2007 Youth Risk Behavior Survey High School Level Summary Report Prepared by: ETR Associates Prepared for: San Francisco Unified School District School Health Programs Department 1515 Quintara Street San Francisco, CA 94116 September, 2008 Table of Contents Introduction....................................................................................................................... 6 Overview ............................................................................................................................ 6 Methods.............................................................................................................................. 7 Data Collection and Sampling .........................................................................................7 Response Rate..................................................................................................................7 Analytic Methods.............................................................................................................7 Sample Description..........................................................................................................8 Behaviors That Contribute to Unintentional Injuries................................................... 9 Seat Belt Use....................................................................................................................9 Bicycle Helmet Use .........................................................................................................9 Rode with a Driver Who Had Been Drinking Alcohol..................................................10 Drove When Drinking Alcohol......................................................................................10 Changes over Time ........................................................................................................11 Behaviors That Contribute to Violence ........................................................................ 12 Victim of Verbal Slur-Race ...........................................................................................13 Victim of Verbal Slur-Weight, Size, or Physical Appearance.......................................13 Carried a Weapon ..........................................................................................................13 Carried a Gun.................................................................................................................14 In a Physical Fight .........................................................................................................14 Injured in a Physical Fight .............................................................................................15 Dating Violence .............................................................................................................15 Forced to Have Sexual Intercourse ................................................................................16 Carried a Weapon on School Property...........................................................................16 Threatened or Injured with a Weapon on School Property............................................16 In a Physical Fight on School Property..........................................................................17 Did Not Go to School Because of Safety Concerns ......................................................17 Had Property Stolen or Damaged on School Property ..................................................18 Felt Sad or Hopeless ......................................................................................................18 Seriously Considered Attempting Suicide .....................................................................19 Made a Suicide Plan.......................................................................................................19 Attempted Suicide..........................................................................................................19 Suicide Attempt Treated by a Doctor or Nurse .............................................................20 Changes over Time ........................................................................................................20 Tobacco Use..................................................................................................................... 22 Lifetime Cigarette Use...................................................................................................22 Lifetime Daily Cigarette Use .........................................................................................23 Current Cigarette Use ....................................................................................................23 Current Frequent Cigarette Use .....................................................................................23 Smoked >10 Cigarettes/Day ..........................................................................................24 Tried to Quit Smoking Cigarettes ..................................................................................24 Bought Cigarettes in a Store or Gas Station ..................................................................24 Changes over Time ........................................................................................................25 Alcohol Use ...................................................................................................................... 26 2 Lifetime Alcohol Use.....................................................................................................26 Current Alcohol Use ......................................................................................................26 Episodic Heavy Drinking...............................................................................................27 Changes over Time ........................................................................................................27 Other Drug Use ............................................................................................................... 28 Lifetime Marijuana Use .................................................................................................28 Current Marijuana Use...................................................................................................28 Lifetime Cocaine Use ....................................................................................................29 Lifetime Illegal Injection Drug Use...............................................................................29 Lifetime Illegal Steroid Use...........................................................................................30 Lifetime Heroin Use ......................................................................................................30 Lifetime Methamphetamine Use....................................................................................30 Lifetime Ecstasy Use .....................................................................................................31 Changes over Time ........................................................................................................31 Age of Initiation of Risk Behaviors ............................................................................... 32 Smoked a Whole Cigarette Before Age 13 Years .........................................................32 Drank Alcohol Before Age 13 Years.............................................................................32 Tried Marijuana Before Age 13 Years...........................................................................33 Changes over Time ........................................................................................................33 Tobacco, Alcohol, and Other Drug Use on School Property ...................................... 34 Smoked Cigarettes on School Property .........................................................................34 Drank Alcohol on School Property................................................................................34 Used Marijuana on School Property ..............................................................................35 Offered, Sold, or Given an Illegal Drug on School Property.........................................35 Changes over Time ........................................................................................................36 Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection............................................................. 37 Ever Had Sexual Intercourse .........................................................................................37 Had First Sexual Intercourse Before Age 13 Years.......................................................38 Had Sexual Intercourse with Four or More Persons During Their Life ........................38 Currently Sexually Active..............................................................................................38 Condom Use...................................................................................................................39 Birth Control Pill Use ....................................................................................................39 Alcohol or Drug Use Before Last Sexual Intercourse ...................................................40 Taught in School About AIDS or HIV Infection...........................................................40 Changes over Time ........................................................................................................40 Dietary Behaviors............................................................................................................ 42 Drank 100% Fruit Juice .................................................................................................42 Ate Fruit .........................................................................................................................42 Ate Green Salad or Other Vegetables............................................................................43 Drank ≥ 3 Glasses of Milk/Day .....................................................................................43 Changes over Time ........................................................................................................44 Physical Activity.............................................................................................................. 45 Met Currently Recommended Levels of Physical Activity ...........................................45 Watched Television ≥ 3 Hours per Day.........................................................................46 Attended Physical Education Classes ............................................................................46 3 Attended Physical Education Classes Daily ..................................................................46 Played on ≥ 1 Sports Teams...........................................................................................47 Changes over Time ........................................................................................................47 Overweight and Weight Control ................................................................................... 48 At Risk for Becoming Overweight ................................................................................48 Overweight.....................................................................................................................49 Described Themselves as Overweight ...........................................................................49 Were Trying to Lose Weight .........................................................................................49 Changes over Time ........................................................................................................50 Summary.......................................................................................................................... 51 References........................................................................................................................ 55 List of Figures and Tables Figures Figure 1 Figure 2 Figure 3 Figure 4 Figure 5 Figure 6 Figure 7 Figure 8 Figure 9 Figure 10 Figure 11 Figure 12 Tables Table 1 Table 2 Table 3 Table 4 Table 5 Table 6 Table 7 Table 8 Table 9 Table 10 SFUSD High School Student Sample Compared to Overall SFUSD High School Population by Ethnicity ............................ 8 Summary of Behaviors that Contribute to Unintentional Injuries .............. 9 Summary of Behaviors that Contribute to Violence................................. 12 Summary of Tobacco Use Behaviors ....................................................... 22 Summary of Alcohol Use Behaviors ........................................................ 26 Summary of Drug Use Behaviors ............................................................. 28 Summary of Age of Initiation of Risk Behaviors ..................................... 32 Summary of Tobacco, Alcohol, and Other Drug Use on School Property ... 34 Summary of Sexual Behaviors.................................................................. 37 Summary of Dietary Behaviors ................................................................ 42 Summary of Physical Activity Behaviors ................................................ 45 Summary of Overweight and Weight Control Behaviors ........................ 48 Summary of 2007 HS Results by Gender- Behaviors That Contribute to Unintentional Injuries................................................. 56 Summary of 2007 HS Results by GenderBehaviors That Contribute to Violence .................................................... 57 Summary of 2007 HS Results by Gender- Tobacco Use......................... 60 Summary of 2007 HS Results by Gender- Alcohol and Other Drug Use.... 61 Summary of 2007 HS Results by GenderAge of Initiation of Risk Behaviors .......................................................... 63 Summary of 2007 HS Results by Gender- Tobacco, Alcohol, and Other Drug Use on School Property ................................... 64 Summary of 2007 HS Results by Gender- Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection.... 65 Summary of 2007 HS Results by Gender- Dietary Behaviors ................ 66 Summary of 2007 HS Results by Gender- Physical Activity .................. 67 Summary of 2007 HS Results by GenderOverweight and Weight Control............................................................... 68 4 Table 11 Table 12 Table 13 Table 14 Table 15 Table 16 Table 17 Table 18 Table 19 Table 20 Summary of trends- Behaviors that Contribute to Unintentional Injuries.... 69 Summary of trends- Behaviors that Contribute to Violence.................... 70 Summary of trends- Tobacco Use............................................................ 72 Summary of trends- Alcohol and Other Drug Use .................................. 73 Summary of trends- Age of Initiation of Risk Behaviors ........................ 74 Summary of trends- Tobacco, Alcohol, and Other Drug Use on School Property .................................................. 75 Summary of trends- Sexual Behaviors That Contribute to Unintended Pregnancy and Sexually Transmitted Diseases, including HIV Infection .... 76 Summary of trends- Dietary Behaviors ................................................... 77 Summary of trends- Physical Activity..................................................... 78 Summary of trends- Overweight and Weight Control............................. 