State of Nebraska School Health Education Survey Results 2020

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 1. Percentage of schools in which students take the following number of required health education courses in grades 6 through 12. a. 0 courses NA NA NA 0.0 b. 1 course NA NA NA 8.2 NA c. 2 courses NA NA 30.6 NA d. 3 courses NA NA 30.6 NA e. 4 or more courses NA NA 30.6 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 1 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 1N. Percentage of all schools that require students to take two or more health education courses. NA NA NA 91.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 2 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 2. Percentage of schools that taught a required health education course in each of the following grades.* NA a. Sixth grade NA NA 61.1 NA NA b. Seventh grade NA 57.7 NA NA c. Eighth grade NA 84.6 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools with students in that grade. NA = Not available Page 3 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 2. Percentage of schools that taught a required health education course in each of the following grades.* d. Ninth grade NA NA NA 100.0 NA e. Tenth grade NA NA 0.0 NA f. Eleventh grade NA NA 0.0 NA g. Twelfth grade NA NA 0.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools with students in that grade. NA = Not available Page 4 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 3. Percentage of schools that require students who fail a required health education course to repeat it.* NA NA NA 55.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools in which students take one or more required health education courses in any of grades 6 through 12. NA = Not available Page 5 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 4. Percentage of schools in which those who teach health education are provided with each of the following materials.* a. Goals, objectives, and expected outcomes for health education NA NA NA 100.0 NA b. A chart describing the annual scope and sequence of instruction for health education NA NA 64.1 NA c. Plans for how to assess student performance in health education NA NA 65.6 NA d. A written health education curriculum NA NA 76.6 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach health education. Respondents that answered NA are excluded. NA = Not available Page 6 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 5. Percentage of schools in which the health education curriculum addresses each of the following skills. a. Comprehending concepts related to health promotion and disease prevention to enhance health NA NA NA 100.0 NA b. Analyzing the influence of family, peers, culture, media, technology, and other factors on health behaviors NA NA 100.0 NA c. Accessing valid information and products and services to enhance health NA NA 100.0 NA d. Using interpersonal communication skills to enhance health and avoid or reduce health risks NA NA 89.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 7 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 5. Percentage of schools in which the health education curriculum addresses each of the following skills. e. Using decision-making skills to enhance health NA NA NA 100.0 NA f. Using goal-setting skills to enhance health NA NA 100.0 NA g. Practicing health-enhancing behaviors to avoid or reduce risks NA NA 100.0 NA h. Advocating for personal, family, and community health NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 8 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 6. Percentage of schools in which those who teach sexual health education are provided with each of the following materials.* NA a. An approved health education scope and sequence that includes learning objectives, outcomes, and content to guide sexual health education instruction NA NA 75.4 NA NA b. A written health education curriculum that includes objectives and content addressing sexual health education NA 93.4 NA NA c. Teacher pacing guides for sexual health education (i.e., schedules that regulate a teacher s pace of the unit or curriculum) NA 50.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. NA = Not available Page 9 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 6. Percentage of schools in which those who teach sexual health education are provided with each of the following materials.* NA d. Teaching resources (e.g., lesson plans, handouts) to support sexual health education instruction NA NA 93.4 NA NA e. Strategies that are age-appropriate, relevant, and actively engage students in learning NA 82.0 NA NA f. Methods to assess student knowledge and skills related to sexual health education NA 82.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. NA = Not available Page 10 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 7. Percentage of schools that provide curricula or supplementary materials that include HIV, STD, or pregnancy prevention information that is relevant to lesbian, gay, bisexual, transgender, and questioning youth. NA NA NA 82.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 11 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 8. Percentage of schools in which health education instruction is required for students in any of grades 6 through 12. NA NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 12 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers tried to increase student knowledge on each of the following topics in a required course in any of grades 6 through 12 during the current school year. a. Alcohol- or other drug-use prevention NA NA NA 100.0 b. Asthma NA NA NA 38.2 NA c. Chronic disease prevention (e.g., diabetes, obesity prevention) NA NA 82.4 NA d. Emotional and mental health NA NA 100.0 NA e. Epilepsy or seizure disorder NA NA 50.