DATA COME HOME Using Local Data to Mobilize Support for Preven9on Efforts

DATA COME HOME Using Local Data to Mobilize Support for Preven9on Efforts

Region 1: Northwest Kittson Roseau Lake of the Woods Marshall Pennington Hennepin Polk Red Lake Clearwater Kanabec Beltrami Norman Mahnomen Sherburne Hubbard Becker

Consequences

Alcohol NORTHWEST REGION MINNESOTA 2015 ARMV incident costs per capita $108 $50 % of crashes that were alcohol-related in 2015 8.2% 4.9% 2015 ARMV fatali9es 5 per 100,000 3 per 100,000 2015 DWI by loca9on of residence 61.0 per 10,000 44.7 per 10,000

Tobacco The 2015 rate of lung, bronchus, and trachea cancer deaths for the Northwest Region was 53 per 100,000 popula9on 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)

Minnesota Student Survey

2016 MSS Administered in the first half of 2016 to public school students in grades 5, 8, 9, and 11 85.5% of public opera9ng school districts par9cipated Overall par9cipa9on across the four grades was approximately 66% of total enrollment Northwest Region students make up 5.0% of the overall statewide sample

Substance Use

Overview 25% 8th, 9th, + 11th Graders ReporJng Past-Month Alcohol Use, 2016 MSS 20% 15% 17% 14% 16% 13% 10% 5% 8% 6% 10% 9% 5% 5% Northwest Region Minnesota 0% Alcohol use Binge drinking Tobacco use Marijuana use Prescrip9on drug misuse

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% 31% 32% 30% 28% 27% 24% 23% 19% 18% 15% 15% 11% 0% 2001 2004 2007 2010 2013 2016 Northwest Region Minnesota

Past-Month Alcohol Use Higher than MN Kittson Roseau Lake of the Woods Similar to MN Marshall Pennington Hennepin Lower than MN Polk Red Lake Clearwater Kanabec Beltrami Norman Mahnomen Sherburne Hubbard Becker

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% 16% 13% 10% 8% 5% 4% 2% 5% 0% 8th Grade 9th Grade 11th Grade Northwest Region Minnesota

Past-Month Binge Drinking Higher than MN Kittson Roseau Lake of the Woods Similar to MN Marshall Pennington Hennepin Lower than MN Polk Red Lake Clearwater Kanabec Beltrami Norman Mahnomen Sherburne Hubbard Becker

Past-Month Marijuana Use 15% of 9 th graders na9onally reported pastmonth use (2015 YRBS) 25% 9th Graders ReporJng Any Past-Month Marijuana Use, by Year, MSS 20% 15% 10% 5% 14% 12% 14% 12% 12% 10% 11% 10% 9% 8% 9% 7% 0% 2001 2004 2007 2010 2013 2016 Northwest Region Minnesota

Past-Month Marijuana Use Higher than MN Kittson Roseau Lake of the Woods Similar to MN Marshall Pennington Hennepin Lower than MN Polk Red Lake Clearwater Kanabec Beltrami Norman Mahnomen Sherburne Hubbard Becker

Past-Month PrescripMon Drug Misuse 25% Students ReporJng Past-Month PrescripJon Drug Misuse, 2016 MSS 20% 15% 10% 5% 5% 4% 5% 4% 6% 6% 0% 8th Grade 9th Grade 11th Grade Northwest Region Minnesota

Past-Month PrescripMon Drug Misuse Higher than MN Kittson Roseau Lake of the Woods Similar to MN Marshall Pennington Hennepin Lower than MN Polk Red Lake Clearwater Kanabec Beltrami Norman Mahnomen Sherburne Hubbard Becker

Risk + ProtecMve Factors

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

Alcohol Access (QuesMon not included on 2016 survey) Alcohol Sources for 8th, 9th, + 11th Graders ReporJng Any Past 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 someone 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 Northwest Region

Perceived Risk of Harm 5th, 8th, 9th, + 11th Graders' Perceived Risk of Great or Moderate Harm from Substance Use, 2016 MSS 100% 80% 60% 77% 75% 67% 66% 58% 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 Northwest Region Minnesota

Perceived Risk of Harm 100% 80% 60% 40% Northwest Region 9th Graders' Perceived Great or Moderate Risk of Harm from Substance Use, by Year (MSS) 88% 89% 81% 80% 79% 76% 82% 72% 66% 75% 67% 55% 20% 0% 2007 2010 2013 2016 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

Perceived vs Actual Use 73% of Northwest 11 th graders think most students in their school drink monthly or more 22% of Northwest 11 th graders report drinking themselves monthly or more 65% of Northwest 11 th graders think most students in their school use marijuana monthly or more 13% of Northwest 11 th graders report using marijuana themselves monthly or more

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

Comparison Groups Be mindful of the comparison groups! Northwest youth who think MOST students drink monthly or more ojen are 6.0x more likely to report they drink monthly or more vs Northwest youth who drink monthly or more ojen are 1.8x more likely to say they think MOST students drink monthly or more ojen Northwest youth who reported being bullied in the past month are 2.3x more likely to report past 30-day prescrip9on drug misuse vs Northwest youth who reported past 30-day prescrip9on drug misuse are 1.5x more likely to report having been bullied in the past month

Alcohol Use Students reporjng NO past-month alcohol use were NORTHWEST REGION MINNESOTA Less likely to report past month use of Almost 8x Almost 9x Tobacco Over 10x Almost 12x Marijuana 7x Almost 8x Prescrip9on drugs not prescribed for them