79 5 Introduction Leading factors that contribute to mortality and morbidity rates in the United States include the lack of physical activity, tobacco use, substance abuse, irresponsible sexual behavior, and injury and violence (US Department of Health and Human Services, 2000). Data show that these factors are prevalent in today’s youth: approximately 9 million youth 6-19 years old are considered overweight (CDC, 2006); approximately 3.6 million youths aged 12-17 reported current tobacco use (Substance Abuse and Mental Health Services Administration, 2005); approximately 10.8 million youths aged 12 to 20 reported current alcohol use (Substance Abuse and Mental Health Services Administration, 2005); approximately 831,000 pregnancies occurred among youths aged 15-19 (Ventura, Abma, Mosher, & Henshaw, 2004); and approximately 750,000 youths aged 1024 were treated in emergency rooms for injuries sustained by violence (CDC, 2006). These risk behaviors established in childhood often continue into adulthood. Overview The Youth Risk Behavior Surveillance System (YRBSS) was developed by the Division of Adolescent and School Health, United States Centers for Disease Control and Prevention (CDC), in 1990 to monitor priority health risk behaviors that contribute markedly to the leading causes of death, disability, and social problems among youth and adults in the United States. These behaviors, often established during childhood and early adolescence, include: • • • • • • • Behaviors that contribute to unintentional injuries and violence; Tobacco use; Alcohol and other drug use; Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection; Unhealthy dietary behaviors; Inadequate physical activity; Overweight and weight control. The YRBSS was designed to: • • • • • Determine the prevalence of health risk behaviors; Assess whether health risk behaviors increase, decrease, or stay the same over time; Examine the co-occurrence of health risk behaviors; Provide comparable data among subpopulations of youth; Monitor progress toward achieving the Healthy People 2010 objectives and other program indicators. San Francisco Unified School District (SFUSD) has taken part in the YRBSS since 1991. The district’s data are used to monitor the health related behaviors of San Francisco’s public school youth, guide program planning, and evaluate some of the district’s school-based health programs. During the 2004-2005 school year, the district developed a supplemental survey in concert with ETR Associates, its evaluation contractor, to collect data on additional safety variables in order to gain a more in-depth student perspective on school 6 climate issues. This supplemental survey was administered with the Youth Risk Behavior Survey (YRBS) to the same students. In the current report, the 2006-2007 SFUSD high school data are compared to results from the national YRBS sample. Methods Data Collection and Sampling The national YRBS was administered to public and private high school students in the 50 states and the District of Columbia (Eaton et al., 2005). The national sample consisted of 14,041 high school students. In SFUSD, the YRBS was administered to a random sample of students attending one of the District’s public high schools during the 2006-2007 school year. Consistent with recent changes to California State Law (Education Code 51938(b)), SFUSD used passive parental consent for students in grades 9-12. Parent notification was included as part of the SFUSD Student and Parent/ Guardian Handbook disseminated at the beginning of the school year, and a separate letter was sent to parents/guardians two weeks prior to the survey. The survey was administered by staff who had been trained in proper methods of survey administration, including protecting students’ anonymity. Student participation was voluntary. Students could decline to participate, turn in blank or incomplete surveys, or stop completing the survey at any time. Response Rate The CDC uses a 60% response rate as a minimum requirement for weighting data. CDC weights the data by applying a weighting factor to each student record to adjust for non-response and the varying probabilities of selection. The weighted results can be used to make inferences about the health behaviors of students attending regular public schools in San Francisco. In 2007, for SFUSD high school students, the overall response rate was 77%. SFUSD high school data from 1997, 2001, 2005 and 2007 were weighted; data from 1999 and 2003 were not weighted because the response rate was below 60%. Analytic Methods In the current report, any differences noted between the national and SFUSD sample and any differences noted in the SFUSD sample by gender, ethnicity, and grade level are statistically significant at p<0.05. Tables 1 through 10 present national and high school SFUSD results by gender. Statistically significant differences by gender are noted (p<0.05). Tables 11 through 20 present results of observed trends for SFUSD data from 1997 to 2007. Trend analysis procedures compared the 1997 results to the 2007 results. Logistic regression was used to test for change over time. Where possible the analysis used all of the data points available. For several variables, however, only the earliest and the most 7 recent data points were used to determine significance; these instances are noted with footnotes. All changes noted in tables 11 to 20 are statistically significant at p<0.05. 51.1% females). The sample included higher percentages of 9th (28.3%) and 10th (25.3%) graders compared to 11th (22.7%) and 12th graders (23.5%). The majority of students (47.8%) ranged in age from 16 to 17 years old. Sample Description The largest percentage of students described themselves as Chinese (42.0%), followed by Hispanic/Latino (18.5%), other non-white (13.4%), African American (9.4%), white (8.0%), Filipino (6.6%), and multiple races (2.1%). During the 2007 spring semester, a sample of 2,587 students in grades 9-12 through twelve attending one of the district’s 14 public high schools completed the SFUSD YRBS. Students were distributed relatively evenly by gender (48.9% males and Figure 1: SFUSD High School Student Sample Compared to Overall SFUSD High School Population by Ethnicity 9 African American 12 42 Chinese 36 7 Filipino 6 19 Hispanic/Latino 21 8 White 9 13 Other Non-White 13 2 Multiple Races * 0 10 20 30 40 50 2007 High School Sample (N=2,587) 2007 Overall High School Population (N=19,051) * Multiple Races not reported for overall high school population. Note: Overall high school population does not equal 100% due a small percentage (3%) of students who declined to state their ethnicity. 8 Figure 2: Summary of Behaviors that Contribute to Unintentional Injuries among SFUSD Students Percentage of Respondents Who: Rarely or never wear a seat belt when riding in a car 7 Among students who rode a bike, never or rarely wore helmet** 70 Rode with drunk driver* 18 Drove when drinking alcohol* * In the past 30 days ** In the past 12 months 3 0 20 Seat Belt Use • • • • Among SFUSD high school students, 6.7% had rarely or never worn a seat belt; this rate was significantly lower compared to the national rate. The prevalence was 6.0% for females and 7.4% for males. By ethnicity, the rate was 11.9% for African American students, 8.3% for Hispanic/Latino students, 7.2% for other nonwhite students, 5.7% for white students, 5.2% for Filipino students, 4.7% for Chinese students, and 3.7% for students of multiple races. Grade level data show the prevalence was 6.7% for 9th 60 80 100 grade students, 7.3% for 10th grade students, 8.8% for 11th grade students, and 3.7% for 12th grade students. Behaviors That Contribute to Unintentional Injuries Nationwide, 11.1% of high school students had rarely or never worn a seat belt when riding in a car driven by someone else. 40 The percentage of SFUSD high school who rarely or never wore a seat belt when riding in a car driven by someone else decreased significantly from 1997 to 2007. Bicycle Helmet Use a Nationwide, among high school students who rode a bicycle during the 12 months preceding the survey, 85.1% had rarely or never worn a bicycle helmet. • Among SFUSD high school students, 69.7% rarely or never wore a bicycle helmet; this percentage was significantly lower compared to the national percentage. a Breakdown by the following ethnicities were not reported because sample sizes were less than 100 students: multiple races, other non-white, African American, and Filipino students. 9 • • • The rate was significantly higher for males (74.7%) compared to females (62.3%). By ethnicity, the prevalence was significantly higher for Hispanic/Latino students (78.3%) compared to Chinese (65.5%) and white students (49.6%). The prevalence was 72.7% for 9th grade students, 72.2% for 10th grade students, 65.6% for11th grade students, and 67.0% for 12th grade students. The percentage of SFUSD high school who rarely or never wore a bicycle helmet decreased significantly from 1997 to 2007. • There was no significant change in the percentage of SFUSD high school students who rode with a driver who had been drinking alcohol from 1997 to 2007. Drove When Drinking Alcohol Nationwide, 10.5% of high school students drove a car or other vehicle one or more times when they had been drinking alcohol during the 30 days preceding the survey. Rode with a Driver Who Had Been Drinking Alcohol • Nationwide, 29.1% of high school students rode one or more times in a vehicle driven by someone who had been drinking alcohol during the 30 days preceding the survey. • • • • Among SFUSD high school students, 18.0% rode with a driver who had been drinking alcohol; this rate was significantly lower compared to the national rate. The prevalence was 18.4% for females and 17.6% for males. By ethnicity, 30.4% of Hispanic/Latino students, 27.5% of white students, 24.2% of African American students, 23.2% of students of multiple races, 21.8% of Filipino students, 13.7% of other non-white students, and 10.0% of Chinese students reported this behavior. The prevalence was 18.7% for 9th grade students, 18.4% for 10th grade students, 17.9% for 11th grade students, and 16.7% for 12th grade students. • • Among SFUSD high school students, 2.8% reported that they drove when drinking, and this was significantly lower compared to the national percentage. The prevalence was 2.1% for females and 3.4% for males. The rate by ethnicity was 5.1% for white students, 4.7% for Hispanic/Latino students, 2.7% for African American students, 2.6% for other non-white students, 2.4% for students of multiple races, 1.4% for Chinese students, and 1.1% for Filipino students. By grade level, the prevalence was 3.1% for 9th grade students, 3.2% for 10th grade students, 1.6% for 11th grade students, and 3.4% for 12th grade students. The rate of high school students driving under the influence of alcohol decreased 10 significantly from 1997 to 2007 in SFUSD. Changes over Time • In general, most changes in behaviors that contribute to unintentional injury have decreased both nationally and among SFUSD high school students over time. • • Nationally, from 1997 to 2007, there were significant decreases in the percentage of high school students who rarely or never wore seatbelts, rode in a car with a driver who had been drinking alcohol and drove when they had been drinking. There were significant decreases in the percentage of high school students who rarely or never wore seatbelts and drove when they had been drinking, from 1997 to 2007. From 1997 to 2007, there were no significant changes seen in the rate of students who rarely or never wore bicycle helmets. 11 Figure 3: Summary Behaviors that Contribute to Violence among SFUSD Students Percentage of Respondents Who: 23 Victim of verbal slur- race* 20 Victim of verbal slur- physical appearance* 9 Carried a weapon* 2 Carried a gun* 23 In a physical fight** 3 Injured in a physical fight** Dating violence (physcially hurt by a girlfriend/boyfriend on purpose)** 10 7 Forced to have sexual intercourse 5 Carried a weapon on school property* Were threatened or injured with a weapon on school property** 9 Were in a physical fight on school property** 8 Did not go to school because of safety concerns* 7 Had property stolen or damaged on school property** 23 28 Felt sad or hopeless** Seriously considered attempting suicide** 13 Made a suicide plan** 14 6 Attempted suicide** Suicide attempt treated by a doctor or nurse** * In the past 30 days ** In the past 12 months 2 0 10 20 30 40 50 60 70 80 90 100 12 Behaviors That Contribute to Violence Victim of Verbal Slur- Race a b c In SFUSD, 22.5% of high school students were victims of a verbal slur because of their race or ethnic background 30 days preceding the survey. • • • Males (26.1%) were significantly more likely compared to females (18.9%) to be a victim of a verbal slur because of their race or ethnic background. The prevalence by ethnicity was 30.3% for African American students, 29.0% for white students, 24.1% for Hispanic/Latino students, 23.9% for other non-white students, 23.5% for students of multiple races, 19.3% for Filipino students, and 18.6% for Chinese students. The rate by grade level was 21.0% for 9th grade students, 22.2% for 10th grade students, 22.9% for 11th grade students, and 23.9% for 12th grade students. There was no significant change in the percentage of SFUSD high school students who had been a victim of a verbal slur because of their race or ethnicity from 2001 to 2007. a High school students were not asked this question nationally. b 1997 data not available; 2001 compared to 2007. c Significance was based on the oldest and most recent data points, and analysis did not include data between endpoints. Victim of Verbal Slur-Weight, Size, or Physical Appearance a b c The prevalence for SFUSD high school students being a victim of a verbal slur because of their weight, size, or physical appearance 30 days preceding the survey was 20.0%. • • • The prevalence was 19.7% for females, and 20.3% for males. By ethnicity, the rate was 24.8% for Filipino students, 24.1% for African American students, 22.7% for Hispanic/Latino students, 21.9% for students of multiple races, 20.9% for white students, 18.5% for non-White students, and 16.9% for Chinese students. The prevalence by grade level was 19.4% for 9th grade students, 20.4% for 10th grade students, 20.6% for 11th grade students, and 19.2% for 12th grade students. There was no significant change in the percentage of SFUSD high school students who had been a victim of a verbal slur because of their weight, size, or physical appearance from 2001 to 2007. Carried a Weapon a High school students were not asked this question nationally. b 1997 data not available; 2001 compared to 2007. c Significance was based on the oldest and most recent data points, and analysis did not include data between endpoints. 13 Nationwide, 18.0% of high school students had carried a weapon (e.g., a gun, knife, or club) on one or more of the 30 days preceding the survey. • • • • Among SFUSD high school students 8.6% had carried a weapon; compared to the national rate, significantly fewer SFUSD high school students carried a weapon. Significantly more males (11.5%) compared to females (5.6%) reported this behavior. By ethnicity, the rate was 14.1% for Hispanic/Latino students, 12.8% for students of multiple races, 11.7% for African American students, 10.3% for both Filipino and white students, 5.8% for other non-white students, and 5.4% for Chinese students. Grade level data show the prevalence was 9.3% for 9th grade students, 8.8% for 10th grade students, 9.1% for 11th grade students, and 6.9% for 12th grade students. • • • There was no significant change in gun carrying among SFUSD high school students from 1997 to 2007. In a Physical Fight Nationwide, 35.5% of high school students had been in a physical fight one or more times during the 12 months preceding the survey. • Weapon carrying among SFUSD high school students decreased significantly from 1997 to 2007. Carried a Gun Nationwide, 5.2% of high school students had carried a gun on one or more of the 30 days preceding the survey. • The prevalence for SFUSD high school students was 2.1%, and it was significantly lower compared to the national percentage. Males (3.3%) were significantly more likely to report carrying a gun compared to females (0.9%). The prevalence by ethnicity was 4.2% for students of multiple races, 4.0% for African American students, 3.8% for Hispanic/Latino students, 2.7% for white students, 2.0% for Filipino students, 1.1% for Chinese students, and 0.5% for non-white students. The rate by grade level was 2.0% for 9th grade students, 2.2% for 10th grade students, 2.9% for 11th grade students, and 1.4% for 12th grade students. • • Among SFUSD high school students, 22.8% reported this behavior, and this rate was significantly lower compared to the national percentage. Males (26.6%) were significantly more likely compared to females (18.9%) to report physical fighting. By ethnicity, the rate was 37.3% for African American students, 35.0% for Hispanic/Latino students, 28.2 for white students, 25.4% for students of multiple races, 22.7% for other non-white students, 21.8% for Filipino 14 • students, and 13.6% for Chinese students. By grade level, the prevalence was 27.9% for 9th grade students, 24.1% for 10th grade students, 19.8% for 11th grade students, and 17.5% for 12th grade students. Overall, from 1997 to 2007, the rate of physical fighting among SFUSD high school students did not change significantly. From 1997 to 2007, in SFUSD, there was no significant change in the percentage of high school students who were injured in a physical fight. Dating Violence a Nationwide, 9.9% of high school students had been hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend (i.e., dating violence) during the 12 months preceding the survey. Injured in a Physical Fight • Nationwide, 4.2% of high school students had been in a physical fight in which they were injured and had to be treated by a doctor or nurse one or more times during the 12 months preceding the survey. • • • • In SFUSD, 3.3% of high school students reported injuries from a fight that required treatment; compared to the national rate, this rate was statistically similar for SFUSD students. The prevalence was significantly higher for males (4.4%) compared to females (2.0%). By ethnicity, 6.6% of Hispanic/Latino students, 5.7% of African American students, 2.3% of Filipino students, 2.1% of other non-white students, 2.0% of Chinese students, 1.8% of students of multiple races, and 1.5% of white students reported being injured in a physical fight. By grade level, the rate was 2.6% for 9th grade students, 2.9% for 10th grade students, 4.8% for 11th grade students, and 2.8% for 12th grade students. • • • Among SFUSD high school students, the prevalence of dating violence was 9.6%, a rate not significantly different than the national rate. The rate was 9.2% for females and 9.9% for males. By ethnicity, 16.5% of African American students, 12.1% of Hispanic/Latino students, 10.8% of white students, 10.7% of Filipino students, 10.1% of other non-white students, 9.2% of students of multiple races, and 6.3% of Chinese students reported this behavior. Results by grade level show the prevalence was 8.7% for 9th grade students, 9.8% for 10th grade students, 11.5% for 11th grade students, and 8.0% for 12th grade students. There has been an increase in dating violence among SFUSD high school students from 2001 to 2007. a 1997 data not available; 2001 compared to 2007. 