2017 Orange Count y High School Yout h Risk Behavior Survey Result s Sexual Ident it y and Risk Behaviors The 2017 Youth Risk Behavior Survey (YRBS) was completed by 1,386 students in 19 public high schools in Orange County, Florida during the spring of 2017. The school response rate was 100%, the student response rate was 78%, and the overall response rate was 78%. The results are representative of all students in grades 9-12. The weighted demographic characteristics of the sample are as follows: Female 50.0% 9 th grade 26.5% Black (Non-Hispanic) 26.0% Male 50.0% 10 th grade 26.4% Hispanic/Latino 37.9% 11 th grade 24.0% White (Non-Hispanic) 28.3% 12 th grade 22.8% All other races (Non-Hispanic) 4.5% Other 0.3% Multiple races (Non-Hispanic) 3.3% Students completed a self-administered, anonymous, 92-item questionnaire. Survey procedures were designed to protect the privacy of students by allowing for anonymous and voluntary participation. Local parental permission procedures were followed before survey administration. The YRBS is one component of the Youth Risk Behavior Surveillance System (YRBSS) developed by the Centers for Disease Control and Prevention in collaboration with representatives from state and local departments of education and health, other federal agencies, and national education and health organizations. The YRBSS was designed to focus the nation on behaviors among youth related to the leading causes of mortality and morbidity among both youth and adults and to assess how these risk behaviors change over time. The YRBSS measures behaviors that fall into six categories: 1. Behaviors that contribute to unintentional injuries and violence; 2. Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection; 3. Alcohol and other drug use; 4. Tobacco use; 5. Unhealthy dietary behaviors; and 6. Inadequate physical activity. The YRBS also measures asthma and self-reported height and weight to allow calculation of body mass index for assessment of overweight and obesity. More information about the YRBSS can be obtained from http://www.cdc.gov/yrbss. A complete copy of the 2017 Orange County High School YRBS graphs, including trend data, can be found at www.health.ocps.net. Sexual Identity and Risk Behaviors: The Disparity Orange County high school students were asked, Which of the following best describes you? a) (straight); b) Gay or lesbian; c) Bisexual; d) Not sure. Among those surveyed in 2017, 12.2% self-identified as lesbian, gay, or bisexual (LGB). This included 8.3% of males and 15.1% of females. National research indicates that LGB youth often suffer from disparate rates of substance abuse, depression, suicidal behavior, bullying and harassment, abuse, sexually transmitted infections including HIV, and teenage pregnancy. These increased risks are often the result of, and a complicated reaction to, negative environmental stressors LGB face in their schools, homes, and communities. Recent research also shows that youth suffering from such health risks are at greater academic risk than are other youth. The research is supported by the local data gathered in this survey.
Behaviors that Result in Unintentional Injuries and Violence Never or rarely wore a seat belt when riding in a car driven by someone else 7.4 14.0 Rode with a driver who had been drinking alcohol one or more times during the past 30 days 15.0 25.2 Drove a car or other vehicle one or more times during the past 30 days when they had been drinking alcohol* 4.5 15.8 Texted or e-mailed while driving on at least one day during the past 30 days* 32.4 53.7 Carried a weapon such as a gun, knife, or club on at least one day during the past 30 days 9.1 17.4 Carried a weapon such as a gun, knife, or club on school property on at least one day during the past 30 days Carried a gun, not counting the days when they carried a gun only for hunting or for a sport such as target shooting, on at least one day during the past 12 months 0.9 6.1 7.3 4.8 Did not go to school at least one day during the past 30 days because they felt unsafe at school or on their way to or from school 9.0 21.0 Were threatened or injured with a weapon such as gun, knife, or club on school property one or more times during the past 12 months 5.0 13.7 Were in a physical fight one or more times during the past 12 months 21.1 27.8 Were in a physical fight on school property one or more times during the past 12 months 7.1 13.2 Were ever physically forced to have sexual intercourse when they did not want to 6.8 17.8 Experienced sexual violence, being forced by anyone to do sexual things that they did not want to, one or more times during the past 12 months 8.2 23.3 *Among students who drove a car or other vehicle one or more times during the past 30 days 2
