2014 CFHS Annual Meeting April 14 2014 ERIKA S TRAPL PhD CWRU Prevention Research Center for Healthy Neighborhoods Acknowledgements Funding provided by Ohio Department of HealthFederal Government Bureau of Child and Family Health Services through the Cuyahoga County Board of Healt ID: 1044665
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1. Preconception Health of Adolescents in Cuyahoga County: Data from the Youth Risk Behavior Survey2014 CFHS Annual MeetingApril 14, 2014 ERIKA S. TRAPL, PhDCWRU Prevention Research Center for Healthy Neighborhoods
2. AcknowledgementsFunding provided by:Ohio Department of Health/Federal Government, Bureau of Child and Family Health Services through the Cuyahoga County Board of Health’s Child and Family Health Service ProgramCenters for Disease Control and Prevention (1-U48-DP-001930)St. Luke’s Foundation
3. The PRCHN at CWRUMission: To work with communities from within to prevent and reduce chronic diseaseReceived CDC funding to establish PRC in 2009…BUT, we’re actually much older than that:Center for Health Promotion Research: ~2000Center for Adolescent Health: ~1995
4. Today’s PresentationBrief history and overview of YRBSPreconception Health in Cuyahoga CountyDiscussion
5. PRCHN and the YRBSConducting local YRBS (in some way) since 1998Reports publicly available since 2002Established current approach in 2008Countywide administration in Cuyahoga CountyMiddle School in Spring of even years (e.g. 2012)High School in Spring of odd years (e.g. 2013)Attempt “region” representation
6. Cuyahoga County RegionsOuter Ring- West Inner Ring- West Cleveland- West Cleveland- East Inner Ring- East Outer Ring- East
7. Youth Risk Behavior SurveyDeveloped by the Centers for Disease Control and PreventionStarted in 1991Administered to 9th-12th grade students every other yearProvides a “snapshot” of students’ health risk behaviorsUsed to follow trends over timeMeasure progress against health indicators
8. Youth Risk Behavior SurveyWide array of topics:Originally designed to assess 6 types of health risk behaviorsUnintentional injuries and violence, sexual behaviors, alcohol and other drug use, tobacco use, unhealthy dietary behaviors, inadequate physical activityNationally expanded to include obesity and asthmaCDC provides standardized ‘optional’ items for considerationFood Security, Preventive Health Care, Protective Factors
9. Why a Local YRBS?LOCAL DATA is the richest data.National YRBS is collected at the state-levelOhio Department of Health leads thisState level data not sufficient for countiesRarely can sufficient sample be drawn to weight to each countyEx: 7 high schools in Cuyahoga selected for Ohio YRBSODH is great, but has limited resourcesCan offer technical assistance but cannot feasibly conduct locally
10. Why a Local YRBS?Flexibility Sample selectionSurvey design and contentUse of resultsCan be used for more efficient resource planning, grant writing, and program evaluationSurveillance is a natural tool for assessment, intervention identification, and evaluation.Responsive to community needs
11. Policy for SharingWho owns the data?CWRU is steward of the data in CC; CCBH also holds dataWho can access it?CWRU has data sharing agreement developed with sensitivity to funders’ needs (e.g. funding acknowledgement and publication rules)Ensures that those using the data use it appropriately
12. Policy for Sharing DataTwo potential issues:Access to de-identified county-level fileProbably not a big dealAccess to identifiable school-level dataProbably a BIG dealSchool confidentiality has been key in CuyahogaUse of school-level reports by mediaProcess for school permission to release school-specific dataSchools must be a partner
13. YRBS & Preconception HealthLifecourse Perspective: Preconception health considerations should begin at adolescence (i.e. puberty)Lifestyle risk factors for poor birth outcomes often begin during adolescenceYRBS provides a natural mechanism by which to monitor preconception health of adolescent femalesGranular data at local level could inform targeted program and policy approaches to improve preconception health
14. Presentation of the Data: KeyUS-F: National data, female participantsOH-F: Ohio data, female participantsCC-All: Cuyahoga County data, all participantsCC-F: Cuyahoga County data, female participantsCity-F: Cleveland data, female participantsIR-F: Inner-ring suburbs data, female participantsOR-F: Outer-ring suburbs data, female participants
15. Sexual Behavior: 2013 High School YRBS
16. Sexual Behavior: 2013 High School YRBS
17. Sexual Behavior: 2013 High School YRBS
18. Substance Use: 2013 High School YRBS
19. Obesity: 2013 High School YRBS
20. Physical Activity: 2013 High School YRBS
21. Nutrition & Sleep: 2013 High School YRBS
22. Responsible Sexual Behavior – High School
23. SummaryOffers an effective means to monitor preconception health risk factors over timeProvides insight on targeting strategies or dispersing resources geographicallySurveillance is a natural evaluation of programmatic efforts
24. Questions?
25. Prevention Research Center for Healthy NeighborhoodsErika S. Trapl, PhDAssistant Professor, Dept. of Epidemiology & BiostatisticsAssociate Director, Prevention Research Center for Healthy NeighborhoodsCase Western Reserve University Phone: 216-368-0098 Erika.Trapl@case.eduJean L. Frank, MPHManager of Community InitiativesPhone: 216-368-5913Jean.Frank@case.eduwww.prchn.org/yrbs.aspx