2003 Georgia student health survey report

2003 Georgia Student Health Survey Report

Acknowledgements
Georgia Department of Human Resources Maria Greene, Acting Commissioner
Division of Public Health Kathleen E. Toomey, M.D., M.P.H., Director
Chronic Disease Prevention and Health Promotion Branch Carol B. Steiner, R.N., M.N., Acting Director
Family Health Branch Rosalyn Bacon, M.P.H., Director
Epidemiology Branch Paul A. Blake, M.D., M.P.H., Director
Georgia Department of Education Kathy Cox, State Superintendent of Schools
Learning Support Division Phil Hulst, Director
ORC Macro Applied Research Division James G. Ross, M.S., Senior Vice President Katherine H. Flint, M.A., Technical Director Lori A. Marshall, M.H.S., Technical Writer Christine Cousins, B.S., Research Assistant

Suggested Citation: Kanny D., Powell KE. 2003 Georgia Student Health Survey Report. Georgia Department of Human Resources, Division of Public Health, November 2003. Publication Number: DPH03/144

Acknowledgements

2003 Georgia Student Health Survey Report

i

Table of Contents
Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .v Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 Middle School Findings Unintentional Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Violent Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Suicidal Ideation and Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Tobacco Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Alcohol and Other Drug Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Initiation of Smoking and Drinking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Overweight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Weight Loss Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Dietary Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10 Vigorous Physical Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11 Physical Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 TV Watching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 HIV/AIDS Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Sun Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

Table of Contents

2003 Georgia Student Health Survey Report

ii

Table of Contents (cont'd)
High School Findings Unintentional Injuries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Drinking and Driving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17 Weapon Carrying . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18 Violent Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Suicidal Ideation and Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20 Tobacco Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21 Alcohol Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22 Current Drug Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23 Lifetime Drug Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 Drug Transactions at School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Initiation of Smoking, Drinking, and Marijuana Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Overweight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Weight Loss Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Dietary Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29 Nutritional Behaviors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Table of Contents

2003 Georgia Student Health Survey Report

iii

Table of Contents (cont'd)
Physical Activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Physical Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 TV Watching . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33 HIV/AIDS Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34 Sun Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Appendix A:
Table 1. Comparison of Selected Variables from the 2003 Georgia Student Health Survey and the 2001 National Youth Risk Behavior Survey (YRBS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Appendix B: Table 2. National Health Objectives and Leading Health Indicators from Healthy People 2010 Measured by the Georgia Student Health Survey, 2003 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38 Appendix C: Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39 Appendix D: Survey Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Appendix E: Detailed Tables for Middle School and High School Students--2003 Georgia Student Health Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46

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2003 Georgia Student Health Survey Report

iv

Summary

Some behaviors pose immediate threats to health (e.g., drinking and driving) others are more closely related to long-term threats to health (e.g., physical activity). The 2003 Georgia Student Health Survey (GSHS) provides information about unintentional injuries, violence, suicide, tobacco use, alcohol and other drug use, initiation of risk behaviors, overweight, weight loss practices, dietary behaviors, nutritional behaviors, physical activity, physical education, TV viewing, HIV/AIDS education and sun protection. Compared to high school students nationwide, Georgia high school students generally are more likely to report healthy behaviors in the areas of injury prevention and tobacco, alcohol, and the use of other substances. Georgia high school students are more likely to report unhealthy behaviors in the areas of diet and physical activity. Specifically, in comparison to national data (see Appendix A), Georgia high school students are doing better in the following areas:
Significantly fewer Georgia high school students are rarely or never wear a seat belt while riding in a car (GA 9.4% vs. U.S. 14.1%) Significantly fewer Georgia high school students rode in a car driven by a driver who had been drinking alcohol in the past 30 days (GA 24.0% vs. U.S. 30.7%) Significantly fewer Georgia high school students drove a car after drinking alcohol in the past 30 days (GA 8.3% vs. U.S. 13.3%) Significantly fewer Georgia high school students smoked cigarettes on one or more days in the past 30 days (GA 20.9% vs. U.S. 28.5%) Significantly fewer Georgia high school students used any form of tobacco on 1 or more days in the past 30 days (GA 26.1% vs. U.S. 33.9%) Significantly fewer Georgia high school students have ever had at least one drink of alcohol in their life (GA 72.2% vs. U.S. 78.2%) Significantly fewer Georgia high school students had at least one drink of alcohol on one or more days in the past 30 days (GA 37.7% vs. U.S. 47.1%) Significantly fewer Georgia high school students had 5 or more drinks of alcohol in a row on one or more days in the past 30 days (GA 19.8% vs. U.S. 29.9%) Significantly fewer Georgia high school students used marijuana on one or more days in the past 30 days (GA 19.5% vs. U.S. 23.9%) Significantly fewer Georgia high school students used inhalants on one or more days in the past 30 days (GA 3.1% vs. U.S. 4.7%) Significantly more Georgia high school students have ever been taught about HIV/AIDS in school (GA 93.6% vs. U.S. 89.0%)
However, in some areas Georgia high school students are not doing so well compare to national data:
Significantly more Georgia high school students were intentionally physically hurt by boyfriend or girlfriend in the past 12 months (GA 14.0% vs. U.S. 9.5%) Significantly more Georgia high school students were offered, sold, or given an illegal drug on school property in the past 12 months (GA 33.3% vs. U.S. 28.5%) Significantly fewer Georgia high school students ate less food to lose or keep from gaining weight in the past 30 days (GA 38.6% vs. U.S. 43.8%)

Summary

2003 Georgia Student Health Survey Report

v

Summary (cont'd)

Significantly fewer Georgia high school students ate 5 or more servings of fruits and vegetables per day in the past 7 days (GA 16.8% vs. U.S. 21.4%) Significantly fewer Georgia high school students drank 3 or more glasses of milk per day in the past 7 days (GA 13.0% vs. U.S. 16.4%) Significantly fewer Georgia high school students participated in physical activity at least 20 minutes on 3 or more days of the past 7 days (GA 59.0% vs. U.S. 64.6%) Significantly fewer Georgia high school students met current physical activity recommendations [30 minutes 5 days a week (moderate physical activity) or 20 minutes 3 days
a week (vigorous physical activity)] (GA 63.3% vs. U.S. 68.8%) Significantly more Georgia high school students had no vigorous or moderate physical activity in the past 7 days (GA 12.8% vs. U.S. 9.5%)
In comparison to national public health objectives for 2010 (Healthy People 2010, see Appendix B), for only 3 of 18 health behaviors is the behavior of Georgia high school students within 1%-2% of the national objective: seat belt use (90.6% vs. U.S. objective of 92%), physical fighting in the past 12 months (31.4% vs. U.S. objective of 32%), and weapon carrying on school property (5.0% vs. U.S. objective of 4.9%).
For the Georgia middle school students, no national estimates or national objectives are available for comparison. The percent of Georgia middle school students reporting selected health behaviors are:
9% rarely or never wear a seat belt 75% rarely or never wear a bicycle helmet 20% have seriously thought about killing themselves 8% have tried to kill themselves 9% smoked cigarettes on one or more of the past 30 days 5% used chewing tobacco or snuff on one or more of the past 30 days 11% ever used marijuana 14% are overweight 29% attend physical education class daily 52% watched 3 hours or more of TV per day on an average school day

Summary

2003 Georgia Student Health Survey Report

vi

Introduction
Many of the behaviors that put adults at greater risk for disease and death are initiated in adolescence, including tobacco use, physical inactivity, poor dietary habits, and behaviors that result in unintentional injuries and violence. In Georgia, 72 percent of all deaths among youth and young adults aged 10-19 years result from only four causes - motor vehicle crashes (35%), other unintentional injuries (15%), homicide (13%), and suicide (9%). Among adults 25 years of age and older, 51 percent of all deaths in Georgia result from heart disease (29%) and cancer (22%). The most important behaviors leading to these causes of death are preventable - tobacco use, physical inactivity, and unhealthy diet.
To monitor priority health-risk behaviors that put youth at risk for the leading causes of morbidity, mortality, and social problems, the Georgia Department of Human Resources, Division of Public Health, in collaboration with the Georgia Department of Education, conducted the 2003 Georgia Student Health Survey (GSHS) among a random sample of public middle schools and high schools, statewide. Topics covered by the GSHS include, unintentional injuries and violence; tobacco use; alcohol and other drug use; dietary behaviors; and physical activity. By monitoring these types of behaviors, Georgia can assess the overall progress of programs and policies to reduce the behaviors that put youth at risk for developing what are, by and large, preventable health problems.
This report presents the results of the 2003 GSHS, which examine the prevalence of health-risk behaviors among middle school and high school students. All analyses conducted for this report are descriptive and use the weighted data. Throughout the report, when differences are said to be significant, there is no overlap in the 95-percent confidence intervals of the percentages being compared. Ninety-five percent confidence intervals for each point estimate (percentage) are presented in the detailed data tables found in Appendix E and the wording of the questions is presented in Appendix D.

Introduction

2003 Georgia Student Health Survey Report

1

Middle School Findings

Unintentional Injuries
Percent of middle school students who:
Rarely or never wear a seatbelt 9% - Significantly more males than females report rarely or never wearing a seatbelt. - Significantly more African American students than White students rarely or never wear a seatbelt. - Rarely or never wearing a seatbelt increases from 6th grade to 8th grade.
Rarely or never wear a bike helmet 75% - Significantly more African American students than White students rarely or never wear a bike helmet.
Rarely or never wear a helmet while rollerblading or skateboarding 72% - Significantly more African American students than White students rarely or never wear a helmet while rollerblading or skateboarding.
Have ever ridden in a car with a drunk driver 34% - Riding in a car driven by someone who had been drinking alcohol increases from 6th grade to 8th grade.

percent

Unintentional Injuries by SEX
Male Female 100

80

77 71

71 72

60

40

34 34

20 12 7
0 Rarely/Never Seatbelt Rarely/Never Bicycle Helmet

Rarely/Never

Ever Ride with Drunk

Rollerblade Helmet

Driver

percent

Unintentional Injuries by RACE/ETHNICITY

African American

Hispanic

White

100

87

83

80

66

66

60

40

38

33

23

20

12 11

7

0 Rarely/Never Seatbelt Rarely/Never Bicycle Helmet*

Rarely/Never

Ever Ride with Drunk

Rollerblade Helmet*

Driver

*Percent not calculated for Hispanic because < 100 observations

percent

Unintentional Injuries by GRADE
6th 7th 8th

100

80

80 72 72

78 71

67

60

40

20

13

78

42 34 27

0 Rarely/Never Seatbelt Rarely/Never Bicycle Helmet

Rarely/Never Rollerblade Helmet

Ever Ride with Drunk Driver

Middle School Findings

2003 Georgia Student Health Survey Report

2

Violent Behaviors
Percent of middle school students who:
Have ever carried a weapon such as a gun, knife, or club 35% - Significantly more males than females have ever carried a weapon. - Significantly more White students than African American students have ever carried a weapon.
Have ever been in a physical fight 61% - Significantly more males than females have ever been in a physical fight. - Significantly more African American students than White or Hispanic students have ever been in a physical fight.
Have ever been in a physical fight resulting in a medically treated injury 7% - Significantly more males than females have been in a fight in which they were hurt and had to be treated by a doctor or nurse.

percent

Violent Behaviors by SEX
Male Female 100

80 60
53 40

75 46

20

17

0 Ever Carry a Weapon

Ever Been in a Physical Fight

10 5
Ever Been in a Physical Fight and Injured

percent

Violent Behaviors by RACE/ETHNICITY

African American

Hispanic

White

100

80
60 43
40 26 27
20
0 Ever Carry a Weapon

70 55 55

Ever Been in a Physical Fight

7 97
Ever Been in a Physical Fight and Injured

percent

Violent Behaviors by GRADE
6th 7th 8th 100

80
60 41
40 31 33
20
0 Ever Carry a Weapon

62 65 56

Ever Been in a Physical Fight

77 7
Ever Been in a Physical Fight and Injured

Middle School Findings

2003 Georgia Student Health Survey Report

3

Suicidal Ideation and Behaviors
Percent of middle school students who:
Have ever seriously thought about killing themselves 20% - Significantly more females than males have ever seriously thought about suicide.
Have ever made a plan for killing themselves 13% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Have ever tried to kill themselves 8% - There are no significant differences among males and females, racial/ethnic groups, or grades.