15 Forced to Have Sexual Intercourse a b Carried a Weapon on School Property Nationwide, 7.8% of high school students had ever been physically forced to have sexual intercourse when they did not want to. Nationwide, 5.9% of high school students had carried a weapon (e.g., a gun, knife, or club) on school property on one or more of the 30 days preceding the survey. • • • • • a The rate of forced sexual intercourse for SFUSD high school students was 6.5%, and it was statistically similar to the national rate. Females (8.6%) were significantly more likely to report this behavior compared to males (4.4%). By ethnicity, the prevalence was 11.2% for African American students, 9.5% for Hispanic/Latino students, 9.4% for students of multiple races, 7.8% for white students, 6.5% for Filipino students, 5.0% for other non-white students, and 4.2% for Chinese students. By grade level, 5.3% of 9th grade students, 5.6% of 10th grade students, 7.7% of 11th grade students and 7.6% of 12th grade students reported this behavior. Overall, the percent of SFUSD high school students who reported forced sexual intercourse when they did not want to did not change significantly from 2001 to 2007. 1997 data not available; 2001 compared to 2007. b Significance was based on the oldest and most recent data points, and analysis did not include data between endpoints. • • • • The prevalence among SFUSD high school students was 4.9%, and statistically, it was similar to the national prevalence. Males (6.4%) were significantly more likely to report this behavior compared to females (3.4%). By ethnicity, the rate was 9.4% for Hispanic/Latino students, 6.5% for Filipino students, 6.3% for African American students, 5.3% for students of multiple races, 3.5% for Chinese students, 3.0% for other non-white student, and 2.8% for white students. By grade level, the prevalence was 5.2% for 9th grade students, 5.0% for 10th grade students, 5.2% for 11th grade students, and 4.2% for 12th grade students. Weapon carrying on school property among SFUSD high school students decreased significantly from 1997 to 2007. Threatened or Injured with a Weapon on School Property Nationwide, 7.8% of high school students had been threatened or injured with a weapon (e.g., a gun, knife, or club) on school property one or more times during the 12 months preceding the survey. 16 • • • • Among high school students in SFUSD, the prevalence of having been threatened or injured with a weapon on school property was 8.8%, and statistically, it was similar to the national prevalence. Males (11.8%) reported this behavior significantly more compared to females (5.6%). The rate by ethnicity was 17.2% for African American students, 11.9% for Hispanic/Latino students, 10.2% for other nonwhite students, 8.1% for students of multiple races, 5.7% for Filipino students, 5.6% for Chinese students, and 4.9% for white students. The prevalence was 10.6% for 9th grade students, 8.0% for 10th grade students, 9.9% for 11th grade students, and 6.3% for 12th grade students. There has been no significant change in the percentage of SFUSD high school students who were threatened or injured with a weapon on school property from 1997 to 2007. In a Physical Fight on School Property During the 12 months preceding the survey, 12.4% of high school students nationwide had been in a physical fight on school property one or more times. • • The prevalence of this behavior among SFUSD high school students was 8.1%, and it was significantly lower than the national rate. Males (10.5%) were significantly more likely to report being • • involved in a physical fight compared to females (5.7%). By ethnicity, 14.9% of Hispanic/Latino students, 12.1% of African American students, 10.1% of white students, 8.7% of students of multiple races, 6.5% of Filipino students, 5.9% of other non-white students, and 4.5% of Chinese students reported this behavior. By grade level, the prevalence was 11.0% for 9th grade students, 8.5% for 10th grade students, and 6.0% for both 11th and 12th grade students. Physical fighting on school property among SFUSD high school students has significantly decreased from 1997 to 2007. Did Not Go to School Because of Safety Concerns Five and a half percent of high school students nationwide had not gone to school because they felt they would be unsafe at school or on their way to or from school on one or more of the 30 days preceding the survey. • • • Among SFUSD high school students, 7.4%, had not gone to school because of safety concerns, and this rate was significantly higher compared to the national rate. The prevalence was 7.6% for females and 7.2% for males. The prevalence by ethnicity was 12.1% for African American students, 11.8% for Hispanic/Latino students, 8.2% for Filipino students, 5.5% for Chinese students, 5.0% for other 17 • non-white students, 3.1% for white students, and 3.0% for students of multiple races. The prevalence was 8.7% for 9th grade students, 7.0% for 10th grade students, 7.9% for 11th grade students, and 5.8% for 12th grade students. The percentage of SFUSD high school students who have not gone to school because of safety concerns did not change significantly from 1997 to 2007. Had Property Stolen or Damaged on School Property and 21.7% for both 11th and 12th grade students. Overall, the percentage of SFUSD high school students who had property stolen or damaged on school property decreased significantly from 1997 to 2007. Felt Sad or Hopeless a Nationwide, 28.5% of high school students had felt so sad or hopeless almost every day for two or more weeks in a row that they stopped doing some usual activities during the 12 months preceding the survey. During the 12 months preceding the survey, 27.1% of high school students nationwide had had their property (e.g., car, clothing, or books) stolen or deliberately damaged on school property one or more times. • • • • • • The prevalence of having property stolen or damaged on school property for SFUSD high school students was 24.7%, and was similar compared to the national percentage. The rate was significantly higher for males (29.1%) compared to females (20.1%). The prevalence by ethnicity was 29.2% for other non-white students, 28.6% for Hispanic/Latino students, 26.6% for African American students, 24.4% for students of multiple races, 24.1% for white students, 23.5% for Filipino students, and 21.2% for Chinese students. Grade level data show the rate was 27.7% for 9th grade students, 26.9% for 10th grade students, • • In SFUSD, 27.7% of high school students reported this behavior, and this rate was not significantly different compared to the national rate. Females (33.1%) were significantly more likely to report feeling sad or hopeless compared to males (22.4%). By ethnicity, the prevalence was 33.5% for Hispanic/Latino students, 33.3% for Filipino students, 32.6% for students of multiple races, 31.9% for other non-white students, 28.5% for white students, 26.0% for African American students, and 22.3% for Chinese students. By grade level, the rate was 27.1% for 9th grade students, 25.6% for 10th grade students, 30.9% for 11th grade students, and 27.3% for 12th grade students. a 1997 data not available; 2001 compared to 2007. 18 There was no significant change in the percentage of SFUSD high school students who had felt sad or hopeless almost every day for two or more weeks in a row from 2001 to 2007. Seriously Considered Attempting Suicide Nationwide, 14.5% of high school students had seriously considered attempting suicide during the 12 months preceding the survey. • • • • In SFUSD, 12.8% of high school students reported this behavior, and this rate was similar in SFUSD high school youth compared to the national rate. Females (15.4%) were significantly more likely to consider attempting suicide compared to males (10.2%). By ethnicity, the prevalence was 18.6% for Filipino students, 18.0% for other non-white students, 16.6% for students of multiple races, 14.7% for Hispanic/Latino students, 11.5% for white students, 10.8% for Chinese students, and 6.6% for African American students. By grade level, the rate was 13.2% for 9th grade students, 11.1% for 10th grade students, 15.3% for 11th grade students, and 11.9% for 12th grade students. The percentage of SFUSD high school students who have seriously considered attempting suicide decreased significantly from 1997 to 2007. Made a Suicide Plan Approximately eleven percent (11.3%) of high school students nationwide had made a plan about how they would attempt suicide during the 12 months preceding the survey. • • • • In SFUSD, 13.5% of high school students reported this behavior; statistically, this rate did not differ from the national rate. The rate was 15.1% for females and 11.8% for males. By ethnicity, the rate was 17.8% for African American students, 14.9% for Filipino students, 14.2% for other non-white students, 14.0% for white students, 12.9% for Hispanic/Latino students, 12.4% for students of multiple races, and 11.7% for Chinese students. By grade level, the prevalence was 13.8% for 9th grade students, 12.0% for 10th grade students, 16.7% for 11th grade students, and 11.3% for 12th grade students. The percentage of SFUSD high school students who had made a suicide plan did not change significantly from 1997 to 2007. Attempted Suicide During the 12 months preceding the survey, 6.9% of high school students nationwide reported that they had attempted suicide one or more times. • In SFUSD, the prevalence of having actually attempted suicide was 6.4% for high school students and was similar compared to the national prevalence. 19 • • • The prevalence was 7.3% for females 5.3% for males. The rate by ethnicity was 13.0% for Filipino students, 7.6% for African American students, 7.3% for Hispanic/Latino students, 5.8% for students of multiple races, 4.5% for white students, and 4.0% for Chinese students. Grade level data show the prevalence was 7.3% for both 9th and 11th grade students, 6.1% for 10th grade students, and 4.6% for 12th grade students. Overall, the percentage of high school students who had attempted suicide in SFUSD increased significantly from 1997 to 2007. Suicide Attempt Treated by a Doctor or Nurse Nationwide, 2.0% of high school students had made a suicide attempt that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse during the 12 months preceding the survey. • • • In SFUSD, 1.9% of high school students reported having had made a suicide attempt that required medical attention; this rate was similar compared to the national rate. The prevalence was 1.5% for females and 2.3% for males. By ethnicity, the rate was 4.8% for Filipino students, 3.3% for other non-white students, 2.5% for Hispanic/Latino students, 1.5% for African American students, 1.3% for white students, and 0.8% for both • Chinese and students of multiple races. By grade level, 1.8% of 9th grade students, 2.0% of 10th grade students, 2.5% of 11th grade students, and 1.2% of 12th grade students reported this behavior. Overall, the percentage of high school students who had attempted suicide that required medical attention in SFUSD did not change significantly from 1997 to 2007. Changes over Time Nationally, no change occurred over time for high school students who reported carrying a weapon or gun, being in a physical fight or being injured in a physical fight from 1997 to 2007. For SFUSD students, changes in behaviors that contribute to violence over the years varied. • • • • While there was a decrease in the prevalence of high school students who reported carrying a weapon (e.g. a gun, knife, or club), there was no change in the prevalence of students who specifically reported carrying a gun. Self-reported rates of being injured during a physical fight did not significantly change from 1997 to 2007. Among high school students, reports of being in a physical fight, carrying a weapon, and reports of having had property stolen or damaged specifically on school property decreased from 1997 to 2007. Student reports of being threatened or injured with a 20 • • weapon on school property and reports of having not gone to school because of safety concerns remained unchanged from 1997 to 2007. There was no change in the prevalence of students who reported being a victim of a verbal slur because of race or physical appearance from 2001 to 2007. Although there was a significant decrease in the percentage of students who reported having seriously considered suicide, and no change in the report of making of suicide plans, there was a significant increase in the report of actual suicide attempts • • • from 1997 to 2007. However, reports of attempted suicide that required medical attention remained unchanged. From 2003 to 2007, student reports of feeling sad or hopeless almost every day for two or more weeks in a row have remained constant. From 2003 to 2007, student reports of having ever been physically forced to have sexual intercourse when they did not want to have remained constant. From 2003 to 2007, reports of dating violence increased. 21 Figure 4: Summary of Tobacco Use Behaviors among SFUSD Students Percentage of Respondents Who: Ever tried cigarette smoking 42 Smoked at least one cigarette every day* 7 Smoked one or more cigarettes* 11 Smoked twenty or more cigarettes* 4 Smoked > 10 cigarettes/day* 9 Tried to quit smoking cigarettes** 63 Bought cigarettes in a store or gas station* 28 0 10 20 30 40 50 60 70 80 90 100 * In the past 30 days ** In the past 12 months Tobacco Use Lifetime Cigarette Use Nationwide, 50.3% of high school students had ever tried cigarette smoking (even one or two puffs) (i.e., lifetime cigarette use). • • • In SFUSD, 36.5% of high school students reported ever smoking a cigarette, and this rate was significantly lower compared to the national rate. The rate of lifetime cigarette use was 34.5% for females and 38.4% for males. The prevalence by ethnicity was 53.9% for Hispanic/Latino students, 48.4% for white students, 42.1% for Filipino students, 39.9% for other non- • white students, 38.9% for African American students, 32.3% for students of multiple races, and 24.1% for Chinese students. By grade level, the rate was 33.5% for 9th grade students, 34.3% for 10th grade students, 36.9% for 11th grade students, and 41.5% for 12th grade students. Overall, reported lifetime cigarette use among SFUSD high school students decreased significantly from 1997 to 2007. 