Howell Wechsler, EdD, MPH

1
Best of Times, Worst of Times

• Howell Wechsler, EdD, MPH
• Director, Division of Adolescent and School
  Health
• AAP/COSH, October 7, 2006

2
CDC Data Sources
School Health Profiles (2006)
Youth Risk Behavior Survey (2005)
School Health Policies and Programs Study (2006)
3
Percentage of Secondary Schools in Which Students
Could Buy Chocolate Candy, by Selected State,
2004
100
75
65
In Percent
50
25
0
State
Iowa
New
Oklahoma
Delaware
North
Utah
Washington
Median
Hampshire
Carolina
Among schools which allowed students to
purchase foods or beverages from vending machines
or at the school store, canteen, or snack bar
4
Percentage of Secondary Schools That Provided a
Full Time Registered Nurse All Day, Every Day by
Selected Large Urban School Districts, 2004
Chicago
Dallas
Los Angeles
Memphis
Philadelphia
Miami
San Diego
Source CDC School Health Profiles 2004
5
SLIMs
School Level Impact Measures
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2005 YRBS Racial/Ethnic Differences

• 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.

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2005 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.

8
Percentage of High School Students Who Ever Had
Sexual Intercourse, by Sex and Race/Ethnicity,
2005
B gt H gt W
Source CDC, National Youth Risk Behavior
Survey, 2005
9
Percentage of High School Students Who Actually
Attempted Suicide, by Sex and Race/Ethnicity,
2005
Females
Males
One or more times during the 12 months
preceding the survey F gt M H gt W, B
Source CDC, National Youth Risk Behavior
Survey, 2005
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DASH-Funded SEAs, TEAs, and LEAs

• HIV 48 SEAs, 7 TEAs, 18 LEAs
• CSHP / PANT 23 SEAs
• Asthma 6 LEAs, 1 SEA

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NEW NGO PROGRAM ANNOUNCEMENTNational Programs
to Build the Capacity of Societal
InstitutionsThat 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

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NEW NGO PROGRAM ANNOUNCEMENTNational Programs
to Build the Capacity of Societal
InstitutionsThat 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

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Coordinated School Health Program
Health Education
Physical Education
Family and Community Involvement
Health Services
Health Promotion for Staff
Nutrition Services
Healthy School Environment
Counseling, Psychological, and Social Services
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CDC School Health Guidelines
15
(No Transcript)
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Emerging Areas of Activity for DASH

• Mental health
• Management of chronic diseases
• School connectedness
• Association between health and academics

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SHI Mini-Grants Awarded to 47 Schools
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Best of Times, Worst of Times

• Howell Wechsler, EdD, MPH
• Director, Division of Adolescent and School
  Health
• AAP/COSH, October 7, 2006