Adolescents at Risk… From Community Service Council of Greater Tulsa’s Community Profile 2007.

Adolescents at Risk…Adolescents at Risk…

From Community Service Council of Greater Tulsa’s Community Profile 2007

Top Risk Factors for AdolescentsTop Risk Factors for Adolescents

Poor academic performance Economic deprivation Alcohol, tobacco and other drug use Early sexual activity Unprotected sexual activity Family dysfunction Physical, mental or sexual abuse

Ris

k F

acto

rs

Prepared by the Community Service Council of Greater Tulsa

Source: Oklahoma State Department of Health, Oklahoma Youth Tobacco Surveys, 1999 and 2002.

25%

20%

6%

10%

7%

42%

33%

11%

24%

5%

15%

10%

4%

8%

4%

29%

19%

8%

14%

4%

Middle School

Any tobacco

Cigarettes

Smokeless tobacco

Cigars

Pipe tobacco

High School

Any tobacco

Cigarettes

Smokeless tobacco

Cigars

Pipe tobacco

0%10%20%30%40%50% 0% 10% 20% 30% 40% 50%

1999 2002

* Used 1 or more times during the 30 days prior to survey.

Comparison of 1999 and 2002 Youth Risk Behavior Surveys: Current* Tobacco Use, by Type

Middle and High School Students, Tulsa County, 1999 and 2002

YR

BS



21%

17%

6%

9%

5%

42%

33%

13%

20%

5%

16%

10%

5%

8%

4%

32%

24%

10%

16%

5%

Middle School

Any tobacco

Cigarettes

Smokeless tobacco

Cigars

Pipe tobacco

High School

Any tobacco

Cigarettes

Smokeless tobacco

Cigars

Pipe tobacco

0%10%20%30%40%50% 0% 10% 20% 30% 40% 50%

1999 2002


Comparison of 1999 and 2002 Youth Risk Behavior Surveys: Current* Tobacco Use, by Type

Middle and High School Students, Oklahoma, 1999 and 2002

YR

BS



27%

22%

49%

34%

19%

11%

35%

23%

Middle School

Males

Females

High School

Males

Females

0%10%20%30%40%50%60% 0% 10% 20% 30% 40% 50%

1999 2002


Comparison of 1999 and 2002 Youth Risk Behavior Surveys: Current* Tobacco Use, by Sex

Middle and High School Students, Tulsa County, 1999 and 2002

YR

BS



24%

18%

47%

36%

19%

13%

38%

25%

Middle School

Males

Females

High School

Males

Females

0%10%20%30%40%50%60% 0% 10% 20% 30% 40% 50%

1999 2002


Comparison of 1999 and 2002 Youth Risk Behavior Surveys: Current* Tobacco Use, by Sex

Middle and High School Students, Oklahoma, 1999 and 2002

YR

BS


Results of 2005 Youth Risk Behavior Survey: Alcohol, Other Drug & Tobacco Use

High School Students, Oklahoma and U.S., 2005

Source: Centers for Disease Control, Youth Risk Behavior Surveillance System, 2005.

40.5%

18.7%

7.1%

18.4%

10.7%

34.6%

12.3%

25.8%

43.3%

20.2%

6.2%

25.4%

9.4%

28.4%

9.9%

28.5%

Alcohol

Marijuana

Methamphetamine

Offered/sold/givenillegal drugs at school

Smoked cigarettes on 20+ days during past month

Used any tobacco productsduring past month

Drove after drinkingalcohol in past month

Rode with drinkingdriver in past month

0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma US

Used once or more during

prior 30 days...

Everused...

YR

BS


Results of 2003 Youth Risk Behavior Survey: Alcohol, Other Drug & Tobacco Use


Source: Oklahoma State Department of Health, Oklahoma Youth Risk Behavior Survey, 2003; Centers for Disease Control, Youth Risk Behavior Surveillance System, 2003.

48%

22%

10%

22%

13%

34%

18%

31%

45%

22%

8%

29%

10%

28%

12%

30%

Alcohol

Marijuana

Methamphetamine






0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma US


prior 30 days...

Everused...

