MoCAN Presentation January 26, 2012 Missouri Department of Health & Senior Services.

Results from the 2010 Missouri School Health

Profiles and 2011 Missouri Youth Tobacco

Survey

MoCAN PresentationJanuary 26, 2012

Missouri Department of Health & Senior Services

Conducted in even-numbered springs by MO Dept. of Elementary & Secondary Education in collaboration with CDC Division of Adolescent & School Health

School buildings with any grades 6-12 randomly selected to participate – 392 in 2010

Two different questionnaires sent for principal and lead health education teacher◦ 310/392 principals responded ◦ 302/392 health education teachers responded◦ Response sufficient to generalize data to all

secondary school buildings and lead health education teachers

Missouri 2010 School Health Profiles Summary


Progress in school health programs & policies:

Less access to snack foods and beverages high in fats and calories

More school environments tobacco-free More required health education taught More individualized physical activity plans taught



Concerns about school health programs & policies:

o Fewer school health advisory groupso Less parent & community representation on

groupso Fewer designated coordinators of school healtho Less assessment of health programs & policieso Less professional development received by health

education and physical education teachers although more desired by health education teachers



Percentage of secondary schools with someone who coordinates school health programs

2008 – 98.5% 2010 – 90.4%*

Percentage of secondary schools with school health advisory group

2008 – 78.2% 2010 – 62.8%

*Statistically significant decrease



Percentage of secondary schools with representation on school health advisory groups from:

2008 2010 Health services staff 94.3 89.5 School administrators 95.9 94.7 Health education teachers 92.6 86.9 Physical education teachers 89.5 86.9 Nutrition or food service staff 90.6 75.6* Parents or families of students 80.8 71.4* Community members 77.6 65.9* Local health departments or agencies 65.9 56.3* Student body 69.4 60.9 Mental health or social services staff 50.9 50.3




Percentage of secondary schools that used the School Health Index or other self-assessment tool to assess policies, activities or programs in:

2008 2010 Physical activity 59.2 50.3* Nutrition 59.0 47.0* Tobacco-use prevention54.3 45.4* Asthma 37.4 31.7




Percentage of secondary schools that always or almost always offer fruits or non-fried vegetables at school celebrations

2008 – 29.0 2010 – 23.9

Percentage of secondary schools in which students can purchase snack foods or beverages at school

2002 – 89.6 2010 – 75.2*




Percentage of secondary schools in which students can purchase the following snack foods or beverages at school:

2002 20062010*

Chocolate candy 62.6 50.8 33.2Other candy 62.4 54.9 37.5Salty snacks not low in fat 69.1 60.9 38.72% or whole milk 50.2 37.2Soda or non-100% fruit juice 74.2 43.8Sports drinks 76.2 63.9Foods or beverages with caffeine 47.9 38.4

*All statistically significant decrease from 2002 or 2006



Percentage of secondary schools that taught required health education, by grade and year

2008 2010*6th – 42.6 59.77th – 61.4 79.98th – 57.8 82.19th – 46.2 76.010th – 24.6 39.011th – 11.1 21.612th – 10.7 21.5

*All statistically significant increase from 2008



Percentage of secondary schools that taught required physical education in 2010, by grade:

6th – 94.87th – 96.48th – 96.49th – 89.610th – 59.811th – 47.712th – 47.2




Percentage of secondary schools that taught physical education using a written curriculum

2008 – 96.3 2010 – 92.3*

Percentage of secondary schools that taught students how to develop an individualized physical activity plan

2008 – 79.1 2010 – 85.2**

*Statistically significant decrease **Statistically significant increase


Percentage of secondary schools that offer intramural activities or physical activity clubs

2008 – 58.8 2010 – 62.8

Percentage of secondary schools in which physical education teachers received professional development on physical education during the past two years:

2008 – 90.1 2010 – 84.7*




Percentage of lead health education teachers who received professional development in past two years, by topic:

2000 2010Alcohol or other drug-use prevention 60.6 37.9*Emotional and mental health 32.9 36.5**Injury prevention and safety 41.2 49.5**Nutrition and dietary behavior 31.1 43.7**Physical activity and fitness 45.0 54.8**Suicide prevention 27.1 30.3**Violence prevention (bullying, fighting) 55.0 58.9**Tobacco-use prevention 36.2 30.7STD prevention 32.2 26.8Pregnancy prevention 24.2 21.1HIV prevention 38.4 28.4

*Statistically significant decrease **Statistically significant increase



Percentage of lead health education teachers who would like to receive professional development, by topic:

