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Page County
COMMUNITY NEEDS
ASSESSMENT
on the Behavior of Youth
PAGE ALLIANCE FOR COMMUNITY ACTION
PAGE COUNTY PUBLIC SCHOOLS
DATA FROM YOUTH SURVEYS 2009-2012
 Confidential
 Duplicate questions for validation
 Fact Checked
 Results are congruent with the Page
Memorial Hospital Community Health Needs
Assessment
ABOUT THE SURVEY
► Access to Primary and Specialty Health Care
► Mental and Behavioral Health
► Substance Abuse and Tobacco Smoking
► Physical Activity, Nutrition, and Obesity-related Chronic
Diseases
► Financial Hardship and Basic Needs Insecurity
► Oral Health and Dental Care
► Teen Pregnancy
COMMUNITY HEALTH NEEDS ASSESSMENT
Priority Needs as identified by
Page Memorial Hospital
1. Address substance and alcohol abuse services
for youth and families.
2. Address mental health services for youth and
families.
3. Broaden physical activity programs and
nutritional programs for youth and families.
4. Address resources for early childhood
development and teen pregnancy.
PRIORITY NEEDS IN PAGE COUNTY AS
IDENTIFIED BY THE YRBS AND PRIDE SURVEYS
PRIORITY #1
Identify and fill the
gaps in substance
and alcohol abuse
services for youth
and families
Youth Risky Behavior Survey 2012
% of students engaging in tobacco use behaviors
30-DAY USE OF TOBACCO
Behavior
8th Grade
Page Co.
8th Grade
LFHD
11th Grade
Page Co.
11th Grade
LFHD
Smoking
Cigarettes 10% 6% 22% 18%
Smoking 2 or
more cigarettes
in a day
5% 3% 15% 10%
Use of
Smokeless
Tobacco
9% 4% 10% 9%
Smoking Cigars 6% 4% 9% 14%
Pride Survey and Youth Risk Behavior Survey 2012
% of Students Answering the Question
“How Often Do You Use Alcohol?”
30-DAY USE OF ALCOHOL
Year
7th
Grade
8th
Grade
9th
Grade
10th
Grade
11th
Grade
12th
Grade
2009 12% 25% 27% 44% 33% 49%
2010 30% 32% 36%
2011 4% 4% 13% 27% 24% 34%
2012 31%
Youth Risk Behavior Survey 2012
% of Students Answering Questions
Concerning the Access to Alcohol
30-DAY MEASURE OF ACCESS TO ALCOHOL
Location of Access or
Person Allowing Access
to Alcohol
11th Grade
Page Co.
11th Grade
LFHD
Bought by student in a
store 2% 2%
Bought by student in a
restaurant, bar, or club 1% 1%
Gave someone else
money to purchase
alcohol
6% 8%
Someone gave it to me 13% 16%
Student took it from a
store or family member 3% 4%
Student obtained alcohol
by other means 7% 9%
Pride 2011 Survey
Students Answering “Often” or “A Lot” to the question:
“Have you had 5 or more glasses of beer, coolers, breezers,
or liquor within a few hours?”
Binge Drinking 9th Grade 10th Grade
11th
Grade
12th
Grade
Percent of students 6% 11 % 11% 20 %
# of valid responses 202 200 157 164
# students binge
drinking
13 22 17 33
Youth Risk Behavior Survey 2012
Students Answering “One or more days” to the question:
“During the past 30 days, on how many days did you have 5 or
more drinks of alcohol in a row, that is, within a couple of
hours?”
Binge Drinking
11th Grade
Page Co.
11th Grade
LFHD
Percent of total
students binge
drinking
19% 23%
# of valid responses 188 1492
# of students binge
drinking
36 students 343 students
Pride Survey and Youth Risk Behavior Survey 2012
% of Students Answering “How Often Do You Use
Marijuana?”
30-DAY USE OF MARIJUANA
Year
7th
Grade
8th
Grade
9th
Grade
10th
Grade
11th
Grade
12th
Grade
2009 5% 12% 14% 28% 11% 30%
2010 16% 26% 27%
2011 0% 3% 12% 21% 20% 32%
2012 18%
Youth Risk Behavior Survey 2012
% of students engaging in other drug use behavior
“Have you ever used name of drug?”
