Transcript Provincial results of the 2013 BC Adolescent Health Survey

From Hastings Street
to Haida Gwaii
Provincial results of the 2013 BC Adolescent Health Survey
www.mcs.bc.ca
2013 BC Adolescent Health Survey
▪ Background
▪ Positive findings and trends
▪ Areas of concern
▪ Protective factors
▪ Using the data
www.mcs.bc.ca
Administration
2013 BC Adolescent Health Survey
▪ 29,832 surveys were completed
▪ 1,645 classrooms
▪ 56 school districts
▪ 325 PHN’s and nursing students
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Youth in British Columbia
▪ Increasingly diverse backgrounds
▪ Rise in the percentage of recent immigrants
▪ Decrease in the percentage who spoke English
at home
▪ Less likely to identify as straight
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Home life
▪ Fewer students living with their parent(s)
▪ 1% currently in a foster home or group home
▪ 9% ran away from home in past year
▪ 1 in 5 moved from one home to another
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Young carers
Who youth took care of on an average school day
Males
Females
55%
48%
23%
16%
2%
2%
Their own child
or children
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Another relative (e.g.,
disabled relative, younger
sibling)
Pets or animals
Health conditions and disabilities
▪ Over a quarter of students had at least one
health condition or disability
▪ Females were 3 x more likely to report a
mental health condition
▪ For many the condition was debilitating
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Working
▪ 29% of students had worked at a paid job during the
school year
▪ More likely to have been injured
▪ Links between working and poverty
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Technology
▪ 9 out of 10 students had a cell phone
▪ Students who don’t have a cell phone
▪ Cell phone use was linked to:
– More supportive adults
– Parental monitoring
– Unsafe people on the Internet
– Cyberbullying
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Positive Findings and
Trends
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Self-reported health status
Males
Females
56%
47%
42%
28%
14%
10%
1% 2%
Poor
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Fair
Good
Excellent
Most youth had
seen a dentist in
the past year
Decrease in
students who
missed out on
needed medical
care
Decrease in serious injuries
Injured in the past year
Males
50%
Females
45%
39%
33%
25%
34%
29%
30%
25%
24%
2008
2013
0%
1998
2003
Note: The difference for females between 2008 and 2013 was not statistically significant.
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Some improvements in nutrition
▪ More youth ate fruit and vegetables than in
2008
▪ Fewer youth drank pop or energy drinks
▪ 12% ate food grown or caught by their family
▪ Fewer youth went to bed hungry
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More youth ate breakfast
Eating breakfast on school days
Always ate breakfast
60%
50%
Never ate breakfast
53%
54%
40%
20%
18%
15%
13%
0%
2003
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2008
2013
Risky sexual behaviour decreased
Among those who had ever had sex:
 3% ever had an STI
 69% used a condom the last time they had sex
 5% had ever been pregnant or caused a pregnancy
 24% used drugs or alcohol last time they had sex
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Fewer youth tried tobacco
21% had ever tried smoking.
Among those:
▪ Males more likely to smoke than females
▪ Females more likely to smoke cigarettes
▪ Greater percentage of youth were recent smokers
Fewer youth were exposed to second hand smoke
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Fewer youth tried alcohol
45% had ever tried alcohol
Among those:
▪ Youth waited longer to try alcohol
▪ Fewer youth drank in the past month
▪ Fewer youth reported binge drinking
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Fewer youth tried marijuana
26% had ever tried marijuana
Among those:
▪ Youth waited longer to try marijuana
▪ Fewer youth used last Saturday
▪ Fewer youth mixed alcohol and marijuana
▪ Students most commonly got marijuana from
a youth outside their family (82%)
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Decreases in substance use
Ever tried different substances
Alcohol
Marijuana
Tobacco
70%
58%
54%
45%
37%
35%
30%
34%
26%
26%
21%
0%
2003
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2008
2013
Using other substances
2013
Prescription pills without a doctor’s
consent
11%
Cocaine
3%
Hallucinogens
6%
Mushrooms
5%
Amphetamines
2%
Inhalants
2%
Heroin
1%
Steroids without a doctor’s consent
1%
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Change since
2008
Injury prevention improvements
▪ Fewer youth had ever driven after drinking or
using marijuana
▪ More youth wore a seatbelt
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Abuse rates decreased
Physical abuse by gender
