New Mexico Youth Risk and Resiliency Survey (YRRS) Middle School Survey Results Mora County Grades

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New Mexico Youth Risk and Resiliency Survey (YRRS) Survey Results Mora County Grades 6-8 2017 New Mexico Department of Health New Mexico Public Education Department UNM Prevention Research Center

Suggested citation: Green D, Peñaloza L, and FitzGerald C. 2018. New Mexico Youth Risk and Resiliency Survey: Survey Results 2017, Mora County. Epidemiology and Response Division, New Mexico Department of Health; School and Family Support Bureau, New Mexico Public Education Department; and University of New Mexico Prevention Research Center. This publication was produced by the New Mexico Department of Health (NM DOH), the Public Education Department (NM PED), and the University of New Mexico Prevention Research Center. The NM YRRS receives support from the Centers for Disease Control and Prevention in cooperation with the NM PED through Grant number 1U87PS004195-01. For information about administration and methods used in implementation of the New Mexico Youth Risk and Resiliency Survey (NM YRRS), see www.youthrisk.org. 2

ACKNOWLEDGEMENTS This report is a product of the NM Youth Risk and Resiliency Survey (YRRS), a project that characterizes risk behaviors and resiliency/protective factors among New Mexico youth. The YRRS is a joint project of the New Mexico Department of Health (NMDOH) and the New Mexico Public Education Department (PED), with support and technical assistance from the University of New Mexico Prevention Research Center (UNM PRC); the Office of Substance Abuse Prevention, Behavioral Health Services Division (OSAP- BHSD); the Albuquerque Area Southwest Tribal Epidemiology Center (AASTEC); and the U.S. Centers for Disease Control and Prevention, Division of Adolescent and School Health (CDC-DASH). Gratitude is extended to the individuals listed below for their contribution toward developing and producing this report. (Individuals who served on the NM-YRRS 2017 Steering Committee are identified by an asterisk (*).) NEW MEXICO DEPARTMENT OF HEALTH K. Lynn Gallagher, JD, Secretary, New Mexico Department of Health Michael Landen, MD, MPH, State Epidemiologist and Director, Epidemiology and Response Division Toby Rosenblatt, MPA, Bureau Chief, Injury and Behavioral Epidemiology Bureau Dan Green, MPH, Survey Epidemiologist, Injury and Behavioral Epidemiology Bureau* Ihsan Mahdi, Morbidity Abuse Epidemiologist, Injury and Behavioral Epidemiology Bureau* Hayley Peterson, MPH, Substance Abuse Epidemiologist, Injury and Behavioral Epidemiology Bureau* James Padilla, MS, Tobacco Epidemiologist, Tobacco Use Prevention and Control Program* James Farmer, MPH, Director, Office of School and Adolescent Health* NEW MEXICO PUBLIC EDUCATION DEPARTMENT Christopher N. Ruszkowski, Secretary of Education Debbie M. Rael, Deputy Secretary, School Transformation Denise Koscielniak, Director, Comprehensive School Supports Division Dean Hopper, Director, Safe and Healthy Schools Bureau Anne Marlow-Geter, Healthy Schools Coordinator, Safe and Healthy Schools Bureau* UNIVERSITY OF NEW MEXICO DIVISION FOR PREVENTION AND POPULATION SCIENCES, HEALTH EVALUATION AND RESEARCH TEAM Linda J. Peñaloza, PhD, Associate Research Professor* Courtney FitzGerald, MSSW, LMSW, MPH, Associate Scientist III* Robyn Viera, MA, Scientific Research Manager Laura Gutman, PhD, Multi-Media Development Specialist ALBUQUERQUE AREA SOUTHWEST TRIBAL EPIDEMIOLOGY CENTER Kevin English, RPh, MPH, Director Judith Espinoza, MPH, Epidemiologist* Ophelia Spencer, Tribal Survey Coordinator NEW MEXICO HUMAN SERVICES DEPARTMENT, BEHAVIORAL HEALTH SERVICES DIVISION Karen Cheman, MPH, Prevention Staff Manager, Office of Substance Abuse Prevention * The NM YRRS receives suport from the Centers for Disease Control and Prevention through Grant number 1U87PS004195-01. 3

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Table of Contents Topic Participation in Mora County Risk Behaviors at a Glance Charts Personal Safety (Injury, Violence, and Bullying) Mental Health Tobacco Use and Exposure Alcohol Use Drug Use Sexual Behavior Weight Control Physical Activity Other Health Related Topics Resiliency/Protective Factors Relationship Between Selected Risk Behaviors and Resiliency/Protective Factors Appendix A: Questionnaire with Results Appendix B: About this Report Risk Behavior and Resiliency/Protective Factor Definitions Page 7 9 15 16 21 23 27 31 35 37 39 43 45 49 61 77 81 For a discussion of statistical significance, see Appendix B: About this Report 5

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The response rate for Mora County was 83%. A high response rate produces survey results that are more representative of the student population. A response rate of at least 60% allows generalization of results to the entire student body. A response rate of 70% is excellent and allows a high degree of confidence in results. Response rates below 60% are considered low, and caution should be exercised in interpreting results. Low response rates indicate that the data may represent only students who participated in the survey and not necessarily the entire student body. Profile of students surveyed Number of students Percent (%) who responded Total 80 (100%) Gender Girls 41 (51.9%) Boys 38 (48.1%) Race/Ethnicity New Mexico Youth Risk and Resiliency Survey Participation in Mora County (Grades 6-8) (Totals may be more than 100% because respondents were allowed to choose multiple race/ethnicities) American Indian or Alaska Native 15 (18.8) Asian 2 (2.5) Black or African-American 6 (7.5) Hispanic 73 (91.3) Native Hawaiian or Pacific Islander 5 (6.3) White 43 (53.8) Grade Level 6th 0 (0.0%) 7th 46 (58.2%) 8th 33 (41.8%) Ungraded or other 0 (0.0%) 7

