The Youth Risk Behavior Surveillance System (YRBSS): 2003 National, State, and Local Data

Purposes of the YRBSS è Focus the nation on behaviors among youth causing the most important health problems è Assess how risk behaviors change over time è Provide comparable data

Behaviors That Contribute to the Leading Causes of Morbidity and Mortality è Behaviors that contribute to unintentional injuries and violence è Tobacco use è Alcohol and other drug use è Sexual behaviors è Unhealthy dietary behaviors è Inadequate physical activity

Leading Causes of Death Among Persons Aged Years in the U.S., 2001

Leading Causes of Death Among Persons Aged 25 Years and Older in the U.S., 2001

Impact of Sexual Behaviors è 870,000 pregnancies occur each year among year olds è 490,000 live births occur each year to teen mothers aged years è 3 million sexually transmitted diseases occur each year among year olds

Characteristics of the National, State, and Local School-based YRBS è 9th-12th grade students è Probability samples of schools and students è Anonymous è Self-administered computer-scannable questionnaire è Completed in one class period (45 minutes) è Conducted biennially during the spring

2003 National YRBS è National probability sample of public and private schools è n=15,214 è School-level response rate = 81% è Student-level response rate = 83% è Overall response rate = 67%

Response Rates and Sample Sizes National YRBS, School response rate 75%78%70%79%77%75%81% Student response rate 90% 86%87%86%83% Overall response rate 68%70%60%69%66%63%67% Sample size 12,27216,29610,90416,26215,34913,60115,214

State and Local YRBS Participation Number of states (excluding DC) Number of territories Number of cities (including DC) Total number of sites Number and percent of weighted sites N=17 44% N=33 59% N=37 61% N=42 71% N=38 61% N=38 60% N=55 80%

YRBSS Information è l 2003 questionnaire and item rationale l MMWR Surveillance Summaries l Youth 2003 Online l Data and codebooks for the national surveys l Publications, journal articles, and fact sheets

Policy and Program Applications è Describe risk behaviors è Create awareness è Set program goals è Develop programs and policies è Support health-related legislation è Seek funding

Describe Risk Behaviors è Overall and among subgroups of youth è How risk behaviors are interrelated

Create Awareness Among: è Legislators, boards of education, and school administrators è Parents è Community members è School staff è Students è Media

Set Program Goals è Strategic plans for school health programs è Healthy People 2010 objectives è American Cancer Society measures of success è CDC’s Performance Plan è HIV Prevention Strategic Plan Through 2005

Develop Programs and Policies è School health programs and policies è Programs and policies for youth in high risk situations è Instructional guides and materials è Teacher training programs

Support Health-Related Legislation è School health program requirements è School health council requirements è Drug-free or weapon-free school zone laws è Minors access laws è Drinking and driving laws è Bans on billboards and other advertising è Competitive food policies

Seek Funding è Justify funding from federal, state, and private agencies and foundations

2003 YRBS Results

Percentage of High School Students Who Rarely or Never Wore Seat Belts,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * When riding in a car driven by someone else ** M > F

Percentage of High School Students Who Rarely or Never Wore Seat Belts,* * When riding in a car driven by someone else 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Rarely or Never Wore Seat Belts,* Across 31 States and 18 Cities, 2003 * When riding in a car driven by someone else State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Rarely or Never Wore Bicycle Helmets,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * Among the 62.3% of students who rode bicycles during the 12 months preceding the survey ** B, H > W; B > H

* Among students who rode bicycles during the 12 months preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys, Percentage of High School Students Who Rarely or Never Wore Bicycle Helmets,*

Range and Median Percentage of High School Students Who Rarely or Never Wore Bicycle Helmets,* Across 28 States and 18 Cities, 2003 * Among students who rode bicycles during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Rode with a Driver Who Had Been Drinking Alcohol,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * In a car or other vehicle one or more times during the 30 days preceding the survey ** H > W, B

* In a car or other vehicle one or more times during the 30 days preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys, Percentage of High School Students Who Rode with a Driver Who Had Been Drinking Alcohol,*

Range and Median Percentage of High School Students Who Rode with a Driver Who Had Been Drinking Alcohol,* Across 32 States and 18 Cities, 2003 * In a car or other vehicle one or more times during the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Drove After Drinking Alcohol,* by Gender and Race/Ethnicity, 2003 * In a car or other vehicle one or more times during the 30 days preceding the survey ** M > F; W > B National Youth Risk Behavior Survey, 2003

* In a car or other vehicle one or more times during the 30 days preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys, Percentage of High School Students Who Drove After Drinking Alcohol,*

