A MEASURE OF STUDENT HEALTH IN FORT WORTH ISD

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A MEASURE OF STUDENT HEALTH IN FORT WORTH ISD RESULTS FROM THE AND YOUTH RISK BEHAVIOR SURVEYS AND OUR WORK TO ADDRESS STUDENT HEALTH INDEPENDENT SCHOOL DISTRICT

SURVEY SCOPE AND PURPOSE YOUTH RISK BEHAVIOR SURVEY (YRBS) OVERVIEW In, the Fort Worth Independent School District (FWISD) participated in the Centers for Disease Control and Prevention (CDC) Youth Risk Behavior Survey (YRBS). This anonymous survey was completed by 2,604 randomly selected students enrolled in grades 9-12. The results are weighted to be representative of all FWISD high school students. The Youth Risk Behavior Survey was administered a second time in and was completed by 3,380 randomly selected students enrolled in grades 9-12. This document compares our students responses over two years. Results are displayed as: The YRBS was developed by the CDC over 25 years ago to monitor priority health risk behaviors that contribute to the leading causes of death, disability and social problems among youth and adults in the United States. These behaviors, often established during childhood and early adolescence, include: Behaviors that contribute to unintentional injuries and violence Sexual behaviors that contribute to unintended pregnancy and sexually transmitted infections, including HIV infection Alcohol and other drug use Tobacco use Positive Change Unhealthy dietary behaviors Inadequate physical activity Negative Change FWISD will continue to use these results to drive decisions on health education, student support services and coordinated health. This survey will be administered again in 2019. SURVEY SCOPE AND PURPOSE

EMOTIONAL AND MENTAL HEALTH DEPRESSION AND SUICIDE-RELATED BEHAVIORS Percentage of students who felt sad or hopeless (almost every day for 2 or more weeks in a row so that they stopped doing some usual activities).* 29% 29.1% Percentage of students who seriously considered attempting suicide.* 13.8% 13.4% Percentage of students who made a plan about how they would attempt suicide.* 11.6% 12.5% Percentage of students who attempted suicide (one or more times).* 7.8% 10.6% Percentage of students who attempted suicide that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse.* 2.9% 4.0% *during the 12 months before the survey Indicators of emotional and mental health distress include feeling sad or hopeless for prolonged periods. EMOTIONAL AND MENTAL HEALTH

VIOLENCE AND INJURY PREVENTION VEHICLE-RELATED BEHAVIORS Percentage of students who rode with a driver who had been drinking alcohol** (in a car or other vehicle). Percentage of students who rarely or never wore a seat belt (when riding in a car driven by someone else). 5.5% 26.2% 22.4% 8.6% ** one or more times during the 30 days before the survey Percentage of students who drove when drinking alcohol** (among students who had driven a car or other vehicle during the 30 days before the survey). 9.7% Percentage of students who texted or e-mailed while driving a car or other vehicle** (among students who had driven a car or other vehicle during the 30 days before the survey). 36.1% 6.9% 36.3% VIOLENCE AND INTIMIDATION ON SCHOOL PROPERTY Percentage of students who were bullied on school property.* 12.9% 13.9% Percentage of students who were electronically bullied (including being bullied through e-mail, chat rooms, instant messaging, websites, or texting).* 8.8% 10.1% Percentage of students who did not go to school because they felt unsafe at school or on their way to or from school (on at least 1 day during the 30 days before the survey). 7% 9.2% Percentage of students who were in a physical fight on school property (one or more times).* 9.4% 9.6% *during the 12 months before the survey VIOLENCE AND INJURY PREVENTION

NUTRITION AND PHYSICAL ACTIVITY NUTRITION Percentage of students who did not eat salad.* 47.7% 52.8% Percentage of students who did not drink a can, bottle, or glass of soda or pop (not including diet soda or diet pop).* 18.9% Percentage of students who drank a can, bottle, or glass of soda or pop one or more times per day (not including diet soda or diet pop).* Percentage of students who did not eat fruit (one or more times).* 10.4% 26.2% 22.8% 20.7% 13.4% Percentage of students who did not eat vegetables (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables).* 9.9% Percentage of students who ate vegetables one or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables).* Percentage of students who did not eat breakfast.* 17.8% Percentage of students who ate breakfast on all 7 days.* 31% 55.1% *during the 7 days before the survey 12.5% 47.7% 20.8% 27.3% 60 MINUTES OF DAILY PHYSICAL ACTIVITY Percentage of students who did not participate in at least 60 minutes of physical activity on at least 1 day.* 15.8% Percentage of students who were physically active at least 60 minutes per day on all 7 days.* 24.5% Percentage of students who watched television 3 or more hours per day (on an average school day). 31.7% 18.5% 24.0% 23.2% Percentage of students who played video or computer games or used a computer 3 or more hours per day (for something that was not school work on an average school day). 42.9% 40.4% NUTRITION AND PHYSICAL ACTIVITY

