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McCreary Centre Society Results of the 2013 BC Adolescent Health Survey East Kootenay Cover images courtesy of Picture BC, www.picturebc.ca. East Kootenay RESULTS OF THE 2013 BC ADOLESCENT HEALTH SURVEY Copyright: McCreary Centre Society, 2015 McCreary Centre Society is a non-government not-for- ISBN: 978-1-926675-35-0 profit committed to improving the health of BC youth through research and community-based projects. McCreary Centre Society Founded in 1977, the Society sponsors and promotes 3552 East Hastings Street a wide range of activities and research to identify and Vancouver, BC, V5K 2A7 address the health needs of young people in the province. Copies of this report are available at www.mcs.bc.ca Youth health • Youth research • Youth engagement For enquiries, please email [email protected] Follow us on Twitter @mccrearycentre McCreary team Annie Smith Executive Director Elizabeth Saewyc Research Director Duncan Stewart BC AHS Coordinator/Research Associate Maya Peled Research Associate Colleen Poon Research Associate Stephanie Martin Graphic Design/Community & Communications Manager Kate Kovaleva Research Assistant Preeti Prasad Research Assistant Brynn Warren Research Assistant Ange Cullen Research Assistant Annalise Zwack Administrative Assistant Alexandra Young Report Layout Acknowledgements Statistical weighting and expertise provided by Rita Green. Funding for the 2013 BC Adolescent Health Survey was pro- vided by BC Ministry of Children and Family Development, BC Ministry of Health, and BC Office of the Representative for Children and Youth. Sincere thanks are due to all the students who participated in the 2013 BC Adolescent Health Survey. This study was approved by the Behavioural Research Ethics Board, University of British We are also indebted to the following East Kootenay coordi- Columbia, #H12-02630. nators and survey administrators: Heather McDonald Eileen Hughes CITATION Heather Ney Peled, M., Poon, C., Stewart. D., Cullen, A., Kovaleva, K., Smith, A., & McCreary Centre Society (2015). East Kootenay: Results of the 2013 BC Adolescent Health Survey. Vancouver, BC: McCreary Centre Society. Table of contents Key findings .......................................................................................................................4 Introduction ........................................................................................................................6 Youth in East Kootenay ......................................................................................................8 Physical health .................................................................................................................12 Sleep ................................................................................................................................14 Mental health ��������������������������������������������������������������������������������������������������������������������16 Injuries & injury prevention ...............................................................................................20 Nutrition ............................................................................................................................22 Body weight & body image �����������������������������������������������������������������������������������������������25 Sexual behaviour ..............................................................................................................27 Tobacco use .....................................................................................................................29 Alcohol, marijuana, & other drug use �������������������������������������������������������������������������������30 School ..............................................................................................................................34 Bullying & discrimination ..................................................................................................36 Physical abuse, sexual abuse, & sexual harassment ......................................................39 Employment .....................................................................................................................41 Physical activity, sports, & leisure ....................................................................................42 Technology use ................................................................................................................45 Youth engagement �����������������������������������������������������������������������������������������������������������47 Family relationships .........................................................................................................48 Supportive & caring adults outside the family...................................................................51 Help seeking ....................................................................................................................52 Peer relationships .............................................................................................................53 Neighbourhood safety ������������������������������������������������������������������������������������������������������56 Community connectedness & cultural engagement .........................................................57 Summary list of protective factors ....................................................................................58 How to use these results ..................................................................................................60 Key findings Findings from the 2013 BC Adolescent • In the past year, 11% of East Kootenay Health Survey showed that most youth in students (5% of males vs. 16% of fe- East Kootenay reported good physical and males) reported not accessing needed mental health; felt connected to their family, mental health services, and 9% of stu- school, and community; had positive plans dents (6% of males vs. 12% of females) for the future; and were engaging in health did not get medical help when they promoting behaviours which will assist them thought they needed it. to transition successfully to adulthood. • Males generally reported better mental However, the survey findings also highlight- health than females, including higher ed some differences between this region rates of self-confidence and sense of and the province as a whole, as well as competence, and lower rates of suicide identified some groups of students who may ideation (11% vs. 19%) and suicide at- need additional support. Youth in this area tempts (5% vs. 10%) in the past year. reported higher rates of some health risk behaviours than seen provincially, but there • In the past year, a third of students were were local improvements from previous injured seriously enough to require years. Protective factors were also found medical attention. This percentage was that appear to be linked to better outcomes. higher than the rate across BC for both males (37% vs. 30% provincially) and • The percentage of students in East females (29% vs. 24% provincially). Kootenay born outside Canada doubled However, this was a local decrease, (from 4% in 2008 to 8% in 2013) but from 43% in 2003 and 38% in 2008. remained below the provincial rate of 19%. Students were more likely than • More than 1 in 5 students experienced their peers across the province to a concussion in the past year (26% of identify as European (71% vs. 53%) and males vs. 17% of females). Mirroring Aboriginal (15% vs. 10%). what was seen provincially, 16% of youth who had a concussion had not • Comparable to the provincial rates, accessed needed medical help. 92% of youth never went to bed hungry, while 6% went to bed hungry some- • Rates of ever having sex were higher times, and 2% went to bed hungry than those across BC; however, there often or always. Females were more was a decrease in the percentage of likely than males to report going to bed youth who ever had sex (other than oral hungry at least sometimes (10% vs. sex or masturbation), from 33% in 2003 6%). There was a local increase in the to 29% in 2013. Also, most local youth percentage of youth who never went to who ever had sex (64%) reported using bed hungry, from 87% in 2008. a condom or other latex barrier the last time they had sex, which was similar to the percentage throughout the province. 4 East Kootenay • Youth in East Kootenay were more likely • Females were more likely than males than their peers across the province to be a healthy weight for their age and to have ever tried tobacco, alcohol, gender (79% vs. 70%), while males or marijuana. However, there were were more likely than females to be local improvements over time, includ- obese (9% vs. 4%). Sixteen percent of ing reductions in the use of all three healthy weight females thought they substances across survey years. Also, were overweight, compared to 5% youth who drank alcohol were waiting of healthy weight males. Also, nearly longer to have their first drink than five half (49%) of healthy weight females years previous, with 74% having their were trying to lose weight, and 29% of first drink before age 15 compared to healthy weight males were trying to gain 84% in 2008. weight. • Eight percent of youth who had tried • Protective factors which appeared to drinking had ever driven a car after improve outcomes for even the most drinking alcohol, which reflected a local vulnerable youth included physical decline from 14% in 2008. It was more activity, meaningful engagement in common for local youth