Range and Median Percentage of High School Students Who Drove After Drinking Alcohol,* Across 32 States and 18 Cities, 2003 * In a car or vehicle one or more times during the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Carried a Weapon,* by Gender and Race/Ethnicity, 2003 * For example, a gun, knife, or club on > 1 of the 30 days preceding the survey ** M > F National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Carried a Weapon,* * For example, a gun, knife, or club on > 1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Carried a Weapon,* Across 28 States and 18 Cities, 2003 * For example, a gun, knife, or club on > 1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Carried a Gun,* by Gender and Race/Ethnicity, 2003 * On > 1 of the 30 days preceding the survey ** M > F National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Carried a Gun,* * On > 1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Carried a Gun,* Across 26 States and 18 Cities, 2003 * On > 1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were in a Physical Fight,* by Gender and Race/Ethnicity, 2003 * One or more times during the 12 months preceding the survey ** M > F; B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were in a Physical Fight,* * One or more times during the 12 months preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Were in a Physical Fight,* Across 32 States and 18 Cities, 2003 * One or more times during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were Injured in a Physical Fight,* by Gender and Race/Ethnicity, 2003 * One or more times during the 12 months preceding the survey with injuries that had to be treated by a doctor or nurse ** M > F; B, H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Injured in a Physical Fight,* * One or more times during the 12 months preceding the survey with injuries that had to be treated by a doctor or nurse 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Were Injured in a Physical Fight,* Across 29 States and 17 Cities, 2003 * One or more times during the 12 months preceding the survey with injuries that had to be treated by a doctor or nurse State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Experienced Dating Violence,* by Gender and Race/Ethnicity, 2003 * Hit, slapped, or physically hurt on purpose by a boyfriend or girlfriend during the 12 months preceding the survey ** B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Experienced Dating Violence,* * Hit, slapped, or physically hurt on purpose by a boyfriend or girlfriend during the 12 months preceding the survey 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Experienced Dating Violence,* Across 29 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * Hit, slapped, or physically hurt on purpose by a boyfriend or girlfriend during the 12 months preceding the survey

Percentage of High School Students Who Were Physically Forced to Have Sexual Intercourse, by Gender and Race/Ethnicity, 2003 * F > M; B, H > W National Youth Risk Behavior Survey, 2003

Range and Median Percentage of High School Students Who Were Physically Forced to Have Sexual Intercourse, Across 26 States and 15 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Felt Unsafe at School or On Their Way To or From School,* by Gender and Race/Ethnicity, 2003 * On > 1 of the 30 days preceding the survey ** B, H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Felt Unsafe at School or On Their Way To or From School,* * On > 1 of the 30 days preceding the survey 1 Significant linear increase, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Felt Unsafe at School or On Their Way To or From School,* Across 32 States and 18 Cities, 2003 * On > 1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Carried a Weapon on School Property,* by Gender and Race/Ethnicity, 2003 * For example, a gun, knife, or club on > 1 of the 30 days preceding the survey ** M > F National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Carried a Weapon on School Property,* * For example, a gun, knife, or club on > 1 of the 30 days preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Carried a Weapon on School Property,* Across 32 States and 18 Cities, 2003 * For example, a gun, knife, or club on > 1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were Threatened or Injured with a Weapon on School Property,* by Gender and Race/Ethnicity, 2003 * For example, a gun, knife, or club one or more times during the 12 months preceding the survey ** M > F; B > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Threatened or Injured with a Weapon on School Property,* * For example, a gun, knife, or club one or more times during the 12 months preceding the survey 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Were Threatened or Injured with a Weapon on School Property,* Across 32 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * For example, a gun, knife, or club one or more times during the 12 months preceding the survey

Percentage of High School Students Who Were in a Physical Fight on School Property,* by Gender and Race/Ethnicity, 2003 * One or more times during the 12 months preceding the survey ** M > F; B, H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were in a Physical Fight on School Property,* * One or more times during the 12 months preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Were in a Physical Fight on School Property,* Across 32 States and 18 Cities, 2003 * One or more times during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Had Property Stolen or Deliberately Damaged on School Property,* by Gender and Race/Ethnicity, 2003 * One or more times during the 12 months preceding the survey ** M > F; H > W National Youth Risk Behavior Survey, 2003

Range and Median Percentage of High School Students Who Had Property Stolen or Deliberately Damaged on School Property,* Across 32 States and 18 Cities, 2003 * One or more times during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Felt Sad or Hopeless,* by Gender and Race/Ethnicity, 2003 * Felt so sad or hopeless almost every day for > 2 weeks in a row that they stopped doing some usual activities during the 12 months preceding the survey ** F > M; H > W, B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Felt Sad or Hopeless,* * Felt so sad or hopeless almost every day for > 2 weeks in a row that they stopped doing some usual activities during the 12 months preceding the survey 1 No change over time National Youth Risk Behavior Surveys, 1999 – 2003

