1. State Results, by Quartile

2. è States are divided into quartiles according to the percentage of schools in each state with each school health policy or practice in place è Percentages in quartiles change from map to map depending on the range of percentages across all states è Darker shades indicate a higher percentage of schools with each policy or practice in place è Maps provide relative results (i.e., how states compare to each other)

3. Physical Education and Physical Activity

4. Percentage of schools that taught a required physical education course in all grades in the school 30% - 52% 53% - 64% 65% - 75% 76% - 100% No Data School Health Profiles, 2008

5. Percentage of schools in which students could not be exempted from taking required physical education for certain reasons* *Enrollment in other courses, participation in school sports, participation in other school activities, participation in community sports activities, high physical fitness competency test score, participation in vocational training, and participation in community service activities. 14% - 50% 51% - 71% 72% - 79% 80% - 96% No Data School Health Profiles, 2008

6. Percentage of schools that taught 12 key physical activity topics in a required course 35% - 47% 48% - 52% 53% - 60% 61% - 75% No Data School Health Profiles, 2008

7. Percentage of schools that taught about developing an individualized physical activity plan in a required course 46% - 70% 71% - 74% 75% - 78% 79% - 88% No Data School Health Profiles, 2008

8. Percentage of schools in which those who teach physical education were provided with key materials for teaching physical education 38% - 61% 62% - 68% 69% - 75% 76% - 92% No Data School Health Profiles, 2008

9. Percentage of schools that offered opportunities for all students to participate in intramural activities or physical activity clubs 40% - 56% 57% - 65% 66% - 78% 79% - 85% No Data School Health Profiles, 2008

10. Percentage of schools that provided parents and families with health information to increase parent and family knowledge of physical activity 30% - 36% 37% - 41% 42% - 46% 47% - 56% No Data School Health Profiles, 2008

11. Percentage of schools that used the School Health Index or a similar self- assessment tool to assess their policies, activities, and programs in physical activity 24% - 34% 35% - 40% 41% - 48% 49% - 75% No Data School Health Profiles, 2008

12. Tobacco Use

13. Percentage of schools that prohibited all tobacco use at all times in all locations* *Prohibited the use of all tobacco, including cigarettes, smokeless tobacco, cigars, and pipes; by students, faculty and school staff, and visitors; in school buildings; outside on school grounds; on school buses or other vehicles used to transport students; and at off-campus, school-sponsored events; during school hours and non-school hours. 18% - 41% 42% - 50% 51% - 58% 59% - 73% No Data School Health Profiles, 2008

14. Percentage of schools that sometimes, almost always, or always required students who were caught smoking to participate in an assistance, education, or cessation program 16% - 28% 29% - 36% 37% - 48% 49% - 70% No Data School Health Profiles, 2008

15. Percentage of schools that provided tobacco cessation services for students, faculty, and staff at school or through arrangements with providers not on school property 11% - 19% 20% - 25% 26% - 30% 31% - 48% No Data School Health Profiles, 2008

16. Percentage of schools that posted signs marking a tobacco-free school zone 42% - 68% 69% - 73% 74% - 83% 84% - 96% No Data School Health Profiles, 2008

17. Percentage of schools that taught 15 key tobacco-use prevention topics in a required course 33% - 42% 43% - 49% 50% - 58% 59% - 79% No Data School Health Profiles, 2008

18. Percentage of schools in which the lead health education teacher received professional development during the two years before the survey on tobacco-use prevention 21% - 28% 29% - 35% 36% - 40% 41% - 62% No Data School Health Profiles, 2008

19. Percentage of schools that gathered and shared information with students and families about media or community-based tobacco-use prevention efforts during the two years before the survey 34% - 42% 43% - 47% 48% - 53% 54% - 72% No Data School Health Profiles, 2008

20. Percentage of schools that worked with local agencies or organizations on efforts to reduce tobacco use during the two years before the survey 36% - 47% 48% - 53% 54% - 60% 61% - 84% No Data School Health Profiles, 2008

21. Percentage of schools that provided parents and families of students with health information to increase parent and family knowledge of tobacco-use prevention 24% - 30% 31% - 33% 34% - 38% 39% - 55% No Data School Health Profiles, 2008

