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CDPHE
Colorado Health Promotion Survey
Colorado Health Promotion Survey
           Fall 2010
               Carsten Baumann
   EPE | Epidemiology, Planning, Evaluation | Branch
      Colorado Department of Public Health and 
      Colorado Department of Public Health and
                    Environment
     Carsten.Baumann@state.co.us 303.692.2556
Purpose of Survey
           Purpose of Survey
• Not representative of the state
  Not representative of the state 
• Baseline data on students’ health‐related 
  knowledge, attitudes and behaviors
  knowledge attitudes and behaviors
• Quasi‐experimental design:  CDPHE‐funded 
  implementation sites and comparison schools
  i l          i    i     d        i      h l
• Needed to determine changes in future



                                    Prevention Services Division
2                                  EPE | Epidemiology, Planning, 
                                             Evaluation | Branch
Why It Is Important
          Why It Is Important
• Funding: FDA ARRA CDC grants state
   Funding: FDA, ARRA, CDC grants, state 
  tobacco tax
• Quality improvement
   Quality improvement
• Planning
• Building the knowledge base 




                                      Prevention Services Division
3                                    EPE | Epidemiology, Planning, 
                                               Evaluation | Branch
Content of Survey
           Content of Survey
• Demographics
• Educational achievement & aspirations
• Protective factors
   Protective factors
• General health
 Policy Focused
 P li F       d
• Physical (in)activity
• Nutrition
• Tobacco
                                    Prevention Services Division
4                                  EPE | Epidemiology, Planning, 
                                             Evaluation | Branch
Survey Implementation:
              Purposive Sample
                            l
• 30 high schools in random sample
  30 high schools in random sample 
    – 15 high schools in CDPHE‐funded communities
    [10 participated]
    [10 participated]
    – 15 high schools in (non‐intervention) comparison 
      sites [12 participated]
      sites [12 participated]
• 2 classrooms per grade
• Maximum 7,200 students [4,112 completes]
                      d
• NOT designed to be representative
                                            Prevention Services Division
5                                          EPE | Epidemiology, Planning, 
                                                     Evaluation | Branch
Survey Implementation:
               Recruitment
•   University staff contact schools
    University staff contact schools
•   Assurances of confidentiality
•   Financial compensation
     i    i l            i
•   School‐building data report upon completion

• Coordination with Tri‐County Health Dept
  Coordination with Tri County Health Dept


                                      Prevention Services Division
6                                    EPE | Epidemiology, Planning, 
                                               Evaluation | Branch
Survey Implementation:
               Administration
                d
• Survey packets sent to schools
  Survey packets sent to schools
    – Student packet with bubble‐sheet survey and 
      pencils
    – Teacher packet with instructions and cover sheet
    – Return shipping instructions and box
      Return shipping instructions and box
• Teachers administer survey



                                            Prevention Services Division
7                                          EPE | Epidemiology, Planning, 
                                                     Evaluation | Branch
Survey Participants' Grade Level (n=4112)
1400


                                        1228
1200

                                                         1092


1000
                                                                   924

                                                                                 832
 800




 600




 400




 200



                 19                                                                               17
   0
                 8th                    9th              10th      11th          12th   Ungraded or other grade

Source: Colorado Student Health Promotion Survey, 2010
Survey Participants' Race / Ethnicity (n=4107)

                                                              1%

                                                         4%
                                               3%
                                       4%


                              5%



                                                                                       White
                                                                                       Hispanic
                                                                                       Black
                                                                                       Asian
                                                                                       Native American
                                                                                       Native American
                      24%                                                              Other
                                                                           59%
                                                                                       Multiracial




Source: Colorado Student Health Promotion Survey, 2010
BMI
                                       (calculated from self‐reported height and weight)



                                                         3%
                                     14%




              17%                                                                          Underweight
                                                                                           Healthy weight
                                                                                           Overweight
                                                                                           Obese




                                                                              66%




Source: Colorado Student Health Promotion Survey, 2010
Caring Adult
                      At the school you're in today, is there a teacher or some other adult who really cares about you?




                                                                         11%




                                34%




                                                                                                                          No
                                                                                                                          Yes
                                                                                                                          Not Sure




                                                                                     55%




Source: Colorado Student Health Promotion Survey, 2010
Eat In School Cafeteria
                During the past two weeks (10 school days), how many times did you buy lunch from the school cafeteria?




