1. School Health Profiles 2012 State Results National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Adolescent and School Health

2. What is the School Health Profiles (Profiles)? Profiles is a system of surveys assessing school health policies and practices in states, territories, large urban school districts, and tribal governments Profiles surveys are conducted biennially (during even- numbered years) by state, territorial, local, and tribal government education and health agencies with technical assistance from CDC Profiles questionnaires are administered to middle and high school principals and lead health education teachers

3. Topics Monitored by Profiles School health education requirements and content Physical education and physical activity School health policies related to HIV infection/AIDS, tobacco-use prevention, and nutrition Asthma management activities Family and community involvement in school health programs School health coordination

4. 19982000200220042006200820102012 # of states38 43414450 49 # of cities1013141316212019 # of territories-- 565 # of tribal governments -- 222 Total # of sites485157546078 75 Total % of sites with weighted data 77%75%77%70%82%94%99%92% Profiles Participation, 1998 – 2012

5. State and District Participation, Profiles 2012

6. Uses of Profiles Data Education and health officials use Profiles data to Describe school health policies and practices and compare them across jurisdictions Identify professional development needs Plan and monitor programs Support health-related policies and legislation Seek funding Garner support for future surveys

7. Examples of Uses of Profiles Data Utah  Used Profiles data on an informational handout that included school health policy recommendations on cancer, diabetes, and injury prevention  Shared handout with stakeholders at a Parent Teacher Association Conference to garner support for coordinated school health Indiana  Used Profiles data in a state-specific Profiles report that included commentaries from Indiana teachers and suggestions for how to improve student health in the state

8. Profiles Information http://www.cdc.gov/schoolhealthprofiles  Background on the School Health Profiles  Questionnaires and item rationales  Comprehensive results  Fact sheets  Publications and journal articles  Participation history  Data file request form

9. Physical Education And Physical Activity

10. No Data 64% - 74% 75% - 82% 83% - 88% 89% - 97% Percentage of secondary schools that require physical education for students in any of grades 6 through 12 School Health Profiles, 2012

11. No Data 47% - 76% 77% - 85% 86% - 92% 93% - 100% Percentage of secondary schools in which at least 1 physical education teacher or specialist received professional development on physical education during the past 2 years School Health Profiles, 2012

12. No Data 37% - 62% 63% - 69% 70% - 75% 76% - 93% Percentage of secondary schools in which those who teach physical education were provided with key materials for teaching physical education School Health Profiles, 2012

13. No Data 33% - 53% 54% - 62% 63% - 72% 73% - 86% Percentage of secondary schools that offered opportunities for all students to participate in intramural activities or physical activity clubs School Health Profiles, 2012

14. No Data 35% - 51% 52% - 59% 60% - 63% 64% - 78% Percentage of secondary schools that taught 12 key physical activity topics in a required course School Health Profiles, 2012

15. No Data 41% - 60% 61% - 64% 65% - 72% 73% - 87% Percentage of secondary schools that have a joint use agreement for shared use of physical activity facilities School Health Profiles, 2012

16. No Data 12% - 18% 19% - 23% 24% - 26% 27% - 46% Percentage of secondary schools that offer required physical education, classroom-based physical activity breaks, intramural sports, and interscholastic sports School Health Profiles, 2012

17. No Data 6% - 12% 13% - 17% 18% - 20% 21% - 30% Percentage of secondary schools that offer required physical education, classroom-based physical activity breaks, intramural sports, and interscholastic sports and have a joint use agreement for shared use of physical activity facilities School Health Profiles, 2012

18. Tobacco-use Prevention

19. No Data 33% - 50% 51% - 56% 57% - 60% 61% - 80% Percentage of secondary 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. School Health Profiles, 2012

20. No Data 6% - 10% 11% - 15% 16% - 19% 20% - 33% Percentage of secondary schools that implement a tobacco-free environment policy addressing 7 key elements School Health Profiles, 2012

21. No Data 25% - 42% 43% - 50% 51% - 57% 58% - 80% Percentage of secondary schools that taught 15 key tobacco-use prevention topics in a required course School Health Profiles, 2012

22. No Data 10% - 19% 20% - 25% 26% - 31% 32% - 48% Percentage of secondary schools that provided tobacco cessation services for students, faculty, and staff at school or through arrangements with providers not on school property School Health Profiles, 2012

