Wisconsin 2024 School Health Profiles Report: Teacher Survey Results

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 1. Percentage of schools that taught a required health education course in each of the following grades.* NA a. Grade 6 65.4 NA 63.7 NA 68.6 b. Grade 7 69.7 68.8 NA 64.5 c. Grade 8 52.3 62.7 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 1 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 1. Percentage of schools that taught a required health education course in each of the following grades.* d. Grade 9 72.0 NA 81.1 74.3 35.7 e. Grade 10 NA 53.8 40.0 11.0 f. Grade 11 NA 21.1 13.3 10.9 g. Grade 12 NA 21.1 13.2 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 2 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 2. 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 87.3 85.4 87.8 86.4 b. A chart describing the annual scope and sequence of instruction for health education 67.7 75.8 73.0 72.4 78.1 c. Plans for how to assess student performance in health education 79.2 79.3 78.8 76.6 d. A written health education curriculum 77.0 76.6 76.8 72.1 e. Written instructional competencies for health education teachers (i.e., the essential knowledge and skills teachers need to be effective educators) 74.1 70.4 72.9 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. Page 3 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 3. 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 97.6 93.0 100.0 95.6 98.5 b. Analyzing the influence of family, peers, culture, media, technology, and other factors on health behaviors 93.0 97.0 95.6 96.8 c. Accessing valid information and products and services to enhance health 89.7 100.0 93.6 96.7 d. Using interpersonal communication skills to enhance health and avoid or reduce health risks 93.0 100.0 95.2 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 4 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 3. Percentage of schools in which the health education curriculum addresses each of the following skills. e. Using decision-making skills to enhance health 96.7 93.6 100.0 95.6 90.9 f. Using goal-setting skills to enhance health 88.3 100.0 90.7 97.6 g. Practicing health-enhancing behaviors to avoid or reduce risks 93.5 100.0 95.8 94.2 h. Advocating for personal, family, and community health 90.2 97.3 92.6 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 5 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 4. Percentage of schools in which those who teach sexual health education are provided with each of the following materials.* 81.2 a. An approved health education scope and sequence that includes learning objectives, outcomes, and content to guide sexual health education instruction 82.3 78.9 81.5 78.8 78.5 b. A written health education curriculum that includes objectives and content addressing sexual health education 74.8 78.3 51.3 65.5 c. Teacher pacing guides for sexual health education (i.e., schedules that regulate a teacher s pace of the unit or curriculum) 56.8 58.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. Page 6 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 4. Percentage of schools in which those who teach sexual health education are provided with each of the following materials.* 83.2 d. Teaching resources (e.g., lesson plans, handouts) to support sexual health education instruction 79.1 76.6 80.5 84.9 86.4 e. Strategies that are age-appropriate, relevant, and actively engage students in learning 78.0 85.0 79.5 76.5 f. Methods to assess student knowledge and skills related to sexual health education 82.2 78.2 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. Page 7 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 5. Percentage of schools that engage in each of the following practices related to sexual health education. 87.4 a. Notify parents or guardians before students receive instruction on pregnancy prevention, HIV prevention, other STI prevention, or human sexuality 88.7 75.0 86.8 76.6 80.0 b. Require parent or guardian consent (e.g., through permission or opt-out forms) before students receive instruction on pregnancy prevention, HIV prevention, other STI prevention, or human sexuality 56.8 76.3 84.9 81.8 c. Allow the use of waivers, exemptions, or substitutions for instruction about pregnancy prevention, HIV prevention, other STI prevention, or human sexuality 68.1 81.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. Page 8 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 6. 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 96.8 93.1 100.0 95.3 b. Asthma 47.5 51.0 46.1 49.1 93.6 c. Chronic disease prevention (e.g., diabetes, obesity prevention) 85.7 86.7 88.8 40.9 d. Epilepsy or seizure disorder 36.9 38.1 38.6 67.1 e. Food allergies 65.4 69.8 66.6 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 9 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 6. 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. Foodborne illness prevention 67.2 58.2 72.7 63.4 g. Human immunodeficiency virus (HIV) prevention 97.5 86.0 83.3 90.2 89.6 h. Human sexuality 83.2 88.4 86.3 81.9 i. Infectious disease prevention (e.g., influenza [flu] or COVID-19 prevention) 79.0 94.4 81.9 86.0 j. Injury prevention and safety 85.8 83.8 85.