Schools YRBSl Report2 23 06

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Steps to a Healthier NY Jefferson County Steps Youth Survey 2005 Presentation Outline: This presentation will include: 1. a brief reminder of the evaluation process for the Steps grant in Jefferson County, and 2. a summary of the findings of the 2005 Steps Youth Survey. (much more detailed survey results are provided in the distributed “Survey Results” document ... more detailed results are available from Joel LaLone)

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SHNY Evaluation Plan The Components “The Steps Evaluation Process”: The evaluation components have been organized as follows the following four pillars: Steps to a Healthier US Core Performance Measures Surveillance Data - Steps Survey (BRFSS) & Steps Youth Survey (YRBS) LOCAL- Program Monitoring - Process Measures for Interventions/Objectives LOCAL- Local Impact Studies

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Core Performance Measures (National) Measured/recorded by NYSDOH, CDC Local helps/provides as necessary 9 Program Outcome Measures (from BRFSS, YRBS, Local Community Studies) 8 Program Implementation Measures (budgets, progress reports, etc.) Overview: Electronic version (as a pdf) available, 27 pages

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Steps Survey (BRFSS) Telephone interviews 70+ items, covering all 6 Target Areas, plus more Clearwater Research, Boise, Idaho collects, reports to NYSDOH quarterly Approximately 400 adults per quarter NYSDOH summarizes for us quarterly, also provides data set We can analyze trends AND partition to identify relationships Overview: Currently: 1.5 years (5/04-10/05) reported to us

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Steps Survey (BRFSS) Example of Summary Provided by Joel (hard copy provided 8/11/05):

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Steps Youth Survey (YRBS) This will be addressed in further detail later in presentation Overview:

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Local Evaluation – Process and Planning Summary: Year 3 Workplan has been approved Workplan includes Interventions and Objectives Each Intervention includes an Evaluation Matrix Each Evaluation Matrix describes the Process Measures and Local Impact Studies to be used to evaluate the objectives PM’s and LS’s at times require IRB approval JL and PSM completed IRB training at NYSDOH on 9/29/05

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Local Evaluation – More Details for Process Measures More Details: PM’s (from Evaluation Matrices) recorded by Steps Partners PM’s collected from partners every 60 days by Penny Starting January 2006, PM reporting will be web-based, entered directly by Penny/Joel into PROMS (Program Monitoring System), for NYSDOH/CDC monitoring Joel/Penny PROMS training in November

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Local Evaluation – More Details for Local Impact Studies More Details: Strongly recommended by NYSDOH & CDC So far in Jefferson County, LIS have been well received (Asthma Awareness Campaign Evaluation) Future Plans – Tobacco NRM Distribution, Asthma again, any others that are logical and do-able

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Back to the … Steps Youth Survey Completed in 11 JC schools, Kristin Lister coordinating 51 items, covering all 6 Target Areas (paper copy provided, electronic copy available) Students in grades 9-12 1,364 students sampled in April-May 2005 NYSDOH summarizes data for us and reports, we have the original weighted database in SPSS Will be completed every 2 years Overview: Tremendously thorough methodology, cleansing, weighting, analysis, and reporting – see binder

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Asthma Jefferson County rate is rather typical within NYS Note the gender difference in asthma attacks Highlight:

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Diabetes 1 out of 25 Jefferson County teens has diagnosed diabetes Highlight:

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Obesity Jefferson County teenage obesity rates are very high, especially among males NYS teenage obesity rate in 2005 is 9.9% Highlight:

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Obesity (cont.) Jefferson County teenagers are attempting to lose weight at the typical rate in NYS (48.4% in 2005) Clearly, females are more likely to be trying to lose weight Highlight:

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Nutrition Jefferson County teens eat much less F/V than typical for NYS (23% in 2005) or the US (22% in 2003) Jefferson County teens most commonly drink some type of reduced-fat milk Highlight:

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Physical Activity Jefferson County teens are far more likely to meet the vigorous activity requirements (65% NYS in 2005, 63% in US in 2003) Jefferson County teens are far more likely to meet the moderate activity requirements (22% NYS in 2005, 25% in US in 2003) Highlight:

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Physical Activity (cont.) Jefferson County teens watch less TV than the NYS rate of 36% (2005) Note the gender difference in computer or video game playing Highlight:

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Tobacco Use Jefferson County rates of current smoking are similar to NYS rate of 18.7%, nationally in 2003 the rate was 22%, Jefferson County is very high compared to other Steps Counties (B,C,R) A clear trend with age (grade level) is present Highlight:

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Conclusions Top 4 observations: Thanks again for your enthusiastic interest … I look forward to your continued questions … what else would you like to know? JL Much more likely to be overweight Very active Not getting appropriate nutrition More likely to be a cigarette smoker Our Jefferson County teens tend to be: