cambridge teen health survey 2006 how providers can make use of cambridge

Cambridge Teen Health Survey 2006 How Providers Can make Use of

Cambridge

Chuck Klevgaard

Cambridge Prevention Coalition

• What agency / organization ?

• How do you currently use data Health Survey / Other data ?

• What would you like to know ?

Why Use Existing Data

It is less expensive and time-consuming than generating new data.

Generating new data typically requires specialized research skills, as well as

a lengthy process of instrument identification or design, participant

recruitment, pilot testing, data collection, data analysis, and

summarization.


It prevents you from duplicating efforts. Finding out about

information that has already been collected by others, or would add

little to what is already known about the problem (s) of interest,

will help you maximize your limited time and resources.


It puts you in contact with potential partners. Many individuals and organizations share your goals

and will appreciate your investment in learning from their

hard work. You may even establish connections with

partners who can assist you with future needs assessment efforts

or in the selection and implementation of your prevention activities.

Methods

Who Conducted the Survey?The Cambridge Public Schools, The Cambridge

Prevention Coalition, The Cambridge Public Health Department and The Institute for Community

Health

How and When was The Survey Conducted?

The survey was administered as a questionnaire in March of 2005 to all Cambridge public school

students in grades 6 through 8.The survey was administered in four languages: English,

Spanish, Portuguese, and Haitian Creole.

Methods

Who Responded ?The total number of respondents was 1,180. The

number of respondents in each grade is as follows: 6th = 380, 7th = 387, 8th = 406, unknown = 7.

What Did The Survey Ask About ?Background characteristics such as gender,

age, and grade level.Student use of and perceptions about alcohol,

tobacco, and other drugs.Other related health issues such as mental health,

violence and safety, sexual issues, dietary behavior, and physical activity.

Caveats

ValidityNon-Respondents

TrendsComparative Data

Who Has The Problem ?Who has The Responsibility ?

Substance Abuse

1%6%7%

5%

19%

7%2%

0%

10%

20%

30%

40%

50%

Current* Substance Use for Cambridge Middle Grades Students (2005)

* Current use is any use in the 30 days prior to the survey.** Binge alcohol use is defined in the survey as having “five or more drinks of alcohol in a row.”*** Respondents were asked “How many times in the last 30 days, if any, did you use Oxycontin (Oxy or OC) without a doctor’s prescription?”**** Other Drugs includes such substances as cocaine, crack, LSD, speed, heroin, and downers.”

Of Those who drank in the last 30 days, 35% report binge

drinking at least once. 6% report binge drinking 6 or more times in the last 30 days

Of Those who drank in the last 30 days, 35% report binge

drinking at least once. 6% report binge drinking 6 or more times in the last 30 days

0%

10%

20%

30%

40%

50%National 8thGraders (2004)Cambridge 8thGraders (2005)

Current* Substance Use for National 8th Grade

Students (2004)** and Cambridge 8th Grade Students (2005)

* Current use is any use in the 30 days prior to the survey.** National 8th grade data from the 2004 Monitoring the Future Survey, National Institute of Drug Abuse

0%

10%

20%

30%

40%

50%6th 7th 8th

Current* Substance Use for Cambridge Middle Grades Students (2005)

* Current use is any use in the 30 days prior to the survey.** Binge alcohol use is defined in the survey as having “five or more drinks of alcohol in a row.”*** Respondents were asked “How many times in the last 30 days, if any, did you use Oxycontin (Oxy or OC) without a doctor’s prescription?”**** Other Drugs includes such substances as cocaine, crack, LSD, speed, heroin, and downers.”

Trends in Current* Substance Use for Cambridge Middle Grades Students (’97, ’99, ’01, ’03, ’05)

6%

9%

6%7% 7%

8%5%

3%4%4%

0%

5%

10%

15%

20%

1997 1999 2001 2003 2005

Marijuana

Cigarettes

Trends in Current* Substance Use for Cambridge Middle Grades Students (’97, ’99, ’01, ’03, ’05)

19%

25%

17%18%

19%

3%4% 4%6%

5%

0%

5%

10%

15%

20%

25%

30%

1997 1999 2001 2003 2005

Alcohol

Inhalants

* Current use is any use in the 30 days prior to the survey.

