Você está na página 1de 180

Morbidity and Mortality Weekly Report

Surveillance Summaries / Vol. 65 / No. 6

June 10, 2016

Youth Risk Behavior Surveillance


United States, 2015

U.S. Department of Health and Human Services


Centers for Disease Control and Prevention

Surveillance Summaries

CONTENTS
Introduction.............................................................................................................2
Methods.....................................................................................................................2
Sampling...................................................................................................................2
Results........................................................................................................................5
Discussion.............................................................................................................. 45
Limitations............................................................................................................. 50
Conclusions........................................................................................................... 50
References.............................................................................................................. 50

The MMWR series of publications is published by the Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC),
U.S. Department of Health and Human Services, Atlanta, GA 30329-4027.
Suggested citation: [Author names; first three, then et al., if more than six.] [Title]. MMWR Surveill Summ 2016;65(No. SS-#):[inclusive page numbers].

Centers for Disease Control and Prevention

Thomas R. Frieden, MD, MPH, Director


Harold W. Jaffe, MD, MA, Associate Director for Science
Joanne Cono, MD, ScM, Director, Office of Science Quality
Chesley L. Richards, MD, MPH, Deputy Director for Public Health Scientific Services
Michael F. Iademarco, MD, MPH, Director, Center for Surveillance, Epidemiology, and Laboratory Services

MMWR Editorial and Production Staff (Serials)

Sonja A. Rasmussen, MD, MS, Editor-in-Chief


Charlotte K. Kent, PhD, MPH, Executive Editor
Christine G. Casey, MD, Editor
Teresa F. Rutledge, Managing Editor
David C. Johnson, Lead Technical Writer-Editor
Denise Williams, MBA, Project Editor

Martha F. Boyd, Lead Visual Information Specialist


Maureen A. Leahy, Julia C. Martinroe,
Stephen R. Spriggs, Moua Yang, Tong Yang,
Visual Information Specialists
Quang M. Doan, MBA, Phyllis H. King, Terraye M. Starr,
Information Technology Specialists

MMWR Editorial Board


Timothy F. Jones, MD, Chairman
Matthew L. Boulton, MD, MPH
Virginia A. Caine, MD
Katherine Lyon Daniel, PhD
Jonathan E. Fielding, MD, MPH, MBA
David W. Fleming, MD

William E. Halperin, MD, DrPH, MPH


King K. Holmes, MD, PhD
Robin Ikeda, MD, MPH
Rima F. Khabbaz, MD
Phyllis Meadows, PhD, MSN, RN
Jewel Mullen, MD, MPH, MPA

Jeff Niederdeppe, PhD


Patricia Quinlisk, MD, MPH
Patrick L. Remington, MD, MPH
Carlos Roig, MS, MA
William L. Roper, MD, MPH
William Schaffner, MD

Surveillance Summaries

Youth Risk Behavior Surveillance United States, 2015


Laura Kann, PhD1; Tim McManus, MS1; William A. Harris, MM1; Shari L. Shanklin, MPH1; Katherine H. Flint, MA2; Joseph Hawkins, MA3;
Barbara Queen, MS3; Richard Lowry, MD1; Emily OMalley Olsen, MSPH1; David Chyen, MS1; Lisa Whittle, MPH1; Jemekia Thornton, MPA1;
Connie Lim, MPA1; Yoshimi Yamakawa, MPH1; Nancy Brener, PhD1; Stephanie Zaza, MD1
1Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC
2ICF International, Rockville, Maryland
3Westat, Rockville, Maryland

Abstract
Problem: Priority health-risk behaviors contribute to the leading causes of morbidity and mortality among youth and adults.
Population-based data on these behaviors at the national, state, and local levels can help monitor the effectiveness of public health
interventions designed to protect and promote the health of youth nationwide.
Reporting Period Covered: September 2014December 2015.
Description of the System: The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of priority health behaviors
among youth and young adults: 1) behaviors that contribute to unintentional injuries and violence; 2) tobacco use; 3) alcohol and
other drug use; 4) sexual behaviors related to unintended pregnancy and sexually transmitted infections (STIs), including human
immunodeficiency virus (HIV) infection; 5) unhealthy dietary behaviors; and 6) physical inactivity. In addition, YRBSS monitors
the prevalence of obesity and asthma and other priority health behaviors. YRBSS includes a national school-based Youth Risk
Behavior Survey (YRBS) conducted by CDC and state and large urban school district school-based YRBSs conducted by state and
local education and health agencies. This report summarizes results for 118 health behaviors plus obesity, overweight, and asthma
from the 2015 national survey, 37 state surveys, and 19 large urban school district surveys conducted among students in grades 912.
Results: Results from the 2015 national YRBS indicated that many high school students are engaged in priority health-risk behaviors
associated with the leading causes of death among persons aged 1024 years in the United States. During the 30 days before the survey,
41.5% of high school students nationwide among the 61.3% who drove a car or other vehicle during the 30 days before the survey
had texted or e-mailed while driving, 32.8% had drunk alcohol, and 21.7% had used marijuana. During the 12 months before the
survey, 15.5% had been electronically bullied, 20.2% had been bullied on school property, and 8.6% had attempted suicide. Many
high school students are engaged in sexual risk behaviors related to unintended pregnancies and STIs, including HIV infection.
Nationwide, 41.2% of students had ever had sexual intercourse, 30.1% had had sexual intercourse during the 3 months before the
survey (i.e., currently sexually active), and 11.5% had had sexual intercourse with four or more persons during their life. Among
currently sexually active students, 56.9% had used a condom during their last sexual intercourse. Results from the 2015 national
YRBS also indicated many high school students are engaged in behaviors associated with chronic diseases, such as cardiovascular
disease, cancer, and diabetes. During the 30 days before the survey, 10.8% of high school students had smoked cigarettes and 7.3%
had used smokeless tobacco. During the 7 days before the survey, 5.2% of high school students had not eaten fruit or drunk 100%
fruit juices and 6.7% had not eaten vegetables. More than one third (41.7%) had played video or computer games or used a computer
for something that was not school work for 3 or more hours per day on an average school day and 14.3% had not participated in at
least 60 minutes of any kind of physical activity that increased their heart rate and made them breathe hard on at least 1 day during
the 7 days before the survey. Further, 13.9% had obesity and 16.0% were overweight.
Interpretation: Many high school students engage in behaviors that place them at risk for the leading causes of morbidity and
mortality. The prevalence of most health behaviors varies by sex, race/ethnicity, and grade and across states and large urban school
districts. Long-term temporal changes also have occurred. Since the earliest year of data collection, the prevalence of most healthrisk behaviors has decreased (e.g., riding with a driver who had been drinking alcohol, physical fighting, current cigarette use,
current alcohol use, and current sexual activity), but the prevalence of other behaviors and health outcomes has not changed (e.g.,
suicide attempts treated by a doctor or nurse, smokeless tobacco use, having ever used marijuana, and attending physical education
classes) or has increased (e.g., having not gone to school because
of safety concerns, obesity, overweight, not eating vegetables, and
Corresponding author: Laura Kann, PhD, Division of Adolescent and
not drinking milk). Monitoring emerging risk behaviors (e.g.,
School Health, National Center for HIV/AIDS, Viral Hepatitis, STD,
texting and driving, bullying, and electronic vapor product use)
and TB Prevention. Telephone: 404-718-8132; E-mail: lkk1@cdc.gov.
is important to understand how they might vary over time.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

Surveillance Summaries

Public Health Action: YRBSS data are used widely to compare the prevalence of health behaviors among subpopulations of
students; assess trends in health behaviors over time; monitor progress toward achieving 21 national health objectives for Healthy
People 2020 and one of the 26 leading health indicators; provide comparable state and large urban school district data; and help
develop and evaluate school and community policies, programs, and practices designed to decrease health-risk behaviors and
improve health outcomes among youth.

Introduction

Methods

In the United States in 2014, 71% of all deaths among persons


aged 1024 years resulted from four causes: motor vehicle
crashes (23%), other unintentional injuries (17%), homicide
(14%), and suicide (17%) (1). Among persons aged 1519 years,
273,105 births (2); 451,208 cases of chlamydia, gonorrhea, and
syphilis (3); and 1,828 diagnoses of human immunodeficiency
virus (HIV) (4) are reported annually. Among persons aged
25 years, 54% of all deaths in the United States result from
cardiovascular disease (31%) and cancer (23%) (1). These leading
causes of mortality, morbidity, and social problems among
youth and adults in the United States are related to six categories
of priority health behaviors: 1) behaviors that contribute to
unintentional injuries and violence; 2) tobacco use; 3) alcohol
and other drug use; 4) sexual behaviors related to unintended
pregnancy and sexually transmitted infections (STIs), including
HIV infection; 5) unhealthy dietary behaviors; and 6) physical
inactivity. These behaviors frequently are interrelated and are
established during childhood and adolescence and extend into
adulthood. To monitor priority health behaviors in each of these
six categories, the prevalence of obesity, overweight and asthma,
and other priority health behaviors among youth and young
adults, CDC developed the Youth Risk Behavior Surveillance
System (YRBSS) (5). YRBSS includes school-based national,
state, and large urban school district Youth Risk Behavior Surveys
(YRBS) conducted among representative samples of students in
grades 912. National, state, and large urban school district surveys
have been conducted biennially since 1991 (Table 1). Additional
information about YRBSS is available at http://www.cdc.gov/
healthyyouth/data/yrbs/index.htm.
This report summarizes results for 118 health behaviors plus
obesity, overweight, and asthma from the 2015 national YRBS
and overall trends in health behaviors during 19912015. Data
from the 37 state and 19 large urban school district surveys with
weighted data for the 2015 YRBSS cycle (Figure) also are included
in this report. Results from 10 state and two large urban school
district surveys with unweighted data are not included. Among
those with weighted data for 2015, three state and one large
urban school district surveys were conducted during fall 2014; the
national survey, 29 state, and 16 large urban school district surveys
were conducted during spring 2015; and five state and two large
urban school district surveys were conducted during fall 2015.

Detailed information about the methodology of the national,


state, and large urban school district YRBSs has been described
elsewhere (5).

MMWR/June 10, 2016/Vol. 65/No. 6

Sampling
National Youth Risk Behavior Survey
The sampling frame for the 2015 national YRBS consisted of
all regular public* and private schools with students in at least
one of grades 912 in the 50 states and the District of Columbia.
The sampling frame was based on the Market Data Retrieval
(MDR) database (6), which includes information on both public
and private schools and the most recent data from the Common
Core of Data from the National Center for Education Statistics
(7). A three-stage cluster sample design produced a nationally
representative sample of students in grades 912 who attend public
and private schools. The first-stage sampling frame consisted of
1,259 primary sampling units (PSUs), consisting of counties,
subareas of large counties, or groups of smaller, adjacent counties.
The 1,259 PSUs were categorized into 16 strata according to their
metropolitan statistical area (MSA) status (e.g., urban city) and
the percentages of black and Hispanic students in the PSUs. From
the 1,259 PSUs, 54 were sampled with probability proportional
to overall school enrollment size for the PSU.
In the second stage of sampling, 180 schools with any of
grades 912 were sampled with probability proportional to
school enrollment size from within the 54 PSUs. The third
stage of sampling consisted of random sampling in each of
grades 912, one or two classrooms from either a required
subject (e.g., English or social studies) or a required period
(e.g., homeroom or second period). All students in sampled
classes were eligible to participate. Schools, classes, and
students that refused to participate were not replaced.
To enable a separate analysis of data for black and Hispanic
students, two classes per grade, rather than one, were sampled
* Might include charter schools and public alternative, special education, or
vocational schools.
Might include religious and other private schools, but does not include private
alternative, special education, or vocational schools.

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

in schools with a high minority enrollment. Before the


2013 national YRBS, three strategies were used to oversample
black and Hispanic students: 1) larger sampling rates were
used to select PSUs that were in high-black and high-Hispanic
strata; 2) a modified measure of size was used to increase the
probability of sampling schools with a disproportionately
high minority enrollment; and 3) two classes per grade, rather
than one, were sampled in schools with a high minority
enrollment. Because of increases in the proportions of black
and Hispanic students in the population, only selection of
two classes per grade was needed in 2013 and 2015 to balance
the precision needed for subgroup estimates with minimum
variance for overall estimates.

states and 16 large urban school districts. In the second


sampling stage, intact classes from either a required subject
(e.g., English or social studies) or a required period (e.g.,
homeroom or second period) were sampled randomly in
36 states and 18 large urban school districts, and all students
in the sampled classes were eligible to participate. In one
state and one large urban school district, all students in
sampled schools were eligible to participate.

Data Collection Procedures and


Questionnaires

Survey procedures for the national, state, and large urban


school district surveys were designed to protect students privacy
by allowing for anonymous and voluntary participation. Before
State and Large Urban School District
survey administration, local parental permission procedures
Youth Risk Behaviors
were followed. Students completed the self-administered
In 2015, a two-stage cluster sample design was used to
questionnaire during one class period and recorded their
produce a representative sample of public school students
responses directly on a computer-scannable booklet or answer
in grades 912 in 36 states and 19 large urban school
sheet. CDCs Institutional Review Board approved the protocol
districts and of public and private school students in grades
for the national YRBS.
912 in one state (South Dakota). In the first sampling
The 2015 YRBS standard questionnaire contained
stage, schools with any of grades 912 were sampled with
89 questions. This questionnaire was used as the starting point
probability proportional to school enrollment size in
for the state and large urban school district questionnaires.
34 states and three large urban school districts; all schools
States and large urban school districts could add and/or delete
with any of grades 912 were invited to participate in three
questions from the standard questionnaire. Only one state and
three large urban school districts included in this report used
Includes regular public schools and might include charter schools; public
the 2015 YRBS standard questionnaire without modifications.
alternative, special education, or vocational schools; and schools overseen by
This report presents state and large urban school district results
the Bureau of Indian Education.
only from selected questions on the 2015 standard questionnaire.
Might include religious and other private schools.
The 2015 national YRBS questionnaire
FIGURE. State and large urban school district Youth Risk Behavior Surveys United States, 2015 contained 99 questions, including
all 89 questions on the standard
Chicago
questionnaire. This report presents
Detroit
national results (along with state and
Cleveland
large urban school district results) for
Boston
selected questions on the 2015 standard
New York City
Oakland
Philadelphia
questionnaire plus national only results
Baltimore
San Francisco
from eight additional questions measuring
District of Columbia
usual method of marijuana use, ever use
Los Angeles
Shelby County
of hallucinogenic drugs, consumption
San Diego
DeKalb County
Ft. Worth
of sports drinks, consumption of water,
Duval County
Orange
County
muscle strengthening exercises, indoor
Houston
Palm Beach County
tanning device use, having had a sunburn,
Broward County
Miami-Dade County
and avoidance of foods because eating
Weighted state results
the food could cause an allergic reaction.
Unweighted state results
Except for six demographic questions
Did not participate
Weighted large urban
(sex, grade in school, age, Hispanic
school district results
ethnicity, race, and sexual identity) and
Unweighted large urban
school district results

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

Surveillance Summaries

three questions assessing height, weight, and asthma, all


the remaining questions on the standard questionnaire and
the national questionnaire measured behaviors practiced or
experienced by the student (referred to as behaviors). Skip
patterns, which occur when a particular response to one
question indicates to the respondents that they should not
answer one or more subsequent questions, were not included
in any YRBS questionnaire to protect students privacy by
ensuring all students took about the same amount of time
to complete the questionnaire. All questions (except for two
questions assessing height and weight and the race question)
were multiple choice with a maximum of eight mutually
exclusive response options and only one possible answer per
respondent. Information about the reliability of the standard
questionnaire has been published elsewhere (8). The wording
of each question, including recall periods, response options,
and operational definitions are available in the 2015 standard
and national YRBS questionnaires at http://www.cdc.gov/
healthyyouth/data/yrbs/index.htm.
Results from two new standard questions measuring sexual
minority status (i.e., sexual identity and sex of sexual contacts)
used by 25 states and 19 large urban school districts and included
on the national questionnaire are not described in this report.

Data Processing Procedures and


Response Rates
For the 2015 national YRBS, 15,713 questionnaires were
completed in 125 public and private schools. The national data
set was cleaned and edited for inconsistencies. Missing data
were not statistically imputed. Among the 15,713 completed
questionnaires, 89 failed quality control** and were excluded
from analysis, resulting in 15,624 usable questionnaires
(Table 2). The school response rate was 69%, the student
response rate was 86%, and the overall response rate was
60% (Table 2).
Data from each state and large urban school district survey
were cleaned and edited for inconsistencies with the same
procedures used for the national data set. The percentage of
completed questionnaires that failed quality control checks and
were excluded from analysis ranged from 0.2% to 5.3% (median:
0.8%) across the 37 states and from 0.3% to 6.4% (median:
1.6%) across the 19 large urban school districts. The student
sample sizes ranged from 1,313 to 55,596 (median: 2,777) across
the states and from 1,052 to 10,419 (median: 2,181) across
** A questionnaire that fails quality control has <20 remaining responses after
editing or has the same answer to 15 consecutive questions.
Overall response rate = (number of participating schools/number of eligible
sampled schools) x (number of usable questionnaires/number of eligible
students sampled).

MMWR/June 10, 2016/Vol. 65/No. 6

the large urban school districts (Table 2). Among the states,
the school response rates ranged from 70% to 100%, student
response rates ranged from 64% to 90%, and overall response
rates ranged from 60% to 84%. Among the large urban school
districts, the school response rates ranged from 90% to 100%,
student response rates ranged from 66% to 88%, and overall
response rates ranged from 64% to 88% (Table 2).
Race/ethnicity was computed from two questions: 1) Are
you Hispanic or Latino? (response options were yes or no),
and 2) What is your race? (response options were American
Indian or Alaska Native, Asian, black or African American,
Native Hawaiian or other Pacific Islander, or white). For the
second question, students could select more than one response
option. For this report, students were classified as Hispanic/
Latino and are referred to as Hispanic if they answered yes
to the first question, regardless of how they answered the second
question. Students who answered no to the first question
and selected only black or African American to the second
question were classified as black or African American and
are referred to as black. Students who answered no to the
first question and selected only white to the second question
were classified, and are referred to, as white. Race/ethnicity
was classified as missing for students who did not answer the
first question and for students who answered no to the first
question but did not answer the second question.
Students were classified as as having obesity or being overweight
or overweight based on their body mass index (kg/m2) (BMI),
which was calculated from self-reported height and weight. BMI
values were compared with sex- and age-specific reference data
from the 2000 CDC growth charts (9). Obesity was defined
as a BMI of 95th percentile for age and sex. Overweight was
defined as a BMI of 85th percentile and <95th percentile for
age and sex. These classifications are not intended to diagnose
obesity or overweight in individual students, but to provide
population-level estimates of obesity and overweight.

Weighting
For the national YRBS, a weight based on student sex,
race/ethnicity, and grade was applied to each record to
adjust for school and student nonresponse and oversampling
of black and Hispanic students. The overall weights were
scaled so that the weighted count of students equals the
total sample size, and the weighted proportions of students
in each grade match the national population proportions.
Therefore, weighted estimates are representative of all
students in grades 912 attending public and private schools
in the United States.
Data from states and large urban school districts that had a
representative sample of students, appropriate documentation,

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

and an overall response rate of 60% were weighted. A weight


was applied to each record to adjust for school and student
nonresponse and the distribution of students by grade, sex, and
race/ethnicity in each jurisdiction, such that the weighted count
of students equals the student population in each jurisdiction.
Data from 37 states and 19 large urban school districts were
weighted. In 36 states and all large urban school districts,
weighted estimates are representative of all students in grades
912 attending public schools in each jurisdiction. In one state
(South Dakota), weighted estimates are representative of all
students in grades 912 attending public and private schools.

Analytic Methods
Statistical analyses were conducted on weighted data
using SAS (10) and SUDAAN (11) software to account
for the complex sampling designs. Prevalence estimates
and confidence intervals were computed for all variables
and all data sets. In addition, for the national YRBS data,
t tests were used to determine pairwise differences between
subpopulations (12). Differences between prevalence
estimates were considered statistically significant if the t test
p value was <0.05 for main effects (sex, race/ethnicity, and
grade) and for interactions (sex by race/ethnicity, sex by
grade, race/ethnicity by sex, and grade by sex). In the results
section, only statistically significant differences in national
YRBS prevalence estimates are reported in the following
order: sex, sex by race/ethnicity, sex by grade, race/ethnicity,
race/ethnicity by sex, grade, and grade by sex.
To identify long-term temporal trends in health behaviors
nationwide, prevalence estimates from the earliest year
of data collection to 2015 for each variable assessed with
identically worded questions in three or more survey years
were examined. Logistic regression analyses were used to
account for all available estimates; control for sex, grade,
and racial/ ethnic changes over time; and assess long-term
linear and quadratic trends (12). A p value associated with
the regression coefficient that was <0.05 was considered
statistically significant. Linear and quadratic time variables
were treated as continuous and were coded using orthogonal
coefficients calculated with PROC IML in SAS. Separate
regression models were used to assess linear and quadratic
trends for every variable. When a significant quadratic trend
was identified, Joinpoint software (13) was used to automate
identification of the year or joinpoint where the nonlinear
(i.e., quadratic) trend changed and then regression models
were used to identify linear trends occurring in each segment.
Cubic and higher order trends were not assessed. A quadratic
trend indicates a significant but nonlinear trend in prevalence
over time. A long-term temporal change that includes a

significant linear and quadratic trend demonstrates nonlinear


variation (e.g., leveling off or change in direction) in addition
to an overall increase or decrease over time.
To identify 2-year temporal changes in health behaviors
nationwide, prevalence estimates from 2013 and 2015
were compared using t tests for each variable assessed
with identically worded questions in both survey years.
Prevalence estimates were considered statistically different
if the t test p value was <0.05.
In the results section, long-term linear and quadratic
trends are described first followed by results from the
t tests used to assess 2-year temporal changes. Information
about long-term temporal trends and 2-year temporal
changes are not available because of changes in question or
response option wording or because the question was asked
for the first time during 2015 for the following variables:
usually obtained their own cigarettes by buying them on
the Internet; ever use of electronic vapor products; current
use of electronic vapor products; current use of cigarettes,
cigars, smokeless tobacco, or electronic vapor products;
usual method of marijuana use; ever use of synthetic
marijuana; sports drink consumption; water consumption;
had a sunburn; having seen a dentist; and avoidance of foods
because eating the food could cause an allergic reaction.

Results
Behaviors that Contribute to
Unintentional Injuries
Rarely or Never Wore a Bicycle Helmet
Among the 68.0% of students nationwide who had ridden
a bicycle during the 12 months before the survey, 81.4% had
rarely or never worn a bicycle helmet (Table 3). The prevalence
of having rarely or never worn a bicycle helmet was higher among
11th-grade male (85.4%) than 11th-grade female (78.5%)
students. The prevalence of having rarely or never worn a bicycle
helmet was higher among black (88.2%) and Hispanic (90.1%)
than white (76.4%) students, higher among Hispanic female
(90.3%) than white female (75.3%) students, and higher among
black male (91.6%) and Hispanic male (90.0%) than white male
(77.5%) students. The prevalence of having rarely or never worn
a bicycle helmet was higher among 12th-grade (83.5%) than
9th-grade (79.4%) students, higher among 11th-grade male
(85.4%) and 12th-grade male (84.9%) than 9th-grade male
(80.2%) students, and higher among 11th-grade male (85.4%)
than 10th-grade male (80.4%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having rarely or never worn a bicycle

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

Surveillance Summaries

helmet (96.2%81.4%). A significant quadratic trend also was


identified. The prevalence of having rarely or never worn a
bicycle helmet decreased during 19912001 (96.2%84.7%)
and then did not change significantly during 20012015
(84.7%81.4%). The prevalence of having never or rarely worn
a bicycle helmet decreased significantly from 2013 (87.9%)
to 2015 (81.4%).
Across 28 states, the prevalence of having rarely or never
worn a bicycle helmet ranged from 53.0% to 94.1% (median:
84.6%) (Table 4). Across 16 large urban school districts, the
prevalence ranged from 55.1% to 95.6% (median: 87.3%).

Rarely or Never Wore a Seat Belt


Nationwide, 6.1% of students rarely or never wore a seat
belt when riding in a car driven by someone else (Table 3).
The prevalence of having rarely or never worn a seat belt was
higher among male (7.2%) than female (4.9%) students; higher
among white male (5.3%) and black male (12.4%) than white
female (3.5%) and black female (7.6%) students, respectively;
and higher among 10th-grade male (7.6%) and 11th-grade
male (7.1%) than 10th-grade female (4.5%) and 11th-grade
female (4.1%) students, respectively. The prevalence of having
rarely or never worn a seat belt was higher among black
(10.1%) and Hispanic (6.5%) than white (4.4%) students,
higher among black (10.1%) than Hispanic (6.5%) students,
higher among black female (7.6%) and Hispanic female (6.3%)
than white female (3.5%) students, and higher among black
male (12.4%) than white male (5.3%) and Hispanic male
(6.8%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having rarely or never worn a seat
belt (25.9%6.1%). A significant quadratic trend was not
identified. The prevalence of having rarely or never worn a
seat belt did not change significantly from 2013 (7.6%) to
2015 (6.1%).
Across 32 states, the prevalence of having rarely or never
wore a seat belt ranged from 3.6% to 14.6% (median: 8.1%)
(Table 4). Across 17 large urban school districts, the prevalence
ranged from 4.5% to 21.7% (median: 8.2%).

Rode with a Driver Who Had Been Drinking Alcohol


During the 30 days before the survey, 20.0% of students
nationwide had ridden in a car or other vehicle one or more
times with a driver who had been drinking alcohol (Table 5).
The prevalence of having ridden with a driver who had been
drinking alcohol was higher among Hispanic (26.2%) than
white (17.7%) and black (21.1%) students, higher among
Hispanic female (27.3%) than white female (17.5%) students,
and higher among Hispanic male (25.3%) than white male
(17.7%) and black male (20.6%) students.

MMWR/June 10, 2016/Vol. 65/No. 6

During 19912015, a significant linear decrease occurred


overall in the prevalence of having ridden with a driver who
had been drinking alcohol (39.9%20.0%). A significant
quadratic trend also was identified. The prevalence of having
ridden with a driver who had been drinking alcohol decreased
during 19912009 (39.9%28.3%) and then decreased more
gradually from 20092015 (28.3%20.0%). The prevalence of
having ridden with a driver who had been drinking alcohol did
not change significantly from 2013 (21.9%) to 2015 (20.0%).
Across 33 states, the prevalence of having ridden with a
driver who had been drinking alcohol ranged from 14.2%
to 25.5% (median: 18.3%) (Table 6). Across 18 large urban
school districts, the prevalence ranged from 13.4% to 31.6%
(median: 22.0%).

Drove When Drinking Alcohol


Among the 61.4% of students nationwide who drove a car or
other vehicle during the 30 days before the survey, 7.8% had
driven a car or other vehicle one or more times when they had
been drinking alcohol during the 30 days before the survey
(Table 5). The prevalence of having driven a car or other vehicle
when they had been drinking alcohol was higher among male
(9.5%) than female (6.0%) students, higher among white
male (9.4%) than white female (5.4%) students, and higher
among 10th-grade male (8.2%) than 10th-grade female
(2.2%) students. The prevalence of having driven a car or
other vehicle when they had been drinking alcohol was higher
among 12th-grade (9.9%) than 9th-grade (5.6%) students;
higher among 11th-grade (8.7%) and 12th-grade (9.9%)
than 10th-grade (5.3%) students; higher among 9th-grade
female (5.5%), 11th-grade female (6.8%), and 12th-grade
female (8.0%) than 10th-grade female (2.2%) students; and
higher among 12th-grade male (11.7%) than 9th-grade male
(5.7%) students.
Because of changes in response options starting in 2013,
long-term temporal trends are not available for the prevalence
of having driven a car or other vehicle when they had been
drinking. The prevalence of having driven a car or other vehicle
when they had been drinking alcohol decreased significantly
from 2013 (10.0%) to 2015 (7.8%).
Across 35 states, the prevalence of having driven a car or other
vehicle when they had been drinking alcohol among students who
drove a car or other vehicle during the 30 days before the survey
ranged from 4.3% to 10.9% (median: 7.1%) (Table 6). Across
18 large urban school districts, the prevalence ranged from 4.4%
to 9.7% (median: 7.0%).
The prevalence of driving a car or other vehicle during the 30 days before the survey

varies slightly for driving when drinking alcohol and texting or e-mailing while
driving because of differences in the number of usable responses to each question.

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

Texted or E-Mailed While Driving


Among the 61.3% of students nationwide who drove a car
or other vehicle during the 30 days before the survey, 41.5%
had texted or e-mailed while driving a car or other vehicle on
at least 1 day during the 30 days before the survey (Table 7).
The prevalence of having texted or e-mailed while driving
was higher among Hispanic male (42.2%) than Hispanic
female (28.2%) students. The prevalence of having texted or
e-mailed while driving was higher among white (45.2%) than
black ( 32.8%) and Hispanic (35.8%) students, higher among
white female (45.3%) than black female (33.1%) and Hispanic
female (28.2%) students, and higher among white male (45.0%)
and Hispanic male (42.2%) than black male (33.0%) students.
The prevalence of having texted or e-mailed while driving was
higher among 10th-grade (25.0%), 11th-grade (47.9%), and
12th-grade (61.4%) than 9th-grade (15.9%) students; higher
among 11th-grade (47.9%) and 12th-grade (61.4%) than
10th-grade (25.0%) students; higher among 12th-grade (61.4%)
than 11th-grade (47.9%) students; higher among 10th-grade
female (24.7%), 11th-grade female (45.1%), and 12th-grade
female (60.8%) than 9th-grade female (14.4%) students; higher
among 11th-grade female (45.1%) and 12th-grade female
(60.8%) than 10th-grade female (24.7%) students; higher
among 12th-grade female (60.8%) than 11th-grade female
(45.1%) students; higher among 10th-grade male (25.2%),
11th-grade male (50.1%), and 12th-grade male (61.9%) than
9th-grade male (17.4%) students; higher among 11th-grade
male (50.1%) and 12th-grade male (61.9%) than 10th-grade
male (25.2%) students; and higher among 12th-grade male
(61.9%) than 11th-grade male (50.1%) students.
Because of changes in response options starting in 2013,
long-term temporal trends are not available for the prevalence
of having texted or e-mailed while driving. The prevalence
of having texted or e-mailed while driving did not change
significantly from 2013 (41.4%) to 2015 (41.5%).
Across 35 states, the prevalence of having texted or e-mailed
while driving ranged from 26.1% to 63.2% (median: 39.3%)
(Table 8). Across 18 large urban school districts, the prevalence
ranged from 14.1% to 38.7% (median: 32.1%).

Behaviors that Contribute to Violence


Carried a Weapon
Nationwide, 16.2% of students had carried a weapon (e.g.,
gun, knife, or club) on at least 1 day during the 30 days before the
survey (Table 9). The prevalence of having carried a weapon was
higher among male (24.3%) than female (7.5%) students; higher
among white male (28.0%), black male (17.6%), and Hispanic
male (20.2%) than white female (8.1%), black female (6.2%), and

Hispanic female (7.1%) students, respectively; and higher among


9th-grade male (24.6%), 10th-grade male (25.5%), 11th-grade
male (23.0%), and 12th-grade male (23.4%) than 9th-grade
female (6.6%), 10th-grade female (7.2%), 11th-grade female
(8.0%), and 12th-grade female (8.0%) students, respectively. The
prevalence of having carried a weapon was higher among white
(18.1%) than black (12.4%) and Hispanic (13.7%) students and
higher among white male (28.0%) than black male (17.6%) and
Hispanic male (20.2%) students.
During 19912015, a significant linear decrease occurred overall
in the prevalence of having carried a weapon (26.1%16.2%). A
significant quadratic trend also was identified. The prevalence of
having carried a weapon decreased during 19911997 (26.1%
18.3%) and then did not change significantly during 19972015
(18.3%16.2%). The prevalence of having carried a weapon also
did not change significantly from 2013 (17.9%) to 2015 (16.2%).
Across 27 states, the prevalence of having carried a weapon
ranged from 8.9% to 29.6% (median: 19.3%) (Table 10).
Across 19 large urban school districts, the prevalence ranged
from 7.7% to 21.9% (median: 12.5%).

Carried a Gun
Nationwide, 5.3% of students had carried a gun on at least
1 day during the 30 days before the survey (Table 9). The
prevalence of having carried a gun was higher among male
(8.7%) than female (1.6%) students; higher among white male
(9.6%), black male (9.6%), and Hispanic male (6.5%) than
white female (1.4%), black female (1.7%), and Hispanic female
(1.9%) students, respectively; and higher among 9th-grade male
(7.0%), 10th-grade male (8.8%), 11th-grade male (9.0%),
and 12th-grade male (9.7%) than 9th-grade female (1.2%),
10th-grade female (1.6%), 11th-grade female (1.4%), and
12th-grade female (1.7%) students, respectively. The prevalence
of having carried a gun was higher among white male (9.6%)
than Hispanic male (6.5%) students. The prevalence of having
carried a gun was higher among 12th-grade (5.7%) than
9th-grade (4.4%) students and higher among 12th-grade male
(9.0%) than 9th-grade male (7.0%) students.
During 19932015, a significant linear decrease occurred
overall in the prevalence of having carried a gun (7.9%
5.3%). A significant quadratic trend also was identified. The
prevalence of having carried a gun decreased during 1993
1997 (7.9%5.9%) and then did not change significantly
during 19972015 (5.9%5.3%). The prevalence of having
carried a gun also did not change significantly from 2013
(5.5%) to 2015 (5.3%).
Across 19 states, the prevalence of having carried a gun
ranged from 2.7% to 11.5% (median: 6.8%) (Table 10).
Across 15 large urban school districts, the prevalence ranged
from 2.2% to 5.9% (median: 4.5%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

Surveillance Summaries

Carried a Weapon on School Property


Nationwide, 4.1% of students had carried a weapon (e.g., a
gun, knife, or club) on school property on at least 1 day during
the 30 days before the survey (Table 11). The prevalence of
having carried a weapon on school property was higher among
male (5.9%) than female (2.0%) students; higher among white
male (5.7%), black male (4.7%), and Hispanic male (6.1%)
than white female (1.6%), black female (2.1%), and Hispanic
female (2.9%) students, respectively; and higher among
9th-grade male (4.6%), 10th-grade male (6.1%), 11th-grade
male (7.4%), and 12th-grade male (5.1%) than 9th-grade
female (1.9%), 10th-grade female (2.2%), 11th-grade female
(1.9%), and 12th-grade female (2.0%) students, respectively.
The prevalence of having carried a weapon on school property
was higher among 11th-grade (4.8%) than 9th-grade (3.4%)
students and higher among 11th-grade male (7.4%) than
9th-grade male (4.6%) students.
During 19932015, a significant linear decrease occurred
overall in the prevalence of having carried a weapon on school
property (11.8%4.1%). A significant quadratic trend also was
identified. The prevalence of having carried a weapon on school
property decreased during 1993-1997 (11.8%8.5%) and then
decreased more rapidly during 19972015 (8.5%4.1%). The
prevalence of having carried a weapon on school property also
decreased significantly from 2013 (5.2%) to 2015 (4.1%).
Across 33 states, the prevalence of having carried a weapon
on school property ranged from 2.0% to 10.7% (median:
5.2%) (Table 12). Across 17 large urban school districts, the
prevalence ranged from 2.4% to 9.8% (median: 3.3%).

Threatened or Injured with a Weapon on


School Property
Nationwide, 6.0% of students had been threatened or
injured with a weapon (e.g., a gun, knife, or club) on school
property one or more times during the 12 months before the
survey (Table 11). The prevalence of having been threatened or
injured with a weapon on school property was higher among
male (7.0%) than female (4.6%) students; higher among black
male (8.9%) and Hispanic male (8.4%) than black female
(6.5%) and Hispanic female (4.7%) students, respectively; and
higher among 11th-grade male (7.3%) and 12th-grade male
(5.7%) than 11th-grade female (2.9%) and 12th-grade female
(3.2%) students, respectively. The prevalence of having been
threatened or injured with a weapon on school property was
higher among black (7.9%) and Hispanic (6.6%) than white
(4.9%) students and higher among black male (8.9%) and
Hispanic male (8.4%) than white male (5.4%) students. The
prevalence of having been threatened or injured with a weapon
on school property was higher among 9th-grade (7.2%) than

MMWR/June 10, 2016/Vol. 65/No. 6

11th-grade (5.5%) students, higher among 9th-grade (7.2%)


and 10th-grade (6.2%) than 12th-grade (4.4%) students,
higher among 9th-grade female (6.2%) and 10th-grade female
(5.5%) than 11th-grade female (2.9%) students, and higher
among 9th-grade female (6.2%) and 10th-grade female (5.5%)
than 12th-grade female (3.2%) students.
During 19932015, a significant linear decrease occurred
overall in the prevalence of having been threatened or injured
with a weapon on school property (7.3%6.0%). A significant
quadratic trend also was identified. The prevalence of having
been threatened or injured with a weapon on school property
did not change significantly from 19932003 (7.3%9.2%)
and then decreased during 20032015 (9.2%6.0%). The
prevalence of having been threatened or injured with a weapon
on school property did not change significantly from 2013
(6.9%) to 2015 (6.0%).
Across 30 states, the prevalence of having been threatened or
injured with a weapon ranged from 4.1% to 10.6% (median:
6.6%) (Table 12). Across 18 large urban school districts, the
prevalence ranged from 4.3% to 13.9% (median: 6.8%).

In a Physical Fight
Nationwide, 22.6% of students had been in a physical fight
one or more times during the 12 months before the survey
(Table 13). The prevalence of having been in a physical fight
was higher among male (28.4%) than female (16.5%) students;
higher among white male (26.6%), black male (38.6%), and
Hispanic male (27.3%) than white female (13.5%), black
female (25.4%), and Hispanic female (18.6%) students,
respectively; and higher among 9th-grade male (32.5%),
10th-grade male (29.4%), 11th-grade male (27.1%), and
12th-grade male (22.9%) than 9th-grade female (22.6%),
10th-grade female (17.6%), 11th-grade female (12.8%),
and 12th-grade female (12.0%) students, respectively. The
prevalence of having been in a physical fight was higher among
black (32.4%) than white (20.1%) and Hispanic (23.0%)
students, higher among black female (25.4%) and Hispanic
female (18.6%) than white female (13.5%) students, higher
among black female (25.4%) than Hispanic female (18.6%)
students, and higher among black male (38.6%) than white
male (26.6%) and Hispanic male (27.3%) students. The
prevalence of having been in a physical fight was higher among
9th-grade (27.9%) than 10th-grade (23.4%), 11th-grade
(20.5%), and 12th-grade (17.4%) students; higher among
10th-grade (23.4%) than 11th-grade (20.5%) and 12th-grade
(17.4%) students; higher among 9th-grade female (22.6%)
than 10th-grade female (17.6%), 11th-grade female (12.8%),
and 12th-grade female (12.0%) students; higher among
10th-grade female (17.6%) than 11th-grade female (12.8%)
and 12th-grade female (12.0%) students; and higher among

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

9th-grade male (32.5%) and 10th-grade male (29.4%) than


12th-grade male (22.9%) students.
During 19912015, a significant linear decrease occurred
in the prevalence of having been in a physical fight (42.5%
22.6%). A significant quadratic trend also was identified.
The prevalence of having been in a physical fight decreased
during 19912011 (42.5%32.8%) and then decreased more
gradually during 20112015 (32.8%22.6%). The prevalence
of having been in a physical fight did not change significantly
from 2013 (24.7%) to 2015 (22.6%).
Across 31 states, the prevalence of having been in a
physical fight ranged from 14.9% to 27.3% (median:
20.6%) (Table 14). Across 19 large urban school districts, the
prevalence ranged from 13.9% to 42.5% (median: 22.8%).

Injured in a Physical Fight


During the 12 months before the survey, 2.9% of students
nationwide had been in a physical fight one or more times in
which they were injured and had to be treated by a doctor or
nurse (Table 13). The prevalence of having been injured in
a physical fight was higher among male (3.7%) than female
(1.8%) students; higher among white male (2.8%) than white
female (0.9%) students; and higher among 10th-grade male
(3.3%), 11th-grade male (4.3%), and 12th-grade male (3.5%)
than 10th-grade female (1.4%), 11th-grade female (1.5%),
and 12th-grade female (1.4%) students, respectively. The
prevalence of having been injured in a physical fight was higher
among black (4.7%) and Hispanic (3.8%) than white (1.9%)
students, higher among black female (3.4%) and Hispanic
female (3.0%) than white female (0.9%) students, and higher
among black male (5.8%) than white male (2.8%) students.
The prevalence of having been injured in a physical fight was
higher among 9th-grade female (2.5%) than 12th-grade female
(1.4%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having been injured in a physical fight
(4.4%2.9%). A significant quadratic trend was not identified.
The prevalence of having been injured in a physical fight did
not change significantly from 2013 (3.1%) to 2015 (2.9%).
Across 29 states, the prevalence of having been injured
in a physical fight ranged from 1.9% to 6.5% (median:
2.8%) (Table 14). Across 14 large urban school districts, the
prevalence ranged from 2.2% to 9.4% (median: 3.5%).

In a Physical Fight on School Property


Nationwide, 7.8% of students had been in a physical fight
on school property one or more times during the 12 months
before the survey (Table 15). The prevalence of having been
in a physical fight on school property was higher among male
(10.3%) than female (5.0%) students; higher among white male

(8.0%), black male (15.4%), and Hispanic male (10.7%) than


white female (3.2%), black female (9.4%), and Hispanic female
(7.1%) students, respectively; and higher among 9th-grade male
(14.7%), 10th-grade male (10.0%), 11th-grade male (8.3%),
and 12th-grade male (6.4%) than 9th-grade female (8.2%),
10th-grade female (4.6%), 11th-grade female (4.1%), and
12th-grade female (2.5%) students, respectively. The prevalence
of having been in a physical fight on school property was higher
among black (12.6%) and Hispanic (8.9%) than white (5.6%)
students, higher among black female (9.4%) and Hispanic
female (7.1%) than white female (3.2%) students, and higher
among black male (15.4%) than white male (8.0%) students.
The prevalence of having been in a physical fight on school
property was higher among 9th-grade (11.6%) than 10th-grade
(7.3%), 11th-grade (6.5%), and 12th-grade (4.5%) students;
higher among 10th-grade (7.3%) and 11th-grade (6.5%) than
12th-grade (4.5%) students; higher among 9th-grade female
(8.2%) than 10th-grade female (4.6%), 11th-grade female
(4.1%), and 12th-grade female (2.5%) students; higher among
10th-grade female (4.6%) than 12th-grade female (2.5%)
students; higher among 9th-grade male (14.7%) than 10th-grade
male (10.0%), 11th-grade male (8.3%), and 12th-grade male
(6.4%) students; and higher among 10th-grade male (10.0%)
than 12th-grade male (6.4%) students.
During 19932015, a significant linear decrease occurred
overall in the prevalence of having been in a physical fight
on school property (16.2%7.8%). A significant quadratic
trend also was identified. The prevalence of having been in a
physical fight on school property decreased during 19932011
(16.2%12.0%) and then decreased more gradually from
20112015 (12.0%7.8%). The prevalence of having been in
a physical fight on school property did not change significantly
from 2013 (8.1%) to 2015 (7.8%).
Across 33 states, the prevalence of having been in a physical
fight on school property ranged from 4.9% to 12.2% (median:
7.2%) (Table 16). Across 16 large urban school districts, the
prevalence ranged from 5.7% to 17.5% (median: 8.1%).

Did Not Go to School Because of Safety Concerns


Nationwide, 5.6% of students had not gone to school on
at least 1 day during the 30 days before the survey because
they felt they would be unsafe at school or on their way to
or from school (i.e., did not go to school because of safety
concerns) (Table 15). The prevalence of having not gone to
school because of safety concerns was higher among female
(6.0%) than male (5.0%) students; higher among white female
(5.4%) than white male (2.9%) students; and higher among
9th-grade female (7.7%) and 10th-grade female (6.3%) than
9th-grade male (4.9%) and 10th-grade male (4.4%) students,
respectively. The prevalence of having not gone to school

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

Surveillance Summaries

because of safety concerns was higher among black (6.8%) and


Hispanic (7.6%) than white (4.2%) students and higher among
black male (6.9%) and Hispanic male (7.6%) than white male
(2.9%) students. The prevalence of having not gone to school
because of safety concerns was higher among 9th-grade (6.4%)
than 11th-grade (4.6%) students and higher among 9th-grade
female (7.7%) than 11th-grade female (5.3%) and 12th-grade
female (4.3%) students.
During 19932015, a significant linear increase occurred
overall in the prevalence of having not gone to school because
of safety concerns (4.4%5.6%). A significant quadratic trend
was not identified. The prevalence of having not gone to school
because of safety concerns decreased significantly from 2013
(7.1%) to 2015 (5.6%).
Across 36 states, the prevalence of having not gone to
school because of safety concerns ranged from 4.3% to
11.5% (median: 6.2%) (Table 16). Across 18 large urban
school districts, the prevalence ranged from 4.5% to 12.8%
(median: 9.1%).

Electronically Bullied
Nationwide, 15.5% of students had been electronically
bullied, counting being bullied through e-mail, chat rooms,
instant messaging, websites, or texting, during the 12 months
before the survey (Table 17). The prevalence of having been
electronically bullied was higher among female (21.7%) than
male (9.7%) students; higher among white female (26.0%),
black female (11.9%), and Hispanic female (16.7%) than
white male (10.8%), black male (5.6%), and Hispanic male
(8.1%) students, respectively; and higher among 9th-grade
female (22.7%), 10th-grade female (23.2%), 11th-grade female
(21.4%), and 12th-grade female (19.5%) than 9th-grade male
(11.0%), 10th-grade male (9.9%), 11th-grade male (8.4%),
and 12th-grade male (9.2%) students, respectively. The
prevalence of having been electronically bullied was higher
among white (18.4%) and Hispanic (12.4%) than black
(8.6%) students, higher among white (18.4%) than Hispanic
(12.4%) students, higher among white female (26.0%) and
Hispanic female (16.7%) than black female (11.9%) students,
higher among white female (26.0%) than Hispanic female
(16.7%) students, and higher among white male (10.8%) than
black male (5.6%) and Hispanic male (8.1%) students. The
prevalence of having been electronically bullied was higher
among 10th-grade (16.6%) than 12th-grade (14.3%) students
and higher among 10th-grade female (23.2%) than 12th-grade
female (19.5%) students.
During 20112015, significant linear and quadratic
trends were not identified in the prevalence of having
been electronically bullied. The prevalence of having been

10

MMWR/June 10, 2016/Vol. 65/No. 6

electronically bullied did not change significantly from 2013


(14.8%) to 2015 (15.5%).
Across 36 states, the prevalence of having been electronically
bullied ranged from 11.6% to 21.1% (median: 15.4%)
(Table 18). Across 19 large urban school districts, the
prevalence ranged from 7.9% to 16.3% (median: 11.2%).

Bullied on School Property


Nationwide, 20.2% of students had been bullied on school
property during the 12 months before the survey (Table 17).
The prevalence of having been bullied on school property was
higher among female (24.8%) than male (15.8%) students;
higher among white female (29.1%), black female (15.1%),
and Hispanic female (19.3%) than white male (18.1%),
black male (11.2%), and Hispanic male (13.7%) students,
respectively; and higher among 9th-grade female (29.0%),
10th-grade female (25.5%), 11th-grade female (24.2%), and
12th-grade female (19.8%) than 9th-grade male (18.3%),
10th-grade male (16.1%), 11th-grade male (16.4%), and
12th-grade male (12.1%) students, respectively. The prevalence
of having been bullied on school property was higher among
white (23.5%) than black (13.2%) and Hispanic (16.5%)
students, higher among white female (29.1%) than black
female (15.1%) and Hispanic female (19.3%) students, and
higher among white male (18.1%) than black male (11.2%)
and Hispanic male (13.7%) students. The prevalence of having
been bullied on school property was higher among 9th-grade
(23.4%), 10th-grade (20.8%), and 11th-grade (20.3%) than
12th-grade (15.9%) students; higher among 9th-grade female
(29.0%) than 11th-grade female (24.2%) students; higher
among 9th-grade female (29.0%), 10th-grade female (25.5%),
and 11th-grade female (24.2%) than 12th-grade female
(19.8%) students; and higher among 9th-grade male (18.3%),
10th-grade male (16.1%), and 11th-grade male (16.4%) than
12th-grade male (12.1%) students.
During 20092015, significant linear and quadratic trends
were not identified in the prevalence of having been bullied
on school property. The prevalence of having been bullied
on school property did not change significantly from 2013
(19.6%) to 2015 (20.2%).
Across 35 states, the prevalence of having been bullied
on school property ranged from 15.0% to 26.3% (median:
19.9%) (Table 18). Across 19 large urban school districts, the
prevalence ranged from 11.3% to 20.2% (median: 14.6%).

Forced to Have Sexual Intercourse


Nationwide, 6.7% of students had ever been physically
forced to have sexual intercourse when they did not want
to (Table 19). The prevalence of having been forced to have

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

sexual intercourse was higher among female (10.3%) than


male (3.1%) students; higher among white female (9.9%),
black female (10.3%), and Hispanic female (10.1%) than
white male (2.0%), black male (4.4%), and Hispanic male
(4.0%) students, respectively; and higher among 9th-grade
female (9.4%), 10th-grade female (7.9%), 11th-grade female
(12.0%), and 12th-grade female (11.9%) than 9th-grade male
(2.1%), 10th-grade male (3.9%), 11th-grade male (2.8%), and
12th-grade male (3.5%) students, respectively. The prevalence
of having been forced to have sexual intercourse was higher
among black male (4.4%) and Hispanic male (4.0%) than
white male (2.0%) students. The prevalence of having been
forced to have sexual intercourse was higher among 11th-grade
(7.6%) and 12th-grade (7.6%) than 9th-grade (5.6%) students,
higher among 12th-grade (7.6%) than 10th-grade (5.9%)
students, higher among 11th-grade female (12.0%) and
12th-grade female (11.9%) than 10th-grade female (7.9%)
students, and higher among 10th-grade male (3.9%) and
12th-grade male (3.5%) than 9th-grade male (2.1%) students.
During 20012015, a significant linear decrease occurred
overall in the prevalence of having been forced to have sexual
intercourse (7.7%6.7%). A significant quadratic trend was
not identified. The prevalence of having been forced to have
sexual intercourse did not change significantly from 2013
(7.3%) to 2015 (6.7%).
Across 34 states, the prevalence of having been physically
forced to have sexual intercourse ranged from 5.1% to
11.7% (median: 7.9%) (Table 20). Across 17 large urban
school districts, the prevalence ranged from 5.5% to 12.6%
(median: 8.2%).

Physical Dating Violence


Among the 68.6% of students nationwide who dated or went
out with someone during the 12 months before the survey,
9.6% had been physically hurt on purpose (counting being hit,
slammed into something, or injured with an object or weapon)
by someone they were dating or going out with one or more
times during the 12 months before the survey (i.e., physical
dating violence) (Table 21). The prevalence of physical dating
violence was higher among female (11.7%) than male (7.4%)
students; higher among white female (11.9%) and Hispanic
female (11.4%) than white male (5.9%) and Hispanic male
(8.0%) students, respectively; and higher among 9th-grade
female (11.1%), 11th-grade female (11.6%), and 12th-grade
female (12.9%) than 9th-grade male (5.3%), 11th-grade male
The prevalence of dating or going out with someone during the 12 months

before the survey varies slightly for physical dating violence and sexual
dating violence because of differences in the number of usable responses
to each question.

(7.9%), and 12th-grade male (8.2%) students, respectively.


The prevalence of physical dating violence was higher among
11th-grade (10.1%) than 9th-grade (8.1%) students and higher
among 11th-grade male (7.9%) and 12th-grade male (8.2%)
than 9th-grade male (5.3%) students.
Because of changes in the question and response options
starting in 2013, long-term temporal trends are not available
for the prevalence of physical dating violence. The prevalence
of physical dating violence did not change significantly from
2013 (10.3%) to 2015 (9.6%).
Across 36 states, the prevalence of physical dating violence
ranged from 6.7% to 14.6% (median: 9.0%) (Table 22). Across
19 large urban school districts, the prevalence ranged from
6.4% to 12.7% (median: 10.1%).

Sexual Dating Violence


Among the 69.1% of students nationwide who dated or
went out with someone during the 12 months before the
survey, 10.6% of students had been forced to do sexual
things (counting being kissed, touched, or physically forced to
have sexual intercourse) they did not want to do by someone
they were dating or going out with one or more times during
the 12 months before the survey (i.e., sexual dating violence)
(Table 21). The prevalence of sexual dating violence was
higher among female (15.6%) than male (5.4%) students;
higher among white female (16.6%) and Hispanic female
(14.2%) than white male (3.5%) and Hispanic male (7.0%)
students, respectively; and higher among 9th-grade female
(17.6%), 10th-grade female (15.8%), 11th-grade female
(14.9%), and 12th-grade female (13.9%) than 9th-grade male
(4.5%), 10th-grade male (7.4%), 11th-grade male (5.1%), and
12th-grade male (4.6%) students, respectively. The prevalence
of sexual dating violence was higher among black male (8.0%)
and Hispanic male (7.0%) than white male (3.5%) students.
The prevalence of sexual dating violence was higher among
10th-grade (11.8%) than 12th-grade (9.2%) students and
higher among 10th-grade male (7.4%) than 9th-grade male
(4.5%) and 12th-grade male (4.6%) students.
Because of changes in the question and response options
starting in 2013, long-term temporal trends are not available
for the prevalence of sexual dating violence. The prevalence of
sexual dating violence did not change significantly from 2013
(10.4%) to 2015 (10.6%).
Across 30 states, the prevalence of sexual dating violence
ranged from 7.5% to 14.7% (median: 10.1%) (Table 22).
Across 19 large urban school districts, the prevalence ranged
from 6.8% to 14.4% (median: 10.5%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

11

Surveillance Summaries

Felt Sad or Hopeless


During the 12 months before the survey, 29.9% of students
nationwide had felt so sad or hopeless almost every day for 2 or
more weeks in a row that they stopped doing somec usual activities
(Table 23). The prevalence of having felt sad or hopeless was
higher among female (39.8%) than male (20.3%) students; higher
among white female (37.9%), black female (33.9%), and Hispanic
female (46.7%) than white male (19.2%), black male (17.6%),
and Hispanic male (24.3%) students, respectively; and higher
among 9th-grade female (41.5%), 10th-grade female (40.1%),
11th-grade female (40.9%), and 12th-grade female (36.3%) than
9th-grade male (16.7%), 10th-grade male (19.2%), 11th-grade
male (22.1%), and 12th-grade male (23.9%) students, respectively.
The prevalence of having felt sad or hopeless was higher among
Hispanic (35.3%) than white (28.6%) and black (25.2%) students,
higher among Hispanic female (46.7%) than white female (37.9%)
and black female (33.9%) students, and higher among Hispanic
male (24.3%) than white male (19.2%) and black male (17.6%)
students. The prevalence of having felt sad or hopeless was higher
among 9th-grade female (41.5%) and 11th-grade female (40.9%)
than 12th-grade female (36.3%) students, higher among 11th-grade
male (22.1%) and 12th-grade male (23.9%) than 9th-grade male
(16.7%) students, and higher among 12th-grade male (23.9%)
than 10th-grade male (19.2%) students.
During 19992015, significant linear and quadratic trends
were not identified in the prevalence of having felt sad or
hopeless. The prevalence of having felt sad or hopeless did
not change significantly from 2013 (29.9%) to 2015 (29.9%).
Across 37 states, the prevalence of having felt sad or hopeless
ranged from 24.1% to 34.2% (median: 28.9%) (Table 24).
Across 19 large urban school districts, the prevalence ranged
from 24.9% to 36.0% (median: 29.8%).

Seriously Considered Attempting Suicide


Nationwide, 17.7% of students had seriously considered
attempting suicide during the 12 months before the survey
(Table 25). The prevalence of having seriously considered
attempting suicide was higher among female (23.4%) than
male (12.2%) students; higher among white female (22.8%),
black female (18.7%), and Hispanic female (25.6%) than
white male (11.5%), black male (11.0%), and Hispanic male
(12.4%) students, respectively; and higher among 9th-grade
female (26.5%), 10th-grade female (25.7%), 11th-grade female
(22.1%), and 12th-grade female (18.6%) than 9th-grade male
(10.7%), 10th-grade male (10.8%), 11th-grade male (13.3%),
and 12th-grade male (14.0%) students, respectively. The
prevalence of having seriously considered attempting suicide was
higher among Hispanic (18.8%) than black (14.5%) students
and higher among Hispanic female (25.6%) than black female

12

MMWR/June 10, 2016/Vol. 65/No. 6

(18.7%) students. The prevalence of having seriously considered


attempting suicide was higher among 9th-grade female (26.5%)
and 10th-grade female (25.7%) than 11th-grade female (22.1%)
students and 12th-grade female (22.1%) students and higher
among 11th-grade male (13.3%) and 12th-grade male (14.0%)
than 10th-grade male (10.8%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having seriously considered
attempting suicide (29.0%17.7%). A significant quadratic
trend also was identified. The prevalence of having seriously
considered attempting suicide decreased during 19912009
(29.0%13.8%) and then increased during 20092015
(13.8%17.7%). The prevalence of having seriously considered
attempting suicide did not change significantly from 2013
(17.0%) to 2015 (17.7%).
Across 36 states, the prevalence of having seriously considered
attempting suicide ranged from 13.4% to 20.3% (median:
16.0%) (Table 26). Across 19 large urban school districts, the
prevalence ranged from 10.7% to 19.7% (median: 15.1%).

Made a Suicide Plan


During the 12 months before the survey, 14.6% of students
nationwide had made a plan about how they would attempt
suicide (Table 25). The prevalence of having made a suicide plan
was higher among female (19.4%) than male (9.8%) students;
higher among white female (18.4%), black female (17.3%), and
Hispanic female (20.7%) than white male (9.3%), black male
(10.6%), and Hispanic male (10.9%) students, respectively;
and higher among 9th-grade female (22.5%), 10th-grade
female (21.6%), 11th-grade female (17.2%), and 12th-grade
female (15.7%) than 9th-grade male (8.1%), 10th-grade
male (9.2%), 11th-grade male (10.4%), and 12th-grade male
(12.0%) students, respectively. The prevalence of having made
a suicide plan was higher among 9th-grade female (22.5%) and
10th-grade female (21.6%) than 11th-grade female (17.2%) and
12th-grade female (15.7%) students, higher among 11th-grade
male (10.4%) and 12th-grade male (12.0%) than 9th-grade male
(8.1%) students, and higher among 12th-grade male (12.0%)
than 10th-grade male (9.2%) students.
During 19912015, a significant linear decrease occurred overall
in the prevalence of having made a suicide plan (18.6%-14.6%).
A significant quadratic trend also was identified. The prevalence of
having made a suicide plan decreased during 19912009 (18.6%
10.9%) and then increased during 2009-2015 (10.9%14.6%).
The prevalence of having made a suicide plan did not change
significantly from 2013 (13.6%) to 2015 (14.6%).
Across 34 states, the prevalence of having made a suicide plan
ranged from 11.0% to 18.2% (median: 14.3%) (Table 26).
Across 16 large urban school districts, the prevalence ranged
from 8.7% to 19.3% (median: 13.8%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

Attempted Suicide
Nationwide, 8.6% of students had attempted suicide one or
more times during the 12 months before the survey (Table 27).
The prevalence of having attempted suicide was higher among
female (11.6%) than male (5.5%) students; higher among white
female (9.8%) and Hispanic female (15.1%) than white male
(3.7%) and Hispanic male (7.6%) students, respectively; and
higher among 9th-grade female (15.1%), 10th-grade female
(13.0%), and 11th-grade female (10.2%) than 9th-grade male
(5.1%), 10th-grade male (5.7%), and 11th-grade male (5.8%)
students, respectively. The prevalence of having attempted
suicide was higher among Hispanic (11.3%) than white
(6.8%) students, higher among Hispanic female (15.1%) than
white female (9.8%) and black female (10.2%) students, and
higher among black male (7.2%) and Hispanic male (7.6%)
than white male (3.7%) students. The prevalence of having
attempted suicide was higher among 9th-grade (9.9%) than
11th-grade (8.0%) students; higher among 9th-grade (9.9%)
and 10th-grade (9.4%) than 12th-grade (6.2%) students;
higher among 9th-grade female (15.1%) than 11th-grade
female (10.2%) students; and higher among 9th-grade female
(15.1%), 10th-grade female (13.0%), and 11th-grade female
(10.2%) than 12th-grade female (7.2%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having attempted suicide
(7.3%8.6%).*** A significant quadratic trend was not
identified. The prevalence having attempted suicide did not
change significantly from 2013 (8.0%) to 2015 (8.6%).
Across 35 states, the prevalence of having attempted suicide
ranged from 5.9% to 12.7% (median: 9.6%) (Table 28). Across
19 large urban school districts, the prevalence ranged from
6.4% to 20.7% (median: 9.9%).

Suicide Attempt Treated by a Doctor or Nurse


During the 12 months before the survey, 2.8% of students
nationwide had made a suicide attempt that resulted in an
injury, poisoning, or overdose that had to be treated by a doctor
or nurse (Table 27). The prevalence of having made a suicide
attempt that resulted in an injury, poisoning, or overdose that
had to be treated by a doctor or nurse was higher among female
(3.7%) than male (1.9%) students; higher among white female
(3.4%) and Hispanic female (4.5%) than white male (0.9%) and
Hispanic male (2.9%) students, respectively; and higher among
9th-grade female (4.7%) than 9th-grade male (1.9%) students.
The prevalence of having made a suicide attempt that resulted
*** Review of only the oldest and most recent data points are not necessarily
indicative of long-term temporal trends because the logistic regression
analyses take into account all data points and adjust for changes in sex, grade,
and race/ethnicity over time.

in an injury, poisoning, or overdose that had to be treated by a


doctor or nurse was higher among Hispanic (3.7%) than white
(2.1%) students and higher among black male (4.0%) and
Hispanic male (2.9%) than white male (0.9%) students. The
prevalence of having made a suicide attempt that resulted in an
injury, poisoning, or overdose that had to be treated by a doctor
or nurse was higher among 9th-grade (3.2%) and 10th-grade
(3.1%) than 12th-grade (1.9%) students and higher among
9th-grade female (4.7%) and 10th-grade female (3.9%) than
12th-grade female (2.3%) students.
During 19912015, significant linear and quadratic trends
were not identified in the prevalence of having made a suicide
attempt that resulted in an injury, poisoning, or overdose that
had to be treated by a doctor or nurse. The prevalence of having
made a suicide attempt that resulted in an injury, poisoning,
or overdose that had to be treated by a doctor or nurse did
not change significantly from 2013 (2.7%) to 2015 (2.8%).
Across 33 states, the prevalence of having made a suicide
attempt that resulted in an injury, poisoning, or overdose
that had to be treated by a doctor or nurse ranged from 1.9%
to 9.3% (median: 3.2%) (Table 28). Across 17 large urban
school districts, the prevalence ranged from 1.9% to 7.4%
(median: 3.5%).

Tobacco Use
Ever Tried Cigarette Smoking
Nationwide, 32.3% of students had ever tried cigarette
smoking (even one or two puffs) (i.e., ever tried cigarette
smoking) (Table 29). The prevalence of having ever tried
cigarette smoking was higher among Hispanic male (37.8%)
than Hispanic female (32.7%) students and higher among
11th-grade male (40.5%) than 11th-grade female (34.4%)
students. The prevalence of having ever tried cigarette smoking
was higher among Hispanic male (37.8%) than white male
(33.2%) and black male (30.6%) students. The prevalence
of having ever tried cigarette smoking was higher among
11th-grade (37.5%) and 12th-grade (38.3%) than 9th-grade
(25.1%) students and 10th-grade (29.1%) students, higher
among 11th-grade female (34.4%) and 12th-grade female
(36.3%) than 9th-grade female (24.5%) and 10th-grade female
(28.2%) students, and higher among 11th-grade male (40.5%)
and 12th-grade male (40.4%) than 9th-grade male (25.8%)
and 10th-grade male (30.0%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having ever tried cigarette
smoking (70.1%32.3%). A significant quadratic trend also
was identified. The prevalence of having ever tried cigarette
smoking did not change significantly during 19911999

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

13

Surveillance Summaries

(70.1%70.4%) and then decreased during 19992015


(70.4%32.3%). The prevalence of having ever tried cigarette
smoking also decreased significantly from 2013 (41.1%) to
2015 (32.3%).
Across 31 states, the prevalence of having ever tried
cigarette smoking ranged from 22.4% to 47.3% (median:
34.5%) (Table 30). Across 15 large urban school districts, the
prevalence ranged from 21.4% to 34.4% (median: 26.4%).

Smoked a Whole Cigarette Before Age 13 Years


Nationwide, 6.6% of students had smoked a whole
cigarette for the first time before age 13 years (Table 29). The
prevalence of having smoked a whole cigarette before age
13 years was higher among male (8.0%) than female (5.0%)
students; higher among black male (10.1%) and Hispanic
male (9.2%) than black female (3.8%) and Hispanic female
(4.9%) students, respectively; and higher among 9th-grade
male (8.2%), 10th-grade male (9.1%), 11th-grade male
(6.8%), and 12th-grade male (7.3%) than 9th-grade female
(6.1%), 10th-grade female (6.0%), 11th-grade female (4.5%),
and 12th-grade female (3.0%) students, respectively. The
prevalence of having smoked a whole cigarette before age
13 years was higher among black male (10.1%) and Hispanic
male (9.2%) than white male (6.6%) students. The prevalence
of having smoked a whole cigarette before age 13 years was
higher among 10th-grade (7.6%) than 11th-grade (5.6%)
and 12th-grade (5.2%) students and higher among 9th-grade
female (6.1%), 10th-grade female (6.0%), and 11th-grade
female (4.5%) than 12th-grade female (3.0%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having smoked a whole cigarette
before age 13 years (23.8%6.6%). A significant quadratic
trend also was identified. The prevalence of having smoked a
whole cigarette before age 13 years did not change significantly
during 19911999 (23.8%24.7%) and then decreased during
19992015 (24.7%6.6%). The prevalence of having smoked
a whole cigarette before age 13 years also decreased significantly
from 2013 (9.3%) to 2015 (6.6%).
Across 35 states, the prevalence of having smoked a
whole cigarette before age 13 years ranged from 4.3% to
13.1% (median: 7.8%) (Table 30). Across 16 large urban
school districts, the prevalence ranged from 3.8% to 13.7%
(median: 5.8%).

Current Cigarette Use


Nationwide, 10.8% of students had smoked cigarettes on at
least 1 day during the 30 days before the survey (i.e., current
cigarette use) (Table 31). The prevalence of current cigarette
use was higher among male (11.8%) than female (9.7%)
students; higher among black male (9.1%) and Hispanic

14

MMWR/June 10, 2016/Vol. 65/No. 6

male (11.3%) than black female (3.7%) and Hispanic female


(7.1%) students, respectively; and higher among 11th-grade
male (15.8%) than 11th-grade female (10.1%) students.
The prevalence of current cigarette use was higher among
white (12.4%) and Hispanic (9.2%) than black (6.5%)
students, higher among white (12.4%) than Hispanic (9.2%)
students, higher among white female (12.2%) and Hispanic
female (7.1%) than black female (3.7%) students, and higher
among white female (12.2%) than Hispanic female (7.1%)
students. The prevalence of current cigarette use was higher
among 11th-grade (13.1%) and 12th-grade (14.1%) than
9th-grade (7.6%) and 10th-grade (8.8%) students, higher
among 11th-grade female (10.1%) than 9th-grade female
(6.7%) students; higher among 12th-grade female (13.3%)
than 9th-grade female (6.7%), 10th-grade female (9.1%),
and 11th-grade female (10.1%) students; and higher among
11th-grade male (15.8%) and 12th-grade male (15.0%) than
9th-grade male (8.3%) and 10th-grade male (8.5%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of current cigarette use (27.5%10.8%).
A significant quadratic trend also was identified. The
prevalence of current cigarette use increased during 19911997
(27.5%36.4%) and then decreased during 19972015
(36.4%10.8%). The prevalence of current cigarette use also
decreased significantly from 2013 (15.7%) to 2015 (10.8%).
Across 37 states, the prevalence of current cigarette use
ranged from 4.8% to 18.8% (median: 10.8%) (Table 32).
Across 18 large urban school districts, the prevalence ranged
from 4.2% to 9.0% (median: 5.8%).

Current Frequent Cigarette Use


Nationwide, 3.4% of students had smoked cigarettes 20 or
more days during the 30 days before the survey (i.e., current
frequent cigarette use) (Table 31). The prevalence of current
frequent cigarette use was higher among white (4.0%) than
black (1.8%) and Hispanic (2.1%) students, higher among
white female (4.4%) and Hispanic female (2.1%) than black
female (0.8%) students, higher among white female (4.4%)
than Hispanic female (2.1%) students, and higher among
white male (3.6%) than Hispanic male (2.2%) students. The
prevalence of current frequent cigarette use was higher among
12th-grade (5.1%) than 9th-grade (2.2%), 10th-grade (2.9%),
and 11th-grade (3.2%) students; higher among 12th-grade
female (4.9%) than 9th-grade female (2.5%) and 10th-grade
female (2.7%) students; higher among 11th-grade male (3.5%)
and 12th-grade male (5.4%) than 9th-grade male (1.9%)
students; and higher among 12th-grade male (5.4%) than
10th-grade male (3.1%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of current frequent cigarette use

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

(12.7%3.4%). A significant quadratic trend also was


identified. The prevalence of current frequent cigarette use
increased during 19911999 (12.7%16.8%) and then
decreased during 19992015 (16.8%3.4%). The prevalence
of current frequent cigarette use also decreased significantly
from 2013 (5.6%) to 2015 (3.4%).
Across 37 states, the prevalence of current frequent cigarette
use ranged from 1.5% to 7.4% (median: 3.6%) (Table 32).
Across 18 large urban school districts, the prevalence ranged
from 0.6% to 2.0% (median: 1.3%).

Smoked More Than 10 Cigarettes per Day


Among the 10.8% of students nationwide who currently
smoked cigarettes, 7.9% of students had smoked more than
10 cigarettes per day on the days they smoked during the
30 days before the survey (Table 33). The prevalence of having
smoked more than 10 cigarettes per day was higher among
10th-grade (10.4%) and 12th-grade (9.1%) than 11th-grade
(3.4%) students, higher among 10th-grade male (14.7%) than
9th-grade male (5.1%) students, and higher among 10th-grade
male (14.7%) and 12th-grade male (12.5%) than 11th-grade
male (3.6%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having smoked more than
10 cigarettes per day (18.0%7.9%). A significant quadratic
trend was not identified. The prevalence of having smoked
more than 10 cigarettes per day did not change significantly
from 2013 (8.6%) to 2015 (7.9%).
Across 30 states, the prevalence of having smoked more than
10 cigarettes per day ranged from 2.0% to 14.6% (median:
8.3%) (Table 34). Across 12 large urban school districts, the
prevalence ranged from 0.9% to 12.8% (median: 8.2%).

Currently Smoked Cigarettes Daily


Nationwide, 2.3% of students had smoked cigarettes on all
30 days during the 30 days before the survey (i.e., currently
smoked cigarettes daily) (Table 33). The prevalence of having
currently smoked cigarettes daily was higher among black
male (2.4%) than black female (0.4%) students and higher
among 10th-grade male (2.7%) than 10th-grade female (1.4%)
students. The prevalence of having currently smoked cigarettes
daily was higher among white (2.8%) than black (1.4%)
and Hispanic (1.6%) students, higher among white female
(3.1%) and Hispanic female (1.4%) than black female (0.4%)
students, and higher among white female (3.1%) than Hispanic
female (1.4%) students. The prevalence of having currently
smoked cigarettes daily was higher among 12th-grade (3.4%)
than 9th-grade (1.7%), 10th-grade (2.1%), and 11th-grade
(1.9%) students; higher among 12th-grade female (3.5%)
than 10th-grade female (1.4%) students; and higher among

12th-grade male (3.2%) than 9th-grade male (1.6%) and


11th-grade male (1.8%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having currently smoked cigarettes
daily (9.8%2.3%). A significant quadratic trend also was
identified. The prevalence of having currently smoked
cigarettes daily increased during 19911999 (9.8%12.8%)
and then decreased during 19992015 (12.8%2.3%). The
prevalence of having currently smoked cigarettes daily also
decreased significantly from 2013 (4.0%) to 2015 (2.3%).
Across 37 states, the prevalence of having currently smoked
cigarettes daily ranged from 1.0% to 5.4% (median: 2.6%)
(Table 34). Across 18 large urban school districts, the
prevalence ranged from 0.3% to 1.6% (median: 0.9%).

Bought Cigarettes in a Store or Gas Station


Among the 8.5% of students who currently smoked cigarettes
and were aged <18 years, 12.6% had usually obtained their
own cigarettes by buying them in a store (e.g., convenience
store, supermarket, or discount store) or gas station during the
30 days before the survey (Table 35). The prevalence of usually
obtaining their own cigarettes by buying them in a store or gas
station was higher among male (16.5%) than female (7.7%)
students; higher among white male (12.8%) and Hispanic
male (21.9%) than white female (6.6%) and Hispanic female
(9.8%) students, respectively; and higher among 11th-grade
male (27.1%) than 11th-grade female (8.8%) students. The
prevalence of usually obtaining their own cigarettes by buying
them in a store or gas station was higher among Hispanic
(17.5%) than white (9.7%) students and higher among
Hispanic male (21.9%) than white male (12.8%) students. The
prevalence of usually obtaining their own cigarettes by buying
them in a store or gas station was higher among 11th-grade
(20.2%) and 12th-grade (16.5%) than 9th-grade (6.3%)
students and 10th-grade (6.1%) students and higher among
11th-grade male (27.1%) and 12th-grade male (22.8%) than
9th-grade male (6.2%) and 10th-grade male (6.7%) students.
During 20012015, a significant linear decrease occurred
overall in the prevalence of usually obtaining their own cigarettes
by buying them in a store or gas station (19.0%12.6%). A
significant quadratic trend was not identified. The prevalence
of usually obtaining their own cigarettes by buying them in
a store or gas station also decreased significantly from 2013
(18.1%) to 2015 (12.6%).
Across 28 states, the prevalence of usually obtaining their own
cigarettes by buying them in a store or gas station ranged from
4.4% to 20.6% (median: 11.6%) (Table 36). Across 5 large
urban school districts, the prevalence ranged from 14.9% to
64.5% (median: 22.5%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

15

Surveillance Summaries

Bought Cigarettes on the Internet


Among the 8.5% of students who currently smoked cigarettes
and were aged <18 years, 1.0% had usually obtained their own
cigarettes by buying them on the Internet during the 30 days
before the survey (Table 35). Because the response option I
got them on the Internet was included for the first time in
2015 in the question on usual source of cigarettes, long-term
temporal trends and 2-year temporal changes are not available.
Across 28 states, the prevalence of usually obtaining their
own cigarettes by buying them on the Internet ranged from
0.0% to 6.0% (median: 1.1%) (Table 36). Across 5 large
urban school districts, the prevalence ranged from 1.7% to
5.9% (median: 2.4%).

Tried to Quit Smoking Cigarettes


Among the 10.8% of students nationwide who currently
smoked cigarettes, 45.4% had tried to quit smoking cigarettes
during the 12 months before the survey (Table 37). The
prevalence of having tried to quit smoking cigarettes was
higher among female (52.8%) than male (39.7%) students;
higher among white female (51.0%) than white male (37.9%)
students; and higher among 11th-grade female (52.2%) and
12th-grade female (54.1%) than 11th-grade male (29.9%) and
12th-grade male (42.0%) students, respectively. The prevalence
of having tried to quit smoking cigarettes was higher among
9th-grade (47.8%), 10th-grade (51.6%), and 12th-grade
(47.7%) than 11th-grade (37.9%) students and higher among
9th-grade male (48.2%) and 12th-grade male (42.0%) than
11th-grade male (29.9%) students.
During 20012015, a significant linear decrease occurred
overall in the prevalence of having tried to quit smoking cigarettes
(57.4%45.4%). A significant quadratic trend was not identified.
The prevalence of having tried to quit smoking cigarettes did not
change significantly from 2013 (48.0%) to 2015 (45.4%).
Across 29 states, the prevalence of having tried to quit
smoking cigarettes ranged from 35.2% to 59.5% (median:
49.2%) (Table 38). Across 9 large urban school districts, the
prevalence ranged from 35.7% to 81.8% (median: 46.9%).

Current Smokeless Tobacco Use


Nationwide, 7.3% of students had used smokeless tobacco
(e.g., chewing tobacco, snuff, or dip) on at least 1 day during the
30 days before the survey (i.e., current smokeless tobacco use)
(Table 39). The prevalence of current smokeless tobacco use
was higher among male (11.9%) than female (2.3%) students;
higher among white male (15.9%), black male (5.6%), and
Hispanic male (6.4%) than white female (2.5%), black female
(1.1%), and Hispanic female (2.5%) students, respectively;
and higher among 9th-grade male (8.8%), 10th-grade male
(10.6%), 11th-grade male (15.0%), and 12th-grade male
16

MMWR/June 10, 2016/Vol. 65/No. 6

(13.1%) than 9th-grade female (2.4%), 10th-grade female


(2.0%), 11th-grade female (2.9%), and 12th-grade female
(1.7%) students, respectively. The prevalence of current
smokeless tobacco use was higher among white (9.3%) than
black (3.7%) and Hispanic (4.5%) students, higher among
white female (2.5%) and Hispanic female (2.5%) than
black female (1.1%) students, and higher among white male
(15.9%) than black male (5.6%) and Hispanic male (6.4%)
students. The prevalence of current smokeless tobacco use was
higher among 11th-grade (9.3%) than 9th-grade (5.9%) and
10th-grade (6.3%) students, higher among 11th-grade male
(15.0%) and 12th-grade male (13.1%) than 9th-grade male
(8.8%) students, and higher among 11th-grade male (15.0%)
than 10th-grade male (10.6%) students.
During 19952015, a significant linear trend was not
identified in the prevalence of current smokeless tobacco use.
A significant quadratic trend was identified. The prevalence of
current smokeless tobacco use decreased during 19951999
(11.4%7.8%) and then did not change significantly during
19992015 (7.8%7.3%). The prevalence of current smokeless
tobacco use also did not change significantly from 2013 (8.8%)
to 2015 (7.3%).
Across 34 states, the prevalence of current smokeless tobacco
use ranged from 3.0% to 13.4% (median: 8.6%) (Table 40).
Across 15 large urban school districts, the prevalence ranged
from 2.4% to 7.8% (median: 3.7%).

Current Cigar Use


Nationwide, 10.3% of students had smoked cigars, cigarillos,
or little cigars on at least 1 day during the 30 days before the
survey (i.e., current cigar use) (Table 39). The prevalence
of current cigar use was higher among male (14.0%) than
female (6.3%) students; higher among white male (14.8%),
black male (12.9%), and Hispanic male (12.4%) than white
female (6.0%), black female (8.5%), and Hispanic female
(6.5%) students, respectively; and higher among 9th-grade
male (8.5%), 10th-grade male (12.5%), 11th-grade male
(15.1%), and 12th-grade male (20.4%) than 9th-grade female
(4.1%), 10th-grade female (6.6%), 11th-grade female (6.3%),
and 12th-grade female (8.1%) students, respectively. The
prevalence of current cigar use was higher among 10th-grade
(9.6%), 11th-grade (11.0%), and 12th-grade (14.3%) than
9th-grade (6.6%) students; higher among 12th-grade (14.3%)
than 10th-grade (9.6%) students; higher among 10th-grade
female (6.6%), 11th-grade female (6.3%), and 12th-grade
female (8.1%) than 9th-grade female (4.1%) students; higher
among 10th-grade male (12.5%), 11th-grade male (15.1%),
and 12th-grade male (20.4%) than 9th-grade male (8.5%)
students; and higher among 12th-grade male (20.4%) than
10th-grade male (12.5%) students.

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

During 19972015, a significant linear decrease occurred


overall in the prevalence of current cigar use (22.0%10.3%).
A significant quadratic trend was not identified. The prevalence
of current cigar use decreased significantly from 2013 (12.6%)
to 2015 (10.3%).
Across 33 states, the prevalence of current cigar use
ranged from 6.8% to 16.5% (median: 10.4%) (Table 40).
Across 16 large urban school districts, the prevalence ranged
from 4.4% to 14.9% (median: 9.1%).

Ever Used Electronic Vapor Products


Nationwide, 44.9% of students had ever used electronic
vapor products (including e-cigarettes, e-cigars, e-pipes, vape
pipes, vaping pens, e-hookahs, and hookah pens) (i.e, ever
used electronic vapor products) (Table 41). The prevalence of
having ever used electronic vapor products was higher among
10th-grade male (45.3%) than 10th-grade female (41.2%)
students. The prevalence of having ever used electronic vapor
products was higher among Hispanic (51.9%) than white
(43.2%) and black (42.4%) students, higher among Hispanic
female (51.2%) than white female (42.3%) and black female
(37.7%) students, and higher among Hispanic male (52.6%)
than white male (44.0%) students. The prevalence of having
ever used electronic vapor products was higher among
10th-grade (43.3%), 11th-grade (49.5%), and 12th-grade
(50.9%) than 9th-grade (37.2%) students; higher among
11th-grade (49.5%) and 12th-grade (50.9%) than 10th-grade
(43.3%) students; higher among 11th-grade female (47.8%)
and 12th-grade female (49.0%) than 9th-grade female
(37.4%) and 10th-grade female (41.2%) students; higher
among 10th-grade male (45.3%), 11th-grade male (51.1%),
and 12th-grade male (52.6%) than 9th-grade male (37.0%)
students; and higher among 11th-grade male (51.1%) than
10th-grade male (45.3%) students. Because the question
measuring the prevalence of having ever used electronic vapor
products was used for the first time in the 2015 national YRBS,
long-term temporal trends and 2-year temporal changes are
not available.
Across 31 states, the prevalence of having ever used electronic
vapor products ranged from 30.4% to 54.4% (median:
42.9%) (Table 42). Across 16 large urban school districts, the
prevalence ranged from 32.2% to 49.9% (median: 39.9%).

Current Electronic Vapor Products Use


Nationwide, 24.1% of students had used electronic vapor
products (including e-cigarettes, e-cigars, e-pipes, vape pipes,
vaping pens, e-hookahs, and hookah pens) on at least 1 day
during the 30 days before the survey (i.e., current electronic
vapor product use) (Table 41). The prevalence of current
electronic vapor product use was higher among male (25.6%)

than female (22.6%) students, higher among black male


(21.2%) than black female (14.5%) students, and higher
among 12th-grade male (31.9%) than 12th-grade female
(24.6%) students. The prevalence of current electronic vapor
product use was higher among white (25.2%) and Hispanic
(26.3%) than black (18.0%) students, higher among white
female (24.2%) and Hispanic female (25.0%) than black
female (14.5%) students, and higher among Hispanic male
(27.4%) than black male (21.2%) students. The prevalence
of current electronic vapor product use was higher among
11th-grade (25.9%) than 9th-grade (19.7%) students;
higher among 12th-grade (28.2%) than 9th-grade (19.7%),
10th-grade (23.2%), and 11th-grade (25.9%) students; higher
among 11th-grade female (24.1%) and 12th-grade female
(24.6%) than 9th-grade female (19.8%) students; higher
among 10th-grade male (24.2%), 11th-grade male (27.4%),
and 12th-grade male (31.9%) than 9th-grade male (19.6%)
students; and higher among 12th-grade male (31.9%) than
10th-grade male (24.2%) and 11th-grade male (27.4%)
students. Because the question measuring the prevalence of
current electronic vapor product use was used for the first time
in the 2015 national YRBS, long-term temporal trends and
2-year temporal changes are not available.
Across 35 states, the prevalence of current electronic
vapor product use ranged from 15.3% to 31.2% (median:
23.5%) (Table 42). Across 19 large urban school districts, the
prevalence ranged from 13.0% to 27.4% (median: 17.6%).

Current Cigarette or Cigar Use


Nationwide, 16.0% of students reported current cigarette
or cigar use (Table 43). The prevalence of current cigarette
or cigar use was higher among male (19.0%) than female
(12.7%) students; higher among white male (20.4%), black
male (16.8%), and Hispanic male (16.5%) than white
female (14.7%), black female (10.1%), and Hispanic female
(9.7%) students, respectively; and higher among 9th-grade
male (12.3%), 11th-grade male (22.9%), and 12th-grade
male (25.9%) than 9th-grade female (8.8%), 11th-grade
female (13.0%), and 12th-grade female (17.2%) students,
respectively. The prevalence of current cigarette or cigar use
was higher among white (17.5%) than black (13.9%) and
Hispanic (13.1%) students and higher among white female
(14.7%) than black female (10.1%) and Hispanic female
(9.7%) students. The prevalence of current cigarette or cigar
use was higher among 11th-grade (18.3%) and 12th-grade
(21.6%) than 9th-grade (10.7%) and 10th-grade (13.9%)
students; higher among 11th-grade female (13.0%) than
9th-grade female (8.8%) students; higher among 12th-grade
female (17.2%) than 9th-grade female (8.8%), 10th-grade
female (12.2%), and 11th-grade female (13.0%) students;

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

17

Surveillance Summaries

and higher among 11th-grade male (22.9%) and 12th-grade


male (25.9%) than 9th-grade male (12.3%) and 10th-grade
male (15.6%) students.
During 19972015, a significant linear decrease occurred
overall in the prevalence of current cigarette or cigar use
(42.6%16.0%). A significant quadratic trend was not
identified. The prevalence of current cigarette or cigar use
decreased significantly from 2013 (21.0%) to 2015 (16.0%).
Across 33 states, the prevalence of current cigarette or
cigar use ranged from 10.7% to 24.8% (median: 15.7%)
(Table 44). Across 15 large urban school districts, the
prevalence ranged from 6.8% to 18.1% (median: 12.0%).

Current Cigarette, Cigar, or Smokeless Tobacco Use


Nationwide, 18.5% of students reported current cigarette,
cigar, or smokeless tobacco use (Table 43). The prevalence
of current cigarette, cigar, or smokeless tobacco use was
higher among male (23.3%) than female (13.4%) students;
higher among white male (26.7%), black male (18.6%), and
Hispanic male (18.1%) than white female (15.6%), black
female (10.3%), and Hispanic female (10.3%) students,
respectively; and higher among 9th-grade male (15.8%),
10th-grade male (19.6%), 11th-grade male (28.8%), and
12th-grade male (29.9%) than 9th-grade female (9.3%),
10th-grade female (12.6%), 11th-grade female (14.2%),
and 12th-grade female (17.9%) students, respectively. The
prevalence of current cigarette, cigar, or smokeless tobacco
use was higher among white (21.2%) than black (14.9%)
and Hispanic (14.2%) students, higher among white female
(15.6%) than black female (10.3%) and Hispanic female
(10.3%) students, and higher among white male (26.7%) than
black male (18.6%) and Hispanic male (18.1%) students. The
prevalence of current cigarette, cigar, or smokeless tobacco
use was higher among 11th-grade (21.9%) and 12th-grade
(23.9%) than 9th-grade (12.8%) and 10th-grade (16.1%)
students; higher among 11th-grade female (14.2%) than
9th-grade female (9.3%) students; higher among 12th-grade
female (17.9%) than 9th-grade female (9.3%), 10th-grade
female (12.6%), and 11th-grade female (14.2%) students;
and higher among 11th-grade male (28.8%) and 12th-grade
male (29.9%) than 9th-grade male (15.8%) and 10th-grade
male (19.6%) students.
During 19972015, a significant linear decrease occurred
in the prevalence of current cigarette, cigar, or smokeless
tobacco use (44.5%18.5%). A significant quadratic trend
was not identified. The prevalence of current cigarette, cigar,
or smokeless tobacco use decreased significantly from 2013
(24.0%) to 2015 (18.5%).

18

MMWR/June 10, 2016/Vol. 65/No. 6

Across 33 states, the prevalence of current cigarette,


cigar, or smokeless tobacco use ranged from 11.9% to
29.2% (median: 19.7%) (Table 44). Across 15 large urban
school districts, the prevalence ranged from 7.5% to 20.4%
(median: 12.8%).