YR

BS



49.3%

6.5%

38.3%

83.6%

7.9%

15.9%

15.2%

75.7%

46.8%

6.2%

37.2%

82.4%

8.4%

15.7%

13.1%

73.5%

Ever hadsexual intercourse

Had sex before age 13

Did not usecondom last time

Did not usebirth control pills last time

Attempted suicidein past year

At risk of overweight(according to BMI)

Overweight(according to BMI)

Insufficient moderatephysical activity

0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2005 Youth Risk Behavior Survey: Sexual Behaviors, Suicide & Physical Health


YR

BS



50%

6%

36%

82%

7%

14%

11%

75%

47%

7%

37%

83%

9%

15%

14%

75%

Ever hadsexual intercourse








0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2003 Youth Risk Behavior Survey: Sexual Behaviors, Suicide & Physical Health


YR

BS



62.3%

28.6%

10.7%

34.6%

54.3%

23%

9.4%

28.4%

Ever triedcigarette smoking

Smoked cigarettesduring past month



0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2005 Youth Risk Behavior Survey: Tobacco Use


YR

BS



64%

27%

13%

34%

58%

22%

10%

28%

Ever triedcigarette smoking

Smoked cigarettesduring past month



0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2003 Youth Risk Behavior Survey: Tobacco Use


YR

BS


Results of 2005 Youth Risk Behavior Survey: Alcohol & Other Drug Use



40.5%

18.7%

12%

8.7%

7.1%

18.4%

43.3%

20.2%

12.4%

7.6%

6.2%

25.4%

Alcohol

Marijuana

Inhalants

Cocaine

Methamphetamine


0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.


prior 30 days...

Everused...Y

RB

S


Results of 2003 Youth Risk Behavior Survey: Alcohol & Other Drug Use



48%

22%

10%

9%

10%

22%

45%

22%

12%

9%

8%

29%

Alcohol

Marijuana

Inhalants

Cocaine

Methamphetamine


0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.


prior 30 days...

Everused...Y

RB

S



9.5%

12.3%

25.8%

7%

15.4%

7.9%

10.2%

9.9%

28.5%

6.5%

16.9%

8.4%

Never or rarely wearseatbelt w/ other driver



Carried weapon toschool in past month

Seriously consideredsuicide in past year


0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2005 Youth Risk Behavior Survey: Unintentional Injuries and Violence


YR

BS



11%

18%

31%

8%

15%

7%

18%

12%

30%

6%

17%

9%

Never or rarely wearseatbelt w/ other driver



Carried weapon toschool in past month

Seriously consideredsuicide in past year


0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2003 Youth Risk Behavior Survey: Unintentional Injuries and Violence


YR

BS



49.3%

36.3%

6.5%

17.8%

22.4%

38.3%

83.6%

46.8%

33.9%

6.2%

14.3%

23.3%

37.2%

82.4%

Ever had sexual intercourse

Had sex in past 3 months


Have had 4+ sex partners

Had alcohol or drugsbefore last sexual encounter



0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2005 Youth Risk Behavior Survey: Sexual Behaviors


YR

BS



50%

37%

6%

16%

4%

25%

36%

82%

47%

34%

7%

14%

4%

25%

37%

83%

Ever had sexual intercourse

Had sex in past 3 months


Have had 4+ sex partners

Have been or havegotten someone pregnant

Had alcohol or drugsbefore last sexual encounter



0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2003 Youth Risk Behavior Survey: Sexual Behaviors


YR

BS



15.9%

15.2%

30.9%

46.7%

84.1%

85.5%

37.4%

75.7%

35.9%

15.7%

13.1%

31.5%

45.6%

79.9%

83.8%

35.9%

73.5%

54.2%



Perceive selfas overweight

Trying to lose weight

Ate < 5 fruits& veggies daily

Drank < 3 glassesmilk daily

Insufficient vigorousphysical activity


Attended PE class1+ days/week

0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2005 Youth Risk Behavior Survey: Overweight, Dietary Behaviors and Physical Activity


YR

BS



14%

11%

31%

44%

86%

87%

36%

75%

37%

15%

14%

30%

44%

78%

83%

37%

75%

56%



Perceive selfas overweight

Trying to lose weight

Ate < 5 fruits& veggies daily

Drank < 3 glassesmilk daily

Insufficient vigorousphysical activity


Attended PE class1+ days/week

0%20%40%60%80%100% 0% 20% 40% 60% 80% 100%

Oklahoma U.S.

