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DAVID Y. I GE OR. CHRISTINA M.

KISHIMOTO
GOVERNOR SUPERINTENDENT

STATE OF HAWAl'I
DEPARTMENT OF EDUCATION
P.O. BOX 2360
HONOLULU, HAWAl'I 96804

OFFICE OF THE SUPERINTENDENT

November 1, 2018

TO: The Honorable Margaret Cox
Chairperson, Student Achievement Committee

FROM: Dr. Christina M. Kishimoto
Superintendent

SUBJECT: Presentation on Youth Risk Behavior Survey ("YRBS") and Hawaii
Youth Tobacco Survey Results for 2017

1. DESCRIPTION

Presentation on Youth Risk Behavior Survey ("YRBS") and Hawaii Youth
Tobacco Survey results for 2017.

2. PRESENTATION

Assistant Superintendent Donna Lum Kagawa will provide data and information
on the results of the 2017 Youth Risk Behavior Survey and the Hawaii Youth
Tobacco Survey.

CMK:gc
Attachments

c: Office of Curriculum and Instructional Design

AN AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY EMPLOYER
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Hawaii State Board of Education
Student Achievement Committee
November 1, 2018

Presentation on Youth Risk Behavior
Survey (“YRBS”) and Hawaii Youth
Tobacco Survey Results for 2017

Donna Lum Kagawa, Assistant Superintendent
Nadine Marchessault, Healthy Hawaii Initiative Specialist
George Centeio, Health and Physical Education Specialist
Jennifer Ryan, Department of Health School Health Coordinator

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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2018-19 Board Priority
Safe Learning Environments that Support Students’
Well-Being

...Ensuring that the appropriate policies, structures, and
resources are in place so learning environments that
support students’ emotional and physical well-being can be
cultivated.

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Student Voice

★ Safe Learning Environments that Support Students’ Well-Being
★ Equity and Access
★ Student-Centered School Design

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Overview

Middle & high
Collaborative
school students
partners
A sample of students surveyed
biennially in DOE schools; Hawaii DOE, Department of
students may opt-out. Health, University of Hawaii

2017 NO. OF
SURVEY STUDENTS
YRBS High 6,031 National tracking
YRBS Middle 6,418
YRBS & YTS are part of the
YTS High 1,979 Centers for Disease Control
YTS Middle 1,926 and Prevention’s national
youth surveillance efforts.
Total 16,354

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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The Surveys
Youth Risk Behavior Survey Youth Tobacco Survey

YRBS YTS
• Protective factors • Knowledge and attitudes
• Unintentional injuries and • Tobacco education in school
violence • Exposure to advertising
• Inadequate physical activity • Access to tobacco products
• Tobacco use • Use of traditional and novel
• Sexual behaviors tobacco products
• Alcohol and other drug use • Cessation attempts and
• Unhealthy dietary behaviors successes
• Second-hand smoke exposure

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Tobacco Use
High School 50% 51%
45%
27%
27% 39% 26%
24%
24% ever tried cigarettes
40% ever tried e-cigarettes
(YRBS 2017) Hawaii Honolulu Kauai Maui

16% 60%
of youth obtained of youth obtained
e-cigarettes from a e-cigarettes from
family member friends
(2017 YTS) (2017 YTS)

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Protective Factors
Middle School Highlight: Trusted Adults at School

Middle School High School

64% 64%
2015 2015

68% 62%
2017 2017

Had at least one trusted adult at school they
could talk to if they had a problem

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Physical Activity
High School: Hawaii Compared with Nation

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Unintentional Injuries and Violence
Middle School Highlight: Improvement in Bullying

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Unintentional Injuries and Violence
High School Data: Bullying

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Whole School,
Whole Community,
Whole Child

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Moving Forward
● Distribute survey
results
● Identify areas of focus
for state and district
programs
● Administer surveys in
Spring 2019
● Move toward adoption
of National Health
Education Standards

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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More Information

Hawaii Health Data Warehouse
hhdw.org

Centers for Disease Control and Prevention’s
Youth Risk Behavior Surveillance System
cdc.gov/healthyyouth/data/yrbs

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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Graduating student
expresses joy

