Healthy Futures: 2014 Toronto Public Health Student Survey. Dr. David McKeown March 9, 2015

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Healthy Futures: 2014 Toronto Public Health Student Survey Dr. David McKeown March 9, 2015

Health Assessment and Surveillance Health assessment and surveillance is a foundation of public health Health status data on youth in Toronto was previously limited Photo submitted by student for the Toronto Public Health Student Photo Project.

TPH Student Survey Purpose: Describe health of students in grades 7 12 Identify factors related to health among youth Understand how the social determinants of health affect youth

TPH Student Survey Written Questionnaire Height & Weight Measurement Oral Health Assessment

Questionnaire Socio-demographics Mental health Tobacco use Alcohol & other drugs Physical activity Eating habits Violence & bullying Sexual health

6,053 students 466 classrooms 165 schools 4 school boards

Healthy Futures Overview of findings and key highlights Some results reported by grade and sex Spotlight on Inequity sections, exploring results by Socio-economic access Sexual orientation Immigrant Status Ethno-racial identity

Healthy Futures Good or Better Self-Reported Health 100% 94% 93% 89% 94% 90% 0% Grade 7/8 Grade 9/10 Grade 11/12 Male Female

Mental Health Compared to males, females 18% reported not feeling comfortable talking to anyone about their problems 11% hurt themselves on purpose (past 12 months) 12% seriously considered suicide (past 12 months) Had lower self-esteem Had higher levels of emotional anxiety Were more likely to have negative body image Were more likely to report self-harm and suicidal thoughts

Bullying and Violence 20% of students were bullied (past 12 months) 5% bullied once per week or more 30% Bullied once per Month or More by Sexual Orientation* 22% had been in a physical fight (past 12 months) 6% had been threatened with a weapon on school property 0% 5% Heterosexual 12% Gay, Lesbian, Bisexual, Pansexual, Other Sexual Orientation, or Not Sure *Grade 9 12 TDSB and Viamonde students only

Physical Activity 10% of students meeting the Physical Activity Guidelines 42% using active transport home from school 30% Meeting the Physical Activity Guidelines by Sex 73% had two hours or more of screen time every day 0% 13% Male 6% Female

Eating Behaviours and Body Mass 13% of students were getting enough vegetables and fruit 20% drank sugary drinks four times per week or more; same for salty snacks 29% were overweight or obese Males more likely to be obese than females 50% 0% Overweight and Obesity by Socio-Economic Access 37% 34% 26% Low Access Middle Access High Access

Tobacco 16% of student had tried cigarette smoking 5% smoked cigarettes in the last 30 days 66% exposed to second-hand smoke 20% exposed every day or almost every day

Alcohol and Other Drugs 29% students had more than a sip of alcohol (past 12 months) 26% secondary students binge-drank or mixed alcohol with caffeinated energy drinks 25% used a drug other than alcohol (past 12 months) Marijuana and pain medication most common 50% 0% Had More than a Sip of Alcohol in the Past 12 Months, by Immigrant Status 18% Newcomers 26% Longer-Term Immigrants 32% Canadian-Born

Sexual Health 20% of Grade 9-12 students reported having had sex 60% had used a condom or other barrier the last time 31% of sexually active students had been with more than one partner in the past 12 months 37% of students found their school sex ed. essential or very useful Photo submitted by student for the Toronto Public Health Student Photo Project

Dental Health 8% of students had untreated dental caries 19% of newcomers (5 years or less in Canada) 77% visit the dentist once per year or more 56% of low socioeconomic access

Healthy Futures Student survey data will be explored in further detail Data will inform TPH services and policy advocacy Report will be shared widely with education sector, school communities, and public health agencies

Healthy Futures: 2014 Toronto Public Health Student Survey Dr. David McKeown March 9, 2015