percent

Suicidal Ideation and Behaviors by SEX
Male Female

25

24

20 16
15 10 5

16 12

10 7

0 Ever Seriously Thought About Suicide

Ever Made a Plan About Suicide

Ever Tried Suicide

percent

Suicidal Ideation and Behaviors by RACE/ETHNICITY

African American

Hispanic

White

25

20

19

20

15

14

10

5

14

13

12

11
9 7

0
Ever Seriously Thought About Suicide

Ever Made a Plan About Suicide

Ever Tried Suicide

percent

Suicidal Ideation and Behaviors by GRADE

6th 7th 8th

25

23 20

17 18

17

15

12 12

10

10

78

5

0
Ever Seriously Thought About Suicide

Ever Made a Plan About Suicide

Ever Tried Suicide

Middle School Findings

2003 Georgia Student Health Survey Report

4

Tobacco Use
Percent of middle school students who:
Smoked cigarettes on one or more of the past 30 days 9% - Current (1+ times in the past 30 days) cigarette smoking increases significantly from 6th to 7th grade.
Used chewing tobacco or snuff on one or more of the past 30 days 5% - Significantly more males than females have used chewing tobacco in the past 30 days.
Used any tobacco on one or more of the past 30 days 12% - More White students than African American students have used tobacco in the past 30 days. - Current tobacco use increases significantly from 6th to 8th grade.

percent

Tobacco Use by SEX
Male Female 25

20
15 11
10 8
5
0 Current Cigarette Use

8
2
Current Chewing Tobacco Use

15 10
Current Tobacco Use

percent

Tobacco Use by RACE/ETHNICITY

African American

Hispanic White

25

20
15 11 12
10 7
5
0 Current Cigarette Use

66 3
Current Chewing Tobacco Use

15 11 8
Current Tobacco Use

percent

Tobacco Use by GRADE
6th 7th 8th 25

20

15

14

10 10

5 5

5

5

4

16
12 8

0 Current Cigarette Use

Current Chewing Tobacco Use

Current Tobacco Use

Middle School Findings

2003 Georgia Student Health Survey Report

5

Alcohol and Other Drug Use
Percent of middle school students who:
Ever had a drink of alcohol (other than a few sips) 34% - Alcohol use increases significantly from 6th to 8th grade.
Ever used marijuana 11% - Significantly more males than females have ever used marijuana. - Marijuana use increases significantly from 6th to 8th grade.
Ever sniffed used inhalants 13% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Ever used steroids 4% - There are no significant differences among males and females, racial/ethnic groups, or grades.

percent

Alcohol and Drug Use by SEX
Male Female 50

40

37

31 30

20
10
0 Lifetime Alcohol Use

14 8
Lifetime Marijuana Use

14 12
Lifetime Inhalant Use

53
Lifetime Steroid Use

percent

Alcohol and Drug Use by RACE/ETHNICITY

African American

Hispanic White

50

40

37

32 30

20
10
0 Lifetime Alcohol Use*

12 12 10
Lifetime Marijuana Use

16

12

14

Lifetime Inhalant Use

33 4
Lifetime Steroid Use

*Percent not calculated for Hispanic because < 100 observations

percent

Alcohol and Drug Use by GRADE
6th 7th 8th

50 46
40 33
30 24
20
10
0 Lifetime Alcohol Use

19
9 5
Lifetime Marijuana Use

15 12 12
Lifetime Inhalant Use

5 33
Lifetime Steroid Use

Middle School Findings

2003 Georgia Student Health Survey Report

6

Initiation of Smoking and Drinking
Percent of middle school students who:
Smoked a whole cigarette for the first time before age 11 7% - Significantly fewer Hispanic students than African American or White students have smoked a whole cigarette before age 11.
Had their first drink of alcohol (other than a few sips) before age 11 15% - There are no significant differences among males and females or grades. - Significantly more African American students than white students had their first drink of alcohol other than a few sips before age 11.

percent

Initiation of Smoking and Drinking by SEX
Male Female 25

20

15

10

9

6 5

17 12

0 Smoked Cigarette Before Age 11

Drank Alcohol Before Age 11

percent

Initiation of Smoking and Drinking by RACE/ETHNICITY

African American

Hispanic White

25

20

19

15
10 8
7 5
2 0
Smoked Cigarette Before Age 11

12 Drank Alcohol Before Age 11*

*Percent not calculated for Hispanic because < 100 observations

percent

Initiation of Smoking and Drinking by GRADE
6th 7th 8th 25

20

15

10

9 8

5

5

16

14

14

0 Smoked Cigarette Before Age 11

Drank Alcohol Before Age 11

Middle School Findings

2003 Georgia Student Health Survey Report

7

Overweight
Percent of middle school students who:
Are at risk for becoming overweight 19% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Are overweight 14% - Significantly more African American students than White students are overweight.

percent

Overweight by SEX
Male Female 25

20

20

18

15

10

16 12

5

0 At Risk for Overweight

Overweight

Overweight by RACE/ETHNICITY

African American

Hispanic

White

25 22
20 17
15

18 12

10

percent

Overweight by GRADE

6th 7th 8th

25

21

20

18

19

19

15

13

12

10

percent

5

5

0 At Risk for Overweight*

Overweight*

*Percent not calculated for Hispanic because < 100 observations

0 At Risk for Overweight

Overweight

Middle School Findings

2003 Georgia Student Health Survey Report

8

Weight Loss Practices
Percent of middle school students who:
Ever exercised to lose weight or to keep from gaining weight 68% - Females are significantly more likely than males to exercise to lose or keep from gaining weight.
Ever ate less food, fewer calories, or foods low in fat to lose weight or to keep from gaining weight 44% - Females are significantly more likely than males to eat less to lose or keep from gaining weight. - Significantly more White students than African American students have ever eaten less to lose or keep from gaining weight.

percent

Weight Loss Practices by SEX
Male Female 100

80 75

62

60

55

40

33

20

0 Exercise to Lose Weight

Eat Less to Lose Weight

Weight Loss Practices by RACE/ETHNICITY

African American

Hispanic White

100

80

74

65

69

60

40

45

48

38

20

0 Exercise to Lose Weight

Eat Less to Lose Weight

percent

Weight Loss Practices by GRADE
6th 7th 8th 100

80

68

66

70

60

40

45

43

44

20

0 Exercise to Lose Weight

Eat Less to Lose Weight

percent

Middle School Findings

2003 Georgia Student Health Survey Report

9

Dietary Behaviors
Percent of middle school students who:
Ever went without eating 24 hour or more to lose weight 17% - Females are significantly more likely than males to go without eating to lose weight.
Ever took diet pills, powders, or liquids without a doctor's advise to lose weight 7% - 8th grade student are significantly more likely than 6th and 7th grade students to use diet pills and aids to lose weight.
Ever vomited or took laxatives to lose weight 7% - Females are significantly more likely than males to vomit or use laxatives to lose weight.

percent

Dietary Behaviors by SEX
Male Female
25 23
20

15 12
10
5

8 5

9 5

0 Gone Without Eating to Lose
Weight

Taken Diet Pills Etc. to Lose Weight

Vomited/Laxatives to Lose Weight

percent

Dietary Behaviors by RACE/ETHNICITY

African American

Hispanic White

25

20

19

16

15

13

10

5

11 8
5

9
7 6

0
Gone Without Eating to Lose Weight

Taken Diet Pills Etc. to Lose Weight

Vomited/Laxatives to Lose Weight

percent

Dietary Behaviors by GRADE
6th 7th 8th 25

20

19

17

15 15

10

5

11 46

8 65

0

Gone Without Eating to Lose Taken Diet Pills Etc. to Lose

Weight

Weight

Vomited/Laxatives to Lose Weight

Middle School Findings

2003 Georgia Student Health Survey Report

10

Vigorous Physical Activity
Percent of middle school students who:
Exercised or participated in physical activity for at least 20 minutes that made them sweat and breathe hard on 3 or more of the past 7 days 68% - Significantly more males than females exercised or participated in vigorous activity.
75
- Significantly more White students than African American students exercised or participated in vigorous activity.
50

Vigorous Physical Activity by SEX
Male Female
71 64

percent

25

0 Vigorous Physical Activity

Vigorous Physical Activity by RACE/ETHNICITY

African American

Hispanic

White

75

73 72

61

50

25

0 Vigorous Physical Activity

percent

Vigorous Physical Activity by GRADE
6th 7th 8th 75
69 68 66 50
25
0 Vigorous Physical Activity

percent

Middle School Findings

2003 Georgia Student Health Survey Report

11

Physical Education
Percent of middle school students who:
Attend physical education class on one or more days during the week 65% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Attend physical education class daily 29% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Played on some sports teams 54% - Males are significantly more likely than females to have played on some sports teams.

percent

Physical Education by SEX
Male Female 100

80 66 64
60
40
20

29 30

60 48

0 PE Class 1+ Days per Week

PE Class Daily

Played on Sports Team

Physical Education by RACE/ETHNICITY

African American

Hispanic

White

100

80

69

66

63

60

40

20

32 28
25

58 52
44

0 PE Class 1+ Days per Week

PE Class Daily

Played on Sports Team

percent

Physical Education by GRADE
6th 7th 8th 100

80

69 67

60

59

40

20

33 25 30

53 55 55

0 PE Class 1+ Days per Week

PE Class Daily

Played on Sports Team

percent

Middle School Findings

2003 Georgia Student Health Survey Report

12

TV Watching
Percent of middle school students who: Watched 3 hours or more of TV per day on an average school day 52%
- More African American students than Hispanic or White students watch 3+ hours of TV per day on an average school day.
75
50
25
0

percent

TV Watching by SEX
Male Female

52

52

Watched 3+ Hours of TV

TV Watching by RACE/ETHNICITY

African American

Hispanic

White

75

70 50
50
39

25

0 Watched 3+ Hours of TV

percent

TV Watching by GRADE
6th 7th 8th 75

53 50

52

52

25

0 Watched 3+ Hours of TV

percent

Middle School Findings

2003 Georgia Student Health Survey Report

13

HIV/AIDS Education
Percent of middle school students who:
Have ever been taught about HIV or AIDS in school 76% - HIV/AIDS education increases significantly from 6th to 7th grade.

percent

Taught about HIV/AIDS by SEX
Male Female 100

80

75

76

60

40

20

0 Ever Been Taught About HIV/AIDS

Taught about HIV/AIDS by RACE/ETHNICITY

African American

Hispanic

White

100

80

76

77

60

60

40

20

0 Ever Been Taught About HIV/AIDS

percent

Taught about HIV/AIDS by GRADE

6th 7th 8th

100 88

80

78

62 60

40

20

0 Ever Been Taught About HIV/AIDS

percent

Middle School Findings

2003 Georgia Student Health Survey Report

14

Sun Protection
Percent of middle school students who:

Rarely or never wear sunscreen or sunblock with an SPF of 15 or higher when they are outside for more than one hour on a sunny day 65%

- Significantly more males than females rarely or never wear sunscreen or sunblock
100
when they are outside for more than 1 hour.

