Why should we be
concerned with
the health of our
students?
FIVE MORE YEARS
• Poor food choices
• Lack of Physical
Education and Activity
Dr. John Ratey
https://www.youtube.com/watch?v=hBSVZdTQmDs
Does education make
a difference?
YES!!!
Leon County Results
2014 FYSAS
• 18.4% of middle and high school students
reported drinking alcohol (down from 23.2%)
• 8.7% reported binge drinking (down from
11.2%)
• 9.8% reported smoking marijuana (down from
13.6%)
• 5.4% reported smoking cigarettes (down from
7.3%)
Trends
2002-2014 FYSAS
2002
2010
2014
• Alcohol
21.4%
26.8%
18.4%
• Binge drinking
10.5%
14.8%
8.7%
• Marijuana
12.3%
13.9%
9.8%
• Cigarettes
8.4%
7.3%
5.4%
Leon County Results
2014 FYSAS – DUI
• 15.8% of high school students have ridden
in a car with a driver who was under the
influence of alcohol (down from 22.4%)
• 21.2% have ridden with a driver who was
under the influence of marijuana (down
from 26.4%)
What about
Health Education
in
Leon County Schools?
14
Teen Sexual Behavior
 The Youth Risk Behavior Survey (YRBS) is a
school-based anonymous survey that
collects information from 9th–12th graders
about the following health-risk behaviors:
 Injury/violence, alcohol & drug use, tobacco use,
sexual behaviors, dietary behaviors & physical activity.
 http://www.cdc.gov/HealthyYouth/yrbs/
 This survey is conducted at the national, state
and local levels. The Florida YRBS data is
weighted, which means it represents Florida’s
entire youth population.
Teen Sexual Behavior
2013 YRBS – Florida Highlights
 44% of 9-12th graders have ever had sex (approx. 351,824)
 27% of 9th graders have had sex (approx. 58,237)
 60% of 12th graders have had sex (approx. 109,915)
 21% of 12th graders have had sex with 4 or more partners (approx.
38,470)
 10% of males and 4% of females had sex for the 1st time before age 13.
(approx. 40,606 males, 15,741 females)
2013 YRBSS – Youth Online, CDC
Floridians 15-24 Years of Age
179 STDs diagnosed every day!
7 STDs diagnosed every hour!
1 STD diagnosed every 8 minutes!
FDOH, 2010
Top Ten County STD Rates (Rt./100,000) 2012
Rank
Chlamydia Rt.
Gonorrhea Rt.
Early Syphilis Rt.
#1
Leon (925)
Alachua
Broward
#2
Gadsden (814)
Gadsden
Miami-Dade (31)
#3
Alachua (757)
Escambia
Escambia (27)
#4
Hamilton (724)
Columbia
Hillsborough (22)
#5
Union (717)
Duval
Orange (20)
#6
Duval (615)
Leon
Union (19)
#7
Escambia (608)
Hillsborough
Pinellas (12)
#8
Jackson (587)
Madison
Liberty (12)
#9
Hillsborough (567) Orange
Leon (12)
# 10
Bradford (551)
Palm Beach (11)
Jackson
Florida Rt.
407
102
14
National Rt.*
458
104
9
(34)
* Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2011. Atlanta: U.S. Department of Health and Human Services; 2012.
17
STDs/HIV Consequences
 Health:
Potential threat to an individual’s immediate &
long-term health
Reproductive health concerns (Infertility, Ectopic
pregnancy/miscarriage, Genital cancers)
May increase a person’s risk for
acquiring/transmitting HIV
Many face stigma & discrimination
 Education:
Absenteeism (affects school performance, test
scores)
WHY Sexuality Education
 1 in 2 sexually active youth will
contract an STD by age 25
 Florida ranks second among
states in the number of HIV
cases reported in 2011.
 1 in 4 teens in the US will
become pregnant by age 19
 The US leads the industrialized
countries in teen pregnancy,
birth and abortion rates.
Is Sexual Health Education
Required
in Florida Schools?
Yes!
Required as “Family Life” instruction, a
component of Comprehensive Health
Education under Florida State Statute
1003.42 (2)(n).
Specific content and curriculum is
determined by local school district
policy.
Support for Instruction in
Sexual Health
Required Instruction – Health Education
F.S.1003.42(2) (n)
Comprehensive health education that addresses concepts of
community health; consumer health; environmental health; family
life including an awareness of the benefits of sexual abstinence as
the expected standard and the consequences of teenage
pregnancy; mental and emotional health; injury prevention and
safety; nutrition; personal health; prevention and control of
disease; substance use and abuse; and Internet safety. The health
education curriculum for students in grades 7 through 12 shall
include a teen dating violence and abuse component that
includes, but is not limited to, the definition of dating violence and
abuse, the warning signs of dating violence and abusive behavior,
the characteristics of healthy relationships, measures to prevent
and stop dating violence and abuse, and community resources
available to victims of dating violence and abuse
Access the state statues at www.leg.state.fl.us
Types of Sex Education
 Abstinence-only: emphasizes abstinence from all sexual behaviors; does
not include information about contraception, except in terms of failure
rates (includes only abstinence).
 Abstinence-based/plus/centered: emphasizes the benefits of
abstinence; includes information about contraception as a disease
prevention method (includes abstinence & contraception).
 Comprehensive sex ed: Age appropriate, sequenced K-12 sexuality
education; includes info on a broad set of topics related to sexuality
and sexual health including abstinence and contraception as disease
prevention methods (includes abstinence & contraception).
10 Characteristics of Effective Programs
Source: No Easy Answers: National Campaign to Prevent Teen Pregnancy, 2001
 1. focus on reducing sexual
risk-taking behavior
 2. based upon theory
 3. deliver & reinforce a clear
message about abstaining
and/or using condoms or
contraception.
 4. provide basic accurate
information
 5. address social pressures
 6. provide modeling of &
practice in communication &
refusal skills
 7. use teaching methods to
involve participants,
personalize information
 8. behavioral goals, teaching
methods & materials are
appropriate to the age,
sexual experience & culture
of the students
 9. last a sufficient length of
time
 10. select teachers or peers
who believe in the program,
train them
Sex Education & HIV
Prevention Programs with
Strong Evidence
 Safer Choices
 Reducing the Risk
 Get Real About AIDS
 Be Proud! Be Responsible!
 Making Proud Choices
 Making a Difference (abstinence)
 Focus on Kids
 Too Good for Drugs and Violence
The dilemma…
Where is this taught?
Role Play