2 0 1 6 y o u t h r i s k b e h a v i o r s u r v e y r e ... yrbs yts... · 2 §not enough years...

1

§Not enough years of data to calculate.† Based on t-test analysis, p < 0.05.*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05.

2 0 1 6 Y O U T H R I S K B E H A V I O R S U R V E Y R E S U L T S

Maryland High School Survey Trend Analysis Report

1




TotalInjury and Violence

Health Risk Behavior and Percentages Linear Change* Quadratic Change* Change from2014-2016 †

1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN9: Percentage of students who rode with a driver who had been drinking alcohol (in a car or othervehicle, one or more times during the 30 days before the survey)

25.0 28.9 26.7 25.9 20.7 18.2 14.2 Decreased, 2005-2016 No change, 2005-2011Decreased, 2011-2016

Decreased

QN10: Percentage of students who drove a car or other vehicle when they had been drinking alcohol(one or more times during the 30 days before the survey, among students who had driven a car orother vehicle during the 30 days before the survey)

8.8 7.1 5.9 Decreased, 2013-2016 Not available§ Decreased

QN11: Percentage of students who texted or e-mailed while driving a car or other vehicle (on at least1 day during the 30 days before the survey, among students who had driven a car or other vehicleduring the 30 days before the survey)

33.1 26.1 28.1 Decreased, 2013-2016 Not available Increased

2




2






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN13: Percentage of students who carried a weapon on school property (such as a gun, knife, orclub, on at least 1 day during the 30 days before the survey)

6.9 5.9 4.6 5.3 4.8 4.3 7.4 Decreased, 2005-2016 Decreased, 2005-2013Increased, 2013-2016

Increased

QN16: Percentage of students who were threatened or injured with a weapon on school property(such as a gun, knife, or club, one or more times during the 12 months before the survey)

11.7 9.6 9.1 8.4 9.4 7.2 7.8 Decreased, 2005-2016 No quadratic change Increased

QN18: Percentage of students who were in a physical fight on school property (one or more timesduring the 12 months before the survey)


No change

QN19: Percentage of students who were ever physically forced to have sexual intercourse (whenthey did not want to)

10.2 8.1 8.8 Decreased, 2013-2016 Not available§ Increased

3




3






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN21: Percentage of students who experienced sexual dating violence (being forced by someonethey were dating or going out with to do sexual things [counting such things as kissing, touching, orbeing physically forced to have sexual intercourse] that they did not want to, one or more timesduring the 12 months before the survey, among students who dated or went out with someone duringthe 12 months before the survey)


QN22: Percentage of students who experienced physical dating violence (being physically hurt onpurpose by someone they were dating or going out with [counting such things as being hit, slammedinto something, or injured with an object or weapon] one or more times during the 12 months beforethe survey, among students who dated or went out with someone during the 12 months before thesurvey)

11.1 10.1 9.9 Decreased, 2013-2016 Not available No change

QN23: Percentage of students who were bullied on school property (ever during the 12 monthsbefore the survey)

20.9 21.2 19.6 17.7 18.2 Decreased, 2009-2016 Not available No change

QN24: Percentage of students who were electronically bullied (counting being bullied throughtexting, Instagram, Facebook, or other social media, ever during the 12 months before the survey)

14.2 14.0 13.8 14.1 No linear change Not available No change

4

† Based on t-test analysis, p < 0.05.*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05.



4






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN25: Percentage of students who felt sad or hopeless (almost every day for >=2 weeks in a row sothat they stopped doing some usual activities, ever during the 12 months before the survey)

29.7 23.2 25.1 25.4 27.0 26.8 29.9 No linear change Decreased, 2005-2009Increased, 2009-2016

Increased

QN26: Percentage of students who seriously considered attempting suicide (ever during the 12months before the survey)

17.4 13.2 14.5 16.2 16.0 15.9 17.3 No linear change No change, 2005-2009No change, 2009-2016

Increased

QN27: Percentage of students who made a plan about how they would attempt suicide (during the 12months before the survey)

