Pierce County: Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271

Pierce County
Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271
BACKGROUND Current (past 30-day) use trends, grade 6

 Tobacco use remains the leading cause of preventable  cigarettes  smokeless tobacco  vapor products
death and disease in Washington.
10%
 Preventing youth initiation of tobacco and other
nicotine use is critical to stem the tide of
tobacco-related mortality, morbidity, and economic
costs. % of students
 Youth and young adults under age 18 are far more likely
to start using tobacco than adults; nearly 9 out of 10
adults who smoke started by age 18.

 104,000 Washington youth alive today will ultimately die  
prematurely from smoking.   
   
 
 
 The emergence of vapor products (also called 0%
electronic cigarettes) has raised serious concern. 2008 2010 2012 2014 2016 2018
Nicotine use can adversely affect brain development.
Prevalence 2008 2010 2012 2014 2016 2018
 The effects of nicotine exposure during youth and cigarettes 2% ±1 2% ±1 2% ±1 1% ±1 0% ±0.3* 1% ±1
young adulthood can be long-lasting and can include smokeless
1% ±1 1% ±1 1% ±0 1% ±1 1% ±0* 1% ±1
lower impulse control and mood disorders. The nicotine tobacco
in vapor products can prime young brains for tobacco vapor products N/S N/S N/S N/A 1% ±0 3% ±1*
use and addiction to other drugs.
Among 6th grade

students, vaping
varies by race and
ethnicity. The highest
rates of vaping are
reported among
Non-Hispanic Native
Hawaiian and other
Pacific Islanders and
Hispanics students.
However, rates for
some of these
race/ethnicity
sub-groups can vary
widely.
missing codes prevalence is displayed with 95% confidence intervals (as± or black bar |)
S = result suppressed due to insufficient reporting from students of schools; *indicates a significant change from the previous year, <0.05
N/G = grade not available; N/S = question was not surveyed this year;
N/A = question was not asked of this grade; results generated at askhys.net on 04/10/2019
 Vapor products are the most common nicotine product used by youth.
 Youth and young adults under age 18 are far more likely to start tobacco use than adults: 4 out of 5 smokers
started during adolescence. According to the U.S. Surgeon General, there is a strong association between the
use of e-cigarettes, cigarettes, and the use of other burned tobacco products by young people.
 The minimum age of purchase for tobacco and vapor products is 18, but youth can get these products from their
older friends and classmates.
 In 2016, Washington State passed a Vapor Products law, establishing a statewide licensing system and important
protections to reduce illegal youth access to vapor products. This law applies to any vapor product, whether or
not it contains nicotine.
Current (past 30-day) vapor product use Reported substance "vaped" among
compared to the state, all grades current (30-day) vapor product users, Grade 6
40%
40%
local state
30%
30%
% of students
% of students
20% 20%
10% 10%
0% N/A N/A N/A N/A

0%
6th 8th 10th 12th
nicotine in it THC (marijuana) flavor only (no substance
Prevalence 6th 8th 10th 12th in it nicotine or THC) not known
local 3% ±1 13% ±3 23% ±3 30% ±5
*Students can select more than one type of substance
state 3% ±1 10% ±1 21% ±3 30% ±3
Source of tobacco and vapor products among those

who use them, Grade 6
40% Tobacco Vapor Product
30%
% of Students
20%
10%
U U U U U U
0%
Social source Non-social source Some other way
**Social sources include: giving money to someone, “bumming”, from a person

18 or older, and taking from a store or family. Non-social sources include buying
from a store, the internet, or a vending machine.
MORE INFORMATION...
 Through key partnerships, the Tobacco and Vapor Product Prevention and Control Program addresses youth access to
tobacco and the growth in the use of electronic cigarettes and vapor products in Washington State. Find out more
here: www.doh.wa.gov/YouandYourFamily/Tobacco
 For help quitting tobacco and other nicotine use, teens can call 1-800-QUIT-NOW to anonymously enroll in a free youth
support program. They can also text “QUIT” to 202-804-9884 to enroll in a text message program for vaping cessation.
 For 24-hour help with mental health, substance abuse, and problem gambling, call 1-866-789-1511 or visit
ww.warecoveryhelpline.org.
 E-cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. (2016. December). Retrieved from
https://e-cigarettes.surgeongeneral.gov/documents/2016_SGR_Fact_Sheet_508.pdf
Pierce County

30%
tobacco-related mortality, morbidity, and economic
costs. % of students 20%
 Youth and young adults under age 18 are far more likely
to start using tobacco than adults; nearly 9 out of 10 
adults who smoke started by age 18. 
10%
 
 104,000 Washington youth alive today will ultimately die 
 
prematurely from smoking.    
   
Prevalence 2008 2010 2012 2014 2016 2018
 The effects of nicotine exposure during youth and cigarettes 9% ±2 8% ±2 5% ±1* 5% ±1 3% ±1 3% ±1
3% ±1 3% ±1 2% ±1 2% ±1 1% ±1 1% ±0
in vapor products can prime young brains for tobacco vapor products N/S N/S N/S 12% ±3 6% ±2* 13% ±3*
Among 8th grade

students, vaping
varies by race and
rate of vaping is
reported among
Hispanics and the
lowest is among
Non-Hispanic Asian
students. However,
rates for some of
these race/ethnicity
sub-groups can vary
widely.
90%
90%
local state 80%
80%
70%
70%
49%
60%
% of students
60%
% of students
50% 50%
33%
40% 40%
30% 30% 17%

20% 14%
20%
10%
10%
0%
0%
6th 8th 10th 12th
local 3% ±1 13% ±3 23% ±3 30% ±5
state 3% ±1 10% ±1 21% ±3 30% ±3

80% 70%
70%
48%
60%
% of Students
50%
31%
40% 21%
23%
30%
20%
7%
10%
0%

MORE INFORMATION...
Unintentional Injury for Pierce County

Background:
 Unintentional injury is the leading cause of death among youth. Motor vehicle crashes are the most common cause.
 Unintentional injuries are caused by behaviors such as drinking and driving, riding with a drinking driver, riding a bike or motorcycle without a helmet, or
not wearing a life jacket.
 Most unintentional injuries can be prevented. Alcohol and other substances impair one’s judgment and may contribute to injuries and even death.
For More Information:

 Visit the Washington State Injury and Violence Prevention Website at: www.doh.wa.gov/DataandStatisticalReports/InjuryViolenceandPoisoning.
Unintentional Injury Unintentional Injury Trends

Grade 6, 2018 Grade 6
70%  Rode with drinking driver

 Wearing bicycle helmets (never/rarely)
60%
70%
50% 38%
60%
% of Students
40%
50%

30% 24% % of Students 40%
  
30%
20%
20% 
7%  
10%
10%
N/A N/A N/A   
0% 0%
Rode with Drove after Drove after using Rode with Texting while Bicyclists
driver who drinking marijuana texting driving wearing 2008 2010 2012 2014 2016 2018
had been driver helmets
drinking (never/rarely)
Prevalence 2008 2010 2012 2014 2016 2018
Rode with driver
who had been 23% ±4 19% ±3 18% ±2 6% ±1* 7% ±1 7% ±1
drinking
In 2018, 7% of 6th graders in our county rode with a drinking driver.
Wearing bicycle
helmets 39% ±10 47% ±6 40% ±7 N/S N/S 38% ±7
(never/rarely)
Texting While Driving, among Those Who Drove

Compared to the State, All Grades, 2018
70
Local State
60
50
% of Students
40
30
20
10
0
6th 8th 10th 12th
Prevalence 6th 8th 10th 12th

Local N/A 25% ±4 19% ±3 59% ±4
State N/A 24% ±3 21% ±2 58% ±3
Prevalence is displayed with 95% confidence intervals (as ± or black bar |) Washington HYS results generated at AskHYS.net on 10-28-2019
*indicates a significant change from the previous year or a significant difference between state and local results, p<0.05
Missing codes: S = result suppressed due to insufficient reporting from students of schools; N/G = grade not available; N/S = question was not surveyed this year; N/A = question was not asked of this grade.

Background:



70%
60% 80%
70%
% of Students
50%

60%  
% of Students
40%
50%
25%
30% 40%
16% 30%
20%
20%
10% 5%      
2% 10%
N/A N/A
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
Rode with driver
who had been 19% ±3 19% ±2 17% ±2 18% ±2 17% ±2 16% ±1
drinking
Wearing bicycle
helmets 59% ±7 64% ±6 57% ±7 N/S N/S N/A
(never/rarely)

Statewide Relationship between
80 Texting While Driving and
Local State Driving After Using Marijuana
70 Grade 8, 2018
60
80%
% of Students
50
% of Students Who Drove After Using Marijuana
70%
40
60% Statewide, more
30 8th graders who
50%
41% text while driving
20 are more likely to
40% report driving
10
after using
0 30% marijuana,
compared to those
6th 8th 10th 12th 20% who didn't text
Prevalence 6th 8th 10th 12th 7% while driving.
10%
Local N/A 25% ±4 19% ±3 59% ±4
State N/A 24% ±3 21% ±2 58% ±3
0%
Don't text Text while

while driving driving

Background:



80%
70% 90%
60% 80%
% of Students
70%   
50%
60%
40% % of Students 50%
30% 40%
18% 19%
20% 30%
9%  
10% 4%
20%    
N/A N/A 10%
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
Rode with driver
who had been 24% ±2 22% ±1* 20% ±2 17% ±2 18% ±2 18% ±2
drinking
Wearing bicycle
helmets 72% ±5 70% ±8 70% ±8 N/S N/S N/A
(never/rarely)

80 Grade 10, 2018
70
90%
60
% of Students
80%
50
40 70% Statewide, more

60%
10th graders who
30
text while driving
20 50% 39% are more likely to
report driving
10 40% after using
0 marijuana,
30%
compared to those
6th 8th 10th 12th
20% who didn't text
Prevalence 6th 8th 10th 12th 9% while driving.
10%
Local N/A 25% ±4 19% ±3 59% ±4
State N/A 24% ±3 21% ±2 58% ±3
0%


Background:



80%
70% 90%
59%
60% 80%
% of Students
70%   
50%
60%
40% % of Students 50%
30% 40%
20% 16% 14% 30%


7% 20%  
10%
10%
  
N/A N/A
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
Rode with driver
who had been 26% ±3 21% ±3* 19% ±3 16% ±2 15% ±2 16% ±2
drinking
Wearing bicycle
helmets 73% ±5 71% ±7 70% ±7 N/S N/S N/A
(never/rarely)

80 Grade 12, 2018
70
90%
60
% of Students
80%
50

60%
12th graders who
30
text while driving
20 50% are more likely to
report driving
10 40% after using
28% marijuana,
0
30%
compared to those
6th 8th 10th 12th
20% who didn't text
12% while driving.
10%
Local N/A 25% ±4 19% ±3 59% ±4
State N/A 24% ±3 21% ±2 58% ±3
0%

Violent Behaviors and School Safety for Pierce County
Background:
 Creating a supportive learning environment is critical for student academic achievement.
 Researchers have identified best practice programs that can address negative student behaviors and build positive school culture.
 School safety requires the commitment of staff, students, parents and the community. Washington schools are required to have a comprehensive school
safety plan that includes: prevention, intervention, all-hazards/crisis response, and post crisis recovery (RCW 28A.320.125).
 Schools referral systems that encourage students to report threats will help prevent violent incidents.

 School Safety Center, the Office of Superintendent of Public Instruction: www.k12.wa.us/safetycenter.
 Washington State Department of Health - Injury and Violence Prevention Program website: www.doh.wa.gov.
Violent Behavior and School Safety Violent Behavior and School Safety Trends, Grade 6
Grade 6, 2018
 Carried weapon at school  Don't feel safe at school
40%
40%
30%
% of Students
30%
16%
% of Students
20%
20%
10%  
  
10% 
N/A
1% N/A N/A
0%
    
Gang Carried Gangs at Don't feel Missed 0% 
member weapon at school safe at school
school school because felt
unsafe 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Carried weapon at
4% ±1 3% ±1 3% ±1 3% ±1 4% ±1 1% ±1*
school
Don't feel safe at
Carried a Weapon at School 12% ±4 16% ±3 13% ±3 12% ±2 11% ±3 16% ±3*
school
40
Local State

30
Lower Grades and
Not Feeling Safe at School
% of Students
Grade 6, 2018
20
40%
Statewide, more
% of Students with lower grades
10
30% 25% 6th graders who
don't feel safe at
school report
0 20% 16% lower grades in
6th 8th 10th 12th school (C's, D's or
F's) compared to
Prevalence 6th 8th 10th 12th 10% those who feel
Local 1% ±1 3% ±1 5% ±1 6% ±1 safe.
State 2% ±0 3% ±0 5% ±1 6% ±1
0%
Don't feel safe Feel safe
Background:

Grade 8, 2018
40%
40%
30%
22%
% of Students
30%
% of Students
20%
12%
10% 20%  
  
10% 8% 
3% 10%
0%      
Gang Carried Gangs at Don't feel Missed 0%
unsafe 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Carried weapon at
5% ±1 5% ±1 4% ±1 4% ±1 4% ±1 3% ±1
school
Don't feel safe at
Carried a Weapon at School 22% ±4 18% ±4 16% ±4 18% ±3 18% ±4 22% ±4
school
40
Local State

30
Lower Grades and
% of Students
Grade 8, 2018
20
40%
31%
Statewide, more
10
30% 8th graders who
don't feel safe at
19% school report
0 20% lower grades in
F's) compared to
Prevalence 6th 8th 10th 12th 10% those who feel
Local 1% ±1 3% ±1 5% ±1 6% ±1 safe.
State 2% ±0 3% ±0 5% ±1 6% ±1
0%
Background:

Grade 10, 2018
50%
50%
40%
26% 40%
% of Students
30%
19%
% of Students
30%
20%
12% 
20% 
10% 6%   
5% 
10%
0%      
unsafe 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Carried weapon at
6% ±1 7% ±1 5% ±1 6% ±1 6% ±1 5% ±1
school
Don't feel safe at
Carried a Weapon at School 17% ±3 17% ±4 15% ±3 18% ±5 21% ±4 26% ±6
school
50
Local State
40 Statewide Relationship between

Lower Grades and
% of Students
30
Grade 10, 2018
20 50%
Statewide, more
10
40%
33% 10th graders who
don't feel safe at
30% school report
23%
0 lower grades in
6th 8th 10th 12th 20% school (C's, D's or
F's) compared to
Prevalence 6th 8th 10th 12th those who feel
10%
Local 1% ±1 3% ±1 5% ±1 6% ±1 safe.
State 2% ±0 3% ±0 5% ±1 6% ±1
0%
School Risk Factors for Pierce County

Background:
 Researchers at the University of Washington (UW) developed a public health model for the prevention of youth substance abuse. They identified risk
factors that predict youth substance use, and protective factors that can protect youth from the effects of those risks. Prevention strategies are designed
to lower risk and increase protection.
 Each “factor” in the HYS is measured with two or more questions to include multiple dimensions of the risk or protective factor. The charts and tables
below refer to the “percent of students at risk,” which is defined as the percent of students whose scores were above a risk cutpoint determined by UW
researchers. We also report some of the individual questions.
 Risk factors in the school environment are those perceptions related to connection and commitment to school. Kids who are not doing well
academically, or who don’t believe that school is important, are likely to feel less connected and less committed to school and likely to be those same
kids who are experimenting with drugs, or having trouble with depression.
 Researchers have identified best practice programs that can decrease risk factors and build supportive school culture.
 Information about supportive learning environments, sponsored by the Office of Superintendent of Public Instruction visit
https://www.k12.wa.us/student-success/health-safety/mental-social-behavioral-health/compassionate-schools-learning-and.
 For information about the associations between Risk and Protective Factors and problem behaviors visit
www.oasas.ny.gov/prevention/documents/RiskProtFactors2011.pdf.
 Parents can find definitions for Risk and Protective Factors at www.oasas.ny.gov/prevention/documents/RPFactorDictionary07.pdf.
 For local Risk Factor profiles go to www.dshs.wa.gov/rda/research/Risk.shtm.
Risk Factor: Academic Failure Risk Factor: Low Commitment to School School Attendance and Transition
with Component Questions (Q:) with Component Questions (Q:) Grade 8, 2018
Grade 8, 2018 Grade 8, 2018
70% 70% 70%
60% 60% 60%

46%
% of Students at Risk
50% 40% 50% 43% 50%
30% 23% 30% 30%

21% 21%
18%
20% 20% 15% 20% 14% 12%
10% 10% 10%
0% 0% 0%
Academic Q: Lower Grades Q: Grades worse Low Q: School Q: Learning Q: Cut school Absent 3 or more Changed schools Family moved
Failure (mostly C's, than most Commitment work not not important in past days in during last for seasonal work
D's or F's) students to School meaningful for future month past month school year in past 3 years
Academic Failure (RF) School Risk Factor Trends, Grade 8

All Grades, 2018
 Academic Failure  Low Commitment to School
70
Local State
60 70%
50 60%
40 50%
    
 
30
40%
 
  
30%
20
20%
10
10%
0
0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Local 46% ±3 46% ±5 48% ±3 52% ±3 Prevalence 2008 2010 2012 2014 2016 2018
Academic Failure 46% ±3 47% ±3 46% ±6 45% ±5 44% ±3 46% ±5
State 44% ±2 45% ±3 48% ±2 51% ±3
Low Commitment to
39% ±4 41% ±3 33% ±4* 36% ±3 36% ±3 43% ±3*
School
Peer-Individual Risk Factors
Background:
 Risk factors in the peer and individual domain include attitudes youth have about substance use as well as the behaviors of their friends.
 Parents, schools, and communities can work together to keep youth healthy and safe. To learn more about prevention coalitions in your area and how to
get involved, go to the Start Talking Now website: www.StartTalkingNow.org.
 For free guides on preventing alcohol and other drug use, visit the ADAI Clearinghouse www.adaiclearinghouse.org or call (206) 221-8325.
 For prevention tips and other online resources, visit www.StartTalkingNow.org and www.drugfree.org.
 For 24 hour help for mental health, substance abuse and problem gambling, call 1-866-789-1511 or visit www.waRecoveryHelpLine.org.
Peer-Individual Risk Factors Peer-Individual Risk Factor Trends

70%  Perceived Risk of Drug Use  Favorable Attitudes Towards Drug Use
 Friends Use of Drugs  Intentions to Use Drugs
60%
47% 70%
50%
60%
40% 50%
  
30% 40%  
23%

30%
20%
   
20%
 
10%
10%
N/A N/A
0% 0%
Perceived Risk Favorable Attitudes Friends Use Early Initiation
of Drug Use Towards Drug Use of Drugs of Drug Use 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Perceived Risk of
Risk Factor: Perceived Risk of Drug Use 36% ±6 46% ±5* 40% ±4 42% ±3 46% ±5 47% ±5
Drug Use
Compared to the State, All Grades, 2018 Favorable Attitudes
22% ±4 23% ±3 18% ±2* 20% ±2 21% ±3 23% ±2
Towards Drug Use
70 Friends Use of
Local State N/A N/A N/A N/A N/A N/A
Drugs
60 Intentions to Use
N/A N/A N/A N/S N/S N/S
Drugs
50
40
30 In 2018, 23% of 6th graders in our county were at risk for favorable
attitudes towards drugs.
20
10
0
From 2016 to 2018, there has been no change in the perceived risk
6th 8th 10th 12th of drug use among 6th graders in our county.

Local 47% ±5 54% ±5* 47% ±4 54% ±4
State 43% ±2 47% ±3 44% ±3 53% ±3
Background:

70%  Perceived Risk of Drug Use  Favorable Attitudes Towards Drug Use
60%
47% 70%
50%
40% 60%
40% 50%
  
  
40%  
 
   
30%
22% 
20%
30%  
20%  
20%  
10%
10%
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018

Perceived Risk of
Risk Factor: Perceived Risk of Drug Use 38% ±3 42% ±3* 40% ±3 45% ±5 44% ±3 47% ±4
Drug Use
Compared to the State, All Grades, 2018 Favorable Attitudes
41% ±4 40% ±3 40% ±3 41% ±4 40% ±3 40% ±3
Towards Drug Use
70 Friends Use of
Local State 31% ±4 31% ±3 26% ±3* 24% ±4 19% ±3* 22% ±3
Drugs
60 Intentions to Use
47% ±4 50% ±5 45% ±3* N/S N/S N/S
Drugs
50
40
20
10
0

Local 47% ±5 54% ±5* 47% ±4 54% ±4
State 43% ±2 47% ±3 44% ±3 53% ±3
Family Protective Influences for Pierce County

Background:
below refer to the “percent of students protected,” which is defined as the percent of students whose scores were above a protection cutpoint determined
by UW researchers. We also report some of the individual questions.
 Protective factors in the family environment are those that encourage positive participation in the family setting, and reward youth for that involvement.

 For free guides on preventing alcohol and other drug use, visit the ADAI Clearinghouse at www.adaiclearinghouse.org or call (206) 221-8325.
 For prevention tips and other online resources visit www.StartTalkingNow.org and www.drugfree.org.
Protective Factor: Opportunities for Prosocial Family Involvement Family Protective Factor Trends, Grade 8
with Component Questions (Q:)
Grade 8, 2018  Opportunities  Rewards
100%
100%
90% 81% 78% 90%
80%
% of Students Protected
80%
70% 63% 63%

70%
60%
   
60%  
 
50% 
50%
40%
40%
30%
30%
20%
20%
10%
10%
0%
0%
Opportunities for Q: Can discuss Q: Chances for Q: Involved in
Prosocial Family problems with fun with family
Involvement parents parents decisions 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Opportunities 59% ±4 61% ±2 63% ±3 63% ±3 66% ±4 63% ±4
Protective Factor: Opportunities for Prosocial Family Involvement Rewards 57% ±4 59% ±4 61% ±3 N/A N/A N/A
All Grades, 2018
100
Local State
90
Parental Protective Influences, Grade 8, 2018
80 98% 98%
100% 94% 95%
70
90%
60
80%
50 65%
70% 62%
40
% of Students
60%
30
50%
20
40%
10
30%
0
6th 8th 10th 12th 20%
10%
Local 48% ±4 63% ±4 53% ±4 53% ±4 0%
State 50% ±2 66% ±2 53% ±2 54% ±2 Parents Parents Parents feel Parents feel Parents feel Parents feel
talk about talk about daily youth youth cigarette youth youth
not drinking not using drinking is smoking is marijuana prescription
alcohol marijuana wrong wrong use is drug use
wrong is wrong

Background:

100%
100%
90%
90%
80% 75% 72%
80%
70%
56% 70%
60% 53%
60%
50%
     
50%   
40%
40%
30%
30%
20%
20%
10%
10%
0%
0%
Prevalence 2008 2010 2012 2014 2016 2018

Opportunities 54% ±3 53% ±3 56% ±4 53% ±3 55% ±4 53% ±4
Protective Factor: Opportunities for Prosocial Family Involvement Rewards 51% ±3 48% ±3 50% ±3 N/A N/A N/A
All Grades, 2018
100
Local State
90
80 100% 96% 97% 95%
70 89%
90%
60
80%
50
70%
40 61% 58%
% of Students
60%
30
50%
20
40%
10
30%
0
6th 8th 10th 12th 20%
10%
Local 48% ±4 63% ±4 53% ±4 53% ±4 0%
wrong is wrong

Background:

100%
100%
90%
90%
80%
75%
68% 80%
70%
56% 70%
60% 53%
60%
50%

    
50% 
 
40%
40%
30%
30%
20%
20%
10%
10%
0%
0%
Prevalence 2008 2010 2012 2014 2016 2018

Opportunities 53% ±5 51% ±5 55% ±4 55% ±5 55% ±3 53% ±4
Protective Factor: Opportunities for Prosocial Family Involvement Rewards 52% ±4 47% ±5* 48% ±4 N/A N/A N/A
All Grades, 2018
100
Local State
90
80 100% 94% 93% 94%
70
90% 81%
60
80%
50
70%
40
% of Students
60% 52% 51%

30
50%
20
40%
10
30%
0
6th 8th 10th 12th 20%
10%
Local 48% ±4 63% ±4 53% ±4 53% ±4 0%
wrong is wrong
Substance Use for Pierce County

Background:
 Parents are the primary influence on their children's decision to use alcohol, tobacco, and other drugs.
 The developing brain is more vulnerable to the effects of alcohol and other drugs. Brain development continues into the mid-20s.

 Parents, schools, and communities can work together to keep youth healthy and safe. For prevention tips and to connect with a prevention coalition in
your area, visit www.StartTalkingNow.org.
 For free printed guides on preventing alcohol and other drug use, visit the ADAI Clearinghouse www.adaiclearinghouse.org or call (206) 221-8325.
 For 24 hour help for mental health, substance use and problem gambling, call 1-866-789-1511 or visit www.waRecoveryHelpLine.org.
Current (past 30-day) Substance Use Current (past 30-day) Substance Use Trends, Grade 8
Grade 8, 2018  Cigarettes  Alcohol  Marijuana
 Rx Pain killers  Illegal drugs
70%
60% 70%
50%
60%
% of Students
50%
40%
% of Students 40%
30%
30%
20%
9% 9% 20%
10% 6% 6%  
3% 3% 3%  
10% 
   
  


    
0%
0%  
 
 

 


Cigarettes Alcohol Marijuana Rx Pain Prescription Over-the- All other
killers to drugs, counter illegal drug
get high not prescribed drug use** use*** 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 9% ±2 8% ±2 5% ±1* 5% ±1 3% ±1 3% ±1
Most youth don't use alcohol or other substances. Alcohol 17% ±3 16% ±2 11% ±2* 9% ±1 8% ±1 9% ±1
Marijuana 10% ±2 10% ±3 10% ±2 8% ±2 6% ±1* 9% ±2*
Rx Pain killers to get
5% ±2 6% ±1 3% ±1* 2% ±1* 2% ±1 3% ±1
high
Current (past 30-day) All Other Illegal Drug Use** All other illegal drug
4% ±1 3% ±1 2% ±1 2% ±0 3% ±1 3% ±1
Compared to the State, All Grades, 2018 use***
70
Local State
60
Lower Grades and Current (past 30-day) All Other Illegal Drug Use***
50
Grade 8, 2018
% of Students
40
70%
30
60% 48% Statewide, more
8th graders who

20 50% use illegal drugs
(not including
10 40% alcohol, tobacco or
marijuana) report
0 30%
21% lower grades in
20%
F's) compared to
10%
those who don't
Local 1% ±1 3% ±1 7% ±1 8% ±2
use.
State 1% ±0 3% ±1 6% ±1 7% ±1
0%
Using illegal Not using

drugs
**Over-the-counter drug use is the use of drugs like cough syrup or cold medical purposes.
***All other illegal drug use includes prescription drugs not prescribed, Rx pain killers to get high, and all other illegal drugs; but does not include alcohol, tobacco or marijuana.
Pierce County

40%
tobacco-related mortality, morbidity, and economic 30%
 Youth and young adults under age 18 are far more likely 
20% 
to start using tobacco than adults; nearly 9 out of 10
adults who smoke started by age 18.  

10% 
 104,000 Washington youth alive today will ultimately die 
prematurely from smoking.    

  
Prevalence 2008 2010 2012 2014 2016 2018
 The effects of nicotine exposure during youth and cigarettes 15% ±2 15% ±2 11% ±2* 9% ±2* 6% ±1* 6% ±1
6% ±2 7% ±2 5% ±1* 3% ±2* 2% ±1 2% ±1
in vapor products can prime young brains for tobacco vapor products N/S N/S N/S 20% ±3 14% ±2* 23% ±3*
Among 10th grade

students, vaping
varies by race and
rate of vaping is
reported among
Non-Hispanic
American
Indian/Alaska Native
and the lowest is
among Non-Hispanic
Asian students.
However, rates for
some of these
race/ethnicity
sub-groups can vary
widely.
90%
90%
local state 80%
80%
70% 56%
70%
60%
% of students
60%
% of students
50% 50%
33%
40% 40%
30% 30% 22%

20%
20%
8%
10%
10%
0%
0%
6th 8th 10th 12th
local 3% ±1 13% ±3 23% ±3 30% ±5
state 3% ±1 10% ±1 21% ±3 30% ±3

80% 62%
67%
70%
60%
% of Students
50%
40% 27%
30%
15% 18%
20% 11%
10%
0%

MORE INFORMATION...
Youth Alcohol Use for Pierce County in 2018
Are OUR youth using alcohol?
Current Drinking Experimental Drinking Problem or Heavy Drinking

Students who report drinking at least Students who report drinking on 1-2 days Students who report drinking 3 or more
once in the past month in the past month, but no binge drinking days in the past month and/or one or
more binge drinking episodes*
35 35 35
28%
30 30 30
% of Students
25
19%
% of Students
% of Students
25 25
% of Students
19%
% of Students
% of Students
20
20 20
15 12%
15 15
11% 10
9% 9% 5%
10 10
5 2%
5%
5 5 0
2% 1%
0 0 6th 8th 10th 12th
6th 8th 10th 12th 6th 8th 10th 12th *Binge drinking is drinking 5 or more drinks in a row
in the past two weeks.
In a Vehicle On school property

Students who report drinking and driving OR riding with a Students who report drinking on school property in the
driver who had been drinking past month
Drove after drinking Rode with drinking driver 35
35 30
30
% of Students
25
% of Students
% of Students
25
20
% of Students
18%
20 16% 16% 15
15
10
10 7% 7%
4% 5 3% 2%
5 2% 1%
U
U 0
0
6th 8th 10th 12th
6th 8th 10th 12th
Where Do Youth Get Alcohol?

70 8th 10th 12th
% of Students who obtained alcohol
60
% of Students who obtained alcohol
50 38% 41%
40 28%
25%
26%
30
20% 22%
17%
15% 14%
20 11% 10%
11% 8%
9% 11% 8% 6% 10%
8% 7%
10 5% 6%
2%
0
From At a Gave money From home From home From older Bought it Stole it
friends party to someone without with sibling from a store from a store
permission permission
The percentages in this chart are based on all students who reported getting alcohol in the past 30 days, regardless whether they reported drinking in the past 30 days.
Students could select multiple sources.
The data in these charts are based on the Healthy Youth Survey conducted in fall 2018. In For more results from the 2018
Pierce County, 2,271 6th graders, 3,220 8th graders, 3,754 10th graders and 2,692 12th Healthy Youth Survey, please visit
graders completed the survey. www.AskHYS.net
Prevalence is displayed with 95% confidence intervals (as black bars |). "U" indicates data is unavailable, because of too few surveys completed, questions not asked, or other reasons.
Parents and communities have influence!
Kids are less likely to drink if they believe their parents or their communities
disapprove of youth drinking.
Percent of 10th Graders who Drink Alcohol (Statewide)

80% 80% What does this chart say?
70% 70%
• Only 14% of kids drink
% of Students
60% 50% 60%

alcohol if their parent's
% of Students
% of Students
50% 50% think it's wrong, while
40% 40% 34% 50% drink if their
parents don't think it's
30% 30%
20% 14% 20% 14% • wrong.

14% of kids drink alcohol if
their community thinks it's
10% 10%
wrong, while 34% drink if
0% 0% their community doesn’t
Kids who believe their Kids who believe the think it's wrong.
parents think…. community norm is…
It's wrong It's not It's wrong It's not
for them wrong for youth wrong
to drink to drink
Kids in Pierce County reported that they believe…
Parents would catch me if I had been drinking Police would catch me if I had been drinking
Parents think youth drinking is wrong Community norm is that youth drinking is wrong
100 94% 100
89% 88%
90 90
76% 80%
80 72% 80
70%
% of Students
% of Students
70 70
% of Students
% of Students
60 54% 60
45% 44%
50 50
40 40
30 30 25% 21%
20 20
10 10
0 0
8th 10th 12th 8th 10th 12th
Take action to reduce youth alcohol use!

Community Members - help reduce youth drinking by making it difficult for them to get alcohol.
The percent of Pierce County kids who think that it would be easy to get alcohol increases as they get older,
from 13% in 6th Grade to 59% in 12th Grade.
Parents - talk to your kids about the dangers of drinking alcohol.

The percent of Pierce County kids who said their parents didn’t talk to them about the dangers of alcohol
increases as they get older, from 21% in 8th Grade to 39% in 12th Grade.
Start the conversation

Continue the conversation
Visit us at: www.StartTalkingNow.org
Depressive Feelings, Anxiety and Suicide for Pierce County in 2018
Depressive Feelings… Suicidal Feelings and Actions…

Students who report feeling sad or hopeless Students who report considering suicide, making a suicide
for at least two weeks in the past year plan, and attempting suicide in the past year
70
80 8th 10th 12th
60
70
44%
% of Students
50
41% 60
% of Students
% of Students
40 35%
% of Students
50
30 40
27%
20 30 24%
21% 22% 21%
17%
10 20 13% 13%
10%
10
0
0
8th 10th 12th
Considered Made a Attempted
attempting suicide plan in suicide in
suicide in past year past year
Support… past year
Students who report they have an adult to turn to when
they feel sad or hopeless
70
Feeling Anxious and not able to Stop Worrying…
60 55% Students who report feeling nervous, anxious or over the
edge or not being able to stop or control worrying in the
48% 47% past 2 weeks
50
% of Students
Anxious, nervous or on edge

% of Students
40 Not able to stop or control worrying

66% 67%
70
30
59%
60 55% 56%
20
50
% of Students
43%
% of Students
10
40
0 30
8th 10th 12th 20
10
For help and information about what 8th 10th 12th

you can do, contact:
 National Suicide Prevention Lifeline: 1-800-273-TALK (8225) or YOU can save a life:
www.suicidepreventionlifeline.org  Take it Seriously
 For help, text ''HOME'' to 741741 for a 24/7, free, confidential crisis  Understand the risk factors and watch for the warning signs
counselor or call 1-800-TEENLINK (833-6546) to speak with a caring (https://afsp.org/about-suicide/risk-factors-and-warning-signs).
teen.  Emphasize, don't rationalize. Show you care. ''I'm worried about
you'' or ''I want to help you'' .
 Ask if they are thinking about killing themselves.
 Get help. Don't keep it a secret!
The data in these charts are based on the State of

Washington's Healthy Youth Survey conducted in fall
2018. In Pierce County, 2,271 6th graders, 3,220 8th
graders, 3,754 10th graders and 2,692 12th graders
completed the anonymous survey.
For more results from the 2018 Healthy Youth Survey,
please visit www.AskHYS.net
Alcohol Use for Pierce County, page 1 of 2

Background:
 5,000 people under the age of 21 die each year from alcohol-related car crashes, homicides, suicides, poisoning, falls, drownings and other injuries.
 Youth alcohol use is associated with violence, school failure, and sexual activity.
 Research shows that heavy alcohol use during teen years can permanently damage the still-developing brain.
Current (past 30 days) Alcohol Use Alcohol Use Trends, Grade 10

Compared to the State, All Grades, 2018  Current (past 30-day) alcohol use p Ever drank alcohol
 Binge drinking
70
Local State
60 70%
60% p p
50
p
p
% of Students
50%
p p
% of Students
40
40%
30 
30%

20 
20%
   
 
10 10%   
0%
0
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Prevalence 6th 8th 10th 12th Prevalence 2008 2010 2012 2014 2016 2018
Local 2% ±1 9% ±1 19% ±3 28% ±4 Current (past 32% ±2 28% ±2* 24% ±2* 20% ±2* 20% ±2 19% ±3
30-day) alcohol use
State 2% ±0 8% ±1 18% ±2 28% ±2 Ever drank alcohol 62% ±2 59% ±3 55% ±4* 51% ±4 48% ±2 50% ±4
Binge drinking 18% ±1 16% ±2 14% ±2 11% ±2* 10% ±1 10% ±2
Level of Alcohol Use Statewide Relationship between

Grade 10, 2018 Lower Grades and Current (past 30-day) Alcohol Use
Grade 10, 2018
70%
60% Statewide, more

Experimental, 9% 10th graders who
50%
drink alcohol
None, 79% 40% 34% report lower
Heavy, 6%
grades in school
30% 23% (C’s, D’s or F’s)
Problem, 7%
20% compared to those
who don’t drink.
10%
0%
None: no drinking in the past 30 days (79%)
Experimental: 1-2 days drinking, and no binge drinking (9%)
Alcohol drinker Non-Drinker
Heavy: 3-5 days drinking, and/or one binge (6%)
Problem: 6+ days drinking, and/or 2+ binges (7%)
Where Do Youth Get Alcohol? Grade 10, 2018

70%
% of Students Who Obtained Alcohol
60% 50%
50%
40% 32%
30%
20% 12%
10% 8% 9%
10%
5%
0%
Bought it Stole it From older From friends or Gave money At home Some other
from a store from a store sibling at a party to someone with/without way
permission
Youth Perceptions about Alcohol Drinking and Driving/Riding

Compared to the State, Grade 10, 2018 Compared to the State, Grade 10, 2018
90% Local State 90% Local State
80% 80%
70% 70%
60%
% of students
60%
% of students
50%
50%
40%
40%
30%
30%
20%
20%
10%
10%
0%
0%
Drove after Rode with
Adults frown It's risky It's wrong Police would drinking driver who
on kids to drink for kids catch youth had been
drinking regularly to drink drinking drinking
Adults Regular Drinking is Police would Rode with driver

frown on drinking is wrong for catch youth Drove after who had been
Prevalence drinking risky kids drinking Prevalence drinking drinking
Local 80% ±3 71% ±3 72% ±4 25% ±2 Local 4% ±1 18% ±2
State 80% ±2 73% ±2 73% ±3 26% ±2 State 5% ±1 17% ±2
Received Anti-Alcohol Messages Youth Perception that Alcohol is Easy to Get

Compared to the State, Grade 10, 2018 Compared to the State, All Grades, 2018
90% Local State 90
Local State
80%
80
70%
70
60%
% of students
50% 60
% of Students
40%
50
30%
40
20%
10% 30
0%
20
Received anti-alcohol/drug Parents
messages in class talk about 10
not drinking
alcohol 0
Received 6th 8th 10th 12th

anti-alcohol/drug Parents talked
Prevalence messages in class about drinking Prevalence 6th 8th 10th 12th
Local 73% ±5 61% ±2 Local 13% ±2 29% ±2 48% ±2 59% ±5
State 75% ±3 61% ±2 State 14% ±1 31% ±2 48% ±2 56% ±3


Background:

 Binge drinking
90
Local State
80 90%
70 80%
60 70% p p p
% of Students
60%
p p p
% of Students
50
50%
40
40%  
30 
30%
  
 
20 20% 
  
10 10%
0%
0
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 2% ±1 9% ±1 19% ±3 28% ±4 Current (past 40% ±3 38% ±4 35% ±4 28% ±3* 29% ±3 28% ±4
30-day) alcohol use
State 2% ±0 8% ±1 18% ±2 28% ±2 Ever drank alcohol 72% ±2 72% ±3 69% ±4 65% ±2* 64% ±3 63% ±3
Binge drinking 25% ±3 24% ±3 21% ±3 16% ±3* 15% ±3 16% ±2

Grade 12, 2018
90%
Experimental, 11% 80%
Statewide, more
60% drink alcohol
None, 70% Heavy, 9% 50% report lower
35% grades in school
40%
27% (C’s, D’s or F’s)
Problem, 10% 20% who don’t drink.
10%
0%

90%
80%
70%
54%
60%
50%
40% 27%
30%
15%
20% 11%
7% 8%
6%
10%
0%
permission

80% 80%
70% 70%
60%
% of students
60%
% of students
50%
50%
40%
40%
30%
30%
20%
20%
10%
10%
0%
0%

Local 70% ±3 72% ±4 61% ±4 21% ±4 Local 7% ±1 16% ±2
State 70% ±2 71% ±3 63% ±2 20% ±2 State 7% ±1 16% ±2

90% Local State 90
Local State
80%
80
70%
70
60%
% of students
50% 60
% of Students
40%
50
30%
40
20%
10% 30
0%
20
not drinking
alcohol 0

Local 60% ±3 52% ±4 Local 13% ±2 29% ±2 48% ±2 59% ±5
State 61% ±2 55% ±3 State 14% ±1 31% ±2 48% ±2 56% ±3


Background:

 Binge drinking
40
Local State
40%
30
30%
% of Students
p p
% of Students
p p p
20
20% p
10 10%

 
   
0%    

0
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 2% ±1 9% ±1 19% ±3 28% ±4 Current (past 4% ±1 4% ±1 3% ±1 2% ±1 2% ±1 2% ±1

30-day) alcohol use
State 2% ±0 8% ±1 18% ±2 28% ±2 Ever drank alcohol 29% ±4 28% ±3 24% ±3 21% ±2* 24% ±2* 25% ±2
Binge drinking 3% ±1 4% ±1 2% ±1* 3% ±1 2% ±1 2% ±1

Grade 6, 2018
40%
24% Statewide, more

30% 6th graders who
drink alcohol
Experimental, 1% report lower
None, 97% Heavy, 1%
Problem, 1%
20% 16% grades in school
(C’s, D’s or F’s)
compared to those
10%
who don’t drink.
0%

40%
30%
20%
10%
N/A N/A N/A N/A N/A N/A N/A

0%
permission

90% 90%
80% 80%
70% 70%
% of students
% of students
60% 60%
50%
50%
40%
40%
30%
30%
20%
20%
10%
10% N/A
0%
0%

frown on drinking is wrong for catch youth who had been
Prevalence drinking risky kids drinking Prevalence Drove after drinking drinking
Local 92% ±2 54% ±4 96% ±1 60% ±4 Local N/A 7% ±1
State 92% ±1 56% ±2 95% ±1 61% ±2 State N/A 6% ±1

100% Local State 100
Local State
90%
90
80%
80
70%
% of students
60% 70
% of Students
50%
60
40%
50
30%
20% 40
10%
30
N/A
0%
20
not drinking
alcohol 0

Local 67% ±4 N/A Local 13% ±2 29% ±2 48% ±2 59% ±5
State 71% ±3 N/A State 14% ±1 31% ±2 48% ±2 56% ±3


Background:

 Binge drinking
60
Local State
60%
50
50%
40
% of Students
40% p p
% of Students
p p
30
30% p
p
20 20%
 
10 10%     
 
  
0%
0
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 2% ±1 9% ±1 19% ±3 28% ±4 Current (past 17% ±3 16% ±2 11% ±2* 9% ±1 8% ±1 9% ±1

30-day) alcohol use
State 2% ±0 8% ±1 18% ±2 28% ±2 Ever drank alcohol 41% ±4 43% ±3 35% ±4* 33% ±2 29% ±2* 35% ±3*
Binge drinking 9% ±2 9% ±2 6% ±2* 5% ±1 4% ±1 4% ±1

Grade 8, 2018
60%
50% Statewide, more

8th graders who
Experimental, 5% 40% 33% drink alcohol
None, 90% Heavy, 2%
report lower
Problem, 3%
19% (C’s, D’s or F’s)
who don’t drink.
10%
0%

60%
50% 40%
34%
40%
30% 19%
20% 10%
8%
6%
10%
2%
0%
permission

90% 90%
80% 80%
70% 70%
% of students
% of students
60% 60%
50%
50%
40%
40%
30%
30%
20%
20%
10%
10%
0%
0%

Local 88% ±1 65% ±3 83% ±2 44% ±4 Local 2% ±1 16% ±1
State 88% ±1 69% ±2 86% ±1 45% ±3 State 3% ±1 18% ±2

100% Local State 100
Local State
90%
90
80%
80
70%
% of students
60% 70
% of Students
50%
60
40%
50
30%
20% 40
10%
30
0%
20
not drinking
alcohol 0

Local 72% ±7 65% ±3 Local 13% ±2 29% ±2 48% ±2 59% ±5
State 80% ±3 65% ±2 State 14% ±1 31% ±2 48% ±2 56% ±3

Community Protective Factors for Pierce County
Background:
 Researchers at the University of Washington (UW) developed a public health model for the prevention of youth substance abuse. They identified risk factors
that predict youth substance use, and protective factors that can protect youth from the effects of those risks. Prevention strategies are designed to lower
risk and increase protection.
 Each “factor” in the HYS is measured with two or more questions to include multiple dimensions of the risk or protective factor. The charts and tables below
refer to the “percent of students protected,” which is defined as the percent of students whose scores were above a protection cutpoint determined by UW
 Protective factors in the community environment are those that offer the youth opportunities and rewards for participating in positive and healthy activities.

 Parents, schools, and communities can work together to keep youth healthy and safe. To learn more go to the Start Talking Now website:
www.StartTalkingNow.org. To find out about prevention coalitions in your area and how to get involved, go to
https://www.theathenaforum.org/cpwi_coalitions.
 For free guides on preventing alcohol and other drug use, visit the ADAI Clearinghouse www.ADAIClearingHouse.org or call (206) 221-8325.
 For prevention tips and other online resources visit www.StartTalkingNow.org and www.DrugFree.org.
Protective Factor: Opportunities for Prosocial Community Community Protective Factor and
Involvement with Component Questions (Q) Afterschool Activity Trends
Grade 10, 2018 Grade 10, 2018
100%
90% 84%
80%  Opportunities p Afterschool activities
80% 70% 70%

66%
70% 100%
60% 90%
50% 80%
70%
    
40%
60% p
 p p p p
30% p
50%
20% 40%
10% 30%
20%
0%
10%
Opportunities Q: Sports Q: Service Q: Activity Q: There are 0%
for Prosocial teams and clubs clubs adults I can
Community recreation talk to
Involvement 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Participate in Afterschool Activities Opportunities 63% ±4 68% ±6* 70% ±6 72% ±6 72% ±5 70% ±5
All Grades, 2018 Participation in 63% ±4 63% ±4 65% ±4 64% ±5 62% ±2 58% ±4*
afterschool activities
100
Local State
90
Lower Grades and Participation in Afterschool Activities
70
Grade 10, 2018
% of Students
60
50 100%
40 90%
Statewide, more
80%
30 10th graders who
20 70% do not participate
10 60% in after-school
50% activities report
40%
6th 8th 10th 12th school (C’s, D’s or
30%
F’s) compared to
Prevalence 6th 8th 10th 12th 17%
20% those who do
Local N/A 55% ±4* 58% ±4* 60% ±4 10% participate.
State N/A 60% ±3 62% ±3 62% ±3 0%
Do not Participate
participate
Background:

Grade 12, 2018 Grade 12, 2018
100%
86% 
90% 77%
Opportunities p Afterschool activities
80% 70%
67% 69%
70% 100%
60% 90%
50% 80%
70%     
40% 
p p p p
30%
60% p p
50%
20% 40%
10% 30%
20%
0%
10%
Involvement 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Participate in Afterschool Activities Opportunities 66% ±8 71% ±6 72% ±6 73% ±6 74% ±5 70% ±6
All Grades, 2018 Participation in 63% ±5 67% ±4 64% ±6 65% ±4 60% ±3* 60% ±4
100
Local State
90
70
Grade 12, 2018
% of Students
60
50 100%
40 90%
Statewide, more
80%
30 12th graders who
50% 42% activities report
0
lower grades in
40%
6th 8th 10th 12th school (C’s, D’s or
30% 22% F’s) compared to
Prevalence 6th 8th 10th 12th 20% those who do
State N/A 60% ±3 62% ±3 62% ±3 0%
Do not Participate
participate
Background:

Grade 8, 2018 Grade 8, 2018
100%
90% 83%  Opportunities p Afterschool activities
75%
80%
69%
64%
70% 58% 100%
60% 90%
50% 80%
70%
   
40%
60% 
p p p p p 
30% 50% p
20% 40%
10% 30%
20%
0%
10%
Involvement 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Participate in Afterschool Activities Opportunities 63% ±5 66% ±7 70% ±5 67% ±4 67% ±5 64% ±5
All Grades, 2018 Participation in 61% ±4 62% ±2 61% ±4 61% ±3 61% ±3 55% ±4*
100
Local State
90
70
Grade 8, 2018
% of Students
60
50 100%
40 90%
Statewide, more
80%
30 8th graders who
50% activities report
0
lower grades in
40%
6th 8th 10th 12th 30% school (C’s, D’s or
30%
F’s) compared to
Prevalence 6th 8th 10th 12th 20% 15% those who do
State N/A 60% ±3 62% ±3 62% ±3 0%
Do not Participate
participate
Community Risk Factors for Pierce County

Background:
 Researchers at the University of Washington (UW) developed a public health model for the prevention of youth substance abuse. They identified risk factors that
predict youth substance use, and protective factors that can protect youth from the effects of those risks. Prevention strategies are designed to lower risk and
increase protection.
 Each “factor” in the HYS is measured with two or more questions to include multiple dimensions of the risk or protective factor. The charts and tables below refer
to the “percent of students at risk,” which is defined as the percent of students whose scores were above a risk cutpoint determined by UW researchers. We also
report some of the individual questions.
 Risk factors in the community environment point to youth perceptions of local attitudes, beliefs, and standards: if youth perceive people in the community look
the other way when kids are using substances, the youth have a higher likelihood of being substance users – that is, they are ''at risk.''
www.StartTalkingNow.org. To find out about prevention coalitions in your area and how to get involved, go to https://www.theathenaforum.org/cpwi_coalitions.
Risk Factors: Availabability of Drugs and Substances Perceived as "Very Easy" to Get
Laws and Norms Favorable to Drug Use Grade 10, 2018
Grade 10, 2018
50%
50%
40%
40%
30% 29%
% of Students
30%
30%
24%
20%
18%
20%
20%
10%
10% 6%
0% 0%
Availability of Laws and Norms Alcohol Cigarettes Marijuana Other Drugs

Drugs Favorable to Drug Use
Risk Factor: Laws and Norms Favorable to Drug Use Community Risk Factor Trends, Grade 10
All Grades, 2018  Availability of Drugs p Laws and Norms Favor Drug Use
 Availability of Handguns
50
Local State
50%
40
40%
p p
  p
30 p
30%  p p

20  
20%
 

10 10%
0 0%
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 38% ±4 28% ±4 30% ±3 28% ±3 Availability of Drugs 36% ±3 38% ±3 30% ±2* 28% ±3 23% ±3* 24% ±2
State 37% ±2 24% ±2 30% ±2 28% ±2 Laws and Norms 39% ±5 39% ±6 36% ±5 34% ±4 31% ±4 30% ±3
Favor Drug Use
Availability of 19% ±2 19% ±2 17% ±2 N/S N/S N/S
Handguns

Background:
Grade 12, 2018
50%
50%
39%
40%
35%
40%
28%
% of Students
27% 28% 30%

30%
20%
20%
8%
10% 10%
0% 0%

50
Local State
50%
40
40%
 
30 p p 
p p
 p
30%  p

20   
20%
10 10%
0 0%
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 38% ±4 28% ±4 30% ±3 28% ±3 Availability of Drugs 39% ±4 38% ±4 35% ±4 31% ±3 30% ±3 27% ±4
State 37% ±2 24% ±2 30% ±2 28% ±2 Laws and Norms 34% ±5 36% ±4 32% ±6 33% ±3 32% ±3 28% ±3
Favor Drug Use
Handguns

Background:
Grade 6, 2018
50%
50%
38% 40%
40%
% of Students
30%
30%
20%
20%
20%
10%
10% 6% 5%
2% 1%
0% 0%

50
Local State
50%
40
40% p p p
30 p p
p
30%
 
20
20%    
10 10%
0 0%
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 38% ±4 28% ±4 30% ±3 28% ±3 Availability of Drugs 26% ±5 25% ±4 21% ±3* 20% ±2 19% ±3 20% ±3
State 37% ±2 24% ±2 30% ±2 28% ±2 Laws and Norms 36% ±4 40% ±4 36% ±4 33% ±2 38% ±3* 38% ±4
Favor Drug Use
Availability of
N/A N/A N/A N/S N/S N/S
Handguns

Background:
Grade 8, 2018
50%
50%
40%
40%
28%
% of Students
30%
30%
18% 20%
20%
12% 12%
10%
10% 10%
2%
0% 0%

50
Local State
50%
40
40%
30
30%
 p
 
p
  p p
p
20  p
20%
  
10 10%
0 0%
6th 8th 10th 12th 2008 2010 2012 2014 2016 2018
Local 38% ±4 28% ±4 30% ±3 28% ±3 Availability of Drugs 27% ±4 27% ±3 22% ±4 19% ±3 17% ±3 18% ±2
State 37% ±2 24% ±2 30% ±2 28% ±2 Laws and Norms 29% ±5 32% ±6 27% ±5 27% ±3 24% ±3 28% ±4*
Favor Drug Use
Handguns

Background:

Grade 10, 2018  Cigarettes p Alcohol  Marijuana
 Rx Pain killers q Illegal drugs
60%
60%
50%
50%
40%
% of Students
40%
30% % of Students
19% 19% 30% p
p
20% p
20%    p p p

9%  
10% 6% 6% 7%  
4% 
10%   
q q 
q  
q q

0% q  
0%
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 15% ±2 15% ±2 11% ±2* 9% ±2* 6% ±1* 6% ±1
Most youth don't use alcohol or other substances.
Alcohol 32% ±2 28% ±2* 24% ±2* 20% ±2* 20% ±2 19% ±3
Marijuana 21% ±2 21% ±2 21% ±2 19% ±3 17% ±2 19% ±3
Rx Pain killers to get 10% ±1 9% ±1 6% ±1* 5% ±1* 4% ±1 4% ±1

Current (past 30-day) All Other Illegal Drug Use** high
Compared to the State, All Grades, 2018 All other illegal drug 7% ±1 6% ±1 5% ±1 4% ±1 5% ±1 7% ±1
use***
60
Local State

40 Grade 10, 2018
% of Students
60%
30
45%
50%
Statewide, more
20 10th graders who

use illegal drugs
40%
10 (not including
alcohol, tobacco or
30% 24% marijuana) report
0
lower grades in
F's) compared to
10% those who don't
Local 1% ±1 3% ±1 7% ±1 8% ±2 use.
State 1% ±0 3% ±1 6% ±1 7% ±1 0%

drugs

Background:

50%
50%
40%
28% 40% p
26% p
% of Students
30% p
% of Students 30%
p
p  p
20%     
9%
20%  
7% 8% 
10%
4% 5%
10%   
q  
q 
q q
 q q
0%  
0%
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 21% ±3 20% ±3 16% ±5 12% ±2 11% ±2 9% ±2
Alcohol 40% ±3 38% ±4 35% ±4 28% ±3* 29% ±3 28% ±4
Marijuana 26% ±4 26% ±3 26% ±4 25% ±3 28% ±3 26% ±3
Rx Pain killers to get 12% ±2 8% ±2* 7% ±2 6% ±2 5% ±1 4% ±1

Current (past 30-day) All Other Illegal Drug Use** high
Compared to the State, All Grades, 2018 All other illegal drug 8% ±1 7% ±1 6% ±1 6% ±2 7% ±2 8% ±2
use***
50
Local State
40
Grade 12, 2018
% of Students
30
50%
39%
20 Statewide, more

29% use illegal drugs
10
30%
(not including
alcohol, tobacco or
marijuana) report
0
20% lower grades in
F's) compared to
those who don't
Local 1% ±1 3% ±1 7% ±1 8% ±2 use.
State 1% ±0 3% ±1 6% ±1 7% ±1 0%

drugs

Background:

50%
50%
40%
40%
% of Students
30%
% of Students 30%
20%
20%
10%
10%
1% 2% 1% 1%
N/A N/A N/A
p
 p

 p p
0%
0%  q 

q 

q p

q
 p

q

Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 2% ±1 2% ±1 2% ±1 1% ±1 0% ±0.3* 1% ±1
Alcohol 4% ±1 4% ±1 3% ±1 2% ±1 2% ±1 2% ±1
Marijuana 1% ±1 2% ±1 1% ±1 1% ±1 1% ±1 1% ±1
Rx Pain killers to get
Current (past 30-day) All Other Illegal Drug Use** N/A N/A N/A N/A N/A N/A
high
Compared to the State, All Grades, 2018 All other illegal drug N/A 1% ±1 1% ±0* 1% ±0 1% ±0 1% ±1
use***
50
Local State
40
Grade 6, 2018
% of Students
30
50%
20 Statewide, more

use illegal drugs
10
30%
(not including
alcohol, tobacco or
marijuana) report
0
20% 16% lower grades in
F's) compared to
those who don't
Local 1% ±1 3% ±1 7% ±1 8% ±2 use.
State 1% ±0 3% ±1 6% ±1 7% ±1 0%

drugs
Depressive Feelings, Anxiety and Suicide for Pierce County

Background:
 Suicide is the second leading cause of death for Washington teens 15-19 years old.
 Most youth suicides occur at home.
 Depression is a common yet treatable illness characterized by feelings of sadness, helplessness, and hopelessness that linger over time. Depression can
occur along with substance use and thoughts of suicide. Teen Depression, National Institute of Mental Health www.nimh.nih.gov.
 Depression and anxiety are common and treatable conditions. Many people with depression need treatment to get better. (Teen Depression, National
Institute of Mental Health www.nimh.nih.gov)
 Visit the Washington State Youth Suicide Prevention Program Website:
www.doh.wa.gov/YouandYourFamily/InjuryandViolencePrevention/SuicidePrevention/YouthSuicide.
 The OSPI suicide prevention page: www.k12.wa.us/safetycenter/YouthSuicide/SuicidePrevention.aspx.
 National Suicide Prevention Hotline 1-800-273-TALK(8255) or www.suicidepreventionlifeline.org.
 For help, text ''HOME'' to 741741 for a 24/7, free, confidential crisis counselor or call 1-800-TEENLINK (833-6546) to speak with a caring teen.
Depressive Feelings, Anxiety Symptoms and Suicide Depressive Feelings and Suicide Trends, Grade 10
Grade 10, 2018  Depressive feelings  Considered attempting suicide
 No adults to turn to when sad or hopeles
80%
70%
66%
80%
60%
56%
70%
% of Students
50% 44% 60%

% of Students
40% 50%
30%
27%
40% 
22% 
17% 
20%  
13% 30% 

 
10% 20%
   
0% 10%
Felt nervous Unable to stop Depressive Considered Made a Attempted No adults
or anxious in or control feelings in attempting suicide plan in suicide in to turn to 0%
past two weeks worrying in past year suicide in past year past year when sad or
past two weeks past year hopeless
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

In 2018, 44% of 10th graders in our county felt so sad or hopeless for Depressive feelings 30% ±2 31% ±2 33% ±2* 38% ±2* 37% ±2 44% ±2*
2 weeks or more that they stopped doing their usual activities. Considered
18% ±2 18% ±2 20% ±1 23% ±2* 22% ±2 27% ±2*
attempting suicide
No adults to turn to
when sad or N/S N/S N/S N/S N/S 17% ±2
Depressive Feelings hopeless
80
Local State
70
Lower Grades and Depressive Feelings
60 Grade 10, 2018
% of Students
50 80%


30 have depressive
50% feelings report
20
lower grades in
40%
10
31% school (C's, D's or
30% F's) compared to
21%
0 youth who are not
20%
6th 8th 10th 12th
having depressive
10% feelings.
0%
Local N/A 35% ±3 44% ±2* 41% ±4
State N/A 32% ±2 40% ±2 41% ±2 Depressed Not
depressed

Background:
80%
67%
70% 80%
59%
60% 70%
% of Students
50% 41% 60%

% of Students
40% 50%
30% 24% 21% 40% 
 
15%
20%
10%
30%
  
10% 20%   
   
0% 10%
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

In 2018, 41% of 12th graders in our county felt so sad or hopeless for Depressive feelings 28% ±3 30% ±2 31% ±3 37% ±2* 37% ±3 41% ±4
2 weeks or more that they stopped doing their usual activities. Considered
14% ±2 16% ±2 17% ±2 21% ±2* 21% ±2 24% ±3
attempting suicide
80
Local State
70
Lower Grades and Depressive Feelings
60 Grade 12, 2018
% of Students
50 80%


30 have depressive
50% feelings report
40%
10 school (C's, D's or
30% 24% F's) compared to
0 youth who are not
20%
6th 8th 10th 12th
having depressive
10% feelings.
0%
Local N/A 35% ±3 44% ±2* 41% ±4
depressed

Background:
70%
60% 55% 70%
50% 60%
43%
% of Students
40% 35% 50%

% of Students
30% 40%
21% 
17%
20% 13% 14% 30%
  
 
10% 20%
 
   
0% 10% 
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

In 2018, 35% of 8th graders in our county felt so sad or hopeless for 2 Depressive feelings 26% ±3 27% ±2 28% ±3 30% ±3 30% ±3 35% ±3*
weeks or more that they stopped doing their usual activities. Considered
16% ±2 17% ±1 17% ±2 19% ±2 18% ±2 21% ±2*
attempting suicide
70
Local State
60 Lower Grades and Depressive Feelings
Grade 8, 2018
50
% of Students
70%
40
60% Statewide, more
30 8th graders who

50% have depressive
20 feelings report
40%
lower grades in
28%
10 30%
school (C's, D's or
F's) compared to
0
17% youth who are not
20%
6th 8th 10th 12th
having depressive
10% feelings.
0%
Local N/A 35% ±3 44% ±2* 41% ±4
depressed
Dietary Behaviors for Pierce County

Background:
 A nutritious diet can reduce major risk factors for chronic disease such as obesity, high blood pressure, diabetes, and high blood cholesterol.
 Poor nutrition has the potential to affect the growth, development, health status and academic achievement of children and adolescents.
 Individual food choices are made within the context of the family and the community.
 In order to be able to choose a nutritious diet, an affordable supply of health-promoting foods must be available.

 Visit the Washington State Healthy Eating Active Living Program website: www.doh.wa.gov.
Dietary Behaviors Dietary Behavior Trends, Grade 10

Grade 10, 2018  Eats <5 fruits/vegs daily p Don't usually eat dinners w/ family
 Drink sweetened drinks daily at school  Did not eat breakfast yesterday
90% 83%
80% 75% 90%
 
70%
60% 80%
 

60% 70%
% of Students
46% 60%
43%
% of Students
50%
34% 50%
40%
p  p
40% p p 
p p 
30%
30%
20%
20%
10% 4%   
10%
0%   
0%
Does not Drank sugar- Drink Bought Ate chips or Eat <5 Did not eat
usually eat sweetened sweetened sweetened snack foods fruits/vegs breakfast
dinners w/ drinks in drinks daily drinks at at school daily yesterday 2008 2010 2012 2014 2016 2018
family past week at school school
Prevalence 2008 2010 2012 2014 2016 2018
Eats <5 fruits/vegs 75% ±3 N/S 78% ±2 80% ±2 81% ±2 83% ±2
daily
In 2018, 46% of 10th graders in our county don't usually eat dinner Does not usually eat 46% ±3 43% ±3 41% ±3 42% ±4 42% ±4 46% ±4*
with their family. dinners w/ family
Drink sweetened
drinks daily at 17% ±2 16% ±3 14% ±2 6% ±1* 4% ±1* 4% ±1
school
Did not eat N/S N/S N/S 43% ±3 45% ±3 43% ±3
Does Not Usually Eat Dinners with Family breakfast yesterday
90
Local State
Lower Grades and Food Insecurity
70 Grade 10, 2018
60
% of Students
90%
50
80%
40
70%
30 Statewide, more
20 report
50%
10 38% experiencing food
40% insecurity also
0 report lower
6th 8th 10th 12th 30% 23% grades in school
20%
(C's, D's or F's)
Prevalence 6th 8th 10th 12th compared to other
Local 26% ±3 39% ±4* 46% ±4 51% ±5 10% youth.
State 25% ±2 33% ±2 44% ±3 52% ±2 0%
Not experiencing Experiencing

food insecurity food insecurity

Background:


100%
90% 84% 100%

78%
80% 90%
70% 80%  
56%   
% of Students
60% 51% 70%

46%
% of Students
50% 60%
p p p
40% 26% 50% p p p  
40% 
30%
30%
20%
20%
5% 
10%
10%  
0%
0%
  
Prevalence 2008 2010 2012 2014 2016 2018
Eats <5 fruits/vegs 79% ±3 N/S 76% ±2 78% ±3 82% ±2* 84% ±3
daily
In 2018, 51% of 12th graders in our county don't usually eat dinner Does not usually eat 53% ±3 49% ±3 48% ±4 48% ±3 51% ±2 51% ±5
Drink sweetened
drinks daily at 16% ±3 14% ±2 14% ±3 5% ±1* 4% ±2 5% ±1
school
100
Local State
80
Grade 12, 2018
70
% of Students
60 100%
50 90%
80%
40
Statewide, more
30 70%
12th graders who
20 60% report
10
experiencing food
50% 40%
insecurity also
0 40% report lower
27%
6th 8th 10th 12th 30% grades in school
(C's, D's or F's)
compared to other
Local 26% ±3 39% ±4* 46% ±4 51% ±5 10% youth.
State 25% ±2 33% ±2 44% ±3 52% ±2 0%


Background:


70%
60%
70%
60%
50%
% of Students
50%
40%
% of Students
26% 40%
30%
26%
30%
p p p p
20% p 
p
20%  
10%
10%
N/A N/A N/A N/A N/A
0%
0%
Prevalence 2008 2010 2012 2014 2016 2018
Eats <5 fruits/vegs
N/A N/S N/A N/A N/A N/A
daily
dinners w/ family
with their family.
Drink sweetened
drinks daily at N/A N/A N/A N/A N/A N/A
school
70
Local State
60 Lower Grades and Food Insecurity
Grade 6, 2018
50
% of Students
70%
40
60%
30
50% Statewide, more

20 6th graders who
40% report
10 experiencing food
30%
insecurity also
0 report lower
6th 8th 10th 12th grades in school
20%
(C's, D's or F's)
10%
Local 26% ±3 39% ±4* 46% ±4 51% ±5 youth.
N/A N/A
State 25% ±2 33% ±2 44% ±3 52% ±2 0%


Background:


90% 81%
80%
80% 90%
70% 62% 80% 

  
60% 70% 
% of Students
43% 60%
% of Students
50%
39%
50%
40%
40% 
p   p
30%
p p p p
15% 30%
20%
20%
10% 5%  
10% 
0%   
0%
Prevalence 2008 2010 2012 2014 2016 2018
Eats <5 fruits/vegs 71% ±3 N/S 76% ±2 77% ±2 76% ±2 81% ±3*
daily
Drink sweetened
drinks daily at 16% ±2 17% ±2 13% ±1* 5% ±1* 4% ±1 5% ±1
school
90
Local State
70 Grade 8, 2018
60
% of Students
90%
50
80%
40
70%
30 Statewide, more
60% 8th graders who
20 report
50%
10 experiencing food
35% insecurity also
40%
0 report lower
6th 8th 10th 12th 30% grades in school
19%
20%
(C's, D's or F's)
Local 26% ±3 39% ±4* 46% ±4 51% ±5 10% youth.
State 25% ±2 33% ±2 44% ±3 52% ±2 0%


Background:

Grade 6, 2018  Opportunities p Rewards
100%
100%
90% 86%
82% 90%
80%
80%
70%
65%
70%
60%
48% 60%
50% p p
 p
50%  p
 p
  p
40% 
40%
30%
30%
20%
20%
10%
10%
0%
0%
Prevalence 2008 2010 2012 2014 2016 2018

Opportunities 51% ±6 49% ±4 53% ±3 51% ±3 51% ±5 48% ±4
Protective Factor: Opportunities for Prosocial Family Involvement Rewards 55% ±6 52% ±6 57% ±3 52% ±3* 54% ±4 49% ±3*
All Grades, 2018
100
Local State
90
80 100%
70
90%
60
80%
50
70%
40
% of Students
60%
30
50%
20
40%
10
30%
0
6th 8th 10th 12th 20%
10%
N/A N/A N/A N/A N/A N/A
Local 48% ±4 63% ±4 53% ±4 53% ±4 0%
wrong is wrong
Bullying and Harassment for Pierce County
Background:
 All Washington schools are required, at a minimum, to implement state model policy and procedures which prohibit harassment, intimidation and bullying.
 Bullying is intentional, repeated, negative behavior on the part of an aggressor or aggressors toward a target or targets. It also involves a perceived power
imbalance of some kind.
 Students who report being bullied or harassed also report getting lower grades in school.
 Researchers have identified evidence-based programs which reduce bullying and harassment and help build positive school climates.

 School Safety Center, sponsored by the Office of Superintendent of Public Instruction at: www.k12.wa.us/safetycenter.
Bullying and Harassment Bullying and Harassment Trends, Grade 10

Grade 10, 2018
 Bullied at school** p Don't feel safe at school
90%
80% 73% 90%

70% 80%
60% 70%
% of Students
48%
% of Students 60%
50%
50%
40% 33%
40%
30%
21% 30%
15% p
20%
11% 12% 20%
p p 
p p p
10% 10%
0% 0%
Bullied at Tries to Knows how Bullied through Received Harassed Harassed
school** stop bullying to report social media, sexual photos due to due to 2008 2010 2012 2014 2016 2018
bullying phone, or or videos sexual race
video games orientation
Prevalence 2008 2010 2012 2014 2016 2018
Bullied at school** N/S N/S N/S N/S N/S 21% ±2
Bullied in Past Month Don't feel safe at 17% ±3 17% ±4 15% ±3 18% ±5 21% ±4 26% ±6
Compared to the State/All Grades, 2018 school
90
Local State
Lower Grades and Bullying
70 Grade 10, 2018
60
% of Students
90%
50
80%
40 Statewide, more
70%
10th graders who
30 60% are bullied at
school report
20 50%
lower grades in
10 40% 32% school (C's, D's or
F's) compared to
0 30% 23% those who aren't
6th 8th 10th 12th 20%
bullied.
Local 31% ±3 27% ±3 21% ±2 18% ±2 0%

State 31% ±2 27% ±2 19% ±1 17% ±1 Bullied at school** Not bullied
**In 2018, bullying is defined as when one or more students threaten, spread rumors about, hit, shove, or otherwise hurt another student over and over again. It is not bullying
when two students of about the same strength or power argue or fight or tease each other in a friendly way.
Background:


Grade 12, 2018
90%
77%
80% 90%
70% 80%
60%
55% 70%
% of Students
% of Students 60%
50%
35% 50%
40%
40%
30%
30%
18%
20% 13% 20% p
9% 9% p p p 
10% 10% p p
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
90
Local State
70 Grade 12, 2018
60
% of Students
90%
50
80%
40 Statewide, more
70%
12th graders who
school report
20 50%
lower grades in
10 40%
28% F's) compared to
0 30% those who aren't
6th 8th 10th 12th 20%
bullied.
Local 31% ±3 27% ±3 21% ±2 18% ±2 0%

Background:


Grade 6, 2018
40%
31% 40%
30%
30% 
% of Students
% of Students
20%
20%
p p
10% p p p p
10%

0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
Bullied in Past Month Don't feel safe at 12% ±4 16% ±3 13% ±3 12% ±2 11% ±3 16% ±3*
40
Local State
30 Grade 6, 2018
% of Students
40%
20
Statewide, more
30% 6th graders who

are bullied at
10 20% school report
20%
lower grades in
F's) compared to
0 those who aren't
6th 8th 10th 12th
10% bullied.

Local 31% ±3 27% ±3 21% ±2 18% ±2 0%
Background:


Grade 8, 2018
90%
79%
80% 90%
70% 80%
60% 70%
50%
% of Students
% of Students 60%
50%
50%
40%
27% 40%
30% 22%
30%
18%
15% 
20% 14% 20% p p p
p p p
10% 10%
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
90
Local State
70 Grade 8, 2018
60
% of Students
90%
50
80%
40 Statewide, more
70%
8th graders who
school report
20 50%
lower grades in
10 40% school (C's, D's or
F's) compared to
25%
0 30%
19% those who aren't
6th 8th 10th 12th 20%
bullied.
Local 31% ±3 27% ±3 21% ±2 18% ±2 0%

Marijuana Use for Pierce County in 2018?
Page 1 of 3
The data in these charts are based on the Healthy Youth Survey conducted in fall For more results from the 2018
2018. In Pierce County, 2,271 6th graders, 3,220 8th graders, 3,754 10th graders Healthy Youth Survey, please visit
and 2,692 12th graders completed the survey. www.AskHYS.net
Background:
 Marijuana can be addictive. Most teens who enter drug treatment programs report marijuana is the main drug they use.
 If teens use marijuana, anxiety and depression can get worse. Marijuana use is associated with risk of anxiety and depression.
 Teens who use marijuana can have problems with learning and memory and are more likely to fail in school.

 For free printed guides on preventing marijuana, alcohol and other drug use, visit the ADAI Clearinghouse www.adaiclearinghouse.org or call (206)
221-8325.
 For more information and references visit www.LearnAboutMarijuanaWA.org.
Lifetime Marijuana Use Current (past 30-day) Marijuana Use Heavy Marijuana Use
"I have used marijuana at least once." "I have used marijuana at least once in the "I have used marijuana on 10 or more
past month." days in the past month."
100 100 100
90 90 90
80 80 80
70 70 70
% of Students
% of Students
% of Students
% of Students
% of Students
% of Students
60 60 60
50 44% 50 50
40 40 40
30%
26%
30 30 30
19%
20 13% 20 20
9% 9%
10 4% 10 10 6%
1% 0% 2%
0 0 0
6th 8th 10th 12th 6th 8th 10th 12th 6th 8th 10th 12th
Marijuana is Perceived as Easy or Marijuana is Perceived as Not Harmful

Very Easy to Get
90 8th 10th 12th
100
80
90 71%
80 70 65%
63%
% of Students
70 60
% of Students
51%
% of Students
% of Students
60 44%
50
48%
50 37%
40
40 27%
30
30 23%
20
20
10 7% 10
0 0
6th 8th 10th 12th No/low risk from No/low risk from using* regularly
trying once or twice (once or twice a week)
*"Smoked" regularly changed to "Used" regularly in 2014

Page 2 of 3
Parental discussion about not using marijuana Parents think youth marijuana use is wrong Peers think youth marijuana use is wrong
100 100 94% 100
89%
90 90 81% 90
80%
80 80 80
% of Students
% of Students
% of Students
70 62% 70 70 63%
% of Students
% of Students
% of Students
58%
60 51% 60 60
48%
50 50 50
40 40 40
30 30 30
20 20 20
10 10 10
0 0 0
8th 10th 12th 8th 10th 12th 8th 10th 12th
Community norm is marijuana use is wrong Police would catch me if I used marijuana Marijuana use on school property in past month
100 100 100
88%
90 90 90
79%
80 72% 80 80
% of Students
% of Students
% of Students
70 70 70
% of Students
% of Students
% of Students
60 60 52% 60
50 50 50
40 40 40
30%
30 30 23% 30
20 20 20
10 10 10 4% 4%
2%
0 0 0
Relationship between Marijuana Use and Perceived Parental and

Community Norms, Grade 10, 2018
80% 80% What does this chart say?
Who Use Marijuana
70%
64% 70%
• Statewide, 10th graders
(in the past 30-days)
60% 60%
are less likely to use
% of Students
ChartPercent
50% 50% marijuana if they believe

40% 40% their parents think it is
30%
wrong for them to use.
% of Students
30% 30%
20% 14% 20% 15% • Statewide, 10th graders are

less likely to use marijuana
10% 10%
if they believe their
0% 0% community thinks it is
Kids who believe their Kids who believe the wrong for them to use.
parents think…. community norm is…
It's wrong It's not It's wrong It's not
for them wrong for them wrong
to use to use
Tips for parents and guardians to help teens avoid alcohol, marijuana and other drugs
 Talk early and often about the risks. Get tips for how to talk with your child and stay better connected at www.StartTalkingNow.org.
 Set clear rules against alcohol and drug use, and enforce reasonable consequences.
 Stay involved in your child's life: eat dinner together, know who their friends are, keep track of what they are doing.
 Be aware of the signs and take action if you think your teen is using. Talk to your school’s counselor, or get information about other
resources in your area by calling the Washington Recovery Help Line at 1-866-789-1511.
Page 3 of 3
Where Do Youth Get Marijuana?
80 8th 10th 12th

% of Students Who Obtained Marijuana
70
56% 54%
% of Students Who Obtained Marijuana
60
41%
50
40
22%
30
16% 18%
16% 16%
20 10% 13% 13% 13%
11% 9%
6% 8% 7%
4% 6% 6%
10 4% 5%
4% 3%
Bought it Stole from From Older Gave Home Home Other

a store friends sibling money without with way
The percentages in this chart are based on all students who reported getting marijuana in the past 30 days, regardless whether they reported using in the past 30 days.
Type of Marijuana Use, among Current Marijuana Users
80
63% 8th 10th 12th
70 60%
57%
60
% of Students
% of Students
50
40
30
18%
15% 14%
20 13% 12%
7% 8% 8% 8%
10 4% 4%
3% 4%
1% 1%
0
Smoked it Ate it Drank it Vaporized it Dabbed it Other way
Marijuana Use and Riding/Driving Statewide Relationship between Regular*

Marijuana Use and Living with a Marijuana User,
Grade 10, 2018
80 8th 10th 12th
% of Students Who Regularly* Use Marijuana
70%
70
60%
60 Statewide, more
50%
10th graders who
% of Students
50 live with a
% of Students
40%
marijuana user
40 30% report regular*
17% marijuana use
30
22%
18% who don’t live with
20 10% 4%
14% 13% someone who uses
9%
0% marijuana.
10 5%
Live with a Do not live
0 marijuana with a
user marijuana user
Drove after using Rode with a using
marijuana driver *Regular marijauna use is defined as use on 6 or more days in the past 30 days.
Marijuana Use for Pierce County, page 1 of 2

Background:
 Marijuana is addictive. Most teens who enter drug treatment programs report marijuana is the primary drug they use.

221-8325.
Attitudes about Marijuana Use Marijuana Use and Perception of Harm Trends
80%  Marijuana p No/low risk from trying 1-2 times
 No/low risk from regular use
70% 65%
80%
60%
48% 70%
50%
p
% of Students
37% p p p
37% 60% p
40% p
% of Students
50%
30% 21% 40%
  
20% 30%  

10% 20%     

0% 10%
Easy to get No/low risk No/low risk Adults don't Friends don't 0%
of harm of harm from think it's think it's
trying 1-2 regular use** wrong wrong
times 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

In 2018, 37% of 10th graders in our county thought there was little or Marijuana 21% ±2 21% ±2 21% ±2 19% ±3 17% ±2 19% ±3
no risk of using marijuana regularly. No/low risk from 54% ±4 62% ±3* 61% ±3 62% ±4 64% ±2 65% ±3
trying 1-2 times
No/low risk from 28% ±2 30% ±3 31% ±3 35% ±4 35% ±3 37% ±5
regular use**
Current (past 30-day) Marijuana Use
**"Smoke" marijuana regularly was changed to "Use" regularly in 2014. This may
80 mark a break in the trend.
Local State
70
Lower Grades and Current (past 30-day) Marijuana Use
60
Grade 10, 2018
% of Students
50
80%
40
70%
30
60%
20
Statewide, more
10
use marijuana
40% report lower
0 grades in school
30%
21% (C’s, D’s or F’s)
6th 8th 10th 12th
20%
compared to those
who don’t use.
Local 1% ±1 9% ±2 19% ±3 26% ±3 10%
State 1% ±0 7% ±1 18% ±2 26% ±2 0%
Using Marijuana Not Using

Level of Current (past 30-day) Marijuana Use Type of Marijuana Use among Those Who Used It
Grade 10, 2018 Grade 10, 2018
100% Local State
90%
80%
1-2 days, 7% 70% 62%
57%
% of students
3-5 days, 4% 60%
None, 81%
6-9 days, 2% 50%
10 or more days, 6% 40%

None(81%) 30%
1-2 days (7%)
3-5 days (4%) 15%
20% 13% 13%
6-9 days (2%) 12%
8%
10 or more days (6%) 10% 7%
3% 3% 4% 3%
0%
Marijuana Use and Driving/Riding Smoked it Ate it Drank itVaporized itDabbed itOther way
Grade 10, 2018
Family Environment, Grade 10, 2018
100% Local State
90% 100% Local State

89% 90%
80% 90%
80% 76%
70% 73%
70%
% of students
60% 60%
% of students
58%
60%
50%
50%
40%
40%
30%
18%
30%
18%
20%
9%
20%
9%
10%
10%
0% 0%
Drove after using Rode with a using Parents Do not live Parents feel
marijuana driver talk about with a youth
not using marijuana marijuana
marijuana user use is
Where Do Youth Get Marijuana? Grade 10, 2018 wrong
100% Local State

% of students who obtained marijuana
90%
80%
70%
56%
60% 54%
50%
40%
30%
18%
13% 15% 13% 16%
20%
10% 8% 8%
6% 6% 5% 6%
10% 4% 4%
0%

Background:

221-8325.
80%
71%
70% 63% 90%
60% 52% 80%

p
% of Students
44% 70% p p p
50% p
60% p
% of Students
40%
28% 50%
 
30%
40%  

20%
30% 
     
10% 20%
0% 10%
times 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

trying 1-2 times
No/low risk from 31% ±3 36% ±4* 40% ±5 43% ±3 48% ±4 44% ±3
regular use**
Local State
80
70 Lower Grades and Current (past 30-day) Marijuana Use
Grade 12, 2018
60
% of Students
90%
50
80%
40
70%
30
60% Statewide, more
20 12th graders who
50% 40% use marijuana
10
report lower
40%
0 grades in school
25% (C’s, D’s or F’s)
30%
6th 8th 10th 12th compared to those
20% who don’t use.
Local 1% ±1 9% ±2 19% ±3 26% ±3 10%
State 1% ±0 7% ±1 18% ±2 26% ±2 0%

Grade 12, 2018 Grade 12, 2018
100% Local State
90%
80%
1-2 days, 9%
70% 60%
58%
% of students
3-5 days, 5% 60%
None, 74%
6-9 days, 3% 50%
40%
10 or more days, 9%
None(74%) 30%
1-2 days (9%)
14%19%
3-5 days (5%) 20% 12%
6-9 days (3%)
9% 8% 9%
10 or more days (9%) 10% 4%
3%
1% 2%
0%
Grade 12, 2018
100% Local State
90% 100% Local State
80% 90% 81% 84%

80% 73% 76%
70%
70%
% of students
60%
% of students
60% 55%
50% 51%
50%
40%
40%
30% 22% 24%
30%
20% 14% 16%
20%
10%
10%
0% 0%
100% Local State

90%
80%
70%
54% 55%
60%
50%
40%
30%
16% 16% 16%
20% 14%
11% 9%
6% 9% 7%
10% 6% 4% 4% 3% 3%
0%

Background:

221-8325.
38%
40% 50%
% of Students
30% 40%
23% p
p p p p
% of Students
30%
20%
p
 
20%

10% 7% 8%  

10%
N/A
0%
Easy to get No/low risk No/low risk Adults don't Friends don't 0%      
times 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

trying 1-2 times
No/low risk from 15% ±4 24% ±5* 18% ±4* 19% ±2 22% ±5 23% ±4
regular use**
Local State

40 Lower Grades and Current (past 30-day) Marijuana Use
Grade 6, 2018
% of Students
30 50%
20 40%
25%
Statewide, more
10 30% 6th graders who
use marijuana
report lower
0 20% 16% grades in school
(C’s, D’s or F’s)
who don’t use.
Local 1% ±1 9% ±2 19% ±3 26% ±3
State 1% ±0 7% ±1 18% ±2 26% ±2 0%

Grade 6, 2018 Grade 6, 2018
10% Local State
% of students
None, 99% 1-2
3-5
6-9 days,
days,
10 or more1%
0%
days, 0%
None(99%)
1-2 days (1%)
3-5 days (0%)
6-9 days (0%)
10 or more days (0%)

0%
Grade 6, 2018
10% Local State
10% Local State
% of students
% of students
N/A N/A
0% N/A N/A N/A
0%
10% Local State

N/A N/A N/A N/A N/A N/A N/A N/A

0%

Background:

221-8325.
51%  No/low risk from regular use
50%
60%
40%
50% p
% of Students
27% p
p p p
30% 23% 40%
% of Students
20%
p
20% 30%
12% 
 
10%
20%
 

10%     
0% 
times 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

In 2018, 27% of 8th graders in our county thought there was little or Marijuana 10% ±2 10% ±3 10% ±2 8% ±2 6% ±1* 9% ±2*
no risk of using marijuana regularly. No/low risk from 33% ±5 44% ±5* 44% ±3 46% ±4 44% ±3 51% ±3*
trying 1-2 times
No/low risk from 17% ±3 19% ±3 20% ±4 23% ±4 22% ±3 27% ±4*
regular use**
Local State

Lower Grades and Current (past 30-day) Marijuana Use
Grade 8, 2018
40
% of Students
60%
30
50%
44%
20
40% Statewide, more
8th graders who
10 use marijuana
30% report lower
0 19% grades in school
20% (C’s, D’s or F’s)
who don’t use.
Local 1% ±1 9% ±2 19% ±3 26% ±3
State 1% ±0 7% ±1 18% ±2 26% ±2 0%

Grade 8, 2018 Grade 8, 2018
100% Local State
90%
80%
63%
70%
1-2 days, 4% 54%
% of students
60%
None, 91% 3-5 days, 2%
6-9 days, 1%
10 or more days, 2% 50%
40%
None(91%) 30%
1-2 days (4%) 18%
16%
3-5 days (2%) 20% 13%
6-9 days (1%) 7% 8%
10 or more days (2%) 4% 6% 7%
10% 4%
1%
0%
Grade 8, 2018
100% Local State
90% 100% Local State 94% 95%
80% 90% 82%

76%
80%
70%
70%
% of students
62% 64%
60%
% of students
60%
50%
50%
40%
40%
30%
30%
20% 13%
11% 20%
10% 5% 5%
10%
0% 0%
100% Local State

90%
80%
70%
60% 51%
41%
50%
40%
22%
30%
16% 18%
10% 13% 14%
20% 11% 11%
9% 6% 7%
4% 6%
10% 4%
0%
Oral Health for Pierce County

Background:
 Dental decay affects 53% of Third Graders in Washington.
 The bacteria that causes tooth decay is a chronic condition that typically lasts into adulthood with greater costs and consequences for health and
well-being.
 Dental disease is linked to broader health problems, including cardiovascular disease, stroke and diabetes mellitus.
 In the U.S., over 51 million school hours are missed each year by children due to dental related illness.
 Visit the Washington State Oral Health Program Website at: www.doh.wa.gov.
Oral Health Oral Health Trends

60%
 No dental visit in past year p Missed school due to toothache
50%
60%
40% 50%
% of Students
40%
30% % of Students
20% 30%

20% 20%    

10%
10% 6% p p
p p
0%
0%
2008 2010 2012 2014 2016 2018
No Dental Visit in Past Year Missed School Due to Toothache
Prevalence 2008 2010 2012 2014 2016 2018
No dental visit in 24% ±3 21% ±3* 18% ±3 19% ±3 16% ±3 20% ±3*
past year
In 2018, 1% of 10th graders in our county reported that they had
Missed school due to N/S 5% ±1 N/A 5% ±1 6% ±1 6% ±2
never been to a dentist. toothache
Missed School due to Toothache Statewide Relationship between

Compared to the State, All Grades, 2018 Lower Grades and Missed School due to Toothache
Grade 10, 2018
60
Local State
60%
50 46%
50%
40
Statewide, more
% of Students
10th graders who

30 40% miss school due to
toothache in the
20 past year report
30%
23% lower grades in
school (C's, D's or
10
20%
F's) compared to
those who didn't
0 miss school.
6th 8th 10th 12th 10%

Local 7% ±1 6% ±1 6% ±2 8% ±2 0%
Missed school Did not

State 7% ±1 7% ±1 5% ±1 6% ±1
due to toothache miss school

Background:
well-being.

60%
50%
60%
40% 50%
% of Students
40%
30% 23% % of Students
30%
 
20% 20%    
8% 10%
10% p p p p
0%
0%
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
No dental visit in 26% ±3 23% ±4 22% ±4 22% ±4 22% ±3 23% ±5
past year

Grade 12, 2018
60
Local State
60%
50 43%
50%
40
Statewide, more
% of Students
12th graders who

30 40% miss school due to
toothache in the
27% past year report
20 30%
lower grades in
school (C's, D's or
10
20%
F's) compared to
those who didn't
0 miss school.
6th 8th 10th 12th 10%

Local 7% ±1 6% ±1 6% ±2 8% ±2 0%

State 7% ±1 7% ±1 5% ±1 6% ±1

Background:
well-being.

40%
40%
30%
30%
% of Students
20% % of Students
20%
7% 10% p
10%
p p p p
0%
N/A
0%
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
No dental visit in
N/G N/A N/A N/A N/A N/A
past year
Missed school due to N/G 11% ±2 8% ±2 7% ±1 7% ±2 7% ±1
toothache
Missed School due to Toothache

40
Local State
30
% of Students
20
10
0
6th 8th 10th 12th

Local 7% ±1 6% ±1 6% ±2 8% ±2
State 7% ±1 7% ±1 5% ±1 6% ±1

Background:
well-being.

50%
40% 50%
40%
% of Students
30%
% of Students
30%
17%
20%
20%  
  

10%
10% 6% p p
p p
0%
0%
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
No dental visit in 20% ±4 18% ±2 16% ±2 18% ±2 13% ±3* 17% ±3
past year

Grade 8, 2018
50
Local State
50%
40
37%
40%
Statewide, more
% of Students
30
8th graders who
miss school due to
20
30% toothache in the
past year report
18% lower grades in
10 20% school (C's, D's or
F's) compared to
those who didn't
0 miss school.
10%
6th 8th 10th 12th

Local 7% ±1 6% ±1 6% ±2 8% ±2 0%

State 7% ±1 7% ±1 5% ±1 6% ±1
Background:

70%  Perceived Risk of Drug Use p Favorable Attitudes Towards Drug Use
60% 54%
70%
50%
60%
37%  
40% 50%   

30% 40% p p p
21% 19% p p
  p
30% 
20%   
20%   
10%
10%
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
Risk Factor: Perceived Risk of Drug Use Perceived Risk of 45% ±3 50% ±4* 51% ±5 52% ±4 56% ±3 54% ±4
Drug Use
Favorable Attitudes 38% ±4 38% ±4 41% ±5 39% ±3 40% ±3 37% ±4
Towards Drug Use
70
Local State Friends Use of 28% ±5 27% ±3 24% ±5 21% ±3 20% ±4 21% ±3
Drugs
60
Intentions to Use 32% ±5 36% ±3 35% ±4 N/S N/S N/S
Drugs
50
40
20
10
0

Local 47% ±5 54% ±5* 47% ±4 54% ±4
State 43% ±2 47% ±3 44% ±3 53% ±3
Background:

70%  Perceived Risk of Drug Use p Favorable Attitudes Towards Drug Use
60% 54%
70%
50%
60%

40% 50%
31%
  
30% 40% 
20%  
  p
17% 30%
 p

20% p p p p
20%  

10% 
10%
0% 0%
Prevalence 2008 2010 2012 2014 2016 2018
Risk Factor: Perceived Risk of Drug Use Perceived Risk of 36% ±5 43% ±5* 43% ±6 45% ±5 46% ±4 54% ±5*
Drug Use
Favorable Attitudes 26% ±4 30% ±5 27% ±4 26% ±4 24% ±3 31% ±3*
Towards Drug Use
70
Local State Friends Use of 28% ±5 29% ±4 22% ±5 18% ±4 15% ±3 20% ±4*
Drugs
60
Intentions to Use 33% ±4 37% ±4 32% ±4 N/S N/S N/S
Drugs
50
40
20
10
0
From 2016 to 2018, there has been an increase in the perceived risk

Local 47% ±5 54% ±5* 47% ±4 54% ±4
State 43% ±2 47% ±3 44% ±3 53% ±3
Physical Activity for Pierce County

Background:
 Regular physical activity reduces rates of obesity and serious diseases, helps people maintain a healthy body weight and improves quality of life.
 The Centers for Disease Control and Prevention recommends that children and adolescents participate in at least 60 minutes of physical activity daily,
and muscle strengthening 3 days a week.
 One challenge to being more physically active is the amount of recreational screen time spent on sedentary activities such as watching TV, playing video
games, using a computer for fun, or cell phone usage.
 Many social and environmental factors influence the decision to be active. Successful strategies to promote physical activity include educating individuals
and developing policies in schools and communities to create environments that support being physically active.

 Visit the National Physical Activity Plan: www.physicalactivityplan.org.
 Visit CDC Physical activity guidelines: www.cdc.gov/physicalactivity/everyone/guidelines/children.html.
 Note: DOH advocates using the CDC recommendations of 'at least 60 minutes of physical activity daily.'
Physical Activity Physical Activity Trends, Grade 10

Grade 10, 2018  Did not meet rec daily physical activity
p No PE classes daily
100%
90% 77%
77% 100%
80%
90%
63%
70%
p
% of Students
80%
60% p   
p
70% p p p
% of Students
50%
60%
40%
50%
30%
40%
20%
30%
10%
20%
0%
10%
Did not meet 3 or more hours Did not participate 0%
recommended screen time in PE classes
daily daily** daily
physical activity 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
In 2018, 77% of 10th graders in our county did not meet the Did not meet rec
daily physical N/S N/S N/S 79% ±2 78% ±3 77% ±2
recommendations for 60 minutes of physical activity 7 days a week. activity
Did not participate 69% ±11 71% ±7 77% ±8 83% ±7 72% ±9* 77% ±8
in PE classes daily
Did Not Meet Recommendations for Physical Activity
100 Lower Grades and
Local State 3 or More Hours of Screen Time Daily
90
Grade 10, 2018
80
70 100%
% of Students
60 90%
Statewide, more

40 70% spend 3 or more
30 60% hours of screen
time daily report
20 50%
lower grades in
10 40%
0 30% F's) compared to
18%
6th 8th 10th 12th 20% youth who spend
less than 3 hours.
10%
0%
Local 74% ±2 75% ±3 77% ±2 80% ±3
3 or more hours Less than 3 hours
State 73% ±1 72% ±2 78% ±2 79% ±2 screen time daily**
**In 2018, screen time includes watching TV shows or movies or steam videos (such as YouTube, Netflix, Hulu) on any electronic advice (computer, TV, tablet or smartphone) and
playing video or computer games or using a computer for something that is not school work (count time spent on things such as Xbox, PlayStation, tablet, smartphone, social media).

