Transcript Data to Action: Results and Next Steps for the Healthy

Data to Action: Results and Next Steps for
the Healthy Kids Colorado Survey (HKCS)
HKCS Advisory Committee Overview
October 2014
Presentation Outline
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History and background
Administration overview
HKCS 2013 data preparation and analysis
Selected high school results
Questions?
History and Background
History
• Healthy Kids Colorado Survey (HKCS)
provides data for state and regions on
physical activity, nutrition, marijuana,
alcohol, tobacco, drugs, school and
community factors
• In 2011, state agencies worked together
for one unified HKCS survey
Project Objectives
Reduce burden on schools
Create efficiency with collection
Provide quality data by state and regions
Support schools and communities with
putting the data into action
• Share data by populations to address
health equity
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Unified Approach
• Combined and unified project funding and
survey process and methods
• Selected a state contractor for the effort
• Formed Steering and Advisory Committees
Survey Partners
Administration Overview
Administration Steps
• Finalize survey modules (2 HS, 1 MS)
o ~160 HS questions and 71 MS questions
• Select school sample
• Recruit districts and schools to
participate
• Communicate with in-school coordinators
• Administer survey
Selecting Schools
• Three separate lists of schools from CDE
(“sampling frames”)
– MS and HS frames
• include charter schools
• stratified by 21 health statistics regions
• schools and classrooms randomly selected
– Alternative HS frame
• statewide, 12 randomly selected schools
• CDC selected 40 MS and 40 HS statewide, for
YRBS
School Recruitment
• Letters sent to districts and schools
– Phone calls to superintendent or designee
– Submit applications where required by
district
• Schools are contacted after district
agrees
– Phone calls to principal or designee
– Identify school coordinator
Communication with school
coordinators
Decide on survey administration date
Obtain class lists
Randomly select classes
Provide training and assistance in survey
process
• Administer survey
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o August 2013 – January 2014
HKCS 2013 Data
Preparation and Analysis
Data processing
• Surveys are scanned, errors and
inconsistencies are edited
– Inconsistency edits are similar to CDC’s YRBS
• Weights are constructed to represent all
students in CO public schools (for each of
the three frames)
Data processing
• Weights account for sampling design,
school and student nonparticipation and
nonresponse, and overall adjustments by
grade, sex and race/ethnicity
• Constructed variables are created
Response Rates
RR 
# participating schools
# com pletedstudentsurveys

# selected schools
# studentsenrolledin selected classes
Middle
Schools
High
Schools
Alternative
Schools
School participation rate
75.3%
79.1%
66.7%
Student participation rate
83.6%
73.6%
36.3%
Overall response rate
63.0%
58.2%
24.2%
Analysis
• State-to-national comparison (HKCS vs. YRBSS)
• Comparisons within Colorado:
– male vs. female
– self-identified gay/lesbian, bisexual (GLB) vs.
heterosexual
– race/ethnicity (presented next by Alyson/CDPHE)
• Prevalence presented for selected indicators
• Differences evaluated using Rao-Scott chi-square
tests for complex survey design; p-values <1% are
significant
Selected High School Results
Demographics of the high school
survey sample, HKCS 2013
Frequency
Percent
Gender
Female
Male
12,585
12,356
50.5%
49.5%
Sexual identity
Heterosexual
GLB
Not sure
Missing
19,768
1,310
847
3272
78.4%
5.2%
3.4%
13.0%
Race/ethnicity
American Indian/Alaska Native
Asian
African-American
Native Hawaiian/Pacific Islander
White
Hispanic
Multiple
372
791
851
140
13,735
5,967
3,001
1.5%
3.2%
3.4%
0.6%
55.3%
24.0%
12.1%
Percent of high school students who were obese or
overweight, 2013
35%
30.3%
29.3%
30%
25%
22.6%
19.3%
20%
17.6%
16.0%
15%
10%
5%
0%
National
Colorado*
Females
Males*
Heterosexual
GLB*
Percent of high school students who smoked
cigarettes in past 30 days, 2013
35%
30.8%
30%
25%
20%
15.7%
15%
10.7%
10%
12.3%
9.1%
9.1%
5%
0%
National
Colorado*
Females
Males*
Heterosexual
GLB*
Percent of high school students who drank alcohol in
past 30 days, 2013
60%
48.3%
50%
40%
34.9%
31.0%
32.1%
Colorado*
Females
30%
29.9%
29.7%
Males
Heterosexual
20%
10%
0%
National
GLB*
Percent of high school students who used marijuana
in past 30 days, 2013
45%
39.7%
40%
35%
30%
25%
23.4%
19.7%
20%
21.5%
17.7%
17.7%
15%
10%
5%
0%
National
Colorado*
Females
Males*
Heterosexual
GLB*
Percent of high school students who ever used