22. Percentage of schools that used the School Health Index or a similar self- assessment tool to assess their policies, activities, and programs in tobacco- use prevention 20% - 34% 35% - 40% 41% - 43% 44% - 68% No Data School Health Profiles, 2008

23. Nutrition

24. Percentage of schools in which students could not purchase chocolate candy from vending machines or at the school store, canteen, or snack bar 25% - 67% 68% - 74% 75% - 87% 88% - 98% No Data School Health Profiles, 2008

25. Percentage of schools in which students could not purchase other kinds of candy from vending machines or at the school store, canteen, or snack bar 23% - 63% 64% - 71% 72% - 83% 84% - 95% No Data School Health Profiles, 2008

26. Percentage of schools in which students could not purchase salty snacks that are not low in fat* from vending machines or at the school store, canteen, or snack bar *Such as regular potato chips. 28% - 57% 58% - 64% 65% - 76% 77% - 91% No Data School Health Profiles, 2008

27. Percentage of schools in which students could not purchase cookies, crackers, cakes, pastries, or other baked goods that are not low in fat from vending machines or at the school store, canteen, or snack bar 28% - 56% 57% - 63% 64% - 76% 77% - 95% No Data School Health Profiles, 2008

28. Percentage of schools in which students could not purchase soda pop or fruit drinks that are not 100% juice from vending machines or at the school store, canteen, or snack bar 26% - 51% 52% - 62% 63% - 73% 74% - 93% No Data School Health Profiles, 2008

29. Percentage of schools in which students could not purchase sports drinks* from vending machines or at the school store, canteen, or snack bar *Such as Gatorade. 23% - 29% 30% - 40% 41% - 48% 49% - 85% No Data School Health Profiles, 2008

30. Percentage of schools that did not sell less nutritious foods and beverages* anywhere outside the school food service program *Baked goods not low in fat, salty snacks not low in fat, chocolate candy, other kinds of candy, and soda pop or fruit drinks that are not 100% juice 13% - 36% 37% - 45% 46% - 57% 58% - 75% No Data School Health Profiles, 2008

31. Percentage of schools that always offered fruits or non-fried vegetables in vending machines or school stores, and during celebrations when foods and beverages are offered 2% - 7% 8% - 12% 13% - 14% 15% - 25% No Data School Health Profiles, 2008

32. Percentage of schools that prohibited all forms of advertising and promotion of candy, fast food restaurants, or soft drinks in all locations* *In school buildings; on school grounds, including on the outside of the school building, on playing fields, or other areas of the campus; on school buses or other vehicles used to transport students; and in school publications. 30% - 39% 40% - 49% 50% - 58% 59% - 75% No Data School Health Profiles, 2008

33. Percentage of schools that used at least three different strategies to promote healthy eating 6% - 16% 17% - 21% 22% - 26% 27% - 40% No Data School Health Profiles, 2008

34. Percentage of schools that taught 14 key nutrition and dietary behavior topics in a required course 42% - 55% 56% - 63% 64% - 69% 70% - 85% No Data School Health Profiles, 2008

35. Percentage of schools in which the lead health education teacher received professional development during the two years before the survey on nutrition and dietary behavior 23% - 33% 34% - 43% 44% - 46% 47% - 63% No Data School Health Profiles, 2008

36. Percentage of schools that used the School Health Index or a similar self- assessment tool to assess their policies, activities, and programs in nutrition 24% - 33% 34% - 40% 41% - 45% 46% - 74% No Data School Health Profiles, 2008

37. School Health Coordination

38. Percentage of schools that had a school health council, committee, or team that offers guidance on the development of policies or coordinates activities on health topics 34% - 56% 57% - 61% 62% - 69% 70% - 83% No Data School Health Profiles, 2008

39. Percentage of schools that ever used the School Health Index or other self- assessment tool to assess their policies, activities, and programs in physical activity, nutrition, or tobacco-use prevention 30% - 42% 43% - 50% 51% - 55% 56% - 80% No Data School Health Profiles, 2008

40. Percentage of schools that had a copy of their district’s wellness policy 71% - 84% 85% - 88% 89% - 93% 94% - 99% No Data School Health Profiles, 2008

41. HIV, STD, and Pregnancy Prevention

42. Percentage of schools that taught 11 key HIV, STD, and pregnancy prevention topics in a required course during grades 6, 7, or 8 28% - 47% 48% - 51% 52% - 57% 58% - 72% No Data School Health Profiles, 2008