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New Mexico Youth Risk and Resiliency Survey Risk Behaviors at a Glance Mora County and New Mexico (Grades 6-8) Indicator Personal Safety Rarely or never wore a bicycle helmet (of those who rode a bicycle) Rarely or never wore a seatbelt Ever carried a weapon Ever in a physical fight Ever bullied on school property Ever electronically bullied Mental Health Ever seriously thought about killing self Ever planned to kill self Ever tried to kill self Tobacco Use Ever smoked cigarettes Current cigarette smoking Current cigar use Current spit tobacco use Current hookah use Ever used e-cigarettes Current e-cigarette use In same room with cigarette smoker Alcohol Use Ever had a drink of alcohol Current drinker Five or more drinks on a single occasion First drink before age 11 Sexual Behavior Ever had sexual intercourse First sexual intercourse before 11 years of age Mora County New Mexico % (95% CI) % (95% CI) 86.0 (77.4-91.7) 71.0 (66.9-74.8) 5.2 (3.6-7.4) 4.8 (4.3-5.3) 41.5 (24.4-60.9) 35.7 (34.1-37.3) 45.5 (34.2-57.3) 45.3 (43.5-47.0) 52.1 (28.8-74.6) 46.9 (45.5-48.3) 23.2 (18.1-29.3) 20.8 (19.8-21.8) 19.5 (16.3-23.3) 23.6 (22.5-24.7) 18.1 (12.2-25.9) 15.3 (14.3-16.3) 11.3 (4.0-28.2) 9.4 (8.6-10.3) 10.2 (6.3-16.1) 12.4 (11.2-13.7) 3.0 (0.8-11.1) 3.9 (3.4-4.5) 3.4 (2.8-4.2) 2.9 (2.5-3.3) 8.0 (4.2-14.8) 2.4 (2.1-2.8) 3.1 (0.8-11.3) 3.7 (3.1-4.3) 14.3 (12.1-16.7) 21.6 (19.8-23.6) 9.8 (6.2-15.1) 10.0 (9.0-11.2) 27.5 (22.8-32.7) 25.2 (23.8-26.7) 24.4 (16.3-34.8) 25.3 (23.7-26.9) 8.7 (6.1-12.2) 10.5 (9.6-11.4) 4.3 (1.2-14.9) 4.9 (4.4-5.5) 10.0 (6.2-15.9) 11.1 (10.3-11.9) 2.8 (1.8-4.3) 6.3 (5.6-7.2) 2.8 (1.9-4.2) 1.6 (1.3-1.8) 9

New Mexico Youth Risk and Resiliency Survey Risk Behaviors at a Glance Mora County and New Mexico (Grades 6-8) Indicator Mora County New Mexico Drug Use Ever used marijuana Used marijuana before age 11 Current marijuana use Ever used synthetic marijuana Ever used cocaine Ever used inhalants Ever used prescription drugs without prescription Ever used painkillers to get high Body Weight Described self as overweight Trying to lose weight Ever fasted to lose weight Ever vomited or used laxatives to lose weight Used diet pills, powders, or liquids Physical Activity and Nutrition No days of physical activity in the past week Physically active five days per week Daily physical activity Three hours of TV per day Three hours of video or computer use per day Daily PE at school Participated in team sports Daily breakfast Other Characteristics Had a sports- related concussion Saw a dentist in the past 12 months Got 8 hours sleep/night Gambled in past 12 months 8.3 (4.1-16.4) 14.3 (12.9-15.9) 4.0 (1.5-9.8) 4.0 (3.5-4.7) 8.5 (6.1-11.9) 8.7 (7.7-9.7) 1.7 (0.3-11.0) 3.2 (2.8-3.8) 1.7 (0.2-12.2) 3.1 (2.7-3.5) 5.5 (2.6-11.2) 7.8 (7.3-8.5) 2.9 (0.7-10.6) 5.4 (4.8-6.0) 3.5 (2.7-4.4) 2.9 (2.4-3.4) 25.1 (19.9-31.1) 26.3 (25.1-27.5) 44.0 (34.4-54.2) 47.0 (45.1-48.8) 17.7 (14.0-22.0) 18.9 (17.9-19.9) 3.0 (0.8-9.9) 5.0 (4.6-5.5) 1.8 (0.3-11.0) 3.7 (3.3-4.2) 13.1 (10.4-16.5) 12.9 (12.0-13.8) 68.8 (67.4-70.2) 59.0 (57.7-60.2) 50.9 (43.6-58.0) 36.8 (35.7-37.8) 35.9 (31.6-40.5) 23.6 (22.3-25.0) 36.4 (27.5-46.4) 37.9 (36.6-39.2) 32.9 (32.2-33.6) 40.1 (36.5-43.9) 74.8 (64.9-82.7) 60.7 (59.3-62.2) 69.1 (64.5-73.4) 47.2 (45.7-48.7) 21.9 (17.6-27.0) 20.9 (19.8-22.0) 64.5 (51.5-75.7) 68.8 (66.9-70.6) 66.9 (59.8-73.2) 62.4 (61.0-63.8) 16.8 (10.6-25.7) 24.9 (23.9-25.9) 10

New Mexico Youth Risk and Resiliency Survey Risk Behaviors at a Glance Mora County and New Mexico (Grades 6-8) Personal Safety Rarely or never wore a bicycle helmet* Rarely or never wore a seatbelt 4.8 5.2 NM Mora 71.0 86.0 Ever carried a weapon 35.7 41.5 Ever in a physical fight 45.3 45.5 Ever bullied on school property 46.9 52.1 Ever electronically bullied 20.8 23.2 Mental Health Ever thought about killing self 23.6 19.5 Ever planned to kill self 15.3 18.1 Ever tried to kill self 9.4 11.3 Tobacco Use Ever smoked cigarettes Current cigarette smoking Current cigar use Current spit tobacco use* Current hookah use Ever used e-cigs* Current e-cig use In the same room with a cigarette smoker in the past 7 days 12.4 10.2 3.9 3.0 2.9 3.4 2.4 8.0 3.7 3.1 21.6 14.3 10.0 9.8 25.2 27.5 0 50 100 Percent (%) * Statistically significant difference. 11

Alcohol Use New Mexico Youth Risk and Resiliency Survey Risk Behaviors at a Glance Mora County and New Mexico (Grades 6-8) NM Mora Ever drank alcohol 25.3 24.4 Current alcohol use Five or more drinks on a single occasion Drank alcohol before age 11 10.5 8.7 4.9 4.3 11.1 10.0 Drug Use Ever used marijuana 8.3 14.3 Used marijuana before age 11 4.0 4.0 Current marijuana use 8.7 8.5 Ever used cocaine Ever used inhalants Ever used prescription pain meds without prescription Ever used pain killer to get high Ever used synthetic marijuana 3.1 1.7 7.8 5.5 5.4 2.9 2.9 3.5 3.2 1.7 Sexual Behavior Ever had sexual intercourse* Had sexual intercourse before age 11* 6.3 2.8 1.6 2.8 0 50 100 Percent (%) * Statistically significant difference. 12

