Montana School Health Profiles Tobacco Use Prevention Data
2004 and 2006 Comparative Report
Background
The School Health Profiles (Profiles) assists states and local education and health agencies in monitoring and assessing characteristics of and trends in school health education; physical education; asthma management activities; school health policies related to HIV/AIDS prevention, tobacco-use prevention, violence prevention, physical activity, and nutrition; food service; and family and community involvement in school health programs. Data from Profiles can be used to improve school health programs. Two questionnaires are used to collect data – one for school principals and one for lead health education teachers. The two questionnaires were mailed to all regular secondary public schools containing any of grades 6 through 12. The principal’s questionnaire examines policies and programs related to health education, physical education, tobacco prevention, nutrition practices, violence prevention, asthma management, and HIV infection. The teacher’s questionnaire looks at health education, collaboration, professional preparation and staff development. The weighted data results from both the 2004 and 2006 surveys were based on a response rate of >70 percent, and are representative of all regular public secondary schools in Montana having at least one of grades 6 through 12. The results are presented for the following types of schools in Montana: • Senior high schools with a low grade of 9 or higher and a high grade of 10 or higher; • Middle schools with a high grade of 9 or lower; • Junior/senior high schools with a low grade of 8 or less and a high grade of 10 or higher; and • Overall results. The Profiles questionnaires were developed by the Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention in collaboration with representatives of state, local, and territorial departments of health and education.
1
Percentage of schools that have adopted a policy prohibiting tobacco use 2004 2006
100 High School 100
98 Middle School 100
100 Junior/Senior Combined 100
99 Overall 100
0
20
40 Percent
60
80
100
2
(Students). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits the use of each type of tobacco for students during any school-related activity.
100
90
80
70
60
50 2004 2006 Senior HS Senior HS Pipes Cigars Smokeless tobacco Cigarettes 96 96 99 99 99 99 99 99
2004 Middle School 95 95 99 99
2006 Middle School 99 99 99 99
2004 Jr/Sr 2006 Jr/Sr High High School School 92 92 100 100 98 98 100 100
2004 Overall 94 94 99 99
2006 Overall 98 98 99 99
3
(Faculty/Staff). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits the use of each type of tobacco for faculty/staff during any schoolrelated activity.
100 95 90 85 80 Percent 75 70 65 60 55 50 2004 2006 Senior HS Senior HS Pipes Cigars Smokeless tobacco Cigarettes 85 87 85 87 97 97 99 99
2004 Middle School 83 83 92 92
2006 Middle School 94 94 98 98
2004 2006 Jr/Sr High Jr/Sr High School School 91 91 86 89 98 98 97 97
2004 Overall 85 85 88 90
2006 Overall 99 99 98 98
4
(Visitors). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits the use of each type of tobacco for visitors during any school-related activity.
100
90
80 Percent
70
60
50 2004 2006 Senior HS Senior HS Pipes Cigars Smokeless tobacco Cigarettes 84 84 83 87 99 99 97 99
2004 Middle School 89 89 86 91
2006 Middle School 98 98 98 98
2004 2006 Jr/Sr High Jr/Sr High School School 81 81 81 87 95 95 97 98
2004 Overall 85 85 83 89
2006 Overall 97 97 97 98
5
(Students). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits tobacco use during each of the following times for students.
100
90
80 Percent
70
60
50
2004 Senior HS 86 99
2006 Senior HS 97 100
2004 Middle School 92 100
2006 Middle School 95 100
2004 Jr/Sr High 89 100
2006 Jr/Sr High 89 100
2004 Overall 89 100
2006 Overall 94 100
During non-school hours During school hours
6
(Faculty/Staff). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits tobacco use during each of the following times for faculty/staff.
120
100
80
Percent
60
40
20
0
2004 Senior HS 71 92
2006 Senior HS 88 97
2004 Middle School 76 96
2006 Middle School 94 99
2004 Jr/Sr High 68 92
2006 Jr/Sr High 81 98
2004 Overall 72 94
2006 Overall 88 98
During non-school hours During school hours
7
(Visitors). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits tobacco use during each of the following times for visitors.
100
90
80 Percent
70
60
50
2004 Senior HS 69 92
2006 Senior HS 88 97
2004 Middle School 77 94
2006 Middle School 94 99
2004 Jr/Sr High 63 89
2006 Jr/Sr High 81 98
2004 Overall 69 92
2006 Overall 88 98
During non-school hours During school hours
8
(Students). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits tobacco use in each of the following locations for students.