CONNECT WITH US
HawaiiPublicSchools.org

OFFICE OF CURRICULUM AND INSTRUCTIONAL DESIGN
HawaiiPublicSchools.org

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HAWAII HAWAII
STATE STATE
2015 2017 2015 2017
PHYSICAL ACTIVITY % % HEALTH % %

Were physically active at least 60 minutes per Were ever told by a doctor or nurse that they had 24.5 24.5 SURVEY RESULTS 2017

HAWAII
day in the past 7 days (activity that increased asthma
their heart rate and made them breathe hard)
Still had asthma 11.7 10.9
0 days 15.5 13.6
5 or more days 47.0 47.7 Saw a doctor or nurse for a check-up or physical 44.3 47.9

YOUTH RISK
All 7 days 27.4 27.0 exam when they were not sick or injured in the
past 12 months
Did exercises to strengthen or tone their muscles 48.5 50.6
on three or more days in the past 7 days Saw a dentist for a check-up, exam, teeth cleaning, 61.4 59.8
Attended physical education classes on one or 58.0 56.3 or other dental work in the past 12 months
more days in an average week (when they were
in school)
Attended physical education classes on all five days 14.4 11.1
Never saw a dentist for a check-up, exam, teeth
cleaning, or other dental work
Had a toothache in the past 12 months
3.0 2.9

24.6 22.8
BEHAVIORS
in an average week (when they were in school) * HAWAII SCHOOL HEALTH SURVEY
Did not go to school because they were sick in NA 43.7
Played on at least one sports team in the past 52.8 51.6
the past 30 days
12 months (run by their school or community
groups) Had a concussion from playing a sport or being
physically active in the past 12 months
NA 19.2
HAWAII STATE
Watched television three or more hours per day
(on an average school day) *
28.3 23.6
Had serious difficulty concentrating, NA 23.9
PUBLIC MIDDLE SCHOOL REPORT
remembering, or making decisions (because of
Used computers three or more hours per day 41.9 44.6
a physical, mental, or emotional problem)
(played video or computer games or used a The Hawaii School Health Survey is a joint project
computer for something that was not school of the Hawaii Departments of Education (DOE)
work on an average school day) HAWAII and Health (DOH) and the University of Hawaii’s
STATE
Rode their bike or walked to or from school on 39.9 40.8 Curriculum Research & Development Group. It is
one or more days in an average week when they 2015 2017 largely funded by the DOH Healthy Hawaii Initiative
PROTECTIVE FACTORS % %
were in school, weather permitting and Substance Abuse Block Grant and the DOE’s
Were ever taught in school about AIDS or HIV 43.8 41.3 cooperative agreement with the Centers for Disease

27
infection Control and Prevention (CDC) #5U87PS004230-03.
of Hawaii middle Wore sunscreen most of the time or always (with NA 11.5 The content of this brochure is the sole responsibility
school students ever an SPF of 15 or higher when they were outside of the authors and does not necessarily represent the
for more than one hour on a sunny day) official views of the CDC.
used an electronic
percent vapor product. Had eight or more hours of sleep on an average 50.9 52.6 The results are representative of the 28,900 regular
school night
public middle school students across the state of
HAWAII Had a parent or another adult in their family talk 36.2 39.9 Hawaii.
STATE with them about the dangers of tobacco, alcohol,
2015 2017 or drug use in the past 12 months * For more information on the Youth Risk Behavior
WEIGHT & NUTRITION % %
Survey and state and national results visit www.cdc.
Had parents or other adults in their family talk 34.3 28.4
Described themselves as slightly or very overweight 26.8 28.0 with them about what they expected them to do gov/HealthyYouth/yrbs/index.htm.
or not to do when it came to sex *
Were trying to lose weight 47.6 45.8 Hawaii state and county results, including by sex,
Ever had a parent or other adults in their family NA 24.3
grade level, and race/ethnicity, can be obtained from
Ate breakfast on all 7 days in the past 7 days 46.2 45.9
talk with them about how to say no to having sex
the Hawaii Health Data Warehouse at www.hhdw.org.
Did not eat breakfast in the past 7 days 12.6 11.6
Had at least one teacher or other adult in their 63.8 67.8
Went hungry most of the time or always because 7.5 6.8 school they could talk to if they had a problem *
there was not enough food in their home in the Had a teacher or some other adult at their NA 52.7
past 30 days school who really cared about them

Statistically significant difference (p < 0.05) Had an adult outside of school they could talk to 70.7 71.3
* between Hawaii state 2015 and 2017 about things that were important to them

Described their grades in school as mostly A’s or B’s 64.8 68.3
Bold Statistically significant difference

NA Not Applicable (not available or not asked) Thought they probably or definitely would 84.5 81.8
complete high school 08/17/18

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HAWAII HAWAII HAWAII
STATE STATE STATE
2015 2017
SOCIO-DEMOGRAPHICS 2015
%
2017
% INJURIES & VIOLENCE 2015
%
2017
% ALCOHOL & OTHER DRUG USE % %

Females 50.1 50.0 Ever rode in a car driven by someone, including NA 22.8 Ever drank alcohol (other than a few sips) 23.9 23.5
themselves, who was “high” or had been using Drank alcohol for the first time before age 11 10.6 12.1
Males 49.9 50.0
alcohol or drugs years (other than a few sips)
Gay, lesbian, or bisexual NA 7.1
Carried a weapon in the past 12 months (such as 17.9 15.1 Had at least one drink of alcohol in the past 30 10.4 11.6
Race/Ethnicity a gun, knife, or club) * days
Filipino 25.9 25.5
Were in a physical fight in the past 12 months * 21.4 17.1 Had five or more drinks of alcohol in a row within 5.3 5.4
Hispanic/Latino * 9.2 6.6
a couple of hours in the past 30 days
Native Hawaiian 25.0 24.1
Did not go to school because they felt unsafe at 9.6 9.2
Other Asian/Pacific Islander 17.4 23.3 school or on their way to or from school in the Thought parents would feel it was a little bit 87.8 87.8
White 13.3 14.9 wrong, wrong, or very wrong for them to drink
past 12 months
All other races 1.1 0.6 beer, wine, or hard liquor regularly
Multiple races * 8.0 5.0 Were ever bullied on school property * 45.1 40.0 Ever used alcohol or drugs to relax, feel better 7.3 9.1
Did not describe themselves as only one race or 18.0 19.0 about themselves, or fit in *
Strongly agreed or agreed that harassment and 59.2 54.4
ethnicity bullying by other students is a problem at their Ever used alcohol or drugs while they were alone 6.9 7.9
Grade 6 20.6 23.0 school
Ever forgot things they did while using alcohol or 5.6 6.1
Were ever electronically bullied 25.1 22.6 drugs
Grade 7 41.3 39.4
Ever had family or friends tell them that they 6.9 9.8
Grade 8 37.7 37.3 Ever electronically bullied someone * 15.7 10.9
should cut down on their drinking or drug use *
Ungraded or other grade 0.4 0.3 Texted, emailed, or posted electronically a NA 3.4 Ever got into trouble while using alcohol or drugs 5.1 6.5
Reported that either of their parents or other NA 28.3 revealing or sexual photo of themselves in the
past 30 days Attended school under the influence of alcohol, 6.6 7.2
adults in their family were serving on active duty marijuana, or other drugs in the past 12 months
in the military Were ever physically forced to have sexual 4.2 2.7 Ever used marijuana 9.9 11.9
Usually slept in the home of a friend, family NA 2.9 intercourse *
member, or other person because they had to Tried marijuana for the first time before age 11 years 3.3 3.6
leave their home or their parent or guardian Were purposely controlled or emotionally hurt 21.6 28.7
in the past 12 months by someone they were Used marijuana in the past 30 days 7.9 7.6
could not afford housing in the past 30 days
dating or going out with (among students who Ever used any of the following drugs
HAWAII dated or went out with someone) * Any form of cocaine 3.2 3.3
STATE Ecstasy 1.7 1.5
2015 2017 Experienced physical dating violence in the past 15.8 19.5 Methamphetamines 2.7 2.1
MENTAL HEALTH & SUICIDE % % 12 months by someone they were dating or going
out with (among students who dated or went out Ever took prescription pain medicine without a NA 6.8
Ever purposely hurt themselves without wanting 22.8 21.8 doctor’s prescription or differently than a doctor
to die (such as cutting or burning) with someone) *
told them to use it
Ever felt sad or hopeless almost every day for two 29.0 27.2 Physically hurt someone they were dating or NA 19.5 Ever used a needle to inject any illegal drug into NA 7.1
or more weeks in a row that they stopped doing going out with in the past 12 months (among their body
some usual activities students who dated or went out with someone)
HAWAII
Never or rarely got the kind of help they needed NA 47.2 Ever experienced sexual violence by anyone NA 6.4 STATE
(among students who reported having felt sad,
2015 2017
empty, hopeless, angry, or anxious)
HAWAII
TOBACCO USE % %

24.8 23.1 STATE 14.9 12.3
Ever seriously thought about killing themselves Ever tried cigarette smoking (even one or two puffs)
2015 2017
Ever made a plan about how they would kill 17.5 16.3 SEXUAL BEHAVIORS % % First tried cigarette smoking before age 11 years NA 5.8
themselves Ever had sexual intercourse 6.9 7.0 (even one or two puffs)
Ever tried to kill themselves 12.5 12.4 Smoked cigarettes in the past 30 days 5.0 5.0
Had sexual intercourse for the first time before 2.3 2.7
Tried to kill themselves and attempt resulted in 10.8 11.8 age 11 years Smoked cigarettes frequently in the past 30 0.4 0.2
an injury, poisoning, or overdose that had to be days (on 20 or more days)
Had sexual intercourse with three or more 2.4 1.8
treated by a doctor or nurse
persons (lifetime) Smoked cigarettes daily in the past 30 days (on 0.3 0.2
Tried to lose weight or keep from gaining weight NA 14.3 all 30 days)
Had sexual contact with both females and males NA 1.3
by going without eating for 24 hours or more;
(lifetime) Ever used an electronic vapor product 26.3 27.0
taking any diet pills, powders, or liquids;
vomiting or taking laxatives; smoking cigarettes; Used a condom during last sexual intercourse 54.0 51.8 Used an electronic vapor product in the past 15.7 15.7
or skipping meals (among students who ever had sexual intercourse) * 30 days

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HAWAII HAWAII
U.S. U.S.

43
STATE STATE
of currently sexually
2015 2017 2017 2015 2017 2017
active Hawaii high PROTECTIVE FACTORS % % % SOCIO-DEMOGRAPHICS % % %

school students used Were ever taught in school about AIDS or 75.6 70.9 NA SURVEY RESULTS 2017 Females ¨ 50.1 50.6 50.7

HAWAII
a condom during last HIV infection
percent Males ¨ 49.9 49.4 49.3
sexual intercourse. Wore sunscreen most of the time or NA 11.7 NA
8.7 11.2 NA
always (with an SPF of 15 or higher when Gay, lesbian, or bisexual *
they were outside for more than one hour

YOUTH RISK
HAWAII
Transgender NA 3.1 NA
STATE U.S. on a sunny day)
Race/Ethnicity
2015 2017 2017 Had eight or more hours of sleep on an 24.7 22.8 25.4
SEXUAL BEHAVIORS % % %
average school night •
Filipino 27.8 27.5 NA
Hispanic/Latino ¨ 8.9 10.0 22.8