Range and Median Percentage of High School Students Who Felt Sad or Hopeless,* Across 32 States and 18 Cities, 2003 * Felt so sad or hopeless almost every day for > 2 weeks in a row that they stopped doing some usual activities during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Seriously Considered Attempting Suicide,* by Gender and Race/Ethnicity, 2003 * During the 12 months preceding the survey ** F > M; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Seriously Considered Attempting Suicide,* * During the 12 months preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Seriously Considered Attempting Suicide,* Across 31 States and 18 Cities, 2003 * During the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Made a Suicide Plan,* by Gender and Race/Ethnicity, 2003 * During the 12 months preceding the survey ** W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Made a Suicide Plan,* * During the 12 months preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Made a Suicide Plan,* Across 30 States and 17 Cities, 2003 * During the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Actually Attempted Suicide,* by Gender and Race/Ethnicity, 2003 * One or more times during the 12 months preceding the survey ** F > M; H > W, B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Actually Attempted Suicide,* * One or more times during the 12 months preceding the survey 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Actually Attempted Suicide,* Across 31 States and 18 Cities, 2003 * One or more times during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Whose Suicide Attempt Required Medical Attention,* by Gender and Race/Ethnicity, 2003 * During the 12 months preceding the survey ** B, H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Whose Suicide Attempt Required Medical Attention,* * During the 12 months preceding the survey 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Whose Suicide Attempt Required Medical Attention,* Across 31 States and 18 Cities, 2003 * During the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Cigarette Use,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * Ever tried cigarette smoking, even one or two puffs

Percentage of High School Students Who Reported Lifetime Cigarette Use,* * Ever tried cigarette smoking, even one or two puffs 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Lifetime Cigarette Use,* Across 29 States and 18 Cities, 2003 * Ever tried cigarette smoking, even one or two puffs State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Daily Cigarette Use,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * Ever smoked  1 cigarettes every day for 30 days ** W > B, H

Range and Median Percentage of High School Students Who Reported Lifetime Daily Cigarette Use,* Across 28 States and 18 Cities, 2003 * Ever smoked > 1 cigarettes every day for 30 days State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Smoked cigarettes on > 1 of the 30 days preceding the survey ** W > B, H Percentage of High School Students Who Reported Current Cigarette Use,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Reported Current Cigarette Use,* * Smoked cigarettes on > 1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Cigarette Use,* Across 32 States and 18 Cities, 2003 * Smoked cigarettes on > 1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Smoked cigarettes on > 20 of the 30 days preceding the survey ** W > B, H Percentage of High School Students Who Reported Current Frequent Cigarette Use,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Reported Current Frequent Cigarette Use,* * Smoked cigarettes on > 20 of the 30 days preceding the survey 1 Significant quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Frequent Cigarette Use,* Across 32 States and 18 Cities, 2003 * Smoked cigarettes on  20 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Smoked > 10 cigarettes per day on the days they smoked during the 30 days preceding the survey ** M > F; W > B, H Percentage of High School Students Who Smoked > 10 Cigarettes Per Day,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Smoked > 10 Cigarettes Per Day,* * Smoked > 10 cigarettes per day on the days they smoked during the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Smoked > 10 Cigarettes Per Day,* Across 32 States and 18 Cities, 2003 * Smoked > 10 cigarettes per day on the days they smoked during the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey ** M > F; W > B Percentage of High School Students Who Reported Current Smokeless Tobacco Use,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Reported Current Smokeless Tobacco Use,* * Used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Smokeless Tobacco Use,* Across 31 States and 18 Cities, 2003 * Used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Smoked cigars, cigarillos, or little cigars on  1 of the 30 days preceding the survey ** M > F Percentage of High School Students Who Reported Current Cigar Use,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Reported Current Cigar Use,* * Smoked cigars, cigarillos, or little cigars on  1 of the 30 days preceding the survey 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Cigar Use,* Across 29 States and 17 Cities, 2003 * Smoked cigars, cigarillos, or little cigars on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey ** M > F; W > B, H Percentage of High School Students Who Reported Current Tobacco Use,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Reported Current Tobacco Use,* * Smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Tobacco Use,* Across 29 States and 17 Cities, 2003 * Smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Among the 20.8% of students who were aged 1 of the 30 days preceding the survey ** During the 30 days preceding the survey *** M > F Percentage of High School Students* Who Purchased Cigarettes at a Store or Gas Station,** by Gender and Race/Ethnicity, 2003

Range and Median Percentage of High School Students* Who Purchased Cigarettes at a Store or Gas Station,** Across 28 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * Among the 20.8% of students who were aged 1 of the 30 days preceding the survey ** During the 30 days preceding the survey

* Ever had  1 drinks of alcohol on ≥ 1 days ** H > B National Youth Risk Behavior Survey, 2003 Percentage of High School Students Who Reported Lifetime Alcohol Use,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Reported Lifetime Alcohol Use,* National Youth Risk Behavior Surveys, * Ever had > 1 drinks of alcohol on ≥ 1 days 1 Significant linear decrease, p <.05

