2009 WEST VIRGINIA HIGH SCHOOL YOUTH RISK BEHAVIOR SURVEY RESULTS EXECUTIVE SUMMARY West Virginia Department of Education June 2010 2009 WEST VIRGINIA HIGH SCHOOL YOUTH RISK BEHAVIOR SURVEY RESULTS The YRBS is one component of the Youth Risk Behavior Surveillance System (YRBSS) developed by the CDC 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. Unintentional injuries and violence; 2. Tobacco use; 3. Alcohol and other drug use; 4. Sexual behaviors that result in HIV infection, other sexually transmitted diseases, and unintended pregnancies; 5. Dietary behaviors; 6. Physical activity. The YRBS also measures self-reported height and weight to allow calculation of body mass index as well as health data associated with asthma. The West Virginia High School Youth Risk Behavior Survey (YRBS) is an 89-item self-reporting questionnaire that has been administered every two years since 1993 by the West Virginia Department of Education (WVDE). During the 2009 High School YRBS administration, a total of 35 public high schools were randomly selected from around the state, with 34 participating. Survey procedures were designed to protect the privacy of students by allowing for anonymous and voluntary participation. Parental permission procedures were followed at the local level before surveys were administered to students. In total, 1,670 students in grades 9 through 12 participated in this voluntary and anonymous survey, with a school response rate of 97% and the student response rate of 82%. The overall response rate was 79%. The 97% participation rates from individual schools along with the high levels of student response rates have been scientifically weighted which allows survey results to be generalized to all public high school students across West Virginia. West Virginia YRBS data has been weighted every year the survey has been conducted except 2001. The weighted demographic characteristics of the sample are as follows: Sex: Female 48.8% Male 51.2% Grade level 9th grade 28.6% 10th grade 25.0% 11th grade 23.4% 12th grade 22.8% Race: White* 93.3% Black* 5.0%. Hispanic/ Latino 0.8%; Multiple races 0.5% All other races 0.4% *Non-Hispanic The following is a brief synopsis of major survey results and comparisons of the 2009 YRBS data to previous years. The full report can be accessed at: http://wvde.state.wv.us/osshp/main/programs.html 3 2009 WEST VIRGINIA HIGH SCHOOL YOUTH RISK BEHAVIOR SURVEY RESULTS . Key Findings TOBACCO USE The percentage of students who ever tried cigarette smoking decreased 59.3% in 2007 to 55.2% in 2009. ILLEGAL DRUG USE The use of marijuana one or more times during their life decreased from 40.9% in 2007 to 38.9% in 2009. Early initiation of cigarette smoking (i.e., before age 13) decreased from 21.5 in 2007 to 17.6% in 2009. The percentage of students who tried marijuana for the first time before age 13 decreased from 11.3% in 2007 to 9.0% in 2009. Cigar smoking decreased from 14.5% in 2007 to 14.3% in 2009. The use of marijuana in the 30 days before the survey decreased from 23.5% in 2007 to 20.3% in 2009. Smokeless tobacco use decreased from 14.8% in 2007 to 14.4% in 2009. Marijuana use on school property decreased from 5.8% in 2007 to 3.9% in 2009. The percentage of students who smoked cigarettes on 20 or more of the past 30 days decreased from 14.4% in 2007 to 11.4% in 2009. Students who used any form of cocaine one or more times during their life decreased from 11.1% in 2007 to 8.3% in 2009. Students who sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life decreased from 19.2% in 2007 to 15.3% in 2009. Smoking on school property decreased from 8.8% in 2007 to 5.5% in 2009. Lifetime methamphetamine use decreased from 8.1% in 2007 to 6.5% in 2009. Daily cigarette smoking during the past month (one or more of the past 30 days) decreased 19.5% in 2007 to 17.7% in 2009. The percentage of students who were offered, sold, or given an illegal drug by someone on school property during the past 12 months decreased from 28.6% in 2007 to 28.0% in 2009. Current cigarette smoking (i.e., smoking 10 or more cigarettes per day on the days they smoked during the past 30 days) decreased from 20.3% in 2007 to 12.9% in 2009. Those who smoked cigarettes or cigars or used smokeless or chewing tobacco on one or more of the past 30 days decreased from 34.5% in 2007 to 29.5% in 2009. ALCOHOL USE Early initiation of alcohol use (i.e., before age 13), decreased from 27.6% in 2007 to 22.7% in 2009. Alcohol use on school property increased from 5.5% in 2007 to 5.7% in 2009. Students who had at least one drink of alcohol on one or more of the past 30 days decreased from 43.5% in 2007 to 40.4% in 2009. Students who had at least one drink of alcohol on one or more days during their life 75.4% in 2007 to 73.4% in 2009. Binge drinking (i.e., consuming five or more drinks in a row within a couple of hours) in the past month, decreased from 29.5% in 2007 to 27.2% in 2009. INJURY AND VIOLENCE The percentage of students who drove a car or other vehicle one or more times in the past month when they had been drinking alcohol decreased from 10.0% in 2007 to 7.5% in 2009. Weapon carrying in the past month such as a gun, knife or club increased from 21.3% in 2007 to 21.4% in 2009. Gun carrying during the past 30 days increased significantly from 4.9% in 2007 to 10.1% in 2009. Weapon carrying on school property such as a gun, knife or club decreased from 6.9% in 2007 to 6.5% in 2009. The percentage of students who did not go to school on one or more days in the past month because they felt unsafe at school or on their way to or from school has increased from 6.8% in 2007 to 7.8% in 2009. 