Current Cigarette, Cigar, Smokeless Tobacco, or


Electronic Vapor Product Use
Nationwide, 31.4% of students reported current cigarette,
cigar, smokeless tobacco, or electronic vapor product use
(Table 45). The prevalence of current cigarette, cigar,
smokeless tobacco, or electronic vapor product use was
higher among male (34.9%) than female (27.7%) students;
higher among white male (36.6%), black male (30.6%), and
Hispanic male (34.2%) than white female (29.4%), black
female (21.2%), and Hispanic female (29.4%) students,
respectively; and higher among 9th-grade male (26.9%),
10th-grade male (31.7%), 11th-grade male (39.4%), and
12th-grade male (43.0%) than 9th-grade female (23.0%),
10th-grade female (26.3%), 11th-grade female (30.0%),
and 12th-grade female (32.2%) students, respectively. The
prevalence of current cigarette, cigar, smokeless tobacco, or
electronic vapor product use was higher among white (32.9%)
and Hispanic (31.8%) than black (26.3%) students, higher
among white female (29.4%) and Hispanic female (29.4%)
than black female (21.2%) students, and higher among
white male (36.6%) than black male (30.6%) students. The
prevalence of current cigarette, cigar, smokeless tobacco, or
electronic vapor product use was higher among 11th-grade
(34.9%) and 12th-grade (37.5%) than 9th-grade (25.1%)
and 10th-grade (28.9%) students, higher among 11th-grade
female (30.0%) and 12th-grade female (32.2%) than
9th-grade female (23.0%) students, higher among 12th-grade
female (32.2%) than 10th-grade female (26.3%) students,
and higher among 11th-grade male (39.4%) and 12th-grade
male (43.0%) than 9th-grade male (26.9%) and 10th-grade
male (31.7%) students. Because the question measuring the
prevalence of current electronic vapor product use was used
for the first time in the 2015 national YRBS, long-term
temporal trends and 2-year temporal changes are not available
for current cigarette, cigar, smokeless tobacco, or electronic
vapor product use.
Across 33 states, the prevalence of current cigarette, cigar,
smokeless tobacco, or electronic vapor product use ranged from
22.7% to 40.8% (median: 30.9%) (Table 46). Across 15 large
urban school districts, the prevalence ranged from 19.9% to
34.3% (median: 25.5%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

Alcohol and Other Drug Use


Ever Drank Alcohol
Nationwide, 63.2% of students had had at least one drink
of alcohol on at least 1 day during their life (i.e., ever drank
alcohol) (Table 47). The prevalence of having ever drunk
alcohol was higher among female (65.3%) than male (61.4%)
students; higher among black female (57.9%) and Hispanic
female (68.6%) than black male (51.0%) and Hispanic male
(63.4%) students, respectively; and higher among 9th-grade
female (53.0%) than 9th-grade male (48.9%) students. The
prevalence of having ever drunk alcohol was higher among
white (65.3%) and Hispanic (65.9%) than black (54.4%)
students, higher among white female (66.7%) and Hispanic
female (68.6%) than black female (57.9%) students, and
higher among white male (64.0%) and Hispanic male (63.4%)
than black male (51.0%) students. The prevalence of having
ever drunk alcohol was higher among 10th-grade (60.8%),
11th-grade (70.3%), and 12th-grade (73.3%) than 9th-grade
(50.8%) students; higher among 11th-grade (70.3%) and
12th-grade (73.3%) than 10th-grade (60.8%) students; higher
among 11th-grade female (72.1%) and 12th-grade female
(75.2%) than 9th-grade female (53.0%) and 10th-grade female
(62.7%) students; higher among 10th-grade male (58.8%),
11th-grade male (68.7%), and 12th-grade male (71.5%)
than 9th-grade male (48.9%) students; and higher among
11th-grade male (68.7%) and 12th-grade male (71.5%) than
10th-grade male (58.8%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence having ever drunk alcohol (81.6%
63.2%). A significant quadratic trend also was identified. The
prevalence of having ever drunk alcohol decreased during
19912007 (81.6%75.0%) and then decreased more rapidly
during 20072015 (75.0%63.2%). The prevalence of having
ever drunk alcohol did not change significantly from 2013
(66.2%) to 2015 (63.2%).
Across 26 states, the prevalence of having ever drunk alcohol
ranged from 50.7% to 69.9% (median:59.8%) (Table 48).
Across 17 large urban school districts, the prevalence ranged
from 43.5% to 62.8% (median: 56.1%).

Drank Alcohol Before Age 13 Years


Nationwide, 17.2% of students had drunk alcohol (other
than a few sips) for the first time before age 13 years (Table 47).
The prevalence of having drunk alcohol for the first time
before age 13 years was higher among male (19.7%) than
female (14.6%) students; higher among white male (17.3%)
and Hispanic male (23.6%) than white female (11.7%) and
Hispanic female (19.0%) students, respectively; and higher
among 10th-grade male (21.3%), 11th-grade male (17.5%),

and 12th-grade male (17.0%) than 10th-grade female (15.8%),


11th-grade female (12.9%), and 12th-grade female (9.9%)
students, respectively. The prevalence of having drunk alcohol
for the first time before age 13 years was higher among black
(18.0%) and Hispanic (21.3%) than white (14.5%) students,
higher among Hispanic (21.3%) than black (18.0%) students,
higher among black female (16.9%) and Hispanic female
(19.0%) than white female (11.7%) students, and higher
among Hispanic male (23.6%) than white male (17.3%) and
black male (18.7%) students. The prevalence of having drunk
alcohol for the first time before age 13 years was higher among
9th-grade (20.3%) and 10th-grade (18.6%) than 11th-grade
(15.2%) and 12th-grade (13.5%) students, higher among
9th-grade female (18.8%) than 11th-grade female (12.9%) and
12th-grade female (9.9%) students, higher among 10th-grade
female (15.8%) than 12th-grade female (9.9%) students, and
higher among 9th-grade male (21.5%) than 12th-grade male
(17.0%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having drunk alcohol for the
first time before age 13 years (32.7%17.2%). A significant
quadratic trend also was identified. The prevalence of having
drunk alcohol for the first time before age 13 years did not
change significantly during 19911999 (32.7%32.2%) and
then decreased during 19992015 (32.2%17.2%). The
prevalence of having drunk alcohol for the first time before
age 13 years did not change significantly from 2013 (18.6%)
to 2015 (17.2%).
Across 36 states, the prevalence of having drunk alcohol
for the first time before age 13 years ranged from 10.6% to
24.5% (median: 15.7%) (Table 48). Across 19 large urban
school districts, the prevalence ranged from 14.8% to 23.6%
(median: 18.1%).

Current Alcohol Use


Nationwide, 32.8% of students had had at least one drink
of alcohol on at least 1 day during the 30 days before the
survey (i.e., current alcohol use) (Table 49). The prevalence
of current alcohol use was higher among white (35.2%)
and Hispanic (34.4%) than black (23.8%) students, higher
among white female (35.3%) and Hispanic female (35.6%)
than black female (25.9%) students, and higher among white
male (35.2%) and Hispanic male (33.4%) than black male
(22.1%) students. The prevalence of current alcohol use was
higher among 11th-grade (38.0%) and 12th-grade (42.4%)
than 9th-grade (23.4%) and 10th-grade (29.0%) students,
higher among 12th-grade (42.4%) than 11th-grade (38.0%)
students, higher among 11th-grade female (38.3%) and
12th-grade female (43.2%) than 9th-grade female (24.9%) and
10th-grade female (28.8%) students; higher among 12th-grade

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

19

Surveillance Summaries

female (43.2%) than 11th-grade female (38.3%) students, and


higher among 11th-grade male (37.7%) and 12th-grade male
(41.6%) than 9th-grade male (22.1%) students and 10th-grade
male (29.3%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of current alcohol use (50.8%
32.8%). A significant quadratic trend also was identified.
The prevalence of current alcohol use decreased during
19912007 (50.8%44.7%) and then decreased more rapidly
during 20072015 (44.7%32.8%). The prevalence of
current alcohol use did not change significantly from 2013
(34.9%) to 2015 (32.8%).
Across 36 states, the prevalence of current alcohol use ranged
from 22.0% to 34.8% (median: 29.8%) (Table 50). Across
19 large urban school districts, the prevalence ranged from
18.4% to 38.2% (median: 24.8%).

Someone Gave Alcohol to Them


Among the 32.8% of students nationwide who currently
drank alcohol, 44.1% had usually obtained the alcohol they
drank by someone giving it to them during the 30 days before
the survey (Table 49). The prevalence of usually obtaining the
alcohol they drank by someone giving it to them was higher
among female (48.5%) than male (39.9%) students; higher
among white female (50.7%) and Hispanic female (45.9%)
than white male (41.6%) and Hispanic male (36.5%) students,
respectively; and higher among 9th-grade female (50.4%),
10th-grade female (50.0%), and 11th-grade female (49.7%)
than 9th-grade male (39.4%), 10th-grade male (34.5%), and
11th-grade male (39.3%) students, respectively. The prevalence
of usually obtaining the alcohol they drank by someone giving
it to them was higher among white (46.1%) than Hispanic
(41.3%) students.
During 20072015, significant linear and quadratic trends
were not identified in the prevalence of usually obtaining
the alcohol they drank by someone giving it to them. The
prevalence of usually obtaining the alcohol they drank by
someone giving it to them did not change significantly from
2013 (41.8%) to 2015 (44.1%).
Across 32 states, the prevalence of usually obtaining the
alcohol they drank by someone giving it to them ranged from
32.2% to 45.3% (median: 39.8%) (Table 44). Across 14 large
urban school districts, the prevalence ranged from 26.9% to
44.8% (median: 37.9%).

Consumed Five or More Drinks in a Row


Nationwide, 17.7% of students had had five or more drinks
of alcohol in a row (i.e., within a couple of hours) on at least
1 day during the 30 days before the survey (Table 51). The
prevalence of having five or more drinks of alcohol in a row

20

MMWR/June 10, 2016/Vol. 65/No. 6

was higher among white (19.7%) and Hispanic (17.7%)


than black (11.4%) students, higher among white female
(18.6%) and Hispanic female (17.9%) than black female
(9.9%) students, and higher among white male (21.0%) and
Hispanic male (17.5%) than black male (12.8%) students. The
prevalence of having five or more drinks of alcohol in a row
was higher among 10th-grade (15.1%), 11th-grade (22.1%),
and 12th-grade (24.6%) than 9th-grade (10.4%) students;
higher among 11th-grade (22.1%) and 12th-grade (24.6%)
than 10th-grade (15.1%) students; higher among 10th-grade
female (14.1%), 11th-grade female (19.6%), and 12th-grade
female (23.8%) than 9th-grade female (10.5%) students;
higher among 11th-grade female (19.6%) and 12th-grade
female (23.8%) than 10th-grade female (14.1%) students;
higher among 12th-grade female (23.8%) than 11th-grade
female (19.6%) students, higher among 10th-grade male
(16.2%), 11th-grade male (24.4%), and 12th-grade male
(25.6%) than 9th-grade male (10.2%) students; and higher
among 11th-grade male (24.4%) and 12th-grade male (25.6%)
than 10th-grade male (16.2%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having five or more drinks of alcohol
in a row (31.3%17.7%). A significant quadratic trend also
was identified. The prevalence of having five or more drinks of
alcohol in a row increased during 19911999 (31.3%31.5%)
and then decreased during 19992015 (31.5%17.7%). The
prevalence of having five or more drinks of alcohol in a row also
decreased significantly from 2013 (20.8%) to 2015 (17.7%).
Across 36 states, the prevalence of having five or more drinks
of alcohol in a row ranged from 11.0% to 20.7% (median:
15.5%) (Table 52). Across 19 large urban school districts, the
prevalence ranged from 8.0% to 16.5% (median: 10.9%).

Largest Number of Drinks in a Row Was 10 or More


Nationwide, 4.3% of students reported that the largest
number of drinks that they had had in a row (i.e., within a
couple of hours) during the 30 days before the survey was
10 or more (Table 51). The prevalence of reporting 10 or more
as the largest number of drinks in a row was higher among male
(6.1%) than female (2.5%) students; higher among white male
(6.6%), black male (3.2%), and Hispanic male (6.5%) than
white female (2.4%), black female (1.0%), and Hispanic female
(3.6%) students, respectively; and higher among 10th-grade
male (6.3%), 11th-grade male (7.3%), and 12th-grade male
(8.8%) than 10th-grade female (2.2%), 11th-grade female
(2.5%), and 12th-grade female (3.0%) students, respectively.
The prevalence of reporting 10 or more as the largest number of
drinks in a row was higher among white (4.5%) and Hispanic
(5.1%) than black (2.1%) students, higher among white female
(2.4%) and Hispanic female (3.6%) than black female (1.0%)

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

students, and higher among white male (6.6%) and Hispanic


male (6.5%) than black male (3.2%) students. The prevalence
of reporting 10 or more as the largest number of drinks in a row
was higher among 10th-grade (4.2%), 11th-grade (5.0%), and
12th-grade (5.9%) than 9th-grade (2.4%) students and higher
among 10th-grade male (6.3%), 11th-grade male (7.3%), and
12th-grade male (8.8%) than 9th-grade male (2.4%) students.
Because the question measuring the reporting of 10 or more
as the largest number of drinks in a row was used for the first
time in the 2013 national YRBS, long-term temporal trends
are not available. The prevalence of reporting 10 or more as
the largest number of drinks in a row decreased significantly
from 2013 (6.1%) to 2015 (4.3%).
Across 20 states, the prevalence of reporting 10 or more
as the largest number of drinks in a row ranged from 2.1%
to 7.4% (median: 3.5%) (Table 52). Across 13 large urban
school districts, the prevalence ranged from 0.7% to 3.4%
(median: 2.2%).

Ever Used Marijuana


Nationwide, 38.6% of students had used marijuana one
or more times during their life (i.e., ever used marijuana)
(Table 53). The prevalence of having ever used marijuana was
higher among black male (49.7%) than black female (40.5%)
students. The prevalence of having ever used marijuana was
higher among black (45.5%) and Hispanic (45.6%) than white
(35.2%) students, higher among black female (40.5%) and
Hispanic female (45.3%) than white female (34.3%) students,
and higher among black male (49.7%) and Hispanic male
(46.0%) than white male (36.2%) students. The prevalence
of having ever used marijuana was higher among 10th-grade
(35.5%), 11th-grade (45.2%), and 12th-grade (49.8%)
than 9th-grade (25.9%) students; higher among 11th-grade
(45.2%) and 12th-grade (49.8%) than 10th-grade (35.5%)
students; higher among 12th-grade (49.8%) than 11th-grade
(45.2%) students; higher among 10th-grade female (33.8%),
11th-grade female (43.6%), and 12th-grade female (48.8%)
than 9th-grade female (25.3%) students; higher among
11th-grade female (43.6%) and 12th-grade female (48.8%)
than 10th-grade female (33.8%) students; higher among
12th-grade female (48.8%) than 11th-grade female (43.6%)
students; higher among 10th-grade male (37.1%), 11th-grade
male (46.9%), and 12th-grade male (50.9%) than 9th-grade
male (26.5%) students; and higher among 11th-grade male
(46.9%) and 12th-grade male (50.9%) than 10th-grade male
(37.1%) students.
During 19912015, a significant linear trend was not
identified in the prevalence of having ever used marijuana
(31.3%-38.6%). A significant quadratic trend was identified.
The prevalence of having ever used marijuana increased

during 19911997 (31.3%47.1%) and then decreased


during 19972015 (47.1%38.6%). The prevalence of having
ever used marijuana did not change significantly from 2013
(40.7%) to 2015 (38.6%).
Across 29 states, the prevalence of having ever used marijuana
ranged from 25.0% to 42.9% (median: 34.7%) (Table 54).
Across 15 large urban school districts, the prevalence ranged
from 28.7% to 45.8% (median: 40.1%).

Tried Marijuana Before Age 13 Years


Nationwide, 7.5% of students had tried marijuana for the
first time before age 13 years (Table 53). The prevalence of
having tried marijuana before age 13 years was higher among
male (9.2%) than female (5.6%) students; higher among
white male (6.7%), black male (13.0%), and Hispanic male
(13.6%) than white female (4.2%), black female (7.4%), and
Hispanic female (8.2%) students, respectively; and higher
among 11th-grade male (8.9%) and 12th-grade male (8.5%)
than 11th-grade female (4.5%) and 12th-grade female (3.7%)
students, respectively. The prevalence of having tried marijuana
before age 13 years was higher among black (10.6%) and
Hispanic (10.9%) than white (5.4%) students, higher among
black female (7.4%) and Hispanic female (8.2%) than white
female (4.2%) students, and higher among black male (13.0%)
and Hispanic male (13.6%) than white male (6.7%) students.
The prevalence of having tried marijuana before age 13 years
was higher among 9th-grade (8.5%) and 10th-grade (8.3%)
than 12th-grade (6.1%) students and higher among 9th-grade
female (6.8%) and 10th-grade female (7.2%) than 11th-grade
female (4.5%) and 12th-grade female (3.7%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having tried marijuana before age
13 years (7.4%-7.5%).*** A significant quadratic trend also was
identified. The prevalence of having tried marijuana before age
13 years increased during 19911999 (7.4%11.3%) and then
decreased during 19992015 (11.3%7.5%). The prevalence
of having tried marijuana before age 13 years did not change
significantly from 2013 (8.6%) to 2015 (7.5%).
Across 35 states, the prevalence of having tried marijuana
before age 13 years ranged from 5.3% to 16.5% (median:
7.2%) (Table 54). Across 18 large urban school districts, the
prevalence ranged from 5.7% to 15.7% (median: 8.9%).

Current Marijuana Use


Nationwide, 21.7% of students had used marijuana one
or more times during the 30 days before the survey (i.e.,
current marijuana use) (Table 55). The prevalence of current
marijuana use was higher among male (23.2%) than female
(20.1%) students, higher among black male (31.3%) than
black female (22.1%) students, and higher among 10th-grade

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

21

Surveillance Summaries

male (22.6%) than 10th-grade female (17.5%) students. The


prevalence of current marijuana use was higher among black
(27.1%) and Hispanic (24.5%) than white (19.9%) students
and higher among black male (31.3%) than white male
(21.2%) and Hispanic male (25.5%) students. The prevalence
of current marijuana use was higher among 10th-grade (20.0%),
11th-grade (24.8%), and 12th-grade (27.6%) than 9th-grade
(15.2%) students; higher among 11th-grade (24.8%) and
12th-grade (27.6%) than 10th-grade (20.0%) students; higher
among 11th-grade female (24.3%) and 12th-grade female
(24.6%) than 9th-grade female (14.7%) and 10th-grade female
(17.5%) students; higher among 10th-grade male (22.6%),
11th-grade male (25.5%), and 12th-grade male (30.5%) than
9th-grade male (15.5%) students; and higher among 12th-grade
male (30.5%) than 10th-grade male (22.6%) students.
During 19912015, a significant linear trend was not
identified in the prevalence of current marijuana use (14.7%
21.7%). A significant quadratic trend was identified. The
prevalence of current marijuana use increased during 1991
1995 (14.7%25.3%) and then decreased during 19952015
(25.3%21.7%). The prevalence of current marijuana use did
not change significantly from 2013 (23.4%) to 2015 (21.7%).
Across 36 states, the prevalence of current marijuana use
ranged from 12.4% to 25.3% (median: 19.1%) (Table 56).
Across 19 large urban school districts, the prevalence ranged
from 15.9% to 28.7% (median: 22.2%).

Usually Used Marijuana by Smoking It


Among the 21.7% of students who currently used marijuana,
90.0% usually used marijuana by smoking it in a joint, bong,
pipe, or blunt during the 30 days before the survey (Table 55).
The prevalence of usually using marijuana by smoking it was
higher among female (92.5%) than male (89.0%) students
and higher among 12th-grade female (96.7%) than 12th-grade
male (87.4%) students. The prevalence of usually using
marijuana by smoking it was higher among 12th-grade female
(96.7%) than 10th-grade female (91.4%) students. Because the
question measuring the prevalence of usually using marijuana
by smoking it in a joint, bong, pipe, or blunt was used for the
first time in the 2015 national YRBS, long-term temporal
trends and 2-year temporal changes are not available.
Also, this question was not included in the standard
questionnaire used in the state and large urban school
district surveys in 2015. Consequently, the range and median
prevalence estimates across states and large urban school
districts for the prevalence of usually using marijuana by
smoking it are not available.

22

MMWR/June 10, 2016/Vol. 65/No. 6

Ever Used Synthetic Marijuana


Nationwide, 9.2% of students had used synthetic marijuana
(also called K2, Spice, fake weed, King Kong, Yucatan
Fire, Skunk, or Moon Rocks) one or more times during
their life (i.e., ever used synthetic marijuana) (Table 57). The
prevalence of having ever used synthetic marijuana was higher
among male (10.3%) than female (7.9%) students; higher
among white male (9.9%) and Hispanic male (12.9%) than
white female (7.6%) and Hispanic female (10.3%) students,
respectively; and higher among 11th-grade male (11.1%)
and 12th-grade male (14.2%) than 11th-grade female
(8.8%) and 12th-grade female (7.6%) students, respectively.
The prevalence of having ever used synthetic marijuana was
higher among Hispanic (11.7%) than white (8.8%) and black
(7.8%) students, higher among Hispanic female (10.3%)
than black female (5.9%) students, and higher among
Hispanic male (12.9%) than white male (9.9%) and black
male (8.9%) students. The prevalence of having ever used
synthetic marijuana was higher among 11th-grade (10.0%) and
12th-grade (11.0%) than 9th-grade (7.1%) students; higher
among 10th-grade male (9.7%), 11th-grade male (11.1%), and
12th-grade male (14.2%) than 9th-grade male (6.7%) students;
and higher among 12th-grade male (14.2%) than 10th-grade
male (9.7%) students. Because the question measuring the
prevalence of having ever used synthetic marijuana was used for
the first time in the 2015 national YRBS, long-term temporal
trends and 2-year temporal changes are not available.
Across 27 states, the prevalence of having ever used
synthetic marijuana ranged from 5.9% to 14.6% (median:
9.2%) (Table 58). Across 17 large urban school districts, the
prevalence ranged from 4.9% to 13.3% (median: 8.6%).

Ever Used Hallucinogenic Drugs


Nationwide, 6.4% of students had used hallucinogenic drugs
(e.g., LSD, acid, PCP, angel dust, mescaline, or mushrooms) one
or more times during their life (i.e., ever used hallucinogenic
drugs) (Table 57). The prevalence of having ever used
hallucinogenic drugs was higher among male (8.0%) than
female (4.6%) students; higher among white male (8.1%) and
black male (6.7%) than white female (4.7%) and black female
(1.9%) students, respectively; and higher among 9th-grade male
(5.9%) and 12th-grade male (12.0%) than 9th-grade female
(3.1%) and 12th-grade female (3.9%) students, respectively.
The prevalence of having ever used hallucinogenic drugs was
higher among Hispanic (6.8%) than black (4.7%) students and
higher among white female (4.7%) and Hispanic female (6.1%)
than black female (1.9%) students. The prevalence of having

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

ever used hallucinogenic drugs was higher among 11th-grade


(6.7%) and 12th-grade (8.0%) than 9th-grade (4.7%) students;
higher among 10th-grade female (5.3%) and 11th-grade female
(5.9%) than 9th-grade female (3.1%) students; and higher
among 12th-grade male (12.0%) than 9th-grade male (5.9%),
10th-grade male (7.0%), and 11th-grade male (7.0%) students.
During 20012015, a significant linear decrease occurred
overall in the prevalence of having ever used hallucinogenic
drugs (13.3%6.4%). A significant quadratic trend also was
identified. The prevalence of having ever used hallucinogenic
drugs decreased during 20012005 (13.3%8.5%) and then
decreased more gradually during 20052015 (8.5%6.4%).
The prevalence of having ever used hallucinogenic drugs did
not change significantly from 2013 (7.1%) to 2015 (6.4%).
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in
2015. As a result, the range and median prevalence estimates
across states and large urban school districts for the prevalence
of having ever used hallucinogenic drugs are not available.

Ever Used Cocaine


Nationwide, 5.2% of students had used any form of cocaine
(e.g., powder, crack, or freebase) one or more times
during their life (i.e., ever used cocaine) (Table 59). The
prevalence of having ever used cocaine was higher among male
(6.3%) than female (3.8%) students; higher among white male
(5.0%), black male (5.3%), and Hispanic male (9.4%) than
white female (3.3%), black female (1.8%), and Hispanic female
(6.6%) students, respectively; and higher among 10th-grade
male (6.4%), 11th-grade male (6.2%), and 12th-grade male
(9.7%) than 10th-grade female (3.8%), 11th-grade female
(3.3%), and 12th-grade female (4.5%) students, respectively.
The prevalence of having ever used cocaine was higher among
Hispanic (8.0%) than white (4.1%) and black (3.8%) students,
higher among Hispanic female (6.6%) than white female
(3.3%) and black female (1.8%) students, and higher among
Hispanic male (9.4%) than white male (5.0%) and black male
(5.3%) students. The prevalence of having ever used cocaine
was higher among 10th-grade (5.1%), 11th-grade (5.0%),
and 12th-grade (7.2%) than 9th-grade (3.4%) students;
higher among 12th-grade (7.2%) than 10th-grade (5.1%)
and 11th-grade (5.0%) students; higher among 10th-grade
male (6.4%), 11th-grade male (6.2%), and 12th-grade male
(9.7%) than 9th-grade male (3.3%) students; and higher
among 12th-grade male (9.7%) than 10th-grade male (6.4%)
and 11th-grade male (6.2%) students.
Pellet-sized pieces of highly purified cocaine.
A process in which cocaine is dissolved in ether or sodium hydroxide and
the precipitate is filtered off.

During 19912015, a significant linear decrease occurred


in the prevalence of having ever used cocaine (5.9%5.2%). A
significant quadratic trend also was identified. The prevalence
of having ever used cocaine increased during 19911999
(5.9%9.5%) and then decreased during 19992015 (9.5%
5.2%). The prevalence of having ever used cocaine did not
change significantly from 2013 (5.5%) to 2015 (5.2%).
Across 32 states, the prevalence of having ever used cocaine
ranged from 3.4% to 9.2% (median: 4.8%) (Table 60). Across
16 large urban school districts, the prevalence ranged from
4.4% to 9.6% (median: 5.3%).

Ever Used Ecstasy


Nationwide, 5.0% of students had used ecstasy (also called
MDMA) one or more times during their life (i.e., ever
used ecstasy) (Table 59). The prevalence of having ever used
ecstasy was higher among male (6.0%) than female (3.9%)
students; higher among black male (5.9%) and Hispanic male
(7.8%) than black female (2.5%) and Hispanic female (4.1%)
students, respectively; and higher among 10th-grade male
(6.0%) and 12th-grade male (8.0%) than 10th-grade female
(3.7%) and 12th-grade female (4.0%) students, respectively.
The prevalence of having ever used ecstasy was higher among
Hispanic (6.1%) than white (4.3%) and black (4.3%) students
and higher among Hispanic male (7.8%) than white male
(4.7%) students. The prevalence of having ever used ecstasy
was higher among 10th-grade (4.9%), 11th-grade (5.7%), and
12th-grade (6.1%) than 9th-grade (3.2%) students; higher
among 11th-grade female (4.8%) than 9th-grade female
(2.8%) students; and higher among 10th-grade male (6.0%),
11th-grade male (6.2%), and 12th-grade male (8.0%) than
9th-grade male (3.6%) students.
During 20012015, a significant linear decrease occurred overall
in the prevalence of having ever used ecstasy (11.1%5.0%). A
significant quadratic trend also was identified. The prevalence
of having ever used ecstasy decreased during 20012005
(11.1%6.3%) and then did not change significantly during
20052015 (6.3%5.0%). The prevalence of having ever used
ecstasy decreased significantly from 2013 (6.6%) to 2015 (5.0%).
Across 27 states, the prevalence of having ever used ecstasy
ranged from 3.4% to 8.0% (median: 5.1%) (Table 60). Across
14 large urban school districts, the prevalence ranged from
4.2% to 9.1% (median: 5.6%).

Ever Used Heroin


Nationwide, 2.1% of students had used heroin (also called
smack, junk, or China White) one or more times during
their life (i.e., ever used heroin) (Table 61). The prevalence of
having ever used heroin was higher among male (2.7%) than

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

23

Surveillance Summaries

female (1.2%) students; higher among black male (3.8%)


and Hispanic male (3.2%) than black female (1.5%) and
Hispanic female (1.9%) students, respectively; and higher
among 10th-grade male (3.3%), 11th-grade male (2.3%),
and 12th-grade male (2.8%) than 10th-grade female (1.5%),
11th-grade female (0.9%), and 12th-grade female (1.0%)
students, respectively. The prevalence of having ever used
heroin was higher among Hispanic (2.6%) than white (1.3%)
students, higher among Hispanic female (1.9%) than white
female (0.8%) students, and higher among Hispanic male
(3.2%) than white male (1.7%) students. The prevalence of
having ever used heroin was higher among 10th-grade male
(3.3%) than 9th-grade male (2.0%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of having ever used heroin (2.4%
2.1%). A significant quadratic trend was not identified.
The prevalence of having ever used heroin did not change
significantly from 2013 (2.2%) to 2015 (2.1%).
Across 32 states, the prevalence of having ever used heroin
ranged from 0.9% to 5.9% (median: 2.5%) (Table 62). Across
17 large urban school districts, the prevalence ranged from
1.5% to 8.3% (median: 3.3%).

Ever Used Methamphetamines


Nationwide, 3.0% of students had used methamphetamines
(also called speed, crystal, crank, or ice) one or more times
during their life (i.e., ever used methamphetamines) (Table 61).
The prevalence of having ever used methamphetamines was
higher among male (3.6%) than female (2.3%) students, higher
among black male (3.9%) than black female (1.4%) students,
and higher among 12th-grade male (5.6%) than 12th-grade
female (1.8%) students. The prevalence of having ever used
methamphetamines was higher among Hispanic (4.4%)
than white (2.1%) students, higher among Hispanic female
(4.0%) than white female (1.7%) and black female (1.4%)
students, and higher among Hispanic male (4.7%) than white
male (2.5%) students. The prevalence of having ever used
methamphetamines was higher among 10th-grade (3.3%) and
12th-grade (3.8%) than 9th-grade (2.0%) students, higher
among 10th-grade male (4.2%) and 12th-grade male (5.6%)
than 9th-grade male (1.9%) students, and higher among
12th-grade male (5.6%) than 11th-grade male (2.8%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of having ever used methamphetamines
(9.1%3.0%). A significant quadratic trend was not identified.
The prevalence of having ever used methamphetamines did
not change significantly from 2013 (3.2%) to 2015 (3.0%).
Across 29 states, the prevalence of having ever used
methamphetamines ranged from 1.7% to 6.0% (median:

24

MMWR/June 10, 2016/Vol. 65/No. 6

3.2%) (Table 62). Across 16 large urban school districts, the


prevalence ranged from 2.4% to 7.9% (median: 3.7%).

Ever Took Steroids Without a Doctors Prescription


Nationwide, 3.5% of students had taken steroid pills or
shots without a doctors prescription one or more times
during their life (i.e., ever took steroids without a doctors
prescription) (Table 63). The prevalence of having ever taken
steroids without a doctors prescription was higher among male
(4.0%) than female (2.7%) students, higher among white male
(3.6%) than white female (1.8%) students, and higher among
12th-grade male (4.8%) higher than 12th-grade female (1.6%)
students. The prevalence of having ever taken steroids without
a doctors prescription was higher among Hispanic (4.1%) than
white (2.7%) students and higher among Hispanic female
(3.9%) than white female (1.8%) students. The prevalence
of having ever taken steroids without a doctors prescription
was higher among 9th-grade female (3.4%) and 10th-grade
female (3.4%) than 12th-grade female (2.0%) students and
higher among 10th-grade male (4.4%) and 12th-grade male
(4.8%) than 11th-grade male (2.8%) students.
During 19912015, a significant linear trend was not
identified in the prevalence of having ever taken steroids
without a doctors prescription. A significant quadratic trend
was identified. The prevalence of having ever taken steroids
without a doctors prescription increased during 19912001
(2.7%5.0%) and then decreased during 20012015 (5.0%
3.5%). The prevalence of having ever taken steroids without a
doctors prescription did not change significantly from 2013
(3.2%) to 2015 (3.5%).
Across 24 states, the prevalence of having ever taken steroids
without a doctors prescription ranged from 1.4% to 6.3%
(median: 3.8%) (Table 64). Across 12 large urban school districts,
the prevalence ranged from 2.5% to 8.7% (median: 3.5%).

Ever Took Prescription Drugs Without


a Doctors Prescription
Nationwide, 16.8% of students had taken prescription drugs
(e.g., Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin,
or Xanax) without a doctors prescription one or more times
during their life (i.e., ever took prescription drugs without a
doctors prescription) (Table 63). The prevalence of having ever
taken prescription drugs without a doctors prescription was
higher among male (17.8%) than female (15.6%) students,
higher among black male (18.1%) than black female (10.7%)
students, and higher among 11th-grade male (21.5%) higher
than 11th-grade female (16.0%) students. The prevalence
of having ever taken prescription drugs without a doctors
prescription was higher among Hispanic (17.5%) than black
(14.8%) students and higher among white female (15.9%) and

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

Hispanic female (16.5%) than black female (10.7%) students.


The prevalence of having ever taken prescription drugs
without a doctors prescription was higher among 11th-grade
(18.9%) and 12th-grade (20.3%) than 9th-grade (13.0%)
and 10th-grade (15.3%) students, higher among 11th-grade
female (16.0%) and 12th-grade female (18.8%) than 9th-grade
female (12.5%) students, and higher among 11th-grade male
(21.5%) and 12th-grade male (21.7%) than 9th-grade male
(13.3%) and 10th-grade male (15.1%) students.
During 20092015, a significant linear decrease occurred in
the prevalence of having ever taken prescription drugs without
a doctors prescription (20.2%16.8%). A significant quadratic
trend was not identified. The prevalence of having ever taken
prescription drugs without a doctors prescription did not
change significantly from 2013 (17.8%) to 2015 (16.8%).
Across 32 states, the prevalence of having ever taken
prescription drugs without a doctors prescription ranged from
10.8% to 19.2% (median: 14.4%) (Table 64). Across 17 large
urban school districts, the prevalence ranged from 7.9% to
16.1% (median: 13.3%).

Ever Used Inhalants


Nationwide, 7.0% of students had sniffed glue, breathed the
contents of aerosol spray cans, or inhaled any paints or sprays to get
high one or more times during their life (i.e., ever used inhalants)
(Table 65). The prevalence of having ever used inhalants was
higher among Hispanic female (8.3%) than white female (5.9%)
students. The prevalence of having ever used inhalants was higher
among 9th-grade (8.3%) than 11th-grade (5.9%) and 12th-grade
(6.0%) students and higher among 9th-grade female (8.5%) and
10th-grade female (7.8%) than 11th-grade female (4.6%) and
12th-grade female (4.9%) students.
During 19952015, a significant linear decrease occurred
overall in the prevalence of having ever used inhalants (20.3%
7.0%). A significant quadratic trend was not identified. The
prevalence of having ever used inhalants without a doctors
prescription decreased significantly from 2013 (8.9%) to
2015 (7.0%).
Across 29 states, the prevalence of having ever used inhalants
ranged from 3.2% to 11.6% (median: 7.7%) (Table 66). Across
16 large urban school districts, the prevalence ranged from
4.7% to 12.7% (median: 7.7%).

Ever Injected Any Illegal Drug


Nationwide, 1.8% of students had used a needle to inject any
illegal drug into their body one or more times during their life
(i.e., ever injected any illegal drug) (Table 67). The prevalence
of having ever injected any illegal drug was higher among male
(2.3%) than female (1.0%) students; higher among white male

(1.7%) and Hispanic male (2.8%) than white female (0.7%)


and Hispanic female (1.6%) students, respectively; and higher
among 10th-grade male (2.6%) and 12th-grade male (3.4%)
than 10th-grade female (0.7%) and 12th-grade female (0.8%)
students, respectively. The prevalence of having ever injected any
illegal drug was higher among black (2.5%) and Hispanic (2.2%)
than white (1.2%) students and higher among Hispanic female
(1.6%) than white female (0.7%) students. The prevalence of
having ever injected any illegal drug was higher among 9th-grade
female (1.5%) than 10th-grade female (0.7%) students.
During 19952015, a significant linear trend was not
identified in the prevalence of having ever injected any
illegal drug. A significant quadratic trend was identified. The
prevalence of having ever injected any illegal drug did not
change during 19952011 (2.1%2.3%) and then decreased
during 20112015 (2.3%1.8%). The prevalence of having
ever injected any illegal drug did not change significantly from
2013 (1.7%) to 2015 (1.8%).
Across 25 states, the prevalence of having ever injected
any illegal drug ranged from 1.0% to 5.4% (median: 2.4%)
(Table 68). Across 13 large urban school districts, the
prevalence ranged from 1.6% to 6.6% (median: 2.5%).

Offered, Sold, or Given an Illegal Drug on


School Property
Nationwide, 21.7% of students had been offered, sold, or
given an illegal drug by someone on school property during the
12 months before the survey (Table 67). The prevalence of having
been offered, sold, or given an illegal drug on school property
was higher among male (24.2%) than female (19.1%) students;
higher among white male (23.2%) than white female (16.5%)
students; and higher among 10th-grade male (24.6%), 11th-grade
male (24.9%), and 12th-grade male (24.4%) than 10th-grade
female (19.3%), 11th-grade female (20.4%), and 12th-grade
female (16.3%) students, respectively. The prevalence of having
been offered, sold, or given an illegal drug on school property
was higher among Hispanic (27.2%) than white (19.8%) and
black (20.6%) students, higher among Hispanic female (25.5%)
than white female (16.5%) students, and higher among Hispanic
male (28.9%) than white male (23.2%) and black male (22.0%)
students. The prevalence of having been offered, sold, or given
an illegal drug on school property was higher among 9th-grade
female (20.0%) and 11th-grade female (20.4%) than 12th-grade
female (20.4%) students.
During 19932015, a significant linear decrease occurred
overall in the prevalence of having been offered, sold, or given an
illegal drug on school property (24.0%21.7%). A significant
quadratic trend also was identified. The prevalence of having been
offered, sold, or given an illegal drug on school property increased
during 19931997 (24.0%31.7%) and then decreased during

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

25

Surveillance Summaries

19972015 (31.7%21.7%). The prevalence of having been


offered, sold, or given an illegal drug on school property did not
change significantly from 2013 (22.1%) to 2015 (21.7%).
Across 32 states, the prevalence of having been offered, sold,
or given an illegal drug on school property ranged from 14.7%
to 29.8% (median: 22.3%) (Table 68). Across 16 large urban
school districts, the prevalence ranged from 20.5% to 34.6%
(median: 26.8%).

Sexual Behaviors Related to Unintended


Pregnancy and Sexually Transmitted
Infections, Including HIV Infection
Ever Had Sexual Intercourse
Nationwide, 41.2% of students had ever had sexual
intercourse (Table 69). The prevalence of having ever had
sexual intercourse was higher among male (43.2%) than
female (39.2%) students; higher among black male (58.8%)
and Hispanic male (45.1%) than black female (37.4%) and
Hispanic female (39.8%) students, respectively; and higher
among 9th-grade male (27.3%) than 9th-grade female (20.7%)
students. The prevalence of having ever had sexual intercourse
was higher among black (48.5%) than white (39.9%) students
and higher among black male (58.8%) than white male
(39.5%) and Hispanic male (45.1%) students. The prevalence
of having ever had sexual intercourse was higher among
10th-grade (35.7%), 11th-grade (49.6%), and 12th-grade
(58.1%) than 9th-grade (24.1%) students; higher among
11th-grade (49.6%) and 12th-grade (58.1%) than 10th-grade
(35.7%) students; higher among 12th-grade (58.1%) than
11th-grade (49.6%) students; higher among 10th-grade female
(33.5%), 11th-grade female (48.2%), and 12th-grade female
(57.2%) than 9th-grade female (20.7%) students; higher
among 11th-grade female (48.2%) and 12th-grade female
(57.2%) than 10th-grade female (33.5%) students; higher
among 12th-grade female (57.2%) than 11th-grade female
(48.2%) students; higher among 10th-grade male (37.9%),
11th-grade male (51.2%), and 12th-grade male (59.0%) than
9th-grade male (27.3%) students; higher among 11th-grade
male (51.2%) and 12th-grade male (59.0%) than 10th-grade
male (37.9%) students; and higher among 12th-grade male
(59.0%) than 11th-grade male (51.2%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having ever had sexual intercourse
(54.1%41.2%). A significant quadratic trend was not
identified. The prevalence of having ever had sexual intercourse
decreased significantly from 2013 (46.8%) to 2015 (41.2%).
Across 33 states, the prevalence of having ever had sexual
intercourse ranged from 30.4% to 48.0% (median: 39.0%)

26

MMWR/June 10, 2016/Vol. 65/No. 6

(Table 70). Across 19 large urban school districts, the


prevalence ranged from 25.9% to 52.4% (median: 39.5%).

Had First Sexual Intercourse Before Age 13 Years


Nationwide, 3.9% of students had had sexual intercourse for
the first time before age 13 years (Table 69). The prevalence
of having had sexual intercourse before age 13 years was
higher among male (5.6%) than female (2.2%) students;
higher among white male (3.5%), black male (12.1%), and
Hispanic male (6.8%) than white female (1.6%), black female
(4.3%), and Hispanic female (3.1%) students, respectively;
and higher among 9th-grade male (4.6%), 10th-grade male
(6.8%), 11th-grade male (4.8%), and 12th-grade male (5.5%)
than 9th-grade female (2.5%), 10th-grade female (2.7%),
11th-grade female (1.6%), and 12th-grade female (1.7%)
students, respectively. The prevalence of having had sexual
intercourse before age 13 years was higher among black (8.3%)
and Hispanic (5.0%) than white (2.5%) students, higher
among black (8.3%) than Hispanic (5.0%) students, higher
among black female (4.3%) and Hispanic female (3.1%)
than white female (1.6%) students, higher among black male
(12.1%) and Hispanic male (6.8%) than white male (3.5%)
students, and higher among black male (12.1%) than Hispanic
male (6.8%) students. The prevalence of having had sexual
intercourse before age 13 years was higher among 10th-grade
(4.7%) than 11th-grade (3.2%) students and higher among
10th-grade male (6.8%) than 9th-grade male (4.6%) and
11th-grade male (4.8%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having had sexual intercourse before
age 13 years (10.2%3.9%). A significant quadratic trend was
not identified. The prevalence of having had sexual intercourse
before age 13 years decreased significantly from 2013 (5.6%)
to 2015 (3.9%).
Across 35 states, the prevalence of having had sexual intercourse
before age 13 years ranged from 2.6% to 8.3% (median: 3.5%)
(Table 70). Across 19 large urban school districts, the prevalence
ranged from 2.7% to 12.2% (median: 5.7%).

Had Sexual Intercourse with Four or More Persons


During Their Life
Nationwide, 11.5% of students had had sexual intercourse
with four or more persons during their life (Table 71). The
prevalence of having had sexual intercourse with four or more
persons was higher among male (14.1%) than female (8.8%)
students; higher among black male (28.2%) and Hispanic
male (15.3%) than black female (9.2%) and Hispanic female
(6.7%) students, respectively; and higher among 9th-grade
male (6.7%), 10th-grade male (12.1%), 11th-grade male
(16.0%), and 12th-grade male (22.4%) than 9th-grade

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

female (3.0%), 10th-grade female (6.0%), 11th-grade female


(10.7%), and 12th-grade female (16.1%) students, respectively.
The prevalence of having had sexual intercourse with four or
more persons was higher among black (19.0%) than white
(9.9%) and Hispanic (11.0%) students, higher among black
male (28.2%) and Hispanic male (15.3%) than white male
(10.6%) students, and higher among black male (28.2%)
than Hispanic male (15.3%) students. The prevalence of
having had sexual intercourse with four or more persons was
higher among 10th-grade (9.0%), 11th-grade (13.4%), and
12th-grade (19.2%) than 9th-grade (4.9%) students; higher
among 11th-grade (13.4%) and 12th-grade (19.2%) than
10th-grade (9.0%) students; higher among 12th-grade (19.2%)
than 11th-grade (13.4%) students, higher among 10th-grade
female (6.0%), 11th-grade female (10.7%), and 12th-grade
female (16.1%) than 9th-grade female (3.0%) students; higher
among 11th-grade female (10.7%) and 12th-grade female
(16.1%) than 10th-grade female (6.0%) students; higher
among 12th-grade female (16.1%) than 11th-grade female
(10.7%) students, and higher among 10th-grade male (12.1%),
11th-grade male (16.0%), and 12th-grade male (22.4%) than
9th-grade male (6.7%) students; higher among 11th-grade
male (16.0%) and 12th-grade male (22.4%) than 10th-grade
male (12.1%) students; and higher among 12th-grade male
(22.4%) than 11th-grade male (16.0%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of having had sexual intercourse with
four or more persons (18.7%11.5%). A significant quadratic
trend was not identified. The prevalence of having had sexual
intercourse with four or more persons decreased significantly
from 2013 (15.0%) to 2015 (11.5%).
Across 31 states, the prevalence of having had sexual
intercourse with four or more persons ranged from 6.2% to
16.0% (median: 10.0%) (Table 72). Across 18 large urban
school districts, the prevalence ranged from 5.7% to 19.4%
(median: 11.2%).

Currently Sexually Active


Nationwide, 30.1% of students had had sexual intercourse
with at least one person during the 3 months before the survey
(i.e., currently sexually active) (Table 71). The prevalence of
being currently sexually active was higher among black male
(40.0%) than black female (25.7%) students and higher
among 9th-grade male (17.3%) than 9th-grade female (14.0%)
students. The prevalence of being currently sexually active
was higher among white female (31.4%) than black female
(25.7%) students and higher among black male (40.0%) than
white male (29.1%) and Hispanic male (30.5%) students. The
prevalence of being currently sexually active was higher among
10th-grade (25.5%), 11th-grade (35.5%), and 12th-grade

(46.0%) than 9th-grade (15.7%) students; higher among


11th-grade (35.5%) and 12th-grade (46.0%) than 10th-grade
(25.5%) students; higher among 12th-grade (46.0%) than
11th-grade (35.5%) students; higher among 10th-grade female
(24.7%), 11th-grade female (36.7%), and 12th-grade female
(46.5%) than 9th-grade female (14.0%) students; higher
among 11th-grade female (36.7%) and 12th-grade female
(46.5%) than 10th-grade female (24.7%) students; higher
among 12th-grade female (46.5%) than 11th-grade female
(36.7%) students; higher among 10th-grade male (26.4%),
11th-grade male (34.5%), and 12th-grade male (45.4%) than
9th-grade male (17.3%) students; higher among 11th-grade
male (34.5%) and 12th-grade male (45.4%) than 10th-grade
male (26.4%) students; and higher among 12th-grade male
(45.4%) than 11th-grade male (34.5%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of being currently sexually active
(37.5%30.1%). A significant quadratic trend was not
identified. The prevalence of being currently sexually active
decreased significantly from 2013 (34.0%) to 2015 (30.1%).
Across 35 states, the prevalence of being currently sexually
active ranged from 22.3% to 35.5% (median: 28.5%)
(Table 72). Across 19 large urban school districts, the
prevalence ranged from 18.7% to 37.2% (median: 26.3%).

Condom Use
Among the 30.1% of currently sexually active students
nationwide, 56.9% reported that either they or their partner had
used a condom during last sexual intercourse (Table 73). The
prevalence of having used a condom during last sexual intercourse
was higher among male (61.5%) than female (52.0%) students;
higher among black male (73.6%) and Hispanic male (62.5%)
than black female (46.7%) and Hispanic female (48.3%) students,
respectively; and higher among 10th-grade male (65.6%),
11th-grade male (62.5%), and 12th-grade male (57.4%) than
10th-grade female (54.0%), 11th-grade female (52.9%), and
12th-grade female (48.8%) students, respectively. The prevalence
of having used a condom during last sexual intercourse was higher
among black (63.4%) than Hispanic (55.6%) students, higher
among white female (55.9%) than black female (46.7%) students,
and higher among black male (73.6%) than white male (58.1%)
and Hispanic male (62.5%) students. The prevalence of having
used a condom during last sexual intercourse was higher among
9th-grade (60.5%) and 10th-grade (59.9%) than 12th-grade
(52.9%) students and higher among 9th-grade female (56.7%)
than 12th-grade female (48.8%) students.
Because the response options measuring the prevalence of using
both a condom during last sexual intercourse and birth control
pills; an IUD or implant; or a shot, patch, or birth control ring
before last sexual intercourse were used for the first time in the

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

27

Surveillance Summaries

2013 national YRBS, long-term temporal trends are not available.


A significant quadratic trend also was identified. The prevalence
of having used a condom during last sexual intercourse increased
during 19912003 (46.2%63.0%) and then decreased during
20032015 (63.0%56.9%). The prevalence of having used a
condom during last sexual intercourse did not change significantly
from 2013 (59.1%) to 2015 (56.9%).
Across 35 states, the prevalence of having used a condom during
last sexual intercourse ranged from 48.4% to 63.3% (median:
57.9%) (Table 74). Across 19 large urban school districts, the
prevalence ranged from 55.4% to 68.9% (median: 60.6%).

Birth Control Pill Use


Among the 30.1% of currently sexually active students
nationwide, 18.2% reported that either they or their partner had
used birth control pills to prevent pregnancy before last sexual
intercourse (Table 73). The prevalence of having used birth
control pills before last sexual intercourse was higher among
female (21.3%) than male (15.2%) students; higher among
Hispanic female (15.4%) than Hispanic male (8.1%) students;
and higher among 10th-grade female (20.2%) and 12th-grade
female (23.2%) than 10th-grade male (11.6%) and 12th-grade
male (16.9%) students, respectively. The prevalence of having used
birth control pills before last sexual intercourse was higher among
white (23.5%) than black (9.0%) and Hispanic (11.8%) students,
higher among white female (25.4%) than black female (9.0%)
and Hispanic female (15.4%) students, and higher among white
male (21.4%) than black male (9.0%) and Hispanic male (8.1%)
students. The prevalence of having used birth control pills before
last sexual intercourse was higher among 10th-grade (15.9%),
11th-grade (21.5%), and 12th-grade (20.1%) than 9th-grade
(10.9%) students; higher among 11th-grade (21.5%) than
10th-grade (15.9%) students; higher among 10th-grade female
(20.2%), 11th-grade female (23.9%), and 12th-grade female
(23.2%) than 9th-grade female (11.2%) students; higher among
11th-grade male (19.1%) and 12th-grade male (16.9%) than
9th-grade male (10.8%) students; and higher among 11th-grade
male (19.1%) than 10th-grade male (11.6%) students.
During 19912015, a significant linear trend was not identified
in the prevalence of having used birth control pills before last
sexual intercourse. A significant quadratic trend was identified.
The prevalence of having used birth control pills before last sexual
intercourse decreased during 19911995 (20.8%17.4%) and then
increased during 19952015 (17.4%18.2%). The prevalence of
having used birth control pills before last sexual intercourse did not
change significantly from 2013 (19.0%) to 2015 (18.2%).
Across 33 states, the prevalence of having used birth control
pills before last sexual intercourse ranged from 13.1% to 34.6%
(median: 20.7%) (Table 74). Across 18 large urban school districts,
the prevalence ranged from 6.8% to 18.6% (median: 12.0%).

28

MMWR/June 10, 2016/Vol. 65/No. 6

IUD or Implant Use


Among the 30.1% of currently sexually active students
nationwide, 3.3% reported that either they or their partner had
used an IUD (such as Mirena or ParaGard) or implant (such as
Implanon or Nexplanon) to prevent pregnancy before last sexual
intercourse (Table 75). The prevalence of having used an IUD or
implant before last sexual intercourse was higher among female
(4.5%) than male (2.2%) students.
Because the response option measuring the prevalence of having
used an IUD or implant before last sexual intercourse was used
for the first time in the 2013 national YRBS, long-term temporal
trends are not available. The prevalence of having used an IUD
or implant before last sexual intercourse increased from 2013
(1.6%) to 2015 (3.3%).
Across 33 states, the prevalence of having used an IUD or
implant before last sexual intercourse ranged from 1.3% to 9.7%
(median: 3.4%) (Table 76). Across 18 large urban school districts,
the prevalence ranged from 0.5% to 16.9% (median: 2.1%).

Shot, Patch, or Birth Control Ring Use


Among the 30.1% of currently sexually active students
nationwide, 5.3% reported that either they or their partner had
used a shot (such as Depo-Provera), patch (such as OrthoEvra), or
birth control ring (such as NuvaRing) to prevent pregnancy before
last sexual intercourse (Table 75). The prevalence of having used
a shot, patch, or birth control ring before last sexual intercourse
was higher among female (7.9%) than male (2.7%) students;
higher among white female (8.9%) and black female (7.8%) than
white male (2.7%) and black male (3.1%) students, respectively;
and higher among 9th-grade female (5.8%), 10th-grade female
(9.3%), 11th-grade female (7.3%), and 12th-grade female (8.3%)
than 9th-grade male (1.4%), 10th-grade male (2.4%), 11th-grade
male (3.5%), and 12th-grade male (3.0%) students, respectively.
The prevalence of having used a shot, patch, or birth control ring
before last sexual intercourse was higher among white (6.0%) than
Hispanic (3.1%) students and higher among white female (8.9%)
and black female (7.8%) than Hispanic female (3.7%) students.
Because the response option measuring the prevalence of
having used a shot, patch, or birth control ring before last sexual
intercourse was used for the first time in the 2013 national YRBS,
long-term temporal trends are not available. The prevalence of
having used a shot, patch, or birth control ring before last sexual
intercourse did not change significantly from 2013 (4.7%) to
2015 (5.3%).
Across 33 states, the prevalence of having used a shot, patch,
or birth control ring before last sexual intercourse ranged from
1.6% to 9.5% (median: 5.6%) (Table 76). Across 18 large urban
school districts, the prevalence ranged from 1.1% to 10.5%
(median: 4.4%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

Birth Control Pill; IUD or Implant; or Shot, Patch,


or Birth Control Ring Use

Condom Use and Birth Control Pill; IUD or


Implant; or Shot, Patch, or Birth Control Ring Use

Among the 30.1% of currently sexually active students


nationwide, 26.8% reported that either they or their partner had
used birth control pills; an IUD (such as Mirena or ParaGard)
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) to prevent pregnancy before last sexual
intercourse (Table 77). The prevalence of having used birth
control pills; an IUD or implant; or a shot, patch, or birth
control ring before last sexual intercourse was higher among
female (33.7%) than male (20.2%) students; higher among
white female (39.2%) and Hispanic female (23.2%) than white
male (27.0%) and Hispanic male (12.3%) students, respectively;
and higher among 9th-grade female (20.8%), 10th-grade female
(33.6%), 11th-grade female (36.2%), and 12th-grade female
(36.2%) than 9th-grade male (13.1%), 10th-grade male (15.5%),
11th-grade male (25.5%), and 12th-grade male (22.7%) students,
respectively. The prevalence of having used birth control pills; an
IUD or implant; or a shot, patch, or birth control ring before last
sexual intercourse was higher among white (33.3%) than black
(15.9%) and Hispanic (17.8%) students, higher among white
female (39.2%) than black female (20.5%) and Hispanic female
(23.2%) students, and higher among white male (27.0%) than
black male (13.1%) and Hispanic male (12.3%) students. The
prevalence of having used birth control pills; an IUD or implant;
or a shot, patch, or birth control ring before last sexual intercourse
was higher among 10th-grade (24.4%), 11th-grade (30.9%), and
12th-grade (29.6%) than 9th-grade (16.4%) students; higher
among 11th-grade (30.9%) than 10th-grade (24.4%) students;
higher among 10th-grade female (33.6%), 11th-grade female
(36.2%), and 12th-grade female (36.2%) than 9th-grade female
(20.8%) students; and higher among 11th-grade male (25.5%)
and 12th-grade male (22.7%) than 9th-grade male (13.1%) and
10th-grade male (15.5%) students.
During 20112015, a significant linear increase occurred overall
in the prevalence of having used birth control pills; an IUD or
implant; or a shot, patch, or birth control ring before last sexual
intercourse (23.3%26.8%). A significant quadratic trend was
not identified. The prevalence of having used birth control pills;
an IUD or implant; or a shot, patch, or birth control ring before
last sexual intercourse did not change significantly from 2013
(25.3%) to 2015 (26.8%).
Across 33 states, the prevalence of having used birth control pills;
an IUD or implant; or a shot, patch, or birth control ring before
last sexual intercourse ranged from 17.5% to 47.3% (median:
30.1%) (Table 78). Across 18 large urban school districts, the
prevalence ranged from 10.4% to 37.6% (median: 18.3%).

Among the 30.1% of currently sexually active students


nationwide, 8.8% reported that either they or their partner
had used both a condom during last sexual intercourse and
birth control pills; an IUD (such as Mirena or ParaGard) 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) to prevent pregnancy before last sexual
intercourse (Table 77). The prevalence of having used both a
condom during last sexual intercourse and birth control pills;
an IUD or implant; or a shot, patch, or birth control ring
before last sexual intercourse was higher among female (11.8%)
than male (5.9%) students; higher among white female
(15.9%) than white male (7.7%) students; and higher among
10th-grade female (12.4%) and 12th-grade female (9.9%)
than 10th-grade male (4.3%) and 12th-grade male (5.5%)
students, respectively. The prevalence of having used both a
condom during last sexual intercourse and birth control pills;
an IUD or implant; or a shot, patch, or birth control ring before
last sexual intercourse was higher among white (12.0%) than
black (4.7%) and Hispanic (4.7%) students, higher among
white female (15.9%) than black female (5.7%) and Hispanic
female (4.8%) students, and higher among white male (7.7%)
than black male (4.1%) students. The prevalence of having
used both a condom during last sexual intercourse and birth
control pills; an IUD or implant; or a shot, patch, or birth
control ring before last sexual intercourse was higher among
11th-grade (12.2%) than 9th-grade (5.8%) and 12th-grade
(7.7%) students and higher among 11th-grade male (9.4%)
than 9th-grade male (3.2%) students.
Because the response options measuring the prevalence of
having used both a condom during last sexual intercourse and
birth control pills; an IUD or implant; or a shot, patch, or
birth control ring before last sexual intercourse were used for
the first time in the 2013 national YRBS, long-term temporal
trends are not available. The prevalence of having used both a
condom during last sexual intercourse and birth control pills;
an IUD or implant; or a shot, patch, or birth control ring before
last sexual intercourse did not change significantly from 2013
(8.8%) to 2015 (8.8%).
Across 33 states, the prevalence of having used both a
condom during last sexual intercourse and birth control pills;
an IUD or implant; or a shot, patch, or birth control ring before
last sexual intercourse ranged from 5.8% to 18.8% (median:
11.1%) (Table 78). Across 18 large urban school districts, the
prevalence ranged from 2.8% to 10.2% (median: 6.5%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

29

Surveillance Summaries

Did Not Use Any Method to Prevent Pregnancy


Among the 30.1% of currently sexually active students
nationwide, 13.8% reported that neither they nor their
partner had used any method to prevent pregnancy during last
sexual intercourse (Table 79). The prevalence of not having
used any method to prevent pregnancy was higher among
black female (25.6%) than black male (9.9%) students and
higher among 9th-grade female (22.0%) than 9th-grade male
(12.1%) students. The prevalence of not having used any
method to prevent pregnancy was higher among Hispanic
(20.0%) than white (10.4%) students, higher among black
female (25.6%) and Hispanic female (22.7%) than white
female (10.2%) students, and higher among Hispanic male
(17.2%) than white male (10.3%) and black male (9.9%)
students. The prevalence of not having used any method to
prevent pregnancy was higher among 9th-grade (16.5%) and
12th-grade (15.5%) than 11th-grade (11.1%) students and
higher among 9th-grade female (22.0%) than 10th-grade
female (12.9%) and 11th-grade female (12.3%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of not having used any method to
prevent pregnancy (16.5%13.8%). A significant quadratic
trend also was identified. The prevalence of not having used
any method to prevent pregnancy decreased during 19912007
(16.5%12.2%) and then did not change significantly during
20072015 (12.2%13.8%). The prevalence of not having
used any method to prevent pregnancy also did not change
significantly from 2013 (13.7%) to 2015 (13.8%).
Across 33 states, the prevalence of not having used any method
to prevent pregnancy ranged from 7.2% to 20.0% (median:
12.8%) (Table 80). Across 18 large urban school districts, the
prevalence ranged from 10.5% to 22.0% (median: 17.1%).

Drank Alcohol or Used Drugs Before Last


Sexual Intercourse
Among the 30.1% of currently sexually active students
nationwide, 20.6% had drunk alcohol or used drugs before last
sexual intercourse (Table 79). The prevalence of having drunk
alcohol or used drugs before last sexual intercourse was higher
among male (24.6%) than female (16.4%) students; higher
among white male (24.4%) and Hispanic male (27.7%) than
white female (14.7%) and Hispanic female (17.7%) students,
respectively; and higher among 9th-grade male (27.2%) and
12th-grade male (25.6%) than 9th-grade female (16.8%) and
12th-grade female (16.1%) students, respectively.
During 19912015, a significant linear trend in the
prevalence of having drunk alcohol or used drugs before last
sexual intercourse was not identified. A significant quadratic
trend was identified. The prevalence of having drunk alcohol

30

MMWR/June 10, 2016/Vol. 65/No. 6

or used drugs before last sexual intercourse increased during


19911999 (21.6%24.8%) and then decreased during
19992015 (24.8%20.6%). The prevalence of having drunk
alcohol or used drugs before last sexual intercourse did not
change significantly from 2013 (22.4%) to 2015 (20.6%).
Across 34 states, the prevalence of having drunk alcohol or
used drugs before last sexual intercourse ranged from 13.5%
to 24.6% (median: 18.9%) (Table 80). Across 19 large urban
school districts, the prevalence ranged from 13.2% to 24.8%
(median: 19.8%).

Tested for HIV


Nationwide, 10.2% of students had ever been tested
for HIV, not counting tests done when donating blood
(Table 81). The prevalence of having ever been tested for
HIV was higher among 12th-grade female (16.8%) than
12th-grade male (10.9%) students. The prevalence of having
ever been tested for HIV was higher among black (16.6%)
and Hispanic (11.1%) than white (8.0%) students, higher
among black female (16.2%) and Hispanic female (12.3%)
than white female (9.1%) students, and higher among black
male (17.1%) and Hispanic male (10.1%) than white male
(7.0%) students. The prevalence of having ever been tested for
HIV was higher among 12th-grade (13.8%) than 9th-grade
(7.8%), 10th-grade (9.8%), and 11th-grade (9.6%) students
and higher among 12th-grade female (16.8%) than 9th-grade
female (7.7%), 10th-grade female (9.8%), and 11th-grade
female (10.3%) students.
During 20052015, a significant linear decrease occurred
overall in the prevalence of having ever been tested for HIV
(11.9%10.2%). A significant quadratic trend also was
identified. The prevalence of having ever been tested for HIV
did not change significantly during 20052011 (11.9%12.9%)
and then decreased during 20112015 (12.9%10.2%). The
prevalence of having ever been tested for HIV also decreased
significantly from 2013 (12.9%) to 2015 (10.2%).
Across 27 states, the prevalence of having ever been tested for
HIV ranged from 7.4% to 18.0% (median: 11.4%) (Table 82).
Across 19 large urban school districts, the prevalence ranged
from 7.0% to 37.4% (median: 18.9%).

Dietary Behaviors
Did Not Eat Fruit or Drink 100% Fruit Juices
Nationwide, 5.2% of students had not eaten fruit or
drunk 100% fruit juices during the 7 days before the survey
(Table 83). The prevalence of not having eaten fruit or drunk
100% fruit juices was higher among male (5.9%) than female
(4.3%) students, higher among black male (8.6%) than
black female (5.2%) students, and higher among 10th-grade

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

male (6.7%) than 10th-grade female (3.4%) students. The


prevalence of not having eaten fruit or drunk 100% fruit
juices was higher among 9th-grade (6.0%) than 11th-grade
(4.4%) students and higher among 9th-grade male (6.7%)
than 11th-grade male (4.7%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of not having eaten fruit or drunk
100% fruit juices (5.4%5.2%). A significant quadratic trend
was not identified. The prevalence of not having eaten fruit
or drunk 100% fruit juices did not change significantly from
2013 (5.0%) to 2015 (5.2%).
Across 36 states, the prevalence of not having eaten fruit or
drunk 100% fruit juices ranged from 3.2% to 11.7% (median:
7.0%) (Table 84). Across 18 large urban school districts, the
prevalence ranged from 3.8% to 11.4% (median: 7.1%).

Ate Fruit or Drank 100% Fruit Juices One or More


Times per Day
Nationwide, 63.3% of students had eaten fruit or drunk
100% fruit juices one or more times per day during the 7 days
before the survey (Table 83). The prevalence of having eaten
fruit or drunk 100% fruit juices one or more times per day
was higher among black male (67.0%) and Hispanic male
(67.3%) than black female (56.5%) and Hispanic female
(60.7%) students, respectively. The prevalence of having eaten
fruit or drunk 100% fruit juices one or more times per day
was higher among white female (64.1%) than black female
(56.5%) students and higher among Hispanic male (67.3%)
than white male (62.1%) students.
During 19992015, significant linear and quadratic trends
were not identified in the prevalence of having eaten fruit
or drunk 100% fruit juices one or more times per day. The
prevalence of having eaten fruit or drunk 100% fruit juices
one or more times per day did not change significantly from
2013 (62.6%) to 2015 (63.3%).
Across 36 states, the prevalence of having eaten fruit or
drunk 100% fruit juices one or more times per day ranged
from 49.0% to 67.7% (median: 58.7%) (Table 84). Across
18 large urban school districts, the prevalence ranged from
52.4% to 66.7% (median: 57.6%).

Ate Fruit or Drank 100% Fruit Juices Two or More


Times per Day
Nationwide, 31.5% of students had eaten fruit or drunk 100%
fruit juices two or more times per day during the 7 days before
the survey (Table 85). The prevalence of having eaten fruit or
drunk 100% fruit juices two or more times per day was higher
among male (33.1%) than female (30.0%) students; higher

among black male (38.2%) and Hispanic male (36.7%) than


black female (27.8%) and Hispanic female (29.9%) students,
respectively; and higher among 9th-grade male (35.0%) than
9th-grade female (30.0%) students. The prevalence of having
eaten fruit or drunk 100% fruit juices two or more times per
day was higher among Hispanic (33.4%) than white (29.8%)
students and higher among black male (38.2%) and Hispanic
male (36.7%) than white male (29.9%) students.
During 19992015, significant linear and quadratic trends
were not identified in the prevalence of having eaten fruit
or drunk 100% fruit juices two or more times per day. The
prevalence of having eaten fruit or drunk 100% fruit juices
two or more times per day did not change significantly from
2013 (33.2%) to 2015 (31.5%).
Across 36 states, the prevalence of having eaten fruit or
drunk 100% fruit juices two or more times per day ranged
from 21.0% to 34.3% (median: 27.7%) (Table 86). Across 18
large urban school districts, the prevalence ranged from 24.0%
to 37.6% (median: 32.2%).

Ate Fruit or Drank 100% Fruit Juices Three or


More Times per Day
Nationwide, 20.0% of students had eaten fruit or drunk 100%
fruit juices three or more times per day during the 7 days before
the survey (Table 85). The prevalence of having eaten fruit or
drunk 100% fruit juices three or more times per day was higher
among male (22.1%) than female (18.0%) students; higher
among black male (29.1%) and Hispanic male (26.6%) than
black female (20.5%) and Hispanic female (20.5%) students,
respectively; and higher among 9th-grade male (24.3%) than
9th-grade female (16.9%) students. The prevalence of having
eaten fruit or drunk 100% fruit juices three or more times per
day was higher among black (25.1%) and Hispanic (23.6%) than
white (17.0%) students, higher among black female (20.5%) and
Hispanic female (20.5%) than white female (16.0%) students,
and higher among black male (29.1%) and Hispanic male
(26.6%) than white male (18.0%) students.
During 19992015, a significant linear decrease occurred in
the prevalence of having eaten fruit or drunk 100% fruit juices
three or more times per day (24.9%20.0%). A significant
quadratic trend was not identified. The prevalence of having
eaten fruit or drunk 100% fruit juices three or more times per
day decreased significantly from 2013 (21.9%) to 2015 (20.0%).
Across 36 states, the prevalence of having eaten fruit or drunk
100% fruit juices three or more times per day ranged from
13.1% to 22.5% (median: 17.0%) (Table 86). Across 18 large
urban school districts, the prevalence ranged from 17.3% to
24.6% (median: 21.4%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

31

Surveillance Summaries

Did Not Eat Vegetables


vegetables

Nationwide, 6.7% of students had not eaten


during the 7 days before the survey (Table 87). The prevalence
of not having eaten vegetables was higher among male (7.7%)
than female (5.6%) students; higher among white male
(6.0%) and black male (13.0%) than white female (3.7%)
and black female (8.8%) students, respectively; and higher
among 11th-grade male (8.0%) than 11th-grade female (4.5%)
students. The prevalence of not having eaten vegetables was
higher among black (10.9%) and Hispanic (8.5%) than white
(4.9%) students, higher among black (10.9%) than Hispanic
(8.5%) students, higher among black female (8.8%) and
Hispanic female (7.7%) than white female (3.7%) students,
higher among black male (13.0%) and Hispanic male (9.2%)
than white male (6.0%) students, and higher among black
male (13.0%) than Hispanic male (9.2%) students.
During 19992015, a significant linear increase occurred
overall in the prevalence of not having eaten vegetables
(4.2%6.7%). A significant quadratic trend was not identified.
The prevalence of not having eaten vegetables did not change
significantly from 2013 (6.6%) to 2015 (6.7%).
Across 32 states, the prevalence of not having eaten vegetables
ranged from 3.3% to 11.3% (median: 7.0%) (Table 88). Across
16 large urban school districts, the prevalence ranged from
5.6% to 11.7% (median: 10.7%).

Ate Vegetables One or More Times per Day


Nationwide, 61.0% of students had eaten vegetables one
or more times per day during the 7 days before the survey
(Table 87). The prevalence of having eaten vegetables one or
more times per day was higher among black male (56.5%)
than black female (48.0%) students. The prevalence of having
eaten vegetables one or more times per day was higher among
white (64.2%) and Hispanic (56.5%) than black (52.5%)
students, higher among white (64.2%) than Hispanic (56.5%)
students, higher among white female (64.5%) and Hispanic
female (55.3%) than black female (48.0%) students, higher
among white female (64.5%) than Hispanic female (55.3%)
students, and higher among white male (64.0%) than black
male (56.5%) and Hispanic male (57.7%) students. The
prevalence of having eaten vegetables one or more times per
day was higher among 11th-grade (62.5%) and 12th-grade
(63.5%) than 9th-grade (58.6%) students, higher among
12th-grade (63.5%) than 10th-grade (59.9%) students, and
higher among 12th-grade female (63.1%) than 9th-grade
female (57.3%) and 10th-grade female (58.6%) students.
Green salad, potatoes (excluding French fries, fried potatoes, or potato chips),
carrots, or other vegetables.

32

MMWR/June 10, 2016/Vol. 65/No. 6

During 19992015, significant linear and quadratic


trends were not identified in the prevalence of having eaten
vegetables one or more times per day. The prevalence of having
eaten vegetables one or more times per day did not change
significantly from 2013 (61.5%) to 2015 (61.0%).
Across 32 states, the prevalence of having eaten vegetables
one or more times per day ranged from 46.7% to 72.3%
(median: 59.1%) (Table 88). Across 16 large urban school
districts, the prevalence ranged from 48.7% to 61.1%
(median: 54.3%).

Ate Vegetables Two or More Times per Day


Nationwide, 28.0% of students had eaten vegetables
two or more times per day during the 7 days before the
survey (Table 89). The prevalence of having eaten vegetables
two or more times per day was higher among male (29.6%) than
female (26.5%) students and higher among black male (25.7%)
and Hispanic male (30.3%) than black female (17.9%) and
Hispanic female (23.8%) students, respectively. The prevalence
of having eaten vegetables two or more times per day was
higher among white (28.6%) and Hispanic (27.2%) than black
(22.0%) students, higher among white female (29.1%) and
Hispanic female (23.8%) than black female (17.9%) students,
and higher among white female (29.1%) than Hispanic female
(23.8%) students. The prevalence of having eaten vegetables
two or more times per day was higher among 12th-grade female
(29.8%) than 9th-grade female (24.2%) students.
During 19992015, significant linear and quadratic
trends were not identified in the prevalence of having eaten
vegetables two or more times per day. The prevalence of having
eaten vegetables two or more times per day did not change
significantly from 2013 (28.4%) to 2015 (28.0%).
Across 32 states, the prevalence of having eaten vegetables two
or more times per day ranged from 18.5% to 36.3% (median:
25.2%) (Table 90). Across 16 large urban school districts, the
prevalence ranged from 19.0% to 27.4% (median: 23.2%).

Ate Vegetables Three or More Times per Day


Nationwide, 14.8% of students had eaten vegetables three
or more times per day during the 7 days before the survey
(Table 89). The prevalence of having eaten vegetables three
or more times per day was higher among male (16.6%) than
female (12.9%) students; higher among Hispanic male (18.8%)
than Hispanic female (12.7%) students; and higher among
9th-grade male (17.1%) and 10th-grade male (15.9%) than
9th-grade female (11.6%) and 10th-grade female (11.2%),
respectively. The prevalence of having eaten vegetables three
or more times per day was higher among Hispanic (15.8%)

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

than white (13.5%) students and higher among Hispanic male


(18.8%) than white male (13.9%) students. The prevalence
of having eaten vegetables three or more times per day was
higher among 12th-grade (16.0%) than 10th-grade (13.5%)
students and higher among 11th-grade female (13.9%) than
10th-grade female (11.2%) students.
During 19992015, a significant linear increase occurred in
the prevalence of having eaten vegetables three or more times
per day (14.0%14.8%). A significant quadratic trend was not
identified. The prevalence of having eaten vegetables three or
more times per day did not change significantly from 2013
(15.7%) to 2015 (14.8%).
Across 32 states, the prevalence of having eaten vegetables three
or more times per day ranged from 9.1% to 18.1% (median:
12.6%) (Table 90). Across 16 large urban school districts, the
prevalence ranged from 9.5% to 16.8% (median: 12.6%).

Did Not Drink Milk


Nationwide, 21.5% of students had not drunk milk during
the 7 days before the survey (Table 91). The prevalence of not
having drunk milk was higher among female (28.4%) than
male (15.1%) students; higher among white female (24.4%),
black female (44.6%), and Hispanic female (26.3%) than
white male (12.1%), black male (25.8%), and Hispanic male
(13.0%) students, respectively; and higher among 9th-grade
female (27.0%), 10th-grade female (26.9%), 11th-grade female
(31.7%), and 12th-grade female (28.2%) than 9th-grade male
(15.6%), 10th-grade male (14.1%), 11th-grade male (14.2%),
and 12th-grade male (16.6%) students, respectively. The
prevalence of not having drunk milk was higher among black
(34.7%) than white (18.3%) and Hispanic (19.6%) students,
higher among black female (44.6%) than white female (24.4%)
and Hispanic female (26.3%) students, and higher among
black male (25.8%) than white male (12.1%) and Hispanic
male (13.0%) students. The prevalence of not having drunk
milk was higher among 11th-grade female (31.7%) than
9th-grade female (27.0%) students.
During 19992015, a significant linear increase occurred
overall in the prevalence of not having drunk milk (17.0%
21.5%). A significant quadratic trend also was identified.
The prevalence of not having drunk milk did not change
significantly during 19992011 (17.0%17.3%) and then
increased during 20112015 (17.3%21.5%). The prevalence
of not having drunk milk did not change significantly from
2013 (19.4%) to 2015 (21.5%).
Across 28 states, the prevalence of not having drunk milk
ranged from 13.9% to 31.7% (median: 22.6%) (Table 92).
Across 15 large urban school districts, the prevalence ranged
from 20.7% to 36.9% (median: 27.5%).

Drank One or More Glasses of Milk per Day


Nationwide, 37.5% of students had drunk one or more
glasses of milk per day during the 7 days before the survey
(Table 91). The prevalence of having drunk one or more
glasses of milk per day was higher among male (46.2%) than
female (28.2%) students; higher among white male (50.6%),
black male (31.8%), and Hispanic male (45.1%) than white
female (32.0%), black female (17.7%), and Hispanic female
(27.2%) students, respectively; and higher among 9th-grade
male (47.0%), 10th-grade male (49.2%), 11th-grade male
(44.7%), and 12th-grade male (43.8%) than 9th-grade female
(29.3%), 10th-grade female (30.1%), 11th-grade female
(26.3%), and 12th-grade female (26.5%) students, respectively.
The prevalence of having drunk one or more glasses of milk per
day was higher among white (41.2%) and Hispanic (36.2%)
than black ( 25.1%) students, higher among white (41.2%)
than Hispanic (36.2%) students, higher among white female
(32.0%) and Hispanic female (27.2%) than black female
(17.7%) students, higher among white female (32.0%) than
Hispanic female (27.2%) students, and higher among white
male (50.6%) and Hispanic male (45.1%) than black male
(31.8%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of having drunk one or more glasses
of milk per day (47.1%37.5%). A significant quadratic trend
was not identified. The prevalence of having drunk one or more
glasses of milk per day did not change significantly from 2013
(40.3%) to 2015 (37.5%).
Across 28 states, the prevalence of having drunk one or more
glasses of milk per day ranged from 23.0% to 51.6% (median:
34.0%) (Table 92). Across 15 large urban school districts, the
prevalence ranged from 16.2% to 34.1% (median: 26.1%).

Drank Two or More Glasses of Milk per Day


Nationwide, 22.4% of students had drunk two or more
glasses of milk per day during the 7 days before the survey
(Table 93). The prevalence of having drunk two or more glasses
of milk per day was higher among male (29.6%) than female
(14.6%) students; higher among white male (32.9%), black
male (21.0%), and Hispanic male (28.3%) than white female
(17.8%), black female (5.8%), and Hispanic female (12.8%)
students, respectively; and higher among 9th-grade male
(32.5%), 10th-grade male (30.8%), 11th-grade male (29.2%),
and 12th-grade male (25.4%) than 9th-grade female (16.7%),
10th-grade female (14.8%), 11th-grade female (13.7%),
and 12th-grade female (12.5%) students, respectively. The
prevalence of having drunk two or more glasses of milk per
day was higher among white (25.3%) and Hispanic (20.6%)
than black (13.8%) students, higher among white (25.3%)

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

33

Surveillance Summaries

than Hispanic (20.6%) students, higher among white female


(17.8%) and Hispanic female (12.8%) than black female
(5.8%) students, higher among white female (17.8%) than
Hispanic female (12.8%) students, and higher among white
male (32.9%) and Hispanic male (28.3%) than black male
(21.0%) students. The prevalence of having drunk two or more
glasses of milk per day was higher among 9th-grade (25.1%)
than 11th-grade (21.9%) and 12th-grade (19.0%) students,
higher among 9th-grade female (16.7%) than 12th-grade
female (12.5%) students, and higher among 9th-grade male
(32.5%) than 12th-grade male (25.4%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of having drunk two or more glasses
of milk per day (33.6%22.4%). A significant quadratic trend
was not identified. The prevalence of having drunk two or
more glasses of milk per day decreased significantly from 2013
(25.9%) to 2015 (22.4%).
Across 28 states, the prevalence of having drunk two or more
glasses of milk per day ranged from 12.6% to 35.8% (median:
20.0%) (Table 94). Across 15 large urban school districts, the
prevalence ranged from 8.2% to 20.2% (median: 14.6%).

Drank Three or More Glasses of Milk per Day


Nationwide, 10.2% of students had drunk three or more
glasses of milk per day during the 7 days before the survey
(Table 93). The prevalence of having drunk three or more
glasses of milk per day was higher among male (14.8%) than
female (5.4%) students; higher among white male (16.1%),
black male (10.3%), and Hispanic male (15.0%) than white
female (6.4%), black female (3.0%), and Hispanic female
(4.9%) students, respectively; and higher among 9th-grade male
(15.7%), 10th-grade male (17.0%), 11th-grade male (13.8%),
and 12th-grade male (12.1%) than 9th-grade female (6.9%),
10th-grade female (5.1%), 11th-grade female (4.6%), and
12th-grade female (4.6%) students, respectively. The prevalence
of having drunk three or more glasses of milk per day was higher
among white (11.2%) and Hispanic (10.0%) than black (6.9%)
students, higher among white female (6.4%) than black female
(3.0%) students, and higher among white male (16.1%) and
Hispanic male (15.0%) than black male (10.3%) students. The
prevalence of having drunk three or more glasses of milk per day
was higher among 9th-grade (11.5%) and 10th-grade (11.0%)
than 12th-grade (8.4%) students and higher among 9th-grade
male (15.7%) and 10th-grade male (17.0%) than 12th-grade
male (13.8%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of having drunk three or more glasses
of milk per day (18.0%10.2%). A significant quadratic trend
was not identified. The prevalence of having drunk three or

34

MMWR/June 10, 2016/Vol. 65/No. 6

more glasses of milk per day decreased significantly from 2013


(12.5%) to 2015 (10.2%).
Across 28 states, the prevalence of having drunk three or more
glasses of milk per day ranged from 5.8% to 17.9% (median:
9.0%) (Table 94). Across 15 large urban school districts, the
prevalence ranged from 4.1% to 9.9% (median: 7.1%).

Did Not Drink Soda or Pop


Nationwide, 26.2% of students had not drunk soda or pop
(not counting diet soda or diet pop) during the 7 days before
the survey (Table 95). The prevalence of not having drunk soda
or pop was higher among female (31.0%) than male (21.4%)
students; higher among white female (33.3%) and Hispanic
female (26.3%) than white male (21.6%) and Hispanic male
(19.0%) students, respectively; and higher among 9th-grade
female (30.3%), 10th-grade female (28.7%), 11th-grade female
(33.3%), and 12th-grade female (31.9%) than 9th-grade male
(21.6%), 10th-grade male (20.5%), 11th-grade male (19.8%),
and 12th-grade male (23.6%) students, respectively. The
prevalence of not having drunk soda or pop was higher among
white (27.5%) than black (22.8%) and Hispanic (22.6%)
students and higher among white female (33.3%) than black
female (22.6%) and Hispanic female (26.3%) students. The
prevalence of not having drunk soda or pop was higher among
12th-grade (27.7%) than 10th-grade (24.6%) students, higher
among 11th-grade female (33.3%) than 10th-grade female
(28.7%) students, and higher among 12th-grade male (23.6%)
than 10th-grade male (20.5%) students.
During 20072015, a significant linear increase occurred
overall in the prevalence of not having drunk soda or pop
(18.6%26.2%). A significant quadratic trend was not
identified. The prevalence of not having drunk soda or pop
increased significantly from 2013 (22.3%) to 2015 (26.2%).
Across 36 states, the prevalence of not having drunk soda or
pop ranged from 18.7% to 37.0% (median: 26.0%) (Table 96).
Across 18 large urban school districts, the prevalence ranged
from 18.9% to 39.0% (median: 27.6%).

Drank Soda or Pop One or More Times per Day


Nationwide, 20.4% of students had drunk a can, bottle, or
glass of soda or pop (not counting diet soda or diet pop) one
or more times per day during the 7 days before the survey
(Table 95). The prevalence of having drunk soda or pop one
or more times per day was higher among male (24.3%) than
female (16.4%) students; higher among white male (24.5%)
and Hispanic male (25.1%) than white female (15.0%) and
Hispanic female (18.1%) students, respectively; and higher
among 9th-grade male (22.4%), 10th-grade male (25.4%),
11th-grade male (25.6%), and 12th-grade male (24.2%)
than 9th-grade female (16.1%), 10th-grade female (16.2%),

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

11th-grade female (15.1%), and 12th-grade female (17.9%)


students, respectively. The prevalence of having drunk soda or
pop one or more times per day was higher among black female
(21.6%) than white female (15.0%) students.
During 20072015, a significant linear decrease occurred
overall in the prevalence of having drunk soda or pop one or
more times per day (33.8%20.4%). A significant quadratic
trend was not identified. The prevalence of having drunk soda
or pop one or more times per day decreased significantly from
2013 (27.0%) to 2015 (20.4%).
Across 36 states, the prevalence of having drunk soda
or pop one or more times per day ranged from 11.9% to
32.4% (median: 19.0%) (Table 96). Across 18 large urban
school districts, the prevalence ranged from 9.6% to 27.5%
(median: 18.9%).

Drank Soda or Pop Two or More Times per Day


Nationwide, 13.0% of students had drunk a can, bottle, or
glass of soda or pop (not counting diet soda or diet pop) two
or more times per day during the 7 days before the survey
(Table 97). The prevalence of having drunk soda or pop two
or more times per day was higher among male (15.6%) than
female (10.4%) students; higher among white male (15.1%)
and Hispanic male (17.4%) than white female (9.1%) and
Hispanic female (11.4%) students, respectively; and higher
among 9th-grade male (14.6%), 10th-grade male (15.8%),
11th-grade male (16.1%), and 12th-grade male (16.0%)
than 9th-grade female (10.0%), 10th-grade female (10.2%),
11th-grade female (10.5%), and 12th-grade female (10.5%)
students, respectively. The prevalence of having drunk soda or
pop two or more times per day was higher among black female
(15.0%) than white female (9.1%) students.
During 20072015, a significant linear decrease occurred
overall in the prevalence of having drunk soda or pop two or
more times per day (24.4%13.0%). A significant quadratic
trend was not identified. The prevalence of having drunk soda
or pop two or more times per day decreased significantly from
2013 (19.4%) to 2015 (13.0%).
Across 36 states, the prevalence of having drunk soda or pop
two or more times per day ranged from 7.3% to 23.3% (median:
11.8%) (Table 98). Across 18 large urban school districts, the
prevalence ranged from 6.0% to 19.2% (median: 12.0%).

Drank Soda or Pop Three or More Times per Day


Nationwide, 7.1% of students had drunk a can, bottle,
or glass of soda or pop (not counting diet soda or diet pop)
three or more times per day during the 7 days before the
survey (Table 97). The prevalence of having drunk soda or
pop three or more times per day was higher among male
(8.3%) than female (5.9%) students; higher among white

male (7.2%) and Hispanic male (9.4%) than white female


(4.7%) and Hispanic female (6.7%) students, respectively;
and higher among 10th-grade male (9.1%) and 12th-grade
male (8.4%) than 10th-grade female (6.0%) and 12th-grade
female (5.5%) students, respectively. The prevalence of having
drunk soda or pop three or more times per day was higher
among black (9.5%) and Hispanic (8.1%) than white (5.9%)
students and higher among black female (9.9%) than white
female (4.7%) students.
During 20072015, a significant linear decrease occurred
overall in the prevalence of having drunk soda or pop three or
more times per day (14.4%7.1%). A significant quadratic trend
was not identified. The prevalence of having drunk soda or pop
three or more times per day decreased significantly from 2013
(11.2%) to 2015 (7.1%).
Across 36 states, the prevalence of having drunk soda or pop
three or more times per day ranged from 4.0% to 13.5% (median:
6.6%) (Table 98). Across 18 large urban school districts, the
prevalence ranged from 2.6% to13.5% (median: 7.6%).

Did Not Drink Sports Drinks


Nationwide, 42.4% of students had not drunk a can, bottle,
or glass of a sports drink (not counting low-calorie sports
drinks) during the 7 days before the survey (Table 99). The
prevalence of not having drunk a sports drink was higher
among female (52.7%) than male (32.3%) students; higher
among white female (55.8%), black female (45.7%), and
Hispanic female (45.2%) than white male (33.5%), black male
(25.9%), and Hispanic male (27.6%) students, respectively;
and higher among 9th-grade female (49.7%), 10th-grade
female (51.4%), 11th-grade female (53.4%), and 12th-grade
female (57.1%) than 9th-grade male (31.3%), 10th-grade
male (31.2%), 11th-grade male (29.8%), and 12th-grade
male (36.9%) students, respectively. The prevalence of not
having drunk a sports drink was higher among white (44.6%)
than black (36.0%) and Hispanic (36.2%) students, higher
among white female (55.8%) than black female (45.7%)
and Hispanic female (45.2%) students, and higher among
white male (33.5%) than black male (25.9%) and Hispanic
male (27.6%) students. The prevalence of not having drunk
a sports drink was higher among 12th-grade (46.8%) than
9th-grade (40.0%) and 10th-grade (41.6%) students and
higher among 12th-grade female (57.1%) than 9th-grade
female (49.7%) and 10th-grade female (51.4%) students.
Because the question measuring the prevalence of not having
drunk a sports drink was used for the first time in the 2015
national YRBS, long-term temporal trends and 2-year
temporal changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

35

Surveillance Summaries

As a result, the range and median prevalence estimates across


states and large urban school districts for the prevalence of not
having drunk a sports drink are not available.

Drank Sports Drinks One or More Times per Day


Nationwide, 13.8% of students had drunk a can, bottle, or
glass of a sports drink (not counting low- calorie sports drinks)
one or more times per day during the 7 days before the survey
(Table 99). The prevalence of having drunk a sports drink one
or more times per day was higher among male (18.7%) than
female (8.8%) students; higher among white male (18.1%),
black male (25.2%), and Hispanic male (19.0%) than white
female (6.7%), black female (14.3%), and Hispanic female
(12.2%) students, respectively; and higher among 9th-grade
male (18.5%), 10th-grade male (20.5%), 11th-grade male
(21.1%), and 12th-grade male (14.5%) than 9th-grade
female (9.9%), 10th-grade female (9.6%), 11th-grade female
(9.0%), and 12th-grade female (6.5%) students, respectively.
The prevalence of having drunk a sports drink one or more
times per day was higher among black (19.7%) and Hispanic
(15.7%) than white (12.4%) students, higher among black
female (14.3%) and Hispanic female (12.2%) than white
female (6.7%) students, and higher among black male
(25.2%) than white male (18.1%) students. The prevalence
of having drunk a sports drink one or more times per day
was higher among 9th-grade (14.4%), 10th-grade (14.9%),
and 11th-grade (15.3%) than 12th-grade (10.6%) students,
higher among 9th-grade female (9.9%) and 10th-grade female
(9.6%) than 12th-grade female (6.5%) students, and higher
among 10th-grade male (20.5%) and 11th-grade male (21.1%)
than 12th-grade male (14.5%) students. Because the question
measuring the prevalence of having drunk a sports drink one
or more times per day was used for the first time in the 2015
national YRBS, long-term temporal trends and 2-year temporal
changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in
2015. As a result, the range and median prevalence estimates
across states and large urban school districts for the prevalence
of having drunk a sports drink one or more times per day are
not available.