Range and Median Percentage of High School Students Who Reported Lifetime Alcohol Use,* Across 27 States and 17 Cities, 2003 * Ever had  1 drinks of alcohol on ≥ 1 days State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Current Alcohol Use,* by Gender and Race/Ethnicity, 2003 * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey ** W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Current Alcohol Use,* * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Alcohol Use,* Across 32 States and 18 Cities, 2003 * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Episodic Heavy Drinking,* by Gender and Race/Ethnicity, 2003 * Drank > 5 drinks of alcohol in a row on  1 of the 30 days preceding the survey ** W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Episodic Heavy Drinking,* * Drank  5 drinks of alcohol in a row on  1 of the 30 days preceding the survey 1 Significant quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Episodic Heavy Drinking,* Across 32 States and 18 Cities, 2003 * Drank  5 drinks of alcohol in a row on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Marijuana Use,* by Gender and Race/Ethnicity, 2003 * Used marijuana ≥ 1 times during their lifetime ** M > F National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Marijuana Use,* * Used marijuana ≥ 1 times during their lifetime 1 Significant linear increase and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Lifetime Marijuana Use,* Across 29 States and 18 Cities, 2003 * Used marijuana ≥ 1 times during their lifetime State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Current Marijuana Use,* by Gender and Race/Ethnicity, 2003 * Used marijuana  1 times during the 30 days preceding the survey ** M > F National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Current Marijuana Use,* * Used marijuana  1 times during the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Marijuana Use,* Across 32 States and 18 Cities, 2003 * Used marijuana  1 times during 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Cocaine Use,* by Gender and Race/Ethnicity, 2003 * Used any form of cocaine (e.g., powder, “crack,” or “freebase”) ≥ 1 times during their lifetime ** W, H > B; H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Cocaine Use,* * Used any form of cocaine (e.g., powder, “crack,” or “freebase”) ≥ 1 times during their lifetime 1 Significant linear increase and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Lifetime Cocaine Use,* Across 31 States and 18 Cities, 2003 * Used any form of cocaine (e.g., powder, “crack,” or “freebase”) ≥ 1 times during their lifetime State and Local Youth Risk Behavior Surveys, 2003

* Used cocaine  1 times during the 30 days preceding the survey ** W, H > B; H > W Percentage of High School Students Who Reported Current Cocaine Use,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Current Cocaine Use,* * Used cocaine  1 times during the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Reported Current Cocaine Use,* Across 30 States and 17 Cities, 2003 * Used cocaine > 1 times during the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Inhalant Use,* by Gender and Race/Ethnicity, 2003 * Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high ≥ 1 times during their lifetime ** W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Inhalant Use,* National Youth Risk Behavior Surveys, * Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high ≥ 1 times during their lifetime 1 Significant linear decrease, p <.05

Range and Median Percentage of High School Students Who Reported Lifetime Inhalant Use,* Across 30 States and 17 Cities, 2003 * Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high ≥ 1 times during their lifetime State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Current Inhalant Use,* by Gender and Race/Ethnicity, 2003 * Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high  1 times during the 30 days preceding the survey National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Current Inhalant Use,* National Youth Risk Behavior Surveys, * Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high  1 times during the 30 days preceding the survey 1 No change over time 1

Range and Median Percentage of High School Students Who Reported Current Inhalant Use,* Across 30 States and 18 Cities, 2003 * Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high > 1 times during the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Heroin Use,* by Gender and Race/Ethnicity, 2003 * Used heroin (also called “smack,” “junk,” or “China White”) ≥ 1 times during their lifetime ** M > F; H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Heroin Use,* National Youth Risk Behavior Surveys, * Used heroin (also called “smack,” “junk,” or “China White”) ≥ 1 times during their lifetime 1 No change over time 1

Range and Median Percentage of High School Students Who Reported Lifetime Heroin Use,* Across 29 States and 17 Cities, 2003 * Used heroin (also called “smack,” “junk,” or “China White”) ≥ 1 times during their lifetime State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Methamphetamine Use,* by Gender and Race/Ethnicity, 2003 * Used methamphetamines (also called “speed,” “crystal,” “crank,” or “ice”) ≥ 1 times during their lifetime ** W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Methamphetamine Use,* National Youth Risk Behavior Surveys, * Used methamphetamines (also called “speed,” “crystal,” “crank,” or “ice”) ≥ 1 times during their lifetime 1 No change over time 1

Range and Median Percentage of High School Students Who Reported Lifetime Methamphetamine Use,* Across 31 States and 17 Cities, 2003 * Used methamphetamines (also called “speed,” “crystal,” “crank,” or “ice”) ≥ 1 times during their lifetime State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Illegal Steroid Use,* by Gender and Race/Ethnicity, 2003 * Took steroid pills or shots without a doctor’s prescription ≥ 1 times during their lifetime ** W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Illegal Steroid Use,* National Youth Risk Behavior Surveys, * Took steroid pills or shots without a doctor’s prescription ≥ 1 times during their lifetime 1 Significant linear increase, p <.05

