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Youth Risk Behavioral Surveillance System Suparna Bagchi, MSPH, DrPH Behavior Surveillance Team Lead Georgia Department of Community Health
DCH Mission ACCESS Access   to affordable, quality health care in our communities RESPONSIBLE Responsible  health planning and use of health care resources HEALTHY Healthy  behaviors and improved health outcomes
DCH Initiatives FY 2011 FY 2011 Continuity of Operations Preparedness Customer Service Emergency Preparedness   Financial & Program Integrity   Health Care Consumerism   Health Improvement   Health Care Transformation   Public Health Workforce Development
Presentation Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Youth Risk Behavior Surveillance System ,[object Object],[object Object],[object Object],[object Object],[object Object]
Priority Health-Risk Behaviors and  Outcomes Monitored ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
YRBSS Participation Map, 2009
Characteristics of National, State and Local School-Based YRBSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Response Rate of YRBS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Georgia YRBS (Georgia Student Health Survey) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Georgia YRBS -2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Georgia YTS ,[object Object],[object Object],[object Object],[object Object]
82.9 12.4 70.2 57.2 18.3 34.3 16.9 8.3 18.8 20.4 9.9 0 20 40 60 80 100 Percentage of students who: Never or rarely wore a seat belt when riding in a car Rode with a driver who had been drinking alcohol during the past 30 days Carried a weapon during the past 30 days Attempted suicide during the past 12 months Smoked cigarettes during the past 30 days Drank alcohol during the past 30 days Used marijuana during the past 30 days Ever had sexual intercourse Were not physically active for a total of at least 60 minutes per day on five or more of the past seven days Did not attend PE class daily Were obese Did not eat fruits and vegetables five or more times per day Georgia High School Survey Summary Graphs
48.4 8.3 31.5 5.3 7.9 31.8 30.8 7.8 0 20 40 60 80 100 Percentage of students who: Never or rarely wore a seat belt when riding in a car Ever rode with a driver who had been drinking alcohol Ever carried a weapon Ever attempted suicide Smoked cigarettes during the past 30 days Ever drank alcohol Ever used marijuana Ever had sexual intercourse Were not physically active for a total of at least 60 minutes per day on five or more of the past seven days Georgia Middle School Survey Summary Graphs
Results from Georgia YRBS- 2009
Unintentional injuries and violence
Safety Measures among High School Students
Trends of Seatbelt Use
Violence Related Behaviors: High School Students
Trends of Weapon Carrying: Gender, Race/Ethnicity
Violence Victimization: High School Students
Violence Victimization on School Property
Bullied on School Property: Middle School Students
Suicidal Ideation and Behaviors:  High School
Violence Related Behaviors and  Suicidal Ideation *:  0.05  <  p-value < 0.1  **:  0.01 <  p-value < 0.05  ***: 0.0001 < p-value < 0.01  ****: p-value < 0.0001 Bagchi S, Burgess K  et al.   2010   Adjusted OR 95% CI Violence related behavior 1.27 0.95-1.71 Violence Victimization 1.68 1.24-2.28 *** Female 1.54 1.13-2.09 *** Involved in physical fight 1+ times in past 12 mo 1.53 1.10-2.12  ** Hit by partner in past 12 mo 1.61 1.14-2.27 *** Felt sad for 2 consecutive weeks in past 12 mo 5.72 4.37-7.48 ****
Tobacco, Alcohol and Substance Use
Tobacco and Alcohol Use: High School Students
Youth Smokers, by Grade, Georgia, 2009 Grade Percent
Trends: Students who Currently Smoke Cigarettes Year Percent
Cigarette  Smoking and Asthma
Alcohol Use and Driving (Rode and Drove)
Alcohol: Source and Location
Illicit Drug Use among High School Students
Early Initiation of Health Risk Behaviors
Unhealthy Dietary Behaviors  Physical Activity
Dietary Behaviors among High School Students
Perception of weight and weight control, HS 2009
Sedentary Behaviors among Youth
Sedentary Behaviors among Youth
Overweight and Obesity
Overweight and Obesity: School Type and Grade * Body mass index for age   85 th  percentile but <95 th  percentile  †  Body mass index for age   95 th  percentile
Overweight and Obesity: Gender, Race/Ethnicity * Body mass index for age   85 th  percentile but <95 th  percentile  †  Body mass index for age   95 th  percentile
Physical Activity: High School Students
Current Asthma: Middle School Students
Other Health Issues
Emergency Room Visit for Oral Health Problem
Taught about AIDS/HIV Infection in School
Gambling Behaviors: Bet Money on Games
Using YRBS Data with Other Surveillance Data
Binge Drinking among Youth and Adults
Obesity among High School Students and Adults by Sex using YRBSS and BRFSS, Georgia, 1995-2009
How do we disseminate YRBS data
Data Summaries
Survey Reports
Online Query Tool (OASIS)
 