TOBACCO, ALCOHOL AND OTHER DRUGS TOBACCO Percentage of students who currently smoked cigarettes (on at least 1 day during the 30 days before the survey). 9% Percentage of students who ever tried cigarette smoking (even one or two puffs). Percentage of students who currently smoked cigarettes or cigars (on at least 1 day during the 30 days before the survey). 12.9% 32.7% 5.5% 27.2% 9% ALCOHOL Percentage of students who currently drank alcohol (at least one drink of alcohol on at least 1 day during the 30 days before the survey). 28.1% Percentage of students who usually got the alcohol they drank by someone giving it to them (during the 30 days before the survey, among students who currently drank alcohol). 39.9% 22.8% 40.4% OTHER DRUGS Percentage of students who ever used marijuana (one or more times during their life). 39.3% 37.3% Percentage of students who currently used marijuana (one or more times during the 30 days before the survey). 19.1% 18.8% Percentage of students who ever used inhalants (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). 5.8% 6% Percentage of students who were offered, sold, or given an illegal drug on school property.* 21.5% 27.6% *during the 12 months before the survey TOBACCO, ALCOHOL AND OTHER DRUGS

PERSONAL AND REPRODUCTIVE HEALTH PERSONAL HEALTH Percentage of students who saw a dentist (for a check-up, exam, teeth cleaning, or other dental work) during the 12 months before the survey. 65.6% 67.6% Percentage of students who had ever been told by a doctor or nurse that they had asthma. 19% 20.5% Percentage of students who had 8 or more hours of sleep (on an average school night). 31.3% 28.3% In the survey, students anonymously answered sensitive questions about sexual behaviors. REPRODUCTIVE HEALTH Percentage of students who ever had sexual intercourse. 39.5% 37.7% Percentage of students who had sexual intercourse with four or more persons (during their life). 10.7% 8.4% Percentage of students who were currently sexually active (sexual intercourse with at least one person during the 3 months before the survey). 27.1% Percentage of students who drank alcohol or used drugs before last sexual intercourse.* 18.2% 25% 14% Percentage of students who used a condom (during last sexual intercourse).* Percentage of students who had sexual intercourse before age 13 (for the first time). 4.9% 55.4% 55.6% 4.7% *among students who were currently sexually active PERSONAL AND REPRODUCTIVE HEALTH

FORT WORTH ISD HEALTH EDUCATION Currently, Fort Worth Independent School District (FWISD) provides 30 health lessons each year to students in grades K-5, a semester of health in 6th grade during a year-long course called Moving to Wellness, and a semester of health in high school. Beginning in the fall of, both the middle and high school health courses utilize a developmentally appropriate, up-to-date, student-centered curriculum that addresses Emotional and Mental Health, Violence and Injury Prevention, Nutrition and Physical Activity, Tobacco, Drug, and Alcohol Prevention, and Personal and Reproductive Health. These courses fully address the Texas Essential Knowledge and Skills and the National Health Education Standards. Healthy Choices Students learn the components of building a healthy diet. Annual District Walk Physical activity events bring the community together. Walking School Bus Students start their day with activity and arrive at school ready to learn. FWISD participated in the Youth Risk Behavior Survey for the first time in. The behaviors reported in this survey make it clear that there is more to do in terms of educating students on the knowledge, and especially the skills necessary, to make healthy choices. FWISD currently receives funding from the CDC s Division of Adolescent and School Health that allows it to: Help secondary health teachers more capably provide health education to students through coaching, mentoring, and monitoring instructional practices. Develop a clinical service provider resource guide that can be used by school nurses, intervention specialists, and students, providing a variety of health care resource information, such as available programs in schoolbased health centers. Establish and provide training for developing Safe Spaces in our schools and support student-led clubs that provide welcoming environments for all students and staff. Develop procedures and policy guidance to create sustainable support for student health and wellness in our schools. To view the complete survey results, please visit: www.fwisd.org/pe FORT WORTH ISD HEALTH EDUCATION

This document was supported by Cooperative Agreement Number U87PS004172-3 funded by the Centers for Disease Control and Prevention. The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Health and Physical Education phone: 817.814.2595 100 N. University Drive Fort Worth, TX 76107 www.fwisd.org