Background:


90%
80% 74%
80%
90%
70% 62%
80%
  
60% p p p p
% of Students
70% p p
50%
60%
% of Students
40%
50%
30% 40%
20% 30%
10% 20%
0% 10%
daily daily** daily
Prevalence 2008 2010 2012 2014 2016 2018
Did not participate 74% ±9 69% ±8 72% ±7 74% ±8 69% ±6 74% ±8
in PE classes daily
90 Lower Grades and
80
Grade 12, 2018
70
60 90%
% of Students
50 80%
Statewide, more

spend 3 or more
60%
30 hours of screen
20 50% time daily report
40% 32% lower grades in
10
school (C's, D's or
30% 22%
0 F's) compared to
6th 8th 10th 12th
20% youth who spend
10%
less than 3 hours.
0%
Local 74% ±2 75% ±3 77% ±2 80% ±3

Background:


90%
80% 74%
90%
70% 62%
80%
60%
  
% of Students
70%
50%
60%
% of Students
40%
50%
30% 40%
20% 30%
10% 20%
N/A
0% 10%
daily daily** daily
Prevalence 2008 2010 2012 2014 2016 2018
Did not participate
in PE classes daily

90 Lower Grades and
80
Grade 6, 2018
70
60 90%
% of Students
50 80%
Statewide, more

spend 3 or more
60%
30 hours of screen
40% lower grades in
10
school (C's, D's or
30%
0 20% F's) compared to
6th 8th 10th 12th
20% 13% youth who spend
10%
less than 3 hours.
0%
Local 74% ±2 75% ±3 77% ±2 80% ±3

Background:


90%
75%
80% 71% 90%
62%
70%
80%
60% 
% of Students
70%  
50%
60% p p
% of Students
40% p p
50% p p
30% 40%
20% 30%
10% 20%
0% 10%
daily daily** daily
Prevalence 2008 2010 2012 2014 2016 2018
daily physical N/S N/S N/S 70% ±3 70% ±2 75% ±3*
Did not participate 62% ±12 54% ±17 49% ±16 55% ±9 48% ±14 62% ±7
in PE classes daily
90 Lower Grades and
80
Grade 8, 2018
70
60 90%
% of Students
50 80%
Statewide, more

spend 3 or more
60%
30 hours of screen
40% lower grades in
10
30%
0 F's) compared to
6th 8th 10th 12th
20% 12% youth who spend
10%
less than 3 hours.
0%
Local 74% ±2 75% ±3 77% ±2 80% ±3
Teen Prescription Misuse and Abuse for Pierce County in 2018
Background:
 Prescription drug abuse is when someone takes a medication that was prescribed for someone else or takes their own prescription in a way not intended
by a doctor---like to stay awake, or “to get high”.
 Prescription drugs that affect the brain, including opioid pain killers, stimulants, and depressants, may cause physical dependence that can turn into
addiction.
 Most teens get prescription drugs they abuse from friends and relatives, sometimes without the person knowing.
 Prescription drug abuse has become an important health issue, particularly the danger of abusing prescription pain medications. Drug overdose deaths
have been on the rise in the United States; in 2014 there were more overdose deaths than deaths from motor vehicle crashes (CDC National Center for
Health Statistics).
What can parents or caregivers do to prevent teen prescription misuse and abuse?
 Talk to your children about what you do to stay healthy, and, if you use medications, why they are safe for your personal use and not for them.
 Talk to your teen about the dangers of prescription drug misuse. Learn more at www.medicineabuseproject.org.
 Keep the most commonly abused prescription drugs (painkillers, sedatives and stimulants) in a lock box.
 Take steps to safeguard the most commonly abused prescription drugs (painkillers, sedatives, and stimulants) in your home: monitor their use, keep them
in a lock box, and properly dispose of unused or expired medications.
 Learn more at www.drugfree.org.
 For medication disposal locations, see www.takebackyourmeds.org.
Student Abuse of Painkillers (in last 30 days) Students Misuse of Someone Else's Prescription
Students who report using painkillers* to get high at least (in last 30 days)
once in the past month Students who report using prescription drugs not
prescribed to them in the past month
12.5 12.5
10.0 9%
10.0
7%
% of Students
% of Students
% of Students
7.5
% of Students
4% 7.5 6%
4%
5.0
3% 5.0
2.5
2.5
0.0
8th 10th 12th 0.0
*painkillers like Vicodin, OxyContin (sometimes called Oxy or OC) or

Percocet (sometimes called Percs)
8th 10th 12th
When students are asked about the use of prescription drugs that are not prescribed for them… their perceptions are:
My parents would think it was wrong if I My friends would think it was wrong if I I risk harming myself if I use prescription
used prescription drugs not prescribed for used prescription drugs not prescribed for drugs that are not prescribed for me
me me
125 125 125
100 95% 95% 94% 100 100

90% 87%
% of Students
% of Students
% of Students
84% 82% 84%

79%
% of Students
% of Students
% of Students
75 75 75
50 50 50
25 25 25
0 0 0
For more results from the 2018 The data in these charts are based on the Healthy Youth Survey conducted in fall 2018. In
Healthy Youth Survey, please visit Pierce County, 2,271 6th graders, 3,220 8th graders, 3,754 10th graders and 2,692 12th
www.AskHYS.net graders completed the survey.
School Protective Factors for Pierce County

Background:
 Protective factors in the school environment are those that provide youth the opportunities to participate in meaningful ways, and to experience the
rewards of doing so.

www.k12.wa.us/compassionateschools.
Protective Factor: Opportunities for Prosocial School Involvement Protective Factor: Rewards for Prosocial School Involvement
with Component Questions (Q:) with Component Questions (Q:)
Grade 10, 2018 Grade 10, 2018
100% 92% 100%

90% 85% 90%
79%
80%
80%
70% 61% 70%

60% 47% 60% 53%
48%
50%
50%
40% 37%
40%
30%
30% 22%
20%
20%
10%
10%
0%
0%
Opportunities for Q: Can make Q: Can talk Q: Can be Q: Can do
Prosocial School class to teacher in class activities Rewards for Q: Teachers tell Q: Teachers tell Q: Teachers
Involvement decisions discussions outside of Prosocial School me when doing parents when praise hard
class Involvement good work doing well work
Protective Factor: Opportunities for Proscial Involvement School Protective Factor Trends, Grade 10
 Opportunities  Rewards
100
Local State
90
100%
80
90%
70
80%
60 70%
  
50 60%
 
   
 
50%
40 
40%
30
30%
20
20%
10
10%
0 0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
Local N/A 66% ±5 61% ±5 62% ±4
Opportunities 58% ±4 58% ±5 63% ±3 62% ±5 67% ±4* 61% ±5*
State N/A 67% ±3 64% ±3 68% ±3
Rewards 63% ±3 58% ±5* 57% ±3 55% ±4 58% ±4 48% ±5*

Background:

Grade 12, 2018 Grade 12, 2018
100% 90% 100%

90% 82% 86%
90%
80%
80%
70% 62%
70% 60%
60% 60%
45%
50%
50% 41%
40% 36%
40%
30%
30% 23%
20%
20%
10%
10%
0%
0%
100
Local State
90
100%
80
90%
70
80%
60 70%
50 60%      
40 50%
40%     
30
30%

20
20%
10
10%
0 0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
Local N/A 66% ±5 61% ±5 62% ±4
Opportunities 61% ±5 60% ±6 62% ±3 64% ±5 65% ±4 62% ±4
State N/A 67% ±3 64% ±3 68% ±3
Rewards 44% ±5 40% ±5 41% ±5 41% ±4 40% ±4 36% ±5

Background:

Grade 6, 2018 Grade 6, 2018
80% 80%
66%
70% 70%
60% 60% 50%

50% 50% 43%
40%
37%
40%
30%
30%
20%
20%
10%
N/A N/A N/A N/A N/A 10%
0%
0%
80
Local State
70 80%
60 70%
50 60%
50%
40    
40% 
30 
30%
20
20%
10
10%
0 0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
Local N/A 66% ±5 61% ±5 62% ±4
Opportunities N/A N/A N/A N/A N/A N/A
State N/A 67% ±3 64% ±3 68% ±3
Rewards 49% ±3 48% ±4 48% ±4 44% ±3 49% ±5 37% ±4*

Background:

Grade 8, 2018 Grade 8, 2018
100% 94% 100%

86%
90% 81% 90%
80%
80%
66%
70% 66%
70%
60% 52%
60% 48%
50%
47%
50%
40% 37%
40%
30%
30%
20%
20%
10%
10%
0%
0%
100
Local State
90
100%
80
90%
70
80%
60 70% 
  
50 60%  
40 50%     
40% 
30
30%
20
20%
10
10%
0 0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018
Local N/A 66% ±5 61% ±5 62% ±4
Opportunities 61% ±4 61% ±6 66% ±3 67% ±3 71% ±3* 66% ±5*
State N/A 67% ±3 64% ±3 68% ±3
Rewards 52% ±4 44% ±4* 51% ±4* 49% ±3 51% ±4 48% ±4

Background:
Grade 10, 2018 Grade 10, 2018
70% 70% 70%
60% 60% 60%

48%
46%
50% 50% 50%
41%
40% 40% 34% % of Students 40%
27% 29%
30% 30% 30%
20% 20% 16% 20% 15% 14%

10%
10% 10% 10%
0% 0% 0%

All Grades, 2018
70
Local State
60 70%
50 60%
40 50%    
  
40%
  
30
 
30%
20
20%
10
10%
0
0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Academic Failure 50% ±3 46% ±3* 45% ±3 48% ±3 48% ±4 48% ±3
State 44% ±2 45% ±3 48% ±2 51% ±3
Low Commitment to
36% ±3 39% ±2 34% ±2* 40% ±4* 39% ±3 46% ±3*
School

Background:
Grade 12, 2018 Grade 12, 2018
70% 70% 70%
60% 52% 60% 60%

50% 50% 45% 50%

44%
40% 40% 36% % of Students 40%
31% 30%
30% 30% 24% 30%
21%
20% 20% 20% 14%
7%
10% 10% 10%
0% 0% 0%

All Grades, 2018
70
Local State
60 70%
50 60%
50%    
40   
 
40%
30   
30%
20
20%
10
10%
0
0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Academic Failure 49% ±3 52% ±3 51% ±4 49% ±3 52% ±3* 52% ±3
State 44% ±2 45% ±3 48% ±2 51% ±3
Low Commitment to
38% ±4 39% ±4 38% ±4 45% ±4* 46% ±4 45% ±4
School

Background:
Grade 6, 2018 Grade 6, 2018
70% 70% 70%
60% 60% 60%

52%
46%
50% 50% 50%
42%
30% 30% 30% 23%

18% 20% 20%
20% 20% 17% 20%
13% 11%
10% 10% 10%
0% 0% 0%

All Grades, 2018
70
Local State
60 70%
50 60%
50% 
40  
40% 
   
 

30 
30%
20
20%
10
10%
0
0%
6th 8th 10th 12th
2008 2010 2012 2014 2016 2018
Academic Failure 42% ±5 48% ±4* 40% ±3* 42% ±4 41% ±6 46% ±3
State 44% ±2 45% ±3 48% ±2 51% ±3
Low Commitment to
41% ±3 42% ±5 38% ±3 41% ±3 41% ±3 52% ±3*
School
School Safety for Pierce County in 2018
Bullied at school*… Harassment…

Students who report they were bullied at Students who report being harassed or bullied at school
school in the past month due to their perceived sexual orientation or race or by a
computer or cell phone in the past month
40
35 31% 25.0 8th 10th 12th

27% 22.5
30 18%
% of Students
20.0
15%
% of Students
% of Students
25 21% 17.5 15%
14% 13%
% of Students
20
18% 15.0 12%
11%
12.5 9% 9%
15
10.0
10
7.5
5 5.0
0 2.5
0.0
6th 8th 10th 12th
Harassed Harassed Bullied through
due to due to social media,
Not feeling safe… sexual race phone, or
Students who report they did not feel safe at school orientation video games
40
35 Weapon carrying…
26% Students who report they carried a weapon on school
30 23% property in the past month
22%
% of Students
25 40
% of Students
16% 35
20
30
15
% of Students
% of Students
25
10
20
5
15
0
10
6th 8th 10th 12th 5% 6%
5
3%
1%
Missing school due to safety…
0
Students who report not going to school because they did
not feel safe 6th 8th 10th 12th
40
35
30 For more information about bullying prevention

% of Students
and school safety, visit:

% of Students
25
 Office of Superintendent of Public Instruction's School Safety
20
12% Center: www.k12.wa.us/safetycenter
12%
15 10%
10
5
The data in these charts are based on the Healthy Youth
0
Survey conducted in fall 2018. In Pierce County, 2,271
8th 10th 12th 6th graders, 3,220 8th graders, 3,754 10th graders and
2,692 12th graders completed the survey.
For more results from the 2018 Healthy Youth Survey,

please visit www.AskHYS.net
*In 2018, bullying is defined as when one or more students threaten, spread rumors about, hit, shove, or otherwise hurt another student over and over again. It is not bullying when
two students of about the same strength or power argue or fight or tease each other in a friendly way.
Sexual Behavior, Orientation, and Identity for Pierce County
Background:
 Sexual health education is optional. Districts that choose to offer sexual health education must ensure it follows requirements of the Healthy Youth Act,
Guidelines for Sexual Health and Disease Prevention, and Common School Provisionwww.k12.wa.us/HIVSexualhealth/FAQ.aspx.
 Washington Health Education K-12 Learning Standards provide guidance to districts, schools and teachers with grade-level outcomes related to sexual
health education: www.k12.wa.us/HealthFitness/Standards.aspx.
 Evidence-based programs can significantly delay first intercourse, decrease sexual risk taking, and increase condom and contraceptive use:
recapp.etr.org/recapp/documents/programs/SexHIVedProgs.pdf.

 Contact Sexual Health Education, Office of Superintendent of Public Instruction: www.k12.wa.us/HIVSexualhealth.
Questions about sexual behavior, orientation and gender were included at the discretion of each school district. Therefore, local results may be missing or may
not reflect a representative sample of all students in the community. In order to improve the quality and usefulness of data, it is recommended that all schools
include these questions when administering the Healthy Youth Survey.
Sexual Orientation Gender Identity

Grade 10, 2018 Grade 10, 2018
100% 100%
90% 90%
76%
80% 80%
70% 70%
% of Students
% of Students
60% 60%
50%
50% 50% 43%
40% 40%
30% 30%
20%
11% 20%
10% 4% 4% 3% 2% 10%
2% 2% 2% 1% 1%
0% 0%
Straight Gay or Bisexual Questioning/ Something I don't Male Female Transgender Questioning/ Something I don't Selected
Lesbian not sure else fits know what not sure else fits know what multiple
better this question better this question responses**
is asking is asking
Sexual Behaviors*** STDs and Pregnancy Prevention STDs and Pregnancy Prevention
Grade 10, 2018 Taught in School Methods among Sexually Active Youth
Grade 10, 2018 Grade 10, 2018
100%
90% 100% 100%
80% 90% 79% 78% 90% 79%

80% 80%
70%
70% 70% 57%
% of Students
60%
% of Students
% of Students
60% 60%
50%
50% 50%
40%
40% 40%
27%
30%
30% 30%
20% 20% 20%
10% 5% 5% 10% 10%
0% 0% 0%
Ever had sex Had sex Have had 4 Taught abstinence to Taught other ways to Used a condom Use one or more
by age 13 or more prevent STDs and prevent STDs and to prevent STDs methods to
partners pregnancy pregnancy prevent pregnancy
**Some students may select multiple answers to this question so that their response is consistent with
how they identify. For example, a student who identifies as a transgender woman may select both female In 2018, students who report higher rates of depression
and transgender. This type response is represented in the ‘selected multiple responses’ category. and alcohol use also report having had sexual intercourse.
***In 2018, sex includes oral, vaginal and/or anal sex.
*indicates a significant difference between state and local results, p<0.05
Background:


Grade 12, 2018 Grade 12, 2018
100% 100%
90% 90%
75%
80% 80%
70% 70%
% of Students
% of Students
60% 60%
45% 48%
50% 50%
40% 40%
30% 30%
20% 12% 20%
10% 5% 4% 2% 2% 10%
2% 2% 1% 1% 1%
0% 0%
is asking is asking
Grade 12, 2018 Grade 12, 2018
100%
90% 100% 100%
80% 90% 90% 82%

80% 80%
70%
70% 70%
% of Students
60%
49% 51%
% of Students
% of Students
60% 48% 60% 50%

50%
50% 50%
40%
40% 40%
30%
30% 30%
20% 11% 20% 20%
10% 4% 10% 10%
0% 0% 0%
Background:


Grade 8, 2018 Grade 8, 2018
90% 90%
80% 74% 80%
70% 70%
60% 60%
% of Students
48%
% of Students
50% 50% 43%

40% 40%
30% 30%
20% 20%
9% 6%
10% 5% 4%
3% 2% 10%
1% 1% 1% 1%
0% 0%
is asking is asking
Grade 8, 2018 Grade 8, 2018
90%
80% 90% 90%

70%
80% 80%
70%
70% 70%
57%
60% 50% 48%
% of Students
60% 60%
% of Students
% of Students
50%
50% 50%
40%
40% 40%
30%
30% 30%
20% 12% 20% 20%
10% 5% 10% 10%

2%
0% 0% 0%
Pierce County

40%
tobacco-related mortality, morbidity, and economic 30% 
 Youth and young adults under age 18 are far more likely 
20%  
to start using tobacco than adults; nearly 9 out of 10 

adults who smoke started by age 18.