23. No Data 14% - 22% 23% - 25% 26% - 35% 36% - 53% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on tobacco-use prevention School Health Profiles, 2012

24. No Data 24% - 37% 38% - 40% 41% - 46% 47% - 70% Percentage of secondary schools that used the School Health Index or a similar self-assessment tool to assess their policies, activities, and programs in tobacco- use prevention School Health Profiles, 2012

25. No Data 13% - 34% 35% - 39% 40% - 49% 50% - 96% Percentage of secondary schools that sometimes, almost always, or always required students who were caught smoking to participate in an assistance, education, or cessation program School Health Profiles, 2012

26. No Data 64% - 74% 75% - 82% 83% - 88% 89% - 97% Percentage of secondary schools that posted signs marking a tobacco-free school zone School Health Profiles, 2012

27. No Data 12% - 25% 26% - 28% 29% - 34% 35% - 50% Percentage of secondary schools that provided families with health information to increase parent and family knowledge of tobacco-use prevention School Health Profiles, 2012

28. Nutrition

29. No Data 25% - 71% 72% - 79% 80% - 90% 91% - 100% Percentage of secondary schools in which students could not purchase chocolate candy from vending machines or at the school store, canteen, or snack bar School Health Profiles, 2012

30. No Data 24% - 66% 67% - 75% 76% - 84% 85% - 96% Percentage of secondary schools in which students could not purchase other kinds of candy from vending machines or at the school store, canteen, or snack bar School Health Profiles, 2012

31. No Data 31% - 61% 62% - 71% 72% - 78% 79% - 96% Percentage of secondary 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. School Health Profiles, 2012

32. No Data 29% - 61% 62% - 70% 71% - 79% 80% - 96% Percentage of secondary 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 School Health Profiles, 2012

33. No Data 57% - 64% 65% - 72% 73% - 77% 78% - 96% Percentage of secondary schools in which students could not purchase 2% or whole milk from vending machines or at the school store, canteen, or snack bar School Health Profiles, 2012

34. No Data 44% - 58% 59% - 69% 70% - 82% 83% - 96% Percentage of secondary 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 School Health Profiles, 2012

35. No Data 26% - 38% 39% - 53% 54% - 59% 60% - 93% Percentage of secondary schools in which students could not purchase sports drinks* from vending machines or at the school store, canteen, or snack bar *Such as Gatorade. School Health Profiles, 2012

36. No Data 13% - 29% 30% - 42% 43% - 49% 50% - 88% Percentage of secondary 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, soda pop or fruit drinks that are not 100% juice, and sports drinks School Health Profiles, 2012

37. No Data 64% - 81% 82% - 83% 84% - 88% 89% - 96% Percentage of secondary schools that allowed students to have access to drinking water School Health Profiles, 2012

38. No Data 2% - 6% 7% - 10% 11% - 13% 14% - 23% Percentage of secondary schools that always offered fruits or non-fried vegetables in vending machines and school stores, canteens, or snack bars and during celebrations when foods and beverages are offered School Health Profiles, 2012

39. No Data 38% - 59% 60% - 70% 71% - 75% 76% - 87% Percentage of secondary schools that placed fruits and vegetables near the cafeteria cashier, where they are easy to access School Health Profiles, 2012

40. No Data 3% - 7% 8% - 9% 10% - 12% 13% - 29% Percentage of secondary schools that priced nutritious foods and beverages at a lower cost while increasing the price of less nutritious foods and beverages School Health Profiles, 2012

41. No Data 35% - 44% 45% - 46% 47% - 54% 55% - 71% Percentage of secondary schools that provided information to students or families on the nutrition and caloric content of foods available School Health Profiles, 2012

42. No Data 11% - 17% 18% - 22% 23% - 28% 29% - 52% Percentage of secondary schools that used at least 3 different strategies to promote healthy eating School Health Profiles, 2012

43. No Data 21% - 32% 33% - 37% 38% - 41% 42% - 60% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on nutrition and dietary behavior School Health Profiles, 2012

44. No Data 37% - 61% 62% - 67% 68% - 75% 76% - 87% Percentage of secondary schools that taught 14 key nutrition and dietary behavior topics in a required course School Health Profiles, 2012

