Profile%20of%20a%20High%20School

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Profile of a High School
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Student Health Index

• CDC assessment tool
• Divided into 8 modules
• 6 Meetings held during the month of April May
  2003
• Attendance (staff, parents, students, teachers)
• Results solely based on task force feedback

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School Environment Policies 44
Health Education 42
Physical Education 44
Nutrition Services 58
School Health Services 72
School Counseling Services 70
Staff Health Promotion 3
Family and Community Involvement 40
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Strengths

• Policy
• Health education class is a requirement
• Counseling services refer students w/problems
  disorders
• Community access to facilities
• PE requirement

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Strengths

• Environment
• PA facilities available at school community
  (track, field, weight room, pool)
• Teen health center
• Students have access to school breakfast lunch
• Cafeteria is clean
• Meals include variety low fat items
• Extracurricular sports/activities (choir,
  African Drum, Girls dance team

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Strengths

• Curriculum
• Health Class is being moved to Consumer Science
• Food nutrition classes
• Health Services
• Nutritionist on campus once a week
• Full time nurse

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Weaknesses

• Policy
• No restrictions on accessing junk food on school
  grounds
• Low participation in free reduced lunch
  programs
• Environment
• Healthy food items not offered outside of school
  cafeteria
• Easy access to unhealthy foods off campus.
• Undrinkable water
• 50 turn over in student attendance

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Weaknesses

• Curriculum
• Health education lesson plans are limited more
  culturally appropriate examples would help the
  students
• Teachers need to motivate students who do not
  suit up for PE

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Weaknesses

• Other
• Lack of collaboration w/school staff to promote
  healthy eating/physical activity
• Lack of community/staff/parent involvement in
  planning school programs related to healthy
  eating physical activity.

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Student Focus Groups
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Group Composition

• 7 groups
• Divided by sex
• Girls 21 total
• 4-6 participants / group
• 4 groups
• Boys 22 total
• 6-8 participants / group
• 3 groups

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Nutrition Questions

• What kinds of foods do you get in and around
  school and from where do you get them?
• What makes you choose those foods/places?
• What makes it easy to eat healthy foods while at
  school?
• What makes it hard to eat healthy foods while at
  school?
• What changes could be made at school to make it
  easier to eat healthy foods?

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Physical Activity Questions

• What physical activities do you do during school
  and where do you do them?
• What makes you decide to do these activities?
• What makes it easy to be physically active while
  at school?
• What makes it hard to be physically active while
  at school?
• What changes could be made at school to make it
  easier to be physically active?

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Emerging Themes Quality

• Food in cafeteria perceived as low quality
• Cleanliness/sanitation of kitchen questioned
• Think food is greasy and not healthy
• Little variety, same menu (e.g., pizza every day)
• Need for more Asian foods mentioned several times
• Prepackaged foods seen as safe
• You can spend 2.50 in the lunchroom and get
  something thats nasty, or you can spend the same
  at QFC for candy and chips and get quality

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Emerging Themes Quality

• Dont like leftovers being served next day
• Want food to look appealing
• Suspicious of other students serving food to
  them, although also suspicious of old people
• Breakfast perceived as higher quality
• If you get used to eating good food at school
  youll start eating it other places, instead of
  spending 5 at McDonalds for food that will hurt
  your heart.

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Emerging Themes Price

• Price is a major determinant of food choice
• Amount of money in pocket determines what and
  where to eat
• Healthy food often perceived as more expensive
• Cafeteria perceived as inexpensive by some, too
  expensive by others
• I cant always afford a sub, but I can afford
  .50 jojos

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Emerging Themes Food Environment / Availability

• Availability is determinant of food choice
• Unhealthy food its everywhere
• Healthy food hard to find
• Seeing what others are eating influences choice
• Smell is determinant
• If you see a banana when youre getting your
  lunch, youre going to eat it.
• When I smell chicken from QFC, Id rather eat
  that.

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Emerging Themes Commercial Influence

• Ads influence food choice
• Sprite Remix always used as example
• Listed promotion as method of making it easier to
  eat healthy foods at school
• a lot of hype from commercials

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Emerging Themes RB is a sports school

• Many activities available, just have to join
• Some unforgiving of less athletic students
• Others felt no support from students/teachers if
  not really good player
• B-ball gets too much attention need emphasis on
  other sports
• If you got a body, youre an athlete
• If you try, people respect you If youre
  really good, theyll respect you more

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Emerging Themes Activities

• Many activities wanted, but not currently offered
• Boxing classes/competition came up independently
  in girls and boys groups
• Not sure if would ? or ? number of fights
• Dancing (social dances, classes, etc.)
• Tai Bo, aerobics, hip hop aerobics, kick-boxing,
  roller-skating
• Competition is important to make it fun
• Said right people had to join to make it good
• Get the cool cats, not losers to be on dance
  team

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Emerging Themes Facilities

• Track, fields, and gym often closed to students
  on irregular schedule
• If open and supervised, students would use
• If equipment provided, students would play
• Weight room equipment needs updating
• Need more PE equipment

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Staff
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Survey of 48 Staff

• Top things that they wanted to participate in
  were
• Activities that helped reduce stress
• Walking
• Being in some type of support group (e.g.
  wellness, nutrition, weight control)
• Fitness program/activity (e.g. weight training,
  aquatics, cardio, karate, kickboxing, biking).

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Staff Survey, Cont.

• 25 said that they would not like something added
  at the beginning or end of their school day
  wanted things incorporated in their work day.
• Ideas from staff to make the school environment
  healthier
• Fewer after school meetings
• Healthier foods and water available at school
• Group physical activity opportunities.

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Student Survey

• 20 speak a language other than English at
  home.

Number/ of students with BMI percent over 85
and 95 at RBHS? - These data broken down by
gender and ethnicity - Frequencies of TV viewing
for each category - total and also broken down by
gender and ethnicity. - Frequency of soda
consumption by gender and ethnicity - Use of
cafeteria by gender and ethnicity - The best
total indicator of physical activity by total,
gender and ethnicity.
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Student Survey Respondents
Male Female
Black 54 (65) 52 (58)
Hispanic 2 (2) 2 (2)
Asian 6 (7) 10 (11)
White 4 (5) 0
Multi-racial 8 (10) 10 (11)
Pacific Island 2(1) 13 (15)
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BMI Percentages for Age and Gender
Total N gt85 N () gt95 N ()
All students 165 83 (50.3) 49 (29.7)
Males 80 40 (50.0) 25 (31.2)
Females 85 43 (50.6) 24 (28.2)
American Indian 6 1 (16.7) 0
Black 100 50 (50.0) 28 (28.0)
Hispanic 4 2 (50.0) 1 (25.0)
Asian 16 8 (50.0) 3 (18.8)
Pacific Islanders 15 11 (73.3) 9 (60.0)
White 4 2 (50.0) 2 (50.0)
Bi/Multi Racial 17 8 (47.0) 5 (29.0)
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Soda Consumption Times per week Range
(0-5) Total Students (n162) Mean 2.8 /-
1.6 Males (n77) Mean 2.9 /-
1.6 Females (n85) Mean 2.8 /- 1.6 American
Ind. (n6) Mean 3.8/- 1.6 Black (n99) Mean 3.0
/- 1.5 Hispanic (n4) Mean 1.5 /- 1.3 Asian
(n16) Mean 1.7 /- 1.7 Pacific Island
(n15) Mean 3.3 /- 1.4 White (n4) Mean 3.2 /-
2.0 Bi/Multi Racial (n16) Mean 2.3 /- 1.6
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Cafeteria Users (breakfast, lunch or a la
carte) N ( ) Total Students 120
(69.8) Male 64 (77.1) Female 56
(62.9) American Indian 4 (66.7) Black 70
(66.0) Hispanic 3 (75.0) Asian 15
(93.8) Pacific Islander 13 (86.7) White 4
(100) Bi/Multi Racial 11 (61.1)
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Times per Week Physically Active
Strenuous Mild
Total 4.0 3.5
Male 4.9 4.9
Female 3.2 3.2
American Indian 3.3 5.7
Black 4.9 3.6
Hispanic 3.3 1.8
Asian 3.9 2.2
Pacific Islander 4.8 3.6
White 4.5 1.8
Multi or Biracial 4.6 4.2
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Average Hours of TV Watching per Day All
N ()
Dont watch TV 12 (7.0)
Less than one hour/day 13 (7.6)
1 hour/day 15 (8.7)
2 hours/day 33 (19.2)
3 hours/day 37 (21.5)
4 hours/day 18 (10.5)
5 hours/day 8 (4.7)
6 hours/day 21 (12.2)
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TV Watching by Gender
Males Females
Dont watch TV 3 ( 3.6) 9 (10.1)
Less than one hour/day 7 ( 8.4) 6 ( 6.7)
1 hour/day 8 ( 9.6) 7 ( 7.9)
2 hours/day 19 (22.9) 14 (15.7)
3 hours/day 13 (15.7) 24 (27.0)
4 hours/day 12 (14.5) 6 ( 6.7)
5 hours/day 5 ( 6.0) 3 ( 3.4)
6 hours/day 6 ( 7.2) 15 (16.9)