Charlotte Mecklenburg Youth Risk Behavior Survey

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1 2015 Charlotte Mecklenburg Youth Risk Behavior Survey HIGH SCHOOL TREND REPORT A collaborative report from Charlotte Mecklenburg Schools and Mecklenburg County Health Department

2 2015 Charlotte Mecklenburg Youth Risk Behavior Survey Introduction The Youth Risk Behavior Survey (YRBS), produced by the Centers for Disease Control and conducted every two years, assesses health risk behaviors that contribute to some of the leading causes of morbidity and mortality in youth. The survey measures behaviors such as: unintentional injuries and violence; tobacco, alcohol and other drug use; sexual behaviors that result in HIV infection, other sexually transmitted diseases and unintended pregnancies; nutrition; and physical activity. The YRBS also measures self-reported height and weight to allow calculation of body mass index. New Questions for 2015 Several new questions were added to the local CMS survey in New questions that were asked included: Electronic vapor products (e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs & hookah pens) Trouble Walk or ride bike to school Observed students being bullied Physical activity during class The complete list of questions can be found on page 11 of this report. i

3 Demographic Profiles The first YRBS was administered in 2005 and included 18 high schools in the county. While participation varies from year to year, the survey has expanded. The 2015 Charlotte- Mecklenburg YRBS was administered in 29 schools to 2,078 high school students. Characteristics of Students Participating in Charlotte-Mecklenburg High School YRBS Total Number of Student Surveyed 2,078 Gender Number Weighted Percentage Male % Female % Race/Ethnicity Asian % Black % Hispanic/Latino % White % All other races % Multiple races % Grade 9th % 10th % 11th % 12th % Ungraded or other grade 4 0.2% Age Group 15 years % years % 18 years % *Numbers may not total 2,078 due to missing data. ii

4 Trends for Select Health Indicators 2015 Positive Trends Physical fighting decreased from 30% in 2007 to 22% in Reports of being bullied on school property decreased from 20% in 2007 to 17% in Students carrying a weapon decreased from 17% in 2007 to 13% in Cigarette smoking continues to decline among students, from 15% in 2007 to almost 10% in Students who reported sniffing glue, breathing contents of aerosol spray cans decreased from 12% in 2007 to 8% in The percentage of students who reported engaging in sexual behavior decreased from 50% in 2009 to about 40% in Areas for Improvement Although reports of bullying have decreased, almost half of students think bullying by other students is a problem at their school. Students reporting symptoms of depression increased from 28% in 2007 to 32% in About a third of students reported having at least one drink of alcohol in the past month. Over one fourth of students surveyed had sexual intercourse with one or more people in the past three months. About 42% of students played a video or computer game or used a computer for something that was not school work 3 or more hours per day on an average school day, up from 26% in iii

5 Charlotte-Mecklenburg HIGH SCHOOL Students TABLE OF CONTENTS Page Introduction i Demographic Profile ii Trends in Selected Health Indicators iii Bullying Unintentional Injury and Violence Psychological Health Substance Abuse Physical Activity Weight Management and Nutrition Sexual Behavior Selected Health Conditions Developmental Assets New Questions Academics and Health Behaviors iv

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7 Bullying on School Property In 2009 the Centers for Disease Control modified questions on bullying. Current questions exclude the term harassment while adding a definition for bullying. Due to these changes in survey questions, caution should be used in comparing 2007 data with other years of information. Figure 1. Bullying and Harassment The percentage of teens who reported being bullied on school property decreased from 20% in 2007 to 17% in Approximately 11% of students reported being electronically bulled. Despite declines in reports of bulling on school property, 50% of teens agree or strongly agree that harassment and bullying by other teens is a problem at their school. Over 12% of teens reported being bullied because someone thought they were gay, lesbian or bisexual. Bullying and Harassment Been bullied on school property in the past 12 months Have been electronically bullied, such as through , chat rooms, instant messaging, Web sites, or text messaging in the past month *Have ever been the victim of teasing or name calling during the past 12 months because someone thought they were gay, lesbian, or bisexual Agree or strongly agree that harassment and bullying by other students is a problem at their school Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 20% 22% N/A 16% 17% 20% 19% 21% 20% 16% 19% 20% 17% 16% 20% N/A N/A N/A 12% 14% N/A 16% 16% 16% 10% 13% 15% 11% 12% 16% 10% 11% N/A 12% 12% N/A 40% 43% N/A 45% N/A N/A 51% N/A N/A 50% N/A N/A N/A N/A N/A *Data not available for 2007, 2009 and

