Summary of Results from the Gloucester Student Health Survey

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Summary of Results from the 2014-2015 Gloucester Student Health Survey Grades 6-12 Submitted to: The Healthy Gloucester Collaborative The Gloucester Public Schools The Gloucester Health Department Submitted by: Social Science Research and Evaluation, Inc. 21-C Cambridge Street Burlington, MA 01803 781-270-6613 2015

TABLE OF CONTENTS BACKGROUND... 1 Report Format... 1 Who Conducted the Survey?... 1 How and When Was the Survey Conducted?... 1 What Did the Survey Ask About?... 2 Validity... 2 Non-Respondents... 2 Trends... 2 Comparative Data... 3 Who Has the Problem?... 3 Who Is Responsible?... 3 ALCOHOL, TOBACCO, AND OTHER DRUG USE... 4 Lifetime Substance Use for Gloucester Middle and High School Students (2015)... 5 Lifetime Substance Use for Gloucester Middle and High School Students, by Grade (2015)... 6 Trends in Lifetime Substance Use for Gloucester High School Students ('03, '07, '09, '11, '13, '15)... 7 Lifetime Substance Use for Massachusetts High School Students (2013) and Gloucester High School Students (2015)... 8 Current Substance Use for Gloucester Middle and High School Students (2015)... 9 Current Substance Use for Gloucester Middle and High School Students, by Grade (2015)... 10 Current Substance Use for Gloucester High School Students, by Gender (2015)... 11 Trends in Current Substance Use for Gloucester High School Students ('03, '07, '09, '11, '13, '15)... 12 Current Substance Use for Massachusetts High School Students (2013) and Gloucester High School Students (2015)... 13 SELECTED ISSUES RELATED TO SUBSTANCE USE... 14 Trends in the Percent of Gloucester High School Students Who Have Someone Living in Their Household Who Uses Substances ('07, '09, '11, '13, '15)... 15 Perceived Ease of Access to Substances by Gloucester Middle and High School Students, by Grade (2015)... 16 Of Those Gloucester High School Students Who Reported Drinking Alcohol, Sources of Alcohol in the Past 30 Days (2015)... 17 VIOLENCE AND SAFETY... 18 Violence and Safety-Related Experiences Among Gloucester Middle and High School Students (2015)... 19 Percent of Gloucester Middle and High School Students Who Reported Being Bullied and Seeing Someone Else Bullied in the Past 12 Months (2015)... 20 Response Last Time You Saw Someone Else Bullied In School in the Past 12 Months Multiple Responses Possible ('11, '13, '15)... 21 Response Last Time You Saw Someone Else Bullied In School in the Past 12 Months, By Grade Multiple Responses Possible (2015)... 22 Trends in Lifetime Experiences of Dating and Sexual Violence Among Gloucester High School Students ('03, '07, '09, '11, '13, '15)... 23 MENTAL HEALTH... 24 Trends in Issues that Gloucester High School Students Reported Experiencing in the 12 Months Prior to the Survey ('07, '09, '11, '13, '15)... 25 Depression, Self-Harm, and Suicide in the Past 12 Months Among Gloucester Middle and High School Students (2015)... 26 Percent of Gloucester Middle and High School Students Who Report Having Adults to Talk with If They Have a Problem (2015)... 27 i

PHYSICAL HEALTH... 28 Percent of Gloucester Middle and High School Students Who Have Ever Had Sexual Intercourse, Total and by Grade (2015)... 29 Percent of Sexually Active Gloucester High School Students Who Used a Condom The Last Time They Had Intercourse, Total and by Grade (2015)... 30 Perception of Parental Response to Substance Use and Sexual Activity Among Gloucester High School Students (2015)... 31 Percent of Gloucester Middle and High School Students Who Were Physically Active for 60+ Minutes on 5 of Last 7 Days, Total and by Grade (2015)... 32 Perception of Body Weight Among Gloucester High School Students, Total and by Gender (2015)... 33 Current Weight Control Goal Among Gloucester High School Students, Total and by Gender (2015)... 34 APPENDIX A: Selected Middle School Data Tables Alcohol, Tobacco, and Other Drug Use Middle School Substance Use-Related Attitudes and Exposure Middle School Violence and Safety Middle School Mental and Physical Health Middle School APPENDIX B: Selected High School Data Tables Alcohol, Tobacco, and Other Drug Use High School Substance Use-Related Attitudes and Exposure High School Violence and Safety High School Mental and Physical Health High School ii

BACKGROUND REPORT FORMAT In April of 2015, the 2014-2015 Gloucester Student Health Survey was administered to all Gloucester public school students in grades 6 through 12. Largely based on the Centers for Disease Control and Prevention s Youth Risk Behavior Survey, the questionnaire was designed to gather information on some of the important issues facing youth in Gloucester, such as substance use, violence and safety, and mental health. This report is designed to provide an overview of key survey data, focusing on four main themes: (1) What do the data from this survey tell us about the challenges facing youth in our community?; (2) Are there any important sub-population differences among respondents (such as by gender or grade)?; (3) How have the data changed since prior administrations of similar surveys?; and (4) How do results in Gloucester compare to those elsewhere? The data are grouped according to the following themes: Alcohol, Tobacco, and Other Drug Use; Selected Issues Related to Substance Use; Violence and Safety; Mental Health; and Physical Health. The main results in each section are illustrated using charts that are complemented by supplementary data or information. Appendices containing selected data follow the main results. WHO CONDUCTED THE SURVEY? The survey was conducted by the Healthy Gloucester Collaborative, through the Gloucester Health Department, and the Gloucester Public Schools, in collaboration with Social Science Research and Evaluation, Inc. (SSRE), a non-profit social science research firm located in Burlington, Massachusetts. HOW AND WHEN WAS THE SURVEY CONDUCTED? The survey was administered as a questionnaire in April of 2015 to students in the Gloucester public middle (grades 6-8) and high (grades 9-12) schools. The number of respondents in each grade is as follows: 6 th 7 th 8 th MS 9 Unknown th 10 th 11 th 12 th HS Unknown 171 173 195 2 165 164 166 156 1 Middle School = 541 High School = 652 TOTAL 1,193 School administrators set aside approximately one period of classroom time for students to complete the survey. The attending classroom teacher was responsible for passing out the questionnaires and maintaining order in the classroom. The high school version of the survey (grades 9-12) was adapted for use at the middle school level. While many questions remained unchanged, some questions were either omitted or modified to facilitate completion by younger students. 1