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 10 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 6. 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. Mental and emotional health 98.5 97.5 100.0 98.1 l. Nutrition and dietary behavior 97.5 97.4 100.0 97.7 97.6 m. Physical activity and fitness 98.1 100.0 98.1 96.8 n. Pregnancy prevention 86.9 86.0 90.7 98.4 o. Sexually transmitted infection (STI) prevention 88.2 94.3 92.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 11 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 6. 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. p. Sleep health (e.g., how much sleep students need, good sleeping habits) 85.2 88.3 91.8 87.5 96.8 q. Suicide prevention 90.4 86.2 92.4 96.9 r. Tobacco-use prevention or cessation 93.7 100.0 95.6 98.4 s. Violence prevention (e.g., bullying, fighting, dating violence prevention) 96.1 100.0 97.5 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 12 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 7. 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. Individual factors that influence health (e.g., race/ethnicity, sexual orientation, gender identity, socioeconomic status) 82.2 77.3 72.8 78.7 85.6 b. Social factors that influence health (e.g., access to education, food and housing stability, transportation, employment) 82.2 90.9 84.5 89.8 c. Combating stressors (e.g., discrimination, harassment, stereotypes) that negatively impact health 85.7 82.0 86.9 58.8 d. Identifying systems of oppression (e.g., systemic racism) that hinder groups from accessing resources and privileges available to others 52.6 52.7 55.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 13 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 8. Percentage of schools in which teachers implemented the following culturally responsive and inclusive practices in a required course for students in grades 6 through 12 during the current school year. 75.9 a. Provided positive examples of a diversity of racial and ethnic people and relationships (e.g., family, peer, or romantic) 82.1 68.9 78.3 93.0 93.0 b. Encouraged students to respect others racial and ethnic identities 87.9 92.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 14 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers taught each of the following tobacco-use prevention or cessation 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 94.4 91.7 100.0 93.6 b. Identifying short- and long-term health consequences of tobacco product use 96.9 91.7 100.0 94.6 89.3 c. Identifying social, economic, and cosmetic consequences of tobacco product use 87.6 75.9 87.0 96.0 d. Understanding the addictive nature of nicotine 91.7 88.2 93.0 93.5 e. Effects of nicotine on the adolescent brain 91.0 84.5 91.3 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 15 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers taught each of the following tobacco-use prevention or cessation 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 85.1 85.0 76.4 84.1 g. Effects of second-hand smoke and benefits of a smoke-free environment 91.0 88.4 79.4 88.4 94.3 h. Understanding the social influences on tobacco product use, including media, family, peers, and culture 89.4 88.2 91.1 95.2 i. Identifying reasons why students do and do not use tobacco products 90.9 75.9 91.0 82.6 j. Making accurate assessments of how many peers use tobacco products 76.3 60.2 77.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 16 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers taught each of the following tobacco-use prevention or cessation 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) 93.5 87.6 82.0 89.3 l. Using goal-setting and decision-making skills related to not using tobacco products 80.1 81.1 76.7 80.2 88.3 m. Finding valid information and services related to tobacco-use prevention and cessation 80.9 70.5 82.6 84.3 n. Supporting others who abstain from or want to quit using tobacco products 81.1 81.7 82.4 86.0 o. Identifying harmful effects of tobacco product use on fetal development 79.7 75.1 81.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 17 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9. Percentage of schools in which teachers taught each of the following tobacco-use prevention or cessation 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 93.5 89.7 83.8 90.6 87.6 q. How addiction to tobacco products can be treated 82.8 75.6 83.9 87.7 r. Understanding school policies and community laws related to the sale and use of tobacco products 77.4 75.6 81.2 65.8 s. Benefits of tobacco product cessation programs 58.9 50.2 60.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 18 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 9N. Percentage of schools that taught all 19 tobacco-use prevention topics during the current school year.* 50.0 46.6 42.9 47.5 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 9 a through s all are "yes." Page 19 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 10. 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 94.4 88.5 100.0 92.1 b. Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, dissolvable tobacco) 94.4 85.8 91.9 89.8 77.7 c. Cigars, little cigars, or cigarillos 73.5 75.1 75.3 70.9 d. Pipes 68.8 63.8 69.1 97.6 e. Electronic vapor products (e.g., e- cigarettes, vapes, vape pens, e-hookahs, mods, or brands such as JUUL or Vuse) 91.7 91.9 94.