Behaviors that Result in Unintentional Injuries and Violence Experienced sexual dating violence, being forced by someone they were dating or going out with to do sexual things that they did not want to*, ** 3.9 16.2 Experienced physical dating violence, being physically hurt on purpose by someone they were dating or going out with, one or more times*, ** 5.3 14.5 Texted, emailed, or posted electronically a revealing or sexual photo of themselves during the past 30 days 12.7 34.0 Reported a revealing or sexual photo of them had been texted, emailed, or posted electronically without their permission during the past 30 days 4.3 14.4 Had been bullied on school property** 14.4 27.2 Had been electronically bullied** 11.1 21.5 Felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities** 29.2 54.9 Seriously considered attempting suicide** 12.3 40.5 Made a plan about how they would attempt suicide** 12.3 32.5 Attempted suicide one or more times** 6.6 25.4 Made a suicide attempt that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse** 3.0 9.5 *Among students who dated or went out with someone during the past 12 months **During the past 12 months 3
Tobacco Use Ever tried cigarette smoking, even one or two puffs 15.8 25.5 First tried cigarette smoking before age 13 years, even one or two puffs 5.3 13.6 Currently smoked cigarettes on at least one day during the past 30 days 3.9 3.2 Smoked cigarettes on 20 or more of the past 30 days 2 0.7 Smoked cigarettes daily on the past 30 days 0.9 0.5 Currently used smokeless tobacco on at least 1 of the past 30 days 6.3 1.8 Currently smoked cigars, cigarillos, or little cigars on at least 1 day during the past 30 days 4.6 11.8 Ever used electronic vapor products 37.9 48.7 Currently used electronic vapor products on at least one day during the past 30 days Currently used tobacco (cigarette, smokeless tobacco, cigar, or electronic vapor product) on at least one day during the past 30 days 11.5 8.4 10.8 23.8 Currently used cigarettes, cigars, or smokeless tobacco on at least one day during the past 30 days 6.1 15.1 Currently smoked cigarettes or cigars on at least one day during the past 30 days 5.8 14.0 Did not try to quit using all tobacco products ever during the past 12 months, among students who used any tobacco products 40.6 63.5 4
Alcohol and Other Drug Use Ever drank alcohol 53.4 68.5 Drank alcohol, other than a few sips, for the first time before age 13 years 14.7 26.1 Currently drank at least one drink of alcohol on one or more of the past 30 days 21.1 35.4 Binge drink (four or more drinks of alcohol in a row for females, five or more for males) within a couple of hours*, ** 7.4 12.9 Drank 10 or more drinks of alcohol in a row within a couple of hours, during the past 30 days 2.2 2.2 Usually obtained the alcohol they drank from someone who gave it to them* Ever used marijuana*** 30.5 34.6 43.5 44.7 Tried marijuana for the first time before age 13 years Currently used marijuana one or more times during the past 30 days Ever used any form of cocaine, including powder, crack, or freebase*** Ever used inhalants to get high*** Ever used heroin*** Ever used methamphetamines*** Ever used ecstasy*** Ever used synthetic marijuana*** Ever took steroid pills or shots without a doctor's prescription*** 5.6 2.9 4.1 1.4 1.5 2.2 4.2 2.0 18.3 22.0 16.5 17.6 23.7 13.5 12.9 14.6 18.3 16.5 Ever took prescription pain medicine without a doctor's prescription or differently than how a doctor prescribed*** 9.1 27.2 Ever injected any illegal drug*** 1.9 12.4 Were offered, sold, or given an illegal drug on school property during the past 12 months 27.9 36.7 *Among students who reported current alcohol use **On at least one day during the past 30 days ***One or more times during their life 5
Sexual Behaviors that Contribute to Unintended Pregnancy and Sexually Transmitted Diseases, including HIV Infection Ever had sexual intercourse 32.3 45.5 Had sexual intercourse for the first time before age 13 years 7.4 3.9 Had sexual intercourse with four or more people during their life 10.4 7.3 Were currently sexually active with at least one person during the past three months 30.8 21.2 Drank alcohol or used drugs before last sexual intercourse* 16.9 19.5 Did not use a condom during last sexual intercourse* 40.2 51.4 Did not use birth control pills to prevent pregnancy before last sexual intercourse* 97.3 89.0 Did not use an IUD or implant to prevent pregnancy before last sexual intercourse* 100.0 97.5 Did not use a shot, patch, or birth control ring before last sexual intercourse to prevent pregnancy* 100.0 98.0 Did not use birth control pills; an IUD or implant; or a shot, patch, or birth control ring before last sexual intercourse to prevent pregnancy* Did not use both a condom during and birth control pills; an IUD or implant; or a shot, patch, or birth control ring before last sexual intercourse to prevent STD and pregnancy* 84.4 97.3 97.3 93.9 Did not use any method to prevent pregnancy during last sexual intercourse* 12.9 32.7 *Among students who had sexual intercourse during the past three months 6