100
90
80 Percent
70
60
50
2004 Senior HS 100 99 99 96
2006 Senior HS 100 100 100 96
2004 2006 Middle Middle School School 100 99 97 95 100 100 100 95
2004 Jr/Sr High 100 98 100 98
2006 Jr/Sr High 100 100 100 97
2004 2006 Overall Overall 100 99 99 96 100 100 100 96
In school buildings On school grounds In school buses or other vehicles used to transport students At off-campus, school sponsored events
9
(Faculty/Staff). Percentage of schools that have a tobacc-use prevention policy that specifically prohibits tobacco use in each of the following locations for faculty/staff.
100
90
80 Percent
70
60
50
2004 Senior HS 100 84 97 62
2006 Senior HS 100 100 100 86
2004 2006 Middle Middle School School 98 90 95 65 100 100 100 76
2004 Jr/Sr High 98 83 97 71
2006 Jr/Sr High 100 98 100 75
2004 2006 Overall Overall 99 86 97 66 100 99 100 79
In school buildings On school grounds In school buses or other vehicles used to transport students At off-campus, school sponsored events
10
(Visitors). Percentage of schools that have a tobacco-use prevention policy that specifically prohibits tobacco use in each of the following locations for visitors.
100
90
80 Percent
70
60
50
40
2004 Senior HS 99 75 93 43
2006 Senior HS 100 100 99 71
2004 2006 Middle Middle School School 97 84 91 40 100 100 100 57
2004 Jr/Sr High 98 71 95 47
2006 Jr/Sr High 100 98 100 51
2004 2006 Overall Overall 98 77 93 43 100 100 100 59
In school buildings On school grounds In school buses or other vehicles used to transport students At off-campus, school sponsored events
11
Percentage of schools that have procedures to inform each of the following groups about the tobacco-use prevention policy that prohibits their use of tobacco.
100
90
80 Percent
70
60
50 2004 2006 Senior HS Senior HS Visitors Faculty and Staff Students 78 95 100 96 100 100
2004 Middle School 82 97 99
2006 Middle School 95 98 99
2004 Jr/Sr 2006 Jr/Sr High High School School 77 94 98 98 98 99
2004 Overall 79 95 99
2006 Overall 96 98 99
12
Percentage of schools that have procedures to inform students' families about rules related to tobacco use by students.
2004 2006
99 Senior High School 100
98 Middle School 99
97 Jr/Sr High School 100
99 Overall 100
0
20
40 Percent
60
80
100
13
(Never)> Percentage of schools that NEVER take the following actions when students are caught smoking cigarettes.
9 8 8 7 7 6 6 5 Percent 5 4 4 3 2 2 1 1 0 0 Parents or guardians are informed Referred to a school counselor 2004 Overall Jr/Sr High School Middle School Senior High School Referred to a school administrator Parents or guardians are informed Referred to a school counselor 2006 Referred to a school administrator 0 0 0 0 0 0 0 0 0 0 0 0 0 1 4 5
14
(Never). Percentage of schools that NEVER take the following actions when students are caught smoking cigarettes.
40 37 35 30 30 25 Percent 20 20 17 15 10 7 5 0 Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program Referred to legal authorities Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program 2006 Jr/Sr High School Middle School Senior High School Referred to legal authorities 9 7 4 5 10 7 5 2 16 16 16 18 17 31 29 29 31 30 28
2004 Overall
15
(Never). Percentage of schools that NEVER take the following actions when students are caught smoking cigarettes.
40 35 35
30 25 22 Percent 20 17 15 12 10 9 8 8 14 12 9 10 9 8 9 6 5 8 14 17 17 26 22
25
24
24
0 Placed in detention Given in-school suspension Suspended from school Placed in detention Given in-school suspension 2006 Jr/Sr High School Middle School Senior High School Suspended from school
2004 Overall
16
(Rarely). Percentage of schools that RARELY take the following actions when students are caught smoking cigarettes.
20
17 16 14 14 13 12 12 Percent
17 15
8
7
4
1 0 0 Parents or guardians are informed Referred to a school counselor 2004 Overall Jr/Sr High School Middle School Senior High School Referred to a school administrator Parents or guardians are informed Referred to a school counselor 2006 Referred to a school administrator 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17
(Rarely). Percentage of schools that RARELY take the following actions when students are caught smoking cigarettes
35
30
29
29 27 26 22
25
24 21
23
22
21 17
21
21
Percent
20 16 16 15
15 11 10 8 10
14 11
14 10
9
5
0 Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program Referred to legal authorities Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program 2006 Jr/Sr High School Middle School Senior High School Referred to legal authorities
2004 Overall
18
(Rarely). Percentage of schools that RARELY take the following actions when students are caught smoking cigarettes.