Drank Sports Drinks Two or More Times per Day


Nationwide, 8.3% of students had drunk a can, bottle, or
glass of a sports drink (not counting low- calorie sports drinks)
two or more times per day during the 7 days before the survey
(Table 100). The prevalence of having drunk a sports drink
two or more times per day was higher among male (11.2%)
than female (5.4%) students; higher among white male (9.0%),
black male (21.4%), and Hispanic male (13.0%) than white

36

MMWR/June 10, 2016/Vol. 65/No. 6

female (3.5%), black female (10.1%), and Hispanic female


(7.9%) students, respectively; and higher among 9th-grade
male (10.6%), 10th-grade male (12.8%), 11th-grade male
(12.4%), and 12th-grade male (9.0%) than 9th-grade
female (5.4%), 10th-grade female (5.8%), 11th-grade female
(5.9%), and 12th-grade female (4.1%) students, respectively.
The prevalence of having drunk a sports drink two or more
times per day was higher among black (15.8%) and Hispanic
(10.5%) than white (6.3%) students, higher among black
(15.8%) than Hispanic (10.5%) students, higher among
black female (10.1%) and Hispanic female (7.9%) than white
female (3.5%) students, higher among black male (21.4%) and
Hispanic male (13.0%) than white male (9.0%) students, and
higher among black male (21.4%) than Hispanic male (13.0%)
students. The prevalence of having drunk a sports drink two
or more times per day was higher among 10th-grade (9.2%)
and 11th-grade (9.3%) than 12th-grade (6.6%) students and
higher among 10th-grade male (12.8%) and 11th-grade male
(12.4%) than 12th-grade male (9.0%) students. Because the
question measuring the prevalence of having drunk a sports
drink two or more times per day was used for the first time
in the 2015 national YRBS, long-term temporal trends and
2-year temporal changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
As a result, the range and median prevalence estimates across
states and large urban school districts for the prevalence of having
drunk a sports drink two or more times per day are not available.

Drank Sports Drinks Three or More Times per Day


Nationwide, 4.8% of students had drunk a can, bottle, or
glass of a sports drink (not counting low-calorie sports drinks)
three or more times per day during the 7 days before the
survey (Table 100). The prevalence of having drunk a sports
drink three or more times per day was higher among male
(6.3%) than female (3.1%) students; higher among white male
(4.3%), black male (13.1%), and Hispanic male (8.7%) than
white female (1.9%), black female (5.1%), and Hispanic female
(5.4%) students, respectively; and higher among 10th-grade
male (8.3%), 11th-grade male (6.6%), and 12th-grade male
(5.5%) than 10th-grade female (3.4%), 11th-grade female
(3.6%), and 12th-grade female (2.1%) students, respectively.
The prevalence of having drunk a sports drink three or more
times per day was higher among black (9.2%) and Hispanic
(7.1%) than white (3.1%) students, higher among black female
(5.1%) and Hispanic female (5.4%) than white female (1.9%)
students, and higher among black male (13.1%) and Hispanic
male (8.7%) than white male (4.3%) students. The prevalence
of having drunk a sports drink three or more times per day was
higher among 10th-grade (5.8%) than 9th-grade (4.2%) and

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

12th-grade (3.8%) students, higher among 11th-grade (5.2%)


than 12th-grade (3.8%) students, and higher among 10th-grade
male (8.3%) than 9th-grade male (5.0%) and 12th-grade male
(5.5%) students. Because the question measuring the prevalence
of having drunk a sports drink three or more times per day was
used for the first time in the 2015 national YRBS, long-term
temporal trends and 2-year temporal changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in
2015. As a result, the range and median prevalence estimates
across states and large urban school districts for the prevalence
of having drunk a sports drink three or more times per day
are not available.

Did Not Drink Water


Nationwide, 3.5% of students had not drunk water during
the 7 days before the survey (Table 101). The prevalence of
not having drunk water was higher among black (8.7%) than
white (2.7%) and Hispanic (3.3%) students, higher among
black female (9.0%) than white female (2.5%) and Hispanic
female (2.8%) students, and higher among black male (7.8%)
than white male (2.9%) and Hispanic male (3.8%) students.
The prevalence of not having drunk water was higher among
10th-grade female (4.4%) than 11th-grade female (2.0%)
students. Because the question measuring the prevalence of
not having drunk water was used for the first time in the 2015
national YRBS, long-term temporal trends and 2-year temporal
changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
As a result, the range and median prevalence estimates across
states and large urban school districts for the prevalence of not
having drunk water are not available.

Drank One or More Glasses of Water per Day


Nationwide, 73.6% of students had drunk one or more glasses
of water per day during the 7 days before the survey (Table
101). The prevalence of having drunk one or more glasses of
water per day was higher among white (76.6%) and Hispanic
(71.6%) than black (60.2%) students, higher among white
(76.6%) than Hispanic (71.6%) students, higher among white
female (77.2%) and Hispanic female (70.6%) than black female
(58.4%) students, higher among white female (77.2%) than
Hispanic female (70.6%) students, and higher among white
male (76.4%) and Hispanic male (72.5%) than black male
(62.0%) students. The prevalence of having drunk one or more
glasses of water per day was higher among 11th-grade (75.0%)
and 12th-grade (75.3%) than 9th-grade (71.2%) students
and higher among 11th-grade female (76.0%) than 9th-grade
female (70.9%) students. Because the question measuring the

prevalence of having drunk one or more glasses of water per day


was used for the first time in the 2015 national YRBS, long-term
temporal trends and 2-year temporal changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
As a result, the range and median prevalence estimates across
states and large urban school districts for the prevalence of having
drunk one or more glasses of water per day are not available.

Drank Two or More Glasses of Water per Day


Nationwide, 64.3% of students had drunk two or more glasses
of water per day during the 7 days before the survey (Table 102).
The prevalence of having drunk two or more glasses of water per
day was higher among 10th-grade male (67.5%) than 10th-grade
female (60.6%) students. The prevalence of having drunk two or
more glasses of water per day was higher among white (66.3%)
and Hispanic (63.7%) than black (50.8%) students, higher
among white female (65.7%) and Hispanic female (62.7%) than
black female (47.4%) students, and higher among white male
(67.2%) and Hispanic male (64.7%) than black male (54.1%)
students. The prevalence of having drunk two or more glasses
of water per day was higher among 11th-grade (65.8%) and
12th-grade (66.6%) than 9th-grade (61.3%) students, higher
among 12th-grade (66.6%) than 10th-grade (63.9%) students,
higher among 11th-grade female (66.1%) than 9th-grade female
(61.3%) and 10th-grade female (60.6%) students, and higher
among 10th-grade male (67.5%) and 12th-grade male (67.6%)
than 9th-grade male (61.7%) students. Because the question
measuring the prevalence of having drunk two or more glasses
of water per day was used for the first time in the 2015 national
YRBS, long-term temporal trends and 2-year temporal changes
are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
As a result, the range and median prevalence estimates across
states and large urban school districts for the prevalence of having
drunk two or more glasses of water per day are not available.

Drank Three or More Glasses of Water per Day


Nationwide, 49.5% of students had drunk three or more
glasses of water per day during the 7 days before the survey
(Table 102). The prevalence of having drunk three or more
glasses of water per day was higher among male (51.0%)
than female (48.1%) students and higher among Hispanic
male (52.5%) than Hispanic female (47.9%) students. The
prevalence of having drunk three or more glasses of water per
day was higher among white (49.9%) and Hispanic (50.3%)
than black (39.1%) students, higher among white female
(49.7%) and Hispanic female (47.9%) than black female
(35.7%) students, and higher among Hispanic male (52.5%)

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

37

Surveillance Summaries

than black male (42.2%) students. The prevalence of having


drunk three or more glasses of water per day was higher among
11th-grade female (51.4%) than 10th-grade female (46.1%)
students. Because the question measuring the prevalence of
having drunk three or more glasses of water per day was used for
the first time in the 2015 national YRBS, long-term temporal
trends and 2-year temporal changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
As a result, the range and median prevalence estimates across
states and large urban school districts for the prevalence of having
drunk three or more glasses of water per day are not available.

Did Not Eat Breakfast


Nationwide, 13.8% of students had not eaten breakfast
during the 7 days before the survey (Table 103). The prevalence
of having not eaten breakfast was higher among 9th-grade
female (14.8%) than 9th-grade male (10.9%) students. The
prevalence of having not eaten breakfast was higher among
black (18.0%) and Hispanic (14.7%) than white (12.0%)
students, higher among black female (19.3%) than white
female (12.5%) students, and higher among black male
(16.8%) than white male (11.3%) students. The prevalence
of having not eaten breakfast was higher among 11th-grade
male (14.2%) and 12th-grade male (14.8%) than 9th-grade
male (10.9%) students.
During 20112015, significant linear and quadratic trends
were not identified. The prevalence of having not eaten
breakfast did not change significantly from 2013 (13.7%) to
2015 (13.8%).
Across 33 states, the prevalence of having not eaten breakfast
ranged from 10.3% to 20.1% (median: 14.6%) (Table 104).
Across 18 large urban school districts, the prevalence ranged
from 11.6% to 23.8% (median: 16.4%).

Ate Breakfast on All 7 Days


Nationwide, 36.3% of students had eaten breakfast on
all 7 days before the survey (Table 103). The prevalence of
having eaten breakfast on all 7 days was higher among male
(40.5%) than female (32.1%) students; higher among white
male (43.3%), black male (30.8%), and Hispanic male
(39.5%) than white female (34.8%), black female (24.7%),
and Hispanic female (30.1%) students, respectively; and
higher among 9th-grade male (46.6%), 10th-grade male
(42.3%), and 11th-grade male (37.1%) than 9th-grade female
(31.9%), 10th-grade female (31.1%), and 11th-grade female
(32.4%) students, respectively. The prevalence of having eaten
breakfast on all 7 days was higher among white (39.0%) and
Hispanic (34.8%) than black (27.9%) students, higher among
white female (34.8%) than black female (24.7%) students,

38

MMWR/June 10, 2016/Vol. 65/No. 6

and higher among white male (43.3%) and Hispanic male


(39.5%) than black male (30.8%) students. The prevalence
of having eaten breakfast on all 7 days was higher among
9th-grade (39.6%) than 11th-grade (34.6%) and 12th-grade
(33.8%) students; higher among 9th-grade male (46.6%)
than 10th-grade male (42.3%), 11th-grade male (37.1%),
and 12th-grade male (34.7%) students, and higher among
10th-grade male (42.3%) than 11th-grade male (37.1%) and
12th-grade male (34.7%) students.
During 20112015, significant linear and quadratic trends
were not identified. The prevalence of having eaten breakfast
on all 7 days did not change significantly from 2013 (38.1%)
to 2015 (36.3%).
Across 33 states, the prevalence of having eaten breakfast
on all 7 days ranged from 26.6% to 42.1% (median: 34.8%)
(Table 104). Across 18 large urban school districts, the
prevalence ranged from 16.4% to 44.6% (median: 31.0%).

Physical Activity
Did Not Participate in at Least 60 Minutes of
Physical Activity on at Least 1 Day
Nationwide, 14.3% of students had not participated in at
least 60 minutes of any kind of physical activity that increased
their heart rate and made them breathe hard some of the time
on at least 1 day during the 7 days before the survey (i.e., did not
participate in at least 60 minutes of physical activity on at least
1 day) (Table 105). The prevalence of not having participated
in at least 60 minutes of physical activity on at least 1 day was
higher among female (17.5%) than male (11.1%) students;
higher among white female (14.3%), black female (25.2%), and
Hispanic female (19.2%) than white male (8.8%), black male
(16.2%), and Hispanic male (11.9%) students, respectively;
and higher among 9th-grade female (14.7%), 10th-grade
female (15.8%), 11th-grade female (18.2%), and 12th-grade
female (21.4%) than 9th-grade male (9.5%), 10th-grade male
(10.4%), 11th-grade male (12.4%), and 12th-grade male
(12.4%) students, respectively. The prevalence of not having
participated in at least 60 minutes of physical activity on at
least 1 day was higher among black (20.4%) and Hispanic
(15.6%) than white (11.6%) students, higher among black
(20.4%) than Hispanic (15.6%) students, higher among black
female (25.2%) and Hispanic female (19.2%) than white female
(14.3%) students, higher among black female (25.2%) than
Hispanic female (19.2%) students, and higher among black male
(16.2%) than white male (8.8%) students. The prevalence of
not having participated in at least 60 minutes of physical activity
on at least 1 day was higher among 11th-grade (15.5%) and
12th-grade (16.9%) than 9th-grade (12.0%) students, higher

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

among 12th-grade (16.9%) than 10th-grade (13.1%) students,


higher among 11th-grade female (18.2%) and 12th-grade female
(21.4%) than 9th-grade female (14.7%) students; higher among
12th-grade female (21.4%) than 10th-grade female (15.8%)
students, and higher among 11th-grade male (12.4%) than
9th-grade male (9.5%) students.
During 20112015, significant linear and quadratic trends
were not identified in the prevalence of not having participated
in at least 60 minutes of physical activity on at least 1 day. The
prevalence of not having participated in at least 60 minutes of
physical activity on at least 1 day did not change significantly
from 2013 (15.2%) to 2015 (14.3%).
Across 37 states, the prevalence of not having participated
in at least 60 minutes of physical activity on at least 1 day
ranged from 10.7% to 22.9% (median: 15.9%) (Table 106).
Across 18 large urban school districts, the prevalence ranged
from 13.2% to 30.1% (median: 21.6%).

Physically Active at Least 60 Minutes per Day


on 5 or More Days
Nationwide, 48.6% of students had been physically active doing
any kind of physical activity that increased their heart rate and
made them breathe hard some of the time for a total of at least
60 minutes per day on 5 or more days during the 7 days before the
survey (i.e., physically active at least 60 minutes per day on 5 or
more days) (Table 105). The prevalence of having been physically
active at least 60 minutes per day on 5 or more days was higher
among male (57.8%) than female (39.1%) students; higher among
white male (62.0%), black male (52.2%), and Hispanic male
(53.5%) than white female (43.5%), black female (33.4%), and
Hispanic female (33.1%) students, respectively; and higher among
9th-grade male (62.3%), 10th-grade male (58.7%), 11th-grade
male (56.3%), and 12th-grade male (53.3%) than 9th-grade
female (43.9%), 10th-grade female (41.9%), 11th-grade female
(36.6%), and 12th-grade female (33.4%) students, respectively.
The prevalence of having been physically active at least 60 minutes
per day on 5 or more days was higher among white (52.7%) than
black (43.5%) and Hispanic (43.4%) students, higher among
white female (43.5%) than black female (33.4%) and Hispanic
female (33.1%) students, and higher among white male (62.0%)
than black male (52.2%) and Hispanic male (53.5%) students.
The prevalence of having been physically active at least 60 minutes
per day on 5 or more days was higher among 9th-grade (53.7%)
than 11th-grade (46.5%) and 12th-grade (43.5%) students, higher
among 10th-grade (50.2%) than 12th-grade (43.5%) students,
higher among 9th-grade female (43.9%) than 11th-grade female
(36.6%) and 12th-grade female (33.4%) students, higher among
10th-grade female (41.9%) than 12th-grade female (33.4%)
students, and higher among 9th-grade male (62.3%) than
11th-grade male (56.3%) and 12th-grade male (53.3%) students.

During 20112015, significant linear and quadratic trends were


not identified in the prevalence of having been physically active
at least 60 minutes per day on 5 or more days. The prevalence
of having been physically active at least 60 minutes per day
on 5 or more days did not change significantly from 2013 (47.3%)
to 2015 (48.6%).
Across 37 states, the prevalence of having been physically active
at least 60 minutes per day on 5 or more days ranged from 34.2%
to 54.0% (median: 45.3%) (Table 106). Across 18 large urban
school districts, the prevalence ranged from 28.1% to 51.1%
(median: 36.1%).

Physically Active at Least 60 Minutes per Day


on All 7 Days
Nationwide, 27.1% of students had been physically active
doing any kind of physical activity that increased their heart rate
and made them breathe hard some of the time for a total of at
least 60 minutes per day on each of the 7 days before the survey
(i.e., physically active at least 60 minutes per day on all 7 days)
(Table 107). The prevalence of having been physically active at
least 60 minutes per day on all 7 days was higher among male
(36.0%) than female (17.7%) students; higher among white male
(38.5%), black male (30.8%), and Hispanic male (34.2%) than
white female (19.5%), black female (16.6%), and Hispanic female
(14.7%) students, respectively; and higher among 9th-grade male
(40.1%), 10th-grade male (36.7%), 11th-grade male (34.3%),
and 12th-grade male (32.6%) than 9th-grade female (20.9%),
10th-grade female (19.0%), 11th-grade female (16.0%), and
12th-grade female (14.3%) students, respectively. The prevalence
of having been physically active at least 60 minutes per day on
all 7 days was higher among white (29.0%) than black (24.2%)
and Hispanic (24.6%) students, higher among white female
(19.5%) than Hispanic female (14.7%) students, and higher
among white male (38.5%) than black male (30.8%) students.
The prevalence of having been physically active at least 60 minutes
per day on all 7 days was higher among 9th-grade (31.0%)
than 10th-grade (27.8%), 11th-grade (25.3%), and 12th-grade
(23.5%) students; higher among 10th-grade (27.8%) than
12th-grade (25.3%) students; higher among 9th-grade female
(20.9%) than 11th-grade female (16.0%) and 12th-grade female
(14.3%) students; higher among 10th-grade female (19.0%) than
12th-grade female (14.3%) students; and higher among 9th-grade
male (40.1%) than 11th-grade male (34.3%) and 12th-grade
male (32.6%) students.
During 20112015, significant linear and quadratic trends were
not identified in the prevalence of having been physically active at
least 60 minutes per day on all 7 days. The prevalence of having
been physically active at least 60 minutes per day on all 7 days did
not change significantly from 2013 (27.1%) to 2015 (27.1%).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

39

Surveillance Summaries

Across 37 states, the prevalence of having been physically active


at least 60 minutes per day on all 7 days ranged from 19.5% to
32.2% (median: 25.3%) (Table 108). Across 18 large urban
school districts, the prevalence ranged from 15.8% to 27.0%
(median: 19.7%).

Participated in Muscle Strengthening Activities


Nationwide, 53.4% of students had participated in muscle
strengthening exercises (e.g., push-ups, sit-ups, or weight lifting)
on 3 or more days during the 7 days before the survey (Table 107).
The prevalence of having participated in muscle strengthening
exercises on 3 or more days was higher among male (63.7%) than
female (42.7%) students; higher among white male (63.0%),
black male (69.8%), and Hispanic male (64.4%) than white
female (46.1%), black female (34.5%), and Hispanic female
(39.9%) students, respectively; and higher among 9th-grade male
(64.9%), 10th-grade male (67.3%), 11th-grade male (62.5%),
and 12th-grade male (59.9%) than 9th-grade female (48.2%),
10th-grade female (43.0%), 11th-grade female (39.3%), and
12th-grade female (39.9%) students, respectively. The prevalence
of having participated in muscle strengthening exercises on 3 or
more days was higher among white female (46.1%) than black
female (34.5%) and Hispanic female (39.9%) students and higher
among black male (69.8%) than white male (63.0%) students.
The prevalence of having participated in muscle strengthening
exercises on 3 or more days was higher among 9th-grade (56.9%)
and 10th-grade (54.9%) than 11th-grade (51.1%) and 12th-grade
(50.0%) students; higher among 9th-grade female (48.2%)
than 10th-grade female (43.0%), 11th-grade female (39.3%),
and 12th-grade female (39.9%) students; and higher among
10th-grade male (67.3%) than 11th-grade male (62.5%) and
12th-grade male (59.9%) students.
During 19912015, a significant linear increase occurred overall
in the prevalence of having participated in muscle strengthening
exercises on 3 or more days (47.8%53.4%). A significant
quadratic trend was not identified. The prevalence of having
participated in muscle strengthening exercises on 3 or more days
did not change significantly from 2013 (51.7%) to 2015 (53.4%).
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
Consequently, the range and median prevalence estimates
across states and large urban school districts for the prevalence
of having participated in muscle strengthening exercises on
3 or more days are not available.

Used Computers 3 or More Hours per Day


Nationwide, 41.7% of students played video or computer
games or used a computer for something that was not school
work for 3 or more hours per day on an average school day (i.e.,
used computers 3 or more hours per day) (Table 109). The

40

MMWR/June 10, 2016/Vol. 65/No. 6

prevalence of having used computers 3 or more hours per day was


higher among 9th-grade female (48.7%) than 9th-grade male
(42.5%) students. The prevalence of having used computers
3 or more hours per day was higher among black (44.6%) and
Hispanic (46.2%) than white (38.6%) students, higher among
black female (48.4%) and Hispanic female (47.4%) than white
female (38.3%) students, and higher among Hispanic male
(45.1%) than white male (38.9%) students. The prevalence
of having used computers 3 or more hours per day was higher
among 9th-grade (45.4%) than 11th-grade (37.2%) and
12th-grade (40.5%) students; higher among 10th-grade (43.4%)
than 11th-grade (37.2%) students; higher among 9th-grade
female (48.7%) than 10th-grade female (43.3%), 11th-grade
female (38.1%), and 12th-grade female (40.4%) students; higher
among 10th-grade female (43.3%) than 11th-grade female
(38.1%) students; and higher among 9th-grade male (42.5%),
10th-grade male (43.4%), and 12th-grade male (40.8%) than
11th-grade male (36.1%) students.
During 20032015, a significant linear increase occurred
overall in the prevalence of having used computers 3 or more
hours per day (22.1%41.7%). A significant quadratic trend
also was identified. The prevalence of having used computers
3 or more hours per day increased during 20032009 (22.1%
24.9%) and then increased more rapidly during 20092015
(24.9%41.7%). The prevalence of having used computers
3 or more hours per day did not change significantly from
2013 (41.3%) to 2015 (41.7%).
Across 36 states, the prevalence of having used computers
3 or more hours per day ranged from 30.1% to 45.6% (median:
38.7%) (Table 110). Across 18 large urban school districts, the
prevalence ranged from 33.8% to 47.7% (median: 41.7%).

Watched Television 3 or More Hours per Day


Nationwide, 24.7% of students watched television 3 or
more hours per day on an average school day (Table 109). The
prevalence of having watched television 3 or more hours per
day was higher among black (39.2%) and Hispanic (28.2%)
than white (20.0%) students, higher among black (39.2%)
than Hispanic (28.2%) students, higher among black female
(41.5%) and Hispanic female (29.2%) than white female
(18.8%) students, higher among black female (41.5%) than
Hispanic female (29.2%) students, higher among black male
(37.0%) and Hispanic male (27.4%) than white male (21.4%)
students, and higher among black male (37.0%) than Hispanic
male (27.4%) students.
During 19992015, a significant linear decrease occurred
overall in the prevalence of having watched television 3 or
more hours per day (42.8%24.7%). A significant quadratic
trend was not identified. The prevalence of having watched

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

television 3 or more hours per day decreased significantly from


2013 (32.5%) to 2015 (24.7%).
Across 35 states, the prevalence of having watched television
3 or more hours per day ranged from 18.9% to 33.4% (median:
23.1%) (Table 110). Across 18 large urban school districts, the
prevalence ranged from 19.7% to 35.9% (median: 29.3%).

Attended Physical Education Classes


Nationwide, 51.6% of students went to physical education
(PE) classes on 1 or more days in an average week when they
were in school (i.e., attended PE classes) (Table 111). The
prevalence of having attended PE classes was higher among
male (55.3%) than female (47.8%) students; higher among
black male (65.4%) and Hispanic male (60.5%) than black
female (52.2%) and Hispanic female (50.1%) students,
respectively; and higher among 10th-grade male (61.3%) and
12th-grade male (42.9%) than 10th-grade female (53.9%)
and 12th-grade female (29.1%) students, respectively. The
prevalence of having attended PE classes was higher among
black (59.2%) than white (48.4%) students and higher among
black male (65.4%) and Hispanic male (60.5%) than white
male (51.0%) students. The prevalence of having attended PE
classes was higher among 9th-grade (71.4%) than 10th-grade
(57.5%), 11th-grade (38.5%), and 12th-grade (36.1%)
students; higher among 10th-grade (57.5%) than 11th-grade
(38.5%) and 12th-grade (36.1%) students; higher among
9th-grade female (70.4%) than 10th-grade female (53.9%),
11th-grade female (34.6%), and 12th-grade female (29.1%)
students; higher among 10th-grade female (53.9%) than
11th-grade female (34.6%) and 12th-grade female (29.1%)
students; higher among 11th-grade female (34.6%) than
12th-grade female (29.1%) students; higher among 9th-grade
male (72.2%) than 10th-grade male (61.3%), 11th-grade
male (42.2%), and 12th-grade male (42.9%) students; and
higher among 10th-grade male (61.3%) than 11th-grade male
(42.2%) and 12th-grade male (42.9%) students.
During 19912015, linear and quadratic trends were not
identified in the prevalence of having attended PE classes. The
prevalence of having attended PE classes also did not change
significantly from 2013 (48.0%) to 2015 (51.6%).
Across 35 states, the prevalence of having attended PE classes
ranged from 29.9% to 87.8% (median: 44.3%) (Table 112).
Across 14 large urban school districts, the prevalence ranged
from 33.4% to 84.0% (median: 45.3%).

Attended Physical Education Classes Daily


Nationwide, 29.8% of students went to physical education (PE)
classes on all 5 days in an average week when they were in school
(i.e., attended PE classes daily) (Table 111). The prevalence of
having attended PE classes daily was higher among male (33.8%)

than female (25.5%) students; higher among white male (29.6%),


black male (38.9%), and Hispanic male (42.4%) than white
female (21.1%), black female (32.2%), and Hispanic female
(33.0%) students, respectively; and higher among 10th-grade
male (36.1%), 11th-grade male (25.2%), and 12th-grade male
(27.9%) than 10th-grade female (27.0%), 11th-grade female
(18.1%), and 12th-grade female (16.0%) students, respectively.
The prevalence of having attended PE classes daily was higher
among black (35.8%) and Hispanic (37.7%) than white (25.4%)
students, higher among black female (32.2%) and Hispanic female
(33.0%) than white female (21.1%) students, and higher among
black male (38.9%) and Hispanic male (42.4%) than white male
(29.6%) students. The prevalence of having attended PE classes
daily was higher among 9th-grade (42.2%) than 10th-grade
(31.5%), 11th-grade (21.8%), and 12th-grade (21.9%) students;
higher among 10th-grade (31.5%) than 11th-grade (21.8%) and
12th-grade (21.9%) students; higher among 9th-grade female
(39.5%) than 10th-grade female (27.0%), 11th-grade female
(18.1%), and 12th-grade female (16.0%) students; higher among
10th-grade female (27.0%) than 11th-grade female (18.1%) and
12th-grade female (16.0%) students, higher among 9th-grade
male (44.6%) than 10th-grade male (36.1%), 11th-grade male
(25.2%), and 12th-grade male (27.9%) students; and higher
among 10th-grade male (36.1%) than 11th-grade male (25.2%)
and 12th-grade (27.9%) male students.
During 19912015, a significant linear trend was not identified
in the prevalence of having attended PE classes daily. A significant
quadratic trend was identified. The prevalence of having attended
PE classes daily decreased during 19911995 (41.6%25.4%)
and then did not change during 19952015 (25.4%29.8%).
The prevalence of having attended PE classes daily also did not
change significantly from 2013 (29.4%) to 2015 (29.8%).
Across 35 states, the prevalence of having attended PE
classes daily ranged from 5.8% to 60.7% (median: 23.0%)
(Table 112). Across 14 large urban school districts, the
prevalence ranged from 8.6% to 42.7% (median: 22.9%).

Played on at Least One Sports Team


Nationwide, 57.6% of students had played on at least one
sports team (run by their school or community groups) during
the 12 months before the survey (Table 113). The prevalence of
having played on at least one sports team was higher among male
(62.2%) than female (53.0%) students; higher among black male
(66.5%) and Hispanic male (56.3%) than black female (47.7%) and
Hispanic female (40.7%) students, respectively; and higher among
9th-grade male (68.1%), 10th-grade male (63.5%), and 11th-grade
male (62.3%) than 9th-grade female (57.6%), 10th-grade female
(55.1%), and 11th-grade female (51.7%) students, respectively.
The prevalence of having played on at least one sports team was
higher among white (62.4%) and black (57.6%) than Hispanic

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

41

Surveillance Summaries

(48.5%) students, higher among white female (60.7%) than


black female (47.7%) and Hispanic female (40.7%) students, and
higher among white male (64.4%) and black male (66.5%) than
Hispanic male (56.3%) students. The prevalence of having played
on at least one sports team was higher among 9th-grade (63.0%)
than 11th-grade (57.0%) and 12th-grade (50.8%) students,
higher among 10th-grade (59.2%) and 11th-grade (57.0%) than
12th-grade (50.8%) students, higher among 9th-grade female
(57.6%) than 11th-grade female (51.7%) and 12th-grade female
(46.9%) students, higher among 10th-grade female (55.1%) than
12th-grade female (46.9%) students, higher among 9th-grade
male (68.1%) than 11th-grade male (62.3%) and 12th-grade male
(54.6%) students, and higher among 10th-grade male (63.5%) than
12th-grade male (54.6%) students.
During 19992015, significant linear and quadratic trends
were not identified in the prevalence of having played on at least
one sports team. The prevalence of having played on at least one
sports team also did not change significantly from 2013 (54.0%)
to 2015 (57.6%).
Across 25 states, the prevalence of having played on at least
one sports team ranged from 48.6% to 64.3% (median: 54.8%)
(Table 112). Across 15 large urban school districts, the prevalence
ranged from 44.7% to 55.6% (median: 48.9%).

Obesity, Overweight, and Weight Control


Obesity
Nationwide, 13.9% of students had obesity (Table 115). The
prevalence of obesity was higher among male (16.8%) than
female (10.8%) students; higher among white male (15.6%)
and Hispanic male (19.4%) than white female (9.1%) and
Hispanic female (13.3%) students, respectively; and higher
among 9th-grade male (15.4%), 10th-grade male (18.2%),
11th-grade male (18.4%), and 12th-grade male (15.0%)
than 9th-grade female (10.3%), 10th-grade female (12.1%),
11th-grade female (10.2%), and 12th-grade female (10.5%)
students, respectively. The prevalence of obesity was higher
among black (16.8%) and Hispanic (16.4%) than white
(12.4%) students, higher among black female (15.2%) and
Hispanic female (13.3%) than white female (9.1%) students,
and higher among Hispanic male (19.4%) than white male
(15.6%) students. The prevalence of obesity was higher among
10th-grade (15.2%) than 12th-grade (12.7%) students and
higher among 11th-grade male (18.4%) than 9th-grade male
(15.4%) and 12th-grade male (15.0%) students.
During 19992015, a significant linear increase occurred
in the prevalence of obesity (10.6%13.9%). A significant
quadratic trend was not identified. The prevalence of obesity did
not change significantly from 2013 (13.7%) to 2015 (13.9%).

42

MMWR/June 10, 2016/Vol. 65/No. 6

Across 37 states, the prevalence of obesity ranged from 10.3%


to 18.9% (median: 13.3%) (Table 116). Across 19 large urban
school districts, the prevalence ranged from 9.9% to 22.5%
(median: 13.3%).

Overweight
Nationwide, 16.0% of students were overweight (Table 115).
The prevalence of overweight was higher among black female
(21.2%) than black male (13.6%) students. The prevalence of
overweight was higher among Hispanic (18.4%) than white
(15.2%) students and higher among black female (21.2%) and
Hispanic female (20.0%) than white female (14.6%) students.
During 19992015, a significant linear increase occurred in
the prevalence of overweight (14.1%16.0%). A significant
quadratic trend was not identified. The prevalence of
overweight did not change significantly from 2013 (16.6%)
to 2015 (16.0%).
Across 37 states, the prevalence of overweight ranged from
13.3% to 18.2% (median: 15.3%) (Table 116). Across 19 large
urban school districts, the prevalence ranged from 13.2% to
21.6% (median: 16.8%).

Described Themselves as Overweight


Nationwide, 31.5% of students described themselves as
slightly or very overweight (Table 117). The prevalence of
students describing themselves as overweight was higher among
female (38.2%) than male (25.3%) students; higher among
white female (35.7%), black female (34.9%), and Hispanic
female (45.3%) than white male (24.9%), black male (20.0%),
and Hispanic male (28.0%) students, respectively; and higher
among 9th-grade female (35.8%), 10th-grade female (38.9%),
11th-grade female (38.5%), and 12th-grade female (39.6%)
than 9th-grade male (25.5%), 10th-grade male (25.2%),
11th-grade male (25.2%), and 12th-grade male (25.0%)
students, respectively. The prevalence of students describing
themselves as overweight was higher among Hispanic (36.4%)
than white (30.3%) and black (27.0%) students, higher among
Hispanic female (45.3%) than white female (35.7%) and black
female (34.9%) students, and higher among white male (24.9%)
and Hispanic male (28.0%) than black male (20.0%) students.
During 19912015, a significant linear decrease occurred
overall in the prevalence of students describing themselves as
overweight (31.8%31.5%). A significant quadratic trend also
was identified. The prevalence of students describing themselves
as overweight decreased during 19911995 (31.8%27.6%)
and then increased during 19952015 (27.6%31.5%). The
prevalence of students describing themselves as overweight did
not change significantly from 2013 (31.1%) to 2015 (31.5%).
Across 32 states, the prevalence of students describing
themselves as overweight ranged from 26.2% to 33.4% (median:

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

30.6%) (Table 118). Across 18 large urban school districts, the


prevalence ranged from 24.2% to 35.9% (median: 29.8%).

Across 17 large urban school districts, the prevalence ranged


from 19.0% to 34.4% (median: 23.7%).

Were Trying to Lose Weight

Saw a Dentist

Nationwide, 45.6% of students were trying to lose weight


(Table 117). The prevalence of trying to lose weight was higher
among female (60.6%) than male (31.4%) students; higher
among white female (59.5%), black female (54.2%), and
Hispanic female (66.4%) than white male (28.8%), black male
(26.2%), and Hispanic male (40.0%) students, respectively;
and higher among 9th-grade female (59.4%), 10th-grade
female (59.3%), 11th-grade female (61.7%), and 12th-grade
female (62.6%) than 9th-grade male (31.1%), 10th-grade
male (32.0%), 11th-grade male (31.0%), and 12th-grade
male (31.9%) students, respectively. The prevalence of trying
to lose weight was higher among white (44.1%) and Hispanic
(53.1%) than black (39.4%) students, higher among Hispanic
(53.1%) than white (44.1%) students, higher among Hispanic
female (66.4%) than white female (59.5%) and black female
(54.2%) students, and higher among Hispanic male (40.0%)
than white male (28.8%) and black male (26.2%) students.
During 19912015, a significant linear increase occurred
overall in the prevalence of trying to lose weight (41.8%
45.6%). A significant quadratic trend was not identified. The
prevalence of trying to lose weight did not change significantly
from 2013 (47.7%) to 2015 (45.6%).
Across 30 states, the prevalence of trying to lose weight
ranged from 40.7% to 49.5% (median: 45.2%) (Table 118).
Across 17 large urban school districts, the prevalence ranged
from 41.1% to 55.1% (median: 45.9%).

Nationwide, 74.4% of students saw a dentist for a check-up,


exam, teeth cleaning, or other dental work during the 12 months
before the survey (Table 119). The prevalence of having seen a
dentist was higher among white (81.0%) than black (62.5%)
and Hispanic (66.4%) students, higher among white female
(80.9%) than black female (64.2%) and Hispanic female
(68.1%) students and higher among white male (81.3%) than
black male (61.1%) and Hispanic male (64.8%) students. The
prevalence of having seen a dentist was higher among 9th-grade
male (76.5%) than 12th-grade male (70.5%) students. Because
the question measuring the prevalence of having seen a dentist
was used for the first time in the 2015 national YRBS, long-term
temporal trends and 2-year temporal changes are not available.
Across 31 states, the prevalence of having seen a dentist
ranged from 65.7% to 82.7% (median: 73.6%) (Table 120).
Across 17 large urban school districts, the prevalence ranged
from 55.1% to 72.6% (median: 65.7%).

Other Health-Related Topics


Ever Had Asthma
Nationwide, 22.8% of students had ever been told by a
doctor or nurse that they had asthma (i.e., ever had asthma)
(Table 119). The prevalence of having ever had asthma was
higher among white female (23.7%) than white male (20.4%)
students. The prevalence of having ever had asthma was higher
among black (27.8%) than white (22.1%) and Hispanic
(22.5%) students and higher among black male (28.4%) than
white male (20.4%) and Hispanic male (23.0%) students.
During 20032015, a significant linear increase occurred
overall in the prevalence of having ever had asthma (18.9%
22.8%). A significant quadratic trend was not identified.
The prevalence of having ever had asthma also increased
significantly from 2013 (21.0%) to 2015 (22.8%).
Across 29 states, the prevalence of having ever had asthma
ranged from 19.3% to 31.3% (median: 24.3%) (Table 120).

Eight or More Hours of Sleep


Nationwide, 27.3% of students got 8 or more hours of
sleep on an average school night (Table 121). The prevalence
of getting 8 or more hours of sleep was higher among male
(30.1%) than female (24.4%) students; higher among white
male (31.1%), black male (25.6%), and Hispanic male
(32.9%) than white female (24.9%), black female (20.6%),
and Hispanic female (26.8%) students, respectively; and
higher among 9th-grade male (39.3%) and 10th-grade male
(33.8%) than 9th-grade female (29.1%) and 10th-grade female
(23.1%) students, respectively. The prevalence of getting 8 or
more hours of sleep was higher among white (28.0%) and
Hispanic (29.8%) than black (23.5%) students, higher among
Hispanic female (26.8%) than black female (20.6%) students,
and higher among white male (31.1%) and Hispanic male
(32.9%) than black male (25.6%) students. The prevalence of
getting 8 or more hours of sleep was higher among 9th-grade
(34.4%) than 10th-grade (28.4%), 11th-grade (22.9%),
and 12th-grade (22.4%) students; higher among 10th-grade
(28.4%) than 11th-grade (22.9%) and 12th-grade (22.4%)
students; higher among 9th-grade female (29.1%) than
10th-grade female (23.1%), 11th-grade female (23.0%), and
12th-grade female (22.2%) students; higher among 9th-grade
male (39.3%) than 10th-grade male (33.8%), 11th-grade
male (22.9%), and 12th-grade male (22.6%) students, and
higher among 10th-grade male (33.8%) than 11th-grade male
(22.9%) and 12th-grade male (22.6%) students.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

43

Surveillance Summaries

During 20072015, a significant linear decrease occurred


overall in the prevalence of getting 8 or more hours of sleep
(31.1%27.3%). A significant quadratic trend was not
identified. The prevalence of getting 8 or more hours of sleep
also decreased significantly from 2013 (31.7%) to 2015 (27.3%).
Across 30 states, the prevalence of getting 8 or more hours
of sleep ranged from 17.5% to 38.2% (median: 26.5%)
(Table 122). Across 19 large urban school districts, the
prevalence ranged from 14.4% to 31.3% (median: 20.6%).

Indoor Tanning Device Use


Nationwide, 7.3% of students had used an indoor tanning
device, such as a sunlamp, sunbed, or tanning booth (not
counting getting a spray-on tan), one or more times during
the 12 months before the survey (i.e., indoor tanning device
use) (Table 123). The prevalence of indoor tanning device
use was higher among female (10.6%) than male (4.0%)
students; higher among white female (15.2%) than white
male (3.7%) students; and higher among 9th-grade female
(6.0%), 10th-grade female (7.1%), 11th-grade female (14.0%),
and 12th-grade female (16.2%) than 9th-grade male (2.7%),
10th-grade male (3.5%), 11th-grade male (3.9%), and
12th-grade male (5.8%) students, respectively. The prevalence
of indoor tanning device use was higher among white (9.4%)
than black (3.7%) and Hispanic (4.7%) students, higher
among white female (15.2%) and Hispanic female (5.8%)
than black female (2.1%) students, and higher among white
female (15.2%) than Hispanic female (5.8%) students. The
prevalence of indoor tanning device use was higher among
11th-grade (9.0%) and 12th-grade (10.9%) than 9th-grade
(4.2%) and 10th-grade (5.3%) students, higher among
11th-grade female (14.0%) and 12th-grade female (16.2%)
than 9th-grade female (6.0%) and 10th-grade female (7.1%)
students, and higher among 12th-grade male (5.8%) than
9th-grade male (2.7%) students.
During 20092015, a significant linear decreased occurred
overall in the prevalence of indoor tanning device use (15.6%
7.3%). A significant quadratic trend was not identified.
The prevalence of indoor tanning device use also decreased
significantly from 2013 (12.8%) to 2015 (7.3%).
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in
2015. As a result, the range and median prevalence estimates
across states and large urban school districts for the prevalence
of indoor tanning device use are not available.

Had a Sunburn
Nationwide, 55.8% of students had a sunburn (counting
even a small part of their skin turning red or hurting for
12 hours or more after being outside in the sun or after using

44

MMWR/June 10, 2016/Vol. 65/No. 6

a sunlamp or other indoor tanning device) one or more times


during the 12 months before the survey (i.e., had a sunburn)
(Table 123). The prevalence of having had a sunburn was
higher among female (59.8%) than male (52.0%) students;
higher among white female (77.7%) and Hispanic female
(43.8%) than white male (67.6%) and Hispanic male (38.0%)
students, respectively; and higher among 9th-grade female
(60.0%), 10th-grade female (58.9%), and 11th-grade female
(60.7%) than 9th-grade male (50.4%), 10th-grade male
(52.9%), and 11th-grade male (52.4%) students, respectively.
The prevalence of having had a sunburn was higher among
white (72.5%) and Hispanic (40.8%) than black (15.0%)
students, higher among white (72.5%) than Hispanic (40.8%)
students, higher among white female (77.7%) and Hispanic
female (43.8%) than black female (16.2%) students, higher
among white female (77.7%) than Hispanic female (43.8%)
students, higher among white male (67.6%) and Hispanic
male (38.0%) than black male (13.4%) students, and higher
among white male (67.6%) than Hispanic male (38.0%)
students. Because the question measuring the prevalence of
having had a sunburn was used for the first time in the 2015
national YRBS, long-term temporal trends and 2-year temporal
changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in
2015. As a result, the range and median prevalence estimates
across states and large urban school districts for the prevalence
of having had a sunburn are not available.

Avoided Food Because of Allergic Reaction Risk


Nationwide, 16.0% of students avoided some foods because
eating the food could cause an allergic reaction (such as skin
rashes, swelling, itching, vomiting, coughing, or trouble
breathing) (Table 124). The prevalence of avoiding food
because eating the food could cause an allergic reaction was
higher among female (19.9%) than male (12.0%) students;
higher among white female (19.5%) and Hispanic female
(18.2%) than white male (11.3%) and Hispanic male (10.2%)
students, respectively; and higher among 9th-grade female
(24.3%), 10th-grade female (17.6%), 11th-grade female
(19.0%), and 12th-grade female (18.8%) than 9th-grade
male (13.5%), 10th-grade male (12.5%), 11th-grade male
(10.7%), and 12th-grade male (11.3%) students, respectively.
The prevalence of avoiding food because eating the food could
cause an allergic reaction was higher among black (20.7%) than
white (15.4%) and Hispanic (14.1%) students and higher among
black male (18.8%) than white male (11.3%) and Hispanic
male (10.2%) students. The prevalence of avoiding food because
eating the food could cause an allergic reaction was higher among
9th-grade (18.7%) than 10th-grade (15.2%), 11th-grade (14.8%),

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

and 12th-grade (14.9%) students and higher among 9th-grade


female (24.3%) than 10th-grade female (17.6%), 11th-grade
female (19.0%), and 12th-grade female (18.8%) students. Because
the question measuring the prevalence of avoiding food because
eating the food could cause an allergic reaction was used for the
first time in the 2015 national YRBS, long-term temporal trends
and 2-year temporal changes are not available.
This question was not included in the standard questionnaire
used in the state and large urban school district surveys in 2015.
As a result, the range and median prevalence estimates across
states and large urban school districts for the prevalence of
avoiding food because eating the food could cause an allergic
reaction are not available.

Discussion
YRBSS is the largest public health surveillance system in the
United States monitoring a broad range of health behaviors among
high school students. YRBSS data are used widely to compare the
prevalence of health behaviors among subpopulations of students;
assess trends in health behaviors over time; monitor progress
toward achieving national health objectives; provide comparable
state and large urban school district data; and help develop, assess,
and improve school and community policies, programs, and
practices designed to decrease health-risk behaviors and improve
health outcomes among youth.

Compare Health Behavior Prevalence


Among Subpopulations of Students
YRBSS is designed to identify how health behaviors vary by
subpopulations of high school students defined by sex and race/
ethnicity. Understanding these variations (or lack of variation)
in health behaviors might help design, target, and identify
the impact of school and community policies, programs, and
practices. However, YRBSS data cannot isolate the effects of sex
and race/ethnicity from the effects of socioeconomic status (SES)
or culture on the prevalence of health behaviors. For example,
in a national study, the likelihood of behavioral cardiovascular
disease risks, including obesity, sedentary behaviors, and tobacco
exposure, increased among adolescents aged 1217 years as the
SES based on poverty-income ratio decreased (14).

Variations by Sex
The prevalence of most health behaviors varies by sex. For
example, the prevalence of two injury-related behaviors (rarely
or never wearing a seatbelt and driving when drinking alcohol)
was higher among male than female students. The prevalence of
seven violence-related behaviors (carrying a weapon, carrying a
gun, carrying a weapon on school property, being threatened or

injured with a weapon on school property, being in a physical


fight, being injured in a physical fight, and being in a physical
fight on school property) was also higher among male than
female students. However, the prevalence of having not gone to
school because of safety concerns, being electronically bullied,
being bullied on school property, being forced to have sexual
intercourse, physical dating violence, and sexual dating violence
was higher among female than male students. The prevalence
of all five suicide-related behaviors (feeling sad or hopeless,
seriously considering attempting suicide, having made a suicide
plan, attempting suicide, and having made a suicide attempt
resulting in an injury, poisoning, or overdose that had to be
treated by a doctor or nurse) also was higher among female
than male students. Rarely or never wearing a bicycle helmet,
riding with a driver who had been drinking alcohol, and texting
or e-mailing while driving did not vary by sex.
The prevalence of nine tobacco use risk behaviors (smoking a
whole cigarette before age 13 years; current cigarette use; usually
obtaining their own cigarettes by buying them in a store or gas
station; current smokeless tobacco use; current cigar use; current
electronic vapor product use; current cigarette or cigar use; current
cigarette, cigar, or smokeless tobacco use; and current cigarette,
cigar, smokeless tobacco, or electronic vapor product use) was higher
among male than female students. Having tried to quit smoking
cigarettes, the only health promoting tobacco use behavior, had
a higher prevalence among female than male students. However,
the prevalence of six tobacco use behaviors (ever trying cigarette
smoking, current frequent cigarette use, smoking more than
10 cigarettes per day, currently smoking cigarettes daily, usually
obtaining their own cigarettes by buying them on the Internet, and
ever use of electronic vapor products) did not vary by sex.
The prevalence of 14 of the 21 alcohol and other drug use
behaviors (drinking alcohol before age 13 years; having 10 or
more as the largest number of drinks of alcohol in a row; trying
marijuana before age 13 years; current marijuana use; ever
using synthetic marijuana; ever using hallucinogenic drugs; ever
using cocaine; ever using ecstasy; ever using heroin; ever using
methamphetamines; ever taking steroids without a doctors
prescription; ever taking prescription drugs without a doctors
prescription; ever injecting any illegal drug; and being offered,
sold, or given an illegal drug on school property) was higher
among male than female students. However, the prevalence of
ever drinking alcohol, usually obtaining the alcohol they drank
by someone giving it to them, and usually using marijuana by
smoking it was higher among female than male students. Four
alcohol and other drug use behaviors (current alcohol use, having
five or more drinks of alcohol in a row, ever using marijuana, and
ever using inhalants) did not vary by sex.
The prevalence of four risk (ever having had sexual intercourse,
having sexual intercourse before age 13 years, having sexual

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

45

Surveillance Summaries

intercourse with four or more persons during their life, and


drinking alcohol or using drugs before last sexual intercourse) and
one protective (condom use) sexual behavior was higher among
male than female students, while the prevalence of five protective
sexual behaviors (birth control pill use; IUD or implant use; shot,
patch, or birth control ring use; birth control pill, IUD or implant,
or shot, patch, or birth control ring use; and both condom use and
birth control pill; IUD or implant; or shot, patch, or birth control
ring use) was higher among female than male students. Current
sexual activity, not using any method to prevent pregnancy, and
having ever been tested for HIV did not vary by sex.
The prevalence of 17 of the 26 dietary behaviors (not eating
fruit or drinking 100% fruit juices; eating fruit or drinking
100% fruit juices two or more times and three or more times per
day; not eating vegetables; eating vegetables two or more times
and three or more times per day; drinking one or more, two or
more, and three or more glasses of milk per day; drinking soda or
pop one or more, two or more, and three or more times per day;
drinking sports drinks one or more, two or more, and three or
more times per day; drinking three or more glasses of water per
day; and eating breakfast on all 7 days) was higher among male
than female students. In contrast, the prevalence of only three
dietary behaviors (not drinking milk, not drinking soda or pop,
and not drinking sports drinks) was higher among female than
male students. Eating fruit or drinking 100% fruit juices one or
more times per day, eating vegetables one or more times per day,
not drinking water, drinking one or more and two or more glasses
of water per day, and not eating breakfast did not vary by sex.
The prevalence of six of the nine physical activity behaviors
(being physically active at least 60 minutes per day on 5 or more
days, being physically active at least 60 minutes per day on all
7 days, participating in muscle strengthening activities, attending
physical education classes, attending physical education classes
daily, and playing on at least one sports team) was higher among
male than female students. Only one physical activity behavior
(not participating in at least 60 minutes of physical activity on
at least 1 day) had a higher prevalence among female than male
students. Using computers 3 or more hours per day and watching
television 3 or more hours per day did not vary by sex.
The prevalence of obesity was higher among male than
female students, and the prevalence of overweight did not vary
by sex. The prevalence of describing themselves as overweight
and trying to lose weight was higher among female than male
students. Male students had a higher prevalence than female
students of getting eight or more hours of sleep on an average
school night, while female students had a higher prevalence
than male students of using an indoor tanning device, having
had a sunburn, and avoiding foods because of the risk of allergic
reactions. Ever having had asthma and having seen a dentist
did not vary by sex.
46

MMWR/June 10, 2016/Vol. 65/No. 6

Variations by Race/Ethnicity
The prevalence of most health behaviors varies by race/ethnicity.
The prevalence of 24 behaviors (12 risk and 12 protective) was
higher among white than black and Hispanic students, the
prevalence of 12 risk behaviors was higher among black than white
and Hispanic students, and the prevalence of 10 risk behaviors was
higher among Hispanic than white and black students. Twentythree behaviors did not vary by race/ethnicity.
White students had a higher prevalence than black and
Hispanic students of four injury-related risk behaviors
(texting or e-mailing while driving, carrying a weapon, being
electronically bullied, and bullying on school property),
six tobacco-use related risk behaviors (current cigarette use;
current frequent cigarette use; currently smoked cigarettes
daily; current smokeless tobacco use; current cigarette or
cigar use; and current cigarette, cigar, or smokeless tobacco
use), three protective sexual behaviors (birth control pill use;
birth control pill, IUD or implant, or shot, patch, or birth
control ring use; and both condom use and birth control pill,
IUD or implant, or shot, patch, or birth control ring use),
six protective dietary behaviors (eating vegetables one or more
times per day, drinking one or more and two or more glasses
of milk per day, not drinking soda or pop, not drinking sports
drinks, and drinking one or more glasses of water per day),
two protective physical activity behaviors (being physically
active at least 60 minutes per day on 5 or more days and being
physically active at least 60 minutes per day on all 7 days),
and three additional behaviors (having seen a dentist, indoor
tanning device use, and having had a sunburn).
Black students had a higher prevalence than white and
Hispanic students of two injury-related risk behaviors (rarely or
never wearing a seatbelt and being in a physical fight), two sexual
risk behaviors (having sexual intercourse before age 13 years
and having sexual intercourse with four or more persons during
their life), four dietary risk behaviors (not eating vegetables, not
drinking milk, drinking sports drinks two or more times per day,
and not drinking water), two physical activity risk behaviors
(not participating in at least 60 minutes of physical activity on
at least 1 day and watching television 3 or more hours per day),
having had asthma, and avoiding food because eating the food
could cause an allergic reaction.
Hispanic students had a higher prevalence than white and
black students of riding with a driver who had been drinking
alcohol, feeling sad or hopeless, ever using electronic vapor
products, five alcohol or other drug use behaviors (drinking
alcohol before age 13 years; ever using synthetic marijuana;
ever using cocaine; ever using ecstasy; and being offered, sold or
given an illegal drug on school property), describing themselves
as overweight, and trying to lose weight.

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

The prevalence of seven injury-related behaviors (driving when


drinking alcohol, carrying a gun, carrying a weapon on school
property, being forced to have sexual intercourse, physical dating
violence, sexual dating violence, and having made a suicide
plan), six tobacco-related behaviors (ever tried cigarette smoking,
smoking a whole cigarette before age 13 years, smoking more
than 10 cigarettes per day, usually obtaining their own cigarettes
by buying them on the Internet, having tried to quit smoking
cigarettes, and current cigar use), two drug-related behaviors
(usually using marijuana by smoking it and ever using inhalants),
three sexual behaviors (currently sexually active, IUD or implant
use, and drinking alcohol or using drugs before last sexual
intercourse), four dietary behaviors (not eating fruit or drinking
100% fruit juices, eating fruit or drinking 100% fruit juices one
or more times per day, and drinking soda or pop one or more
and two or more times per day), and participating in muscle
strengthening exercises did not vary at all by race/ethnicity.

Assess Trends in Health Behaviors


Over Time
Because YRBSS has been implemented since 1991, YRBSS
data can be used to assess both long-term temporal trends (i.e.,
as long as 24 years) and more recent 2-year temporal changes
in health behaviors. This reports describes many long-term
linear increases and decreases in prevalence, which reflect real
reductions in risk behaviors and potential improvements in
health outcomes among high school students nationwide.
Long-term linear decreases occurred overall in the prevalence
of all three behaviors (for which long-term trend data were
available) that contribute to unintentional injuries (rarely or
never wore a bicycle helmet, rarely or never wore a seatbelt,
and rode with a driver who had been drinking alcohol).
However, based on significant quadratic trends, the prevalence
of rarely or never wearing a bicycle helmet has not changed
since 2001. Long-term linear decreases also occurred overall in
the prevalence of eight of the 11 violence-related behaviors for
which long-term trend data were available (carrying a weapon,
carrying a gun, carrying a weapon on school property, being
threatened or injured with a weapon on school property, being
in a physical fight, being injured in a physical fight, being in
a physical fight on school property, and being forced to have
sexual intercourse). However, a long-term linear increase was
identified in the prevalence of having not gone to school because
of safety concerns; no long-term linear changes were identified
in the prevalence of being electronically bullied and being
bullied on school property; and, based on significant quadratic
trends, the prevalence of carrying a weapon and carrying gun
has not changed since 1997. In addition, long-term linear
decreases occurred overall in the prevalence of three of the

five suicide-related behaviors (seriously considering attempting


suicide, having made a suicide plan, and attempting suicide).
Based on significant quadratic trends, the prevalence of having
made a suicide plan and attempting suicide increased since 2009.
Long-term linear decreases occurred overall in the prevalence
of nine of the 10 tobacco use-related risk behaviors (for which
long-term trend data were available) (ever trying cigarette
smoking; smoking a whole cigarette before age 13 years; current
cigarette use; current frequent cigarette use; smoking more
than 10 cigarettes per day; currently smoking cigarettes daily;
current cigar use; current cigarette or cigar use; and current
cigarette, cigar, or smokeless tobacco use). The prevalence
of current smokeless tobacco use was the only tobacco-use
related risk behavior for which a long-term linear decrease
was not identified. In addition, a long-term linear decrease
was identified in the prevalence of the one tobacco use-related
protective behavior (having tried to quit smoking cigarettes).
Long-term linear decreases occurred overall in the prevalence
of 13 of the 18 alcohol- and other drug use-related behaviors (for
which long-term trend data were available) (ever drinking alcohol;
drinking alcohol before age 13 years; current alcohol use; having
five or more drinks of alcohol in a row; trying marijuana before age
13 years; ever using hallucinogenic drugs; ever using cocaine; ever
using ecstasy; ever using heroin; ever using methamphetamines;
ever taking prescription drugs without a doctors prescription; ever
using inhalants; and being offered, sold, or given an illegal drug on
school property). No long-term linear trends were identified in the
prevalence of usually obtaining the alcohol they drank by someone
giving it to them, ever using marijuana, current marijuana use, ever
taking steroids without a doctors prescription, and ever injecting
any illegal drug. However, based on significant quadratic trends,
ever using marijuana decreased since 1997, current marijuana
use decreased since 1995, ever taking steroids without a doctors
prescription decreased since 2001, and ever injecting any illegal
drug decreased since 2011.
Long-term linear decreases occurred overall in the prevalence of
five sexual risk behaviors (ever having had sexual intercourse, having
sexual intercourse before age 13 years, having sexual intercourse with
four or more partners, being currently sexually active, and not using
any method to prevent pregnancy) and a long-term linear increase
occurred overall in the prevalence of condom use; IUD or implant
use; and birth control pill, IUD or implant, or shot, patch, or birth
control ring use. However, although a long-term linear increase in
the prevalence of condom use was identified, a significant quadratic
trend indicated that the prevalence of condom use decreased since
2003. In addition, a long-term linear decrease occurred in the
prevalence of having ever been tested for HIV.
Long-term linear decreases in the prevalence of not eating fruit
or drinking 100% fruit juices and drinking soda or pop one or
more, two or more, and three or more times per day and long-term

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

47

Surveillance Summaries

linear increases in eating vegetables three or more times per day


and not drinking soda or pop are positive trends. However, longterm linear decreases in the prevalence of eating fruit or drinking
100% fruit juices three or more times per day and long-term linear
increases in not eating vegetables are negative trends. Similarly, the
long-term linear decrease in the prevalence of watching television
3 or more hours per day which represents a decrease in sedentary
behaviors is probably offset by the long-term linear increase in
the prevalence of using computers three or more hours per day.

Monitor Progress Toward Achieving


National Health Objectives
The national YRBS is the primary source of data to measure
21 Healthy People 2020 objectives, including one leading health
indicator (15). The Healthy People 2020 objectives provide a
comprehensive agenda for improving the health of all persons
in the United States during 20112020. This report provides
the Healthy People 2020 targets and data from the 2015 national
YRBS for 18 of the 21 objectives measured using the national
YRBS (Table 125). The data indicate that, as of 2015, seven of
these 18 objectives have been achieved, which is nearly double the
number met when the 2013 national YRBS data were reported
in 2014 (16). Healthy People 2020 objective C-20.3 is to reduce
the proportion of adolescents in grades 912 who report using
artificial sources of ultraviolet light for tanning to 14.0%. During
2015, 7.3% of high school students nationwide had used an
indoor tanning device (e.g., sunlamp, sunbed, or tanning booth)
one or more times during the 12 months before the survey.
Healthy People 2020 objective IVP-34 is to reduce physical
fighting among adolescents to 28.4%. During 2015, 22.6% of
high school students nationwide had been in a physical fight one
or more times during the 12 months before the survey. Healthy
People 2020 objective IVP-36 is to reduce weapon carrying by
adolescents on school property to 4.6%. During 2015, 4.1%
of high school students nationwide had carried a weapon on
school property on at least 1 day during the 30 days before the
survey. Healthy People 2020 objective PA-8.2.3 is to increase
the proportion of adolescents in grades 9 through 12 who view
television, videos, or play video games for no more than 2 hours
per day. During 2015, 75.3% of high school students nationwide
watched television for no more than 2 hours per day on an average
school day. Healthy People 2020 objective SA-1 is to reduce the
proportion of adolescents who report that they rode, during the
previous 30 days, with a driver who had been drinking alcohol to
25.5%. During 2015, 20.0% of high school students nationwide
had ridden in a car or other vehicle driven by someone who had
been drinking alcohol one or more times during the 30 days before
the survey. Healthy People 2020 objective TU-2.1 is to reduce the
proportion of adolescents who use tobacco products during the

48

MMWR/June 10, 2016/Vol. 65/No. 6

past 30 days to 21.0%. During 2015, 17.0% of high school


students nationwide smoked cigarettes; used chewing tobacco,
snuff, or dip; or smoked cigars, cigarillos, or little cigars on at
least one day during the 30 days before the survey. Healthy People
2020 objective TU-2.2 is to reduce the proportion of adolescents
who use cigarettes during the past 30 days to 16.0%. During
2015, 10.8% of high school students smoked cigarettes on at
least one day during the 30 days before the survey. Although
Table 125 indicates that Healthy People 2020 objective PA-3.1 to
increase the proportion of adolescents who meet current Federal
physical activity guidelines for aerobic activity has been met, the
2015 YRBS prevalence estimate for aerobic physical activity is not
comparable to the baseline prevalence estimate upon which the
target was set because of a change in the context of the question
starting with the 2011 national YRBS questionnaire.
To meet additional Healthy People 2020 objectives, positive
changes in school and community policies, programs, and
practices might be needed. For example, Healthy People 2020
objective IVP-35 is to reduce bullying among adolescents to
17.9%. During 2015, 20.2% of high school students nationwide
were bullied on school property during the 12 months before
the survey. Similarly, Healthy People 2020 objective SH-3 is to
increase the proportion of students in grades 9 through 12 who
get sufficient sleep to 33.2%. During 2015, 27.3% of high
school students nationwide got 8 or more hours of sleep on an
average school night.

Provide Comparable State and Large


Urban School District Data
One of the strengths of YRBSS is that it provides not just
national but state and large urban school district data. These data
are more likely to be used to develop, improve, and evaluate state
and local policies, programs, and practices because they reflect
a more relevant population. It is also possible to compare data
from the state and large urban school district surveys because
they share similar sample designs, questionnaires, data collection
procedures, and data processing procedures.
Across states, a range of 25 or more percentage points or a
fivefold variation or greater was identified for the following
15 behaviors:
rarely or never wore a bicycle helmet (minimum: 53.0%;
maximum: 94.1%);
texted or e-mailed while driving (minimum: 26.1%;
maximum: 63.2%);
carried a weapon on school property (minimum: 2.0%;
maximum: 10.7%);
smoked more than 10 cigarettes per day (minimum: 2.0%;
maximum: 14.6%);

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

currently smoked cigarettes daily (minimum: 1.0%;


maximum: 5.4%);
usually obtained their own cigarettes by buying them on
the Internet (minimum: 0.0%; maximum: 6.0%);
ever used heroin (minimum: 0.9%; maximum: 5.9%);
ever injected any illegal drug (minimum: 1.0%;
maximum: 5.4%);
IUD or implant use (minimum: 1.3%; maximum: 9.7%);
shot, patch, or birth control ring use (minimum: 1.6%;
maximum: 9.5%);
birth control pill; IUD or implant; or shot, patch, or birth
control ring use (minimum: 17.5%; maximum: 47.3%);
ate vegetables one or more times per day (minimum:
46.7%; maximum: 72.3%);
drank one or more glasses of milk per day (minimum:
23.0%; maximum: 51.6%);
attended physical education classes (minimum: 29.9%;
maximum: 87.8%); and
attended physical education classes daily (minimum:
5.8%; maximum: 60.7%).
Across large urban school districts, a range of 25 or more
percentage points or a fivefold variation or greater was
identified for the following 16 behaviors:
rarely or never wore a bicycle helmet (minimum: 55.1%;
maximum: 95.6%);
being in a physical fight (minimum: 13.9%;
maximum: 42.5%);
smoked more than 10 cigarettes per day (minimum: 0.9%;
maximum: 12.8%);
currently smoked cigarettes daily (minimum: 0.3%;
maximum: 1.6%);
usually obtained their own cigarettes by buying them in
a store or gas station (minimum: 14.9%; maximum: 64.5%);
tried to quit smoking cigarettes (minimum: 35.7%;
maximum: 81.8%);
ever used heroin (minimum: 1.5%; maximum: 8.3%);
ever had sexual intercourse (minimum: 25.9%; maximum:
52.4%);
IUD or implant use (minimum: 0.5%; maximum: 16.9%);
shot, patch, or birth control ring use (minimum: 1.1%;
maximum: 10.5%);
birth control pill; IUD or implant; or shot, patch, or birth
control ring use (minimum: 10.4%; maximum: 37.6%);
ever been tested for HIV (minimum: 7.0%;
maximum: 37.4%);
drank soda or pop three or more times per day (minimum:
2.6%; maximum: 13.5%);
ate breakfast on all 7 days (minimum: 16.4%;
maximum: 44.6%);

attended physical education classes (minimum: 33.4%;


maximum: 84.0%); and
attended physical education classes daily (minimum: 8.6%;
maximum: 42.7%).
Across states, the health behaviors with a range of 25 or more
percentage points or a five-fold variation or greater were fairly
evenly distributed across the following categories of behaviors:
injury and violence (three), cigarette use (three), other drug
use (two), birth control use (three), dietary behaviors (two),
and physical activity (two). In contrast, across the large urban
school districts, 81% of the health behaviors with a range of
25 or more percentage points or a five-fold variation or greater
were distributed across just three categories of behaviors: cigarette
use (four), sexual behaviors (four), and dietary behaviors and
physical activity (four). The variations in ranges might reflect
differences in state and local laws and policies, enforcement
practices, access to drugs, availability of effective school and
community interventions, prevailing behavioral and social
norms, demographic characteristics of the population, and adult
practices and health behaviors and also highlight how changes
in one or more of these factors might contribute to reductions
in health-risk behaviors among high school students.

Develop, Assess, and Improve HealthRelated Policies, Programs, and Practices


In addition to measuring progress toward achieving Healthy
People 2020 objectives, CDC and other federal agencies
use YRBS data in a variety or reports and publications to
stimulate support for and improvements in public health
interventions, including 2015 NCHHSTP State Health
Profiles (17), Indicators for Chronic Disease Surveillance (18),
Americas Children: Key National Indicators of Well-Being,
2015 (19), and Prevention Status Reports (20). CDC also
uses YRBS data to assess the impact of funding initiatives.
More specifically, YRBS data are a primary data source for
monitoring the impact of two major CDC cooperative
agreements: Promoting Adolescent Health Through SchoolBased HIV/STD Prevention and School-Based Surveillance
(http://www.cdc.gov/healthyyouth/fundedpartners/1308/
pdf/rfa-1308.pdf ) and State Public Health Actions to Prevent
and Control Diabetes, Heart Disease, Obesity and Associated
Risk Factors and Promote School Health (http://www.cdc.gov/
chronicdisease/about/state-public-health-actions.htm).
At the state and local level, health and education agencies and
nongovernmental organizations use YRBS data in a variety of
ways to improve health-related policies, programs, and practices.
For example, Connecticuts YRBS data on sexual behaviors were
used by the Connecticut State Board of Education to support
inclusion of comprehensive sexuality education in their position

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

49

Surveillance Summaries

statement on coordinated school health and by the Connecticut


Department of Education to help develop Guidelines for the
Sexual Health Education Component of Comprehensive Health
Education for local school districts on best practice policies,
programs, and instruction in sexual health education. Boston
Public Schools used their YRBS data on sexual behaviors in an
annual presentation to the Boston City Council to demonstrate
the need for sexual health education and services and to garner
support for the District Wellness Policy requiring schools to
teach comprehensive sexual health education and provide sexual
health services, including distribution of condoms at the high
school level. The Hawaii Department of Health used the dietary
behavior data from their YRBS to support their public education
campaign (on television, in malls, and in movie theatres) to reduce
youth consumption of sugar-sweetened beverages and to track the
impact of school wellness policies which restrict access to sugarsweetened beverages on campus and at school-sponsored events.
The Los Angeles Unified School District used their YRBS data
to support a new Los Angeles County ordinance on electronic
vapor products and to support passage of a city-wide ordinance
banning electronic vapor products from public spaces, bars, and
restaurants. Montana YRBS data on bullying were used to support
passage of a new Student Protections Procedures rule requiring
schools to address bullying and threatening behavior in schools,
on school buses, at school-sponsored activities, and online and to
create a BullyFree Montana website and toolkit. The Bureau of
Children, Youth, and Families used New York City YRBS data on
attempted suicide to support a mental health awareness campaign
for teens that included videos and other online resources on New
York Citys dedicated web site for teens and that is available as part
of the Teen Talk Toolkit distributed to health educators in New
York City public middle and high schools.

Limitations
The findings in this report are subject to at least four
limitations. First, these data apply only to youth who attend
school and, therefore, are not representative of all persons in this
age group. Nationwide, in 2012, of persons aged 1617 years,
approximately 3% were not enrolled in a high school program
and had not completed high school (21). Second, the extent
of underreporting or overreporting of behaviors cannot be
determined, although the survey questions demonstrate good
test-retest reliability (5,8). Third, BMI is calculated on the
basis of self-reported height and weight, and, therefore, tends
to underestimate the prevalence of obesity and overweight (22).
Fourth, not all states and large urban school districts include
all of the standard questions on their YRBS questionnaire.

50

MMWR/June 10, 2016/Vol. 65/No. 6

Conclusions
YRBSS is an ongoing source of high-quality data at the national,
state, and large urban school district levels for monitoring health
behaviors that contribute to the leading causes of mortality and
morbidity among youth and adults in the United States. In 2015,
in addition to the national data, 37 states and 19 large urban school
districts obtained data representative of their high school students.
YRBSS data are an important tool for planning, implementing,
and evaluating public health policies, programs, and practices in
each of these jurisdictions. Although beyond the scope of this
report, a particular strength of YRBSS (as compared to more
narrowly focused surveys) is that it allows analysis of the interrelationships among health behaviors (e.g., how alcohol and other
drug use is associated with sexual behaviors). Similarly, because of
its long history and consistent methodology, YRBSS can identify
not only national long-term temporal trends in health behaviors
overall as described in this report, but also long-term trends among
subgroups of students (e.g., by sex or race/ethnicity) and long-term
temporal trends at the state and large urban school district levels.
These trend analyses are particularly valuable for understanding
the impact of broad public health and school health policies and
practices designed to improve the health outcomes of students.
To maintain the quality of YRBSS data, increased support
for YRBSS, enhanced training and technical assistance for
participating state and local health and education agencies, an
increase in the number of states with representative data, more
substate surveys at the large urban school district and countyor school-district level, and more universal use of all standard
questions are needed. Further, to sustain the surveillance system
over time, it is important to understand the impact of new
education and public health laws, policies, and practices related
to data collection that might threaten the quality of YRBSS and
its ability to generate critical data for informing future efforts to
protect and promote the health of youth nationwide.
References
1. CDC. Underlying cause of death 19992014 on CDC WONDER
online database, released 2015. Data are from the Multiple Cause of
Death Files, 19992014, as compiled from data provided by the 57 vital
statistics jurisdictions through the Vital Statistics Cooperative Program.
http://wonder.cdc.gov/ucd-icd10.html
2. Martin JA, Hamilton BE, Osterman MJK, Curtin SC, Mathews TJ.
Births: final data for 2013. National Vital Statistics Reports, 2015;64:1
66. http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_01.pdf
3. CDC. Sexually transmitted disease surveillance 2014. Atlanta: US
Department of Health and Human Services; 2015. http://www.cdc.
gov/std/stats14/surv-2014-print.pdf
4. CDC. HIV surveillance report, 2014; vol. 26. http://www.cdc.gov/hiv/
library/reports/surveillance
5. Brener ND, Kann L, Kinchen S, et al. Methodology of the Youth
Risk Behavior Surveillance System2013. MMWR Recomm Rep
2013;62(No RR-1).

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

6. US Department of Education, National Center for Education Statistics.


Common core of data public elementary/secondary school universe survey:
school year 201314. Washington, DC: US Department of Education,
National Center for Education Statistics. http://nces.ed.gov/ccd
7. MDR National Education Database Master Extract, Shelton, CT: Market
Data Retrieval, Inc.: April 29, 2014.
8. Brener ND, Kann L, McManus T, et al. Reliability of the 1999 Youth
Risk Behavior Survey questionnaire. J Adolesc Health 2002;31:33642.
9. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, et al. CDC growth
charts: United States. In: Advance data from vital and health statistics,
no. 314. Hyattsville, MD: National Center for Health Statistics; 2000.
10. SAS Institute, Inc. SAS, version 9.3 [software and documentation]. Cary,
NC: SAS Institute; 2010.
11. Research Triangle Institute. SUDAAN, version 11.0.0 [software and
documentation]. Research Triangle Park, NC: Research Triangle
Institute; 2012.
12. Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral
sciences. 5th ed. Boston, MA: Houghton Mifflin Co; 2003.
13. National Cancer Institute. Joinpoint Regression Program, 2013. http://
surveillance.cancer.gov/joinpoint
14. Ali MK, McKeever Bullard K, Beckles GL, et al. Household income and
cardiovascular disease risks in U.S. children and young adults. Diabetes
Care 2011;34:19982004.

15. US Department of Health and Human Services. Office of Disease


Prevention Health Promotion. Healthy people 2020. Washington, DC.
http://www.healthypeople.gov
16. Kann L, Kinchen S, Shanklin SL, et al. Youth risk behavior surveillance
United States, 2013. MMWR Surveill Summ 2014;63(No. SS-4).
17. CDC. 2015 NCHHSTP State health profiles. http://www.cdc.gov/
nchhstp/stateprofiles/default.htm
18. CDC. Indicators for chronic disease surveillanceUnited States, 2013.
MMWR Recomm Rep 2015;64(No. RR-1).
19. Federal Interagency Forum on Child and Family Statistics. Americas
children: key national indicators of well-being, 2015. Washington, DC:
U.S. Government Printing Office; 2015. http://www.childstats.gov/
americaschildren/index.asp
20. CDC. Prevention status reports 2013. http://www.cdc.gov/psr/overview.html
21. Stark P, Noel AM. Trends in high school dropout and completion rates
in the United States: 19722012 (NCES 2015-015). US Department of
Education. Washington, DC: National Center for Education Statistics;
2015. http://nces.ed.gov/pubs2015/2015015.pdf
22. Brener ND, McManus T, Galuska DA, Lowry R, Wechsler H. Reliability
and validity of self-reported height and weight among high school
students. J Adolesc Health 2003;32:2817.

State and Large Urban School District Youth Risk Behavior Survey Coordinators
States: Alabama, Sarah Khalidi, MPH, Department of Public Health; Alaska, Kathleen Oliver, Department of Health and Social Service; Arizona, Tori Havins,
MPA, Department of Education; Arkansas, Kathleen Courtney, MS, Department of Education; California, Daniela Torres, MPH, Department of Education;
Connecticut, Celeste Jorge, MPH, Department of Public Health; Delaware, Fred Breukelman, Department of Health and Social Services; Florida, Thomas
Troelstrup, MPH, Department of Health; Hawaii, Robert Hesia, MA, Department of Education; Idaho, Lisa Kramer, Department of Education; Illinois, Jessica
Gerdes, MS, State Board of Education; Indiana, Robyn Matthews, MPH, Department of Health; Kentucky, Stephanie Bunge, MEd, Department of Education;
Maine, Jean Zimmerman, MS, Department of Education; Maryland, Robert Fiedler, JD, Department of Health & Mental Hygiene; Massachusetts, Chiniqua
Milligan, MPH, Department of Elementary and Secondary Education; Michigan, Kim Kovalchick, MPH, Department of Education; Mississippi, LaTina
Morgan, MSEd, Department of Education; Missouri, Janet S. Wilson, MEd, Department of Health and Senior Services; Montana, Susan Court, Office of Public
Instruction; Nebraska, Julane Hill, Department of Education; Nevada, Amberlee Baxa, MPH, Division of Public and Behavioral Health; New Hampshire, Irene
Koffink, Department of Education; New Mexico, Cris Kimbrough, MA, Public Education Department; New York, Martha Morrissey, MA, State Department
of Education; North Carolina, Ellen Essick, PhD, Department of Public Instruction; North Dakota, Valerie Fischer, MSEd, Department of Public Instruction;
Oklahoma, Thad Burk, MPH, Department of Health; Pennsylvania, Nicholas Slotterback, MEd, Department of Education; Rhode Island, Tara Cooper, MPH,
Department of Health; South Carolina, Sabrina Moore, PhD, Department of Education; South Dakota, Deni Hollingsworth, Department of Health; Tennessee,
Mark Bloodworth, EdS (abd), Department of Education; Vermont, Kristen Murray, PhD, Department of Health; Virginia, Sarah Conklin, PhD, Department of
Health; West Virginia, Birgit Shanholtzer, MA, Department of Education; Wyoming, Donal Mattimoe, Department of Education.
Large Urban School Districts: Baltimore, MD, Alexia Lotts-McCain, MEd, Baltimore City Public Schools; Boston, MA, Katia Miller, MPH, Boston Public
Schools; Broward County, FL, Sebrina James, EdS, Broward County Public Schools; Cleveland, OH, Deborah Aloshen, MEd, Cleveland Metropolitan School
District; DeKalb County, GA, Jessica Grippo, MPH, DeKalb County Board of Health; Detroit, MI, Arlene Richardson, EdD, Detroit Public Schools; District
of Columbia, Omotunde Sowole-West, MPH, Office of the State Superintendent of Education; Duval County, FL, Jamie Wells, MSH, Duval County Public
Schools; Fort Worth, TX, Edward Patterson, MS, Fort Worth Independent School District; Houston, TX, Felicia Ceasar-White, MS, Houston Independent
School District; Los Angeles, CA, Timothy Kordic, MA, Los Angeles Unified School District; Miami, FL, Jonathan Carbone, Miami-Dade County Public
Schools; New York City, NY, Lauren Murray, New York City Department of Health and Mental Hygiene; Oakland, CA, Ilsa Bertolini, Oakland Unified
School District; Orange County, FL, Brenda Christopher-Muench, Orange County Public Schools; Palm Beach, FL, William Stewart, MPH, School District
of Palm Beach County; Philadelphia, PA, Judith Peters, MBA, School District of Philadelphia; San Diego, CA, Rachel Miller, MEd, San Diego Unified School
District; San Francisco, CA, Kim Levine, MHA, San Francisco Unified School District.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

51

Surveillance Summaries

TABLE 1. Number of states and large urban school districts that conducted a Youth Risk Behavior Survey and number with weighted and
unweighted data, by year of survey United States, Youth Risk Behavior Surveillance System, 19912015
Number of states

Number of large urban school districts

Year

Total

Weighted

Unweighted

Total

Weighted

Unweighted

1991
1993
1995
1997
1999
2001
2003
2005
2007
2009
2011
2013
2015

26
40
39
38
41
37
43
44
44
47
47
47
47

9
22
22
24
22
22
32
40
39
42
43
42
37

17
18
17
14
19
15
11
4
5
5
4
5
10

11
14
17
17
17
19
22
23
22
23
22
22
21

7
9
12
15
14
14
20
21
22
20
21
21
19

4
5
5
2
3
5
2
2
0
3
1
1
2

52

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 2. Sample sizes, response rates, and demographic characteristics* United States and selected U.S. sites, Youth Risk Behavior Survey, 2015
Site

Response rate (%)


Student
sample size School Student Overall

National survey
15,624
State surveys
Alabama
1,565
Alaska
1,418
Arizona
2,582
Arkansas
2,880
California
1,943
Connecticut
2,398
Delaware
2,777
Florida
6,359
Hawaii
6,089
Idaho
1,760
Illinois
3,282
Indiana
1,912
Kentucky
2,577
Maine
9,605
Maryland
55,596
Massachusetts
3,120
Michigan
4,816
Mississippi
2,154
Missouri
1,502
Montana
4,486
Nebraska
1,688
Nevada
1,452
New Hampshire
14,837
New Mexico
8,304
New York
10,834
North Carolina
6,178
North Dakota
2,121
Oklahoma
1,611
Pennsylvania
2,899
Rhode Island
3,462
South Carolina
1,358
South Dakota
1,313
Tennessee
4,138
Vermont
21,013
Virginia
5,195
West Virginia
1,622
Wyoming
2,424
Large urban school district surveys
Baltimore, MD
1,052
Boston, MA
1,669
Broward County, FL
1,413
Cleveland, OH
1,705
DeKalb County, GA
1,868
Detroit, MI
1,699
District of Columbia
10,419
Duval County, FL
3,608
Ft. Worth, TX
2,604
Houston, TX
3,077
Los Angeles, CA
2,336
Miami-Dade County, FL
2,728
New York City, NY
8,522
Oakland, CA
1,669
Orange County, FL
1,458
Palm Beach County, FL
2,490
Philadelphia, PA
1,717
San Diego, CA
2,333
San Francisco, CA
2,181

Sex (%)

Grade (%)

Race/Ethnicity (%)

Female

Male

10

11

12

White

Black Hispanic Other

69

86

60

48.7

51.3

27.2

25.7

23.9

23.1

54.5

13.6

22.3

9.7

92
98
75
78
75
82
86
95
100
94
76
73
91
85
100
75
86
90
73
91
84
100
83
94
84
78
90
82
80
88
74
84
100
99
100
100
70

74
64
83
79
89
76
86
75
78
81
80
82
85
78
82
81
77
79
87
87
74
66
85
78
76
77
90
85
80
77
85
79
82
78
84
77
83

68
62
62
62
66
62
73
72
78
77
61
60
77
66
82
61
66
71
63
79
62
66
70
73
64
60
81
69
64
68
63
67
82
77
84
77
64

49.4
48.1
49.2
49.1
48.8
49.1
49.0
49.6
50.1
48.4
49.1
49.1
49.1
48.4
49.2
49.6
49.5
50.1
51.2
48.2
48.6
48.8
48.2
49.1
49.3
49.1
48.5
51.2
49.0
48.9
49.4
48.7
48.0
49.1
48.2
49.1
48.7

50.6
51.9
50.8
50.9
51.2
50.9
51.0
50.4
49.9
51.6
50.9
50.9
50.9
51.6
50.8
50.4
50.5
49.9
48.8
51.8
51.4
51.2
51.8
50.9
50.7
50.9
51.5
48.8
51.0
51.1
50.6
51.3
52.0
50.9
51.8
50.9
51.3

27.2
27.5
27.2
26.6
26.7
26.6
29.4
27.1
28.8
27.2
26.8
26.0
27.6
25.3
28.1
26.3
26.7
28.8
26.5
26.7
25.2
25.9
26.5
29.4
27.2
29.0
25.4
27.3
25.9
25.7
30.0
27.3
27.5
24.9
26.6
28.0
26.7

26.1
25.8
25.6
26.0
25.8
25.2
25.7
26.0
25.0
26.0
25.4
25.4
26.0
25.0
25.1
25.2
26.0
26.2
25.2
25.4
24.8
25.8
25.4
26.1
25.6
26.1
25.4
25.9
25.0
23.8
25.9
26.0
25.8
24.0
25.6
25.4
25.8

23.7
23.7
23.9
23.8
24.1
24.4
22.6
24.2
22.7
24.2
24.1
24.8
23.4
25.0
23.5
24.6
23.7
23.3
24.6
24.3
24.2
24.7
24.4
23.2
23.2
23.6
24.6
24.0
24.3
25.5
22.0
23.4
24.1
26.1
23.6
23.7
23.7

22.8
22.5
23.0
23.0
23.3
23.6
22.0
22.4
23.2
22.5
23.4
23.8
22.7
24.3
22.8
23.6
23.2
21.4
23.6
23.5
25.5
23.5
23.5
21.0
23.4
21.3
24.4
21.9
24.2
24.4
22.0
22.9
22.3
24.7
23.9
22.7
23.3

57.2
48.4
42.0
63.6
26.5
61.3
48.8
42.3
14.4
78.3
55.9
74.6
81.8
91.3
41.9
66.8
71.7
50.0
74.9
82.3
70.3
35.9
88.2
24.4
51.2
53.1
81.7
53.2
71.8
63.2
54.4
76.8
64.6
84.2
52.5
91.2
78.3

33.9
2.8
5.4
21.4
3.3
13.0
30.0
21.8
0.6
1.0
14.8
10.4
10.9
1.4
34.7
8.8
16.0
46.6
16.0
0.6
6.4
9.8
1.5
1.6
16.8
26.9
1.6
8.9
14.7
7.9
37.0
1.2
24.3
2.4
22.7
5.2
0.5

5.3
7.6
42.4
10.4
50.6
19.2
15.3
29.8
8.9
15.8
22.4
8.8
3.6
2.3
12.8
16.0
5.9
1.4
4.6
3.8
16.5
40.1
5.2
60.4
21.4
12.5
3.8
13.2
8.6
22.1
6.1
4.4
8.6
4.6
12.9
1.5
12.0

3.7
41.2
10.1
4.6
19.7
6.5
5.9
6.2
76.1
5.0
6.8
6.2
3.6
5.0
10.5
8.4
6.3
2.0
4.5
13.3
6.8
14.2
5.1
13.6
10.6
7.5
12.9
24.7
4.9
6.8
2.6
17.6
2.5
8.8
11.9
2.0
9.2

100
100
97
100
100
100
92
100
100
100
100
97
90
100
100
96
100
100
100

67
80
74
66
82
67
69
75
75
86
81
80
78
72
79
74
68
88
82

67
80
72
66
82
67
64
75
75
86
81
78
70
72
79
71
68
88
82

48.8
48.9
48.7
47.5
49.5
54.5
50.8
51.8
49.6
48.3
51.1
49.9
49.1
46.5
49.9
49.1
49.9
48.7
47.7

51.2
51.1
51.3
52.5
50.5
45.5
49.2
48.2
50.4
51.7
48.9
50.1
50.9
53.5
50.1
50.9
50.1
51.3
52.3

32.0
28.1
26.0
30.3
30.6
28.6
33.7
27.4
31.5
31.9
30.1
25.7
29.9
25.3
27.5
26.5
28.4
27.9
25.5

24.8
24.4
25.0
27.4
24.8
27.4
24.0
26.4
26.5
25.1
24.9
25.9
26.6
24.9
26.2
25.4
27.2
25.4
25.2

22.7
25.0
24.5
21.4
22.2
22.0
22.0
23.0
22.2
22.3
22.8
24.3
21.8
24.7
23.4
23.5
22.1
23.7
24.5

20.4
21.5
24.2
20.5
21.7
21.9
19.8
22.5
19.6
20.5
22.1
23.7
21.4
24.8
22.2
24.3
22.0
23.0
24.5

6.2
12.8
26.0
8.7
11.7
0.3
5.5
37.1
12.3
8.6
7.8
7.2
13.4
7.4
31.0
38.0
15.3
24.1
7.7

86.9
38.0
38.2
59.4
69.8
85.5
72.5
43.9
21.9
25.4
10.1
21.8
29.9
33.7
25.7
26.3
51.4
8.9
8.2

5.3
35.4
29.2
20.9
11.1
10.5
15.7
9.2
62.0
60.1
73.8
68.7
37.8
38.7
35.5
29.0
20.1
42.6
24.8

1.6
13.8
6.7
11.1
7.4
3.7
6.3
9.8
3.8
5.9
8.4
2.3
18.9
20.2
7.8
6.8
13.2
24.4
59.3

* Weighted population estimates for the United States and each site.
Non-Hispanic.
American Indian or Alaska Native, Asian, Native Hawaiian or other Pacific Islander, and multiple race (non-Hispanic).

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

53

Surveillance Summaries

TABLE 3. Percentage of high school students who rarely or never wore a bicycle helmet* and who rarely or never wore a seat belt, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Rarely or never wore a bicycle helmet
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Rarely or never wore a seat belt

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

75.3
82.6
90.3

(69.480.4)
(68.191.3)
(87.292.8)

77.5
91.6
90.0

(71.482.7)
(86.994.7)
(87.092.4)

76.4
88.2
90.1

(70.581.4)
(80.693.1)
(87.692.1)

3.5
7.6
6.3

(2.35.5)
(4.712.1)
(4.88.2)

5.3
12.4
6.8

(3.67.6)
(8.817.2)
(5.78.1)

4.4
10.1
6.5

(3.16.3)
(7.114.2)
(5.57.8)

78.3
81.9
78.5
82.1
80.1

(72.483.2)
(76.586.3)
(71.584.2)
(76.886.4)
(75.284.3)

80.2
80.4
85.4
84.9
82.4

(74.385.1)
(73.486.0)
(81.088.9)
(80.688.4)
(78.286.0)

79.4
81.1
82.3
83.5
81.4

(74.383.7)
(75.385.8)
(76.686.8)
(79.886.7)
(77.085.1)

5.5
4.5
4.1
5.1
4.9

(4.17.5)
(3.06.6)
(3.05.6)
(3.57.4)
(3.86.3)

7.0
7.6
7.1
6.1
7.2

(5.78.7)
(5.410.7)
(4.610.8)
(4.19.0)
(5.79.0)

6.3
6.0
5.8
5.6
6.1

(5.27.6)
(4.38.3)
(4.08.2)
(4.07.7)
(4.97.6)

* Among the 68.0% of students nationwide who had ridden a bicycle during the 12 months before the survey.
When riding in a car driven by someone else.
95% confidence interval.
Non-Hispanic.