**Name of drug used is in chart below**
USE OF OTHER DRUGS
Drug
8th Grade
Page Co.
8th Grade
LFHD
11th Grade
Page Co.
11th Grade
LFHD
Cocaine 4% 3% 5% 4%
Inhalants 6% 8% 8% 9%
Steroids 1% 2% 3% 4%
Prescription
Drugs 7% 4% 13% 18%
WHAT ARE WE DOING TO
ADDRESS PRIORITY #1?
 All Stars (prevention program) for 6th, 7th, and 8th
graders. Al’s Pals: Kids Making Good Choices
curriculum to Pre-K and Kindergarten
 Red Ribbon Campaign: Substance Abuse Prevention
 Continue “Toilet Talk” program by JMU that markets
positive choices to high school students
 Support juvenile court’s assessments on students with
potential alcohol and substance abuse issues
 Continue Substance Abuse prevention activities with
Northwestern Community Services at both high
schools
 Support the Youth Alcohol and Drug Abuse Prevention
Projects (YADAPP) programs at both high schools
PRIORITY #2
Identify and fill the
gaps in prevention
based mental health
services for youth
and families.
Youth Risk Behavior Survey 2012
% of students engaging in suicide-related behaviors
30-DAY SUICIDAL BEHAVIOR/THOUGHTS
Suicidal
Behavior or
Thought
8th Grade
Page Co.
8th Grade
LFHD
11th Grade
Page Co.
11th Grade
LFHD
Seriously
considered
attempting
suicide
19% 21% 9% 13%
Made a
suicide plan 12% 13% 5% 10%
Attempted
suicide 9% 7% 10% 11%
WHAT ARE WE DOING TO
ADDRESS PRIORITY #2?
 Seek funds from the state and federal grants
to establish more mental health services and
school programs
 Continue violence prevention programs such
as “Second Step” in elementary schools
 Introduce school-wide anti-bullying programs
in all schools
 Continue Therapeutic Day Treatment (TDT)
services available for youth at all Page County
Public Schools
PRIORITY #3
Broaden physical
activity and
nutritional programs
for youth and
families
Youth Risk Behavior Survey 2012
% of student concerns about body weight and dieting
behaviors
BODY WEIGHT AND DIETING BEHAVIORS
Behavior
8th Grade
Page Co.
8th Grade
LFHD
11th Grade
Page Co.
11th Grade
LFHD
Trying to lose
weight 38% 44% 42% 44%
Fasting to lose
weight 22% 19% 11% 12%
Taking diet pills,
powder or liquids
to lose weight
5% 5% 3% 6%
Vomiting or taking
laxatives 3% 5% 6% 6%
Describes
themselves as
overweight
28% 28% 32% 30%
Youth Risk Behavior Survey 2012
% of Students Answering Questions
Concerning the Intake of Nutrition
30-DAY MEASURE OF EATING HABITS
Foods and Beverages
Consumed by Youth
11th Grade
Page Co.
11th Grade
LFHD
Ate fruit daily 28% 36%
Ate green salad daily 15% 10%
Ate vegetables daily 39% 39%
Ate breakfast daily 27% 41%
Drank fruit juice daily 21% 23%
Drank milk daily 30% 39%
Drank soda daily 30% 23%
Youth Risk Behavior Survey 2012
% of students engaging in physical activity and exercise
PHYSICAL ACTIVITY BEHAVIOR
Behavior
8th Grade
Page Co.
8th Grade
LFHD
11th Grade
Page Co.
11th Grade
LFHD
Physically active for
at least 60 min. daily 39% 38% 23% 26%
Watched 3 or more
hours of TV on a
school day
27% 29% 21% 27%
Played on/used some
type of multi-media
device for 3 or more
hours on a school
day
30% 32% 21% 28%
Participated in PE at
school 97% 87% 19% 22%
Participated in at
least 1 school sport
in the last year
66% 64% 54% 53%
WHAT ARE WE DOING TO
ADDRESS PRIORITY #3?
 Continue Farm to School Programs
 Promote community runs/walks to encourage
youth’s participation.