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 13 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers tried to increase student knowledge on each of the following topics in a required course in any of grades 6 through 12 during the current school year. f. Food allergies NA NA NA 61.8 g. Foodborne illness prevention NA NA NA 77.9 NA h. Human immunodeficiency virus (HIV) prevention NA NA 88.2 NA i. Human sexuality NA NA 94.1 NA j. Infectious disease prevention (e.g., influenza [flu] prevention) NA NA 94.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 14 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers tried to increase student knowledge on each of the following topics in a required course in any of grades 6 through 12 during the current school year. k. Injury prevention and safety NA NA NA 83.8 l. Nutrition and dietary behavior NA NA NA 100.0 NA m. Physical activity and fitness NA NA 100.0 NA n. Pregnancy prevention NA NA 83.8 NA o. Sexually transmitted disease (STD) prevention NA NA 89.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 15 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers tried to increase student knowledge on each of the following topics in a required course in any of grades 6 through 12 during the current school year. NA p. Suicide prevention NA NA 83.8 NA NA q. Tobacco-use prevention NA 100.0 NA NA r. Violence prevention (e.g., bullying, fighting, dating violence prevention) NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 16 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 10. Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required course for students in any of grades 6 through 12 during the current school year. a. Identifying tobacco products and the harmful substances they contain NA NA NA 83.8 b. Identifying short- and long-term health consequences of tobacco product use NA NA NA 94.1 NA c. Identifying social, economic, and cosmetic consequences of tobacco product use NA NA 77.9 NA d. Understanding the addictive nature of nicotine NA NA 94.1 NA e. Effects of nicotine on the adolescent brain NA NA 94.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 17 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 10. Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required course for students in any of grades 6 through 12 during the current school year. f. Effects of tobacco product use on athletic performance NA NA NA 77.9 g. Effects of second-hand smoke and benefits of a smoke-free environment NA NA NA 94.1 NA h. Understanding the social influences on tobacco product use, including media, family, peers, and culture NA NA 94.1 NA i. Identifying reasons why students do and do not use tobacco products NA NA 94.1 NA j. Making accurate assessments of how many peers use tobacco products NA NA 72.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 18 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 10. Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required course for students in any of grades 6 through 12 during the current school year. k. Using interpersonal communication skills to avoid tobacco product use (e.g., refusal skills, assertiveness) NA NA NA 77.9 l. Using goal-setting and decision-making skills related to not using tobacco products NA NA NA 77.9 NA m. Finding valid information and services related to tobacco-use prevention and cessation NA NA 83.8 NA n. Supporting others who abstain from or want to quit using tobacco products NA NA 100.0 NA o. Identifying harmful effects of tobacco product use on fetal development NA NA 94.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 19 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 10. Percentage of schools in which teachers taught each of the following tobacco-use prevention topics in a required course for students in any of grades 6 through 12 during the current school year. p. Relationship between using tobacco products and alcohol or other drugs NA NA NA 100.0 NA q. How addiction to tobacco products can be treated NA NA 100.0 NA r. Understanding school policies and community laws related to the sale and use of tobacco products NA NA 72.1 NA s. Benefits of tobacco product cessation programs NA NA 72.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 20 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 10N. Percentage of schools that taught all 19 tobacco-use prevention topics during the current school year.* NA NA NA 55.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 10 a through s all are "yes." NA = Not available Page 21 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 11. Percentage of schools in which teachers taught about the following tobacco products in a required course for students in any of grades 6 through 12 during the current school year. a. Cigarettes NA NA NA 89.7 b. Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, dissolvable tobacco) NA NA NA 67.6 NA c. Cigars, little cigars, or cigarillos NA NA 61.8 NA d. Pipes NA NA 39.7 NA e. Electronic vapor products (e.g., e- cigarettes, vapes, vape pens, e-hookahs, mods, or brands such as JUUL) NA NA 83.