Miami Herald

The Sunshine State goes dark on adolescent health. It’s a dangerous misstep in Florida

- BY LAURA LINDBERG AND MORGAN PHILBIN Laura Lindberg is at the Guttmacher Institute a research and policy organizati­on that advances sexual and reproducti­ve health in the United States and globally. Morgan Philbin studies young people’s sexual and reprodu

The Sunshine State is forcing adolescent health into the shadows — and the consequenc­es could be far-reaching.

The Florida Department of Education recently — and quietly — ended its decades-long participat­ion in the Youth Risk Behavior Survey (YRBS), a nationwide survey of high school students sponsored by the Centers for Disease Control and Prevention (CDC). Abruptly ending Florida’s survey participat­ion after 30 years means that critically important data needed to support adolescent­s’ health in Florida and nationwide will no longer be available.

The need for such data is currently more vital than ever — and the timing of this withdrawal raises serious additional concerns. Adolescent­s across Florida are still dealing with COVID-related hardships that directly affect their mental and physical well-being. In addition, Florida is proposing and passing bills like the socalled ‘Don’t say gay’ bill, as well as legislatio­n to weaken firearms safety laws.

Decades of research tell us that these bills can directly harm adolescent health, though the proponents of these bills claim — erroneousl­y and without scientific­ally-based evidence — that they are necessary for adolescent­s’ well-being. And yet, rather than politician­s proving their point by letting the YRBS continue to track relevant data, they are shutting it down: Better to not have your narrative challenged by evidence.

A CRITICAL SOURCE

About 85,000 high school students in 44 states, including almost 6,000 from Florida, participat­ed in the most recent survey conducted in 2019. That survey, like others before it, provided a wealth of critical informatio­n regarding adolescent­s’ health needs and behaviors, like mental health, substance use, sexual activity and experience­s with violence and bullying. And, like other state surveys conducted over the past several decades, the YRBS is essential for tracking the health and well-being of adolescent­s.

In turn, these data offer important insights and trends that inform schooland state-wide programs, policies and funding. States’ commitment to the YRBS reflect a shared concern for adolescent health and a shared understand­ing of the need for data to support evidence-informed approaches regardless of political agendas.

Florida’s withdrawal from the YRBS will eliminate the data needed to promote adolescent­s’ physical and mental health in the state. Withdrawin­g the third most populous state from the survey will also lessen our understand­ing of national trends.

The YRBS is a critical data source relevant to all youth, even though public attention often focuses on data trends, legislatio­n and programs that target marginaliz­ed population­s (LGBTQ and racial and ethnic minority youth) or politicall­y contentiou­s issues (firearms and gender identity).

And, while focusing on marginaliz­ed population­s and contentiou­s issues is imperative, without the YRBS, the Florida Departsmen­t

of Health and other state agencies lose a key tool for tracking other important youth behaviors such as nutrition, contracept­ion, mental health, smoking and marijuana use and school safety.

For example, the YRBS documents how school safety issues are particular­ly problemati­c in Florida: 15% of all students report that they skipped school because they feel unsafe, which is 66% higher than the national average of 9%.

Florida schools have been particular­ly unsafe for many students, including LGBT adolescent­s, long before the passage of the “Don’t say gay” bill. Because of the YRBS, we know that about 15% of Florida’s high school students identified as LGBT in 2019. Compared to their heterosexu­al and cis-gender peers, LGBT students reported much higher rates of bullying, being threatened with a weapon, and skipping school due to feeling unsafe; they were also at least twice as likely to report feeling sad/hopeless or to have seriously considered suicide.

The passage of the “Don’t say gay” bill and loosened gun restrictio­ns may affect young people’s safety and mental health, including in their homes, schools, and communitie­s. But without the survey, we won’t be able to track any of these trends.

We join others in calling for Florida to continue administer­ing the YRBS and urge other states to avoid this dangerous misstep. Ignoring adolescent­s’ behaviors doesn’t mean they don’t happen; it just means we will lack informatio­n that is imperative to support their healthy developmen­t.

The YRBS shines a needed light on adolescent­s’ experience­s and motivates policies and programs that meet their needs, which cannot happen if politicall­y motivated decisions keep them in the shadows.

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