2000 2010Alcohol or other drug-use prevention 66.5 74.8*Emotional and mental health 57.7 67.6*Injury prevention and safety 46.3 63.5*Nutrition and dietary behavior 62.7 73.2*Physical activity and fitness 56.5 73.3*Suicide prevention 67.7 73.3*Violence prevention 77.4 77.3Tobacco-use prevention 60.0 69.6*STD prevention 61.9 64.5Pregnancy prevention 55.2 63.1HIV prevention 65.0 61.0

*Statistically significant increase



Percentage of lead health education teachers who received professional development in past two years and would like to receive it, by topic in 2010:Received Would like

Alcohol or other drug-use prevention 37.9 74.8Emotional and mental health 36.5 67.6Injury prevention and safety 49.5 63.5Nutrition and dietary behavior 43.7 73.2Physical activity and fitness 54.8 73.3Suicide prevention 30.3 73.3Violence prevention 58.9 77.3Tobacco-use prevention 30.7 69.6STD prevention 26.8 64.5Pregnancy prevention 21.1 63.1HIV prevention 28.4 61.0



Percentage of lead health education teachers who received professional development in past two years and would like to receive it, by topic in 2010:

ReceivedWould like

Teaching students with disabilities 48.0 64.8

Teaching students of various cultural backgrounds 38.4 54.1

Teaching students with limited English proficiency 19.5 42.4

Encouraging family or community involvement 40.3 74.0

Using interactive teaching methods 61.1 65.0

Teaching skills for behavior change 50.0 77.4

Classroom management techniques 64.9 67.6

Assessing or evaluating students in health education 37.8 69.2



Reconvene or strengthen school health advisory council where needed

Identify someone to coordinate if none Review 2010 Profiles findings and compare with

own school Celebrate areas where own school is better

than rest of state Identify areas on which to work, such as:

Use the School Health Index to assess policies and programs

Prioritize policy or program improvements needed and prepare plan to address

Recommendations


Results from the Missouri Youth Tobacco Survey


Conducted by the Missouri Department of Health & Senior Services in collaboration with the Centers for Disease Control and Prevention (CDC) Office on Smoking and Health

Randomly selected public middle and high schools and classrooms participate in spring of odd-numbered years

School and student participation is voluntary Responses are anonymous and confidential CDC provides the questionnaire booklet, and tabulates and

weights the data Results presented from the survey conducted in 2003,

2005, 2007, 2009 and 2011



Also collect data on: Current asthma Overweight and obesity Food and beverage consumption Physical activity Physical education TV viewing and computer use



Results from the Missouri Youth Tobacco Survey, 2011

Middle school High school0

20

40

60

80

100

20.5 21.813.4 15.315.4

19.6

Percentage of students that:Had ever been told by a health professional they had asthma

Currently had asthmaHad been taught by a nurse or doctor how to take care of or

manage their asthma

Ever been told had asthma

Currently had asthma

Taught how to manage



Middle school High school0

20

40

60

80

100

16.1 15.011.3

15.4

Percentage of students overweight Percentage of students obese

OverweightObese



Ate 5 F & V Drank 100% Juice Drank non-diet soda0

20

40

60

80

100

20.824.2 26.9

20.524.8

31.6

Percentage of students that during past 7 days: Ate 5 servings of fruits & vegetables per day

Drank 100% fruit juice one or more times per dayDrank non-diet soda one or more times per day

Middle schoolHigh school


PE no days PE 3+ days PE 5 days0

20

40

60

80

100

8.7

76.6

29.9

50.543.7

32.3

Percentage of students that had Physical Educa-tion on 0, 3 or more, or 5 days in an average week

when in school




Sports teams PA 60 min on 5+ 3+ hrs TV 3+ hrs computer0

20

40

60

80

100

65.4

51.6

33.225.9

59.4

48.4

31.5

19.1

Percentage of students that: Played on one or more sports teams in past year; Were physically active 60 or more minutes on 5 or more days in past 7 days; Watched 3 or more hours of TV on an average

school day; Played video or computer games




Tobacco content: Tobacco Use Quitting Attempts & Assistance Youth Access to Cigarettes Influences to Use Tobacco Educating About the Dangers of Tobacco

Use Secondhand Smoke Exposure and Beliefs



Report of tobacco results from the Missouri Youth Tobacco Survey 2003-2011 will

be available at:http://health.mo.gov/data/yts/data.php



http://health.mo.gov/data/yts/data.php

In the first 30 years of your life, you make your habits.

For the last 30 years of your life, your habits make you.

- Hindu saying

Janet WilsonMissouri Department of Health & Senior Services

Office of [email protected]

mailto:[email protected]

MoCAN Presentation January 26, 2012 Missouri Department of Health & Senior Services.

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