22 Lifetime Daily Cigarette Use a b Nationwide, 12.4% of high school students had ever smoked at least one cigarette every day for 30 days. • • • • Lifetime daily cigarette use for SFUSD high school students was 6.0%, a rate that is significantly lower compared to the national rate. This behavior was reported by 5.2% of females and 6.7% of males. The rate by ethnicity was 11.3% for white students, 7.5% for other non-white students, 6.4% for Hispanic/Latino students, 6.1% for Filipino students, 5.5% for students of multiple races, 4.4% for Chinese students, and 4.3% for African American students. The prevalence by grade level was 3.3% for 9th grade students, 6.1% for 10th grade students, 7.6% for 11th grade students, and 7.1% for 12th grade students. Lifetime daily cigarette use among SFUSD high school students decreased significantly from 2001 to 2007. Current Cigarette Use • • • Current cigarette use among SFUSD high school students decreased significantly from 1997 to 2007. Current Frequent Cigarette Use Nationwide, 8.1% of high school students had smoked cigarettes on twenty or more of the 30 days preceding the survey. • Twenty percent of high school students nationwide had smoked cigarettes on one or more of the 30 days preceding the survey. • • In SFUSD, 8.0% of high school students reported current • 1997 data not available; 2001 compared to 2007. b Significance was based on the oldest and most recent data points, and analysis did not include data between endpoints. a cigarette use, and they were significantly less likely to engage in this behavior compared to students nationwide. The prevalence was 7.1% for females and 8.7% for males. The prevalence by ethnicity was 13.9% for white students, 12.4% for Hispanic/Latino students, 9.1% for other non-white students, 8.0% for students of multiple races, 6.4% for African American students, 5.6% for Filipino students, and 4.8% for Chinese students. By grade level, the rate was 5.8% for 9th grade students, 7.6% for 10th grade students, 9.4% for 11th grade students, and 9.3% for 12th grade students. For SFUSD high school students, the prevalence of current frequent cigarette use was 1.9%, and this rate is significantly lower compared to the national rate. This behavior was reported by 1.1% of females and 2.6% of males. By ethnicity, the rate was 3.1% for white students, 2.6% for other non-white students, 2.0% for Chinese students, 1.6% for Hispanic/Latino students, 1.5% 23 • for students of multiple races, 1.2% for Filipino students, and 0.2% for African American students. By grade level, the prevalence was 0.8% for 9th grade students, 1.3% for 10th grade students, 2.7% for both 11th and 12th grade students. Tried to Quit Smoking Cigarettes a b Nationwide, among the 20.0% of students who reported current cigarette use, 49.7% had tried to quit smoking cigarettes during the 12 months preceding the survey. • Overall, current frequent cigarette use among SFUSD high school students decreased significantly from 1997 to 2007. Smoked >10 Cigarettes/Day a Among the 20.0% of high school students nationwide who reported current cigarette use, 10.7% had smoked more compared to ten cigarettes a day on the days they smoked during the 30 days preceding the survey. • • Among the 8.0% of SFUSD high school students who reported current cigarette use, the prevalence of having smoked more than ten cigarettes a day was 3.1% and this rate was significantly lower compared to the national rate. The prevalence was 5.2% for males. • Among the 8.0% of SFUSD students who reported current cigarette use, the prevalence of having tried to quit smoking cigarettes was 61.9% and this rate was significantly higher compared to the national rate. The rate was 70.7% for males. Overall, in SFUSD, there has been no significant change in the percentage of high school students who have tried to quit smoking cigarettes from 2001 to 2007. Bought Cigarettes in a Store or Gas Station a c Nationwide, among high school students who reported current cigarette use and were less than 18 years old, 16.0% usually got their own cigarettes by buying them in a store (i.e., convenience store, supermarket, or discount store) or gas station during the 30 days preceding the survey. • Overall, there was no significant change in the percentage of SFUSD high school students who have smoked more than ten cigarettes a day from 1997 to 2007. In SFUSD, 28.1% of high school students bought their own cigarettes in a store or gas station was, and they were significantly a a Breakdown by females, ethnicity, and grade levels could not be completed because the sample size was less than 100 students. 1997 data not available; 2001 compared to 2007. b Prevalence for females, ethnicity and grade levels could not be completed because the sample size was less than 100 students. c Prevalence for gender, ethnicity and grade levels could not be completed because the sample size was less than 100 students 24 more likely to engage in this behavior compared to high school students nationwide. • Overall, the percentage of SFUSD high school students who had bought their own cigarettes in a store or gas station did not change significantly from 2001 to 2007. • Changes over Time • Student reports of tobacco behaviors have decreased or remained constant nationally and among SFUSD high schools. • Both nationally and in SFUSD, significant decreases were found in students who reported lifetime cigarette use, current cigarette use, and current frequent cigarette use from 1997 to 2007. From 1997 to 2007, significant decreases were found in students who reported lifetime cigarette use, current cigarette use, lifetime daily use, and reports of current frequent cigarette use. Rates of students reports of smoking more than ten cigarettes a day remained constant from 1997 to 2007. There were no changes in student reports of having tried to quit smoking cigarettes, and there were also no changes in reports of having bought their own cigarettes in a store or gas station from 2001 to 2007. 25 Figure 5: Summary of Alcohol Use Behaviors among SFUSD Students Percentage of Respondents Who: 53 Ever drank alcohol Had one or more drinks* 24 Had five or more drinks on one occasion* 12 0 10 20 30 40 50 60 70 80 90 100 * In the past 30 days Alcohol Use • Lifetime Alcohol Use Nationwide, 75.0% of high school students drank least one drink of alcohol on one or more days during their life. • • • In SFUSD, the prevalence of lifetime alcohol use in high school students was 53.2%, a rate significantly lower compared to the national rate. The prevalence was 53.7% for females and 52.8% for males. The rate was 76.1% for white students, 70.3% for Hispanic/Latino students, 60.4% for students of multiple races, 57.5% for Filipino students, 54.6% for other non-white students, 46.5% for African American students, and 42.5% for Chinese students. The prevalence was 45.2% for 9th grade students, 53.8% for 10th grade students, 54.3% for 11th grade students, and 61.3% for 12th grade students. Lifetime alcohol use among SFUSD students decreased significantly from 1997 to 2007. Current Alcohol Use Nationwide, 44.7% of high school students drank at least one drink of alcohol on one or more of the 30 days preceding the survey. • • In SFUSD, 22.3% high school students reported current alcohol use; compared to the national rate, SFUSD high school students were significantly less likely to engage in this behavior. The prevalence was 24.0% for females and 20.4% for males. 26 • • By ethnicity the rate was 49.7% for white students, 37.0% for Hispanic/Latino students, 28.5% for students of multiple races, 24.2% for Filipino students, 21.4% for African American students, 19.5% for other nonwhite students, and 11.6% for Chinese students. The prevalence was 16.9% for 9th grade students, 24.9% for 10th grade students, 21.3% for 11th grade students, 26.4% for 12th grade students. • • By ethnicity, the rate was 27.3% for white students, 20.5% for Hispanic/Latino students, 14.0% for Filipino students, 12.8% for students of multiple races, 9.6% for African American students, 6.8% for other non-white students, and 3.1% for Chinese students. By grade level, the prevalence was 8.0% for 9th grade students, 12.5% for 10th grade students, 9.0% for 11th grade students, and 12.2% for 12th grade students. Current alcohol use among SFUSD high school students decreased significantly from 1997 to 2007. In SFUSD, the percentage of students who reported heavy drinking decreased significantly from 1997 to 2007. Episodic Heavy Drinking Changes over Time Nationwide, 26.0% of high school students drank five or more drinks of alcohol in a row (i.e., within a couple of hours) on one or more of the 30 days preceding the survey. In general, student reports of alcohol related behaviors decreased over time. • • In SFUSD, 10.4% of high school students reported episodic heavy drinking, and this rate was lower compared to the national rate. The prevalence was 11.7% for females and 9.0% for males. • Student reports of lifetime use, current alcohol use, and reports of episodic heavy drinking decreased significantly nationally and in SFUSD from 1997 to 2007. 27 Figure 6: Summary of Drug Use Behaviors among SFUSD Students Percentage of Respondents Who: Ever used marijuana 23 Current marijuana use* 11 Ever used cocaine 5 Ever injected an illegal drug into their body 3 Ever taken illegal steroid pills 3 Ever taken heroin 2 Ever used methamphetamines 4 Ever used ecstasy 7 0 10 20 30 40 50 60 70 80 90 100 * In the past 30 days Other Drug Use Lifetime Marijuana Use • Nationwide, 38.1% of high school students had used marijuana one or more times during their life. • • • In SFUSD, lifetime marijuana use was reported by 22.8% of high school students, and it was significantly lower compared to the national percentage. The prevalence was 22.9% for females and 22.6% for males. The rate by ethnicity was 45.1% for African American students, 44.2% for Hispanic/Latino students, 43.8% for white students, 30.0% for students of multiple races, 28.6% for Filipino students, 14.2% for other non-white students, and 7.5% for Chinese students. By grade level, the prevalence was 17.5% for 9th grade students, 22.1% for 10th grade students, 24.8% for 11th grade students, and 27.3% for 12th grade students. Among SFUSD high school students, lifetime marijuana use decreased significantly from 1997 to 2007. Current Marijuana Use Nationwide, 19.7% of high school students had used marijuana one or more times during the 30 days preceding the survey. • Among SFUSD high school students, current marijuana use 28 • • • was 11.4%; this rate was significantly lower compared to the national percentage. Current marijuana use was reported by 12.2% of females and 10.6% of males. A significantly higher prevalence was found for white (26.6%), Hispanic/Latino (25.2%), African American (21.7%), students of multiple races (15.1%), Filipino (13.7%), and other non-white students (6.2%) compared to Chinese students (2.0%). By grade level, the rate was 10.0% for 9th grade students, 11.9% for 10th grade students, 11.2% for 11th grade students, and 12.1% for 12th grade students. Current marijuana use decreased significantly from 1997 to 2007 among SFUSD high school students. Lifetime Cocaine Use Nationwide, 7.2% of high school students had used any form of cocaine (e.g., powder, crack, or freebase) one or more times during their life. • • • Lifetime cocaine use for SFUSD high school students was 4.6%; compared to the national rate, significantly fewer SFUSD high school students reported this behavior. Cocaine use was reported by 4.0% of females and 5.2% of males. By ethnicity, the rate was 11.2% for Hispanic/Latino students, 7.2% for white students, 4.0% for Filipino students, 3.7% for African American students, 3.6% • for non-white students, 2.8% for students of multiple races, and 1.6% for Chinese students. By grade level, the prevalence was 5.2% for 9th grade students, 3.4% for 10th grade students, 6.3% for 11th grade students, and 3.4% for 12th grade students. Among SFUSD high school students, lifetime cocaine use decreased significantly from 1997 to 2007. Lifetime Illegal Injection Drug Use Nationwide, 2.0% of high school students had used a needle to inject any illegal drug into their body one or more times during their life. • • • • Among SFUSD high school students, lifetime illegal injection drug use was 2.6%; this rate did not differ from the national rate. The prevalence was 2.0% for females and 3.1% for males. The breakdown by ethnicity shows the rate was 3.6% for Hispanic/Latino students, 3.4% for African American students, 2.1% for Chinese students, 1.7% for white students, 1.4% for nonwhite students, 0.8% for Filipino students, and 0.6% for students of multiple races. By grade level, 4.2% of 9th grade students, 1.5% of 10th grade students, 3.2% of 11th grade students, and 1.4% of 12th grade students reported this behavior. In SFUSD, lifetime illegal injection drug use among high school students did not change significantly from 1997 to 2007. 29 Lifetime Illegal Steroid Use • Nearly four percent (3.9%) of high school students nationwide had taken steroid pills or shots without a doctor’s prescription one or more times during their life. • • • • • In SFUSD, 2.7% of high school students reported this behavior, and this rate was significantly lower compared to the national rate. The rate was 2.4% for females and 2.9% for males. The prevalence by ethnicity was 4.3% for Hispanic/Latino students, 4.1% for African American students, 3.2% for white students, 2.2% of other non-white students, 1.6% for Filipino students, 1.4% for Chinese students, and 1.2% for students of multiple races. By grade level, 3.8% of 9th grade students, 1.4% of 10th grade students, 4.4% of 11th grade students, and 1.1% of 12th grade students reported illegal steroid use. Overall, no significant change in lifetime illegal steroid use was found among SFUSD high school students from 1997 to 2007. • • Lifetime heroin use was reported at 2.3% for SFUSD high school students reported; this rate did not differ from the national rate. The prevalence was 1.6% for females and 2.7% for males. By ethnicity, 4.1% of African American students, 3.3% of Hispanic/Latino students, 2.4% of Filipino students, 1.7% of other non-white students, 1.6% of white students, 1.2% of Chinese students, and 0.6% of students of multiple races reported this behavior. By grade level, the prevalence was 3.3% for 9th grade students, 1.1% for 10th grade students, 3.1% for 11th grade students, and 1.5% for 12th grade students. Lifetime heroin use among SFUSD high school students did not change significantly from 2001 to 2007. Lifetime Methamphetamine Use a Nationwide, 4.4% of high school students had used methamphetamines (also called “speed,” “crystal,” “crank,” or “ice”) one or more times during their life. • Lifetime Heroin Use a • Nationwide, 2.3% of high school students had used heroin (also called “smack,” “junk,” or “China White”) one or more times during their life. • In SFUSD, lifetime methamphetamine use was reported by 3.6% of high school students, a rate similar to the national percentage. The rate was 3.0% for females and 4.0% for males. By ethnicity, the rate was 7.5% for Hispanic/Latino students, 4.7% for African American a 1997 data not available; 2001 compared to 2007. a 1997 data not available; 2001 compared to 2007. 30 • students, 4.6% for white students, 3.4% for Filipino students, 1.7% for Chinese students, 1.5% of other nonwhite students, and 0.6% for students of multiple races. By grade level, 4.5% of 9th grade students, 2.3% of 10th grade students, 4.7% of 11th grade students, and 2.6% of 12th grade students reported the use of methamphetamines. Overall, there was no significant change in lifetime methamphetamine use among SFUSD high school students from 2001 to 2007. students, and 6.8% of 12th grade students reported this behavior. In SFUSD, lifetime ecstasy use decreased significantly for high school students from 2001 to 2007. Changes over Time Nationally, changes in student reported drug related behavior varied over time. • • Lifetime Ecstasy Use a Nationwide, 5.8% of high school students had used ecstasy (also called “MDMA”) one or more times during their life. • • • • Lifetime ecstasy use for SFUSD high school students was 6.7%, a rate that was not significantly different from the national rate. The prevalence was 6.6% for females and 6.5% for males. The prevalence by ethnicity was 12.9% for Hispanic/Latino students, 11.8% for African American students, 9.5% for white students, 8.2% for Filipino students, 6.0% for students of multiple races, 4.4% for other non-white students, and 2.8% for Chinese students. By grade level, 5.4% of 9th grade students, 6.0% of 10th grade students, 8.4% of 11th grade • The percentage of students who reported lifetime and current marijuana use decreased significantly from 1997 to 2007. A significant decrease was found for the percentage of students who reported lifetime cocaine use from 1997 to 2007; there was also a significant decrease in the use of ecstasy from 2001 to 2007. There were no significant changes from 1997 to 2007 in the percentage of reported intravenous drug use or lifetime illegal steroid use; additionally, there were no changes in the percentage of heroin use and methamphetamines use from 2001 to 2007. a 1997 data not available; 2001 compared to 2007. 