12.2 10.2 11.6 12.6 12.5 12.7 14.4 Increased, 2005-2016 No quadratic change Increased

5




5




TotalTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN32: Percentage of students who currently smoked cigarettes (on at least 1 day during the 30 daysbefore the survey)

16.5 16.8 11.9 12.5 11.9 8.7 8.2 Decreased, 2005-2016 No quadratic change No change

QNFRCIG: Percentage of students who currently smoked cigarettes frequently (on 20 or more daysduring the 30 days before the survey)

7.4 7.4 4.4 4.4 3.6 2.4 1.8 Decreased, 2005-2016 No quadratic change Decreased

QNDAYCIG: Percentage of students who currently smoked cigarettes daily (on all 30 days duringthe 30 days before the survey)


QN34: Percentage of students who ever used an electronic vapor product (including e-cigarettes,e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse,MarkTen, Logic, Vapin Plus, eGo, and Halo])

37.6 35.3 Decreased, 2014-2016 Not available§ Decreased

6




6




TotalTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN35: Percentage of students who currently used an electronic vapor product (includinge-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu,NJOY, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo], on at least 1 day during the 30 daysbefore the survey)


QN38: Percentage of students who currently smoked cigars (cigars, cigarillos, or little cigars, on atleast 1 day during the 30 days before the survey)


Decreased

QNTB2: Percentage of students who currently smoked cigarettes or cigars (on at least 1 day duringthe 30 days before the survey)

20.9 22.0 19.6 19.0 18.2 14.4 12.9 Decreased, 2005-2016 Decreased, 2005-2013Decreased, 2013-2016

Decreased

7




7




TotalAlcohol and Other Drug Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN40: Percentage of students who ever drank alcohol (at least one drink of alcohol, on at least 1 dayduring their life)


QN41: Percentage of students who had their first drink of alcohol before age 13 years (other than afew sips)


Decreased

QN42: Percentage of students who currently drank alcohol (at least one drink of alcohol, on at least 1day during the 30 days before the survey)


No change

QN46: Percentage of students who ever used marijuana (one or more times during their life)


QN47: Percentage of students who tried marijuana for the first time before age 13 years


8




8






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN48: Percentage of students who currently used marijuana (one or more times during the 30 daysbefore the survey)

18.5 19.4 21.9 23.2 19.8 18.8 18.4 No linear change No change, 2005-2009Decreased, 2009-2016

No change

QN49: Percentage of students who ever used cocaine (any form of cocaine, including powder, crack,or freebase, one or more times during their life)


QN51: Percentage of students who ever used heroin (also called "smack," "junk," or "China White,"one or more times during their life)

2.6 2.4 4.1 4.2 4.9 4.2 4.3 Increased, 2005-2016 No quadratic change No change

QN52: Percentage of students who ever used methamphetamines (also called "speed," "crystal,""crank," or "ice," one or more times during their life)

4.0 3.0 4.3 4.5 5.0 4.2 4.6 No linear change No quadratic change No change

9




9






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN53: Percentage of students who ever used ecstasy (also called "MDMA," one or more timesduring their life)


Decreased

QN54: Percentage of students who ever used synthetic marijuana (also called "K2," "Spice," "fakeweed," "King Kong," "Yucatan Fire," "Skunk," or "Moon Rocks," one or more times during theirlife)


QN57: Percentage of students who ever injected any illegal drug (used a needle to inject any illegaldrug into their body, one or more times during their life)


QN58: Percentage of students who were offered, sold, or given an illegal drug on school property(during the 12 months before the survey)


Decreased

10




10




TotalSexual Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN59: Percentage of students who ever had sexual intercourse

39.1 32.4 31.8 Decreased, 2013-2016 Not available§ No change

QN60: Percentage of students who had sexual intercourse for the first time before age 13 years

6.6 5.0 4.3 Decreased, 2013-2016 Not available Decreased

QN61: Percentage of students who had sexual intercourse with four or more persons during their life