New Mexico Youth Risk and Resiliency Survey Risk Behaviors at a Glance Mora County and New Mexico (Grades 6-8) Body Weight NM Mora Described self as overweight 26.3 25.1 Trying to lose weight 47.0 44.0 Ever fasted to lose weight Ever vomited or used laxatives to lose weight 5.0 3.0 18.9 17.7 Physical Activity and Nutrition No days of physical activity in the past week Physically active five days per week* 12.9 13.1 59.0 68.8 Daily physical activity* 36.8 50.9 Three hours of TV per day* Three hours of video or computer use per day 23.6 35.9 37.9 36.4 Daily PE at school* 32.9 40.1 Participated in team sports* 60.7 74.8 Daily breakfast* 47.2 69.1 Other Characteristics Had a sports-related concussion Saw a dentist in the past 12 months Got 8 hours sleep per night Gambled in past 12 months 20.9 21.9 68.8 64.5 62.4 66.9 24.9 16.8 0 50 100 Percent (%) * Statistically significant difference. 13

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Mora County Charts For definitions of risk behaviors, see Appendix C. 15

Percent (%) Personal Safety Behaviors Associated with Personal Safety by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 Rarely or never wore a bike helmet, among riders 0 2009 2011 2013 2015 2017 92.7 84.9 79.3 86.0 Ever rode with a drinking driver 38.4 33.5 26.1 15.7 Rarely or never wore a seatbelt 4.8 9.7 3.9 5.2 16

Percent (%) Personal Safety New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 86.0 80 71.0 60 40 20 19.4 15.7 4.8 5.2 0 Rarely or never wore bike helmet Rarely or never wore a seat belt Ever rode with a drinking driver 17

Percent (%) Personal Safety: Behaviors Associated with Violence Behaviors Associated with Violence by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 Ever carried a weapon (such as a gun, knife, or club) 2009 2011 2013 2015 2017 45.8 51.5 36.8 41.5 Ever been in a physical fight 61.0 47.3 47.7 45.5 Ever been bullied on school property 0 49.7 71.1 52.1 Ever been electronically bullied 13.6 15.2 23.2 18

Percent (%) Personal Safety: Behaviors Associated with Violence New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 60 40 35.7 41.5 45.3 45.5 20 0 Ever carried a weapon Physical fight 19

Percent (%) Personal Safety: Bullying New Mexico and Mora County Grades 6-8, 2017 100 NM Mora 80 60 52.1 46.9 40 20 20.8 23.2 0 Bullied on school property Electronically bullied 20

Percent (%) Mental Health Behaviors Associated with Mental Health by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 Ever seriously thought about killing yourself Ever made a plan about how you would kill yourself 0 2009 2011 2013 2015 2017 12.2 20.9 17.9 19.5 8.7 9.6 8.8 18.1 Ever tried to kill yourself 9.5 7.2 6.7 11.3 21

Percent (%) Mental Health New Mexico and Mora County Grades 6-8, 2017 100 NM Mora 80 60 40 23.6 20 19.5 15.3 18.1 9.4 11.3 0 Seriously thought about suicide Planned suicide Ever tried to kill self 22

Percent (%) Percent (%) Tobacco Use and Exposure Tobacco Use by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 Ever tried cigarette smoking, even one or two puffs? Smoked a cigarette before age 11 0 2009 2011 2013 2015 2017 38.9 29.7 26.9 10.2 13.4 10.0 5.4 4.6 100 80 60 40 20 0 2009 2011 2013 2015 2017 Any current tobacco use 21.0 11.4 8.2 19.2 Current e-cigarette use 9.8 Current cigarette smoker 12.9 9.3 3.8 3.0 Current hookah use 3.1 Current spit tobacco use 10.4 6.4 8.0 8.0 Current cigar use 12.1 11.5 2.8 3.4 23

Percent (%) Tobacco Use and Exposure New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 60 40 20 12.4 10.2 0 Ever smoked cigarettes 5.1 4.6 First tried cigarettes before age 11 3.9 3.0 Current cigarette smoking 0.5 1.8 0.4 1.8 Frequent cigarette smoking Daily cigarette smoking 24

Percent (%) Tobacco Use: Other types of tobacco New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 60 40 21.6 20 14.3 10.0 9.8 2.9 3.4 3.7 3.1 2.4 8.0 0 Ever used e-cigs Current e-cig use Current cigar use Current hookah use Current spit tobacco use 25

Percent (%) Tobacco Use: Other types of tobacco New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 87.1 80 80.8 60 40 25.2 27.5 20 12.9 19.2 0 Any current tobacco use No current tobacco use In the same room with a cigarette smoker, past 7 days 26

Percent (%) Alcohol Use Alcohol Use by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 2009 2011 2013 2015 2017 Ever drank alcohol 45.5 32.3 32.0 24.4 Drank alcohol before age 11 19.7 22.7 16.2 10.0 Current alcohol use 15.1 16.3 13.4 8.7 Five or more drinks on a single occasion 0 9.8 12.6 5.8 4.3 27

Percent (%) Alcohol Use New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 60 40 25.3 24.4 20 10.5 8.7 4.9 4.3 0 Ever drank alcohol Current alcohol use Five or more drinks on a single occasion 28

Percent (%) Alcohol Use New Mexico and Mora County Grades 6-8, 2017 100 NM Mora 80 60 40 20 11.1 10.0 19.4 15.7 0 Drank alcohol before age 11 Ever rode with a drinking driver 29

Percent (%) Alcohol Use: Access and Attitudes New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 93.4 90.7 89.3 86.9 80 75.4 78.9 60 40 20 22.0 16.6 0 It is easy to get alcohol My parents feel it would be "Very wrong" for me to drink alcohol I think it would be "Very wrong" for someone my age to drink alcohol There is a moderate or great risk of harm from regular alcohol use 30

Percent (%) Drug Use: Marijuana Drug Use: Marijuana Indicators by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 0 2009 2011 2013 2015 2017 Ever used marijuana 23.9 21.2 20.9 8.3 Used marijuana before age 11 7.3 8.2 6.6 4.0 Current marijuana use 19.5 16.5 14.0 8.5 31

Percent (%) Drug Use: Marijuana New Mexico and Mora County Grades 6-8, 2017 100 NM Mora 80 60 40 20 14.3 8.3 4.0 4.0 8.7 8.5 0 Ever used marijuana Used marijuana before age 11 Current marijuana use 32

Percent (%) Drug Use Drug Use Indicators by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 2009 2011 2013 2015 2017 Ever used inhalants 19.1 13.4 5.7 5.5 Ever used cocaine 1.0 4.5 1.7 Ever taken a prescription drug without a doctor's prescription 1.1 2.9 Ever used a pain killer to get high 8.2 1.1 3.5 Ever injected illegal drugs 0 2.3 3.7 3.2 33

Percent (%) Drug Use: Other drugs New Mexico and Mora County Grades 6-8, 2017 100 NM Mora 80 60 40 20 0 3.1 1.7 Ever used cocaine 7.8 5.5 Ever used inhalants 5.4 Ever used prescription pain meds without prescription 2.9 2.9 3.5 3.2 Ever used pain killer to get high 1.7 Ever used synthetic marijuana 1.0 3.2 Ever injected illegal drugs 34