                         22%




                                                                                                I did not buy lunch from the cafeteria
                                                                              47%               1 to 3 times
                                                                                                4 to 6 times
           7%
                                                                                                7 to 9 times
                                                                                                10 times (every day)


                8%




                                       16%


Source: Colorado Student Health Promotion Survey, 2010
Days Bought From School Cafeteria (among those with any days)
                During the past two weeks (10 school days), how many times did you buy lunch from the school cafeteria?




                                                                                  31%



                       41%
                                                                                                                1 to 3 times
                                                                                                                4 to 6 times
                                                                                                                7 to 9 times
                                                                                                                7 to 9 times
                                                                                                                10 times (every day)




                                                                            14%



                                                         14%

Source: Colorado Student Health Promotion Survey, 2010
Bought Fruit In School Cafeteria
                  During the past two weeks (10 school days), if you bought lunch from the school cafeteria, on how many 
                                             days did you buy fresh fruit from the cafeteria?




                                         9%
                              1%
                         1%

                           2%
                         2%                                                                       I did not buy lunch from the cafeteria
                    3%                                                                            1 day
               2%                                                                                 2 days
                                                                                                  3 days
             5%                                                                                   4 days
                                                                                                  5 days
                                                                                                      y
                                                                                                  6 days
                                                                               55%
             5%
                                                                                                  7 days
                                                                                                  8 days
                                                                                                  9 days
                                                                                                  All 10 days
                              15%




Source: Colorado Student Health Promotion Survey, 2010
Days Bought Fruit From School Cafeteria (among those with any days)
                 During the past two weeks (10 school days), if you bought lunch from the school cafeteria, on how many 
                                            days did you buy fresh fruit from the cafeteria?




                                           20%



                                                                                       32%                                 1 day
                                                                                                                           2 days
                                                                                                                           3 days
                            2%
                                                                                                                           4 days
                           3%                                                                                              5 days
                                                                                                                           6 days
                            4%
                                                                                                                           7 days
                                                                                                                           8 days
                                4%
                                                                                                                           9 days
                                                                                                                           All 10 days
                                     7%
                                                                                 12%

                                                 5%

                                                            11%

Source: Colorado Student Health Promotion Survey, 2010
Active Transportation Possible
                               If you wanted to, could you walk or ride a bike, scooter, or skateboard to school?




                                                                                     42%
                                                                                                            No, it is too far
               45%
                                                                                                            No, it is not safe
                                                                                                            No, it is too far and it is not safe
                                                                                                            No, my school doesn't allow it
                                                                                                            Yes




                                                                   3%
                                            1%
                                                         9%

Source: Colorado Student Health Promotion Survey, 2010
Active Transportation Used
                    During a typical school week (5 school days), how many days do you walk or ride a bike, scooter, or 
                                                           skateboard to school?




                                                         10%


                                             2%
                                        3%

                                   3%


                              4%                                                                                           0 days
                                                                                                                           1 day
                                                                                                                           2 days
                                                                                                                           3 days
                                                                                                                           4 days
                                                                                                                           All 5 days




                                                                                  78%




Source: Colorado Student Health Promotion Survey, 2010
Wore a Helmet while Biking
                              During the past 12 months, when you rode a bicycle, how often did you wear a helmet?




                                                 9%



                                  6%


                                                                                     32%
                         6%

                                                                                                                     I did not ride a bicycle
                                                                                                                     Never
                                                                                                                     Rarely
                    8%
                                                                                                                     Sometimes
                                                                                                                     Most of the time
                                                                                                                     Always




                                                         39%

Source: Colorado Student Health Promotion Survey, 2010
How Smokers Got Cigarettes
                                    In the past 30 days, how did you usually get the cigarettes you smoked?



                                             2%
                                     5%




             21%                                                           34%

                                                                                               Did not get cigarettes
                                                                                               Did not get cigarettes
                                                                                               I bought them in a store
                                                                                               Gave someone money to buy them
                                                                                               Someone I live with gave them to me
                                                                                               Someone I don“t live with gave them to me
                                                                                               I took them without permission
          4%
                                                                                               I ordered them on the internet




                        16%
                                                            18%



Source: Colorado Student Health Promotion Survey, 2010
How Smokers Got Cigarettes (among those who got them)
                                     In the past 30 days, how did you usually get the cigarettes you smoked?




