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Howell Wechsler, EdD, MPHDirector, Division of Adolescent and School Health
AAP/COSH, October 7, 2006
Howell Wechsler, EdD, MPHDirector, Division of Adolescent and School Health
AAP/COSH, October 7, 2006
Best of Times,Worst of TimesBest of Times,Worst of Times
School Health Profiles (2006)School Health Profiles (2006)
School Health Policies and Programs Study (2006)2006)School Health Policies and Programs Study (2006)2006)
CDC Data SourcesCDC Data Sources
Youth Risk Behavior Survey (2005)2005)Youth Risk Behavior Survey (2005)2005)
Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004
Percentage of Secondary Schools in Which Students Could Buy Chocolate Candy, by Selected State, 2004
* Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar * Among schools which allowed students to purchase foods or beverages from vending machines or at the school store, canteen, or snack bar
72
93
55
36
89
35
6765
0
25
50
75
100
StateMedian
Iowa NewHampshire
Oklahoma Delaware NorthCarolina
Utah Washington
In P
erce
nt
Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004
Percentage of Secondary Schools That Provided a Full Time Registered Nurse All Day, Every Day by Selected Large Urban School Districts, 2004
Source: CDC School Health Profiles 2004
1111
8080
9393
99
8383
1616
8686
5656
Median Chicago Dallas Los Angeles Memphis Philadelphia Miami San Diego0
25
50
75
100
Black students are Least likely to report use of tobacco, alcohol, cocaine,
inhalants, hallucinogens, methamphetamine, and ecstasy.
Least likely to drive when drinking alcohol. Most likely to report sexual risk behaviors and sedentary
behaviors.
Black students are Least likely to report use of tobacco, alcohol, cocaine,
inhalants, hallucinogens, methamphetamine, and ecstasy.
Least likely to drive when drinking alcohol. Most likely to report sexual risk behaviors and sedentary
behaviors.
2005 YRBS: Racial/Ethnic Differences2005 YRBS: Racial/Ethnic Differences
2005 YRBS: Racial/Ethnic Differences2005 YRBS: Racial/Ethnic Differences
White students are Least likely to report physical fighting, sexual risk
behaviors, and being overweight. Most likely to report frequent cigarette use, smokeless
tobacco use, and episodic heavy drinking.Hispanic students are Most likely to report attempted suicide and use of cocaine,
heroine, methamphetamine, and ecstasy.
White students are Least likely to report physical fighting, sexual risk
behaviors, and being overweight. Most likely to report frequent cigarette use, smokeless
tobacco use, and episodic heavy drinking.Hispanic students are Most likely to report attempted suicide and use of cocaine,
heroine, methamphetamine, and ecstasy.
Percentage of High School Students Who Ever Had Sexual Intercourse, by Sex and Race/Ethnicity,* 2005Percentage of High School Students Who Ever Had
Sexual Intercourse, by Sex and Race/Ethnicity,* 2005
* B > H > WSource: CDC, National Youth Risk Behavior Survey, 2005
4843
68
5146
47
0
25
50
75
100
Total Female Male White Black Hispanic
In P
erce
nt
Percentage of High School Students Who Actually Attempted Suicide,* by Sex and
Race/Ethnicity,** 2005
Percentage of High School Students Who Actually Attempted Suicide,* by Sex and
Race/Ethnicity,** 2005
1015
5 5 898
0
25
50
75
100
Total White Black Hispanic White Black Hispanic
In P
erce
nt
FemalesFemales MalesMales
* One or more times during the 12 months preceding the survey** F > M; *** H > W, BSource: CDC, National Youth Risk Behavior Survey, 2005
DASH-Funded SEAs, TEAs, and LEAsDASH-Funded SEAs, TEAs, and LEAs
HIV: 48 SEAs, 7 TEAs, 18 LEAs
CSHP / PANT: 23 SEAs
Asthma: 6 LEAs, 1 SEA
HIV: 48 SEAs, 7 TEAs, 18 LEAs
CSHP / PANT: 23 SEAs
Asthma: 6 LEAs, 1 SEA
NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal Institutions
That Influence Youth Behavior
NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal Institutions
That Influence Youth Behavior
HIV PREVENTION SEAs and LEAs SHAs and LHAs Organizations that Serve Youth at High Risk
• YMSM• African American and Latina Females• Youth in Juvenile Justice and/or Alternative Schools• Runaway and Homeless Youth
HBCUs Sexual Abstinence
HIV PREVENTION SEAs and LEAs SHAs and LHAs Organizations that Serve Youth at High Risk
• YMSM• African American and Latina Females• Youth in Juvenile Justice and/or Alternative Schools• Runaway and Homeless Youth
HBCUs Sexual Abstinence
NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal Institutions
That Influence Youth Behavior
NEW NGO PROGRAM ANNOUNCEMENTNational Programs to Build the Capacity of Societal Institutions
That Influence Youth Behavior
NON-HIV PREVENTION Asthma for SEAs, LEAs, SHAs, and LHAs Chronic Disease Prevention for SEAs and LEAs
• Physical Activity• Nutrition• Tobacco-Use Prevention
CSHP for SEAs and LEAs School Mental Health Services for SEAs and LEAs Professional Development for DASH-Funded NGOs
NON-HIV PREVENTION Asthma for SEAs, LEAs, SHAs, and LHAs Chronic Disease Prevention for SEAs and LEAs
• Physical Activity• Nutrition• Tobacco-Use Prevention
CSHP for SEAs and LEAs School Mental Health Services for SEAs and LEAs Professional Development for DASH-Funded NGOs
Coordinated School Health ProgramCoordinated School Health Program
Healthy School Environment
Healthy School Environment
HealthPromotion
for Staff
HealthPromotion
for Staff
Family and Community Involvement
Family and Community Involvement
Physical EducationPhysical EducationHealth EducationHealth Education
Health ServicesHealth Services
Counseling, Psychological, and
Social Services
Counseling, Psychological, and
Social Services
NutritionServicesNutritionServices
Emerging Areas of Activity for DASHEmerging Areas of Activity for DASH
Mental health
Management of chronic diseases
School connectedness
Association between health and academics
Mental health
Management of chronic diseases
School connectedness
Association between health and academics