Percent (%) Sexual Behavior Sexual Behavior Indicators by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 2009 2011 2013 2015 2017 Ever had sexual intercourse 16.1 12.0 12.1 2.8 First sexual intercourse before age 11 Had sexual intercourse with 3 or more people in lifetime 0 5.7 3.0 2.1 2.8 6.3 6.6 3.7 1.6 35

Percent (%) Sexual Behavior New Mexico and Mora County Grades 6-8, 2017 100 NM Mora 80 60 54.3 40 25.0 20 0 6.3 Ever had sexual intercourse 2.8 1.6 2.8 Had sexual intercourse before age 11 Had sexual intercourse with 3 or more people in lifetime* * Of those who ever had sexual intercourse, the last time they had sexual intercourse. 36

Percent (%) Weight Control and Nutrition Weight Control and Nutrition Indicators by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 2009 2011 2013 2015 2017 Ever fasted for weight control 17.1 19.4 13.4 17.7 Ever vomited or taken laxatives for weight control 0 7.3 3.7 1.9 3.0 Ate breakfast daily 52.2 69.1 37

Percent (%) Weight Control and Nutrition New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 69.1 60 47.0 44.0 47.2 40 26.3 25.1 20 18.9 17.7 5.0 3.0 3.7 1.8 0 Describe self as overweight Trying to lose weight Fasted for weight control Purged for weight control Used weight control products (diet pills, powders, etc.) Ate breakfast daily 38

Percent (%) Physical Activity Physical Activity Indicators by Year, Mora County Grades 6-8, 2009-2017 100 80 60 40 20 Physically active five days per week 2009 2011 2013 2015 2017 45.8 56.7 70.0 68.8 Daily physical activity 28.0 35.0 37.5 50.9 Physically active on none of past 7 days 0 20.6 20.9 6.0 13.1 39

Percent (%) Physical Activity New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 68.8 60 59.0 50.9 40 36.8 20 12.9 13.1 0 No days of physical activity in the past week Physically active five days per week Daily physical activity Physically active: A total of 60 minutes per day of physical activity. 40

Percent (%) Percent (%) Physical Activity Physical Activity Indicators by Year, Mora County Grades 6-8, 2009-2017 100 50 0 2009 2011 2013 2015 2017 Participates in team sports 66.8 74.8 Daily PE at school 12.0 30.9 64.5 32.9 100 50 Three or more hours of TV per day Three hours of video or computer use per day 0 2009 2011 2013 2015 2017 37.2 28.5 27.9 35.9 15.9 21.5 27.6 36.4 41

Percent (%) Physical Activity New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 74.8 60 60.7 40 37.9 35.9 36.4 40.1 32.9 23.6 20 0 Three hours of TV per day Three hours of video or computer use per day Daily PE at school Participated in team sports 42

Percent (%) Other Health-Related Topics New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 68.8 64.5 62.4 66.9 60 40 30.5 20 20.9 21.9 19.3 15.2 24.9 16.8 10.2 0 Had a sportsrelated concussion Ever told has asthma Current asthma Saw a dentist in the past 12 months Got 8 hours sleep/night Gambled in past 12 months 43

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Resiliency/Protective Factors 45

Percent (%) Resiliency/Protective Factors: In the home* New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 90.1 92.3 80 76.9 75.5 60 40 20 0 A parent or guardian is interested in my school work A parent or guardian knows where I am and who I am with when I am not home Respondent who said the statement was Pretty much true or Very much true. 46

Percent (%) Resiliency/Protective Factors: In the school New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 88.7 84.8 80 75.9 71.4 60 40 20 0 There are clear behavioral rules in my school An adult in my school listens to me Respondent who said the statement was Pretty much true or Very much true. 47

Percent (%) Resiliency/Protective Factors: In the community and with peers New Mexico and Mora County Grades 6-8, 2017 NM Mora 100 80 87.7 87.8 83.8 84.3 80.2 86.8 60 40 20 0 Outside home and school, an adult really cares about me I have a friend who really cares about me I have a friend who helps me when I'm having a hard time 48

Relationship Between Selected Risk Behaviors and Resiliency/Protective Factors 49

Physical fight by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 46.8 55.0 A parent or guardian knows where I am and who I am with when I am not home 46.8 60.9 There are clear behavioral rules in my school 46.6 62.6 An adult in my school listens to me 45.3 69.6 I have a friend who really cares about me 46.5 62.9 I have a friend who helps me when I'm having a hard time 46.2 62.5 Outside home and school, an adult really cares about me 46.3 61.5 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 46.8% were ever in a physical fight. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 55.0% were ever in a physical fight. 50

Ever carried a weapon by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 35.0 44.9 A parent or guardian knows where I am and who I am with when I am not home 35.4 45.1 There are clear behavioral rules in my school 35.1 50.7 An adult in my school listens to me 34.1 54.2 I have a friend who really cares about me 35.2 46.0 I have a friend who helps me when I'm having a hard time 34.8 49.6 Outside home and school, an adult really cares about me 35.0 47.4 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 35.0% Ever carried a weapon, such as a gun, knife, or club. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 44.9% Ever carried a weapon, such as a gun, knife, or club. 51

Seriously thought about suicide by Selected Resiliency Factors Northeast Public Health Region Grades 6-8 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 22.7 35.4 A parent or guardian knows where I am and who I am with when I am not home 23.1 40.8 There are clear behavioral rules in my school 23.0 37.8 An adult in my school listens to me 21.7 45.6 I have a friend who really cares about me 22.6 43.6 I have a friend who helps me when I'm having a hard time 22.4 43.9 Outside home and school, an adult really cares about me 22.7 41.1 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 22.7% ever seriously thought about killing themselves - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 35.4% ever seriously thought about killing themselves 52

Ever tried to kill self by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 9.1 19.6 A parent or guardian knows where I am and who I am with when I am not home 9.2 27.6 There are clear behavioral rules in my school 9.5 20.1 An adult in my school listens to me 8.5 25.7 I have a friend who really cares about me 9.2 23.8 I have a friend who helps me when I'm having a hard time 9.3 20.3 Outside home and school, an adult really cares about me 9.2 22.0 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 9.1% ever tried to kill themselves. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 19.6% ever tried to kill themselves. 53

Current cigarette smoker by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 4.3 8.4 A parent or guardian knows where I am and who I am with when I am not home 4.3 14.4 There are clear behavioral rules in my school 4.2 13.7 An adult in my school listens to me 3.9 12.8 I have a friend who really cares about me 4.1 14.7 I have a friend who helps me when I'm having a hard time 4.1 11.6 Outside home and school, an adult really cares about me 4.0 13.1 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 4.3% ever smoked cigarettes. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 8.4% ever smoked cigarettes. 54