 Continue partnerships with 4-H, Parks and
Recreation Departments, and cultural programs
to foster healthy activities for youth.
 Continue scholarship or discounted registration
fees for organized athletic programs
 Continue Lending Closet program for families to
borrow “used” athletic clothing or equipment.
PRIORITY #4
Identify and strengthen
resources for early
childhood development
and teen pregnancy.
Youth Risk Behavior Survey 2012
% of students engaging in sexual behavior
SEXUAL BEHAVIOR, USE OF CONTRACEPTION, AND SEXUAL
BEHAVIOR AS IT RELATES TO DRUG USE
Behavior
8th Grade
Page Co.
8th Grade
LFHD
11th Grade
Page Co.
11th Grade
LFHD
Ever participated
in sexual behavior 13% 11% 57% 47%
Engaged in sexual
behavior with more
than one partner
8% 5% 55% 63%
Did not use
condom during
sexual intercourse
5% 4% 29% 34%
Earliest age that
they engaged in
sexual behavior
(8th grade before
10 yr. and 11th
grade before 13 yr.
old)
5% 4% 8% 12%
Teenage Pregnancy
TEENAGE PREGNANCY RATES PER 1,000 FEMALES BY AGE
Localities 2009 2010 2011 2012
Age Range
10-
19
<
15
15-
17
10-
19
<
15
15-
17
10-
19
<
15
15-
17
10-
19
<
15
15-
17
Virginia 24 1 22 21 1 19 19 1 16 17 1 14
Rockingham 18 -- 24 19 1 18 14 1 12 12 1 9
Page 33 1 33 23 -- 26 27 -- 13 20 -- 22
Shenandoah 25 2 17 25 2 22 16 -- 9 18 -- 8
WHAT ARE WE DOING TO
ADDRESS PRIORITY #4?
 Strengthen partnerships with Smart
Beginnings, Page County Health Dept. , Social
Services and CHOICES to provide
programming and education
 Continue JMU’s “Cross the Lines, Respect the
Lines” and “Teen Outreach Program” about
pregnancy prevention in middle and high
schools
 Continue updated Family Life education
programs in school
 Pride Youth Survey
 Grant funded
 CDC Youth Risk Behavior Survey
 Administered to Page County Public Schools
students
 Funded by Lord Fairfax Public Health District
 PACA – Page Alliance for Community Action
 Page County Public Schools
 Page Memorial Hospital
CREDITS

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Youth Behavior and Community Needs in Page County

  • 1. Page County COMMUNITY NEEDS ASSESSMENT on the Behavior of Youth PAGE ALLIANCE FOR COMMUNITY ACTION PAGE COUNTY PUBLIC SCHOOLS DATA FROM YOUTH SURVEYS 2009-2012
  • 2.  Confidential  Duplicate questions for validation  Fact Checked  Results are congruent with the Page Memorial Hospital Community Health Needs Assessment ABOUT THE SURVEY
  • 3. ► Access to Primary and Specialty Health Care ► Mental and Behavioral Health ► Substance Abuse and Tobacco Smoking ► Physical Activity, Nutrition, and Obesity-related Chronic Diseases ► Financial Hardship and Basic Needs Insecurity ► Oral Health and Dental Care ► Teen Pregnancy COMMUNITY HEALTH NEEDS ASSESSMENT Priority Needs as identified by Page Memorial Hospital
  • 4. 1. Address substance and alcohol abuse services for youth and families. 2. Address mental health services for youth and families. 3. Broaden physical activity programs and nutritional programs for youth and families. 4. Address resources for early childhood development and teen pregnancy. PRIORITY NEEDS IN PAGE COUNTY AS IDENTIFIED BY THE YRBS AND PRIDE SURVEYS
  • 5. PRIORITY #1 Identify and fill the gaps in substance and alcohol abuse services for youth and families