Range and Median Percentage of High School Students Who Reported Lifetime Illegal Steroid Use,* Across 31 States and 17 Cities, 2003 * Took steroid pills or shots without a doctor’s prescription ≥ 1 times during their lifetime State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Reported Lifetime Illegal Injection-Drug Use,* by Gender and Race/Ethnicity, 2003 * Reported lifetime illegal injection-drug use and reported lifetime use of cocaine, heroin, methamphetamines, or steroids National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Reported Lifetime Illegal Injection-Drug Use,* National Youth Risk Behavior Surveys, * Reported lifetime illegal injection-drug use and reported lifetime use of cocaine, heroin, methamphetamines, or steroids 1 Significant quadratic effect, p <.05

Range and Median Percentage of High School Students Who Reported Lifetime Illegal Injection-Drug Use,* Across 30 States and 17 Cities, 2003 * Reported lifetime illegal injection-drug use and reported lifetime use of cocaine, heroin, methamphetamines, or steroids State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years, by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * * M > F; W, H > B

Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years, Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years, Across 32 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

* Other than a few sips ** M > F; B, H > W Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* * Other than a few sips 1 Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* Across 32 States and 18 Cities, 2003 * Other than a few sips State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Tried Marijuana Before Age 13 Years, by Gender and Race/Ethnicity, 2003 * M > F; B > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Tried Marijuana Before Age 13 Years, Significant linear increase, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Tried Marijuana Before Age 13 Years, Across 32 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 Percentage of High School Students Who Smoked Cigarettes on School Property,* by Gender and Race/Ethnicity, 2003 * Smoked cigarettes on  1 of the 30 days preceding the survey ** W > B, H

Percentage of High School Students Who Smoked Cigarettes on School Property,* * Smoked cigarettes on > 1 of the 30 days preceding the survey 1 Significant linear decrease and quadratic effect, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Smoked Cigarettes on School Property,* Across 31 States and 18 Cities, 2003 * Smoked cigarettes on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

National Youth Risk Behavior Survey, 2003 * Used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey ** M > F Percentage of High School Students Who Used Smokeless Tobacco on School Property,* by Gender and Race/Ethnicity, 2003

Percentage of High School Students Who Used Smokeless Tobacco on School Property,* * Used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Used Smokeless Tobacco on School Property,* Across 28 States and 17 Cities, 2003 * Used chewing tobacco, snuff, or dip on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

* Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey ** M > F; B, H > W Percentage of High School Students Who Drank Alcohol on School Property,* by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Drank Alcohol on School Property,* * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey 1 No change over time National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Drank Alcohol on School Property,* Across 31 States and 17 Cities, 2003 * Drank ≥ 1 drinks of alcohol on  1 of the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Used Marijuana on School Property,* by Gender and Race/Ethnicity, 2003 * Used marijuana > 1 times during the 30 days preceding the survey ** M > F; H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Used Marijuana on School Property,* National Youth Risk Behavior Surveys, * Used marijuana > 1 times during the 30 days preceding the survey 1 Significant quadratic effect, p <.05

Range and Median Percentage of High School Students Who Used Marijuana on School Property,* Across 31 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * Used marijuana > 1 times during the 30 days preceding the survey

Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* by Gender and Race/Ethnicity, 2003 * During the 12 months preceding the survey ** M > F; H > W, B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* National Youth Risk Behavior Surveys, * During the 12 months preceding the survey 1 Significant quadratic effect, p <.05

Range and Median Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* Across 32 States and 18 Cities, 2003 * During the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Ever Had Sexual Intercourse, by Gender and Race/Ethnicity, 2003 * B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Ever Had Sexual Intercourse, Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Ever Had Sexual Intercourse, Across 29 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Had First Sexual Intercourse Before Age 13 Years, by Gender and Race/Ethnicity, 2003 * M > F; B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Had First Sexual Intercourse Before Age 13 Years, Significant linear decrease, p <.05 National Youth Risk Behavior Surveys,

Range and Median Percentage of High School Students Who Had First Sexual Intercourse Before Age 13 Years, Across 29 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Had  4 Sex Partners During Their Lifetime, by Gender and Race/Ethnicity, 2003 * M > F; B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Had  4 Sex Partners During Their Lifetime, National Youth Risk Behavior Surveys, Significant linear decrease, p <.05

