1. CONNECT TO PROTECT®- DETROIT Sustainable change for healthier youth Important: sourcing for this document All data in this slide deck was obtained and analyzed by the Centers for Disease Control and Prevention and can be accessed at www.cdc.gov/yrbss. It has been reformatted for use by the Connect to Protect® Detroit coalition. To learn more about C2P®, please contact coordinator Emily Brown at ehbrown@med.wayne.edu or 734-635-2483.www.cdc.gov/yrbssehbrown@med.wayne.edu

2. CDC Youth Risk Behavior Survey Surveys 9 th -12 th graders nationally, every two years 1990-2011 Developed in 1990 to monitor 6 types of risk behaviors: Behaviors that contribute to unintentional injuries and violence. Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection. Alcohol and other drug use. Tobacco use. Unhealthy dietary behaviors. Inadequate physical activity. (Also monitors the prevalence of obesity and asthma). Go to www.cdc.gov/yrbss for more information.www.cdc.gov/yrbss

3. Detroit, 2009-2011 Variable20112009 Ever had sex 59.8 (56.3- 63.2) 1,851 61.6 (56-66.9) 1,147 Sex before age 13 12.50 (10.5-14.9) 1,845 14.3 (11.8-17.4) 1,133 Sex with >4 partners (lifetime) 20.3 (17.9-23.1) 1,856 23.7 (20-27.9) 1,145 Sex within 3 months of survey 34.8 (31.3-38.6) 1,856 46.6 (40.5-52.3) 1,151 Drugs/Alcohol before last sex 16.2 (12.4-20.8) 616 14.7 (9.7-19.7) 505 Did not use condom at last sex 35.2 (30.9-39.8) 594 31.2 (25.1-38.1) 505 Variable20112009 Did not use pill at last sex 90.6 (86.9-93.3) 599 92.7 (89.9-94.7) 503 Never taught about HIV/AIDS in school 19.2 (16.9-21.8) 2,133 19.1 (17.0-21.4) 1,365 Did not use shot, ring, implant or IUD at last sex 94.3 (91.7-96.1) 599 _ Did not use pill, shot, ring, implant or IUD at last sex 84.9 (80.5-88.4) 599 _ Did not use condom + other birth control at last sex 94.2 (91.1-96.2) 588 _ Did not use any method to prevent pregnancy at last sex 19.4 (16.2-23.1) 599 14.8 (11.5–19.0) 503 Red cells indicate a statistically significantly higher value. Link directly to this data here.here

4. Findings: Detroit 2009-2011  No significant increase in risk behaviors  No significant decrease in risk behaviors  Significantly less likely in 2011 to have had recent sexual activity (or be “sexually active”) than in 2009

5. Detroit & Michigan, 2011 VariableMIDetroit Ever had sex 41.2 (36.4- 46.1) 3,783 59.8 (56.3- 63.2) 1,851 Sex before age 13 4.4 (3.1-6.2) 3,786 12.5 (10.5-14.9) 1,845 Sex with >4 partners (lifetime) 10.7 (8.6–13.1) 3,774 20.3 (17.9-23.1) 1,856 Sex within 3 months of survey 29.1 (25.8–32.6) 3,783 34.8 (31.3-38.6) 1,856 Drugs/Alcohol before last sex 20.4 (17.6-23.5) 1,062 16.2 (12.4-20.8) 616 Did not use condom at last sex 38.8 (34.5-43.2) 1,044 35.2 (30.9-39.8) 594 VariableMIDetroit Did not use pill at last sex 78.8 (75.0-82.2) 1,043 90.6 (86.9-93.3) 599 Never taught about HIV/AIDS in school 11.5 (9.8-13.5) 4,127 19.2 (16.9-21.8) 2,133 Did not use shot, ring, implant or IUD at last sex 95.0 (93-96.5) 1,043 94.3 (91.7-96.1) 599 Did not use pill, shot, ring, implant or IUD at last sex 73.8 (69.2-77.9) 1,043 84.9 (80.5-88.4) 599 Did not use condom + other birth control at last sex 90.7 (87.9-92.9) 1,035 94.2 (91.1-96.2) 588 Did not use any method to prevent pregnancy at last sex 14.0 (10.9-17.8) 1,043 19.4 (16.2-23.1) 599 Red cells indicate a statistically significantly higher value Link directly to this data here.here