Conferences/Meetings ,[object Object],[object Object],[object Object],[object Object]
How to Use YRBS Information?
Policy and Program Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Policy and Program Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]

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Your Risk Behavioral Surveillance System

Editor's Notes

  1. Good afternoon:
  2. These are the 3 missions of the DCH. The YRBS appropriately fits into the DCH mission by : monitoring the health behaviors among youth so as to guide health planning, use of health resources and thus improving the health outcomes of the youth in Georgia
  3. Here are of the DCH initiatives for the year 2011 and YRBS fits into the Public Health and Health improvement
  4. During the next 45 min or so…I will go through the following topics in my presentation Describe what is YRBS all about Provide some background on the national YRBS and then YRBS in Ga What do we measure How do we use the data at the state How can you use the data
  5. The YRBSS includes a school-based survey conducted by the Centers for Disease Control and Prevention (CDC) since 1991. The survey in conducted biennially…usually during the spring semester of every odd year The survey is conducted as a : national YRBS, state YRBS and by some local educational health agencies and tribal govt YRBS 2009 data will be used to Measure progress toward achieving national health objectives for Healthy People 2020 and of other program and policy indicators. Assess trends in priority health-risk behaviors among high school students. Evaluate the impact of broad school and community interventions at the national, state, and local levels.
  6. The Youth Risk Behavior Surveillance System (YRBSS) monitors priority health-risk behaviors and the prevalence of obesity and asthma among youth and young adults.
  7. At its inception in 1991: 26 states, 11 districts and 2 territories participated Over time this has gradually increased and In 2009, 47 states, 23 districts and 4 territories I will discuss about the weighted/unweighted results a few slides later
  8. Head injury is the leading cause of death in bicycle crashes and use of bicycle helmets is the single most effective way of reducing head injuries and fatalities. In 2009, approx 10 % of HS students nationiwide and in GA never or rarely wore a seatbelt while riding in a car driven by someone else. hp2010 obj: riding with drunk driver was 30% Similarly, nationwide in 2009 approx 10% of HS students had driven a car or other vehicle one of more times when they were drinking alcohol Use of safety belt : 92% …so 8% never or rarely ….GA was at approx 10%
  9. These questions measure violence related behaviors and school related violent behaviors In GA, among HS students approx 19% had carried a weapon, about 5.5% had carried a weapon on school property on atleast 1 day during the 30 days before the survey. Physical fighting is a marker for problem behaviors and is associated with serious injury-related health outcomes. Among HS, approx a third of the students had been in a physical fight one or more times during the 12 months before the survey. HP2010 : Reduce weapon carrying by adolescents on school property to 4.9 percent of students in grades 9 through 12 who carried weapons on school property during the past 30 days. Reduce physical fighting among adolescents to 32 percent of adolescents in grades 9 through 12 who engaged in physical fighting in the previous 12 months.
  10. Violence victimization: generally measured as being threatened in school, missing school, intimate Partner victimization and bullying is associated with depression, suicidal ideation, increased odds of repeat common health problems, school absenteeism, psychological distress Approx 16% of HS sctudents in GA had been hit, slapped or physically hurt on purpose by their bf or gf during 12 months before the survey. Slightly less than a third of the students had been bullied on school property during the 12 mo before the survey.
  11. Bullying on school property is more common in middle school than HS. Lower school grades, whites and females were more likely to be bullied.
  12. Suicide is the third leading cause of death among youth ages 15-19. A prior suicidal attempt, depressive symptoms and suicidal ideation are some of risk factors of a fatal adolescent suicide attempt. More than a quarter of the HS students in GA felt sad or hopeless for almost two weeks or more in a row that they stopped doing usual activities. HS students in GA have a higher prevalence of suicidal ideation and suicidal attempt as compared to HS students nationwide. The YRBS 2009 rates will provide as a baseline meaure for progress towards the related HP 2020 objective. Reduce the rate of suicide attempts by adolescents requiring medical attention. (high school students) : 1% There was no HP2010 OBJ for attempted suicide
  13. These questions measure current smoking, use of SLT and alcohol use among HS students in GA. More than a third of the HS students were current alcohol drinker and slightly less than a quarter used some form of tobacco. HP2010 obj: Reduce tobacco use by adolescents. (high school students) – 21%
  14. Trends of increasing prevalence of smoking behavior with increasing grade. By 12 th grade almost 1 out of every 5 HS students were current smoker.
  15. Declining trends over time
  16. 22-11 Television viewing: less than 2 hours per school day (students in grades 9 through 12) 75% 22-09 Participation in daily physical education in schools (students in grades 9 through 12) 50%