DATA COME HOME Using Local Data to Mobilize Support for Preven9on Efforts

Transcription

1 DATA COME HOME Using Local Data to Mobilize Support for Preven9on Efforts

2 Region 7: Metro Anoka Hennepin Ramsey Washington Kanabec Carver Scott Sherburne Dakota

3 Consequences

4 Alcohol METRO REGION MINNESOTA 2015 ARMV incident costs per capita $31 $50 % of crashes that were alcohol-related in % 4.9% 2015 ARMV fatali9es 4 per 100,000 3 per 100, DWI by loca9on of residence 43.2 per 10, per 10,000

5 Tobacco The 2015 rate of lung, bronchus, and trachea cancer deaths for the Metro Region was 39 per 100,000 popula9on slightly lower than the state rate of 45 It is es9mated that 90% of lung cancer deaths among males and 79% among females are smoking-related According to the Surgeon General s report, smoking harms nearly every organ in the body, causing many diseases (including coronary heart disease the leading cause of death in the US)

6 Minnesota Student Survey

7 2016 MSS Administered in the first half of 2016 to public school students in grades 5, 8, 9, and % of public opera9ng school districts par9cipated Overall par9cipa9on across the four grades was approximately 66% of total enrollment Metro Region students make up 52.9% of the overall statewide sample

8 Substance Use

9 Overview 25% 8th, 9th, + 11th Graders ReporHng Past-Month Substance Use, 2016 MSS 20% 15% 10% 5% 12% 14% 5% 6% 12% 13% 9% 9% 5% 5% Metro Region Minnesota 0% Alcohol use Binge drinking Tobacco use Marijuana use Prescrip9on drug misuse

10 Past-Month Alcohol Use 23% of 9 th graders na9onally reported pastmonth use (2015 YRBS) 50% 9th Graders ReporHng Any Past-Month Alcohol Use, by Year, MSS 40% 30% 20% 10% 30% 28% 28% 26% 24% 23% 19% 18% 15% 14% 11% 10% 0% Metro Region Minnesota

11 Past-Month Alcohol Use Anoka Higher than MN Hennepin Ramsey Washington Similar to MN Lower than MN Kanabec Carver Scott Sherburne Dakota

12 Past-Month Binge Drinking Na9onally, 10% of 9 th graders + 22% of 11 th graders reported pastmonth binge drinking (2015 YRBS) Students ReporHng Past-Month Binge Drinking, 2016 MSS 25% 20% 15% 10% 12% 13% 5% 2% 2% 4% 5% 0% 8th Grade 9th Grade 11th Grade Metro Region Minnesota

13 Past-Month Binge Drinking Anoka Higher than MN Hennepin Ramsey Washington Similar to MN Lower than MN Kanabec Carver Scott Sherburne Dakota

14 Past-Month Marijuana Use 15% of 9 th graders na9onally reported pastmonth use (2015 YRBS) 9th Graders ReporHng Any Past-Month Marijuana Use, by Year, MSS 50% 40% 30% 20% 10% 0% 14% 12% 10% 10% 9% 15% 12% 11% 11% 11% 7% 7% Metro Region Minnesota

15 Past-Month Marijuana Use Anoka Higher than MN Hennepin Ramsey Washington Similar to MN Lower than MN Kanabec Carver Scott Sherburne Dakota

16 Past-Month PrescripMon Drug Misuse 25% Students ReporHng Past-Month PrescripHon Drug Misuse, 2016 MSS 20% 15% 10% 5% 4% 4% 4% 4% 7% 6% 0% 8th Grade 9th Grade 11th Grade Metro Region Minnesota

17 Past-Month PrescripMon Drug Misuse Anoka Higher than MN Hennepin Ramsey Washington Similar to MN Lower than MN Kanabec Carver Scott Sherburne Dakota

18 Risk + ProtecMve Factors

19 DefiniMons Risk Factors Individual characteris9cs and environmental influences associated with an increased vulnerability to the ini9a9on, con9nua9on, or escala9on of substance use ProtecHve Factors Individual resilience and other circumstances that are associated with a reduchon in the likelihood of substance use

20 Alcohol Access (Not included on 2016 survey) Alcohol Sources for 8th, 9th, + 11th Graders ReporHng Any Past Month Use, 2013 MSS I took alcohol from stores I took alcohol from a friend's home I took alcohol from my home I got alcohol at parhes I got alcohol by gewng seomone else to buy for me I got alcohol from other family members I got alcohol from my parents I got alcohol from friends I bought alcohol on the internet I bought alcohol at liquor or other stores I bought alcohol at bars or restaurants I bought alcohol at gas stahons or convenience stores 0% 10% 20% 30% 40% 50% Minnesota Metro Region