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 20 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 11. 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 89.4 85.9 89.1 87.6 b. Harmful short- and long-term physical, psychological, and social effects of using alcohol and other drugs 96.8 89.8 94.4 93.0 95.1 c. Situations that lead to the use of alcohol and other drugs 88.9 94.2 91.9 66.5 d. Alcohol and other drug use as an unhealthy way to manage weight 52.9 54.4 58.3 95.9 e. Identifying reasons why individuals choose to use or not to use alcohol and other drugs 89.7 88.8 92.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 21 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 11. 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) 94.2 90.5 83.5 91.1 84.8 g. Supporting others who abstain from or want to quit using alcohol and other drugs 81.5 72.3 81.7 95.9 h. Understanding the social influences on alcohol and other drug use, including media, family, peers, and culture 91.1 83.3 92.1 87.3 i. How to persuade and support others to be alcohol and other drug free 83.7 71.6 83.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 22 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 6, 7, or 8 during the current school year. a. How HIV and other STIs are transmitted NA 78.7 NA 76.4 b. Health consequences of HIV, other STIs, and pregnancy NA 79.9 NA 77.4 NA c. The benefits of being sexually abstinent 82.4 NA 80.8 NA d. How to access valid and reliable health information, products, and services related to HIV, other STIs, and pregnancy 73.8 NA 71.2 NA e. The influences of family, peers, media, technology, and other factors on sexual risk behaviors 75.5 NA 72.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 23 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students 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 STIs, and pregnancy NA 71.9 NA 69.8 g. Goal-setting and decision-making skills related to eliminating or reducing risk for HIV, other STIs, and pregnancy NA 71.6 NA 68.8 NA h. Influencing and supporting others to avoid or reduce sexual risk behaviors 73.8 NA 73.3 NA i. Efficacy of condoms, that is, how well condoms work and do not work 63.2 NA 60.9 NA j. The importance of using condoms consistently and correctly 59.0 NA 57.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 24 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 6, 7, or 8 during the current school year. k. How to obtain condoms NA 48.4 NA 46.4 l. How to correctly use a condom NA 44.9 NA 44.0 NA m. Methods of contraception other than condoms 61.3 NA 59.7 NA n. The importance of using a condom at the same time as another form of contraception to prevent both STIs and pregnancy 57.6 NA 55.8 NA o. How to create and sustain healthy and respectful relationships 81.3 NA 79.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 25 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 6, 7, or 8 during the current school year. p. The importance of limiting the number of sexual partners NA 65.9 NA 64.3 NA q. Preventive care (such as screenings and immunizations) that is necessary to maintain reproductive and sexual health 65.0 NA 64.2 NA r. How to communicate sexual consent between partners 59.2 NA 57.1 NA s. Recognizing and responding to sexual victimization and violence 63.7 NA 61.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 26 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 6, 7, or 8 during the current school year. t. Diversity of sexual orientations and gender identities NA 53.5 NA 51.5 NA u. How gender roles and stereotypes affect goals, decision making, and relationships 62.9 NA 61.0 NA v. The relationship between alcohol and other drug use and sexual risk behaviors 71.6 NA 68.6 NA w. Laws and policies related to adolescent sexual health services, such as minor consent for sexual health services 62.5 NA 60.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 27 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 9, 10, 11 or 12 during the current school year. a. How HIV and other STIs are transmitted 92.5 NA 91.6 92.5 b. Health consequences of HIV, other STIs, and pregnancy 93.5 NA 85.0 91.9 92.6 c. The benefits of being sexually abstinent NA 88.5 91.9 91.6 d. How to access valid and reliable health information, products, and services related to HIV, other STIs, and pregnancy NA 85.0 90.4 86.4 e. The influences of family, peers, media, technology, and other factors on sexual risk behaviors NA 72.4 83.5 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 28 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students 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 STIs, and pregnancy 88.5 NA 76.9 86.4 g. Goal-setting and decision-making skills related to eliminating or reducing risk for HIV, other STIs, and pregnancy 82.4 NA 73.7 80.9 87.5 h. Influencing and supporting others to avoid or reduce sexual risk behaviors NA 79.1 85.9 88.5 i. Efficacy of condoms, that is, how well condoms work and do not work NA 59.8 82.5 86.6 j. The importance of using condoms consistently and correctly NA 60.2 81.2 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 