1. The Youth Risk Behavior Surveillance System (YRBSS): 2011 The Youth Risk Behavior Surveillance System (YRBSS): 2011 National, State, and Local Data National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of Adolescent and School Health

2. 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

3. Priority Health-Risk Behaviors and Outcomes Monitored by YRBSS è Behaviors that contribute to the leading causes of mortality and morbidity  Unintentional injuries and violence  Tobacco use  Alcohol and other drug use  Sexual behaviors  Unhealthy dietary behaviors  Inadequate physical activity è Obesity è Asthma

6. Impact of Sexual Behaviors è 410,000 births occurred in 2009 among women aged 15 – 19 years è 517,174 cases of chlamydia, gonorrhea, and syphilis reported in 2009 among persons aged 15 – 19 years è An estimated 2,036 cases of HIV diagnosed in 2009 among persons aged 15 – 19 years

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

8. 2011 National YRBS è National probability sample of public and private schools è Total sample size = 15,425 è School-level response rate = 81% è Student-level response rate = 87% è Overall response rate = 71%

9. Response Rates and Sample Sizes National YRBS, 1991 – 2011 Year School Response Rate Student Response Rate Overall Response Rate Sample Size 199175%90%68%12,272 199378%90%70%16,296 199570%86%60%10,904 199779%87%69%16,262 199977%86%66%15,349 200175%83%63%13,601 200381%83%67%15,214 200578%86%67%13,917 200781%84%68%14,041 200981%88%71%16,410 201181%87%71%15,425

10. YRBS Participation 1991 – 2011 19911993199519971999200120032005200720092011 # of states 2640393841374344 47 # of cities 111417 192223222322 # of territories 22554754544 # of tribal governments -- 22 Total # of sites 3856616062637071 7675 % of sites with weighted data 45%59%61%72%61%60%80%90%93%87%93%

11. 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

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

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

14. Set Program Goals è Strategic plans for school health programs è Healthy People 2020 objectives è CDC’s Performance Plan

15. 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 Professional development programs for teachers

16. 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

17. Seek Funding è Support funding requests to federal, state, and private agencies and foundations

18. YRBSS Information è www.cdc.gov/yrbs www.cdc.gov/yrbs  Questionnaire and item rationale  Morbidity and Mortality Weekly Report Surveillance Summaries  Youth Online  Data and codebooks for the national YRBS surveys  Publications, journal articles, and fact sheets