Trends in Current Substance Use for National 8th Grade Students (1991 - 2004)

24%25%22% 20% 19%

12%

18%

10% 9%

19%

10% 10%

9%6%8%

0%

10%

20%

30%

40%

1997 1999 2001 2003 2004

AlcoholCigarettesMarijuana

Trends in Perception of Harm* of Substance Use Cambridge Middle Grades Students (’97, ’99, ’01, ’03, ’05)

41%40% 43%

52% 51%

54%49%67% 65%51%

76% 75% 76%73%75%

0%10%20%30%40%50%60%70%80%90%

100%

1997 1999 2001 2003 2005

AlcoholCigarettesMarijuana

* Percent saying “moderate or great harm of using each substance occasionally

Percent of Cambridge Middle Grades Students

Who Talked with their Parents About AOD Use In the Past 12 Months(’97, ’99, ’01, ’03,

’05)

58%

53%

57%51%

49%

0%

10%

20%

30%

40%

50%

60%

70%

80%

1997 1999 2001 2003 2005

Lifetime* Substance Use for Cambridge High School Students, by Grade (2006)

49%

25%

8%

1%

11%

65%

38%41%

8%

3%

17%

71%

35%

43%

4% 3%

16%

72%

39%

52%

4%2%

18%21%

0%

20%

40%

60%

80%

100%

Alcohol Cigarettes Marijuana Inhalants Oxycontin Other IllegalDrugs**

9th 10th 11th 12th

* Lifetime use is any use in one’s lifetime.** Respondents were asked about their use of “any drug other than alcohol, marijuana, cigarettes, or inhalants.”

Current* Substance Use for Cambridge High School Students (2006)

42%

13%

26%

2% 1% 3% 2% 2% 1% 0.6% 0.6% 2% 0.6%

21%

0%

20%

40%

60%

80%

100%

Alcoho

l

Binge

Alcoho

l**

Cigare

ttes

Mar

ijuan

a

Inha

lants

LSD

Other

Psy

ched

elics

***

Cocain

e

Amph

etam

ines

Tranq

uilize

rs

Barbit

urat

es

Heroin

Other

Nar

cotic

s****

Oxyco

ntin

* Current use is any use in the 30 days prior to the survey.** Binge alcohol use is defined in the survey as having “five or more drinks of alcohol in a row.”*** Other Psychedelics includes such substances as mescaline, peyote, psilocybin, PCP, Ecstasy, mushrooms, and MDMA.**** Other Narcotics includes such substances as methadone, opium, morphine, codeine, Demerol, and paregoric.

Current* Substance Use for Massachusetts** (2003, 2005) and Cambridge (2004, 2006) High School Students

46%

27%

21%

28%

48%

26%

39%

13%

21%

42%

21%

13%

26%21%

27%

19%

0%

20%

40%

60%

80%

100%

Alcohol Binge Alcohol*** Cigarettes Marijuana

MA 2003 MA 2005 Cambridge 2004 Cambridge 2006

* Current use is any use in the 30 days prior to the survey.** Massachusetts data from the 2005 Massachusetts Youth Risk Behavior Survey conducted by the MA Department of Education (Spring 2005).*** Binge alcohol use is defined in the survey as having “five or more drinks of alcohol in a row.”

If you were a youth sports program, what would you want

to know about this ?

Alcohol and Other Drug Related Issues AmongCambridge High School Students (2004, 2006)

12%

11%

6%

50%

23%

14%

4%

10%

6%

44%

25%

12%

3%

10%

0% 20% 40% 60% 80% 100%

Attended class within one hour of AOD use (30 days)

Family member had alcohol/drug problem (12 month)

Had problem with alcohol/drugs (12 months)

Talked to parents re: substance use (12 months)

Live with smoker

Rode with Drinking Driver (30 days)

Drove after drinking (30 days)Cambridge 2004

Cambridge 2006

Violence and Safety

Percent of Cambridge High School Students Who Reported Violence-Related Experiences in the Past 12 Months (2004, 2006)

5%

11%

2%

4%

15%

8%

26%

3%

2%

4%

16%

8%

24%

10%

0% 20% 40% 60% 80% 100%

Mistreated by someone because not masculine/feminineenough

Sexually harassed in school

Beaten or physically hurt by someone going out with

Beaten or physically hurt by someone in family/home

Received verbal or emotional abuse from someone in yourfamily

Witnessed violence in family

Witnessed violence in neighborhood

Past 12 Months

Cambridge 2004

Cambridge 2006

If you were a neighborhood association,

what would you want to know about this ?