                                            3%
                                7%



                                                                         28%




                                                                                                I bought them in a store
                                                                                                Gave someone money to buy them
                                                                                                Someone I live with gave them to me
        32%                                                                                     Someone I don t live with gave them to me
                                                                                                Someone I don“t live with gave them to me
                                                                                                I took them without permission
                                                                                                I ordered them on the internet




                                                                   24%


                                     6%


Source: Colorado Student Health Promotion Survey, 2010
Current Cigarette Smoking
                                     In the past 30 days, on how many days did you smoke any cigarettes?




                                                           5%



                         24%




                                                                                                      I have never smoked cigarettes
                                                                                28%
                                                                                                      Did not smoke cigarettes
                                                                                                      I smoked on 1 or 2 days
                                                                                                      I smoked on 3 to 5 days
                                                                                                      I smoked on 6 to 9 days
                                                                                                      I smoked on 6 to 9 days
                                                                                                      I smoked on 10 to 19 days
              10%
                                                                                                      I smoked on 20 to 29 days
                                                                                                      I smoked on all 30 days (every day)



                        6%
                                                                      13%

                                   4%
                                                   10%

Source: Colorado Student Health Promotion Survey, 2010
Perceived Availability of Cigarettes
                                 If you wanted cigarettes, how easy or hard would it be for you to get some?




                                     25%



                                                                                           37%

                                                                                                               Very easy
                                                                                                               Pretty easy
                                                                                                               Pretty hard
                                                                                                               Very hard
                          5%
                                                                                                               Not sure


                               5%




                                                          28%

Source: Colorado Student Health Promotion Survey, 2010
Visits to Convenience Store
                        In the past 30 days, how often did you visit a convenience store or gas station for any reason?




                                                             12%

                           21%




                                                                                                      Did not visit a convenience store/gas
                                                                                                      Did not visit a convenience store/gas 
                                                                                                      station
                                                                                                      About 2 to 3 times

                                                                                                      About once a week
                                                                                                      About once a week

                                                                                                      More than once a week

                                                                                40%
                  27%




Source: Colorado Student Health Promotion Survey, 2010
Physically Active
                In the past 7 days, on how many days were you physically active for a total of 60 minutes or more per day?




                                                                        9%



                                                                                    6%

                                   29%


                                                                                                                             0 days
                                                                                            8%
                                                                                                                             1 day
                                                                                                                             2 days
                                                                                                                             3 days
                                                                                                                             4 days
                                                                                                                             4 days
                                                                                                                             5 days
                                                                                             13%
                                                                                                                             6 days
                                                                                                                             All 7 days
                                 10%




                                                                              11%

                                                         14%


Source: Colorado Student Health Promotion Survey, 2010
Weekday Screen Time
                     On a typical school day, how many hours do you watch TV or videos, play video games, or play on a 
                                                               computer?




                                                          6%
                                         11%




                        7%
                                                                            18%


                                                                                                       Do not do on a typical school day
                                                                                                       Less than 1 hour per school day
                                                                                                       1 hour per school day
               16%                                                                                             p            y
                                                                                                       2 hours per school day
                                                                                                       3 hours per school day
                                                                                                       4 hours per school day
                                                                                                       5 or more hours per school day
                                                                             18%




                                          24%


Source: Colorado Student Health Promotion Survey, 2010
Weekend Screen Time
                  On a typical weekend day, how many hours do you watch TV or videos, play video games, or play on a 
                                                            computer?



                                                         4%

                                                                10%
                           23%




                                                                                                 Do not do on a typical weekend day
                                                                              11%
                                                                                                 Less than 1 hour per weekend day
                                                                                                 1 hour per weekend day
                                                                                                 2 hours per weekend day
                                                                                                         p             y
                                                                                                 3 hours per weekend day
               13%                                                                               4 hours per weekend day
                                                                                                 5 or more hours per weekend day

                                                                        20%




                                         19%


Source: Colorado Student Health Promotion Survey, 2010

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Slides compliance survey2010_final_111101

