Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7,...

Howell Wechsler, EdD, MPHDirector, Division of Adolescent and School Health

AAP/COSH, October 7, 2006



Best of Times,Worst of TimesBest of Times,Worst of Times

School Health Profiles (2006)School Health Profiles (2006)

School Health Policies and Programs Study (2006)2006)School Health Policies and Programs Study (2006)2006)

CDC Data SourcesCDC Data Sources

Youth Risk Behavior Survey (2005)2005)Youth Risk Behavior Survey (2005)2005)

Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004

Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004

* Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar * Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar

72

93

55

36

89

35

6765

0

25

50

75

100

StateMedian

Iowa NewHampshire

Oklahoma Delaware NorthCarolina

Utah Washington

In P

erce

nt

Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004

Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004

Source: CDC School Health Profiles 2004

1111

8080

9393

99

8383

1616

8686

5656

Median Chicago Dallas Los Angeles Memphis Philadelphia Miami San Diego0

25

50

75

100

Black students are Least likely to report use of tobacco, alcohol, cocaine,

inhalants, hallucinogens, methamphetamine, and ecstasy.

Least likely to drive when drinking alcohol. Most likely to report sexual risk behaviors and sedentary

behaviors.

Black students are Least likely to report use of tobacco, alcohol, cocaine,

inhalants, hallucinogens, methamphetamine, and ecstasy.

Least likely to drive when drinking alcohol. Most likely to report sexual risk behaviors and sedentary

behaviors.

2005 YRBS: Racial/Ethnic Differences2005 YRBS: Racial/Ethnic Differences

2005 YRBS: Racial/Ethnic Differences2005 YRBS: Racial/Ethnic Differences

White students are Least likely to report physical fighting, sexual risk

behaviors, and being overweight. Most likely to report frequent cigarette use, smokeless

tobacco use, and episodic heavy drinking.Hispanic students are Most likely to report attempted suicide and use of cocaine,

heroine, methamphetamine, and ecstasy.

White students are Least likely to report physical fighting, sexual risk

behaviors, and being overweight. Most likely to report frequent cigarette use, smokeless

tobacco use, and episodic heavy drinking.Hispanic students are Most likely to report attempted suicide and use of cocaine,

heroine, methamphetamine, and ecstasy.

Percentage of High School Students Who Ever Had Sexual Intercourse, by Sex and Race/Ethnicity,* 2005Percentage of High School Students Who Ever Had

Sexual Intercourse, by Sex and Race/Ethnicity,* 2005

* B > H > WSource: CDC, National Youth Risk Behavior Survey, 2005

4843

68

5146

47

0

25

50

75

100

Total Female Male White Black Hispanic

In P

erce

nt

Percentage of High School Students Who Actually Attempted Suicide,* by Sex and

Race/Ethnicity,** 2005

Percentage of High School Students Who Actually Attempted Suicide,* by Sex and

Race/Ethnicity,** 2005

1015

5 5 898

0

25

50

75

100

Total White Black Hispanic White Black Hispanic

In P

erce

nt

FemalesFemales MalesMales

* One or more times during the 12 months preceding the survey** F > M; *** H > W, BSource: CDC, National Youth Risk Behavior Survey, 2005

DASH-Funded SEAs, TEAs, and LEAsDASH-Funded SEAs, TEAs, and LEAs

HIV: 48 SEAs, 7 TEAs, 18 LEAs

CSHP / PANT: 23 SEAs

Asthma: 6 LEAs, 1 SEA

HIV: 48 SEAs, 7 TEAs, 18 LEAs

CSHP / PANT: 23 SEAs

Asthma: 6 LEAs, 1 SEA

NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal Institutions

That Influence Youth Behavior



HIV PREVENTION SEAs and LEAs SHAs and LHAs Organizations that Serve Youth at High Risk

• YMSM• African American and Latina Females• Youth in Juvenile Justice and/or Alternative Schools• Runaway and Homeless Youth

HBCUs Sexual Abstinence

HIV PREVENTION SEAs and LEAs SHAs and LHAs Organizations that Serve Youth at High Risk

• YMSM• African American and Latina Females• Youth in Juvenile Justice and/or Alternative Schools• Runaway and Homeless Youth

HBCUs Sexual Abstinence





NON-HIV PREVENTION Asthma for SEAs, LEAs, SHAs, and LHAs Chronic Disease Prevention for SEAs and LEAs

• Physical Activity• Nutrition• Tobacco-Use Prevention

CSHP for SEAs and LEAs School Mental Health Services for SEAs and LEAs Professional Development for DASH-Funded NGOs

NON-HIV PREVENTION Asthma for SEAs, LEAs, SHAs, and LHAs Chronic Disease Prevention for SEAs and LEAs

• Physical Activity• Nutrition• Tobacco-Use Prevention

CSHP for SEAs and LEAs School Mental Health Services for SEAs and LEAs Professional Development for DASH-Funded NGOs

Coordinated School Health ProgramCoordinated School Health Program

Healthy School Environment

Healthy School Environment

HealthPromotion

for Staff

HealthPromotion

for Staff

Family and Community Involvement

Family and Community Involvement

Physical EducationPhysical EducationHealth EducationHealth Education

Health ServicesHealth Services

Counseling, Psychological, and

Social Services

Counseling, Psychological, and

Social Services

NutritionServicesNutritionServices

CDC School Health GuidelinesCDC School Health Guidelines

Emerging Areas of Activity for DASHEmerging Areas of Activity for DASH

Mental health

Management of chronic diseases

School connectedness

Association between health and academics

Mental health

Management of chronic diseases

School connectedness

Association between health and academics

SHI Mini-Grants Awarded to 47 SchoolsSHI Mini-Grants Awarded to 47 Schools





Best of Times,Worst of TimesBest of Times,Worst of Times

Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7,...

Documents

Transcript of Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health AAP/COSH, October 7,...