45. No Data 32% - 39% 40% - 45% 46% - 54% 55% - 74% Percentage of secondary 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. School Health Profiles, 2012

46. No Data 24% - 32% 33% - 38% 39% - 43% 44% - 77% Percentage of secondary schools that used the School Health Index or a similar self-assessment tool to assess their policies, activities, and programs in nutrition and physical activity School Health Profiles, 2012

47. School Health Coordination

48. No Data 32% - 46% 47% - 56% 57% - 65% 66% - 78% Percentage of secondary schools that had a school health council, committee, or team that offers guidance on the development of policies or coordinates activities on health topics School Health Profiles, 2012

49. No Data 17% - 28% 29% - 34% 35% - 42% 43% - 65% Percentage of secondary schools that have a school health council, committee, or team with representation from 6 or more groups School Health Profiles, 2012

50. No Data 18% - 27% 28% - 32% 33% - 36% 37% - 65% Percentage of secondary schools that used the School Health Index or other self- assessment tool to assess their policies, activities, and programs in physical activity, nutrition, and tobacco-use prevention School Health Profiles, 2012

51. No Data 11% - 19% 20% - 23% 24% - 27% 28% - 46% Percentage of secondary schools that provided parents and families with health information to increase parent and family knowledge of tobacco-use prevention, physical activity, and nutrition and healthy eating School Health Profiles, 2012

52. No Data 11% - 16% 17% - 22% 23% - 28% 29% - 51% Percentage of secondary schools that include at least 1 health and safety objective in their school improvement plan and have completed a self-assessment of school health policies and practices and have reviewed health and safety data during the past year as part of their school improvement planning process School Health Profiles, 2012

53. No Data 8% - 12% 13% - 16% 17% - 21% 22% - 33% Percentage of secondary schools that have a school health team that performs 5 actions to help plan and implement school health programs School Health Profiles, 2012

54. HIV, STD, and Pregnancy Prevention

55. No Data 11% - 30% 31% - 38% 39% - 46% 47% - 65% Percentage of secondary schools that taught 12 key HIV, STD, and pregnancy prevention topics in a required course during grades 6, 7, or 8 School Health Profiles, 2012

56. No Data 30% - 68% 69% - 75% 76% - 81% 82% - 96% Percentage of secondary schools that taught 9 key HIV, STD, and pregnancy prevention topics in a required course during grades 9, 10, 11, or 12 School Health Profiles, 2012

57. No Data 0% - 25% 26% - 38% 39% - 62% 63% - 85% Percentage of secondary schools that taught 4 key topics related to condom use in a required course during grades 9, 10, 11, or 12 School Health Profiles, 2012

58. No Data 11% - 17% 18% - 22% 23% - 26% 27% - 49% Percentage of secondary schools that provide parents and families with health information to increase parent and family knowledge of HIV prevention, STD prevention, or teen pregnancy prevention School Health Profiles, 2012

59. No Data 2% - 4% 5% - 5% 6% - 7% 8% - 27% Percentage of secondary schools in which students’ families and community members helped develop or implement HIV prevention, STD prevention, or teen pregnancy prevention policies and programs School Health Profiles, 2012

60. No Data 4% - 9% 10% - 15% 16% - 19% 20% - 33% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on 6 key HIV prevention topics School Health Profiles, 2012

61. No Data 6% - 10% 11% - 16% 17% - 21% 22% - 32% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on at least 6 of 11 key HIV prevention topics School Health Profiles, 2012

62. No Data 21% - 46% 47% - 53% 54% - 62% 63% - 84% Percentage of secondary 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 School Health Profiles, 2012

63. No Data 0% - 2% 3% - 5% 6% - 11% 12% - 24% Percentage of secondary schools that provide curricula or supplementary materials and engage in 5 practices related to LGBTQ youth School Health Profiles, 2012

64. No Data 8% - 21% 22% - 37% 38% - 51% 52% - 89% Percentage of secondary schools that taught about 7 contraceptives in a required course during grades 9, 10, 11, or 12 School Health Profiles, 2012

65. No Data 0% - 32% 33% - 45% 46% - 65% 66% - 89% Percentage of secondary schools that taught 4 contraceptive topics in a required course during grades 9, 10, 11, or 12 School Health Profiles, 2012