  • 1. CDPHE Colorado Health Promotion Survey Colorado Health Promotion Survey Fall 2010 Carsten Baumann EPE | Epidemiology, Planning, Evaluation | Branch Colorado Department of Public Health and  Colorado Department of Public Health and Environment Carsten.Baumann@state.co.us 303.692.2556
  • 2. Purpose of Survey Purpose of Survey • Not representative of the state Not representative of the state  • Baseline data on students’ health‐related  knowledge, attitudes and behaviors knowledge attitudes and behaviors • Quasi‐experimental design:  CDPHE‐funded  implementation sites and comparison schools i l i i d i h l • Needed to determine changes in future Prevention Services Division 2 EPE | Epidemiology, Planning,  Evaluation | Branch
  • 3. Why It Is Important Why It Is Important • Funding: FDA ARRA CDC grants state Funding: FDA, ARRA, CDC grants, state  tobacco tax • Quality improvement Quality improvement • Planning • Building the knowledge base  Prevention Services Division 3 EPE | Epidemiology, Planning,  Evaluation | Branch
  • 4. Content of Survey Content of Survey • Demographics • Educational achievement & aspirations • Protective factors Protective factors • General health Policy Focused P li F d • Physical (in)activity • Nutrition • Tobacco Prevention Services Division 4 EPE | Epidemiology, Planning,  Evaluation | Branch
  • 5. Survey Implementation: Purposive Sample l • 30 high schools in random sample 30 high schools in random sample  – 15 high schools in CDPHE‐funded communities [10 participated] [10 participated] – 15 high schools in (non‐intervention) comparison  sites [12 participated] sites [12 participated] • 2 classrooms per grade • Maximum 7,200 students [4,112 completes] d • NOT designed to be representative Prevention Services Division 5 EPE | Epidemiology, Planning,  Evaluation | Branch
  • 6. Survey Implementation: Recruitment • University staff contact schools University staff contact schools • Assurances of confidentiality • Financial compensation i i l i • School‐building data report upon completion • Coordination with Tri‐County Health Dept Coordination with Tri County Health Dept Prevention Services Division 6 EPE | Epidemiology, Planning,  Evaluation | Branch
  • 7. Survey Implementation: Administration d • Survey packets sent to schools Survey packets sent to schools – Student packet with bubble‐sheet survey and  pencils – Teacher packet with instructions and cover sheet – Return shipping instructions and box Return shipping instructions and box • Teachers administer survey Prevention Services Division 7 EPE | Epidemiology, Planning,  Evaluation | Branch
  • 8. Survey Participants' Grade Level (n=4112) 1400 1228 1200 1092 1000 924 832 800 600 400 200 19 17 0 8th 9th 10th 11th 12th Ungraded or other grade Source: Colorado Student Health Promotion Survey, 2010
  • 9. Survey Participants' Race / Ethnicity (n=4107) 1% 4% 3% 4% 5% White Hispanic Black Asian Native American Native American 24% Other 59% Multiracial Source: Colorado Student Health Promotion Survey, 2010
  • 10. BMI (calculated from self‐reported height and weight) 3% 14% 17% Underweight Healthy weight Overweight Obese 66% Source: Colorado Student Health Promotion Survey, 2010
  • 11. Caring Adult At the school you're in today, is there a teacher or some other adult who really cares about you? 11% 34% No Yes Not Sure 55% Source: Colorado Student Health Promotion Survey, 2010
  • 12. Eat In School Cafeteria During the past two weeks (10 school days), how many times did you buy lunch from the school cafeteria? 22% I did not buy lunch from the cafeteria 47% 1 to 3 times 4 to 6 times 7% 7 to 9 times 10 times (every day) 8% 16% Source: Colorado Student Health Promotion Survey, 2010
  • 13. Days Bought From School Cafeteria (among those with any days) During the past two weeks (10 school days), how many times did you buy lunch from the school cafeteria? 31% 41% 1 to 3 times 4 to 6 times 7 to 9 times 7 to 9 times 10 times (every day) 14% 14% Source: Colorado Student Health Promotion Survey, 2010
  • 14. Bought Fruit In School Cafeteria During the past two weeks (10 school days), if you bought lunch from the school cafeteria, on how many  days did you buy fresh fruit from the cafeteria? 9% 1% 1% 2% 2% I did not buy lunch from the cafeteria 3% 1 day 2% 2 days 3 days 5% 4 days 5 days y 6 days 55% 5% 7 days 8 days 9 days All 10 days 15% Source: Colorado Student Health Promotion Survey, 2010