29 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 9, 10, 11 or 12 during the current school year. k. How to obtain condoms 75.2 NA 52.7 70.0 l. How to correctly use a condom 70.8 NA 50.9 67.1 88.5 m. Methods of contraception other than condoms NA 63.8 83.5 85.3 n. The importance of using a condom at the same time as another form of contraception to prevent both STIs and pregnancy NA 63.8 81.0 92.5 o. How to create and sustain healthy and respectful relationships NA 91.9 92.5 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 30 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 9, 10, 11 or 12 during the current school year. p. The importance of limiting the number of sexual partners 90.5 NA 80.5 88.7 85.5 q. Preventive care (such as screenings and immunizations) that is necessary to maintain reproductive and sexual health NA 80.5 84.8 87.4 r. How to communicate sexual consent between partners NA 68.8 83.9 84.4 s. Recognizing and responding to sexual victimization and violence NA 68.8 80.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 31 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12. Percentage of schools in which teachers taught each of the following sexual health topics in a required course for students in any of grades 9, 10, 11 or 12 during the current school year. t. Diversity of sexual orientations and gender identities 66.2 NA 52.5 63.1 78.3 u. How gender roles and stereotypes affect goals, decision making, and relationships NA 60.6 74.3 91.4 v. The relationship between alcohol and other drug use and sexual risk behaviors NA 80.5 89.4 88.2 w. Laws and policies related to adolescent sexual health services, such as minor consent for sexual health services NA 68.4 84.3 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 32 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12N_1. Percentage of schools that taught all 23 sexual health topics in any of grades 6, 7, or 8 during the current school year.* NA 31.1 NA 30.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 12 a through w all are yes. NA = Not available Page 33 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 12N_2. Percentage of schools that taught all 23 sexual health topics in any of grades 9, 10, 11 or 12 during the current school year.* 48.8 NA 34.9 45.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 12 a through w all are yes. NA = Not available Page 34 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers assessed 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 STIs, and pregnancy NA 77.2 NA 73.7 NA b. Analyze the influence of family, peers, culture, media, technology, and other factors on sexual risk behaviors 65.9 NA 64.4 NA c. Access valid information, products, and services to prevent HIV, other STIs, and pregnancy 65.4 NA 64.1 NA d. Use interpersonal communication skills to avoid or reduce sexual risk behaviors 71.9 NA 68.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 35 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers assessed 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 STIs, and pregnancy 74.8 NA 70.3 NA 75.4 f. Set personal goals that enhance health, take steps to achieve these goals, and monitor progress in achieving them NA 73.5 NA 66.1 g. Influence and support others to avoid or reduce sexual risk behaviors NA 63.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 36 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers assessed 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 STIs, and pregnancy 91.2 NA 73.4 87.6 83.8 b. Analyze the influence of family, peers, culture, media, technology, and other factors on sexual risk behaviors NA 71.5 80.6 87.7 c. Access valid information, products, and services to prevent HIV, other STIs, and pregnancy NA 68.1 83.7 88.7 d. Use interpersonal communication skills to avoid or reduce sexual risk behaviors NA 61.4 83.0 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 37 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 13. Percentage of schools in which teachers assessed 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. 88.7 e. Use decision-making skills to prevent HIV, other STIs, and pregnancy NA 57.6 82.2 78.5 NA f. Set personal goals that enhance health, take steps to achieve these goals, and monitor progress in achieving them 68.6 76.7 80.8 NA g. Influence and support others to avoid or reduce sexual risk behaviors 67.7 78.3 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools NA = Not available Page 38 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 14. 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. 86.1 a. Communication, decision-making, goal- setting, or refusal skills related to sexual health (e.g., through role playing) 73.3 69.7 77.9 88.6 76.4 b. Analyzing the influence of family, peers, culture, media, or technology on sexual health 78.8 81.5 92.7 76.4 c. Accessing valid sexual health information, products, and services 75.6 82.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 39 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 15. 