4 2009 WEST VIRGINIA HIGH SCHOOL YOUTH RISK BEHAVIOR SURVEY RESULTS The percentage of students who were in a physical fight on school property one or more times during the past year decreased from 12.9% in 2007 to 11.3% in 2009. Students who were ever hit, slapped, or physically hurt on purpose by their boyfriend/girlfriend during the past year increased from 11.8% in 2007 to 13.8% in 2009. WEIGHT MANAGEMENT AND DIETARY BEHAVIORS The percentage of students at risk for becoming overweight decreased from 17.0% in 2007 to 14.4% in 2009. The percentage of students who never or rarely wore a seat belt when riding in a car driven by someone else decreased from 16.6% in 2007 to 14.0% in 2009. SUICIDAL THINKING AND BEHAVIOR The percentage of students who have seriously considered suicide in the past year increased from 16.0% in 2007 to 18.0% in 2009. The percentage of students who actually attempted suicide one or more times during the past year increased from 9.1% in 2007 to 10.7% in 2009. Having made a suicide attempt requiring medical treatment increased from 3.4% in 2007 to 4.6% in 2009. SEXUAL BEHAVIOR AND SEXUALITY EDUCATION The percentage of students who had sexual intercourse for the first time before age 13 decreased from 6.5% in 2007 to 6.0% in 2009. The percentage of students who have ever had sexual intercourse increased from 53.7% in 2007 to 54.1% in 2009. Students who had sexual intercourse with four or more people during their life decreased from 16.5% in 2007 to 15.5% in 2009. Of the students who had sexual intercourse during the past three months, the percentage who drank alcohol or used drugs prior to remained 22.3% in 2007 to 22.3% in 2009. Among students who had sexual intercourse during the past three months, the percentage that used a condom during last sexual intercourse decreased from 61.0% in 2007 to 54.4% in 2009. The percent of students who were overweight decreased from 14.7% in 2007 to 14.2% in 2009. The percentage of students who described themselves as slightly or very overweight decreased from 31.0% in 2007 to 30.6% in 2009. The percentage of students who were trying to lose weight increased from 45.4% in 2007 to 48.4% in 2009. The percent of youth who ate the recommended five or more servings of fruits and vegetables per day decreased from 19.8% in 2007 to 18.2% in 2009. Students who drank three or more glasses of milk per day during the past seven days decreased from 16.7% in 2007 to 13.9% in 2009. The percentage of students who drank a can, bottle, or glass of soda one or more times per day during the past seven days decreased from 45.9% in 2007 to 34.5% in 2009. PHYSICAL ACTIVITY Students who were physically active for a total of at least 60 minutes per day on five or more days during the week prior to the survey decreased from 42.8% in 2007 to 41.8% in 2009. The percentage of students who watched three or more hours per day of TV on an average school day decreased from 32.0% in 2007 to 31.5% in 2009. (Video games, computers, and text messaging were not included in this measurement). The percentage of students who say they have ever been taught in school about AIDS or HIV decreased from 87.8% in 2007 to 86.3% in 2009. Students who attended physical education classes daily in an average week decreased from 25.5% in 2007 to 24.0% in 2009. Among the students who had sexual intercourse during the past three months, the percentage that used birth control pills decreased from 25.0% in 2007 to 23.1% in 2009. SUMMARY OF OTHER KEY FINDINGS In 2009,the first year of collecting bullying data, 27.8% of students in grades 9 and 10 reported being bullied on school property as compared to 18.6% of 11th and 12th grade students. 5 2009 WEST VIRGINIA HIGH SCHOOL YOUTH RISK BEHAVIOR SURVEY RESULTS CONCLUSION The results of the 2009 West Virginia YRBS for high schools illustrate that a substantial percentage of high school youth engage in behaviors that could place them at risk for serious health problems. Although West Virginia schools alone cannot address the personal, physical, and emotional needs of adolescents, they must work in collaboration with parents and community agencies in helping students prevent present and future health problems. Successful school programs that help reduce risky behaviors should be examined and duplicated by schools and communities that demonstrate the greatest needs. Findings from the 2009 YRBS highlight both improvements and significant concerns regarding adolescent risk behaviors in West Virginia. Key findings from the 2009 YRBS highlight both improvements and significant concerns regarding adolescent risk behaviors in West Virginia. Key findings of improvements include: Significantly fewer WV youth are using tobacco, and tobacco users are initiating their tobacco use later and using less. WV youth have shown the greatest decrease in the consumption of soft drinks when compared to the national YRBS results. Adolescent seat belt use continues to increase. Early initiation of alcohol use has decreased significantly. All illegal drug use is on the decline. Key finding of concerns include: Students who reported carrying guns increased dramatically. Of students reporting having sexual intercourse, there was a significant decrease in condom use. Abusive and violent behaviors regarding boyfriend/girlfriend relationships increased significantly. The percent of adolescents who report eating fruits and vegetables continues to decrease. The trend for suicidal behaviors continues to move in a negative direction. It is important to maintain the positive momentum in those areas of success, and focus attention on areas of concern. The efforts of Local School Wellness Councils to coordinate school health programs and continually emphasize the relationship between health and academic achievement can contribute to the development of successful, healthy youth. 6