30 27 25 23 22 20 17 Percent 15 13 10 10 8 8 7 5 5 10 13 12 11 11 10 9 8 12 14 17 17 15 14
0 Placed in detention Given in-school suspension Suspended from school Placed in detention Given in-school suspension 2006 Jr/Sr High School Middle School Senior High School Suspended from school
2004 Overall
19
(Sometimes). Percentage of schools that SOMETIMES take the following actins when students are caught smoking cigarettes.
60
57
50
49 47 41 42 43
40
Percent
30 30
29
20
10 4 2 0 Parents or guardians are informed Referred to a school counselor 2004 Overall Jr/Sr High School Middle School Senior High School Referred to a school administrator Parents or guardians are informed Referred to a school counselor 2006 Referred to a school administrator 1 2 0 2 3 1 1 2 0 2 0 0
1
1
20
(Sometimes). Percentage of schools that SOMETIMES take the following actions when students are caught smoking cigarettes.
50 44 42 40 40 34 30 30 31 29 26 23 21 20 29 29 27 28 27 24 21 25 35 33 30 30 38 36
10
0 Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program Referred to legal authorities Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program 2006 Jr/Sr High School Middle School Senior High School Referred to legal authorities
2004 Overall
21
(Sometimes). Percentage of schools that SOMETIMES take the following actions when students are caught smoking cigarettes.
60
50 46 41 40 35 33 Percent 30 29 23 20 28 30 24 22 22 21 42 38 38 37 45 43 46 44 42 41
49
35
10
0 Placed in detention Given in-school suspension Suspended from school Jr/Sr High School Placed in detention Given in-school suspension Suspended from school
Overall
Middle School
Senior High School
22
(Always). Percentage of schools that ALWAYS or ALMOST ALWAYS take the following actions when students are caught smoking cigarettes.
100 98 96 98 100 97 97 96 99 99 98 100 99 99 98 100 100
80
60 Percent 49 39 41 36 26 20 49 47
40
23
0 Parents or guardians are informed Referred to a school counselor 2004 Overall Jr/Sr High School Middle School Senior High School Referred to a school administrator Parents or guardians are informed Referred to a school counselor 2006 Referred to a school administrator
23
(Always). Percentage of schools that ALWAYS or ALMOST ALWAYS take the following actions when students are caught smoking cigarettes.
70 61 60 55 46 43 35 29 22 20 19 14 11 10 18 22 21 34 34 36 30 54 59
50
45
Percent
40 28 29
35
32
30
0 Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program Referred to legal authorities Encouraged, but Required to not required to participate in an participate in an assistance, assistance, education, or education, or cessation program cessation program 2006 Jr/Sr High School Middle School Senior High School Referred to legal authorities
2004 Overall
24
(Always). Percentage of schools that ALWAYS or ALMOST ALWAYS take the following actions when students are caught smoking cigarettes.
60 53 53 50 47 45 48 49
40
37 33 32 32
36 30
35
36
37 35 29
36
35
Percent
30 26
28
28 26
20
19
10
0 Placed in detention Given in-school suspension Suspended from school Placed in detention Given in-school suspension 2006 Jr/Sr High School Middle School Senior High School Suspended from school
2004 Overall
25
Percentage of schools that provide referalls to tobacco cessation programs for each of the following groups.
Overall
53 44 49 35 52 50 61 46 21 13 24 11 17 14 22 15 0 10 20 30 40 50 Percent 60 70 80 90 100 2004 2006
Students
Jr/Sr High School
Middle School
High School
Overall Faculty and staff
Jr/Sr High School
Middle School
High School
26
Percentage of schools that prohibit tobacco advertising in each of the following locations.
2004 2006 In school publications Overall On school buses/student transport vehicles On school grounds In the school building In school publications On school buses/student transport vehicles On school grounds In the school building In school publications On school buses/student transport vehicles On school grounds In the school building In school publications Senior High School On school buses/student transport vehicles On school grounds In the school building 89 91 92 93 94 95 98 98 98 98 97
Jr/Sr High School
97 92 94 97 97 92 93 95 94 98 98 98 99
Middle School
96
100 96 100 96 100 97 100
0
10
20
30
40
50 Percent
60
70
80
90
100
27
Percentage of schools that prohibit tobacco advertising through sponsorship of school events.