TABLE 4. Percentage of high school students who rarely or never wore a bicycle helmet* and who rarely or never wore a seat belt, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Rarely or never wore a bicycle helmet
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia

Male

Rarely or never wore a seat belt


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

90.3
57.3

90.9
67.3

78.8
85.8

83.1
89.0
91.5

86.4
93.5
82.9
81.0
83.5
83.8
50.8
84.0
76.9
82.4

89.6
81.3

92.2
92.5
86.7
49.3
76.0

(86.193.3)
(51.363.0)

(83.695.1)
(55.377.4)

(74.882.3)
(84.087.4)

(79.985.9)
(82.293.4)
(87.294.4)

(84.088.4)
(89.896.0)
(74.588.9)
(78.083.7)
(79.187.2)
(77.088.9)
(48.153.5)
(81.686.1)
(70.182.5)
(71.489.8)

(84.193.4)
(76.285.5)

(88.295.0)
(86.396.0)
(81.890.5)
(48.150.5)
(70.081.1)

89.6
70.6

92.3
68.3

83.6
89.7

80.9
91.1
86.2

90.2
94.8
88.1
79.8
85.7
85.1
60.5
84.9
79.3
86.9

93.9
84.0

91.6
91.4
89.4
55.8
76.8

(84.693.1)
(65.975.0)

(88.095.2)
(57.077.8)

(79.487.0)
(88.191.1)

(74.985.8)
(87.393.8)
(78.891.3)

(86.792.9)
(91.696.9)
(84.191.2)
(76.982.4)
(82.088.8)
(81.987.8)
(58.062.9)
(82.287.2)
(75.882.4)
(83.389.8)

(91.795.6)
(80.587.0)

(88.893.7)
(86.294.7)
(87.191.4)
(54.756.9)
(71.981.1)

89.6
64.6

91.7
67.6

81.7
87.9

81.9
90.1
88.7

88.4
94.1
85.7
80.3
84.8
84.5
56.3
84.4
78.1
84.7

92.1
82.7

91.9
91.9
88.1
53.0
76.5

(86.592.0)
(59.969.1)

(87.594.5)
(57.576.3)

(78.484.6)
(86.689.1)

(78.085.2)
(85.593.4)
(83.492.5)

(86.090.5)
(91.795.8)
(80.289.8)
(78.182.4)
(82.287.1)
(80.987.4)
(54.358.2)
(82.386.3)
(73.582.0)
(78.589.4)

(88.894.5)
(79.185.7)

(89.293.9)
(87.694.8)
(85.490.3)
(52.253.8)
(71.580.9)

6.3
8.5
8.1
6.1
4.1
7.0
4.9
7.0

4.4
5.2
4.1
6.6
4.6

6.7
8.2
4.4
7.6
8.5
4.4
6.6
4.4

4.8
6.9
4.4
8.6
4.1
4.3
10.0
5.3

4.8

(4.48.9)
(6.511.0)
(4.913.1)
(5.07.4)
(2.85.9)
(5.49.0)
(3.76.6)
(6.27.8)

(3.35.8)
(3.77.2)
(2.66.6)
(5.08.8)
(4.15.2)

(5.28.8)
(6.510.4)
(3.36.0)
(6.48.9)
(6.012.0)
(3.16.1)
(5.87.6)
(3.95.1)

(2.88.3)
(4.99.6)
(3.16.3)
(6.711.0)
(2.47.0)
(3.06.1)
(6.814.6)
(3.77.6)

(3.96.0)

11.6
10.2
10.7
14.4
3.1
9.4
7.1
9.8

6.8
7.1
7.6
11.5
7.7

6.5
13.6
11.9
11.4
13.8
7.6
9.4
7.4

8.0
10.1
6.9
13.0
7.6
6.3
19.1
8.9

7.6

(8.815.1)
(8.412.5)
(7.515.1)
(9.222.1)
(2.04.7)
(7.212.3)
(5.49.4)
(8.211.6)

(4.89.6)
(5.69.1)
(5.410.6)
(8.914.8)
(6.49.1)

(4.88.7)
(10.817.1)
(8.416.8)
(9.513.6)
(11.516.6)
(5.99.6)
(8.610.4)
(6.58.4)

(4.912.7)
(7.812.8)
(4.99.6)
(10.715.9)
(5.89.8)
(4.39.2)
(14.325.1)
(7.610.4)

(6.09.8)

9.1
9.4
9.5
10.4
3.6
8.3
6.3
8.5

5.7
6.3
5.9
9.1
6.3

6.6
11.1
8.1
9.5
11.3
6.2
8.2
6.0

6.5
8.5
5.7
10.9
5.9
5.3
14.6
7.3

6.3

(7.211.4)
(7.811.3)
(6.613.5)
(7.714.1)
(2.55.1)
(6.510.5)
(5.17.7)
(7.49.7)

(4.37.5)
(4.98.0)
(4.38.0)
(7.411.2)
(5.47.2)

(5.57.9)
(9.213.3)
(6.110.9)
(8.211.0)
(9.113.9)
(5.27.4)
(7.58.8)
(5.46.6)

(3.910.4)
(7.010.3)
(4.47.4)
(9.212.9)
(4.38.1)
(4.16.9)
(11.019.3)
(6.08.7)

(5.37.6)

See table footnotes on the next page.

54

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 4. (Continued) Percentage of high school students who rarely or never wore a bicycle helmet* and who rarely or never wore a seat belt,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Rarely or never wore a bicycle helmet
Female
%

Site

Male
CI

West Virginia
85.3 (78.490.3)
Wyoming
80.4 (75.084.9)
Median
83.6
Range
(49.393.5)
Large urban school district surveys
Baltimore, MD
91.6 (87.294.6)
Boston, MA
74.9 (68.880.1)
Broward County, FL
87.8 (83.990.9)
Cleveland, OH
96.2 (94.097.6)
DeKalb County, GA
74.3 (66.680.7)
Detroit, MI
83.2 (78.487.1)
District of Columbia

Duval County, FL
90.3 (87.292.7)
Ft. Worth, TX
87.1 (84.089.7)
Houston, TX
85.5 (82.887.8)
Los Angeles, CA
88.0 (83.091.7)
Miami-Dade County, FL
89.6 (86.792.0)
New York City, NY
84.1 (79.188.1)
Oakland, CA

Orange County, FL
86.5 (81.790.2)
Palm Beach County, FL

Philadelphia, PA
88.0 (82.392.0)
San Diego, CA
68.2 (62.173.7)
San Francisco, CA
49.6 (43.755.5)
Median
86.8
Range
(49.696.2)

Rarely or never wore a seat belt


Total

CI

Female
CI

Total
CI

CI

83.4
79.8

84.2
80.1

9.0
9.5

13.4
11.7

11.2
10.7

90.8
83.3
88.2
96.0
83.8
90.7

90.7
91.8
88.2
84.0
90.9
86.7

90.8

89.9
73.8
58.6

90.1
79.9
87.9
95.6
80.1
86.8

90.1
89.8
86.8
85.8
90.4
85.6

88.9

89.0
71.4
55.1

12.8
18.0
5.1
16.6
7.2
7.1

7.9
4.7
6.9
5.4
7.0

9.8
6.3
7.5
21.8
2.6
6.6

15.4
21.2
9.4
23.6
7.7
11.9

10.9
6.2
9.3
5.9
9.9

9.4
9.1
7.4
21.8
6.3
9.6

14.3
19.8
7.3
20.4
7.6
9.4

9.7
5.5
8.2
5.6
8.7

9.8
7.9
7.7
21.7
4.5
8.2

(75.589.1)
(75.383.7)
85.4
(55.894.8)

(87.293.5)
(79.686.5)
(84.491.2)
(93.997.4)
(79.187.6)
(86.693.6)

(88.292.7)
(89.193.9)
(85.490.5)
(79.887.5)
(88.892.6)
(84.588.5)

(87.793.1)

(87.591.8)
(69.777.5)
(52.664.3)
89.0
(58.696.0)

(77.889.1)
(76.383.5)
84.6
(53.094.1)

Male
CI

(6.512.2)
(7.611.9)
6.2
(4.110.0)

(87.192.5)
(76.383.0)
(85.190.3)
(94.296.7)
(75.484.1)
(83.389.7)

(87.692.1)
(87.791.5)
(84.688.6)
(83.088.1)
(88.791.9)
(83.187.8)

(86.091.3)

(86.191.4)
(67.575.1)
(50.459.6)
87.3
(55.195.6)

(10.916.3)
(9.214.8)
9.4
(3.119.1)

(10.116.0)
(15.520.8)
(3.67.1)
(13.819.7)
(5.69.3)
(5.78.9)

(5.611.0)
(3.66.1)
(5.88.3)
(4.07.2)
(5.58.9)

(7.313.1)
(4.58.7)
(6.09.4)
(17.726.5)
(1.74.1)
(3.911.1)
7.1
(2.621.8)

(12.219.3)
(17.924.9)
(7.012.4)
(20.826.7)
(5.710.5)
(9.015.5)

(8.713.7)
(4.88.0)
(7.811.0)
(3.89.1)
(8.012.2)

(7.212.0)
(6.812.1)
(6.28.8)
(19.024.9)
(4.78.5)
(7.112.9)
9.4
(5.923.6)

(9.413.4)
(9.112.6)
8.1
(3.614.6)

(12.017.0)
(17.522.2)
(5.89.2)
(18.322.7)
(6.29.3)
(7.711.4)

(7.612.3)
(4.56.7)
(7.29.4)
(4.17.8)
(7.410.2)

(8.111.7)
(6.110.0)
(6.69.0)
(18.825.0)
(3.55.7)
(5.711.7)
8.2
(4.521.7)

* Among students who had ridden a bicycle during the 12 months before the survey.
When riding in a car driven by someone else.
95% confidence interval.
Not available.

TABLE 5. Percentage of high school students who rode with a driver who had been drinking alcohol* and who drove when they had been
drinking alcohol,*, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Rode with a driver who had been drinking alcohol
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Drove when drinking alcohol

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

17.5
21.2
27.3

(14.820.7)
(15.927.9)
(25.229.4)

17.7
20.6
25.3

(15.719.8)
(16.924.9)
(22.827.9)

17.7
21.1
26.2

(15.919.6)
(17.225.6)
(24.428.2)

5.4
5.1
8.0

(3.97.5)
(2.69.5)
(6.010.6)

9.4
8.3
10.7

(7.611.6)
(6.011.5)
(8.713.1)

7.4
6.9
9.4

(5.99.3)
(5.29.1)
(7.811.3)

21.3
18.4
20.1
21.0
20.2

(18.524.3)
(15.122.2)
(17.622.9)
(17.924.4)
(17.922.8)

19.1
19.0
20.4
19.9
19.6

(15.922.6)
(16.421.8)
(17.723.5)
(17.322.9)
(18.221.1)

20.2
18.7
20.6
20.4
20.0

(17.822.7)
(16.321.3)
(18.622.7)
(18.222.8)
(18.421.6)

5.5
2.2
6.8
8.0
6.0

(3.58.3)
(1.33.8)
(4.99.3)
(5.611.2)
(4.77.7)

5.7
8.2
10.3
11.7
9.5

(3.98.2)
(6.110.9)
(6.116.7)
(9.015.0)
(8.310.9)

5.6
5.3
8.7
9.9
7.8

(4.37.4)
(3.97.1)
(6.212.1)
(7.912.3)
(6.89.0)

* In a car or other vehicle one or more times during the 30 days before the survey.
Among the 61.4% of students nationwide who had driven a car or other vehicle during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

55

Surveillance Summaries

TABLE 6. Percentage of high school students who rode with a driver who had been drinking alcohol* and who drove when they had been
drinking alcohol,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Rode with a driver who had been drinking alcohol
Female
Site

Male
CI

State surveys
Alabama
26.1
(22.729.9)
Alaska
15.2
(12.718.1)
Arizona

Arkansas
19.4
(16.223.2)
California
22.6
(19.426.2)
Connecticut
19.0
(16.521.9)
Delaware
16.4
(13.819.5)
Florida
21.5
(19.623.6)
Hawaii

Idaho
17.1
(14.020.7)
Illinois
21.9
(18.026.4)
Indiana
18.7
(15.522.3)
Kentucky
12.9
(10.715.5)
Maine

Maryland
18.6
(18.019.2)
Massachusetts
18.5
(16.221.0)
Michigan
18.2
(15.521.2)
Mississippi
22.5
(18.726.8)
Missouri
16.8
(13.420.9)
Montana
22.9
(20.325.7)
Nebraska
23.2
(19.227.8)
Nevada
25.1
(20.929.7)
New Hampshire
15.9
(14.217.8)
New Mexico
19.5
(17.821.3)
New York

North Carolina
15.3
(11.620.0)
North Dakota
18.2
(15.721.1)
Oklahoma
14.7
(11.618.4)
Pennsylvania
18.0
(15.321.0)
Rhode Island
18.8
(15.422.8)
South Carolina
18.2
(14.123.0)
South Dakota
19.7
(15.524.7)
Tennessee
16.5
(14.818.4)
Vermont
20.0
(19.320.8)
Virginia
17.0
(15.119.0)
West Virginia
16.5
(14.618.7)
Wyoming
20.2
(17.223.6)
Median
18.6
Range
(12.926.1)
Large urban school district surveys
Baltimore, MD
20.3
(16.824.4)
Boston, MA
20.0
(17.622.6)
Broward County, FL
20.8
(16.925.2)
Cleveland, OH
28.6
(25.332.2)
DeKalb County, GA
19.0
(16.721.6)
Detroit, MI
31.8
(28.235.6)
District of Columbia
20.7
(18.420.7)
Duval County, FL
25.5
(23.228.0)
Ft. Worth, TX
28.9
(26.231.7)
Houston, TX
28.4
(26.030.9)
Los Angeles, CA
19.1
(16.422.2)
Miami-Dade County, FL
23.7
(20.627.1)
New York City, NY

Total
CI

23.8
13.3

22.8
19.4
17.9
16.6
20.1

15.7
22.7
17.0
15.3

17.6
17.7
19.3
25.9
19.9
23.1
21.4
20.9
15.6
19.7

18.4
17.2
20.4
18.5
15.9
17.9
20.5
16.2
19.4
14.3
16.9
22.0

(20.727.3)
(11.215.8)

(19.626.4)
(15.723.7)
(15.320.8)
(13.919.7)
(18.421.9)

(12.918.8)
(18.927.1)
(14.020.5)
(13.117.7)

(17.018.2)
(15.320.4)
(16.921.9)
(22.829.3)
(16.523.9)
(21.225.1)
(18.324.8)
(17.624.7)
(14.416.9)
(18.521.0)

(14.623.1)
(14.919.8)
(16.624.8)
(15.521.9)
(12.919.5)
(13.024.0)
(15.626.4)
(14.118.5)
(18.620.1)
(12.716.1)
(13.920.5)
(18.925.6)
18.5
(13.325.9)

23.5
16.9
23.0
26.8
19.8
30.9
19.5
24.0
23.5
27.5
20.6
23.4

Drove when drinking alcohol

(19.927.4)
(14.319.9)
(19.227.4)
(23.230.6)
(17.122.8)
(26.835.3)
(18.420.7)
(21.127.1)
(21.026.3)
(25.030.1)
(16.924.9)
(20.326.9)

Female
CI

25.5
14.3

21.1
20.9
18.7
17.0
21.0

16.4
22.4
17.9
14.2

18.2
18.2
18.7
24.3
18.5
23.0
22.3
23.0
15.8
19.7

16.9
17.7
17.4
18.3
17.5
18.0
20.1
16.3
19.8
15.6
16.7
21.2

(22.628.6)
(12.716.1)

(19.023.5)
(18.523.5)
(16.521.1)
(14.619.7)
(19.622.4)

(14.119.1)
(19.525.5)
(15.520.6)
(12.616.1)

(17.818.7)
(16.320.4)
(17.020.6)
(22.026.8)
(15.721.6)
(21.224.9)
(19.725.2)
(20.026.4)
(14.916.9)
(18.520.9)

(13.920.5)
(15.819.8)
(14.720.4)
(15.921.0)
(15.020.3)
(14.422.3)
(16.025.0)
(14.718.1)
(19.220.3)
(14.317.0)
(14.718.9)
(18.823.8)
18.3
(14.225.5)

22.3
18.5
22.1
28.2
19.5
31.6
20.4
25.3
26.2
28.1
19.8
23.6

(19.924.9)
(16.720.4)
(19.125.3)
(25.631.0)
(17.721.3)
(28.734.6)
(19.621.2)
(19.627.3)
(24.128.4)
(26.430.0)
(17.422.5)
(21.026.3)

Male
CI

9.3
5.1
7.7
4.9
6.2
4.3
4.8
6.8

3.5
6.6
6.2
6.1
2.8
5.0
6.5
3.0
6.5
5.8
9.3
9.1
6.0
4.8
6.4
5.5
2.5
5.5
4.0
4.4

3.5
5.9
4.2
5.0
5.6
4.8
8.3

(6.712.9)
(3.37.7)
(3.416.5)
(2.110.9)
(3.99.8)
(2.76.7)
(3.37.0)
(5.78.2)

(2.15.8)
(4.89.0)
(3.610.4)
(4.48.3)
(2.23.6)
(4.55.6)
(4.69.2)
(1.36.8)
(3.711.3)
(2.712.0)
(7.511.5)
(6.013.5)
(3.79.6)
(4.05.8)
(5.08.1)
(3.97.6)
(1.15.5)
(4.17.5)
(2.17.5)
(2.77.0)

(1.011.3)
(3.88.8)
(3.25.6)
(4.55.6)
(4.07.8)
(3.17.3)
(5.512.4)
5.5
(2.59.3)

2.2

5.0
5.7
4.2
2.5
6.1
7.9
7.7
5.6
4.4
6.1
5.6

(0.95.4)

(3.08.2)
(3.49.6)
(2.86.3)
(1.44.6)
(5.07.4)
(5.97.4)
(5.910.5)
(4.17.6)
(1.711.0)
(4.48.3)
(3.78.2)

Total
CI

11.6
5.7
10.9
11.4
7.6
9.8
8.0
10.3

6.5
9.7
6.6
5.4
5.7
8.6
12.1
7.8
7.8
7.7
12.3
11.2
10.2
7.6
8.2
10.1
6.0
9.9
9.0
6.3

5.5
9.7
9.5
8.9
8.2
7.7
11.5

(7.816.8)
(3.98.1)
(8.613.8)
(8.015.9)
(4.612.4)
(7.412.8)
(5.112.2)
(8.712.0)

(4.39.6)
(6.913.7)
(4.010.6)
(3.68.0)
(4.47.3)
(8.09.3)
(9.315.7)
(4.313.6)
(6.29.8)
(5.011.6)
(10.214.8)
(8.215.0)
(7.014.6)
(6.78.5)
(7.29.5)
(7.313.7)
(4.67.9)
(7.512.9)
(6.013.2)
(4.39.2)

(2.710.8)
(6.614.0)
(7.312.3)
(8.29.6)
(6.410.4)
(4.812.2)
(8.415.5)
8.6
(5.412.3)

7.6

8.2
11.2
6.0
5.5
8.6
8.4
11.6
7.8
7.6
10.9
7.7

(3.814.9)

(5.611.9)
(7.716.1)
(3.99.2)
(3.58.6)
(7.410.0)
(6.111.3)
(8.715.3)
(6.010.1)
(4.313.2)
(8.613.7)
(6.19.6)

CI

10.8
5.6
9.4
8.2
6.9
7.4
6.5
8.8

5.1
8.2
6.3
5.9
4.6
7.1
9.4
5.4
7.2
6.8
10.9
10.1
8.2
6.3
7.4
8.0
4.3
7.8
6.4
5.4

4.5
7.9
7.1
7.2
7.0
6.3
9.9

(8.014.4)
(4.37.3)
(6.114.1)
(5.711.6)
(4.510.6)
(5.99.2)
(4.78.8)
(7.710.0)

(3.76.8)
(6.410.4)
(4.58.9)
(4.67.5)
(3.85.5)
(6.67.6)
(7.411.7)
(3.38.9)
(5.39.5)
(4.011.4)
(9.212.8)
(7.613.3)
(5.811.3)
(5.77.1)
(6.58.4)
(6.69.7)
(3.35.6)
(6.39.5)
(4.39.5)
(4.17.2)

(2.29.1)
(5.810.8)
(5.88.7)
(6.77.6)
(5.88.5)
(4.68.6)
(7.812.4)
7.1
(4.310.9)

5.4

6.8
9.3
5.2
4.4
7.8
8.6
9.7
7.0
6.4
8.6
7.1

(3.19.2)

(5.09.3)
(7.012.3)
(3.77.2)
(3.16.4)
(6.98.8)
(7.010.7)
(7.812.1)
(5.78.6)
(3.411.5)
(7.010.4)
(5.98.4)

See table footnotes on the next page.

56

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 6. (Continued) Percentage of high school students who rode with a driver who had been drinking alcohol* and who drove when they
had been drinking alcohol,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Rode with a driver who had been drinking alcohol
Female
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male
CI

Site

21.2
22.9
20.5
21.9
20.9
13.8

(18.324.4)
(19.826.3)
(18.023.2)
(18.126.2)
(18.123.9)
(11.316.6)
21.0
(13.831.8)

24.9
21.0
21.6
19.4
18.8
13.0

Drove when drinking alcohol

Total
CI

(21.628.4)
(18.024.3)
(19.224.2)
(16.123.2)
(16.621.3)
(11.315.1)
22.3
(13.030.9)

Female
CI

23.1
21.9
21.6
20.8
19.8
13.4

(20.725.7)
(19.724.3)
(19.923.4)
(18.423.4)
(17.822.0)
(11.815.3)
22.0
(13.431.6)

Male
CI

4.3
6.7
8.0
5.8
4.0
4.6

(2.67.2)
(4.410.1)
(6.010.6)
(3.310.2)
(2.56.5)
(2.39.0)
5.6
(2.28.0)

Total
CI

6.0
9.5
9.4
4.8
10.3
5.1

(3.69.7)
(6.513.8)
(7.411.8)
(3.17.3)
(7.913.2)
(2.99.0)
8.0
(4.811.6)

CI

5.5
8.2
9.0
5.7
7.4
4.9

(3.97.8)
(6.011.0)
(7.410.9)
(3.88.4)
(6.09.3)
(3.17.6)
7.0
(4.49.7)

* In a car or other vehicle one or more times during the 30 days before the survey.
Among students who had driven a car or other vehicle during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 7. Percentage of high school students who texted or e-mailed while driving a car or other vehicle,* by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

45.3
33.1
28.2

(41.349.4)
(28.338.3)
(22.934.1)

45.0
33.0
42.2

(39.850.3)
(27.738.7)
(37.047.6)

45.2
32.8
35.8

(42.148.3)
(28.537.5)
(31.240.7)

14.4
24.7
45.1
60.8
40.4

(11.218.3)
(20.030.1)
(38.751.6)
(55.466.0)
(37.143.7)

17.4
25.2
50.1
61.9
42.4

(13.821.5)
(21.729.1)
(44.455.8)
(56.167.3)
(38.546.3)

15.9
25.0
47.9
61.4
41.5

(13.418.9)
(21.428.9)
(43.952.0)
(57.065.6)
(38.944.1)

* On at least 1 day during the 30 days before the survey, among the 61.3% of students nationwide who had driven a car or other vehicle during the 30 days before
the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

57

Surveillance Summaries
TABLE 8. Percentage of high school students who texted or e-mailed while driving a car or other vehicle,* by sex selected U.S. sites, Youth
Risk Behavior Survey, 2015
Female
%

Site
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL
New York City, NY

45.6
37.1

40.4
29.9
29.4
33.4
35.3
42.0
49.3
41.6
41.2
37.1

22.6
38.2
36.8
44.1
47.5
55.6
49.8
39.0
46.0
37.7
26.5
38.4
59.5
43.0
37.3
45.0
39.1
66.9
33.6
32.7
31.0
34.8
53.1

23.1
27.1
38.8
23.8
23.9
33.5

35.7
36.0
32.0
16.1
25.9
7.7

39.0
(22.666.9)

Male

Total

CI

CI

CI

(39.451.8)
(30.444.3)

(35.245.8)
(24.136.5)
(24.634.7)
(28.039.2)
(32.138.7)
(38.046.1)
(41.157.4)
(33.949.8)
(32.850.1)
(31.443.3)

(21.523.8)
(32.843.9)
(29.145.2)
(37.950.4)
(36.558.8)
(51.459.7)
(44.555.1)
(34.044.3)
(43.148.9)
(34.740.9)
(21.532.3)
(33.843.2)
(54.564.2)
(36.150.2)
(30.145.2)
(38.251.9)
(32.845.7)
(59.074.0)
(29.537.9)
(31.533.9)
(26.835.6)
(29.640.4)
(47.059.1)

41.8
33.0

40.6
34.4
29.4
37.9
37.0
37.9
48.2
41.2
44.6
36.1

28.6
40.4
40.9
43.5
46.7
53.8
49.1
39.5
41.3
38.0
30.6
36.5
55.8
45.0
32.9
46.0
36.3
59.5
37.1
33.3
31.5
35.4
50.3

(35.648.2)
(27.738.8)

(34.846.8)
(26.243.7)
(24.335.1)
(31.145.2)
(34.040.1)
(34.541.5)
(40.456.2)
(33.749.2)
(39.849.5)
(30.442.2)

(27.529.8)
(36.144.7)
(34.048.2)
(38.448.9)
(40.552.9)
(50.257.3)
(43.854.3)
(33.845.5)
(38.843.9)
(34.941.2)
(24.837.1)
(31.142.2)
(51.260.3)
(35.155.3)
(29.636.4)
(38.453.8)
(28.944.5)
(52.466.2)
(33.141.2)
(32.134.4)
(27.435.9)
(29.541.8)
(43.956.5)

43.9
35.1

40.6
32.4
29.6
35.8
36.3
40.3
48.7
41.5
43.1
36.5

26.1
39.3
39.0
44.0
47.0
54.6
49.4
39.3
43.7
37.9
28.9
37.6
57.6
44.2
35.0
45.7
37.6
63.2
35.4
33.1
31.3
35.1
51.8

(38.948.9)
(30.540.0)

(35.545.9)
(25.739.8)
(25.334.4)
(30.741.2)
(33.639.2)
(37.743.0)
(41.556.0)
(36.147.0)
(38.148.3)
(32.141.2)

(25.227.1)
(35.343.3)
(33.544.7)
(39.548.6)
(41.253.0)
(51.258.0)
(45.053.8)
(36.142.7)
(41.645.8)
(35.240.6)
(24.533.7)
(33.541.8)
(53.961.2)
(36.752.0)
(30.739.7)
(39.751.7)
(32.742.7)
(56.669.4)
(32.438.5)
(32.233.9)
(27.935.0)
(30.140.5)
(46.357.2)

(18.129.0)
(20.734.6)
(32.845.1)
(19.329.0)
(18.730.1)
(27.340.4)

(31.540.1)
(31.440.8)
(27.536.8)
(10.923.1)
(21.031.4)
(5.810.1)

30.6
35.2
38.6
29.8
28.5
31.9

32.7
36.2
37.0
25.1
38.2
17.5

(25.436.5)
(29.541.4)
(33.843.6)
(24.835.4)
(23.334.4)
(25.339.3)

(29.236.4)
(31.940.7)
(33.241.0)
(18.932.5)
(34.142.6)
(15.519.8)

27.9
31.8
38.7
28.6
26.6
33.0

34.8
36.1
35.0
21.3
32.4
14.1

39.5
(28.659.5)

39.3
(26.163.2)

(24.431.7)
(27.336.7)
(34.343.2)
(24.832.7)
(22.431.1)
(27.539.0)

(31.538.3)
(33.039.3)
(31.938.3)
(15.628.4)
(28.836.3)
(12.316.0)

See table footnotes on the next page.

58

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 8. (Continued) Percentage of high school students who texted or e-mailed while driving a car or other vehicle,* by sex selected U.S.
sites, Youth Risk Behavior Survey, 2015
Female

Male

Total

Site

CI

CI

CI

Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

12.6
32.3
37.3
18.1
32.5
20.3

(9.316.9)
(26.339.1)
(32.043.0)
(13.124.5)
(25.540.3)
(13.729.1)

25.4
33.5
39.3
24.9
33.8
22.7

(21.429.9)
(28.539.0)
(34.244.6)
(20.130.4)
(27.940.2)
(16.430.6)

20.9
33.1
38.3
21.8
33.2
21.5

(17.824.3)
(28.338.2)
(34.142.7)
(18.625.4)
(27.439.5)
(16.028.2)

26.5
(7.738.8)

32.3
(17.539.3)

32.1
(14.138.7)

* On at least 1 day during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 9. Percentage of high school students who carried a weapon*, and who carried a gun, by sex, race/ethnicity, and grade United
States, Youth Risk Behavior Survey, 2015
Carried a weapon
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Carried a gun

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

8.1
6.2
7.1

(6.010.9)
(3.410.9)
(5.68.9)

28.0
17.6
20.2

(24.731.5)
(11.925.2)
(17.223.6)

18.1
12.4
13.7

(15.521.0)
(9.915.4)
(11.616.2)

1.4
1.7
1.9

(0.92.0)
(0.83.6)
(1.13.2)

9.6
9.6
6.5

(7.811.9)
(6.114.6)
(5.28.1)

5.5
6.0
4.3

(4.76.6)
(4.38.3)
(3.45.4)

6.6
7.2
8.0
8.0
7.5

(5.28.5)
(5.210.0)
(5.910.8)
(5.711.2)
(6.19.3)

24.6
25.5
23.0
23.4
24.3

(21.328.2)
(21.230.3)
(20.226.1)
(19.527.8)
(21.927.0)

16.1
16.3
16.0
15.8
16.2

(14.018.5)
(13.519.5)
(13.718.6)
(13.418.5)
(14.418.1)

1.2
1.6
1.4
1.7
1.6

(0.82.0)
(0.92.7)
(0.92.3)
(1.02.8)
(1.22.0)

7.0
8.8
9.0
9.7
8.7

(5.09.8)
(7.010.9)
(7.211.1)
(6.913.4)
(7.310.3)

4.4
5.2
5.5
5.7
5.3

(3.55.6)
(4.26.3)
(4.37.0)
(4.57.3)
(4.66.1)

* Such as, a gun, knife, or club.


On at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

59

Surveillance Summaries

TABLE 10. Percentage of high school students who carried a weapon*, and who carried a gun, by sex selected U.S. sites, Youth Risk
Behavior Survey, 2015
Carried a weapon
Female
Site

Carried a gun

Male
CI

State surveys
Alabama
10.2
(7.114.3)
Alaska

Arizona
10.2
(7.513.6)
Arkansas
9.3
(7.511.6)
California
4.6
(2.87.4)
Connecticut

Delaware
6.0
(4.48.2)
Florida
8.1
(7.09.3)
Hawaii
6.1
(5.07.3)
Idaho
14.7
(11.818.3)
Illinois
8.2
(6.210.8)
Indiana
8.4
(6.111.5)
Kentucky
11.6
(9.414.3)
Maine

Maryland
8.3
(7.98.8)
Massachusetts
5.0
(3.76.8)
Michigan
8.1
(6.510.0)
Mississippi
10.0
(7.712.8)
Missouri
10.8
(7.615.2)
Montana
14.2
(12.316.2)
Nebraska

Nevada
9.5
(7.611.9)
New Hampshire

New Mexico
12.8
(11.214.6)
New York
6.6
(5.38.1)
North Carolina
9.7
(7.312.9)
North Dakota

Oklahoma
9.0
(6.711.9)
Pennsylvania
8.1
(6.110.5)
Rhode Island

South Carolina
9.6
(7.911.6)
South Dakota

Tennessee

Vermont

Virginia
6.7
(5.48.2)
West Virginia
13.4
(10.517.0)
Wyoming
18.1
(15.620.8)
Median
9.3
Range
(4.618.1)
Large urban school district surveys
Baltimore, MD
14.9
(12.118.2)
Boston, MA
5.4
(3.97.5)
Broward County, FL
7.6
(5.89.9)
Cleveland, OH
13.8
(10.717.7)
DeKalb County, GA
6.0
(4.67.9)
Detroit, MI
10.2
(8.212.5)
District of Columbia
12.5
(11.713.5)
Duval County, FL
12.2
(10.214.5)
Ft. Worth, TX
6.6
(5.28.2)
Houston, TX
7.7
(6.39.3)
Los Angeles, CA
4.0
(3.15.3)
Miami-Dade County, FL
4.7
(3.76.0)
New York City, NY
4.6
(3.85.6)

Total
CI

34.6

25.5
32.1
13.2

19.6
22.3
15.1
40.9
22.5
30.2
34.0

20.9
19.9
24.8
32.4
33.8
37.8

26.7

32.1
19.0
28.5

30.5
26.4

31.3

22.5
38.3
40.8

(29.739.7)

(22.229.1)
(27.836.8)
(9.418.2)

(17.022.6)
(19.625.2)
(13.616.8)
(36.345.7)
(18.726.8)
(25.335.6)
(28.839.6)

(20.221.6)
(16.723.5)
(20.330.1)
(27.637.6)
(29.938.0)
(35.440.3)

(21.632.4)

(29.734.5)
(15.822.8)
(24.832.4)

(26.235.2)
(22.930.2)

(25.138.2)

(20.225.0)
(33.942.9)
(36.245.7)
28.5
(13.240.9)

28.1
17.7
16.7
23.4
15.3
19.5
23.6
26.2
18.4
18.1
11.8
13.6
10.4

(23.533.1)
(14.721.2)
(13.720.2)
(20.326.9)
(12.518.6)
(16.722.6)
(22.424.9)
(23.429.2)
(15.721.4)
(16.320.1)
(9.414.6)
(11.416.2)
(8.712.3)

Female
CI

22.5

18.0
21.0
8.9

13.0
15.4
10.7
28.2
15.4
19.6
23.1

14.9
12.6
16.6
21.0
22.1
26.4

18.3

22.5
13.0
19.3

19.5
17.4

20.5

15.0
26.1
29.6

(18.726.7)

(15.620.7)
(18.323.9)
(6.612.0)

(11.314.9)
(13.617.3)
(9.611.9)
(25.231.4)
(12.818.5)
(16.123.6)
(20.026.5)

(14.415.3)
(10.415.3)
(13.819.8)
(18.224.2)
(18.626.0)
(24.528.3)

(15.221.8)

(20.924.2)
(11.215.0)
(16.822.1)

(16.323.1)
(15.020.2)

(16.725.0)

(13.616.6)
(22.929.5)
(27.032.3)
19.3
(8.929.6)

21.9
11.7
12.4
19.2
10.7
14.4
18.1
19.3
12.5
13.2
7.8
9.1
7.7

(19.025.0)
(9.713.9)
(10.414.7)
(16.622.0)
(9.012.7)
(12.516.5)
(17.418.9)
(17.421.4)
(10.914.5)
(11.914.6)
(6.49.6)
(7.910.5)
(6.68.9)

Male
CI

3.4

2.8
3.6
0.7

1.1

2.1
1.6

0.9
2.2
2.7

4.4

3.1

3.3
1.8

3.3
2.7

3.1

2.4
6.9

(2.05.7)

(1.74.4)
(2.25.9)
(0.41.5)

(0.52.7)

(1.33.3)
(1.02.4)

(0.51.8)
(1.33.8)
(1.74.1)

(3.75.3)

(1.95.0)

(2.64.3)
(1.22.6)

(2.05.4)
(1.64.6)

(2.04.8)

(1.63.6)
(5.58.5)

15.9

6.9
15.7
4.8

8.2

9.0
10.6

4.5
6.9
14.3

17.2

8.0

11.9
6.3

10.5
12.7

13.5

12.7
15.9

2.1

1.1

1.7
2.4

1.6
3.3
0.9
1.9
1.0

(1.13.9)

(0.62.0)

(1.02.7)
(1.44.0)

(0.92.7)
(2.64.2)
(0.41.8)
(1.32.6)
(0.61.5)

7.0

4.9

6.9
8.7

7.5
7.3
3.5
6.5
3.3

2.7
(0.76.9)

Total
CI

(12.719.7)

(5.58.5)
(12.619.3)
(3.46.5)

(6.310.6)

(7.311.2)
(7.414.8)

(3.65.7)
(5.58.5)
(11.817.2)

(15.619.0)

(6.110.6)

(10.313.7)
(5.27.6)

(7.614.4)
(10.615.3)

(9.319.1)

(10.515.2)
(13.119.2)
10.6
(4.517.2)
(4.710.3)

(3.37.1)

(5.19.4)
(6.711.1)

(5.99.4)
(6.08.8)
(2.64.6)
(5.18.4)
(2.64.2)

CI

10.0

4.9
9.8
2.8

4.7

5.6
6.2

2.7
4.6
8.5

11.1

5.7

7.7
4.1

6.8
7.9

8.4

7.6
11.5

(8.012.5)

(4.06.0)
(8.111.7)
(2.13.7)

(3.66.3)

(4.56.9)
(4.48.7)

(2.13.5)
(3.85.6)
(7.210.0)

(10.212.0)

(4.27.6)

(6.68.8)
(3.45.1)

(4.99.4)
(6.49.7)

(5.812.1)

(6.39.3)
(9.713.5)
6.8
(2.711.5)

5.4

3.1

4.3
5.4

4.5
5.5
2.2
4.2
2.3

(3.87.6)

(2.34.3)

(3.35.7)
(4.46.7)

(3.65.6)
(4.76.4)
(1.72.8)
(3.45.1)
(1.92.8)

See table footnotes on the next page.

60

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 10. (Continued) Percentage of high school students who carried a weapon*, and who carried a gun, by sex selected U.S. sites,
Youth Risk Behavior Survey, 2015
Carried a weapon
Female
Site

Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

9.6
5.1
7.9
8.5
4.7
6.1

Carried a gun

Male
CI

(7.512.1)
(3.86.9)
(6.210.1)
(6.511.1)
(3.36.6)
(4.67.9)
7.6
(4.014.9)

Total
CI

18.3
18.3
20.3
17.0
16.1
12.2

(15.521.4)
(15.321.8)
(17.423.6)
(12.822.1)
(14.118.4)
(9.515.5)
18.1
(10.428.1)

Female
CI

14.4
11.7
14.5
12.7
10.5
9.2

(12.616.4)
(10.013.6)
(12.716.5)
(10.215.7)
(9.012.1)
(7.411.5)
12.5
(7.721.9)

Male
CI

2.2
1.6
1.1
1.8
0.4
1.2

(1.33.8)
(0.92.9)
(0.52.3)
(1.03.1)
(0.21.0)
(0.62.4)

1.6
(0.43.3)

Total
CI

CI

5.9
4.7
4.7
5.0
2.7
2.6

9.2
7.8
7.4
8.0
4.9
3.7

(7.211.6)
(5.910.4)
(5.89.4)
(5.411.8)
(3.66.7)
(2.26.0)
7.0
(3.39.2)

(4.77.3)
(3.56.2)
(3.76.0)
(3.57.0)
(2.03.7)
(1.83.9)

4.5
(2.25.9)

* Such as, a gun, knife, or club.


On at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 11. Percentage of high school students who carried a weapon* on school property and who were threatened or injured with a weapon*
on school property, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Carried a weapon on school property
Female
Category
Race/Ethnicity
White**
Black**
Hispanic
Grade
9
10
11
12
Total

Male

Threatened or injured with a weapon on school property


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

1.6
2.1
2.9

(1.12.4)
(0.84.9)
(1.94.3)

5.7
4.7
6.1

(4.57.2)
(3.36.6)
(4.68.0)

3.7
3.4
4.5

(2.94.6)
(2.35.1)
(3.55.8)

4.3
6.5
4.7

(3.45.5)
(4.69.0)
(3.36.6)

5.4
8.9
8.4

(4.26.9)
(6.412.2)
(6.910.0)

4.9
7.9
6.6

(4.06.0)
(6.010.4)
(5.48.0)

1.9
2.2
1.9
2.0
2.0

(1.32.7)
(1.33.6)
(1.23.0)
(1.33.2)
(1.52.7)

4.6
6.1
7.4
5.1
5.9

(3.56.0)
(4.48.2)
(6.19.0)
(3.57.4)
(5.06.9)

3.4
4.1
4.8
3.6
4.1

(2.84.0)
(3.15.4)
(3.96.0)
(2.64.9)
(3.54.7)

6.2
5.5
2.9
3.2
4.6

(4.88.1)
(4.37.2)
(2.04.2)
(2.05.0)
(3.95.5)

7.8
6.8
7.3
5.7
7.0

(6.49.5)
(5.38.8)
(5.310.0)
(4.08.0)
(6.18.1)

7.2
6.2
5.5
4.4
6.0

(6.28.3)
(5.17.4)
(4.37.0)
(3.26.1)
(5.26.8)

* Such as a gun, knife, or club.


On at least 1 day during the 30 days preceding the survey.
One or more times during the 12 months preceding the survey.
95% confidence interval.
* * Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

61

Surveillance Summaries

TABLE 12. Percentage of high school students who carried a weapon* on school property and who were threatened or injured with a weapon*
on school property, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Carried a weapon on school property
Female
Site

Male
CI

State surveys
Alabama
2.6
(1.44.8)
Alaska
4.2
(3.05.8)
Arizona
2.8
(1.55.2)
Arkansas
2.7
(1.54.9)
California
1.8
(0.83.7)
Connecticut
3.3
(2.54.3)
Delaware
2.6
(1.74.1)
Florida

Hawaii

Idaho
3.5
(2.15.8)
Illinois
2.5
(1.83.4)
Indiana
2.6
(1.83.7)
Kentucky
4.1
(2.76.2)
Maine
2.7
(2.23.2)
Maryland
2.8
(2.53.1)
Massachusetts
1.6
(1.02.6)
Michigan
1.6
(0.82.9)
Mississippi
2.8
(1.74.6)
Missouri
2.9
(1.74.9)
Montana
5.4
(4.36.8)
Nebraska
5.3
(3.58.0)
Nevada
2.5
(1.63.9)
New Hampshire

New Mexico
2.2
(1.72.8)
New York
2.6
(1.93.6)
North Carolina
2.3
(1.24.2)
North Dakota
2.1
(1.43.3)
Oklahoma
2.2
(1.33.9)
Pennsylvania
0.9
(0.51.6)
Rhode Island
2.1
(1.13.8)
South Carolina
1.8
(0.74.7)
South Dakota
2.4
(1.24.9)
Tennessee

Vermont
3.7
(3.34.0)
Virginia
1.0
(0.51.8)
West Virginia
3.8
(2.55.7)
Wyoming
5.7
(4.08.1)
Median
2.6
Range
(0.95.7)
Large urban school district surveys
Baltimore, MD
6.3
(4.58.6)
Boston, MA
2.0
(1.33.2)
Broward County, FL
2.5
(1.63.8)
Cleveland, OH

DeKalb County, GA
2.0
(1.13.3)
Detroit, MI
3.8
(2.75.3)
District of Columbia

Duval County, FL
4.2
(3.05.9)
Ft. Worth, TX
2.3
(1.53.5)
Houston, TX
3.0
(2.14.3)
Los Angeles, CA
1.2
(0.62.2)
Miami-Dade County, FL
1.1
(0.71.8)

Total
CI

8.2
11.3
6.0
7.8
3.7
8.6
5.2

9.9
6.0
8.3
8.8
8.5
5.4
4.6
5.5
7.2
9.1
15.5
10.2
4.7

6.9
5.8
5.4
8.0
7.6
3.0
7.0
4.0
11.5

11.2
4.0
9.2
15.3

(5.412.3)
(8.914.4)
(3.89.3)
(5.411.1)
(2.75.2)
(6.511.4)
(3.77.3)

(7.313.4)
(4.67.6)
(5.013.3)
(6.012.6)
(7.39.9)
(5.05.8)
(3.55.8)
(3.68.4)
(5.88.9)
(7.211.4)
(13.218.0)
(8.112.8)
(2.88.0)

(5.97.9)
(4.37.9)
(4.26.8)
(6.59.8)
(5.310.7)
(1.94.7)
(5.09.7)
(2.75.9)
(7.916.5)

(10.611.9)
(2.85.6)
(6.113.7)
(12.917.9)
7.6
(3.015.5)

12.7
5.6
4.2

4.1
5.2

6.8
3.7
4.3
4.1
3.6

Threatened or injured with a weapon on school property

(9.217.3)
(3.88.0)
(2.86.2)

(2.85.8)
(3.77.2)

(4.89.6)
(2.74.9)
(3.45.4)
(2.66.2)
(2.55.2)

Female
CI

5.6
8.2
4.5
5.4
2.7
6.2
4.0

6.8
4.3
5.6
6.5
5.8
4.3
3.2
3.6
5.2
5.9
10.6
8.1
3.7

4.6
4.5
3.9
5.2
4.8
2.0
4.8
2.9
7.1

7.7
2.6
6.5
10.7

(3.68.5)
(6.610.1)
(3.06.8)
(3.87.5)
(1.94.0)
(5.17.5)
(3.15.2)

(5.09.2)
(3.45.5)
(3.78.4)
(4.78.9)
(5.16.6)
(4.04.5)
(2.54.1)
(2.65.0)
(4.36.3)
(4.67.5)
(9.112.3)
(6.410.2)
(2.65.2)

(4.05.3)
(3.65.6)
(3.05.2)
(4.36.2)
(3.46.8)
(1.33.1)
(3.36.9)
(2.04.1)
(4.910.3)

(7.38.0)
(1.93.7)
(4.98.6)
(9.212.4)
5.2
(2.010.7)

9.8
3.8
3.5

3.0
4.6

5.8
3.0
3.9
2.6
2.4

(7.512.7)
(2.85.1)
(2.64.6)

(2.24.1)
(3.75.6)

(4.37.8)
(2.33.8)
(3.04.9)
(1.83.9)
(1.73.2)

Male
CI

6.2
(4.97.8)
**

5.3
(3.48.1)
6.9
(5.29.0)
4.3
(3.16.0)
5.2
(3.67.5)
3.8
(2.55.6)
5.1
(4.36.0)

4.8
(3.46.8)
3.6
(2.65.1)
4.7
(3.07.5)
6.7
(4.99.1)
3.6
(2.94.4)
5.3
(4.95.7)
2.8
(2.04.0)
5.0
(3.76.6)
8.0
(5.910.7)

4.3
(3.35.7)
5.1
(3.57.4)
6.0
(4.67.8)

6.0
(4.57.9)
3.6
(2.65.1)

3.6
(2.25.8)
3.3
(2.44.4)

3.4
(2.25.4)
5.4
(3.29.1)
8.8
(6.611.8)
4.0
(3.74.4)
4.6
(3.56.0)
6.1
(4.38.6)
5.2
(3.96.8)
5.0
(2.88.8)
6.9
3.0
5.8

6.0
11.7
6.0
9.5
4.7
6.1
3.1
3.9

(4.99.5)
(2.04.5)
(4.28.1)

(4.57.8)
(7.916.9)
(5.46.7)
(7.412.1)
(3.66.0)
(4.77.9)
(1.95.1)
(2.95.3)

Total
CI

10.7

9.5
13.8
5.8
7.9
7.8
9.1

7.4
9.4
8.3
7.6
6.4
8.7
5.0
8.0
11.4

6.6
8.3
7.5

9.9
5.9

6.8
6.4

7.2
8.9
11.1
6.3
8.0
7.7
7.9

(8.114.1)

(7.412.0)
(11.816.0)
(4.08.3)
(6.49.6)
(5.910.2)
(7.910.5)

(5.99.2)
(7.112.4)
(5.512.3)
(5.89.9)
(5.47.5)
(8.29.2)
(3.96.4)
(6.110.3)
(8.914.4)

(5.38.1)
(6.410.7)
(5.210.5)

(8.112.1)
(4.18.3)

(4.89.6)
(5.18.2)

(4.810.6)
(6.512.0)
(9.213.4)
(5.86.8)
(6.79.6)
(5.710.3)
(5.910.4)
7.9
(5.013.8)

11.9
5.4
7.4

9.1
16.3
8.7
12.3
6.1
10.0
6.6
9.4

(8.516.5)
(3.77.8)
(5.89.5)

(7.011.8)
(12.321.1)
(7.99.5)
(9.515.8)
(4.77.8)
(8.312.0)
(4.59.7)
(7.711.5)

CI

8.7

7.5
10.6
5.2
6.7
6.2
7.3

6.1
6.6
6.6
7.2
5.2
7.2
4.1
6.6
10.1

5.5
7.1
6.9

8.3
4.9

5.1
5.0

5.3
7.3
10.2
5.3
6.4
6.9
6.6

(7.010.8)

(5.79.6)
(9.412.0)
(3.86.9)
(5.48.3)
(4.68.2)
(6.58.2)

(5.27.2)
(5.28.5)
(4.89.0)
(5.79.2)
(4.56.0)
(6.97.6)
(3.25.1)
(5.48.0)
(8.212.2)

(4.76.6)
(5.68.9)
(5.48.7)

(7.19.8)
(3.76.5)

(3.77.0)
(4.16.0)

(3.97.2)
(5.39.9)
(8.212.5)
(5.05.6)
(5.37.7)
(5.88.2)
(5.38.2)
6.6
(4.110.6)

10.0
4.3
6.7

7.7
13.9
7.6
11.5
5.4
8.5
4.9
6.7

(7.912.7)
(3.35.5)
(5.38.5)

(6.39.2)
(10.518.3)
(7.18.1)
(9.214.2)
(4.56.5)
(7.29.9)
(3.47.0)
(5.68.0)

See table footnotes on the next page.

62

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 12. (Continued) Percentage of high school students who carried a weapon* on school property and who were threatened or injured
with a weapon* on school property, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Carried a weapon on school property
Female

Male
CI

Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

2.0
4.8
1.7
2.0
1.9
1.6
3.4

(1.62.7)
(3.46.8)
(1.03.0)
(1.23.4)
(1.03.6)
(0.83.2)
(2.35.1)
2.0
(1.16.3)

Threatened or injured with a weapon on school property


Total

CI

3.9
8.2
4.2
3.8
3.6
4.8
6.0

(2.95.3)
(6.111.1)
(2.57.0)
(2.85.2)
(2.16.1)
(3.76.2)
(4.48.0)
4.2
(3.612.7)

Female
CI

3.1
6.7
3.0
3.2
2.9
3.3
4.9

(2.53.9)
(5.58.2)
(1.94.5)
(2.44.4)
(1.84.6)
(2.54.2)
(3.86.3)

3.3
(2.49.8)

Male
CI

4.4
5.3
5.0
5.4
4.9
3.0
4.2

(3.45.7)
(3.97.2)
(3.57.2)
(4.07.4)
(3.27.6)
(2.14.3)
(2.57.0)

5.1
(3.011.7)

Total
CI

CI

6.3
8.2
6.9
9.0
6.8
4.6
5.9

(5.47.5)
(6.89.9)
(5.19.1)
(7.510.8)
(4.79.9)
(3.85.6)
(4.38.1)
6.8
(4.313.9)

8.0
10.6
8.7
11.1
8.6
6.1
6.8

(6.59.7)
(8.213.5)
(6.112.3)
(9.113.5)
(5.513.1)
(4.97.5)
(4.99.2)
8.7
(5.416.3)

* Such as a gun, knife, or club.


On at least 1 day during the 30 days before the survey.
One or more times during the 12 months before the survey.
95% confidence interval.
** Not available.

TABLE 13. Percentage of high school students who were in a physical fight* and who were injured in a physical fight,*, by sex, race/ethnicity,
and grade United States, Youth Risk Behavior Survey, 2015
In a physical fight
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Injured in a physical fight

Male

Total

CI

CI

13.5
25.4
18.6

(10.816.7)
(20.131.5)
(16.121.4)

26.6
38.6
27.3

(24.329.0)
(33.943.5)
(24.230.6)

20.1
32.4
23.0

22.6
17.6
12.8
12.0
16.5

(19.626.0)
(14.221.7)
(10.515.4)
(9.415.1)
(14.518.7)

32.5
29.4
27.1
22.9
28.4

(28.536.9)
(26.032.9)
(23.930.6)
(19.227.0)
(26.330.5)

27.9
23.4
20.5
17.4
22.6

Female
CI

Male

Total

CI

CI

CI

(17.922.5)
(28.336.8)
(20.825.3)

0.9
3.4
3.0

(0.61.6)
(2.15.6)
(2.33.9)

2.8
5.8
4.6

(2.03.8)
(4.18.0)
(3.26.8)

1.9
4.7
3.8

(1.42.6)
(3.56.3)
(3.04.8)

(25.031.1)
(20.626.5)
(18.123.1)
(15.120.1)
(20.924.4)

2.5
1.4
1.5
1.4
1.8

(1.83.5)
(0.92.2)
(0.92.8)
(0.82.5)
(1.42.3)

3.5
3.3
4.3
3.5
3.7

(2.54.9)
(2.15.0)
(3.06.0)
(2.35.2)
(3.14.5)

3.1
2.4
3.3
2.5
2.9

(2.53.8)
(1.73.4)
(2.34.6)
(1.83.5)
(2.53.4)

* One or more times during the 12 months before the survey.


Injuries had to be treated by a doctor or nurse.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

63

Surveillance Summaries

TABLE 14. Percentage of high school students who were in a physical fight* and who were injured in a physical fight,*, by sex selected U.S.
sites, Youth Risk Behavior Survey, 2015
In a physical fight
Female
Site

CI

State surveys
Alabama
17.2
(14.420.4)
Alaska
14.8
(11.718.4)
Arizona
16.6
(13.520.2)
Arkansas
15.6
(13.218.3)
California
12.9
(9.617.0)
Connecticut
13.2
(11.015.9)
Delaware
15.9
(13.618.6)
Florida
14.8
(13.216.6)
Hawaii
10.9
(8.813.3)
Idaho
18.5
(16.320.9)
Illinois
15.6
(12.818.7)
Indiana
12.9
(9.816.8)
Kentucky
16.1
(12.919.7)
Maine
9.1
(7.910.5)
Maryland

Massachusetts
11.4
(9.314.0)
Michigan
14.3
(11.717.4)
Mississippi
19.9
(16.523.7)
Missouri

Montana
16.4
(14.518.5)
Nebraska
16.1
(13.319.4)
Nevada
16.0
(12.919.6)
New Hampshire

New Mexico
20.5
(18.622.6)
New York
17.3
(15.319.5)
North Carolina
16.2
(12.820.3)
North Dakota

Oklahoma
14.2
(11.118.1)
Pennsylvania
16.5
(13.220.5)
Rhode Island

South Carolina
19.4
(15.124.5)
South Dakota
14.4
(10.419.5)
Tennessee

Vermont
12.3
(11.712.9)
Virginia
13.5
(11.615.6)
West Virginia
14.0
(11.117.5)
Wyoming
15.7
(12.918.9)
Median
15.6
Range
(9.120.5)
Large urban school district surveys
Baltimore, MD
34.4
(28.840.4)
Boston, MA
17.0
(14.120.3)
Broward County, FL
17.0
(13.820.8)
Cleveland, OH
40.3
(36.244.5)
DeKalb County, GA
20.2
(17.123.7)
Detroit, MI
31.3
(27.135.7)
District of Columbia
30.6
(29.331.9)
Duval County, FL
23.8
(21.426.4)
Ft. Worth, TX
18.3
(15.821.2)
Houston, TX
20.0
(17.822.3)
Los Angeles, CA
11.7
(9.414.6)
Miami-Dade County, FL
12.4
(10.514.6)

Injured in a physical fight

Male
%

Total
CI

31.2
24.9
28.7
32.9
19.8
22.9
25.4
26.7
18.5
27.5
29.8
22.7
23.6
20.5

26.8
26.4
34.5

28.1
22.8
24.0

31.1
22.8
24.8

28.1
26.6

32.1
28.8

24.2
27.3
26.9
23.4

(27.435.2)
(21.428.7)
(25.032.8)
(29.936.0)
(15.524.9)
(20.126.0)
(22.029.0)
(24.728.9)
(16.820.5)
(24.530.6)
(26.333.5)
(19.226.6)
(20.227.3)
(19.022.0)

(23.730.1)
(22.830.4)
(29.739.7)

(25.830.5)
(19.926.0)
(20.927.4)

(28.833.4)
(20.325.4)
(19.930.4)

(24.232.4)
(23.629.9)

(28.236.2)
(22.635.8)

(23.425.0)
(24.830.1)
(23.530.7)
(20.626.4)
26.6
(18.534.5)

40.0
22.9
28.1
44.0
30.9
39.7
34.0
31.1
29.5
28.7
21.1
27.3

(35.145.1)
(19.926.2)
(24.132.5)
(40.048.1)
(27.534.5)
(32.946.8)
(32.535.4)
(27.934.5)
(26.632.7)
(26.331.1)
(16.926.0)
(24.630.2)

Female
CI

24.3
20.1
22.8
24.4
16.3
18.4
21.2
20.9
14.9
23.2
22.7
18.1
19.9
15.1

19.2
20.4
27.3

22.4
19.7
20.1

25.9
20.2
20.7

21.0
21.7

25.8
21.7

18.4
20.6
20.5
19.7

(21.427.4)
(17.423.1)
(20.425.4)
(22.826.1)
(13.319.9)
(16.420.5)
(18.923.8)
(19.322.7)
(13.216.9)
(21.125.4)
(19.825.9)
(15.021.6)
(17.822.2)
(13.816.4)

(16.722.0)
(17.823.1)
(23.931.1)

(20.924.1)
(17.722.0)
(17.722.7)

(24.227.6)
(18.522.0)
(17.724.1)

(18.024.4)
(18.924.7)

(21.730.4)
(17.027.2)

(17.918.9)
(18.722.7)
(17.723.6)
(17.422.2)
20.6
(14.927.3)

37.8
20.0
22.8
42.5
25.7
35.2
32.4
27.4
23.8
24.6
16.3
19.8

(34.341.4)
(17.722.4)
(19.726.2)
(39.545.4)
(23.428.2)
(31.139.5)
(31.433.3)
(25.129.7)
(21.726.1)
(22.726.5)
(13.919.2)
(17.921.7)

CI

Total
CI

CI

(1.74.2)
(1.23.8)

(1.34.8)
(0.52.1)

(1.84.5)
(1.73.0)
(1.22.0)
(2.14.2)
(1.43.1)
(0.52.2)
(0.83.0)
(0.81.3)

(0.62.3)
(1.43.7)
(1.73.9)
(2.75.5)
(1.32.3)
(1.34.5)
(0.93.3)
(2.33.4)

(1.13.8)

(0.63.5)
(1.53.3)

(0.73.2)
(0.52.4)
(3.66.0)

(1.32.8)
(1.53.5)
(1.73.6)
2.2
(1.04.7)

3.7
3.7

4.8
4.0

4.4
4.3
4.1
2.6
4.1
3.1
2.4
2.7

2.7
2.9
5.7
8.7
2.9
2.9
5.2
5.3

3.3

2.8
3.6

3.8
2.8
8.0

3.6
3.1
2.9

(2.45.4)
(2.65.4)

(3.46.9)
(2.56.2)

(3.26.0)
(3.45.4)
(3.05.6)
(1.73.9)
(3.25.2)
(1.95.1)
(1.53.9)
(2.43.0)

(1.83.9)
(1.94.5)
(3.98.2)
(6.611.5)
(2.33.7)
(1.75.0)
(2.99.3)
(4.66.0)

(2.15.3)

(1.64.7)
(2.55.1)

(2.75.3)
(1.45.4)
(6.89.4)

(2.84.6)
(2.34.2)
(1.94.5)
3.6
(2.48.7)

3.3
3.0

3.8
2.5

3.8
3.4
2.9
2.8
3.2
2.2
2.2
1.9

2.0
2.7
4.4
6.3
2.3
2.8
3.6
4.2

2.7

2.1
2.9

2.7
2.0
6.5

2.9
2.7
2.7

(4.211.2)

(2.15.2)

(0.92.5)
(6.414.3)

(0.92.6)
(2.24.2)
(0.72.5)
(0.72.1)

7.1

4.2

4.5
9.0

4.6
4.7
3.2
4.7

(4.810.4)

(2.86.2)

(2.96.8)
(5.813.6)

(3.56.1)
(3.66.1)
(2.34.5)
(3.56.3)

7.7

3.8

3.0
9.4

3.1
4.1
2.2
3.0

2.7
2.2

2.5
1.0

2.9
2.3
1.5
2.9
2.1
1.1
1.6
1.0

1.2
2.3
2.6
3.8
1.7
2.4
1.8
2.8

2.0

1.4
2.2

1.5
1.1
4.7

1.9
2.3
2.5

7.0

3.3

1.5
9.6

1.6
3.1
1.3
1.2

Male

(2.34.7)
(2.24.1)

(2.75.3)
(1.73.6)

(2.85.1)
(2.84.1)
(2.33.8)
(2.23.6)
(2.54.0)
(1.43.3)
(1.53.3)
(1.82.1)

(1.42.8)
(1.83.9)
(3.35.9)
(4.98.1)
(1.92.8)
(1.94.2)
(2.25.8)
(3.74.6)

(1.84.1)

(1.23.7)
(2.23.9)

(2.13.3)
(1.23.3)
(5.67.5)

(2.33.5)
(2.13.6)
(2.03.7)
2.8
(1.96.5)
(5.510.7)

(2.85.0)

(2.24.2)
(6.413.5)

(2.43.9)
(3.35.0)
(1.72.9)
(2.24.0)

See table footnotes on the next page.

64

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 14. (Continued) Percentage of high school students who were in a physical fight* and who were injured in a physical fight,*, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
In a physical fight
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

18.8
16.0
13.5
14.0
30.0
11.9
11.7

Injured in a physical fight

Male

(16.221.7)
(13.119.5)
(10.616.9)
(11.916.3)
(24.136.7)
(9.614.6)
(8.915.1)
18.3
(11.740.3)

%
25.6
21.4
24.4
26.9
41.6
27.4
16.0

Total
CI

(23.627.8)
(18.225.0)
(20.129.2)
(24.229.8)
(36.047.5)
(24.230.9)
(13.319.1)
28.1
(16.044.0)

Female
CI

22.4
19.1
18.7
21.1
35.9
19.8
13.9

(21.024.0)
(16.721.9)
(15.822.1)
(19.223.2)
(31.241.0)
(17.622.3)
(11.816.4)
22.8
(13.942.5)

2.2
2.9
1.8
3.8
1.3
1.4

Male

CI

(1.33.5)
(1.74.9)
(1.03.0)
(2.65.4)
(0.72.5)
(0.82.7)
2.0
(1.29.6)

Total
CI

4.3
4.8
4.6
6.9
3.4
2.7

(2.76.9)
(3.07.6)
(3.56.1)
(5.19.3)
(2.54.7)
(1.74.5)
4.6
(2.79.0)

3.4
3.8
3.6
5.4
2.4
2.2

CI

(2.34.8)
(2.65.5)
(2.74.8)
(4.36.8)
(1.83.1)
(1.43.4)
3.5
(2.29.4)

* One or more times during the 12 months before the survey.


Injuries had to be treated by a doctor or nurse.
95% confidence interval.
Not available.

TABLE 15. Percentage of high school students who were in a physical fight on school property* and who did not go to school because they
felt unsafe at school or on their way to or from school, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
In a physical fight on school property
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Did not go to school because of safety concerns


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

3.2
9.4
7.1

(2.24.6)
(6.713.1)
(5.59.1)

8.0
15.4
10.7

(6.89.4)
(10.921.2)
(8.613.2)

5.6
12.6
8.9

(5.06.4)
(9.117.1)
(7.310.9)

5.4
6.4
7.4

(4.17.1)
(4.78.5)
(5.89.3)

2.9
6.9
7.6

(2.04.1)
(5.09.4)
(6.29.4)

4.2
6.8
7.6

(3.25.4)
(5.48.5)
(6.39.0)

8.2
4.6
4.1
2.5
5.0

(6.79.9)
(3.36.4)
(2.85.9)
(1.73.7)
(4.16.0)

14.7
10.0
8.3
6.4
10.3

(12.617.2)
(7.812.8)
(6.011.4)
(4.78.6)
(8.812.0)

11.6
7.3
6.5
4.5
7.8

(10.113.4)
(5.99.0)
(5.08.4)
(3.55.6)
(6.78.9)

7.7
6.3
5.3
4.3
6.0

(6.09.9)
(5.08.0)
(4.07.1)
(3.06.2)
(5.17.1)

4.9
4.4
3.7
6.9
5.0

(3.56.9)
(2.96.6)
(2.75.0)
(4.310.8)
(4.25.9)

6.4
5.4
4.6
5.7
5.6

(5.17.8)
(4.26.9)
(3.75.9)
(4.07.9)
(4.86.5)

* One or more times during the 12 months before the survey.


On at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

65

Surveillance Summaries

TABLE 16. Percentage of high school students who were in a physical fight on school property* and who did not go to school because they
felt unsafe at school or on their way to or from school, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
In a physical fight on school property
Female
Site

CI

State surveys
Alabama
6.1
(4.58.2)
Alaska
3.2
(1.95.5)
Arizona
4.8
(3.27.2)
Arkansas
5.3
(3.48.1)
California
4.3
(3.06.1)
Connecticut

Delaware
5.9
(4.28.1)
Florida
5.6
(4.76.7)
Hawaii

Idaho
3.5
(2.25.5)
Illinois
5.5
(3.97.8)
Indiana
3.4
(2.15.6)
Kentucky
4.8
(3.37.0)
Maine
2.3
(1.92.8)
Maryland
8.5
(7.99.1)
Massachusetts
3.3
(2.15.2)
Michigan
4.8
(3.27.2)
Mississippi
5.6
(3.98.1)
Missouri

Montana
4.8
(3.86.2)
Nebraska
3.1
(2.04.9)
Nevada
5.7
(3.98.4)
New Hampshire
3.5
(3.04.1)
New Mexico
5.8
(4.96.9)
New York

North Carolina
4.9
(3.56.9)
North Dakota
3.2
(1.95.2)
Oklahoma
4.4
(2.77.2)
Pennsylvania
4.3
(3.06.2)
Rhode Island
6.6
(4.69.3)
South Carolina
5.4
(3.58.2)
South Dakota
3.3
(1.95.5)
Tennessee
7.7
(6.19.7)
Vermont
4.0
(3.74.4)
Virginia
4.6
(3.66.0)
West Virginia
4.2
(3.05.7)
Wyoming
3.7
(2.65.1)
Median
4.8
Range
(2.38.5)
Large urban school district surveys
Baltimore, MD
12.6
(9.716.3)
Boston, MA
6.3
(4.78.5)
Broward County, FL
6.3
(4.58.8)
Cleveland, OH

DeKalb County, GA

Detroit, MI
15.9 (12.120.5)
District of Columbia
12.8 (11.913.6)
Duval County, FL
8.7
(7.010.9)
Ft. Worth, TX
7.2
(5.69.3)
Houston, TX
8.4
(6.810.4)
Los Angeles, CA
4.5
(2.97.0)
Miami-Dade County, FL
3.5
(2.64.8)

Male
%

Total
CI

12.2
7.8
9.4
16.9
8.8

10.1
9.5

8.2
9.7
7.2
10.3
7.1
15.1
7.7
9.9
11.4

10.2
7.3
7.7
8.9
11.1

8.7
7.5
9.9
9.2
11.1
12.8
10.2
13.5
10.4
10.4
10.3
8.4

(9.915.1)
(6.29.7)
(7.511.8)
(14.719.3)
(6.911.4)

(8.012.6)
(8.211.0)

(6.310.6)
(7.812.2)
(5.49.5)
(8.112.9)
(6.18.2)
(14.415.9)
(6.49.2)
(7.612.7)
(8.615.0)

(8.611.9)
(5.49.8)
(5.211.2)
(8.19.8)
(9.712.6)

(6.311.9)
(5.99.4)
(7.712.5)
(7.111.8)
(8.813.9)
(9.018.0)
(5.917.1)
(10.916.4)
(9.911.0)
(8.712.4)
(7.014.9)
(6.810.3)
9.9
(7.116.9)

18.0
7.9
9.7

18.9
14.6
13.9
11.6
12.0
8.1
11.0

Did not go to school because of safety concerns

(14.022.9)
(6.110.2)
(7.612.3)

(14.923.6)
(13.515.7)
(11.416.8)
(9.713.8)
(10.214.2)
(5.711.5)
(8.913.6)

Female
CI

9.3
5.8
7.2
11.2
6.6

8.1
7.6

6.0
7.7
5.5
7.8
4.9
12.2
5.6
7.4
8.7

7.6
5.5
6.8
6.4
8.5

6.9
5.4
7.1
6.8
9.1
9.1
6.8
10.8
7.4
7.7
7.2
6.1

(7.711.2)
(4.67.3)
(5.59.3)
(9.912.7)
(5.57.8)

(6.79.8)
(6.68.8)

(4.97.3)
(6.09.8)
(4.27.2)
(6.49.4)
(4.35.5)
(11.612.8)
(4.57.0)
(5.89.5)
(6.811.2)

(6.68.7)
(4.46.9)
(5.28.8)
(5.97.0)
(7.59.5)

(5.68.5)
(4.36.8)
(5.39.6)
(5.38.7)
(7.111.5)
(6.512.6)
(4.510.2)
(9.412.4)
(7.07.7)
(6.59.0)
(5.110.1)
(5.17.4)
7.2
(4.912.2)

15.9
7.1
8.1

17.5
13.8
11.4
9.4
10.4
6.3
7.3

(13.418.7)
(5.98.6)
(6.510.1)

(14.421.0)
(13.114.5)
(9.713.5)
(8.110.8)
(8.912.0)
(4.68.7)
(6.18.8)

CI

8.6
9.0
6.8
8.4
7.4
6.2
3.9
8.2
8.9
6.7
5.8
6.8
5.8
6.0
5.5
5.8
6.6
8.7
4.1
5.3
6.8
8.5
6.2
7.7
6.3
5.9

5.0
8.3
4.9
14.2
4.8
9.9
7.2
6.6
9.4
7.1

(6.211.8)
(7.011.6)
(5.28.8)
(7.010.2)
(5.210.5)
(4.58.6)
(2.65.8)
(7.19.4)
(7.410.6)
(5.09.0)
(4.47.6)
(4.69.9)
(4.57.6)
(5.36.8)
(5.16.0)
(4.67.3)
(5.08.7)
(6.711.4)
(3.25.2)
(4.46.4)
(4.89.4)
(6.111.9)
(5.56.9)
(5.311.3)
(4.98.0)
(4.28.5)

(3.37.4)
(5.312.8)
(3.27.3)
(8.123.7)
(2.97.8)
(8.012.3)
(6.77.7)
(5.08.6)
(6.912.7)
(5.69.1)
6.7
(3.914.2)

8.6
6.4
7.9
10.8
10.3
11.5
6.3
11.5
7.2
10.5
5.8
6.6

(6.211.8)
(4.68.7)
(5.910.5)
(8.114.3)
(8.212.8)
(8.814.9)
(5.77.0)
(9.513.9)
(5.69.1)
(8.912.4)
(3.88.7)
(5.28.4)

Male
%

Total
CI

7.7
8.2
5.6
6.7
4.4
7.2
6.1
7.8
8.8
4.0
6.1
6.3
5.1
4.5
6.0
3.8
4.8
8.5
8.0
4.6
5.1
8.1
4.5
7.8
8.4
6.2

3.8
6.7
6.7
8.8
4.7
8.6
4.4
5.6
8.4
6.2

(5.710.4)
(6.210.7)
(4.17.5)
(5.08.9)
(3.36.0)
(5.39.9)
(4.87.8)
(6.39.6)
(7.310.7)
(2.85.9)
(4.58.3)
(3.710.5)
(3.37.7)
(3.65.5)
(5.66.4)
(2.95.0)
(3.76.2)
(6.012.0)
(5.711.3)
(3.66.0)
(3.28.1)
(6.410.3)
(3.95.2)
(6.39.6)
(6.910.1)
(4.78.2)

(1.97.2)
(4.310.3)
(5.48.4)
(6.511.7)
(2.58.8)
(7.110.3)
(4.04.8)
(4.57.0)
(5.812.0)
(4.78.2)
6.2
(3.88.8)

8.1
8.8
6.3
7.7
6.1
6.9
5.3
8.1
9.1
5.4
6.0
6.7
5.7
5.4
6.0
4.8
5.8
9.0
6.1
5.0
6.2
8.5
5.4
7.8
7.6
6.2

4.3
7.6
6.0
11.5
4.7
9.3
5.9
6.1
8.9
6.7

12.4
5.7
7.6
11.6
9.5
11.2
7.8
12.8
6.8
11.2
6.3
8.1

(8.717.3)
(4.17.9)
(5.810.0)
(9.214.5)
(7.212.4)
(8.614.6)
(7.18.7)
(10.215.9)
(5.38.7)
(9.513.2)
(4.29.4)
(6.410.1)

11.5
6.1
7.9
12.0
9.9
11.5
7.3
12.8
7.0
11.1
6.2
7.4

CI

(6.210.5)
(7.310.6)
(5.37.5)
(6.68.9)
(4.68.0)
(5.48.8)
(4.36.5)
(7.19.4)
(7.810.6)
(4.16.9)
(4.67.8)
(4.69.6)
(4.57.3)
(4.76.1)
(5.76.4)
(3.95.9)
(4.86.9)
(6.911.8)
(4.87.8)
(4.26.0)
(4.68.4)
(7.010.4)
(4.95.9)
(5.910.2)
(6.58.8)
(4.98.0)

(2.96.5)
(5.111.2)
(4.97.3)
(7.716.8)
(2.87.8)
(7.711.2)
(5.66.2)
(5.07.4)
(7.011.2)
(5.58.2)
6.2
(4.311.5)
(9.314.3)
(4.97.6)
(6.49.6)
(10.014.2)
(8.112.1)
(9.114.4)
(6.87.8)
(10.715.1)
(5.98.4)
(9.812.6)
(4.58.4)
(6.18.9)

See table footnotes on the next page.

66

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 16. (Continued) Percentage of high school students who were in a physical fight on school property* and who did not go to school
because they felt unsafe at school or on their way to or from school, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
In a physical fight on school property
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

5.4
5.3
3.7
11.7
2.8
3.8

Male

CI

Site

(4.07.4)
(3.67.5)
(2.75.1)
(8.515.8)
(2.03.9)
(2.85.3)
6.3
(2.815.9)

8.7
11.3
7.6
18.5
10.6
7.1

Did not go to school because of safety concerns


Total

CI

(6.212.1)
(8.215.3)
(5.99.9)
(15.422.1)
(8.712.9)
(5.59.1)
11.1
(7.118.9)

7.3
8.2
6.0
15.2
6.8
5.7

Female
CI

(5.79.3)
(6.210.7)
(4.97.4)
(12.418.5)
(5.68.1)
(4.76.9)
8.1
(5.717.5)

5.7
8.8
10.1
8.8
11.0
4.9

Male

CI

(4.86.8)
(6.511.9)
(8.012.7)
(6.911.1)
(9.113.2)
(3.76.4)

8.7
(4.911.5)

Total
CI

5.9
8.4
8.4
9.6
8.3
4.1

%
6.0
9.0
9.3
9.7
9.9
4.5

(5.07.0)
(6.511.0)
(5.612.3)
(7.612.0)
(5.712.0)
(2.86.1)

8.3
(4.112.8)

CI
(5.26.8)
(7.510.8)
(7.311.9)
(8.011.6)
(7.912.4)
(3.55.6)

9.1
(4.512.8)

* One or more times during the 12 months before the survey.


On at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 17. Percentage of high school students who were electronically bullied,*, and who were bullied on school property, by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Electronically bullied
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Bullied on school property

Male

Total

CI

CI

26.0
11.9
16.7

(24.028.1)
(9.115.3)
(14.019.9)

10.8
5.6
8.1

(8.813.3)
(3.88.2)
(6.410.3)

18.4
8.6
12.4

22.7
23.2
21.4
19.5
21.7

(19.826.0)
(20.625.9)
(18.724.4)
(16.822.4)
(20.123.4)

11.0
9.9
8.4
9.2
9.7

(8.114.7)
(7.912.4)
(6.311.0)
(7.211.8)
(8.411.1)

16.5
16.6
14.7
14.3
15.5

Female
CI

Male

Total

CI

CI

CI

(16.820.0)
(6.810.8)
(10.514.5)

29.1
15.1
19.3

(26.531.8)
(11.918.9)
(15.923.3)

18.1
11.2
13.7

(16.320.0)
(8.414.9)
(11.616.2)

23.5
13.2
16.5

(21.725.3)
(10.716.3)
(14.219.1)

(14.618.6)
(14.718.6)
(12.517.2)
(12.616.1)
(14.516.6)

29.0
25.5
24.2
19.8
24.8

(25.832.4)
(21.929.4)
(21.826.8)
(16.623.4)
(22.826.9)

18.3
16.1
16.4
12.1
15.8

(15.221.7)
(13.718.9)
(14.218.8)
(10.214.3)
(14.517.2)

23.4
20.8
20.3
15.9
20.2

(20.726.3)
(18.423.5)
(18.622.1)
(14.117.9)
(18.821.7)

* Counting being bullied through e-mail, chat rooms, instant messaging, Web sites, or texting.
During the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

67

Surveillance Summaries

TABLE 18. Percentage of high school students who were electronically bullied,*, and who were bullied on school property, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Electronically bullied
Female
Site

CI

State surveys
Alabama
19.6 (16.722.8)
Alaska
22.9 (19.926.2)
Arizona

Arkansas
24.8 (21.528.4)
California
18.1 (13.923.3)
Connecticut
17.4 (15.419.6)
Delaware
16.0 (13.718.6)
Florida
15.2 (14.116.3)
Hawaii
17.5 (15.719.4)
Idaho
31.4 (28.134.8)
Illinois
18.7 (16.321.3)
Indiana
20.6 (17.424.1)
Kentucky
25.0 (21.129.5)
Maine
25.3 (23.427.3)
Maryland
17.2 (16.617.8)
Massachusetts
17.4 (15.219.9)
Michigan
25.0 (21.528.8)
Mississippi
20.3 (17.024.2)
Missouri
21.4 (18.025.1)
Montana
26.6 (24.528.8)
Nebraska
25.1 (21.129.4)
Nevada
20.8 (18.223.7)
New Hampshire
26.0 (24.627.5)
New Mexico
17.4 (15.819.2)
New York
19.8 (17.522.4)
North Carolina
16.2 (12.121.5)
North Dakota
22.9 (20.325.7)
Oklahoma
20.8 (17.224.9)
Pennsylvania
20.1 (16.624.0)
Rhode Island
15.3 (12.418.7)
South Carolina
20.4 (15.726.1)
South Dakota
26.6 (21.632.4)
Tennessee
21.7 (19.623.9)
Vermont
23.2 (22.424.0)
Virginia
18.8 (16.521.4)
West Virginia
27.6 (22.932.9)
Wyoming
23.2 (19.827.0)
Median
20.7
Range
(15.231.4)
Large urban school district surveys
Baltimore, MD
10.3
(7.913.4)
Boston, MA
10.0
(7.912.7)
Broward County, FL
15.8 (12.919.3)
Cleveland, OH
17.7 (14.521.5)
DeKalb County, GA
10.6
(8.912.7)
Detroit, MI
19.4 (15.224.5)
District of Columbia
9.2
(8.410.0)
Duval County, FL
18.7 (16.321.4)
Ft. Worth, TX
12.1 (10.114.3)
Houston, TX
13.5 (11.915.2)
Los Angeles, CA
11.7
(9.314.6)
Miami-Dade County, FL
11.6
(9.414.2)

Bullied on school property

Male
%

Total
CI

Female
CI

7.3
12.6

11.8
8.3
10.3
7.3
7.9
11.5
11.4
11.8
11.0
9.2
12.6
10.2
8.8
12.8
10.3
11.7
10.9
13.0
8.2
11.3
9.9
11.5
7.9
9.3
8.1
8.7
9.5
8.0
10.5
9.3
9.9
9.0
13.1
11.9

(5.79.2)
(10.115.5)

(8.516.3)
(5.612.2)
(8.612.4)
(5.89.0)
(7.08.9)
(9.813.5)
(9.114.1)
(9.514.7)
(8.713.7)
(7.111.9)
(11.813.6)
(9.810.7)
(7.310.5)
(10.815.0)
(7.913.2)
(9.814.0)
(9.412.6)
(10.416.2)
(6.210.7)
(10.212.5)
(8.811.1)
(9.713.6)
(5.810.8)
(7.711.3)
(6.210.5)
(7.210.3)
(7.412.2)
(5.711.0)
(7.813.9)
(8.310.5)
(9.410.5)
(7.810.4)
(10.516.3)
(9.614.7)
10.2
(7.313.1)

13.5
17.7

18.2
13.5
13.9
11.7
11.6
14.7
21.1
15.3
15.7
17.0
18.9
13.8
13.0
18.8
15.5
16.6
18.5
18.9
14.6
18.6
13.7
15.7
12.1
15.9
14.5
14.3
12.4
14.1
18.4
15.3
16.5
13.8
20.2
17.5

(11.715.5)
(15.719.9)

(15.820.9)
(10.018.0)
(12.315.6)
(10.413.1)
(10.912.3)
(13.316.2)
(18.823.6)
(13.317.5)
(14.017.7)
(14.519.9)
(17.720.1)
(13.414.2)
(11.514.6)
(16.721.2)
(13.218.2)
(14.319.3)
(17.219.8)
(16.521.5)
(12.816.5)
(17.719.4)
(12.614.8)
(14.317.3)
(9.515.3)
(14.417.5)
(12.317.0)
(12.416.4)
(10.314.8)
(11.417.3)
(15.321.9)
(14.216.5)
(16.017.0)
(12.515.1)
(17.023.8)
(15.719.5)
15.4
(11.621.1)

8.2
5.9
9.1
9.3
6.6
12.6
6.2
11.6
5.6
9.0
6.9
7.8

(6.011.0)
(4.57.8)
(6.712.2)
(7.212.0)
(4.89.1)
(9.616.4)
(5.67.0)
(9.214.5)
(4.57.0)
(7.610.6)
(4.89.9)
(6.29.7)

9.6
8.1
12.5
13.8
8.8
16.3
7.9
15.4
8.8
11.2
9.3
9.8

(7.811.7)
(6.79.6)
(10.315.1)
(11.816.0)
(7.410.3)
(13.020.3)
(7.38.4)
(13.317.8)
(7.610.1)
(10.212.4)
(7.611.5)
(8.411.5)

CI

21.6
26.5

25.8
22.2
20.8
18.6
17.4
19.9
33.8
19.8
22.5
28.6
26.7
19.8
18.7
28.4
24.8
22.9
29.0
28.0
20.4
27.3
20.5
23.4
16.8
29.3
26.0
24.0
16.0
25.0
24.9
29.4

23.3
30.1
28.8

(17.925.8)
(23.230.2)

(21.730.4)
(18.626.2)
(17.624.3)
(15.921.8)
(15.819.1)
(17.322.8)
(30.737.1)
(17.322.5)
(18.826.7)
(25.532.0)
(24.828.7)
(19.220.4)
(16.221.4)
(24.233.1)
(22.027.9)
(18.627.8)
(26.931.1)
(23.732.8)
(18.222.7)
(25.729.0)
(18.822.4)
(21.026.0)
(13.620.7)
(25.933.1)
(22.430.0)
(20.727.6)
(13.019.7)
(22.328.0)
(18.932.1)
(26.832.1)

(20.426.3)
(26.933.4)
(25.432.5)
24.0
(16.033.8)

11.5
14.0
19.5
18.6
15.2
17.9
13.1
23.5
14.6
14.5
16.3
11.9

(8.215.7)
(11.616.8)
(17.022.3)
(15.422.4)
(12.818.0)
(13.623.3)
(12.214.0)
(20.826.5)
(12.516.9)
(12.716.5)
(13.219.8)
(9.914.2)

Male
%

Total
CI

16.2
19.5

19.9
14.3
16.2
13.6
12.5
17.0
18.6
19.4
14.8
15.5
19.6
15.5
12.6
22.6
13.7
19.6
22.0
24.4
16.7
16.8
16.3
17.8
14.0
19.0
14.7
15.9
15.0
14.5
18.5
19.2

15.9
19.0
18.7

(13.519.4)
(16.922.4)

(16.324.1)
(11.617.5)
(13.918.7)
(11.715.8)
(11.613.5)
(15.119.1)
(16.021.4)
(16.023.2)
(11.818.3)
(12.419.2)
(18.320.9)
(15.016.1)
(10.614.9)
(19.326.3)
(10.717.5)
(16.523.2)
(19.724.6)
(21.627.5)
(13.320.7)
(15.717.9)
(15.217.6)
(15.819.9)
(10.019.2)
(16.321.9)
(11.718.4)
(13.618.5)
(12.517.9)
(11.218.6)
(14.223.6)
(17.720.8)

(13.718.5)
(16.322.0)
(16.321.4)
16.7
(12.524.4)

11.6
9.3
12.4
13.0
13.0
16.1
10.8
16.3
11.2
11.7
12.6
10.5

(8.615.5)
(7.411.7)
(9.715.7)
(10.515.9)
(10.515.9)
(12.520.4)
(9.911.8)
(13.319.8)
(9.213.5)
(9.813.8)
(10.515.0)
(8.412.9)

CI

19.0
22.8

22.9
18.5
18.6
16.4
15.0
18.6
26.0
19.6
18.7
22.0
23.2
17.7
15.6
25.6
19.5
21.4
25.3
26.3
18.6
22.1
18.4
20.6
15.6
24.0
20.4
19.9
15.5
19.7
21.6
24.1

19.5
24.4
23.7

(16.821.5)
(20.425.4)

(20.325.7)
(15.322.2)
(16.920.5)
(14.518.5)
(14.016.0)
(16.720.6)
(23.928.2)
(17.621.8)
(16.121.5)
(19.425.0)
(21.924.5)
(17.318.2)
(14.017.4)
(22.828.6)
(17.321.8)
(18.125.1)
(23.427.4)
(23.828.9)
(16.720.7)
(21.223.0)
(17.219.7)
(19.122.3)
(12.619.2)
(21.926.3)
(17.623.5)
(17.722.2)
(13.617.6)
(17.122.6)
(17.127.0)
(22.725.6)

(17.621.6)
(22.027.0)
(21.725.9)
19.9
(15.026.3)

11.9
11.8
15.9
16.1
14.1
17.3
12.1
20.2
12.9
13.1
14.6
11.3

(9.714.6)
(10.213.5)
(14.018.1)
(14.018.4)
(12.116.4)
(13.721.6)
(11.412.8)
(17.822.9)
(11.414.5)
(11.814.4)
(12.816.5)
(9.912.7)

See table footnotes on the next page.

68

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 18. (Continued) Percentage of high school students who were electronically bullied,*, and who were bullied on school property,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Electronically bullied
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

15.2
12.0
15.8
17.1
11.0
17.4
12.8

Bullied on school property

Male

CI

(13.616.9)
(9.714.8)
(13.118.8)
(14.819.6)
(8.314.5)
(15.020.0)
(10.315.7)
12.8
(9.219.4)

8.9
9.5
7.9
10.2
8.1
10.7
9.2

Total
CI

(7.910.1)
(7.212.4)
(5.311.7)
(8.212.5)
(5.911.0)
(8.813.0)
(7.311.6)
8.9
(5.612.6)

Female
CI

12.1
10.6
11.8
13.5
9.6
14.0
11.2

(11.113.0)
(9.112.4)
(10.113.9)
(11.915.3)
(7.612.0)
(12.515.8)
(9.413.2)
11.2
(7.916.3)

CI

17.9
17.9
18.7
19.1
15.2
19.2
13.9

(15.720.4)
(14.422.1)
(15.422.5)
(16.422.1)
(11.320.3)
(16.522.2)
(11.316.9)
16.3
(11.523.5)

Male
%

Total
CI

11.7
16.0
12.8
14.7
12.6
14.3
12.3

(10.413.1)
(12.620.2)
(10.215.9)
(12.317.4)
(9.816.0)
(11.917.0)
(9.815.2)
12.6
(9.316.3)

CI

14.8
16.9
15.7
16.9
13.9
16.7
13.3

(13.316.5)
(14.419.7)
(13.418.4)
(15.218.8)
(11.217.2)
(14.918.6)
(11.315.4)
14.6
(11.320.2)

* Counting being bullied through e-mail, chat rooms, instant messaging, Web sites, or texting.
During the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 19. Percentage of high school students who were ever physically forced to have sexual intercourse,* by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

Total

CI

CI

9.9
10.3
10.1

(7.413.0)
(7.414.1)
(8.012.7)

2.0
4.4
4.0

(1.42.8)
(2.76.9)
(2.85.7)

6.0
7.3
7.0

(4.77.5)
(5.69.6)
(5.68.6)

9.4
7.9
12.0
11.9
10.3

(7.312.1)
(5.710.7)
(9.315.4)
(9.315.1)
(8.412.6)

2.1
3.9
2.8
3.5
3.1

(1.43.1)
(2.75.5)
(1.94.1)
(2.45.1)
(2.54.0)

5.6
5.9
7.6
7.6
6.7

(4.47.1)
(4.57.7)
(6.09.5)
(6.49.1)
(5.68.0)

* When they did not want to.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

69

Surveillance Summaries

TABLE 20. Percentage of high school students who were ever physically forced to have sexual intercourse,* by sex selected U.S. sites, Youth
Risk Behavior Survey, 2015
Female
Site

State surveys
Alabama
12.9
Alaska
11.3
Arizona
11.9
Arkansas
16.4
California
7.8
Connecticut
9.3
Delaware
8.6
Florida
8.3
Hawaii
10.9
Idaho
9.0
Illinois
11.5
Indiana
13.4
Kentucky
14.1
Maine
10.0
Maryland
9.9
Massachusetts
7.6
Michigan
12.2
Mississippi
13.9
Missouri
11.9
Montana
12.7
Nebraska
11.4
Nevada
11.1
New Hampshire
9.8
New Mexico
10.6
New York

North Carolina
8.8
North Dakota
9.8
Oklahoma
10.1
Pennsylvania
9.5
Rhode Island
9.8
South Carolina
8.4
South Dakota
6.1
Tennessee

Vermont
10.2
Virginia

West Virginia
12.7
Wyoming
13.2
Median
Range
Large urban school district surveys
Baltimore, MD
9.9
Boston, MA
8.9
Broward County, FL
9.9
Cleveland, OH
14.8
DeKalb County, GA
13.1
Detroit, MI
11.4
District of Columbia
9.7
Duval County, FL
14.3
Ft. Worth, TX
7.5
Houston, TX
11.0
Los Angeles, CA
6.8
Miami-Dade County, FL
7.1

Male
CI

CI

(9.716.8)
(9.014.0)
(8.815.8)
(12.521.2)
(4.413.2)
(7.212.0)
(6.611.1)
(7.39.5)
(9.312.8)
(6.911.7)
(8.715.1)
(10.217.3)
(11.217.5)
(8.911.3)
(9.410.4)
(6.09.6)
(10.314.3)
(11.516.8)
(9.315.0)
(11.314.4)
(9.014.3)
(8.015.2)
(8.611.0)
(9.412.0)

(5.912.9)
(7.812.2)
(8.112.5)
(7.511.9)
(8.011.8)
(5.312.9)
(3.79.8)

(9.610.8)

(9.516.7)
(10.216.9)

7.8
4.0
6.0
7.1
4.3
6.2
4.4
4.2
6.5
4.4
6.4
6.4
6.5
4.2
6.2
3.3
4.4
8.7
4.7
5.0
5.4
5.6
3.0
4.1

4.4
3.0
3.2
3.4
6.4
6.0
4.2

3.1

7.5
6.8

(8.112.1)
(7.011.2)
(7.812.6)
(11.319.1)
(10.815.8)
(9.314.0)
(8.910.6)
(12.616.2)
(6.09.3)
(9.312.9)
(5.48.7)
(5.59.1)

10.7
6.1
7.7
8.5
10.6
9.5
6.3
10.2
3.5
8.3
6.0
4.7

10.4
(6.116.4)

Total

4.8
(3.08.7)

(5.810.5)
(2.75.9)
(4.38.4)
(4.910.1)
(3.06.1)
(4.78.2)
(3.06.3)
(3.55.1)
(5.37.8)
(3.06.4)
(4.78.8)
(4.59.2)
(5.08.5)
(3.55.0)
(5.86.7)
(2.34.8)
(3.35.9)
(6.311.9)
(3.16.9)
(4.16.1)
(3.87.5)
(4.56.8)
(2.53.6)
(3.54.8)

(2.86.9)
(2.04.5)
(2.15.0)
(2.35.0)
(5.37.6)
(4.08.9)
(2.18.0)

(2.73.4)

(5.210.7)
(5.28.7)

10.4
7.5
9.0
11.7
6.0
7.8
6.6
6.4
8.8
6.7
8.9
10.0
10.3
7.1
8.1
5.5
8.3
11.4
8.4
8.7
8.3
8.4
6.3
7.3

6.6
6.3
6.7
6.4
8.1
7.2
5.1

6.6

10.0
10.1

(7.914.3)
(4.68.2)
(5.510.8)
(5.712.5)
(8.213.5)
(7.512.1)
(5.67.1)
(8.312.4)
(2.54.7)
(7.09.7)
(4.58.1)
(3.56.4)

10.6
7.6
8.9
12.0
11.9
10.6
8.2
12.6
5.5
9.6
6.5
6.0

CI

7.9
(5.111.7)

(8.412.7)
(6.09.4)
(7.111.3)
(9.414.4)
(4.28.3)
(6.49.4)
(5.28.3)
(5.87.1)
(7.99.8)
(5.58.2)
(6.811.6)
(8.012.4)
(8.911.9)
(6.47.9)
(7.88.5)
(4.46.8)
(7.39.6)
(9.413.6)
(6.810.3)
(7.99.7)
(6.810.0)
(6.810.4)
(5.77.0)
(6.58.1)

(5.28.5)
(5.27.7)
(5.48.2)
(5.18.0)
(6.99.4)
(5.39.7)
(3.28.0)

(6.37.0)

(7.812.8)
(8.212.5)

(8.712.9)
(6.19.3)
(7.310.9)
(9.315.4)
(10.013.9)
(9.112.4)
(7.68.7)
(11.214.3)
(4.66.6)
(8.510.8)
(5.28.1)
(5.07.2)

See table footnotes on the next page.

70

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 20. (Continued) Percentage of high school students who were ever physically forced to have sexual intercourse,* by sex selected U.S.
sites, Youth Risk Behavior Survey, 2015
Female

Male

Site

CI

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

8.4
11.8
11.2
8.8
9.2

(6.211.3)
(9.714.3)
(8.814.0)
(7.011.0)
(7.211.6)

Total

CI

4.4
8.6
4.9
5.9
5.7

9.9
(6.814.8)

6.3
(3.510.7)

CI

6.4
10.5
8.0
7.4
7.6

(2.77.0)
(6.810.9)
(3.56.8)
(4.67.5)
(4.37.7)

8.2
(5.512.6)

(5.17.9)
(8.812.5)
(6.410.0)
(6.38.6)
(6.29.4)

* When they did not want to.


95% confidence interval.
Not available.

TABLE 21. Percentage of high school students who experienced physical dating violence*, and sexual dating violence,*, by sex, race/ethnicity,
and grade United States, Youth Risk Behavior Survey, 2015
Physical dating violence
Female
Category
Race/Ethnicity
White**
Black**
Hispanic
Grade
9
10
11
12
Total

Sexual dating violence

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

11.9
12.2
11.4

(9.215.2)
(9.116.2)
(9.214.1)

5.9
9.0
8.0

(4.87.2)
(6.013.4)
(6.210.2)

9.0
10.5
9.7

(7.510.7)
(8.413.0)
(8.011.7)

16.6
11.7
14.2

(13.819.7)
(8.016.8)
(11.317.6)

3.5
8.0
7.0

(2.84.4)
(4.713.1)
(5.68.8)

10.1
10.0
10.6

(8.711.7)
(7.014.0)
(8.812.6)

11.1
10.9
11.6
12.9
11.7

(8.314.7)
(8.713.6)
(9.014.7)
(9.916.5)
(9.913.8)

5.3
8.2
7.9
8.2
7.4

(3.57.9)
(6.310.7)
(6.69.5)
(6.410.6)
(6.58.5)

8.1
9.6
10.1
10.5
9.6

(6.89.5)
(8.011.5)
(8.611.8)
(8.612.7)
(8.810.6)

17.6
15.8
14.9
13.9
15.6

(14.021.9)
(13.019.0)
(12.118.2)
(11.317.0)
(13.717.6)

4.5
7.4
5.1
4.6
5.4

(3.46.1)
(5.410.0)
(3.18.4)
(3.16.7)
(4.46.7)

10.8
11.8
10.3
9.2
10.6

(9.012.9)
(10.013.8)
(8.312.7)
(7.810.8)
(9.511.7)

* One or more times during the 12 months before the survey.


Among the 68.6% of students nationwide who dated or went out with someone during the 12 months before the survey, being physically hurt on purpose (counting

being hit, slammed into something, or injured with an object or weapon) by someone they were dating or going out with.

Among the 69.1% of students nationwide who dated or went out with someone during the 12 months before the survey, being forced to do sexual things (counting

kissing, touching, or being physically forced to have sexual intercourse) they did not want to do by someone they were dating or going out with.

95% confidence interval.


** Non-Hispanic.

Note: The prevalence of dating or going out with someone during the 12 months before the survey varies slightly for physical dating violence and sexual dating
violence because of differences in the number of usable responses to each question.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

71

Surveillance Summaries

TABLE 22. Percentage of high school students who experienced physical dating violence*, and sexual dating violence,*, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Physical dating violence
Female
Site

CI

State surveys
Alabama
13.9 (11.816.4)
Alaska
10.5
(7.314.9)
Arizona
**

Arkansas
18.2 (15.121.9)
California
11.7
(9.015.1)
Connecticut
8.7
(6.711.2)
Delaware
9.8
(7.812.3)
Florida
11.2
(9.513.1)
Hawaii
10.7
(8.213.7)
Idaho
12.6
(9.017.4)
Illinois
12.7 (10.315.4)
Indiana
11.9
(9.015.6)
Kentucky
12.1
(8.716.6)
Maine
9.9
(8.911.0)
Maryland
11.2 (10.611.9)
Massachusetts
9.3
(7.311.8)
Michigan
9.2
(7.111.9)
Mississippi
12.3
(9.016.6)
Missouri
10.2
(8.112.6)
Montana
10.8
(9.312.7)
Nebraska
11.7
(8.516.0)
Nevada
10.5
(7.913.9)
New Hampshire
9.5
(8.410.7)
New Mexico
9.6
(8.510.9)
New York
11.9
(9.914.4)
North Carolina
9.2
(6.113.6)
North Dakota
9.6
(7.412.4)
Oklahoma
8.9
(7.210.9)
Pennsylvania
9.4
(7.312.0)
Rhode Island
9.5
(7.811.4)
South Carolina
8.4
(5.911.7)
South Dakota
9.8
(7.013.7)
Tennessee
12.9 (11.115.0)
Vermont
10.7 (10.011.5)
Virginia
12.3
(9.815.2)
West Virginia
11.2
(8.514.6)
Wyoming
9.9
(7.812.6)
Median
10.6
Range
(8.418.2)
Large urban school district surveys
Baltimore, MD
10.0
(7.812.8)
Boston, MA
7.0
(5.09.9)
Broward County, FL
10.6
(7.814.2)
Cleveland, OH
11.6
(9.114.8)
DeKalb County, GA
11.1
(8.514.5)
Detroit, MI
12.2
(9.415.6)
District of Columbia
11.8 (10.712.9)
Duval County, FL
12.3 (10.314.7)
Ft. Worth, TX
10.4
(8.412.9)
Houston, TX
11.7
(9.614.2)
Los Angeles, CA
6.6
(4.98.9)
Miami-Dade County, FL
7.6
(5.610.3)

Sexual dating violence

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

8.4
8.2

10.5
7.4
6.8
7.2
10.5
8.1
5.1
9.7
7.7
5.3
6.4
8.5
4.1
6.8
8.2
12.9
5.5
3.7
8.8
6.1
7.6
10.3
7.3
5.6
5.3
5.0
7.9
7.7
7.8
9.5
7.2
9.5
8.7
8.1

(5.712.0)
(5.611.8)

(7.215.1)
(4.412.2)
(4.99.4)
(5.29.8)
(9.012.3)
(6.610.0)
(3.47.5)
(6.414.4)
(5.011.7)
(3.77.4)
(5.37.7)
(7.99.1)
(2.76.3)
(4.410.3)
(5.512.1)
(8.818.7)
(4.37.1)
(2.16.4)
(6.112.5)
(5.27.2)
(6.48.9)
(8.013.2)
(5.49.9)
(4.07.9)
(3.09.1)
(3.37.5)
(6.010.3)
(5.111.3)
(4.214.2)
(7.512.1)
(6.67.9)
(7.412.1)
(6.012.4)
(5.611.6)
7.7
(3.712.9)

11.4
(9.014.4)
9.5
(7.512.1)

14.6 (13.515.8)
9.7
(7.512.5)
8.0
(6.79.5)
8.6
(7.110.4)
11.0
(9.812.2)
9.8
(8.011.9)
8.9
(6.611.9)
11.3
(9.613.2)
10.0
(8.411.9)
8.9
(6.811.6)
8.3
(7.49.2)
10.1
(9.710.6)
6.7
(5.18.6)
8.2
(6.710.0)
10.6
(8.712.9)
11.7
(8.915.3)
8.2
(7.39.3)
8.1
(6.010.8)
9.6
(8.011.6)
7.8
(7.18.7)
8.6
(7.79.6)
11.5
(9.713.6)
8.3
(6.410.7)
7.6
(6.29.2)
7.2
(5.79.0)
7.2
(5.79.1)
8.8
(7.510.2)
8.0
(6.010.6)
8.8
(6.212.4)
11.2
(9.812.8)
9.1
(8.69.6)
10.9
(9.112.9)
10.1
(8.212.3)
9.1
(7.211.4)
9.0
(6.714.6)

13.4
14.9

16.0
18.1
16.4
9.8
13.8
15.4
21.6
15.0
16.4
13.8

13.1
11.2
17.5
14.8

14.4
13.8
14.4
17.3
12.7
16.6
11.1

13.1
14.2
12.8
9.8
10.1

11.7
10.7

(11.216.0)
(11.319.3)

(13.718.6)
(14.122.9)
(12.621.0)
(7.812.2)
(12.415.4)
(12.718.5)
(18.325.3)
(12.717.7)
(13.120.4)
(10.917.2)

(12.413.7)
(8.914.0)
(14.920.5)
(11.818.4)

(12.416.8)
(10.617.8)
(11.717.7)
(15.519.2)
(11.114.4)
(13.720.1)
(8.314.8)

(10.516.3)
(11.517.3)
(10.515.6)
(6.215.2)
(7.014.4)

(9.314.6)
(8.813.0)
14.0
(9.821.6)

6.1
5.2

7.1
5.3
6.4
5.7
8.5
8.9
3.2
6.9
8.6
6.1

6.9
3.7
5.9
7.7

5.6
3.2
8.5
6.0
5.8
11.9
4.4

3.9
4.3
5.9
5.3
6.2

6.1
5.1

(4.28.7)
(3.18.7)

(4.211.7)
(3.09.3)
(4.49.2)
(3.88.5)
(7.210.0)
(7.210.9)
(1.75.9)
(4.610.3)
(6.112.0)
(4.48.4)

(6.47.5)
(2.55.7)
(3.98.9)
(5.410.8)

(4.37.2)
(1.75.8)
(5.313.2)
(5.17.1)
(4.86.9)
(9.514.8)
(2.86.8)

(2.36.7)
(2.86.6)
(3.88.8)
(3.57.9)
(3.112.2)

(4.38.6)
(3.67.2)
5.9
(3.211.9)

12.1
5.5
7.5
12.5
7.7
8.6
8.4
11.3
6.2
8.1
7.5
7.0

(8.317.4)
(3.68.4)
(5.011.1)
(9.815.7)
(5.410.9)
(6.211.8)
(7.49.5)
(9.114.0)
(4.78.2)
(6.410.3)
(5.610.0)
(5.58.9)

11.8
(9.614.3)
6.4
(4.88.4)
9.2
(7.311.5)
12.7 (10.815.0)
9.4
(7.611.5)
10.8
(8.613.6)
10.3
(9.611.1)
12.4 (10.814.1)
8.3
(6.910.0)
10.1
(8.811.7)
7.2
(6.08.6)
7.4
(6.09.2)

11.5
8.3
14.4
8.3
10.3
8.2
8.3
17.3
10.0
11.1
10.8
9.5

(8.315.6)
(6.111.4)
(10.819.0)
(6.510.6)
(7.813.5)
(5.911.4)
(7.49.2)
(14.919.9)
(8.112.3)
(9.113.4)
(7.715.0)
(7.412.2)

12.1
5.1
6.6
11.9
7.9
9.0
6.5
10.0
7.1
5.9
6.3
6.8

(8.517.0)
(3.28.0)
(4.69.3)
(9.115.3)
(5.511.2)
(6.512.4)
(5.77.5)
(8.012.4)
(5.39.6)
(4.67.5)
(4.98.0)
(4.99.4)

CI

10.0
10.1

11.8
11.8
11.5
7.9
11.3
12.7
12.4
11.1
12.6
10.1

10.3
7.5
11.9
11.4

10.0
8.8
11.5
11.7
9.2
14.7
7.8

8.6
9.3
9.6
7.6
8.1

9.0
8.0

(8.711.5)
(7.713.2)

(9.714.3)
(8.915.6)
(9.214.3)
(6.59.4)
(10.512.3)
(11.014.6)
(10.314.8)
(9.512.8)
(10.615.0)
(8.312.3)

(9.810.7)
(6.29.0)
(10.313.6)
(9.513.6)

(8.811.4)
(7.011.1)
(9.114.5)
(10.712.7)
(8.210.3)
(12.717.0)
(6.110.0)

(7.010.5)
(7.711.2)
(8.410.9)
(5.011.4)
(5.512.0)

(7.510.9)
(6.89.5)
10.1
(7.514.7)

12.1
(9.615.0)
6.8
(5.09.1)
10.5
(8.612.8)
10.7
(9.012.6)
9.1
(7.311.3)
8.8
(7.011.0)
7.7
(7.18.4)
14.4 (12.816.2)
8.6
(7.310.1)
8.8
(7.610.1)
8.6
(6.611.0)
8.2
(6.810.0)

See table footnotes on the next page.

72

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 22. (Continued) Percentage of high school students who experienced physical dating violence*, and sexual dating violence,*, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Physical dating violence
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

12.5
13.4
8.9
10.8
13.6
9.1
7.5

Sexual dating violence

Male

CI

(11.213.9)
(9.917.9)
(6.512.0)
(8.813.1)
(9.918.5)
(6.712.4)
(4.811.5)
10.8
(6.613.6)

11.1
9.7
9.0
8.5
7.7
6.4
5.6

Total
CI

(9.113.5)
(6.813.7)
(5.215.0)
(6.411.1)
(5.211.2)
(4.78.8)
(3.49.1)
8.1
(5.512.5)

Female
CI

12.0 (10.713.5)
11.6
(8.914.8)
9.0
(6.612.1)
10.2
(8.512.3)
10.8
(8.114.2)
7.8
(6.29.7)
6.6
(4.88.9)
10.1
(6.412.7)

%
13.6
12.4
16.3
13.1
14.4
16.0
12.1

CI
(11.815.6)
(9.116.6)
(12.820.6)
(10.616.1)
(10.519.5)
(12.320.4)
(8.716.5)
11.5
(8.217.3)

Male
%

Total
CI

8.6
8.7
6.9
8.7
6.4
5.9
4.7

(7.110.4)
(5.912.7)
(3.911.8)
(6.611.3)
(3.910.4)
(4.47.9)
(3.07.2)
6.9
(4.712.1)

CI

11.4 (10.412.6)
10.8
(8.613.5)
11.4
(9.014.4)
11.6
(9.613.8)
10.6
(8.313.4)
10.7
(8.713.3)
8.3
(6.310.8)
10.5
(6.814.4)

* One or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey.
Being physically hurt on purpose (counting being hit, slammed into something, or injured with an object or weapon) by someone they were dating or going out with.
Being forced to do sexual things (counting kissing, touching, or being physically forced to have sexual intercourse) they did not want to do by someone they were

dating or going out with.

95% confidence interval.


** Not available.

TABLE 23. Percentage of high school students who felt sad or hopeless,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

37.9
33.9
46.7

(32.543.6)
(28.539.8)
(42.650.9)

19.2
17.6
24.3

(17.221.5)
(13.722.4)
(21.627.2)

28.6
25.2
35.3

(25.831.5)
(21.729.1)
(32.338.4)

41.5
40.1
40.9
36.3
39.8

(37.745.4)
(35.145.4)
(37.344.7)
(32.340.5)
(36.543.2)

16.7
19.2
22.1
23.9
20.3

(14.519.1)
(16.122.8)
(19.125.4)
(21.226.8)
(18.921.8)

28.4
29.8
31.4
30.0
29.9

(25.931.0)
(26.633.1)
(28.334.8)
(27.532.6)
(28.031.8)

* Almost every day for 2 weeks in a row so that they stopped doing some usual activities during the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

73

Surveillance Summaries

TABLE 24. Percentage of high school students who felt sad or hopeless,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

Male

Total

CI

CI

CI

38.1
42.7
44.0
38.1
38.8
34.7
32.5
35.4
36.2
42.7
36.8
39.2
42.5
35.5
35.0
34.8
40.7
38.3
31.3
38.8
31.4
44.2
36.9
42.3
36.0
35.2
35.2
37.9
36.7
35.8
39.6
34.7
38.0
33.5
37.1
43.8
39.1

(33.842.7)
(37.448.2)
(40.048.0)
(35.340.9)
(35.442.3)
(30.938.7)
(29.335.8)
(33.237.6)
(33.539.0)
(39.046.5)
(32.641.3)
(33.645.0)
(37.248.0)
(33.537.5)
(34.235.9)
(32.137.7)
(35.646.0)
(35.241.6)
(26.236.9)
(36.241.4)
(26.736.6)
(38.749.9)
(34.839.0)
(39.944.7)
(33.438.7)
(30.340.5)
(32.138.4)
(33.342.8)
(33.140.5)
(33.937.8)
(33.745.7)
(27.642.4)
(34.641.5)
(32.634.5)
(34.539.7)
(38.849.0)
(35.342.9)

20.5
25.0
24.6
23.4
20.9
18.5
15.3
17.3
22.4
21.2
21.7
19.8
20.5
17.8
18.7
19.9
22.7
20.1
23.6
20.4
17.1
21.6
17.9
23.0
21.0
17.5
19.6
19.7
19.2
17.2
20.4
16.5
18.5
15.4
17.3
22.4
22.8

(17.623.8)
(21.628.8)
(20.828.8)
(18.429.3)
(19.122.9)
(15.921.6)
(13.217.7)
(15.619.1)
(20.424.6)
(18.324.5)
(18.225.7)
(17.522.3)
(17.524.0)
(16.619.0)
(18.119.3)
(17.522.6)
(20.025.5)
(16.424.5)
(19.428.5)
(18.722.3)
(14.120.5)
(19.324.1)
(16.719.2)
(21.224.9)
(18.723.5)
(14.720.7)
(17.122.4)
(17.022.8)
(16.821.7)
(14.820.0)
(17.523.7)
(12.621.3)
(16.820.3)
(14.716.1)
(15.319.5)
(18.526.8)
(19.925.9)

29.3
33.6
34.2
30.7
29.7
26.6
24.2
26.4
29.5
31.6
29.3
29.3
31.3
26.4
26.8
27.4
31.7
29.5
27.5
29.3
24.1
32.7
27.2
32.5
28.6
26.4
27.2
28.9
27.8
26.4
29.9
25.4
28.0
24.4
26.9
32.9
30.8

(26.232.7)
(30.137.4)
(30.737.8)
(27.633.9)
(26.932.8)
(23.929.5)
(22.126.5)
(25.027.9)
(27.731.4)
(29.134.3)
(26.132.7)
(27.031.9)
(28.034.9)
(25.327.6)
(26.327.4)
(25.529.4)
(28.634.9)
(26.532.6)
(23.631.8)
(27.730.9)
(21.227.3)
(30.035.6)
(26.228.3)
(30.834.3)
(26.131.2)
(23.529.4)
(25.129.4)
(25.832.1)
(25.330.5)
(24.328.5)
(26.133.9)
(21.030.4)
(26.030.1)
(23.825.0)
(25.128.8)
(29.536.4)
(28.333.4)

(31.941.4)
(29.436.0)
(34.142.4)
(43.450.6)
(31.137.3)
(34.041.5)
(32.234.8)
(37.442.5)
(37.343.2)
(34.840.0)
(33.440.8)
(27.634.2)

23.0
20.7
22.2
25.1
21.0
21.7
19.7
22.2
17.7
23.8
23.3
18.8

(17.829.2)
(17.823.9)
(18.926.0)
(21.928.5)
(18.424.0)
(18.225.6)
(18.621.0)
(19.824.9)
(15.819.9)
(21.925.7)
(20.726.3)
(16.521.4)

29.8
26.7
30.0
36.0
27.5
30.6
27.0
31.4
29.0
30.3
30.4
25.0

36.5
32.6
38.2
47.0
34.1
37.7
33.5
39.9
40.2
37.4
37.1
30.8

37.1
(31.344.2)

20.1
(15.325.0)

28.9
(24.134.2)

(26.633.2)
(24.628.8)
(27.033.2)
(33.338.9)
(25.329.9)
(27.833.5)
(26.027.9)
(29.533.4)
(27.230.9)
(28.832.0)
(27.833.1)
(22.827.4)

See table footnotes on the next page.

74

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 24. (Continued) Percentage of high school students who felt sad or hopeless,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female

Male

Site

CI

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

37.7
33.2
39.4
38.3
43.1
38.9
30.6

(35.539.9)
(29.437.3)
(35.743.2)
(34.941.9)
(39.546.7)
(35.142.9)
(27.034.4)

37.7
(30.647.0)

Total

CI

CI

21.2
21.9
20.6
21.3
21.4
19.9
19.6

(18.823.8)
(18.825.4)
(16.825.1)
(18.823.9)
(18.325.0)
(17.522.6)
(16.822.7)

29.4
27.3
30.1
29.9
32.4
29.1
24.9

(27.631.2)
(24.929.8)
(26.933.4)
(27.732.1)
(29.835.0)
(26.531.9)
(22.827.1)

21.3
(17.725.1)

29.8
(24.936.0)

* Almost every day for 2 weeks in a row so that they stopped doing some usual activities during the 12 months before the survey.
95% confidence interval.

TABLE 25. Percentage of high school students who seriously considered attempting suicide* and who made a plan about how they would
attempt suicide,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Seriously considered attempting suicide
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Made a suicide plan


Total

CI

CI

22.8
18.7
25.6

(19.926.1)
(14.423.8)
(22.928.5)

11.5
11.0
12.4

(9.913.4)
(9.213.1)
(10.514.6)

17.2
14.5
18.8

26.5
25.7
22.1
18.6
23.4

(23.330.0)
(22.229.5)
(19.025.4)
(16.121.4)
(21.525.4)

10.7
10.8
13.3
14.0
12.2

(8.613.2)
(8.813.2)
(11.315.5)
(11.517.1)
(11.213.3)

18.2
18.3
17.7
16.3
17.7

Female
CI

Male

Total

CI

CI

CI

(15.419.2)
(12.317.1)
(17.120.7)

18.4
17.3
20.7

(15.621.7)
(12.723.2)
(17.724.1)

9.3
10.6
10.9

(7.711.1)
(8.014.0)
(9.512.5)

13.9
13.7
15.7

(12.115.9)
(10.817.2)
(14.217.4)

(16.420.2)
(16.220.5)
(15.719.9)
(14.718.0)
(16.718.8)

22.5
21.6
17.2
15.7
19.4

(19.226.1)
(18.724.7)
(14.420.3)
(13.618.0)
(17.521.5)

8.1
9.2
10.4
12.0
9.8

(6.610.1)
(7.311.4)
(8.812.3)
(9.814.5)
(8.811.0)

15.0
15.4
13.9
13.8
14.6

(13.416.8)
(13.617.4)
(12.215.9)
(12.415.4)
(13.415.8)

* During the 12 months before the survey.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

75

Surveillance Summaries

TABLE 26. Percentage of high school students who seriously considered attempting suicide* and who made a plan about how they would
attempt suicide,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Seriously considered attempting suicide
Female
Site

CI

State surveys
Alabama
23.1 (18.628.2)
Alaska
23.3 (19.627.5)
Arizona
23.5 (20.227.2)
Arkansas
23.2 (20.626.0)
California
24.0 (20.228.4)
Connecticut
16.3 (13.719.2)
Delaware
17.5 (14.820.6)
Florida
17.9 (16.719.3)
Hawaii
20.1 (17.822.6)
Idaho
27.2 (23.730.9)
Illinois
18.8 (15.822.4)
Indiana
26.0 (22.230.1)
Kentucky
20.6 (16.924.9)
Maine
19.8 (18.521.2)
Maryland
20.7 (20.121.3)
Massachusetts
17.4 (15.219.9)
Michigan
21.4 (18.724.4)
Mississippi
20.9 (18.523.6)
Missouri
18.9 (15.423.0)
Montana
25.5 (23.427.7)
Nebraska
18.0 (14.621.8)
Nevada
23.8 (20.927.0)
New Hampshire
20.1 (18.821.5)
New Mexico
21.4 (19.123.8)
New York
19.4 (16.922.1)
North Carolina
20.5 (17.324.1)
North Dakota
20.4 (17.623.6)
Oklahoma
19.9 (17.222.9)
Pennsylvania
20.3 (18.122.6)
Rhode Island
19.3 (17.221.6)
South Carolina
21.3 (16.926.5)
South Dakota
23.3 (17.630.0)
Tennessee
21.7 (19.024.6)
Vermont

Virginia
18.6 (16.321.1)
West Virginia
22.8 (18.527.7)
Wyoming
24.7 (21.328.4)
Median
20.6
Range
(16.327.2)
Large urban school district surveys
Baltimore, MD
20.3 (16.125.3)
Boston, MA
14.1 (11.517.2)
Broward County, FL
21.0 (18.224.2)
Cleveland, OH
25.8 (22.829.1)
DeKalb County, GA
22.1 (19.524.9)
Detroit, MI
18.7 (15.622.2)
District of Columbia
18.5 (17.419.6)
Duval County, FL
24.2 (21.926.7)
Ft. Worth, TX
19.8 (17.322.6)
Houston, TX
19.3 (17.021.8)
Los Angeles, CA
17.6 (15.120.4)
Miami-Dade County, FL
12.5 (10.914.2)

Male
%

Made a suicide plan

Total
CI

Female
CI

11.8
17.0
13.2
14.4
11.9
10.4
10.0
9.5
11.7
12.9
12.9
13.7
10.6
10.5
10.9
12.2
13.0
13.0
13.2
12.7
11.3
10.6
10.7
11.6
11.8
10.7
12.2
10.2
11.2
8.9
13.3
9.3
10.6

9.6
14.8
15.9

(9.514.6)
(14.120.4)
(10.516.4)
(10.719.0)
(8.416.5)
(8.612.5)
(8.411.9)
(8.310.8)
(9.813.8)
(10.515.6)
(10.016.4)
(10.517.6)
(8.613.1)
(9.311.9)
(10.411.4)
(10.414.3)
(11.315.0)
(10.715.9)
(10.117.2)
(11.314.3)
(9.213.8)
(7.914.2)
(9.811.7)
(10.612.7)
(9.714.3)
(8.713.2)
(10.014.8)
(7.413.9)
(9.213.6)
(7.310.9)
(10.317.0)
(6.413.2)
(9.312.1)

(8.111.3)
(12.817.0)
(13.218.9)
11.7
(8.917.0)

17.5
20.1
18.6
18.9
17.9
13.4
14.0
13.8
16.0
19.8
15.9
19.8
15.7
15.2
15.9
14.9
17.3
17.0
16.2
18.8
14.6
17.2
15.3
16.5
15.7
15.9
16.2
15.1
15.7
14.1
17.3
16.1
16.0

14.0
18.7
20.3

(14.521.0)
(17.223.4)
(16.321.1)
(16.621.5)
(14.422.1)
(11.915.1)
(12.715.5)
(13.014.7)
(14.218.1)
(17.522.3)
(13.918.2)
(17.921.7)
(13.817.8)
(14.116.3)
(15.416.3)
(13.116.8)
(15.918.7)
(15.518.6)
(13.918.9)
(17.620.1)
(12.816.8)
(14.820.0)
(14.516.2)
(15.117.9)
(13.717.8)
(13.818.4)
(14.218.4)
(12.917.6)
(14.217.3)
(12.415.9)
(14.220.9)
(12.420.7)
(14.517.6)

(12.615.5)
(16.321.4)
(18.122.7)
16.0
(13.420.3)

14.8
7.3
12.6
12.2
10.6
14.3
8.9
14.3
7.7
11.1
10.4
8.9

(11.019.7)
(5.59.8)
(10.215.4)
(9.715.2)
(8.712.9)
(11.617.4)
(8.19.8)
(12.017.1)
(6.39.4)
(9.413.2)
(8.612.6)
(7.510.6)

17.8
11.0
16.8
19.2
16.3
16.7
13.9
19.7
13.8
15.1
14.1
10.7

(14.621.5)
(9.213.0)
(15.018.8)
(17.221.4)
(14.518.2)
(14.619.0)
(13.214.6)
(17.921.6)
(12.315.5)
(13.716.7)
(12.715.5)
(9.512.0)

CI

18.7
18.4
21.3
18.9
21.8

14.8
14.3
18.8
23.3
16.4
20.6
18.1
16.1
15.9
14.0
17.5
17.6
15.8
19.8
17.0
21.7

19.0

17.3
16.1
19.1
17.1
15.8
19.7
16.7
18.6
16.2
15.4
17.6
20.9

(15.222.8)
(15.521.7)
(17.525.7)
(16.621.5)
(18.425.8)

(11.918.3)
(13.115.7)
(17.120.6)
(20.026.9)
(14.118.9)
(18.522.8)
(14.522.5)
(14.917.4)
(15.316.4)
(11.916.3)
(15.419.8)
(14.820.9)
(12.220.1)
(17.822.0)
(13.521.2)
(18.724.9)

(17.420.6)

(14.121.0)
(13.818.7)
(16.222.4)
(14.919.6)
(13.917.9)
(16.423.5)
(11.923.0)
(16.820.4)
(15.516.9)
(13.617.5)
(14.221.6)
(18.223.9)
17.6
(14.023.3)

16.6
12.8
16.5

19.1
16.7
18.9
22.0
16.2
17.4
14.1
9.7

(12.921.1)
(10.615.4)
(14.019.4)

(16.322.2)
(14.119.7)
(17.820.0)
(17.820.0)
(13.918.9)
(15.419.6)
(12.016.4)
(8.211.5)

Male
%

Total
CI

CI

8.5
14.9
12.3
14.1
8.5

7.2
7.7
12.1
10.8
12.6
13.6
9.8
8.7
9.4
9.8
12.5
12.4
11.0
11.5
9.8
9.8

10.3

10.5
10.9
10.0
9.9
8.4
9.7
7.1
9.9
8.0
8.1
13.1
15.6

(6.011.7)
(11.918.4)
(9.815.4)
(10.818.3)
(5.812.3)

(5.88.9)
(6.98.5)
(10.513.9)
(8.813.1)
(10.415.3)
(10.717.2)
(7.812.2)
(7.99.6)
(8.99.9)
(8.311.6)
(10.215.2)
(9.915.4)
(9.412.7)
(10.212.9)
(7.612.5)
(7.113.3)

(9.311.4)

(7.614.3)
(8.913.3)
(7.313.5)
(7.812.5)
(6.410.9)
(7.213.0)
(4.810.4)
(8.212.0)
(7.58.5)
(6.99.5)
(11.215.4)
(13.417.9)
9.9
(7.115.6)

13.7
16.7
17.0
16.7
15.2

11.0
11.1
15.6
17.0
14.5
17.0
13.9
12.4
12.7
11.9
15.0
15.1
13.4
15.5
13.3
15.8

14.6

14.1
13.5
14.6
13.5
12.1
14.7
11.8
14.2
12.1
11.7
15.4
18.2

(11.416.3)
(14.219.5)
(15.218.9)
(15.118.4)
(12.218.7)

(9.412.8)
(10.311.9)
(14.317.0)
(14.819.3)
(12.916.4)
(15.319.0)
(11.916.3)
(11.613.1)
(12.313.1)
(10.613.4)
(13.516.6)
(13.217.3)
(11.216.0)
(14.316.8)
(11.515.4)
(13.818.1)

(13.615.7)

(12.515.8)
(11.815.3)
(12.317.1)
(11.915.2)
(10.414.0)
(12.617.2)
(8.815.6)
(13.115.3)
(11.712.6)
(10.513.0)
(13.217.7)
(16.520.1)
14.3
(11.018.2)

11.8
6.5
10.9

12.6
15.6
10.2
15.9
7.1
11.7
11.6
7.6

(8.416.5)
(4.88.8)
(9.013.0)

(10.215.6)
(12.819.0)
(9.311.2)
(13.418.8)
(5.78.8)
(9.913.7)
(9.913.5)
(6.19.5)

14.4
9.7
13.7

15.8
16.4
14.8
19.3
11.6
14.6
12.9
8.7

(11.617.8)
(8.111.6)
(12.015.5)

(13.918.0)
(14.518.6)
(14.115.5)
(17.321.4)
(10.213.2)
(13.316.0)
(11.314.7)
(7.610.0)

See table footnotes on the next page.

76

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 26. (Continued) Percentage of high school students who seriously considered attempting suicide* and who made a plan about how they
would attempt suicide,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Seriously considered attempting suicide
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

18.3
18.8
20.1
20.8
18.0
21.1
15.6

(16.320.4)
(15.722.2)
(17.223.3)
(18.223.6)
(15.520.9)
(18.024.6)
(12.918.7)
19.3
(12.525.8)

%
9.0
10.6
10.2
10.0
9.9
12.1
9.5

Made a suicide plan

Total
CI

(7.710.6)
(8.313.5)
(7.912.9)
(8.212.2)
(7.213.4)
(9.814.7)
(7.212.4)
10.4
(7.314.8)

Female
CI

13.7
14.4
15.1
15.5
14.0
16.5
12.6

(12.215.4)
(12.616.3)
(13.217.3)
(13.717.4)
(11.716.8)
(14.718.5)
(10.814.6)
15.1
(10.719.7)

Male

CI

16.3
15.0
17.9
16.6

16.3

(13.619.4)
(12.518.0)
(15.221.0)
(14.319.2)

(13.519.7)
16.5
(9.722.0)

9.1
9.9
11.3
9.0

11.3

Total
CI

(6.912.0)
(7.612.7)
(9.014.0)
(6.312.9)

(9.213.6)
11.1
(6.515.9)

CI

12.5
12.3
14.6
12.8

13.9

(10.814.5)
(10.614.3)
(12.716.8)
(11.014.9)

(11.916.2)
13.8
(8.719.3)

* During the 12 months before the survey.


95% confidence interval.
Not available.

TABLE 27. Percentage of high school students who attempted suicide*, and whose suicide attempt resulted in an injury, poisoning, or overdose
that had to be treated by a doctor or nurse, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Attempted suicide
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Suicide attempt treated by a doctor or nurse

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

9.8
10.2
15.1

(7.512.8)
(6.815.1)
(12.817.7)

3.7
7.2
7.6

(2.94.7)
(5.39.8)
(5.89.9)

6.8
8.9
11.3

(5.58.4)
(6.711.9)
(9.913.0)

3.4
3.6
4.5

(2.34.8)
(2.45.6)
(3.16.4)

0.9
4.0
2.9

(0.51.4)
(2.07.8)
(1.94.4)

2.1
3.8
3.7

(1.52.9)
(2.26.3)
(2.75.1)

15.1
13.0
10.2
7.2
11.6

(12.218.5)
(9.817.2)
(8.212.5)
(5.39.6)
(9.713.7)

5.1
5.7
5.8
5.2
5.5

(3.77.0)
(4.17.8)
(4.67.3)
(3.47.8)
(4.76.4)

9.9
9.4
8.0
6.2
8.6

(8.511.5)
(7.611.6)
(6.89.5)
(4.97.9)
(7.69.6)

4.7
3.9
3.4
2.3
3.7

(3.36.6)
(2.65.6)
(2.25.2)
(1.53.6)
(2.94.7)

1.9
2.2
2.0
1.4
1.9

(1.13.0)
(1.24.0)
(1.13.5)
(0.72.6)
(1.32.8)

3.2
3.1
2.6
1.9
2.8

(2.44.2)
(2.24.3)
(1.83.9)
(1.32.8)
(2.23.5)

* One or more times.


During the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

77

Surveillance Summaries

TABLE 28. Percentage of high school students who attempted suicide*, and whose suicide attempt resulted in an injury, poisoning, or overdose
that had to be treated by a doctor or nurse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Attempted suicide
Female
Site

CI

State surveys
Alabama
13.0 (10.316.4)
Alaska
11.0
(8.714.0)
Arizona
12.6
(9.516.6)
Arkansas
13.8 (11.516.5)
California
11.8
(9.914.0)
Connecticut
8.7
(6.910.8)
Delaware
10.2
(7.513.6)
Florida
9.6
(8.610.7)
Hawaii
11.0
(9.612.7)
Idaho
14.0 (11.017.7)
Illinois
9.5
(7.212.4)
Indiana
10.9
(8.314.1)
Kentucky
12.9
(9.417.3)
Maine
11.2 (10.212.2)
Maryland

Massachusetts
8.2
(6.510.3)
Michigan
11.1
(9.612.8)
Mississippi
13.4 (10.916.5)
Missouri
10.3
(7.414.1)
Montana
11.5 (10.113.2)
Nebraska
9.4
(7.012.5)
Nevada
13.1 (10.316.6)
New Hampshire
8.9
(8.09.9)
New Mexico
12.4 (11.013.9)
New York
9.9
(8.211.9)
North Carolina

North Dakota
9.6
(7.612.1)
Oklahoma
10.2
(8.112.7)
Pennsylvania
9.6
(7.512.2)
Rhode Island
12.5
(9.017.2)
South Carolina
12.6
(8.418.4)
South Dakota
10.0
(6.215.6)
Tennessee
12.5 (11.213.8)
Vermont
8.0
(7.58.5)
Virginia
8.7
(7.110.5)
West Virginia
11.3
(8.914.2)
Wyoming
14.7 (12.017.8)
Median
11.0
Range
(8.014.7)
Large urban school district surveys
Baltimore, MD
16.2 (12.021.5)
Boston, MA
8.2
(6.310.7)
Broward County, FL
11.8
(9.614.4)
Cleveland, OH
22.6 (19.526.0)
DeKalb County, GA
11.2
(8.514.5)
Detroit, MI
15.1 (12.318.3)
District of Columbia
13.7 (12.614.8)
Duval County, FL
18.9 (16.221.9)
Ft. Worth, TX
11.8
(9.714.3)
Houston, TX
14.1 (12.316.2)
Los Angeles, CA
10.1
(8.212.2)
Miami-Dade County, FL
7.4
(5.99.2)
See table footnotes on the next page.

78

Suicide attempt treated by a doctor or nurse

Male
%

Total
CI

8.7
10.4
6.2
10.2
4.7
6.6
4.8
5.2
9.3
5.8
9.8
8.7
5.7
8.4

5.4
7.1
11.2
9.2
6.3
7.7
8.0
4.6
6.4
9.3

9.3
4.5
5.3
8.3
9.4
6.8
7.3
3.7
4.6
8.5
7.7

(6.611.4)
(8.213.1)
(4.58.6)
(7.713.5)
(3.27.0)
(5.38.1)
(3.46.8)
(4.36.4)
(7.411.6)
(4.87.0)
(7.812.2)
(6.012.5)
(3.88.5)
(7.59.4)

(4.17.0)
(5.39.5)
(8.714.4)
(7.411.4)
(5.17.8)
(5.810.1)
(6.310.1)
(3.95.3)
(5.47.5)
(7.311.8)

(7.411.5)
(2.87.2)
(4.07.0)
(6.410.6)
(7.012.5)
(4.011.3)
(5.79.2)
(3.34.1)
(3.75.6)
(6.511.0)
(5.99.9)
7.3
(3.711.2)

20.5
7.9
6.2
17.7
8.6
16.4
11.1
17.9
3.9
11.2
6.5
5.6

(14.428.4)
(6.210.1)
(4.68.4)
(14.421.5)
(6.710.9)
(12.022.1)
(10.012.2)
(15.021.1)
(2.95.3)
(9.413.4)
(4.69.1)
(4.07.7)

MMWR/June 10, 2016/Vol. 65/No. 6

Female
CI

CI

11.2
(9.413.3)
10.7
(8.912.8)
9.6
(7.911.5)
12.1 (10.214.4)
8.2
(6.89.9)
7.9
(6.69.4)
7.6
(6.19.5)
7.6
(6.88.5)
10.5
(9.311.9)
9.8
(8.211.7)
9.8
(8.111.7)
9.9
(7.712.7)
9.4
(7.012.4)
9.9
(9.310.6)

7.0
(6.08.2)
9.2
(7.910.7)
12.7 (10.515.2)
9.8
(7.812.2)
8.9
(7.810.1)
8.9
(7.410.5)
10.7
(9.112.6)
6.8
(6.27.4)
9.4
(8.610.4)
9.9
(8.411.7)

9.4
(7.911.1)
7.4
(6.28.9)
7.5
(6.19.1)
10.5
(7.913.8)
11.0
(8.414.3)
8.4
(5.712.3)
9.9
(8.910.9)
5.9
(5.66.2)
6.7
(5.87.6)
9.9
(8.511.5)
11.1
(9.513.0)
9.6
(5.912.7)

4.8
4.0
3.7
4.6
2.8

2.4
2.8
3.1
4.4
2.9
4.4
5.3

2.9
3.0
5.5
3.2
4.0
3.0
3.2
3.5
3.8
4.2
8.8

2.4
3.0
4.4
3.5
4.2
4.2
2.6
2.4
3.7
4.5

18.7
8.1
9.3
20.7
9.9
16.0
12.7
18.9
7.8
13.0
8.4
6.4

4.9
2.4
4.3

4.1
6.4
4.8

3.9
5.2
2.2
2.2

(14.623.6)
(6.79.8)
(7.910.9)
(18.323.3)
(8.112.0)
(13.418.9)
(11.913.4)
(16.421.5)
(6.69.3)
(11.514.6)
(7.19.9)
(5.37.9)

Male
%

Total
CI

CI

(3.66.5)
(2.76.1)
(2.65.5)
(3.95.5)
(2.03.9)

(1.44.2)
(2.23.6)
(2.24.2)
(3.16.4)
(1.94.4)
(2.77.0)
(3.57.9)

(2.04.2)
(2.04.4)
(3.68.4)
(1.75.9)
(3.15.0)
(1.85.0)
(2.14.8)
(2.84.2)
(3.14.7)
(3.25.5)
(5.912.9)

(1.63.6)
(2.04.6)
(3.06.5)
(2.15.8)
(2.18.2)
(3.45.3)
(2.33.0)
(1.63.7)
(2.36.1)
(3.26.3)
3.7
(2.48.8)

3.3
3.0
1.5
4.4
1.0

2.1
1.9
3.5
1.7
5.7
3.3
2.5

2.5
2.4
5.9
3.1
2.4
3.5
2.3
1.5
2.5
4.4
9.6

1.6
2.2
3.8
3.3
3.2
3.3
1.2
1.3
2.6
3.7

(2.05.4)
(1.94.7)
(0.63.6)
(3.25.9)
(0.42.7)

(1.33.4)
(1.32.7)
(2.64.7)
(1.02.9)
(3.88.3)
(1.95.6)
(1.44.3)

(1.73.8)
(1.63.8)
(4.08.6)
(2.14.5)
(1.63.4)
(2.25.6)
(1.43.8)
(1.21.9)
(2.03.3)
(3.26.0)
(7.911.7)

(0.93.0)
(1.43.4)
(2.55.7)
(1.95.8)
(1.76.0)
(2.34.7)
(1.01.5)
(0.82.0)
(1.54.7)
(2.35.8)
2.6
(1.09.6)

4.3
3.5
2.7
4.5
1.9

2.3
2.5
3.4
3.1
4.3
3.9
3.9

2.8
2.7
5.7
3.2
3.1
3.3
2.8
2.5
3.2
4.4
9.3

2.0
2.6
4.1
3.4
3.8
3.8
2.0
1.9
3.2
4.1

(3.35.6)
(2.64.7)
(2.03.6)
(3.75.4)
(1.22.9)

(1.73.2)
(1.93.2)
(2.84.1)
(2.43.9)
(3.25.8)
(2.56.0)
(2.65.7)

(2.23.6)
(2.03.7)
(4.37.6)
(2.34.4)
(2.44.0)
(2.54.5)
(2.03.7)
(2.12.9)
(2.73.8)
(3.65.3)
(8.010.7)

(1.52.8)
(1.93.7)
(3.05.6)
(2.35.2)
(2.26.6)
(3.14.7)
(1.82.2)
(1.32.6)
(2.14.8)
(3.25.3)
3.2
(1.99.3)

(2.98.0)
(1.43.9)
(2.86.4)

(2.86.1)
(4.88.6)
(4.25.5)

(2.85.4)
(4.16.6)
(1.14.3)
(1.53.3)

9.4
2.4
2.6

5.1
8.4
4.9

1.7
3.9
2.1
1.9

(5.914.5)
(1.54.0)
(1.64.4)

(3.47.5)
(6.011.8)
(4.25.8)

(1.02.8)
(3.05.0)
(1.43.2)
(1.13.1)

7.3
2.4
3.5

4.6
7.4
5.0

2.9
4.6
2.1
2.1

(5.210.1)
(1.73.4)
(2.64.8)

(3.46.1)
(5.99.3)
(4.55.5)

(2.33.7)
(3.85.6)
(1.53.1)
(1.52.8)

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 28. (Continued) Percentage of high school students who attempted suicide*, and whose suicide attempt resulted in an injury, poisoning,
or overdose that had to be treated by a doctor or nurse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Attempted suicide
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

10.1
12.8
12.1
11.1
12.6
11.0
11.3

Male

CI

Site

Suicide attempt treated by a doctor or nurse

(8.511.9)
(9.816.5)
(9.814.8)
(9.213.4)
(10.914.6)
(8.913.4)
(8.714.7)
11.8
(7.422.6)

%
6.2
9.8
6.1
8.1
8.8
6.9
7.8

Total
CI

(5.37.2)
(7.412.8)
(3.89.8)
(6.410.2)
(5.713.4)
(5.38.8)
(5.710.5)
8.1
(3.920.5)

Female
CI

8.3
11.3
9.1
10.1
11.0
8.9
9.8

(7.49.3)
(9.513.3)
(7.411.2)
(8.611.8)
(8.614.1)
(7.610.5)
(7.712.5)
9.9
(6.420.7)

2.9
2.8
4.5
4.2
3.8
2.2
4.3

Male

CI

(2.13.8)
(1.84.5)
(3.16.4)
(3.05.7)
(2.45.9)
(1.43.5)
(2.86.6)
4.1
(2.26.4)

Total
CI

2.6
3.9
2.2
3.0
3.3
1.7
3.7

(2.03.4)
(2.56.2)
(1.05.1)
(2.04.5)
(1.85.7)
(1.02.8)
(2.35.8)
3.0
(1.79.4)

%
2.8
3.4
3.4
3.7
3.6
1.9
4.3

CI
(2.33.3)
(2.44.7)
(2.25.1)
(3.04.7)
(2.55.0)
(1.32.8)
(3.16.0)
3.5
(1.97.4)

* One or more times.


During the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 29. Percentage of high school students who ever tried cigarette smoking* and who smoked a whole cigarette for the first time before
age 13 years, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever tried cigarette smoking
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Smoked a whole cigarette before age 13 years

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

30.4
29.5
32.7

(23.538.2)
(24.235.5)
(29.735.7)

33.2
30.6
37.8

(29.337.3)
(24.637.3)
(34.841.0)

31.8
30.1
35.2

(26.837.2)
(25.035.7)
(32.737.9)

5.3
3.8
4.9

(3.87.4)
(2.16.8)
(3.96.2)

6.6
10.1
9.2

(4.98.7)
(7.813.0)
(7.810.8)

6.0
7.0
7.1

(4.57.9)
(5.29.4)
(6.18.3)

24.5
28.2
34.4
36.3
30.7

(20.229.4)
(22.135.2)
(29.939.3)
(30.342.7)
(26.335.4)

25.8
30.0
40.5
40.4
33.8

(22.429.4)
(25.335.1)
(37.543.6)
(33.847.4)
(30.737.1)

25.1
29.1
37.5
38.3
32.3

(21.828.7)
(24.234.6)
(34.540.7)
(33.143.9)
(28.935.8)

6.1
6.0
4.5
3.0
5.0

(4.48.5)
(4.38.5)
(3.65.5)
(2.14.3)
(4.06.3)

8.2
9.1
6.8
7.3
8.0

(6.310.5)
(7.011.9)
(5.09.2)
(5.39.9)
(6.69.6)

7.2
7.6
5.6
5.2
6.6

(5.59.3)
(5.99.7)
(4.67.0)
(3.96.9)
(5.57.9)

* Even one or two puffs.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

79

Surveillance Summaries

TABLE 30. Percentage of high school students who ever tried cigarette smoking* and who smoked a whole cigarette for the first time before
age 13 years, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever tried cigarette smoking
Female
Site

CI

State surveys
Alabama
39.4 (33.445.7)
Alaska
28.5 (25.032.3)
Arizona
36.9 (33.041.0)
Arkansas
37.3 (32.642.1)
California
26.9 (22.931.4)
Connecticut

Delaware
30.1 (26.633.8)
Florida

Hawaii
25.7 (23.827.7)
Idaho
27.9 (24.032.2)
Illinois
31.6 (27.136.5)
Indiana
34.1 (29.139.4)
Kentucky
46.8 (41.751.9)
Maine
28.5 (26.231.1)
Maryland

Massachusetts
24.9 (21.328.9)
Michigan
31.5 (27.036.3)
Mississippi
38.3 (33.043.8)
Missouri
31.3 (25.837.4)
Montana
38.7 (34.742.8)
Nebraska
32.7 (28.137.7)
Nevada
33.6 (28.039.7)
New Hampshire

New Mexico
39.4 (37.041.8)
New York
26.7 (23.430.3)
North Carolina

North Dakota
32.3 (28.436.5)
Oklahoma
35.8 (31.740.1)
Pennsylvania
33.4 (28.039.3)
Rhode Island
20.2 (16.724.2)
South Carolina
38.7 (32.445.5)
South Dakota
31.6 (24.539.6)
Tennessee
35.1 (31.638.7)
Vermont

Virginia
24.2 (21.027.7)
West Virginia
45.8 (41.650.1)
Wyoming
39.4 (34.644.4)
Median
32.7
Range
(20.246.8)
Large urban school district surveys
Baltimore, MD
28.6 (23.534.4)
Boston, MA

Broward County, FL
17.8 (14.321.9)
Cleveland, OH
31.5 (27.835.3)
DeKalb County, GA
23.9 (21.027.0)
Detroit, MI
32.8 (28.437.6)
District of Columbia

Duval County, FL

Ft. Worth, TX
30.0 (27.033.1)
Houston, TX
31.8 (28.835.0)
Los Angeles, CA
21.8 (18.825.2)
Miami-Dade County, FL
20.6 (18.023.6)

Smoked a whole cigarette before age 13 years

Male
%

Total
CI

41.4
36.0
36.8
49.2
29.1

29.8

24.3
33.7
36.1
39.4
41.4
29.5

30.6
33.6
47.0
37.9
39.6
30.1
32.8

40.0
28.4

37.8
41.0
36.4
24.4
34.9
34.9
36.8

27.0
49.0
39.3

(36.446.6)
(32.240.0)
(31.542.5)
(44.653.7)
(23.335.7)

(25.934.0)

(22.126.5)
(28.339.7)
(30.741.8)
(33.046.1)
(36.546.5)
(27.531.6)

(26.834.7)
(29.238.4)
(43.550.6)
(32.743.4)
(36.542.7)
(25.335.4)
(28.936.8)

(37.842.3)
(24.832.2)

(34.141.5)
(36.046.2)
(31.841.3)
(20.828.5)
(29.640.4)
(30.439.8)
(33.939.8)

(24.130.1)
(43.454.5)
(34.944.0)
36.1
(24.349.2)

26.7

25.3
32.8
24.8
33.5

35.7
36.7
26.6
24.0

(21.432.8)

(21.629.5)
(29.536.3)
(21.328.6)
(28.738.6)

(32.539.0)
(33.540.0)
(22.231.6)
(21.526.6)

Female
CI

40.5
32.5
37.0
43.1
28.1

30.2

25.0
30.9
33.8
36.9
44.1
29.1

27.8
32.5
42.7
34.5
39.1
31.4
33.3

39.7
27.6

35.1
38.6
34.9
22.4
36.9
33.3
36.1

25.7
47.3
39.4

(35.845.4)
(29.735.5)
(32.841.4)
(39.447.0)
(23.932.7)

(27.133.5)

(23.626.5)
(27.235.0)
(29.638.3)
(31.842.4)
(40.048.2)
(27.231.1)

(24.431.5)
(29.036.3)
(39.246.3)
(29.839.4)
(36.042.3)
(27.635.6)
(29.837.0)

(37.841.7)
(24.431.1)

(32.138.2)
(35.042.2)
(30.539.6)
(19.625.5)
(32.042.1)
(28.538.5)
(33.438.8)

(23.228.4)
(43.251.5)
(35.343.6)
34.5
(22.447.3)

27.9

21.7
32.5
24.3
33.1

32.7
34.4
24.1
22.2

(23.632.6)

(18.924.7)
(29.935.2)
(22.026.8)
(29.337.2)

(30.235.3)
(31.936.9)
(21.127.4)
(20.324.3)

CI

Male
%

Total
CI

CI

7.8
7.8
6.6
8.0
5.3

5.6
4.8
5.8
4.0
3.4
7.9
12.8
4.6
5.2
3.1
6.5
8.2
6.6
7.8
8.7
4.9
3.7
8.8

7.3
5.9
6.6
5.7
4.0
9.1
7.3
7.5
4.8
4.2
11.5
10.0

(5.510.8)
(5.810.4)
(4.89.0)
(5.910.8)
(3.87.4)

(4.17.5)
(3.95.7)
(4.57.5)
(2.56.2)
(2.34.8)
(5.611.1)
(10.415.7)
(3.95.5)
(4.95.6)
(2.24.3)
(5.18.1)
(6.210.8)
(4.69.6)
(6.29.6)
(6.511.7)
(3.07.8)
(3.24.3)
(7.89.9)

(5.210.2)
(4.57.7)
(4.69.5)
(4.37.7)
(2.75.8)
(6.512.8)
(4.212.4)
(6.19.3)
(4.45.3)
(3.35.2)
(8.515.2)
(7.313.5)
6.6
(3.112.8)

12.4
9.7
6.9
18.3
5.1

7.2
7.9
6.5
8.2
10.1
8.2
12.0
6.3
8.5
5.3
9.1
14.7
9.2
8.2
8.5
8.3
7.0
11.6

10.2
8.5
10.8
8.2
6.7
10.7
10.9
11.7
7.4
6.5
14.5
12.4

(9.715.8)
(7.113.2)
(5.19.4)
(15.521.5)
(3.37.8)

(5.39.7)
(6.69.4)
(5.28.0)
(5.611.8)
(7.713.0)
(6.110.9)
(10.213.9)
(5.37.5)
(8.09.0)
(4.07.0)
(6.512.6)
(12.017.8)
(7.112.0)
(7.19.5)
(6.511.0)
(6.610.4)
(6.27.9)
(10.612.8)

(7.613.5)
(7.010.3)
(7.814.7)
(6.610.2)
(4.89.2)
(6.816.3)
(8.114.5)
(10.113.6)
(7.08.0)
(5.28.1)
(11.118.8)
(10.115.2)
8.5
(5.118.3)

10.3
(8.113.2)
8.9
(7.011.2)
7.0
(5.78.6)
13.1 (10.915.7)
5.2
(3.77.1)

6.6
(5.28.4)
6.5
(5.57.6)
6.3
(5.27.6)
6.2
(4.87.9)
6.7
(5.68.1)
8.2
(6.410.6)
12.5 (11.114.0)
5.5
(4.86.4)
7.1
(6.77.5)
4.3
(3.35.6)
7.8
(6.49.5)
11.6
(9.813.8)
8.0
(6.210.2)
8.0
(7.09.2)
8.8
(6.911.0)
6.7
(5.58.0)
5.5
(5.06.0)
10.3
(9.511.1)

8.8
(6.911.3)
7.2
(6.08.6)
8.8
(6.811.3)
7.0
(5.68.6)
5.5
(4.37.0)
10.0
(7.413.2)
9.2
(6.912.3)
9.8
(8.611.1)
6.2
(5.96.6)
5.4
(4.56.5)
13.0 (10.216.4)
11.4
(9.214.0)
7.8
(4.313.1)

7.5
3.7
3.5

3.4
13.1
5.4
7.2
4.1
6.9
2.8
2.4

(5.310.5)
(2.75.1)
(2.15.7)

(2.25.2)
(9.018.6)
(4.86.1)
(5.29.9)
(3.15.4)
(5.58.5)
(1.84.4)
(1.43.8)

9.9
6.1
5.0

7.8
14.1
8.3
11.5
7.8
11.0
5.4
5.2

(7.014.0)
(4.38.5)
(3.76.9)

(5.910.1)
(10.518.6)
(7.59.2)
(8.914.6)
(6.19.9)
(8.913.6)
(3.38.6)
(3.77.2)

9.7
(7.412.8)
5.1
(4.06.5)
4.4
(3.35.7)

5.6
(4.37.2)
13.7 (10.218.1)
7.0
(6.57.7)
9.6
(7.412.2)
5.9
(4.97.1)
9.3
(7.811.0)
4.0
(2.76.1)
3.8
(2.85.0)

See table footnotes on the next page.

80

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 30. (Continued) Percentage of high school students who ever tried cigarette smoking* and who smoked a whole cigarette for the first
time before age 13 years, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever tried cigarette smoking
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Smoked a whole cigarette before age 13 years

Male

20.5

19.6
28.6
33.4
24.8
22.5

(18.322.9)

(16.722.9)
(25.032.5)
(29.237.9)
(21.428.6)
(19.425.9)
24.8
(17.833.4)

Total
CI

23.3

22.9
31.4
32.7
27.7
26.0

(21.125.7)

(19.626.7)
(28.234.8)
(28.237.4)
(24.531.1)
(21.631.1)
26.7
(22.936.7)

Female
CI

22.0

21.4
30.4
33.1
26.4
24.4

(20.323.8)

(18.924.0)
(27.633.3)
(30.635.6)
(23.829.1)
(21.327.7)
26.4
(21.434.4)

Male

CI

2.8
4.9
6.0
3.7
5.1

(1.74.5)
(3.66.6)
(4.57.8)
(2.45.5)
(3.37.8)
4.5
(2.413.1)

Total
CI

6.2
7.0
7.8
7.4
4.9

CI

4.5
6.4
7.0
5.7
5.4

(3.45.9)
(5.17.9)
(5.88.5)
(4.76.8)
(4.17.0)
5.8
(3.813.7)

(4.48.6)
(5.59.0)
(5.910.4)
(6.19.0)
(3.57.0)
7.6
(4.914.1)

* Even one or two puffs.


95% confidence interval.
Not available.

TABLE 31. Percentage of high school students who currently smoked cigarettes* and who currently frequently smoked cigarettes, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Current cigarette use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Current frequent cigarette use

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

12.2
3.7
7.1

(9.116.1)
(2.55.6)
(5.78.9)

12.7
9.1
11.3

(10.615.0)
(6.412.7)
(9.613.4)

12.4
6.5
9.2

(10.115.2)
(4.88.7)
(7.910.7)

4.4
0.8
2.1

(3.06.3)
(0.41.7)
(1.23.5)

3.6
2.6
2.2

(2.74.9)
(1.35.2)
(1.53.2)

4.0
1.8
2.1

(2.95.4)
(1.03.0)
(1.62.9)

6.7
9.1
10.1
13.3
9.7

(4.79.4)
(6.912.1)
(7.713.2)
(10.816.2)
(8.111.7)

8.3
8.5
15.8
15.0
11.8

(6.510.6)
(6.610.9)
(13.618.4)
(11.519.2)
(10.413.4)

7.6
8.8
13.1
14.1
10.8

(5.89.8)
(7.011.1)
(11.315.0)
(11.816.8)
(9.412.4)

2.5
2.7
2.9
4.9
3.3

(1.34.9)
(1.74.2)
(2.04.2)
(3.37.2)
(2.44.4)

1.9
3.1
3.5
5.4
3.4

(1.13.2)
(2.14.5)
(2.35.2)
(3.77.9)
(2.64.6)

2.2
2.9
3.2
5.1
3.4

(1.33.8)
(2.04.1)
(2.34.4)
(3.86.8)
(2.64.3)

* On at least 1 day during the 30 days before the survey.


On 20 or more days during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

81

Surveillance Summaries

TABLE 32. Percentage of high school students who currently smoked cigarettes* and who currently frequently smoked cigarettes, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Current cigarette use
Female
Site

CI

State surveys
Alabama
14.3
(11.218.1)
Alaska
8.4
(6.011.7)
Arizona
10.2
(7.314.0)
Arkansas
13.4
(10.017.6)
California
6.8
(4.310.7)
Connecticut
8.2
(6.310.5)
Delaware
9.2
(6.512.9)
Florida
7.8
(6.89.0)
Hawaii
8.8
(7.410.4)
Idaho
9.3
(6.912.5)
Illinois
8.4
(6.810.5)
Indiana
10.4
(7.913.5)
Kentucky
18.0
(14.022.8)
Maine
10.5
(9.311.8)
Maryland
7.7
(7.18.2)
Massachusetts
6.7
(5.28.6)
Michigan
7.5
(5.510.2)
Mississippi
12.9
(9.117.9)
Missouri
8.1
(5.312.2)
Montana
13.2
(11.115.6)
Nebraska
12.2
(9.315.9)
Nevada
7.6
(5.111.1)
New Hampshire
8.0
(7.28.9)
New Mexico
9.8
(8.511.2)
New York
7.2
(6.28.5)
North Carolina
10.9
(8.913.4)
North Dakota
11.5
(8.814.8)
Oklahoma
11.3
(7.716.2)
Pennsylvania
10.9
(8.214.4)
Rhode Island
4.5
(3.26.5)
South Carolina
9.6
(7.811.7)
South Dakota
9.5
(5.715.4)
Tennessee
10.1
(8.312.2)
Vermont
9.7
(9.110.3)
Virginia
7.9
(6.210.0)
West Virginia
18.4
(14.523.0)
Wyoming
15.9
(12.819.7)
Median
9.6
Range
(4.518.4)
Large urban school district surveys
Baltimore, MD
4.7
(2.87.8)
Boston, MA
3.4
(2.44.8)
Broward County, FL
3.3
(1.95.6)
Cleveland, OH
5.7
(4.08.1)
DeKalb County, GA
4.5
(3.36.2)
Detroit, MI
8.7
(5.313.9)
District of Columbia
**

Duval County, FL
6.2
(4.97.9)
Ft. Worth, TX
7.1
(5.59.1)
Houston, TX
8.0
(6.310.0)
Los Angeles, CA
3.0
(1.65.5)
Miami-Dade County, FL
4.0
(2.85.6)

Current frequent cigarette use

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

13.4
13.3
9.9
18.2
8.4
12.3
10.3
11.5
10.2
10.1
11.7
11.7
15.7
11.7
9.3
8.6
12.5
17.5
13.7
13.0
14.2
7.3
10.2
12.8
10.0
14.9
11.9
15.1
14.9
5.0
9.4
10.5
12.5
11.7
8.6
19.2
15.4

(10.716.6)
(10.616.7)
(7.413.2)
(15.121.8)
(5.313.1)
(10.114.8)
(8.113.1)
(9.913.4)
(8.911.6)
(7.912.8)
(8.615.7)
(7.817.1)
(13.218.6)
(10.213.5)
(8.89.8)
(6.511.3)
(9.516.2)
(14.121.6)
(10.417.8)
(10.915.3)
(10.818.4)
(5.210.0)
(9.311.1)
(11.514.3)
(7.313.5)
(12.317.9)
(9.714.5)
(11.919.0)
(11.818.5)
(4.06.1)
(6.613.1)
(7.414.6)
(10.714.5)
(11.112.4)
(6.910.6)
(15.523.4)
(12.219.2)
11.7
(5.019.2)

14.0
11.1
10.1
15.7
7.7
10.3
9.9
9.9
9.7
9.7
10.1
11.2
16.9
11.2
8.7
7.7
10.0
15.2
11.0
13.1
13.3
7.5
9.3
11.4
8.8
13.1
11.7
13.1
12.9
4.8
9.6
10.1
11.5
10.8
8.2
18.8
15.7

(11.616.8)
(9.113.5)
(7.912.7)
(12.419.7)
(5.211.3)
(8.612.3)
(7.712.6)
(8.611.3)
(8.710.9)
(8.111.7)
(8.611.9)
(8.314.8)
(14.219.9)
(10.112.4)
(8.29.1)
(6.19.7)
(7.812.6)
(12.518.4)
(8.314.3)
(11.315.1)
(10.516.7)
(5.89.6)
(8.610.0)
(10.312.5)
(7.110.9)
(11.714.6)
(9.813.9)
(10.416.4)
(10.416.0)
(3.95.9)
(7.612.0)
(6.814.6)
(10.013.1)
(10.411.2)
(6.89.9)
(15.522.5)
(13.118.6)
10.8
(4.818.8)

3.9
2.6
2.2
4.4
1.5
1.0
2.9
2.3
1.4
2.6
1.8
3.4
6.8
3.8
1.9
1.8
2.0
4.3
2.8
3.4
3.6
1.5
2.8
2.0
2.3
2.9
4.5
2.5
3.7
1.6
2.6
5.0
3.6
3.2
1.7
7.6
5.4

(2.65.8)
(1.25.7)
(1.14.1)
(2.38.4)
(0.36.2)
(0.42.4)
(1.45.8)
(1.83.0)
(0.82.3)
(1.54.5)
(0.84.1)
(2.15.4)
(4.89.4)
(3.34.5)
(1.72.2)
(1.12.9)
(1.23.3)
(2.57.3)
(1.55.3)
(2.54.6)
(2.45.6)
(0.63.6)
(2.33.4)
(1.52.6)
(1.53.6)
(1.94.5)
(3.26.4)
(1.44.3)
(2.55.5)
(1.02.6)
(1.54.2)
(2.69.2)
(2.55.2)
(2.93.6)
(1.02.7)
(5.89.8)
(3.77.9)
2.8
(1.07.6)

4.4
4.6
2.3
7.8
1.6
2.4
5.0
3.8
2.4
2.7
3.3
3.3
4.5
5.3
2.8
2.8
4.1
5.4
5.7
3.9
3.6
2.5
4.4
3.4
3.5
4.5
4.1
4.1
5.7
1.4
2.8
4.2
4.1
4.6
2.8
7.3
4.5

(3.16.1)
(2.87.3)
(1.43.6)
(5.311.5)
(0.73.5)
(1.63.7)
(3.47.2)
(3.14.5)
(1.83.3)
(1.54.8)
(2.05.4)
(2.15.2)
(2.97.0)
(4.36.4)
(2.53.1)
(1.84.3)
(2.47.0)
(3.58.2)
(3.69.0)
(2.95.2)
(2.25.8)
(1.54.3)
(3.95.0)
(2.84.2)
(2.25.6)
(3.26.3)
(2.95.9)
(2.56.5)
(4.08.1)
(0.92.1)
(1.74.7)
(2.76.5)
(3.15.5)
(4.25.0)
(1.74.4)
(5.59.6)
(3.26.3)
4.1
(1.47.8)

4.2
3.7
2.3
6.1
1.5
1.7
4.0
3.2
1.9
2.7
2.6
3.4
5.7
4.6
2.4
2.3
3.0
4.8
4.2
3.6
3.7
2.0
3.7
2.7
2.9
3.8
4.3
3.2
4.7
1.5
2.8
4.7
3.9
3.9
2.2
7.4
5.0

(3.15.5)
(2.26.1)
(1.43.7)
(3.79.9)
(0.54.3)
(1.12.6)
(2.66.2)
(2.73.7)
(1.52.6)
(1.74.0)
(1.64.0)
(2.35.0)
(4.17.8)
(4.05.3)
(2.22.6)
(1.53.5)
(1.94.7)
(3.46.9)
(2.76.5)
(2.94.6)
(2.55.4)
(1.23.5)
(3.34.2)
(2.33.2)
(2.14.0)
(2.95.0)
(3.35.7)
(2.14.9)
(3.66.1)
(1.12.2)
(1.94.1)
(2.97.5)
(3.24.8)
(3.74.2)
(1.63.2)
(6.19.0)
(3.76.6)
3.6
(1.57.4)

7.0
6.0
5.0
9.7
5.4
8.5

7.3
10.9
8.9
6.0
6.8

(4.111.8)
(4.18.7)
(3.27.7)
(7.512.5)
(3.67.9)
(5.512.9)

(6.09.0)
(8.713.7)
(7.210.9)
(4.18.9)
(5.28.8)

5.9
4.8
4.2
8.5
5.0
8.6

7.1
9.0
8.6
4.5
5.4

(4.08.8)
(3.66.3)
(2.95.9)
(6.810.6)
(3.96.4)
(5.612.9)

(6.08.4)
(7.510.6)
(7.210.2)
(3.26.2)
(4.36.6)

0.5
0.6
0.5
1.4
0.4
0.3

1.3
1.2
1.2
0.7
0.3

(0.12.0)
(0.31.3)
(0.11.7)
(0.82.5)
(0.21.0)
(0.11.5)

(0.82.2)
(0.72.1)
(0.72.3)
(0.31.9)
(0.10.8)

1.9
1.6
0.6
2.2
1.9
1.4

1.6
2.2
2.1
1.3
1.5

(0.94.1)
(0.83.1)
(0.22.0)
(1.43.4)
(1.03.5)
(0.72.8)

(0.92.7)
(1.43.4)
(1.53.1)
(0.81.8)
(0.82.6)

1.3
1.1
0.6
1.9
1.1
0.8

1.6
1.7
1.8
1.0
0.9

(0.72.4)
(0.71.9)
(0.31.0)
(1.32.8)
(0.62.0)
(0.41.5)

(1.12.3)
(1.22.4)
(1.22.5)
(0.61.7)
(0.61.5)

See table footnotes on the next page.

82

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 32. (Continued) Percentage of high school students who currently smoked cigarettes* and who currently frequently smoked cigarettes,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Current cigarette use
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

4.7
4.9
5.2
6.5
6.8
6.0
5.0

Current frequent cigarette use

Male

CI
(3.95.7)
(3.37.2)
(3.67.3)
(5.18.4)
(4.89.6)
(4.48.0)
(3.37.4)
5.1
(3.08.7)

%
6.6
6.2
6.2
7.8
7.0
8.3
5.6

Total
CI

(5.18.4)
(4.58.5)
(4.39.0)
(6.39.7)
(5.19.8)
(6.810.1)
(3.78.3)
6.9
(5.010.9)

5.8
5.8
5.8
7.6
7.2
7.1
5.4

Female
CI

(4.77.0)
(4.47.5)
(4.47.6)
(6.39.2)
(5.69.1)
(6.08.4)
(4.07.2)
5.8
(4.29.0)

1.0
1.4
0.7
1.5
2.2
0.5
0.8

Male

CI

(0.71.5)
(0.72.9)
(0.22.4)
(0.92.6)
(1.24.0)
(0.21.1)
(0.41.7)
0.7
(0.32.2)

Total
CI

1.8
1.5
3.0
2.1
1.8
2.2
1.3

(1.32.5)
(0.82.5)
(1.75.3)
(1.33.2)
(1.03.2)
(1.33.8)
(0.62.9)
1.8
(0.63.0)

%
1.4
1.4
1.9
1.8
2.0
1.3
1.1

CI
(1.11.8)
(0.92.4)
(1.13.2)
(1.32.6)
(1.32.9)
(0.82.2)
(0.62.1)
1.3
(0.62.0)

* On at least 1 day during the 30 days before the survey.


On 20 or more days during the 30 days before the survey.
95% confidence interval.
** Not available.

TABLE 33. Percentage of high school students who smoked more than 10 cigarettes/day* and who currently smoked cigarettes daily, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Smoked more than 10 cigarettes/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Currently smoked cigarettes daily


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

5.7
**
9.7

(2.811.0)

(4.021.8)

5.6

9.0

(3.58.9)

(5.614.2)

5.7
7.5
9.3

(4.37.6)
(3.415.7)
(5.415.7)

3.1
0.4
1.4

(2.14.6)
(0.11.3)
(0.82.4)

2.4
2.4
1.8

(1.63.6)
(1.24.8)
(1.22.6)

2.8
1.4
1.6

(1.94.0)
(0.82.5)
(1.12.2)

8.4
6.6
2.7
5.4
5.9

(3.021.6)
(2.715.1)
(0.79.5)
(2.113.6)
(3.79.4)

5.1
14.7
3.6
12.5
9.2

(2.211.4)
(8.823.5)
(1.96.9)
(7.719.6)
(6.812.4)

6.8
10.4
3.4
9.1
7.9

(3.313.3)
(7.015.3)
(1.86.5)
(5.614.5)
(6.29.9)

1.9
1.4
1.8
3.5
2.2

(0.93.7)
(0.82.4)
(1.32.7)
(2.25.6)
(1.62.9)

1.6
2.7
1.8
3.2
2.4

(0.83.0)
(1.84.0)
(1.13.0)
(2.24.7)
(1.83.2)

1.7
2.1
1.9
3.4
2.3

(1.03.1)
(1.43.1)
(1.32.7)
(2.44.7)
(1.73.0)

* On the days they smoked during the 30 days before the survey, among the 10.8% of students nationwide who currently smoked cigarettes.
On all 30 days during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.
** Not available.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

83

Surveillance Summaries

TABLE 34. Percentage of high school students who smoked more than 10 cigarettes/day* and who currently smoked cigarettes daily, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Smoked more than 10 cigarettes/day
Female
Site

CI

State surveys
Alabama

Alaska

Arizona
5.6
(1.617.4)
Arkansas
1.9
(0.84.9)
California

Connecticut

Delaware
8.6
(3.818.6)
Florida

Hawaii

Idaho

Illinois
3.5
(1.38.7)
Indiana

Kentucky
5.2
(2.311.4)
Maine
8.8
(6.112.4)
Maryland
7.4
(6.09.1)
Massachusetts

Michigan
7.3
(3.017.0)
Mississippi
3.3
(1.28.7)
Missouri

Montana
2.2
(1.04.7)
Nebraska

Nevada

New Hampshire
9.1
(5.714.3)
New Mexico
1.9
(1.13.3)
New York
7.2
(2.618.3)
North Carolina

North Dakota

Oklahoma

Pennsylvania
6.2
(3.112.0)
Rhode Island

South Carolina

South Dakota

Tennessee
4.1
(2.27.7)
Vermont
9.2
(7.511.3)
Virginia
6.1
(3.211.4)
West Virginia
8.8
(5.414.1)
Wyoming
9.0
(4.716.5)
Median
6.2
Range
(1.99.2)
Large urban school district surveys
Baltimore, MD

Boston, MA

Broward County, FL

Cleveland, OH

DeKalb County, GA

Detroit, MI

District of Columbia

Duval County, FL
7.7
(3.217.4)
Ft. Worth, TX

Houston, TX
9.0
(4.417.4)
Los Angeles, CA

Miami-Dade County, FL

Male
%

6.1
10.6

12.3

11.4

8.6
18.9
14.4

9.8
11.3

8.7
8.5

17.3
10.0
15.2

3.5
9.3

15.2
13.0
4.9
11.3
12.7

3.6
6.5

Currently smoked cigarettes daily


Total

CI

Female
CI

CI

Male
%

Total
CI

CI

7.1
4.7
5.8
6.8
4.6

11.9

2.0
8.6
8.7
6.8
14.6
11.3

8.8
7.7

5.5
8.0
7.1
14.2
6.5
11.6

2.4
8.0
11.7
8.5
11.5
10.8
11.7
5.5
10.1
10.9

(3.613.5)
(2.010.5)
(3.98.7)
(4.410.3)
(2.010.3)

(8.616.3)

(0.66.0)
(5.912.3)
(4.416.7)
(4.69.9)
(12.217.3)
(10.312.5)

(5.015.2)
(4.512.9)

(3.97.5)
(4.613.4)
(3.215.0)
(11.917.0)
(4.88.7)
(7.617.5)

(1.06.1)
(4.913.0)
(5.822.0)
(4.914.4)
(5.921.1)
(7.615.1)
(10.413.2)
(3.48.8)
(7.214.0)
(6.916.8)
8.3
(2.014.6)

2.8
1.4
1.4
4.0
1.0
0.8
2.4
2.0
1.0
1.9
1.1
2.8
5.5
2.8
1.4
1.2
1.6
3.3
1.8
1.9
2.1
1.2
2.0
1.5
1.2
2.1
3.0
1.5
2.3
1.0
2.1
3.7
2.3
2.4
1.4
6.1
4.3

(1.84.4)
(0.53.8)
(0.72.6)
(1.98.1)
(0.25.6)
(0.32.0)
(1.15.5)
(1.52.6)
(0.61.8)
(0.93.8)
(0.52.4)
(1.74.7)
(3.78.1)
(2.43.3)
(1.21.5)
(0.62.3)
(0.93.1)
(1.76.3)
(0.93.8)
(1.32.9)
(1.23.6)
(0.43.5)
(1.62.5)
(1.12.0)
(0.82.0)
(1.33.3)
(1.84.8)
(0.73.1)
(1.34.1)
(0.51.9)
(1.23.6)
(1.97.3)
(1.53.6)
(2.12.8)
(0.92.4)
(4.67.9)
(2.86.6)
2.0
(0.86.1)

3.8
3.5
1.5
5.7
1.0
1.7
3.2
3.0
1.5
2.1
2.9
2.6
3.6
4.2
2.1
2.1
2.4
3.9
4.4
2.5
2.9
2.2
3.4
2.8
2.4
3.8
3.4
3.3
3.7
1.1
2.0
3.0
3.2
3.5
1.8
4.7
3.2

(2.55.6)
(2.15.7)
(1.02.4)
(2.711.6)
(0.42.5)
(1.12.7)
(2.14.9)
(2.53.7)
(0.92.3)
(1.24.0)
(1.75.0)
(1.34.9)
(2.25.9)
(3.35.2)
(1.92.4)
(1.33.3)
(1.24.6)
(2.46.2)
(2.57.6)
(1.83.4)
(1.75.0)
(1.24.0)
(2.93.9)
(2.33.4)
(1.34.3)
(2.65.5)
(2.25.1)
(1.95.6)
(2.55.5)
(0.62.2)
(1.03.7)
(1.94.7)
(2.24.5)
(3.13.8)
(1.13.0)
(3.36.7)
(2.15.1)
3.0
(1.05.7)

3.3
2.6
1.5
4.8
1.0
1.2
2.9
2.6
1.2
2.0
2.0
2.8
4.6
3.6
1.8
1.7
2.0
3.6
3.1
2.2
2.6
1.7
2.8
2.1
1.8
3.1
3.2
2.4
3.0
1.1
2.0
3.3
2.8
3.0
1.6
5.4
3.8

(2.44.6)
(1.54.3)
(1.02.3)
(2.49.7)
(0.33.2)
(0.82.0)
(1.84.7)
(2.23.1)
(0.81.8)
(1.23.2)
(1.33.2)
(1.74.5)
(3.26.7)
(3.14.1)
(1.61.9)
(1.02.7)
(1.23.3)
(2.35.6)
(1.95.1)
(1.72.9)
(1.64.0)
(0.93.1)
(2.43.2)
(1.82.6)
(1.22.7)
(2.34.1)
(2.34.5)
(1.43.9)
(2.24.2)
(0.71.7)
(1.33.0)
(2.05.6)
(2.13.7)
(2.73.2)
(1.12.3)
(4.46.6)
(2.65.4)
2.6
(1.05.4)

0.9

9.8
(1.39.4)
3.1
(3.113.0)
8.3
12.8
11.2

(0.16.5)

(6.314.7)
(1.46.7)
(4.814.1)
(6.523.5)
(5.222.5)

0.5
0.4
0.2
1.3
0.4
0.2

0.9
0.6
0.7
0.6
0.3

(0.12.0)
(0.20.9)
(0.01.1)
(0.72.5)
(0.21.0)
(0.00.7)

(0.51.6)
(0.31.2)
(0.31.6)
(0.21.6)
(0.10.8)

1.1
1.1
0.5
1.6
1.2
0.6

1.4
1.8
1.2
1.0
1.2

(0.43.2)
(0.52.3)
(0.12.0)
(0.92.8)
(0.52.5)
(0.21.4)

(0.82.5)
(1.13.0)
(0.71.9)
(0.61.5)
(0.62.3)

0.9
0.8
0.3
1.6
0.8
0.4

1.1
1.2
1.0
0.8
0.8

(0.41.9)
(0.41.4)
(0.11.1)
(1.02.4)
(0.41.5)
(0.20.8)

(0.71.8)
(0.81.8)
(0.61.7)
(0.41.4)
(0.41.4)

(1.818.8)
(6.416.9)

(7.320.0)

(6.818.4)

(5.513.1)
(14.624.0)
(12.816.2)

(4.121.7)
(6.419.2)

(5.812.7)
(4.017.2)

(14.420.5)
(7.313.6)
(8.825.0)

(1.210.3)
(4.717.5)

(9.822.8)
(11.215.1)
(2.49.9)
(7.017.8)
(7.520.5)
11.3
(3.518.9)

See table footnotes on the next page.

84

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 34. (Continued) Percentage of high school students who smoked more than 10 cigarettes/day* and who currently smoked cigarettes daily,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Smoked more than 10 cigarettes/day
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

6.9

Male

CI
(2.418.0)

7.7
(6.99.0)

%
10.7

Currently smoked cigarettes daily


Total

CI

Female
CI

(6.916.0)
8.8
(5.913.0)

5.5
(2.213.2)

10.5
(5.818.5)

8.2
(3.816.6)

7.2
(3.514.3)

2.9
(1.26.5)
6.5
8.2
(3.610.7)
(0.912.8)

0.6
1.2
0.7
1.2
1.6
0.3
0.3

Male

CI

(0.41.1)
(0.52.6)
(0.22.4)
(0.62.2)
(0.83.2)
(0.11.0)
(0.10.9)
0.6
(0.21.6)

Total
CI

1.2
0.7
2.3
1.7
1.1
1.5
1.0

(0.81.7)
(0.31.7)
(1.34.1)
(1.12.7)
(0.52.3)
(0.92.5)
(0.52.1)
1.2
(0.52.3)

%
0.9
0.9
1.5
1.5
1.3
0.9
0.7

CI
(0.71.2)
(0.51.8)
(0.92.7)
(1.02.2)
(0.82.1)
(0.61.5)
(0.31.3)
0.9
(0.31.6)

* On the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes.
On all 30 days during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 35. Percentage of high school students who usually obtained their own cigarettes by buying them in a store or gas station* and who usually
obtained their own cigarettes by buying them on the internet,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Bought cigarettes in a store or gas station
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

%
6.6

9.8
6.4
5.6
8.8
10.7
7.7

Male

Bought cigarettes on the internet


Total

CI

CI

(3.611.8)

(5.417.1)

12.8

21.9

(8.818.3)

(14.931.0)

9.7

17.5

(2.416.3)
(2.213.1)
(4.616.3)
(5.021.6)
(4.812.2)

6.2
6.7
27.1
22.8
16.5

(2.813.2)
(3.312.9)
(18.637.7)
(13.935.0)
(12.721.2)

6.3
6.1
20.2
16.5
12.6

Female
CI

Male

Total

CI

CI

CI

(6.913.6)

(12.723.7)

0.1

0.6

(0.00.4)

(0.14.7)

0.2

0.9

(0.01.2)

(0.32.6)

0.1

0.8

(0.00.6)

(0.32.0)

(3.411.4)
(3.211.2)
(14.227.7)
(11.223.7)
(9.716.1)

0.0
0.4
0.0
0.9
0.3

(..)
(0.11.8)
(..)
(0.16.3)
(0.11.0)

0.3
2.5
0.5
3.8
1.4

(0.02.5)
(0.415.2)
(0.21.7)
(0.915.0)
(0.53.7)

0.2
1.3
0.5
2.3
1.0

(0.01.5)
(0.36.7)
(0.21.6)
(0.77.6)
(0.42.1)

* During the 30 days before the survey, among the 8.5% of students nationwide who currently smoked cigarettes and who were aged <18 years.
95% confidence interval.
Non-Hispanic.
Not available.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

85

Surveillance Summaries

TABLE 36. Percentage of high school students who usually obtained their own cigarettes by buying them in a store or gas station* and who
usually obtained their own cigarettes by buying them on the internet,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Bought cigarettes in a store or gas station
Female
Site

CI

State surveys
Alabama

Alaska

Arizona
2.9
(0.810.4)
Arkansas
1.1
(0.43.0)
California

Connecticut

Delaware

Florida

Hawaii

Idaho

Illinois

Indiana

Kentucky
14.5
(7.925.2)
Maine
4.3
(2.67.0)
Maryland
10.4
(8.912.2)
Massachusetts

Michigan
15.2
(6.531.4)
Mississippi

Missouri

Montana
3.5
(1.58.1)
Nebraska

Nevada

New Hampshire
7.3
(5.010.5)
New Mexico

New York

North Carolina

North Dakota

Oklahoma

Pennsylvania
3.1
(1.18.7)
Rhode Island

South Carolina

South Dakota

Tennessee
7.6
(4.911.5)
Vermont
4.2
(3.05.9)
Virginia
11.6
(5.522.8)
West Virginia
7.6
(3.615.3)
Wyoming
2.8
(1.26.5)
Median
5.8
Range
(1.115.2)
Large urban school district surveys
Baltimore, MD

Boston, MA

Broward County, FL

Cleveland, OH

DeKalb County, GA

Detroit, MI

District of Columbia

Duval County, FL

Ft. Worth, TX

Houston, TX

Los Angeles, CA

Miami-Dade County, FL

Male
%

CI

14.6

12.2

26.8
9.6
23.9

18.8
29.4

13.8

18.8

23.4

14.4
12.1
19.4
15.9
11.6

(8.524.0)

(5.923.6)

(18.736.7)
(6.713.5)
(21.626.3)

(9.134.9)
(21.239.3)

(10.418.1)

(15.322.7)

(15.234.2)

(8.623.2)
(10.014.5)
(12.429.1)
(9.325.9)
(7.118.5)
15.9
(9.629.4)

Bought cigarettes on the internet

Total

Female
CI

13.5
4.4
10.0
8.4

20.6

11.6
11.3
6.0
20.2
6.9
17.4

17.4
19.2
14.4
8.4
9.7

13.6

16.9
9.0
15.1
20.5
13.9
5.1
11.2
8.5
15.7
11.7
7.3

(7.423.4)
(1.910.0)
(4.221.9)
(5.313.2)

(12.432.3)

(6.320.4)
(6.419.1)
(2.712.7)
(13.928.5)
(5.38.9)
(16.018.9)

(9.629.4)
(14.125.5)
(8.822.5)
(6.211.4)
(6.015.5)

(11.416.0)

(10.825.4)
(4.816.4)
(10.022.1)
(8.940.3)
(6.328.0)
(2.211.5)
(7.616.2)
(7.210.0)
(10.522.9)
(8.116.7)
(4.611.2)
11.6
(4.420.6)

64.5

14.9
31.7
22.0

22.5

(52.275.2)

(9.622.4)
(23.940.7)
(15.630.0)

(14.932.6)

Male

CI

Total
CI

CI

1.0
0.8

1.2
1.0
2.8

2.5

0.0

1.7

2.1

1.2
1.4
0.0
1.7
0.9

(0.16.9)
(0.23.7)

(0.27.2)
(0.42.8)
(2.03.9)

(0.414.4)

(0.83.9)

(0.49.3)

(0.34.4)
(0.82.5)

(0.55.4)
(0.23.7)
1.2
(0.02.8)

0.4

0.6

0.7
3.0
5.6

5.0
9.5

1.7

2.7

1.6

2.2
2.1
1.1
6.0
0.0

(0.11.2)

(0.12.6)

(0.14.1)
(1.56.0)
(4.37.2)

(1.416.3)
(4.319.9)

(0.55.0)

(1.64.5)

(0.38.8)

(0.95.0)
(1.33.3)
(0.26.1)
(1.126.5)

2.1
(0.09.5)

3.9
0.9
0.5
0.6

0.0

1.0
0.3
0.0
1.0
2.2
4.9

4.0
6.0
1.6
0.8
2.0

2.4

0.6
0.0
1.8
1.2
2.4
0.5
2.0
1.7
0.6
3.8
0.5

(1.410.5)
(0.16.5)
(0.13.6)
(0.21.7)

(0.25.8)
(0.11.3)

(0.33.7)
(1.33.7)
(4.06.0)

(1.410.7)
(2.712.6)
(0.45.9)
(0.32.3)
(0.58.1)

(1.53.6)

(0.22.5)

(0.55.7)
(0.62.6)
(0.412.0)
(0.14.0)
(1.04.3)
(1.22.5)
(0.13.2)
(1.112.4)
(0.11.9)
1.1
(0.06.0)

2.4

5.5
1.7
5.9

2.4

(0.87.3)

(2.710.8)
(0.46.9)
(2.811.8)

(0.86.9)

See table footnotes on the next page.