- Significantly more African American students than Hispanic or White students rarely

80

or never wear sunscreen or sunblock when they are outside for more than 1 hour.

percent

- More Hispanic students than White students rarely or never wear sunscreen or

60

sunblock when they are outside for more than 1 hour.
40

20

0

Sunscreen by SEX
Male Female 72
58
Rarely/Never Wear Sunscreen

Sunscreen by RACE/ETHNICITY

African American

Hispanic

White

100

83 80
65 60
52

40

20

0 Rarely/Never Wear Sunscreen

percent

Sunscreen by GRADE
6th 7th 8th 100

80
63 60

65

68

40

20

0 Rarely/Never Wear Sunscreen

percent

Middle School Findings

2003 Georgia Student Health Survey Report

15

High School Findings

Unintentional Injuries
Percent of high school students who:
Rarely or never wear a seatbelt while riding in a car 9% - Significantly more males than females rarely or never wear a seatbelt while riding in a car.
Rarely or never wear a seatbelt while driving a car 12% - Significantly more 9th grade students than 11th grade students rarely or never wear a seatbelt while driving a car.
Rarely or never wear a bike helmet 86% - Significantly more African American students than White students rarely or never wear a bike helmet. - Bike helmet use decreases significantly from 9th grade to 11th grade.

percent

Unintentional Injuries by SEX
Male Female
100 88 84
80

60

40

20 12 7
0 Rarely/Never Seatbelt While Riding

14 10
Rarely/Never Seatbelt While Driving

Rarely/Never Bicycle Helmet

Unintentional Injuries by RACE/ETHNICITY

African American

Hispanic

White

100 93 81
80

Unintentional Injuries by GRADE
9th 10th 11th 12th
100 88 91 88
81 80

60

60

percent

percent

40

40

20 9 11 9

18

12

12

0

Rarely/Never Seatbelt While Rarely/Never Seatbelt While

Riding

Driving

Rarely/Never Bicycle Helmet*

*Percent not calculated for Hispanic because < 100 observations

20 8 10 9 11
0 Rarely/Never Seatbelt While Riding

16 11

14

7

Rarely/Never Seatbelt While Driving

Rarely/Never Bicycle Helmet

High School Findings

2003 Georgia Student Health Survey Report

16

Drinking and Driving
Percent of high school students who:
Rode in a car driven by someone who had been drinking alcohol one or more times in the past 30 days 24% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Drove a car when they had been drinking alcohol one or more times in the past 30 days 8% - Significantly more White students than African American students have driven a car after drinking. - Driving a car after drinking increases significantly from 9th grade to 12th grade.

percent

Drinking and Driving by SEX
Male Female 50

40

30

24

24

20

10
0 Rode with Drunk Driver

10 6
Drove After Drinking

Drinking and Driving by RACE/ETHNICITY

African American

Hispanic White

50

40

30

29

23

24

20

10

0 Rode with Drunk Driver

11 4
Drove After Drinking*

percent

Drinking and Driving by GRADE
9th 10th 11th 12th 50

40

30

25

26

22

23

20

10

0 Rode with Drunk Driver

14

8

9

4

Drove After Drinking

percent

*Percent not calculated for Hispanic because < 100 observations

High School Findings

2003 Georgia Student Health Survey Report

17

Weapon Carrying
Percent of high school students who:
Carried a weapon such as a gun, knife, or club on one or more of the past 30 days 19% - Significantly more males than females have carried a weapon in the past 30 days. - Significantly more White students than African American students have carried a weapon in the past 30 days.
Carried a gun on one or more of the past 30 days 7% - Significantly more males than females have carried a gun in the past 30 days.

percent

Weapon Carrying by SEX
Male Female 50

40
31 30

20
10 6
0 Carry a Weapon Past 30 Days

11 2
Carry a Gun Past 30 Days

Weapon Carrying by RACE/ETHNICITY

African American

Hispanic White

50

Weapon Carrying by GRADE
9th 10th 11th 12th 50

40

40

percent

30
22 20
13 10

7

7

0 Carry a Weapon Past 30 Days*

Carry a Gun Past 30 Days*

*Percent not calculated for Hispanic because < 100 observations

percent

30

21

20

19 17 17

10

0 Carry a Weapon Past 30 Days

7

7

5

7

Carry a Gun Past 30 Days

High School Findings

2003 Georgia Student Health Survey Report

18

Violent Behaviors
Percent of high school students who:
Have been in one or more physical fights in the past 12 months 31% - Significantly more males than females have been in a physical fight in the past 12 months.
Have been in one or more physical fights resulting in a medically treated injury in the past 12 months 3% - Significantly more males than females have been in a fight in which they were hurt and had to be treated by a doctor or nurse in the past 12 months.
Were ever hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend in the past 12 months 14% - 12th grade students are significantly more likely to report dating violence than 9th grade students.

percent

Violent Behaviors by SEX
Male Female

50

40

40

30 22
20
10
0 Physical Fight Past 12 Months

5 2
Physical Fight and Injured Past 12 Months

14 14
Dating Violence Past 12 Months

percent

Violent Behaviors by RACE/ETHNICITY

African American

Hispanic

White

50

40

33

30

29

20 16

12

10

4

3

0 Physical Fight Past 12 Months*

Physical Fight and Injured Past 12 Months*

Dating Violence Past 12 Months*

*Percent not calculated for Hispanic because < 100 observations

percent

Violent Behaviors by GRADE
9th 10th 11th 12th 50

40 34 34

30

29

26

20

10

0 Physical Fight Past 12 Months

3 4 32
Physical Fight and Injured Past 12 Months

18 11 14 13
Dating Violence Past 12 Months

High School Findings

2003 Georgia Student Health Survey Report

19

Suicidal Ideation and Behaviors
Percent of high school students who:

Ever felt so sad/hopeless every day for 2+ weeks they stopped usual activities 29% - Significantly more females than males have ever felt so sad/hopeless they stopped their usual activities.
Seriously thought about suicide in the past 12 months 16% - Significantly more females than males have seriously thought about suicide.
Made a plan for suicide in the past 12 months 13% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Attempted suicide one or more times in the past 12 months 9% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Attempted suicide in the past 12 months resulting in a medically-treated injury 3% - There are no significant differences among males and females, racial/ethnic groups, or grades.

Suicidal Ideation and Behaviors by RACE/ETHNICITY

African American

Hispanic

White

50

percent

Suicidal Ideation and Behaviors by SEX
Male Female 50

40 35
30 22
20
10

20 13

15 11

89

0

Sad/Hopeless

Seriously

Made a Plan

Almost Every Thought About About Suicide

Day

Suicide

Attempted Suicide

33
Attempted Suicide and
Injured

Suicidal Ideation and Behaviors by GRADE
9th 10th 11th 12th 50

percent

40

31 31 30
26

20

19 17

16

14 16

12

10

10

7

4

2

0

Sad/Hopeless

Seriously

Made a Plan

Almost Every Thought About About Suicide

Day

Suicide

Attempted Suicide *

Attempted Suicide and
Injured *

*Percent not calculated for Hispanic because < 100 observations

percent

40 33
30 27 28 26

20

17 18

15 14 13 13 14

10

11 10 9 7 7

0

Sad/Hopeless

Seriously

Made a Plan

Almost Every Thought About About Suicide

Day

Suicide

Attempted Suicide

3334
Attempted Suicide and
Injured

High School Findings

2003 Georgia Student Health Survey Report

20

Tobacco Use
Percent of high school students who:
Smoked cigarettes on one or more of the past 30 days 21% - Significantly more White students than African American students smoked cigarettes in the past 30 days.
Used chewing tobacco or snuff on one or more of the past 30 days 8% - Significantly more males than females have used chewing tobacco in the past 30 days. - Significantly more White students than African American students used chewing tobacco in the past 30 days.
Used any tobacco on one or more of the past 30 days 26% - Significantly more males than females have used tobacco in the past 30 days. - Significantly more White students than African American students have used tobacco in the past 30 days.

percent

Tobacco Use by SEX
Male Female 50

40

30

23

20

19

10

0 Current Cigarette Use

14
1 Current Chewing Tobacco
Use

32 21
Current Tobacco Use

percent

Tobacco Use by RACE/ETHNICITY

African American

Hispanic

White

50

40 35

30

29

20

10

9

12

13

0 Current Cigarette Use*

2
Current Chewing Tobacco Use*

Current Tobacco Use*

*Percent not calculated for Hispanic because < 100 observations

percent

Tobacco Use by GRADE
9th 10th 11th 12th 50

40

30 25 23

20

18 19

10

0 Current Cigarette Use

11 767
Current Chewing Tobacco Use

30 29 23 24
Current Tobacco Use

High School Findings

2003 Georgia Student Health Survey Report

21

Alcohol Use
Percent of high school students who:

Ever had at least one drink of alcohol during their life 72% - Significantly more White students than African American students have drunk alcohol in their lifetime. - Lifetime alcohol consumption increases significantly from 9th grade to 11th grade.
Had at least one drink of alcohol on one or more of the past 30 days 38% - Significantly more White students than African American students have drunk alcohol in the past 30 days. - Current alcohol consumption increases significantly from 9th grade to 12th grade.
Had five or more drinks of alcohol in a row (within a couple of hours) on one or more of the past 30 days 20% - Significantly more males than females have reported binge drinking (5+ drinks in a row) in the past 30 days. - Significantly more Hispanic and White students than African American students have reported binge drinking in the past 30 days. - Binge drinking increases significantly from 9th grade to 11th grade.

Alcohol Use by RACE/ETHNICITY

African American

Hispanic

White

100

percent

80

76

66

60

40

20

0 Lifetime Alcohol Use*

45 27
Current Alcohol Use*

28 24 8 Current Binge Drinking

*Percent not calculated for Hispanic because < 100 observations

percent

percent

Alcohol Use by SEX
Male Female 100

80

74 71

60

40

20

40 36

23 16

0 Lifetime Alcohol Use

Current Alcohol Use

Current Binge Drinking

Alcohol Use by GRADE
9th 10th 11th 12th 100

80

80 78 72

63

60

40

20

0 Lifetime Alcohol Use

42 44 36 32
Current Alcohol Use

27 24 18 14
Current Binge Drinking

High School Findings

2003 Georgia Student Health Survey Report

22

Current Drug Use
Percent of high school students who:
Have used marijuana on one or more of the past 30 days 20% - Significantly more males than females have used marijuana in the past 30 days. - Current marijuana use increases significantly from 10th grade to 12th grade.
Have used cocaine on one or more of the past 30 days 3% - Significantly more Hispanic students than African American students have used cocaine in the past 30 days.
Have used inhalants on one or more of the past 30 days 3% - Current inhalant use is significantly higher in 9th grade than in 10th and 12th grades.

percent

Current Drug Use by SEX
Male Female

25

24

20

15

15

10

5
0 Current Marijuana Use

4 3
Current Cocaine Use

4 2
Current Inhalant Use

Current Drug Use by RACE/ETHNICITY

25
20 17

African American

Hispanic

White

21

15

Current Drug Use by GRADE

25

24

22

20

17 17

9th 10th 11th 12th

15

percent

percent

10
5
0 Current Marijuana Use*

7 4
1 Current Cocaine Use

3 33 Current Inhalant Use

*Percent not calculated for Hispanic because < 100 observations

10
5
0 Current Marijuana Use

5 33 2
Current Cocaine Use

5

3

2

2

Current Inhalant Use

High School Findings

2003 Georgia Student Health Survey Report

23

Lifetime Drug Use
Percent of high school students who:
Have ever used heroin one or more times in their life 2% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Have ever used methamphetamines one or more times in their life 8% - More Hispanic and White students than African American students have used methamphetamines in their lifetimes.
Have ever used ecstasy one or more times in their life 8% - More White students than African American students have used ecstasy in their lifetimes.
Have ever used steroids one or more times in their life 4% - More Hispanic and White students than African American students have used steroids in their lifetimes.

percent

Lifetime Drug Use by SEX
Male Female 25

20

15

10

5

3

2

0 Lifetime Heroin Use

8 7

9 7

5 3

Lifetime Methamphetamine
Use

Lifetime Ecstasy Use Lifetime Steroid Use

percent

Lifetime Drug Use by RACE/ETHNICITY

African American

Hispanic

White

25

20

15

10

5

5 3

2

0 Lifetime Heroin Use

11 11

12 11 10

6 4

2

2

Lifetime
Methamphetamine Use

Lifetime Ecstasy Use Lifetime Steroid Use

percent

Lifetime Drug Use by GRADE
9th 10th 11th 12th 25

20

15

14

10

5

33

22

0 Lifetime Heroin Use

10 9
7 5

88 5

6 34 4

Lifetime Methamphetamine
Use

Lifetime Ecstasy Use Lifetime Steroid Use

High School Findings

2003 Georgia Student Health Survey Report

24

Drug Transactions at School
Percent of high school students who:
Were offered, sold, or given an illegal drug on school property in the past 12 months 33% - Significantly more males than females have been offered, sold, or given drugs on school property in the past 12 months.

percent

Drug Transactions at School by SEX
Male Female 50

40

38

30

28

20

10

0 Offered, Sold, or Given Illegal Drugs on School Property

Drug Transactions at School by RACE/ETHNICITY

African American

Hispanic White

50

40

40

32

33

30

20

10

0 Offered, Sold, or Given Illegal Drugs on School Property

percent

Drug Transactions at School by GRADE
9th 10th 11th 12th 50

40

37

30 30

33

33

20

10

0 Offered, Sold, or Given Illegal Drugs on School Property

percent

High School Findings

2003 Georgia Student Health Survey Report

25

Initiation of Smoking, Drinking, and Marijuana Use

Percent of high school students who:

Smoked a whole cigarette for the first time before age 13 19% - Significantly more males than females have smoked a whole cigarette before age 13. - Significantly more White students than African American students have smoked a whole cigarette before age 13.
Had their first drink of alcohol (other than a few sips) before age 13 30% - Significantly more males than females have had their first drink of alcohol before age 13. - Significantly more 9th grade students than 11th or 12th grade students have had their first drink of alcohol before age 13.
Tried marijuana for the first time before age 13 9% - Significantly more males than females have had tried marijuana for the first time before age 13.

percent

Initiation of Smoking, Drinking, and Marijuana Use by SEX
Male Female
50

40
30 22
20 16
10

35 24

0
Smoked Cigarette Before Drank Alcohol Before Age 13 Age 13

14
5
Tried Marijuana Before Age 13

Initiation of Smoking, Drinking, and Marijuana Use by RACE/ETHNICITY

African American

Hispanic

White

50

Initiation of Smoking, Drinking, and Marijuana Use by GRADE
9th 10th 11th 12th
50

percent

40
30
21 20
15 10

32 27

9

9

0
Smoked Cigarettes Before Drank Alcohol Before Age 13* Age 13*

Tried Marijuana Before Age 13*

*Percent not calculated for Hispanic because < 100 observations

percent

40

30

20

18 20 19 19

10

37 31 23 23

11 8 79

0

Smoked Cigarette Before Drank Alcohol Before Age 13

Tried Marijuana Before

Age 13

Age 13

High School Findings

2003 Georgia Student Health Survey Report

26

Overweight
Percent of high school students who:
Are at risk for becoming overweight 15% - African American students are at higher risk for becoming overweight than White students.
Are overweight 11% - Significantly more males than females are overweight. - Significantly more African American students than White students are overweight.

percent

Overweight by SEX
Male Female 25

20

15

15

15

15

10 7
5

0 At Risk for Overweight

Overweight

Overweight by RACE/ETHNICITY

African American

Hispanic

White

25

20

19

15

14 13

10

9

percent

Overweight by GRADE
9th 10th 11th 12th 25

20

17

15

15

15 13

10

13

11

10

11

percent

5

5

0 At Risk for Overweight*

Overweight*

*Percent not calculated for Hispanic because < 100 observations

0 At Risk for Overweight

Overweight

High School Findings

2003 Georgia Student Health Survey Report

27

Weight Loss Practices
Percent of high school students who:
Exercised to lose weight or to keep from gaining weight during the past 30 days 57% - Significantly more females than males have exercised to lose or keep from gaining weight in the past 30 days. - Significantly more Hispanic and White students than African American students have exercised to lose or keep from gaining weight in the past 30 days.
Ate less food, fewer calories, or foods low in fat to lose weight or to keep from gaining weight during the past 30 days 39% - Females are significantly more likely than males to eat less to lose or keep from gaining weight. - Significantly more Hispanic and White students than African American students have eaten less to lose or keep from gaining weight.

percent

Weight Loss Practices by SEX
Male Female
75 62

51

50

49

28 25

0 Exercise to Lose Weight

Eat Less to Lose Weight

Weight Loss Practices by RACE/ETHNICITY

African American

Hispanic White

75 66
59 52 50

46

45

29 25

0 Exercise to Lose Weight

Eat Less to Lose Weight

percent

Weight Loss Practices by GRADE
9th 10th 11th 12th
75

58

57

57

55

50

40

38

37

39

25

0 Exercise to Lose Weight

Eat Less to Lose Weight

percent

High School Findings

2003 Georgia Student Health Survey Report

28

Dietary Behaviors
Percent of high school students who:
Went without eating 24 hour or more to lose weight in the past 30 days 13% - Females are significantly more likely than males to go without eating to lose weight.
Ever took diet pills, powders, or liquids without a doctor's advice to lose weight in the past 30 days 9% - Females are significantly more likely than males to take diet pills, powders, or liquids to lose weight. - Significantly more White students than African American students take diet pills, powders, or liquids to lose weight.
Ever vomited or took laxatives to lose weight in the past 30 days 6% - Females are significantly more likely than males to vomit or use laxatives to lose weight.

percent

Dietary Behaviors by SEX
Male Female 25

20
16 15

10

9

5

11 7

8 4

0
Gone Without Eating to Lose Weight Taken Diet Pills Etc. to Lose Weight

Vomited/Laxatives to Lose Weight

Dietary Behaviors by RACE/ETHNICITY

African American

Hispanic

White

25

20

15 13 13
12 10
5

12 10
7

7 5
3

0
Gone Without Eating to Lose Weight

Taken Diet Pills Etc. to Lose Weight

Vomited/Laxatives to Lose Weight

percent

Dietary Behaviors by GRADE
9th 10th 11th 12th 25

20

15

14

12

12 12

10

5

11

9

9

7

7

6

6

5

0
Gone Without Eating to Lose Weight

Taken Diet Pills Etc. to Lose Weight

Vomited/Laxatives to Lose Weight

percent

High School Findings

2003 Georgia Student Health Survey Report

29

Nutritional Behaviors
Percent of high school students who:
Drank 100% fruit juices one or more times in the past 7 days 77% - There are no significant differences among males and females, racial/ethnic groups, or grades.
Ate 5 or more servings of fruits and vegetables per day in the past 7 days 17% - Significantly more males than females have eaten 5 or more servings of fruits and vegetables in the past 7 days.
Drank 3 or more glasses of milk per day in the past 7 days 13% - Significantly more males than females have drunk 3 or more glasses of milk per day in the past 7 days. - Significantly more White students than African American students have drunk 3 or more glasses of milk per day in the past 7 days.

percent

Nutritional Behaviors by SEX
Male Female 100

80

78 75

60

40
20
0 Drank 100% Fruit Juices

20 14
Ate 5+ Servings of Fruits or Vegetables

19 7
Drank 3+ Glasses of Milk

Nutritional Behaviors by RACE/ETHNICITY

African American

Hispanic

White

100

81

80

78

75

60

Nutritional Behaviors by GRADE
9th 10th 11th 12th

100

80

75 75 79 80

60

percent

percent

40

20
0 Drank 100% Fruit Juices

19

15

Ate 5+ Servings of Fruits or Vegetables*

13 16 8 Drank 3+ Glasses of Milk

*Percent not calculated for Hispanic because < 100 observations

40

20
0 Drank 100% Fruit Juices

17 17 16 17
Ate 5+ Servings of Fruits or Vegetables

16 15 10 10 Drank 3+ Glasses of Milk

High School Findings

2003 Georgia Student Health Survey Report

30

Physical Activity

Percent of high school students who: Exercised or participated in physical activity for at least 20 minutes that made them
sweat and breathe hard on 3 or more of the past 7 days 59% - Significantly more males than females exercised or participated in vigorous activity. - Participation in vigorous physical activity decreases significantly by 11th and 12th grades. - Significantly more white students than African American students exercised or participated in
vigorous activity. Meet current physical activity recommendations 1 63%
- Significantly more males than females met the current physical activity recommendations. - Meeting the current physical activity recommendations decreases from 9th grade to
11th and 12th grades. - More White students than African American students meet the current physical
activity recommendations. Participated in no vigorous or moderate physical activity in the past 7 days 13%
- Significantly more females than males did not participate in any vigorous or moderate physical activity.
- Significantly more African American students than White students did not participate in any vigorous or moderate physical activity.

Physical Activity by RACE/ETHNICITY

African American

Hispanic White

100

percent

Physical Activity by SEX
Male Female 100

80 68
60 50
40

72 55

20
0 Vigorous Physical Activity

Meet Physical Activity Recommendations

17 9
No Physical Activity

Physical Activity by GRADE
9th 10th 11th 12th 100

80

64

60

60

52

40

65 68 57

percent

80

68 61

60

54

48

40

percent

20

18 16

20

9

0 Vigorous Physical Activity

Meet Physical Activity Recommendations

No Physical Activity

0 Vigorous Physical Activity

1 Current physical activity recommendations are 30 minutes 5 days a week (moderate physical activity) or 20 minutes 3 days a week (vigorous physical activity).

71 66 58 53
Meet Physical Activity Recommendations

19 11 11 13 No Physical Activity

High School Findings

2003 Georgia Student Health Survey Report

31

Physical Education
Percent of high school students who:
Attend physical education class on one or more days during the week 37% - Significantly more males than females attended PE class one or more days during an average week. - Participation in PE class one or more days during an average week decreases significantly from 9th to 10th grade.
Attend physical education class daily 29% - Significantly more males than females attended PE classes daily. - Participation in daily PE classes decreases significantly from 9th to 10th grade.
Played on one or more sports teams past 12 months 53% - Significantly more males than females have played on one or more sports teams in the past 12 months. - Playing on one or more sports teams decreases significantly from 9th to 12th grade.

percent

Physical Education by SEX
Male Female
75

50

47

27 25

38 21

59 48

0 PE Class 1+ Days per Week

PE Class Daily

Played on Sports Team

Physical Education by RACE/ETHNICITY

African American

Hispanic

White

75

50

37

36

25

30 26

56 49 48

percent

Physical Education by GRADE
9th 10th 11th 75

57 50
31 27
25

47
24 22

58 54 53

percent

0 PE Class 1+ Days per Week*

PE Class Daily*

Played on Sports Team

*Percent not calculated for Hispanic because < 100 observations

0 PE Class 1+ Days per Week

High School Findings

2003 Georgia Student Health Survey Report

PE Class Daily

Played on Sports Team
32

TV Watching
Percent of high school students who:
Watched 3 hours or more of TV per day on an average school day 42% - Significantly more African American students than Hispanic or White students watch 3+ hours of TV per day on an average school day.
75
- Significantly more Hispanic students than White students watch 3+ hours of TV per day on an average school day.
50
25
0

percent

TV Watching by SEX
Male Female

44

41

Watched 3+ Hours of TV

TV Watching by RACE/ETHNICITY

African American

Hispanic

White

75

62

50

46

28 25

0 Watched 3+ Hours of TV

percent

TV Watching by GRADE
9th 10th 11th 12th 75

50

44

45

40

39

25

0 Watched 3+ Hours of TV

percent

High School Findings

2003 Georgia Student Health Survey Report

33

HIV/AIDS Education
Percent of high school students who:

Have ever been taught about HIV or AIDS in school 94%

- Significantly more White students than African American students have been taught

about HIV/AIDS.
100
- Significantly more 10th and 11th grade students than 12th grade students have been

taught about HIV/AIDS.

80

60

percent

40

20

0

HIV/AIDS Education by SEX
Male Female

93

95

Ever Been Taught About HIV/AIDS

HIV/AIDS Education by RACE/ETHNICITY

African American

Hispanic

White

100

91

90

96

80

60

40

20

0 Ever Been Taught About HIV/AIDS

percent

HIV/AIDS Education by GRADE

9th 10th 11th 12th

100

94

95

96

90

80

60

40

20

0 Ever Been Taught About HIV/AIDS

percent

High School Findings

2003 Georgia Student Health Survey Report

34

Sun Protection
Percent of high school students who:

Rarely or never wear sunscreen or sunblock with an SPF of 15 or higher when they are outside for more than one hour on a sunny day 75%

- Significantly more males than females rarely or never wear sunscreen or sunblock
100
when they are outside for more than 1 hour.

- Significantly more African American students than White students never wear

80

sunscreen or sunblock when they are outside for more than 1 hour.