Range and Median Percentage of High School Students Who Had  4 Sex Partners During Their Lifetime, Across 28 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were Currently Sexually Active,* by Gender and Race/Ethnicity, 2003 * Sexual intercourse during the 3 months preceding the survey ** B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Currently Sexually Active,* National Youth Risk Behavior Surveys, * Sexual intercourse during the 3 months preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Were Currently Sexually Active,* Across 29 States and 17 Cities, 2003 * Sexual intercourse during the 3 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Used a Condom During Last Sexual Intercourse,* by Gender and Race/Ethnicity, 2003 * Among currently sexually active students ** M > F; B > H, W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Used a Condom During Last Sexual Intercourse,* National Youth Risk Behavior Surveys, * Among currently sexually active students 1 Significant linear increase, p <.05

Range and Median Percentage of High School Students Who Used a Condom During Last Sexual Intercourse,* Across 29 States and 17 Cities, 2003 * Among currently sexually active students State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Used Birth Control Pills Before Last Sexual Intercourse,* by Gender and Race/Ethnicity, 2003 * Among currently sexually active students ** F > M; W > B, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Used Birth Control Pills Before Last Sexual Intercourse,* National Youth Risk Behavior Surveys, * Among currently sexually active students 1 Significant quadratic effect, p <.05

Range and Median Percentage of High School Students Who Used Birth Control Pills Before Last Sexual Intercourse,* Across 28 States and 17 Cities, 2003 * Among currently sexually active students State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Used Alcohol or Drugs Before Last Sexual Intercourse,* by Gender and Race/Ethnicity, 2003 * Among currently sexually active students ** M > F; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Used Alcohol or Drugs Before Last Sexual Intercourse,* National Youth Risk Behavior Surveys, * Among currently sexually active students 1 Significant linear increase, p <.05

Range and Median Percentage of High School Students Who Used Alcohol or Drugs Before Last Sexual Intercourse,* Across 28 States and 17 Cities, 2003 * Among currently sexually active students State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Had Been Pregnant or Had Gotten Someone Pregnant, by Gender and Race/Ethnicity, 2003 * F > M; B > W, H; H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Had Been Pregnant or Had Gotten Someone Pregnant, National Youth Risk Behavior Surveys, Significant linear decrease and quadratic effect, p <.05

Range and Median Percentage of High School Students Who Had Been Pregnant or Had Gotten Someone Pregnant, Across 26 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were Taught in School about AIDS/HIV, by Gender and Race/Ethnicity, 2003 * W > B, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Taught in School about AIDS/HIV, National Youth Risk Behavior Surveys, Significant linear increase and quadratic effect, p <.05

Range and Median Percentage of High School Students Who Were Taught in School about AIDS/HIV, Across 30 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys,

Percentage of High School Students Who Were at Risk For Becoming Overweight,* by Gender and Race/Ethnicity, 2003 * Students who were > 85 th percentile but < 95 th percentile for body mass index, by age and sex, based on reference data ** B, H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were At Risk For Becoming Overweight*, National Youth Risk Behavior Surveys, * Students who were > 85 th percentile but < 95 th percentile for body mass index, by age and sex, based on reference data 1 No change over time

Range and Median Percentage of High School Students Who Were at Risk For Becoming Overweight,* Across 31 States and 18 Cities, 2003 * Students who were > 85 th percentile but < 95 th percentile for body mass index, by age and sex, based on reference data State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were Overweight,* by Gender and Race/Ethnicity, 2003 * Students who were > 95 th percentile for body mass index, by age and sex, based on reference data ** M > F; B > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Overweight*, National Youth Risk Behavior Surveys, * Students who were > 95 th percentile for body mass index, by age and sex, based on reference data 1 No change over time

Range and Median Percentage of High School Students Who Were Overweight,* Across 31 States and 18 Cities, 2003 * Students who were > 95 th percentile for body mass index, by age and sex, based on reference data State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Described Themselves as Overweight, by Gender and Race/Ethnicity, 2003 * F > M; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Described Themselves as Overweight, National Youth Risk Behavior Surveys, Significant linear decrease and quadratic effect, p <.05

Range and Median Percentage of High School Students Who Described Themselves as Overweight, Across 32 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Were Trying To Lose Weight, by Gender and Race/Ethnicity, 2003 * F > M; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Were Trying To Lose Weight, National Youth Risk Behavior Surveys, Significant linear increase, p <.05