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 22 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following alcohol- and other drug-use prevention topics in a required course for students in any of grades 6 through 12 during the current school year. a. Differences between proper use and abuse of over-the-counter medicines and prescription medicines NA NA NA 83.8 b. Harmful short- and long-term physical, psychological, and social effects of using alcohol and other drugs NA NA NA 100.0 NA c. Situations that lead to the use of alcohol and other drugs NA NA 100.0 NA d. Alcohol and other drug use as an unhealthy way to manage weight NA NA 72.1 NA e. Identifying reasons why individuals choose to use or not to use alcohol and other drugs NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 23 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following alcohol- and other drug-use prevention topics in a required course for students in any of grades 6 through 12 during the current school year. f. Using interpersonal communication skills to avoid alcohol and other drug use (e.g., refusal skills, assertiveness) NA NA NA 100.0 NA g. Supporting others who abstain from or want to quit using alcohol and other drugs NA NA 100.0 NA h. Understanding the social influences on alcohol and other drug use, including media, family, peers, and culture NA NA 100.0 NA i. How to persuade and support others to be alcohol and other drug free NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 24 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 6, 7, or 8 during the current school year. a. How HIV and other STDs are transmitted NA NA NA 78.8 b. Health consequences of HIV, other STDs, and pregnancy NA NA NA 78.8 NA c. The benefits of being sexually abstinent NA NA 78.8 NA d. How to access valid and reliable health information, products, and services related to HIV, other STDs, and pregnancy NA NA 45.5 NA e. The influences of family, peers, media, technology and other factors on sexual risk behaviors NA NA 78.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 25 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 6, 7, or 8 during the current school year. f. Communication and negotiation skills related to eliminating or reducing risk for HIV, other STDs, and pregnancy NA NA NA 57.6 g. Goal-setting and decision-making skills related to eliminating or reducing risk for HIV, other STDs, and pregnancy NA NA NA 78.8 NA h. Influencing and supporting others to avoid or reduce sexual risk behaviors NA NA 78.8 NA i. Efficacy of condoms, that is, how well condoms work and do not work NA NA 36.4 NA j. The importance of using condoms consistently and correctly NA NA 36.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 26 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 6, 7, or 8 during the current school year. k. How to obtain condoms NA NA NA 33.3 l. How to correctly use a condom NA NA NA 33.3 NA m. Methods of contraception other than condoms NA NA 45.5 NA n. The importance of using a condom at the same time as another form of contraception to prevent both STDs and pregnancy NA NA 36.4 NA o. How to create and sustain healthy and respectful relationships NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 27 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 6, 7, or 8 during the current school year. p. The importance of limiting the number of sexual partners NA NA NA 78.8 NA q. Preventive care (such as screenings and immunizations) that is necessary to maintain reproductive and sexual health NA NA 66.7 NA r. How to communicate sexual consent between partners NA NA 78.8 NA s. Recognizing and responding to sexual victimization and violence NA NA 66.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 28 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 6, 7, or 8 during the current school year. NA t. Diversity of sexual orientations and gender identities NA NA 36.4 NA NA u. How gender roles and stereotypes affect goals, decision making, and relationships NA 78.8 NA NA v. The relationship between alcohol and other drug use and sexual risk behaviors NA 78.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 29 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 9, 10, 11, or 12 during the current school year. a. How HIV and other STDs are transmitted NA NA NA 100.0 b. Health consequences of HIV, other STDs, and pregnancy NA NA NA 100.0 NA c. The benefits of being sexually abstinent NA NA 100.0 NA d. How to access valid and reliable health information, products, and services related to HIV, other STDs, and pregnancy NA NA 100.0 NA e. The influences of family, peers, media, technology and other factors on sexual risk behaviors NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 30 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 9, 10, 11, or 12 during the current school year. f. Communication and negotiation skills related to eliminating or reducing risk for HIV, other STDs, and pregnancy NA NA NA 100.0 g. Goal-setting and decision-making skills related to eliminating or reducing risk for HIV, other STDs, and pregnancy NA NA NA 85.7 NA h. Influencing and supporting others to avoid or reduce sexual risk behaviors NA NA 100.0 NA i. Efficacy of condoms, that is, how well condoms work and do not work NA NA 100.0 NA j. The importance of using condoms consistently and correctly NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 31 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 9, 10, 11, or 12 during the current school year. k. How to