WHAT DID THE SURVEY ASK ABOUT? The survey is largely based on the Centers for Disease Control and Prevention's Youth Risk Behavior Survey (YRBS). It focuses mainly on risky and healthy behaviors and assets. Questions range from demographic and background items (e.g., gender, age, grade, participation in activities), to student substance use (e.g., alcohol, tobacco, other drugs), to other issues related to student health such as stressors, suicide, violence and safety, sexual behavior, dietary behavior, and physical activity. VALIDITY There is a good deal of research about the ways in which students respond to surveys and whether they tell the truth. This work indicates that student survey results are reasonably accurate provided that student participation is voluntary and that the respondents cannot be identified. The Gloucester Student Health Survey met these conditions. The voluntary nature of the survey was explained to both students and their parents. Prior to the survey, parents were given the opportunity to either allow their child(ren) to participate in or opt them out of the survey. In addition, students could choose not to participate or to skip any items. The confidential nature of the survey was highlighted in the questionnaire instructions that asked students not to put their name on the questionnaire and explained that their answers would not be viewed by anyone who knows them. Two other steps were taken to increase validity. First, each questionnaire was reviewed to identify any on which students obviously provided frivolous answers. Such questionnaires were omitted from all analyses. Second, analyses were conducted to test for the reasonableness of responses and for the consistency of responses across related items. When inconsistent responses were identified, the entire case or the suspect items for that case were treated as missing data in all subsequent analyses. These two procedures identified few problems. The validity of the survey is also bolstered by using a questionnaire based largely upon the CDC Youth Risk Behavior Survey. The YRBS is a standardized instrument developed by the CDC in collaboration with other national and local health and education agencies (see Brener, N., Kann, L., McManus, T., Kinchen, S.A., Sundberg E.C., and Ross, J.G. [2002]. "Reliability of the 1999 Youth Risk Behavior Survey Questionnaire." Journal of Adolescent Health, 31, 336-342). NON-RESPONDENTS It is important to keep in mind that the survey results can be generalized only to students who were present when the survey was administered. The results may not reflect responses that might have been obtained from students who did not participate in the survey, were absent or truant on the day that the survey was administered, or who have dropped out of school. TRENDS Trend comparisons can provide extremely useful information on whether certain behaviors have improved, worsened, or stayed the same over time. In fact, it is best to repeat surveys such as this at regular intervals in order to track changes over time. Prior surveys of Gloucester youth were conducted in 2003, 2007, 2009, 2011, and 2013. Limited comparisons can be made to those surveys, although the instruments used were not identical. 2

COMPARATIVE DATA A limitation of such data is that it is difficult to compare results from Gloucester to results from other communities. Making comparisons to other communities is quite complicated surveys are not exactly alike, the populations used may differ in unknown ways, the timing of the surveys may vary, and so on. Although it is natural to want to compare to other communities, a great deal can be learned simply by looking at Gloucester data. In addition to available trend data for Gloucester, selected high school comparisons can be made to Massachusetts as a whole since the Massachusetts Department of Education administers the Youth Risk Behavior Survey (YRBS) to a sample of Massachusetts high school students every two years. The most recent available state data are from the administration of this survey that occurred in the Spring of 2013. Comparable Massachusetts middle school data are not available since Massachusetts does not administer a statewide middle school YRBS; however, limited 8th grade substance use comparisons can be made to national results from the 2014 Monitoring the Future Survey. WHO HAS THE PROBLEM? Although this survey was administered to middle and high school students, this does not mean that the problems addressed are confined solely to youth. For example, national studies of substance use show that rates of use are higher among young adults than adolescents. It is also important to keep in mind that this survey is designed primarily to assess risky behaviors and may not fully address many of the positive aspects of adolescent life. WHO IS RESPONSIBLE? Data on health issues among youth is typically collected in public schools because it is comparatively simple to collect data from what is essentially a "captive" audience. The fact that data on youth are collected in schools, however, does not mean that the schools bear the sole or even the largest responsibility for the risky behaviors revealed in these surveys. These issues are not school problems; they are community problems that require the attention of all community members and organizations. 3

4

Lifeti e* u sta e Use for Glou ester Middle a d High hool tude ts Middle hool High hool... N/A * Lifeti e su sta e use is a use i o e s lifeti e. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. Lifeti e use is a use i o e s lifeti e. The uestio s o e i g al ohol use e e p e eded the follo i g i st u tio : The e t uestio s ask a out d i ki g al ohol. This i ludes d i ki g ee, i e, i e oole s, ha d le o ade o ha d ide, a d li uo su h as u, gi, odka o hiske. Fo these uestio s, d i ki g al ohol does NOT i lude d i ki g a fe sips of i e fo eligious pu poses. Be ause the uestio a out Othe Illegal D ugs p e eded the ite o e i g use of p es iptio d ugs, illi it use of p es iptio d ugs a e i luded i espo ses to the uestio o e i g Othe Illegal D ugs. Al ohol is the su sta e of hoi e of oth iddle a d high s hool stude ts, ith of iddle s hool stude ts a d of high s hool stude ts epo ti g that the had o su ed al ohol i thei lifeti e. Roughl o e fifth of high s hool stude ts epo ted e e usi g iga ettes a d half ha e used a ijua a. Use of su sta es othe tha al ohol, iga ettes, a d a ijua a as o pa ati el lo. 5

Lifeti e* u sta e Use for Glou ester Middle a d High hool tude ts, Grade th th th th th th th... N/A.. * Lifeti e su sta e use is a use i o e s lifeti e. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. O e all, the pe e tage of stude ts ho epo ted e e usi g these su sta es i eased ith age/g ade. Fo e a ple, the pe e tage ho epo ted e e usi g al ohol i thei lifeti e i eased f o i th g ade to i th g ade. B p i g of thei se io ea, th ee ua te s of outh ha e t ied al ohol, o e si of e e te ha e used a ijua a, a d at least o e ua te ha e s oked iga ettes. T e t pe e t ha e used p es iptio d ugs ithout a do to s p es iptio, ha e t ied e stas, o ai e, < he oi, a d etha pheta i es. Fou tee pe e t ha e t ied a othe t pe of illegal d ug su h as i hala ts, L D, PCP, ush oo s, Keta i e, Roh p ol, o GHB. Note that th g ade, outh a e o e likel to epo t e e usi g a ijua a tha the a e iga ettes. 6

Tre ds i Lifeti e* u sta e Use for Glou ester High hool tude ts ', ', ' 9, ', ', ' H H H H H H........ N/A * Lifeti e su sta e use is a use i o e s lifeti e. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. T e d data fo lifeti e use of o ai e, e stas, he oi, etha pheta i es, ste oids, a d othe illegal d ugs should e i te p eted ith autio, as ite s used to defi e lifeti e use diffe ed a oss i st u e ts. Data o lifeti e use fo the,,,, a d su e a e ased o espo ses to ite s aski g espo de ts the age at hi h the fi st t ied a su sta e if the e e used that su sta e, hile the su e esults a e ased o ite s aski g espo de ts the u e of ti es the had e e used a su sta e i thei lifeti e. Rates of lifeti e su sta e use a o g high s hool stude ts ge e all de li ed et ee a d, ith so e a iatio su sta e. Fo e a ple, lifeti e use of iga ettes de li ed su sta tiall, hile lifeti e use of al ohol o ti ued slight ut o siste t de li es, a d use of a ijua a e ai ed o siste t. Belo a e iddle s hool t e d data f o,,,,, a d. Al ohol,,,,, Ciga ettes,,,,, Ma ijua a,,,,, Co ai e,,.,,., E stas N/A,,.,.,., He oi N/A,.,.,,, Othe Illegal D ugs N/A,,,.,.,. 7

