New Mexico Youth Risk and Resiliency Survey (YRRS) 2009

Transcription

1 New Mexico Youth Risk and Resiliency Survey (YRRS) 2009

2 What is the YRRS? Survey of public school students Middle School (grades 6-8) High School (grades 9-12) Part of national Youth Risk Behavior Survey (YRBS) Designed and coordinated by CDC Conducted by CDC and state education and health agencies Collects information on Behaviors that risk student health (most from YRBS) Protective (resiliency) factors (state added) Academic performance (most are state added) Primary school survey conducted by PED and DOH Conducted fall semester of odd numbered years Results at State level County level School district level Very few states produce data below the state - level

3 YRRS Partners Department of Health Epidemiology and Response Division (ERD) Survey Section, Asthma, Sexual Violence Office of School and Adolescent Health (OSAH) Tobacco Use Prevention and Control (TUPAC) Office of Substance Abuse Prevention (OSAP) now with HSD Public Education Department School and Family Support Bureau UNM Prevention Research Center School Districts Albuquerque (APS) cooperated on increased sample size in APS Navajo Nation YRBS (Indian Health Board & Department of Health) Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC) Increased sample of Native American students

4 2009 YRRS: Participation Higher response rates than any previous YRRS year Middle School: 68% High School: 67% More respondents than any previous year Middle School: 23,628 High School: 22,249 Improvement in participation due to: APS and AASTEC Participation within schools, classrooms School district participation is main challenge Of 89 school districts participation remains fairly constant 76 in 2009, 76 in 2007, 78 in 2005

5 Mental Health High School (Grades 9 12)

6 Mental Health Grades 9 12, , NM YRRS Percent (%) Persistent sadness/hopelessness Seriously considered suicide Planned suicide Attempted suicide Injured in suicide attempt In the past 12 months

7 Mental Health Grades 9 12, , NM YRRS Percent (%) Positive movement in 4 of 5 mental health indicators Persistent sadness/hopelessness Seriously considered suicide Planned suicide Attempted suicide Injured in suicide attempt In the past 12 months

8 Mental Health, NM and US Grades 9 12, 2009, NM YRRS Measure US NM Compared to US, NM rate is NM rank compared to other states Mental Health Persistent feelings of sadness or hopelessness * 26.1% 29.7% Higher 5 Seriously considered attempting suicide 13.8% 15.9% - ns - 12 Planned suicide 10.9% 13.1% - ns - 11 Attempted suicide 6.3% 9.7% Higher 10 Injured in suicide attempt** 1.9% 3.2% Higher 14 All measures refer to the past 12 months. *Almost every day for 2 or more weeks in a row so that they stopped doing some usual activities. ** Made suicide attempt resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse. Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

9 Mental Health Middle School (Grades 6 8)

10 Mental Health Indicators Grades 6-8, 2009, NM YRRS Percent (%) Ever thought about killing self Ever made plan to kill self Ever tried to kill self

11 Mental Health Indicators by Gender Grades 6-8, 2009, NM YRRS 50 Female Male Percent (%) Girls have a higher rate than boys for each behavior Ever thought about killing self Ever made plan to kill self Ever tried to kill self

12 Mental Health Indicators by Grade Level Grades 6-8, 2009, NM YRRS 50 6th 7th 8th Percent (%) The prevalence of each behavior increases with grade level Ever thought about killing self Ever made plan to kill self Ever tried to kill self

13 Tobacco Use High School (Grades 9 12)

14 Tobacco Use: Cigarettes Grades 9 12, , NM YRRS Percent (%) Ever tried cigarette smoking, even one or two puffs Current cigarette smoker * Smoked cigarette before age Smoked cigarettes on school property * * In the past 30 days

15 Tobacco Use: Cigarettes, NM and US Grades 9 12, 2009, NM YRRS Measure US NM Compared to US, NM rate is NM rank compared to other states Cigarettes Higher 2 Ever smoked cigarettes 46.3% 58.0% Higher 2 Current cigarette use 19.5% 24.0% - ns - 2 Smoked a whole cigarette before age % 16.8% Higher 4 Frequent cigarette use * 7.3% 7.2% - ns - 22 Heavy cigarette use ** 7.8% 4.8% - ns * Smoked on at least 20 of the past 30 days ** Smoked > 10 cigarettes per day on days that they smoked, among those who currently smoked cigarettes. Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