obtain condoms NA NA NA 100.0 l. How to correctly use a condom NA NA NA 85.7 NA m. Methods of contraception other than condoms NA NA 100.0 NA n. The importance of using a condom at the same time as another form of contraception to prevent both STDs and pregnancy NA NA 100.0 NA o. How to create and sustain healthy and respectful relationships NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 32 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 9, 10, 11, or 12 during the current school year. p. The importance of limiting the number of sexual partners NA NA NA 100.0 NA q. Preventive care (such as screenings and immunizations) that is necessary to maintain reproductive and sexual health NA NA 100.0 NA r. How to communicate sexual consent between partners NA NA 100.0 NA s. Recognizing and responding to sexual victimization and violence NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 33 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers taught each of the following sexual health topics in a required course in any of grades 9, 10, 11, or 12 during the current school year. NA t. Diversity of sexual orientations and gender identities NA NA 85.7 NA NA u. How gender roles and stereotypes affect goals, decision making, and relationships NA 85.7 NA NA v. The relationship between alcohol and other drug use and sexual risk behaviors NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 34 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13N_1. Percentage of schools that taught all 22 sexual health topics in any of grades 6, 7, or 8 during the current school year.* NA NA NA 0.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 13 a through v all are "yes." NA = Not available Page 35 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13N_2. Percentage of schools that taught all 22 sexual health topics in any of grades 9, 10, 11, or 12 during the current school year.* NA NA NA 71.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 13 a through v all are "yes." NA = Not available Page 36 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 14. Percentage of schools in which teachers assess the ability of students to do each of the following in a required course for students in any of grades 6, 7, or 8 during the current school year. a. Comprehend concepts important to prevent HIV, other STDs, and pregnancy NA NA NA 78.8 NA b. Analyze the influence of family, peers, culture, media, technology, and other factors on sexual risk behaviors NA NA 78.8 NA c. Access valid information, products, and services to prevent HIV, other STDs, and pregnancy NA NA 66.7 NA d. Use interpersonal communication skills to avoid or reduce sexual risk behaviors NA NA 57.6 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 37 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 14. Percentage of schools in which teachers assess the ability of students to do each of the following in a required course for students in any of grades 6, 7, or 8 during the current school year. NA e. Use decision-making skills to prevent HIV, other STDs, and pregnancy NA NA 57.6 NA NA f. Set personal goals that enhance health, take steps to achieve these goals, and monitor progress in achieving them NA 57.6 NA NA g. Influence and support others to avoid or reduce sexual risk behaviors NA 78.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 38 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 14. Percentage of schools in which teachers assess the ability of students to do each of the following in a required course for students in any of grades 9, 10, 11, or 12 during the current school year. a. Comprehend concepts important to prevent HIV, other STDs, and pregnancy NA NA NA 100.0 NA b. Analyze the influence of family, peers, culture, media, technology, and other factors on sexual risk behaviors NA NA 100.0 NA c. Access valid information, products, and services to prevent HIV, other STDs, and pregnancy NA NA 100.0 NA d. Use interpersonal communication skills to avoid or reduce sexual risk behaviors NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 39 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 14. Percentage of schools in which teachers assess the ability of students to do each of the following in a required course for students in any of grades 9, 10, 11, or 12 during the current school year. NA e. Use decision-making skills to prevent HIV, other STDs, and pregnancy NA NA 100.0 NA NA f. Set personal goals that enhance health, take steps to achieve these goals, and monitor progress in achieving them NA 85.7 NA NA g. Influence and support others to avoid or reduce sexual risk behaviors NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 40 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 15. Percentage of schools in which teachers provided students with the opportunity to practice the following skills in a required course for students in any of grades 6 through 12 during the current school year. NA a. Communication, decision-making, goal- setting, or refusal skills related to sexual health (e.g., through role playing) NA NA 89.7 NA NA b. Analyzing the influence of family, media, and culture on sexual health NA 100.0 NA NA c. Accessing valid sexual health information, products, and services NA 88.2 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 41 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16. Percentage of schools in which teachers implemented the following inclusive practices when providing sexual health education in a required course for students in grades 6 through 12 during the current school year.