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Youth Risk Behavior Survelliance System (YRBSS) & CDC Priority Risk Categories


Kim Hartzler-Weakley

on 16 February 2016

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Transcript of Youth Risk Behavior Survelliance System (YRBSS) & CDC Priority Risk Categories

Youth Risk Behavior Surveillance System (YRBSS) and CDC Priority Risk Categories
Justify funding from federal, state, and private agencies and foundations
Seek Funding
School health program requirements
School health council requirements
Drug-free or weapon-free school zone laws
Minors access laws
Drinking and driving laws
Bans on billboards and other advertising
Competitive food policies
Support Health-Related Legislation
School health programs and policies
Programs and policies for youth in high risk situations
Instructional guides and materials
Teacher training programs
Develop Programs and Policies
Strategic plans for school health programs
Healthy People 2020 objectives
American Cancer Society measures of success
CDC’s Performance Plan
HIV Prevention Strategic Plan
Set Program Goals
Overall and among subgroups of youth
How risk behaviors are interrelated
Describe Risk Behaviors
Describe risk behaviors
Create awareness
Set program goals
Develop programs and policies
Support health-related legislation
Seek funding
Policy and Program Applications
Why should you know about the YRBSS?
National probability sample of public and private schools

Total sample size = 16,460

School-level response rate = 81%

Student-level response rate = 88%

Overall response rate = 71%
2011 National YRBS
Since 1991, the prevalence of many priority health-risk behaviors among high school students nationwide has decreased.

However, many high school students continue to engage in behaviors that place them at risk for the leading causes of morbidity and mortality.

Variations were observed in many health-risk behaviors by sex, race/ethnicity, and grade.
The prevalence of some health-risk behaviors varied substantially among states and large urban school districts.
During the 7 days before the survey, 4.8% of high school students had not eaten fruit or drunk 100% fruit juices and 5.7% had not eaten vegetables.

Nearly one-third (31.1%) had played video or computer games for 3 or more hours on an average school day.
YRBSS Results 2011
Many high school students nationwide are engaged in sexual risk behaviors associated with unintended pregnancies and STDs, including HIV infection.

Nearly half (47.4%) of students had ever had sexual intercourse,
33.7% had had sexual intercourse during the 3 months before the survey (i.e., currently sexually active), and
15.3% had had sexual intercourse with four or more people during their life.
Among currently sexually active students, 60.2% had used a condom during their last sexual intercourse.
YRBSS Results 2011
During the 12 months before the survey:
32.8% of students had been in a physical fight,
20.1% had ever been bullied on school property, and
7.8% had attempted suicide.
YRBSS Results 2011
Results from the 2011 national YRBS indicated that many high school students are engaged in priority health-risk behaviors associated with the leading causes of death among persons aged 10–24 years in the United States.

During the 30 days before the survey,
32.8% of high school students nationwide had
texted or e-mailed while driving,
38.7% had drunk alcohol, and
23.1% had used marijuana.
YRBS Results 2011
YRBSS data is used:

to measure progress toward health objectives for Healthy People 2020;
to assess trends in priority health-risk behaviors among high school students; and
to evaluate the impact of broad school and community interventions at the national, state, and local levels.
More effective school health programs and other policy and programmatic interventions are needed to reduce risk and improve health outcomes among youth.
How is the YRBSS useful?
Focus the nation on behaviors among youth causing the most important health problems
Assess how risk behaviors change over time
Provide comparable data
Purposes of the YRBSS
The YRBSS includes national, state, and local school-based surveys of representative samples of 9th through 12th grade students.

These surveys are conducted every two years, usually during the spring semester. The national survey, conducted by CDC, provides data representative of high school students in public and private schools in the United States.

The state and local surveys, conducted by departments of health and education, provide data representative of the state or local school district.
What does the YRBSS do?
Sampling: Sampling frame- all public and private schools with students in at least one of grades 9–12 in the 50 states and DC. A three-stage cluster sample design produced a nationally representative sample of students in grades 9-12 who attended public and private schools. Black and Hispanic students were oversampled.

Data Collection Procedures: Designed to protect students' privacy by allowing for anonymous and voluntary participation. Before survey administration, local parental permission procedures were followed. Students completed the self-administered questionnaire during one class period and recorded their responses directly on a computer-scannable booklet or answer sheet.

Questionnaire: The national questionnaire contained 97 questions that assessed demographics, six categories of health-risk behaviors, obesity, and other health-related topics.

Response Rates: For the 2011 national YRBS, the school response rate was 81%; the student response rate was 87%; and the overall response rate was 71%.
The YRBSS monitors six categories of priority health-risk behaviors among youth and young adults:
1) behaviors that contribute to unintentional injuries and violence;
2) tobacco use;
3) alcohol and other drug use;
4) sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection;
5) unhealthy dietary behaviors; and
6) physical inactivity.
What are the CDC Health Risk Categories?
The YRBSS was developed in 1990 to monitor priority health risk behaviors that contribute markedly to the leading causes of death, disability, and social problems among youth and adults in the United States. These behaviors are often established during childhood and early adolescence.

The national YRBS is conducted every two years during the spring semester and provides data representative of 9th through 12th grade students in public and private schools throughout the United States.
What is YRBSS?
Legislators, boards of education, and school administrators
Community members
School staff
Create Awareness
Results from the 2011 national YRBS also indicate many high school students are engaged in behaviors associated with the leading causes of death among adults aged ≥25 years in the United States.

During the 30 days before the survey, 18.1% of high school students had smoked cigarettes and 7.7% had used smokeless tobacco.
YRBSS Results 2011
YRBSS National and Local
Group Activity
Please get in your groups and answer the following questions:

1.What gender disparities are concerning?
2.What race/ethnic disparities are concerning?
3.From the YRBS 2011 what are the 2-3 most pressing health related issues facing adolescents today? Justify your answer.
4.Compare Harrisonburg/Rockingham to the nation based on the CDC Risk Priorities.
5.What would you recommend to local agencies as focus areas based on the local Youth Data Survey Report? Justify your answer.
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