16 Other Tobacco Use, NM and US Grades 9 12, , NM YRRS Percent (%) Used any form of tobacco * Smoked cigars, cigarillo, or little cigars * Used spit tobacco * * In the past 30 days

17 Other Tobacco Use, NM and US Grades 9 12, 2009, NM YRRS Measure US NM Other tobacco Compared to US, NM rate is NM rank compared to other states Spit tobacco use * 8.9% 11.8% - ns - 11 Higher 1 Current cigar use ** 14.0% 18.1% Higher 1 Any form of tobacco, current use *** 26.0% 30.8% - ns * Used chewing tobacco, snuff, or dip in the past 30 days. ** Smoked cigars, cigarillos, or little cigars in the past 30 days. *** Current cigarette use, current smokeless tobacco use, or current cigar use. Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

18 Tobacco Use Middle School (Grades 6 8)

19 Tobacco Use: Cigarette Use Grades 6-8, 2009, NM YRRS Percent (%) Ever smoked First smoked cigarette < 11yo Current smoker

20 Tobacco Use: Cigarette Use by Gender Grades 6-8, 2009, NM YRRS 50 Female Male Percent (%) No statistically significant differences between boys and girls Ever smoked First smoked cigarette < 11yo Current smoker

21 Tobacco Use: Cigarette Use by Grade Grades 6-12, 2009, NM YRRS 100 6th 7th 8th 9th 10th 11th 12th 80 MS HS MS HS Percent (%) The prevalence of both measures increases by grade level, 6 th 12 th grades Ever smoked Current smoker

22 Other Tobacco Use Grades 6-12, 2009, NM YRRS 100 6th 7th 8th 9th 10th 11th 12th 80 MS HS MS HS Percent (%) The prevalence of both measures increases by grade level in 6 th 9 th, then levels out somewhat in 9 th -12 th grades Smoked cigars Used spit tobacco

23 Alcohol High School (Grades 9 12)

24 Alcohol Use Grades 9 12, , NM YRRS Four measures with downward trend, despite pronounced bump in prevalence in 2003 Percent (%) Current drinker * Drank alcohol before age Rode with a drinking driver** Binge drinker *** Drinking and driving** * Had at least one drink of alcohol in the past 30 days ** In the past 30 days *** Had 5 or more drinks on a single occasion at least once in the past 30 days

25 Alcohol Use, NM and US Grades 9 12, 2009, NM YRRS Measure US NM Alcohol use Compared to US, NM rate is NM rank compared to other states Current alcohol use 41.8% 40.5% - ns - 14 Binge drinking 24.2% 25.0% - ns - 13 Drank alcohol before age % 29.4% Higher 1 Drank alcohol on school property 4.5% 8.0% Higher 1 Higher Alcohol Injury Rode with a driver who had been drinking alcohol* 28.3% 26.4% - ns - 18 Drove when drinking alcohol* 9.7% 9.7% - ns - 17 Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

26 Alcohol Middle School (Grades 6-8)

27 Alcohol Use Grades 6-8, 2009, NM YRRS Percent (%) Ever drank alcohol Current drinker Binge drinker

28 Alcohol Use by Gender Grades 6-8, 2009, NM YRRS Female Male Percent (%) No statistically significant differences between boys and girls Ever drank alcohol Current drinker Binge drinker

29 Alcohol Use by Grade Grades 6-12, 2009, NM YRRS 100 6th 7th 8th 9th 10th 11th 12th 80 MS HS MS HS Percent (%) 60 Most dramatic increase in prevalence, 6 th 9th grades, less marked increase 9 th 12 th q035. Current drinker (drank in past 30D) q036. Binge drinker (5+ drinks, 30D)