8 Unintentional Injury and Violence In 2013 dating and intimate partner violence questions were modified to include persons teens were dating or going out with on one or more times during the past 12 months. Prior to this time, dating/intimate partner violence was surveyed through abuse perpetrated by boyfriends or girlfriends of teens. Due to these changes, data from 2007 through 2011 are not directly comparable to Teens reporting never or rarely wearing a seat belt while riding in a car decreased from 11% in 2011 to 7% in Figure 2. Unintentional Injury and Violence Physical fighting decreased from 30% in 2007 to 22% in Nearly 35% teens reported either texting or ing while driving a car or other vehicle within the past month. Students carrying a weapon decreased from 17% in 2007 to 13% in Domestic violence among teens remains an issue of concern. In 2015, 9% of teens reported being physically hurt by someone they were dating or going out with one or more times in the past 12 months. Unintentional Injury and Violence Never or rarely wore a seat belt when riding in a car driven by someone else Rode in a car driven by someone who had been drinking alcohol in the past month Drove a car or other vehicle when they had been drinking alcohol in the past month Texted or ed while driving in the past month Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 9% 8% 11% 8% 7% 10% 11% 8% 8% 7% 7% 8% 7% 7% 6% 22% 25% 29% 23% 21% 28% 24% 21% 24% 24% 19% 22% 22% 17% 20% 7% 9% 11% 6% 8% 10% 8% 6% 8% 8% 6% 10% 7% 4% 8% N/A N/A N/A N/A N/A N/A N/A N/A N/A 39% 34% 41% 35% 38% 42% Carried a weapon such as a gun, knife, club in the past month Had been threatned or injured by a weapon in the past 12 months 17% 21% 18% 14% 20% 18% 16% 21% 17% 13% 21% 18% 13% 19% 16% 6% 7% 8% 8% 7% 8% 10% 9% 7% 9% 7% 7% 9% 5% 6% Been in a physical fight in the past 12 months 30% 30% 36% 31% 29% 32% 32% 28% 33% 26% 24% 25% 22% 21% 23% *Physically hurt on purpose by their boyfriend or girlfriend in the past 12 months Did not go to school because they felt unsafe at school or on their way to or from school in the past month *Data not available for 2007, 2009 and % 9% 10% 9% 8% 10% 5% 7% 6% 5% 6% 5% 8% 7% 6% 7% 7% 7% 9% 6% 6% 2

9 Psychological Health Approximately 30% of teens reported not doing some regular activities during the past year because they felt sad or hopeless almost every day for two weeks or more in a row, an increase from 28% in Figure 3. Psychological Health Teens reporting that they considered attempting suicide increased from 12% in 2007 to 17% in Making a plan to attempt suicide also increased from 10.3% in 2007 to 15% in Psychological Health Felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months Seriously considered attempting suicide in the past 12 months Made a plan about how they would attempt suicide in the past 12 months Attempted suicide one or more times in the past 12 months* Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 28% 27% 29% 28% 27% 26% 30% 28% 29% 29% 29% 30% 32% 26% 30% 12% 13% 15% 14% 13% 14% 15% 14% 16% 15% 17% 17% 17% 16% 18% 10% 10% 11% 10% 10% 11% 13% 14% 13% 14% 13% 14% 15% 14% 15% 13% 13% 7% 14% 10% 6% 15% 5% 8% N/A N/A 8% N/A N/A 9% *Attempted suicide data not available for years 2013 and

10 Substance Abuse Figure 4. Substance Abuse Cigarette smoking continues to decline among students, from 15% in 2007 to almost 10% in Marijuana use increased significantly among teens from 2007 to Almost a quarter of teens report having ever used marijuana. Approximately 33% of teens reported having being offered, sold or given drugs on school property, down from about 38% in Binge drinking among teens decreased slightly between 2007 and 2009 (16% to 14%), but increased again in 2013 (17%). Substance Abuse Smoked cigarettes on one or more days in the past 30 days Had at least one drink of alcohol on one or more days in the past 30 days Had 5 or more drinks of alcohol in a row within a couple of hours (binge drinking) in the past month Used marijuana one or more times in the past month Used any form of cocaine, including powder, crack, or freebase Took steroid pills or shots whithout a doctor's prescription Took a prescription drug such as OxyContin, Percocet, Demerol, Adoral, Ritalin, or Zanax without a doctor's prescription Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life Offered, sold, or given an illegal drug by someone on school property in the past 12 months Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 15% 23% 20% 13% 18% 20% 14% 18% 10% 10% 15% 16% 10% 13% 11% 34% 38% 45% 33% 35% 42% 34% 34% 39% 34% 32% 35% 32% 29% 33% 16% 21% 26% 14% 19% 24% 16% 18% 22% 17% 15% 21% 15% 13% 18% 20% 19% 20% 21% 20% 21% 28% 24% 40% 29% 23% 23% 24% 22% 22% 7% 7% 7% 4% 6% 6% 8% 7% 7% 5% 5% 6% 7% 5% 5% 3% 4% 4% 2% 4% 3% N/A 4% 4% 4% 2% 3% 4% 4% 4% 14% 17% N/A 18% 20% 21% 18% 20% 21% 18% 17% 18% 19% 18% 17% 12% 14% 13% 11% 12% 12% 12% 11% 11% 10% 8% 9% 8% 8% 7% 32% 29% 22% 38% 30% 23% 38% 30% 26% 33% 24% 22% 31% 25% 22% 4

