1. Washington Healthy Youth Survey: 2014 Findings Washington State Board of Health August 12, 2015 Cathy Wasserman, PhD MPH, State Epidemiologist for Non-Infectious Conditions

2. Background School-based survey of youth health and behavior Administered in the fall of even years to students in grades 6, 8, 10 and 12 Overseen by cross agency workgroup – DOH, DSHS – DBHR, OSPI, LCB, Commerce Public schools in Washington register for the survey on a voluntary basis Conducted since 2002

3. Background In 2014, 35,262 students in state sample from 192 schools An additional 188,962 students from 890 non-state sampled schools Survey topics include: tobacco and substance use; dietary behaviors and physical activity; sexual activity, mental health; school climate; injury prevention, related risk and protective factors and demographics.

4. Survey Forms Currently, 5 different survey forms Forms A and B for students in grades 8, 10 and 12. (Forms are interleaved) Form C for students in grade 6 Forms A Enhanced and B Enhanced include sensitive questions Schools select to administer either A/B or A Enhanced/B Enhanced

5. Student Response Rates GradeValid Surveys EnrollmentResponse Rate 69,12911,51179% 810,68013,55679% 108,83313,26967% 126,65013,23950% Total35,29251,57568%

6. 2014 Student Completion Rates Form B, Healthy Youth Survey

7. Substance Use

8. Substance Use, 2014 10 th Graders 21% ±2% report alcohol use past 30 days 18% ±2% report marijuana use 8% ±1% report using prescription drug not prescribed 8% ±1% report cigarette use 18% ±2% report e-cigarettes use 68% ±2% of 10 th graders report no substance use

15. Substance Use Decreases in alcohol, smoking and other drug use in the past 30 days No change marijuana use, but fewer teens consider use risky High use e-cigarettes Driving after alcohol or marijuana use a concern

16. Nutrition and Physical Activity

17. Nutrition & Physical Activity 10 th Graders, 2014 11% ±2% obese 14% ±2% overweight 24% ±2% report 60 min exercise daily 58% ±3% report 3 or more hours screen time on school day 22% ±2% report 5+ fruit and vegetables per day 11% ±1% report drinking 2+ sugar sweetened beverages per day

24. Nutrition & Physical Activity Rates of obesity and overweight among school age youth has stayed the same More youth report meeting physical activity guidelines No change in fruit and vegetable consumption Soda and sugar sweetened beverages at school have decreased

25. Mental Health

28. School Safety & Bullying

29. School Safety & Bullying 10 th Graders, 2014 15% ±1% report not feeling safe at school 8% ±1% report missing school because felt unsafe 23% report being bullied in past 30 days 12% ±1% report being cyberbullied in past 30 days 9% ±1% report being bullied because of perceived sexual orientation in past 30 days 12% ±1% report teachers or adults almost never try to stop bullying

34. Unintentional Injury

39. AskHYS Results from 2002 through 2014 available on www.AskHYS.net www.AskHYS.net AskHYS features frequency reports, fact sheets and a query tool Reports available for: State sample By county, Educational Service District, school district* and school building* * with Superintendent permission

40. Healthy Youth Survey 2016 Revision of the survey for 2016 is already underway Historically, DOH has led revision of Form B, DSHS has led revision of Form A and agencies worked together on Form C Working to better coordinate and streamline the process for stakeholders as we continue.

41. To provide comments or questions, please contact: Cathy Wasserman, PhD MPH State Epidemiologist for Non-Infectious Conditions Washington State Department of Health PO Box 47890 Olympia, WA 98504-7890 cathy.wasserman@doh.wa.gov