Central Vancouver

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Central Vancouver Island

Results of the 2013 BC Adolescent Health Survey

2013 BC Adolescent Health Survey: Central Vancouver Island

▪ Background ▪ Positive findings and trends ▪ Areas of concern ▪ Protective factors ▪ Using the data www.mcs.bc.ca

Administration

2013 BC Adolescent Health Survey Northern Interior ▪ 29,832 surveys completed ▪ 1,645 classrooms ▪ 56 school districts ▪ 325 PHNs and nursing students www.mcs.bc.ca

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Youth in Central Vancouver Island

▪ 70% of students reported European heritage ▪ 14% reported Aboriginal heritage ▪ 9% of students were born outside of Canada

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Home life

▪ 94% of students lived with at least one parent ▪ 4% had lived in foster care ▪ 1% had lived in a group home ▪ 23% moved from one home to another

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Young carers

Who youth took care of on an average school day

Males Females 69% 60% 14% A relative 21% Pets or other animals

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Health conditions and disabilities

▪ 22% of males and 34% of females had at least one health condition or disability ▪ Females were over 3x as likely as males to report a mental or emotional health condition ▪ For many the condition was debilitating

75%

Working

Students who worked at a paid job during the school year

61% 50% 41% 29% 24% 25% 21% 13% 0% 12 years old or younger 13 14 15 Note: Not all age differences were statistically significant.

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16 17 years or older

Technology

▪ 86% of males and 93% of females had a cellphone ▪ Cellphone use was linked to: – More likely to have adult outside family to talk to; – More likely to have approached a friend for help ▪ Students without a cellphone: – More likely to have slept for 8 or more hours www.mcs.bc.ca

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Positive Findings and Trends

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Overall health ratings

49% 37% 12% 2% Poor Fair Good Excellent Most youth had seen a dentist in the past year 9% of students missed out on needed medical care

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Decrease in serious injuries

▪ 29% seriously injured in past year, decrease from 35% in 2008 ▪ 53% injured during recreational activities

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Injury prevention improvements

▪ 78% of youth always wore seat belt, an increase from 67% in 2008 and 51% in 2003 ▪ Fewer students driving after drinking alcohol ▪ Fewer driving after using marijuana

Nutrition

▪ Most youth ate fruit and vegetables ▪ 91% of youth never went to bed hungry ▪ 59% of males and 43% of females always ate breakfast on school days www.mcs.bc.ca

Slept for 8 or more hours last night in relation to frequency of eating breakfast on school days

65% 50% 32% www.mcs.bc.ca

Never eat breakfast Sometimes eat breakfast Always eat breakfast

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Risky sexual behaviour decreased

26% had ever had sex Among those:  21% used drugs or alcohol last time they had sex  69% (they or their partner) used condom last time  Fewer males reported pregnancy involvement

Fewer youth tried tobacco

24% had ever tried smoking Among those: ▪ Fewer youth first smoked at 14 or younger ▪ Males more likely to use certain products ▪ 49% were recent smokers Fewer exposed to second-hand smoke daily www.mcs.bc.ca

Fewer youth tried alcohol

53% had ever tried alcohol Among those: ▪ Youth waited longer to try alcohol ▪ 40% reported having five or more drinks over a short period of time 22% of all youth drank last Saturday www.mcs.bc.ca

Fewer youth tried marijuana

30% had ever tried marijuana Among those: ▪ Youth waited longer to try marijuana compared to 2003 ▪ 58% had used it in the past month 7% of all youth used marijuana and alcohol last Saturday www.mcs.bc.ca

80%

Decreases in substance use

Youth who had ever tried different substances

Alcohol Marijuana Tobacco 65% 64% 53% 43% 40% 40% 30% 35% 30% 24% 0% 2003 2008 2013 Note: The differences between 2003 and 2008 in youth who had tried alcohol and youth who had tried marijuana were not statistically significant.

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Using other substances Prescription pills without a doctor’s consent Mushrooms Ecstasy Hallucinogens Cocaine Inhalants Amphetamines Ketamine, GHB Crystal meth Steroids without a doctor’s consent Heroin

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2013

11% 7% 5% 5% 3% 2% 2% 2% 1% 1% 1%

Change since 2008

NA

School safety increased

Locations where students always or usually felt safe

2008 2013 85% 96% 83% 93% 76% 91% 68% 91% 90% 66% 59% 90% Library Classroom Cafeteria Hallways Washrooms Outside on school property www.mcs.bc.ca

Friends with pro-social attitudes

Students whose friends would be upset with them if they...

2008 2013 Change since 2008 Dropped out of school

84% 88%

Were involved in gang activity Got pregnant or got someone pregnant Got arrested

NA 71% 62% 86% 82% 77%

Beat someone up Used marijuana

51% 50%

Got drunk

27% Note: NA means that the question was not asked.