11 Physical Activity Figure 5. Physical Activity The percentage of teens who reported being physically active for 60 minutes per day on five out of seven days increased from about 40% in 2011 to 45% in 2013 but decreased to 39% in Over 40% of teens reported playing video or computer games for something that was not school work three or more hours per day on an average school day in 2015, an increase from 2007 (20.2%). About 30% of teens reported watching three or more hours of TV per day on an average school day. Physical Activity Physically active for a total of 60 minutes or more per day on five or more of the past seven days Attended physical education (PE) classes on one or more days in an average week when they are in school Attended physical education (PE) classes daily in an average week when they are in school Played video or computer games or used a computer for something that was not school work three or more hours per day on an average school day Watched three or more hours per day of TV on an average school day Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 43% 44% 35% 43% 46% 37% 40% 48% 50% 45% 47% 47% 39% 43% 49% 40% 42% 54% 46% N/A 56% 36% N/A 52% 40% N/A 48% 37% 40% 52% 22% 29% 30% 26% N/A 33% 18% N/A 32% 19% N/A 29% 18% 25% 30% 20% 21% 25% 26% 24% 25% 34% 28% 31% 40% 42% 41% 42% 42% 42% 37% 35% 35% 42% 36% 33% 37% 35% 32% 37% 33% 33% 29% 31% 25% 5

12 Weight Management and Nutrition Figure 6. Weight Management and Nutrition The percentage of teens that are overweight decreased to 14% in 2015 from 17% in Body weight perception is an important predictor of weight control behaviors among teenagers. Teens who incorrectly judge their body weight may practice unhealthy weight control measures to lose weight or place themselves at greater risk for obesity. o o According to BMI data, 14% of teens were reported as being overweight. However, 28% of teens described themselves as slightly or very overweight. 44% of teens reported that they are trying to lose weight. Weight Management Overweight (at or above the 85th percentile but below the 95th percentile for body mass index, by age and sex) Obese (at or above the 95th percentile for body mass index, by age and sex) Described themselves as slightly or very overweight Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 17% 17% 16% 17% 15% 16% 15% 16% 15% 14% 15% 17% 14% 16% 16% 10% 13% 13% 11% 13% 12% 13% 13% 13% 12% 13% 14% 13% 16% 14% 24% 26% 29% 28% 28% 28% 26% 27% 29% 27% 29% 31% 28% 28% 32% Are trying to lose weight 40% 45% 45% 44% 46% 44% 42% 45% 46% 45% 46% 48% 44% 46% 46% *Ate fruit or drank 100% fruit juices three or more times per day 20% 18% 22% 20% 17% 20% *Ate vegetables three or more times per day 15% 13% 16% 14% 13% 14% *Drank a can, bottle, or glass of soda or pop one or more times a day 20% 28% 27% 18% 27% 20% *Data not available for 2007, 2009 and

13 Sexual Behavior Approximately 40% of teens reported ever having had sexual intercourse. Figure 7. Sexual Behavior Over one fourth of students surveyed had sexual intercourse with one or more people in the past three months. In 2015, 12% of teens reported having had sexual intercourse with four or more people in their lifetime. This was a decrease, down from 20% in o o About 11% of teens who have had sex reported having a partner who was 3 or more years their senior the last time they had sexual intercourse. Approximately 11% of teens described themselves as gay, lesbian or bisexual. Sexual Behavior Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US Ever had sexual intercourse 47% 52% 48% 50% 51% 46% 50% 49% 47% 46% 47% 47% 40% 44% 41% Had sexual intercourse with four or more people during their lifetime Drank alcohol or used drugs before last sexual intercourse *Among students who have had sexual intercourse, % wose partners were 3 or more years older than themselves the last time they had sexual intercourse Parents or other adults in their family talked with them about what they expect them to do or not to do when it comes to sex 16% 16% 15% 17% 13% 14% 20% 17% 15% 16% 15% 15% 12% 13% 12% 15% 21% 23% 19% 28% 22% 26% 25% 22% 27% 21% 22% 23% 17% 21% 14% 17% N/A 11% 13% N/A 76% 75% N/A 78% 46% N/A N/A 77% N/A 27% 73% N/A 67% 70% N/A Describe themselves as gay, lesbian or bisexual 9% 6% N/A 11% N/A N/A *Data not available for 2007, 2009 and

