Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017

There have been improvements nationally in teenagers' self-reported health risk since the 1990s. This study provides an overview of trends in substance use, sexual health, violence and victimization, and suicide risk among Chicago Public High School (CPS) students over a 20-year period. We comp...

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Main Authors: Jacqueline Korpics, Audrey Stillerman, Keiki Hinami, Sadhana Dharmapuri, Joseph Feinglass
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335520301212
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author Jacqueline Korpics
Audrey Stillerman
Keiki Hinami
Sadhana Dharmapuri
Joseph Feinglass
author_facet Jacqueline Korpics
Audrey Stillerman
Keiki Hinami
Sadhana Dharmapuri
Joseph Feinglass
author_sort Jacqueline Korpics
collection DOAJ
description There have been improvements nationally in teenagers' self-reported health risk since the 1990s. This study provides an overview of trends in substance use, sexual health, violence and victimization, and suicide risk among Chicago Public High School (CPS) students over a 20-year period. We compared responses to 29 identically worded items from the 1997, 2007, and 2017 Chicago Youth Risk Behavior Survey (YRBS) in the four domains. We show changes in responses across individual items, mean changes across the four domains, and change in the proportion of students with highest risk exposure (≥10 affirmative responses). Analyses control for CPS students’ grade, sex, and race/ethnicity. Reductions in substance use, sexual health risk, and violence and victimization (30, 40% and 40% in the mean number of affirmative responses, respectively) were observed. Suicide risk showed an initial improvement from 1997 to 2007, only to worsen by 2017 and show little difference from 1997. There was an approximate 70% decrease in the likelihood of being in the high multiple risk category (≥10 affirmative responses) in 2017 compared to 1997 (OR 0.33; CI 0.22-0.49). In alignment with national trends, our study documents significant improvement in Chicago public high school students’ long-term health risk exposure over the 20-year study period, with the notable exception of suicide risk. This study emphasizes the need to invest in strategies both inside and outside of the classroom to mitigate the effect of adversity and promote protective factors, which are at the root of academic success and overall wellbeing.
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spelling doaj.art-8d8e5577b0ed44db9a565c4f5f00b9802022-12-21T23:21:38ZengElsevierPreventive Medicine Reports2211-33552020-12-0120101161Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017Jacqueline Korpics0Audrey Stillerman1Keiki Hinami2Sadhana Dharmapuri3Joseph Feinglass4Cook County Health and Northwestern Feinberg School of Medicine, 1950 W Polk St, Chicago, IL 60612, United States; Corresponding author at: 1950 W Polk St, Chicago, IL 60612, United States.Office of Community Engagement and Neighborhood Health Partnerships, University of Illinois at Chicago, 818 S. Wolcott Ave, Chicago, IL 60612, United StatesCollaborative Research Unit, Cook County Health, 1950 W Polk St, Chicago, IL 60612, United StatesDivision of Adolescent Medicine, Cook County Health, 1950 W Polk St, Chicago, IL 60612, United StatesDivision of General Internal Medicine, Northwestern University, 750 N Lakeshore Dr. 10th Floor, Chicago IL 60611, United StatesThere have been improvements nationally in teenagers' self-reported health risk since the 1990s. This study provides an overview of trends in substance use, sexual health, violence and victimization, and suicide risk among Chicago Public High School (CPS) students over a 20-year period. We compared responses to 29 identically worded items from the 1997, 2007, and 2017 Chicago Youth Risk Behavior Survey (YRBS) in the four domains. We show changes in responses across individual items, mean changes across the four domains, and change in the proportion of students with highest risk exposure (≥10 affirmative responses). Analyses control for CPS students’ grade, sex, and race/ethnicity. Reductions in substance use, sexual health risk, and violence and victimization (30, 40% and 40% in the mean number of affirmative responses, respectively) were observed. Suicide risk showed an initial improvement from 1997 to 2007, only to worsen by 2017 and show little difference from 1997. There was an approximate 70% decrease in the likelihood of being in the high multiple risk category (≥10 affirmative responses) in 2017 compared to 1997 (OR 0.33; CI 0.22-0.49). In alignment with national trends, our study documents significant improvement in Chicago public high school students’ long-term health risk exposure over the 20-year study period, with the notable exception of suicide risk. This study emphasizes the need to invest in strategies both inside and outside of the classroom to mitigate the effect of adversity and promote protective factors, which are at the root of academic success and overall wellbeing.http://www.sciencedirect.com/science/article/pii/S2211335520301212TeenageRisk behaviorsHealth behaviorsMultiple riskSubstance useMental health
spellingShingle Jacqueline Korpics
Audrey Stillerman
Keiki Hinami
Sadhana Dharmapuri
Joseph Feinglass
Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017
Preventive Medicine Reports
Teenage
Risk behaviors
Health behaviors
Multiple risk
Substance use
Mental health
title Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017
title_full Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017
title_fullStr Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017
title_full_unstemmed Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017
title_short Declining health risk exposure among Chicago public high school students: Trends from the Youth Risk Behavior Survey 1997–2017
title_sort declining health risk exposure among chicago public high school students trends from the youth risk behavior survey 1997 2017
topic Teenage
Risk behaviors
Health behaviors
Multiple risk
Substance use
Mental health
url http://www.sciencedirect.com/science/article/pii/S2211335520301212
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