21 Perceived Risk of Harm 5th, 8th, 9th, + 11th Graders' Perceived Risk of Great or Moderate Harm from Substance Use, 2016 MSS 100% 80% 60% 79% 78% 74% 71% 62% 62% 79% 79% 40% 20% 0% Smoke one or more packs of cigarefes per day Having 5 or more drinks once or twice per week Smoking marijuana once or twice per week Using prescrip9on drugs not prescribed for you Metro Region Minnesota

22 Perceived Risk of Harm Metro Region 9th Graders' Perceived Great or Moderate Risk of Harm from Substance Use, by Year, MSS 100% 80% 60% 40% 20% 90% 90% 84% 85% 80% 75% 84% 80% 78% 76% 65% 60% 0% Smoke one or more packs of cigarefes per day Having 5 or more drinks once or twice per week Smoking marijuana once or twice per week

23 Perceived vs Actual Use 70% of Metro 11 th graders think most students in their school drink monthly or more 17% of Metro 11 th graders report drinking themselves monthly or more 69% of Metro 11 th graders think most students in their school use marijuana monthly or more 15% of Metro 11 th graders report using marijuana themselves monthly or more

24 Risk RaMos Compare level of risk between two different student groups Show associa9on, not causa9on Can vary from community to community Example: Students geing mostly A grades Students who didn t drink in the past month : Students geing mostly A grades Students who DID drink in the past month

25 Comparison Groups Be mindful of the comparison groups! Metro youth who think MOST students drink monthly or more ojen are 7.1x more likely to report they drink monthly or more vs Metro youth who drink monthly or more ojen are 2.1x more likely to say they think MOST students drink monthly or more ojen Metro youth who reported being bullied in the past month are 2.6x more likely to report past 30-day prescrip9on drug misuse vs Metro youth who reported past 30-day prescrip9on drug misuse are 1.6x more likely to report having been bullied in the past month

26 Alcohol Use Students reporhng NO past-month alcohol use were METRO REGION MINNESOTA Less likely to report past month use of 9x Almost 9x Tobacco Almost 13x Almost 12x Marijuana Over 8x Almost 8x Prescrip9on drugs not prescribed for them

27 Tobacco Use Students reporhng NO past-month tobacco use were METRO REGION MINNESOTA Less likely to report past month use of Almost 9x 8x Alcohol Over 17x Over 16x Marijuana Almost 8x Almost 8x Prescrip9on drugs not prescribed for them

28 Mental Health Suicidal idea9on, Depression, Self harm

29 Suicidal IdeaMon Over 1 out of 10 Metro (11.7%) + Minnesota (11.8%) 8 th, 9 th, + 11 th graders reported past-year suicidal idea9on Metro students repor9ng pastyear suicidal idea9on were: Ø 2.6x more likely to report alcohol use Ø 2.6x more likely to report tobacco use Ø 2.7x more likely to report marijuana use Ø 3.7x more likely to report Rx drug misuse

30 Depression About 2 of 10 Metro + Minnesota (both 22%) 8 th, 9 th, + 11 th graders reported past-year significant problems with feeling very depressed Metro students repor9ng pastyear significant problems with feeling very depressed were: Ø 2.0x more likely to report alcohol use Ø 2.0x more likely to report tobacco use Ø 2.0x more likely to report marijuana use Ø 2.8x more likely to report Rx drug misuse

31 Self-Harm Roughly 1 out of 7 (15%) Metro + Minnesota 8 th, 9 th, + 11 th graders reported past-year self-harm Metro students repor9ng pastyear self-harm were: Ø 2.7x more likely to report alcohol use Ø 2.8x more likely to report tobacco use Ø 2.8x more likely to report marijuana use Ø 4.1x more likely to report Rx drug misuse

32 School Academic achievement School safety School climate School bonding Educa9onal engagement Truancy Rewards for prosocial behavior Suppor9ve teachers/school staff Bullying and vic9miza9on

33 Teacher-Student RelaMonships Ø Overall, adults at my school treat students fairly Ø Adults at my school listen to the students Ø The school rules are fair Ø At my school, teachers care about students Ø Most teachers at my school are interested in me as a person

34 Teacher-Student RelaMonships 100% 80% 60% 40% Students Repor9ng Befer Teacher- Student Rela9onships 65% 64% Metro students repor9ng befer teacher-student rela9onships were: Ø 2.2x less likely to report alcohol use Ø 2.6x less likely to report tobacco use Ø 2.8x less likely to report marijuana use Ø 2.7x less likely to report Rx drug misuse 20% 0% Metro Region Minnesota

35 EducaMonal Engagement Ø How ojen do you care about doing well in school? Ø How ojen do you pay afen9on in class? Ø How ojen do you go to class unprepared? Ø If something interests me, I try to learn more about it. Ø I think the things I learn at school are useful. Ø Being a student is one of the most important parts of who I am.