BEHAVIORS
Ever had sexual intercourse ¨ 30.7 28.2 39.5 Had a parent or another adult in their 38.6 44.1 NA Native Hawaiian 23.2 23.8 NA
family talk with them about the dangers Other Asian/Pacific Islander 16.0 13.0 NA
Had sexual intercourse for the first time 3.5 3.4 3.4
of tobacco, alcohol, or drug use in the White ¨ 14.4 15.3 53.5
before age 13 years
past 12 months * HAWAII SCHOOL HEALTH SURVEY All other races 0.7 0.9 NA
Had sexual intercourse with four or more 6.8 5.4 9.7 Multiple races 8.9 9.5 NA
Had parents or other adults in their 48.1 52.4 NA
persons (lifetime) •
family talk with them about what they Did not describe themselves as only one 18.4 19.0 NA
Had sexual intercourse with at least one
person in the past 3 months (students
22.3 19.2 28.7 expected them to do or not to do when it HAWAII STATE race or ethnicity
came to sex *
who were currently sexually active) * • PUBLIC HIGH SCHOOL REPORT Grade 9 ¨ 28.8 28.2 27.3
Had at least one teacher or other adult in 63.5 61.6 NA
Used a condom during last sexual 48.4 42.7 53.8 their school they could talk to if they had Grade 10 ¨ 25.0 25.3 25.6
intercourse (students who were currently a problem Grade 11 ¨ 22.7 23.7 23.9
The Hawaii School Health Survey is a joint project
sexually active) •
Had an adult outside of school they could 73.2 71.8 NA of the Hawaii Departments of Education (DOE) Grade 12 ¨ 23.2 22.2 23.0
Drank alcohol or used drugs before last 19.9 22.8 18.8 talk to about things that were important and Health (DOH) and the University of Hawaii’s
sexual intercourse (students who were to them Curriculum Research & Development Group. It is Ungraded or other grade * 0.2 0.5 NA
currently sexually active) • largely funded by the DOH Healthy Hawaii Initiative
Described their grades in school as 66.8 71.1 NA Reported that either of their parents or NA 19.7 NA
3.4 4.2 5.3 and Substance Abuse Block Grant and the DOE’s
Ever had sexual contact with both males mostly A’s or B’s other adults in their family were serving
and females ¨ cooperative agreement with the Centers for Disease
on active duty in the military
Thought they probably or definitely would 73.6 68.4 NA Control and Prevention (CDC) #5U87PS004230-03.
Used the following birth control methods complete a post high school program The content of this brochure is the sole responsibility Usually slept in the home of a friend, NA 4.0 NA
during or before last sexual intercourse to such as a vocational training program, of the authors and does not necessarily represent the family member, or other person because
prevent pregnancy, among students who military service, community college, or official views of the CDC. they had to leave their home or their
were currently sexually active four-year college * parent or guardian could not afford
- Bi th control pills • 16.7 15.9 20.7 The results are representative of the 42,700 regular housing in the past 30 days
4.6 7.9 4.1
- IUD or implant • HAWAII public high school students across the state of Hawaii.
5.5 6.1 4.7 U.S.
- Shot, pat h, or birth control ring STATE HAWAII
26.8 29.9 29.4 U.S.
- Bi th control pills; an IUD or implant; 2015 2017 2017 For more information on the Youth Risk Behavior STATE
ffor a shot, patch, or birth control ring TOBACCO USE % % %
Survey and state and national results visit www.cdc. 2015 2017 2017
- Both a condom and bi th control
HEALTH % % %
7.0 5.5 8.8 Ever tried cigarette smoking (even one or 25.0 22.1 28.9 gov/HealthyYouth/yrbs/index.htm.
dpills; an IUD or implant; or a shot, two puffs) ¨ Were ever told by a doctor or nurse that 31.3 30.2 22.5
dpatch, or birth control ring • Hawaii state and county results, including by sex, they had asthma •
- Non 13.2 15.8 13.8 First tried cigarette smoking before age NA 10.8 9.5
grade level, and race/ethnicity, can be obtained from Still had asthma 13.1 12.2 NA
13 years (even one or two puffs)
the Hawaii Health Data Warehouse at www.hhdw.org.
Smoked cigarettes in the past 30 days 9.7 8.1 8.8 Saw a doctor or nurse for a check-up or 61.9 65.9 NA
* Statistically significant difference (p < 0.05)
physical exam when they were not sick or
between Hawaii state 2015 and 2017
Smoked cigarettes frequently in the past 1.9 1.7 2.6 injured in the past 12 months *
30 days (on 20 or more days)
• Statistically significant difference (p < 0.05) Saw a dentist for a check-up, exam, teeth 70.8 74.4 75.7
between Hawaii state and U.S. 2017
Smoked cigarettes daily in the past 30 1.2 1.2 2.0 cleaning, or other dental work in the past
¨ No statistical comparison was done between days (on all 30 days) • 12 months
Hawaii state and U.S. 2017 or state level data is
Ever used an electronic vapor product ¨ 45.1 42.3 42.2 Never saw a dentist for a check-up, exam, 2.5 1.8 1.5
not directly comparable to national data due to
differences in survey wording. teeth cleaning, or other dental work
First tried using an electronic vapor NA 9.0 NA
product before age 13 years Had a toothache in the past 12 months * 29.2 24.4 NA
Bold Statistically significant difference
Used electronic vapor products in the 25.1 25.5 13.2 Did not go to school because they were NA 43.1 NA
NA Not Applicable (not available or not asked)
past 30 days • 08/21/18 sick in the past 30 days