QN62: Percentage of students who were currently sexually active (had sexual intercourse with atleast one person, during the 3 months before the survey)


11




11






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN63: Percentage of students who drank alcohol or used drugs before last sexual intercourse (amongstudents who were currently sexually active)


QN64: Percentage of students who used a condom during last sexual intercourse (among studentswho were currently sexually active)


QN85: Percentage of students who were ever tested for human immunodeficiency virus (HIV) (notcounting tests done if they donated blood)

13.6 15.2 Increased, 2014-2016 Not available Increased

QN65: Percentage of students who used birth control pills before last sexual intercourse (to preventpregnancy, among students who were currently sexually active)

18.7 17.7 20.2 No linear change Not available Increased

12




12






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNIUDIMP: Percentage of students who used an IUD (such as Mirena or ParaGard) or implant(such as Implanon or Nexplanon) before last sexual intercourse (to prevent pregnancy, amongstudents who were currently sexually active)

1.5 2.0 3.7 Increased, 2013-2016 Not available§ Increased

QNSHPARG: Percentage of students who used a shot (such as Depo-Provera), patch (such asOrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to preventpregnancy, among students who were currently sexually active))

4.3 4.0 3.7 No linear change Not available No change

QNOTHHPL: Percentage of students who used birth control pills; an IUD (such as Mirena orParaGard) or implant (such as Implanon or Nexplanon); or a shot (such as Depo-Provera), patch(such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (toprevent pregnancy, among students who were currently sexually active)

24.5 23.7 27.7 Increased, 2013-2016 Not available Increased

13




13






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNDUALBC: Percentage of students who used both a condom during last sexual intercourse andbirth control pills; an IUD (such as Mirena or ParaGard) or implant (such as Implanon orNexplanon); or a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (suchas NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who werecurrently sexually active)

9.2 8.7 9.4 No linear change Not available§ No change

QNBCNONE: Percentage of students who did not use any method to prevent pregnancy during lastsexual intercourse (among students who were currently sexually active)

14.3 14.6 15.8 Increased, 2013-2016 Not available No change

14in 2017, new, slightly different ranges were used to calculate biologically implausible responses to height and weight questions.subsequent years. To make these prevalence estimates comparable, the 1999 prevalence estimates were recalculated using the updated BMI cut points. In addition, beginning

§Overweight and obese prevalence estimates for 1999 differ slightly from previously published results because different BMI cut points were used in 1999 than in† Based on t-test analysis, p < 0.05.*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05.







TotalWeight Management and Dietary Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNOWT: Percentage of students who were overweight (>= 85th percentile but <95th percentile forbody mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts)§


QNOBESE: Percentage of students who had obesity (>= 95th percentile for body mass index, basedon sex- and age-specific reference data from the 2000 CDC growth charts)§

12.6 12.9 12.0 12.0 11.0 11.5 12.6 No linear change No quadratic change Increased

QN68: Percentage of students who described themselves as slightly or very overweight


QN70: Percentage of students who did not drink fruit juice (100% fruit juices one or more timesduring the 7 days before the survey)

17.2 19.2 17.4 19.0 23.5 27.1 31.2 Increased, 2005-2016 No change, 2005-2009Increased, 2009-2016

Increased

QN71: Percentage of students who did not eat fruit (one or more times during the 7 days before thesurvey)


15




15






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNFR0: Percentage of students who did not eat fruit or drink 100% fruit juices (such as orangejuice, apple juice, or grape juice, during the 7 days before the survey)


Increased

QNFR1: Percentage of students who ate fruit or drank 100% fruit juices one or more times per day(such as orange juice, apple juice, or grape juice, during the 7 days before the survey)

58.7 55.2 64.2 61.3 60.4 56.6 53.9 Decreased, 2005-2016 Increased, 2005-2011Decreased, 2011-2016

Decreased

QNFR2: Percentage of students who ate fruit or drank 100% fruit juices two or more times per day(such as orange juice, apple juice, or grape juice, during the 7 days before the survey)

