1. FIFTH GRADE HEALTH SURVEY 2001

2. History of the Fifth Grade Health Survey (5GHS)  5GHS was developed in 1998 by the Maternal and Child Health Service of the Oklahoma State Department of Health.  Prior to 1998, little was known about the health of young Oklahomans. We had no clear way to measure and address health care availability and the general health of young children in Oklahoma.  The pilot survey was done in 1998 and then it was conducted again in 2001.

3. 5GHS measures multiple aspects of health care:  General health of child  Dental health  Physical activity and obesity  Tobacco smoke  Access and use of health care services  Barriers to care  Health insurance  Emotional and mental health

4. Procedures  We obtain a list of all public school fifth grade classrooms in Oklahoma from the Department of Education.  The Superintendent, of those randomly selected classrooms, is notified which classrooms in their school was chosen and they decide whether or not to participate.  If participating, the school sends a flyer home with the child giving the parents some information about the survey and letting them know to expect it in a few weeks.

5. Procedures  Then the school sends the surveys home with the students and the parents complete the survey, returning it to the teacher, via the student, in the provided manila envelope.  Each student who returns the questionnaire receives some kind of small incentive, such as a story book.  The teacher sends the surveys back to the OSDH for us to compile.

6. Study Instrument  Parent of fifth grader completes survey  It contains 71 multiple-choice questions  The questions are presented in a straightforward and sensitive manner  Students have a period of about 2 weeks to complete the questionnaire and return it to their teacher.

7. Response Rates for 2001  There were 3,438 students enrolled in the selected classrooms and 2,146 surveys were returned=62%  There were 278 schools selected and 138 participated=50%

8. DEMOGRAPHICS

9. Survey Demographics  Selected Oklahoma first grade students  1,763 students participated  Conducted survey in: Fall 2001

10.  Age (N= 2163 )  9 years:.7%  10 years: 58.8%  11 years: 38.5%  12 years: 2.0%  Gender (N= 2205 )  Male: 46.7%  Female: 53.3%  Race (N= 2067 )  White: 79.4%  African American: 8.1%  Native American: 9.7%  Asian: 2.2%  Other:.6%  Hispanic (N= 2152 )  Hispanic: 7.7% Who Are The Students?

11. CHILD’S HEALTH

12. Parent’s Description of Child’s Health, N=2208

13. Child’s Activity Was Limited Due to Sickness, During the Past Three Months, N=2207

14. Child Ever Been Diagnosed as Any of These, N=1806 Asthma (N=2155 )16.0% Diabetes (N=2144 ).4% Epilepsy (N= 2141).9% Heart condition (N=2142 ).8% Anemia (N=2140 )2.2% Poor hearing (N=2139 )3.2% Need hearing aid (N=2140).4% Learning disability (N=2134 )6.1% Attention deficit disorder (N=2140 )7.0% Mental retardation/developmental delay (N=2137)1.1% Hyperactivity (N=2140 )5.4% Speech problems (N=2140 )6.9% Orthopedic (N=2137 )1.8% Poor eye sight (N=2147 )17.8% Needs eye glasses (N=2167)32.2% Cavities (N=2172 )42.7% Allergies (N=2111 )33.9%

15. Number of Times Child Has Been to the Dentist, N=2203

16. Child Has Had Dental Sealants Applied to Teeth, N=2196

17. Amount of Time Child is Around Cigarette Smoke, N=2204

18. SPECIAL HEALTH CONDITIONS

19. Special Health Conditions Does your child currently need or use medicine prescribed by a doctor (other than vitamins)? (N=2137) 20.3% Is this because of ANY medical, behavioral or other health condition? (N=2098) 17.0% Is this a condition that has lasted or is expected to last for at least 12 months? (N=2091) 17.5%

20. Special Health Conditions, contd. Does your child need or use more medical care, mental heath or educational services than is usual for most children of the same age? (N=2130) 8.2% Is this because of ANY medical, behavioral or other health condition? (N=2079) 7.0% Is this a condition that has lasted or is expected to last for at least 12 months? (N=2076) 7.4%

21. Special Health Conditions, contd. Is your child limited or prevented in any way in his or her ability to do the things most children of the same age can do? (N=2133) 5.5% Is this because of ANY medical, behavioral or other health condition? (N=2088) 4.1% Is this a condition that has lasted or is expected to last for at least 12 months? (N=2083) 4.1%

