686.9  Physical education teachers89.586.9  Nutrition or food service staff90.675.6*  Parents or families of students80.871.4*  Community members77.665.9*  Local health departments or agencies65.956.3*  Student body69.460.9  Mental health or social services staff50.950.3 *Statistically significant decrease Missouri Department of Health & Senior Services

7. Percentage of secondary schools that used the School Health Index or other self-assessment tool to assess policies, activities or programs in: 20082010  Physical activity59.250.3*  Nutrition59.047.0*  Tobacco-use prevention54.345.4*  Asthma37.431.7 *Statistically significant decrease Missouri Department of Health & Senior Services

8.  Percentage of secondary schools that always or almost always offer fruits or non-fried vegetables at school celebrations 2008 – 29.02010 – 23.9  Percentage of secondary schools in which students can purchase snack foods or beverages at school 2002 – 89.62010 – 75.2* *Statistically significant decrease Missouri Department of Health & Senior Services

9. Percentage of secondary schools in which students can purchase the following snack foods or beverages at school: 200220062010* Chocolate candy62.650.833.2 Other candy62.454.937.5 Salty snacks not low in fat69.160.938.7 2% or whole milk50.237.2 Soda or non-100% fruit juice74.243.8 Sports drinks76.263.9 Foods or beverages with caffeine47.938.4 *All statistically significant decrease from 2002 or 2006 Missouri Department of Health & Senior Services

10. Percentage of secondary schools that taught required health education, by grade and year 20082010* 6 th – 42.659.7 7 th – 61.479.9 8 th – 57.882.1 9 th – 46.276.0 10 th – 24.639.0 11 th – 11.121.6 12 th – 10.721.5 *All statistically significant increase from 2008 Missouri Department of Health & Senior Services

11. Percentage of secondary schools that taught required physical education in 2010, by grade: 6 th – 94.8 7 th – 96.4 8 th – 96.4 9 th – 89.6 10 th – 59.8 11 th – 47.7 12 th – 47.2 Missouri Department of Health & Senior Services

12.  Percentage of secondary schools that taught physical education using a written curriculum 2008 – 96.32010 – 92.3*  Percentage of secondary schools that taught students how to develop an individualized physical activity plan 2008 – 79.12010 – 85.2** *Statistically significant decrease**Statistically significant increase Missouri Department of Health & Senior Services

13.  Percentage of secondary schools that offer intramural activities or physical activity clubs 2008 – 58.82010 – 62.8  Percentage of secondary schools in which physical education teachers received professional development on physical education during the past two years: 2008 – 90.12010 – 84.7* *Statistically significant decrease Missouri Department of Health & Senior Services

14. Percentage of lead health education teachers who received professional development in past two years, by topic: 20002010 Alcohol or other drug-use prevention60.637.9* Emotional and mental health32.936.5** Injury prevention and safety41.249.5** Nutrition and dietary behavior31.143.7** Physical activity and fitness45.054.8** Suicide prevention27.130.3** Violence prevention (bullying, fighting) 55.058.9** Tobacco-use prevention36.230.7 STD prevention32.226.8 Pregnancy prevention24.221.1 HIV prevention38.428.4 *Statistically significant decrease**Statistically significant increase Missouri Department of Health & Senior Services

15. Percentage of lead health education teachers who would like to receive professional development, by topic: 20002010 Alcohol or other drug-use prevention66.574.8* Emotional and mental health57.767.6* Injury prevention and safety46.363.5* Nutrition and dietary behavior62.773.2* Physical activity and fitness56.573.3* Suicide prevention67.773.3* Violence prevention77.477.3 Tobacco-use prevention60.069.6* STD prevention61.964.5 Pregnancy prevention55.263.1 HIV prevention65.061.0 *Statistically significant increase Missouri Department of Health & Senior Services

16. Percentage of lead health education teachers who received professional development in past two years and would like to receive it, by topic in 2010: ReceivedWould like Alcohol or other drug-use prevention37.974.8 Emotional and mental health36.567.6 Injury prevention and safety49.563.5 Nutrition and dietary behavior43.773.2 Physical activity and fitness54.873.3 Suicide prevention30.373.3 Violence prevention 58.977.3 Tobacco-use prevention30.769.6 STD prevention26.864.5 Pregnancy prevention21.163.1 HIV prevention28.461.0 Missouri Department of Health & Senior Services

17. Percentage of lead health education teachers who received professional development in past two years and would like to receive it, by topic in 2010: ReceivedWould like Teaching students with disabilities48.064.8 Teaching students of various cultural backgrounds38.454.1 Teaching students with limited English proficiency19.542.4 Encouraging family or community involvement40.374.0 Using interactive teaching methods61.165.0 Teaching skills for behavior change50.077.4 Classroom management techniques64.967.6 Assessing or evaluating students in health education37.869.2 Missouri Department of Health & Senior Services

18.  Reconvene or strengthen school health advisory council where needed  Identify someone to coordinate if none  Review 2010 Profiles findings and compare with own school  Celebrate areas where own school is better than rest of state  Identify areas on which to work, such as:  Use the School Health Index to assess policies and programs  Prioritize policy or program improvements needed and prepare plan to address Missouri Department of Health & Senior Services

20.  Conducted by the Missouri Department of Health & Senior Services in collaboration with the Centers for Disease Control and Prevention (CDC) Office on Smoking and Health  Randomly selected public middle and high schools and classrooms participate in spring of odd-numbered years  School and student participation is voluntary  Responses are anonymous and confidential  CDC provides the questionnaire booklet, and tabulates and weights the data  Results presented from the survey conducted in 2003, 2005, 2007, 2009 and 2011 Missouri Department of Health & Senior Services

21. Also collect data on:  Current asthma  Overweight and obesity  Food and beverage consumption  Physical activity  Physical education  TV viewing and computer use Missouri Department of Health & Senior Services

27. Tobacco content:  Tobacco Use  Quitting Attempts & Assistance  Youth Access to Cigarettes  Influences to Use Tobacco  Educating About the Dangers of Tobacco Use  Secondhand Smoke Exposure and Beliefs Missouri Department of Health & Senior Services

28. Report of tobacco results from the Missouri Youth Tobacco Survey 2003-2011 will be available at: http://health.mo.gov/data/yts/data.php Missouri Department of Health & Senior Services

29. In the first 30 years of your life, you make your habits. For the last 30 years of your life, your habits make you. - Hindu saying

30. Janet.Wilson@health.mo.gov