14 Selected Health Conditions Figure 8. Selected Health Conditions In 2015 about 23% of teens reported ever being told that they have asthma. This was an increase from 2007 when the percentage was 18.1%. The percent of teens reporting 8 or more hours of sleep on an average school night has declined from 23% in 2007 to 14% in Selected Health Conditions Ever been told by a doctor or nurse that they had asthma Get eight or more hours of sleep on an average school night Meck NC US Meck NC US Meck NC US Meck NC US Meck NC US 18% 20% 20% 19% 22% 22% 24% 23% 23% 23% 24% 21% 23% 26% 23% 23% 19% 31% 21% 29% 31% 21% N/A 31% 18% 28% 32% 14% 25% 27% 8

15 Developmental Assets Figure 9.Developmental Assets Developmental assets are the experiences and opportunities that all young people need to grow into healthy, responsible adults. Research has shown that the more assets young people, the less likely they are to engage in high-risk behaviors. The percentage of teens who reported being alone after school without a parent or trusted adult three or more hours per day on an average school day decreased slightly from 37% in 2007 to almost 33% in In 2013, about 81% of teens reported that their parents or other adults in the teens family have clear rules and standards for the teens behavior. Over two thirds of teens described their grades as mostly A s and B s during the past year. Developmental Assets Meck Meck Meck Meck Meck Are alone after school without a parent or trusted adult three or more hours per day on an average school day 33% 33% 37% 35% 33% Agree/Strongly Agree that their parents or other adults in the student's family have clear rules and standards for the student's behavior 85% 87% 77% 81% N/A Get eight or more hours of sleep on an average school night 23% 23% 21% 18% 14% Ate breakfast on seven of the past seven days 33% 34% N/A 35% 30% Describe their grades as mostly A's and B's during the past year 60% 58% 55% 63% 67% 9

16 Charlotte-Mecklenburg HIGH SCHOOL Students New Questions for 2015 YRBS 10

17 New Questions for 2015 YRBS Charlotte-Mecklenburg High Schools and NC Substance Abuse Meck NC Ever used electronic vapor products (e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, & hookah pens) 47.9% 49.4% Currently used electronic vapor products 27.1% 29.6% Ever gotten into trouble with their family or friends, missed school, or gotten into fights, while using alcohol or drugs 18.4% 17.0% Psychological Meck NC Have seen other students being bullied in their school in the past year 52.3% 53.0% Physical Activity Meck NC Walk or ride their bike to school on five days in an average week 14.1% 5.6% Reported that some of their classroom teachers provide short physical activity breaks during regular class time (not counting their physical education teacher) 20.7% 20.0% Developmental Assests Meck NC Usually slept in a friend's, relative's or stranger's home at night in the past year 3.9% 3.6% NOTES: The above questions were added to the Charlotte-Mecklenburg School survey in These questions were added locally; United States data do not exist for comparison. 11

18 Charlotte-Mecklenburg HIGH SCHOOL Students Health Behaviors and Academics 12

19 2015 Charlotte-Mecklenburg YRBS HIGH Health SCHOOL Behaviors STUDENT and Academic REPORT Figure 1. Physical Activity & Nutrition Figure 2. Assets for Health Development 13

20 2015 Charlotte-Mecklenburg YRBS HIGH Health SCHOOL Behaviors STUDENT and Academic REPORT Figure 3. Unintentional Injury & Violence Figure 4. Psychological 14

21 Health 2015 Charlotte-Mecklenburg YRBS HIGH SCHOOL Behaviors STUDENT and Academic REPORT Figure 5. Substance Abuse Tobacco and Alcohol Figure 6. Substance Abuse Other Drug Use 15

22 Health 2015 Charlotte-Mecklenburg YRBS HIGH SCHOOL Behaviors STUDENT and Academic REPORT Figure 7. Sexual Behavior 16

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