Results of 2003 Youth Risk Behavior Survey: Overweight, Dietary Behaviors and Physical Activity


YR

BS

The Adverse Childhood Experiences The Adverse Childhood Experiences (ACE) Study(ACE) Study

Major American research project that poses the question of whether and how childhood experiences affect adult health decades later

Provides compelling evidence that:– Adverse childhood experiences are surprisingly common– ACE’s happen even in “the best of families”– ACE’s have long-term, damaging consequences

Findings reveal powerful relationships between emotional experiences as children and physical and mental health as adults

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

AC

E S

tudy

The Adverse Childhood Experiences The Adverse Childhood Experiences (ACE) Study Pyramid(ACE) Study Pyramid

Source: The Adverse Childhood Experiences Study website: www.acestudy.org, “About the Adverse Childhood Experiences Study.”

AC

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tudy

Adverse Childhood Experiences…Adverse Childhood Experiences…

Recurrent physical abuse

Recurrent emotional abuse

Sexual abuse An alcohol or drug

abuser An incarcerated

household member

Growing up in a household with: Someone who is

chronically depressed, suicidal, institutionalized or mentally ill

Mother being treated violently

One or no parents Emotional or physical

neglectSource: The Adverse Childhood Experiences Study website: www.acestudy.org, “What are Adverse Childhood Experieinces (ACE’s).”

AC

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tudy

……Lead to Health-Risk Behaviors…Lead to Health-Risk Behaviors…

Smoking Overeating Physical inactivity Heavy alcohol use Drug use Promiscuity

Source: The Adverse Childhood Experiences Study website: www.acestudy.org

AC

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……Which Cause Disease, Disability Which Cause Disease, Disability and Social Problems in Adulthoodand Social Problems in Adulthood

Heart disease Cancer Chronic lung and liver

disease Stroke Diabetes Sexually transmitted

diseases

Nicotine addiction Alcoholism Drug addiction Obesity Depression Suicide Injuries Unintentional

pregnancy

Source: Felitti, Vincent J., “The Relationship of Adverse Childhood Experiences to Adult Health: Turning gold into lead;” CDC Media Relations, May 14, 1998, “Adult Health Problems Linked to Traumatic Childhood Experiences.”

AC

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Risk Factors Increase Likelihood of Risk Factors Increase Likelihood of Adverse Health and Social OutcomesAdverse Health and Social Outcomes

~ Adverse Outcomes for Adolescents: Poor health Tobacco, alcohol or drug addiction School dropout Unemployment Sexually transmitted disease Teen pregnancy Abusive relationships (cycle of abuse) Juvenile delinquency/incarceration Suicide or other premature death

Adv

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Out

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Many 9th graders do not make it to graduationPercent Change in Average Daily Membership

from 9th Grade to 2005 Graduating ClassTulsa County School Districts

-26%

-20.8%

-10.2%

-9.6%

-8.5%

-14.7%

-8.5%

-24.7%

-18.5%

-23.7%

-11.9%

-29%

-43.7%

-15.9%

Tulsa County

Berryhill

Bixby

Broken Arrow

Collinsville

Glenpool

Jenks

Liberty

Owasso

Sand Springs

Skiatook

Sperry

Tulsa

Union

0% 10%-10%-20%-30%-40%-50%

Source: Oklahoma State Department of Education, Data Services Alternative Education.

Number change in ADM

-22

-29

-109

-12

-22

-62

-14

-111

-115

-30

-29

-1,424

-159

-2,137

Dis

conn

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outh


Disconnected Youth: Percent of Youth Age 16-19 Not in School and Not Working

By County, 2000

Source: Oklahoma KIDS COUNT Factbook 2004.

Tulsa Co. Creek Co. Okmulgee Co. Osage Co. Rogers Co. Wagoner Co.0%

2%

4%

6%

8%

10%

12%

14%

Percent not in school and not working

Rate 9.7% 6.7% 12.1% 7.3% 8.1% 7.7%

Number 3,090 278 325 194 340 274

#65

#46

#24 #27#31 #28

Note: County ranking shown at top of bars (#1=best, #77=worst).

Dis

conn

ecte

d Y

outh


Labor Force Participation among Youths, Age 16-19Tulsa County, 2000

Source: U.S. Bureau of the Census.

18,11656.8%

13,79843.2%

In armed forces

Employed

Unemployed

14 (0.1%)

15,329 (84.6%)

2,773 (15.3%)

NOT in labor force

In labor force

Wor

king

You

ths


Births by Age of MotherTulsa County, 2005

Source: Oklahoma State Department of Health

3553.8%

7468.0%

2,87831.0%

2,58627.8%

1,79819.3%

7818.4%

1521.6%

<18 18-19 20-24 25-29 30-34 35-39 40+

Total births=9,297

Bir

ths

to T

eens


Resident Births to Teens Age 15-17 and 18-19Tulsa County, 1980, 1990, 2000 and 2005

Source: Oklahoma State Department of Health.