Males
Females
30%
18%
19%
15%
15%
12%
14%
10%
0%
2003
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2008
2013
Less harassment and discrimination
▪ Fewer youth had been verbally or physically
sexually harassed
▪ However, 36% had been discriminated against
in the past year
▪ Dating violence decreased from 2008
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School safety increased
Always or usually felt safe at school
2008
83%
94%
63%
Classroom Washrooms
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90%
88%
2013
85%
96%
87%
71%
66%
Hallways
91%
56%
Library
Cafeteria
Outside on
school
property
Cyberbullying decreased
Youth who were cyber bullied in the past year
20%
18%
15%
15%
15%
12%
12%
11%
10%
0%
12 years
old or
younger
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13
14
15
16
17
18 years
old
Areas of Concern
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Concussions
▪ 16% of youth experienced a concussion in
past year
▪ Youth who wore helmet less likely to have a
concussion
▪ Youth who had experienced a concussion
were more likely to miss out on health care
because their parents would not take them
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Ratings of mental health
Males
Females
49%
38%
43%
33%
18%
3%
6%
Poor
www.mcs.bc.ca
11%
Fair
Good
Excellent
Suicide
Males
Females
▪ 8% considered
suicide
▪ 17% considered
suicide
▪ 3% attempted
suicide
▪ 9% attempted
suicide
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Other mental health concerns
Most commonly reported mental
health conditions
Males
Extreme stress by age
Males
Females
Females
20%
13%
17%
17%
17%
15%
13%
13%
10%
7%
4%
4%
5%
www.mcs.bc.ca
Anxiety
Disorder/Panic
attacks
Depression
10%
4%
0%
ADHD
7%
3%
3%
12
years
old or
younger
13
4%
14
5%
15
6%
16
7%
17
18
years
old
Foregone mental health care
▪ Male students were less likely to forego
needed care but no improvement for females
▪ Most common reason was not wanting
parents to know
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Getting enough sleep
Slept nine or more hours last night
60%
49%
35%
26%
30%
20%
15%
14%
12%
16
17
18 years
old
0%
12 years
old or
younger
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13
14
15
Good/excellent mental health
Mental health and sleep
100%
62%
71%
80%
87%
91%
91%
9
10 hours
or more
52%
50%
0%
4 hours
or less
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5
6
7
8
Increases in some forms of bullying
Males and females who were teased at school
in the past year
Males
Females
50%
39%
25%
30%
43%
37%
28%
31%
0%
2003
www.mcs.bc.ca
2008
2013
Perpetrators of bullying
▪ Students who had been bullied were more
likely to be perpetrators of bullying
▪ Older youth were more likely to be
perpetrators
▪ Females were more likely to be bullied
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Rise in overweight and obesity rates
Males
Healthy weight
Underweight
Overweight
Obese
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Females
Exercise participation decreased
▪ 17% of students aged 12-17 met the daily
activity recommendations
▪ More older youth (aged 18 or 19) reached
their guidelines
▪ Participation in organized sports, informal
sports and dance and aerobics decreased
from 2008
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Barriers to participation
Most common reasons for not participating in
sports or other activities:
– Being too busy
– Could not get there or home
– Could not afford to participate
– The activity was not available in their community
– Worried about being bullied
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Transportation challenges
 3% of youth had hitchhiked in the past
month
 Youth who did not feel safe on transit were
more likely to hitch
 Being reliant on transit was linked to
missing out on activities and health care
services
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Protective Factors
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Established Protective
Factors
• School connectedness
• Positive family relationships
• Caring adults outside the family
• Someone to turn to for help
Established Protective
Factors
• Peer relationships
• Good nutrition
• Feeling engaged and valued
• Positive future aspirations
• Stable home
Protective Factors - 2013
• Nine or more hours of sleep
• Neighbourhood safety
• Community connectedness
• Cultural connectedness
Using the Data
56 school
district data
tables
16 HSDA reports
Sexual health
report
Growing Up in
BC
Youth resources
Youth are generally making better choices about
their health
Mental health and bullying are among the areas
where there have been fewer improvements
Promoting protective factors have and can continue
to play a key role in improving outcomes for BC
youth
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From Hastings Street
to Haida Gwaii
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