  • 6. Youth Risky Behavior Survey 2012 % of students engaging in tobacco use behaviors 30-DAY USE OF TOBACCO Behavior 8th Grade Page Co. 8th Grade LFHD 11th Grade Page Co. 11th Grade LFHD Smoking Cigarettes 10% 6% 22% 18% Smoking 2 or more cigarettes in a day 5% 3% 15% 10% Use of Smokeless Tobacco 9% 4% 10% 9% Smoking Cigars 6% 4% 9% 14%
  • 7. Pride Survey and Youth Risk Behavior Survey 2012 % of Students Answering the Question “How Often Do You Use Alcohol?” 30-DAY USE OF ALCOHOL Year 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade 2009 12% 25% 27% 44% 33% 49% 2010 30% 32% 36% 2011 4% 4% 13% 27% 24% 34% 2012 31%
  • 8. Youth Risk Behavior Survey 2012 % of Students Answering Questions Concerning the Access to Alcohol 30-DAY MEASURE OF ACCESS TO ALCOHOL Location of Access or Person Allowing Access to Alcohol 11th Grade Page Co. 11th Grade LFHD Bought by student in a store 2% 2% Bought by student in a restaurant, bar, or club 1% 1% Gave someone else money to purchase alcohol 6% 8% Someone gave it to me 13% 16% Student took it from a store or family member 3% 4% Student obtained alcohol by other means 7% 9%
  • 9. Pride 2011 Survey Students Answering “Often” or “A Lot” to the question: “Have you had 5 or more glasses of beer, coolers, breezers, or liquor within a few hours?” Binge Drinking 9th Grade 10th Grade 11th Grade 12th Grade Percent of students 6% 11 % 11% 20 % # of valid responses 202 200 157 164 # students binge drinking 13 22 17 33
  • 10. Youth Risk Behavior Survey 2012 Students Answering “One or more days” to the question: “During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours?” Binge Drinking 11th Grade Page Co. 11th Grade LFHD Percent of total students binge drinking 19% 23% # of valid responses 188 1492 # of students binge drinking 36 students 343 students
  • 11. Pride Survey and Youth Risk Behavior Survey 2012 % of Students Answering “How Often Do You Use Marijuana?” 30-DAY USE OF MARIJUANA Year 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade 2009 5% 12% 14% 28% 11% 30% 2010 16% 26% 27% 2011 0% 3% 12% 21% 20% 32% 2012 18%
  • 12. Youth Risk Behavior Survey 2012 % of students engaging in other drug use behavior “Have you ever used name of drug?” **Name of drug used is in chart below** USE OF OTHER DRUGS Drug 8th Grade Page Co. 8th Grade LFHD 11th Grade Page Co. 11th Grade LFHD Cocaine 4% 3% 5% 4% Inhalants 6% 8% 8% 9% Steroids 1% 2% 3% 4% Prescription Drugs 7% 4% 13% 18%
  • 13. WHAT ARE WE DOING TO ADDRESS PRIORITY #1?  All Stars (prevention program) for 6th, 7th, and 8th graders. Al’s Pals: Kids Making Good Choices curriculum to Pre-K and Kindergarten  Red Ribbon Campaign: Substance Abuse Prevention  Continue “Toilet Talk” program by JMU that markets positive choices to high school students  Support juvenile court’s assessments on students with potential alcohol and substance abuse issues  Continue Substance Abuse prevention activities with Northwestern Community Services at both high schools  Support the Youth Alcohol and Drug Abuse Prevention Projects (YADAPP) programs at both high schools
  • 14. PRIORITY #2 Identify and fill the gaps in prevention based mental health services for youth and families.