31 Figure 7: Summary of Age of Initiation of Risk Behaviors among SFUSD Students Percentage of Respondents Who: Smoked a whole cigarette before age 13 years 12 Drank alcohol before age 13 years 23 Tried marijuana before age 13 years 10 0 Age of Initiation of Risk Behaviors 20 40 • Smoked a Whole Cigarette before Age 13 Years Nearly fourteen percent (14.2%) of high school students nationwide had smoked a whole cigarette for the first time before age 13 years. • • • The prevalence of having smoked a whole cigarette before age 13 years for SFUSD high school students was 8.9%, a rate lower compared to the national rate. By gender, 7.3% of females and 10.4% of males reported this behavior. The prevalence by ethnicity was 14.6% for Hispanic/Latino students, 11.8% for Filipino students, 10.1% for white students, 9.0% for other nonwhite students, 8.0% for students of multiple races, 6.6% for 60 80 100 African American students, and 5.3% for Chinese students. By grade level, 9.5% of 9th grade students, 9.4% of 10th grade students, 7.8% of 11th grade students, and 8.9% of 12th grade students reported this behavior. Overall, the percentage of SFUSD high school students who had smoked a whole cigarette before age 13 years decreased significantly from 1997 to 2007. Drank Alcohol before Age 13 Years Nationwide, 23.8% of high school students drank alcohol (other than a few sips) for the first time before age 13 years. • • Almost twenty percent (19.7%) of high school students reported this behavior in SFUSD; this rate was lower than the national rate. The rate was 17.2% for females and 21.8% for males. 32 • • By ethnicity, the prevalence was 33.5% for Hispanic/Latino students, 25.5% for students of multiple races, 25.1% for white students, 19.5% for Filipino students, 18.5% for African American students, 15.5% for other non-white students, and 13.9% for Chinese students. Results by grade level show 22.9% of 9th grade students, 20.9% of 10th grade students, 18.8% of 11th grade students, and 15.5% of 12th grade students reported this behavior. Overall, the percentage of SFUSD high school students who drank alcohol before age 13 years decreased significantly from 1997 to 2007. Tried Marijuana before Age 13 Years • Overall, the percentage of SFUSD high school students who had tried marijuana before age 13 years did not change significantly from 1997 to 2007. Changes over Time Reports of age of initiation behaviors decreased or remained constant over time. • Nationwide, 8.3% of high school students had tried marijuana for the first time before age 13 years. • • • In SFUSD, 5.7% of high school students had tried marijuana before age 13 years, a rate that was lower than the national rate. The prevalence was 5.7% for females and 5.6% for males. By ethnicity, the rate was 14.5% for Hispanic/Latino students, 9.9% for Filipino students, 9.0% for students of multiple races, 8.8% for white students, 8.5% for African American students, 3.3% for other non-white students, and 0.8% for Chinese students. By grade level, the prevalence was 7.6% for 9th grade students, 6.0% for 10th grade students, 5.8% for 11th grade students, and 3.0% for 12th grade students. • A significant decrease was found in reports of smoking and drinking before age 13 years among high school students both nationally and in SFUSD from 1997 to 2007. Reports of marijuana use before the age of 13 years remained unchanged both nationally and in SFUSD from 1997 to 2007. 33 Figure 8: Sum m ary of Tobacco, Alcohol, and Other Drug Use on School Property am ong SFUSD Students Percentage of Respondents Who: Smoked cigarettes on school property* 3 Drank alcohol on school property* 5 Used marijuana on school property* 4 Offered, sold, or given an illegal drug on school property** * In the past 30 days ** In the past 12 months 25 0 Tobacco, Alcohol, and Other Drug Use on School Property 10 20 30 • Smoked Cigarettes on School Property On one or more of the 30 days preceding the survey, 5.7% of high school students nationwide had smoked cigarettes on school property. • In SFUSD, 3.1% of high school students reported smoking school property; compared to the national rate, significantly fewer SFUSD high school students had engaged in this behavior. • The prevalence was significantly higher for males (4.0%) compared to females was (1.9%). • By ethnicity, the prevalence was 3.8% for both Hispanic/Latino and other non-white students, 3.5% for white students, 2.5% for Chinese students, 2.4% for students of multiple races, 2.3% for Filipino students, and 2.0% for African American students. 40 50 60 70 80 90 100 By grade level, 2.3% of 9th grade students, 3.1% of 10th grade students, 3.9% of 11th grade students, and 3.0% of 12th grade students reported this behavior. Cigarette use on school property among SFUSD high school students decreased significantly from 1997 to 2007. Drank Alcohol on School Property Nationwide, 4.1% of high school students drank at least one drink of alcohol on school property on one or more of the 30 days preceding the survey. • • The prevalence of drinking alcohol on school property for SFUSD high school students was 4.5%, and statistically, it was similar to the national prevalence. The rate was 4.9% for females and 4.0% for males. 34 • • By ethnicity, 12.5% of Hispanic/Latino students, 8.5% of white students, 3.9% of African American students, 3.0% of students of multiple races, 2.8% of both Filipino and other non-white students, and 1.1% of Chinese students reported this behavior. By grade level, the prevalence was 3.7% for 9th grade students, 4.8% for 10th grade students, 5.7% for 11th grade students, and 3.5% for 12th grade students. Overall, alcohol use on school property among SFUSD high school students did not change significantly from 1997 to 2007. • Marijuana use on school property among SFUSD high school students decreased significantly from 1997 to 2007. Offered, Sold, or Given an Illegal Drug on School Property Nationwide, 22.3% of high school students had been offered, sold, or given an illegal drug by someone on school property during the 12 months preceding the survey. • Used Marijuana on School Property Nationwide, 4.5% of high school students had used marijuana on school property one or more times during the 30 days preceding the survey. • • • The prevalence of having used marijuana on school property for SFUSD high school students was 3.7%; this rate did not differ from the national rate. This behavior was reported by 3.2% of females and 4.1% of males. The breakdown by ethnicity shows the prevalence was 9.0% for white students, 8.7% for Hispanic/Latino students, 4.8% for students of multiple races, 3.5% for African American students, 4.3% for Filipino students, 2.7% for other nonwhite students, and 0.9% for Chinese students. By grade level, 3.9% of 9th grade students, 3.4% of 10th grade students, 4.7% of 11th grade students, and 2.7% of 12th grade students reported this behavior. • • • In SFUSD, 24.9% of high school students had been offered, sold, or given an illegal drug on school property, a rate similar compared to the national rate. The prevalence was 23.7% for females and 26.2% for males. The rate was 38.4% for white students, 33.5% for Hispanic/Latino students, 31.8% for Filipino students, 26.1% for students of multiple races, 25.2% for African American students, 23.2% for other non-white students, and 17.8% for Chinese students. By grade level, the rate was 23.3% for 9th grade students, 23.2% for 10th grade students, 27.1% for 11th grade students, and 27.9% for 12th grade students. Overall, there was a significant decrease in the percentage of SFUSD high school students who reported that they were 35 offered, sold, or given an illegal drug on school property from 1997 to 2007. Changes over Time • Reports of marijuana use, smoking, and reports of being offered, sold or given an illegal drug on school property decreased significantly from 1997 to 2007 in SFUSD. Student reports of smoking on school property decreased significantly both nationally and in SFUSD from 1997 to 2007. • The percentage of students who reported drinking on school property from 1997 to 2007 decreased nationally, however, remained constant in SFUSD. 36 Figure 9: Summary of Sexual Behaviors among SFUSD Students Percentage of Respondents Who: 27 Ever had sexual intercourse 4 Had first sexual intercourse before age 13 years Had sex w ith 4 or more partners (among those w ho had sex) 7 18 Are currently sexually active* 71 Used a condom during last sexual intercourse* Used birth control pills before last sexual intercourse* 15 Drank alcohol or used drugs before last sexual intercourse* 14 86 Ever taught in school about AIDS or HIV infection 0 10 20 30 40 50 60 70 80 90 100 *In the last 3 months Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection • • Ever Had Sexual Intercourse a Nationwide, 47.8% of high school students had had sexual intercourse during their life. • a Among SFUSD high school students, 26.4% reported having had sexual intercourse; a rate 1997 data not available; 2001 compared to 2007. • lower compared to the national rate. The prevalence was 25.0% for females and 27.8% for males. By ethnicity, the rate was 60.0% for African American students, 48.5% for Hispanic/Latino students, 38.1% for Filipino students, 35.1% for white students, 27.7% for students of multiple races, 16.1% for other non-white students, and 11.4% for Chinese students. The percentages by grade level indicates the prevalence was significantly higher for 10th grade (26.8%), 11th grade (27.2%), and 12th grade students (35.8%) 37 compared to 9th grade students (16.4%). Overall, there was no significant change from 2001 to 2007 in the percentage of SFUSD high school students who had had sexual intercourse. Had First Sexual Intercourse before Age 13 Years Nationwide, 7.1% of high school students had had sexual intercourse for the first time before age 13 years. • • • • Among SFUSD high school students, 3.9% reported having had sexual intercourse before age 13; statistically, this rate was lower than the national rate. A significantly higher percentage of males (5.9%) reported this behavior compared to females (1.8%). By ethnicity, the rate was 12.1% for African American students, 8.8% for Hispanic/Latino students, 7.1% for Filipino students, 3.1% for white students, 2.5% for students of multiple races, 0.9% for Chinese students, and 0.6% for other nonwhite students. By grade level, this behavior was reported by 4.7% of 9th grade students, 3.9% of 10th grade students, 3.7% of 11th grade students, and 2.5% of 12th grade students. Overall, there was no significant change in the percentage of SFUSD high school students who had had sexual intercourse before age 13 from 1997 to 2007. Had Sexual Intercourse with Four or More Persons during Their Life Nationwide, 14.9% of high school students had had sexual intercourse with four or more persons during their life. • • • • In SFUSD, 6.5% of high school students reported this behavior, which was significantly lower compared to the national percentage. The prevalence was 4.8% for females and 8.2% for males. By ethnicity, a significantly higher rate was found for African American students (25.9%) compared to Hispanic/Latino (12.3%), white (8.8%), students of multiple races (5.9%), Filipino (5.1%), other non-white (3.1%), and Chinese students (1.3%). The breakdown by grade level shows 3.5% of 9th grade students, 7.0% of 10th grade students, 5.5% of 11th grade students, and 9.1% of 12th grade students reported this behavior. Overall, the percentage of SFUSD students who had had sexual intercourse with four or more persons during their life did not change significantly from 1997 to 2007. Currently Sexually Active Nationwide, 35.0% of high school students reported having had sexual intercourse with one or more persons during the 3 months preceding the survey. • In SFUSD, 17.5% of high school students were currently sexually 38 • • • active; this rate was significantly lower compared to the national percentage. The rate was 18.3% for females and 16.7% for males. By ethnicity, a significantly higher prevalence was found among African American (43.3%), Hispanic/Latino (28.9%), white (27.1%), Filipino (22.2%), and students of multiple races (19.5%) compared to other non-white (8.3%) and Chinese students (8.0%). By grade level, the rate was 9.5% for 9th grade students, 15.8% for 10th grade students, 20.1% for 11th grade students, and 25.4% for 12th grade students. • • Condom use among SFUSD high school students increased significantly from 1997 to 2007. Birth Control Pill Use a Among the 35.0% of currently sexually active high school students nationwide, 16.0% reported that either they or their partner had used birth control pills to prevent pregnancy before last sexual intercourse. Overall, there was no significant change in current sexual activity among SFUSD high school students from 1997 to 2007. • Condom Use a Among the 35.0% of currently sexually active high school students nationwide, 61.5% reported that either they or their partner had used a condom during last sexual intercourse. • • a The prevalence of having used a condom during last sexual intercourse among the 17.5% of SFUSD high school students who reported being currently sexually active was 70.8%, a rate that was significantly higher than from the national rate. The rate was 67.3% for females and 74.8% for males. Breakdown by other ethnicities and grade levels could not be completed because the sample size was less than 100 students. The prevalence by ethnicity was 75.6% for Hispanic/Latino students. By grade level, results show 71.0% of 11th grade students and 63.9% of 12th grade students reported this behavior. • • • In SFUSD, of the 17.5% of currently sexually active high school students, 15.3% reported having had used birth control pills, and this rate was not significantly different compared to the national rate. The rate was 18.0% for females and 12.2% for males. By ethnicity, 12.4% of Hispanic/Latino students reported this behavior. The prevalence by grade level was 14.1% for 11th grade students and 18.5% for 12th grade students. Overall, there was no significant change in the percentage of birth control use among SFUSD high school students from 1997 to 2007. a Breakdown by other ethnicities and grade levels could not be completed because the sample size was less than 100 students. 39 Alcohol or Drug Use before Last Sexual Intercourse a Among the 35.0% of currently sexually active high school students nationwide, 22.5% drank alcohol or used drugs before last sexual intercourse. • • • • Of the 17.5% of SFUSD high school students currently sexually active, 14.4% reported this behavior; compared to the national rate, significantly fewer SFUSD students drank alcohol or used drugs before last sexual intercourse. The prevalence was 15.0% for females and 13.6% for males. Results by ethnicity show the rate was 16.6% for Hispanic/Latino students. By grade level, this behavior was reported by 13.7% of 11th grade students and 13.5% of 12th grade students. In SFUSD, the percentage of students who reported alcohol or drug use before their last sexual intercourse did not change significantly from 1997 to 2007. Taught in School about AIDS or HIV Infection Nationwide, 89.5% of high school students had ever been taught in school about acquired immunodeficiency syndrome (AIDS) or HIV infection. • a In SFUSD, 85.5% of high school students had been taught about AIDS or HIV infection in school, Breakdown by other ethnicities and grade levels could not be completed because the sample size was less than 100 students. • • • a rate lower compared to the national rate. The prevalence was 86.3% for females and 84.7% for males. The rate by ethnicity was 92.3% for students of multiple races, 90.2% for other non-white students, 89.5% for white students, 85.7% for Hispanic/Latino students, 84.9% for Chinese students, 84.2% for Filipino students, and 79.2% for African American students. By grade level, 84.0% of 9th grade students, 82.3% of 10th grade students, 85.8% of 11th grade students, and 90.7% of 12th grade students reported being taught this subject in school. Overall, there was a significant decrease in the percentage of SFUSD high school students who were taught about AIDS or HIV infection from 1997 to 2007. Changes over Time Sexual behaviors, both nationally and among SFUSD high school students, have fluctuated over time. • • High school students reporting ever having sexual intercourse remained unchanged from 2001 to 2007. Reports of all other sexual behaviors, including having had their first sexual intercourse before age 13 years old, having had sexual intercourse with four or more persons during their lifetime, being currently sexually active, and alcohol or drug use before last sexual intercourse remained steady from 1997 to 2007. 40 • While both nationally and among SFUSD high school students the rates of birth control pill usage remained unchanged from 1007 to 2007, student reports of • condom use increased significantly. Student reports of having been taught about AIDS or HIV infection decreased significantly from 1997 to 2007. 