healthy kids colorado survey
DESCRIPTION
Healthy Kids Colorado Survey. Background, Process & Results. Introduction. Healthy Kids Colorado Survey (HKCS) State-wide effort High schools are randomly selected Conducted every two years. HKCS Survey Design. Module 1: Youth Risk Behavior Survey (YRBS) 2005 weighted state sample - PowerPoint PPT PresentationTRANSCRIPT
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Healthy Kids Colorado Survey
Background, Process & Results
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Introduction
Healthy Kids Colorado Survey (HKCS)
• State-wide effort
• High schools are randomly selected
• Conducted every two years
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HKCS Survey Design
Module 1: Youth Risk Behavior Survey (YRBS)• 2005 weighted state sample• 2007 un-weighted state sample• 2009 weighted state sample
Module 2: Colorado Supplement• 2005 weighted state sample• 2007 un-weighted state sample• 2009 un-weighted state sample
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Partners
State Survey Strategic Planning Team• CO Department of Education• CO Department of Public Health and Environment
• CO Department of Human Services, Division of Behavioral Health
• OMNI Institute
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Behaviors Measured - Module I• Unintentional Injuries and Violence• Tobacco Use• Alcohol and other Drug Use• Sexual Behaviors• Weight Management and Diet• Physical Activity
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Behaviors Measured - Module II• Risk and Protective Factors
• Community: laws and norms favorable to drug use, perceived availability of drugs
• School: poor achievement, low commitment, prosocial opportunities and rewards
• Family: attitudes favorable to antisocial behavior and drug use, poor family management
• Peer-Individual: favorable attitudes to antisocial behavior and drug use, low perceived risk of drugs, friends’ use of drugs, religious activity
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Purpose & Applications• Determine prevalence of health-risk behaviors• Monitor behaviors over time• Create awareness• Develop programs and policies• Support health-related legislation• Offer comparison data• Seek funding
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Sampling and Weighting• Sampling Framework
• Schools selected based on probability proportional to enrollment size
• Equal probability classroom sampling• Weighting
• Each response weighted to accurately represent the statewide student population
• Response Rates• Module I= 62%• Module II = 57%
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2009 SampleTotal Sample Size
• 1,511 students• 36 schools• 15 school districts
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2009 YRBS Results• Key findings • Comparison to 2005• Comparison to National sample• Comparisons between demographic groups• Associations between behaviors• Limitations
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Unintentional InjuryPrevalence Compared to 2009 National and 2005 Colorado
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Fighting & ViolencePrevalence Compared to 2009 National and 2005 Colorado
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Substance UsePrevalence Compared to 2009 National and 2005 Colorado
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Sexual BehaviorsPrevalence Compared to 2009 National and 2005 Colorado
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Mental HealthPrevalence Compared to 2009 National and 2005 Colorado
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Physical ActivityPrevalence Compared to 2009 National and 2005 Colorado
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Prevalence of Overweight and Obesity
Prevalence Compared to 2009 National and 2005 Colorado
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NutritionPrevalence Compared to 2009 National and 2005 Colorado
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What does this mean?Take 3-5 minutes to talk at your table about
what this data means for YOU in your work in Colorado.
• How will this data inform the work that you do?
• Are any of these findings surprising?
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Differences by Gender2009 Prevalence Rates for
Males and Females
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Colorado Males were at greater risk compared to Colorado Females for:
•Behaviors leading to Unintentional Injury and Violence:• likely to wear a seat belt• likely to carry a weapon, fight, be threatened at school or report partner violence.
•Behaviors related to Sexual Activity• likely to report having ever had sex, having had 4+ partners and having had sex before age 13. • males and females were not different for reporting current sexual activity (sex 3 months prior to the survey)
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Colorado Females were at greater risk compared to Colorado Males for:
•Violence• likely to report being physically forced to have sex
•Mental Health Symptoms• likely to report symptoms of depression, and to report seriously considering suicide• males and females were no different for reported suicide attempts or related injuries
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Colorado Males and Females showed similar risks for:
•Behaviors related to Substance Use• Males were likely to report tobacco use; however males and females were not different for cigarette use.• Females were likely to report ever drinking alcohol, while males were likely to report trying alcohol before age 13. • there were no other differences between males and females for lifetime or current substance use.
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•Physical Activity• Males were likely to report frequent physical activity; however• Males were also likely to report frequent sedentary activities (watching tv and playing computer/video games). • There was no difference in the prevalence of overweight or obese, though females were likely to perceive themselves as overweight and engage in both healthy and un-healthy weight loss behaviors.
• Nutrition•Males were likely to report more frequent servings of fruit and vegetables, and to drink 3+ glasses of milk per day, however•Males were also likely to report drinking soda daily
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Differences by Race/Ethnicity
2009 Prevalence Rates for Hispanic/Latino students and non-
Hispanic White students
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Hispanic/Latino students were at greater risk compared to non-Hispanic White students for:
• Behaviors leading to Unintentional Injury and Violence:• likely to wear a seat belt and bike helmet• likely to ride with a driver who has been drinking• likely to fight and be threatened at school• were not different for having been bullied at school
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Hispanic/Latino students were at greater risk compared to non-Hispanic White students for:
• Behaviors related to Substance Use:• likely to report early initiation of alcohol and marijuana use• likely to report ever smoking cigarettes• likely to report having ever used heroin or cocaine, and current cocaine use • likely to report having been offered, given, or sold drugs on school property• likely to report current cigarette, alcohol, and marijuana use
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Hispanic/Latino students were at greater risk compared to non-Hispanic White students for:
•Physical Activity• Hispanic/Latino students were likely to report frequent physical activity or participation in sports teams• There were no differences in Hispanic/Latino and non-Hispanic White students in playing computer or video games, although Hispanic/Latino students were likely to watch 3+ hours of TV in an average day• There were no differences in being overweight, but Hispanic/Latino students were likely to be obese
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Hispanic/Latino and non-Hispanic White students showed similar risks for:
•Behaviors related to Sexual Activity• likely to report having ever had sex, having had
4+ partners and having had sex before age 13; but• Hispanic/Latino students were likely to report current sexual activity
•Behaviors related to Mental Health• likely to report suicidal thoughts, attempts, injuries;• Hispanic/Latino students likely to report symptoms of depression than non-Hispanic White students
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What does this mean?Take 3-5 minutes to talk at your table about what
this data means for YOU in your work in Colorado.
• How will this data inform the work that you do?
• Are any of these findings surprising?
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Associations Between Youth Behaviors
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Understanding How Youth Behaviors Are Related• Relationships of interest were tested with Module I 2009 data
• 13 behaviors from five domains– Violence: fighting, bullied at school– Current Binge Drinking, Tobacco, & Marijuana Use– Current Sexual Activity– Mental Health
• sad 2+ weeks, suicidal ideation– Physical Activity, Nutrition, and Health
• frequent physical activity, sports team participation, playing video games 3+ hours, eating fruits/vegetables, overweight or obese
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Unintentional Injury and Violence
Associations Between Youth Behaviors
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Substance UseAssociations Between Youth Behaviors
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Mental HealthAssociations Between Youth Behaviors
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Physical Activity, Nutrition, and Health
Associations Between Youth Behaviors
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Questions?
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Next Steps for HKCSFFY 09-10
• Colorado YRBS data tables currently available on theCDE website at www.cde.state.co.us/cdeprevention/CSH_home.htm
• All YRBS data is available on the CDC website at http://www.cdc.gov/HealthyYouth/yrbs/index.htm
• In late August, the Colorado state report (M1 and M2) will be published
FY 11-12• In Fall 2011, the next state administration!!