Dietary Behaviors Were obese (i.e., at or above 95th percentile for body mass index, based on age and sex) Were overweight (i.e., at or greater than 85th percentile but below the 95th percentile for body mass index) 16.0 11.9 11.1 14.2 Described themselves as slightly or very overweight 31.5 26.3 Were not trying to lose weight 49.4 58.3 Did not drink 100% fruit juice one or more times during the past 7 days 24.2 33.0 Did not eat fruit one or more times during the past 7 days 14.1 13.8 Did not eat fruit or drink 100% fruit juices during the past 7 days 9.3 7.3 Did eat green salad during the past 7 days 39.6 45.8 Did not eat potatoes during the past 7 days 34.6 45.6 Did not eat carrots during the past 7 days 55.6 63.3 Did not eat other vegetables during the past 7 days 26.8 23.7 Did not eat vegetables during the past 7 days Drank a can, bottle, or glass of soda or pop one or more times per day during the past 7 days* 9.1 12.1 19.5 12.6 Drank a can, bottle, or glass of soda or pop two or more times per day during the past 7 days* 8.1 13.9 Drank a can, bottle, or glass of soda or pop three or more times per day during the past 7 days* 10.7 5.2 Did not drink milk during the past 7 days 28.6 36.9 Did not eat breakfast during the past 7 days 20.9 14.9 Did not eat breakfast on all 7 days during the past 7 days 60.8 78.8 *Not including diet soda or diet pop 7
Physical Activity Were not physically active at least 60 minutes per day on 5 or more days during the past 7 days Did not participate in at least 60 minutes of physical activity on at least 1 day during the past 7 days 25.8 19.3 60.1 76.3 Were not physically active at least 60 minutes per day on all 7 days before the survey 76.8 89.4 Watched television 3 or more hours per day* 18.4 27.2 Played video or computer games or used a computer 3 or more hours per day for something that was not school work* 39.5 38.8 Did not attend physical education classes on 1 or more days in an average school week 60.5 59.7 Did not attend physical education classes on all 5 days in an average school week 75.7 87.7 Did not play on at least one sports team during the past 12 months 58.0 55.2 Had a concussion from playing a sport or being physically active one or more times during the past 12 months 12.7 23.3 *On an average school day Were never tested for HIV (not including test done when donating blood) Had ever been given money, a place to stay, food, or something of value in exchange for sex Were ever told by a doctor or nurse that they had asthma Health-Related Topics 5.1 15.1 26.6 22.5 79.9 89.7 Did not see a dentist* Never saw a dentist Did not have 8 or more hours of sleep on an average school night Made mostly C's, D's, or F's in school* 4.7 2.8 29.0 26.2 39.4 41.2 84.0 91.5 *During the past 12 months 8
For additional information about the Orange County Youth Risk Behavior Survey, contact; Brenda Christopher-Muench at Brenda.Christopher-Muench@ocps.net or at 407-317-3200 x2002786. The School Board of Orange County, Florida, does not discriminate in admission or access to, or treatment or employment in its programs and activities, on the basis of race, color, religion, age, sex, national origin, marital status, disability, genetic information, sexual orientation, gender identity or expression, or any other reason prohibited by law. The School Board also provides equal access to the Boy Scouts and other designated youth groups. This holds true for all students who are interested in participating in educational programs and/or extracurricular school activities. The following persons have been designated at the Ronald Blocker Educational Leadership Center, 445 W. Amelia Street, Orlando, Florida 32801, to handle inquiries regarding the non-discrimination policies, reports of alleged violations, concerns about compliance and/or the grievance procedure(s), etc.: Equal Employment Opportunity (EEO) Officer and Title IX: Jared Brooks; ADA Coordinator: Michael Graf; Section 504 Coordinator: Latonia Green; (407.317.3200) The printing and distribution of this resource was supported with funding from Cooperative Agreement #1308 from the Centers for Disease Control and Prevention (CDC). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC. 9