30.7 29.3 36.0 34.7 31.9 28.8 26.7 No linear change Increased, 2005-2011Decreased, 2011-2016

Decreased

QNFR3: Percentage of students who ate fruit or drank 100% fruit juices three or more times per day(such as orange juice, apple juice, or grape juice, during the 7 days before the survey)


Decreased

16




16






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN72: Percentage of students who did not eat green salad (one or more times during the 7 daysbefore the survey)


Increased

QN73: Percentage of students who did not eat potatoes (one or more times during the 7 days beforethe survey)


QN74: Percentage of students who did not eat carrots (one or more times during the 7 days beforethe survey)


Increased

QN75: Percentage of students who did not eat other vegetables (one or more times during the 7 daysbefore the survey)


17




17






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNVEG0: Percentage of students who did not eat vegetables (green salad, potatoes [excludingFrench fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before thesurvey)


QNVEG1: Percentage of students who ate vegetables one or more times per day (green salad,potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, duringthe 7 days before the survey)


Decreased

QNVEG2: Percentage of students who ate vegetables two or more times per day (green salad,potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, duringthe 7 days before the survey)


Decreased

QNVEG3: Percentage of students who ate vegetables three or more times per day (green salad,potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, duringthe 7 days before the survey)

12.8 11.3 12.6 15.3 13.8 13.4 12.0 No linear change No quadratic change Decreased

18




18






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN76: Percentage of students who did not drink a can, bottle, or glass of soda or pop (such as Coke,Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey)

21.6 22.8 28.4 29.0 31.8 Increased, 2009-2016 Not available§ Increased

QNSODA1: Percentage of students who drank a can, bottle, or glass of soda or pop one or moretimes per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 daysbefore the survey)

21.3 24.9 18.0 16.6 14.0 Decreased, 2009-2016 Not available Decreased

QNSODA2: Percentage of students who drank a can, bottle, or glass of soda or pop two or moretimes per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 daysbefore the survey)


QNSODA3: Percentage of students who drank a can, bottle, or glass of soda or pop three or moretimes per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 daysbefore the survey)


19




19




TotalPhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN79: Percentage of students who were physically active at least 60 minutes per day on 5 or moredays (in any kind of physical activity that increased their heart rate and made them breathe hard someof the time during the 7 days before the survey)

41.2 40.1 36.9 35.2 Decreased, 2011-2016 Not available§ Decreased

QNPA0DAY: Percentage of students who did not participate in at least 60 minutes of physicalactivity on at least 1 day (in any kind of physical activity that increased their heart rate and madethem breathe hard some of the time during the 7 days before the survey)

15.6 18.0 19.8 21.6 Increased, 2011-2016 Not available Increased

QNPA7DAY: Percentage of students who were physically active at least 60 minutes per day on all 7days (in any kind of physical activity that increased their heart rate and made them breathe hard someof the time during the 7 days before the survey)

21.4 21.6 19.5 17.9 Decreased, 2011-2016 Not available Decreased

QN80: Percentage of students who watched television 3 or more hours per day (on an average schoolday)


Decreased

20




20




TotalPhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN81: Percentage of students who played video or computer games or used a computer 3 or morehours per day (counting time spent on things such as Xbox, PlayStation, an iPad or other tablet, asmartphone, texting, YouTube, Instagram, Facebook, or other social media, for something that wasnot school work, on an average school day)

28.9 34.5 36.3 38.3 38.0 Increased, 2009-2016 Not available§ No change

QN82: Percentage of students who attended physical education (PE) classes on 1 or more days (in anaverage week when they were in school)


QNDLYPE: Percentage of students who attended physical education (PE) classes on all 5 days (in anaverage week when they were in school)


21




21




TotalOther


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN86: Percentage of students who saw a dentist (for a check-up, exam, teeth cleaning, or otherdental work, during the 12 months before the survey)

76.1 76.6 No linear change Not available§ No change

QNNODNT: Percentage of students who never saw a dentist (for a check-up, exam, teeth cleaning,or other dental work)