36 EducaMonal Engagement 100% 80% 60% 40% Students Repor9ng Greater Educa9onal Engagement 79% 78% Metro students repor9ng greater educa9onal engagement were: Ø 2.5x less likely to report alcohol use Ø 2.9x less likely to report tobacco use Ø 3.2x less likely to report marijuana use Ø 2.9x less likely to report Rx drug misuse 20% 0% Metro Region Minnesota

37 Bullying Ø Students spread mean rumors or lies about you once or more in past month Ø Students excluded you from friends, other students, or ac9vi9es in past month Ø Students made sexual jokes, comments, or gestures towards you in past month Ø Students pushed, shoved, slapped, hit or kicked you once or more in past month Ø Students threatened to beat you up once or more in past month

38 Bullying 50% 40% 30% 48% Students ReporHng Bullying VicHmizaHon, by Frequence + Grade, 2016 MSS 49% 44% 41% 36% 38% 20% 10% 17% 18% 14% 16% 12% 14% 0% 8th Grade 9th Grade 11th Grade 8th Grade 9th Grade 11th Grade Past Month Vic9miza9on Weekly Vic9miza9on Metro Region Minnesota

39 Bullying Compared to Minnesota students who said they weren t bullied in the past month, those bullied were 3.4 Hmes more likely to report suicidal idea9on 50% Minnesota Students Repor9ng Past Month Drinking + Binge Drinking, by Past Month Frequency of Bullying Vic9miza9on (2016 MSS) 40% 30% 20% 10% 9.2% 16.7% 22.5% 26.6% 4.1% 7.3% 10.2% 13.2% 0% Past 30-Day Use None Monthly+ Weekly+ Daily Binge Drinking

40 Community Caring community, neighborhood safety Community ac9vi9es

41 Caring Community Nearly 5 of 10 (46%) Metro 5 th, 8 th, 9 th, + 11 th graders say they think adults in their community care about them quite a bit or very much However, those who do feel their community cares were: Ø 2.0x less likely to report alcohol use Ø 2.1x less likely to report tobacco use Ø 2.3x less likely to report marijuana use Ø 2.4x less likely to report Rx drug misuse

42 Neighborhood Safety Metro 5th, 8th, 9th, + 11th Graders Repor9ng They Feel Safe in Their Neighborhood, 2016 MSS 95% feel safe Metro 8 th, 9 th, + 11 th graders who don t feel safe in their neighborhood are: Ø 2.0x more likely to report alcohol use Ø 2.0x more likely to report tobacco use Ø 2.2x more likely to report marijuana use Ø 3.1x more likely to report Rx drug misuse

43 ParMcipaMon in Community AcMviMes Over 4 of 5 (82%) Metro 8 th, 9 th, + 11 th graders reported par9cipa9ng in community sports, clubs or programs, and/or religious ac9vi9es at least once per week or more Metro students repor9ng par9cipa9on in community ac9vi9es were: Ø 1.4x less likely to report alcohol use Ø 1.7x less likely to report tobacco use Ø 1.9x less likely to report marijuana use Ø 1.6x less likely to report Rx drug misuse

44 Family Parental communica9on + caring Adverse childhood experiences

45 Parental CommunicaMon 9 out of 10 Metro 5 th, 8 th, 9 th, + 11 th graders say they can talk to their mother and/or father all or most of the 9me about problems they are having However, those 8 th, 9 th, + 11 th graders who can t were: Ø 2.0x more likely to report alcohol use Ø 2.0x more likely to report tobacco use Ø 2.2x more likely to report marijuana use Ø 2.5x more likely to report Rx drug misuse

46 Parental Caring 9 out of 10 Metro 5 th, 8 th, 9 th, + 11 th graders also say they feel their parents care about them quite a bit or very much But that s not the same 9 out of 10 who can talk with their parents about problems 86% of Metro students reported both parental communica9on and caring Metro 8 th, 9 th, + 11 th who feel their parents care quite a bit or very much were: Ø 2.5x less likely to report alcohol use Ø 2.5x less likely to report tobacco use Ø 2.8x less likely to report marijuana use Ø 3.6x less likely to report Rx drug misuse

47 Adverse Childhood Experiences (ACEs) Ø Incarcerated parent/caregiver Ø Living with someone who drinks too much alcohol Ø Living with someone who uses illegal drugs or abuses prescrip9on drugs Ø Verbal abuse Ø Physical abuse Ø Household domes9c abuse Ø Sexual abuse

48 ACEs Metro 8th, 9th, + 11th Graders ReporHng Past-Month Substance Use, by ACE Score (2016 MSS) 50% 40% 30% 20% 10% 0% 44% 36% 29% 21% 23% 24% 18% 15% 14% 11% 8% 9% 5% 6% 2% ACE Score 0 ACE Score 1 ACE Score 2 ACE Score 3 ACE Score 4+ Past-month alcohol use Past-month marijuana use Past-month Rx misuse

49 Contact Melissa Adolfson EpiMachine, LLC EpiMachine