* a. Encouraged use of gender-neutral pronouns such as they/them during instruction to recognize gender diversity among students NA NA NA 61.2 b. Provided positive examples of lesbian, gay, bisexual, or transgender (LGBT) people and same-sex relationships NA NA NA 69.4 NA c. Encouraged students to respect others sexual and gender identities NA NA 91.8 NA d. Provided students with information about LGBT resources within the school (e.g., counseling services, student support groups like Gay/Straight Alliances or Genders and Sexualities Alliances) NA NA 38.8 NA e. Identified additional LGBT resources available in the community or online NA NA 38.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. NA = Not available Page 42 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. Percentage of schools in which teachers taught each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12 during the current school year. a. Benefits of healthy eating NA NA NA 100.0 b. Benefits of drinking plenty of water NA NA NA 100.0 NA c. Benefits of eating breakfast every day NA NA 100.0 NA d. Food guidance using the current Dietary Guidelines for Americans (e.g., MyPlate) NA NA 94.1 NA e. Using food labels NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 43 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. Percentage of schools in which teachers taught each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12 during the current school year. f. Differentiating between nutritious and non-nutritious beverages NA NA NA 100.0 g. Balancing food intake and physical activity NA NA NA 100.0 NA h. Eating more fruits, vegetables, and whole grain products NA NA 100.0 NA i. Choosing foods and snacks that are low in solid fat (i.e., saturated and trans fat) NA NA 100.0 NA j. Choosing foods, snacks, and beverages that are low in added sugars NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 44 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. Percentage of schools in which teachers taught each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12 during the current school year. k. Choosing foods and snacks that are low in sodium NA NA NA 100.0 l. Eating a variety of foods that are high in calcium NA NA NA 93.8 NA m. Eating a variety of foods that are high in iron NA NA 93.8 NA n. Food safety NA NA 89.1 NA o. Preparing healthy meals and snacks NA NA 89.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 45 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. Percentage of schools in which teachers taught each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12 during the current school year. p. Risks of unhealthy weight control practices NA NA NA 100.0 NA q. Accepting body size differences NA NA 94.1 NA r. Signs, symptoms, and treatment for eating disorders NA NA 83.8 NA s. Relationship between diet and chronic diseases NA NA 77.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 46 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. Percentage of schools in which teachers taught each of the following nutrition and dietary behavior topics in a required course for students in any of grades 6 through 12 during the current school year. NA t. Assessing body mass index (BMI) NA NA 100.0 NA NA u. The influence of the media on dietary behaviors NA 94.1 NA NA v. Food production, including how food is grown, harvested, processed, packaged, and transported NA 83.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 47 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17N. Percentage of schools that taught all 22 nutrition and dietary behavior topics during the current school year.* NA NA NA 77.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 17 a through v all are yes. NA = Not available Page 48 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 18. Percentage of schools in which teachers taught each of the following physical activity topics in a required course for students in any of grades 6 through 12 during the current school year. a. Short-term and long-term benefits of physical activity, including reducing the risks for chronic disease NA NA NA 100.0 b. Mental and social benefits of physical activity NA NA NA 100.0 NA c. Health-related fitness (i.e., cardiorespiratory endurance, muscular endurance, muscular strength, flexibility, and body composition) NA NA 100.0 NA d. Phases of a workout (i.e., warm-up, workout, and cool down) NA NA 77.9 NA e. Recommended amounts and types of moderate, vigorous, muscle- strengthening, and bone-strengthening physical activity NA NA 94.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 49 of 77

NEBRASKA - HEALTHY SCHOOLS LOCAL EDUCATION AGENCIES 2020 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 18. Percentage of schools in which teachers taught each of the following physical activity topics in a required course for students in any of grades 6 through 12 during the current school year. f. Decreasing sedentary activities (e.g., television viewing, using video games) NA NA NA 94.1 g. Preventing injury during physical activity NA NA NA 83.8 NA h. Weather-related safety (e.g., avoiding heat stroke, hypothermia, and sunburn while physically active) NA NA 83.8 NA i. Dangers of using performance-enhancing drugs (e.g., steroids) NA NA 100.0 NA j. Increasing daily physical activity NA NA 100.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 50 of 77