  • 15. Days Bought Fruit From School Cafeteria (among those with any days) During the past two weeks (10 school days), if you bought lunch from the school cafeteria, on how many  days did you buy fresh fruit from the cafeteria? 20% 32% 1 day 2 days 3 days 2% 4 days 3% 5 days 6 days 4% 7 days 8 days 4% 9 days All 10 days 7% 12% 5% 11% Source: Colorado Student Health Promotion Survey, 2010
  • 16. Active Transportation Possible If you wanted to, could you walk or ride a bike, scooter, or skateboard to school? 42% No, it is too far 45% No, it is not safe No, it is too far and it is not safe No, my school doesn't allow it Yes 3% 1% 9% Source: Colorado Student Health Promotion Survey, 2010
  • 17. Active Transportation Used During a typical school week (5 school days), how many days do you walk or ride a bike, scooter, or  skateboard to school? 10% 2% 3% 3% 4% 0 days 1 day 2 days 3 days 4 days All 5 days 78% Source: Colorado Student Health Promotion Survey, 2010
  • 18. Wore a Helmet while Biking During the past 12 months, when you rode a bicycle, how often did you wear a helmet? 9% 6% 32% 6% I did not ride a bicycle Never Rarely 8% Sometimes Most of the time Always 39% Source: Colorado Student Health Promotion Survey, 2010
  • 19. How Smokers Got Cigarettes In the past 30 days, how did you usually get the cigarettes you smoked? 2% 5% 21% 34% Did not get cigarettes Did not get cigarettes I bought them in a store Gave someone money to buy them Someone I live with gave them to me Someone I don“t live with gave them to me I took them without permission 4% I ordered them on the internet 16% 18% Source: Colorado Student Health Promotion Survey, 2010
  • 20. How Smokers Got Cigarettes (among those who got them) In the past 30 days, how did you usually get the cigarettes you smoked? 3% 7% 28% I bought them in a store Gave someone money to buy them Someone I live with gave them to me 32% Someone I don t live with gave them to me Someone I don“t live with gave them to me I took them without permission I ordered them on the internet 24% 6% Source: Colorado Student Health Promotion Survey, 2010
  • 21. Current Cigarette Smoking In the past 30 days, on how many days did you smoke any cigarettes? 5% 24% I have never smoked cigarettes 28% Did not smoke cigarettes I smoked on 1 or 2 days I smoked on 3 to 5 days I smoked on 6 to 9 days I smoked on 6 to 9 days I smoked on 10 to 19 days 10% I smoked on 20 to 29 days I smoked on all 30 days (every day) 6% 13% 4% 10% Source: Colorado Student Health Promotion Survey, 2010
  • 22. Perceived Availability of Cigarettes If you wanted cigarettes, how easy or hard would it be for you to get some? 25% 37% Very easy Pretty easy Pretty hard Very hard 5% Not sure 5% 28% Source: Colorado Student Health Promotion Survey, 2010
  • 23. Visits to Convenience Store In the past 30 days, how often did you visit a convenience store or gas station for any reason? 12% 21% Did not visit a convenience store/gas Did not visit a convenience store/gas  station About 2 to 3 times About once a week About once a week More than once a week 40% 27% Source: Colorado Student Health Promotion Survey, 2010
  • 24. Physically Active In the past 7 days, on how many days were you physically active for a total of 60 minutes or more per day? 9% 6% 29% 0 days 8% 1 day 2 days 3 days 4 days 4 days 5 days 13% 6 days All 7 days 10% 11% 14% Source: Colorado Student Health Promotion Survey, 2010
  • 25. Weekday Screen Time On a typical school day, how many hours do you watch TV or videos, play video games, or play on a  computer? 6% 11% 7% 18% Do not do on a typical school day Less than 1 hour per school day 1 hour per school day 16% p y 2 hours per school day 3 hours per school day 4 hours per school day 5 or more hours per school day 18% 24% Source: Colorado Student Health Promotion Survey, 2010
  • 26. Weekend Screen Time On a typical weekend day, how many hours do you watch TV or videos, play video games, or play on a  computer? 4% 10% 23% Do not do on a typical weekend day 11% Less than 1 hour per weekend day 1 hour per weekend day 2 hours per weekend day p y 3 hours per weekend day 13% 4 hours per weekend day 5 or more hours per weekend day 20% 19% Source: Colorado Student Health Promotion Survey, 2010