Tobacco Use Students reporjng NO past-month tobacco use were NORTHWEST REGION MINNESOTA Less likely to report past month use of Over 7x 8x Alcohol Almost 12x Over 16x Marijuana Almost 8x Almost 8x Prescrip9on drugs not prescribed for them

Mental Health Suicidal idea9on, Depression, Self harm

Suicidal IdeaMon Over 1 of 7 Northwest (13.0%) + Minnesota (11.8%) 8 th, 9 th, + 11 th graders reported past-year suicidal idea9on Northwest students repor9ng past-year suicidal idea9on were: Ø 2.5x more likely to report alcohol use Ø 2.6x more likely to report tobacco use Ø 4.4x more likely to report marijuana use Ø 5.5x more likely to report Rx drug misuse

Depression About 1 of 4 Northwest (24%) + Minnesota (22%) 8 th, 9 th, + 11 th graders reported past-year significant problems with feeling very depressed Northwest students repor9ng past-year significant problems with feeling very depressed were: Ø 1.8x more likely to report alcohol use Ø 2.1x more likely to report tobacco use Ø 3.0x more likely to report marijuana use Ø 3.7x more likely to report Rx drug misuse

Self-Harm Roughly 1 out of 6 (17%) Northwest + Minnesota 8 th, 9 th, + 11 th graders reported past-year self-harm Northwest students repor9ng past-year self-harm were: Ø 2.3x more likely to report alcohol use Ø 2.7x more likely to report tobacco use Ø 3.9x more likely to report marijuana use Ø 5.0x more likely to report Rx drug misuse

School Academic achievement School safety School climate School bonding Educa9onal engagement Truancy Rewards for prosocial behavior Suppor9ve teachers/school staff Bullying and vic9miza9on

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

Teacher-Student RelaMonships 100% 80% 60% 40% Students ReporJng Beber Teacher- Student RelaJonships 62% 64% Northwest students repor9ng befer teacher-student rela9onships were: Ø 2.5x less likely to report alcohol use Ø 2.7x less likely to report tobacco use Ø 3.5x less likely to report marijuana use Ø 2.7x less likely to report Rx drug misuse 20% 0% Northwest Region Minnesota

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.

EducaMonal Engagement 100% 80% 60% 40% Students ReporJng Greater EducaJonal Engagement 74% 78% Northwest students repor9ng greater educa9onal engagement were: Ø 2.3x less likely to report alcohol use Ø 3.1x less likely to report tobacco use Ø 3.5x less likely to report marijuana use Ø 3.1x less likely to report Rx drug misuse 20% 0% Northwest Region Minnesota

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

Bullying 100% Students ReporJng Bullying VicJmizaJon, by Frequency + Grade, 2016 MSS 80% 60% 40% 53% 49% 50% 44% 39% 38% 20% 19% 18% 19% 16% 15% 14% 0% 8th Grade 9th Grade 11th Grade 8th Grade 9th Grade 11th Grade Past Month Vic9miza9on Northwest Region Minnesota Weekly Vic9miza9on

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 ReporJng Past Month Drinking + Binge Drinking, by Past Month Frequency of Bullying VicJmizaJon (2016 MSS) 40% 30% 27.2% 29.3% 20% 10% 12.8% 20.5% 6.5% 10.2% 13.4% 15.5% 0% Past 30-Day Use None Monthly+ Weekly+ Daily Binge Drinking

Community Caring community, neighborhood safety Community ac9vi9es

Caring Community 4 out of 10 Northwest 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 1.8x less likely to report alcohol use Ø 1.9x less likely to report tobacco use Ø 2.4x less likely to report marijuana use Ø 2.2x less likely to report Rx drug misuse

Neighborhood Safety Northwest 5th, 8th, 9th, + 11th Graders ReporJng They Feel Safe in Their Neighborhood, 2016 MSS 94% feel safe Northwest 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 1.8x 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

ParMcipaMon in Community AcMviMes 4 of 5 (80%) Northwest 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 Northwest students repor9ng par9cipa9on in community ac9vi9es were: Ø 1.7x less likely to report alcohol use Ø 1.8x less likely to report tobacco use Ø 2.5x less likely to report marijuana use Ø 1.9x less likely to report Rx drug misuse

Family Parental communica9on + caring Adverse childhood experiences

Parental CommunicaMon 9 out of 10 Northwest 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 8 th, 9 th, + 11 th graders who can t were: Ø 1.9x more likely to report alcohol use Ø 1.9x more likely to report tobacco use Ø 2.8x more likely to report marijuana use Ø 2.9x more likely to report Rx drug misuse

Parental Caring 9 out of 10 Northwest 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 84% of Northwest students reported both parental communica9on and caring Northwest 8 th, 9 th, + 11 th who feel their parents care quite a bit or very much were: Ø 2.2x less likely to report alcohol use Ø 2.4x less likely to report tobacco use Ø 3.1x less likely to report marijuana use Ø 4.4x less likely to report Rx drug misuse

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

ACEs Northwest 8th, 9th, + 11th Graders ReporJng Past-Month Substance Use, by ACE Score (2016 MSS) 50% 40% 30% 20% 10% 0% 43% 36% 34% 30% 26% 26% 19% 17% 16% 11% 12% 10% 6% 4% 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

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