6. Findings: Detroit & Michigan, 2011  Detroit youth are significantly more likely than Michigan-wide youth to:  Have ever had sex  Have had sex before age 13  Have more than 4 lifetime partners  Have had sex within 3 months of the survey  Not use the birth control pill  Not have been taught about HIV/AIDS in school  Not have used any method of pregnancy prevention at last sexual encounter  Detroit youth are just as likely as Michigan-wide youth to  Use drugs/alcohol before last sexual encounter  Not have used condoms at last sexual encounter  Not use long-term birth control methods (Depo, IUD, etc.)  Not use condoms + other forms of birth control

7. Findings: Detroit & USA 2011 VariableUSADetroit Ever had sex 47.4 (45.0–49.9) 14,344 59.8 (56.3–63.2) 1,851 Sex before age 13 6.2 (5.6–6.9) 14,335 12.5 (10.5–14.9) 1,845 Sex with >4 partners (lifetime) 15.3 (14.2–16.4) 14,284 20.3 (17.9–23.1) 1,856 Sex within 3 months of survey 33.7 (31.8–35.7) 14,296 34.8 (31.3–38.6) 1,856 Drugs/Alcohol before last sex 22.1 (20.6–23.6) 5,110 16.2 (12.4–20.8) 616 Did not use condom at last sex 39.8 (37.1–42.5) 5,035 35.2 (30.9–39.8) 594 VariableUSADetroit Did not use pill at last sex 82.6 (79.8–84.1) 4,922 90.6 (86.9–93.3) 599 Never taught about HIV/AIDS in school 16.1 (14.4–17.7) 14,497 19.2 (16.9–21.8) 2,133 Did not use shot, ring, implant or IUD at last sex 94.7 (93.6–95.6) 4,922 94.3 (91.7–96.1) 599 Did not use pill, shot, ring, implant or IUD at last sex 76.7 (74.3–79.0) 4,922 84.9 (80.5–88.4) 599 Did not use condom + other birth control at last sex 90.5 (89.1–91.8) 4,898 94.2 (91.1–96.2) 588 Did not use any method to prevent pregnancy at last sex 12.9 (11.6–14.2) 4,922 19.4 (16.2–23.1) 599 Red cells indicate a statistically significantly higher value. Link directly to this data here.here.

8. Findings: USA & Detroit, 2011  Detroit youth are significantly more likely than nationwide youth to:  Have ever had sex  Have had sex before age 13  Have more than 4 lifetime partners  Not use the birth control pill  Not have been taught about HIV/AIDS in school  Not have used any method of pregnancy prevention at last sexual encounter  Not to use condoms + other forms of birth control  Detroit youth are less likely than nationwide youth to have used alcohol or drugs before last sex.  Detroit youth are just as likely as nationwide youth to:  Have had sex within 3 months of the survey  Not have used condoms at last sexual encounter  Not to use long-term birth control methods (Depo, IUD, etc.)

9. Targeting High-Risk Areas Cases per 10,000 12-24 year olds Which schools are in most affected Detroit zip codes? HIV Prevalence Rate in Detroit Adolescents

10. C2P® Detroit’s goals: 2012/13  Increase the number of gay-straight alliances at Detroit schools  Increase availability of basic HIV information for teachers and other school employees  Create a standardized HIV education presentation to be approved by parents and school board  Increase Detroit Public Schools’ communication with parent on how to talk to their kids about HIV and sexuality.