60

percent

40

20

0

Sunscreen by SEX
Male Female 80
70
Rarely/Never Wear Sunscreen

Sunscreen by RACE/ETHNICITY

African American

Hispanic White

100
85 80
68
60

Sunscreen by GRADE
9th 10th 11th 12th 100

80

71

77

74

78

60

percent

percent

40

40

20

20

0 Rarely/Never Wear Sunscreen*
*Percent not calculated for Hispanic because < 100 observations

0 Rarely/Never Wear Sunscreen

High School Findings

2003 Georgia Student Health Survey Report

35

Appendix A:
Table 1. Comparison of Selected Variables from the 2003 Georgia Student Health Survey and the 2001 National Youth Risk Behavior Survey (YRBS), High School

Variables

2003 GA Student Health Survey (%)

2001 National YRBS (%)

Unintentional Injuries Rarely/never wear a seat belt while riding in a car Rarely/never wear a seat belt while driving a car Rarely/never wear a bicycle helmet

9.4 *

14.1

12.3



85.9

84.7

Drinking and Driving Rode in a car driven by a driver who had been drinking in the past 30 days Drove a car after drinking in the past 30 days

24.0 *

30.7

8.3 *

13.3

Violent Behaviors Carried a weapon in the past 30 days Carried a gun in the past 30 days 1+ physical fights in the past 12 months 1+ physical fights resulting in medically-treated injury in past 12 months Intentionally physically hurt by boyfriend/girlfriend in the past 12 months

18.7

17.4

6.8

5.7

31.4

33.2

3.2

4.0

14.0 *

9.5

Suicidal Ideation and Behaviors Ever felt sad/hopeless every day for 2+ weeks and stopped usual activities Seriously thought about suicide in the past 12 months Made a plan for suicide in the past 12 months Attempted suicide 1+ times in the past 12 months Attempted suicide resulting in injury in the past 12 months

28.5

28.3

16.4

19.0

13.0

14.8

8.5

8.8

3.0

2.6

Tobacco Use Smoked cigarettes on 1+ days in the past 30 days Used smokeless tobacco on 1+ days in the past 30 days Used any form of tobacco on 1+ days in the past 30 days

20.9 *

28.5

7.6

8.2

26.1 *

33.9

Alcohol Use Ever had at least one drink of alcohol in their life Had at least one drink of alcohol on 1+ days of the past 30 days Had 5+ drinks of alcohol in a row on 1+ days of the past 30 days

72.2 *

78.2

37.7 *

47.1

19.8 *

29.9

Lifetime Drug Use Ever used heroin 1+ times in their life Ever used methamphetamines 1+ times in their life Ever used ecstasy 1+ times in their life Ever used steroids 1+ times in their life

2.4

3.1

7.5

9.8

8.3



4.4

5.0

Current Drug Use Used marijuana 1+ days in the past 30 days Used cocaine 1+ days in the past 30 days Used inhalants 1+ days in the past 30 days

19.5 *

23.9

3.1

4.2

3.1 *

4.7

Initiation of Risk Behaviors Smoked a whole cigarettes before age 13 Drank alcohol before age 13 Tried marijuana before age 13

18.9

22.1

29.5

29.1

9.3

10.2

* Statistically significant difference Data not available

Appendix A

2003 Georgia Student Health Survey Report

36

Appendix A: (cont'd)
Table 1. Comparison of Selected Variables from the 2003 Georgia Student Health Survey and the 2001 National Youth Risk Behavior Survey (YRBS), High School

Variables
Drug Transactions at School Offered, sold, or given an illegal drug on school property in the past 12 months
Overweight At risk for becoming overweight Are overweight
Weight Loss Practices Exercise to lose/keep from gaining weight in the past 30 days Ate less food to lose/keep from gaining weight in past 30 days
Dietary Behaviors Went without eating 24+ hours to lose weight in the past 30 days Took diet pills, powders, or liquids to lose weight in the past 30 days Vomited or took laxatives to lose weight in the past 30 days
Nutritional Behaviors Drank 100% fruit juices 1+ times in the past 7 days Ate 5+ servings of fruits and vegetables per day in the past 7 days Drank 3+ glasses of milk per day in the past 7 days
Physical Activity Participated in physical activity at least 20 minutes 3+ days of the past 7 days Met physical activity recommendations No vigorous or moderate physical activity in the past 7 days
Physical Education Attended physical education class 1+ days during the week Attend physical education class daily Played on 1+ sports teams past 12 months
TV Watching Watched 3+ hours of TV per day on an average school day
HIV/AIDS Education Ever been taught about HIV/AIDS in school
Sun Protection Rarely/never wear sunscreen with SPF 15 or higher when outside 1+ hours

2003 GA Student Health Survey (%)
33.3 *
15.1 11.1
56.6 38.6 *
12.6 8.7 6.0
76.5 16.8 * 13.0 *
59.0 * 63.3 * 12.8 *
36.8 29.1 53.1
42.4
93.6 *
74.8

2001 National YRBS (%)
28.5
13.6 10.5
59.9 43.8
13.5 9.2 5.4
21.4 16.4
64.6 68.8
9.5
32.2 55.2
38.3
89.0


* Statistically significant difference Data not available Current physical activity recommendations are 30 minutes 5 days a week (moderate physical activity) or 20 minutes 3 days a week (vigorous physical activity).

Appendix A

2003 Georgia Student Health Survey Report

37

Appendix B:
Table 2. National Health Objectives and Leading Health Indicators from Healthy People 2010* measured by the Georgia Student Health Survey, 2003, High School

Objective No.

Objective

2010 Target
(%)

Data from 2003
GA Student Health Survey (%)

3 9a

Increase the proportion of adolescents in grades 9 12

None set

25.2

who follow protective measures that may reduce the risk of skin cancer.

15 19

Increase use of safety belts.

92

90.6

15 21

Increase the proportion of motorcyclists using helmets.

79



15 38

Reduce physical fighting among adolescents.

32

31.4

15 39

Reduce weapon carrying by adolescents on school property.

4.9

5.0

18 2

Reduce the rate of suicide attempts by adolescents.

1.0

8.5

22 6

Increase the proportion of adolescents who engage in moderate physical activity

35

25.4

for at least 30 minutes on > 5 of the previous 7 days.

22 7

Increase the proportion of adolescents who engage in vigorous physical activity

85

59.0

that promotes cardiorespiratory fitness > 3 days per week for > 20 minutes

per occasion.

22 9

Increase the proportion of adolescents who participate in daily school physical education.

50

29.1

22 10

Increase the proportion of adolescents who spend at least 50% of school

50

31.0

physical education class time being physically active.

22 11

Increase the proportion of adolescents who view television < 2 hours on a school day.

75

57.6

25 11

Increase the proportion of adolescents who abstain from sexual intercourse

95



or use condoms, if currently sexually active.

26 6

Reduce the proportion of adolescents who report that they rode, during the

30

24.0

previous 30 days, with a driver who had been drinking alcohol.

27 2

Reduce tobacco use by adolescents.

27 2a

Reduce tobacco product use (past month).

21

26.1

27 2b

Reduce cigarette use (past month).

16

20.9

27 2c

Reduce spit tobacco use (past month).

1

7.6

27 2d

Reduce cigar use (past month).

8

13.9

27 7

Increase tobacco use cessation attempts by adolescent smokers.

84

59.4

* US Department of Health and Human Services. With understanding and improving health and objectives for improving health. In: Healthy People 2010. (Conference ed, in 2 vols.). Washington, DC: US Department of Health and Human Services, 2000.
Developmental objective: Health People 2010 target not set. Data not collected in 2003.

Appendix B

2003 Georgia Student Health Survey Report

38

Appendix C: Methodology
The purpose of the Georgia Student Health Survey (GSHS) was to gather data on behaviors among youth related to the leading causes of mortality and morbidity.
Questionnaire Development Two self-administered, anonymous questionnaires were developed by the Georgia Division of Public Health for the GSHS. One questionnaire was developed for middle school students and contained 55 items. The other questionnaire was developed for high school students, and contained 94 items. Both questionnaires were modeled after the core Youth Risk Behavior Survey (YRBS), developed by the Centers for Disease Control and Prevention (CDC). Both questionnaires covered five topics from the YRBS: 1) behaviors that result in unintentional injuries and violence; 2) tobacco use; 3) alcohol and other drug use; 4) dietary behaviors; and 5) physical activity. Additional questions about asthma, food allergies, and diabetes were added to both GSHS questionnaires. Additionally, the high school questionnaire asked about gambling. No questions about sexual behavior were included in either of the GSHS questionnaires.
Sampling
Sample Design
A separate high school and middle school sample was selected, with an objective of having 95% confidence limits of approximately 5% around key variables. The sampling frame consisted of all regular public schools containing students enrolled in grades 6-8 for the middle schools and 9-12 for the high schools. A two-stage cluster sample design was used to produce a representative sample of middle school students in grades 6-8 and high school students in grades 9-12. The sampling program PC-Sample was used to draw both the high school and middle school samples.
Sampling Procedures
School Level - The first-stage sampling frame consisted of all public schools containing any of grades 6-8 for the middle schools and 9-12 for the high schools. Schools were selected with probability proportional to school enrollment size (PPS). Fifty (50) schools were sampled for middle school and 50 schools were sampled for high school.
Class Level - The second sampling stage consisted of systematic equal probability sampling (with a random start) of classes from each middle school and high school that participated in the survey. All classes in a required subject or all classes meeting during a particular period of the day, depending on the school, were included in the sampling frame.
Student Level All students in a selected class were eligible to participate in the survey. Student make-ups were also conducted.

Appendix C

2003 Georgia Student Health Survey Report

39

Appendix C: Methodology (cont'd)
Data Collection
Recruitment of Sampled Districts and Schools
District and school recruitment began in late November. Tailored letters of invitation were sent out to the school districts, with copies sent to the district health directors. These letters were followed by phone calls directly to the Superintendent to answer questions and obtain permission to contact the school. School packets were included with the district invitation packet and the Superintendents were asked to forward these on to the principal after their approval was received. The recruitment process sometimes included the completion of special research proposals, attendance at board meetings and principal meetings, and other clearance procedures.
As soon as notification was received that a school packet had been sent to the principal, the principal was called, a contact person was assigned, classes selected, and a date for data collection was scheduled.
Classroom-level Data Collection
The GSHS was administered between February 18 and April 25 by 6 specially trained field staff. The data collectors were recruited from a variety of sources including local and state retired teacher's associations, local universities, and job banks. They completed an intensive training that included lectures, simulations, and group role plays and discussions. Detailed arrangements and survey schedules were set prior to each school visit.

Appendix C

2003 Georgia Student Health Survey Report

40

Appendix C: Methodology (cont'd)

Weighting

For both the high school and middle school data, a weight variable was calculated for each student record to reflect the likelihood of sampling each student and to reduce bias by compensating for differing patterns of non-response. The weight used for estimation is given by:

W = W1 * W2 * f1 * f2 *f3

W1 = the inverse of the probability of selecting the school

W2 = the inverse of the probability of selecting the classroom within the school

f1 = a school-level non-response adjustment factor calculated by school size category (small, medium, large). The factor was calculated in terms of school enrollment instead of number of schools.

f2 = a student-level non-response adjustment factor calculated by class

f3 = a post stratification adjustment factor calculated by gender within grade and by race/ethnicity

Table 1 outlines the GSHS response rates.

Table 1 - GSHS Response Rates

School

Selected Participated Response Rate (%)

Middle

50

48

96.0

High

50

48

96.0

Student

Selected Participated Response Rate (%)

2419

2195

90.7

2209

2066

93.5

Overall Response Rate (%)
87.1 89.8

Statistical Significance
SUDAAN was used to compute 95% confidence intervals, which were used to determine the differences between subgroups at the p<0.05 level. Difference between prevalence estimates were considered statistically significant if the 95% confidence intervals did not overlap.

Appendix C

2003 Georgia Student Health Survey Report

41

Appendix D: Survey Questions1

How often do you wear a seat belt when riding in a car driven by someone else? How often do you wear a seat belt when driving a car? [asked only of high school students] When you ride a bicycle, how often do you wear a helmet? [wording used with middle school students] When you rode a bicycle during the past 12 months, how often did you wear a helmet? [wording used with high school students] When you rollerblade or ride a skateboard, how often do you wear a helmet? [asked only of middle school students] Have you ever ridden in a car driven by someone who had been drinking alcohol? [wording used with middle school students] During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol? [wording used with high school students] During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol? [asked only of high school students] Have you ever carried a weapon, such as a gun, knife, or club? [wording used with middle school students] During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club? [wording used with high school students] During the past 30 days, on how many days did you carry a gun? [asked only of high school students] Have you ever been in a physical fight? [wording used with middle school students] During the past 12 months, how many times were you in a physical fight? [wording used with high school students] Have you ever been in a physical fight in which you were hurt and had to be treated by a doctor or nurse? [wording used with middle school students] During the past 12 months, how many times were you in a physical fight in which you were injured and had to be treated by a doctor or nurse? [wording used with high school students] During the past 12 months, did your boyfriend or girlfriend ever hit, slap, or physically hurt you on purpose? [asked only of high school students] During the past 12 months, did you ever feel so sad or hopeless almost every day for two weeks or more in a row that you stopped doing some usual activities? [asked only of high school students] Have you ever seriously thought about killing yourself? [wording used with middle school students] During the past 12 months, did you ever seriously consider attempting suicide? [wording used with high school students] Have you ever made a plan about how you would kill yourself? [wording used with middle school students] During the past 12 months, did you make a plan about how you would attempt suicide? [wording used with high school students] Have you ever tried to kill yourself? [wording used with middle school students]
1 Questions were identical for middle school and high school students, unless otherwise specified.

Appendix D

2003 Georgia Student Health Survey Report

42

Appendix D: Survey Questions (cont'd)

During the past 12 months, how many times did you actually attempt suicide? [wording used with high school students] If you attempted suicide during the past 12 months, did any attempt result in an injury, poisoning, or overdose that had to be treated by a doctor or nurse? [asked only of high school students] During the past 30 days, on how many days did you smoke cigarettes? During the past 30 days, on how many days did you use chewing tobacco, snuff, or dip, such as Redman, Levi Garrett, Beechnut, Skoal, Skoal Bandits, or Copenhagen? During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?2 Have you ever had a drink of alcohol, other than a few sips? [wording used with middle school students] During your life, on how many days have you had at least one drink of alcohol? [wording used with high school students] During the past 30 days, on how many days have you had at least one drink of alcohol? [asked only of high school students] During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours? [asked only of high school students] Have you ever used marijuana? [wording used with middle school students] During your life, how many times have you used marijuana? [wording used with high school students] Have you ever used any form of cocaine, including powder, crack, or freebase? [wording used with middle school students] During your life, how many times have you used any form of cocaine, including powder, crack, or freebase? [wording used with high school students] During the past 30 days, how many times did you use any form of cocaine, including powder, crack, or freebase? [asked only of high school students] Have you ever sniffed glue, or breathed the contents of spray cans, or inhaled any paints or sprays to get high? [wording used with middle school students] During your life, how many times have you sniffed glue, or breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high? [wording used with high school students] During the past 30 days, how many times have you sniffed glue, or breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high? [asked only of high school students] During your life, how many times have you used heroin (also called smack, junk, or China White)? [asked only of high school students] During your life, how many times have you used methamphetamines (also called speed, crystal, crank, or ice)? [asked only of high school students] During your life, how many times have you used ecstasy (also called MDMA)? [asked only of high school students]

2 Cigar use in the past 30 days is not presented in this report; however, current tobacco use is presented as a composite of students who have reported using cigarettes, smokeless tobacco, and/or cigars on one or more days in the past 30 days.

Appendix D

2003 Georgia Student Health Survey Report

43

Appendix D: Survey Questions (cont'd)

Have you ever used steroids? [wording used with middle school students] During your life, how many times have you taken steroid pills or shots without a doctor's prescription? [wording used with high school students] During the past 12 months, has anyone offered, sold, or given you an illegal drug on school property? [asked only of high school students] How old were you when you smoked a whole cigarette for the first time? How old were you when you had your first drink of alcohol other than a few sips? How old were you when you tried marijuana for the first time? [asked only of high school students] How tall are you without your shoes on? How much do you weigh without your shoes on? Have you ever exercised to lose weight or to keep from gaining weight? [wording used with middle school students] During the past 30 days, did you exercise to lose weight or to keep from gaining weight? [wording used with high school students] Have you ever eaten less food, fewer calories, or foods low in fat to lose weight or to keep from gaining weight? [wording used with middle school students] During the past 30 days, did you eat less food, fewer calories, or foods low in fat to lose weight or to keep from gaining weight? [wording used with high school students] Have you ever gone without eating for 24 hours or more (also called fasting) to lose weight or to keep from gaining weight? [wording used with middle school students] During the past 30 days, did you go without eating for 24 hours or more (also called fasting) to lose weight or to keep from gaining weight? [wording used with high school students] Have you ever taken any diet pills, powders, or liquids without a doctor's advise to lose weight or to keep from gaining weight? (Do not include meal replacement products, such as Slim Fast.) [wording used with middle school students] During the past 30 days, did you take any diet pills, powders, or liquids without a doctor's advise to lose weight or to keep from gaining weight? (Do not include meal replacement products, such as Slim Fast.) [wording used with high school students] Have you ever vomited or taken laxatives to lose weight or to keep from gaining weight? [wording used with middle school students] During the past 30 days, did you vomit or take laxatives to lose weight or to keep from gaining weight? [wording used with high school students] During the past 7 days, how many times did you drink 100% fruit juices such as orange juice, apple juice, or grape juice? (Do not count punch, Kool-Aid, sports drinks, or other fruit-flavored drinks.) [asked only of high school students] During the past 7 days, how many times did you eat fruit? (Do not count fruit juices.) [asked only of high school students] During the past 7 days, how many times did you eat green salad?3 [asked only of high school students]

3 Consumption of green salad, potatoes, carrots, and other vegetables are not presented individually in this report; however, consumption of vegetables is presented as a composite of these variables.

Appendix D

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44

Appendix D: Survey Questions (cont'd)
During the past 7 days, how many glasses of milk did you drink? (Include the milk you drank in a glass or cup, from a carton, or with cereal. Count the half pint of milk served at school as equal to one glass.) [asked only of high school students] On how many of the past 7 days did you exercise or participate in physical activity for at least 20 minutes that made you sweat and breathe hard, such as basketball, soccer, running, swimming laps, fast bicycling, fast dancing, or similar aerobic activities? On how many of the past 7 days did you exercise or participate in physical activity for at least 30 minutes that did not make you sweat or breathe hard, such as fast walking, slow bicycling, skating, pushing a lawn mower, or mopping the floors? [asked only of high school students] In an average week when you are in school, on how many days do you go to physical education (PE) classes? Do you play on any sports teams? (Include any teams run by your school or community groups.) [wording used with middle school students] During the past 12 months, on how many sports teams did you play? (Include any teams run by your school or community groups.) [wording used with high school students] On an average school day, how many hours do you watch TV? Have you ever been taught about AIDS or HIV infection in school? How often do you wear sunscreen or sun block with an SPF of 15 or higher when you are outside for more than one hour on a sunny day?

Appendix D

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45

Appendix E: Detailed Tables for Middle School and High School Students--2003 Georgia Student Health Survey
Table 1. Unintentional Injuries by Sex, Grade and Race/Ethnicity, Middle School and High School

Unintentional Injuries

Never/Rarely Seat Belt Riding in Car % (95% CI)

Never/Rarely Seat Belt Driving Car % (95% CI)

Middle School

9.3 (1.7)

N/A

Male

11.9 (2.5)

N/A

Female

6.6 (1.7)

N/A

6th

7.1 (1.7)

N/A

7th

7.9 (2.5)

N/A

8th

12.6 (3.7)

N/A

African American

11.9 (2.7)

N/A

Hispanic

10.8 (7.6)

N/A

White

7.2 (1.7)

N/A

Never/Rarely Bicycle Helmet
% (95% CI)
74.5 (4.2) 77.4 (4.6) 71.1 (4.2) 71.7 (5.8) 72.0 (7.5) 80.4 (7.4) 86.9 (3.3)
66.3 (5.0)

Never/Rarely Helmet While Skateboarding/
Rollerblading % (95% CI)

Rode with Drunk Driver* % (95% CI)

71.7 (3.7) 70.8 (4.7) 72.4 (3.8) 67.2 (5.4) 71.2 (6.5) 77.8 (8.0) 82.8 (4.0)
66.2 (4.6)

34.0 (2.9) 34.0 (3.8) 34.0 (3.3) 26.7 (4.1) 33.8 (4.0) 41.7 (4.2) 37.9 (4.4) 23.0 (11.1) 32.8 (3.4)

Drove After Drinking Past 30 Days % (95% CI)
N/A N/A N/A N/A N/A N/A N/A N/A N/A

High School Male
Female 9th
10th 11th 12th African American Hispanic White

9.4 (1.6) 11.6 (2.6)
7.1 (1.6) 7.7 (2.7) 10.1 (3.4) 9.1 (3.9) 10.7 (4.3) 8.9 (1.9) 11.0 (6.5) 9.0 (2.5)

12.3 (2.2) 14.4 (3.4) 10.2 (2.1) 15.6 (3.3) 10.7 (4.1)
7.3 (4.3) 13.7 (4.7) 12.0 (2.2) 17.7 (7.1) 11.7 (2.8)

85.9 (2.5) 87.5 (3.2) 83.6 (3.2) 81.0 (5.4) 88.4 (3.1) 90.9 (4.1) 88.1 (6.4) 92.8 (3.3)
81.1 (3.6)

N/A

24.0 (2.9)

N/A

24.4 (3.4)

N/A

23.5 (3.7)

N/A

22.4 (4.2)

N/A

24.7 (5.4)

N/A

23.4 (5.0)

N/A

25.5 (6.6)

N/A

23.2 (3.2)

N/A

29.3 (9.6)

N/A

23.6 (3.5)

8.3 (2.4) 10.4 (2.4)
6.3 (2.7) 4.3 (1.5) 7.8 (2.7) 9.4 (4.3) 13.5 (4.6) 4.4 (1.9)
10.7 (3.2)

* Rode in vehicle driven by someone who had been drinking alcohol--ever in lifetime (middle school); 1+ times in the past 30 days (high school) - = Fewer than 100 observations

Appendix E

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Appendix E (cont'd)
Table 2. Violent Behaviors by Sex, Grade and Race/Ethnicity, Middle School and High School

Violent Behaviors

Carried a Weapon* % (95% CI)

Carried a Gun % (95% CI)

Physical Fight** % (95% CI)

Middle School

35.1 (3.3)

N/A

Male

52.7 (5.0)

N/A

Female

16.6 (2.4)

N/A

6th

31.0 (5.7)

N/A

7th

33.2 (4.8)

N/A

8th

40.8 (4.4)

N/A

African American

26.2 (4.5)

N/A

Hispanic

26.7 (12.7)

N/A

White

42.9 (4.0)

N/A

High School Male
Female 9th
10th 11th 12th African American Hispanic White

18.7 (2.3) 31.4 (4.2)
6.2 (1.6) 20.5 (3.7) 18.7 (4.6) 17.0 (4.2) 17.4 (3.6) 13.2 (3.7)
22.0 (2.4)

6.8 (1.6) 11.3 (2.5)
2.2 (0.9) 7.3 (2.5) 6.6 (2.6) 5.0 (2.6) 7.4 (3.0) 6.5 (2.5)
6.7 (1.6)

* Carried a weapon such as a gun, knife, or club--ever in lifetime (middle school); 1+ times in the past 30 days (high school) ** In physical fight 1+ times --ever in lifetime (middle school); in the past 12 months (high school) - = Fewer than 100 observations

61.0 (3.7) 75.0 (3.7) 46.2 (5.0) 56.1 (5.7) 61.8 (5.1) 65.1 (5.1) 70.2 (4.0) 55.0 (10.6) 54.6 (4.9)
31.4 (2.4) 40.3 (3.6) 22.4 (3.3) 33.6 (4.9) 34.1 (3.7) 28.8 (5.1) 26.3 (5.5) 33.3 (4.3)
29.4 (3.2)

Physical Fight with Injury** % (95% CI)
7.2 (1.0) 9.8 (1.9) 4.5 (1.1) 6.9 (1.9) 7.3 (2.1) 7.2 (2.3) 6.9 (1.9) 9.4 (5.8) 7.1 (1.5)
3.2 (0.7) 4.8 (1.3) 1.6 (0.8) 3.0 (1.3) 3.6 (1.9) 3.2 (1.5) 2.4 (1.7) 3.7 (1.3)
2.5 (1.0)

Dating Violence % (95% CI)
N/A N/A N/A N/A N/A N/A N/A N/A N/A
14.0 (1.6) 14.2 (2.6) 13.8 (1.6) 11.2 (3.4) 14.4 (2.7) 13.3 (3.5) 18.3 (3.1) 16.0 (3.1)
12.0 (2.3)

Appendix E

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47

Appendix E (cont'd)
Table 3. Suicidal Ideation and Behavior by Sex, Grade and Race/Ethnicity, Middle School and High School

Suicidal Ideation and Behavior

Sad/Hopeless Every Day for 2+ Weeks % (95% CI)

Considered Suicide* % (95% CI)

Made Suicide Plan** % (95% CI)

Middle School Male
Female 6th 7th 8th
African American Hispanic White

N/A

19.5 (2.1)

13.4 (2.1)

N/A

15.8 (2.4)

11.5 (2.3)

N/A

23.5 (3.2)

15.5 (3.0)

N/A

17.2 (2.9)

11.8 (2.3)

N/A

18.4 (2.6)

11.8 (2.8)

N/A

22.7 (3.7)

16.8 (3.9)

N/A

19.3 (3.4)

14.2 (2.9)

N/A

14.3 (7.4)

11.5 (6.4)

N/A

19.7 (2.6)

12.8 (2.4)

High School Male
Female 9th
10th 11th 12th African American Hispanic White

28.5 (2.3) 22.1 (2.9) 35.0 (2.8) 26.6 (3.2) 32.5 (5.0) 28.0 (3.3) 26.2 (4.1) 30.9 (3.2) 31.3 (8.3) 26.4 (2.8)

16.4 (1.7) 13.1 (2.2) 19.8 (2.8) 16.8 (2.1) 18.2 (3.5) 15.2 (4.7) 14.2 (3.9) 15.7 (3.1) 18.5 (5.3) 16.7 (2.7)

13.0 (1.9) 11.4 (2.1) 14.5 (2.6) 13.2 (3.0) 12.7 (3.4) 13.9 (3.8) 11.2 (3.9) 13.9 (2.9) 15.7 (6.7) 12.2 (2.8)

* Considered suicide--ever in lifetime (middle school); in the past 12 months (high school) ** Made suicide plan--ever in lifetime (middle school); in the past 12 months (high school) *** Attempted suicide--ever in lifetime (middle school); in the past 12 months (high school) - = Fewer than 100 observations

Attempted Suicide*** % (95% CI)

Attempted Suicide Resulted in Injury in Past 12 Months % (95% CI)

8.3 (1.8)

N/A

6.5 (2.4)

N/A

10.2 (2.2)

N/A

7.2 (2.0)

N/A

7.5 (2.5)

N/A

10.3 (3.3)

N/A

9.3 (2.5)

N/A

11.4 (7.1)

N/A

7.1 (1.9)

N/A

8.5 (1.0) 8.2 (1.7) 8.7 (1.9) 9.8 (2.0) 8.9 (2.8) 6.5 (1.9) 7.4 (3.2) 10.0 (2.6)
7.4 (1.5)

3.0 (0.6) 3.0 (1.3) 3.0 (1.1) 2.7 (1.4) 3.1 (1.6) 2.5 (1.3) 3.6 (1.7) 4.1 (1.2)
2.4 (0.8)

Appendix E

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Appendix E (cont'd)
Table 4. Tobacco Use by Sex, Grade and Race/Ethnicity, Middle School and High School

Tobacco Use

Current Cigarette Use* % (95% CI)

Current Smokeless Tobacco Use** % (95% CI)

Middle School

Male Female
6th 7th 8th African American Hispanic White

High School

Male Female
9th 10th 11th 12th African American Hispanic White

* Smoked cigarettes on 1+ days in the past 30 days ** Used smokeless tobacco on 1+ days in the past 30 days *** Used any tobacco product on 1+ days in the past 30 days - = Fewer than 100 observations

9.4 (2.0) 10.5 (2.5)
8.4 (2.3) 4.5 (1.5) 9.5 (2.5) 14.3 (3.9) 6.8 (2.9) 10.7 (7.5) 11.5 (3.0)
20.9 (2.5) 23.2 (3.1) 18.7 (3.6) 17.9 (3.1) 18.6 (4.1) 25.2 (5.4) 23.4 (6.0)
8.9 (2.7) -
28.5 (2.8)

4.7 (1.2) 7.5 (2.0) 1.7 (0.7) 4.6 (2.0) 3.9 (1.6) 5.0 (2.3) 2.9 (1.7) 5.7 (5.2) 5.6 (1.4)
7.6 (1.5) 13.9 (2.9)
1.3 (0.7) 6.6 (1.5) 6.2 (2.8) 7.1 (3.8) 10.7 (3.3) 1.9 (1.2)
11.5 (2.6)

Current Tobacco Use*** % (95% CI)
12.1 (2.2) 14.5 (2.9)
9.6 (2.5) 7.9 (2.6) 12.0 (2.9) 16.4 (3.8) 8.4 (3.0) 11.1 (8.2) 15.1 (3.0)
26.1 (3.0) 31.7 (3.9) 20.6 (3.5) 23.0 (3.2) 24.4 (4.9) 29.6 (6.5) 28.9 (6.9) 12.6 (3.1)
34.8 (3.6)

Appendix E

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Appendix E (cont'd)
Table 5. Alcohol Use by Sex, Grade and Race/Ethnicity, Middle School and High School

Alcohol Use

Lifetime Alcohol Use* % (95% CI)

Current Alcohol Use** % (95% CI)

Middle School

Male Female
6th 7th 8th African American Hispanic White

34.1 (4.0) 36.8 (4.8) 31.3 (4.6) 23.9 (3.7) 32.8 (5.6) 45.7 (5.0) 37.3 (5.4)
32.2 (5.0)

High School

Male Female
9th 10th 11th 12th African American Hispanic White

72.2 (2.4) 73.5 (3.5) 70.9 (3.4) 63.1 (3.7) 72.0 (5.8) 80.0 (3.5) 78.2 (4.5) 66.0 (2.9)
76.3 (3.8)

* At least one drink of alcohol on 1+ days during their life ** Had at least one drink of alcohol on 1+ days in the past 30 days *** Had 5+ drinks of alcohol in a row within a couple of hours on 1+ days in the past 30 days - = Fewer than 100 observations

N/A N/A N/A N/A N/A N/A N/A N/A N/A
37.7 (2.8) 39.5 (3.9) 36.0 (3.9) 32.3 (3.2) 36.4 (4.1) 41.8 (6.6) 43.6 (5.6) 26.9 (3.0)
44.6 (3.1)

Current Binge Drinking*** % (95% CI)
N/A N/A N/A N/A N/A N/A N/A N/A N/A
19.8 (2.7) 23.2 (3.6) 16.4 (3.2) 14.2 (2.1) 17.7 (4.2) 23.7 (4.9) 26.7 (7.0)
8.2 (2.3) 23.5 (7.5) 27.5 (3.0)

Appendix E

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50

Appendix E (cont'd)
Table 6. Drug Use by Sex, Grade and Race/Ethnicity, Middle School and High School

Drug Use

Marijuana Use* % (95% CI)

Middle School

Male Female
6th 7th 8th African American Hispanic White

11.0 (2.6) 14.2 (3.4)
7.7 (2.3) 5.4 (1.6) 9.0 (2.8) 19.0 (4.6) 12.3 (3.4) 12.4 (6.2) 10.3 (3.1)

High School

Male Female
9th 10th 11th 12th African American Hispanic White

19.5 (1.9) 23.7 (2.7) 15.4 (2.8) 17.1 (2.7) 17.1 (2.1) 21.9 (4.7) 23.6 (4.1) 17.3 (2.4)
21.0 (2.7)

* Used marijuana--ever in lifetime (middle school); 1+ times in the past 30 days (high school) ** Used cocaine on 1+ days in the past 30 days *** Used inhalants--ever in lifetime (middle school); 1+ times in the past 30 days (high school) - = Fewer than 100 observations

Cocaine Use** % (95% CI)
N/A N/A N/A N/A N/A N/A N/A N/A N/A
3.1 (1.2) 3.7 (1.4) 2.5 (1.7) 1.9 (1.1) 2.7 (1.4) 3.1 (2.8) 5.2 (2.9) 1.4 (0.9) 7.0 (4.6) 4.0 (2.0)

Inhalant Use*** % (95% CI)
13.0 (2.3) 14.4 (2.1) 11.5 (3.4) 12.0 (2.6) 11.8 (3.0) 15.0 (4.0) 11.7 (2.2) 15.8 (7.8) 13.6 (3.4)
3.1 (0.8) 3.9 (1.1) 2.3 (0.8) 5.0 (1.8) 1.7 (1.0) 2.5 (1.5) 1.9 (1.2) 2.6 (1.2) 3.2 (3.4) 3.1 (0.9)

Appendix E

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51

Appendix E (cont'd)
Table 7. Lifetime Drug Use by Sex, Grade and Race/Ethnicity, Middle School and High School

Lifetime Drug Use

Heroin Use % (95% CI)

Methamphetamine Use % (95% CI)

Ecstasy Use % (95% CI)

Middle School

N/A

N/A

Male

N/A

N/A

Female

N/A

N/A

6th

N/A

N/A

7th

N/A

N/A

8th

N/A

N/A

African American

N/A

N/A

Hispanic

N/A

N/A

White

N/A

N/A

High School Male
Female 9th
10th 11th 12th African American Hispanic White

2.4 (0.7) 2.7 (0.8) 2.2 (1.2) 1.5 (0.8) 2.2 (1.4) 2.7 (1.2) 3.3 (2.1) 1.8 (0.9) 4.9 (4.8) 2.7 (1.2)

7.5 (1.6) 8.2 (2.1) 6.9 (2.2) 5.4 (2.5) 7.3 (2.2) 9.7 (4.0) 8.6 (2.7) 2.0 (1.1) 10.6 (6.5) 11.2 (2.7)

* Used marijuana--ever in lifetime (middle school); 1+ times in the past 30 days (high school) ** Used cocaine on 1+ days in the past 30 days *** Used inhalants--ever in lifetime (middle school); 1+ times in the past 30 days (high school) - = Fewer than 100 observations

N/A N/A N/A N/A N/A N/A N/A N/A N/A
8.3 (1.7) 9.3 (1.6) 7.3 (2.6) 5.2 (1.9) 7.9 (2.4) 8.0 (3.8) 13.7 (4.7) 4.2 (1.7) 12.0 (6.8) 10.7 (2.5)

Steroid Use % (95% CI)

Offered/Sold Illegal Drug on School Property % (95% CI)

3.7 (0.8)

N/A

4.6 (1.3)

N/A

2.8 (1.0)

N/A

4.6 (1.5)

N/A

3.1 (1.4)

N/A

3.2 (1.3)

N/A

3.2 (1.1)

N/A

3.4 (4.1)

N/A

4.2 (1.0)

N/A

4.4 (1.0) 5.4 (1.4) 3.4 (1.1) 3.1 (1.2) 4.3 (1.4) 4.2 (1.8) 6.3 (3.0) 2.1 (0.9) 10.1 (5.3) 5.6 (1.6)

33.3 (2.0) 38.4 (3.2) 28.3 (3.0) 30.3 (3.2) 36.7 (4.2) 33.4 (4.4) 33.1 (5.5) 31.9 (3.5) 40.2 (11.0) 32.9 (2.1)

Appendix E

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52

Appendix E (cont'd)
Table 8. Age of Initiation of Risk Behaviors by Sex, Grade and Race/Ethnicity, Middle School and High School

Age of Initiation*

Initiation of Cigarette Smoking
% (95% CI)

Initiation of Alcohol Use % (95% CI)

Middle School

Male Female
6th 7th 8th African American Hispanic White

7.3 (1.8) 8.7 (2.2) 5.8 (1.8) 5.4 (1.4) 8.7 (2.9) 7.9 (3.3) 7.1 (2.8) 1.6 (2.2) 8.3 (2.4)

14.7 (2.3) 16.9 (2.9) 12.3 (3.0) 13.8 (2.4) 14.3 (3.9) 15.5 (3.2) 18.5 (3.3)
12.4 (2.3)

High School

Male Female
9th 10th 11th 12th African American Hispanic White

18.9 (2.5) 22.2 (3.0) 15.6 (2.7) 18.4 (3.3) 19.6 (3.4) 18.8 (5.8) 18.5 (4.9) 14.5 (3.0)
21.4 (3.7)