2.0 2.1 No linear change Not available No change

QN87: Percentage of students who had ever been told by a doctor or nurse that they had asthma

22.3 23.7 26.1 28.7 26.3 26.3 26.4 Increased, 2005-2016 No change, 2005-2009No change, 2009-2016

No change

22




22




TotalSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN90: Percentage of students who report that their parents or guardians own the home or placewhere they live


QN94: Percentage of students who who smoked a whole cigarette before age 13 years (for the firsttime)


QN96: Percentage of students who were asked to show proof of age (among students who bought ortried to buy cigarettes at a store during the 30 days before the survey)


QN97: Percentage of students who had someone refuse to sell them cigarettes because of their age(among students who tried to buy cigarettes during the 30 days before the survey)


23




23




TotalSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN99: Percentage of students who usually use a kind of flavoring other than tobacco flavor with anelectronic vapor product (among students who have ever used an electronic vapor product)

93.3 95.2 Increased, 2014-2016 Not available§ Increased

QN102: Percentage of students who used flavored tobacco products (flavored cigars, cigarillos, orlittle cigars, flavored smokeless tobacco products, or both, excluding menthol cigarettes, during the30 days before the survey)


QN103: Percentage of students who tried or used tobacco products for the first time (during the 12months before the survey)

11.0 7.7 Decreased, 2014-2016 Not available Decreased

QN104: Percentage of students who completely quit using all tobacco products (during the 12months before the survey, among students who used any tobacco products during the 12 monthsbefore the survey)


24




24




TotalSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN105: Percentage of students who live with someone who now smokes cigarettes or cigars


QN111: Percentage of students who participate in any extracurricular activities at school (such assports, band, drama, clubs, or student government)


QN112: Percentage of students who were taught in any of their classes about the dangers of tobaccouse (during the last school year)


QN113: Percentage of students who say definitely yes or probably yes that young people who smokehave more friends


25




25




TotalSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN114: Percentage of students who say definitely yes or probably yes that smoking makes youngpeople look cool or fit in


QN115: Percentage of students who somewhat or strongly disapprove of someone their age havingone or two drinks of an alcoholic beverage nearly every day


QN116: Percentage of students who think people are at moderate or great risk of harming themselves(physically and in other ways) if they have five or more drinks of alcohol once or twice a week (suchas beer, wine, or liquor)

73.7 76.9 75.3 Increased, 2013-2016 Not available Decreased

QN117: Percentage of students who have an adult outside of school they can talk to about things thatare important to them


26




26




TotalSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QN118: Percentage of students who would feel comfortable seeking help from one or more adultsbesides their parents if they had an important question affecting their life


QN120: Percentage of students who strongly agree or agree that their teachers really care about themand give them a lot of encouragement


27




27




MaleInjury and Violence


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Decreased







Increased

28




28






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





No change


8.6 6.2 6.9 Decreased, 2013-2016 Not available§ Increased



29




29






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016






10.4 10.7 10.2 11.1 No linear change Not available Increased



30




30






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





31




31




MaleTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









32




32




MaleTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







33




33




MaleAlcohol and Other Drug Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased



No change





34




34






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Decreased




2.8 3.7 5.8 5.7 6.3 5.5 5.3 Increased, 2005-2016 Increased, 2005-2011No change, 2011-2016

No change



35




35






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Decreased







Decreased

36




36




MaleSexual Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









37




37






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









38




38






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







39




39






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


7.4 5.8 7.8 No linear change Not available§ Increased











MaleWeight Management and Dietary Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









Increased



41




41






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased



Decreased



Decreased

42




42






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Increased





Increased



43




43






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased



Decreased



44




44






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









45




45




MalePhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


50.1 46.8 44.0 42.2 Decreased, 2011-2016 Not available§ Decreased







Decreased

46




46




MalePhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







47




47




MaleOther


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







48




48




MaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









49




49




MaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









50




50




MaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









51




51




MaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016






69.6 72.8 70.8 No linear change Not available Decreased



52




52




MaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





53




53




FemaleInjury and Violence


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Decreased







Increased

54




54






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









55




55






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016




22.2 20.8 20.9 19.8 19.9 No linear change Not available No change





Increased

56




56






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Increased



Increased

57




57




FemaleTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









58




58




FemaleTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased



Decreased

59




59




FemaleAlcohol and Other Drug Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased







60




60






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









61




61






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









62




62




FemaleSexual Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









63




63






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









64




64






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







65




65






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016













FemaleWeight Management and Dietary Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









Increased



No change

67




67






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



No change



Decreased



Decreased



Decreased

68




68






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









69




69






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



No change







70




70






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









71




71




FemalePhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


32.3 33.8 30.1 28.4 No linear change Not available§ Decreased




14.7 16.0 14.1 12.6 No linear change Not available Decreased



Decreased

72




72




FemalePhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


25.9 33.5 35.1 37.9 36.3 Increased, 2009-2016 Not available§ Decreased





73




73




FemaleOther


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







74




74




FemaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









75




75




FemaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









76




76




FemaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









77




77




FemaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









78




78




FemaleSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





79

¶Not enough years of data to calculate.

§Based on t-test analysis, p < 0.05.† Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05.*Non-Hispanic.



79





White*Injury and Violence

Health Risk Behavior and Percentages Linear Change† Quadratic Change† Change from2014-2016 §

1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Decreased


8.8 7.2 5.4 Decreased, 2013-2016 Not available¶ Decreased





80





80







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



No change


14.1 10.0 7.4 6.9 8.3 7.0 6.9 Decreased, 2005-2016 Decreased, 2005-2009No change, 2009-2016

No change


7.6 6.6 6.9 No linear change Not available¶ No change



81





81







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016






17.0 16.6 16.0 17.0 No linear change Not available Increased



Increased

82




82






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



No change



83





83





White*Tobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016








38.9 36.1 Decreased, 2014-2016 Not available¶ Decreased

84





84





White*Tobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







85




85




White*Alcohol and Other Drug Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016











86




86






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









87





87







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









88





88





White*Sexual Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


36.8 30.3 30.9 Decreased, 2013-2016 Not available¶ No change







89





89







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









90





90







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


1.4 2.0 4.3 Increased, 2013-2016 Not available¶ Increased





91





91







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016






¶Overweight and obese prevalence estimates for 1999 differ slightly from previously published results because different BMI cut points were used in 1999 than in









White*Weight Management and Dietary Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNOWT: Percentage of students who were overweight (>= 85th percentile but <95th percentile forbody mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts)¶


QNOBESE: Percentage of students who had obesity (>= 95th percentile for body mass index, basedon sex- and age-specific reference data from the 2000 CDC growth charts)¶


No change





Increased



93




93






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



No change



Decreased



Decreased



Decreased

94




94






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







Increased



95




95






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





No change





96





96







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


21.2 23.7 29.0 28.9 31.4 Increased, 2009-2016 Not available¶ Increased







97





97





White*Physical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


47.6 47.4 43.3 42.1 Decreased, 2011-2016 Not available¶ No change







Decreased

98





98





White*Physical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


23.1 30.1 33.8 36.2 36.8 Increased, 2009-2016 Not available¶ No change





99





99





White*Other


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


83.2 84.2 No linear change Not available¶ No change





No change

100





100





White*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









101





101





White*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


95.2 97.4 Increased, 2014-2016 Not available¶ Increased







102





102





White*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









103





103





White*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


16.7 15.1 16.8 No linear change Not available¶ Increased







104




104




White*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Increased

105





105





Black*Injury and Violence


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Decreased







Increased

106





106







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









107





107







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









Increased

108




108






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





109





109





Black*Tobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016








35.1 33.4 Decreased, 2014-2016 Not available¶ No change

110





110





Black*Tobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased



No change

111




111




Black*Alcohol and Other Drug Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





No change



No change





112




112






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



No change







113





113







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









Decreased

114





114





Black*Sexual Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









115





115







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









116





116







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


1.3 1.9 2.6 Increased, 2013-2016 Not available¶ No change





117





117







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016















Black*Weight Management and Dietary Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016