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HAWAII HAWAII HAWAII HAWAII
STATE U.S. STATE U.S. STATE U.S. STATE U.S.
2015 2017 2017 2015 2017 2017 2015 2017 2017 2015 2017 2017
ALCOHOL & OTHER DRUG USE % % % INJURIES & VIOLENCE % % % MENTAL HEALTH & SUICIDE % % % WEIGHT & NUTRITION % % %

49.4 49.0 60.4 Rode in a car driven by someone, 20.3 20.6 NA Made a plan about how they would 15.6 13.8 13.6 Had obesity (> 95 percentile BMI for age 12.9 14.2 14.8
Ever drank alcohol (other than a few sips) ¨
including themselves, who was “high” or attempt suicide in the past 12 months & sex)
Drank alcohol for the first time before age 16.9 16.8 15.5 had been using alcohol or drugs in the
past 30 days Attempted suicide in the past 12 months • 10.5 10.0 7.4 Overweight (> 85 but < 95 percentile BMI 15.3 14.2 15.6
13 years (other than a few sips) for age & sex)
Suicide attempt resulted in an injury, 3.4 2.4 2.4
Had at least one drink of alcohol in the 25.1 24.5 29.8 Texted or emailed while driving a car or 40.3 38.2 39.2
poisoning, or overdose that had to be Described themselves as slightly or very 32.0 31.5 31.5
past 30 days • other vehicle in the past 30 days (among
treated by a doctor or nurse in the past overweight
NA 16.1 NA students who drove)
Usually got the alcohol they drank by 12 months *
Ate fruit or drank 100% fruit juices two or 23.2 21.2 31.3
buying it themselves in the past 30 days Carried a weapon in the past 30 days 10.7 11.8 15.7
Tried to lose weight or keep from gaining NA 21.1 NA more times per day in the past 7 days •
(such as a gun, knife, or club) • weight by going without eating for 24
Were currently binge drinking (had four or NA 12.6 13.5 Did not eat fruit or drink 100% fruit 7.8 7.5 5.6
more drinks of alcohol in a row for female Were in a physical fight in the past 12 14.9 16.8 23.6 hours or more; taking any diet pills,
powders, or liquids; vomiting or taking juices in the past 7 days •
students or five or more drinks of alcohol months •
in a row for male students within a couple laxatives; smoking cigarettes; or skipping Did not eat fruit in the past 7 days 13.7 13.1 NA
Did not go to school because they felt 9.1 9.3 6.7 meals in the past 30 days
of hours in the past 30 days)
unsafe at school or on their way to or Did not drink 100% fruit juices in the 33.8 35.9 NA
Thought parents would feel it was a 88.0 87.7 NA from school in the past 30 days • past 7 days
little bit wrong, wrong, or very wrong for
them to drink beer, wine, or hard liquor Were electronically bullied in the past 12 14.7 14.6 14.9 Ate vegetables three or more times per NA 11.8 13.9
regularly months day in the past 7 days •