Range and Median Percentage of High School Students Who Were Trying To Lose Weight, Across 32 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Ate Fruits and Vegetables ≥ 5 times Per Day,* by Gender and Race/Ethnicity, 2003 * Had consumed 100% fruit juice, fruit, green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables ≥ 5 times per day during the 7 days preceding the survey ** M > F; H > W National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Ate Fruits and Vegetables ≥ 5 times Per Day,* National Youth Risk Behavior Surveys, 1999 – 2003 * Had consumed 100% fruit juice, fruit, green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables ≥ 5 times per day during the 7 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Ate Fruits and Vegetables ≥ 5 times Per Day,* Across 27 States and 16 Cities, 2003 * Had consumed 100% fruit juice, fruit, green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables ≥ 5 times per day during the 7 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Had Drunk > 3 Glasses Per Day of Milk,* by Gender and Race/Ethnicity, 2003 * Had drunk > 3 glasses of milk per day during the 7 days preceding the survey ** M > F; W > B, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Had Drunk > 3 Glasses Per Day of Milk,* National Youth Risk Behavior Surveys, 1999 – 2003 * Had drunk > 3 glasses of milk per day during the 7 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Had Drunk > 3 Glasses Per Day Of Milk,* Across 31 States and 17 Cities, 2003 * Had drunk > 3 glasses of milk per day during the 7 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Exercised to Lose Weight or to Keep From Gaining Weight,* by Gender and Race/Ethnicity, 2003 * During the 30 days preceding the survey ** F > M; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Exercised to Lose Weight or to Keep From Gaining Weight,* National Youth Risk Behavior Surveys, * During the 30 days preceding the survey 1 Significant linear increase and quadratic effect, p <.05

Range and Median Percentage of High School Students Who Exercised to Lose Weight or to Keep From Gaining Weight,* Across 29 States and 16 Cities, 2003 * During the 30 days preceding the survey State and Local Youth Risk Behavior Surveys,

Percentage of High School Students Who Ate Less Food, Fewer Calories, or Foods Low in Fat to Lose Weight or to Keep From Gaining Weight,* by Gender and Race/Ethnicity, 2003 * During the 30 days preceding the survey ** F > M; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Ate Less Food, Fewer Calories, or Foods Low in Fat to Lose Weight or to Keep From Gaining Weight,* National Youth Risk Behavior Surveys, 1999 – 2003 * During the 30 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Ate Less Food, Fewer Calories, or Foods Low in Fat to Lose Weight or to Keep From Gaining Weight,* Across 28 States and 16 Cities, 2003 * During the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Went Without Eating for > 24 Hours to Lose Weight or to Keep From Gaining Weight,* by Gender and Race/Ethnicity, 2003 * During the 30 days preceding the survey ** F > M National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Went Without Eating for > 24 Hours to Lose Weight or to Keep From Gaining Weight,* National Youth Risk Behavior Surveys, 1999 – 2003 * During the 30 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Went Without Eating for > 24 Hours to Lose Weight or to Keep From Gaining Weight,* Across 30 States and 17 Cities, 2003 * During the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Took Diet Pills, Powders, or Liquids to Lose Weight or to Keep From Gaining Weight,* by Gender and Race/Ethnicity, 2003 * Without a doctor’s advice during the 30 days preceding the survey ** F > M; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Took Diet Pills, Powders, or Liquids to Lose Weight or to Keep From Gaining Weight,* National Youth Risk Behavior Surveys, 1999 – 2003 * Without a doctor’s advice during the 30 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Took Diet Pills, Powders, or Liquids to Lose Weight or to Keep From Gaining Weight,* Across 31 States and 17 Cities, 2003 * Without a doctor’s advice during the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Vomited or Took Laxatives to Lose Weight or to Keep From Gaining Weight,* by Gender and Race/Ethnicity, 2003 * During the 30 days preceding the survey ** F > M National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Vomited or Took Laxatives to Lose Weight or to Keep From Gaining Weight,* National Youth Risk Behavior Surveys, * During the 30 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Vomited or Took Laxatives to Lose Weight or to Keep From Gaining Weight,* Across 31 States and 17 Cities, 2003 * During the 30 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Participated in Sufficient Vigorous Physical Activity,* by Gender and Race/Ethnicity, 2003 * Exercised or participated in physical activities that made students sweat and breathe hard for > 20 minutes on > 3 of the 7 days preceding the survey ** M > F; W > B, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Participated in Sufficient Vigorous Physical Activity,* National Youth Risk Behavior Surveys, * Exercised or participated in physical activities that made students sweat and breathe hard for > 20 minutes on > 3 of the 7 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Participated in Sufficient Vigorous Physical Activity,* Across 32 States and 18 Cities, 2003 * Exercised or participated in physical activities that made students sweat and breathe hard for > 20 minutes on > 3 of the 7 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Participated in Sufficient Moderate Physical Activity,* by Gender and Race/Ethnicity, 2003 * Physical activities that did not make students sweat and breathe hard for > 30 minutes on > 5 of the 7 days preceding the survey ** M > F; W > B, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Participated in Sufficient Moderate Physical Activity,* National Youth Risk Behavior Surveys, 1999 – 2003 * Physical activities that did not make students sweat and breathe hard for > 30 minutes on > 5 of the 7 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Participated in Sufficient Moderate Physical Activity,* Across 31 States and 18 Cities, 2003 * Physical activities that did not make students sweat and breathe hard for > 30 minutes on > 5 of the 7 days preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Participated in an Insufficient Amount of Physical Activity,* by Gender and Race/Ethnicity, 2003 * Had not participated in sufficient vigorous physical activity and had not participated in sufficient moderate physical activity during the 7 days preceding the survey ** F > M; B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Participated in an Insufficient Amount of Physical Activity,* National Youth Risk Behavior Surveys, 1999 – 2003 * Had not participated in sufficient vigorous physical activity and had not participated in sufficient moderate physical activity during the 7 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Participated in an Insufficient Amount of Physical Activity,* Across 31 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * Had not participated in sufficient vigorous physical activity and had not participated in sufficient moderate physical activity during the 7 days preceding the survey