1980 1990 2000 20050

200

400

600

800

1,000

1,200

Number of births

0

20

40

60

80

100

120Birth rate

Births 15-17 547 385 419 334

Births 18-19 897 810 858 746

Birth rate 15-17 47.1 40.1 35.4 29.1

Birth rate 18-19 109.4 112.9 107.6 103.4

Note: Teen birth rate is the number of births to females age 15-19 per 1,000 females age 15-19.

Bir

ths

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Juvenile Crime in OklahomaJuvenile Crime in Oklahoma

Total juvenile arrests in Oklahoma fell 19.2% from 29,551 in 1995 to 23,880 in 2004

During that time period, arrests for violent crimes, non-violent crimes and alcohol related violations all declined, while arrests for drug abuse violations rose

Juveniles accounted for 14.5% of all persons arrested in 2004

In 2004, 1,440 juvenile males and 2,219 juvenile females were arrested for runaway; 32% of those arrested for runaway were 13-14 years old

Source: Oklahoma State Bureau of Investigation, 2004 Uniform Crime Report.

Juve

nile

Cri

me


Juvenile Arrests, by Type of CrimeTulsa County, 2001 through 2004

Source: Oklahoma State Bureau of Investigation, Uniform Crime Reports.

Index crimes Drug related Alcohol related Other crimes0

500

1,000

1,500

2,000

2,500

3,000

3,500Number of arrests

2001 2002 2003 2004

2001 2,206 384 287 3,077

2002 2,082 348 256 2,497

2003 2,304 350 240 2,565

2004 2,156 300 199 1,836

Includes murder, rape, robbery aggravated

assault, burglary, larceny, and motor vehicle theft.

Includes sale/manufacturing

and possession of drugs.

Includes driving under the influence, liquor law violations, and

drunkenness.

A total of 4,491 juvenile arrests were made in Tulsa County in 2004, for a rate of 71.6 per 1,000 juveniles age 10-17, down from 5,954 arrests and

rate of 91.9 in 2001.

Includes other assaults, disorderly conduct, curfew & loitering, runaway and all other non-traffic offenses

Juve

nile

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Juvenile Violent Crime ArrestsTulsa Police Department, 1996 to 2004

Source: Tulsa Police Department Statistical Report - 1998; Tulsa Police Department, Annual Reports.

1996 1997 1998 1999 2000 2001 2002 2003 2004 20050

50

100

150

200

250

300

350Number of Juvenile Arrests

Agg. Assault 198 227 227 210 204 202 297 196 147 152

Robbery 79 91 89 72 57 63 57 49 39 49

Forcible Rape 17 10 6 11 12 10 15 5 11 9

Homicide 10 8 7 8 0 3 4 6 3 3

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Juvenile Property Crime & Drug Offense ArrestsTulsa Police Department, 1996 to 2004

Source: Tulsa Police Department Statistical Report - 1998; Tulsa Police Department, Annual Reports.

1996 1997 1998 1999 2000 2001 2002 2003 20040

200

400

600

800

1,000

1,200

1,400

1,600

Larceny 1,399 1,532 1,475 1,365 1,000 1,048 1,189 1,331 1,222

Burglary 249 252 274 246 150 164 213 276 181

Drug Offenses 187 225 216 241 201 224 258 230 167

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Youth Suicide in OklahomaYouth Suicide in Oklahoma

Suicide was the 2nd leading cause of death among Oklahoma’s youth ages 10-14, 15-17 and 18-19 between 2000 and 2004– 29 suicide deaths for age 10-14– 59 suicide deaths for age 15-17– 75 suicide deaths for age 18-19

Source: Oklahoma Department of Health, 2004, Public Health Statistics; Centers for Disease Control.

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th M

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Death Rates for the Leading Causes of Death among Youth Age 10-19Oklahoma, 2000-2004

Source: Oklahoma State Department of Health, 2004 Oklahoma Vital Statistics.

Accidents Suicide Homicide Cancer Heart disease0

5

10

15

20

25

30

Rate per 100,000 persons age 10-19

Rate 28.8 6.4 3.6 2.9 1.5

Number 734 163 91 75 37

Adolescents at Risk… From Community Service Council of Greater Tulsa’s Community Profile 2007.

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