Percent of Cambridge High School Students Who Reported Fighting, Being Threatened, or Bullied in the Past 12 Months (2004, 2006)

5%

5%

0.6%

23%

6%

1%

20%

4%

0% 20% 40% 60% 80% 100%

Bullied - in school or on the way

Threatened with a knife or gun -outside of school

Threatened with a knife or gun -in school

In a physical fight - any location

Past 12 Months

Cambridge 2004

Cambridge 2006

N/A

Sexual Behavior

0%

10%

20%

30%

40%

50%6th 7th 8th

Percent of Cambridge Middle Grades

Students Who Have Ever Had Sexual Intercourse, Total and by Grade (2005)

Percent of Cambridge Middle Grades Students Who Have Ever Had Sexual

Intercourse. (1997-2005)

9%10%

7%

11%13%

0%

4%

8%

12%

16%

20%

1997 1999 2001 2003 2005

Percent of Massachusetts* (’03, ‘05) and Cambridge (’04, ‘06) High School Students Who Have Ever Had Sexual Intercourse, Total and by Grade

41

% 45

%

43

%

50

%

30

%

50

% 56

%

62

%

0%

20%

40%

60%

80%

100%

TOTAL 9th 10th 11th 12th


* Massachusetts data from the 2005 Massachusetts Youth Risk Behavior Survey conducted by the MA Department of Education (Spring 2005).

If you were a teen pregnancy program, what would you want

to know about this ?

Of Those Cambridge High School Students Who Have Ever Had Sexual Intercourse, Age at First Intercourse (2006)

12%

24% 25%

15%

9%

2%

15%

0%

20%

40%

60%

80%

100%

12 Years orYounger

13 YearsOld

14 YearsOld

15 YearsOld

16 YearsOld

17 YearsOld

18 Years orOlder

Age at First Intercourse

Of Those Massachusetts* (2005) and Cambridge (2006) High School Students Who Have Ever Had Sexual Intercourse,

Percent Who Used a Condom the Last Time, Total and by Grade

65%

72%

85%

75%

70%

65%

0%

20%

40%

60%

80%

100%

TOTAL 9th 10th 11th 12th

MA 2005 Cambridge 2006

* Massachusetts data from the 2005 Massachusetts Youth Risk Behavior Survey conducted by the MA Department of Education (Spring 2005).

Mental Health

Self-Harm and Suicidal Ideation/Behavior in the Past 12 Months Among MA* (2003, 2005) and Cambridge (2004, 2006) High School Students

16%13%

8% 6%9%

6%2%

9%6% 4%

1%

12%13%7%

0%

20%

40%

60%

80%

100%

Hurt Self on Purpose** Seriously consideredsuicide

Planned suicide Attempted suicide


* Massachusetts data from the 2005 Massachusetts Youth Risk Behavior Survey conducted by the MA Department of Education (Spring ’03 and ‘05).** Item asked “During the past 12 months, did you hurt yourself on purpose (for instance, cut yourself, burn yourself, or bang your head on purpose)?”

N/AN/A N/A

CambridgeMiddle Grade Health Survey 2005

Teen Health Survey 2006

How To Use The Data

Chuck Klevgaard

Cambridge Prevention Coalition

How To Use The Data

• In Context for Your Setting

• Needs Assessment

• Grant Writing

• Program Evaluation

View From The Classroom

School Issues and Substance UseSchool Issues and Substance UseCambridge Middle School 2005Cambridge Middle School 2005

Current Use in the Last 30 Days

Mostly A’s %

B’sMostly

C’s

Mostly D’s &

F’s

Alcohol 17% 26% 33%

Cigarettes 2% 8% 21%

Marijuana 4% 13% 28%

School Issues and Substance UseSchool Issues and Substance UseCambridge Middle School 2005Cambridge Middle School 2005


Did Not

Skip or CutSkipped or Cut School

Alcohol 16% 48%

Cigarettes 3% 16%

Marijuana 6% 17%

Cross Tab Examples

Middle Grade Health Education

Perception of Harm Perception of Harm and Substance Useand Substance Use

Cambridge Middle School 2005Cambridge Middle School 2005


Report “ No Harm” or “Slight

Harm” of Occasional Use

Report “Moderate Harm” or Great

Harm” of Occasional Use

Alcohol 26% 15%

Cigarettes 8% 2%

Marijuana 14% 4%

Transition Programs for New Families

Moving Moving and Substance Useand Substance Use



Did Not Report Moving in The

Last 12 Months

Reported Moving in the Last 12

Months

Alcohol 18% 24%

Cigarettes 3% 6%

Marijuana 6% 10%

School Climate Initiatives

Presence of a Teacher or Other School Presence of a Teacher or Other School Adult and Substance UseAdult and Substance Use



Have a School Adult

Do Not Have a School Adult

Alcohol 17% 25%

Cigarettes 3% 7%

Marijuana 6% 11%

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