91 Overall 96
91 Jr/Sr High School 96 2004 2006 89 Middle School 95
95 Senior High School 97
0
10
20
30
40
50 Percent
60
70
80
90
100
28
Percentage of schools that prohibit students from wearing tobacco brand-name apparel or carrying merchandise with tobacco company names, logos, or cartoon characters on it.
97 Overall 96
96 Jr/Sr High School 94 2004 2006 98 Middle School 98
96 Senior High School 97
0
10
20
30
40
50 Percent
60
70
80
90
100
29
Percentage of schools that post signs marking a tobacco-free school zone, that is, a specified distance from school grounds where tobacco use is not allowed.
100 91 91 98 93
80 69 70 69
67 60 Percent 40 20 0 Senior High School
Middle School 2004 2006
Jr/Sr High School
Overall
30
Percentage of schools in which teachers tried to increase student knowledge on each of the following topics in a required health education course.
100 100 100 99 98 99 100 99 99
80
60 Percent 40 20 0 Senior High School Middle School 2004 2006 Jr/Sr High School Overall
31
Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required health education course.
100 98 98 98 97 97 96 98 97 85 84 83 80 88 82 75 98 99 96 99 98 100 96 100 86 88
60 Percent 40 20 0 Short- and longBenefits of not Risks of cigar or term health smoking (including pipe smoking consequences of long- and shortcigarette smoking term health, social, (such as stained environmental, teeth, bad breath, and financial heart disease, and benefits) cancer) 2004 Overall Jr/Sr High School Middle School Senior High School Short- and longBenefits of not Risks of cigar or term health smoking (including pipe smoking consequences of long- and shortcigarette smoking term health, social, (such as stained environmental, teeth, bad breath, and financial heart disease, and benefits) cancer) 2006
32
Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required health education course.
100 95 90 97 100 95 89 97 99 97 93 98 100 98 100 98 97 96 98 93 99 98 99 96 99
80
60 Percent 40 20 0 Short- and longterm health consequences of using smokeless tobacco Benefits of not Addictive effects of using smokeless nicotine in tobacco tobacco products Short- and longterm health consequences of using smokeless tobacco Benefits of not Addictive effects of using smokeless nicotine in tobacco tobacco products
2004 Overall Jr/Sr High School Middle School Senior High School
2006
33
Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required health education course.
100 91 89 91 96 97 90 100 95 91 99 97
93 89
95 94
94 93 94 95
93 94
95 91
95
80
60 Percent 40 20 0 How many young people use tobacco Influence of families on tobacco use Influence of the media on tobacco use 2004 Overall Jr/Sr High School Middle School Senior High School How many young people use tobacco Influence of families on tobacco use 2006 Influence of the media on tobacco use
34
Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required health education course.
100 91 92 95 87 80 86 78 74 70 70 74 73 70 81 76 98 91 85 83 79 81 81 74 96
94
60 Percent 40 20 0 Social or cultural How to find valid Making a personal influences on information or commitment not to tobacco use services related to use tobacco tobacco use cessation 2004 Overall Jr/Sr High School Middle School Senior High School Social or cultural influences on tobacco use How to find valid Making a personal information or commitment not to services related to use tobacco tobacco use cessation 2006
35
Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required health education course.
100 92 85 84 80 88 84 84 81 87 82 86 97 97 92 86 99 94 99
94
91 92 90 90
94 90
60 Percent 40 20 0 How students can How students can influence or influence or support others to support others in prevent tobacco efforts to quit using use tobacco Resisting peer pressure to use tobacco How students can How students can influence or influence or support others to support others in prevent tobacco efforts to quit using use tobacco 2006 Jr/Sr High School Middle School Senior High School Resisting peer pressure to use tobacco
2004 Overall
36
Percentage of schools in which teachers taught about the health effects of environmental tobacco smoke (ETS) or second-hand smoke
100 97 91 99 96 95 97 97
95
80
60 Percent 40 20 0 Overall Jr/Sr High School 2004 2006 Middle School Senior High School
37
Percentage of schools in which the lead health education teacher received or would like to receive staff development on tobacco-use prevention.
100
80
61 60 Percent 52 44 41 40 39 38 39 31 38
63 58
61
60
62
64
51
20
0 2004 2006 2004 2006 Received staff development on tobacco-use prevention during the past 2 years Overall Jr/Sr High School Middle School Would like to receive staff development on tobaccouse prevention Senior High School