Ever used e-cig by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 27.0 35.8 A parent or guardian knows where I am and who I am with when I am not home 27.0 43.8 There are clear behavioral rules in my school 26.5 48.5 An adult in my school listens to me 25.4 49.4 I have a friend who really cares about me 26.8 45.2 I have a friend who helps me when I'm having a hard time 27.1 36.6 Outside home and school, an adult really cares about me 26.8 38.8 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 27.0% ever used an e-cigarette. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 35.8% ever used an e-cigarette. 55

Ever drank alcohol by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 24.7 35.3 A parent or guardian knows where I am and who I am with when I am not home 24.9 40.2 There are clear behavioral rules in my school 24.7 40.8 An adult in my school listens to me 23.3 48.4 I have a friend who really cares about me 24.6 42.2 I have a friend who helps me when I'm having a hard time 24.6 38.7 Outside home and school, an adult really cares about me 24.9 37.2 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 24.7% ever drank alcohol. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 35.3% ever drank alcohol. 56

Current alcohol use by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 10.0 17.7 A parent or guardian knows where I am and who I am with when I am not home 10.2 20.3 There are clear behavioral rules in my school 10.1 20.2 An adult in my school listens to me 9.4 24.2 I have a friend who really cares about me 10.2 18.0 I have a friend who helps me when I'm having a hard time 10.2 17.1 Outside home and school, an adult really cares about me 10.1 20.0 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 10.0% were current alcohol drinkers. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 17.7% were current alcohol drinkers. 57

Marijuana ever by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 17.6 30.7 A parent or guardian knows where I am and who I am with when I am not home 18.1 31.5 There are clear behavioral rules in my school 17.7 36.6 An adult in my school listens to me 16.4 41.1 I have a friend who really cares about me 17.8 31.1 I have a friend who helps me when I'm having a hard time 17.8 30.4 Outside home and school, an adult really cares about me 17.7 32.5 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 17.6% ever used marijuana. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 30.7% ever used marijuana. 58

Sexual intercourse ever by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 6.3 13.3 A parent or guardian knows where I am and who I am with when I am not home 6.2 24.9 There are clear behavioral rules in my school 6.0 26.3 An adult in my school listens to me 5.8 19.8 I have a friend who really cares about me 6.5 15.1 I have a friend who helps me when I'm having a hard time 6.4 15.1 Outside home and school, an adult really cares about me 6.7 10.3 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 6.3% ever had sexual intercourse. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 13.3% ever had sexual intercourse. 59

Physically active on none of past 7 days by Selected Resiliency Factors Northeast Public Health Region Grades 6-8, 2017 "Very much true" or "Pretty much true" "Not at all true" or "A little bit true" A parent or guardian is interested in my school work 11.1 29.5 A parent or guardian knows where I am and who I am with when I am not home 12.0 28.7 There are clear behavioral rules in my school 12.2 21.4 An adult in my school listens to me 11.8 22.5 I have a friend who really cares about me 12.0 22.9 I have a friend who helps me when I'm having a hard time 12.0 22.0 Outside home and school, an adult really cares about me 12.1 21.9 0.0 20.0 40.0 60.0 80.0 100.0 Percent (%) How to read this chart: - Of those who said it was Very much true' or 'Pretty much true' that a parent or other adult was interested in their school work, 11.1% were not physically active on any of the past 7 days. - Of those who said it was 'Not at all true' or 'A little bit true' that a parent or other adult was interested in their school work, 29.5% were not physically active on any of the past 7 days. 60

Appendix A Questionnaire with Results 61

2017 Questionnaire NM YRRS Mora County Number of responses % 1. How old are you? A. 10 years old or younger 0 0.0% B. 11 years old 2 2.6% C. 12 years old 27 34.6% D. 13 years old 31 39.7% E. 14 years old 16 20.5% F. 15 years old 1 1.3% G. 16 years old or older 1 1.3% 2. What is your sex? A. Female 41 51.9% B. Male 38 48.1% 3. In what grade are you? A. 6th grade 0 0.0% B. 7th grade 46 58.2% C. 8th grade 33 41.8% D. Ungraded or other grade 0 0.0% 4. Are you Hispanic or Latino? A. Yes 73 93.6% B. No 5 6.4% 5. What is your race? (Select one or more responses.) A. American Indian or Alaska Native 15 22.7% B. Asian 2 3.0% C. Black or African American 6 9.1% D. Native Hawaiian or Other Pacific Islander 5 7.6% E. White 43 65.2% 62

Weighted Percent (%) (95% CI) 6. Which one of these groups best describes you? (Select only one response.) A. American Indian or Alaska Native 8.1 (5.2-12.3) B. Asian 1.5 (0.3-8.8) C. Black or African American 1.5 (0.3-8.8) D. Hispanic or Latino 76.9 (71.9-81.3) E. Native Hawaiian or Other Pacific Islander 0.0 (.-.) F. White 11.9 (10.6-13.4) PERSONAL SAFETY The next 3 questions ask about safety. 7. When you ride a bicycle, how often do you wear a helmet? A. I do not ride a bicycle 25.2 (22.1-28.6) B. Never wear a helmet 57.5 (51.8-63.0) C. Rarely wear a helmet 6.9 (3.3-14.0) D. Sometimes wear a helmet 3.9 (1.4-10.4) E. Most of the time wear a helmet 2.6 (0.4-13.8) F. Always wear a helmet 4.0 (0.8-17.3) 8. How often do you wear a seat belt when riding in a car? A. Never 2.8 (0.3-21.1) B. Rarely 2.4 (0.4-12.9) C. Sometimes 9.9 (7.3-13.1) D. Most of the time 15.7 (6.9-31.8) E. Always 69.3 (56.6-79.7) 9. Have you ever ridden in a car driven by someone who had been drinking alcohol? A. Yes 15.7 (10.9-22.2) B. No 71.1 (67.4-74.5) C. Not sure 13.2 (8.7-19.6) VIOLENCE-RELATED BEHAVIORS The next 2 questions ask about violence-related behaviors. 10. Have you ever carried a weapon, such as a gun, knife, or club? 41.5 (24.4-60.9) A. Yes 58.5 (39.1-75.6) B. No 11. Have you ever been in a physical fight? A. Yes 45.5 (34.2-57.3) B. No 54.5 (42.7-65.8) 63