prescription drugs without a prescription, 2013
35%
33.2%
30%
25%
20%
17.8%
15%
13.6%
12.9%
Colorado*
Females
14.1%
11.8%
10%
5%
0%
National
Males
Heterosexual
GLB*
Percent of high school students who have been in a
fight in past 12 months, 2013
40%
35.5%
35%
30%
25%
26.0%
24.7%
20.4%
18.8%
20%
14.6%
15%
10%
5%
0%
National
Colorado*
Females
Males*
Heterosexual
GLB*
Percent of high school students who attempted
suicide in past 12 months, 2013
30%
28.2%
25%
20%
15%
10%
8.0%
9.1%
6.6%
5%
4.1%
4.5%
Males*
Heterosexual
0%
National
Colorado*
Females
GLB*
Percent of high school students who had sex in the
past 3 months, 2013
45%
40.0%
40%
35%
34.0%
30%
25%
23.3%
22.4%
Colorado*
Females
24.2%
22.3%
20%
15%
10%
5%
0%
National
Males
Heterosexual
GLB*
Percent of high school students who have someone
to go to if they have a serious problem, 2013
90%
81.0%
81.4%
80.6%
83.4%
80%
68.3%
70%
60%
50%
40%
30%
20%
10%
NA
0%
National
Colorado
Females
Males
Heterosexual
GLB*
Health Indicators Among by
Race and Ethnicity
Percent of Colorado high school students who
identified themselves as gay, lesbian or bisexual,
2013
8
6.9
6.6
Percent
6
6.4
5.7
4.8
4.1
4.1
4
2
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
White
White Hispanic
Percent of Colorado high school students who went
hungry sometimes, most of the time or always
because of lack of food at home, 2013
35
29.6
30
24.0
Percent
25
19.5
20
15
22.4
16.9
14.2
11.1
10
5
0
Total
American Indian
Asian
Black
Hawaiian/Pac. Isl
White
White Hispanic
Percent of Colorado high school students who
smoked cigarettes during the last 30 days, 2013
25
22.8
Percent
20
15
10.7
10.6
10.9
Black
Hawaiian/Pac.
Isl
10
10.1
11.0
6.9
5
0
Total
American
Indian
Asian
White
White
Hispanic
Percent of Colorado high school students who had
used alcohol during the past 30 days, 2013
40
31.0
30.5
30
Percent
33.9
33.8
33.4
27.1
20
15.2
10
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
White
White
Hispanic
Percent of Colorado high school students who
used marijuana in the past 30 days, 2013
30
27.0
25.9
25
Percent
20
23.6
19.7
19.4
17.0
15
10.0
10
5
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
White
White
Hispanic
Percent of Colorado high school students who had
taken a prescription drug without a prescription one
or more times during their life, 2013
25
22.7
20
18.1
Percent
15.4
15
13.6
10
13.0
12.8
White
White
Hispanic
8.5
5
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
Percent of Colorado high school students drivers who
had texted or emailed while driving on one or more
of the past 30 days, 2013
50
45.5
40
37.9
36.2
Percent
33.7
30
25.6
25.7
Asian
Black
20
10
0
Total
American
Indian
White
White Hispanic
Percent of Colorado high school students who had ever
been electronically bullied during the past 12 months,
2013
25
23.0
Percent
20
15
17.9
16.2
15.1
13.1
12.8
11.3
10
5
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
White
White
Hispanic
Percent of Colorado high school students who
attempted suicide during the past 12 months, 2013
20
14.5
Percent
15
9.3
10
8.0
7.8
6.6
5.2
4.7
5
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
White
White
Hispanic
Percent of Colorado high school students who felt
that most courses in school were very or quite
stimulating/interesting, 2013
50
40
36.4
38.7
Percent
31.2
33.2
30.9
28.4
30
29.8
20
10
0
Total
American Indian
Asian
Black
Hawaiian/Pac. Isl
White
White Hispanic
Percent of Colorado high school students who felt
what they were learning in school is going to be
important later in life, 2013
70
59.6
60
50.5
Percent
50
45.1
50.5
47.7
41.7
41.4
40
30
20
10
0
Total
American Indian
Asian
Black
Hawaiian/Pac. Isl
White
White Hispanic
Percent of Colorado high school students who
thought it was important to finish high school,
2013
100
97.4
94.7
97.9
94.4
98.2
98.2
97.1
Hawaiian/Pac. Isl
White
White Hispanic
Percent
80
60
40
20
0
Total
American Indian
Asian
Black
Percent of Colorado high school students who
thought it was important to go to college, 2013
100
96.6
92.6
Percent
80
92.3
97.2
93.6
91.6
White
White
Hispanic
83.0
60
40
20
0
Total
American
Indian
Asian
Black
Hawaiian/Pac.
Isl
Reports and Accessing Data
Access the Data
http://www.chd.dphe.state.co.us/
https://www.ephtrequest.dphe.state.co.us/Requ
ests/Create (on line data request system)
Next Steps
• Support with putting the data into action
• Next survey administration will be fall 2015
• With marijuana funding, any school will be
able to participate
• Continue to sample by state and region for
representative data
Questions?
Sarah J. Nickels, Ph.D., M.S.W.
Colorado Department of Public Health and
Environment
[email protected]
303-691-4043