Suburban Cook County Buddy R. Bates, MSPH CCDPH. CCDPH/CPPW/Children s Memorial Hospital

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Suburban Cook County 2010 Buddy R. Bates, MSPH CCDPH CCDPH/CPPW/Children s Memorial Hospital 1

YRBS Overall Picture Background and Basics of the YRBS Examples of the type of data YRBS provides How the public (and you) can access YRBS data products 2

7 Ages of Man* Spills Drills Thrills Bills Ills Pills Wills *Richard J Needham 3

Spills Drills Thrills Bills Ills Pills Wills Birth Birth Data Preterm Delivery Birth Defects Low Birth Weight Death Mortality Data Cause of Death Reportable Diseases 4

Spills Drills Thrills Bills Ills Pills Wills Birth Birth Data Hospital Data Death Mortality Data Hospital Data 5

Spills Drills Thrills Bills Ills Pills Wills Birth Death Birth Data BRFSS Behavioral Risk Factor Surveillance System Hospital Data Mortality Data 6

Spills Drills Thrills Bills Ills Pills Wills Birth Death Birth Data YRBSS Youth Risk Behavioral Surveillance System BRFSS Behavioral Risk Factor Surveillance System Hospital Data Mortality Data 7

Spills Drills Thrills Bills Ills Pills Wills Birth Death Birth Data YRBSS Youth Risk Behavioral Surveillance System BRFSS Behavioral Risk Factor Surveillance System Hospital Data Mortality Data School Policies, Systems, & Environments School Health Profile Surveys 8

Spills Drills Thrills Bills Ills Pills Wills Birth Death Birth Data YRBSS Youth Risk Behavioral Surveillance System BRFSS Behavioral Risk Factor Surveillance System Hospital Data Mortality Data School Policies, Systems, & Environments School Health Profile Surveys 9

National, State, and Local Surveys 1 st Time SCC has YRBS data (and SHP too) Conducted biennially (spring) (and SHP too) Will do next SCC YRBS January 2013 9 th -12 th grade public school students Probability samples of schools and students Anonymous/Voluntary completion of computer-scannable questionnaire Completed in one class period In classroom survey administrator (SCC) 10

Collaborative effort with CDC, ISBE, CMH Funded by CPPW Conducted Fall 2010 54 schools in sampling frame 25 Schools Selected 20 Schools participated 1,718 Students completed 91-item questionnaire Overall response rate = 71% ***The results are representative of all regular public school students in grades 9-12*** 11

First year: no comparison for trending of risk behaviors Data are self-reported (potential for over or under reporting) Data do not apply to all high school students (e.g. private schools, alternative schools, home schooled, homeless, dropouts, chronically absent, student/parent optouts) 12

Monitor priority youth risk behaviors that cause the most important health problems Assess how risk behaviors change over time Provide baseline data Produce comparable data 13

15-24yrs: Leading Causes of Death, SCC, 2005-2007 Homicide 25.0% Motor Veh. Accidents 20.0% Unint Injury (non-mva) 17.8% Suicide 10.6% Cancer 6.4% 0 50 100 150 200 Number of Deaths (total=691) Source: IDPH Death Pull File, 2005-2007 14

25-44yrs: Leading Causes of Death, SCC, 2005-2007 Heart Disease 16.1% Cancer 15.7% Unint Injury (non-mva) 15.3% Suicide 8.1% Motor Veh. Accidents 7.9% 0 100 200 300 400 500 Number of Deaths (total=2,492) Source: IDPH Death Pull File, 2005-2007 15

2,500 births to teens in SCC in 2007. 2,000.0 STI Incidence Rate Trend 15-19 yrs, CCDPH Rate of New Cases/100,000 1,500.0 1,000.0 500.0 0.0 Gonorrhea Chlamydia 2000-2002 2006-2008 16

Behaviors that contribute to the leading causes of mortality and morbidity: Unintentional injuries and violence Tobacco Use Alcohol and other drug use Sexual behaviors Unhealthy dietary behaviors Inadequate physical activity Outcomes Obesity Asthma 17

Describing risk behaviors Creating awareness Setting and evaluating program goals Developing programs and policies Allocation of resources 18

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7% 16% 24% 31%

Males Females

1 in 2 1 in 4 1 in 5 1 in 10

17% 26% 45% 63%

1% 25% 38% 47%

True False

African Americans Hispanics Whites

True False

15% and 6% 22% and 12% 31% and 7% 43% and 29%

1 in 3 1 in 4 2 in 5 9 in 10

Males or Females?

Smoked a whole cigarette. Drank a whole drink of alcohol. Tried marijuana. Had sexual intercourse.

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Summary Graphs Demographic Tables Summary Tables Detail Tables Graphs Questionnaire Coming Soon. Raw Data Set 33

CPPW: Cook County, IL High School Survey Summary Graphs Number of students in a class of 30 who: Never or rarely wore a seat belt when riding in a car 1.8 Rode with a driver who had been drinking alcohol during the past 30 days 7.1 Carried a weapon during the past 30 days Attempted suicide during the past 12 months Smoked cigarettes during the past 30 days 3.0 2.7 3.6 Drank alcohol during the past 30 days 9.4 Used marijuana during the past 30 days 5.6 Ever had sexual intercourse 11.2 Were not physically active for a total of at least 60 minutes per day on seven of the past seven days 23.2 Did not attend PE class daily 8.9 Were obese 3.3 Did not eat fruits two or more times per day or vegetables three or more times per day during the past seven days 27.5 0 10 20 30 Note: This graph contains weighted results. See the corresponding summary table for detailed explanation of data. 34

CPPW: Cook County, IL High School Survey Summary Graphs Percentage of students who: Sometimes, most of the time, or always wore a seat belt when riding in a car Did not ride with a driver who had been drinking alcohol during the past 30 days Did not carry a weapon during the past 30 days 76.4 89.9 94.0 Did not attempt suicide during the past 12 months 91.1 Did not smoke cigarettes during the past 30 days 88.0 Did not drink alcohol during the past 30 days 68.6 Did not use marijuana during the past 30 days 81.4 Never had sexual intercourse 62.7 Were physically active for a total of at least 60 minutes per day on seven of the past seven days 22.7 Attended PE class daily 70.4 Were not obese 89.0 Ate fruits two or more times per day and vegetables three or more times per day during the past seven days 8.5 0 20 40 60 80 100 Note: This graph contains weighted results. See the corresponding summary table for detailed explanation of data.

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CPPW: Cook County, IL High School Survey Among students who rode a bicycle during the past 12 months, the percentage who never or rarely wore a bicycle helmet 100 92.7 92.4 93.1 89.6 93.6 95.7 92.8 97.5 95.8 89.4 80 60 40 20 0 Total Male Female 9th 10th 11th 12th Black* Hispanic/ Latino White* Q8 - Weighted Data *Non-Hispanic.

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USE the YRBS data to advocate/support school health/wellness policies, environments and systems Contact me to discuss special data needs Urge your schools to participate in the upcoming YRBS and current SHP surveys 41

Thank you. 42