29.5 (3.3) 34.5 (4.0) 24.4 (3.7) 37.3 (5.9) 30.8 (4.7) 22.8 (4.4) 22.9 (4.8) 31.7 (4.6)
27.2 (4.6)

* Percent of middle school students who initiated risk behaviors before age 11; percent of high school students who initiated risk behaviors before age 13 - = Fewer than 100 observations

Initiation of Marijuana Use
% (95% CI)
N/A N/A N/A N/A N/A N/A N/A N/A N/A
9.3 (1.4) 13.6 (2.2)
4.9 (1.3) 11.4 (3.1)
8.3 (2.4) 7.1 (2.2) 8.9 (3.5) 9.4 (2.4)
9.0 (2.1)

Appendix E

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53

Appendix E (cont'd)
Table 9. Dietary Behaviors by Sex, Grade and Race/Ethnicity, Middle School and High School

Dietary Behaviors

At-Risk for Becoming Overweight % (95% CI)

Middle School
Male Female
6th 7th 8th African American Hispanic White

19.0 (2.0) 20.4 (2.9) 17.6 (3.2) 20.7 (5.4) 17.6 (3.5) 19.3 (2.6)
21.8 (3.4) -
16.5 (2.4)

Overweight % (95% CI)
14.1 (2.0) 16.0 (2.5) 12.0 (2.3) 18.9 (4.3) 12.1 (3.5) 12.8 (2.3)
18.0 (3.0) -
11.5 (2.1)

Exercised to Lose Weight* % (95% CI)

Ate Less to Lose Weight**
% (95% CI)

Gone Without Eating to Lose
Weight*** % (95% CI)

Taken Diet Pills, Etc. to Lose Weight**** % (95% CI)

Vomited/Used Laxatives to Lose Weight***** % (95% CI)

Drank 100% Fruit Juices % (95% CI)

Ate 5+ Servings of Fruits/ Vegetables
% (95% CI)

Drank 3+ Glasses of Milk
% (95% CI)

68.0 (1.9) 43.7 (2.9) 17.1 (2.1) 6.7 (1.5) 6.7 (1.2)

N/A

N/A

N/A

61.5 (3.1) 32.7 (3.3) 11.8 (2.1) 5.3 (1.8) 4.7 (1.3)

N/A

N/A

N/A

74.8 (3.0) 55.3 (3.9) 22.7 (2.5) 8.2 (2.1) 8.9 (2.3)

N/A

N/A

N/A

68.4 (3.3) 44.5 (3.8) 15.4 (3.4) 4.4 (1.5) 6.2 (1.9)

N/A

N/A

N/A

65.9 (3.8) 43.4 (3.2) 17.1 (3.4) 5.5 (1.3) 5.2 (1.6)

N/A

N/A

N/A

69.8 (4.4) 43.6 (6.3) 19.1 (3.5) 10.5 (3.3) 8.4 (2.1)

N/A

N/A

N/A

65.2 (3.0) 38.3 (3.8) 15.8 (3.1) 5.0 (1.7) 6.1 (2.0)

N/A

N/A

N/A

74.3 (10.2) 45.0 (10.8) 13.2 (7.2) 10.9 (8.4) 8.7 (5.1)

N/A

N/A

N/A

69.4 (3.1) 48.1 (2.7) 18.7 (2.4) 7.8 (1.9) 6.8 (1.5)

N/A

N/A

N/A

High School Male
Female 9th
10th 11th 12th African American Hispanic White

15.1 (1.9) 15.0 (2.4) 15.1 (2.7) 15.0 (2.9) 17.2 (3.9) 12.9 (3.2) 14.8 (4.2)
18.6 (3.9) -
12.7 (2.0)

11.1 (1.6) 15.4 (2.7)
6.6 (1.9) 11.0 (3.0) 10.3 (2.3) 10.7 (2.7) 12.7 (3.2)
14.3 (2.0) -
8.8 (2.1)

56.6 (2.1) 51.0 (3.6) 62.2 (3.3) 57.8 (3.3) 56.6 (3.0) 56.7 (5.1) 55.4 (4.1)
51.9 (3.5) 65.7 (10.1)
59.1 (2.7)

38.6 (2.6) 27.9 (2.7) 49.3 (4.2) 39.7 (4.0) 38.2 (3.9) 37.2 (5.7) 39.2 (5.9)
29.4 (3.4) 45.7 (10.3)
44.5 (3.2)

12.6 (1.6) 9.2 (2.0)
16.0 (1.9) 12.0 (2.6) 14.3 (2.9) 11.7 (3.4) 12.1 (2.8)
12.4 (2.4) 13.4 (5.7) 12.6 (2.0)

8.7 (1.4) 6.7 (1.8) 10.7 (2.1) 8.7 (1.7) 6.6 (2.6) 9.3 (3.3) 10.6 (3.0)
6.7 (1.6) 11.6 (6.0)
9.8 (1.5)

6.0 (1.1) 4.4 (1.4) 7.6 (1.7) 6.2 (2.0) 6.6 (2.1) 5.7 (1.8) 4.8 (2.5)

76.5 (2.7) 78.1 (2.6) 74.8 (3.5) 74.6 (4.5) 74.9 (4.9) 78.5 (4.0) 79.8 (4.2)

16.8 (1.7) 20.0 (2.4) 13.7 (1.9) 17.1 (3.4) 17.3 (4.3) 15.9 (3.2) 16.9 (3.1)

13.0 (2.0) 19.1 (3.4)
6.9 (1.3) 15.5 (3.3) 14.9 (3.2)
9.9 (2.9) 9.9 (3.0)

7.2 (2.0) 3.0 (3.1) 5.2 (1.3)

78.2 (3.3) 80.9 (6.2) 74.8 (3.7)

18.7 (3.0) -
14.8 (2.1)

8.1 (2.4) 12.9 (5.1) 16.2 (2.5)

* Exercised to lose weight or to keep from gaining weight--ever in lifetime (middle school); in the past 30 days (high school) ** Ate less food, fewer calories, or foods low in fat to lose weight or to keep from gaining weight--ever in lifetime (middle school); in the past 30 days (high school) *** Gone without eating for 24+ hours to lose weight or to keep from gaining weight--ever in lifetime (middle school); in the past 30 days (high school) **** Taken diet pills, powders, or liquids without a doctor's advise to lose weight or to keep from gaining weight--ever in lifetime (middle school); in the past 30 days (high school) ***** Vomited or took laxatives to lose weight or to keep from gaining weight--ever in lifetime (middle school); in the past 30 days (high school) - = Fewer than 100 observations

Appendix E

2003 Georgia Student Health Survey Report

54

Appendix E (cont'd)
Table 10. Physical Activity by Sex, Grade and Race/Ethnicity, Middle School and High School

Physical Activity

Vigorous Physical Activity*
% (95% CI)

Meets Physical Activity Recommendations** % (95% CI)

No Physical Activity*** % (95% CI)

PE Classes 1+ times a week
% (95% CI)

Middle School

67.5 (2.4)

N/A

N/A

64.9 (6.3)

Male

71.0 (3.1)

N/A

N/A

65.9 (6.8)

Female

63.9 (3.3)

N/A

N/A

64.0 (7.0)

6th

65.8 (4.4)

N/A

N/A

58.5 (9.4)

7th

68.1 (5.5)

N/A

N/A

69.2 (9.2)

8th

68.9 (3.2)

N/A

N/A

67.1 (7.1)

African American

61.2 (4.6)

N/A

N/A

66.4 (8.0)

Hispanic

73.2 (10.3)

N/A

N/A

68.9 (11.3)

White

71.6 (2.2)

N/A

N/A

62.8 (8.8)

High School Male
Female 9th
10th 11th 12th African American Hispanic White

59.0 (3.1) 67.9 (3.0) 50.0 (4.1) 67.8 (4.1) 60.7 (4.2) 54.1 (4.8) 48.2 (5.3) 52.3 (3.3) 59.7 (9.1) 63.6 (3.4)

63.3 (3.2) 71.6 (3.1) 55.0 (4.1) 71.1 (4.1) 65.7 (4.0) 58.4 (5.3) 53.0 (5.8) 56.6 (3.7) 65.3 (9.8) 67.9 (3.5)

12.8 (2.1) 8.7 (1.8)
16.9 (3.1) 10.5 (2.7) 11.3 (3.0) 12.5 (3.0) 18.6 (6.0) 17.8 (2.8) 16.2 (6.0)
9.1 (2.1)

36.8 (4.8) 47.3 (5.6) 26.7 (4.7) 56.9 (6.5) 31.3 (7.1) 26.9 (5.9) 23.7 (9.3) 36.5 (6.2)
35.8 (6.3)

* Exercised or participated in physical activities for at least 20 minutes that made them sweat and breathe hard on 3+ days of the past 7 days ** Current physical activity recommendations are 30 minutes 5 days a week (moderate physical activity) or 20 minutes 3 days a week (vigorous physical activity) *** Participated in no vigorous or moderate physical activities in the past 7 days - = Fewer than 100 observations

PE Classes Daily % (95% CI)

Participation on Sports Team
% (95% CI)

29.1 (9.8) 28.6 (9.7) 29.7 (10.2) 25.4 (10.5) 29.8 (12.1) 32.7 (12.8) 31.8 (14.0) 25.3 (11.8) 28.1 (10.2)

54.2 (3.1) 60.1 (3.0) 47.9 (4.1) 53.2 (7.0) 54.6 (5.4) 54.9 (3.8) 51.7 (4.1) 44.0 (9.6) 57.5 (4.1)

29.1 (3.9) 37.7 (4.5) 20.9 (4.6) 46.5 (6.2) 24.2 (6.8) 21.9 (5.2) 16.6 (5.9) 25.9 (5.6)
30.4 (5.2)

53.1 (3.7) 58.7 (3.9) 47.6 (4.5) 58.4 (5.1) 53.7 (4.3) 52.8 (5.4) 44.7 (6.3) 49.2 (4.7) 47.8 (10.4) 56.4 (4.6)

Appendix E

2003 Georgia Student Health Survey Report

55

Appendix E (cont'd)
Table 11. TV Watching, HIV/AIDS Education, and Sun Protection by Sex, Grade and Race/Ethnicity, Middle School and High School

TV Watching HIV/AIDS Education
Sun Protection

TV Watching 3+ Hours per School Day % (95% CI)

HIV/AIDS Education % (95% CI)

Rarely/Never Wear Sunscreen % (95% CI)

Middle School

Male Female
6th 7th 8th African American Hispanic White

51.7 (4.9) 51.8 (5.4) 51.7 (5.7) 52.6 (6.8) 51.5 (7.1) 51.7 (6.4) 69.9 (3.7) 50.1 (10.1) 38.9 (3.6)

75.7 (4.6) 75.1 (5.0) 76.3 (5.3) 62.4 (7.9) 78.1 (7.4) 87.8 (3.7) 76.1 (5.4) 60.2 (12.5) 77.3 (5.5)

65.3 (4.4) 72.4 (5.3) 57.9 (4.9) 62.8 (6.9) 65.1 (5.6) 67.9 (5.9) 82.9 (3.5) 65.3 (8.9) 52.4 (3.7)

High School

Male Female
9th 10th 11th 12th African American Hispanic White

42.4 (3.8) 44.2 (3.7) 40.6 (5.3) 44.1 (4.9) 45.1 (7.2) 39.5 (6.0) 38.8 (8.0) 62.2 (3.2) 45.7 (7.6) 28.4 (3.0)

* Rode in vehicle driven by someone who had been drinking alcohol--ever in lifetime (middle school); 1+ times in the past 30 days (high school) - = Fewer than 100 observations

93.6 (1.3) 92.6 (1.9) 94.5 (1.3) 93.7 (1.8) 94.6 (1.9) 95.6 (2.4) 89.7 (3.0) 90.8 (2.6) 89.8 (6.6) 95.7 (1.1)

74.8 (3.1) 79.5 (3.0) 70.1 (3.7) 71.4 (5.3) 76.6 (5.2) 74.1 (4.8) 78.4 (5.3) 84.5 (3.7)
68.4 (3.9)

Appendix E

2003 Georgia Student Health Survey Report

56