43. Percentage of schools that taught 8 key HIV, STD, and pregnancy prevention topics in a required course during grades 9, 10, 11, or 12 46% - 72% 73% - 79% 80% - 84% 85% - 96% No Data School Health Profiles, 2008

44. Percentage of schools that taught 3 key topics related to condom use in a required course during grades 9, 10, 11, or 12 10% - 47% 48% - 58% 59% - 72% 73% - 94% No Data School Health Profiles, 2008

45. Percentage of schools that taught how to access valid and reliable health information, products, or services related to HIV, other STDs, and pregnancy in a required course 49% - 74% 75% - 79% 80% - 83% 84% - 91% No Data School Health Profiles, 2008

46. Percentage of schools in which the lead health education teacher received professional development during the two years before the survey on HIV prevention 11% - 31% 32% - 40% 41% - 48% 49% - 72% No Data School Health Profiles, 2008

47. Percentage of schools with a gay/straight alliance or similar club 12% - 16% 17% - 20% 21% - 30% 31% - 49% No Data School Health Profiles, 2008

48. Percentage of schools with a policy on students or staff who have HIV infection or AIDS that addresses attendance of students with HIV infection, procedures to protect HIV-infected students and staff from discrimination, and maintaining confidentiality of HIV-infected students and staff 19% - 49% 50% - 56% 57% - 63% 64% - 86% No Data School Health Profiles, 2008

49. Health Education

50. Percentage of schools that required students to take two or more health education courses 12% - 35% 36% - 50% 51% - 62% 63% - 86% No Data School Health Profiles, 2008

51. Among schools that required a health education course, percentage that required students who fail the course to repeat it 16% - 50% 51% - 59% 60% - 65% 66% - 81% No Data School Health Profiles, 2008

52. Percentage of schools with a health education curriculum that addresses all 8 national standards for health education 38% - 56% 57% - 65% 66% - 73% 74% - 87% No Data School Health Profiles, 2008

53. Percentage of schools in which the lead health education teacher had professional preparation in health education or in health and physical education combined 19% - 49% 50% - 57% 58% - 72% 73% - 92% No Data School Health Profiles, 2008

54. Percentage of schools in which all staff who teach health education were licensed, certified, or endorsed by the state in health education 30% - 77% 78% - 84% 85% - 92% 93% - 96% No Data School Health Profiles, 2008

55. Percentage of schools in which those who teach health education were provided with key materials for teaching health education 31% - 43% 44% - 49% 50% - 57% 58% - 72% No Data School Health Profiles, 2008

56. Percentage of schools that provided parents and families health information to increase parent and family knowledge of tobacco-use prevention, physical activity, or nutrition and healthy eating 40% - 47% 48% - 53% 54% - 57% 58% - 67% No Data School Health Profiles, 2008

57. Asthma

58. Percentage of schools with a full-time registered nurse who provides health services to students at school 4% - 22% 23% - 39% 40% - 73% 74% - 99% No Data School Health Profiles, 2008

59. Percentage of schools that implemented a policy permitting students to carry and self-administer asthma medications by communicating the policy to students, parents, and families, and by designating an individual responsible for implementing the policy 26% - 44% 45% - 52% 53% - 57% 58% - 71% No Data School Health Profiles, 2008

60. Percentage of schools that had an asthma action plan on file for all students with known asthma 27% - 37% 38% - 45% 46% - 56% 57% - 77% No Data School Health Profiles, 2008

61. Percentage of schools that identified students with poorly controlled asthma by keeping track of them in at least three different ways 40% - 55% 56% - 64% 65% - 71% 72% - 82% No Data School Health Profiles, 2008

62. Percentage of schools that provided intensive case management for students with poorly controlled asthma at school 5% - 12% 13% - 19% 20% - 28% 29% - 42% No Data School Health Profiles, 2008

63. Percentage of schools that required all school staff members to receive annual training on recognizing and responding to severe asthma symptoms 12% - 29% 30% - 36% 37% - 51% 52% - 75% No Data School Health Profiles, 2008

64. Percentage of schools that provided parents and families of students with health information to increase their knowledge of asthma 5% - 12% 13% - 17% 18% - 20% 21% - 35% No Data School Health Profiles, 2008