30 Alcohol Use: Drinking Patterns Grades 6-8 and 9-12, 2009 NM YRRS Of the 16.8% of middle school students who were current drinkers Of the 40.5% of high school students who were current drinkers Current, not Binge Drinkers: 35.8% Binge Drinkers: 64.2%

31 Drug Use High School (Grades 9 12)

32 Drug Use in the Past 30 Days and Lifetime IDU Grades 9 12, , NM YRRS Percent (%) Used marijuana * Used pain killer to get high * Used inhalants * Used cocaine * Injection drug use, lifetime Used methamphetamine * Used heroin *

33 Lifetime Drug Use, NM and US Grades 9 12, , NM YRRS Drug Use Measures US NM Compared to US, NM rate is NM rank compared to other states Marijuana Current marijuana use 20.8% 28.0% Higher 1 Used marijuana before age % 18.4% Higher 1 Used marijuana on school property 4.6% 9.7% Higher 1 Other drugs Ever used cocaine 6.4% 12.8% Higher 1 Current cocaine use 2.8% 5.6% Higher 1 Ever used ecstasy 6.7% 14.1% Higher 1 Ever used heroin 2.5% 4.7% Higher 4 Ever used methamphetamines 4.1% 6.3% Higher 3 Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

34 Drug Use Middle School (Grades 6-8)

35 Drug Use Grades 6-8, 2009, NM YRRS Percent (%) q041. Ever used marijuana q044. Ever used cocaine q045. Ever used inhalants

36 Drug Use by Gender Grades 6-8, 2009, NM YRRS Female Male Percent (%) Boys had a higher rate of inhalant use than girls. There is no statistically significant difference by gender for marijuana or cocaine use q041. Ever used marijuana q044. Ever used cocaine q045. Ever used inhalants

37 Drug Use by Grade Level Grades 6-12, 2009, NM YRRS 100 6th 7th 8th 9th 10th 11th 12th 80 MS HS MS HS Percent (%) Current marijuana use Ever used cocaine

38 Past 30 Day Drug Use Grades 9-12, 2009, NM YRRS Marijuana Pain killer Pain killer to to get high Ecstasy Increasing in prevalence? - Extreme risk involved - Only two years of survey data - No national comparison Inhalants 7.7 Cocaine 5.6 Methamphetamine 3.9 Heroin Percent (%)

39 Past 30 Day Substance Use Grades 9-12, 2009, NM YRRS Current Marijuana drinker Marijuana Pain killer to get high Binge drinker Current cigarette Ecstasy smoker Highly correlated behaviors. - Kids engaged in one are likely to be engaged in either or both of the others Pain killer to get high Inhalants Ecstasy Cocaine Inhalants Cocaine Methamphetamine Methamphetamine Heroin Heroin Percent Percent (%) (%)

40 ATOD: Binge Drinking, Current Smoking and Current Marijuana Use, 2009 NM YRRS Of the 39.5% of high schoolers who engaged in at least one behavior 65.0% used marijuana 13.8% 58.7% were binge drinkers 58.7% smoked cigarettes 43.5% engaged in one and only one behavior 8.0% 26.1% engaged in all 3 behaviors 10.8% 30.3% engaged in two of the three behaviors 13.1% 11.5% 16.6%

41 ATOD: Binge Drinking, Current Smoking and Current Marijuana Use, 2009 NM YRRS Of the 13.3% of middle schoolers who engaged in at least one behavior 20.7% Cigarettes Marijuana Of the 39.5% of high schoolers who engaged in at least one behavior Binge drinkers 13.8% 7.5% 10.7% 20.7% engaged in all 3 behaviors 11.3% 8.5% 20.7% 8.0% 13.1% 26.1% engaged in all 3 behaviors 11.5% 10.8% 16.6%

42 Sexual Behavior High School (Grades 9 12)

43 Sexual Behavior Grades 9 12, , NM YRRS Percent (%) Among sexually active, used condom at last sexual intercourse Ever had sexual intercourse Sexually Active (3 months) Among sexually active, used alcohol or drugs before last sexual intercourse Sexual intercourse before age