-- The percentages in 2008 and 2013 were comparable. www.mcs.bc.ca

68% 52% 37% --

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Areas of Concern

Concussions

Concussion symptoms experienced (among youth who had a concussion in the past year)

Headaches 69% Dizziness or balance problems 64% Dazed, confused or suffered a gap in memory Blurred vision Ringing in the ears 44% 43% 40% Lost consciousness 25% www.mcs.bc.ca

Ratings of mental health

Mental health and overall health ratings

Mental health Overall health 86% 80% www.mcs.bc.ca

20% Poor or Fair 14% Good or Excellent

Other mental health concerns

Most commonly reported conditions

Depression Anxiety Disorder/ Panic Attacks Attention Deficit/ Hyperactivity Disorder (ADHD)

Males Female s

6% 3% 6% 14% 16% Students who experienced extreme stress and despair in the past month Males Females 14% 10% 7% Extreme stress 3% Extreme despair www.mcs.bc.ca

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Suicide

Males

▪ 8% considered suicide ▪ 3% attempted suicide

Females

▪ 16% considered suicide ▪ 9% attempted suicide

Foregone mental health care

▪ 16% of females and 6% of males did not access needed mental health services ▪ Most common reasons were thinking or hoping the problem would go away, and not wanting their parents to know.

▪ More likely than in 2008 to report not wanting parents to know and not knowing where to go www.mcs.bc.ca

Getting enough sleep

Hours slept last night

29% 22% 12% 6% 5% 4 hours or less 5 6 7 8 18% 8% 9 10 hours or more www.mcs.bc.ca

Mental health and sleep

100%

Good/excellent mental health in relation to hours slept last night

85% 90% 79% 69% 59% 51%* 50% 0% 4 hours or less 5 6 7 8 9 hours or more Note: Not all differences were statistically significant.

* The percentage should be interpreted with caution as the standard error was relatively high but still within a releasable range.

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Overweight and obesity rates

71%

BMI weight category

Males Females 81% 17% 13% 3% 2% Underweight Healthy weight Overweight 9% 5% Obese Note: The difference between males and females who were underweight was not statistically significant.

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Bullying

▪ Increase in rates of: – Female students experiencing teasing – All students being excluded ▪ Rates decreased or stayed consistent of: – Physical assaults – Cyberbullying

Perpetrators of bullying

Youth who were perpetrators of bullying in relation to the number of different types of bullying they experienced in past year (teased, excluded, assaulted)

48%* 25% 9% Victim of 0 types of bullying Victim of 1 type of bullying Victim of 2 types of bullying * The percentage should be interpreted with caution as the standard error was relatively high but still within a releasable range.

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Abuse

16%

Students who were ever abused

Males Females 17% 10% 4% Physically abused Sexually abused 8% 1% Both physically and sexually abused www.mcs.bc.ca

Exercise participation

▪ 18% of students aged 12-17 met their daily activity guidelines ▪ 59%* of students aged 18 or older reached their daily activity guidelines ▪ On a weekly basis: 60% involved in informal sports, 56% played organized sports, 18% did exercise or dance classes www.mcs.bc.ca

Barriers to participation

Barrier

Too busy Couldn’t afford to participate Couldn’t get there or home Activity wasn’t available in community Worried about being bullied

Males

35% 14% 17% 15% 5%

Females

50% 20% 18% 15% 9% Note: The difference between males and females who could not participate in activities because they couldn’t get there or home was not statistically significant. www.mcs.bc.ca

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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

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Established Protective Factors

• Peer relationships • Good nutrition • Feeling engaged and valued • Stable home

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Protective Factors - 2013

• Eight or more hours of sleep • Neighbourhood safety • Community connectedness • Cultural connectedness

Youth are generally making fewer risky choices about their health Mental health for females is among the areas of concern, and where there have been fewer improvements Promoting protective factors have and can continue to play a key role in improving outcomes for BC youth www.mcs.bc.ca

Using the data

56 school district data tables 16 HSDA reports Growing Up in BC Sexual health report Youth resources www.mcs.bc.ca

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Next Steps

▪ Youth-led projects or initiatives [email protected]

In Our Shoes

▪ Bullying awareness video https://www.youtube.com/user/McCrearyCentre www.mcs.bc.ca

Grants up to $500 for youth-led projects

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Discussing the results

▪ Commentary on the AHS findings from: – Mary Ellen Turpel-Lafond, Representative for Children and Youth – Bob Lenarduzzi, President, Vancouver Whitecaps – And more!

▪ Video on McCreary’s YouTube channel

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Central Vancouver Island

Results of the 2013 BC Adolescent Health Survey [email protected]

[email protected]