DATA COME HOME Using Local Data to Mobilize Support for Preven9on Efforts
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1 DATA COME HOME Using Local Data to Mobilize Support for Preven9on Efforts
2 Region 5: Southwest Big Stone Lac qui Parle Swift Yellow Medicine Chippewa Kandiyohi Renville Meeker McLeod Lincoln Lyon Redwood Sibley Nicollet Le Sueur Brown Pipestone Murray Cottonwood Watonwan Blue Earth Waseca Rock Nobles Jackson Martin Faribault
3 Consequences
4 Alcohol SOUTHWEST REGION MINNESOTA 2015 ARMV incident costs per capita $81 $50 % of crashes that were alcohol-related in % 4.9% 2015 ARMV fatali9es 3 per 100,000 3 per 100, DWI by loca9on of residence 44.5 per 10, per 10,000
5 Tobacco The 2015 rate of lung, bronchus, and trachea cancer deaths for the Southwest Region was 52 per 100,000 popula9on slightly higher 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 Southwest Region students make up 9.3% of the overall statewide sample
8 Substance Use
9 Overview 25% 8th, 9th, + 11th Graders ReporJng Past-Month Substance Use, 2016 MSS 20% 15% 14% 14% 12% 13% 10% 5% 6% 6% 7% 9% 4% 5% 0% Alcohol use Binge drinking Tobacco use Marijuana use Prescrip9on drug misuse Southwest Region Minnesota
10 Past-Month Alcohol Use 23% of 9 th graders na9onally reported pastmonth use (2015 YRBS) 50% 9th Graders ReporJng Any Past-Month Alcohol Use, by Year, MSS 40% 30% 20% 10% 33% 30% 30% 28% 25% 24% 20% 19% 15% 15% 12% 11% 0% Southwest Region Minnesota
11 Past-Month Alcohol Use Big Stone Lac qui Parle Lincoln Pipestone Lyon Swift Yellow Medicine Chippewa Murray Kandiyohi Redwood Cottonwood Renville Brown Meeker Watonwan McLeod Sibley Nicollet Blue Earth Le Sueur Waseca Higher than MN Similar to MN Lower than MN Rock Nobles Jackson Martin Faribault
12 Past-Month Binge Drinking Na9onally, 10% of 9 th graders + 22% of 11 th graders reported pastmonth binge drinking (2015 YRBS) 25% Students ReporJng Past-Month Binge Drinking, 2016 MSS 20% 15% 13% 13% 10% 5% 2% 2% 5% 5% 0% 8th Grade 9th Grade 11th Grade Southwest Region Minnesota
13 Past-Month Binge Drinking Big Stone Lac qui Parle Lincoln Pipestone Lyon Swift Yellow Medicine Chippewa Murray Kandiyohi Redwood Cottonwood Renville Brown Meeker Watonwan McLeod Sibley Nicollet Blue Earth Le Sueur Waseca Higher than MN Similar to MN Lower than MN Rock Nobles Jackson Martin Faribault
14 Past-Month Marijuana Use 15% of 9 th graders na9onally reported pastmonth use (2015 YRBS) 50% 9th Graders ReporJng Any Past-Month Marijuana Use, by Year, MSS 40% 30% 20% 10% 14% 12% 12% 9% 10% 10% 9% 7% 7% 7% 7% 6% 0% Southwest Region Minnesota
15 Past-Month Marijuana Use Big Stone Lac qui Parle Swift Yellow Medicine Chippewa Kandiyohi Renville Meeker McLeod Higher than MN Similar to MN Lincoln Lyon Redwood Sibley Nicollet Le Sueur Lower than MN Brown Pipestone Murray Cottonwood Watonwan Blue Earth Waseca Rock Nobles Jackson Martin Faribault
16 Past-Month PrescripMon Drug Misuse 25% Students ReporJng Past-Month PrescripJon Drug Misuse, 2016 MSS 20% 15% 10% 5% 3% 4% 4% 4% 5% 6% 0% 8th Grade 9th Grade 11th Grade Southwest Region Minnesota
17 Past-Month PrescripMon Drug Misuse Big Stone Lac qui Parle Swift Yellow Medicine Chippewa Kandiyohi Renville Meeker McLeod Higher than MN Similar to MN Lincoln Lyon Redwood Sibley Nicollet Le Sueur Lower than MN Brown Pipestone Murray Cottonwood Watonwan Blue Earth Waseca Rock Nobles Jackson Martin Faribault
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 ProtecJve Factors Individual resilience and other circumstances that are associated with a reducjon in the likelihood of substance use
20 Alcohol Access (Not included on 2016 survey) Alcohol Sources for 8th, 9th, + 11th Graders ReporJng 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 parjes I got alcohol by geyng 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 stajons or convenience stores 0% 10% 20% 30% 40% 50% Minnesota Southwest 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% 76% 78% 68% 71% 62% 62% 77% 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 Southwest Region Minnesota
22 Perceived Risk of Harm 100% 80% 60% Southwest Region 9th Graders' Perceived Risk of Great or Moderate Harm from Substance Use, by Year (MSS) 88% 90% 86% 82% 83% 75% 81% 82% 72% 69% 68% 61% 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
23 Perceived vs Actual Use 69% of Southwest 11 th graders think most students in their school drink monthly or more 17% of Southwest 11 th graders report drinking themselves monthly or more 62% of Southwest 11 th graders think most students in their school use marijuana monthly or more 10% of Southwest 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! Southwest youth who think MOST students drink monthly or more ojen are 6.2x more likely to report they drink monthly or more vs Southwest youth who drink monthly or more ojen are 2.0x more likely to say they think MOST students drink monthly or more ojen Southwest youth who reported being bullied in the past month are 2.3x more likely to report past 30-day prescrip9on drug misuse vs Southwest youth who reported past 30-day prescrip9on drug misuse are 1.5x more likely to report having been bullied in the past month