BULLYING The next 2 questions ask about bullying. Bullying is when 1 or more students tease, threaten, spread rumors about, hit, shove, or hurt another student over and over again. It is not bullying when 2 students of about the same strength or power argue or fight or tease each other in a friendly way. 12. Have you ever been bullied on school property? A. Yes 52.1 (28.8-74.6) B. No 47.9 (25.4-71.2) 13. Have you ever been electronically bullied? (Count being bullied through texting, Instagram, Facebook, or other social media.) A. Yes 23.2 (18.1-29.3) B. No 76.8 (70.7-81.9) SADNESS AND ATTEMPTED SUICIDE The next 3 questions ask about attempted suicide. Sometimes people feel so depressed about the future that they may consider attempting suicide or killing themselves. 14. Have you ever seriously thought about killing yourself? A. Yes 19.5 (16.3-23.3) B. No 80.5 (76.7-83.7) 15. Have you ever made a plan about how you would kill yourself? A. Yes 18.1 (12.2-25.9) B. No 81.9 (74.1-87.8) 16. Have you ever tried to kill yourself? A. Yes 11.3 (4.0-28.2) B. No 88.7 (71.8-96.0) TOBACCO USE The next 5 questions ask about cigarette smoking. 17. Have you ever tried cigarette smoking, even one or two puffs? A. Yes 10.2 (6.3-16.1) B. No 89.8 (83.9-93.7) 18. How old were you when you first tried cigarette smoking, even one or two puffs? A. I have never tried cigarette smoking, not even one or two puffs 89.6 (83.3-93.8) B. 8 years old or younger 2.8 (1.9-4.1) C. 9 years old 0.0 (.-.) D. 10 years old 1.8 (0.2-12.9) E. 11 years old 0.0 (.-.) F. 12 years old 4.6 (1.3-14.4) G. 13 years old or older 1.2 (0.2-6.7) 64

19. During the past 30 days, on how many days did you smoke cigarettes? A. 0 days 97.0 (88.9-99.2) B. 1 or 2 days 0.0 (.-.) C. 3 to 5 days 0.0 (.-.) D. 6 to 9 days 0.0 (.-.) E. 10 to 19 days 1.2 (0.2-6.8) F. 20 to 29 days 0.0 (.-.) G. All 30 days 1.8 (0.2-12.5) 20. Do you think you will smoke a cigarette at any time during the next year? A. Definitely yes 3.2 (0.7-13.0) B. Probably yes 2.9 (0.7-11.1) C. Probably not 10.0 (3.8-23.6) D. Definitely not 83.9 (70.2-92.0) 21. If one of your best friends offered you a cigarette, would you smoke it? A. Definitely yes 1.4 (0.2-11.4) B. Probably yes 4.4 (1.2-14.3) C. Probably not 10.7 (5.9-18.7) D. Definitely not 83.4 (79.6-86.6) ELECTRONIC CIGARETTES The next 3 questions ask about electronic vapor products, such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, ego, and Halo. Electronic vapor products include e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e- hookahs, and hookah pens. 22. Have you ever used an electronic vapor product? 14.3 (12.1-16.7) A. Yes 85.7 (83.3-87.9) B. No 23. During the past 30 days, on how many days did you use an electronic vapor product? A. 0 days 90.2 (84.9-93.8) B. 1 or 2 days 6.8 (5.3-8.5) C. 3 to 5 days 0.0 (.-.) D. 6 to 9 days 1.8 (0.3-10.7) E. 10 to 19 days 0.0 (.-.) F. 20 to 29 days 1.2 (0.2-7.1) G. All 30 days 0.0 (.-.) 24. The last time you used an electronic vapor product, what was in the mist or vapor you inhaled? A. I have never used an electronic vapor product 83.2 (79.6-86.3) B. Nicotine 1.2 (0.2-6.6) C. Marijuana, THC, or hash oil 3.1 (0.9-10.3) D. Just flavoring 9.3 (6.0-14.2) E. Something else 0.0 (.-.) F. Not sure 3.2 (0.6-14.1) 65

The next 4 questions ask about other tobacco products. 25. During the past 30 days, on how many days did you use chewing tobacco, snuff, dip, snus, or dissolvable tobacco products, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, Copenhagen, Camel Snus, Marlboro Snus, General Snus, Ariva, Stonewall, or Camel Orbs? (Do not count any electronic vapor products.) A. 0 days 92.0 (85.2-95.8) B. 1 or 2 days 6.7 (2.3-17.7) C. 3 to 5 days 0.0 (.-.) D. 6 to 9 days 0.0 (.-.) E. 10 to 19 days 1.4 (0.2-7.6) F. 20 to 29 days 0.0 (.-.) G. All 30 days 0.0 (.-.) 26. During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars? A. 0 days 96.6 (95.8-97.2) B. 1 or 2 days 1.7 (0.2-10.8) C. 3 to 5 days 0.0 (.-.) D. 6 to 9 days 1.7 (0.2-12.2) E. 10 to 19 days 0.0 (.-.) F. 20 to 29 days 0.0 (.-.) G. All 30 days 0.0 (.-.) 27. During the past 30 days, on how many days did you smoke tobacco or flavored tobacco in a hookah, even just a puff? A. 0 days 96.9 (88.7-99.2) B. 1 or 2 days 1.4 (0.2-7.9) C. 3 to 5 days 0.0 (.-.) D. 6 to 9 days 0.0 (.-.) E. 10 to 19 days 1.7 (0.2-12.2) F. 20 to 29 days 0.0 (.-.) G. All 30 days 0.0 (.-.) 28. During the past 7 days, on how many days were you in the same room with someone who was smoking cigarettes? A. 0 days 72.5 (67.3-77.2) B. 1 day 5.4 (2.6-11.1) C. 2 days 1.1 (0.1-9.3) D. 3 days 4.0 (1.5-10.4) E. 4 days 1.1 (0.2-6.4) F. 5 days 1.1 (0.1-9.3) G. 6 days 1.1 (0.2-6.4) H. 7 days 13.6 (7.6-23.1) ALCOHOL The next 8 questions ask about drinking alcohol. This includes drinking beer, wine, wine coolers, and liquor such as rum, gin, vodka, or whiskey. For these questions, drinking alcohol does not include drinking a few sips of wine for religious purposes. 29. Have you ever had a drink of alcohol, other than a few sips? 24.4 (16.3-34.8) A. Yes 75.6 (65.2-83.7) B. No 66