Lifeti e* u sta e Use for Massa husetts* High hool tude ts a d Glou ester High hool tude ts Massa husetts H H N/A.. N/A N/A * Lifeti e su sta e use is a use i o e s lifeti e. * Massa husetts high s hool data a e f o the MA Youth Risk Beha io u e o du ted the MA Depa t e t of Edu atio i p i g,. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. Massa husetts data displa ed he e a d else he e i this su a a e f o the Massa husetts Youth Risk Beha io u e, hi h as ad i iste ed du i g the p i g of the s hool ea. O e all, lifeti e su sta e use ates fo high s hool stude ts i o those state ide, ith g eate epo ted use of al ohol, iga ettes, a d a ijua a, a d o pa ati el less use of othe illegal d ugs. Co pa iso s a ied su sta e. high s hool stude ts e e less likel tha Massa husetts stude ts to epo t lifeti e use of iga ettes MA,, o ai e,, a d e stas,. Both e e e uall likel to epo t lifeti e al ohol use espe ti el. high s hool stude ts e e o e likel to epo t lifeti e a ijua a use MA,. Co pa ati e state ide iddle s hool data a e ot a aila le as Massa husetts does ot ad i iste a state ide iddle s hool su e. It is possi le to ake li ited o pa iso s to data f o a atio al su e of th g ade s k o as Mo ito i g the Futu e. th g ade ates of lifeti e use a e la gel si ila, ith the e eptio of a u h lo e ate of lifeti e iga ette use i. Al ohol Natio al th g ade s, th g ade s Ciga ettes Natio al th g ade s, th g ade s Ma ijua a Natio al th g ade s, th g ade s Co ai e Natio al th g ade s, th g ade s E stas Natio al th g ade s, th g ade s He oi. Natio al th g ade s, th g ade s 8

Curre t* u sta e Use for Glou ester Middle a d High hool tude ts Middle hool High hool...... N/A * Curre t su sta e use is a use i the da s p io to the su e. * Bi ge Al ohol Respo de ts e e asked a out o su i g o o e d i ks of al ohol i a o, that is, ithi a ouple of hou s. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. Cu e t use is a use i the da s p io to the su e. Bi ge al ohol use as defi ed i the su e as ha i g fi e o o e d i ks of al ohol i a o, that is, ithi a ouple of hou s. Al ohol is the ost o o l used su sta e, ith of iddle s hool stude ts a d of high s hool stude ts epo ti g that the had o su ed it i the da s p io to the su e. T e t fi e pe e t of high s hool stude ts epo ted i ge d i ki g i the sa e da ti e pe iod. This ea s that of those high s hool stude ts ho d a k i the past da s e gaged i i ge d i ki g. The high s hool ate of u e t a ijua a use as o e tha t iple the ate of u e t iga ette use a d u h highe tha that fo a othe illegal su sta e. 9

Curre t* u sta e Use for Glou ester Middle a d High hool tude ts, Grade th th th th th th th.. N/A..... * Curre t su sta e use is a use i the da s p io to the su e. * Bi ge Al ohol Respo de ts e e asked a out o su i g o o e d i ks of al ohol i a o, that is, ithi a ouple of hou s. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. O e all, u e t su sta e use i eased ith age/g ade. Fo e a ple, of th g ade s epo ted usi g al ohol i the da s p io to the su e, o pa ed ith of th g ade s. Note the la ge i eases that ge e all o u ed o se uti el et ee g ades si a d i e, ofte ith e la ge diffe e es et ee epo ted ates fo / th a d / th g ade s. Fo e a ple, the pe e tage of stude ts ho epo ted u e t al ohol use sta ted at a o g th g ade s a d the i eased to i th g ade, i th g ade, a d i th g ade. 10

Curre t* u sta e Use for Glou ester High hool tude ts, Ge der Males H Fe ales H..... * Curre t su sta e use is a use i the da s p io to the su e. * Bi ge Al ohol Respo de ts e e asked a out o su i g o o e d i ks of al ohol i a o, that is, ithi a ouple of hou s. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. O e all, patte s of u e t su sta e use a o g high s hool stude ts e e si ila fo ales a d fe ales, ith use of al ohol, a ijua a, a d iga ettes o e o o tha use of othe illegal d ugs. Fe ales e e slightl o e likel tha ales to epo t u e t iga ette a d al ohol use, hile ales e e o e likel to epo t i ge al ohol a d a ijua a use. Middle s hool data ge de e e as follo s: Al ohol ales, fe ales Bi ge Al ohol ales,. fe ales Ciga ettes. ales, fe ales Ma ijua a ales, fe ales Co ai e ales, fe ales E stas ales, fe ales He oi ales, fe ales Metha pheta i es ot asked Othe Illegal D ugs ales,. fe ales P es iptio D ugs. ales,. fe ales I hala ts ales,. fe ales 11

Tre ds i Curre t* u sta e Use for Glou ester High hool tude ts ', ', ' 9, ', ', ' H H H H H H N/A. N/A. N/A.... N/A..... N/A N/A N/A. * Curre t su sta e use is a use i the da s p io to the su e. * Bi ge Al ohol Respo de ts e e asked a out o su i g o o e d i ks of al ohol i a o, that is, ithi a ouple of hou s. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. A aila le t e d data sho de eases i u e t su sta e use et ee a d ith ates at histo i al lo s. Fo e a ple, the ate of u e t iga ette use d opped f o i to i, ell elo the high of i,, a d. Of ote a e the o ti ued de li es i u e t al ohol a d i ge al ohol use si e. The ate of u e t al ohol use de eased f o i to i a d i ge al ohol use de li ed f o to o e the sa e pe iod. While de li i g to i, the ate of u e t a ijua a use has e ai ed la gel o siste t i, i, i, i, i, i. Middle s hool t e d data a e as follo s: Al ohol N/A,,,,, Bi ge Al ohol N/A,,,,, Ciga ettes,,,,.,. Ma ijua a N/A,,,,, Co ai e N/A,.,.,,., E stas N/A,,,,, He oi N/A,.,.,,, Metha pheta i es ot asked Othe Illegal D ugs N/A,,.,.,.,. P es iptio D ugs N/A, N/A, N/A, N/A, N/A,.,. I hala ts N/A,,,,, 12