86

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 36. (Continued) Percentage of high school students who usually obtained their own cigarettes by buying them in a store or gas station*
and who usually obtained their own cigarettes by buying them on the internet,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Bought cigarettes in a store or gas station
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

CI

Bought cigarettes on the internet

Total
%

Female
CI

22.5
(14.964.5)

Male

CI

Total
CI

CI

2.4
(1.75.9)

* During the 30 days before the survey, among students who currently smoked cigarettes and who were aged <18 years.
95% confidence interval.
Not available.

TABLE 37. Percentage of high school students who tried to quit smoking cigarettes,* by sex, race/ethnicity, and grade United States, Youth
Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

51.0

56.4

(45.756.3)

(46.366.1)

37.9

45.3

(31.245.0)

(37.853.0)

44.1

49.6

(38.849.5)

(44.255.0)

47.3
57.0
52.2
54.1
52.8

(36.758.1)
(46.167.2)
(41.462.8)
(46.061.9)
(48.557.0)

48.2
45.7
29.9
42.0
39.7

(41.155.5)
(32.259.9)
(22.638.3)
(34.450.1)
(34.645.0)

47.8
51.6
37.9
47.7
45.4

(41.254.5)
(41.461.7)
(30.745.6)
(42.453.1)
(41.349.5)

* During the 12 months before the survey, among the 10.8% of students nationwide who currently smoked cigarettes.
95% confidence interval.
Non-Hispanic.
Not available.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

87

Surveillance Summaries

TABLE 38. Percentage of high school students who tried to quit smoking cigarettes,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

Male

Total

CI

CI

CI

51.3
62.1

59.0

53.0

63.2
51.9

59.5

49.8
54.2

38.7
53.1

53.7

50.4
43.4
52.2
50.8
51.5

(37.964.5)
(51.272.0)

(45.371.5)

(44.860.9)

(53.572.0)
(39.364.3)

(50.268.1)

(44.754.9)
(46.561.8)

(23.756.2)
(43.062.9)

(44.362.8)

(42.358.4)
(40.346.7)
(43.161.1)
(40.661.0)
(42.360.6)

46.3
55.6

45.1

49.8

44.7

45.2
47.6

40.7

44.2
50.8

50.3
41.8
47.7
48.2

47.7
41.3
45.3
45.9
53.9

(33.959.2)
(45.665.1)

(34.456.3)

(41.458.3)

(35.154.8)

(35.755.0)
(38.556.9)

(35.046.7)

(40.248.4)
(46.355.3)

(36.564.0)
(31.652.7)
(36.059.7)
(40.056.5)

(38.956.6)
(38.444.2)
(35.655.3)
(34.957.2)
(43.564.0)

49.3
59.5
49.2
58.4
35.2

49.2

48.0
53.8
49.7
49.0

52.0
49.6
46.0
50.0
48.7

46.2
52.1

45.5
47.4
52.3
50.5
46.0
50.3
50.6
48.9
42.2
48.5
48.4
52.8

(41.457.3)
(47.470.5)
(39.459.0)
(50.565.9)
(25.845.8)

(40.857.6)

(38.757.5)
(46.161.2)
(39.959.4)
(42.955.1)

(44.759.1)
(41.158.1)
(36.655.7)
(43.556.5)
(40.656.9)

(43.349.1)
(47.856.4)

(34.257.4)
(40.953.9)
(43.361.2)
(44.256.8)
(32.959.6)
(40.360.2)
(39.361.8)
(43.254.6)
(40.144.3)
(41.255.8)
(41.255.6)
(47.258.3)

(48.168.9)

44.1
57.8

(32.556.4)
(46.368.6)

81.8

51.5
48.7
58.4
46.9
40.1

Site

58.9

52.2
(38.763.2)

46.3
(40.755.6)

49.2
(35.259.5)

(69.090.0)

(43.259.7)
(39.657.9)
(50.166.2)
(35.558.7)
(30.650.4)

See table footnotes on the next page.

88

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 38. (Continued) Percentage of high school students who tried to quit smoking cigarettes,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female

Male

Site

CI

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

58.9
(58.958.9)

Total

CI

CI

39.9

35.7
41.6

(29.151.8)

(27.944.3)
(30.154.1)

50.9
(44.157.8)

46.9
(35.781.8)

* During the 12 months before the survey, among students who currently smoked cigarettes.
95% confidence interval.
Not available.

TABLE 39. Percentage of high school students who currently used smokeless tobacco* and who currently smoked cigars, by sex, race/ethnicity,
and grade United States, Youth Risk Behavior Survey, 2015
Current smokeless tobacco use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Current cigar use


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

2.5
1.1
2.5

(1.64.0)
(0.52.3)
(1.64.0)

15.9
5.6
6.4

(13.318.9)
(3.58.9)
(4.69.0)

9.3
3.7
4.5

(7.511.4)
(2.45.5)
(3.36.2)

6.0
8.5
6.5

(4.48.1)
(6.211.5)
(4.98.8)

14.8
12.9
12.4

(12.517.5)
(9.317.6)
(10.015.2)

10.4
11.0
9.5

(8.712.5)
(8.414.4)
(7.711.7)

2.4
2.0
2.9
1.7
2.3

(1.54.0)
(1.23.3)
(1.94.3)
(1.02.9)
(1.73.2)

8.8
10.6
15.0
13.1
11.9

(6.811.3)
(7.913.9)
(12.517.8)
(9.917.1)
(10.014.0)

5.9
6.3
9.3
7.5
7.3

(4.67.5)
(4.78.3)
(7.811.0)
(5.89.5)
(6.18.6)

4.1
6.6
6.3
8.1
6.3

(3.05.6)
(4.89.1)
(4.78.4)
(6.010.9)
(5.17.9)

8.5
12.5
15.1
20.4
14.0

(6.910.6)
(9.616.0)
(12.618.0)
(16.325.2)
(12.315.8)

6.6
9.6
11.0
14.3
10.3

(5.47.9)
(7.612.1)
(9.213.2)
(11.617.5)
(9.011.8)

* Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey.
Cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

89

Surveillance Summaries

TABLE 40. Percentage of high school students who currently used smokeless tobacco* and who currently smoked cigars, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Current smokeless tobacco use
Female
Site

CI

State surveys
Alabama
4.5
(2.87.2)
Alaska
8.2
(5.412.2)
Arizona
2.8
(1.74.7)
Arkansas
3.5
(2.45.0)
California
1.1
(0.52.2)
Connecticut

Delaware
1.2
(0.72.0)
Florida

Hawaii

Idaho
2.0
(1.13.6)
Illinois
2.5
(1.63.9)
Indiana
2.6
(1.64.2)
Kentucky
3.6
(2.25.8)
Maine
1.6
(1.12.2)
Maryland
2.7
(2.42.9)
Massachusetts
1.9
(1.13.2)
Michigan
2.0
(1.23.2)
Mississippi
4.2
(2.86.2)
Missouri
2.9
(1.84.6)
Montana
4.5
(3.65.6)
Nebraska
3.2
(2.05.1)
Nevada
1.8
(1.03.2)
New Hampshire
1.6
(1.22.0)
New Mexico
2.9
(2.33.8)
New York
3.3
(2.54.3)
North Carolina
1.8
(1.03.3)
North Dakota
3.1
(2.04.6)
Oklahoma
2.2
(1.43.4)
Pennsylvania
2.6
(1.74.0)
Rhode Island
2.2
(1.24.3)
South Carolina
3.0
(2.14.4)
South Dakota
4.0
(2.75.8)
Tennessee
2.7
(1.93.7)
Vermont
2.5
(2.22.8)
Virginia
2.0
(1.52.8)
West Virginia
3.5
(2.45.2)
Wyoming
5.5
(4.17.3)
Median
2.7
Range
(1.18.2)
Large urban school district surveys
Baltimore, MD
3.5
(2.25.5)
Boston, MA
0.8
(0.32.3)
Broward County, FL
1.7
(0.93.4)
Cleveland, OH

DeKalb County, GA
1.0
(0.52.1)
Detroit, MI
3.6
(2.55.1)
District of Columbia

Duval County, FL
4.5
(3.55.9)
Ft. Worth, TX
1.4
(0.82.6)
Houston, TX
5.6
(4.27.5)
Los Angeles, CA
1.8
(1.13.1)
Miami-Dade County, FL
1.4
(0.82.3)

Current cigar use

Male
%

Total
CI

Female
CI

19.6
14.7
9.5
17.2
4.8

7.7

14.3
8.4
15.7
21.1
8.3
8.3
9.0
10.4
18.4
17.0
19.6
14.9
8.2
9.9
14.2
9.5
14.9
17.6
16.2
16.0
8.0
11.0
18.9
18.5
10.8
8.7
22.8
17.2

(16.223.6)
(11.219.1)
(6.513.7)
(12.922.6)
(2.78.4)

(5.710.2)

(11.318.0)
(6.211.2)
(9.824.3)
(17.225.6)
(7.19.6)
(7.78.8)
(7.011.4)
(7.314.6)
(15.421.8)
(12.622.7)
(17.421.9)
(11.918.6)
(6.89.9)
(8.711.2)
(12.116.6)
(8.011.1)
(10.820.2)
(15.020.6)
(12.720.3)
(12.420.5)
(5.811.0)
(8.214.7)
(14.124.9)
(16.620.6)
(10.311.5)
(7.110.7)
(18.627.7)
(14.320.6)
14.5
(4.822.8)

12.5
11.7
6.2
10.6
3.0

4.5

8.3
5.6
9.4
12.6
5.1
5.8
5.5
6.2
11.6
10.0
12.3
9.3
5.1
6.0
8.7
6.7
8.6
10.6
9.0
9.5
5.3
7.2
11.7
11.0
6.9
5.5
13.4
11.6

(9.715.8)
(8.815.5)
(4.29.0)
(8.513.2)
(1.84.8)

(3.55.7)

(6.710.3)
(4.37.3)
(5.914.7)
(10.415.2)
(4.55.9)
(5.46.1)
(4.47.0)
(4.58.6)
(9.813.6)
(7.113.8)
(11.013.7)
(7.411.7)
(4.26.2)
(5.36.7)
(7.410.1)
(5.97.6)
(6.411.4)
(9.012.3)
(7.011.5)
(7.412.1)
(3.97.2)
(5.39.6)
(9.015.2)
(9.812.3)
(6.57.2)
(4.56.7)
(10.916.3)
(9.813.7)
8.6
(3.013.4)

8.9
3.7
5.5

5.7
8.1

10.5
5.0
7.8
3.5
4.8

(5.913.3)
(2.55.3)
(3.68.4)

(4.17.9)
(6.010.8)

(8.313.2)
(3.76.8)
(6.49.4)
(2.25.5)
(3.56.7)

7.5
2.4
3.7

3.4
6.1

7.8
3.2
7.1
2.6
3.1

(5.210.7)
(1.73.3)
(2.65.2)

(2.44.7)
(4.97.6)

(6.49.5)
(2.44.2)
(5.98.5)
(1.74.1)
(2.24.4)

CI

Male
%

Total
CI

CI

10.7
3.7
6.5
10.6
4.6

8.0

5.2
5.3
7.7
10.2
4.8
7.8
5.3
5.0
12.6
7.1
8.2
4.9
5.3
5.8
7.3
6.6

4.9
4.7
6.7
4.7
9.6
7.1
7.9
6.1
5.5
10.2
9.6

(8.313.6)
(2.26.0)
(4.39.9)
(7.814.3)
(2.77.7)

(5.811.0)

(3.38.1)
(4.07.0)
(5.810.2)
(7.413.9)
(4.15.7)
(7.38.4)
(4.16.7)
(3.47.4)
(10.115.7)
(4.610.7)
(6.99.6)
(3.07.7)
(3.77.6)
(5.16.7)
(6.48.3)
(4.98.8)

(3.76.6)
(3.27.0)
(5.08.9)
(3.76.0)
(6.713.5)
(4.810.5)
(6.89.3)
(5.66.6)
(4.36.9)
(8.012.9)
(7.611.9)
6.6
(3.712.6)

15.5
9.9
13.4
17.5
8.9

13.3

11.1
13.2
14.8
17.1
12.3
12.3
15.4
13.2
20.2
17.1
16.8
11.0
8.6
15.6
13.5
13.4

13.2
14.0
18.2
11.7
12.6
11.7
13.5
14.5
9.2
17.5
15.4

(13.118.3)
(7.612.8)
(10.517.0)
(13.722.1)
(6.412.3)

(10.816.2)

(8.714.0)
(10.416.5)
(11.618.8)
(14.619.9)
(10.714.1)
(11.712.9)
(12.618.6)
(10.316.9)
(16.624.5)
(13.421.7)
(14.918.9)
(8.414.2)
(6.611.0)
(14.317.1)
(12.015.2)
(10.916.2)

(10.915.9)
(10.818.1)
(15.121.8)
(9.314.6)
(9.017.3)
(8.216.4)
(11.815.5)
(13.815.2)
(7.711.0)
(14.720.7)
(12.319.1)
13.4
(8.620.2)

13.4
7.1
10.1
14.2
6.8

10.9

8.2
9.4
11.4
14.0
8.8
10.3
10.4
9.2
16.5
12.1
12.6
8.1
7.1
11.0
10.5
10.2

9.2
9.4
12.5
8.4
11.2
9.6
11.0
10.4
7.4
13.9
12.6

(11.315.9)
(5.68.9)
(7.812.9)
(11.917.0)
(4.99.2)

(8.913.3)

(6.610.2)
(7.911.0)
(9.114.3)
(11.716.6)
(7.89.9)
(9.910.8)
(8.612.5)
(7.411.4)
(14.218.9)
(9.116.0)
(11.414.0)
(6.310.3)
(5.78.8)
(10.012.0)
(9.511.5)
(8.612.1)

(7.810.8)
(7.312.1)
(10.614.7)
(7.39.8)
(8.714.4)
(6.913.2)
(9.912.1)
(10.010.9)
(6.48.7)
(11.616.5)
(10.615.0)
10.4
(6.816.5)

13.2
3.8
4.0

7.7
6.7
9.6
9.8
7.8
11.6
3.3
3.0

(9.118.9)
(2.65.7)
(2.76.0)

(5.810.1)
(5.28.6)
(8.910.5)
(7.812.2)
(6.29.7)
(10.113.4)
(2.15.1)
(2.14.3)

14.6
6.8
9.8

11.6
12.0
12.9
14.8
10.4
14.3
5.5
9.2

(10.520.0)
(5.19.1)
(7.313.1)

(9.614.0)
(9.515.1)
(11.913.9)
(12.018.1)
(8.512.7)
(12.416.4)
(3.78.0)
(7.311.5)

14.9
5.4
7.1

9.7
9.3
11.5
12.8
9.0
13.3
4.4
6.1

(11.619.0)
(4.26.9)
(5.69.1)

(8.111.7)
(7.711.2)
(10.812.1)
(10.615.3)
(7.810.5)
(12.014.8)
(3.06.4)
(5.07.4)

See table footnotes on the next page.

90

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 40. (Continued) Percentage of high school students who currently used smokeless tobacco* and who currently smoked cigars, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Current smokeless tobacco use
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

1.6
1.2
2.7
2.8
3.7

Male

CI
(1.22.1)
(0.72.1)
(1.74.2)
(1.64.9)
(2.55.5)

1.8
(0.85.6)

%
4.4
4.0
7.8
8.1
7.4

Current cigar use


Total

CI

(3.65.3)
(2.37.1)
(5.311.3)
(6.210.6)
(4.911.2)

5.7
(3.510.5)

3.1
2.9
5.4
6.4
5.8

Female
CI

(2.73.7)
(1.94.5)
(3.97.3)
(4.88.4)
(4.28.1)

3.7
(2.47.8)

3.4
4.1
5.3
6.8
8.9

Male

CI

(2.84.2)
(2.95.9)
(3.87.3)
(5.09.1)
(6.312.3)

6.7
(3.013.2)

Total
CI

7.7
8.1
10.5
12.5
11.8

CI

5.7
6.3
8.0
10.4
10.5

(4.96.7)
(5.17.8)
(6.49.9)
(8.812.2)
(8.113.6)

9.1
(4.414.9)

(6.59.2)
(6.110.6)
(8.013.8)
(10.215.3)
(8.615.8)

11.0
(5.514.8)

* Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey.
Cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 41. Percentage of high school students who ever used electronic vapor products* and who currently used electronic vapor products,*,
by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever used electronic vapor products
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Current electronic vapor products use


Total

CI

CI

42.3
37.7
51.2

(36.648.3)
(32.043.8)
(47.754.8)

44.0
46.5
52.6

(39.948.2)
(38.654.5)
(49.056.1)

43.2
42.4
51.9

37.4
41.2
47.8
49.0
43.6

(33.042.1)
(34.847.9)
(42.753.1)
(44.953.0)
(39.847.5)

37.0
45.3
51.1
52.6
46.1

(33.340.9)
(40.350.5)
(47.055.2)
(46.758.5)
(42.849.4)

37.2
43.3
49.5
50.9
44.9

Female
CI

Male

Total

CI

CI

CI

(38.847.6)
(37.147.8)
(49.254.6)

24.2
14.5
25.0

(20.628.3)
(11.817.7)
(21.928.5)

26.3
21.2
27.4

(23.329.6)
(16.227.1)
(24.031.1)

25.2
18.0
26.3

(22.228.5)
(14.921.7)
(23.629.1)

(33.740.7)
(37.849.0)
(45.753.2)
(47.654.1)
(41.948.0)

19.8
22.3
24.1
24.6
22.6

(16.623.3)
(19.425.6)
(20.727.9)
(21.228.2)
(20.624.8)

19.6
24.2
27.4
31.9
25.6

(17.122.5)
(20.528.3)
(24.131.0)
(27.037.3)
(23.028.4)

19.7
23.2
25.9
28.2
24.1

(17.422.2)
(20.326.4)
(23.128.9)
(25.131.5)
(22.126.2)

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens.
On at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

91

Surveillance Summaries

TABLE 42. Percentage of high school students who ever used electronic vapor products* and who currently used electronic vapor products,*,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever used electronic vapor products
Female
Site

CI

State surveys
Alabama
38.1 (32.943.7)
Alaska
31.9 (28.335.8)
Arizona
49.4 (44.354.5)
Arkansas
39.7 (35.444.1)
California
43.0 (36.949.4)
Connecticut

Delaware
38.3 (34.842.0)
Florida

Hawaii
43.6 (40.346.9)
Idaho
45.0 (41.149.0)
Illinois
46.1 (41.650.6)
Indiana
40.3 (35.345.6)
Kentucky
39.5 (35.343.9)
Maine
31.0 (28.933.1)
Maryland
37.0 (36.138.0)
Massachusetts
41.2 (37.545.0)
Michigan

Mississippi
38.3 (34.242.6)
Missouri
35.0 (29.441.0)
Montana
49.0 (46.251.8)
Nebraska
41.0 (36.645.5)
Nevada
52.9 (46.459.4)
New Hampshire

New Mexico
52.9 (50.155.7)
New York

North Carolina
46.0 (40.651.5)
North Dakota
39.0 (35.043.1)
Oklahoma
43.1 (37.848.5)
Pennsylvania
39.5 (35.443.8)
Rhode Island
39.5 (35.144.1)
South Carolina
44.1 (39.648.7)
South Dakota
41.3 (33.250.0)
Tennessee
40.3 (36.943.9)
Vermont
27.5 (26.628.4)
Virginia

West Virginia
46.9 (42.251.8)
Wyoming
46.4 (41.251.7)
Median
41.0
Range
(27.552.9)
Large urban school district surveys
Baltimore, MD
34.6 (29.440.2)
Boston, MA

Broward County, FL
43.9 (39.248.8)
Cleveland, OH
35.6 (31.340.3)
DeKalb County, GA
37.7 (34.940.7)
Detroit, MI

District of Columbia
34.3 (33.035.6)
Duval County, FL
46.4 (43.349.6)
Ft. Worth, TX
39.7 (36.642.8)
Houston, TX
37.2 (34.639.8)
Los Angeles, CA
41.3 (36.945.9)
Miami-Dade County, FL
36.5 (33.040.2)

Male
%

Total
CI

43.5
39.7
53.7
49.5
46.6

42.2

46.5
45.5
48.0
47.3
43.9
34.2
38.0
48.2

42.5
46.7
53.1
35.3
51.2

55.8

52.7
45.1
48.6
42.0
42.3
41.5
40.6
42.7
32.9

51.1
52.3

(38.548.6)
(34.245.3)
(49.158.2)
(44.154.9)
(40.952.5)

(38.246.2)

(43.249.9)
(39.052.1)
(41.554.6)
(41.753.0)
(38.349.7)
(31.736.9)
(37.039.0)
(44.751.6)

(37.148.1)
(40.453.0)
(50.156.0)
(30.840.1)
(45.456.9)

(53.258.3)

(48.456.9)
(41.349.0)
(42.954.3)
(38.046.1)
(37.447.3)
(36.946.3)
(36.045.4)
(39.446.0)
(31.933.8)

(45.656.5)
(47.856.8)
45.5
(32.955.8)

32.3

46.3
37.6
36.4

33.7
41.7
45.4
41.8
46.4
42.1

Current electronic vapor products use

(27.837.2)

(42.050.6)
(33.342.0)
(32.340.8)

(32.235.1)
(38.744.7)
(42.148.7)
(39.044.7)
(42.750.1)
(39.145.1)

Female
CI

41.0
36.1
51.6
44.7
44.7

40.5

45.1
45.2
47.0
43.9
41.7
32.7
37.6
44.8

40.3
40.6
51.1
38.2
52.0

54.4

49.4
42.1
46.0
40.8
40.9
42.9
41.0
41.6
30.4

49.1
49.4

(36.845.2)
(32.739.7)
(47.455.8)
(41.447.9)
(39.250.3)

(37.843.4)

(42.547.8)
(41.049.5)
(43.151.0)
(39.548.5)
(37.646.0)
(30.634.8)
(36.838.3)
(41.847.8)

(36.843.8)
(36.544.9)
(48.753.4)
(34.641.9)
(47.356.7)

(52.256.5)

(45.153.7)
(39.145.3)
(41.750.3)
(37.344.4)
(36.745.3)
(39.246.7)
(35.846.4)
(38.844.5)
(29.731.0)

(45.053.3)
(45.453.4)
42.9
(30.454.4)

33.6

45.1
37.0
37.2

34.1
44.3
42.6
39.7
43.7
39.3

(30.037.4)

(41.648.6)
(33.640.6)
(34.639.8)

(33.135.1)
(41.946.8)
(40.344.8)
(37.641.9)
(41.046.5)
(36.642.0)

CI

22.0
15.0
25.4
21.7
18.6

20.2

22.0
25.5
23.1
20.3
23.3
14.5
18.7
19.9
19.7
20.3
16.5
27.2
22.8
24.9
23.4
21.9
21.6
24.6
19.1
19.2
21.3
18.0
20.1
16.0
18.9
12.8
15.5
29.6
25.8

(18.026.6)
(12.518.1)
(20.730.8)
(17.027.2)
(14.124.1)

(17.523.1)

(19.624.5)
(22.129.1)
(19.627.1)
(17.223.7)
(19.327.8)
(13.116.0)
(18.019.5)
(16.923.3)
(16.323.5)
(17.623.3)
(13.320.3)
(24.829.7)
(19.426.6)
(21.229.0)
(21.725.2)
(19.524.4)
(18.924.6)
(19.930.0)
(16.322.2)
(16.222.6)
(18.025.0)
(14.821.8)
(16.025.0)
(12.320.5)
(16.521.6)
(12.213.5)
(13.018.4)
(25.634.0)
(22.329.6)
20.3
(12.829.6)

15.3
14.3
20.4
18.0
16.5
12.2
13.4
21.8
18.7
18.1
15.8
16.7

(12.119.1)
(11.318.0)
(17.324.0)
(14.921.5)
(14.418.9)
(9.515.4)
(12.514.4)
(19.324.5)
(16.121.7)
(16.220.2)
(13.418.6)
(14.519.2)

Male
%

Total
CI

26.5
20.1
29.4
30.6
24.2

26.8

28.2
24.3
29.8
27.2
23.4
18.8
20.8
27.3
26.3
25.2
27.7
31.8
21.2
26.3
26.2
26.0
21.4
34.6
25.3
28.0
26.9
20.2
19.1
18.4
24.2
17.6
17.8
32.6
33.2

(22.930.4)
(16.524.1)
(25.234.1)
(24.737.2)
(19.429.9)

(23.230.7)

(26.030.4)
(20.228.9)
(24.036.3)
(22.532.5)
(20.227.1)
(17.020.8)
(20.121.5)
(24.330.5)
(22.430.7)
(21.429.4)
(23.532.4)
(29.034.7)
(17.125.9)
(21.631.7)
(24.528.1)
(24.427.7)
(18.624.4)
(30.339.1)
(22.228.8)
(22.734.0)
(22.731.6)
(16.125.2)
(15.623.2)
(12.925.5)
(22.525.9)
(16.918.3)
(15.420.4)
(28.537.1)
(29.337.2)
26.2
(17.634.6)

18.5
14.7
24.3
18.4
18.1
13.5
13.1
21.3
21.2
22.2
17.8
22.6

(14.423.5)
(12.317.6)
(20.328.8)
(15.521.7)
(15.421.1)
(10.916.5)
(12.114.1)
(19.323.4)
(18.724.0)
(19.924.8)
(14.521.6)
(20.025.5)

CI

24.5
17.7
27.5
26.4
21.4

23.5

25.1
24.8
26.6
23.9
23.4
16.8
20.0
23.7
23.0
22.9
22.0
29.5
22.3
25.6
25.0
24.0
21.7
29.6
22.3
23.8
24.1
19.3
19.7
17.3
21.7
15.3
16.8
31.2
29.6

(21.228.1)
(15.320.5)
(24.231.1)
(22.131.2)
(17.326.2)

(21.525.6)

(23.326.9)
(22.028.0)
(23.330.1)
(20.627.7)
(20.526.5)
(15.518.3)
(19.420.6)
(21.126.5)
(20.126.2)
(20.425.6)
(18.725.7)
(27.431.7)
(19.325.6)
(22.928.5)
(23.626.4)
(22.525.6)
(19.524.0)
(25.833.7)
(19.825.0)
(20.627.3)
(21.027.6)
(16.122.8)
(16.223.8)
(13.022.6)
(19.923.6)
(14.815.8)
(14.719.1)
(27.834.9)
(26.932.4)
23.5
(15.331.2)

17.6
14.5
22.4
19.1
17.4
13.0
13.4
22.1
19.9
20.4
16.8
19.6

(14.820.8)
(12.416.9)
(20.025.0)
(17.021.4)
(15.619.4)
(10.915.4)
(12.714.1)
(20.323.9)
(17.922.1)
(18.722.2)
(14.819.1)
(17.821.5)

See table footnotes on the next page.

92

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 42. (Continued) Percentage of high school students who ever used electronic vapor products* and who currently used electronic vapor
products,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever used electronic vapor products
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

43.6
38.6
48.6
40.3
41.9
35.1

(39.447.8)
(34.942.4)
(44.652.7)
(36.644.1)
(37.146.9)
(30.839.6)
39.1
(34.348.6)

Current electronic vapor products use


Total

CI

46.3
42.0
51.1
38.4
47.8
29.2

(42.050.5)
(37.846.4)
(47.654.5)
(33.643.3)
(44.051.7)
(24.634.4)
41.9
(29.251.1)

Female
CI

45.1
40.2
49.9
39.3
44.9
32.2

(42.347.9)
(37.543.0)
(46.853.0)
(36.142.7)
(41.548.3)
(28.336.3)
39.9
(32.249.9)

Male

CI

16.9
14.9
19.0
25.3
17.6
17.7
13.0

(15.318.5)
(11.918.4)
(16.321.9)
(22.228.6)
(14.121.7)
(14.821.2)
(10.416.0)
16.9
(12.225.3)

Total
CI

CI

15.9
16.2
20.1
27.4
17.4
21.6
13.3

(14.317.5)
(14.218.4)
(18.022.3)
(24.930.1)
(14.620.5)
(19.124.4)
(10.716.4)
17.6
(13.027.4)

14.8
17.4
21.0
28.5
17.0
25.4
13.4

(13.016.7)
(14.720.5)
(17.624.9)
(25.232.0)
(14.120.5)
(22.228.8)
(10.117.5)
18.4
(13.128.5)

* Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens.
On at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 43. Percentage of high school students who currently smoked cigarettes or cigars* and who currently used cigarettes, cigars, or smokeless
tobacco,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Current cigarette or cigar use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Current cigarette, cigar, or smokeless tobacco use

Male

Total

CI

CI

14.7
10.1
9.7

(10.919.4)
(7.613.2)
(7.612.4)

20.4
16.8
16.5

(17.623.4)
(13.121.3)
(13.819.5)

17.5
13.9
13.1

8.8
12.2
13.0
17.2
12.7

(6.411.8)
(9.315.9)
(10.216.4)
(14.120.8)
(10.515.3)

12.3
15.6
22.9
25.9
19.0

(10.314.6)
(12.519.2)
(19.926.3)
(21.231.3)
(17.220.9)

10.7
13.9
18.3
21.6
16.0

Female
CI

Male

Total

CI

CI

CI

(14.620.9)
(11.316.9)
(11.015.5)

15.6
10.3
10.3

(11.820.3)
(7.813.4)
(8.013.0)

26.7
18.6
18.1

(23.330.3)
(14.723.4)
(14.921.8)

21.2
14.9
14.2

(17.825.0)
(12.118.2)
(11.817.0)

(8.912.9)
(11.317.0)
(15.821.0)
(18.425.1)
(14.218.0)

9.3
12.6
14.2
17.9
13.4

(6.912.4)
(9.616.2)
(11.517.5)
(14.621.8)
(11.216.0)

15.8
19.6
28.8
29.9
23.3

(13.418.7)
(15.624.5)
(25.432.4)
(24.735.8)
(21.025.8)

12.8
16.1
21.9
23.9
18.5

(10.815.1)
(13.019.7)
(19.324.8)
(20.527.8)
(16.520.8)

* On at least 1 day during the 30 days before the survey.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

93

Surveillance Summaries

TABLE 44. Percentage of high school students who currently smoked cigarettes or cigars* and who currently used cigarettes, cigars, or smokeless
tobacco,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Current cigarette or cigar use
Female
Site

CI

State surveys
Alabama
19.5 (16.123.4)
Alaska
10.1
(7.413.7)
Arizona
12.9
(9.816.9)
Arkansas
19.4 (16.422.7)
California
8.8
(5.713.2)
Connecticut

Delaware
13.6 (10.018.2)
Florida

Hawaii

Idaho
11.3
(8.614.6)
Illinois
11.3
(9.413.5)
Indiana
14.0 (11.017.6)
Kentucky
22.2 (17.927.2)
Maine
12.7 (11.314.2)
Maryland
12.1 (11.412.8)
Massachusetts
9.7
(7.712.1)
Michigan
10.8
(8.014.3)
Mississippi
21.0 (16.626.2)
Missouri
12.2
(8.816.6)
Montana
17.1 (15.019.4)
Nebraska
14.2 (10.618.8)
Nevada
9.8
(7.213.2)
New Hampshire
11.1 (10.112.2)
New Mexico
11.9 (10.713.3)
New York
11.1
(9.612.7)
North Carolina

North Dakota
13.0 (10.316.2)
Oklahoma
12.3
(8.717.0)
Pennsylvania
13.5 (10.717.0)
Rhode Island
7.4
(6.09.2)
South Carolina
15.9 (12.020.7)
South Dakota
13.4
(9.518.6)
Tennessee
14.2 (12.416.3)
Vermont
12.4 (11.713.0)
Virginia
10.2
(8.312.5)
West Virginia
22.0 (18.426.2)
Wyoming
19.5 (15.823.7)
Median
12.7
Range
(7.422.2)
Large urban school district surveys
Baltimore, MD
16.2 (11.821.9)
Boston, MA
6.3
(4.68.4)
Broward County, FL
5.9
(4.28.4)
Cleveland, OH

DeKalb County, GA
10.0
(8.012.5)
Detroit, MI
14.2 (10.119.5)
District of Columbia

Duval County, FL
12.8 (10.615.4)
Ft. Worth, TX
11.0
(9.213.1)
Houston, TX
16.0 (13.918.3)
Los Angeles, CA
5.0
(3.08.2)
Miami-Dade County, FL
5.7
(4.37.4)

Current cigarette, cigar, or smokeless tobacco use

Male
%

Total
CI

21.7
18.8
17.5
25.8
12.4

17.1

15.5
18.5
20.7
24.1
17.7
16.0
18.8
20.1
28.3
22.8
22.8
18.6
11.9
19.8
18.5
18.2

19.5
20.0
23.7
14.4
16.6
17.1
19.3
19.4
12.9
26.4
22.0

(18.824.9)
(15.522.6)
(14.221.5)
(20.931.3)
(8.917.0)

(14.020.6)

(12.618.9)
(14.623.3)
(15.227.4)
(20.727.9)
(15.919.6)
(15.316.7)
(15.622.5)
(16.324.5)
(24.232.9)
(18.527.9)
(20.525.2)
(15.122.6)
(9.315.2)
(18.321.4)
(16.820.4)
(14.722.4)

(16.822.5)
(15.924.7)
(19.828.1)
(12.017.2)
(12.122.5)
(12.722.5)
(16.921.9)
(18.720.2)
(11.115.1)
(22.530.8)
(18.326.4)
18.8
(11.928.3)

17.9
9.9
12.4

13.8
18.6

17.6
15.0
18.6
8.5
11.4

(13.124.1)
(7.513.0)
(9.416.1)

(11.516.5)
(14.423.8)

(14.521.1)
(12.517.9)
(16.321.2)
(6.111.9)
(9.313.9)

Female
CI

20.9
14.8
15.3
22.7
10.7

15.6

13.5
15.0
17.6
23.4
15.4
14.4
14.3
15.5
24.8
17.6
20.1
16.6
11.0
15.7
15.3
15.0

16.3
16.2
18.7
11.1
16.4
15.4
17.0
16.1
11.7
24.2
20.8

(18.223.9)
(12.417.6)
(12.418.7)
(19.326.4)
(7.814.6)

(12.718.9)

(11.315.9)
(13.117.2)
(13.822.2)
(20.226.9)
(14.016.8)
(13.815.0)
(12.017.0)
(12.918.5)
(21.628.3)
(13.822.1)
(18.222.1)
(13.620.1)
(8.913.4)
(14.716.9)
(14.116.6)
(12.817.4)

(14.318.7)
(13.119.8)
(15.722.1)
(9.712.8)
(12.820.7)
(11.320.6)
(15.318.8)
(15.616.6)
(10.013.5)
(20.927.9)
(17.824.2)
15.7
(10.724.8)

18.1
8.2
9.4

12.0
16.4

15.7
12.9
17.7
6.8
8.5

(14.322.6)
(6.710.0)
(7.411.7)

(10.214.0)
(12.620.9)

(13.318.4)
(11.414.7)
(15.919.7)
(4.99.2)
(7.210.1)

CI

Male
%

Total
CI

20.7
14.7
14.7
20.3
9.1

14.1

12.4
12.2
15.0
23.0
13.1
13.1
10.2
11.6
22.6
14.5
19.1
15.7
10.6
11.6
13.1
12.2

14.0
12.9
14.5
8.8
17.4
15.9
15.0
13.2
11.0
22.9
21.1

(17.025.1)
(11.518.5)
(11.518.7)
(17.623.4)
(6.013.5)

(10.418.7)

(9.516.1)
(10.014.7)
(11.718.9)
(18.727.9)
(11.814.7)
(12.413.9)
(8.212.5)
(8.914.9)
(18.227.7)
(10.519.6)
(16.621.8)
(11.920.5)
(7.914.0)
(10.512.7)
(11.914.4)
(10.713.9)

(11.317.4)
(9.617.0)
(11.318.4)
(7.210.6)
(13.721.7)
(11.721.2)
(13.117.1)
(12.613.9)
(9.013.4)
(19.127.2)
(17.425.3)
14.1
(8.823.0)

30.8
26.1
20.8
31.7
14.4

19.8

22.1
20.9
27.1
32.6
19.8
19.0
21.4
23.4
34.1
29.8
31.0
24.2
15.1
22.5
24.4
20.6

27.3
27.2
29.4
17.3
21.7
28.5
27.7
22.7
17.0
35.4
28.8

(27.034.8)
(22.729.7)
(16.725.7)
(26.337.7)
(10.519.4)

(16.423.7)

(17.727.2)
(17.025.3)
(19.536.3)
(28.537.1)
(17.821.9)
(18.219.8)
(18.125.1)
(19.328.0)
(29.938.7)
(24.535.7)
(28.333.9)
(20.028.9)
(12.617.9)
(20.624.5)
(21.927.2)
(17.124.6)

(24.230.6)
(22.432.7)
(24.534.8)
(14.221.0)
(16.527.9)
(22.635.3)
(25.130.5)
(21.923.6)
(14.819.5)
(30.540.6)
(25.033.0)
24.2
(14.435.4)

17.1
6.6
6.4

10.2
14.9

14.1
11.4
17.5
5.5
6.1

(12.622.9)
(4.89.1)
(4.68.9)

(8.212.7)
(10.920.2)

(11.816.8)
(9.613.6)
(15.419.9)
(3.48.7)
(4.87.7)

21.1
11.0
14.0

15.3
20.8

20.7
16.6
21.1
9.6
12.2

(15.927.5)
(8.614.0)
(10.917.7)

(12.818.2)
(16.725.7)

(17.324.5)
(14.019.6)
(18.823.6)
(7.113.0)
(10.114.6)

CI

26.3
20.8
17.9
26.2
11.9

17.1

17.4
16.7
21.4
28.0
16.7
16.4
15.9
17.6
28.6
22.1
25.3
20.1
13.0
17.4
18.9
16.8

20.9
20.0
22.1
13.3
19.7
22.4
21.7
18.2
14.1
29.2
25.1

(22.630.2)
(17.824.0)
(14.521.8)
(22.730.1)
(8.715.9)

(14.220.5)

(14.520.7)
(14.718.9)
(16.327.6)
(24.531.8)
(15.218.3)
(15.817.1)
(13.618.5)
(15.020.5)
(25.332.3)
(17.427.6)
(23.027.8)
(16.823.9)
(11.115.1)
(16.118.7)
(17.420.6)
(14.719.1)

(18.623.5)
(16.923.6)
(18.626.1)
(11.315.6)
(15.824.1)
(18.027.5)
(19.923.7)
(17.718.8)
(12.316.2)
(25.533.2)
(22.128.5)
19.7
(11.929.2)

20.4
9.0
10.5

12.8
18.0

17.9
14.0
19.8
7.5
9.1

(16.325.1)
(7.410.8)
(8.412.9)

(11.014.9)
(14.322.4)

(15.320.7)
(12.315.8)
(17.821.8)
(5.610.1)
(7.810.6)

See table footnotes on the next page.

94

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 44. (Continued) Percentage of high school students who currently smoked cigarettes or cigars* and who currently used cigarettes, cigars,
or smokeless tobacco,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Current cigarette or cigar use
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

6.6
7.1
7.7
12.1
12.5

Male

CI

(5.67.7)
(5.19.6)
(5.810.1)
(9.715.0)
(9.316.7)

10.0
(5.016.2)

11.1
11.6
12.0
18.3
15.7

Current cigarette, cigar, or smokeless tobacco use


Total

CI
(9.413.0)
(9.214.5)
(9.215.3)
(15.421.5)
(11.920.5)

13.8
(8.518.6)

Female
CI

9.0
(7.810.4)
9.6
(7.911.7)
9.9
(8.112.0)
16.0 (13.918.4)
14.3 (11.417.8)

12.0
(6.818.1)

%
7.4
7.5
8.3
13.0
13.8

CI
(6.38.6)
(5.510.1)
(6.410.7)
(10.516.0)
(10.218.3)

10.2
(5.517.5)

Male
%
12.6
12.7
14.0
20.6
18.9

Total
CI

(10.914.5)
(9.916.0)
(11.017.8)
(17.424.3)
(14.324.6)

15.3
(9.621.1)

CI

10.2
(9.011.5)
10.4
(8.512.7)
11.2
(9.313.5)
17.8 (15.320.6)
16.5 (13.320.3)

12.8
(7.520.4)

* On at least 1 day during the 30 days before the survey.


95% confidence interval.
Not available.

TABLE 45. Percentage of high school students who currently used tobacco,* by sex, race/ethnicity, and grade United States, Youth Risk
Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

Total
CI

CI

29.4
21.2
29.4

(24.634.8)
(17.725.1)
(25.633.6)

36.6
30.6
34.2

(32.840.5)
(25.336.4)
(30.638.0)

32.9
26.3
31.8

(29.037.1)
(22.730.3)
(28.735.1)

23.0
26.3
30.0
32.2
27.7

(19.726.7)
(22.830.2)
(25.934.4)
(27.936.8)
(25.130.6)

26.9
31.7
39.4
43.0
34.9

(24.030.0)
(26.737.2)
(36.542.4)
(36.749.5)
(32.237.7)

25.1
28.9
34.9
37.5
31.4

(22.727.8)
(25.133.1)
(32.137.9)
(33.441.9)
(29.133.8)

* Cigarette, smokeless tobacco, cigar, or electronic vapor products use on at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

95

Surveillance Summaries

TABLE 46. Percentage of high school students who currently used tobacco,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

Male

Total

CI

CI

CI

30.6
25.1
31.5
31.2
23.8

25.9

27.7
28.2
26.1
31.6
21.0
25.0
23.8
23.5
32.5
24.6
33.5
28.3
29.4
26.5
27.1
26.9

24.9
24.6
26.6
21.4
28.2
25.0
26.3
20.0
20.5
36.2
33.3

(25.436.4)
(21.529.2)
(26.337.1)
(26.436.4)
(18.230.6)

(22.130.0)

(24.031.7)
(24.831.8)
(22.430.1)
(26.736.8)
(19.522.7)
(24.125.9)
(20.527.5)
(19.727.8)
(29.136.1)
(20.029.8)
(30.436.6)
(24.332.7)
(25.433.8)
(24.728.3)
(24.929.5)
(24.229.9)

(21.728.4)
(20.729.0)
(22.830.7)
(18.025.2)
(23.433.4)
(19.831.0)
(23.629.1)
(19.220.8)
(17.423.9)
(31.541.3)
(28.538.4)

39.6
35.9
37.6
42.1
30.7

33.7

33.0
37.0
38.2
39.6
27.6
29.6
34.6
34.4
42.1
39.5
43.2
32.2
31.3
33.7
37.0
30.1

37.0
37.8
37.8
28.3
29.8
35.2
36.8
28.9
24.6
45.1
43.1

(35.244.1)
(31.940.1)
(32.642.8)
(35.648.9)
(25.536.4)

(30.037.6)

(27.439.2)
(30.644.0)
(31.145.8)
(35.144.3)
(25.529.7)
(28.730.5)
(30.938.5)
(30.538.5)
(38.046.4)
(34.445.0)
(40.146.4)
(27.437.3)
(26.436.6)
(31.535.9)
(34.739.3)
(26.534.0)

(33.340.9)
(31.844.2)
(32.743.2)
(24.532.5)
(24.335.9)
(28.942.0)
(34.339.3)
(28.029.8)
(21.927.6)
(40.350.0)
(38.547.8)

35.5
30.9
34.7
36.9
27.4

29.8

30.4
32.8
32.4
35.8
24.5
27.6
29.3
29.1
37.6
32.1
38.5
30.5
30.4
30.3
32.2
28.8

31.1
31.4
32.3
25.1
29.1
30.3
31.9
24.7
22.7
40.8
38.4

(31.040.3)
(27.534.5)
(31.038.5)
(32.741.2)
(22.532.9)

(27.232.6)

(26.734.4)
(29.336.5)
(27.338.0)
(31.840.0)
(23.026.2)
(26.928.4)
(26.232.7)
(26.232.2)
(34.740.6)
(27.437.2)
(35.841.2)
(26.934.4)
(27.633.4)
(28.832.0)
(30.434.0)
(26.331.5)

(28.334.1)
(27.735.3)
(28.436.6)
(22.028.5)
(24.634.0)
(25.235.8)
(29.734.1)
(24.125.3)
(20.325.3)
(36.844.9)
(34.642.4)

(20.931.0)
(15.322.7)
(19.626.5)

(19.225.0)
(18.928.5)

(24.730.7)
(20.526.1)
(25.229.9)
(16.221.9)
(16.721.9)

30.5
21.0
30.9

25.7
27.3

31.7
28.2
32.6
21.9
27.7

(24.637.2)
(18.224.1)
(26.336.0)

(22.129.6)
(23.032.0)

(28.535.1)
(25.131.5)
(29.935.5)
(17.926.5)
(24.830.7)

29.2
19.9
27.1

23.9
25.5

30.4
25.6
30.5
20.4
23.3

Site

25.6
18.7
22.8

22.0
23.4

27.6
23.2
27.5
18.9
19.1

26.5
(20.036.2)

35.9
(24.645.1)

30.9
(22.740.8)

(25.333.5)
(17.522.7)
(24.430.0)

(21.426.7)
(21.729.7)

(27.833.0)
(23.428.0)
(28.332.8)
(17.823.3)
(21.325.5)

See table footnotes on the next page.

96

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 46. (Continued) Percentage of high school students who currently used tobacco,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female
Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

Total

CI

CI

20.7
19.4
22.4
30.2
25.6

(18.822.6)
(16.023.3)
(19.325.7)
(26.833.9)
(21.829.8)

21.5
24.8
27.1
36.8
29.3

(19.623.5)
(21.428.6)
(22.931.8)
(32.941.0)
(24.235.1)

22.8
(18.730.2)

27.7
(21.036.8)

%
21.3
22.4
24.8
34.3
27.6

CI
(19.623.1)
(19.725.3)
(22.227.6)
(31.237.5)
(23.831.8)

25.5
(19.934.3)

* Cigarette, smokeless tobacco, cigar, or electronic vapor products use on at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 47. Percentage of high school students who ever drank alcohol* and who drank alcohol for the first time before age 13 years, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever drank alcohol
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Drank alcohol before age 13 years

Male

Total

CI

CI

66.7
57.9
68.6

(60.572.4)
(51.264.3)
(65.171.9)

64.0
51.0
63.4

(60.967.0)
(44.857.2)
(60.166.5)

65.3
54.4
65.9

53.0
62.7
72.1
75.2
65.3

(49.956.1)
(51.872.5)
(67.976.0)
(71.778.4)
(61.569.0)

48.9
58.8
68.7
71.5
61.4

(46.051.9)
(53.963.6)
(65.771.6)
(67.475.3)
(59.163.7)

50.8
60.8
70.3
73.3
63.2

Female
CI

Male

Total

CI

CI

CI

(61.269.2)
(48.859.9)
(63.168.7)

11.7
16.9
19.0

(9.214.8)
(13.421.1)
(16.022.3)

17.3
18.7
23.6

(14.920.0)
(15.622.3)
(21.326.0)

14.5
18.0
21.3

(12.616.6)
(16.120.2)
(19.423.4)

(48.453.3)
(53.967.3)
(67.573.0)
(70.376.1)
(60.665.8)

18.8
15.8
12.9
9.9
14.6

(16.821.0)
(12.120.3)
(10.915.3)
(7.912.3)
(12.716.6)

21.5
21.3
17.5
17.0
19.7

(18.424.9)
(17.925.2)
(15.120.3)
(13.820.8)
(17.921.5)

20.3
18.6
15.2
13.5
17.2

(18.522.2)
(15.621.9)
(13.617.1)
(11.515.8)
(16.018.4)

* At least one drink of alcohol on at least 1 day during their life.


Other than a few sips.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

97

Surveillance Summaries

TABLE 48. Percentage of high school students who ever drank alcohol* and who drank alcohol for the first time before age 13 years, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever drank alcohol
Female
Site

CI

State surveys
Alabama
62.7 (57.767.4)
Alaska
58.4 (54.861.9)
Arizona

Arkansas
63.9 (58.968.6)
California
61.8 (55.767.5)
Connecticut

Delaware
62.4 (57.966.8)
Florida

Hawaii

Idaho
60.8 (55.366.0)
Illinois
64.3 (59.568.8)
Indiana
63.2 (58.367.8)
Kentucky
62.3 (58.965.5)
Maine
56.2 (53.958.5)
Maryland
56.6 (55.757.5)
Massachusetts
63.6 (60.266.9)
Michigan
60.7 (54.966.3)
Mississippi
62.2 (57.466.9)
Missouri

Montana
72.7 (70.574.7)
Nebraska
56.5 (51.861.2)
Nevada
68.6 (63.873.1)
New Hampshire

New Mexico

New York

North Carolina

North Dakota
64.0 (59.668.2)
Oklahoma
65.6 (60.870.1)
Pennsylvania
62.9 (58.667.1)
Rhode Island
58.1 (54.162.0)
South Carolina
61.5 (56.366.5)
South Dakota
62.8 (56.868.4)
Tennessee

Vermont

Virginia
51.9 (48.355.6)
West Virginia
67.0 (62.471.3)
Wyoming
62.4 (57.667.1)
Median
62.4
Range
(51.972.7)
Large urban school district surveys
Baltimore, MD
54.0 (49.058.9)
Boston, MA
57.8 (53.262.4)
Broward County, FL
64.2 (59.368.8)
Cleveland, OH
60.5 (57.063.9)
DeKalb County, GA
54.6 (49.459.7)
Detroit, MI
59.6 (54.664.3)
District of Columbia
51.1 (49.752.5)
Duval County, FL

Ft. Worth, TX
63.2 (59.966.5)
Houston, TX
58.9 (56.061.7)
Los Angeles, CA
55.7 (50.760.6)
Miami-Dade County, FL
63.5 (60.166.7)

Drank alcohol before age 13 years

Male
%

Total
CI

56.7
50.4

58.4
56.0

55.2

55.5
57.5
61.3
51.2
50.1
47.8
58.8
56.6
57.2

67.3
46.6
61.0

60.4
61.7
58.9
47.1
49.7
57.8

49.6
63.3
59.6

(52.860.5)
(45.455.4)

(51.864.6)
(49.062.9)

(50.859.5)

(49.461.4)
(50.564.3)
(56.465.9)
(46.356.2)
(48.152.2)
(46.848.9)
(55.162.3)
(51.061.9)
(52.561.8)

(64.869.7)
(42.850.5)
(56.665.2)

(57.063.6)
(56.766.4)
(54.762.9)
(42.951.4)
(42.556.9)
(49.265.9)

(45.753.5)
(58.367.9)
(54.464.7)
56.9
(46.667.3)

47.2
51.4
58.2
52.8
47.9
49.0
41.6

56.2
53.0
50.2
62.3

(41.652.8)
(46.656.2)
(53.562.8)
(48.756.9)
(43.552.2)
(44.253.8)
(40.143.1)

(53.259.2)
(50.056.1)
(44.056.4)
(59.265.3)

Female
CI

59.8
54.4

61.2
58.7

58.8

58.1
60.9
62.3
56.8
53.2
52.3
61.3
58.7
59.9

69.9
51.7
64.8

62.1
63.5
60.8
52.5
55.8
60.3

50.7
65.1
61.0

(56.563.0)
(50.957.9)

(57.764.5)
(52.664.5)

(55.262.2)

(53.862.3)
(55.965.7)
(58.366.1)
(53.460.2)
(51.255.1)
(51.553.2)
(58.364.2)
(54.063.2)
(56.163.5)

(68.271.7)
(48.455.0)
(60.968.5)

(59.364.9)
(59.667.3)
(57.064.6)
(49.355.8)
(51.360.2)
(53.766.4)

(47.553.9)
(61.168.8)
(56.665.3)
59.8
(50.769.9)

51.1
54.5
61.2
56.8
51.3
54.9
46.6

59.7
56.1
53.0
62.8

(47.055.2)
(50.858.3)
(57.265.1)
(53.859.8)
(47.555.0)
(51.258.6)

(57.362.0)
(53.858.4)
(47.858.2)
(60.365.2)

CI

16.8
10.8
16.2
16.5
16.3
8.1
14.0
13.5
15.0
13.5
13.0
13.3
13.5
11.7
15.9
11.1
13.7
21.0
14.2
17.1
11.8
13.6
8.6
17.3
14.8
11.4
9.2
12.0
11.4
10.3
15.0
16.3

10.0
12.4
14.8
16.4

(13.620.5)
(8.413.8)
(12.620.5)
(14.119.1)
(13.719.4)
(6.510.1)
(11.716.5)
(12.115.1)
(12.917.3)
(10.417.5)
(10.416.1)
(10.417.0)
(11.216.3)
(10.513.1)
(15.316.5)
(8.913.8)
(11.516.1)
(18.323.9)
(10.718.5)
(15.019.5)
(9.115.0)
(10.617.2)
(7.79.7)
(15.619.1)
(13.316.4)
(8.714.8)
(7.411.3)
(9.015.9)
(9.413.7)
(7.613.8)
(10.620.8)
(13.020.2)

(9.410.6)
(10.614.5)
(13.016.9)
(13.320.0)
13.5
(8.121.0)

18.4
15.3
17.2
20.7
13.5
18.6
18.0
18.3
12.8
16.4
13.4
15.0

(15.022.4)
(12.518.6)
(14.520.3)
(18.023.8)
(11.216.1)
(15.422.3)
(17.019.2)
(15.621.2)
(11.014.7)
(14.118.9)
(10.417.1)
(12.617.9)

Male
%

Total
CI

23.4
17.4
16.5
25.3
17.4
12.7
16.2
17.5
18.6
16.9
18.7
17.3
17.9
15.3
18.3
14.1
16.0
27.4
20.5
21.8
14.9
20.0
12.6
22.8
17.0
16.4
15.3
18.1
14.7
12.4
20.7
20.1

14.4
16.4
21.8
21.6

(20.626.4)
(14.320.9)
(12.821.0)
(21.329.6)
(13.921.6)
(10.715.0)
(13.819.0)
(15.619.6)
(15.821.7)
(13.421.1)
(15.422.4)
(14.520.5)
(15.121.0)
(13.916.7)
(17.719.0)
(11.916.7)
(13.518.9)
(23.631.5)
(17.324.0)
(19.524.2)
(11.918.4)
(16.324.4)
(11.513.8)
(21.024.8)
(14.619.8)
(13.819.2)
(12.818.2)
(15.121.6)
(12.517.2)
(9.216.4)
(17.324.6)
(14.427.4)

(13.715.1)
(14.218.9)
(19.224.7)
(19.124.3)
17.4
(12.427.4)

21.0
17.5
18.8
25.2
18.9
19.8
19.4
21.2
18.9
19.0
17.2
22.7

(17.125.6)
(14.720.7)
(15.822.3)
(22.228.5)
(15.922.3)
(17.022.9)
(18.220.7)
(18.124.8)
(16.421.7)
(16.721.4)
(14.420.3)
(20.025.6)

CI

20.4
14.3
16.5
21.0
16.8
10.6
15.3
15.6
16.9
15.3
15.8
15.4
15.9
13.6
17.3
12.9
14.8
24.5
17.3
19.6
13.7
16.9
10.8
20.1
16.1
14.0
12.4
15.0
13.1
11.4
17.8
18.4

12.3
14.6
18.4
19.2

(18.222.9)
(12.216.7)
(13.619.8)
(19.422.8)
(14.519.4)
(9.112.5)
(13.717.2)
(14.217.1)
(14.619.4)
(12.518.7)
(13.518.5)
(12.918.1)
(13.918.0)
(12.514.8)
(16.817.7)
(11.214.8)
(13.116.8)
(22.027.1)
(14.320.8)
(17.821.5)
(11.516.1)
(14.220.0)
(10.011.5)
(18.821.6)
(14.517.7)
(12.016.3)
(10.614.4)
(12.717.7)
(11.415.0)
(8.615.0)
(14.821.3)
(14.223.4)

(11.912.8)
(13.016.3)
(16.520.4)
(16.821.9)
15.7
(10.624.5)

20.0
16.5
18.1
23.6
16.2
19.2
18.8
20.1
15.9
17.8
15.2
18.8

(17.522.8)
(14.418.8)
(16.220.2)
(21.426.0)
(14.218.5)
(16.821.9)
(18.019.7)
(17.522.8)
(14.417.5)
(16.119.6)
(13.017.7)
(17.020.9)

See table footnotes on the next page.

98

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 48. (Continued) Percentage of high school students who ever drank alcohol* and who drank alcohol for the first time before age 13 years,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever drank alcohol
Female
CI

Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

55.1
59.2
65.1
65.5
60.8
46.3

Drank alcohol before age 13 years

Male

(51.059.1)
(55.263.1)
(61.069.0)
(60.070.6)
(56.065.3)
(41.750.9)
59.2
(46.365.5)

Total
CI

50.7
54.9
59.1
54.2
52.8
40.7

(46.455.0)
(50.159.7)
(55.063.0)
(49.458.9)
(47.757.9)
(35.945.7)
52.8
(40.762.3)

Female
CI

53.1
56.9
62.5
60.0
56.8
43.5

(49.756.4)
(53.460.2)
(59.265.7)
(56.563.4)
(52.760.8)
(39.647.6)
56.1
(43.562.8)

Male

CI

17.4
17.1
13.0
16.3
16.8
12.4
13.2

(15.819.1)
(14.120.6)
(10.515.9)
(13.919.0)
(14.120.0)
(9.615.9)
(10.616.3)
16.4
(12.420.7)

Total
CI

CI

18.2
19.9
15.5
18.8
17.6
14.8
15.1

(16.919.5)
(17.822.3)
(13.617.6)
(16.821.0)
(15.120.5)
(13.016.9)
(13.117.3)
18.1
(14.823.6)

18.5
22.2
18.1
20.5
18.2
16.9
16.3

(16.820.4)
(19.125.8)
(14.921.9)
(18.023.3)
(14.522.6)
(14.719.4)
(13.819.1)
18.9
(16.325.2)

* At least one drink of alcohol on at least 1 day during their life.


Other than a few sips.
95% confidence interval.
Not available.

TABLE 49. Percentage of high school students who currently drank alcohol* and who usually obtained the alcohol they drank by someone
giving it to them, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Current alcohol use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Someone gave alcohol to them

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

35.3
25.9
35.6

(29.042.1)
(19.932.9)
(32.339.0)

35.2
22.1
33.4

(32.438.0)
(16.728.7)
(30.636.2)

35.2
23.8
34.4

(31.239.3)
(18.630.0)
(31.937.0)

50.7
46.2
45.9

(47.054.4)
(37.854.9)
(41.750.3)

41.6
40.2
36.5

(36.347.0)
(28.852.7)
(31.941.4)

46.1
43.3
41.3

(42.849.5)
(35.751.3)
(38.044.8)

24.9
28.8
38.3
43.2
33.5

(22.227.8)
(22.835.7)
(33.243.6)
(38.448.2)
(29.837.5)

22.1
29.3
37.7
41.6
32.2

(18.526.2)
(24.534.7)
(34.441.1)
(36.047.3)
(30.434.0)

23.4
29.0
38.0
42.4
32.8

(20.926.1)
(24.334.3)
(34.641.4)
(38.446.4)
(30.435.2)

50.4
50.0
49.7
45.3
48.5

(43.757.1)
(44.755.3)
(46.053.5)
(39.850.9)
(45.851.2)

39.4
34.5
39.3
44.9
39.9

(32.846.3)
(27.442.3)
(32.646.4)
(38.951.0)
(36.843.2)

44.9
42.3
44.3
45.1
44.1

(40.049.9)
(38.446.3)
(40.348.3)
(41.249.1)
(41.946.4)

* At least one drink of alcohol on at least 1 day during the 30 days before the survey.
During the 30 days before the survey, among the 32.8% of students nationwide who currently drank alcohol.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

99

Surveillance Summaries

TABLE 50. Percentage of high school students who currently drank alcohol* and who usually obtained the alcohol they drank by someone
giving it to them, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Current alcohol use
Female
Site

CI

State surveys
Alabama
32.3 (28.036.9)
Alaska
23.6 (20.826.8)
Arizona
36.7 (30.843.1)
Arkansas
26.6 (23.130.4)
California
31.0 (25.736.8)
Connecticut
32.0 (28.336.0)
Delaware
35.6 (30.141.4)
Florida
33.1 (30.635.7)
Hawaii
26.7 (24.029.7)
Idaho
29.5 (24.934.5)
Illinois
31.8 (26.737.4)
Indiana
30.4 (26.135.2)
Kentucky
31.2 (27.535.1)
Maine
25.7 (23.827.6)
Maryland
29.1 (28.230.2)
Massachusetts
34.0 (30.437.9)
Michigan
25.7 (20.931.3)
Mississippi
33.7 (28.639.1)
Missouri
34.3 (28.440.8)
Montana
35.0 (32.337.9)
Nebraska
24.9 (20.929.3)
Nevada
39.0 (33.345.0)
New Hampshire
31.1 (29.033.3)
New Mexico
27.0 (24.729.5)
New York
32.4 (28.936.2)
North Carolina
31.2 (27.734.9)
North Dakota
29.6 (25.733.8)
Oklahoma
26.7 (22.831.1)
Pennsylvania
32.6 (28.636.8)
Rhode Island
30.0 (24.935.6)
South Carolina
29.8 (25.334.8)
South Dakota
30.6 (24.337.9)
Tennessee

Vermont
30.3 (29.431.2)
Virginia
23.8 (20.927.0)
West Virginia
32.7 (28.237.5)
Wyoming
32.2 (28.835.9)
Median
31.0
Range
(23.639.0)
Large urban school district surveys
Baltimore, MD
23.4 (19.128.3)
Boston, MA
28.4 (24.732.4)
Broward County, FL
32.9 (28.437.8)
Cleveland, OH
28.8 (25.232.7)
DeKalb County, GA
23.0 (20.026.3)
Detroit, MI
25.1 (20.530.3)
District of Columbia
22.5 (21.423.7)
Duval County, FL
33.1 (30.036.3)
Ft. Worth, TX
30.3 (27.533.3)
Houston, TX
29.5 (26.832.4)
Los Angeles, CA
23.4 (20.426.6)
Miami-Dade County, FL
41.0 (36.745.6)

Someone gave alcohol to them

Male
%

Total
CI

28.8
20.5
33.0
28.7
26.9
28.0
27.4
32.7
23.2
27.0
29.6
30.4
25.6
22.3
23.0
33.7
26.0
29.0
34.8
33.4
20.5
28.0
28.6
25.1
26.8
27.1
31.9
27.9
28.6
22.3
19.1
25.3

29.5
23.0
29.4
29.6

(24.333.8)
(17.024.5)
(27.339.2)
(23.334.7)
(21.133.6)
(24.531.7)
(23.831.4)
(30.634.9)
(20.526.2)
(21.932.9)
(23.636.5)
(24.736.9)
(21.829.8)
(20.923.7)
(22.123.9)
(30.437.1)
(22.030.5)
(25.532.8)
(30.139.7)
(31.035.8)
(16.824.6)
(23.333.1)
(26.730.5)
(23.127.2)
(22.032.1)
(22.632.0)
(27.836.2)
(22.733.9)
(24.732.9)
(18.426.7)
(14.225.1)
(19.931.5)

(28.630.4)
(20.325.9)
(26.033.0)
(25.134.6)
27.9
(19.134.8)

17.0
21.3
28.0
26.2
18.5
19.4
17.4
26.3
25.9
22.5
20.0
35.4

(12.622.6)
(17.925.1)
(23.133.5)
(23.129.5)
(15.022.5)
(15.224.4)
(16.218.6)
(23.729.0)
(23.228.7)
(20.025.2)
(14.626.7)
(32.438.4)

Female
CI

30.7
22.0
34.8
27.6
28.9
30.2
31.4
33.0
25.1
28.3
30.7
30.5
28.5
24.0
26.1
33.9
25.9
31.5
34.5
34.2
22.7
33.5
29.9
26.1
29.7
29.2
30.8
27.3
30.6
26.1
24.6
28.0

30.0
23.4
31.1
31.0

(27.234.3)
(19.724.5)
(29.740.2)
(24.530.8)
(23.634.7)
(27.233.4)
(27.735.4)
(31.135.0)
(23.227.2)
(24.033.0)
(26.735.1)
(26.335.2)
(25.232.0)
(22.625.4)
(25.327.0)
(30.936.9)
(22.529.7)
(28.234.9)
(30.239.1)
(32.236.3)
(19.626.2)
(28.838.5)
(28.231.7)
(24.427.9)
(26.333.4)
(26.032.5)
(27.734.0)
(23.531.5)
(27.434.0)
(22.130.6)
(21.228.2)
(23.133.6)

(29.330.6)
(21.125.8)
(28.134.2)
(28.134.0)
29.8
(22.034.8)

20.5
24.8
30.6
27.9
20.8
22.6
20.1
30.2
28.1
26.1
21.7
38.2

(16.824.7)
(22.327.6)
(27.134.3)
(25.530.5)
(18.123.7)
(19.026.7)
(19.321.0)
(28.132.5)
(26.130.3)
(24.128.1)
(18.026.0)
(35.241.4)

CI

39.4
40.5
53.5
52.3
49.7
37.1
47.2

51.2
45.4
41.0
44.8
45.4
50.3

42.5
41.3
44.2
37.8
47.6
38.5
47.7
45.2
36.9
46.4
48.6
57.3
49.8
46.6
40.0

46.3
46.7
44.2
48.6

(32.047.2)
(33.248.3)
(48.058.9)
(41.063.4)
(39.560.0)
(31.643.0)
(41.652.9)

(45.357.0)
(37.853.1)
(34.248.1)
(37.752.2)
(41.649.3)
(48.951.7)

(33.951.6)
(34.748.2)
(36.851.8)
(33.142.8)
(39.156.2)
(32.445.0)
(45.050.3)
(41.049.5)
(34.539.5)
(41.651.2)
(43.254.0)
(48.965.3)
(43.256.4)
(40.452.9)
(31.249.6)

(44.548.1)
(40.453.1)
(38.050.6)
(42.055.1)
45.8
(36.957.3)

40.0
40.6

40.9
37.7

48.5
46.0
42.2
30.7
45.5

(32.947.5)
(33.648.1)

(33.149.1)
(28.248.1)

(43.753.4)
(40.251.9)
(37.147.5)
(23.039.6)
(40.550.6)

Male
%

Total
CI

24.4
28.0
34.2
37.3
35.6
31.3
30.6

33.2
35.7
36.3
24.2
36.4
39.3

33.7
40.1
35.4
32.0
30.6
32.2
37.2
33.1
26.5
27.2
34.9
33.2
40.3
29.7
35.1

35.3
41.0
34.9
32.8

(19.030.9)
(20.537.1)
(26.742.7)
(32.043.0)
(30.241.4)
(26.736.3)
(24.637.3)

(25.841.5)
(32.339.3)
(25.548.7)
(17.632.4)
(32.740.2)
(37.940.8)

(26.042.3)
(32.248.6)
(28.043.5)
(28.136.1)
(24.038.1)
(24.840.6)
(34.140.5)
(29.537.0)
(22.331.1)
(22.132.9)
(30.040.1)
(24.842.8)
(33.447.5)
(24.435.7)
(23.149.3)

(33.637.2)
(34.747.5)
(28.741.6)
(26.939.2)
33.9
(24.241.0)

28.9
38.4

28.2
39.6

31.7
32.1
26.6
37.8
35.9

(22.136.8)
(29.148.7)

(21.835.6)
(27.952.6)

(26.437.5)
(27.437.3)
(21.232.8)
(30.845.4)
(30.541.7)

CI

32.3
34.4
44.4
44.6
43.2
34.0
39.7

42.2
40.8
38.6
35.5
41.0
45.3

38.0
40.6
39.9
34.9
39.6
35.7
42.3
39.3
32.2
37.3
41.3
45.2
45.2
39.2
38.5

40.8
43.9
39.7
40.7

(28.536.4)
(28.241.2)
(39.549.3)
(39.549.8)
(37.649.1)
(30.437.7)
(35.044.6)

(37.247.3)
(36.545.3)
(31.246.5)
(30.740.5)
(37.944.3)
(44.346.3)

(32.244.3)
(36.145.2)
(34.845.2)
(31.638.4)
(34.345.1)
(30.940.7)
(40.244.4)
(36.642.2)
(29.235.4)
(32.842.0)
(37.844.9)
(38.751.8)
(40.649.9)
(34.144.6)
(31.046.5)

(39.542.1)
(39.448.6)
(36.543.1)
(36.245.4)
39.8
(32.245.3)

26.9
35.3
39.6

35.1
37.9

40.5
39.9
35.0
33.7
41.2

(19.935.2)
(30.140.8)
(34.744.8)

(29.741.0)
(29.746.9)

(36.744.5)
(35.944.1)
(31.239.0)
(27.740.2)
(37.844.6)

See table footnotes on the next page.

100

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 50. (Continued) Percentage of high school students who currently drank alcohol* and who usually obtained the alcohol they drank by
someone giving it to them, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Current alcohol use
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Someone gave alcohol to them

Male

23.8
22.4
32.5
36.1
30.4
26.1
21.2

(21.226.7)
(18.826.4)
(28.836.3)
(32.240.1)
(26.834.2)
(22.929.6)
(17.825.1)
28.4
(21.241.0)

Total
CI

17.6
21.8
25.8
32.5
22.5
23.6
15.8

(15.120.5)
(18.425.6)
(22.129.9)
(29.136.2)
(18.627.0)
(20.626.9)
(12.619.6)
22.5
(15.835.4)

Female
CI

20.9
22.1
29.1
34.5
26.6
24.8
18.4

(18.523.4)
(19.425.0)
(26.032.4)
(31.437.7)
(23.529.8)
(22.327.5)
(15.521.8)
24.8
(18.438.2)

Male

CI

33.3

49.9
43.2
46.7

(30.036.8)

(43.556.4)
(37.549.1)
(41.352.1)

42.2
(30.749.9)

Total
CI

31.7

38.3
32.9
32.7

(27.336.5)

(29.547.9)
(27.239.3)
(24.841.8)

32.7
(26.639.6)

CI

32.4

44.8
37.9
40.7

(29.435.6)

(39.450.3)
(33.742.2)
(36.445.2)

37.9
(26.944.8)

* At least one drink of alcohol on at least 1 day during the 30 days before the survey.
During the 30 days before the survey, among students who currently drank alcohol.
95% confidence interval.
Not available.

TABLE 51. Percentage of high school students who drank five or more drinks of alcohol in a row* and whose largest number of drinks in a row
was 10 or more, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Five or more drinks in a row
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Largest number of drinks in a row was 10 or more

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

18.6
9.9
17.9

(15.022.7)
(6.814.3)
(15.420.7)

21.0
12.8
17.5

(18.324.0)
(9.716.6)
(15.419.8)

19.7
11.4
17.7

(16.823.0)
(8.814.7)
(15.819.7)

2.4
1.0
3.6

(1.63.7)
(0.61.6)
(2.74.8)

6.6
3.2
6.5

(5.28.4)
(1.75.9)
(4.98.6)

4.5
2.1
5.1

(3.55.8)
(1.33.3)
(4.26.2)

10.5
14.1
19.6
23.8
16.8

(8.812.6)
(10.918.1)
(16.123.8)
(20.727.1)
(14.419.6)

10.2
16.2
24.4
25.6
18.6

(8.612.1)
(12.720.3)
(21.128.1)
(21.330.4)
(16.920.5)

10.4
15.1
22.1
24.6
17.7

(9.111.8)
(12.218.6)
(19.624.7)
(21.528.0)
(15.819.8)

2.3
2.2
2.5
3.0
2.5

(1.53.4)
(1.43.6)
(1.44.4)
(2.04.6)
(1.93.3)

2.4
6.3
7.3
8.8
6.1

(1.44.1)
(4.78.5)
(5.69.4)
(6.511.8)
(5.17.2)

2.4
4.2
5.0
5.9
4.3

(1.73.3)
(3.25.6)
(3.96.4)
(4.57.9)
(3.65.1)

* Within a couple of hours on at least 1 day during the 30 days before the survey.
Within a couple of hours during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

101

Surveillance Summaries

TABLE 52. Percentage of high school students who drank five or more drinks of alcohol in a row* and whose largest number of drinks in a row
was 10 or more, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Five or more drinks in a row
Female
Site

CI

State surveys
Alabama
16.2 (13.519.3)
Alaska
12.0
(9.614.9)
Arizona
19.7 (15.125.2)
Arkansas
14.8 (13.216.6)
California
14.8 (11.319.0)
Connecticut
14.1 (11.017.9)
Delaware
15.2 (12.418.5)
Florida
13.4 (11.815.1)
Hawaii
13.2 (11.714.9)
Idaho
15.5 (12.818.7)
Illinois
16.2 (12.720.5)
Indiana
16.3 (13.219.9)
Kentucky
18.0 (15.420.9)
Maine
11.1
(9.712.6)
Maryland
13.1 (12.513.9)
Massachusetts
15.5 (13.317.9)
Michigan
12.2
(9.216.0)
Mississippi
16.3 (12.421.0)
Missouri
17.8 (13.623.0)
Montana
20.3 (18.422.3)
Nebraska
14.4 (10.619.1)
Nevada
18.5 (15.322.1)
New Hampshire
16.1 (14.617.6)
New Mexico
13.8 (12.115.7)
New York
15.6 (13.218.3)
North Carolina
14.8 (11.718.5)
North Dakota
15.7 (12.919.0)
Oklahoma
14.2 (11.517.3)
Pennsylvania
14.4 (12.017.1)
Rhode Island
13.9 (10.019.0)
South Carolina
12.3
(9.415.8)
South Dakota
13.8 (10.418.2)
Tennessee

Vermont
14.6 (13.915.3)
Virginia
9.8
(8.111.9)
West Virginia
21.5 (17.825.7)
Wyoming
19.0 (16.122.3)
Median
14.8
Range
(9.821.5)
Large urban school district surveys
Baltimore, MD
8.7
(6.611.4)
Boston, MA
11.1
(8.714.1)
Broward County, FL
11.6
(9.114.7)
Cleveland, OH
12.7 (10.415.5)
DeKalb County, GA
7.4
(5.89.4)
Detroit, MI
9.7
(7.512.4)
District of Columbia
8.1
(7.48.9)
Duval County, FL
11.6
(9.813.6)
Ft. Worth, TX
14.1 (11.916.7)
Houston, TX
12.9 (11.314.8)
Los Angeles, CA
10.6
(8.213.5)
Miami-Dade County, FL
15.7 (13.218.7)

Largest number of drinks in a row was 10 or more

Male
%

Total
CI

15.8
12.9
18.3
18.0
15.7
13.6
14.2
16.8
13.5
15.5
15.6
18.4
17.5
12.1
12.8
19.9
12.8
14.0
21.3
21.1
14.4
13.4
17.2
15.2
15.5
13.0
19.3
18.9
16.3
11.7
10.7
14.6

17.2
12.1
18.0
20.4

(12.719.6)
(10.416.0)
(13.923.6)
(14.621.9)
(10.822.2)
(11.016.7)
(11.517.5)
(15.218.6)
(11.316.1)
(11.520.7)
(10.921.9)
(13.624.6)
(13.822.0)
(11.213.2)
(12.113.4)
(16.923.4)
(9.517.1)
(10.818.0)
(16.626.8)
(19.223.2)
(10.918.7)
(10.816.5)
(15.918.6)
(13.816.8)
(11.919.9)
(10.915.5)
(16.023.1)
(14.823.7)
(13.220.0)
(8.715.5)
(7.215.7)
(10.120.6)

(16.518.0)
(10.214.3)
(15.421.0)
(16.924.3)
15.5
(10.721.3)

7.6
10.8
11.3
13.5
8.7
7.9
8.3
12.4
14.6
11.9
9.7
16.4

(5.011.5)
(8.413.8)
(8.814.5)
(11.116.4)
(6.611.3)
(5.810.7)
(7.59.2)
(10.414.7)
(12.417.1)
(10.113.8)
(6.514.3)
(14.019.2)

Female
CI

16.1
12.5
19.0
16.3
15.1
14.0
14.8
15.3
13.4
15.6
15.9
17.4
17.7
11.7
13.1
17.7
12.5
15.3
19.5
20.7
14.3
15.8
16.8
14.6
15.6
13.9
17.6
16.5
15.4
12.8
11.5
14.3

16.0
11.0
19.8
19.7

(13.519.1)
(10.814.5)
(14.824.1)
(14.818.0)
(11.319.9)
(11.616.8)
(12.617.3)
(13.916.8)
(12.214.8)
(12.519.3)
(13.019.4)
(14.021.5)
(15.120.6)
(10.812.7)
(12.513.6)
(15.420.4)
(9.915.7)
(12.618.4)
(16.223.2)
(19.222.3)
(11.417.8)
(13.518.5)
(15.717.9)
(13.315.9)
(12.918.6)
(12.115.8)
(15.320.1)
(13.619.8)
(13.218.0)
(9.716.7)
(9.114.4)
(11.118.3)

(15.516.5)
(9.512.6)
(17.821.9)
(17.322.3)
15.5
(11.020.7)

8.3
10.9
11.6
13.3
8.0
9.0
8.3
12.5
14.5
12.5
10.2
16.0

(6.410.7)
(9.212.9)
(9.613.9)
(11.615.2)
(6.69.7)
(7.111.2)
(7.88.9)
(11.014.2)
(13.016.2)
(11.213.9)
(8.012.9)
(14.018.4)

CI

2.8

2.9
2.1

1.1

1.7

1.9
1.7
4.0

1.1
1.2

3.5
2.6

2.7
1.7

2.3

1.4

1.7
1.2
6.9
5.3

(1.45.4)

(2.14.0)
(1.13.9)

(0.61.9)

(1.22.4)

(1.03.6)
(0.93.5)
(2.56.4)

(0.52.2)
(0.62.5)

(2.74.7)
(1.44.6)

(2.13.4)
(1.12.8)

(1.43.7)

(0.92.3)

(1.52.0)
(0.72.0)
(4.710.2)
(3.77.5)
2.0
(1.16.9)

1.2

1.8

0.4

1.8
3.0
1.3
1.3

(0.43.4)

(0.93.9)

(0.11.1)

(1.22.9)
(2.14.3)
(0.92.0)
(0.92.1)

Male
%

Total
CI

6.1

9.0
3.8

5.4

3.4

5.1
6.7
5.5

4.3
4.7

8.4
4.1

4.6
4.4

9.3

3.1

5.5
2.8
7.8
8.9

(4.19.0)

(6.612.1)
(2.26.4)

(3.67.8)

(2.44.9)

(2.410.6)
(4.89.4)
(3.58.6)

(2.86.4)
(2.87.7)

(7.19.9)
(2.66.6)

(3.85.5)
(2.86.7)

(6.413.2)

(1.65.9)

(5.05.9)
(2.03.9)
(5.610.8)
(6.911.5)
5.2
(2.89.3)

1.5

2.4

0.9

5.1
3.3
2.9
4.5

(0.63.6)

(1.34.4)

(0.42.3)

(3.86.8)
(2.44.6)
(1.75.0)
(3.36.1)

CI

4.4

5.9
2.9

3.4

2.6

3.5
4.3
4.7

2.7
2.9

6.0
3.3

3.6
3.0

5.8

2.3

3.6
2.1
7.4
7.2

(2.96.7)

(4.67.6)
(2.04.4)

(2.54.6)

(2.03.2)

(2.05.9)
(3.06.1)
(3.36.7)

(1.83.9)
(2.04.2)

(5.17.1)
(2.34.9)

(3.14.2)
(2.24.2)

(4.18.0)

(1.53.5)

(3.43.9)
(1.62.6)
(6.18.9)
(5.88.8)
3.5
(2.17.4)

1.5

2.2

0.7

3.4
3.2
2.1
3.0

(0.82.8)

(1.43.5)

(0.41.3)

(2.74.4)
(2.44.1)
(1.43.1)
(2.33.8)

See table footnotes on the next page.

102

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 52. (Continued) Percentage of high school students who drank five or more drinks of alcohol in a row* and whose largest number of
drinks in a row was 10 or more, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Five or more drinks in a row
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

9.1
8.9
12.1
16.8
10.7
11.1
9.7

Male

CI

Site

(7.610.8)
(6.911.3)
(9.814.7)
(14.219.7)
(8.413.6)
(9.013.6)
(7.612.3)
11.1
(7.416.8)

Total
CI

7.8
12.1
12.4
15.6
10.8
14.0
8.1

Largest number of drinks in a row was 10 or more

(6.69.3)
(9.615.2)
(9.615.8)
(13.418.2)
(8.114.2)
(11.816.4)
(6.210.5)
11.3
(7.616.4)

Female
CI

8.5
(7.39.9)
10.7
(8.912.8)
12.3 (10.314.5)
16.5 (14.518.7)
10.8
(8.613.5)
12.6 (10.914.5)
8.8
(7.210.8)
10.9
(8.016.5)

Male

CI

1.2
1.7
0.9
2.5

1.4
1.6

(0.81.9)
(1.02.9)
(0.32.5)
(1.63.9)

(0.82.4)
(0.93.0)
1.4
(0.43.0)

Total
CI

1.2
2.7
3.9
3.9

4.3
0.7

%
1.2
2.2
2.4
3.3

2.8
1.2

(0.71.8)
(1.84.3)
(2.56.0)
(2.75.8)

(3.25.9)
(0.31.5)
2.9
(0.75.1)

CI
(1.01.5)
(1.63.1)
(1.63.6)
(2.34.6)

(2.23.7)
(0.71.9)
2.2
(0.73.4)

* Within a couple of hours on at least 1 day during the 30 days before the survey.
Within a couple of hours during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 53. Percentage of high school students who ever used marijuana* and who tried marijuana for the first time before age 13 years, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever used marijuana
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Tried marijuana before age 13 years

Male

Total

CI

CI

34.3
40.5
45.3

(29.040.0)
(36.245.0)
(41.748.9)

36.2
49.7
46.0

(31.641.1)
(45.553.9)
(42.449.8)

35.2
45.5
45.6

25.3
33.8
43.6
48.8
37.5

(21.529.4)
(27.740.5)
(38.648.8)
(44.752.9)
(33.741.3)

26.5
37.1
46.9
50.9
39.8

(23.729.5)
(31.942.6)
(43.250.6)
(44.657.2)
(36.543.1)

25.9
35.5
45.2
49.8
38.6

Female
CI

Male

Total

CI

CI

CI

(30.939.8)
(42.448.6)
(42.848.5)

4.2
7.4
8.2

(3.05.7)
(4.910.9)
(6.89.8)

6.7
13.0
13.6

(5.28.7)
(9.617.5)
(11.715.7)

5.4
10.6
10.9

(4.36.9)
(8.413.3)
(9.512.6)

(23.228.9)
(30.341.0)
(41.449.0)
(45.953.6)
(35.541.8)

6.8
7.2
4.5
3.7
5.6

(5.28.8)
(5.010.1)
(3.26.2)
(2.74.9)
(4.66.9)

9.9
9.4
8.9
8.5
9.2

(7.512.9)
(7.212.3)
(6.811.5)
(6.511.1)
(7.711.0)

8.5
8.3
6.7
6.1
7.5

(7.110.1)
(6.510.5)
(5.38.4)
(4.97.5)
(6.58.7)

* One or more times during their life.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

103

Surveillance Summaries

TABLE 54. Percentage of high school students who ever used marijuana* and who tried marijuana for the first time before age 13 years, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever used marijuana
Female
Site

CI

State surveys
Alabama
31.0 (25.936.5)
Alaska
35.4 (31.939.0)
Arizona
41.0 (34.947.4)
Arkansas
33.2 (28.238.5)
California
38.7 (32.345.6)
Connecticut
35.2 (30.839.9)
Delaware
40.9 (36.046.0)
Florida
35.6 (33.837.5)
Hawaii

Idaho
30.9 (26.835.4)
Illinois
36.7 (30.643.2)
Indiana
34.3 (29.439.5)
Kentucky
32.6 (27.638.1)
Maine
35.6 (33.737.5)
Maryland
32.1 (31.133.2)
Massachusetts
40.2 (36.643.9)
Michigan
33.2 (29.437.2)
Mississippi
31.5 (26.037.6)
Missouri

Montana
38.1 (33.642.8)
Nebraska
27.6 (23.532.1)
Nevada
42.6 (37.348.1)
New Hampshire

New Mexico

New York

North Carolina
40.9 (36.345.7)
North Dakota

Oklahoma
28.5 (24.333.1)
Pennsylvania
29.0 (24.733.7)
Rhode Island
39.3 (36.342.5)
South Carolina
34.9 (27.742.9)
South Dakota
26.2 (18.935.1)
Tennessee

Vermont

Virginia
29.6 (26.532.9)
West Virginia
36.1 (31.241.3)
Wyoming
33.1 (28.737.8)
Median
34.9
Range
(26.242.6)
Large urban school district surveys
Baltimore, MD
45.3 (40.150.6)
Boston, MA

Broward County, FL
40.6 (36.545.0)
Cleveland, OH
41.5 (36.646.5)
DeKalb County, GA
40.5 (36.344.8)
Detroit, MI
41.4 (37.445.6)
District of Columbia

Duval County, FL

Ft. Worth, TX
37.3 (33.841.0)
Houston, TX
37.6 (34.740.5)
Los Angeles, CA
36.5 (31.641.8)
Miami-Dade County, FL
30.4 (26.434.7)

Tried marijuana before age 13 years

Male
%

Total
CI

34.3
41.8
44.4
36.0
38.5
35.3
41.6
37.4

32.0
35.8
35.6
33.7
33.5
32.6
41.6
34.6
38.6

37.1
25.2
39.2

41.0

36.2
34.0
37.8
34.1
23.8

30.6
33.2
34.8

(30.038.9)
(37.446.3)
(38.250.9)
(29.642.8)
(33.843.5)
(31.839.0)
(37.645.8)
(34.740.2)

(26.937.6)
(29.942.3)
(30.640.9)
(29.438.3)
(31.435.7)
(31.533.6)
(37.346.1)
(30.638.9)
(34.742.7)

(33.840.4)
(20.730.3)
(32.945.8)

(38.144.0)

(30.342.5)
(30.138.3)
(35.240.5)
(28.939.6)
(18.929.5)

(27.733.7)
(28.138.8)
(29.740.4)
35.6
(23.844.4)

45.8

39.8
44.4
40.4
41.5

41.3
39.5
32.7
36.2

(39.851.9)

(35.044.7)
(39.949.1)
(36.144.9)
(36.047.3)

(38.244.5)
(36.742.4)
(27.838.1)
(31.940.8)

Female
CI

32.9
38.8
42.9
34.5
38.6
35.4
41.5
36.6

31.5
36.3
35.1
33.1
34.7
32.5
40.9
33.9
35.1

37.5
26.6
40.9

41.2

32.4
31.5
38.7
34.5
25.0

30.1
34.7
34.0

(29.436.6)
(35.642.2)
(37.148.8)
(31.238.0)
(33.543.9)
(32.238.8)
(37.545.5)
(34.838.6)

(27.935.5)
(31.441.6)
(31.039.5)
(29.936.5)
(33.136.3)
(31.633.3)
(37.644.4)
(30.837.1)
(31.039.4)

(34.141.1)
(22.930.6)
(36.245.8)

(37.844.5)

(28.037.1)
(27.935.4)
(36.241.2)
(29.040.4)
(19.331.7)

(27.732.7)
(30.239.4)
(29.638.7)
34.7
(25.042.9)

45.8

40.1
43.2
40.5
41.7

39.3
38.7
34.7
33.3

(41.750.1)

(36.643.8)
(39.646.8)
(37.343.8)
(38.045.6)

(36.741.9)
(36.540.9)
(30.539.2)
(29.936.8)

CI

Male
%

Total
CI

CI

3.9
6.1
8.9
6.9
6.7
3.1
4.7
6.1
7.2
4.1
4.7
5.2
6.3
5.8
5.9
4.0
3.3
4.8

7.3
5.6
6.4
4.0
14.3
3.8
5.3
4.1
2.9
4.1
4.9
6.2
3.8

4.7
4.4
7.4
6.9

(2.46.4)
(4.18.9)
(6.811.5)
(5.78.4)
(4.79.6)
(1.75.6)
(3.56.4)
(5.47.0)
(5.88.9)
(2.76.1)
(3.56.3)
(3.57.7)
(4.19.6)
(4.96.9)
(5.56.3)
(3.15.2)
(2.05.5)
(3.56.6)

(5.79.2)
(3.78.3)
(4.49.2)
(3.15.1)
(12.416.3)
(2.95.0)
(3.97.1)
(2.76.4)
(1.84.5)
(2.76.3)
(3.56.6)
(3.99.7)
(1.87.7)

(4.35.1)
(3.36.0)
(5.59.9)
(4.79.9)
5.2
(2.914.3)

9.9
13.1
10.7
14.0
8.3
8.2
10.4
10.7
11.6
7.6
9.8
6.9
6.1
8.3
9.8
8.5
8.5
13.7

8.8
7.0
11.1
8.0
18.6
8.8
11.1
6.4
11.9
7.9
8.1
10.5
8.2

8.0
7.7
9.3
8.9

(7.712.7)
(10.416.3)
(8.613.4)
(11.117.4)
(6.310.9)
(6.410.5)
(8.113.2)
(9.312.3)
(9.514.1)
(5.410.6)
(7.612.7)
(5.88.2)
(4.19.1)
(7.39.4)
(9.310.4)
(6.810.5)
(6.810.5)
(10.617.6)

(7.610.1)
(4.710.3)
(8.514.3)
(7.28.9)
(16.720.6)
(7.310.5)
(9.412.9)
(4.78.8)
(7.318.8)
(6.110.1)
(5.811.2)
(7.614.3)
(5.212.7)

(7.58.6)
(6.29.6)
(6.313.7)
(6.911.4)
8.8
(6.118.6)

7.0
(5.68.8)
9.9 (7.812.4)
10.0 (8.312.0)
10.4 (8.612.6)
7.5
(5.89.7)
5.8
(4.57.6)
7.8
(6.49.4)
8.6
(7.69.7)
9.5 (8.011.3)
6.0
(4.77.7)
7.3
(6.18.8)
6.2
(5.37.4)
6.3
(4.58.7)
7.2
(6.57.9)
8.0
(7.68.4)
6.3
(5.17.6)
5.9
(4.87.4)
9.4 (7.711.3)

8.0
(6.99.4)
6.3
(4.58.6)
8.8 (7.010.9)
6.1
(5.66.8)
16.5 (14.918.2)
6.5
(5.67.6)
8.3
(7.39.5)
5.3
(4.16.9)
7.2 (4.810.8)
6.1
(4.67.9)
6.7
(5.18.8)
8.4 (6.410.9)
6.0
(4.09.0)

6.5
(6.26.8)
6.1
(4.97.6)
8.4 (6.011.6)
7.9 (6.010.5)
7.2
(5.316.5)

10.1
4.6
6.1
8.7
5.3
9.3
11.0
9.1
6.2
7.0
6.4
3.0

(7.813.1)
(3.26.5)
(4.58.3)
(6.611.5)
(4.07.0)
(7.411.5)
(10.212.0)
(7.211.4)
(4.87.8)
(5.78.6)
(5.08.3)
(2.14.2)

21.2
9.4
9.3
17.2
14.0
14.0
20.0
13.0
11.8
11.7
9.2
8.5

(16.127.4)
(7.212.4)
(7.311.8)
(14.220.6)
(11.616.8)
(11.017.8)
(18.721.3)
(10.915.3)
(9.714.2)
(10.013.7)
(6.712.3)
(6.710.5)

15.7 (12.719.4)
7.0
(5.58.9)
7.8
(6.49.3)
13.2 (11.115.7)
9.7 (8.211.4)
11.5 (9.613.8)
15.6 (14.816.3)
11.5 (9.913.3)
9.0 (7.710.5)
9.5 (8.210.8)
7.8
(6.19.8)
5.7
(4.76.9)

See table footnotes on the next page.