41 Figure 10: Summary of Dietary Behaviors among SFUSD Students Percentage of Respondents Who: Drank 100% fruit juice one or more times during the past 7 days 74 Ate fruit one or more times during the past 7 days 90 Ate green salad or other vegetables during the past 7 days 34 Drank 3 or more glasses of milk/per day 7 0 10 20 30 40 50 60 70 80 90 100 * In the past 7 days Dietary Behaviors Drank 100% Fruit Juice a Nationwide, 80.3% of high school students drank 100% fruit juices one or more times during the seven days preceding the survey. • • • a In SFUSD, 74.1% of high school students drank fruit juices during the seven days preceding the survey, and this rate was significantly lower compared to the national rate. This behavior was reported by 72.0% of females and 76.3% of males. The prevalence by ethnicity was 83.0% for Filipino students, 82.2% for Hispanic/Latino 1997 data not available; 2001 compared to 2007. • students, 80.9% for white students, 80.1% for students of multiple races, 79.3% for other non-white students, 75.1% for African American students, and 66.1% for Chinese students. The rate by grade level was 69.1% for 9th grade students, 79.4% for 10th grade students, 74.8% for 11th grade students, and 73.5% for 12th grade students. From 2001 to 2007 there was a decrease in the percentage of SFUSD high school students who drank 100% fruit juice. Ate Fruit a Nationwide, 85.3% of high school students ate fruit one or more times a 1997 data not available; 2001 compared to 2007. 42 • during the seven days preceding the survey. • • • • Among SFUSD high school students, 89.7% reported this, a rate significantly higher compared to the national rate. Females were more likely to eat fruit compared to males (92.4% and 87.0%, respectively). By ethnicity, the prevalence was 96.7% for white students, 92.0% for Chinese students, 91.3% for Filipino students, 89.2% for nonwhite students, 87.6% for students of multiple races, 85.6% for Hispanic/Latino students, and 80.8% for African American students. The rate was 86.4% for 9th grade students, 91.1% for 10th grade students, 90.9% for 11th grade students, and 90.7% for 12th grade students. From 2001 to 2007, in SFUSD, there was an increase in the prevalence of high students eating fruit. • The percentage of students who reported eating green salad or other vegetables did not change significantly from 2001 to 2007. Drank ≥ 3 Glasses of Milk/Day a Nationwide, 14.1% of high school students had drunk three or more glasses of milk per day during the seven days preceding the survey. • Ate Green Salad or Other Vegetables a b c • In SFUSD, 34.4% of high school students ate green salad or other vegetables one or more times during the seven days preceding the survey. • • The prevalence was 37.4% for females and 31.5% for males. a 1997 data not available; 2001 compared to 2007. b High school students were not asked this question nationally. c Significance was based on the oldest and most recent data points, and analysis did not include data between endpoints. The rate was 46.4% for white students, 46.1% for Chinese students, 35.7% for students of multiple races, 28.2% for other non-white students, 23.4% for Filipino students, 18.8% for Hispanic/Latino students, and 13.1% for African American students. This behavior was reported by 28.5% of 9th grade students, 37.1% of 10th grade students, 35.9% of 11th grade students and 37.6% of 12th grade students. The prevalence of having drunk three or more glasses of milk per day for SFUSD high school students was 7.3%, a rate lower compared to the national rate. Males (10.5%) were significantly more likely to report this behavior compared to females (3.9%). The breakdown by ethnicity shows the rate was 11.3% for Filipino students, 9.8% for Hispanic/Latino students, 9.7% for other non-white students, 8.5% for students of multiple races, 7.8% for white students, a 1997 data not available; 2001 compared to 2007. 43 • 5.9% for African American students, and 4.5% for Chinese students. The prevalence was 7.9% for 9th grade students, 8.1% for 10th grade students, 7.5% for 11th grade students, and 5.1% for 12th grade students. • • Overall, the percentage of SFUSD high school students who reported drinking three or more glasses a day of milk did not change significantly from 2001 to 2007. Changes over Time Overall, dietary behaviors have changed among high school students nationwide and in SFUSD. • Nationally, the percentage of high school students who reported drinking three or more • glasses of milk per day and who drank 100% fruit juice decreased significantly from 1999 to 2007. Nationally, the percentage of high school students who ate fruit did not change significantly from 1999 to 2007. In SFUSD the percentage of high school students who reported drinking three or more glasses of milk per day, and the percentage of students who ate green salad or other vegetables remained constant from 2001 to 2007. In SFUSD the percentage of students who reported eating fruit increased; however, the percentage of students who reported drinking 100% fruit juices the week preceding the survey decreased from 2001 to 2007 44 Figure 11: Summary of Physical Activity Behaviors among SFUSD Students Percentage of Respondents Who: Participated in physcial activity for at least 60 minutes on five or more days during the past week 34 Watched television three or more hours per day on an average day 33 Attended physical education classes one or more days in an average school week 54 Attended physical education classes daily in an average school week 36 42 Played on one or more sports teams* 0 10 20 30 40 50 60 * In the past 12 months Physical Activity Met Currently Recommended Levels of Physical Activity a • Nationwide 34.7% of high school students were physically active for a total of 60 minutes or more per day on five or more of the seven days preceding the survey. • • a In SFUSD, 33.8% of high school students reported meeting currently recommended levels of physical activity, a rate lower compared to the national rate. Males (41.3%) were significantly more likely to report this This question was first asked in 2004, therefore 2004 data is compared to 2007. • behavior compared to females (26.1%). By ethnicity, the prevalence was 43.6% for white students, 37.8% for students of multiple races, 37.1% for Filipino students, 37.0% for Hispanic/Latino students, 36.4% for African American students, 33.1% for other non-white students, and 29.3% for Chinese students. Results by grade level show 38.6% of 9th grade students, 39.1% of 10th grade students, 29.2% of 11th grade students, and 26.7% of 12th grade students reportedly met the current recommended level of physical activity. The percentage of SFUSD high school students who were physically active for 45 a total of 60 minutes or more per day significantly increased from 2004 to 2007. Watched Television ≥ 3 Hours per Day a Nationwide 35.4% of high school students watched television three or more hours per day on an average day. • • • • Among SFUSD high school students, 33.2% reported watching three or more hours of television per day; a rate similar to students nationwide. This behavior was reported by 31.6% of females and 34.7% of males. By ethnicity, the rate was 53.1% for African American students, 46.6% for Filipino students, 43.3% for Hispanic/Latino students, 34.7% for students of multiple races, 31.5% for other non-white students, 26.3% for Chinese students, and 16.3% for white students. By grade level, the prevalence was 33.7% for 9th grade students, 38.5% for 10th grade students, 29.0% for 11th grade students, and 31.0% for 12th grade students. Overall, there was a significant decrease from 2001 to 2007 in the percentage of students who reported watching three or more hours of television per day among SFUSD high school students. Attended Physical Education Classes Nationwide 53.6% of high school students attended physical education (PE) classes on one or more days in an average week while they were in school. • • • • Among SFUSD high school students, 54.2% reported attending PE classes one or more days in a week, and statistically, the rate was similar to the national prevalence. The prevalence was 50.0% for females and 58.6% for males. By ethnicity, the rate was 61.7% for Hispanic/Latino students, 57.3% for Filipino students, 57.2% for African American students, 52.2% for white students, 51.7% for Chinese students, 51.4% for students of multiple races, and 51.0% for other non-white students. By grade level, results show a significantly higher prevalence among 9th (83.6%), and 10th grade students (75.1%) compared to 11th (26.8%), and 12th grade students (23.2%). The percentage of SFUSD high school students who attended PE classes on one or more days in an average week did not change significantly from 1997 to 2007. Attended Physical Education Classes Daily Nearly a third (30.3%) of high school students nationwide reported attending PE classes daily in an average week when they were in school. • Among SFUSD high school students, 36.0% reported attending PE classes daily; this a 1997 data not available; 2001 compared to 2007. 46 • • • rate did not differ from the national rate. The rate was 35.2% for females and 36.9% for males. The prevalence by ethnicity was 41.9% for Filipino students, 39.0% for Hispanic/Latino students, 38.6% for other nonwhite student, 34.6% for students of multiple races, 36.0% for both Chinese and white students, and 23.7% for African American students. By grade level, a significantly higher percentage of 9th (59.2%) and 10th grade students (50.5%) reported attended PE classes daily compared to 11th (15.0%) and 12th grade students (13.8%). Overall, there was no significant change in the percentage of SFUSD high school students who attended PE classes daily from 1997 to 2007. Played on ≥ 1 Sports Teams a More than half (56.3%) of high school students nationwide reported playing on one or more sports teams during the 12 months preceding the survey. • • • The prevalence among SFUSD high school students was 41.7%; this rate was significantly lower compared to the national percentage. Males (47.9%) were significantly more likely to report playing on a sports team compared to females (35.4%). By ethnicity, 48.0% of white students, 47.1% of • Hispanic/Latino students, 45.6% of African American students, 43.7% of students of multiple races, 42.9% of Filipino students, and 37.1% of Chinese students reported playing on one or more sports teams. By grade level, the prevalence was 41.2% for 9th grade students, 44.2% for 10th grade students, 42.6% for 11th grade students, and 38.4 for 12th grade students. Overall, the percentage of SFUSD high school students playing on one or more sports teams did not change significantly from 2001 to 2007. Changes over Time Overall, for both national and SFUSD students, physical activity behaviors have varied slightly over time. • • • For both national and SFUSD students, the percentage of students who reported watching television three or more hours per day decreased significantly from 1999 to 2007. Rates of SFUSD high school students meeting the daily requirements of physical activity showed an increase from 2004 to 2007. No other changes were reported in all other physical activity behaviors since 1997. a 1997 data not available; 2001 compared to 2007. 47 Figure 12: Sum m ary of Overw eight and Weight Control Behaviors am ong SFUSD Students Percentage of Respondents Who: At risk for becoming overw eight 13 Overw eight 9 Described themselves as overw eight 31 Were trying to lose w eight 42 0 10 20 30 40 50 60 70 80 90 100 * In the past 30 days Overweight and Weight Control • At Risk for Becoming Overweight a Based on body mass index (BMI) scores generated from student reports of their height and weight, 15.8% of high school students nationwide were at risk for becoming overweight (BMI was ≥ 85th percentile but < 95th percentile). • • a In SFUSD, 12.5% of high school students were at risk, a rate lower compared to the national rate. The prevalence was 12.1% for females and 12.9% for males. 1997 data not available; 2001 compared to 2007. • By ethnicity, the rate was 22.5% for Hispanic/Latino students, 22.0% for African American students, 18.6% for students of multiple races, 13.9% for white students, 9.8% for Filipino students, 8.1% for other nonwhite students, and 7.0% for Chinese students. By grade level, the prevalence was 14.4% for 9th grade students 11.5% for 10th grade students, 12.8% for 11th grade students, and 11.3% for 12th grade students. No significant change was seen in the percentage of SFUSD high school 48 students at risk for becoming overweight from 2001 to 2007. Overweight a • Based on BMI scores generated from student reports of their age and sex, 13.0% of high school students nationwide were overweight (BMI ≥ 95th percentile). • • • • • In SFUSD, 8.5% of high school students were overweight and this rate was significantly lower compared to the national rate. Males (13.0%) were significantly more likely to be overweight compared to females (3.7%). The rate by ethnicity was 15.6% for Hispanic/Latino students, 14.7% for African American students, 7.8% for Filipino students, 6.8% for white students, 6.7% for other nonwhite students, 6.1% for students of multiple races, and 5.6% for Chinese students. The prevalence was 8.7% for 9th grade students, 9.9% for 10th grade students, 7.5% for 11th grade students, and 8.1% for 12th grade students. • There has been no significant change in the percentage of SFUSD high school students who described themselves as overweight from 1997 to 2007. Were Trying to Lose Weight Nationwide 45.2% of high school students were trying to lose weight. No significant change from 2001 to 2007 was found in the percentage of SFUSD high school students who were overweight. • Described Themselves as Overweight • Nationwide 29.3% of high school students described themselves as slightly or very overweight. • • In SFUSD, 31.2% of high school students described themselves as overweight, and statistically, this rate was similar to the national rate. Females (37.0%) were significantly more likely to consider themselves overweight compared to males (25.5%). By ethnicity, the rate was 36.6% for Hispanic/Latino students, 33.2% for students of multiple races, 32.4% for Chinese students, 30.3% for African American students, 27.8% for white students, 27.2% for other non-white students, and 22.8% for Filipino students. Grade level data show the prevalence was 29.3% for 9th grade students, 32.0% for 10th grade students, 30.8% for 11th grade students, and 32.6% for 12th grade students. In SFUSD, 42.2% of high school students reported that they were trying to lose weight; this rate was lower compared to the national rate. Females were significantly more likely to report this behavior compared to males (53.2% and 31.5% respectively). The rate by ethnicity was 51.1% for Hispanic/Latino students, 48.9% for students of multiple races, 41.2% for white students, 49 • 40.7% for Chinese students, 39.9% for African American students, 39.5% for Filipino students, and 38.4% for other non-white students. By grade level, the percentage of students reportedly trying to lose weight was 40.8% for 9th grade students, 44.3% for 10th grade students, 40.5% for 11th grade students, and 43.3% for 12th grade students. There was no change in the reported percentage of SFUSD high school students trying to lose weight from 1997 to 2007. Changes over Time Nationally, weight and dietary behaviors varied, but these behaviors have remained steady for SFUSD students. • • Among weight behaviors, the percentage of high school students who described themselves as being slightly or very overweight, and the percentage who reported trying to lose weight increased from 1997 to 2007 nationally. Student reports of being overweight or reports of being at risk for being overweight did not change significantly since 2001. 