26 Alcohol Use Students reporjng NO past-month alcohol use were SOUTHWEST REGION MINNESOTA Less likely to report past month use of Almost 7x Almost 9x Tobacco Over 11x Almost 12x Marijuana Almost 9x Almost 8x Prescrip9on drugs not prescribed for them
27 Tobacco Use Students reporjng NO past-month tobacco use were SOUTHWEST REGION MINNESOTA Less likely to report past month use of Over 7x 8x Alcohol Almost 17x Over 16x Marijuana Over 7x Almost 8x Prescrip9on drugs not prescribed for them
28 Mental Health Suicidal idea9on, Depression, Self harm
29 Suicidal IdeaMon Just over 1 out of 10 Southwest (11.1%) + Minnesota (11.8%) 8 th, 9 th, + 11 th graders reported pastyear suicidal idea9on Southwest Region students repor9ng past-year suicidal idea9on were: Ø 2.3x more likely to report alcohol use Ø 2.7x more likely to report tobacco use Ø 3.4x more likely to report marijuana use Ø 4.4x more likely to report Rx drug misuse
30 Depression Almost 1 out of 5 Southwest (21%) + Minnesota (22%) 8 th, 9 th, + 11 th graders reported past-year significant problems with feeling very depressed Southwest students repor9ng past-year significant problems with feeling very depressed were: Ø 1.9x more likely to report alcohol use Ø 2.2x more likely to report tobacco use Ø 2.4x more likely to report marijuana use Ø 3.3x more likely to report Rx drug misuse
31 Self-Harm Roughly 1 out of 7 Southwest (15%) + Minnesota (16%) 8 th, 9 th, + 11 th graders reported past-year self-harm Southwest students repor9ng past-year self-harm were: Ø 2.4x more likely to report alcohol use Ø 3.0x more likely to report tobacco use Ø 3.4x more likely to report marijuana use Ø 4.5x 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 63% 64% Southwest Region students repor9ng befer teacher-student rela9onships were: Ø 2.4x less likely to report alcohol use Ø 3.1x less likely to report tobacco use Ø 2.9x less likely to report marijuana use Ø 2.5x less likely to report Rx drug misuse 20% 0% Southwest 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 77% 78% Southwest Region students repor9ng greater educa9onal engagement were: Ø 2.6x less likely to report alcohol use Ø 3.1x less likely to report tobacco use Ø 3.4x less likely to report marijuana use Ø 2.6x less likely to report Rx drug misuse 20% 0% Southwest 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 100% 80% Students ReporJng Bullying VicJmizaJon, by Frequency + Grade, 2016 MSS 60% 40% 50% 49% 47% 44% 39% 38% 20% 0% 20% 18% 17% 16% 14% 14% 8th Grade 9th Grade 11th Grade 8th Grade 9th Grade 11th Grade Past Month Vic9miza9on Weekly Vic9miza9on Southwest Region Minnesota
39 Bullying Compared to Minnesota students who said they weren t bullied in the past month, those bullied were 3.4 Jmes 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% 11.0% 18.0% 23.1% 27.0% 4.9% 7.7% 11.0% 12.8% 0% Past 30-Day Use None Monthly+ Weekly+ Daily Binge Drinking
40 Community Caring community, neighborhood safety Community ac9vi9es
41 Caring Community Almost 5 of 10 Southwest 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 1.9x less likely to report alcohol use Ø 2.2x less likely to report tobacco use Ø 3.0x less likely to report marijuana use Ø 2.2x less likely to report Rx drug misuse
42 Neighborhood Safety Southwest 5th, 8th, 9th, + 11th Graders Repor9ng They Feel Safe in Their Neighborhood, 2016 MSS 96% feel safe Southwest 8 th, 9 th, + 11 th graders who don t feel safe in their neighborhood are: Ø 1.6x 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 3.8x more likely to report Rx drug misuse
43 ParMcipaMon in Community AcMviMes 8 of 10 Southwest + Minnesota (81% for both) 5 th, 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 Southwest 8 th, 9 th, + 11 th repor9ng par9cipa9on in community ac9vi9es were: Ø 1.5x less likely to report alcohol use Ø 1.9x less likely to report tobacco use Ø 2.1x less likely to report marijuana use Ø 1.5x less likely to report Rx drug misuse
44 Family Parental communica9on + caring Adverse childhood experiences
45 Parental CommunicaMon 9 out of 10 Southwest 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 who can t were: Ø 1.8x more likely to report alcohol use Ø 2.1x more likely to report tobacco use Ø 2.6x more likely to report marijuana use Ø 2.5x more likely to report Rx drug misuse
46 Parental Caring 9 out of 10 Southwest 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 Southwest students reported both parental communica9on and caring Southwest 8 th, 9 th, + 11 th who feel their parents care quite a bit or very much were: Ø 2.3x less likely to report alcohol use Ø 2.7x less likely to report tobacco use Ø 3.3x less likely to report marijuana use Ø 3.8x 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 Southwest 8th, 9th, + 11th Graders ReporJng Past-Month Substance Use, by ACE Score (2016 MSS) 50% 40% 30% 20% 10% 0% 43% 30% 27% 24% 23% 17% 18% 10% 10% 12% 11% 7% 3% 5% 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
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