22. Special Health Conditions, contd. Does your child need or get special therapy, such as physical, occupational or speech therapy? (N=2132) 4.7% Is this because of ANY medical, behavioral or other health condition? (N=2079) 2.3% Is this a condition that has lasted or is expected to last for at least 12 months? (N=2077) 3.3%

23. Special Health Conditions, contd. Does your child have any kind of emotional, developmental or behavioral problem for which he or she needs or gets treatment or counseling? (N=2120) 9.0% Is this a condition that has lasted or is expected to last for at least 12 months? (N=2069) 7.4%

24. EMOTIONAL AND MENTAL HEALTH

25. Parent’s Perception of Child’s Feelings Parent completely or somewhat agrees that their child believes he or she has a lot of good qualities (N=2202) 98.6% Parent completely or somewhat agrees that their child is proud of himself or herself (N=2197) 98.7% Parent completely or somewhat agrees that their child likes being the way he or she is (N=2191) 96.2% Parent completely or somewhat agrees that their child is satisfied with his or her life (N=2194) 96.4% Parent completely or somewhat agrees that their child feels accepted by other children (N=2196) 96.0%

26. Parent’s Consider to be Serious Problems Facing Their Child Peer pressure (N=2184)40.7% Anger management or bad temper (N=2196)23.4% Emotional immaturity (N=2184)17.3% Poor self control (N=2188)15.4% Lack of social skills (N=2187)9.7% Stress or anxiety (N=2186)28.1% Pressure to succeed (N=2187)30.9% Teasing or bullying (N=2156)22.0%

27. Parent’s Concerned About Their Child And the Following Issues Lack of coping skills (N=2190)12.7% Low self esteem (N=2189)20.7% Poor attitude (N=2193)16.1% Self discipline (N=2187)25.3% Poor self image (N=2187)15.2% Depression (N=2189)8.5% Dealing with loss (death, divorce, moving, new school) (N=2174)21.3%

28. Parent’s Agree or Strongly Agree That The Following Entities Are Responsible for Addressing the Previous Issues School (N=2020)79.2% Family (N=2080)96.2% Church (N=1996)82.8% Community mental health centers (N=1928)47.4% Police (N=1941)40.2% Hospitals or treatment facilities (N=1935)43.7%

29. DRUGS AND ALCOHOL

30. Smoking, Drugs and Alcohol Child has received information about smoking from school (N=2174)85.5% Parent thinks child has experimented with tobacco (N=2203)6.0% Parent has allowed child to smoke or chew tobacco in their presence (N=2206)1.8% Child has received information about drugs from school (N=2187)92.7% Parent thinks child has experimented with drugs (N=2195).6% Parent has allowed child to drink alcohol in their presence (N=2202)4.4%

31. HEALTHCARE ACCESS

32. Child Currently Receives Special Services at School or Elsewhere Speech or language therapy (N=2192)6.5% Occupational therapy (N=2190).6% Physical therapy (N=2190).9% Reading lab (N=2188)12.4% Nursing services (N=2190)6.4% Counseling or psychological services (N=2185)7.6%

33. Medication Routinely Taken at School Children who routinely take medication at school: 8.0%

34. Visits to Hospital Child Admitted to Hospital One or More Times During Past Year, N=2146 Child Taken to Emergency Room One or More Times During Past Year, N=2172

35. Barriers to Healthcare for Child It was too expensive (N=2139 )13.8% Inconvenient office hours (N=2132 )7.9% Right type of service was not available (N= 2124)4.0% No transportation (N=2125 )3.3% Didn’t have a regular health care provider (N=2126 )7.5% Couldn’t find a provider who would take my child (N=2122 )2.8% Attitude of provider or staff (N=2120 )3.2% Couldn’t miss school or work (N=2125 )6.4% No child care for other children (N=2056 )1.5%

36. Place Child Goes for Sick Care, N=2149 Child has not needed sick care8.4% Child does not have a regular place1.4% Private doctor’s office66.8% Hospital clinic11.2% Hospital emergency room1.3% Health department/community/free clinic1.0% Indian (IHS)/Tribal Health Service6.1% Military facility3.4%