44 Sexual Behavior Grades 9 12, , NM YRRS Drug Use Measures US NM Sexual activity Compared to US, NM rate is NM rank compared to other states Currently sexually active 34.2% 32.6% - ns - 28 Had first sexual intercourse before age % 7.4% - ns - 9 Four or more sexual partners in lifetime 13.8% 15.1% - ns - 18 Behaviors of sexually active students Condom use 61.1% 57.5% - ns - 30 Birth control pill use 19.8% 13.2% Lower 34 Used both a condom and BCP or Depo-Provera 8.9% 5.5% Lower 32 Drank alcohol or used drugs before last sexual intercourse 21.6% 23.1% - ns - 11 Ever taught in school about AIDS or HIV infection 87.0% 77.3% Lower 36 Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

45 Sexual Behavior Middle School (Grades 6-8)

46 Sexual Behavior Grades 6-8, 2009, NM YRRS Percent (%) Ever had sexual intercourse Had sex w/2+ people in lifetime Of those who ever had sex, used condom, last sex

47 Sexual Behavior by Gender Grades 6-8, 2009, NM YRRS 100 Female Male Percent (%) Boys had a higher rate than girls for each measure Ever had sexual intercourse Had sex w/2+ people in lifetime Of those who ever had sex, used condom, last sex

48 Sexual Behavior by Grade Level Grades 6-12, 2009, NM YRRS 100 6th 7th 8th 9th 10th 11th 12th 80 MS HS MS HS Percent (%) Among those who ever had sexual intercourse Among those who were sexually active Ever had sexual intercourse Condom use during last sex

49 Body Weight High School (Grades 9 12)

50 Body Weight Grades 9 12, , NM YRRS Percent (%) Overweight or Obese Overweight Obese

51 Body Weight and Weight Control, NM and US Grades 9 12, , NM YRRS Drug Use Measures US NM Body weight To lose weight or keep from gaining weight* Compared to US, NM rate is NM rank compared to other states Obese 12.0% 13.5% - ns - 13 Overweight 15.8% 14.6% - ns - 20 Ate less food, fewer calories, or low-fat foods 39.5% 36.3% - ns - 31 Exercised 61.5% 64.1% - ns - 2 Vomited or took laxatives 4.0% 7.7% Higher 2 Based on 95% confidence intervals (ns = No statistically significant difference) Of the 42 states that participated in the survey, 1 = Highest rate

52 New Question in 2009: Bullying (MS and HS)

53 Bullying, Grades 6 8 and , NM YRRS Percent (%) Middle School High School

54 Bullying by Grade Level Grades 6-12, 2009, NM YRRS 100 6th 7th 8th 9th 10th 11th 12th Percent (%) Prevalence decreases as grade level increases Middle School High School

55 Bullying by Gender Grades 6 8 and 9-12, 2009, NM YRRS 100 Female Male Percent (%) No significant differences by gender for either MS or HS Middle School High School

56 Discussion Positive movement seen for Mental health measures, especially suicide attempts Alcohol use Tobacco use Cocaine and methamphetamine use Compared to other states and the US, NM has high rates of Mental health measures Alcohol use Tobacco use Drug use Violence For many measures (sexual activity, nutrition, physical activity, body weight and weight control), NM is much like the rest of the US

57 Discussion Middle school survey gives key information about formative years for initiating risk behaviors, and needs to be continued Need to continue important partnerships AASTEC to sustain American Indian sample APS and other school districts increase local sample sizes Navajo YRBS Improving participation rates is important, but depends on a few reluctant school districts

58 Where to find YRRS data National and all participating states NM and County level results OR School District Reports - available from the school district superintendent

59 Where to find YRRS data Quick view of national or state data

60 Where to find YRRS data Click on any state Or click on a topic Choose High School or Middle School

61 Where to find YRRS data National and all participating states NM and County level results DOH websites OR School District Reports - available from the school district superintendent

62 Where to find YRRS data

65 Where to find YRRS data National and all participating states NM and County level results OR School District Reports - available from the school district superintendent