  • 15. Youth Risk Behavior Survey 2012 % of students engaging in suicide-related behaviors 30-DAY SUICIDAL BEHAVIOR/THOUGHTS Suicidal Behavior or Thought 8th Grade Page Co. 8th Grade LFHD 11th Grade Page Co. 11th Grade LFHD Seriously considered attempting suicide 19% 21% 9% 13% Made a suicide plan 12% 13% 5% 10% Attempted suicide 9% 7% 10% 11%
  • 16. WHAT ARE WE DOING TO ADDRESS PRIORITY #2?  Seek funds from the state and federal grants to establish more mental health services and school programs  Continue violence prevention programs such as “Second Step” in elementary schools  Introduce school-wide anti-bullying programs in all schools  Continue Therapeutic Day Treatment (TDT) services available for youth at all Page County Public Schools
  • 17. PRIORITY #3 Broaden physical activity and nutritional programs for youth and families
  • 18. Youth Risk Behavior Survey 2012 % of student concerns about body weight and dieting behaviors BODY WEIGHT AND DIETING BEHAVIORS Behavior 8th Grade Page Co. 8th Grade LFHD 11th Grade Page Co. 11th Grade LFHD Trying to lose weight 38% 44% 42% 44% Fasting to lose weight 22% 19% 11% 12% Taking diet pills, powder or liquids to lose weight 5% 5% 3% 6% Vomiting or taking laxatives 3% 5% 6% 6% Describes themselves as overweight 28% 28% 32% 30%
  • 19. Youth Risk Behavior Survey 2012 % of Students Answering Questions Concerning the Intake of Nutrition 30-DAY MEASURE OF EATING HABITS Foods and Beverages Consumed by Youth 11th Grade Page Co. 11th Grade LFHD Ate fruit daily 28% 36% Ate green salad daily 15% 10% Ate vegetables daily 39% 39% Ate breakfast daily 27% 41% Drank fruit juice daily 21% 23% Drank milk daily 30% 39% Drank soda daily 30% 23%
  • 20. Youth Risk Behavior Survey 2012 % of students engaging in physical activity and exercise PHYSICAL ACTIVITY BEHAVIOR Behavior 8th Grade Page Co. 8th Grade LFHD 11th Grade Page Co. 11th Grade LFHD Physically active for at least 60 min. daily 39% 38% 23% 26% Watched 3 or more hours of TV on a school day 27% 29% 21% 27% Played on/used some type of multi-media device for 3 or more hours on a school day 30% 32% 21% 28% Participated in PE at school 97% 87% 19% 22% Participated in at least 1 school sport in the last year 66% 64% 54% 53%
  • 21. WHAT ARE WE DOING TO ADDRESS PRIORITY #3?  Continue Farm to School Programs  Promote community runs/walks to encourage youth’s participation.  Continue partnerships with 4-H, Parks and Recreation Departments, and cultural programs to foster healthy activities for youth.  Continue scholarship or discounted registration fees for organized athletic programs  Continue Lending Closet program for families to borrow “used” athletic clothing or equipment.
  • 22. PRIORITY #4 Identify and strengthen resources for early childhood development and teen pregnancy.
  • 23. Youth Risk Behavior Survey 2012 % of students engaging in sexual behavior SEXUAL BEHAVIOR, USE OF CONTRACEPTION, AND SEXUAL BEHAVIOR AS IT RELATES TO DRUG USE Behavior 8th Grade Page Co. 8th Grade LFHD 11th Grade Page Co. 11th Grade LFHD Ever participated in sexual behavior 13% 11% 57% 47% Engaged in sexual behavior with more than one partner 8% 5% 55% 63% Did not use condom during sexual intercourse 5% 4% 29% 34% Earliest age that they engaged in sexual behavior (8th grade before 10 yr. and 11th grade before 13 yr. old) 5% 4% 8% 12%
  • 24. Teenage Pregnancy TEENAGE PREGNANCY RATES PER 1,000 FEMALES BY AGE Localities 2009 2010 2011 2012 Age Range 10- 19 < 15 15- 17 10- 19 < 15 15- 17 10- 19 < 15 15- 17 10- 19 < 15 15- 17 Virginia 24 1 22 21 1 19 19 1 16 17 1 14 Rockingham 18 -- 24 19 1 18 14 1 12 12 1 9 Page 33 1 33 23 -- 26 27 -- 13 20 -- 22 Shenandoah 25 2 17 25 2 22 16 -- 9 18 -- 8
  • 25. WHAT ARE WE DOING TO ADDRESS PRIORITY #4?  Strengthen partnerships with Smart Beginnings, Page County Health Dept. , Social Services and CHOICES to provide programming and education  Continue JMU’s “Cross the Lines, Respect the Lines” and “Teen Outreach Program” about pregnancy prevention in middle and high schools  Continue updated Family Life education programs in school
  • 26.  Pride Youth Survey  Grant funded  CDC Youth Risk Behavior Survey  Administered to Page County Public Schools students  Funded by Lord Fairfax Public Health District  PACA – Page Alliance for Community Action  Page County Public Schools  Page Memorial Hospital CREDITS