Curre t* u sta e Use for Massa husetts* High hool tude ts a d Glou ester High hool tude ts Massa husetts H H... N/A N/A N/A N/A N/A N/A N/A * Curre t su sta e use is a use i the da s p io to the su e. * Massa husetts high s hool data a e f o the MA Youth Risk Beha io u e o du ted the MA Depa t e t of Edu atio i p i g,. * Bi ge Al ohol Respo de ts e e asked a out o su i g o o e d i ks of al ohol i a o, that is, ithi a ouple of hou s. * Other Illegal Drugs Respo de ts e e asked a out a othe t pe of illegal d ug su h as i hala ts, L D a id, PCP, ush oo s, Keta i e pe ial K, Roh p ol Roofies, o GHB. * Pres riptio Drugs Respo de ts e e asked a out usi g a p es iptio d ug ithout a do to s p es iptio. P opo tio al le els of u e t su sta e use ates fo high s hool stude ts i o those state ide, ith g eate epo ted use of al ohol, iga ettes, a d a ijua a, a d o pa ati el less use of othe illegal d ugs. Ho e e, as o se ed i p io ea s, u e t su sta e use ates i e e a o e state ide a e ages, ith the e eptio of iga ettes iga ettes MA,, al ohol MA,, i ge al ohol MA,, a ijua a MA,. Co pa ati e state ide iddle s hool a e ot a aila le as Massa husetts does ot ad i iste a state ide iddle s hool su e. It is possi le to ake li ited o pa iso s to data f o a atio al su e of th g ade s k o as Mo ito i g the Futu e. Ciga ettes Natio al th g ade s, th g ade s Al ohol Natio al th g ade s, th g ade s Ma ijua a Natio al th g ade s, th g ade s Co ai e. Natio al th g ade s, th g ade s E stas. Natio al th g ade s, th g ade s He oi. Natio al th g ade s, th g ade s I hala ts Natio al th g ade s, th g ade s 13

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Tre ds i the Per e t of Glou ester High hool tude ts Who Ha e o eo e Li i g i Their Household* Who Uses u sta es ', ' 9, ', ', ' H H H H H okes iga ettes The thi k d i ks too u h al ohol okes a ijua a Uses illegal d ugs othe tha a ijua a A uses p es iptio edi atio * Respo de ts ho li e ith so eo e ho * Respo de ts e e asked, Is the e a o e othe tha ou li i g i ou household ho. * A use of p es iptio edi atio as e plai ed as ea i g the use it i a a that as NOT p es i ed a do to, o to get high. High hool stude ts e e asked if the li e ith so eo e ho: s okes iga ettes, the thi k d i ks too u h al ohol, s okes a ijua a, uses illegal d ugs othe tha a ijua a, o a uses p es iptio edi atio [ ea i g the use it i a a that as NOT p es i ed a do to, o to get high]. Respo de ts e e ost likel to epo t li i g ith so eo e ho s okes iga ettes, follo ed so eo e ho s okes a ijua a, a d the so eo e the thi k d i ks too u h al ohol. Fe e espo de ts epo ted li i g ith so eo e ho uses illegal d ugs othe tha a ijua a o a uses p es iptio edi atio. The e has ee a ge e al de li e si e i the pe e tage of High hool stude ts ho epo t li i g ith so eo e ho s okes iga ettes,,,, a d ho the thi k d i ks too u h al ohol,,,,, hile the e has ee o e o siste i the pe e tage ho epo t li i g ith so eo e ho s okes a ijua a,,,,, uses illegal d ugs othe tha a ijua a,,,,, a d/o a uses p es iptio edi atio,,,,. 15

Per ei ed Ease of A ess to u sta es* Glou ester Middle a d High hool tude ts, Grade th th th th th th th Al ohol Ciga ettes Ma ijua a P es iptio D ugs to Use to Get High Respo de ts ho thi k it ould e "sort of eas " or " er eas " to get * Respo de ts e e asked, If ou a ted to get the follo i g su sta es, ho eas ould it e fo ou to get so e?. Pe e tages displa ed a e the o i ed espo ses of o t of Eas a d Ve Eas. Respo de ts e e asked ho eas it ould e fo the to get al ohol, iga ettes, a ijua a, o othe p es iptio d ugs to use to get high. This ha t displa s the pe e tage of espo de ts i ea h g ade ho epo ted that it ould e so t of eas o e eas fo the to get ea h su sta e. Al ohol a d iga ettes a e ge e all o side ed easiest to o tai. While a ijua a is ot o side ed eas to o tai ost iddle s hool stude ts, that pe eptio ha ges ith age/g ade; a d the th g ade, o e of stude ts epo t that it is eas to get a ijua a. O tai i g p es iptio d ugs to use to get high is o side ed o pa ati el o e diffi ult. 16

Of Those Glou ester High hool tude ts Who Reported Dri ki g Al ohol, our es* of Al ohol i the Past Da s The last time the got al ohol through a o pare t adult sour e, that perso as A adult f ie d A st a ge Thei o si li g Thei o elati e othe tha a pa e t o si li g The si li g of a f ie d o e othe adult A elati e of f ie d othe tha a pa e t o si li g A pa e t of a f ie d Bought it i a a o estau a t Bought it f o a li uo sto e Pa e ts/gua dia s ought/ga e it to e Took it f o pa e ts/gua dia s ithout the k o i g o eo e less tha ought/ga e it to e Adult othe tha pa e t/gua dia ought/ga e it to e our e s of Al ohol for Glou ester High hool tude ts Who Reported Dri ki g i the Past Da s * Multiple espo ses possi le. Of those high s hool stude ts ho epo ted d i ki g al ohol i, thei ost o o sou e of al ohol as a adult othe tha thei pa e t o gua dia ho ought it fo o ga e it to the. alle pe e tages epo ted getti g it f o so eo e less tha, taki g it f o thei pa e ts/gua dia s ithout o se t, ha i g thei pa e ts gi e it o u it fo the, u i g it f o a li uo sto e, a d u i g it i a a o estau a t. Respo de ts ho i di ated that the sou e of thei al ohol the last ti e the d a k as a o pa e t adult ho ought it fo o ga e it to the e e asked to e plai thei elatio ship to that sou e. Fo t t o pe e t of espo de ts epo ted that the o pa e t adult sou e as a adult f ie d. Othe ide tified o pa e t adult sou es e e a st a ge, thei o othe o siste, thei o elati e othe tha thei pa e t o si li g, a othe o siste of a f ie d, a d a elati e of a f ie d othe tha thei pa e t o si li g. e e pe e t epo ted that it as a adult othe tha the hoi es listed. The e as a ota le de li e et ee a d i the pe e tage of espo de ts high s hool stude ts ho epo ted d i ki g i the da s p io to the su e ho o tai ed al ohol f o a adult othe tha thei pa e t o gua dia o o l efe ed to as a " d pa t ", o ti ui g a histo i al de li e si e,,,. Also of ote a e e e t i eases i epo ted a ess th ough pa e tal p o isio, a d pu hases i a s/ estau a ts,. 17

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Viole e a d afet Related E perie es A o g Glou ester Middle a d High hool tude ts Middle hool High hool MA.. Ca ied Weapo I hool Ca ied Weapo Out of hool MA ta ed Ho e F o hool Out of Fea MA Fought I hool Fought Out of hool Past Da s Past Mo ths Both iddle a d high s hool espo de ts e e o e likel to epo t a i g eapo s a d ph si al fighti g he the e e ot i s hool tha he the e e i s hool. High s hool stude ts e e o e likel tha iddle s hool stude ts to epo t eapo s a i g a d ph si al fighti g, hile oth e e e uall likel to epo t ha i g sta ed ho e f o s hool out of fea fo thei safet i the past da s. T e ds: A aila le t e d data la gel e eal o siste o de eases et ee a d i these issues: eapo s a i g o s hool p ope t M.,.; H,, eapo s a i g out of s hool M, ; H,, sta i g ho e f o s hool out of fea M, ; H,, fighti g i s hool M, ; H,, fighti g out of s hool M, ; H,. Co pa iso s: Rates of all o pa a le issues a o g a d Massa husetts high s hool stude ts e e si ila : eapo s a i g i s hool MA,, sta i g ho e f o s hool out of fea MA,, ph si al fighti g i s hool MA,. Othe o pa ati e data a e ot a aila le. G ade: Viole e a d safet elated issues a ied ith age/g ade: eapo s a i g i s hool,,.,,,,, eapo s a i g out of s hool,,,,,,, sta i g ho e f o s hool out of fea fo safet,,,,,,, fighti g i s hool,,,,,,, fighti g out of s hool,,,,,,. Ge de : Males i oth iddle a d high s hool e e o e likel tha fe ales to epo t a i g eapo s a d ph si al fighti g, hile fe ales e e o e likel tha ales to epo t sta i g ho e out of fea fo safet : eapo s a i g i s hool M. ales, fe ales; H ales,. fe ales, eapo s a i g out of s hool M ales, fe ales; H ales, fe ales, sta i g ho e f o s hool out of fea fo safet M ales, fe ales; H ales, fe ales, fighti g i s hool M ales, fe ales; H ales, fe ales, fighti g out of s hool M ales, fe ales; H ales, fe ales. 19

Per e t of Glou ester Middle a d High hool tude ts Who Reported Bei g Bullied a d eei g o eo e Else Bullied i the Past Mo ths Middle hool High hool MA MA Bullied I hool Bullied he NOT I hool Bullied Ele t o i all * a o eo e Else Bullied i hool Past Mo ths * Respo de ts e e i st u ted to "I lude[s] ei g ullied th ough e ail, hat oo s, i sta t essagi g, We sites, o te ti g." I o t ast to safet o e s a d fighti g, espo de ts e e o e likel to epo t ei g ullied he the e e i s hool tha he the e e ot i s hool. Thi t i e pe e t of iddle s hool stude ts a d of high s hool stude ts epo ted that the had ee ullied i s hool i the o ths p io to the su e, o pa ed to of iddle s hoole s a d of high s hoole s ho e e ullied he the e e ot i s hool. T e t fou pe e t of iddle s hool stude ts a d of high s hool stude ts had ee ullied ele t o i all i that pe iod th ough e ail, hat oo s, i sta t essagi g, We sites, o te ti g. Fift o e pe e t of iddle s hool stude ts a d of high s hool stude ts epo ted that the sa so eo e else ullied i s hool i the o ths p io to the su e. T e ds: The pe e tage of iddle s hool stude ts ho epo ted ei g ullied at s hool i the past o ths de li ed f o i to i a d has de eased si e. Rates of ei g ullied i s hool a o g high s hool stude ts also de eased et ee a d e e si g p e ious i eases o se ed si e, a d fe e stude ts at oth le els epo ted seei g so eo e else ullied i s hool M, ; H,. While ates of epo ted ull i g off s hool p ope t sho ed little ha ge, the e ha e ee i eases si e i epo ts of ele t o i ull i g M,, ; H,,. Co pa iso s: The ate of epo ted ull i g at s hool is highe a o g tha Massa husetts high s hool stude ts. G ade: With the e eptio of seei g so eo e else ullied i s hool, epo ts of ull i g te ded to de ease ith age/g ade: ullied i s hool th g ade, th g ade, th g ade, th g ade, th g ade, th g ade, th g ade ; ullied he ot i s hool,,,,,,, ullied ele t o i all,,,,,,, sa so eo e else ullied i s hool,,,,,,. Ge de : Fe ale stude ts e e o e likel tha ales to epo t ea h of these ull i g e pe ie es: ullied i s hool M ales, fe ales; H,, ullied he ot i s hool M, ; H,, ullied ele t o i all M, ; H,, sa so eo e else ullied i s hool M, ; H,. 20

Respo se Last Ti e You a o eo e Else Bullied I hool i the Past Mo ths Multiple Respo ses Possi le ', ', ' Middle hool Took pa t i the ull i g High hool Did 't do a thi g just sa it happe Middle hool High hool T ied to get the pe so /people doi g it to stop Middle hool High hool Told a tea he, ou selo, o a othe adult at s hool Middle hool High hool The last ti e the sa so eo e else ullied i s hool, the Respo de ts ho had see so eo e else ullied i s hool i the o ths p io to the su e e e asked ho the espo ded the last ti e it happe ed ultiple espo ses e e possi le. Respo de ts i all g ades e e ge e all ost likel to epo t ot doi g a thi g just seei g it happe, follo ed t i g to get the pe so /people doi g it to stop, telli g a s hool adult, a d taki g pa t i the ull i g. T e ds: The e as so e i p o e e t i the espo se of high s hool stude ts he o se i g ull i g et ee a d, ith a de li e i those ho did othi g o took pa t i the ull i g a d a i ease i positi e a tio s like t i g to stop the ull i g a d telli g a s hool adult. T e ds fo iddle s hool stude ts e e e e o e positi e, ith st o g i eases i the pe e tage of stude ts epo ti g the a ti e sta der eha iors of t i g to get the ull to stop i, i, i a d telli g a t usted adult,,, a d a o espo di g de li e i those ho did t do a thi g,,. Co pa iso s: Co pa ati e data fo Massa husetts a e ot a aila le. G ade: ee the follo i g page. Ge de : I ge e al, ales e e o e likel to oth do othi g o take pa t i ull i g that the it essed, ut e e also o e likel to t a d i te e e, a d fe ales e e o e likel tha ales to epo t the ull i g to a t usted adult: took pa t i the ull i g M ales,. fe ales; H ales,. fe ales ; did othi g M ales, fe ales; H ales, fe ales ; t ied to get the pe so /people doi g it to stop M ales, fe ales; H ales, fe ales ; told a tea he, ou selo, o a othe adult at s hool M ales, fe ales; H ales, fe ales. 21

Respo se Last Ti e You a o eo e Else Bullied I hool i the Past Mo ths, Grade Multiple Respo ses Possi le th th th th th th th Took pa t i the ull i g Did 't do a thi g just sa it happe T ied to get the pe so /people doi g it to stop Told a tea he, ou selo, o a othe adult at s hool The last ti e the sa so eo e else ullied i s hool, the Respo de ts ho sa so eo e else ullied i s hool i the o ths p io to the su e e e asked ho the espo ded the last ti e it happe ed ultiple espo ses e e possi le. Respo de ts i all g ades e e ge e all ost likel to epo t ot doi g a thi g just seei g it happe, follo ed t i g to get the pe so /people doi g it to stop, telli g a s hool adult, a d taki g pa t i the ull i g. T e ds: ee the p io page. Co pa iso s: ee the p io page. G ade: As displa ed i the ha t, iddle s hool stude ts e e ge e all o e likel tha high s hool stude ts to epo t a ti e sta der eha ior, su h as telli g the ull ies to stop a d telli g a s hool adult. The pe e tage of stude ts ho epo ted joi i g i the last ti e the sa so eo e else ei g ullied i s hool e ai ed fai l lo a oss g ades, hile the pe e tage ho epo ti g ot doi g a thi g a d just at hi g i eased th ough g ade the de li ed. The pe e tage ho a ti el t ied to i te e e e ai ed fai l o siste t, ut de eased so e hat ithi the high s hool g ades; ho e e, the pe e tage ho told a t usted s hool adult de li ed oth a oss g ades a d ithi s ste s, falli g o e all f o a high of a o g th g ade s to a lo of a o g th g ade s. Ge de : ee the p io page. 22

Tre ds i Lifeti e E perie es of Dati g a d e ual Viole e A o g Glou ester High hool tude ts ', ', ' 9, ', ', ' H H H H H H E e ph si all o se uall hu t a date N/A E e fo ed to ha e i te ou se agai st ill e e pe e t of high s hool stude ts epo ted that the had e e ee ph si all o se uall hu t a date i thei lifeti e a d had ee fo ed to ha e se ual i te ou se agai st thei ill. T e ds: A aila le t e d data e eal o siste o e ti e i oth issues: ph si all o se uall hu t a date i,, i, i, i, i, i, fo ed to ha e i te ou se agai st ill N/A,,,,,. Co pa iso s: Co pa ati e data fo Massa husetts a e ot a aila le. G ade: The pe e tage of high s hool stude ts ho epo ted ea h of these e pe ie es a ied ith age/g ade, ith ates highest a o g th g ade s: e e ph si all o se uall hu t a date,,,, e e fo ed to ha e se ual i te ou se agai st ill,,,. Ge de : high s hool fe ales e e o e likel tha ales to epo t ea h of these e pe ie es: e e ph si all o se uall hu t a date ales, fe ales, e e fo ed to ha e se ual i te ou se agai st ill,. 23

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Tre ds i Issues that Glou ester High hool tude ts Reported E perie i g i the Mo ths Prior to the ur e ', ' 9, ', ', ' H H Fa il di o e/sepa atio H H H e ious fa il fi a ial p o le Fa il o ed e ious fa il ill ess Fa il e e o lose f ie d died Wit essed fa il iole e Re ei ed e al/e otio al a use f o fa il e e Re ei ed ph si al a use f o fa il e e This ha t is desig ed to p o ide a o e ie of the t pes of i po ta t fa il e pe ie es that all outh fa e, displa i g the pe e t of high s hool stude ts ho epo ted e pe ie i g a ious issues du i g the o ths p io to the su e. App o i atel o e thi d e pe ie ed the death of a fa il e e o lose f ie d o a se ious fa il ill ess, hile e pe ie ed a se ious fa il fi a ial p o le. App o i atel o e fifth of high s hool stude ts epo ted e ei i g e al o e otio al a use f o a fa il e e a d epo ted ph si al a use. App o i atel o e i o less e pe ie ed a fa il di o e o sepa atio, had thei fa il o e, a d/o it essed fa il iole e. Most issues e ai ed stead o de li ed et ee a d, ith the e eptio of a i ease f o to i the pe e tage of stude ts epo ti g that a fa il e e o lose f ie d had died, i gi g the le el o pa ith p io ates othe tha the outlie ate of i. 25

Depressio, elf Har, a d ui ide i the Past Mo ths A o g Glou ester Middle a d High hool tude ts Middle hool High hool MA Repo ted Dep essio * Hu t elf o Pu pose* MA e iousl Co side ed ui ide MA Made a Pla to Co it ui ide Atte pted ui ide MA * Reported Depressio Respo de ts e e asked, Du i g the past o ths, did ou e e feel so sad o hopeless al ost e e da fo t o eeks o o e i a o that ou stopped doi g so e usual a ti ities? * Hurt Self o Purpose Respo de ts e e asked, Du i g the past o ths, ho a ti es did ou hu t o i ju e ou self o pu pose? Fo e a ple, utti g, u i g, o uisi g ou self o pu pose.. Fou tee pe e t of iddle s hool stude ts a d of high s hool stude ts epo ted e perie i g depressio i the o ths p io to the su e, a d of iddle s hool stude ts a d of high s hool stude ts epo ted hurti g the sel es o purpose du i g the sa e pe iod. The pe e tage of iddle a d high s hool stude ts ho epo ted sui idal ideatio a d eha io i the o ths p io to the su e e e as follo s: se iousl o side ed sui ide iddle s hool, high s hool, ade a pla to o it sui ide,, atte pted sui ide,. T e ds: A aila le high s hool t e d data e eal i eases i these issues i, o ti ui g a t e d o se ed i afte p io o siste si e : epo ted dep essio,,,,,, hu t self o pu pose,,,,,, se iousl o side ed sui ide,,,,,, pla ed to o it sui ide,,,,,, atte pted sui ide,,,,,. i ila i eases e e o se ed a o g iddle s hool stude ts et ee a d : epo ted dep essio,, hu t self o pu pose,, se iousl o side ed sui ide,, ade a pla to o it sui ide,, atte pted sui ide,. Co pa iso s: Co pa iso s et ee Massa husetts a d high s hool stude ts fo these issues a : epo ted dep essio MA,, se iousl o side ed sui ide MA,, ade a pla to o it sui ide MA,, atte pted sui ide MA,. G ade: I ge e al, the pe e tage of espo de ts ho epo ted ea h of these e tal health o e s te ded to i ease i the iddle s hool ea s a d the a th oughout the high s hool g ades: epo ted dep essio,,,,,,, hu t self o pu pose,,,,,,, se iousl o side ed sui ide,,,,,,, pla ed to o it sui ide,,,,,,, atte pted sui ide,,,,,,. Ge de : fe ale espo de ts e e o e likel tha ales to epo t these issues: epo ted dep essio M ales, fe ales; H,, hu t self o pu pose M, ; H,, se iousl o side ed sui ide M, ; H,, pla ed to o it sui ide M, ; H,, atte pted sui ide M, ; H,. 26

Per e t of Glou ester Middle a d High hool tude ts Who Report Ha i g Adults to Talk ith If The Ha e a Pro le Middle hool High hool hool Adult Fa il Adult No Fa il Adult tude t Health u e espo de ts e e asked hethe the ha e people to talk to a out p o le s, spe ifi all t usted s hool adults, fa il adults, a d othe o fa il adults outside of s hool. O e all, espo de ts i oth iddle a d high s hool e e ost likel to epo t ha i g a fa il adult to talk to M, H, follo ed a s hool adult M, H a d a o fa il adult outside of s hool M, H. T e ds: A aila le high s hool t e d data e eal le els si ila to those o se ed i ost p io ea s, ith o ti ued i p o e e t i o e ted ess to a s hool adult si e : t usted s hool adult,,,,,, fa il adult,,,,,, o fa il adult,,,,,. Middle s hool t e ds e e si ila ith a i eases et ee a d : t usted s hool adult,, fa il adult,, o fa il adult,. Co pa iso s: Co pa ati e Massa husetts data a e ot a aila le. G ade: While epo ted suppo t a ied ith age/g ade, ote the i ease i pe ei ed suppo t of a s hool adult a o g the high s hool g ades: s hool adult,,,,,,, fa il adult,,,,,,, o fa il adult,,,,,,. Ge de : Pe ei ed adult suppo t a ied ge de a oss g ade le els: s hool adult M ales, fe ales; H ales, fe ales, fa il adult M, ; H,, o fa il adult M, ; H,. 27

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Per e t of Glou ester Middle a d High hool tude ts Who Ha e E er Had e ual I ter ourse, Total a d Grade MA MA MA MA MA TOTAL: Middle hool TOTAL: High hool. th G ade th G ade th G ade th G ade th G ade th G ade th G ade I, of iddle s hool stude ts a d of high s hool stude ts epo ted e e ha i g se ual i te ou se. T e ds: A aila le high s hool t e d data e eal a o ti ued slight de ease i the pe e tage of stude ts ho epo ted e e ha i g se ual i te ou se, although le els ha e e ai ed la gel o siste t,,,,,. Middle s hool le els ha e also de li ed,,,,. Co pa iso s: Co pa ati e data sho that high s hool stude ts e e so e hat o e likel tha thei Massa husetts pee s to epo t e e ha i g se ual i te ou se MA,. The e te t of this diffe e e a ied a oss g ades: th g ade MA,, th g ade MA,, th g ade MA,, th g ade MA,. G ade: As displa ed i the ha t, the pe e tage of stude ts ho epo ted e e ha i g se ual i te ou se i eased f o. i th g ade to i th g ade. Ge de : Rates of lifeti e se ual i te ou se ge de e e si ila a o g oth iddle s hool stude ts ales, fe ales a d high s hool stude ts ales, fe ales. 29

Per e t of e uall A ti e Glou ester High hool tude ts Who Used a Co do The Last Ti e The Had I ter ourse, Total a d Grade MA N/A MA MA MA MA TOTAL: High hool th G ade th G ade th G ade th G ade I, of se uall a ti e high s hool stude ts epo ted that the o thei pa t e used a o do the last ti e the had se ual i te ou se. T e ds: A aila le high s hool t e d data e eal a de ease i the pe e tage of se uall a ti e stude ts ho epo ted that the o thei pa t e used a o do the last ti e the had se ual i te ou se i afte a i ease i that e e sed de li es p e iousl o se ed si e,,,,,. Co pa iso s: Co pa ati e data sho that high s hool stude ts e e o e likel tha thei Massa husetts pee s to epo t usi g a o do the last ti e the had se ual i te ou se MA,. Ge de : Male high s hool stude ts e e o e likel tha fe ales to epo t that the o thei pa t e used a o do the last ti e the had se ual i te ou se ales, fe ales. 30

Per eptio of Pare tal Respo se to u sta e Use a d e ual A ti it A o g Glou ester High hool tude ts D a k o d i ks of al ohol ea l e e da D a k o o e d i ks of al ohol t i e a eek oked iga ettes oked a ijua a Used p es iptio d ugs ot p es i ed to the Had se ual i te ou se Per e t ho reported that their pare ts ould fi d it Wro g or Ver Wro g if the Respo de ts e e asked ho the thought thei pa e ts ould espo d if the used a ious su sta es o e gaged i se ual i te ou se. This ha t displa s the pe e tage of espo de ts ho epo ted that thei pa e ts ould fi d it o g o e o g fo the to e gage i these eha io s. While oughl o o e of outh epo ted that use of a su sta e ould e o side ed o g thei pa e ts, u de half epo ted that thei pa e ts ould disapp o e of the e gagi g i se ual i te ou se at thei age. T e ds: High s hool t e d data e eal slight ut o siste t i eases i i the pe e tage of high s hool stude ts ho elie e that thei pa e ts ould fi d it o g/ e o g if the e gaged i these eha io s: dail d i ki g N/A, N/A, N/A, N/A,,, i ge d i ki g N/A,,,,,, s oki g iga ettes N/A,,,,,, s oki g a ijua a N/A,,,,,, illi it use of p es iptio d ugs N/A, N/A, N/A, N/A,,, ha i g se ual i te ou se N/A, N/A,,,,. Co pa iso s: Co pa ati e Massa husetts data a e ot a aila le. G ade: The pe e tage of espo de ts ho pe ei ed disapp o al thei pa e ts de li ed ith age/g ade, ost ota l pe ei ed disapp o al of se ual a ti it, hi h de li ed f o a o g th g ade s to a o g th g ade s: dail al ohol use,,,, i ge al ohol use,,,, iga ette s oki g,,,, a ijua a use,,,, illi it use of p es iptio d ugs,,,, e gagi g i se ual i te ou se,,,. Ge de : Fe ales e e o e likel tha ales to pe ei e pa e tal disapp o al: dail al ohol use ales, fe ales, i ge al ohol use,, iga ette use,, a ijua a use,, illi it use of p es iptio d ugs,, se ual a ti it,. 31

Per e t of Glou ester Middle a d High hool tude ts Who Were Ph si all A ti e for + Mi utes o of Last Da s*, Total a d Grade MA TOTAL: Middle hool TOTAL: High hool th G ade th G ade th G ade th G ade th G ade th G ade th G ade * The e o e ded le el of ph si al a ti it dete i ed the U ited tates u geo Ge e al. This ha t displa s the pe e tage of iddle a d high s hool stude ts ho epo ted e gagi g i i utes o o e of ph si al a ti it o at least fi e of the se e da s p io to the su e, the le el e o e ded fo adoles e ts the U u geo Ge e al. I, of iddle s hool stude ts a d of high s hool stude ts epo ted this le el of ph si al a ti it. T e ds: While the e has ee histo i al o siste i e o e ded ph si al a ti it a o g high s hool stude ts,,,, the e has ee a slight de li e a o g iddle s hool stude ts,,,. Co pa iso s: Co pa ati e data sho that high s hool stude ts e e o e likel tha thei Massa husetts pee s to epo t e gagi g i the e o e ded le el of a ti it MA,. G ade: As displa ed i the ha t, epo ted ph si al a ti it e ai ed la gel o siste t a oss s hool g ades,,,,,,. Ge de : Male stude ts at oth le els e e o e likel tha fe ales to epo t that the e gaged i ph si al a ti it fo at least i utes o fi e o o e of the se e da s p io to the su e M ales, fe ales; H ales, fe ales. 32

Per eptio of Bod Weight A o g Glou ester High hool tude ts, Total a d Ge der TOTAL H Males H Fe ales H MA U de eight A out the Right Weight O e eight T el e pe e t of high s hool stude ts des i ed the sel es as u der eight, as a out the right eight, a d as o er eight. e e tee pe e t of ales a d of fe ales des i ed the sel es as u der eight, of ales a d of fe ales as a out the right eight, a d of ales a d of fe ales as o er eight. T e ds: A aila le high s hool t e d data e eal o siste si e i the pe e tage of high s hool stude ts ho pe ei e the sel es as o er eight, ith slight i eases si e,,,,,. Co pa iso s: Co pa ati e data sho that high s hool stude ts e e o e likel tha thei Massa husetts pee s to des i e the sel es as o er eight MA,. G ade: The pe e tage of high s hool stude ts ho pe ei ed the sel es as o er eight e ai ed la gel o siste t a oss g ades,,,. Ge de : As displa ed i the ha t, ale a d fe ale high s hool stude ts e e e uall likel to des i e the sel es as o er eight ales, fe ales, hile ales e e o e likel tha fe ales to des i e the sel es as u der eight ales, fe ales a d fe ales e e o e likel tha ales to des i e the sel es as a out the right eight ales, fe ales. 33

Curre t Weight Co trol Goal A o g Glou ester High hool tude ts, Total a d Ge der TOTAL H Males H Fe ales H Gai Weight ta the a e Lose Weight Fou tee pe e t of high s hool stude ts epo ted that the e e t i g to gai eight, that the e e t i g to sta the sa e eight, a d that the e e t i g to lose eight. T e ds: A aila le high s hool t e d data e eal o ha ge i i the pe e tage of high s hool stude ts ho epo ted that the e e t i g to lose eight a d fai l o siste t histo i al data,,,,,. Co pa iso s: Co pa ati e data fo Massa husetts a e ot a aila le. G ade: The pe e tage of high s hool stude ts ho epo ted that the e e u e tl t i g to lose eight a ied ith age/g ade,,,. Ge de : Fe ale stude ts e e u h o e likel to epo t t i g to lose eight ales, fe ales hile ales e e o e likel to epo t t i g to gai eight ales, fe ales o sta the sa e eight ales, fe ales. 34

Appendix A: Selected Middle School Data Tables

2014-2015 GLOUCESTER STUDENT HEALTH SURVEY Alcohol, Tobacco, and Other Drug Use - Middle School (N=541) TOTAL GENDER GRADE MTF 1 2003 2007 2009 2011 2013 2015 Males Females 6th 7th 8th 8th (798) (711) (673) (573) (570) (541) (278) (261) (171) (173) (195) LIFETIME (any use in lifetime) Cigarettes 26.5% 14.3% 16.8% 13.7% 5.8% 4.3% 4.3% 4.2% 1.8% 2.9% 7.7% 13.5% Alcohol 36.7% 29.6% 30.3% 19.5% 16.5% 15.3% 14.9% 15.4% 6.3% 9.5% 27.8% 26.8% Marijuana 14.2% 7.4% 11.7% 8.6% 6.3% 8.3% 9.0% 7.7% 1.8% 2.9% 18.5% 15.6% Cocaine 4.1% 1.6% 0.9% 0.0% 0.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.8% Ecstasy N/A 2.0% 0.6% 0.4% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 1.4% Heroin N/A 0.6% 0.4% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.9% Methamphetamines N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 1.0% Other Illegal Drugs 2 N/A 2.6% 1.8% 0.7% 0.7% 0.9% 1.1% 0.8% 0.0% 0.6% 2.1% N/A Prescription Drugs (without a doctor's prescription) N/A N/A N/A N/A 1.2% 3.2% 3.6% 2.7% 4.2% 1.7% 3.6% N/A CURRENT (any use in past 30 days) Cigarettes 9.2% 4.2% 8.4% 6.1% 0.9% 0.9% 0.7% 1.1% 0.0% 0.6% 2.1% 4.0% Alcohol N/A 14.6% 15.9% 8.3% 4.1% 5.2% 5.1% 5.0% 0.0% 2.9% 11.8% 9.0% Binge Alcohol (5 or more drinks in a row) N/A 5.1% 4.9% 1.1% 1.9% 1.3% 2.2% 0.4% 0.0% 0.0% 3.6% N/A Marijuana N/A 3.0% 6.2% 3.9% 2.8% 4.6% 4.7% 4.6% 0.0% 1.2% 11.9% 6.5% Cocaine N/A 0.6% 0.3% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.5% Ecstasy N/A 1.6% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.4% Heroin N/A 0.6% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.3% Methamphetamines N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 0.2% Other Illegal Drugs 2 N/A 1.6% 0.6% 0.2% 0.4% 0.4% 0.0% 0.8% 0.0% 0.6% 0.5% N/A Prescription Drugs (without a doctor's prescription) N/A N/A N/A N/A 0.4% 0.6% 0.7% 0.4% 1.2% 0.0% 0.5% N/A Inhalants N/A 4.4% 5.2% 2.8% 1.4% 1.5% 2.2% 0.8% 1.2% 0.0% 3.1% 2.2% 1 Data from the 2014 Monitoring the Future Survey administered by the University of Michigan for the National Institute on Drug Abuse (spring 2014). 2 This item asked about "any other type of illegal drug such as inhalants, LSD (acid), PCP, mushrooms, Ketamine (Special K), Rohypnol (Roofies), or GHB".