30. How old were you when you had your first drink of alcohol other than a few sips? A. I have never had a drink of alcohol other than a few sips 76.4 (64.0-85.5) B. 8 years old or younger 4.3 (1.7-10.3) C. 9 years old 0.0 (.-.) D. 10 years old 5.8 (4.9-6.9) E. 11 years old 0.0 (.-.) F. 12 years old 10.7 (3.3-29.5) G. 13 years old or older 2.9 (0.5-16.1) 31. During the past 30 days, on how many days did you have at least one drink of alcohol? A. 0 days 91.3 (87.8-93.9) B. 1 or 2 days 4.8 (3.3-7.0) C. 3 to 5 days 1.4 (0.2-11.5) D. 6 to 9 days 1.2 (0.2-6.7) E. 10 to 19 days 0.0 (.-.) F. 20 to 29 days 1.2 (0.2-6.7) G. All 30 days 0.0 (.-.) 32. During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours? A. 0 days 95.7 (85.1-98.8) B. 1 day 1.4 (0.2-7.9) C. 2 days 1.7 (0.2-12.2) D. 3 to 5 days 1.2 (0.2-6.7) E. 6 to 9 days 0.0 (.-.) F. 10 to 19 days 0.0 (.-.) G. 20 or more days 0.0 (.-.) 33. If you wanted to get some beer, wine, or hard liquor (for example, vodka, whiskey, or gin), how easy would it be for you to get? A. Very hard 77.6 (73.9-81.0) B. Sort of hard 5.7 (2.1-14.5) C. Sort of easy 7.6 (3.1-17.6) D. Very easy 9.0 (5.3-15.0) 34. How wrong do your parents feel it would be for you to drink alcohol (beer, wine, or hard liquor) regularly? A. Very wrong 85.9 (77.0-91.7) B. Wrong 4.8 (1.3-16.6) C. A little bit wrong 3.5 (1.0-12.1) D. Not wrong at all 5.8 (2.0-15.6) 35. How wrong do you think it is for someone your age to drink alcohol (beer, wine, or hard liquor) regularly? A. Very wrong 74.2 (67.5-79.9) B. Wrong 12.7 (5.2-28.0) C. A little bit wrong 9.4 (5.5-15.8) D. Not wrong at all 3.7 (2.9-4.8) 67

36. How much do you think people risk harming themselves (physically or in other ways) if they have one or two drinks of beer, wine, or hard liquor nearly every day? A. No risk 13.3 (8.6-20.0) B. Slight risk 7.8 (5.4-10.9) C. Moderate risk 17.6 (12.4-24.5) D. Great risk 61.3 (49.9-71.5) MARIJUANA The next 3 questions ask about marijuana use. Marijuana also is called grass, pot, or weed. 37. Have you ever used marijuana? A. Yes 8.3 (4.1-16.4) B. No 91.7 (83.6-95.9) 38. How old were you when you tried marijuana for the first time? A. I have never tried marijuana 91.5 (83.7-95.8) B. 8 years old or younger 2.7 (1.9-3.9) C. 9 years old 0.0 (.-.) D. 10 years old 1.2 (0.1-10.0) E. 11 years old 1.2 (0.2-7.0) F. 12 years old 0.0 (.-.) G. 13 years old or older 3.3 (0.7-13.4) 39. During the past 30 days, how many times did you use marijuana? A. 0 times 91.5 (88.1-93.9) B. 1 or 2 times 4.0 (1.4-10.8) C. 3 to 9 times 2.9 (0.8-9.5) D. 10 to 19 times 0.0 (.-.) E. 20 to 39 times 0.0 (.-.) F. 40 or more times 1.7 (0.2-12.0) 68

OTHER DRUGS The next 6 questions ask about other drugs. 40. Have you ever used any form of cocaine, including powder, crack, or freebase? A. Yes 1.7 (0.2-12.2) B. No 98.3 (87.8-99.8) 41. Have you ever sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high? A. Yes 5.5 (2.6-11.2) B. No 94.5 (88.8-97.4) 42. Have you ever taken prescription pain medicine without a doctor's prescription or differently than how a doctor told you to use it? (Count drugs such as codeine, Vicodin, OxyContin, Hydrocodone, and Percocet.) A. Yes 2.9 (0.7-10.6) B. No 97.1 (89.4-99.3) 43. Have you ever used a pain killer to get high, like Vicodin, OxyContin (also called Oxy or OC), or Percocet (also called Percs)? A. Yes 3.5 (2.7-4.4) B. No 96.5 (95.6-97.3) 44. Have you ever used synthetic marijuana (also called K2 or Spice)? A. Yes 1.7 (0.3-11.0) B. No 98.3 (89.0-99.7) 45. Have you ever used a needle to inject any illegal drug into your body? A. Yes 3.2 (0.6-14.6) B. No 96.8 (85.4-99.4) Sexual Behavior The next 4 questions ask about sexual intercourse. 46. Have you ever had sexual intercourse? A. Yes 2.8 (1.8-4.3) B. No 97.2 (95.7-98.2) 47. How old were you when you had sexual intercourse for the first time? A. I have never had sexual intercourse 97.2 (95.8-98.1) B. 8 years old or younger 1.5 (0.2-12.6) C. 9 years old 1.3 (0.2-7.2) D. 10 years old 0.0 (.-.) E. 11 years old 0.0 (.-.) F. 12 years old 0.0 (.-.) G. 13 years old or older 0.0 (.-.) 69

48. With how many people have you ever had sexual intercourse? A. I have never had sexual intercourse 97.1 (95.8-98.0) B. 1 person 1.3 (0.2-7.4) C. 2 people 0.0 (.-.) D. 3 people 0.0 (.-.) E. 4 people 0.0 (.-.) F. 5 people 0.0 (.-.) G. 6 or more people 1.6 (0.2-12.5) 49. The last time you had sexual intercourse, did you or your partner use a condom? A. I have never had sexual intercourse 97.2 (95.8-98.1) B. Yes 1.3 (0.2-7.1) C. No 1.5 (0.2-12.6) Body Weight The next 5 questions ask about body weight. 50. How do you describe your weight? A. Very underweight 1.5 (0.2-11.8) B. Slightly underweight 7.4 (1.9-24.6) C. About the right weight 66.1 (51.7-78.0) D. Slightly overweight 17.6 (13.8-22.3) E. Very overweight 7.5 (3.5-15.3) 51. Which of the following are you trying to do about your weight? A. Lose weight 44.0 (34.4-54.2) B. Gain weight 14.6 (5.2-34.5) C. Stay the same weight 21.2 (16.1-27.4) D. I am not trying to do anything about my weight 20.1 (17.2-23.4) 52. Have you ever gone without eating for 24 hours or more (also called fasting) to lose weight or to keep from gaining weight? A. Yes 17.7 (14.0-22.0) B. No 82.3 (78.0-86.0) 53. Have you ever vomited or taken laxatives to lose weight or to keep from gaining weight? A. Yes 3.0 (0.8-9.9) B. No 97.0 (90.1-99.2) 54. Have you ever taken any diet pills, powders, or liquids without a doctor's advice to lose weight or to keep from gaining weight? (Do not count meal replacement products such as Slim Fast.) A. Yes 1.8 (0.3-11.0) B. No 98.2 (89.0-99.7) 70