104

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 54. (Continued) Percentage of high school students who ever used marijuana* and who tried marijuana for the first time before age 13 years,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever used marijuana
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

45.6
31.8
40.2
40.8
34.2
30.7

(41.250.0)
(27.336.7)
(36.943.7)
(33.448.6)
(29.439.3)
(25.936.0)
40.2
(30.445.6)

Tried marijuana before age 13 years

Male
%

Total
CI

45.3
36.1
42.4
40.1
37.7
26.9

(40.749.9)
(31.640.9)
(38.945.9)
(34.446.1)
(34.141.4)
(22.631.6)
40.1
(26.945.8)

Female
CI

45.6
33.9
41.5
40.6
35.9
28.7

(42.848.4)
(30.737.3)
(38.844.2)
(34.547.0)
(32.539.6)
(24.633.2)
40.1
(28.745.8)

4.8

3.5
5.9
6.4
3.9
6.5

Male

CI

(4.05.9)

(2.45.2)
(4.67.6)
(4.58.8)
(2.75.6)
(4.69.1)
6.3
(3.011.0)

Total
CI

7.4

10.9
12.8
11.2
11.1
6.2

CI

6.2

7.2
9.7
8.8
7.5
6.5

(5.37.4)

(5.79.0)
(8.211.6)
(6.911.0)
(6.48.9)
(4.98.4)
8.9
(5.715.7)

(6.19.0)

(8.513.9)
(10.715.1)
(8.913.9)
(9.213.3)
(4.48.5)
11.4
(6.221.2)

* One or more times during their life.


95% confidence interval.
Not available.

TABLE 55. Percentage of high school students who currently used marijuana* and who usually used marijuana by smoking it, by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Current marijuana use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Usually used marijuana by smoking it

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

18.7
22.1
23.5

(15.322.6)
(19.425.0)
(19.727.7)

21.2
31.3
25.5

(17.226.0)
(26.236.9)
(22.728.6)

19.9
27.1
24.5

(16.823.5)
(24.030.4)
(21.627.6)

91.9
93.4
91.1

(88.694.4)
(85.897.1)
(85.194.8)

90.5
93.2
88.5

(86.393.5)
(86.596.7)
(83.692.1)

91.2
92.2
89.7

(88.593.2)
(88.095.0)
(85.193.1)

14.7
17.5
24.3
24.6
20.1

(12.117.7)
(13.722.3)
(21.427.4)
(21.228.3)
(17.622.9)

15.5
22.6
25.5
30.5
23.2

(13.417.9)
(18.926.7)
(22.428.9)
(24.637.2)
(20.426.3)

15.2
20.0
24.8
27.6
21.7

(13.317.3)
(16.524.1)
(22.327.5)
(23.831.6)
(19.324.2)

89.5
91.4
92.1
96.7
92.5

(79.694.9)
(86.494.6)
(85.695.8)
(93.898.3)
(90.194.3)

89.5
89.6
91.3
87.4
89.0

(82.493.9)
(84.293.2)
(85.994.8)
(81.391.7)
(85.991.4)

88.7
90.4
90.6
91.3
90.0

(83.392.6)
(87.592.6)
(85.993.8)
(87.194.2)
(87.592.1)

* One or more times during the 30 days before the survey.


In a joint, bong, pipe, or blunt during the 30 days before the survey, among the 21.7% of students who currently used marijuana.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

105

Surveillance Summaries

TABLE 56. Percentage of high school students who currently used marijuana,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

Male
CI

Site

Total
CI

CI

15.8
16.5
22.1
16.5
22.5
20.9
23.2
20.1
18.6
17.4
19.6
15.9
16.9
19.4
18.2
23.0
17.9
17.7
12.6
19.5
14.4
20.9
20.0
24.9
19.1
21.6
14.6
14.7
15.9
22.7
19.1
13.2

20.7
14.9
16.3
17.4

(12.919.0)
(13.719.9)
(17.327.8)
(13.919.5)
(17.328.8)
(17.325.0)
(18.828.4)
(18.621.8)
(16.121.3)
(13.921.4)
(16.123.6)
(12.719.7)
(13.321.1)
(17.921.0)
(17.418.9)
(19.826.5)
(14.921.4)
(14.721.2)
(10.015.7)
(16.722.6)
(10.818.8)
(16.825.5)
(18.421.7)
(22.627.2)
(16.422.2)
(17.326.7)
(11.817.8)
(11.418.8)
(13.119.1)
(20.325.3)
(14.325.1)
(8.819.2)

(19.921.5)
(12.717.5)
(13.020.3)
(14.021.4)

18.6
21.3
24.1
19.0
23.0
19.7
23.1
22.5
20.0
16.6
17.7
16.4
17.5
20.2
19.4
26.3
20.8
21.6
20.0
19.6
12.7
17.7
23.9
25.6
18.9
22.8
15.8
20.7
20.3
24.3
16.5
11.5

23.8
17.5
16.7
19.2

(15.522.2)
(18.024.9)
(21.227.4)
(15.822.7)
(18.128.7)
(16.823.1)
(19.826.7)
(20.324.9)
(17.223.0)
(12.821.3)
(13.922.3)
(13.819.4)
(14.620.8)
(18.721.7)
(18.620.2)
(23.229.7)
(17.124.9)
(18.525.0)
(16.723.9)
(17.621.7)
(9.616.7)
(14.521.4)
(21.926.0)
(23.927.5)
(16.022.2)
(19.626.4)
(13.118.9)
(16.126.1)
(17.323.8)
(22.226.5)
(12.721.1)
(7.617.0)

(23.024.6)
(15.120.1)
(13.021.2)
(16.222.6)

17.3
19.0
23.3
17.8
22.9
20.4
23.3
21.5
19.4
17.0
18.7
16.4
17.2
19.9
18.8
24.5
19.3
19.7
16.3
19.5
13.7
19.3
22.2
25.3
19.3
22.3
15.2
17.5
18.2
23.6
17.8
12.4

22.4
16.2
16.5
18.3

(15.219.6)
(16.821.4)
(19.627.5)
(15.919.7)
(18.527.9)
(17.623.4)
(20.326.7)
(20.023.2)
(17.621.4)
(14.120.5)
(15.921.8)
(14.118.9)
(14.720.0)
(18.721.1)
(18.219.5)
(21.827.5)
(16.522.5)
(17.322.3)
(13.619.3)
(17.421.8)
(10.817.2)
(16.322.7)
(20.823.7)
(23.627.1)
(16.921.8)
(20.124.7)
(13.117.6)
(14.221.5)
(15.920.7)
(22.025.2)
(14.321.9)
(8.417.7)

(21.822.9)
(14.418.2)
(13.420.3)
(15.421.6)

23.2
21.7
22.6
21.7
20.3
22.6
29.1
23.8
17.4
17.5
15.9
16.0

(18.828.3)
(17.826.3)
(19.126.6)
(17.926.0)
(17.523.4)
(19.026.7)
(27.830.4)
(21.526.4)
(14.920.2)
(15.619.5)
(12.420.1)
(13.219.2)

22.9
22.8
25.2
26.3
23.9
22.5
28.2
25.4
20.7
19.8
17.4
22.5

(17.629.2)
(19.326.7)
(21.329.6)
(22.930.1)
(20.128.1)
(18.427.3)
(26.829.6)
(22.928.0)
(17.823.9)
(17.622.3)
(13.521.9)
(19.525.7)

23.4
22.3
24.0
24.2
22.2
22.6
28.7
25.0
19.1
18.8
16.6
19.2

(19.428.0)
(19.625.2)
(21.526.6)
(21.427.1)
(19.625.0)
(19.526.0)
(27.829.7)
(23.127.0)
(17.121.2)
(17.220.5)
(14.119.4)
(16.921.7)

18.4
(12.624.9)

19.8
(11.526.3)

19.1
(12.425.3)

See table footnotes on the next page.

106

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 56. (Continued) Percentage of high school students who currently used marijuana,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female

Male
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

15.8
25.4
17.0
20.5
21.1
15.3
18.4

Total

(13.318.7)
(22.029.0)
(14.020.5)
(17.723.6)
(15.428.2)
(12.718.2)
(14.423.3)

15.7
24.9
21.5
24.9
21.6
20.6
16.3

20.5
(15.329.1)

CI

%
15.9
25.3
19.1
23.0
21.6
18.0
17.4

(13.718.0)
(21.528.5)
(17.925.5)
(21.928.1)
(17.825.9)
(17.923.6)
(12.620.8)

22.5
(15.728.2)

CI
(13.918.0)
(23.027.7)
(16.821.7)
(20.925.4)
(16.827.3)
(16.020.1)
(13.921.5)

22.2
(15.928.7)

* One or more times during the 30 days before the survey.


95% confidence interval.
Not available.

TABLE 57. Percentage of high school students who ever used synthetic marijuana* and who ever used hallucinogenic drugs, by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever used synthetic marijuana
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ever used hallucinogenic drugs

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

7.6
5.9
10.3

(5.89.9)
(4.18.5)
(8.412.6)

9.9
8.9
12.9

(8.211.9)
(6.412.3)
(10.715.6)

8.8
7.8
11.7

(7.210.7)
(6.09.9)
(9.813.9)

4.7
1.9
6.1

(3.46.5)
(0.75.3)
(4.77.8)

8.1
6.7
7.4

(6.69.9)
(4.410.1)
(5.410.1)

6.4
4.7
6.8

(5.08.1)
(3.17.2)
(5.38.7)

7.2
7.9
8.8
7.6
7.9

(5.79.0)
(5.910.4)
(7.011.0)
(5.710.0)
(6.69.5)

6.7
9.7
11.1
14.2
10.3

(5.18.9)
(7.512.5)
(9.313.1)
(11.018.1)
(8.812.0)

7.1
8.8
10.0
11.0
9.2

(5.78.7)
(6.911.2)
(8.411.9)
(9.113.3)
(7.910.8)

3.1
5.3
5.9
3.9
4.6

(2.14.6)
(3.77.5)
(4.28.4)
(2.65.6)
(3.65.9)

5.9
7.0
7.0
12.0
8.0

(4.67.5)
(5.09.8)
(5.68.7)
(8.616.4)
(6.79.5)

4.7
6.2
6.7
8.0
6.4

(3.76.0)
(4.68.2)
(5.28.6)
(6.010.6)
(5.37.7)

* Also called K2, Spice, fake weed, King Kong, Yucatan Fire, Skunk, or Moon Rocks, one or more times during their life.
Such as LSD, acid, PCP, angel dust, mescaline, or mushrooms, one or more times during their life.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

107

Surveillance Summaries

TABLE 58. Percentage of high school students who ever used synthetic marijuana,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
Site

Male

State surveys
Alabama
7.8
Alaska
5.1
Arizona

Arkansas
9.2
California
8.1
Connecticut
5.0
Delaware
5.2
Florida

Hawaii
5.7
Idaho
7.2
Illinois

Indiana
9.3
Kentucky
11.6
Maine

Maryland
7.5
Massachusetts
5.8
Michigan
6.1
Mississippi
7.3
Missouri

Montana
8.9
Nebraska
7.6
Nevada
9.6
New Hampshire
7.6
New Mexico

New York
8.5
North Carolina

North Dakota

Oklahoma
6.7
Pennsylvania
7.6
Rhode Island
8.0
South Carolina
4.8
South Dakota
4.4
Tennessee

Vermont

Virginia
5.6
West Virginia
14.3
Wyoming
9.9
Median
Range
Large urban school district surveys
Baltimore, MD
8.8
Boston, MA
3.9
Broward County, FL
5.3
Cleveland, OH
8.1
DeKalb County, GA
2.9
Detroit, MI
4.4
District of Columbia
6.9
Duval County, FL
7.4
Ft. Worth, TX
8.7
Houston, TX
10.8
Los Angeles, CA
6.4
Miami-Dade County, FL
5.1

Total

CI

CI

(5.810.4)
(3.57.3)

(6.512.7)
(6.210.4)
(3.67.0)
(3.87.2)

(4.67.0)
(5.110.0)

(6.612.9)
(9.114.8)

(7.17.9)
(4.47.6)
(4.68.1)
(5.79.3)

(7.111.0)
(5.610.4)
(7.711.9)
(6.78.6)

(6.511.0)

(4.79.3)
(6.09.7)
(5.511.5)
(2.68.5)
(2.57.6)

(4.57.0)
(11.417.7)
(7.712.8)

12.2
9.2

13.8
7.8
7.9
8.3

8.8
9.3

12.1
8.5

10.5
9.5
9.4
11.7

10.1
6.9
10.4
10.5

10.8

12.0
10.8
9.2
7.9
9.0

6.2
14.8
10.5

(9.814.9)
(7.111.8)

(9.819.1)
(5.411.3)
(6.29.9)
(6.410.9)

(7.510.2)
(7.112.2)

(8.716.4)
(6.511.2)

(9.911.2)
(7.611.8)
(7.511.7)
(9.214.7)

(8.711.9)
(4.710.0)
(8.213.2)
(9.511.6)

(8.413.6)

(9.115.7)
(8.713.2)
(7.511.1)
(5.012.1)
(5.414.7)

(5.17.5)
(11.818.4)
(8.512.8)

10.1
7.5

11.7
7.9
6.7
7.1

7.5
8.4

10.8
10.3

9.2
7.9
7.8
9.7

9.6
7.5
10.0
9.2

10.0

9.3
9.2
8.8
6.4
6.8

5.9
14.6
10.2

(6.611.8)
(2.75.6)
(3.87.4)
(6.110.6)
(1.94.3)
(3.16.4)
(6.27.7)
(5.99.2)
(7.010.8)
(9.212.6)
(5.18.1)
(3.86.9)

15.6
8.0
8.6
15.1
6.6
7.5
9.9
11.3
11.3
13.0
6.4
8.0

(11.620.5)
(5.711.2)
(6.111.9)
(12.318.4)
(4.79.1)
(5.610.1)
(9.010.9)
(9.413.6)
(9.313.6)
(11.115.2)
(4.98.2)
(6.310.1)

13.3
6.0
7.1
12.5
4.9
6.1
8.6
9.9
9.9
12.3
6.5
6.5

7.6
(4.414.3)

9.5
(6.214.8)

CI
(8.412.1)
(6.09.3)

(8.715.5)
(6.110.2)
(5.48.2)
(5.88.7)

(6.48.8)
(6.910.2)

(8.014.3)
(8.612.4)

(8.89.7)
(6.49.7)
(6.39.6)
(8.011.6)

(8.111.2)
(5.69.9)
(8.212.3)
(8.410.0)

(8.012.3)

(7.211.8)
(7.711.0)
(7.310.5)
(4.49.1)
(4.210.9)

(5.16.9)
(12.317.3)
(8.512.2)

9.2
(5.914.6)

(10.516.6)
(4.77.7)
(5.69.0)
(10.415.0)
(3.86.3)
(4.87.8)
(8.09.2)
(8.511.5)
(8.611.4)
(10.813.9)
(5.57.7)
(5.48.0)

See table footnotes on the next page.

108

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 58. (Continued) Percentage of high school students who ever used synthetic marijuana,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female

Male

Site

CI

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

3.9

7.7
7.6
7.7
6.7

(3.14.8)

(5.910.1)
(5.89.8)
(5.710.4)
(5.08.8)

6.9
(2.910.8)

Total

CI

CI

6.5

10.6
12.1
12.4
9.8

(5.28.3)

(8.113.8)
(9.714.8)
(9.216.6)
(8.311.5)

5.4

9.2
10.7
10.2
8.3

(4.66.3)

(7.611.2)
(9.012.6)
(7.813.2)
(7.19.6)

9.9
(6.415.6)

8.6
(4.913.3)

* Also called K2, Spice, fake weed, King Kong, Yucatan Fire, Skunk, or Moon Rocks, one or more times during their life.
95% confidence interval.
Not available.

TABLE 59. Percentage of high school students who ever used cocaine* and who ever used ecstasy, by sex, race/ethnicity, and grade United
States, Youth Risk Behavior Survey, 2015
Ever used cocaine
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ever used ecstasy

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

3.3
1.8
6.6

(2.34.7)
(0.83.8)
(5.28.2)

5.0
5.3
9.4

(3.96.3)
(3.67.8)
(7.312.0)

4.1
3.8
8.0

(3.35.2)
(2.56.0)
(6.69.7)

4.0
2.5
4.1

(2.95.4)
(1.64.0)
(2.86.0)

4.7
5.9
7.8

(3.65.9)
(3.89.1)
(6.59.4)

4.3
4.3
6.1

(3.45.3)
(3.06.1)
(4.97.5)

3.3
3.8
3.3
4.5
3.8

(2.34.7)
(2.65.6)
(2.24.9)
(3.46.0)
(3.14.6)

3.3
6.4
6.2
9.7
6.3

(2.25.0)
(4.78.8)
(4.78.2)
(7.113.2)
(5.17.9)

3.4
5.1
5.0
7.2
5.2

(2.64.5)
(3.86.8)
(3.96.5)
(5.69.1)
(4.36.2)

2.8
3.7
4.8
4.0
3.9

(1.94.0)
(2.65.2)
(3.46.8)
(2.85.6)
(3.14.7)

3.6
6.0
6.2
8.0
6.0

(2.45.3)
(4.58.1)
(4.68.2)
(6.110.6)
(4.97.3)

3.2
4.9
5.7
6.1
5.0

(2.54.1)
(3.76.4)
(4.67.1)
(4.87.7)
(4.35.8)

* Any form of cocaine, such as powder, crack, or freebase, one or more times during their life.
Also called MDMA, one or more times during their life.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

109

Surveillance Summaries

TABLE 60. Percentage of high school students who ever used cocaine* and who ever used ecstasy, by sex selected U.S. sites, Youth Risk
Behavior Survey, 2015
Ever used cocaine
Female
Site

CI

State surveys
Alabama
3.5
(2.15.9)
Alaska
2.5
(1.54.3)
Arizona
7.5
(4.911.4)
Arkansas
4.7
(3.76.0)
California
5.3
(3.87.3)
Connecticut
2.6
(1.73.9)
Delaware
2.9
(1.94.5)
Florida
4.3
(3.55.2)
Hawaii
4.1
(3.05.7)
Idaho

Illinois
2.9
(2.23.8)
Indiana
2.7
(1.74.2)
Kentucky
4.2
(2.86.4)
Maine

Maryland
3.6
(3.34.0)
Massachusetts
2.6
(1.74.0)
Michigan
2.7
(1.54.9)
Mississippi
4.7
(3.26.8)
Missouri

Montana
4.5
(3.75.6)
Nebraska
5.2
(3.57.7)
Nevada
6.9
(4.410.7)
New Hampshire
3.1
(2.63.7)
New Mexico
6.4
(5.67.4)
New York
5.4
(3.77.8)
North Carolina
3.5
(2.06.0)
North Dakota
3.1
(2.24.4)
Oklahoma
1.7
(0.83.4)
Pennsylvania
2.6
(1.83.7)
Rhode Island
3.2
(1.95.1)
South Carolina
2.6
(0.96.9)
South Dakota

Tennessee

Vermont
3.5
(3.23.9)
Virginia
2.4
(1.83.2)
West Virginia
2.8
(1.74.6)
Wyoming
6.0
(4.18.5)
Median
3.5
Range
(1.77.5)
Large urban school district surveys
Baltimore, MD
2.8
(1.64.7)
Boston, MA

Broward County, FL
5.6
(4.07.8)
Cleveland, OH

DeKalb County, GA
1.9
(1.23.0)
Detroit, MI
3.4
(2.25.1)
District of Columbia
4.2
(3.74.8)
Duval County, FL
5.8
(4.47.6)
Ft. Worth, TX
3.8
(2.75.3)
Houston, TX
7.4
(6.09.2)
Los Angeles, CA
4.2
(2.86.3)
Miami-Dade County, FL
3.4
(2.54.6)

Ever used ecstasy

Male
%

Total
CI

Female
CI

8.1
6.0
10.2
10.5
6.3
6.1
5.2
7.7
7.0

7.9
5.2
4.5

6.7
6.1
5.5
7.9

5.7
5.2
6.2
6.5
11.0
9.2
5.1
4.7
5.1
4.6
6.0
5.8

6.0
5.1
6.3
8.7

(6.110.8)
(4.08.8)
(8.312.5)
(7.314.9)
(3.710.5)
(4.58.2)
(3.77.4)
(6.69.1)
(5.78.5)

(6.29.9)
(3.47.9)
(3.45.8)

(6.17.2)
(4.68.0)
(4.17.2)
(6.39.9)

(4.67.0)
(3.47.9)
(3.99.7)
(5.87.3)
(10.012.2)
(7.511.3)
(4.06.4)
(3.46.4)
(3.86.8)
(3.55.9)
(4.28.5)
(3.79.0)

(5.56.5)
(4.06.7)
(3.710.6)
(6.511.6)
6.1
(4.511.0)

6.1
4.6
9.2
7.7
5.8
4.6
4.4
6.2
5.7

5.4
4.0
4.6

5.4
4.5
4.2
6.5

5.2
5.3
6.6
4.9
8.8
7.6
4.5
3.9
3.4
3.6
4.8
4.2

4.8
3.9
4.6
7.5

(4.48.4)
(3.36.4)
(7.311.5)
(5.710.4)
(3.98.5)
(3.56.0)
(3.45.6)
(5.47.2)
(4.76.8)

(4.46.7)
(2.95.7)
(3.46.0)

(5.15.8)
(3.36.0)
(3.15.5)
(5.38.0)

(4.46.1)
(4.07.1)
(4.69.4)
(4.45.5)
(8.09.6)
(6.09.6)
(3.45.9)
(3.05.1)
(2.54.7)
(3.04.4)
(3.36.9)
(2.76.4)

(4.65.2)
(3.14.9)
(3.06.9)
(5.89.7)
4.8
(3.49.2)

11.3

7.0

7.0
6.8
8.0
9.8
7.4
11.2
5.8
7.2

(8.215.3)

(4.510.5)

(5.29.4)
(5.09.1)
(7.28.9)
(7.712.4)
(5.99.4)
(9.513.3)
(4.57.5)
(5.49.4)

8.0

6.4

4.5
5.3
6.3
8.5
5.6
9.6
5.0
5.3

(5.810.8)

(4.98.4)

(3.55.9)
(4.06.9)
(5.86.8)
(6.910.5)
(4.56.9)
(8.211.2)
(3.96.5)
(4.26.7)

%
5.2
2.1

4.2
6.4
3.2
3.5

6.8
4.2
4.2
3.3
4.1

4.3
2.5

4.9

4.6
5.0
6.5
3.4
6.6

2.6
2.1
3.1
3.8
2.5

2.9
4.9
6.2

2.1

4.6

2.3

3.0
5.9
3.3
6.9
3.9
3.7

CI

Male
%

Total
CI

CI

(3.38.3)
(1.23.4)

(3.35.5)
(4.78.6)
(2.44.3)
(2.45.1)

(5.38.7)
(2.86.1)
(3.15.7)
(1.85.9)
(2.66.4)

(4.04.7)
(1.64.0)

(3.37.3)

(3.85.6)
(3.76.7)
(4.210.1)
(2.84.1)
(5.67.6)

(1.73.8)
(1.23.6)
(2.14.6)
(2.45.8)
(0.96.7)

(2.23.8)
(3.37.2)
(4.29.0)
4.2
(2.16.8)

8.0
5.5

8.3
7.0
5.6
5.5

8.5
5.0
7.8
6.4
5.8

7.9
5.6

10.1

7.4
5.2
7.8
5.4
9.2

4.7
5.7
5.3
6.1
4.2

4.9
8.4
8.7

(5.312.0)
(3.97.8)

(5.512.4)
(4.311.1)
(4.57.0)
(3.97.7)

(7.110.3)
(3.76.7)
(6.010.1)
(3.910.5)
(4.37.7)

(7.48.5)
(4.37.3)

(7.214.0)

(6.28.9)
(3.47.8)
(6.49.6)
(4.86.1)
(8.110.5)

(3.46.3)
(3.98.2)
(3.87.4)
(4.09.2)
(2.57.0)

(3.96.1)
(6.011.7)
(6.611.3)
6.1
(4.210.1)

7.0
4.1

6.5
6.8
4.6
4.7

8.0
4.7
6.1
5.0
5.0

6.4
4.3

7.8

6.1
5.1
7.3
4.5
7.9

3.6
3.9
4.2
5.1
3.4

4.0
6.7
7.4

(4.810.1)
(3.05.7)

(5.28.2)
(4.89.7)
(3.95.4)
(3.66.1)

(6.79.5)
(3.75.9)
(5.07.5)
(3.37.5)
(3.96.5)

(6.16.8)
(3.35.6)

(6.010.1)

(5.27.0)
(3.96.8)
(6.08.9)
(4.05.0)
(7.28.8)

(2.84.8)
(2.75.6)
(3.45.2)
(3.77.1)
(2.05.6)

(3.34.7)
(5.09.0)
(5.79.7)
5.1
(3.48.0)

(1.14.0)

(3.26.6)

(1.43.6)

(2.63.6)
(4.38.1)
(2.34.6)
(5.58.7)
(2.46.2)
(2.75.1)

9.4

5.9

7.1

7.6
9.8
7.6
9.6
5.1
8.8

(6.214.2)

(4.38.0)

(5.19.9)

(6.88.5)
(7.712.4)
(6.09.6)
(8.011.4)
(3.96.5)
(6.911.2)

6.8

5.5

4.7

5.5
8.4
5.4
8.6
4.5
6.3

(4.79.9)

(4.27.2)

(3.66.1)

(5.06.0)
(6.710.5)
(4.46.7)
(7.310.2)
(3.36.2)
(5.07.8)

See table footnotes on the next page.

110

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 60. (Continued) Percentage of high school students who ever used cocaine* and who ever used ecstasy, by sex selected U.S. sites,
Youth Risk Behavior Survey, 2015
Ever used cocaine
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

2.7

3.0
4.5
3.7
2.8
4.8

Ever used ecstasy

Male

CI
(2.03.7)

(1.94.6)
(3.36.1)
(2.16.4)
(1.94.1)
(3.17.2)
3.7
(1.97.4)

Total
CI

5.7

7.1
8.3
5.4
7.8
5.1

(4.66.9)

(4.610.7)
(6.510.5)
(2.810.2)
(6.19.9)
(3.77.0)
7.1
(5.111.3)

4.4

5.0
7.0
4.6
5.3
5.3

Female
CI

(3.65.3)

(3.57.2)
(5.88.5)
(2.87.7)
(4.36.6)
(3.97.1)
5.3
(4.49.6)

3.2
7.0
2.5
5.5
3.9

Male

CI

(2.05.1)
(4.99.8)
(1.44.4)
(4.17.3)
(2.65.8)
3.8
(2.17.0)

8.2
9.4
5.6
8.2
5.9

Total
CI

5.7
9.1
4.2
6.9
5.1

(5.212.5)
(7.212.2)
(2.810.9)
(6.510.3)
(4.28.1)
7.9
(5.19.8)

CI

(4.17.9)
(7.211.5)
(2.57.1)
(5.68.4)
(3.96.7)
5.6
(4.29.1)

* Any form of cocaine, such as powder, crack, or freebase, one or more times during their life.
Also called MDMA, one or more times during their life.
95% confidence interval.
Not available.

TABLE 61. Percentage of high school students who ever used heroin* and who ever used methamphetamines, by sex, race/ethnicity,
and grade United States, Youth Risk Behavior Survey, 2015
Ever used heroin
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ever used methamphetamines

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

0.8
1.5
1.9

(0.51.5)
(0.63.6)
(1.23.0)

1.7
3.8
3.2

(1.22.4)
(1.97.5)
(2.15.0)

1.3
2.7
2.6

(1.01.7)
(1.35.6)
(1.83.8)

1.7
1.4
4.0

(1.12.7)
(0.92.3)
(2.95.5)

2.5
3.9
4.7

(1.83.5)
(2.17.4)
(3.36.6)

2.1
2.8
4.4

(1.52.8)
(1.55.1)
(3.35.9)

1.4
1.5
0.9
1.0
1.2

(0.92.3)
(0.82.7)
(0.51.7)
(0.42.2)
(0.91.8)

2.0
3.3
2.3
2.8
2.7

(1.23.6)
(2.25.0)
(1.43.8)
(1.64.6)
(1.93.8)

1.8
2.4
1.9
1.9
2.1

(1.22.6)
(1.63.6)
(1.13.0)
(1.32.9)
(1.52.8)

2.2
2.5
2.3
1.8
2.3

(1.53.2)
(1.54.2)
(1.43.9)
(1.22.8)
(1.73.0)

1.9
4.2
2.8
5.6
3.6

(1.13.1)
(2.76.3)
(1.84.2)
(3.68.5)
(2.64.9)

2.0
3.3
2.8
3.8
3.0

(1.52.7)
(2.34.9)
(1.94.0)
(2.75.3)
(2.43.8)

* Also called smack, junk, or China White one or more times during their life.
Also called speed, crystal, crank, or ice one or more times during their life.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

111

Surveillance Summaries

TABLE 62. Percentage of high school students who ever used heroin* and who ever used methamphetamines, by sex selected U.S. sites,
Youth Risk Behavior Survey, 2015
Ever used heroin
Female
Site

CI

State surveys
Alabama
2.3
(1.24.3)
Alaska
1.0
(0.42.4)
Arizona
2.1
(1.33.4)
Arkansas
2.9
(2.04.3)
California
1.6
(1.12.2)
Connecticut
1.1
(0.62.2)
Delaware
1.5
(0.73.1)
Florida

Hawaii
1.8
(1.32.4)
Idaho
1.0
(0.42.5)
Illinois
1.6
(1.12.3)
Indiana
1.4
(0.72.8)
Kentucky
3.1
(1.95.1)
Maine

Maryland
2.4
(2.12.7)
Massachusetts
0.8
(0.41.4)
Michigan
1.2
(0.52.8)
Mississippi
3.3
(2.15.1)
Missouri

Montana
1.1
(0.71.7)
Nebraska
1.9
(0.94.2)
Nevada
1.6
(0.92.9)
New Hampshire
1.3
(1.01.9)
New Mexico
1.7
(1.32.3)
New York
2.6
(1.73.9)
North Carolina

North Dakota
0.6
(0.31.1)
Oklahoma
0.3
(0.10.9)
Pennsylvania
1.0
(0.61.9)
Rhode Island
1.5
(0.82.9)
South Carolina
1.1
(0.52.8)
South Dakota
1.8
(0.84.3)
Tennessee

Vermont
1.4
(1.21.6)
Virginia
1.2
(0.72.0)
West Virginia
1.8
(1.12.9)
Wyoming
2.3
(1.53.6)
Median
1.5
Range
(0.33.3)
Large urban school district surveys
Baltimore, MD
3.3
(2.05.4)
Boston, MA
0.4
(0.11.3)
Broward County, FL
2.4
(1.43.8)
Cleveland, OH

DeKalb County, GA
0.6
(0.31.2)
Detroit, MI
2.7
(1.54.8)
District of Columbia
2.9
(2.53.5)
Duval County, FL
3.6
(2.16.0)
Ft. Worth, TX
0.5
(0.21.2)
Houston, TX
4.6
(3.46.1)
Los Angeles, CA
1.1
(0.62.1)
Miami-Dade County, FL
1.4
(0.92.2)

Ever used methamphetamines

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

6.9
2.9
3.4
6.4
1.6
3.0
3.3

4.4
2.0
4.9
3.2
3.6

5.5
2.3
3.7
7.9

3.0
2.8
3.5
3.2
5.2
6.5

1.7
1.5
2.9
5.3
3.0
3.8

3.1
2.4
5.0
4.1

(5.29.1)
(1.94.4)
(2.05.7)
(4.29.7)
(0.83.1)
(2.14.2)
(2.44.7)

(3.55.5)
(1.13.7)
(3.37.1)
(1.56.6)
(2.16.1)

(5.06.0)
(1.73.1)
(2.45.7)
(5.611.0)

(2.24.0)
(1.55.3)
(2.15.8)
(2.83.7)
(4.26.3)
(5.08.4)

(1.02.9)
(0.82.8)
(1.84.5)
(3.67.8)
(1.65.7)
(1.87.9)

(2.83.5)
(1.83.3)
(3.47.5)
(2.85.8)
3.3
(1.57.9)

4.9
2.2
2.9
4.9
1.6
2.2
2.6

3.3
1.6
3.4
2.4
3.7

4.2
1.7
2.5
5.9

2.1
2.5
2.7
2.4
3.5
4.8

1.2
0.9
2.0
3.6
2.1
2.9

2.3
1.8
3.5
3.3

(3.76.6)
(1.33.5)
(2.14.0)
(3.86.4)
(1.12.2)
(1.63.1)
(1.93.6)

(2.74.1)
(0.92.7)
(2.44.7)
(1.34.4)
(2.55.4)

(3.94.5)
(1.32.3)
(1.63.9)
(4.47.8)

(1.62.7)
(1.44.3)
(2.03.8)
(2.12.8)
(3.04.1)
(3.86.1)

(0.81.8)
(0.51.7)
(1.42.9)
(2.45.5)
(1.13.9)
(1.55.5)

(2.12.6)
(1.42.5)
(2.45.1)
(2.44.6)
2.5
(0.95.9)

4.8
1.6
2.7
3.5
2.6
1.9
2.3

2.4
2.0
1.5
1.4
3.1

2.4
1.0
1.9
4.1

2.2
3.8
3.5
1.4
2.6

1.2
1.6

1.6
2.8

1.9
1.4
2.6
3.0

(3.46.7)
(0.83.2)
(1.84.1)
(2.54.9)
(1.64.2)
(1.23.1)
(1.43.9)

(1.83.3)
(1.13.5)
(1.02.2)
(0.82.6)
(1.95.0)

(2.22.8)
(0.51.8)
(1.03.8)
(2.95.8)

(1.63.1)
(2.85.2)
(2.06.0)
(1.11.9)
(2.03.3)

(0.72.4)
(0.92.6)

(0.64.4)
(1.55.0)

(1.62.2)
(0.92.3)
(1.73.8)
(1.85.0)
2.3
(1.04.8)

6.0
3.1
4.4
8.3
3.1
3.6
2.8

4.6
2.4
5.4
4.1
3.9

5.4
2.8
4.4
7.8

3.8
4.1
3.9
3.3
6.1

2.1
3.0

4.0
4.7

3.4
3.3
6.8
5.1

(3.310.6)
(2.04.7)
(2.57.6)
(4.913.7)
(1.85.3)
(2.84.6)
(1.84.4)

(3.75.7)
(1.73.4)
(3.97.4)
(2.08.2)
(2.65.8)

(4.95.8)
(2.03.8)
(3.16.2)
(5.510.8)

(2.85.0)
(2.56.8)
(2.36.6)
(2.83.9)
(5.27.1)

(1.23.7)
(2.04.5)

(1.98.3)
(2.48.9)

(3.03.7)
(2.54.4)
(4.110.9)
(3.47.5)
4.0
(2.18.3)

5.7
2.6
3.8
6.0
2.9
3.0
2.7

3.8
2.3
3.5
2.9
3.9

4.2
2.1
3.2
6.0

3.0
4.2
3.8
2.5
4.4

1.7
2.3

2.8
3.8

2.7
2.5
4.7
4.2

(3.78.6)
(1.74.1)
(2.65.7)
(4.09.1)
(1.94.3)
(2.33.7)
(1.93.7)

(3.14.7)
(1.73.1)
(2.64.6)
(1.55.4)
(2.85.2)

(3.94.5)
(1.62.8)
(2.24.6)
(4.67.8)

(2.33.9)
(3.15.8)
(2.75.5)
(2.12.8)
(3.95.0)

(1.02.7)
(1.73.1)

(1.45.6)
(2.26.4)

(2.52.9)
(1.93.3)
(3.17.1)
(2.86.1)
3.2
(1.76.0)

11.0
3.0
4.9

4.2
5.7
6.0
7.8
2.5
6.7
2.8
4.2

(8.014.9)
(1.84.8)
(3.27.5)

(2.86.2)
(4.08.2)
(5.36.8)
(5.511.0)
(1.64.0)
(5.28.6)
(1.45.5)
(2.86.2)

8.3
1.8
4.0

2.4
4.3
4.6
6.3
1.5
6.1
2.0
2.8

(6.111.1)
(1.22.7)
(2.95.6)

(1.63.5)
(3.15.9)
(4.25.1)
(4.49.0)
(1.02.3)
(4.87.7)
(1.13.7)
(1.94.1)

2.9
1.1
3.1

1.0
2.4
2.5
4.9
2.2
5.6
2.2
2.1

(1.84.8)
(0.62.2)
(2.04.7)

(0.61.7)
(1.54.0)
(2.13.1)
(2.98.0)
(1.43.4)
(4.37.3)
(1.14.1)
(1.43.2)

10.4
3.5
5.4

5.9
4.7
6.2
8.6
3.3
6.7
4.6
4.2

(7.614.0)
(2.15.5)
(3.68.1)

(4.28.2)
(3.26.9)
(5.57.0)
(6.112.1)
(2.34.6)
(5.08.8)
(2.97.3)
(2.96.2)

7.9
2.4
4.5

3.5
3.7
4.5
7.5
2.7
6.5
3.4
3.2

(5.910.5)
(1.63.6)
(3.36.0)

(2.54.8)
(2.65.2)
(4.15.0)
(5.310.5)
(2.03.6)
(5.28.2)
(2.15.5)
(2.24.6)

See table footnotes on the next page.

112

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 62. (Continued) Percentage of high school students who ever used heroin* and who ever used methamphetamines, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Ever used heroin
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

1.1

2.2
3.2
1.7
0.8
1.9

Ever used methamphetamines

Male

CI
(0.81.6)

(1.23.9)
(1.95.5)
(0.93.0)
(0.41.7)
(0.84.4)
1.9
(0.44.6)

%
3.6

5.5
6.4
4.5
4.1
2.1

Total
CI

(2.74.8)

(3.19.6)
(4.49.3)
(2.48.4)
(3.05.5)
(1.33.4)
4.5
(2.111.0)

2.5

3.9
5.7
3.3
2.5
2.4

Female
CI

(1.93.3)

(2.36.4)
(4.27.8)
(1.86.0)
(1.83.3)
(1.53.9)
3.3
(1.58.3)

1.9
3.9
1.8
1.9
2.5

Male

CI

(1.13.2)
(2.56.2)
(1.22.9)
(1.13.1)
(1.54.1)
2.3
(1.05.6)

Total
CI

4.5
6.2
5.5
5.2
4.4

3.2
5.8
3.8
3.6
3.8

(2.38.7)
(4.58.5)
(2.910.2)
(3.96.9)
(3.35.9)
5.3
(3.310.4)

CI

(1.85.6)
(4.47.7)
(2.26.4)
(2.74.7)
(2.85.2)
3.7
(2.47.9)

* Also called smack, junk, or China White one or more times during their life.
Also called speed, crystal, crank, or ice one or more times during their life.
95% confidence interval.
Not available.

TABLE 63. Percentage of high school students who ever took steroids without a doctors prescription* and who ever took prescription drugs
without a doctors prescription, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever took steroids without a doctors prescription
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Ever took prescription drugs without a doctors prescription

Total

Female

Male

Total

CI

CI

CI

CI

CI

1.8
3.6
3.9

(1.22.7)
(1.87.1)
(2.85.4)

3.6
4.8
4.1

(2.84.6)
(2.68.7)
(2.95.8)

2.7
4.5
4.1

(2.13.4)
(2.57.7)
(3.15.4)

15.9
10.7
16.5

(14.018.2)
(8.413.6)
(14.718.5)

17.1
18.1
18.4

(15.019.5)
(15.421.2)
(15.821.4)

16.5
14.8
17.5

(14.718.5)
(12.817.1)
(15.619.7)

3.4
3.4
2.0
1.6
2.7

(2.35.0)
(2.15.5)
(1.42.8)
(0.92.6)
(2.13.5)

3.5
4.4
2.8
4.8
4.0

(2.64.9)
(3.06.4)
(2.03.9)
(3.27.1)
(3.15.1)

3.6
3.9
2.7
3.3
3.5

(2.84.6)
(2.75.6)
(2.03.6)
(2.44.5)
(2.84.3)

12.5
15.5
16.0
18.8
15.6

(10.215.2)
(12.519.1)
(14.118.0)
(16.421.4)
(14.317.1)

13.3
15.1
21.5
21.7
17.8

(10.217.2)
(12.318.6)
(19.223.9)
(17.926.1)
(16.119.6)

13.0
15.3
18.9
20.3
16.8

(11.015.3)
(12.718.4)
(17.420.6)
(18.122.7)
(15.418.2)

CI

* Pills or shots one or more times during their life.


Such as Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

113

Surveillance Summaries

TABLE 64. Percentage of high school students who ever took steroids without a doctors prescription* and who ever took prescription drugs
without a doctors prescription, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever took steroids without a doctors prescription
Female
Site

CI

State surveys
Alabama
3.7
(2.36.0)
Alaska

Arizona
2.6
(1.93.5)
Arkansas
4.1
(2.56.8)
California
2.0
(1.23.3)
Connecticut

Delaware
1.4
(0.82.3)
Florida
2.5
(1.93.3)
Hawaii

Idaho
2.4
(1.34.5)
Illinois
2.0
(1.23.3)
Indiana
1.9
(1.03.4)
Kentucky
3.0
(1.75.3)
Maine

Maryland
2.9
(2.63.1)
Massachusetts

Michigan
1.7
(1.02.9)
Mississippi
4.3
(3.25.8)
Missouri

Montana
1.7
(1.22.5)
Nebraska
3.4
(2.15.4)
Nevada
4.0
(3.15.2)
New Hampshire

New Mexico

New York

North Carolina
3.5
(1.96.5)
North Dakota

Oklahoma
2.1
(1.23.6)
Pennsylvania
1.7
(1.03.0)
Rhode Island
2.0
(1.03.9)
South Carolina
1.7
(1.22.5)
South Dakota

Tennessee

Vermont

Virginia
2.3
(1.53.3)
West Virginia
1.9
(1.03.9)
Wyoming
3.9
(2.65.8)
Median
2.3
Range
(1.44.3)
Large urban school district surveys
Baltimore, MD
4.2
(2.56.9)
Boston, MA

Broward County, FL
2.5
(1.63.9)
Cleveland, OH

DeKalb County, GA
1.3
(0.82.2)
Detroit, MI
3.8
(2.65.5)
District of Columbia

Duval County, FL

Ft. Worth, TX
2.6
(1.83.7)
Houston, TX
6.2
(4.97.6)
Los Angeles, CA
1.8
(1.13.0)
Miami-Dade County, FL
1.5
(0.92.3)
New York City, NY

Male
%

Ever took prescription drugs without a doctors prescription

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

6.6

6.4
5.4
0.8

3.1
5.1

2.6
6.0
4.1
5.5

5.3

3.6
7.7

3.2
3.3
3.6

3.9

2.6
3.2
5.1
4.7

3.6
7.2
5.4

(4.210.1)

(4.19.7)
(3.38.7)
(0.31.9)

(2.14.7)
(4.06.4)

(1.64.2)
(4.09.0)
(2.18.0)
(3.78.2)

(4.95.7)

(2.65.2)
(5.510.7)

(2.44.3)
(2.05.4)
(2.26.0)

(2.56.1)

(1.44.5)
(2.24.7)
(3.28.0)
(2.87.8)

(2.74.9)
(5.39.7)
(4.07.3)
4.4
(0.87.7)

5.6

4.7
4.9
1.4

2.5
3.9

2.5
4.1
3.2
4.5

4.3

2.7
6.3

2.5
3.5
3.9

3.9

2.3
2.5
3.8
3.3

3.1
4.6
4.8

(3.97.8)

(3.26.7)
(3.47.0)
(0.92.1)

(1.83.3)
(3.24.9)

(1.93.4)
(2.95.7)
(1.95.5)
(3.46.1)

(4.04.6)

(2.13.5)
(4.98.1)

(1.93.2)
(2.45.0)
(3.05.0)

(2.75.7)

(1.53.5)
(1.83.4)
(2.36.2)
(2.15.0)

(2.44.0)
(3.56.2)
(3.66.3)
3.8
(1.46.3)

17.6
13.1

18.7
14.5
11.7
11.9
11.8
11.3
16.4
13.0
15.7
12.2
9.4
13.1

15.6
12.8
14.1
15.4
14.9
20.1
12.5
13.9

18.8
12.2
13.5
12.1
11.4
16.8
13.9

14.0
15.0
14.0

(14.321.5)
(10.416.5)

(15.921.9)
(12.017.3)
(10.113.5)
(9.514.8)
(10.313.5)
(8.714.5)
(13.519.7)
(10.516.0)
(12.919.0)
(9.815.1)
(8.410.5)
(12.613.7)

(12.519.3)
(10.415.6)
(11.617.1)
(14.016.9)
(11.818.7)
(16.723.9)
(11.513.5)
(12.615.3)

(15.123.0)
(10.314.3)
(11.016.5)
(9.914.8)
(8.515.2)
(12.522.1)
(10.118.9)

(11.816.6)
(11.918.7)
(11.217.3)
13.9
(9.420.1)

20.0
15.6

19.2
14.0
11.9
12.7
13.6
12.9
17.0
15.6
17.7
13.0
11.8
14.9

15.9
21.3
21.0
15.7
11.9
17.0
14.0
14.7

16.5
16.6
14.1
13.5
11.2
16.0
12.2

16.9
16.1
13.8

(16.424.2)
(12.819.0)

(15.523.4)
(10.119.0)
(10.213.8)
(10.016.0)
(11.915.6)
(11.514.6)
(13.521.1)
(12.319.6)
(14.721.1)
(10.416.1)
(10.513.2)
(14.215.6)

(13.418.7)
(17.425.7)
(17.425.1)
(13.817.9)
(9.215.3)
(14.320.2)
(12.815.3)
(13.516.0)

(14.019.4)
(14.119.5)
(10.718.5)
(11.615.7)
(8.314.9)
(13.918.4)
(9.415.6)

(14.619.6)
(12.121.0)
(11.716.3)
15.2
(11.221.3)

19.2
14.6

19.1
14.4
12.0
12.6
13.0
12.3
16.8
14.4
16.8
12.7
10.8
14.2

15.8
17.2
17.5
15.6
13.5
18.5
13.4
14.3

17.9
14.5
13.9
12.8
11.6
16.4
13.1

15.6
15.5
14.0

(16.722.1)
(12.517.1)

(17.221.1)
(11.418.0)
(10.713.4)
(10.714.7)
(11.614.5)
(10.614.4)
(14.119.8)
(12.316.8)
(14.719.3)
(10.914.7)
(10.011.7)
(13.714.8)

(13.318.6)
(14.620.1)
(15.020.4)
(14.217.1)
(11.116.4)
(16.121.2)
(12.514.4)
(13.415.3)

(15.220.9)
(12.816.3)
(11.516.7)
(11.114.8)
(9.314.3)
(13.819.4)
(10.216.7)

(13.917.5)
(12.419.2)
(12.016.3)
14.4
(10.819.2)

10.9

4.7

5.1
6.6

3.5
6.4
3.0
4.6

(7.815.0)

(3.07.3)

(3.67.3)
(4.89.2)

(2.54.8)
(5.08.0)
(2.14.2)
(3.16.8)

8.7

3.6

3.3
5.3

3.0
6.6
2.5
3.1

(6.411.7)

(2.55.2)

(2.44.4)
(4.07.0)

(2.43.8)
(5.57.9)
(1.83.3)
(2.14.4)

11.2
7.4
12.4
11.8
13.1
10.3
10.3

12.1
14.4
8.4
10.1

(8.714.2)
(5.69.8)
(9.615.7)
(9.514.5)
(10.616.0)
(8.312.8)
(9.411.2)

(10.314.1)
(12.416.5)
(6.510.8)
(8.012.8)

15.5
8.3
14.3
18.7
17.7
13.2
16.4

15.0
14.8
10.7
14.5

(11.620.4)
(6.011.3)
(11.717.4)
(15.522.4)
(14.621.2)
(10.816.1)
(15.317.6)

(12.817.6)
(12.916.9)
(8.713.2)
(12.117.3)

14.1
7.9
13.5
16.1
15.4
11.9
13.5

13.6
14.9
9.5
12.3

(11.517.1)
(6.49.7)
(11.615.5)
(13.718.8)
(13.517.5)
(10.313.6)
(12.814.2)

(12.015.4)
(13.416.6)
(7.811.6)
(10.514.4)

See table footnotes on the next page.

114

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 64. (Continued) Percentage of high school students who ever took steroids without a doctors prescription* and who ever took prescription
drugs without a doctors prescription, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever took steroids without a doctors prescription
Female
Site

Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

1.8
2.7
5.2
1.9

Male

CI

(1.03.2)
(1.84.2)
(3.47.9)
(1.23.0)

2.5
(1.36.2)

4.9
6.0
6.3
3.6

Ever took prescription drugs without a doctors prescription

Total
CI

(2.78.9)
(4.08.8)
(3.411.7)
(2.74.8)

5.0
(3.010.9)

3.5
5.0
5.9
2.7

Female
CI

(2.05.8)
(3.66.7)
(3.59.8)
(2.13.5)

3.5
(2.58.7)

%
9.6
11.0
12.2
12.3
10.8
11.6

CI
(7.612.0)
(8.813.6)
(10.114.6)
(9.515.9)
(8.613.5)
(9.214.5)
11.2
(7.414.4)

Male
%
13.6
15.2
14.6
13.5
15.9
13.2

Total
CI

(11.016.8)
(12.718.1)
(12.417.1)
(9.618.6)
(13.818.2)
(10.416.7)
14.6
(8.318.7)

11.9
13.1
13.9
13.1
13.3
12.7

CI
(10.113.9)
(11.414.9)
(12.215.8)
(10.716.1)
(11.615.3)
(10.315.6)
13.3
(7.916.1)

* Pills or shots one or more times during their life.


Such as Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life.
95% confidence interval.
Not available.

TABLE 65. Percentage of high school students who ever used inhalants,*by sex, race/ethnicity, and grade United States, Youth Risk Behavior
Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

Total
CI

CI

5.9
5.9
8.3

(4.57.7)
(3.210.7)
(6.910.0)

6.9
7.1
7.1

(5.98.2)
(4.710.4)
(5.78.9)

6.4
6.8
7.8

(5.47.6)
(4.410.2)
(6.79.0)

8.5
7.8
4.6
4.9
6.6

(6.910.4)
(5.710.5)
(3.36.4)
(3.66.7)
(5.57.9)

7.9
7.0
6.6
7.0
7.2

(5.810.7)
(5.68.8)
(5.18.5)
(5.19.5)
(6.28.4)

8.3
7.5
5.9
6.0
7.0

(6.910.0)
(6.09.2)
(4.67.4)
(4.97.5)
(6.28.0)

* Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high, one or more times during their life.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

115

Surveillance Summaries

TABLE 66. Percentage of high school students who ever used inhalants,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

Male

CI

11.1
5.4
8.5
8.1
8.2
5.0
2.6

6.2
7.5
6.5
6.6
8.6
7.1
7.7

7.1
9.4

7.9
9.3
8.4
6.0

8.1

4.6
5.6
5.2
8.7
10.5

6.2

8.6
10.7

(8.015.0)
(4.17.0)
(6.211.6)
(6.79.8)
(6.610.2)
(3.86.7)
(1.64.4)

(5.27.4)
(5.410.4)
(5.37.9)
(4.88.9)
(7.110.5)
(6.47.8)
(7.38.2)

(5.69.1)
(7.611.6)

(6.79.3)
(7.012.2)
(6.510.9)
(5.46.7)

(5.911.1)

(3.16.9)
(4.27.5)
(3.96.8)
(6.311.9)
(7.714.3)

(5.86.7)

(6.611.1)
(8.413.6)

10.1
6.6
7.6
11.7
5.7
7.2
3.2

9.4
6.0
7.1
8.0
5.7
8.1
8.7

8.0
13.3

8.2
6.8
6.8
6.8

7.3

5.0
6.5
6.9
7.0
9.3

6.7

10.1
10.3

(7.613.4)
(2.25.8)
(5.710.3)

(6.39.9)
(7.511.3)
(10.612.5)
(8.614.0)
(4.67.6)
(6.79.9)
(6.010.5)
(4.27.2)

11.3
5.6
7.3

9.8
8.3
11.2
13.1
5.5
7.9
6.4
6.6

Site

10.2
3.6
7.7

7.9
9.3
11.5
11.0
6.0
8.2
8.0
5.5

7.7
(2.611.1)

Total
CI

(8.112.6)
(4.89.1)
(5.011.6)
(8.515.8)
(3.59.1)
(6.08.6)
(2.24.5)

(7.911.1)
(4.67.8)
(5.59.1)
(5.311.8)
(4.18.0)
(7.19.2)
(8.29.2)

(6.110.4)
(10.217.3)

(6.610.1)
(5.19.0)
(4.89.5)
(6.07.6)

(5.39.8)

(3.57.2)
(5.18.3)
(4.710.0)
(4.810.0)
(5.914.2)

(6.37.2)

(7.912.7)
(8.013.0)

10.9
6.3
8.1
10.0
7.0
6.3
3.2

8.0
6.8
6.9
7.4
7.4
7.8
8.5

7.7
11.6

8.0
8.1
7.7
6.4

7.9

4.8
6.1
6.2
7.9
9.9

6.5

9.4
10.6

(7.915.8)
(4.17.7)
(5.210.2)

(7.413.0)
(6.111.2)
(10.212.2)
(10.216.7)
(4.37.1)
(6.49.9)
(4.98.3)
(4.98.8)

11.6
4.7
7.8

9.0
8.9
11.5
12.7
5.8
8.4
7.2
6.1

7.2
(3.213.3)

CI

7.7
(3.211.6)

(8.713.5)
(5.07.9)
(6.510.1)
(7.812.7)
(5.19.5)
(5.47.4)
(2.54.2)

(7.09.1)
(5.58.5)
(5.98.1)
(5.49.9)
(6.18.8)
(7.18.5)
(8.18.9)

(6.39.3)
(9.713.8)

(6.99.4)
(6.610.0)
(6.09.8)
(5.96.9)

(6.210.0)

(3.66.3)
(5.07.5)
(4.78.2)
(5.810.6)
(7.513.0)

(6.26.9)

(7.511.6)
(8.613.0)

(9.114.8)
(3.56.2)
(6.19.9)

(7.510.7)
(7.410.7)
(10.912.2)
(10.215.7)
(4.86.9)
(7.19.9)
(6.08.6)
(4.97.5)

See table footnotes on the next page.

116

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 66. (Continued) Percentage of high school students who ever used inhalants,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female

Male

Total

Site

CI

CI

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

7.1
8.3
6.7
5.9
5.1

(5.39.5)
(6.211.2)
(5.28.7)
(4.48.0)
(3.28.0)

7.9
11.1
7.7
7.1
4.7

(5.311.6)
(9.113.5)
(5.011.6)
(5.69.1)
(3.66.1)

7.6
10.5
7.5
6.5
5.1

7.8
(3.611.5)

7.8
(4.713.1)

CI

7.7
(4.712.7)

(5.710.0)
(8.712.7)
(5.510.0)
(5.38.0)
(3.96.7)

* Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high, one or more times during their life.
95% confidence interval.
Not available.

TABLE 67. Percentage of high school students who ever injected any illegal drug* and who were offered, sold, or given an illegal drug on school
property, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever injected any illegal drug
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Offered, sold, or given an illegal drug on school property

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

0.7
1.3
1.6

(0.41.1)
(0.62.9)
(1.02.7)

1.7
3.2
2.8

(1.22.4)
(1.56.6)
(1.84.4)

1.2
2.5
2.2

(0.91.6)
(1.64.0)
(1.43.4)

16.5
19.2
25.5

(13.320.3)
(13.925.8)
(22.329.0)

23.2
22.0
28.9

(19.727.1)
(17.227.8)
(25.932.2)

19.8
20.6
27.2

(16.723.4)
(15.926.2)
(24.829.8)

1.5
0.7
1.0
0.8
1.0

(0.92.3)
(0.31.6)
(0.61.8)
(0.41.7)
(0.71.5)

1.5
2.6
1.9
3.4
2.3

(0.82.6)
(1.73.8)
(1.03.6)
(1.86.4)
(1.63.3)

1.6
1.6
1.6
2.1
1.8

(1.12.3)
(1.12.4)
(1.02.7)
(1.33.5)
(1.32.3)

20.0
19.3
20.4
16.3
19.1

(17.123.2)
(15.324.1)
(17.623.4)
(13.619.4)
(16.621.8)

23.2
24.6
24.9
24.4
24.2

(19.926.9)
(20.529.2)
(21.428.8)
(21.028.1)
(21.726.9)

21.6
21.9
22.7
20.3
21.7

(19.124.3)
(18.226.2)
(20.025.7)
(17.623.3)
(19.424.2)

* Used a needle to inject any illegal drug into their body one or more times during their life.
During the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

117

Surveillance Summaries

TABLE 68. Percentage of high school students who ever injected any illegal drug* and who were offered, sold, or given an illegal drug on school
property, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever injected any illegal drug
Female
Site

CI

State surveys
Alabama
2.4
(1.44.0)
Alaska

Arizona

Arkansas
2.9
(1.94.3)
California
1.3
(0.82.0)
Connecticut
1.1
(0.52.2)
Delaware
1.0
(0.61.9)
Florida

Hawaii
1.9
(1.32.8)
Idaho
1.7
(1.22.5)
Illinois
1.9
(1.22.8)
Indiana
0.7
(0.31.6)
Kentucky

Maine

Maryland
2.4
(2.12.7)
Massachusetts

Michigan
1.4
(0.63.4)
Mississippi
3.3
(2.25.0)
Missouri

Montana
1.3
(0.82.0)
Nebraska
3.1
(1.95.0)
Nevada
2.7
(1.64.5)
New Hampshire

New Mexico
1.9
(1.42.6)
New York
2.2
(1.72.9)
North Carolina

North Dakota
0.5
(0.21.1)
Oklahoma
0.6
(0.21.7)
Pennsylvania
0.9
(0.51.5)
Rhode Island

South Carolina
0.4
(0.11.4)
South Dakota
1.8
(0.65.0)
Tennessee

Vermont

Virginia
1.1
(0.61.8)
West Virginia
2.1
(1.23.6)
Wyoming
2.9
(1.65.1)
Median
1.8
Range
(0.43.3)
Large urban school district surveys
Baltimore, MD
3.1
(1.95.0)
Boston, MA

Broward County, FL
3.2
(2.05.0)
Cleveland, OH

DeKalb County, GA
0.9
(0.41.8)
Detroit, MI
3.7
(2.75.2)
District of Columbia

Duval County, FL

Ft. Worth, TX
0.8
(0.41.6)
Houston, TX
3.2
(2.44.2)
Los Angeles, CA
1.3
(0.72.2)
Miami-Dade County, FL
0.9
(0.51.7)

Male
%

Offered, sold, or given an illegal drug on school property


Total

CI

Female
CI

CI

5.7

5.2
1.3
2.7
3.4

4.5
1.6
4.5
3.5

4.4

3.3
7.3

2.1
4.5
2.9

4.4
4.4

2.3
1.5
1.8

2.2
2.6

2.0
4.7
3.7

(3.68.9)

(3.77.2)
(0.53.1)
(1.64.6)
(2.25.1)

(3.65.7)
(0.93.1)
(2.96.9)
(1.77.1)

(4.14.8)

(2.24.7)
(5.210.0)

(1.52.8)
(2.77.4)
(1.46.2)

(3.65.4)
(3.06.4)

(1.53.6)
(0.73.1)
(1.13.0)

(1.14.2)
(1.44.9)

(1.42.9)
(3.07.4)
(2.55.4)
3.4
(1.37.3)

4.2

4.1
1.3
2.0
2.4

3.3
1.7
3.3
2.2

3.6

2.4
5.4

1.7
4.0
2.9

3.2
3.4

1.4
1.0
1.3

1.3
2.2

1.5
3.5
3.3

(3.15.7)

(3.35.0)
(0.72.2)
(1.33.1)
(1.73.3)

(2.84.0)
(1.22.4)
(2.34.6)
(1.14.3)

(3.33.8)

(1.73.3)
(4.27.1)

(1.32.2)
(2.75.8)
(1.94.5)

(2.73.8)
(2.64.6)

(0.92.2)
(0.52.0)
(0.92.1)

(0.72.7)
(1.14.5)

(1.12.1)
(2.45.0)
(2.25.0)
2.4
(1.05.4)

20.0

28.2
23.9
24.2
26.6
12.7
17.5
24.9
20.2
23.4
22.8
21.0
12.8
24.1
17.6
21.8
21.9

19.8
20.8
30.3
13.9
25.1

19.9
16.3
12.4
16.6

21.5
19.6

15.0
14.4
22.0
21.2

9.2

2.7

3.4
4.1

2.4
5.7
2.6
4.0

(6.213.4)

(1.64.7)

(2.15.2)
(2.66.2)

(1.63.6)
(4.47.3)
(1.44.7)
(2.75.9)

6.6

3.0

2.1
4.0

1.6
4.7
1.9
2.4

(4.79.3)

(2.14.4)

(1.43.2)
(3.05.2)

(1.12.3)
(3.85.9)
(1.23.2)
(1.73.5)

24.3
19.3
28.0

27.7
33.0

27.1
20.2
29.1
24.7
18.2

(16.124.7)

(25.731.0)
(21.326.8)
(20.927.9)
(23.430.2)
(10.615.1)
(16.119.0)
(22.227.7)
(16.124.9)
(19.827.4)
(18.927.2)
(18.024.4)
(11.813.9)
(23.424.8)
(15.619.7)
(18.325.7)
(18.525.7)

(17.921.7)
(17.324.8)
(25.935.2)
(12.615.3)
(23.326.9)

(15.924.6)
(13.919.0)
(9.915.4)
(14.319.2)

(16.826.9)
(15.724.3)

(14.315.7)
(12.616.4)
(18.126.5)
(17.425.6)
20.9
(12.430.3)
(20.828.1)
(16.722.2)
(24.431.8)

(24.930.7)
(29.836.4)

(24.829.4)
(17.822.8)
(26.531.8)
(22.227.5)
(15.321.6)

Male
%

Total
CI

29.3

30.6
30.3
27.4
30.3
18.1
19.2
25.9
22.8
27.7
22.2
20.5
16.2
28.1
22.9
28.9
25.3

23.6
19.1
29.3
19.0
29.9

28.5
20.0
17.3
22.0

24.0
18.4

21.1
16.7
29.6
22.7

(25.333.6)

(26.435.0)
(26.634.3)
(22.832.6)
(27.133.7)
(15.820.5)
(17.221.3)
(23.828.1)
(19.326.6)
(24.031.7)
(19.425.3)
(17.324.1)
(14.617.9)
(27.428.9)
(20.725.3)
(24.034.3)
(21.729.4)

(21.625.7)
(15.423.5)
(26.032.9)
(17.620.5)
(28.031.9)

(25.531.8)
(17.522.8)
(14.120.9)
(19.524.8)

(20.627.7)
(14.423.2)

(20.321.9)
(14.818.8)
(26.033.6)
(20.025.7)
23.2
(16.230.6)

26.1
21.7
33.2

33.0
36.5

31.0
22.7
31.2
30.1
25.7

(20.732.3)
(18.725.1)
(29.637.0)

(28.837.4)
(32.141.3)

(28.134.0)
(20.425.2)
(28.633.9)
(26.733.7)
(23.028.5)

CI

24.8

29.3
27.1
26.1
28.5
15.6
18.4
25.4
21.5
25.6
22.5
20.9
14.7
26.2
20.3
25.4
23.7

21.7
19.9
29.8
16.5
27.5

24.5
18.2
15.0
19.4

22.8
19.0

18.1
15.6
25.9
22.0

(21.528.5)

(26.632.0)
(24.130.3)
(22.430.2)
(25.831.3)
(14.017.3)
(17.119.8)
(23.527.4)
(18.824.5)
(22.628.8)
(20.324.9)
(18.423.5)
(13.615.8)
(25.626.7)
(18.622.2)
(22.129.1)
(20.926.6)

(20.223.3)
(16.923.2)
(26.833.1)
(15.617.5)
(25.929.2)

(21.428.0)
(16.520.1)
(12.817.4)
(17.421.6)

(19.926.0)
(15.423.2)

(17.618.6)
(14.117.1)
(22.929.2)
(19.225.0)
22.3
(14.729.8)

25.2
20.5
30.7

30.3
34.6

29.0
21.5
30.1
27.5
22.0

(21.828.9)
(18.522.7)
(28.033.5)

(27.533.2)
(31.637.6)

(27.230.8)
(19.823.4)
(28.232.0)
(24.830.3)
(19.924.2)

See table footnotes on the next page.

118

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 68. (Continued) Percentage of high school students who ever injected any illegal drug* and who were offered, sold, or given an illegal
drug on school property, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever injected any illegal drug
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

1.3

1.4
3.2
0.8
0.6

Male

CI
(0.91.9)

(0.72.9)
(2.24.6)
(0.32.0)
(0.31.4)

1.3
(0.63.7)

%
3.0

5.1
5.5
4.0
3.4

Offered, sold, or given an illegal drug on school property


Total

CI

(2.14.3)

(2.69.8)
(4.07.7)
(2.17.4)
(2.44.9)

4.0
(2.49.2)

2.2

3.3
4.9
2.5
2.1

Female
CI

(1.72.9)

(1.85.9)
(3.86.4)
(1.44.2)
(1.42.9)

2.5
(1.66.6)

Male

CI

30.3
18.9
23.4
26.8
25.2
22.5

(26.534.3)
(15.922.4)
(20.526.5)
(22.431.7)
(22.228.6)
(19.326.0)
24.9
(18.233.0)

Total
CI

30.6
22.7
27.5
25.4
29.7
24.4

(26.734.8)
(19.526.2)
(24.430.9)
(21.130.4)
(26.732.9)
(20.828.5)
28.6
(21.736.5)

CI

30.5
20.8
25.4
26.1
27.6
23.8

(27.833.3)
(18.723.0)
(22.928.1)
(22.430.2)
(25.729.5)
(21.226.6)
26.8
(20.534.6)

* Used a needle to inject any illegal drug into their body one or more times during their life.
During the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 69. Percentage of high school students who ever had sexual intercourse and who had sexual intercourse for the first time before age
13 years, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ever had sexual intercourse
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Had first sexual intercourse before age 13 years

Male

Total

Female

Male

Total

CI*

CI

CI

CI

CI

CI

40.3
37.4
39.8

(34.246.8)
(30.245.3)
(35.144.7)

39.5
58.8
45.1

(35.144.1)
(52.864.5)
(40.949.3)

39.9
48.5
42.5

(35.045.0)
(43.253.8)
(38.646.5)

1.6
4.3
3.1

(1.12.4)
(2.47.4)
(2.14.4)

3.5
12.1
6.8

(2.54.9)
(9.215.7)
(5.38.7)

2.5
8.3
5.0

(1.93.4)
(6.410.8)
(4.06.1)

20.7
33.5
48.2
57.2
39.2

(17.025.0)
(26.441.5)
(42.154.4)
(52.661.7)
(34.843.7)

27.3
37.9
51.2
59.0
43.2

(23.131.9)
(32.443.8)
(46.555.9)
(53.764.1)
(39.447.0)

24.1
35.7
49.6
58.1
41.2

(20.827.7)
(29.942.0)
(45.154.1)
(53.862.3)
(37.545.0)

2.5
2.7
1.6
1.7
2.2

(1.63.7)
(1.74.4)
(1.02.7)
(0.93.0)
(1.63.0)

4.6
6.8
4.8
5.5
5.6

(3.26.6)
(5.38.7)
(3.46.6)
(4.07.6)
(4.47.0)

3.6
4.7
3.2
3.6
3.9

(2.64.8)
(3.76.1)
(2.54.3)
(2.74.8)
(3.24.8)

* 95% confidence interval.


Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

119

Surveillance Summaries

TABLE 70. Percentage of high school students who ever had sexual intercourse and who had sexual intercourse for the first time before age
13 years, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever had sexual intercourse
Female
Site

CI*

State surveys
Alabama
43.6 (37.449.9)
Alaska
35.0 (30.440.0)
Arizona
37.7 (30.945.0)
Arkansas
44.7 (36.553.2)
California
28.5 (24.932.4)
Connecticut
31.3 (26.936.1)
Delaware
43.5 (38.348.9)
Florida
35.7 (33.038.4)
Hawaii

Idaho
35.7 (30.541.2)
Illinois
35.8 (29.043.2)
Indiana
41.7 (36.047.7)
Kentucky
41.4 (36.446.6)
Maine
39.7 (36.642.9)
Maryland
29.8 (28.731.0)
Massachusetts
34.5 (30.838.4)
Michigan
34.7 (29.540.3)
Mississippi
44.0 (38.050.1)
Missouri
35.1 (31.339.1)
Montana
44.5 (41.048.0)
Nebraska
31.7 (27.036.8)
Nevada
39.6 (34.145.3)
New Hampshire
38.7 (36.241.4)
New Mexico
35.1 (32.637.6)
New York
29.6 (24.335.5)
North Carolina
41.4 (37.445.4)
North Dakota
38.6 (34.343.1)
Oklahoma
40.8 (35.346.6)
Pennsylvania
35.3 (30.540.3)
Rhode Island
36.3 (32.640.0)
South Carolina
37.0 (29.844.8)
South Dakota
34.9 (27.343.3)
Tennessee

Vermont

Virginia

West Virginia
49.0 (42.156.0)
Wyoming
42.5 (37.847.4)
Median
37.0
Range
(28.549.0)
Large urban school district surveys
Baltimore, MD
39.0 (31.247.3)
Boston, MA
37.6 (32.043.5)
Broward County, FL
36.6 (31.841.7)
Cleveland, OH
44.6 (39.450.0)
DeKalb County, GA
33.7 (28.939.0)
Detroit, MI
34.2 (29.039.9)
District of Columbia
32.7 (31.334.1)
Duval County, FL
34.0 (30.737.4)
Ft. Worth, TX
35.1 (31.439.1)
Houston, TX
32.2 (28.935.7)
Los Angeles, CA
22.9 (17.928.8)
Miami-Dade County, FL
33.3 (29.037.9)

Had first sexual intercourse before age 13 years

Male
%

Total
CI

49.5
36.7
41.2
47.3
36.0
34.5
49.2
44.9

38.9
41.6
41.6
42.3
38.2
35.0
38.3
36.8
52.6
41.2
43.6
32.9
40.7
39.8
39.0
31.5
45.8
39.2
46.3
37.3
37.0
43.6
39.4

44.4
41.3

(43.755.4)
(32.041.7)
(35.347.3)
(38.856.0)
(29.842.7)
(29.839.5)
(43.854.7)
(41.947.9)

(32.845.3)
(32.950.8)
(34.249.4)
(36.448.4)
(35.940.6)
(33.736.3)
(33.343.6)
(32.341.5)
(47.757.4)
(36.646.0)
(40.446.8)
(28.337.8)
(33.748.0)
(37.542.2)
(36.441.8)
(26.836.5)
(41.550.1)
(35.543.1)
(40.751.9)
(32.742.1)
(32.142.2)
(35.252.4)
(30.449.1)

(38.950.0)
(37.345.3)
40.7
(31.552.6)

62.0
46.3
43.4
57.4
46.0
57.0
50.9
39.8
43.9
42.0
32.7
43.8

(52.970.2)
(41.850.9)
(38.448.5)
(52.162.5)
(42.249.8)
(50.463.4)
(49.252.7)
(36.343.4)
(39.748.1)
(38.645.4)
(28.037.7)
(39.648.1)

Female
CI

46.3
35.9
39.4
46.0
32.3
33.0
46.8
40.3

37.3
38.6
41.7
41.7
39.0
32.4
36.4
35.8
48.0
37.7
44.0
32.5
40.1
39.4
37.1
30.4
43.5
38.9
43.6
36.3
36.7
40.3
37.2

46.7
41.9

(41.251.6)
(32.339.8)
(33.445.8)
(39.552.6)
(28.037.0)
(29.037.2)
(42.151.5)
(37.942.7)

(32.542.5)
(31.646.2)
(36.047.7)
(37.446.2)
(36.441.7)
(31.333.4)
(32.440.6)
(31.939.8)
(43.352.8)
(34.241.4)
(41.147.0)
(28.636.6)
(34.845.7)
(37.441.5)
(34.939.2)
(26.235.1)
(39.847.2)
(35.842.1)
(39.148.2)
(32.040.8)
(33.440.1)
(33.147.9)
(30.244.8)

(41.052.5)
(38.545.4)
39.0
(30.448.0)

49.5
41.8
39.9
51.0
39.6
44.1
40.9
36.7
39.5
37.1
27.6
38.4

(42.956.0)
(37.746.0)
(36.243.8)
(46.655.4)
(35.943.5)
(39.648.8)
(39.842.0)
(34.139.3)
(36.242.8)
(34.439.9)
(22.932.8)
(34.742.2)

CI

Male
%

3.8
2.0
2.8
2.7
2.6
1.3
2.4
2.2
2.5
1.6
1.4
2.5
4.1
2.0
2.4
1.6
2.0
3.8
2.9
2.5
2.1
2.0
1.9
2.7
1.5
2.5
0.9
2.1
2.4
1.3
2.4
2.6

2.0

4.1
3.1

(2.46.0)
(1.03.9)
(1.74.6)
(1.54.7)
(1.25.5)
(0.72.4)
(1.63.7)
(1.62.9)
(1.83.5)
(1.02.6)
(0.82.5)
(1.63.9)
(3.05.6)
(1.62.4)
(2.22.6)
(1.02.5)
(1.13.7)
(2.55.6)
(1.65.1)
(1.83.4)
(1.13.7)
(1.23.3)
(1.52.4)
(2.13.4)
(1.12.2)
(1.44.4)
(0.51.6)
(1.33.3)
(1.53.8)
(0.72.6)
(1.44.3)
(1.06.7)

(1.72.3)

(2.85.9)
(2.04.8)
2.4
(0.94.1)

10.4
5.2
3.5
9.3
3.6
4.0
10.9
9.1
4.4
4.8
5.2
3.4
5.4
3.6
7.8
4.3
4.2
13.3
5.3
3.6
4.5
4.0
3.6
6.0
6.0
7.8
4.3
5.7
5.3
4.4
10.5
3.8

4.4

6.2
4.7

4.9
2.2
2.6
3.7
2.8
2.9
3.5
2.7
1.7
2.2
2.0
1.1

(3.37.1)
(1.23.8)
(1.54.3)
(2.36.0)
(1.84.4)
(1.94.3)
(2.94.1)
(1.93.8)
(1.12.6)
(1.53.3)
(1.13.6)
(0.71.8)

20.1
10.5
8.2
17.5
12.5
17.1
20.1
8.7
8.2
8.9
5.7
9.3

Total
CI

CI

6.9
3.7
3.2
5.9
3.1
2.7
6.8
5.6
3.5
3.2
3.2
3.0
4.8
2.9
5.0
2.9
3.1
8.3
4.1
3.1
3.3
3.0
2.8
4.3
3.7
5.1
2.6
3.8
3.8
2.9
6.3
3.3

3.3

5.1
3.9

(5.49.0)
(2.65.2)
(2.54.2)
(4.28.0)
(2.04.9)
(1.93.8)
(5.38.8)
(4.76.7)
(2.94.2)
(2.44.3)
(2.14.9)
(2.14.2)
(3.76.2)
(2.53.4)
(4.75.4)
(2.23.8)
(2.14.6)
(6.710.2)
(3.15.3)
(2.53.8)
(2.34.8)
(2.04.5)
(2.43.2)
(3.85.0)
(2.75.0)
(3.86.7)
(1.93.6)
(2.16.7)
(2.95.0)
(1.74.7)
(4.68.7)
(1.76.3)

(3.03.5)

(3.86.9)
(2.85.4)
3.5
(2.68.3)

(15.525.7) 12.2
(8.113.6)
6.2
(5.911.1)
5.3
(14.121.5) 10.5
(10.315.2)
7.4
(12.223.4)
9.1
(18.721.6) 11.0
(6.911.1)
5.7
(6.310.6)
4.9
(7.211.0)
5.5
(3.98.4)
3.8
(7.611.4)
5.2

(9.615.4)
(4.97.9)
(4.16.8)
(8.612.6)
(6.09.1)
(6.812.1)
(10.311.8)
(4.66.9)
(3.86.2)
(4.56.8)
(2.85.0)
(4.26.4)

(7.813.9)
(3.57.8)
(2.74.7)
(6.613.1)
(2.45.6)
(2.66.0)
(8.114.6)
(7.511.0)
(3.55.3)
(3.66.3)
(3.28.2)
(2.15.3)
(3.67.9)
(2.84.5)
(7.28.4)
(3.25.9)
(2.86.2)
(10.416.9)
(3.87.5)
(2.94.5)
(2.97.0)
(2.36.8)
(3.04.2)
(5.27.0)
(4.38.4)
(5.910.1)
(3.06.1)
(2.612.0)
(4.07.0)
(2.47.7)
(7.215.1)
(2.07.1)

(4.04.9)

(4.38.9)
(3.36.7)
4.8
(3.413.3)

See table footnotes on the next page.

120

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 70. (Continued) Percentage of high school students who ever had sexual intercourse and who had sexual intercourse for the first time
before age 13 years, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ever had sexual intercourse
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Had first sexual intercourse before age 13 years

Male

CI*

24.3
29.5
31.6
38.1
47.9
27.8
26.1

(20.928.1)
(24.235.3)
(26.936.7)
(34.042.4)
(40.955.0)
(23.033.1)
(21.231.7)
33.7
(22.947.9)

Total
CI

30.4
44.6
42.7
44.6
57.5
36.0
25.7

(26.035.2)
(39.350.0)
(37.248.3)
(40.548.7)
(49.565.0)
(31.440.9)
(21.230.7)
43.9
(25.762.0)

Female
CI

27.2
37.2
37.1
41.3
52.4
32.0
25.9

(23.730.9)
(32.941.6)
(32.941.5)
(37.944.8)
(45.659.1)
(27.836.5)
(21.730.5)
39.5
(25.952.4)

1.5
1.7
1.3
3.3
5.4
1.2
1.4

Male

CI

(1.02.2)
(0.93.0)
(0.72.5)
(2.24.7)
(3.48.6)
(0.72.1)
(0.72.5)
2.2
(1.15.4)

Total
CI

7.5
12.7
9.6
8.8
14.5
5.6
3.9

%
4.4
7.3
5.3
6.1
9.7
3.5
2.7

(5.410.1)
(9.816.5)
(6.913.3)
(7.011.1)
(11.118.7)
(4.07.7)
(2.65.8)
9.3
(3.920.1)

CI
(3.35.8)
(5.79.2)
(3.97.2)
(5.07.5)
(7.911.9)
(2.64.6)
(1.93.8)
5.7
(2.712.2)

* 95% confidence interval.


Not available.

TABLE 71. Percentage of high school students who had sexual intercourse with four or more persons during their life and who were currently
sexually active,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Had sexual intercourse with four or more persons during their life
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Currently sexually active

Total

CI

CI

9.2
9.2
6.7

(7.111.9)
(6.512.8)
(5.28.6)

10.6
28.2
15.3

(8.513.1)
(23.733.2)
(12.818.1)

9.9
19.0
11.0

3.0
6.0
10.7
16.1
8.8

(2.14.4)
(4.18.7)
(8.613.1)
(12.420.7)
(7.210.6)

6.7
12.1
16.0
22.4
14.1

(4.79.4)
(9.814.8)
(12.819.9)
(18.427.0)
(12.016.6)

4.9
9.0
13.4
19.2
11.5

Female
CI

Male

Total

CI

CI

CI

(8.112.0)
(15.722.9)
(9.313.1)

31.4
25.7
30.1

(26.736.6)
(20.331.9)
(26.234.2)

29.1
40.0
30.5

(26.332.1)
(34.745.5)
(27.533.7)

30.3
33.1
30.3

(26.734.0)
(28.737.8)
(27.333.5)

(3.76.5)
(7.111.3)
(11.315.8)
(16.222.6)
(9.913.3)

14.0
24.7
36.7
46.5
29.8

(11.516.8)
(19.630.6)
(31.841.9)
(42.251.0)
(26.533.4)

17.3
26.4
34.5
45.4
30.3

(14.620.4)
(22.530.7)
(30.738.6)
(41.149.7)
(27.932.9)

15.7
25.5
35.5
46.0
30.1

(13.518.1)
(21.529.9)
(31.739.4)
(42.349.7)
(27.432.9)

* Had sexual intercourse with at least one person during the 3 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

121

Surveillance Summaries

TABLE 72. Percentage of high school students who had sexual intercourse with four or more persons during their life and who were currently
sexually active,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Had sexual intercourse with four or more persons
during their life
Female
Site

CI

State surveys
Alabama
11.7
(9.214.8)
Alaska
7.0
(4.810.1)
Arizona
10.2
(6.615.5)
Arkansas
12.9 (10.216.2)
California
5.1
(3.96.8)
Connecticut
5.3
(3.67.9)
Delaware
8.8
(6.112.7)
Florida
6.2
(5.37.4)
Hawaii
7.0
(5.48.9)
Idaho

Illinois
7.0
(4.810.1)
Indiana
8.0
(5.810.9)
Kentucky
10.2
(7.414.0)
Maine
8.1
(7.19.2)
Maryland
5.9
(5.56.4)
Massachusetts
6.0
(4.67.8)
Michigan
8.2
(5.512.0)
Mississippi
12.0
(8.816.2)
Missouri

Montana
12.3 (10.514.2)
Nebraska
7.1
(5.09.9)
Nevada
8.7
(5.912.5)
New Hampshire

New Mexico
6.5
(5.77.5)
New York
5.9
(4.47.7)
North Carolina
9.1
(6.812.2)
North Dakota

Oklahoma
8.4
(6.011.5)
Pennsylvania
7.9
(5.910.5)
Rhode Island
6.0
(4.57.9)
South Carolina
4.9
(3.47.0)
South Dakota
10.9
(6.917.0)
Tennessee

Vermont
9.5
(8.910.1)
Virginia

West Virginia
11.3
(8.514.9)
Wyoming
12.4
(9.416.2)
Median
8.1
Range
(4.912.9)
Large urban school district surveys
Baltimore, MD
8.5
(5.513.1)
Boston, MA
6.1
(4.28.9)
Broward County, FL
7.3
(5.010.6)
Cleveland, OH
9.3
(6.912.5)
DeKalb County, GA
6.8
(5.28.8)
Detroit, MI
5.5
(4.07.6)
District of Columbia
5.9
(5.26.6)
Duval County, FL
7.4
(5.89.4)
Ft. Worth, TX
5.1
(3.96.6)
Houston, TX
6.3
(4.88.3)
Los Angeles, CA
2.3
(1.33.9)
Miami-Dade County, FL
4.6
(3.46.2)

Male
%

Total
CI

19.5
10.4
10.8
19.3
10.4
7.1
16.4
16.5
6.5

11.1
9.1
10.6
8.2
11.4
9.8
9.5
19.4

14.6
9.0
12.8

11.0
8.7
15.8

17.9
12.8
8.8
12.8
14.2

10.4

15.4
13.3

(14.925.0)
(8.312.9)
(7.415.6)
(14.725.0)
(7.414.6)
(5.39.5)
(12.820.8)
(14.418.9)
(5.47.8)

(7.516.2)
(6.313.0)
(7.714.5)
(7.09.6)
(10.812.2)
(7.512.7)
(7.212.4)
(16.123.2)

(12.017.7)
(6.512.4)
(9.117.6)

(9.712.5)
(6.312.0)
(11.721.0)

(14.222.4)
(10.016.2)
(5.713.3)
(8.419.2)
(9.021.7)

(9.811.0)

(12.219.4)
(10.716.4)
11.1
(6.519.5)

27.5
17.8
13.7
27.5
17.1
21.6
23.4
13.6
16.5
16.2
9.5
17.5

Currently sexually active

(20.136.3)
(14.621.7)
(10.717.4)
(23.132.3)
(14.520.1)
(17.426.6)
(21.925.0)
(11.016.8)
(14.219.0)
(13.918.8)
(6.913.0)
(14.920.5)

Female
CI

15.4
8.8
10.6
16.0
7.8
6.2
12.9
11.4
6.8

9.0
8.7
10.4
8.2
8.6
7.9
8.8
15.5

13.4
8.0
10.7

8.7
7.2
12.5

13.1
10.3
7.4
8.7
12.6

10.0

13.4
12.9

(12.718.6)
(7.011.0)
(7.614.5)
(12.919.6)
(5.810.5)
(4.97.8)
(10.216.2)
(10.112.9)
(5.68.2)

(6.811.8)
(6.411.5)
(8.213.1)
(7.29.3)
(8.29.1)
(6.210.0)
(6.611.6)
(13.118.1)

(11.715.4)
(6.310.1)
(8.213.9)

(7.99.6)
(5.59.4)
(9.915.8)

(10.316.5)
(8.212.8)
(6.08.9)
(6.312.0)
(8.817.8)

(9.610.5)

(11.016.1)
(10.515.7)
10.0
(6.216.0)

17.0
11.7
10.6
18.2
11.7
12.5
13.8
10.3
10.7
11.3
5.7
11.0

(12.223.0)
(9.814.0)
(8.513.1)
(15.521.2)
(9.813.8)
(10.415.0)
(13.014.6)
(8.712.1)
(9.312.2)
(9.613.2)
(4.37.5)
(9.213.0)

CI

34.9
26.5
28.9
34.1
23.1
25.1
34.3
25.5
25.4
30.1
28.7
32.7
29.6
30.7
22.1
27.9
27.4
32.7
26.1
34.9
26.2
27.5
32.0
25.5
24.3
32.4
30.5
31.3
26.5
28.3
26.7
26.6

32.7

39.0
33.7

(29.940.2)
(22.431.0)
(22.536.3)
(27.840.9)
(19.926.7)
(21.529.1)
(29.239.8)
(23.427.8)
(22.528.4)
(25.235.5)
(23.135.1)
(27.338.7)
(24.135.7)
(28.033.5)
(21.223.0)
(24.631.4)
(22.533.0)
(27.838.1)
(22.330.2)
(31.738.2)
(22.230.7)
(22.932.7)
(29.834.4)
(23.427.6)
(20.029.2)
(29.535.5)
(26.534.8)
(26.336.8)
(22.231.4)
(24.932.0)
(20.534.1)
(21.632.4)

(31.833.7)

(33.045.4)
(29.238.5)
28.7
(22.139.0)

28.8
28.6
27.2
31.4
22.7
23.9
24.2
24.2
25.3
22.3
16.8
24.2

(21.737.1)
(23.534.3)
(22.832.1)
(26.636.6)
(18.827.2)
(19.528.9)
(22.925.5)
(21.327.4)
(22.228.7)
(19.625.2)
(13.221.1)
(20.828.1)

Male
%

Total
CI

34.8
24.5
29.1
34.1
25.1
21.4
31.6
29.3
18.9
29.5
30.6
30.7
31.0
26.2
23.0
27.6
23.8
35.2
29.2
30.0
23.4
26.4
30.4
24.6
22.8
33.0
28.9
31.0
26.8
23.0
28.2
28.1

29.6

31.8
29.1

(29.940.1)
(20.129.6)
(24.334.4)
(27.841.0)
(18.732.9)
(17.625.8)
(27.436.2)
(26.831.9)
(16.222.0)
(24.834.6)
(23.239.1)
(25.236.8)
(26.336.2)
(24.428.0)
(22.124.0)
(23.332.3)
(20.028.0)
(31.439.2)
(25.633.2)
(27.532.6)
(19.228.2)
(20.433.4)
(28.432.4)
(22.526.9)
(19.127.0)
(29.536.6)
(25.632.4)
(25.537.1)
(22.431.8)
(20.625.6)
(20.837.0)
(20.637.2)

(28.730.5)

(26.737.3)
(25.532.9)
29.1
(18.935.2)

42.1
31.5
27.8
38.9
27.4
32.9
33.1
27.0
28.9
26.6
21.0
28.5

(32.652.3)
(27.236.1)
(23.632.3)
(33.944.2)
(23.831.4)
(27.638.5)
(31.434.8)
(23.530.7)
(25.932.1)
(23.829.5)
(17.225.5)
(24.932.4)

CI

34.9
25.6
29.0
34.1
24.2
23.3
33.5
27.5
22.3
29.8
29.7
31.7
30.3
28.5
22.6
27.7
25.6
33.8
27.5
32.3
24.9
27.0
31.3
25.1
23.6
32.7
29.7
31.0
26.7
25.7
27.6
27.5

31.2

35.5
31.5

(30.839.3)
(22.728.8)
(23.735.1)
(29.539.0)
(20.029.0)
(20.126.9)
(29.437.9)
(25.529.6)
(20.324.5)
(25.834.1)
(24.235.8)
(27.136.7)
(26.334.6)
(26.530.6)
(21.823.4)
(24.431.3)
(22.229.4)
(30.437.5)
(24.330.9)
(29.934.8)
(21.428.7)
(22.332.2)
(29.533.0)
(23.426.9)
(20.327.2)
(30.335.2)
(26.832.7)
(26.735.7)
(22.731.1)
(23.028.6)
(21.734.4)
(22.133.6)

(30.631.9)

(30.440.9)
(28.234.9)
28.5
(22.335.5)

34.9
29.9
27.6
35.2
25.0
27.8
28.2
25.6
27.1
24.4
18.8
26.3

(28.741.6)
(26.533.7)
(24.231.2)
(31.339.3)
(21.728.5)
(24.032.1)
(27.229.3)
(23.128.3)
(24.529.8)
(22.226.7)
(15.323.0)
(23.329.5)

See table footnotes on the next page.

