2018 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY

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1 FLORIDA YOUTH SUBSTANCE ABUSE SURVEY September 20, 2018 Collier Broward Palm Beach Hendry Lee Glades Charlotte Martin Pasco Polk Hardee DeSoto Highlands Miami- Dade Monroe Sarasota Manatee Hillsborough Pinellas St. Lucie Indian River Osceola Brevard Orange Lake Volusia Hernando Citrus Sumter Marion Flagler St. Johns Duval Nassau Putnam Clay Levy Alachua Union Baker Columbia Hamilton Seminole Bradford Dixie Suwannee Lafayette Taylor Madison Jefferson Leon Wakulla Gadsden Liberty Franklin Gulf Calhoun Jackson Washington Holmes Walton Okaloosa Santa Rosa Escambia Bay Gilchrist Okeechobee

2 Presentation Outline A. FYSAS background and methodology B. Improvements in health behavior among Florida youth C. Ongoing and emerging challenges D. Student attitudes about school 2

3 Background and Methods Since 2002, FYSAS is administered each spring to public middle school and high school students across Florida. Students were surveyed in 66 out of 67 Florida counties. Final sample size was 54,611 across grades 6 through The margin of error is less than 1.0 percentage points for state-level M.S. and H.S. prevalence rates.

4 Major Improvements In Student Health Behavior 1. Reductions in alcohol use 2. Reductions in cigarette use 3. Low prevalence rates for illicit drugs other than marijuana 4. Reductions in the early initiation of drug use 4 5. Reductions in other antisocial behaviors

5 Alcohol Use Among Florida Students Long-term reductions in alcohol use Short-term reductions, so trend is continuing Higher-risk alcohol use also down 5

6 Alcohol Past-30-Day Prevalence by Grade Cohort 50% 40% % % % Middle School High School 6

7 Alcohol Past-30-Day Prevalence for 8th, 10th and 12th Graders 50% 40% % % MTF FYSAS

8 Binge Drinking Prevalence by Grade Cohort 40% 30% % % Middle School High School 8

9 Binge Drinking Prevalence for 8th, 10th and 12th Graders 30% 25% % 10% % MTF FYSAS

10 Blacking Out from Drinking Lifetime Prevalence Among High School Students 10 30% 10% 0% On how many occasions (if any) in your lifetime have you woken up after a night of drinking alcoholic beverages and not been able to remember the things that you did or places that you went?

11 Cigarette Use Among Florida Students Long-term reductions in cigarette use Short-term reductions among H.S. students continue Rates so low among M.S. students there isn t much room for further reductions 11

12 Cigarettes Past-30-Day Prevalence by Grade Cohort 25% 15% % 5% 0% Middle School High School 12

13 Cigarettes Past-30-Day Prevalence for 8th, 10th and 12th Graders 25% 15% % 5% 0% MTF FYSAS

14 Other Illicit Drug Use Among Florida Students Compared to alcohol, cigarettes, vaping, and marijuana, other illicit drug use is very low. Rates for other illicit drug use have declined over time. Reductions are not as large as for alcohol and cigarettes. 14

15 Past-30-Day Prevalence Middle School 40% 30% 10% 0%

16 Past-30-Day Prevalence High School 40% 30% % 0%

17 Past-30-Day Prevalence High School 10% 5% 0%

18 Reductions in Early Initiation of Drug Use 18 Early initiation is linked to: Higher rates of substance use Riskier forms of substance use Lower academic achievement Mental health problems, including depression and suicidal ideation Riskier sexual behavior

19 Early Drug Use Initiation by Age 13 among High School Students 40% % % 0% Try Alcohol Cigarettes Regular Alcohol Use Marijuana

20 Reductions in Other Antisocial Behaviors Florida trends are similar to national trends: Nationally, youth arrest rates declined 70% between their peak in 1994 and School suspension rates have dropped in many parts of the country, including the 50% reductions for California and New York City this decade. 20

21 Other Antisocial Behaviors Past-12-Month Prevalence 15% % 9.5 5% % Being Arrested Attacking with Intent to Harm Getting Suspended Stealing a Vehicle 21

22 Health Behavior Challenges 1. Vaping has emerged as one of the most prevalent forms of youth substance use. 2. Unlike alcohol and cigarettes and other drugs, the long-term trend for marijuana use is mixed Substance use and automobile safety remain a major risk area for Florida students.

23 Electronic Vaporizer Use Past-30-Day Prevalence 40% 30% 10% 0% Middle School High School 23

24 Electronic Vaporizer use Past-30-Day Prevalence National Trends 40% 30% 10% % th Grade 10th Grade 12th Grade 24

25 Electronic Vaporizers Past-30-Day Prevalence among High School Students Escambia Santa Rosa Okaloosa Walton Holmes Washington Bay Jackson Calhoun Gulf Gadsden Leon Liberty Wakulla Franklin Jefferson Taylor Madison Dixie Hamilton Suwannee Lafayette Gilchrist Columbia Union Baker Alachua Bradford Nassau Clay Duval Putnam St. Johns Flagler Levy Marion Volusia Citrus Hernando Sumter Lake Seminole Orange Level 1 Less than or equal to 14.9% Pinellas Pasco Polk Osceola Brevard Level % 18.9% Level % % Hillsborough Manatee Sarasota Hardee DeSoto Charlotte Highlands Glades Okeechobee Indian River St. Lucie Martin Level % % Lee Hendry Palm Beach Level 5 Greater than or equal to 25.0% Collier Broward Monroe Miami- Dade 25

26 FDA News Release: 9/18/18 FDA launches new, comprehensive campaign to warn kids about the dangers of e-cigarette use as part of agency s Youth Tobacco Prevention Plan, amid evidence of sharply rising use among kids 26

27 Marijuana Past-30-Day Prevalence by Grade Cohort 25% % 10% 5% 0% Middle School High School

28 Marijuana Past-30-Day Prevalence for 8th, 10th and 12th Graders 25% 15% 10% % 0% MTF FYSAS 28

29 Risk of Harm Percentage Reporting Great Risk 80% 60% % Alcohol Cigarettes Try Marijuana

30 Disapproval of Substance Use Wrong or Very Wrong 100% % 80% % % Cigarettes Alcohol Marijuana

31 Substance Use and Driving Past-30-Day Prevalence Among High School Students 60% 40% 0% Riding with a DUI Driver Driving Under the Influence 31 Alcohol Marijuana

32 Alcohol and Driving Trends Past-30-Day Prevalence Among High School Students 40% 30% % % Riding with a Drinking Driver Driving after Drinking

33 Marijuana and Driving Trends Past-30-Day Prevalence Among High School Students 40% 30% % % Riding with a Marijuana Using Driver Driving after Using Marijuana

34 Student Attitudes About School Youth attitudes about school and community vary across demographic and geographic groups. Rates typically show only small changes over time. Since 2012, there has been a notable decline in student attitudes toward or commitment to school. 34 Attitudes about school are correlated with youth health behavior.

35 Lack of Commitment to School Percentage of Students at High Risk by Grade Cohort 80% 70% 60% % % Middle School High School

36 Lack of Commitment to School Responses to Individual Scale Items 2012 to % 60% 57 50% % 30% School Work is Meaningful Courses are Interesting School Learning Important Later in Life Enjoy Being in School

37 Attitudes Toward School Responses to Individual Items 2012 to % 80% 70% % 50% 40% % I Feel Safe at My School Skipped School in Past Month Teachers Praise Me When I Work Hard

38 Relationship Between School Work is Important and Substance Use Past-30-Day Prevalence Among High School Students 50% 40% 30% 10% 0% Binge Drinking Vaporizer Use Marijuana Use

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