BREAKFAST The next question asks about eating breakfast. 55. During the past 7 days, on how many days did you eat breakfast? A. 0 days 7.8 (6.5-9.2) B. 1 day 0.9 (0.1-6.1) C. 2 days 3.8 (1.4-9.7) D. 3 days 3.8 (2.8-5.2) E. 4 days 2.5 (2.0-3.0) F. 5 days 8.6 (4.8-14.9) G. 6 days 3.5 (2.2-5.5) H. 7 days 69.1 (64.5-73.4) PHYSICAL ACTIVITY The next 5 questions ask about physical activity. 56. During the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? (Add up all the time you spent in any kind of physical activity that increased your heart rate and made you breathe hard some of the time.) A. 0 days 13.1 (10.4-16.5) B. 1 day 4.1 (1.8-9.1) C. 2 days 2.4 (2.1-2.8) D. 3 days 5.4 (2.6-10.6) E. 4 days 6.1 (2.9-12.4) F. 5 days 15.4 (8.6-25.9) G. 6 days 2.6 (2.4-2.8) H. 7 days 50.9 (43.6-58.0) 57. On an average school day, how many hours do you watch TV? A. I do not watch TV on an average school day 19.8 (10.1-35.3) B. Less than 1 hour per day 12.4 (2.8-40.8) C. 1 hour per day 15.9 (10.1-24.0) D. 2 hours per day 15.9 (9.1-26.4) E. 3 hours per day 11.7 (8.3-16.2) F. 4 hours per day 6.8 (6.2-7.5) G. 5 or more hours per day 17.4 (16.2-18.7) 58. On an average school day, how many hours do you play video or computer games or use a computer for something that is not school work? (Count time spent on things such as Xbox, PlayStation, an ipad or other tablet, a smartphone, texting, YouTube, Instagram, Facebook, or other social media.) A. I do not play video or computer games or use a computer for something that is not school work 21.3 (13.9-31.3) B. Less than 1 hour per day 16.9 (14.9-19.1) C. 1 hour per day 9.3 (6.3-13.4) D. 2 hours per day 16.1 (11.7-21.7) E. 3 hours per day 9.5 (3.8-22.1) F. 4 hours per day 0.0 (.-.) G. 5 or more hours per day 26.9 (23.7-30.5) 71

59. In an average week when you are in school, on how many days do you go to physical education (PE) classes? A. 0 days 41.5 (34.2-49.2) B. 1 day 0.0 (.-.) C. 2 days 1.8 (0.2-12.7) D. 3 days 18.9 (11.2-30.1) E. 4 days 4.9 (1.9-12.3) F. 5 days 32.9 (32.2-33.6) 60. During the past 12 months, on how many sports teams did you play? (Count any teams run by your school or community groups.) A. 0 teams 25.2 (17.3-35.1) B. 1 team 24.2 (19.5-29.7) C. 2 teams 18.0 (12.9-24.4) D. 3 or more teams 32.6 (23.2-43.7) The next question asks about concussions. A concussion is when a blow or jolt to the head causes problems such as headaches, dizziness, being dazed or confused, difficulty remembering or concentrating, vomiting, blurred vision, or being knocked out. 61. During the past 12 months, how many times did you have a concussion from playing a sport or being physically active? A. 0 times 78.1 (73.0-82.4) B. 1 time 7.5 (4.3-13.0) C. 2 times 5.1 (2.5-10.2) D. 3 times 3.2 (0.8-12.0) E. 4 or more times 6.1 (3.4-10.6) HEALTH-RELATED TOPICS The next 6 questions ask about other health-related topics. 62. Has a doctor or nurse ever told you that you have asthma? A. Yes 30.5 (24.3-37.6) B. No 58.7 (53.3-63.9) C. Not sure 10.8 (7.1-16.0) 63. Do you still have asthma? A. I have never had asthma 60.0 (37.1-79.2) B. Yes 16.8 (10.9-25.0) C. No 8.3 (5.3-12.8) D. Not sure 15.0 (6.1-32.3) 64. When was the last time you saw a dentist for a check-up, exam, teeth cleaning, or other dental work? A. During the past 12 months 64.5 (51.5-75.7) B. Between 12 and 24 months ago 4.3 (2.7-6.7) C. More than 24 months ago 4.5 (0.7-24.6) D. Never 1.8 (0.2-13.0) E. Not sure 24.8 (15.3-37.7) 72

65. On an average school night, how many hours of sleep do you get? A. 4 or less hours 9.0 (5.9-13.4) B. 5 hours 1.5 (0.2-8.9) C. 6 hours 8.9 (3.4-21.2) D. 7 hours 13.8 (4.4-35.8) E. 8 hours 26.5 (25.5-27.5) F. 9 hours 22.6 (18.1-27.8) G. 10 or more hours 17.8 (15.1-20.9) 66. During the past 12 months, how would you describe your grades in school? A. Mostly A's 41.2 (26.7-57.3) B. Mostly B's 29.8 (29.0-30.6) C. Mostly C's 18.0 (6.0-43.1) D. Mostly D's 1.5 (0.2-9.7) E. Mostly F's 1.6 (0.2-11.2) F. None of these grades 1.3 (0.2-9.0) G. Not sure 6.7 (3.2-13.4) 67. During the past 12 months, how many times have you gambled on a sports team, gambled when playing cards or a dice game, played one of New Mexico's lottery games, gambled on the Internet, or bet on a game of personal skill such as pool or a video game? A. 0 times 83.2 (74.3-89.4) B. 1 or 2 times 3.4 (0.8-13.3) C. 3 to 9 times 6.2 (3.3-11.4) D. 10 to 19 times 1.5 (0.2-9.6) E. 20 to 39 times 2.8 (0.4-17.2) F. 40 or more times 2.8 (0.4-19.1) RESILIENCY FACTORS The next 8 questions ask about your family, your school, other adults, your friends, and yourself. How true do you feel the following 8 statements are for you? 68. In my home, there is a parent or some other adult who is interested in my school work. A. Not true at all 12.2 (8.1-18.2) B. A little true 12.3 (5.8-24.3) C. Pretty much true 13.9 (9.2-20.4) D. Very much true 61.6 (56.4-66.5) 69. When I am not at home, one of my parents or guardians knows where I am and who I am with. A. Not true at all 2.9 (2.4-3.7) B. A little true 4.7 (2.3-9.6) C. Pretty much true 12.7 (6.2-24.2) D. Very much true 79.6 (69.8-86.9) 73