10% 
 104,000 Washington youth alive today will ultimately die   

prematurely from smoking.   
Prevalence 2008 2010 2012 2014 2016 2018
 The effects of nicotine exposure during youth and cigarettes 21% ±3 20% ±3 16% ±5 12% ±2 11% ±2 9% ±2
8% ±2 9% ±3 8% ±2 5% ±2 4% ±1 4% ±1
in vapor products can prime young brains for tobacco vapor products N/S N/S N/S 23% ±5 18% ±3 30% ±5*
Among 12th grade

students, vaping
varies by race and
rate of vaping is
reported among
Non-Hispanic
American
Indian/Alaska Native
and the lowest is
among Non-Hispanic
Asian students.
However, rates for
some of these
race/ethnicity
sub-groups can vary
widely.
80% 65%
80%
local state 70%
70%
60%
60%
% of students
50%
% of students
50%
40% 40%
24% 24%
30% 30%
20% 20%
10% 8%
10%
0%
0%
6th 8th 10th 12th
local 3% ±1 13% ±3 23% ±3 30% ±5
state 3% ±1 10% ±1 21% ±3 30% ±3

70%
59%
60% 51%
% of Students
50%
36%
40%
27%
30%
20% 12% 14%
10%
0%

MORE INFORMATION...
Tobacco Use for Pierce County

Background:
 In Washington State, about 40 youth start smoking cigarettes each day.
 About 104,000 youth alive in Washington now will ultimately die prematurely from smoking.
 Smoking is associated with drug use and low academic performance.

 The Washington State Department of Health funds a tobacco prevention and control program to keep youth from beginning to use tobacco, to help
people quit using tobacco, and to reduce exposure to secondhand smoke. Visit www.doh.wa.gov/YouandYourFamily/Tobacco.
Current (past 30-day) Tobacco Use Current (past 30-day) Tobacco Use Trends, Grade 10
Grade 10, 2018
 Cigarettes p Smokeless tobacco  Vapor products
60%
60%
50%
50%
40%
% of Students
% of Students 40%
30% 23%
30%
20%
20%  
  
10% 6% 10% 
4% 2% 3%
p 
2% p p  
0% 0%
p p p
Cigarettes Cigars Tobacco Smokeless Hookah Vapor products
in a pipe tobacco 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 15% ±2 15% ±2 11% ±2* 9% ±2* 6% ±1* 6% ±1
Smokeless tobacco 6% ±2 7% ±2 5% ±1* 3% ±2* 2% ±1 2% ±1

Current (past 30-day) Cigarette Smoking
Compared to the State, All Grades, 2018 Vapor products N/S N/S N/S 20% ±3 14% ±2* 23% ±3*
60
Local State
Lower Grades and
50
Grade 10, 2018
40
% of Students
60%
30
46%
50%
20
Statewide, more
smoke cigarettes
0 30%
report lower
6th 8th 10th 12th
(C's, D's or F's)
Prevalence 6th 8th 10th 12th 20% compared to
local 1% ±1 3% ±1 6% ±1* 9% ±2
non-smokers.
state 1% ±0 3% ±1 5% ±1 8% ±1 10%
0%
Smoker Non-smoker

Background:

Grade 12, 2018
70%
60% 70%
60%
50%
% of Students
50%
40% % of Students
30%
40%
30%
30% 
20%
 
9%
20%  

10% 6%  
2% 4% 4% 10%
p p p 
p p p
0% 0%
in a pipe tobacco 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 21% ±3 20% ±3 16% ±5 12% ±2 11% ±2 9% ±2
Smokeless tobacco 8% ±2 9% ±3 8% ±2 5% ±2 4% ±1 4% ±1
Compared to the State, All Grades, 2018 Vapor products N/S N/S N/S 23% ±5 18% ±3 30% ±5*
70
Local State
60 Lower Grades and
50 Grade 12, 2018
% of Students
40
70%
30
60% 51%
20
50% Statewide, more

10 12th graders who
40% smoke cigarettes
0 report lower
6th 8th 10th 12th 30%
(C's, D's or F's)
Prevalence 6th 8th 10th 12th compared to
local 1% ±1 3% ±1 6% ±1* 9% ±2
20% non-smokers.
state 1% ±0 3% ±1 5% ±1 8% ±1
10%
0%
Smoker Non-smoker

Background:

Grade 6, 2018
50%
50%
40%
40%
% of Students
30% % of Students
30%
20%
20%
10%
10%
3%
1% 1%
N/A N/A N/A

p 
p  
p  
p
0% 0% p p
 
in a pipe tobacco 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 2% ±1 2% ±1 2% ±1 1% ±1 0% ±0.3* 1% ±1
Smokeless tobacco 1% ±1 1% ±1 1% ±0 1% ±1 1% ±0* 1% ±1

Compared to the State, All Grades, 2018 Vapor products N/S N/S N/S N/A 1% ±0 3% ±1*
50
Local State
Lower Grades and
40 Current (past 30-day) Cigarette Smoking
Grade 6, 2018
% of Students
30
50%
20 31%
40%
10 Statewide, more
6th graders who
0 report lower
6th 8th 10th 12th
grades in school
20% 16% (C's, D's or F's)
Prevalence 6th 8th 10th 12th compared to
local 1% ±1 3% ±1 6% ±1* 9% ±2
non-smokers.
10%
state 1% ±0 3% ±1 5% ±1 8% ±1
0%
Smoker Non-smoker

Background:

Grade 8, 2018
70%
60% 70%
60%
50%
% of Students
50%
40% % of Students
40%
30%
30%
20% 13% 20%
10% 10%  
3% 2% 1% 2%   
1%
p p    
0% 0% p p p p
in a pipe tobacco 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Cigarettes 9% ±2 8% ±2 5% ±1* 5% ±1 3% ±1 3% ±1
Smokeless tobacco 3% ±1 3% ±1 2% ±1 2% ±1 1% ±1 1% ±0
Compared to the State, All Grades, 2018 Vapor products N/S N/S N/S 12% ±3 6% ±2* 13% ±3*
70
Local State
60 Lower Grades and
50 Grade 8, 2018
% of Students
40
70%
30
60% 49%
20
50% Statewide, more

10 8th graders who
0 report lower
6th 8th 10th 12th
grades in school
30%
(C's, D's or F's)
20% compared to
local 1% ±1 3% ±1 6% ±1* 9% ±2
20% non-smokers.
state 1% ±0 3% ±1 5% ±1 8% ±1
10%
0%
Smoker Non-smoker
Weight and Obesity for Pierce County

Background:
 Poor diet and physical inactivity are risk factors for obesity and overweight among youth.
 Youth who have fewer opportunities for physical activity and increased time spent in sedentary activities such as watching television and using computers
are more likely to be overweight.
 Factors that contribute to poor diet among youth include eating fewer meals at home, increased availability and affordability of unhealthy food, and
increased food portion sizes.
 To be successful in increasing healthy weight among youth; governments, communities and people need to work together to create environments that
support healthy diets and opportunities for physical activity.

Weight Distribution Weight Distribution Trends, Grade 10

Grade 10, 2018
 Obese p Overweight  Healthy weight  Underweight
Overweight, 14%
80%
Obese, 16% 70%   

60%
Underweight,
3% 50%
% of Students
40%
30%
Healthy weight, 67%
20%
p p p p p
 
p
Obese(16%)
10%    
Overweight (14%)
Healthy weight (67%)
Underweight (3%) 0%
  
2008 2010 2012 2014 2016 2018

In 2018, 16% of 10th graders in our county were obese.
Prevalence 2008 2010 2012 2014 2016 2018
Obese 11% ±2 11% ±2 12% ±2 13% ±2 14% ±3 16% ±3
Obese or Overweight Overweight 15% ±3 14% ±2 14% ±2 14% ±2 16% ±2 14% ±2
Compared to the State, All Grades, 2018 Healthy weight N/S N/S N/S 70% ±3 68% ±5 67% ±3
Underweight N/S N/S N/S 3% ±1 2% ±1 3% ±1

80
Local State
70
60 3 or More Hours Screen Time and Obesity
Grade 10, 2018
% of Students
50
40 80%
30
70%
Statewide, more
% of Students who are obese

20 report spending 3
50% or more hours
10
40% screen time (TV,
0 electronic devices,
30% and video games)
6th 8th 10th 12th
20% 16% are obese
10% who do not.
local N/A 30% ±5 30% ±3 33% ±6
0%
state N/A 26% ±3 28% ±3 32% ±3
<3 hours 3+ hours
screen time screen time

Background:


Grade 12, 2018
Overweight, 16%
80%
Obese, 17%
70%
 
60% 
Underweight,
5% 50%
% of Students
40%
30%
Healthy weight, 62%
20%
p p p 
p 
p
Obese(17%) p  
Overweight (16%) 10%  
Underweight (5%)   
0%
2008 2010 2012 2014 2016 2018

Prevalence 2008 2010 2012 2014 2016 2018
Obese 11% ±3 11% ±2 12% ±3 13% ±2 17% ±3* 17% ±4
Underweight N/S N/S N/S 4% ±1 3% ±1 5% ±1*

80
Local State
70
60 3 or More Hours Screen Time and Obesity
Grade 12, 2018
% of Students
50
40 80%
30
70%
Statewide, more

20 report spending 3
50% or more hours
10
40% screen time (TV,
0 electronic devices,
30%
20%
and video games)
6th 8th 10th 12th
20% are obese
10% who do not.
local N/A 30% ±5 30% ±3 33% ±6
0%
state N/A 26% ±3 28% ±3 32% ±3
<3 hours 3+ hours

Background:


Grade 8, 2018
Overweight, 18%
90%
80%
Obese, 13%
70%
 
Underweight, 
60%
3%
% of Students
50%
40%
Healthy weight, 66% 30%
20%
p p p p p
Obese(13%) p   
Overweight (18%) 10%   
Underweight (3%) 0%   
2008 2010 2012 2014 2016 2018

Prevalence 2008 2010 2012 2014 2016 2018
Obese 11% ±3 11% ±3 10% ±2 12% ±3 13% ±3 13% ±3
Underweight N/S N/S N/S 3% ±1 4% ±1 3% ±1

90
Local State
80
70
3 or More Hours Screen Time and Obesity
60 Grade 8, 2018
% of Students
50
90%
40 80%
Statewide, more

20 60% report spending 3
or more hours
50%
10 screen time (TV,
0 40% electronic devices,
30% and video games)
6th 8th 10th 12th
are obese
14%
20%
8%
compared to those
10% who do not.
local N/A 30% ±5 30% ±3 33% ±6
0%
state N/A 26% ±3 28% ±3 32% ±3
<3 hours 3+ hours
Background:

Grade 12, 2018
 Carried weapon at school p Don't feel safe at school
50%
50%
40%
40%
% of Students
30% 23%
% of Students
30%
20% 15%
12%
p
20%
p
10% 7% 6% p p p
p
10%
0%      
unsafe 2008 2010 2012 2014 2016 2018
Prevalence 2008 2010 2012 2014 2016 2018

Carried weapon at 7% ±1 7% ±2 7% ±1 7% ±1 7% ±1 6% ±1
school
Don't feel safe at 16% ±5 13% ±3 14% ±3 16% ±4 18% ±4 23% ±5
Carried a Weapon at School school
50
Local State

Lower Grades and
% of Students
30
Grade 12, 2018
20 50%
40%
Statewide, more
10
40%
12th graders who
27% don't feel safe at
30% school report
0 lower grades in
F's) compared to
Prevalence 6th 8th 10th 12th those who feel
10%
local 1% ±1 3% ±1 5% ±1 6% ±1 safe.
state 2% ±0 3% ±0 5% ±1 6% ±1 0%

Pierce County: Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271

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Pierce County: Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271

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Pierce County

Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271

BACKGROUND Current (past 30-day) use trends, grade 6

Among 6th grade

0% N/A N/A N/A N/A

Source of tobacco and vapor products among those

**Social sources include: giving money to someone, “bumming”, from a person

Year: 2018 Grade: 8 Gender: All Number of Students Surveyed: 3,220

BACKGROUND Current (past 30-day) use trends, grade 8

Among 8th grade

30% 30% 17%

Source of tobacco and vapor products among those

**Social sources include: giving money to someone, “bumming”, from a person

Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271

For More Information:

Unintentional Injury Unintentional Injury Trends

70%  Rode with drinking driver

Texting While Driving, among Those Who Drove

Prevalence 6th 8th 10th 12th

Year: 2018 Grade: 8 Gender: All Number of Students Surveyed: 3,220

For More Information:

Unintentional Injury Unintentional Injury Trends

80%  Rode with drinking driver

Texting While Driving, among Those Who Drove

Don't text Text while

Year: 2018 Grade: 10 Gender: All Number of Students Surveyed: 3,754

For More Information:

Unintentional Injury Unintentional Injury Trends

90%  Rode with drinking driver

Texting While Driving, among Those Who Drove

% of Students Who Drove After Using Marijuana

40 70% Statewide, more

Don't text Text while

Year: 2018 Grade: 12 Gender: All Number of Students Surveyed: 2,692

For More Information:

Unintentional Injury Unintentional Injury Trends

90%  Rode with drinking driver

20% 16% 14% 30%

Texting While Driving, among Those Who Drove

% of Students Who Drove After Using Marijuana

40 70% Statewide, more

Don't text Text while

Year: 2018 Grade: 6 Gender: All Number of Students Surveyed: 2,271

For More Information:

Prevalence 2008 2010 2012 2014 2016 2018

Statewide Relationship between

Don't feel safe Feel safe

Year: 2018 Grade: 8 Gender: All Number of Students Surveyed: 3,220

For More Information:

Prevalence 2008 2010 2012 2014 2016 2018

Statewide Relationship between

Don't feel safe Feel safe

Year: 2018 Grade: 10 Gender: All Number of Students Surveyed: 3,754

For More Information:

Prevalence 2008 2010 2012 2014 2016 2018

40 Statewide Relationship between

Don't feel safe Feel safe

Year: 2018 Grade: 8 Gender: All Number of Students Surveyed: 3,220

70% 70% 70%

60% 60% 60%

50% 40% 50% 43% 50%

40% 40% % of Students 40%

30% 23% 30% 30%