Percentage of High School Students Who Had Not Participated in Vigorous or Moderate Physical Activity,* by Gender and Race/Ethnicity, 2003 * Had not participated in either vigorous physical activity or moderate physical activity during the 7 days preceding the survey ** B > W, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Had Not Participated in Vigorous or Moderate Physical Activity,* National Youth Risk Behavior Surveys, 1999 – 2003 * Had not participated in either vigorous physical activity or moderate physical activity during the 7 days preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Had Not Participated in Vigorous or Moderate Physical Activity,* Across 31 States and 18 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * Had not participated in either vigorous physical activity or moderate physical activity during the 7 days preceding the survey

Percentage of High School Students Who Were Enrolled in Physical Education Class*, by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * On ≥ 1 days in an average week when they were in school

Percentage of High School Students Who Were Enrolled in Physical Education Class*, National Youth Risk Behavior Surveys, * On ≥ 1 days in an average week when they were in school 1 No change over time

Range and Median Percentage of High School Students Who Were Enrolled in Physical Education Class*, Across 29 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * On ≥ 1 days in an average week when they were in school

Percentage of High School Students Who Attended Physical Education Class Daily*, by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * 5 days in an average week when they were in school ** H > W

Percentage of High School Students Who Attended Physical Education Class Daily*, National Youth Risk Behavior Surveys, * 5 days in an average week when they were in school 1 Significant linear decrease and quadratic effect, p <.05

Range and Median Percentage of High School Students Who Attended Physical Education Class Daily*, Across 29 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * 5 days in an average week when they were in school

Percentage of High School Students Who Exercised or Played Sports > 20 Minutes During an Average Physical Education Class *, by Gender and Race/Ethnicity, 2003 National Youth Risk Behavior Survey, 2003 * Among the 55.7% of students enrolled in PE class ** M > F; W > B

Percentage of High School Students Who Exercised or Played Sports > 20 Minutes During an Average Physical Education Class *, National Youth Risk Behavior Surveys, * Among the 55.7% of students enrolled in PE class 1 Significant quadratic effect, p < Percent

Range and Median Percentage of High School Students Who Exercised or Played Sports > 20 Minutes During an Average Physical Education Class *, Across 29 States and 17 Cities, 2003 State and Local Youth Risk Behavior Surveys, 2003 * Among the 55.7% of students enrolled in PE class Percent 60

Percentage of High School Students Who Played on > 1 Sports Teams,* by Gender and Race/Ethnicity, 2003 * Run by their school or community groups during the 12 months preceding the survey ** M > F; W > B, H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Played on > 1 Sports Teams,* National Youth Risk Behavior Surveys, * Run by their school or community groups during the 12 months preceding the survey 1 No change over time

Range and Median Percentage of High School Students Who Played on > 1 Sports Teams,* Across 28 States and 17 Cities, 2003 * Run by their school or community groups during the 12 months preceding the survey State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Did Strengthening Exercises,* by Gender and Race/Ethnicity, 2003 * For example, push-ups, sit-ups, or weightlifting on > 3 of the 7 days preceding the survey to strengthen or tone their muscles ** M > F; W, H > B National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Did Strengthening Exercises,* National Youth Risk Behavior Surveys, * For example, push-ups, sit-ups, or weightlifting on > 3 of the 7 days preceding the survey to strengthen or tone their muscles 1 Significant linear increase, p <.05

Range and Median Percentage of High School Students Who Did Strengthening Exercises,* Across 27 States and 17 Cities, 2003 * For example, push-ups, sit-ups, or weightlifting on > 3 of the 7 days preceding the survey to strengthen or tone their muscles State and Local Youth Risk Behavior Surveys, 2003

Percentage of High School Students Who Watched > 3 Hours Per Day of Television,* by Gender and Race/Ethnicity, 2003 * On an average school day ** B, H > W; B > H National Youth Risk Behavior Survey, 2003

Percentage of High School Students Who Watched > 3 Hours Per Day of Television,* National Youth Risk Behavior Surveys, * On an average school day 1 Significant linear decrease, p <.05

Range and Median Percentage of High School Students Who Watched > 3 Hours Per Day of Television,* Across 28 States and 17 Cities, 2003 * On an average school day State and Local Youth Risk Behavior Surveys, 2003