66. No Data 11% - 23% 24% - 28% 29% - 36% 37% - 47% Percentage of secondary schools that provide students with direct access or referrals to healthcare providers for 7 sexual health services School Health Profiles, 2012

67. No Data 6% - 18% 19% - 22% 23% - 33% 34% - 53% Percentage of secondary schools with a gay/straight alliance or similar club School Health Profiles, 2012

68. No Data 42% - 82% 83% - 88% 89% - 92% 93% - 96% Percentage of secondary schools that tried to increase student knowledge on HIV prevention in a required course School Health Profiles, 2012

69. No Data 39% - 77% 78% - 83% 84% - 88% 89% - 96% Percentage of secondary schools that tried to increase student knowledge on human sexuality in a required course School Health Profiles, 2012

70. No Data 34% - 74% 75% - 81% 82% - 85% 86% - 93% Percentage of secondary schools that tried to increase student knowledge on pregnancy prevention in a required course School Health Profiles, 2012

71. No Data 40% - 80% 81% - 88% 89% - 91% 92% - 96% Percentage of secondary schools that tried to increase student knowledge on STD prevention in a required course School Health Profiles, 2012

72. No Data 27% - 70% 71% - 75% 76% - 82% 83% - 88% Percentage of secondary 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 School Health Profiles, 2012

73. No Data 11% - 25% 26% - 31% 32% - 44% 45% - 60% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on HIV prevention School Health Profiles, 2012

74. No Data 11% - 19% 20% - 24% 25% - 32% 33% - 51% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on pregnancy prevention School Health Profiles, 2012

75. No Data 12% - 23% 24% - 27% 28% - 36% 37% - 54% Percentage of secondary schools in which the lead health education teacher received professional development during the 2 years before the survey on STD prevention School Health Profiles, 2012

76. Health Education

77. No Data 25% - 44% 45% - 48% 49% - 57% 58% - 70% Percentage of secondary schools in which those who teach health education were provided with key materials for teaching health education School Health Profiles, 2012

78. No Data 31% - 54% 55% - 61% 62% - 73% 74% - 84% Percentage of secondary schools with a health education curriculum that addresses all 8 national standards for health education School Health Profiles, 2012

79. No Data 12% - 33% 34% - 48% 49% - 63% 64% - 89% Percentage of secondary schools that required students to take 2 or more health education courses School Health Profiles, 2012

80. No Data 15% - 49% 50% - 61% 62% - 66% 67% - 79% Among secondary schools that required a health education course, percentage that required students who fail the course to repeat it School Health Profiles, 2012

81. No Data 17% - 49% 50% - 58% 59% - 77% 78% - 88% Percentage of secondary schools in which the lead health education teacher had professional preparation in health education or in health and physical education combined School Health Profiles, 2012

82. Asthma

83. No Data 10% - 18% 19% - 26% 27% - 29% 30% - 54% Percentage of secondary schools that have ever used the School Health Index or other self-assessment tool to assess their asthma policies, activities, and programs School Health Profiles, 2012

84. No Data 31% - 53% 54% - 60% 61% - 67% 68% - 86% Percentage of secondary schools that had an asthma action plan on file for all students with known asthma School Health Profiles, 2012

85. No Data 21% - 47% 48% - 53% 54% - 61% 62% - 71% Percentage of secondary 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 School Health Profiles, 2012

86. No Data 7% - 23% 24% - 35% 36% - 42% 43% - 69% Percentage of secondary schools that required all school staff members to receive annual training on recognizing and responding to severe asthma symptoms School Health Profiles, 2012

87. No Data 5% - 22% 23% - 43% 44% - 73% 74% - 99% Percentage of secondary schools with a full-time registered nurse who provides health services to students at school School Health Profiles, 2012

88. No Data 18% - 45% 46% - 52% 53% - 58% 59% - 71% Percentage of secondary schools that identified students with poorly controlled asthma by keeping track of them in at least 3 different ways School Health Profiles, 2012

89. No Data 8% - 17% 18% - 26% 27% - 36% 37% - 51% Percentage of secondary schools that provided intensive case management for students with poorly controlled asthma at school School Health Profiles, 2012

90. No Data 9% - 12% 13% - 15% 16% - 22% 23% - 38% Percentage of secondary schools that provided parents and families with health information to increase parent and family knowledge of asthma School Health Profiles, 2012