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• 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

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

Behaviors Measured - Module I• Unintentional Injuries and Violence• Tobacco Use• Alcohol and other Drug Use• Sexual Behaviors• Weight Management and Diet• Physical Activity

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

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

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%

2009 SampleTotal Sample Size

• 1,511 students• 36 schools• 15 school districts

2009 YRBS Results• Key findings • Comparison to 2005• Comparison to National sample• Comparisons between demographic groups• Associations between behaviors• Limitations

Unintentional InjuryPrevalence Compared to 2009 National and 2005 Colorado

Fighting & ViolencePrevalence Compared to 2009 National and 2005 Colorado

Substance UsePrevalence Compared to 2009 National and 2005 Colorado

Sexual BehaviorsPrevalence Compared to 2009 National and 2005 Colorado

Mental HealthPrevalence Compared to 2009 National and 2005 Colorado

Physical ActivityPrevalence Compared to 2009 National and 2005 Colorado

Prevalence of Overweight and Obesity

Prevalence Compared to 2009 National and 2005 Colorado

NutritionPrevalence Compared to 2009 National and 2005 Colorado

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?

Differences by Gender2009 Prevalence Rates for

Males and Females

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)

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

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.

•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

Differences by Race/Ethnicity

2009 Prevalence Rates for Hispanic/Latino students and non-

Hispanic White students

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

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

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

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

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?

Associations Between Youth Behaviors

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

Unintentional Injury and Violence

Associations Between Youth Behaviors

Substance UseAssociations Between Youth Behaviors

Mental HealthAssociations Between Youth Behaviors

Physical Activity, Nutrition, and Health

Associations Between Youth Behaviors

Questions?

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!!