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 51.9 60.3 60.0 57.0 55.3 b. Provided positive examples of lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ) people and same- sex or gender relationships (e.g., family, peer, or romantic) 38.7 42.9 45.6 92.2 c. Encouraged students to respect others' sexual and gender identities 90.2 92.9 91.3 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. Page 40 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 15. 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.* 62.5 d. Provided students with information about LGBTQ resources within the school (e.g., counseling services, student support groups like Gay/Straight Alliances or Genders and Sexualities Alliances) 56.0 69.5 60.1 51.7 51.4 e. Identified additional LGBTQ resources available in the community or online 53.4 51.8 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Among schools that teach sexual health education. Page 41 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16. 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 96.6 96.0 100.0 96.7 b. Benefits of drinking plenty of water 96.7 96.6 100.0 97.0 90.7 c. Benefits of eating breakfast every day 94.1 84.0 91.7 94.1 d. Food guidance using the current Dietary Guidelines for Americans (e.g., MyPlate, healthy eating patterns) 90.9 94.0 92.5 93.3 e. Using food labels 90.2 82.3 90.5 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 42 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16. 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 94.1 93.5 87.4 93.1 g. Balancing food intake and physical activity 94.1 93.8 96.6 94.2 95.0 h. Eating more fruits, vegetables, and whole grain products 93.5 90.9 93.8 95.0 i. Choosing a variety of options within each food group 91.5 90.9 92.8 87.4 j. Choosing nutrient-dense foods and beverages that reflect personal preferences, culture, and budget 88.6 90.9 88.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 43 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16. 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 solid fat (i.e., saturated and trans fat) 91.6 88.8 87.4 89.8 l. Choosing foods, snacks, and beverages that are low in added sugars 92.5 92.9 90.9 92.6 88.3 m. Choosing foods and snacks that are low in sodium 85.6 83.5 86.5 84.8 n. Eating a variety of foods that are high in calcium 85.5 84.3 85.1 81.6 o. Eating a variety of foods that are high in iron 82.9 80.9 82.2 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 44 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16. 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. Food safety 76.3 80.5 82.3 79.1 83.1 q. Preparing healthy meals and snacks 84.6 88.4 84.4 87.3 r. Risks of unhealthy weight control practices 85.3 87.4 86.3 89.1 s. Accepting body size differences 88.1 80.9 87.7 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 45 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16. 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. t. Signs, symptoms, and treatment for eating disorders 89.8 83.5 84.3 86.0 89.8 u. Relationship between diet and chronic diseases 83.4 87.4 86.3 93.3 v. Finding valid information about nutrition (e.g., differentiating between advertising and factual information) 86.2 84.3 88.8 68.2 w. Food production, including how food is grown, harvested, processed, packaged, and transported 72.8 66.8 70.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 46 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 16N. Percentage of schools that taught all 23 nutrition and dietary behavior topics during the current school year.* 55.1 59.7 59.7 57.9 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools *Responses to question 16a through w all are "yes." Page 47 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. 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- and long-term benefits of physical activity, including reducing the risks for chronic disease 93.4 96.0 100.0 95.4 97.6 b. Mental and social benefits of physical activity 98.7 100.0 98.4 93.3 c. Health-related fitness (i.e., cardiorespiratory endurance, muscular endurance, muscular strength, flexibility, and body composition) 94.7 100.0 94.7 85.9 d. Phases of a workout (i.e., warm-up, workout, and cool down) 88.5 85.0 87.1 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 48 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. 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. e. Recommended amounts and types of moderate, vigorous, muscle- strengthening, and bone-strengthening physical activity 89.3 89.8 90.6 89.7 92.6 f. Decreasing sedentary activities (e.g., television viewing, using video games) 94.5 91.1 93.4 87.6 g. Preventing injury during physical activity 88.5 82.0 87.4 77.2 h. Weather-related safety (e.g., avoiding heat stroke, hypothermia, and sunburn while physically active) 83.2 88.2 81.4 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 49 of 82

WISCONSIN 2024 School Health Profiles Report Weighted Lead Health Education Teacher Survey Results 17. 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. 86.5 i. Dangers of using performance-enhancing drugs (e.g., steroids) 80.6 85.0 83.4 94.3 97.3 j. Increasing daily physical activity 91.1 95.5 95.1 96.7 k. Incorporating physical activity into daily life (without relying on a structured exercise plan or special equipment) 91.1 95.5 0 20 40 60 80 100 High Schools Middle Schools Junior/Senior High Schools All Schools Page 50 of 82