Ever used alcohol or drugs to relax, feel 20.3 19.7 NA Were bullied on school property in the 18.6 18.4 19.0 Did not eat vegetables in the past 7 days NA 8.4 7.2
better about themselves, or fit in past 12 months 10% of Hawaii high school students
Drank one or more glasses per day of 23.0 19.8 31.3
Strongly agreed or agreed that NA 38.6 NA attempted suicide in the past 12 months.
Ever used alcohol or drugs while they 17.5 18.0 NA milk in the past 7 days * •
were alone harassment and bullying by other
students is a problem at their school Did not drink milk in the past 7 days * 29.6 35.0 26.7
Ever forgot things they did while using
HAWAII
STATE U.S. •
16.5 16.0 NA
alcohol or drugs Were ever physically forced to have 8.8 8.3 7.4 Drank a can, bottle, or glass of soda or 13.4 11.0 18.7
2015 2017 2017
sexual intercourse PHYSICAL ACTIVITY % % % pop one or more times per day in the
Ever had family or friends tell them that 11.1 13.3 NA
Were physically active at least 60 minutes past 7 days (not diet) * •
they should cut down on their drinking or Were purposely controlled or emotionally 32.6 29.9 NA
drug use hurt in the past 12 months by someone per day in the past 7 days (activity that Did not drink soda or pop in the past 7 34.2 37.3 27.8
they were dating or going out with increased their heart rate and made days (not diet) •
Ever got into trouble while using alcohol 13.2 13.0 NA
(among students who dated or went out them breathe hard)
or drugs Drank a can, bottle, pouch, or glass of a 12.5 10.2 NA
with someone) 0 days • 18.0 19.3 15.4
Attended school under the influence of 16.7 16.8 NA 5 or more days • 38.1 36.6 46.5 juice drink one or more times per day in
alcohol, marijuana, or other drugs in the Experienced physical dating violence in 9.8 11.3 8.0 All 7 days • 20.3 19.6 26.1 the past 7 days (not 100% fruit juice)
past 12 months the past 12 months by someone they were
dating or going out with (among students Did exercises to strengthen or tone their 46.0 42.4 51.1 Did not drink a juice drink in the past 7 32.1 34.2 NA
Ever used marijuana ¨ 32.6 31.1 35.6
who dated or went out with someone) • muscles on three or more of the past 7 days (not 100% fruit juice)
days * ¨
Tried marijuana for the first time before 9.5 9.1 6.8 Ate breakfast on all 7 days in the past 7 36.0 35.9 35.3
Experienced sexual violence by anyone in NA 11.7 9.7
age 13 years • Attended physical education classes on 42.4 39.7 51.7 days
the past 12 months •
Used marijuana in the past 30 days 19.4 18.1 19.8 one or more days in an average week
HAWAII (when they were in school) • Did not eat breakfast in the past 7 days * 12.1 14.1 14.1
Usually used marijuana by smoking it in 83.2 76.2 NA STATE U.S.
a joint, bong, pipe, or blunt in the past Attended physical education classes on 6.7 5.8 29.9 Went hungry most of the time or always 7.9 6.7 NA
2015 2017 2017 because there was not enough food in
30 days (among students who used MENTAL HEALTH & SUICIDE % % % all five days in an average week (when
marijuana) * they were in school) • their home in the past 30 days
Purposely hurt themselves without 23.0 19.1 NA
Ever used any of the following drugs wanting to die in the past 12 months Played on at least one sports team in the 52.2 50.2 54.3
Any form of cocaine • 5.7 7.1 4.8 (such as cutting or burning) * past 12 months (run by their school or
Ecstasy * • 8.0 6.0 4.0 community groups)
Felt sad or hopeless almost every day 29.5 29.5 31.5
Hallucinogenic drugs ¨ 8.1 7.6 6.6
for two or more weeks in a row that they Watched television three or more hours 21.8 18.4 20.7
Heroin • 3.3 4.5 1.7

49%
stopped doing some usual activities in per day (on an average school day) *
Methamphetamines • 3.8 4.8 2.5
the past 12 months
Synthetic marijuana 7.5 6.3 6.9 Used computers three or more hours per 40.6 40.7 43.0
Never or rarely got the kind of help they NA 54.9 NA day (played video or computer games or
Ever took prescription pain medicine NA 12.2 14.0 needed (among students who reported used a computer for something that was
without a doctor’s prescription or having felt sad, empty, hopeless, angry, not school work on an average school day)
differently than a doctor told them to use it or anxious)
Rode their bike or walked to or from school 38.3 36.7 NA of Hawaii high school students ever
Ever used a needle to inject any illegal 3.3 2.8 1.5 Seriously considered attempting suicide 16.0 16.0 17.2 on one or more days in an average week
drug into their body • in the past 12 months when they were in school, weather permitting
drank alcohol (other than a few sips).

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