QNOWT: Percentage of students who were overweight (>= 85th percentile but <95th percentile forbody mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts)¶


QNOBESE: Percentage of students who had obesity (>= 95th percentile for body mass index, basedon sex- and age-specific reference data from the 2000 CDC growth charts)¶






Increased



No change

119




119






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Increased



Decreased



Decreased



Decreased

120




120






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016



Increased




73.7 72.3 68.0 65.1 65.6 66.2 68.2 Decreased, 2005-2016 Decreased, 2005-2011No change, 2011-2016

Increased



121




121






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





Decreased



Decreased



122





122







1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


23.0 21.5 26.6 28.1 30.4 Increased, 2009-2016 Not available¶ Increased







123





123





Black*Physical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


35.0 33.3 32.9 30.5 Decreased, 2011-2016 Not available¶ Decreased







124





124





Black*Physical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


35.1 39.1 38.9 40.2 39.3 No linear change Not available¶ No change





125





125





Black*Other


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







126





126





Black*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016




10.9 11.1 12.0 13.2 7.3 6.0 7.1 Decreased, 2005-2016 No change, 2005-2013No change, 2013-2016

Increased





127





127





Black*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


91.9 94.0 Increased, 2014-2016 Not available¶ Increased







128





128





Black*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









129





129





Black*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









130




130




Black*Site-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





131




131




HispanicInjury and Violence


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


30.6 26.8 27.2 21.2 16.2 Decreased, 2009-2016 Not available§ Decreased






8.7 5.1 7.5 5.4 9.1 No linear change Not available Increased

132




132






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


13.0 12.3 13.1 10.3 9.5 No linear change Not available§ No change







133




133






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









134




134






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





135




135




HispanicTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


13.8 12.2 15.4 10.2 10.2 Decreased, 2009-2016 Not available§ No change







136




136




HispanicTobacco Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







137




137




HispanicAlcohol and Other Drug Use


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


71.8 63.9 61.6 54.4 53.0 Decreased, 2009-2016 Not available§ No change






34.7 37.1 39.1 36.9 31.4 No linear change Not available Decreased



138




138






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


21.4 21.1 20.7 20.7 18.4 No linear change Not available§ Decreased







139




139






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


6.8 6.7 12.7 9.1 7.7 No linear change Not available§ Decreased







140




140




HispanicSexual Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









141




141






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









142




142






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







143




143






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





144

¶Not enough years of data to calculate.in 2017, new, slightly different ranges were used to calculate biologically implausible responses to height and weight questions.subsequent years. To make these prevalence estimates comparable, the 1999 prevalence estimates were recalculated using the updated BMI cut points. In addition, beginning




144

¶Not enough years of data to calculate.in 2017, new, slightly different ranges were used to calculate biologically implausible responses to height and weight questions.subsequent years. To make these prevalence estimates comparable, the 1999 prevalence estimates were recalculated using the updated BMI cut points. In addition, beginning




HispanicWeight Management and Dietary Behaviors


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


16.7 15.3 18.7 19.5 18.1 No linear change Not available¶ No change






15.9 18.9 21.4 24.7 29.5 Increased, 2009-2016 Not available Increased



145




145






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









146




146






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


42.1 35.4 35.1 40.9 44.5 No linear change Not available§ Increased


30.8 41.8 36.5 40.4 41.1 Increased, 2009-2016 Not available No change





147




147






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









148




148






1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









149




149




HispanicPhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016


30.7 34.1 29.5 26.8 No linear change Not available§ No change







150




150




HispanicPhysical Activity


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







151




151




HispanicOther


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016







152




152




HispanicSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









153




153




HispanicSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









154




154




HispanicSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









155




155




HispanicSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016









156




156




HispanicSite-Added


1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2014 2016





2 0 1 6 y o u t h r i s k b e h a v i o r s u r v e y r e ... yrbs yts... · 2 §not enough years...

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