50 Summary Positive Findings: SFUSD Compared to National High School Data Generally, compared to the national prevalence in high school students, SFUSD high school students had significantly higher rates of health-promoting behaviors or lower rates of risk behaviors in each reported behavior area. Specifically, SFUSD high school students showed higher levels of positive behavior in the following areas: Behaviors That Contribute to Unintentional Injuries • Seatbelt non-use (lower) • Bicycle helmet non-use (lower) • Riding with a driver who had been drinking alcohol (lower) • Driving when drinking alcohol (lower) Behaviors That Contribute to Violence • Physical fighting (lower) Tobacco Use • Lifetime cigarette use (lower) • Lifetime daily cigarette use (lower) • Current cigarette use (lower) • Current frequent cigarette use (lower) • Tried to quit smoking cigarettes (higher) Alcohol and Other Drug Use • Lifetime alcohol use (lower) • Current alcohol use (lower) • Episodic heavy drinking(lower) • Lifetime marijuana use (lower) • Current marijuana use (lower) • Lifetime cocaine use (lower) • Lifetime illegal steroid use (lower) Age of Initiation of Risk Behaviors • Smoked a whole cigarette before age 13 years (lower) Tobacco, Alcohol, and Other Drug Use on School Property • Smoked a cigarette on school property (lower) Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection • Ever having sexual intercourse (lower) • Having sexual intercourse with four or more persons during their life (lower) 51 • • Current sexual activity (lower) Alcohol drug use before last sexual intercourse (lower) Dietary Behaviors • Fruit consumption (higher) Overweight and Weight Control • At risk for becoming overweight (lower) • Overweight (lower) Positive Trends: SFUSD High School Students For each behavior category, SFUSD high school students generally showed positive trends in behaviors since the year these behaviors were first tracked by SFUSD until 2007. There were significant positive changes (increases in health-promoting behaviors or decreases in risk behaviors) in the following behavior areas: Behaviors That Contribute to Unintentional Injuries • Seatbelt non-use (decreased) • Helmet non-use (decreased) • Driving when drinking alcohol (decreased) Behaviors That Contribute to Violence • Weapon and gun carrying (decreased) • Carried a weapon on school property (decreased) • Physical fighting on school property (decreased) • Stolen or damaged personal property on school property (decreased) • Seriously considering suicide (decreased) Tobacco Use • Lifetime cigarette use (decreased) • Lifetime daily cigarette use (decreased) • Current cigarette use (decreased) • Current frequent cigarette use (decreased) Alcohol and Other Drug Use • Lifetime alcohol use (decreased) • Current alcohol use (decreased) • Episodic heavy drinking(decreased) • Lifetime marijuana use (decreased) • Current marijuana use (decreased) • Lifetime cocaine use (decreased) • Lifetime ecstasy use (decreased) Age of Initiation of Risk Behaviors 52 • • Smoked a whole cigarette before age 13 years (decreased) Drank alcohol before age 13 years (decreased) Tobacco, Alcohol, and Other Drug Use on School Property • Smoked a cigarette on school property (decreased) • Used marijuana on school property (decreased) • Offered, sold, or given an illegal drug on school property (decreased) Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection • Condom use (increased) Dietary Behaviors • Fruit consumption (increased) Physical Activity • Met currently recommended levels of physical activity (increased) • Television watching (decreased) Negative Findings: SFUSD Compared to National High School Data Overall, in each behavior category, SFUSD high school students usually had higher or equivalent rates of positive behavior compared to national prevalence for high school students. However, SFUSD high school students had significantly lower rates of healthpromoting behaviors or higher rates of risk behaviors in the following behavior areas: Behaviors That Contribute to Violence • Not going to school because of safety concerns (higher) Tobacco Use • Bought cigarettes in a store or gas station (higher) Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection • Been taught in school about AIDS or HIV infection (lower) Dietary Behaviors • Fruit juice consumption (lower) • Milk consumption (lower) Physical Activity • Played on sports teams (lower) Negative Trends: SFUSD High School Students 53 For SFUSD high school students there were significant negative trends (increases in risk behaviors or decreases in health-promoting behaviors) in the following behavior areas: Behaviors That Contribute to Unintentional Injuries • Dating violence (increased) Sexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection • Been taught in school about AIDS or HIV infection (decreased) Dietary Behaviors • Fruit juice consumption (decreased) 54 References Centers for Disease Control and Prevention. (2006). Overweight and Obesity: Home. Retrieved August 11, 2006, from http://www.cdc.gov/nccdphp/dnpa/obesity/ Centers for Disease Control and Prevention. (2006). Trend Fact Sheets, 1991-2005. Retrieved August 7, 2006, from http://www.cdc.gov/HealthyYouth/yrbs/trends.htm Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (2006). Web-based Injury Statistics Query and Reporting System (WISQARS) [Data file]. Retrieved August 11, 2006, from http://www.cdc.gov/ncipc/wisqars Eaton, D. K., Kann, L., Kinchen, S., Ross, J., Hawkins, J., Harris, W. A., et al. (2005). Youth Risk Behavior Surveillance - United States, 2005. Morbidity & Mortality Weekly Report, 55(SS-5), 1–108. Substance Abuse and Mental Health Services Administration. (2005). Results from the 2004 National Survey on Drug Use and Health: National Findings (NSDUH Series H28, DHHS Publication No. SMA 05-4062). Rockville, MD: Author. U.S. Department of Health and Human Services. (2000). Healthy People 2010: Understanding and Improving Health. (2nd ed.). Washington, DC: U.S. Government Printing Office. Ventura, S.J., Abma, J.C., Mosher, W.D., & Henshaw, S. (2004). Estimated pregnancy rates for the United States, 1990-2000: An update. (DHHS Publication No. (PHS) 20041120). National Vital Statistics Reports, 52(23), 1-10. 55 Table 1: Summary of 2007 HS Results by GenderBehaviors That Contribute to Unintentional Injuries Percentage of students who rarely or never wore a seat belt when riding a car driven by someone else Female Male Total United States High School a 8.5 13.6 11.1 SFUSD High School a 6.0 7.4 6.7 Percentage of students who rarely or never wore a bicycle helmet Female Male United States High School a 82.2 87.4 SFUSD High School a 62.3 74.7 Total 85.1 69.7 Percentage of students who rode in a car or other vehicle driven by someone who had been drinking alcohol one or more times in the past 30 days Female Male Total United States High School a 28.8 29.5 29.1 SFUSD High School 18.4 17.6 18.0 Percentage of students who drove a car or other vehicle when they had been drinking alcohol one or more times during the past 30 days Female Male Total United States High School a 8.1 12.8 10.5 SFUSD High School a 2.1 3.4 2.8 a Statistically significant 56 Table 2: Summary of 2007 HS Results by GenderBehaviors That Contribute to Violence Percentage of students who were a victim of verbal slurs in the past 30 days because of their race or ethnicity Female Male Total United States High School SFUSD High School 18.9 26.1 22.5 Percentage of students who were a victim of verbal slurs in the past 30 days because of their weight, size or physical appearance Female Male Total United States High School SFUSD High School 19.7 20.3 20.0 Percentage of students who carried a weapon such as a gun, knife or club on one or more of the past 30 days Female Male Total United States High School a 7.5 28.5 18.0 SFUSD High School a 5.6 11.5 8.6 Percentage of students who carried a gun on one or more times during the past 30 days Female Male Total United States High School a 1.2 9.0 5.2 SFUSD High School 0.9 3.3 2.1 Percentage of students who were in a physical fight one or more times during the past 12 months Female Male Total United States High School a 26.5 44.4 35.5 SFUSD High School 18.9 26.6 22.8 Percentage of students who were injured in a physical fight Female United States High School a 2.9 SFUSD High School 2.0 Male 5.5 4.4 Total 4.2 3.3 Percentage of students who experienced dating violence (Percentage of students who were hit, slapped, nor physically hurt on purpose by their boyfriend or girlfriend during the past 12 months) Female Male Total United States High School 8.8 11.0 9.9 SFUSD High School a 9.2 9.9 9.6 Percentage of students who were ever physically forced to have sexual intercourse when they did not want to Female Male Total United States High School a 11.3 4.5 7.8 SFUSD High School 8.6 4.4 6.5 a Statistically significant 57 Table 2 (continued): Summary of 2007 HS Results by GenderBehaviors That Contribute to Violence Percentage of students who carried a weapon such as a gun, knife, or club on school property on one or more of the past 30 days Female Male Total United States High School a 2.7 9.0 5.9 SFUSD High School a 3.4 6.4 4.9 Percentage of students who were threatened or injured with a weapon such as a gun, knife, or club on school property one or more times during the past 12 months Female Male Total United States High School a 5.4 10.2 7.8 SFUSD High School 5.6 11.8 8.8 Percentage of students who were in a physical fight on school property one or more times during the past 12 months Female Male Total United States High School a 8.5 16.3 12.4 SFUSD High School a 5.7 10.5 8.1 Percentage of students who did not go to school because they felt unsafe at school or on their way to or from school on one or more of the past 30 days Female Male Total United States High School 5.6 5.4 5.5 SFUSD High School 7.6 7.2 7.4 Percentage of students who had their property, such as their car, clothing, or books stolen or deliberately damaged on school property one or more times during the past 12 months Female Male Total United States High School a 23.7 30.4 27.1 SFUSD High School a 20.1 29.1 24.7 Percentage of students who felt sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities during the past 12 months Female Male Total United States High School a 35.8 21.2 28.5 SFUSD High School 33.1 22.4 27.7 Percentage of students who seriously considered attempting suicide during the past 12 months Female Male Total United States High School a 18.7 10.3 14.5 SFUSD High School a 15.4 10.2 12.8 Percentage of students who made a plan about how they would attempt suicide during the past 12 months Female Male Total United States High School a 13.4 9.2 11.3 SFUSD High School 15.1 11.8 13.5 a Statistically significant 58 Table 2 (continued): Summary of 2007 HS Results by GenderBehaviors That Contribute to Violence Percentage of students who actually attempted suicide one or more times during the past 12 months Female Male Total United States High School a 9.3 4.6 6.9 SFUSD High School 7.3 5.3 6.4 Percentage of students whose attempted suicide resulted in an injury, poisoning, or overdose that had to be (treated) treatment from a doctor or nurse during the past 12 months Female Male Total United States High School a 2.4 1.5 2.0 SFUSD High School 1.5 2.3 1.9 a Statistically significant 59 Table 3: Summary of 2007 HS Results by GenderTobacco Use Percentage of students who ever smoked cigarettes, even one or two puffs Female Male United States High School a 48.8 51.8 SFUSD High School a 34.5 38.4 Total 50.3 36.5 Percentage of students who ever smoked cigarettes daily, that is, at least one cigarette every day for 30 days Female Male Total United States High School 11.8 13.0 12.4 SFUSD High School a 5.2 6.7 6.0 Percentage of students who currently smoked cigarettes Female United States High School 18.7 SFUSD High School a 7.1 Male 21.3 8.7 Percentage of students who smoked cigarettes on > 20 of the past 30 days Female Male United States High School 7.4 8.7 SFUSD High School a 1.1 2.6 Total 20.0 8.0 Total 8.1 1.9 Among students who are current smokers, the percentage of students who smoked more than 10 cigarettes per day on the days they smoked during the past 30 days Female Male Total United States High School a 7.1 13.8 10.7 SFUSD High School b 5.2 3.1 Among students who are current smokers, the percentage of students who tried to quit smoking cigarettes during the past 12 months Female Male Total United States High School a 55.1 45.1 49.7 SFUSD High School b 70.7 61.9 Among students who are less than 18 years of age and who are current smokers, the percentage of students who usually bought their own cigarettes by buying them in a store or gas station during the past 30 days Female Male Total United States High School a 11.3 20.0 16.0 SFUSD High School c 28.1 a Statistically significant Breakdown by female could not be completed because the sample size was less than 100 students. c Breakdown by either gender could not be completed because the sample size was less than 100 students. b 60 Table 4: Summary of 2007 HS Results by GenderAlcohol and Other Drug Use Percentage of students who drank at least one drink of alcohol on one or more days during their lifetime Female Male Total United States High School 75.7 74.3 75.0 SFUSD High School a 53.7 52.8 53.2 Percentage of students who had at least one drink of alcohol on ≥ 1 of the past 30 days Female Male Total United States High School 44.6 44.7 44.7 SFUSD High School a 24.0 20.4 22.3 Percentage of students who had five or more drinks of alcohol in a row (i.e., within a couple of hours) on one or more of the past 30 days Female Male Total United States High School a 24.1 27.8 26.0 SFUSD High School a 11.7 9.0 10.6 Percentage of students who used marijuana one or more times during their life Female Male United States High School 34.5 41.6 SFUSD High School a 22.9 22.6 Total 38.1 22.8 Percentage of students who used marijuana one or more times during the past 30 days Female Male Total United States High School a 17.0 22.4 19.7 SFUSD High School a 12.2 10.6 11.4 Percentage of students who used any form of cocaine, including powder, crack, or freebase one or more times during their life Female Male Total United States High School a 6.5 7.8 7.2 SFUSD High School a 4.0 5.2 4.6 Percentage of students who used a needle to inject any illegal drug into their body one or more times during their life Female Male Total United States High School a 1.3 2.6 2.0 SFUSD High School 2.0 3.1 2.6 Percentage of students who took illegal steroids (steroid pills or shots) one or more times during their life without a doctor’s prescription Female Male Total United States High School a 2.7 5.1 3.9 SFUSD High School 2.4 2.9 2.7 Percentage of students who used heroin one or more times during their life Female Male United States High School a 1.6 2.9 SFUSD High School 1.6 2.7 a Total 2.3 2.3 Statistically significant 61 Table 4 (continued): Summary of 2007 HS Results by GenderAlcohol and Other Drug Use Percentage of students who used methamphetamines one or more times during their life Female Male Total United States High School 4.1 4.6 4.4 SFUSD High School 3.0 4.0 3.6 Percentage of students who have used ecstasy (also called MDMA or XTC) one or more times during their life Female Male Total United States High School a 4.8 6.7 5.8 SFUSD High School a 6.6 6.5 6.7 a Statistically significant 62 Table 5: Summary of 2007 HS Results by GenderAge of Initiation of Risk Behaviors Percentage of students who smoked a whole cigarette for the first time before age 13 Female Male Total United States High School a 11.9 16.4 14.2 SFUSD High School a 7.3 10.4 8.9 Percentage of students who drank alcohol (had their first drink of alcohol other than a few sips) before age 13 Female Male Total United States High School a 20.0 27.4 23.8 SFUSD High School a 17.2 21.8 19.7 Percentage of students who tried marijuana for the first time before age 13 Female Male United States High School a 5.2 11.2 SFUSD High School 5.7 5.6 a Total 8.3 5.7 Statistically significant 63 Table 6: Summary of 2007 HS Results by GenderTobacco, Alcohol, and Other Drug Use on School Property Percentage of students who smoked cigarettes on school property on one or more of the past 30 days Female Male Total United States High School 4.8 6.5 5.7 SFUSD High School a 1.9 4.0 3.1 Percentage of students who drank alcohol school property on one or more of the past 30 days Female Male Total United States High School a 3.6 4.6 4.1 SFUSD High School 4.9 4.8 4.5 Percentage of students who used marijuana on school property one or more times during the past 30 days Female Male Total United States High School a 3.0 5.9 4.5 SFUSD High School a 3.2 4.1 3.7 Percentage of students who was offered, sold, or given an illegal drug by someone on school property during the past 12 months Female Male Total United States High School a 18.7 25.7 22.3 SFUSD High School a 23.7 26.2 24.9 a Statistically significant 64 Table 7: Summary of 2007 HS Results by GenderSexual Behaviors That Contribute to Unintended Pregnancy and STD, Including HIV Infection Percentage of students who have ever had sexual intercourse Female Male United States High School 45.9 49.8 SFUSD High School 25.0 27.8 Total 47.8 26.4 Percentage of students who had first sexual intercourse before age 13 Female Male United States High School a 4.0 10.1 SFUSD High School 1.8 5.9 Total 7.1 3.9 Percentage of students who had sexual intercourse with > 4 people during their life Female Male Total United States High School a 11.8 17.9 14.9 SFUSD High School 4.8 8.2 6.5 Percentage of students who had sexual intercourse with one or more people during the past three months Female Male Total United States High School 35.6 34.3 35.0 SFUSD High School 18.3 16.7 17.5 Among students who had sexual intercourse, the percentage of students who used a condom during last sexual intercourse during the past three months Female Male Total United States High School a 54.9 68.5 61.5 SFUSD High School a 67.3 74.8 70.8 Among students who had sexual intercourse, the percentage of students who used birth control pills to prevent pregnancy before last sexual intercourse during the past three months Female Male Total United States High School a 18.7 13.1 16.0 SFUSD High School 18.0 12.2 15.3 Among students who had sexual intercourse, the percentage of students who drank alcohol or used drugs before last sexual intercourse during the past three months Female Male Total United States High School a 17.7 27.5 22.5 SFUSD High School 15.0 13.6 14.4 Percentage of students who were taught in school about Acquired Immunodeficiency Syndrome (AIDS) or Human Immunodeficiency Syndrome (HIV) Female Male Total United States High School 90.2 88.7 89.5 SFUSD High School a 86.3 84.7 85.5 a Statistically significant 65 Table 8: Summary of 2007 HS Results by GenderDietary Behaviors Percentage of students who drank 100% fruit juice one or more times during the past 7 days Female Male Total United States High School a 78.9 81.6 80.3 SFUSD High School a 72.0 76.3 74.1 Percentage of students who ate fruit one or more times during the past 7 days Female Male United States High School 86.0 84.8 SFUSD High School a 92.4 87.0 Total 85.3 89.7 Percentage of students who ate green salad or other vegetables one or more times during the past seven days b Female Male Total United States High School SFUSD High School 75.1 77.9 76.6 Percentage of students who drank > 3 glasses of milk per day during the past seven days Female Male Total United States High School 8.8 19.4 14.1 SFUSD High School 3.9 10.5 7.3 a b Statistically significant Question was only asked on SFUSD HS survey. 