37. Amount of Time Since Child Has Visited a Doctor, N=2168

38. Child is Covered by Health Insurance, N=2069

39. Reasons Why Child is Not Covered by Health Insurance, N=216 Too expensive or couldn’t afford it60.6% Unemployed, laid off or lost job4.3% Employer does not offer insurance for this child7.9% Didn’t qualify for SoonerCare (Medicaid)5.5% Medicaid application process too difficult1.2% Waiting for coverage to start (insurance or SoonerCare/Medicaid)15.4% Child’s preexisting condition(s).4% Another reason5.0%

40. Type of Health Care Coverage, N=1792

41. Birth Defects Child has been told they have a birth defect, genetic condition or hereditary disease: 5.2%

42. Child Has Received These Services Ophthalmologist or optometrist (N=2146)59.7% Geneticist (N=2080)1.3% Endocrinologist (N=2074)1.4% Neurologist (N=2081)2.3% Cardiologist (N=2080)3.1% Psycho/social counselor (N=2092)12.1% Physical or occupational therapist (N=2047)2.5%

43. WEIGHT, NUTRITION AND PHYSICAL ACTIVITY

44. Parent’s Description of Child’s Weight, N=2202

45. Child Ever Been Diagnosed as Any of These, N=1806

46. Amount of Time Child Spends Watching T.V., Playing Video Games, or Using a Computer, N=2139

47. Amount of Time Child Spends Each Day Riding His/Her Bicycle, Running, Playing Soccer, Kickball or Some Similar Physical Activity, N=2136

48. Amount of Time Child Spent During Past Week in Physical Activity (For at Least 20 Minutes) That Made Them Sweat or Breathe Hard, Such as Swimming, Bicycling, Running or Playing Soccer, N=2128

49. Parent’s Rules on Television Do Parents Limit How Much T.V. Child Watches, N=2133 Do Parents Monitor What Their Child Watches on T.V., N=2135

50. Child’s Nutritional Habits Parent monitors child’s eating habits (N=2116)85.4% Child eats lunch in school cafeteria (N=2132)88.8% Child takes lunch prepared at home (N=2099)35.0% Child eats five servings of fruits and vegetables per day (N=2114)26.5% Parents have rules about what kind of snacks child can eat (N=2123)67.5% Child usually eats breakfast (N=2127)90.6%

51. SAFETY AND VIOLENCE

52. Number of Times Child Has Been Injured in Past Year, N=2135

53. Of Those Children Injured in Past Year, Where They Were Injured, N=2135

54. Of Those Children Injured in Past Year, How They Were Injured

55. Of Those Children Injured in Past Year, How Many Required Medical Attention, N=592

56. Child’s Safety Home has working smoke detector (N=2137)92.2% Someone has discussed escape plan with child (N=2130)87.5% Child knows how to swim (N=2139)89.5% Child is under adult supervision after school (N=2135)92.3%

57. Child’s Safety, continued Seldom or never wears a bike helmet (N=2079)74.1% Seldom or never wears a seat belt in an automobile (N=2132)3.1% Seldom or never wears safety equipment while playing sports (N=2013)35.6% Seldom or never feels safe at school (N=2113)2.4% Seldom or never feels safe on the school bus (N=1685)13.3% Seldom or never feels safe walking to or from school (N=1614)21.5% Seldom or never feels safe in his or her neighborhood (N=2110)2.4%

58. Violence Child has mentioned gang activity at school (N=2204)3.1% Child said they are worried about gang activity at school (N=2203)2.5% Child has been in a fight at school (N=2200)13.0% Child has been in more than one fight at school (N=251)25.1% Child has been injured as a result of a fight (N=2200)2.2% Child has had property stolen or damaged at school (N=2194)20.2%

59. HOUSEHOLD INFORMATION

60. Type of Household, N=2199

61. Highest Grade Parent’s Have Completed, N=2163

62. Parental Age, N=2175

63. Relationship to This Child, N=2169

64. Annual Income Range, N=1771

65. Number Supported by Total Income, N=2055

66. Child Receives Free or Reduced Cost Lunches, N=2127

67. Speaks English at Home, N=2173

68. SURVEY SUMMARY Fifth Grade Health Survey 2001

69. Uses of YRBS Data  Describe risk behaviors  Create awareness  Set program goals  Develop programs  Support Health-Related Legislation  Community development and enrichment  Seek funding