66 Table 9: Summary of 2007 HS Results by GenderPhysical Activity Percentage of students who met currently recommended level of physical activity (were physically active for a total of 60 minutes or more per day on five or more of the past seven days) Female Male Total United States High School a 25.6 43.7 34.7 SFUSD High School a 26.1 41.3 33.8 Percentage of students who watched television > 3 hours per day on an average school day Female Male Total United States High School 33.2 37.5 35.4 SFUSD High School a 31.6 34.7 33.2 Percentage of students who attended PE classes on one or more days in an average week when they were in school Female Male Total United States High School a 49.4 57.7 53.6 SFUSD High School 50.0 58.6 54.2 Percentage of students who attended PE classes daily in an average week when they were in school Female Male Total United States High School a 27.3 33.2 30.3 SFUSD High School 35.2 36.9 36.0 Percentage of students who played on one or more sports teams during the past 12 months Female Male Total United States High School a 50.4 62.1 56.3 SFUSD High School 35.4 47.9 41.7 a Statistically significant 67 Table 10: Summary of 2007 HS Results by GenderOverweight and Weight Control Percentage of students who were at risk for becoming overweight (i.e., at or above the 95th percentile for body mass index, by age and sex)a Female Male Total United States High School 15.1 16.4 15.8 SFUSD High School 12.1 12.9 12.5 Percentage of students who were overweight (i.e., at or above the 95th percentile for body mass index, by age and sex) Female Male Total United States High School b 9.6 16.3 13.0 SFUSD High School 3.7 13.0 8.5 Percentage of students who described themselves as slightly or very overweight Female Male United States High School b 34.5 24.2 SFUSD High School 37.0 25.5 Total 29.3 31.2 Percentage of students who were trying to lose weight Female United States High School b 60.3 SFUSD High School 53.2 Total 45.2 42.2 a Male 30.4 31.5 th Note: previous Youth Risk Behavior Survey reports used the term “overweight” to describe youth with a BMI ≥95 th th percentile for age and sex and “at risk for overweight” for those with a BMI ≥85 percentile and <95 percentile. However, this report uses the terms “obese” and “overweight” in accordance with the 2007 recommendations from the Expert Committee on the Assessment, Prevention, and Treatment of Child and Adolescent Overweight and Obesity convened by the American Medical Association (AMA) and cofounded by AMA in collaboration with the Health Resources and Services Administration and CDC. b Statistically significant 68 Table 11: Summary of trends- Behaviors that Contribute to Unintentional Injuries Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who had never or rarely wore a seat belt when riding in a car driven by someone else SFUSD High School 6.7% 8.5% 1.8 decrease Among students who rode a bicycle, the percentage who never or rarely wore a bicycle helmet during the past 12 months SFUSD High School 69.7% 75.6% 5.9 decrease Percentage of students who rode one or more times in a car or other vehicle driven by someone who had been drinking alcohol during the past 30 days SFUSD High School 18.0% 20.7% no change Percentage of students who had driven a car or other vehicle one or more times when they had been drinking alcohol during the 30 days SFUSD High School 2.8% 4.6% 1.8 decrease a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 69 Table 12: Summary of trends- Behaviors that Contribute to Violence Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who have been a victim of verbal slurs in the past 30 days due to their race/ethnicity b SFUSD High School 22.5% 14.2% no change Percentage of students who have been a victim of verbal slurs in the past 30 days due to their physical appearance b SFUSD High School 20.0% 14.2% no change Percentage of students who have carried a weapon such as a gun, knife, or club on one or more of the past 30 days SFUSD High School 8.6% 14.2% 5.6 decrease Percentage of students who carried a gun on one or more of the past 30 days SFUSD High School 2.1% 3.3% no change Percentage of students who were in a physical fight one or more times during the past 12 months SFUSD High School 22.8% 26.6% no change Injured in a physical fight one or more times that had to be treated by a doctor or nurse during the past 12 months SFUSD High School 3.3% 2.5% no change Percentage of students who had been hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend (i.e., dating) violence during the past 12 months SFUSD High School b 9.6% 7.2% 2.4 increase Percentage of students who had ever been physically forced to have sexual intercourse when they did not want to SFUSD High School b 6.5% 4.9% no change Percentage of students who carried a weapon such as a gun, knife, or club on school property on one or more of the past 30 days SFUSD High School 4.9% 7.8% 2.9 decrease Percentage of students who had been threatened or injured with a weapon such as a gun, knife, or club on school property one or more times during the past 12 months SFUSD High School 8.8% 8.5% no change Percentage of students who were in a physical fight on school property on one or more times during the past 12 months SFUSD High School 8.1% 11.2% 3.1 decrease Percentage of students who did not go to school on one or more of the past 30 days because they felt unsafe at school or on their way to or from school SFUSD High School 7.4% 6.6% no change a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 b This question was first asked in 2001, not 1997. c Slight wording change after 1997, but still using 1997 as baseline indicator. 70 Table 12 (continued): Summary of trends (continued)- Behaviors that Contribute to Violence Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who had had property, such as their car, clothing, or books stolen or damaged on school property during the past 12 months c SFUSD High School 24.7% 27.0% 2.3 decrease Percentage of students who, during the past 12 months, ever felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing some usual activities SFUSD High School b 27.7% 28.6 no change Percentage of students who seriously considered attempting suicide during the past 12 months SFUSD High School 12.8% 20.1% 7.3 decrease Percentage of students who had made a plan about how they would attempt suicide during the past during the past 12 months SFUSD High School 13.5% 15.2% no change Percentage of students who attempted suicide during the past during the past 12 months SFUSD High School 6.4% 7.5% no change Percentage of students who had made a suicide attempt that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse during the during the past 12 months SFUSD High School 1.9% 2.8% no change a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 b This question was first asked in 2001, not 1997. 71 Table 13: Summary of trends -Tobacco Use Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who ever tried cigarette smoking, even one or two puffs (i.e., lifetime cigarette use) SFUSD High School 36.5% 60.0% 23.5 decrease Percentage of students who ever smoked cigarettes daily, that is, at least one cigarette every day for 30 days SFUSD High School b 6.0% 11.8% 5.8 decrease Percentage of students who smoked cigarettes on one or more of the past 30 days SFUSD High School 8.0% 19.1% 11.1 decrease Percentage of students who smoked cigarettes on 20 or more of the past 30 days SFUSD High School 1.9% 6.9% 5.0 decrease Percentage of students who smoked more than 10 cigarettes a day on the days they smoked during the past 30 days SFUSD High School 3.1% 7.4% no change Among the students who reported current cigarette use, the percentage who had tried to quit smoking cigarettes during the last 12 months SFUSD High School b 61.9% 65.1% no change Among the students who reported current cigarette use, and who were less than 18 years old, the percentage of students who usually got their own cigarettes by buying them in a store or gas station during the past 30 days SFUSD High School b 28.1% 28.7% no change a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05. b This question was first asked in 2001, not 1997. 72 Table 14: Summary of trends – Alcohol and Other Drug Use Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who had at least one drink of alcohol on one or more days during their life SFUSD High School 53.2% 59.2% 6.0 decrease Percentage of students who had at least one drink of alcohol on one or more of the past 30 days SFUSD High School 22.3% 27.5% 5.2 decrease Percentage of students who had five or more drinks of alcohol in a row, that is, within a couple of hours, on one or more of the past 30 days SFUSD High School 10.4% 12.6% 2.2 decrease Percentage of students who used marijuana one or more times during their life SFUSD High School 22.8% 33.0% 10.2 decrease Percentage of students who used marijuana one or more times during the past 30 days SFUSD High School 11.4% 17.1% 5.7 decrease Percentage of students who used any form of cocaine (e.g., powder, crack, or freebase) one or more times during their life SFUSD High School 4.6% 5.7% 1.1 decrease Percentage of students who had used a needle to inject any illegal drug into their body one or more times during their life SFUSD High School 2.6% 1.3% no change Percentage of students who had used illegal steroids one or more times during their life SFUSD High School 2.7% 2.9% no change Percentage of students who had used heroin (also called “smack,” “junk,” or “China White”) one or more times during their life SFUSD High School b 2.3% 1.7% no change Percentage of students who had used methamphetamines (also called “speed,” “crystal,” “crank,” or “ice”) on one or more times during their life SFUSD High School b 3.6% 4.6% no change Percentage of students who had used ecstasy (also called “MDMA”) one or more times during their life SFUSD High School b 6.7% 11.3% 6.7 decrease a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 b This question was first asked in 2001, not 1997. 73 Table 15: Summary of trends- Age of Initiation of Risk Behaviors Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who smoked a whole cigarette for the first time before age 13 SFUSD High School 8.9% 17.9% 9.0 decrease Percentage of students who had drunk alcohol (other than a few sips) for the first time before age 13 SFUSD High School 19.7% 28.6% 8.9 decrease Percentage of students who had tried marijuana for the first time before age 13 SFUSD High School 5.7% 8.6% no change a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 74 Table 16: Summary of trends- Tobacco, Alcohol, and Other Drug Use on School Property Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who had smoked cigarettes on school property one or more times during the past 30 days SFUSD High School 3.1% 9.3% 6.2 decrease Percentage of students who had drunk at least one drink on alcohol on school property one or more times during the past 30 days SFUSD High School 4.5% 5.4% no change Percentage of students who used marijuana on school property one or more times during the past 30 days SFUSD High School 3.7% 6.7% 3.0 decrease Percentage of students who were offered, sold, or given an illegal drug on school property by someone during the past 12 months SFUSD High School 24.9% 37.0% 12.1 decrease a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 75 Table 17: Summary of trends- Sexual Behaviors That Contribute to Unintended Pregnancy and Sexually Transmitted Diseases, including HIV Infection Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who ever had had sexual intercourse SFUSD High School b 26.4% 29.8% no change Percentage of students who had had sexual intercourse for the first time before age 13 years SFUSD High School 3.9% 4.6% no change Percentage of students who had had sexual intercourse with four or more persons during their life SFUSD High School 6.5% 8.8% no change Percentage of students who had had sexual intercourse with one or more persons during the last 3 months SFUSD High School 17.5% 19.7% no change Percentage of students who had used a condom during last sexual intercourse (of students who had sexual intercourse during the past three months) SFUSD High School 70.8% 57.1% 13.7 increase Percentage of students who reported that they or their partner had used birth control pills to prevent pregnancy before last sexual intercourse (of students who had sexual intercourse during the past three months) SFUSD High School 15.3% 12.6% no change Percentage of students who drank alcohol or used drugs before last sexual intercourse (of students who had sexual intercourse during the past three months) SFUSD High School b 14.4% 15.2% no change Percentage of students who had ever been taught about AIDS or HIV infection in school SFUSD High School 85.5% 91.8% 6.3 decrease a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05. b This question was first asked in 2001, not 1997. 76 Table 18: Summary of trends- Dietary Behaviors Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who had drunk 100% fruit juices one or more times during the past seven days SFUSD High School b 74.1 79.9 5.8 decrease Percentage of students who ate fruit one or more times during the past 7 days SFUSD High School b 89.7 86.1 3.6 increase Percentage of students who ate green salad or other vegetables one or more times during the past seven days SFUSD High School b 34.4% 38.1% no change Percentage of students who had drunk three or more glasses of milk per day during the past seven days SFUSD High School b 7.3% 8.7% no change a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05. b This question was first asked in 2001, not 1997. 77 Table 19: Summary of trends- Physical Activity Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who were physically active for a total of 60 minutes or more per day on five or more of the past seven days SFUSD High School b 33.8% 24.5 9.3 increase Percentage of students who watched three or more hours of TV per day on an average school day SFUSD High School c 32.3% 45.0% 11.8 decrease Percentage of students who attended physical education class one or more days during an average school week SFUSD High School 54.2% 51.9% no change Percentage of students who attended physical education class daily in an average school week SFUSD High School 36.0% 38.2% no change Percentage of students who played on one or more sports teams during the past 12 months SFUSD High School c 41.7% 44.5% no change a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05 b This question was first asked in 2005, not 1997. c This question was first asked in 2001, not 1997. 78 Table 20: Summary of trends- Overweight and Weight Control Indicator 2007 Result— Percentage of Students Reporting 1997 Result— Percentage of Students Reporting Net Change in Percentage Points Since 1997 a Percentage of students who are at risk for becoming overweight SFUSD High School b 12.5% 11.5% no change 10.6% no change Percentage of students who are overweight SFUSD High School b 8.5% Percentage of students who described themselves as slightly or very overweight SFUSD High School 31.2% 30.3% no change 41.3% no change Percentage of students who were trying to lose weight SFUSD High School 42.2% a Note: Trend analysis procedures compared the 1997 result to the 2007 result and used confidence intervals to determine significance. All changes included in the table are statistically significant at p<.05. b This question was first asked in 2001, not 1997. 79
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