122

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 72. (Continued) Percentage of high school students who had sexual intercourse with four or more persons during their life and who
were currently sexually active,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Had sexual intercourse with four or more persons
during their life
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

4.3
5.7
4.2
8.6
11.3
3.1

Male

CI

Site

(3.25.8)
(3.98.3)
(2.96.1)
(6.710.9)
(8.414.9)
(2.14.4)

6.0
(2.311.3)

11.4
16.5
15.4
15.8
28.6
10.5

Currently sexually active

Total
CI

(8.714.7)
(13.120.6)
(11.919.7)
(13.118.9)
(22.435.8)
(8.612.7)

16.5
(9.528.6)

Female
CI

7.6
(6.09.8)
11.2
(9.113.6)
9.7
(7.712.1)
12.2 (10.414.2)
19.4 (15.723.8)
6.8
(5.68.2)

11.2
(5.719.4)

Male

CI

18.5
20.8
22.6
30.0
35.5
20.4
20.1

(15.422.0)
(16.825.4)
(18.826.8)
(26.433.8)
(29.841.7)
(16.425.0)
(16.124.9)
24.2
(16.835.5)

Total
CI

19.1
26.6
26.2
30.9
39.1
24.4
17.4

(15.723.0)
(22.331.5)
(22.030.9)
(27.135.0)
(32.246.4)
(20.229.0)
(13.621.9)
27.8
(17.442.1)

CI

18.7
23.9
24.4
30.6
37.2
22.3
18.7

(15.921.9)
(20.827.3)
(21.127.9)
(27.733.7)
(31.543.2)
(18.926.2)
(15.222.9)
26.3
(18.737.2)

* Had sexual intercourse with at least one person during the 3 months before the survey.
95% confidence interval.
Not available.

TABLE 73. Percentage of high school students who used a condom during last sexual intercourse* and who used birth control pills before last
sexual intercourse,*, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Condom use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Birth control pill use

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

55.9
46.7
48.3

(51.260.4)
(38.754.8)
(41.455.3)

58.1
73.6
62.5

(52.863.3)
(63.781.7)
(57.167.7)

56.8
63.4
55.6

(52.561.1)
(56.569.7)
(51.959.1)

25.4
9.0
15.4

(21.230.3)
(4.816.4)
(11.021.2)

21.4
9.0
8.1

(18.125.0)
(6.013.2)
(5.711.4)

23.5
9.0
11.8

(20.426.9)
(6.412.4)
(8.815.7)

56.7
54.0
52.9
48.8
52.0

(49.363.8)
(47.060.8)
(46.859.0)
(44.053.6)
(48.955.2)

63.3
65.6
62.5
57.4
61.5

(54.871.1)
(57.872.7)
(55.968.7)
(51.663.0)
(57.565.4)

60.5
59.9
57.7
52.9
56.9

(54.865.9)
(54.265.4)
(52.962.2)
(48.757.1)
(53.959.8)

11.2
20.2
23.9
23.2
21.3

(7.316.7)
(15.925.3)
(19.229.3)
(17.929.5)
(18.624.2)

10.8
11.6
19.1
16.9
15.2

(6.916.7)
(8.016.6)
(15.223.6)
(12.921.8)
(12.917.8)

10.9
15.9
21.5
20.1
18.2

(7.815.1)
(13.019.2)
(18.025.5)
(16.124.7)
(16.120.5)

* Among the 30.1% of students nationwide who were currently sexually active.
To prevent pregnancy.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

123

Surveillance Summaries

TABLE 74. Percentage of high school students who used a condom during last sexual intercourse* and who used birth control pills before last
sexual intercourse,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Condom use
Female
Site

CI

State surveys
Alabama
42.8 (33.353.0)
Alaska
54.1 (46.162.0)
Arizona
51.8 (40.962.5)
Arkansas
46.8 (40.852.9)
California
55.8 (43.467.4)
Connecticut
53.6 (46.360.8)
Delaware
48.0 (39.956.2)
Florida
56.2 (52.260.2)
Hawaii
44.8 (41.148.7)
Idaho
57.1 (48.964.9)
Illinois
57.9 (53.062.7)
Indiana
51.3 (44.358.2)
Kentucky
43.8 (35.652.3)
Maine
54.0 (50.057.9)
Maryland
55.6 (53.957.4)
Massachusetts
57.4 (51.663.0)
Michigan
53.5 (43.962.8)
Mississippi
54.1 (45.362.7)
Missouri
53.5 (45.061.9)
Montana
55.4 (51.559.3)
Nebraska
56.3 (48.064.3)
Nevada
49.2 (40.458.1)
New Hampshire
55.9 (52.958.9)
New Mexico
45.4 (41.349.6)
New York
55.6 (49.361.7)
North Carolina
55.5 (48.362.5)
North Dakota
60.2 (53.366.7)
Oklahoma
56.7 (46.166.7)
Pennsylvania
54.8 (49.260.3)
Rhode Island
57.7 (50.564.6)
South Carolina
49.8 (36.862.8)
South Dakota
61.8 (48.573.5)
Tennessee

Vermont
54.8 (53.056.5)
Virginia

West Virginia
47.1 (41.752.6)
Wyoming
48.3 (40.955.7)
Median
54.1
Range
(42.861.8)
Large urban school district surveys
Baltimore, MD
54.2 (43.664.5)
Boston, MA
48.9 (40.757.1)
Broward County, FL
55.6 (47.763.3)
Cleveland, OH
48.2 (40.056.6)
DeKalb County, GA
53.6 (45.861.2)
Detroit, MI
56.9 (47.965.5)
District of Columbia
57.5 (54.360.6)
Duval County, FL
53.2 (46.260.1)
Ft. Worth, TX
43.7 (36.950.7)
Houston, TX
48.2 (41.555.0)
Los Angeles, CA
54.4 (42.765.6)
Miami-Dade County, FL
60.0 (52.767.0)

Birth control pill use

Male
%

Total
CI

58.9
69.8
59.0
59.6
57.9
66.6
66.3
67.1
53.9
59.8
54.7
55.6
64.6
62.7
67.3
67.6
62.0
57.6
59.8
63.6
58.4
58.5
65.1
59.5
61.2
65.3
62.5
63.2
71.8
66.3
68.0
63.5

62.0

57.3
58.0

(49.068.1)
(62.776.2)
(48.768.5)
(44.872.8)
(47.567.5)
(59.572.9)
(59.672.4)
(62.371.6)
(43.863.7)
(52.766.6)
(48.460.9)
(43.767.0)
(56.971.6)
(59.565.8)
(65.568.9)
(63.471.5)
(52.370.8)
(48.566.2)
(50.768.3)
(57.968.9)
(49.067.2)
(50.366.2)
(61.768.5)
(55.663.2)
(57.165.2)
(57.172.7)
(55.569.0)
(52.572.8)
(64.278.3)
(57.773.9)
(58.276.4)
(47.976.7)

(60.263.8)

(48.765.5)
(52.563.2)
62.0
(53.971.8)

67.4
72.5
67.9
61.9
76.4
80.8
75.2
67.0
65.9
67.5
69.0
68.0

(58.775.0)
(65.378.8)
(60.074.9)
(53.369.7)
(68.083.2)
(73.786.3)
(72.377.9)
(61.272.2)
(60.271.2)
(61.672.9)
(61.975.4)
(62.473.1)

Female
CI

50.9
61.9
55.1
52.7
56.8
59.4
57.0
61.7
48.4
58.3
56.2
53.4
53.9
57.9
61.3
62.5
57.2
55.8
56.4
59.2
57.0
53.7
60.2
52.1
58.1
60.5
61.4
59.9
63.3
61.4
58.9
62.7

58.2

51.5
52.7

(43.158.7)
(56.067.5)
(46.963.1)
(46.658.7)
(50.462.9)
(53.465.1)
(51.662.3)
(58.464.9)
(43.753.1)
(52.963.5)
(52.459.9)
(45.960.8)
(47.460.3)
(55.060.7)
(60.062.5)
(58.965.9)
(50.663.6)
(49.961.6)
(48.564.0)
(55.662.8)
(49.963.8)
(47.260.1)
(57.762.6)
(49.055.2)
(53.762.4)
(54.865.9)
(56.566.0)
(51.068.3)
(58.667.7)
(55.067.4)
(49.567.7)
(51.073.1)

(57.059.5)

(46.356.6)
(48.057.3)
57.9
(48.463.3)

61.1
60.6
61.5
55.5
65.0
68.9
66.6
59.8
55.4
58.5
62.3
64.2

(55.266.7)
(54.966.0)
(55.267.3)
(48.961.8)
(58.970.7)
(63.174.2)
(64.468.7)
(55.564.1)
(51.159.7)
(54.362.6)
(55.069.0)
(59.668.5)

CI

24.3
23.4
20.1
20.1
14.3
30.8
23.1
15.8
18.6

30.9
26.3
26.1
35.6
21.8
31.6
22.7
19.9
27.1
28.9
24.6
23.9
38.2
16.7
24.9
18.9

16.3
24.6
25.6
22.6
29.8

38.5

34.5
25.7

(17.732.5)
(17.530.5)
(12.330.9)
(15.925.2)
(9.022.0)
(23.539.2)
(18.128.9)
(12.819.4)
(14.223.9)

(19.645.1)
(17.936.9)
(19.634.0)
(32.938.3)
(20.423.3)
(26.337.4)
(15.831.4)
(14.227.2)
(19.037.1)
(25.632.4)
(17.633.2)
(14.536.6)
(34.841.7)
(13.919.9)
(19.231.7)
(12.327.8)

(10.125.4)
(18.931.2)
(19.832.6)
(15.032.6)
(21.939.0)

(36.840.3)

(28.940.6)
(19.832.7)
24.6
(14.338.5)

17.1
23.0
13.2
16.4
13.4
10.2
8.0
16.0
12.1
8.5
8.9
9.6

(10.526.5)
(16.730.7)
(8.220.5)
(12.022.0)
(9.219.1)
(6.415.8)
(6.59.8)
(12.121.0)
(8.516.9)
(5.912.2)
(4.217.9)
(6.713.6)

Male
%

Total
CI

12.9
14.4
21.1
15.0
12.1
21.9
12.5
11.4
13.8

17.4
13.8
18.7
28.9
13.3
25.2
24.0
16.4
18.8
25.0
16.5
16.7
27.1
13.0
18.7
19.0

13.4
15.2
28.8
18.2
25.3

30.2

19.9
15.1

(8.818.4)
(9.321.6)
(13.631.2)
(8.924.1)
(8.017.9)
(16.229.0)
(8.817.5)
(9.613.5)
(9.919.0)

(12.024.5)
(8.920.6)
(14.324.1)
(25.532.5)
(12.314.5)
(20.131.2)
(15.135.8)
(11.223.3)
(10.930.6)
(21.628.7)
(10.824.4)
(10.026.7)
(24.729.7)
(10.416.2)
(13.525.3)
(14.324.8)

(9.019.5)
(9.922.5)
(18.641.6)
(11.527.6)
(14.939.6)

(28.532.0)

(15.125.6)
(11.020.4)
17.4
(11.430.2)

12.3
14.3
14.5
10.9
11.1
6.8
7.4
13.3
10.2
4.9
5.8
6.5

(6.621.8)
(9.321.2)
(9.721.2)
(7.116.4)
(7.316.6)
(3.811.9)
(5.99.3)
(9.718.0)
(6.914.7)
(2.78.9)
(3.79.0)
(4.39.7)

CI

18.8
18.9
20.7
17.8
13.1
26.8
18.0
13.6
16.7

24.0
20.2
22.4
32.4
17.7
28.4
23.3
18.3
22.9
27.1
20.7
20.4
32.7
14.9
22.1
18.9

14.9
19.9
26.9
20.3
27.3

34.6

28.2
20.9

(14.823.5)
(14.724.0)
(13.530.2)
(13.922.5)
(10.516.1)
(21.632.7)
(14.721.8)
(11.715.8)
(13.220.8)

(17.232.5)
(14.227.8)
(18.526.7)
(29.935.1)
(16.718.8)
(24.532.6)
(18.129.4)
(14.622.5)
(17.429.4)
(24.330.1)
(16.226.0)
(13.629.4)
(30.634.9)
(13.017.0)
(17.926.9)
(15.123.4)

(10.520.6)
(15.325.5)
(19.735.6)
(14.627.4)
(20.535.4)

(33.435.9)

(23.733.2)
(16.426.2)
20.7
(13.134.6)

14.3
18.6
13.8
13.4
12.2
8.7
7.7
14.9
11.1
6.8
7.2
8.0

(9.820.5)
(14.523.6)
(10.118.4)
(10.217.3)
(9.216.0)
(6.112.3)
(6.68.9)
(12.118.1)
(8.414.5)
(5.19.0)
(4.112.3)
(6.010.4)

See table footnotes on the next page.

124

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 74. (Continued) Percentage of high school students who used a condom during last sexual intercourse* and who used birth control pills
before last sexual intercourse,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Condom use
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

Birth control pill use

55.3
52.6
48.3
57.1
46.8
59.2
47.6

(48.861.7)
(43.161.9)
(40.356.2)
(50.863.1)
(39.654.1)
(52.066.1)
(35.060.5)
53.6
(43.760.0)

Total
CI

69.9
67.1
66.5
64.2
65.3
58.9
68.9

(66.073.5)
(58.474.8)
(58.174.0)
(57.970.0)
(58.171.8)
(50.966.5)
(57.978.1)
67.5
(58.980.8)

Female
CI

62.2
60.6
58.3
60.2
55.9
59.0
57.7

(58.066.3)
(53.966.9)
(52.064.4)
(55.864.5)
(50.960.8)
(54.663.3)
(49.265.7)
60.6
(55.468.9)

13.4

14.0
15.6
13.5
18.8
14.7

Male

CI

(11.016.4)

(8.921.1)
(11.420.9)
(9.818.3)
(13.425.7)
(8.623.9)
13.4
(8.023.0)

Total
CI

11.5

8.7
15.3
8.8
16.1
8.6

(7.816.7)

(4.815.2)
(10.421.9)
(5.513.9)
(11.921.3)
(5.313.8)
10.5
(4.916.1)

CI

12.5

11.1
15.5
11.2
17.3
11.8

(10.215.2)

(7.915.3)
(11.919.8)
(8.614.5)
(13.621.7)
(7.717.7)
12.0
(6.818.6)

* Among students who were currently sexually active.


To prevent pregnancy.
95% confidence interval.
Not available.

TABLE 75. Percentage of high school students who used an IUD* or implant before last sexual intercourse and who used a shot, patch,** or
birth control ring before last sexual intercourse, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
IUD or implant use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Shot, patch, or birth control ring use

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

4.8
3.7
4.0

(3.07.5)
(1.87.3)
(2.27.3)

2.9
1.1
1.7

(1.84.4)
(0.17.1)
(0.74.1)

3.9
2.1
2.9

(2.85.4)
(1.04.4)
(1.84.5)

8.9
7.8
3.7

(6.711.9)
(5.211.6)
(2.45.7)

2.7
3.1
2.5

(1.84.2)
(1.46.9)
(1.44.3)

6.0
4.9
3.1

(4.67.7)
(3.07.8)
(2.04.8)

3.8
4.1
4.9
4.7
4.5

(1.211.8)
(1.98.8)
(3.17.8)
(2.97.7)
(3.26.4)

0.8
1.5
2.9
2.8
2.2

(0.16.1)
(0.63.6)
(1.45.7)
(1.64.9)
(1.53.2)

2.1
2.8
3.9
3.8
3.3

(0.85.3)
(1.55.1)
(2.75.7)
(2.55.6)
(2.54.4)

5.8
9.3
7.3
8.3
7.9

(3.110.7)
(6.413.3)
(4.511.6)
(5.512.3)
(6.110.1)

1.4
2.4
3.5
3.0
2.7

(0.54.4)
(1.15.2)
(2.16.0)
(1.85.1)
(2.03.7)

3.3
5.8
5.5
5.7
5.3

(1.95.7)
(4.18.0)
(3.78.0)
(4.17.9)
(4.36.6)

* Such as Mirena or ParaGard.


Such as Implanon or Nexplanon.
To prevent pregnancy, among the 30.1% of students nationwide who were currently sexually active.
Such as Depo-Provera.
** Such as OrthoEvra.
Such as NuvaRing.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

125

Surveillance Summaries

TABLE 76. Percentage of high school students who used an IUD* or implant before last sexual intercourse and who used a shot, patch,** or
birth control ring before last sexual intercourse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
IUD or implant use
Female
Site

CI

State surveys
Alabama
2.9
(1.26.5)
Alaska
12.0
(8.017.7)
Arizona
5.4
(2.013.8)
Arkansas
2.4
(0.96.2)
California
5.3
(2.411.3)
Connecticut
3.8
(2.07.4)
Delaware
4.3
(2.47.5)
Florida
2.0
(1.13.5)
Hawaii
6.1
(3.111.5)
Idaho

Illinois
4.8
(2.78.6)
Indiana
5.0
(2.410.0)
Kentucky
7.8
(3.915.1)
Maine
6.4
(4.19.9)
Maryland
2.6
(2.13.2)
Massachusetts
6.0
(3.610.1)
Michigan
3.7
(1.012.1)
Mississippi
4.8
(2.68.8)
Missouri
4.9
(2.59.2)
Montana
5.6
(3.68.5)
Nebraska
5.0
(2.310.2)
Nevada
2.7
(0.611.1)
New Hampshire
6.6
(5.48.0)
New Mexico
7.8
(6.010.2)
New York
4.7
(2.110.5)
North Carolina
1.9
(1.03.5)
North Dakota

Oklahoma
3.8
(1.49.6)
Pennsylvania
1.7
(0.83.7)
Rhode Island
3.7
(1.68.1)
South Carolina
6.5
(1.722.3)
South Dakota
3.1
(1.37.2)
Tennessee

Vermont
8.4
(7.59.5)
Virginia

West Virginia
3.1
(1.37.0)
Wyoming
6.5
(3.611.4)
Median
4.8
Range
(1.712.0)
Large urban school district surveys
Baltimore, MD
6.4
(2.415.7)
Boston, MA
9.7
(5.516.4)
Broward County, FL
0.8
(0.15.7)
Cleveland, OH
4.6
(2.39.0)
DeKalb County, GA
3.9
(1.78.8)
Detroit, MI
2.5
(0.96.9)
District of Columbia
5.2
(4.06.9)
Duval County, FL
2.9
(1.36.2)
Ft. Worth, TX
2.0
(0.94.4)
Houston, TX
3.4
(1.76.5)
Los Angeles, CA
6.0
(2.712.7)
Miami-Dade County, FL
0.4
(0.12.3)

Shot, patch, or birth control ring use

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

1.2
6.7
3.2
0.2
1.1
4.5
2.5
0.6
2.3

1.5
2.7
2.6
3.4
1.3
0.6
0.7
3.1
4.1
2.5
0.6
1.2
3.1
5.1
3.4
1.1

2.7
1.7
0.6
2.4
2.2

3.8

3.9
2.5

(0.35.2)
(2.914.7)
(0.910.5)
(0.11.0)
(0.26.0)
(2.29.0)
(1.25.0)
(0.31.6)
(1.34.2)

(0.63.8)
(0.88.4)
(1.06.6)
(2.15.3)
(1.01.8)
(0.22.6)
(0.14.3)
(1.27.9)
(2.17.8)
(1.44.5)
(0.14.3)
(0.34.6)
(2.54.0)
(3.87.0)
(1.38.5)
(0.34.8)

(1.06.8)
(0.55.6)
(0.12.5)
(0.77.7)
(0.76.8)

(3.14.6)

(2.56.0)
(1.24.9)
2.5
(0.26.7)

2.1
9.7
4.3
1.4
3.1
4.1
3.3
1.3
4.6

3.1
3.9
5.2
5.0
2.0
3.4
2.3
4.0
4.6
4.2
3.3
1.9
4.9
6.5
4.1
1.5

3.3
1.7
2.3
4.4
2.6

6.2

3.4
4.6

(1.04.2)
(6.614.2)
(1.99.4)
(0.63.4)
(1.46.6)
(2.46.9)
(2.15.2)
(0.82.2)
(2.87.4)

(1.75.7)
(1.78.4)
(2.610.0)
(3.37.6)
(1.72.3)
(2.15.4)
(0.86.9)
(2.46.7)
(2.97.2)
(2.96.0)
(1.76.4)
(0.65.9)
(4.25.7)
(5.37.9)
(2.17.9)
(0.83.0)

(1.47.3)
(0.74.0)
(1.05.1)
(1.612.0)
(1.25.5)

(5.66.9)

(2.25.4)
(2.97.3)
3.4
(1.39.7)

11.9
4.8
3.5
9.9
5.6
1.2
7.7
3.8
6.8

5.8
5.8
10.5
8.1
6.0
4.7
12.4
10.9
8.7
9.8
4.3
5.0
5.5
9.0
5.4
8.2

7.3
4.4
5.5
10.1
5.3

8.5

7.2
11.3

(6.321.2)
(2.49.3)
(1.76.9)
(5.417.6)
(2.810.7)
(0.35.3)
(4.812.3)
(2.07.1)
(4.310.5)

(2.911.3)
(2.513.2)
(6.416.9)
(6.310.3)
(5.27.0)
(2.77.9)
(7.120.6)
(6.118.8)
(5.713.2)
(7.812.4)
(2.47.6)
(2.310.4)
(4.27.0)
(7.011.6)
(3.68.1)
(5.711.5)

(4.511.6)
(2.38.4)
(2.312.5)
(5.418.0)
(2.89.8)

(7.59.5)

(4.212.0)
(7.017.6)
6.8
(1.212.4)

4.3
8.4
1.3
7.7
3.7
2.1
4.5
1.4
3.6

2.2
5.4
1.7
4.2
2.0
2.9
2.6
3.0
2.5
2.8
2.9
1.1
2.4
4.6
2.1
3.6

5.3
3.0
2.2
3.3
1.1

4.1

2.2
7.5

(1.511.7)
(5.013.8)
(0.44.4)
(3.715.2)
(1.111.1)
(0.85.6)
(2.58.1)
(0.72.8)
(1.87.1)

(0.95.2)
(2.013.9)
(0.93.0)
(2.96.1)
(1.62.5)
(1.46.1)
(1.06.4)
(1.17.7)
(1.15.7)
(1.65.1)
(1.17.5)
(0.35.0)
(1.73.2)
(3.26.7)
(1.13.8)
(2.25.9)

(2.212.4)
(1.65.4)
(0.86.1)
(1.19.6)
(0.25.3)

(3.45.0)

(0.86.0)
(4.612.1)
2.9
(1.18.4)

8.7
6.5
2.4
8.9
4.6
1.6
6.0
2.5
5.5

4.0
5.6
6.1
6.3
4.0
3.8
7.9
7.2
5.6
6.6
3.6
3.1
3.9
7.0
3.9
5.9

6.3
3.7
4.0
6.7
3.0

6.4

5.0
9.5

(4.915.1)
(4.78.9)
(1.44.3)
(5.813.4)
(3.07.1)
(0.83.3)
(4.09.0)
(1.64.0)
(4.07.5)

(2.56.3)
(2.711.3)
(3.89.6)
(5.08.0)
(3.64.6)
(2.55.8)
(4.912.5)
(4.212.0)
(3.78.4)
(5.38.2)
(2.25.8)
(1.56.3)
(3.24.8)
(5.58.8)
(2.65.8)
(4.57.7)

(3.910.1)
(2.35.7)
(2.27.2)
(4.310.3)
(1.85.2)

(5.87.1)

(3.08.3)
(6.413.8)
5.6
(1.69.5)

0.0
1.7
0.0
1.3
0.0
1.2
1.7
1.2
0.5
1.2
0.9
0.6

(0.64.6)

(0.36.2)

(0.28.4)
(1.12.7)
(0.34.3)
(0.11.8)
(0.43.2)
(0.23.4)
(0.21.9)

2.8
5.7
0.6
3.0
1.9
1.8
3.5
2.3
1.2
2.2
3.3
0.5

(1.17.0)
(3.69.0)
(0.12.6)
(1.65.6)
(0.84.4)
(0.56.2)
(2.74.4)
(1.24.2)
(0.62.4)
(1.23.9)
(1.56.9)
(0.21.3)

7.2
11.0
2.2
16.0
6.0
3.8
9.5
5.4
4.0
8.0
6.7
2.6

(3.912.8)
(6.418.5)
(0.77.3)
(10.523.8)
(3.111.4)
(1.78.0)
(7.811.5)
(3.19.2)
(2.08.0)
(5.312.0)
(3.113.6)
(1.25.5)

9.1
2.6
0.0
5.6
2.5
0.0
2.1
2.7
1.1
1.2
3.7
1.4

(4.916.4)
(1.06.3)

(3.29.7)
(1.06.2)

(1.43.2)
(1.26.2)
(0.43.4)
(0.43.0)
(1.58.8)
(0.53.8)

8.2
6.8
1.1
10.5
4.2
2.1
5.7
4.4
2.5
4.3
5.5
2.0

(5.512.0)
(4.011.3)
(0.33.7)
(7.314.8)
(2.47.3)
(1.04.2)
(4.86.9)
(2.86.7)
(1.44.5)
(3.16.1)
(3.39.0)
(1.04.0)

See table footnotes on the next page.

126

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 76. (Continued) Percentage of high school students who used an IUD* or implant before last sexual intercourse and who used a shot,
patch,** or birth control ring before last sexual intercourse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
IUD or implant use
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

2.3

2.8
1.5
2.7
2.3
22.1

Male

CI

Site

Shot, patch, or birth control ring use

(1.24.5)

(1.07.3)
(0.54.6)
(0.97.4)
(1.05.0)
(15.231.1)
2.8
(0.422.1)

Total
CI

0.9

1.9
0.0
1.3
1.4
11.0

(0.42.1)

(0.56.4)

(0.62.6)
(0.36.0)
(4.524.4)
1.2
(0.011.0)

Female
CI

1.7
(1.02.8)

2.5
(1.25.1)
0.7
(0.22.3)
2.0
(0.94.2)
1.8
(0.83.9)
16.9 (11.124.9)
2.1
(0.516.9)

5.6

2.7
3.0
12.0
6.2
14.4

Male

CI

(3.49.0)

(1.17.0)
(1.27.2)
(8.117.6)
(3.99.6)
(9.022.2)
6.1
(2.216.0)

Total
CI

4.0

0.0
1.5
3.7
3.2
2.7

CI

4.9

1.3
2.2
8.0
4.5
8.9

(3.27.3)

(0.53.4)
(1.14.3)
(5.411.6)
(2.97.1)
(6.013.0)
4.4
(1.110.5)

(2.17.4)

(0.63.9)
(1.68.0)
(1.28.1)
(0.79.6)
2.5
(0.09.1)

* Such as Mirena or ParaGard.


Such as Implanon or Nexplanon.
To prevent pregnancy, among students who were currently sexually active.
Such as Depo-Provera.
** Such as OrthoEvra.
Such as NuvaRing.
95% confidence interval.
Not available.

TABLE 77. Percentage of high school students who used birth control pills, an IUD* or implant, or a shot, patch, or birth control ring** before
last sexual intercourse and who used both a condom during last sexual intercourse and birth control pills, an IUD* or implant, or a shot, patch,
or birth control ring** before last sexual intercourse, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Birth control pill use, IUD or implant, or shot, patch, or
birth control ring use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Condom use and birth control pill, IUD or implant, or


shot, patch, or birth control ring use

Total

CI

CI

39.2
20.5
23.2

(34.344.3)
(14.827.7)
(18.029.4)

27.0
13.1
12.3

(23.330.9)
(9.218.5)
(8.717.3)

33.3
15.9
17.8

20.8
33.6
36.2
36.2
33.7

(15.028.1)
(28.139.5)
(31.441.2)
(30.242.7)
(30.337.4)

13.1
15.5
25.5
22.7
20.2

(9.118.4)
(11.420.8)
(20.531.2)
(18.227.8)
(17.722.9)

16.4
24.4
30.9
29.6
26.8

Female
CI

Male

Total

CI

CI

CI

(29.936.9)
(12.420.3)
(13.922.5)

15.9
5.7
4.8

(12.520.1)
(3.49.4)
(3.37.1)

7.7
4.1
4.5

(5.510.7)
(2.27.6)
(2.77.2)

12.0
4.7
4.7

(9.714.7)
(3.17.0)
(3.46.5)

(12.720.9)
(20.928.4)
(27.135.0)
(25.533.9)
(24.329.6)

9.4
12.4
14.8
9.9
11.8

(5.116.4)
(8.917.1)
(10.919.8)
(7.013.9)
(9.614.5)

3.2
4.3
9.4
5.5
5.9

(1.47.2)
(2.77.0)
(5.715.3)
(3.87.9)
(4.57.7)

5.8
8.3
12.2
7.7
8.8

(3.79.2)
(6.011.3)
(9.515.6)
(6.19.8)
(7.310.6)

* Such as Mirena or ParaGard.


Such as Implanon or Nexplanon.
Such as Depo-Provera.
Such as OrthoEvra.
** Such as NuvaRing.
To prevent pregnancy, among the 30.1% of students nationwide who were currently sexually active.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

127

Surveillance Summaries

TABLE 78. Percentage of high school students who used birth control pills, an IUD* or implant, or a shot, patch, or birth control ring** before
last sexual intercourse and who used both a condom during last sexual intercourse and birth control pills, an IUD* or implant, or a shot,
patch, or birth control ring** before last sexual intercourse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Birth control pill use, IUD or implant, or shot, patch, or
birth control ring use
Female
Site

CI

State surveys
Alabama
39.0 (30.648.2)
Alaska
40.2 (32.248.8)
Arizona
28.9 (19.940.0)
Arkansas
32.5 (24.641.6)
California
25.1 (18.433.3)
Connecticut
35.9 (27.844.8)
Delaware
35.1 (29.840.8)
Florida
21.6 (17.925.9)
Hawaii
31.4 (26.237.2)
Idaho

Illinois
41.5 (31.752.1)
Indiana
37.1 (27.148.4)
Kentucky
44.4 (35.353.9)
Maine
50.0 (46.453.7)
Maryland
30.4 (29.131.9)
Massachusetts
42.3 (36.248.5)
Michigan
38.7 (30.148.0)
Mississippi
35.7 (27.544.7)
Missouri
40.7 (32.050.0)
Montana
44.3 (40.847.9)
Nebraska
33.8 (25.643.2)
Nevada
31.5 (19.446.7)
New Hampshire
50.2 (46.454.0)
New Mexico
33.5 (29.837.5)
New York
35.1 (28.842.0)
North Carolina
28.9 (23.335.3)
North Dakota

Oklahoma
27.4 (20.735.3)
Pennsylvania
30.7 (25.336.5)
Rhode Island
34.8 (30.339.5)
South Carolina
39.2 (33.145.6)
South Dakota
38.2 (29.347.9)
Tennessee

Vermont
55.4 (53.757.2)
Virginia

West Virginia
44.8 (36.353.6)
Wyoming
43.5 (37.349.9)
Median
35.9
Range
(21.655.4)
Large urban school district surveys
Baltimore, MD
30.6 (20.642.9)
Boston, MA
43.7 (37.050.6)
Broward County, FL
16.2 (10.923.5)
Cleveland, OH
37.1 (29.445.4)
DeKalb County, GA
23.3 (17.929.8)
Detroit, MI
16.5 (11.523.1)
District of Columbia
22.7 (20.225.5)
Duval County, FL
24.3 (19.230.2)
Ft. Worth, TX
18.0 (13.623.5)
Houston, TX
19.9 (15.025.9)
Los Angeles, CA
21.5 (13.732.1)
Miami-Dade County, FL
12.6
(9.117.3)

Male
%

Total
CI

18.4
29.5
25.6
22.9
16.9
28.5
19.5
13.5
19.8

21.1
21.8
23.0
36.5
16.6
28.8
27.2
22.5
25.4
30.3
20.0
19.1
32.6
22.8
24.2
23.8

21.4
19.9
31.6
24.0
28.6

38.2

26.0
25.1

(11.827.6)
(23.536.3)
(16.737.0)
(15.832.0)
(10.825.6)
(20.338.5)
(14.925.1)
(11.415.8)
(14.426.5)

(14.829.1)
(14.930.7)
(17.729.2)
(32.340.8)
(15.517.9)
(24.134.0)
(17.340.0)
(17.528.5)
(16.337.3)
(26.634.3)
(13.927.9)
(11.629.7)
(30.135.2)
(19.326.8)
(19.130.1)
(19.628.5)

(14.829.9)
(14.227.1)
(19.946.2)
(15.734.7)
(18.042.3)

(36.340.0)

(19.733.4)
(20.031.0)
23.8
(13.538.2)

21.5
18.5
14.5
17.8
13.6
8.0
11.3
17.3
11.7
7.3
10.4
8.5

Condom use and birth control pill, IUD or implant, or


shot, patch, or birth control ring use

(13.133.1)
(13.025.7)
(9.721.2)
(12.425.0)
(9.120.0)
(4.513.9)
(9.413.5)
(13.022.6)
(8.216.5)
(4.511.6)
(7.314.5)
(5.712.5)

Female
CI

29.6
35.1
27.4
28.1
20.7
32.5
27.4
17.5
26.8

31.1
29.7
33.6
43.8
23.7
35.6
33.5
29.5
33.0
37.9
27.6
25.4
41.6
28.4
30.1
26.3

24.5
25.3
33.3
31.4
33.0

47.3

36.6
34.9

(23.137.0)
(30.440.1)
(19.337.4)
(25.231.2)
(17.923.8)
(26.639.0)
(23.631.5)
(15.319.9)
(23.230.7)

(24.139.2)
(21.938.8)
(28.039.7)
(40.647.0)
(22.724.8)
(31.639.8)
(26.840.9)
(24.934.5)
(26.740.1)
(35.040.8)
(22.533.2)
(17.136.0)
(39.244.0)
(25.831.2)
(26.234.2)
(23.229.6)

(19.130.8)
(20.730.5)
(26.440.9)
(25.737.7)
(25.741.3)

(46.048.6)

(30.643.1)
(30.140.1)
30.1
(17.547.3)

25.3
31.1
15.5
26.9
18.3
12.6
16.9
21.5
14.8
13.3
16.0
10.4

(18.633.4)
(26.136.6)
(11.720.2)
(21.333.3)
(14.622.7)
(9.217.0)
(15.218.6)
(17.925.6)
(11.718.5)
(10.916.3)
(11.122.5)
(7.913.7)

CI

Male
%

Total
CI

CI

9.9
17.6
7.9
11.4
7.1
12.1
9.3
9.2
7.3

16.5
13.9
14.1
18.3
11.6
14.8
13.3
13.2
14.7
17.6
11.3
6.8
21.2
10.0
13.8
11.6

6.9
8.4
13.6
16.6
18.5

22.5

15.7
15.5

(5.317.7)
(12.025.2)
(3.815.8)
(7.916.2)
(3.912.6)
(8.217.6)
(6.213.6)
(7.012.0)
(4.910.8)

(9.926.3)
(9.020.7)
(9.919.7)
(16.020.8)
(10.612.6)
(11.119.6)
(8.320.4)
(9.218.6)
(10.220.7)
(14.521.2)
(7.417.0)
(3.413.2)
(18.424.3)
(7.912.6)
(9.619.3)
(7.617.2)

(3.912.0)
(5.412.9)
(8.920.3)
(11.423.6)
(14.323.6)

(21.024.0)

(12.519.6)
(11.520.6)
13.3
(6.822.5)

6.3
14.2
6.4
10.1
4.6
9.8
6.4
5.9
6.5

6.9
4.6
9.1
14.7
5.8
11.2
10.0
6.7
10.9
12.4
5.6
5.2
13.5
7.8
9.6
10.2

6.7
7.8
13.2
11.8
12.7

14.5

6.2
8.7

(3.511.2)
(9.919.8)
(3.013.1)
(4.620.5)
(2.010.1)
(6.314.9)
(3.910.3)
(4.47.9)
(3.711.4)

(3.812.2)
(1.910.8)
(4.916.2)
(12.217.6)
(5.16.5)
(8.614.4)
(4.620.6)
(3.712.1)
(6.218.5)
(9.715.8)
(2.910.8)
(2.311.2)
(11.515.8)
(5.710.7)
(6.114.7)
(6.515.5)

(3.512.6)
(4.712.5)
(9.617.8)
(7.518.0)
(4.531.0)

(13.216.0)

(3.510.6)
(5.613.2)
8.7
(4.614.7)

8.6
16.2
7.4
10.8
5.8
11.1
8.0
7.5
7.0

11.6
9.4
11.6
16.7
8.7
13.0
11.8
10.1
12.7
15.2
8.6
6.0
17.2
9.0
11.9
10.8

6.8
8.1
13.4
14.1
15.3

18.8

11.6
12.4

(5.513.3)
(12.420.9)
(4.412.3)
(7.914.7)
(3.49.7)
(7.915.3)
(5.910.6)
(6.09.3)
(5.59.0)

(7.517.5)
(6.014.6)
(8.515.7)
(14.918.8)
(8.19.4)
(11.015.3)
(8.216.9)
(7.413.7)
(9.217.4)
(13.117.6)
(6.012.2)
(3.510.1)
(15.519.1)
(7.510.8)
(9.015.6)
(8.613.6)

(4.79.9)
(5.611.6)
(10.716.6)
(10.319.1)
(9.424.0)

(17.819.8)

(9.114.6)
(9.316.2)
11.1
(5.818.8)

15.2
12.9
9.1
12.2
9.9
7.2
9.5
9.7
5.7
6.6
6.1
4.4

(8.625.6)
(8.519.1)
(5.015.9)
(7.718.8)
(5.816.4)
(4.012.7)
(7.811.6)
(6.614.1)
(3.39.7)
(4.210.2)
(2.812.9)
(2.57.6)

6.0
5.9
2.7
5.3
7.1
5.6
3.4
5.2
5.7
3.7
1.4
1.3

(2.215.5)
(3.110.9)
(0.97.7)
(2.89.6)
(4.012.1)
(2.611.7)
(2.44.9)
(3.18.5)
(3.59.4)
(1.68.2)
(0.53.7)
(0.62.9)

10.2
9.4
6.0
8.6
8.4
6.6
6.4
7.8
5.7
5.3
4.1
2.8

(6.615.4)
(6.613.3)
(3.410.2)
(5.712.9)
(5.812.1)
(3.911.0)
(5.47.6)
(5.610.9)
(3.88.4)
(3.67.7)
(2.47.0)
(1.74.4)

See table footnotes on the next page.

128

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 78. (Continued) Percentage of high school students who used birth control pills, an IUD* or implant, or a shot, patch, or birth control
ring** before last sexual intercourse and who used both a condom during last sexual intercourse and birth control pills, an IUD* or implant,
or a shot, patch, or birth control ring** before last sexual intercourse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Birth control pill use, IUD or implant, or shot, patch, or
birth control ring use
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

21.3

19.5
20.0
28.2
27.3
51.2

(18.124.9)

(13.128.0)
(15.525.5)
(21.536.0)
(21.334.1)
(38.164.1)
22.1
(12.651.2)

%
16.4

10.5
16.8
13.7
20.6
22.3

Condom use and birth control pill, IUD or implant, or


shot, patch, or birth control ring use

Total
CI

(11.423.0)

(6.416.8)
(11.823.2)
(9.419.5)
(15.626.8)
(15.131.5)
14.1
(7.322.3)

Female
CI

19.0 (15.922.6)

14.9 (11.119.8)
18.4 (14.822.7)
21.1 (16.526.6)
23.7 (19.628.2)
37.6 (29.946.1)
18.3
(10.437.6)

6.3

6.8
8.4
10.7
8.6
12.5

Male

CI

(3.910.1)

(3.512.5)
(5.412.9)
(6.716.7)
(5.313.5)
(7.619.8)
8.8
(4.415.2)

Total
CI

6.5

3.1
6.4
4.2
2.9
3.2

CI

6.4

5.0
7.4
7.5
5.5
8.1

(4.49.1)

(3.18.1)
(5.310.1)
(5.011.0)
(3.97.7)
(5.511.8)
6.5
(2.810.2)

(3.611.3)

(1.46.8)
(3.711.0)
(2.18.1)
(1.36.5)
(1.56.6)
4.7
(1.37.1)

* Such as Mirena or ParaGard.


Such as Implanon or Nexplanon.
Such as Depo-Provera.
Such as OrthoEvra.
** Such as NuvaRing.
To prevent pregnancy, among students who were currently sexually active.
95% confidence interval.
Not available.

TABLE 79. Percentage of high school students who did not use any method to prevent pregnancy during last sexual intercourse* and who drank
alcohol or used drugs before last sexual intercourse,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not use any method to prevent pregnancy
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Drank alcohol or used drugs before last sexual intercourse

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

10.2
25.6
22.7

(7.414.0)
(18.334.5)
(16.330.8)

10.3
9.9
17.2

(7.813.6)
(4.221.7)
(14.020.9)

10.4
15.9
20.0

(8.213.1)
(11.022.6)
(16.424.2)

14.7
19.0
17.7

(11.718.3)
(11.230.2)
(13.622.6)

24.4
23.1
27.7

(20.029.5)
(12.538.7)
(23.632.3)

19.3
21.8
22.8

(17.121.7)
(13.732.9)
(19.726.3)

22.0
12.9
12.3
16.2
15.2

(16.528.6)
(9.118.1)
(9.116.4)
(12.520.7)
(12.718.1)

12.1
11.7
9.9
14.2
12.2

(8.317.3)
(8.615.8)
(7.013.7)
(9.221.3)
(9.515.4)

16.5
12.3
11.1
15.5
13.8

(12.820.9)
(9.715.4)
(8.813.9)
(11.919.9)
(11.816.1)

16.8
15.6
16.7
16.1
16.4

(11.523.8)
(11.520.9)
(13.221.0)
(12.420.6)
(14.418.7)

27.2
23.3
23.0
25.6
24.6

(21.633.8)
(16.931.3)
(17.629.3)
(21.030.8)
(21.228.4)

22.7
19.7
19.8
20.8
20.6

(19.026.9)
(16.023.9)
(17.023.0)
(17.924.0)
(18.922.5)

* Among the 30.1% of students nationwide who were currently sexually active.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

129

Surveillance Summaries

TABLE 80. Percentage of high school students who did not use any method to prevent pregnancy during last sexual intercourse* and who
drank alcohol or used drugs before last sexual intercourse,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not use any method to prevent pregnancy
Female
Site

CI

State surveys
Alabama
18.5 (12.626.5)
Alaska
11.5
(6.918.7)
Arizona
15.3
(9.423.9)
Arkansas
22.8 (18.228.3)
California
12.4
(8.916.9)
Connecticut
12.3
(7.818.7)
Delaware
14.1
(8.023.6)
Florida
16.5 (14.019.3)
Hawaii
11.4
(7.816.4)
Idaho

Illinois
11.8
(8.016.9)
Indiana
16.3 (10.724.0)
Kentucky
17.5 (13.922.0)
Maine
8.6
(6.910.7)
Maryland
15.3 (14.016.7)
Massachusetts
9.2
(6.712.6)
Michigan
11.5
(8.116.1)
Mississippi
14.0
(8.522.2)
Missouri
10.5
(5.619.0)
Montana
9.1
(7.011.7)
Nebraska
19.0 (11.929.0)
Nevada
13.8
(9.719.1)
New Hampshire
7.4
(6.09.0)
New Mexico
17.5 (14.221.2)
New York
13.6 (10.916.9)
North Carolina
15.4 (10.422.4)
North Dakota

Oklahoma
15.4
(9.823.3)
Pennsylvania
12.2
(8.716.8)
Rhode Island
13.4
(9.319.1)
South Carolina
14.2 (10.518.9)
South Dakota
12.6
(7.420.5)
Tennessee

Vermont
7.3
(6.48.3)
Virginia

West Virginia
11.3
(8.515.0)
Wyoming
12.9
(8.219.6)
Median
13.4
Range
(7.322.8)
Large urban school district surveys
Baltimore, MD
20.6 (13.031.1)
Boston, MA
11.3
(7.317.0)
Broward County, FL
15.8
(9.824.5)
Cleveland, OH
22.1 (16.029.7)
DeKalb County, GA
25.3 (19.332.3)
Detroit, MI
19.0 (13.725.9)
District of Columbia
24.7 (22.027.6)
Duval County, FL
19.0 (14.923.9)
Ft. Worth, TX
31.1 (24.838.1)
Houston, TX
26.3 (20.633.0)
Los Angeles, CA
15.2
(9.823.0)
Miami-Dade County, FL
14.6 (11.019.3)

Male
%

Drank alcohol or used drugs before last sexual intercourse

Total
CI

Female
CI

17.0
9.4
14.0
16.6
12.2
10.5
11.6
11.4
15.8

17.2
14.8
11.6
9.7
13.8
8.0
11.3
15.7
13.0
8.4
16.3
11.0
8.0
11.7
16.9
10.8

9.9
9.9
8.6
9.3
11.9

7.0

12.8
14.1

(11.125.2)
(5.415.7)
(9.619.9)
(10.026.2)
(6.621.2)
(5.618.8)
(8.016.7)
(9.413.9)
(9.824.5)

(14.620.1)
(6.729.6)
(7.916.9)
(7.612.4)
(12.615.2)
(5.212.0)
(5.621.3)
(11.720.7)
(8.519.4)
(6.011.8)
(10.624.2)
(6.817.5)
(6.49.9)
(8.915.1)
(12.921.8)
(7.515.3)

(5.317.9)
(6.614.7)
(5.014.4)
(5.515.1)
(5.723.1)

(6.18.1)

(7.720.6)
(10.019.5)
11.6
(7.017.2)

17.7
10.4
14.6
20.0
12.4
11.6
13.3
13.9
13.2

14.5
15.5
14.5
9.3
14.6
8.6
11.4
14.8
12.1
8.8
17.8
12.4
7.8
14.8
15.1
13.1

12.8
11.1
11.6
11.7
12.2

7.2

12.0
13.4

(13.023.6)
(6.915.4)
(10.320.4)
(16.224.4)
(8.717.4)
(7.817.1)
(9.618.0)
(12.115.9)
(8.919.2)

(11.917.4)
(10.222.9)
(12.017.5)
(8.010.8)
(13.715.7)
(6.511.4)
(8.315.4)
(10.620.3)
(9.016.0)
(7.011.0)
(13.323.5)
(10.015.4)
(6.79.1)
(12.417.5)
(13.017.5)
(10.116.8)

(9.017.7)
(8.314.6)
(8.415.8)
(8.815.3)
(6.820.9)

(6.67.9)

(9.215.6)
(9.718.3)
12.8
(7.220.0)

12.6
9.8
10.2
17.8
10.4
17.5
14.7
15.7
13.8
17.2
16.2
14.0

(7.021.6)
(6.414.6)
(6.216.3)
(12.225.3)
(6.017.4)
(12.024.8)
(12.517.2)
(11.321.5)
(9.619.5)
(13.721.5)
(11.322.7)
(9.919.4)

16.6
10.5
12.9
19.7
17.8
18.1
19.6
17.2
22.0
21.5
15.7
14.4

(11.323.6)
(7.714.3)
(9.018.2)
(15.524.6)
(14.022.5)
(14.222.9)
(17.821.4)
(13.721.4)
(18.026.6)
(18.025.5)
(11.720.6)
(11.318.1)

CI

Male
%

Total
CI

17.0
15.1
25.3
11.9
19.5
19.1
19.2
18.0
18.6
16.4
15.9
14.6
16.4
14.0
21.2
19.4
20.1
13.3
18.0
17.3
17.6
17.6
16.1
14.9
21.1
17.1
15.1
11.1
13.6

15.7
8.4

15.2

14.4
18.8

(12.023.5)
(9.722.7)
(16.237.2)
(9.115.5)
(12.529.2)
(14.424.9)
(14.824.4)
(15.420.9)
(15.122.7)
(11.722.5)
(9.725.0)
(9.621.5)
(10.524.6)
(12.216.0)
(19.922.6)
(14.126.1)
(12.930.0)
(9.418.5)
(12.924.5)
(14.720.2)
(11.625.8)
(13.223.2)
(14.118.3)
(12.617.6)
(16.426.6)
(10.127.4)
(11.220.1)
(6.618.0)
(9.918.4)

(10.023.8)
(4.415.6)

(14.016.5)

(10.419.5)
(14.024.7)
16.7
(8.425.3)

22.4
15.6
21.4
26.9
23.3
26.6
26.4
28.3
21.8
14.9
23.8
20.4
17.3
21.9
26.1
23.7
24.8
21.7
22.4
22.5
17.7
20.8
21.1
22.4
29.0
16.3
22.1
17.5
24.0

21.8
18.1

22.3

23.8
22.3

(13.734.3)
(10.822.0)
(16.227.7)
(20.134.8)
(13.636.9)
(21.832.0)
(20.633.3)
(24.532.5)
(17.227.2)
(10.520.8)
(20.327.7)
(13.729.2)
(11.325.6)
(18.925.2)
(24.727.4)
(18.729.6)
(17.633.6)
(16.128.6)
(15.331.6)
(18.826.6)
(11.127.2)
(15.327.7)
(19.023.3)
(19.126.2)
(20.938.7)
(11.922.0)
(16.528.9)
(11.924.9)
(17.332.2)

(14.032.4)
(10.329.9)

(20.823.9)

(18.230.3)
(17.627.7)
22.3
(14.929.0)

18.7
15.7
18.4
14.4
16.9
15.8
15.6
17.0
14.1
18.1
17.4
13.0

(12.526.9)
(10.223.2)
(12.725.8)
(10.419.8)
(11.723.7)
(11.521.4)
(13.518.0)
(13.021.9)
(10.119.3)
(14.122.9)
(12.224.2)
(9.018.4)

23.1
20.9
19.7
23.6
25.6
18.0
20.3
23.9
22.2
23.9
17.0
27.7

(16.431.5)
(14.629.0)
(13.627.8)
(17.830.5)
(18.833.8)
(12.126.1)
(17.923.0)
(18.929.8)
(17.327.9)
(19.129.4)
(13.321.5)
(22.933.0)

CI

19.7
15.2
23.5
18.9
21.4
22.4
22.8
23.7
19.9
15.8
19.9
17.5
17.1
17.7
23.7
21.8
22.2
17.4
20.4
19.7
17.9
19.2
18.9
18.6
24.6
17.0
18.7
14.3
18.8

18.6
13.5

18.7

18.5
20.3

(13.927.0)
(11.220.4)
(17.930.2)
(15.023.6)
(14.530.2)
(18.926.4)
(19.326.8)
(21.326.3)
(17.422.7)
(12.420.1)
(16.823.5)
(12.324.2)
(13.421.7)
(16.119.5)
(22.824.7)
(18.126.0)
(17.427.8)
(13.721.7)
(16.225.4)
(17.422.3)
(12.425.3)
(15.124.0)
(17.420.5)
(16.520.9)
(19.430.6)
(11.724.1)
(15.122.8)
(10.519.3)
(14.324.3)

(14.523.6)
(9.219.3)

(17.719.7)

(14.822.9)
(16.724.6)
18.9
(13.524.6)

21.0
18.3
19.2
19.5
21.3
17.1
18.1
20.2
18.2
21.4
17.2
20.8

(16.326.6)
(14.722.6)
(15.123.9)
(15.624.0)
(17.026.4)
(13.022.1)
(16.419.8)
(17.023.9)
(15.221.7)
(18.125.1)
(14.120.8)
(17.624.5)

See table footnotes on the next page.

130

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 80. (Continued) Percentage of high school students who did not use any method to prevent pregnancy during last sexual intercourse*
and who drank alcohol or used drugs before last sexual intercourse,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not use any method to prevent pregnancy
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male
%

22.5

21.1
21.4
19.7
11.5
10.2

(18.527.1)

(15.028.9)
(16.826.9)
(14.226.7)
(7.217.8)
(6.016.8)
20.1
(10.231.1)

12.2

12.7
12.7
14.5
13.1
11.5

Drank alcohol or used drugs before last sexual intercourse

Total
CI

(9.715.3)

(8.418.7)
(9.117.4)
(11.617.9)
(8.420.0)
(6.120.6)
13.4
(9.817.8)

Female
CI

17.7

16.5
17.3
17.1
12.4
10.8

(15.520.0)

(12.721.2)
(14.021.3)
(13.921.0)
(9.216.4)
(6.816.8)
17.1
(10.522.0)

CI

15.3
20.1
17.5
19.1
12.3
15.9
21.0

(10.522.0)
(13.029.9)
(11.825.2)
(15.123.8)
(8.417.6)
(12.120.7)
(14.928.8)
16.9
(12.321.0)

Male
%

Total
CI

22.3
22.1
31.2
28.6
14.1
23.1
28.9

(16.829.0)
(15.730.2)
(22.940.8)
(23.134.9)
(10.818.3)
(18.328.7)
(21.238.1)
23.1
(14.131.2)

CI

18.7
21.1
24.7
24.0
13.2
19.8
24.8

(13.824.8)
(15.727.8)
(19.131.4)
(20.527.9)
(10.416.6)
(16.623.5)
(19.730.6)
19.8
(13.224.8)

* Among students who were currently sexually active.


95% confidence interval.
Not available.

TABLE 81. Percentage of high school students who were ever tested for human immunodeficiency virus (HIV),* by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

Total
CI

CI

9.1
16.2
12.3

(7.411.2)
(11.622.0)
(10.114.8)

7.0
17.1
10.1

(5.88.4)
(9.828.0)
(7.912.7)

8.0
16.6
11.1

(7.19.1)
(11.223.9)
(9.413.1)

7.7
9.8
10.3
16.8
11.1

(5.710.2)
(7.213.3)
(8.712.2)
(14.020.1)
(9.512.8)

7.9
9.8
8.8
10.9
9.3

(5.810.7)
(7.313.0)
(5.813.2)
(8.414.0)
(7.411.5)

7.8
9.8
9.6
13.8
10.2

(6.39.5)
(7.612.5)
(7.712.0)
(11.616.4)
(8.711.8)

* Does not count tests conducted when donating blood.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

131

Surveillance Summaries

TABLE 82. Percentage of high school students who were ever tested for human immunodeficiency virus (HIV),* by sex selected U.S. sites,
Youth Risk Behavior Survey, 2015
Female

Male
CI

Site
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

18.5

17.7
9.3
11.3
13.6
12.5

8.8
13.6
8.9
12.9

12.9
9.6
12.0
18.4

9.8
11.3

10.4
15.8
11.0

9.8
11.3
12.2
10.8
7.3

11.3

13.4
12.6

27.8
20.5
17.1
23.5
16.9
23.6
37.0
16.7
7.8
19.4
12.1
13.8

(15.022.6)

(14.221.9)
(7.811.0)
(8.814.4)
(11.116.7)
(11.114.2)

(6.911.2)
(11.516.1)
(6.711.6)
(10.216.3)

(12.213.6)
(7.112.9)
(9.015.8)
(14.423.1)

(7.812.2)
(8.315.1)

(9.211.7)
(12.719.4)
(8.913.5)

(7.812.4)
(8.415.1)
(9.515.5)
(6.916.7)
(4.312.2)

(10.711.9)

(10.217.4)
(10.115.6)

12.8

17.8
8.1
9.1
12.2
12.5

7.8
16.6
8.8
10.1

14.2
9.9
13.0
16.2

8.8
12.2

10.4
19.9
10.3

9.4
10.9
14.8
9.9
7.3

9.3

12.9
10.2

(22.933.3)
(16.924.8)
(14.520.1)
(19.627.9)
(14.320.0)
(20.127.5)
(35.638.4)
(14.519.2)
(6.29.7)
(17.022.0)
(9.515.4)
(11.816.2)

30.8
20.4
20.5
26.0
19.4
24.9
37.7
21.4
7.6
19.8
13.7
11.9

11.3
(7.318.5)

Total
CI

CI

(10.116.2)

(13.523.1)
(5.911.0)
(7.211.6)
(9.715.2)
(10.514.7)

(5.610.8)
(14.019.7)
(6.412.0)
(7.613.3)

(13.414.9)
(8.112.0)
(9.617.3)
(12.720.3)

(6.412.0)
(9.815.1)

(9.511.4)
(17.023.3)
(7.514.1)

(6.613.2)
(7.815.1)
(11.518.8)
(6.215.5)
(4.611.4)

(8.79.9)

(10.316.2)
(8.013.0)

15.8

17.9
8.7
10.3
13.3
12.6

8.3
15.1
8.9
11.6

13.6
9.9
12.5
17.4

9.3
12.1

10.4
18.0
10.6

9.5
11.1
13.6
10.4
7.4

10.3

13.1
11.4

(13.019.0)

(14.621.7)
(7.210.4)
(8.512.4)
(11.116.0)
(11.114.2)

(6.810.1)
(13.616.8)
(7.011.2)
(9.614.0)

(13.014.2)
(8.012.2)
(9.516.2)
(14.320.9)

(7.811.0)
(10.713.5)

(9.611.2)
(15.321.0)
(8.513.3)

(7.512.1)
(8.214.8)
(10.916.9)
(7.514.3)
(4.811.2)

(9.910.7)

(10.915.7)
(9.513.7)

(25.337.0)
(17.224.0)
(17.124.3)
(21.730.9)
(16.722.5)
(20.230.2)
(36.139.3)
(18.824.3)
(6.19.3)
(17.522.2)
(12.015.6)
(9.814.5)

29.0
20.4
18.9
25.0
18.3
24.1
37.4
18.9
7.7
19.6
12.8
13.0

10.4
(7.319.9)

11.4
(7.418.0)

(25.233.1)
(17.723.4)
(16.821.1)
(21.628.8)
(16.320.4)
(21.327.2)
(36.338.4)
(17.120.9)
(6.49.2)
(17.721.5)
(11.014.9)
(11.414.7)

See table footnotes on the next page.

132

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 82. (Continued) Percentage of high school students who were ever tested for human immunodeficiency virus (HIV),* by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Female

Male
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

20.7
27.9
6.9
14.9
35.3
12.0
14.2

Total

(17.024.8)
(24.032.2)
(5.48.8)
(12.317.8)
(28.642.7)
(9.614.9)
(11.517.5)

22.4
23.3
7.2
16.4
35.0
11.9
14.1

17.1
(6.937.0)

CI
(18.427.1)
(19.927.0)
(5.59.5)
(13.819.4)
(31.339.0)
(10.313.7)
(10.918.0)

20.4
(7.237.7)

CI

21.6
25.5
7.0
15.7
35.1
11.9
14.5

(18.325.3)
(22.628.6)
(5.88.5)
(13.717.9)
(30.340.2)
(10.413.7)
(12.117.3)

18.9
(7.037.4)

* Does not count tests conducted when donating blood.


95% confidence interval.
Not available.

TABLE 83. Percentage of high school students who did not eat fruit or drink 100% fruit juices* and who ate fruit or drank 100% fruit juices one
or more times/day,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not eat fruit or drink 100% fruit juices
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Ate fruit or drank 100% fruit juices one or more times/day


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

4.3
5.2
4.0

(3.35.7)
(3.67.4)
(3.05.3)

5.4
8.6
5.7

(4.26.9)
(5.712.7)
(4.37.6)

4.9
6.9
4.9

(4.05.9)
(4.99.8)
(3.86.1)

64.1
56.5
60.7

(59.868.1)
(51.861.2)
(58.063.2)

62.1
67.0
67.3

(58.965.2)
(60.972.6)
(65.169.4)

63.0
62.2
64.1

(60.065.9)
(57.866.4)
(62.565.7)

5.0
3.4
3.7
4.8
4.3

(3.96.4)
(2.35.1)
(2.94.8)
(3.56.5)
(3.55.2)

6.7
6.7
4.7
5.5
5.9

(4.99.1)
(4.89.2)
(3.36.5)
(4.17.5)
(4.87.3)

6.0
5.0
4.4
5.1
5.2

(4.77.6)
(4.06.3)
(3.55.6)
(4.16.5)
(4.46.0)

61.9
62.7
62.3
62.3
62.1

(59.364.4)
(59.166.1)
(58.865.6)
(57.966.4)
(59.764.6)

65.0
63.2
66.7
63.8
64.6

(60.769.0)
(58.667.4)
(63.170.2)
(60.067.5)
(62.266.9)

63.5
62.9
64.3
63.1
63.3

(60.766.3)
(59.666.0)
(61.866.8)
(59.866.2)
(61.365.3)

* During the 7 days before the survey.

95% confidence interval.


Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

133

Surveillance Summaries

TABLE 84. Percentage of high school students who did not eat fruit or drink 100% fruit juices* and who ate fruit or drank 100% fruit juices one
or more times/day,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not eat fruit or drink 100% fruit juices
Female
Site

CI

State surveys
Alabama
9.9
(7.812.4)
Alaska
5.0
(3.57.2)
Arizona
6.1
(4.77.9)
Arkansas
9.4
(6.812.9)
California
2.8
(1.94.1)
Connecticut
3.8
(2.95.0)
Delaware
4.6
(3.46.1)
Florida
7.3
(6.38.4)
Hawaii
6.9
(5.78.5)
Idaho
3.1
(2.04.8)
Illinois
5.0
(3.67.1)
Indiana
5.4
(3.58.3)
Kentucky
5.8
(4.57.6)
Maine
4.5
(4.05.1)
Maryland
6.7
(6.37.2)
Massachusetts
5.1
(3.96.6)
Michigan
5.4
(3.58.3)
Mississippi
10.4
(8.312.9)
Missouri
5.7
(4.18.0)
Montana
3.6
(2.74.8)
Nebraska
3.8
(2.46.0)
Nevada
3.7
(2.35.9)
New Hampshire

New Mexico
6.4
(5.37.6)
New York
5.5
(4.46.8)
North Carolina
7.1
(5.29.5)
North Dakota
3.1
(2.04.8)
Oklahoma
7.4
(5.99.4)
Pennsylvania
6.6
(4.88.9)
Rhode Island
4.8
(3.76.4)
South Carolina
9.0
(6.811.9)
South Dakota
5.3
(3.58.0)
Tennessee
9.3
(8.010.7)
Vermont
3.4
(3.13.8)
Virginia
6.4
(5.27.9)
West Virginia
5.7
(4.18.0)
Wyoming
4.6
(3.26.5)
Median
5.4
Range
(2.810.4)
Large urban school district surveys
Baltimore, MD
11.4
(7.916.2)
Boston, MA
4.3
(3.15.9)
Broward County, FL
5.8
(4.27.9)
Cleveland, OH
6.6
(4.88.9)
DeKalb County, GA
4.9
(3.56.7)
Detroit, MI
7.6
(5.710.1)
District of Columbia
7.7
(7.08.6)
Duval County, FL
8.4
(7.19.9)
Ft. Worth, TX
3.7
(2.65.2)
Houston, TX
5.5
(4.37.0)
Los Angeles, CA
3.6
(2.25.7)
Miami-Dade County, FL
7.7
(6.09.9)

Male
%

Ate fruit or drank 100% fruit juices one or more times/day

Total
CI

Female
CI

10.6
5.7
7.2
13.3
4.5
8.8
7.2
7.8
8.7
3.2
10.3
7.5
9.3
6.5
9.1
5.9
7.7
13.0
7.4
6.5
7.4
6.3

8.5
12.7
10.4
4.6
7.1
7.5
7.8
9.4
10.8
10.1
5.1
7.5
10.4
9.3

(8.213.5)
(4.27.8)
(5.110.0)
(11.115.9)
(3.06.6)
(7.011.0)
(5.69.3)
(6.69.3)
(7.310.4)
(2.44.3)
(8.812.1)
(4.213.1)
(7.012.3)
(5.77.4)
(8.79.6)
(4.77.3)
(6.19.5)
(10.116.5)
(5.110.8)
(5.47.8)
(5.69.8)
(4.39.3)

(7.59.6)
(10.215.9)
(7.713.9)
(3.56.1)
(5.49.2)
(6.48.9)
(5.910.3)
(7.811.3)
(7.515.4)
(8.811.6)
(4.75.5)
(6.39.0)
(7.614.2)
(7.611.3)
7.7
(3.213.3)

10.2
5.3
6.7
11.4
3.7
6.3
6.3
7.6
7.8
3.2
7.7
6.5
7.7
5.5
8.0
5.5
6.5
11.7
6.6
5.1
5.6
5.2

7.5
9.1
9.0
3.9
7.4
7.1
6.4
9.2
8.1
9.8
4.3
7.0
8.1
7.0

(8.512.1)
(4.17.0)
(5.28.6)
(9.513.5)
(2.84.9)
(5.27.5)
(5.07.8)
(6.68.7)
(7.08.8)
(2.63.9)
(6.49.3)
(4.210.1)
(6.49.4)
(5.06.2)
(7.68.3)
(4.76.5)
(5.28.2)
(9.813.9)
(5.57.8)
(4.45.9)
(4.47.2)
(3.97.0)

(6.68.4)
(7.510.9)
(7.011.6)
(3.15.0)
(6.19.0)
(6.08.4)
(5.37.6)
(7.710.9)
(5.911.1)
(8.810.8)
(4.04.6)
(6.27.8)
(6.410.3)
(5.88.4)
7.0
(3.211.7)

11.5
8.4
10.4
7.0
6.0
12.4
8.8
13.5
6.3
8.1
5.5
7.6

(8.315.8)
(6.710.5)
(7.714.1)
(5.19.6)
(4.57.9)
(9.516.0)
(7.99.8)
(11.515.7)
(5.07.9)
(6.69.9)
(4.17.4)
(6.09.4)

11.4
6.5
8.2
6.8
5.4
9.7
8.3
10.8
5.0
6.8
4.6
7.8

(8.814.7)
(5.47.8)
(6.310.6)
(5.48.6)
(4.36.8)
(7.812.1)
(7.78.9)
(9.512.2)
(4.16.1)
(5.87.9)
(3.46.1)
(6.59.4)

CI

46.9
55.2
59.4
49.6
66.1
64.3
60.7
57.7
46.5
58.5
58.8
58.2
52.7
61.5
54.5
60.2
55.8
47.2
52.1
58.1
58.7
57.2

52.3
58.5
58.3
64.4
51.8
55.6
59.7
42.8
54.5
48.4
66.7
55.7
56.2
58.8

(41.752.1)
(51.159.3)
(54.464.2)
(46.053.2)
(61.970.1)
(60.468.0)
(57.464.0)
(55.559.9)
(43.549.6)
(55.361.7)
(53.464.1)
(54.461.9)
(48.357.0)
(58.464.5)
(53.655.3)
(56.563.8)
(50.061.5)
(43.251.3)
(47.756.4)
(55.460.8)
(55.262.0)
(52.561.8)

(49.455.1)
(56.160.8)
(54.761.8)
(61.767.1)
(47.256.4)
(51.359.8)
(53.166.0)
(39.646.1)
(49.459.6)
(45.851.0)
(65.867.7)
(52.858.5)
(49.962.3)
(55.761.7)
57.4
(42.866.7)

50.6
53.2
58.4
56.1
59.6
55.0
50.2
51.7
61.7
54.9
63.1
56.5

(45.555.7)
(49.557.0)
(54.062.7)
(52.260.0)
(55.663.6)
(50.959.1)
(48.851.7)
(49.054.3)
(58.764.6)
(51.957.9)
(58.467.6)
(53.060.0)

Male
%

Total
CI

51.4
57.6
61.4
54.6
69.1
59.5
63.5
63.3
52.0
62.7
60.3
62.9
52.7
60.3
58.7
65.0
59.8
51.1
55.1
61.7
58.6
63.0

57.0
54.2
58.1
60.7
58.5
62.4
61.1
55.6
55.8
56.3
67.8
61.5
53.9
61.6

(47.055.8)
(52.862.3)
(57.764.9)
(48.960.3)
(63.973.8)
(55.763.3)
(60.066.9)
(61.165.5)
(48.755.2)
(58.366.8)
(56.863.7)
(58.367.3)
(48.656.8)
(58.162.4)
(57.959.5)
(61.868.2)
(56.063.5)
(46.855.3)
(51.758.5)
(59.464.0)
(54.163.0)
(58.067.7)

(54.959.2)
(50.857.6)
(53.762.3)
(57.164.1)
(53.563.3)
(59.865.0)
(55.566.4)
(50.560.5)
(50.261.3)
(52.959.6)
(66.968.7)
(58.564.4)
(49.957.8)
(58.165.1)
59.6
(51.169.1)

61.6
59.0
61.5
57.2
61.7
57.4
57.3
52.9
67.0
59.3
65.4
62.7

(55.967.1)
(55.462.5)
(57.065.8)
(53.161.2)
(58.664.7)
(53.161.6)
(55.658.9)
(49.855.9)
(64.369.6)
(56.562.1)
(62.268.5)
(59.665.7)

CI

49.2
56.4
60.5
52.1
67.7
61.8
62.0
60.6
49.4
60.6
59.6
60.5
52.7
60.9
56.6
62.6
57.9
49.0
53.6
60.0
58.7
60.0

54.6
56.2
58.0
62.5
55.0
59.0
60.5
49.2
55.2
52.4
67.3
58.8
55.1
60.2

(45.852.7)
(53.459.3)
(56.864.0)
(48.356.0)
(64.670.6)
(58.665.0)
(59.364.7)
(58.762.4)
(46.752.1)
(58.163.1)
(55.863.2)
(57.363.7)
(49.456.0)
(58.663.1)
(55.957.3)
(59.965.3)
(53.762.0)
(46.351.8)
(50.756.5)
(57.962.1)
(55.761.6)
(56.963.0)

(52.856.4)
(54.358.1)
(55.061.0)
(60.264.8)
(52.557.5)
(56.261.8)
(55.165.6)
(46.152.3)
(51.958.6)
(50.254.5)
(66.768.0)
(56.261.3)
(51.558.6)
(57.962.5)
58.7
(49.067.7)

55.9
56.0
59.9
56.7
60.6
56.1
53.6
52.4
64.4
57.3
64.1
59.6

(51.360.4)
(53.758.3)
(56.463.3)
(53.659.7)
(57.863.2)
(52.859.3)
(52.654.7)
(50.354.6)
(62.366.4)
(55.359.3)
(61.466.8)
(57.162.0)

See table footnotes on the next page.

134

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 84. (Continued) Percentage of high school students who did not eat fruit or drink 100% fruit juices* and who ate fruit or drank 100%
fruit juices one or more times/day,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not eat fruit or drink 100% fruit juices
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

7.0

4.5
6.7
8.3
3.5
2.9

Male

CI
(5.98.3)

(3.26.1)
(5.28.5)
(6.310.9)
(2.54.9)
(1.94.4)
6.2
(2.911.4)

CI

9.1

7.3
8.2
8.7
4.1
6.2

Ate fruit or drank 100% fruit juices one or more times/day

Total
%

(7.610.9)

(5.59.6)
(6.710.1)
(6.811.0)
(3.05.6)
(4.29.0)
8.1
(4.113.5)

Female
CI

8.1

5.9
7.5
8.5
3.8
4.7

(7.19.2)

(4.87.3)
(6.48.8)
(7.110.2)
(3.04.8)
(3.46.4)
7.1
(3.811.4)

Male

CI

49.2

61.1
57.0
54.2
62.9
64.4

(46.651.7)

(57.864.4)
(53.860.0)
(49.459.0)
(58.766.8)
(60.767.9)
56.3
(49.264.4)

Total
CI

CI

52.6

63.2
57.9
56.9
65.6
66.7

(50.654.6)

(60.465.9)
(55.860.0)
(54.059.7)
(62.568.5)
(64.269.1)
57.6
(52.466.7)

56.0

65.1
58.4
59.5
68.0
69.4

(53.458.6)

(61.468.7)
(54.861.8)
(55.363.6)
(64.671.2)
(65.672.9)
60.5
(52.969.4)

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 85. Percentage of high school students who ate fruit or drank 100% fruit juices two or more times/day* and who ate fruit or drank 100%
fruit juices three or more times/day,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ate fruit or drank 100% fruit juices two or more times/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Ate fruit or drank 100% fruit juices three or more times/day

Total

CI

CI

29.8
27.8
29.9

(27.132.6)
(24.231.7)
(27.232.8)

29.9
38.2
36.7

(27.032.9)
(33.043.7)
(34.339.2)

29.8
33.3
33.4

30.0
28.7
30.3
31.2
30.0

(27.033.3)
(26.031.6)
(27.832.8)
(27.834.7)
(28.531.5)

35.0
33.9
32.1
31.0
33.1

(31.438.7)
(29.338.7)
(28.835.7)
(27.534.8)
(31.035.3)

32.6
31.2
31.1
31.0
31.5

Female
CI

Male

Total

CI

CI

CI

(27.332.3)
(30.336.4)
(31.535.3)

16.0
20.5
20.5

(14.517.6)
(16.924.7)
(18.522.5)

18.0
29.1
26.6

(15.920.3)
(25.033.6)
(23.829.5)

17.0
25.1
23.6

(15.518.6)
(22.927.5)
(21.825.4)

(30.035.3)
(28.833.7)
(29.233.2)
(29.033.1)
(30.133.0)

16.9
17.4
19.6
18.2
18.0

(14.719.5)
(14.321.1)
(17.621.7)
(15.920.8)
(16.719.3)

24.3
21.6
20.9
20.5
22.1

(21.227.8)
(18.525.1)
(18.523.5)
(18.023.3)
(20.623.6)

20.8
19.5
20.2
19.4
20.0

(18.723.1)
(17.521.6)
(18.621.9)
(17.621.2)
(18.921.1)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

135

Surveillance Summaries

TABLE 86. Percentage of high school students who ate fruit or drank 100% fruit juices two or more times/day* and who ate fruit or drank 100%
fruit juices three or more times/day,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ate fruit or drank 100% fruit juices two or more times/day
Female
Site

CI

State surveys
Alabama
22.9 (18.328.2)
Alaska
26.8 (23.630.2)
Arizona
30.5 (25.835.6)
Arkansas
23.1 (19.627.1)
California
32.0 (29.135.0)
Connecticut
33.4 (29.837.2)
Delaware
28.8 (25.732.1)
Florida
29.9 (28.231.7)
Hawaii
21.2 (19.623.0)
Idaho
24.3 (22.126.7)
Illinois
27.7 (23.532.4)
Indiana
23.6 (19.128.9)
Kentucky
21.9 (18.925.1)
Maine
29.7 (27.232.2)
Maryland
27.3 (26.628.1)
Massachusetts
30.6 (26.934.6)
Michigan
26.3 (22.730.3)
Mississippi
24.2 (20.328.5)
Missouri
23.4 (20.127.1)
Montana
26.1 (23.928.4)
Nebraska
27.4 (23.931.2)
Nevada
30.1 (24.436.5)
New Hampshire

New Mexico
25.5 (23.427.7)
New York
32.2 (29.435.2)
North Carolina
29.2 (25.832.8)
North Dakota
27.3 (24.030.8)
Oklahoma
25.6 (21.130.8)
Pennsylvania
24.7 (22.027.6)
Rhode Island
28.2 (22.534.7)
South Carolina
18.6 (14.423.7)
South Dakota
22.2 (18.726.0)
Tennessee
19.9 (18.221.7)
Vermont
33.5 (32.634.4)
Virginia
26.5 (23.829.5)
West Virginia
26.8 (22.431.7)
Wyoming
25.2 (22.827.7)
Median
26.6
Range
(18.633.5)
Large urban school district surveys
Baltimore, MD
28.5 (24.233.3)
Boston, MA
29.6 (26.832.5)
Broward County, FL
32.9 (30.035.9)
Cleveland, OH
28.5 (25.431.8)
DeKalb County, GA
32.0 (28.935.3)
Detroit, MI
22.7 (19.825.9)
District of Columbia
25.4 (24.126.7)
Duval County, FL
26.4 (24.328.7)
Ft. Worth, TX
31.6 (28.634.8)
Houston, TX
29.3 (27.031.7)
Los Angeles, CA
30.0 (26.633.6)
Miami-Dade County, FL
31.4 (28.834.2)

Male
%

Total
CI

23.6
30.3
29.4
29.5
34.7
27.7
33.2
36.0
24.8
27.0
34.0
27.2
20.1
30.4
30.3
31.9
28.7
26.4
24.8
28.8
26.2
28.6

29.5
28.8
25.5
27.8
30.9
32.4
30.8
29.1
25.6
26.2
35.0
32.6
28.9
28.0

(20.027.6)
(25.935.0)
(25.933.2)
(23.836.0)
(32.137.4)
(24.231.4)
(29.936.6)
(34.038.2)
(22.727.1)
(23.231.1)
(30.937.3)
(23.331.5)
(17.023.4)
(29.131.8)
(29.631.1)
(29.534.5)
(26.031.6)
(23.129.9)
(21.628.2)
(26.331.4)
(23.229.5)
(25.432.1)

(27.731.3)
(25.832.0)
(21.630.0)
(24.331.6)
(27.434.6)
(29.335.7)
(27.034.9)
(24.234.6)
(20.831.1)
(23.329.4)
(34.136.0)
(29.635.7)
(26.331.6)
(25.031.2)
28.8
(20.136.0)

35.7
35.1
31.7
31.9
35.1
25.4
30.8
26.7
37.4
29.7
37.5
36.6

Ate fruit or drank 100% fruit juices three or more times/day

(29.442.5)
(31.938.5)
(27.336.5)
(28.335.7)
(31.838.7)
(22.029.2)
(29.432.4)
(24.129.6)
(34.140.8)
(27.032.6)
(33.541.7)
(33.539.8)

Female
CI

23.4
28.6
30.1
26.3
33.3
30.5
31.0
33.2
23.2
25.6
30.9
25.5
21.0
30.1
28.8
31.4
27.5
25.2
24.1
27.5
26.8
29.3

27.5
30.5
27.3
27.6
28.2
28.6
29.6
23.9
24.0
23.1
34.3
29.8
27.9
26.7

(21.025.9)
(25.831.5)
(26.733.7)
(22.330.7)
(31.135.5)
(27.733.5)
(28.633.4)
(31.634.8)
(21.824.6)
(23.128.3)
(28.233.7)
(21.829.6)
(19.322.9)
(28.631.6)
(28.329.3)
(29.333.5)
(24.930.3)
(22.328.3)
(22.126.2)
(25.729.3)
(24.629.2)
(26.132.7)

(26.128.9)
(28.332.7)
(24.929.9)
(24.930.4)
(26.030.5)
(26.131.1)
(25.334.3)
(20.128.1)
(20.528.0)
(21.125.2)
(33.735.0)
(27.532.2)
(25.530.5)
(24.529.0)
27.7
(21.034.3)

32.2
32.3
32.4
30.0
33.5
24.0
28.0
26.6
34.5
29.6
33.6
34.1

(28.136.6)
(30.234.4)
(29.735.2)
(27.732.6)
(31.136.0)
(21.826.4)
(27.029.0)
(24.728.5)
(32.336.8)
(27.831.5)
(31.535.7)
(32.236.1)

CI

13.9
15.9
17.2
14.6
18.7
18.7
17.9
19.4
12.7
12.7
17.3
13.4
13.0
17.0
16.2
16.8
14.3
17.0
12.2
14.1
15.8
17.8

16.0
19.4
17.1
14.0
12.9
11.5
15.5
13.7
11.0
11.3
17.9
14.7
16.7
14.3

(10.218.5)
(13.318.9)
(12.922.7)
(12.217.3)
(16.321.4)
(16.421.3)
(15.620.5)
(17.821.2)
(11.214.4)
(10.715.0)
(14.520.5)
(10.317.3)
(10.516.0)
(15.218.9)
(15.616.8)
(14.419.4)
(11.717.2)
(13.521.1)
(8.816.7)
(12.715.7)
(12.919.1)
(14.222.1)

(14.517.5)
(16.922.1)
(13.721.1)
(11.716.6)
(9.916.6)
(9.713.7)
(11.720.3)
(9.918.6)
(7.216.3)
(9.713.1)
(17.218.7)
(12.617.1)
(13.320.8)
(12.416.5)
15.6
(11.019.4)

20.9
18.6
21.2
20.3
20.8
15.0
16.7
18.2
22.0
18.5
17.3
21.1

(16.226.5)
(16.121.5)
(18.624.1)
(17.223.7)
(17.924.1)
(12.817.6)
(15.617.8)
(16.420.2)
(19.524.6)
(16.520.8)
(14.320.7)
(18.723.8)

Male
%

Total
CI

16.2
18.6
19.3
18.6
21.4
17.5
22.5
25.1
16.0
16.2
21.1
14.4
14.0
17.9
19.9
19.6
17.6
19.3
15.4
17.2
14.6
17.5

20.6
17.6
16.9
16.0
21.8
21.2
17.3
18.0
15.0
16.4
21.6
19.0
19.8
17.3

(13.319.5)
(15.122.7)
(16.422.7)
(14.124.1)
(19.024.0)
(14.720.7)
(19.625.7)
(23.227.1)
(14.317.8)
(13.419.6)
(18.224.3)
(12.217.1)
(11.716.7)
(16.719.1)
(19.320.6)
(17.222.3)
(15.619.8)
(16.322.8)
(12.618.7)
(14.819.9)
(12.217.4)
(14.820.5)

(19.122.2)
(15.819.5)
(13.321.3)
(13.718.6)
(18.525.6)
(19.023.5)
(12.922.7)
(14.222.4)
(11.519.3)
(14.019.1)
(20.922.5)
(16.921.3)
(16.323.8)
(14.720.2)
17.7
(14.025.1)

22.4
24.2
21.9
23.1
24.0
19.9
21.9
17.8
27.4
20.9
25.5
26.5

(17.827.8)
(21.127.6)
(18.525.7)
(19.926.6)
(21.326.9)
(17.123.1)
(20.623.3)
(15.720.2)
(24.530.4)
(18.423.6)
(22.029.5)
(23.429.8)

CI

15.0
17.3
18.5
16.5
20.1
18.1
20.2
22.5
14.5
14.5
19.2
13.9
13.6
17.4
18.1
18.3
15.9
18.1
13.7
15.7
15.2
17.6

18.3
18.5
17.0
15.1
17.3
16.4
16.5
15.9
13.1
13.9
19.9
17.0
18.2
15.9

(13.117.1)
(15.020.0)
(15.521.8)
(13.819.8)
(18.422.0)
(16.120.3)
(18.322.1)
(21.223.9)
(13.415.7)
(12.416.9)
(16.921.8)
(12.115.9)
(12.215.1)
(16.318.6)
(17.618.5)
(16.819.8)
(14.117.9)
(15.421.1)
(11.216.7)
(14.317.3)
(13.517.1)
(15.120.4)

(17.219.5)
(16.720.4)
(14.320.1)
(13.217.1)
(15.219.7)
(14.818.2)
(12.721.1)
(12.619.9)
(10.116.7)
(12.215.8)
(19.320.4)
(15.318.8)
(16.120.7)
(14.117.9)
17.0
(13.122.5)

21.5
21.4
21.6
21.6
22.3
17.3
19.2
18.0
24.6
19.8
21.3
23.7

(18.125.3)
(19.323.6)
(19.523.9)
(19.324.0)
(20.524.3)
(15.719.1)
(18.320.1)
(16.519.7)
(22.826.6)
(18.221.5)
(19.423.3)
(21.925.6)

See table footnotes on the next page.

136

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 86. (Continued) Percentage of high school students who ate fruit or drank 100% fruit juices two or more times/day* and who ate fruit
or drank 100% fruit juices three or more times/day,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ate fruit or drank 100% fruit juices two or more times/day
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

26.3

30.9
29.4
30.7
31.1
35.4

(24.328.4)

(26.835.3)
(26.632.4)
(25.836.0)
(27.335.2)
(31.739.3)
29.8
(22.735.4)

Ate fruit or drank 100% fruit juices three or more times/day

Total
CI

30.4

37.4
32.3
33.9
35.5
40.0

(27.433.5)

(33.641.4)
(29.435.4)
(31.136.8)
(32.039.2)
(36.044.0)
34.5
(25.440.0)

Female
CI

28.4

34.2
31.1
32.2
33.4
37.6

(26.330.6)

(30.837.6)
(29.033.3)
(29.335.3)
(30.436.5)
(35.240.2)
32.2
(24.037.6)

Male

CI

17.3

17.6
17.5
22.0
18.6
20.2

(15.719.1)

(14.720.9)
(15.320.0)
(17.127.9)
(15.622.1)
(17.023.8)
18.6
(15.022.0)

Total
CI

CI

18.9

21.8
20.1
23.0
20.6
22.5

(17.620.2)

(19.124.7)
(17.922.4)
(19.926.5)
(18.223.3)
(20.324.9)
21.4
(17.324.6)

20.3

25.8
22.2
24.3
22.4
24.9

(18.722.0)

(22.229.7)
(19.325.4)
(21.527.2)
(19.425.6)
(21.628.5)
22.7
(17.827.4)

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 87. Percentage of high school students who did not eat vegetables*, and who ate vegetables* one or more times/day, by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not eat vegetables
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ate vegetables one or more times/day

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

3.7
8.8
7.7

(2.94.7)
(6.611.6)
(6.29.5)

6.0
13.0
9.2

(5.07.3)
(10.615.8)
(7.411.4)

4.9
10.9
8.5

(4.25.8)
(9.213.0)
(7.39.7)

64.5
48.0
55.3

(61.267.7)
(41.155.0)
(52.558.0)

64.0
56.5
57.7

(61.466.6)
(52.460.5)
(55.060.3)

64.2
52.5
56.5

(61.766.7)
(48.656.4)
(54.858.3)

6.0
5.9
4.5
5.7
5.6

(4.97.3)
(4.77.4)
(3.36.0)
(4.37.5)
(4.86.4)

7.2
8.4
8.0
7.2
7.7

(5.39.7)
(6.311.3)
(6.310.1)
(5.59.3)
(6.68.9)

6.6
7.1
6.6
6.4
6.7

(5.48.1)
(5.88.8)
(5.67.8)
(5.27.9)
(6.07.5)

57.3
58.6
61.3
63.1
60.0

(53.960.5)
(55.162.0)
(57.165.3)
(59.466.6)
(57.562.4)

59.7
60.9
63.9
63.9
62.0

(54.964.4)
(56.964.9)
(60.667.0)
(60.467.3)
(59.764.2)

58.6
59.9
62.5
63.5
61.0

(55.361.8)
(56.962.7)
(59.765.2)
(60.966.0)
(58.963.0)

CI

* Green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables.
During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

137

Surveillance Summaries

TABLE 88. Percentage of high school students who did not eat vegetables*, and who ate vegetables* one or more times/day, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Did not eat vegetables
Female
Site

CI

State surveys
Alabama
10.0
(7.912.6)
Alaska
4.0
(2.85.6)
Arizona
6.1
(4.68.0)
Arkansas
10.7
(8.813.0)
California
6.4
(4.59.0)
Connecticut
6.3
(4.78.3)
Delaware

Florida
8.1
(7.19.4)
Hawaii

Idaho
2.8
(2.04.1)
Illinois
8.4
(6.410.8)
Indiana
5.9
(4.18.5)
Kentucky
6.5
(4.59.1)
Maine

Maryland
6.9
(6.57.3)
Massachusetts
5.7
(4.37.5)
Michigan
6.0
(4.28.6)
Mississippi
9.2
(6.712.5)
Missouri
5.5
(3.38.9)
Montana
3.9
(3.24.9)
Nebraska
4.3
(3.06.2)
Nevada
5.2
(3.57.6)
New Hampshire

New Mexico
6.1
(5.07.4)
New York

North Carolina
7.1
(4.311.6)
North Dakota
3.5
(2.45.1)
Oklahoma
7.0
(4.99.8)
Pennsylvania
4.4
(2.96.4)
Rhode Island
5.5
(3.39.1)
South Carolina
8.9
(6.013.0)
South Dakota
6.1
(3.510.2)
Tennessee
8.3
(7.09.9)
Vermont
3.1
(2.83.4)
Virginia
5.6
(4.37.3)
West Virginia
4.9
(3.17.7)
Wyoming
4.4
(3.06.3)
Median
6.0
Range
(2.810.7)
Large urban school district surveys
Baltimore, MD
11.3
(8.714.6)
Boston, MA
9.2
(7.111.8)
Broward County, FL
9.1
(7.011.8)
Cleveland, OH
10.9
(8.813.6)
DeKalb County, GA
8.0
(6.010.4)
Detroit, MI
7.0
(5.58.9)
District of Columbia
10.6
(9.711.6)
Duval County, FL
9.1
(7.510.9)
Ft. Worth, TX
8.9
(7.111.0)
Houston, TX
10.2
(8.512.2)
Los Angeles, CA
6.8
(5.09.2)
Miami-Dade County, FL
10.0
(8.411.9)

Ate vegetables one or more times/day

Male
%

Total
CI

Female
CI

CI

11.0
6.8
8.1
11.9
7.4
7.7

11.0

3.9
11.2
8.6
10.4

9.8
6.3
6.7
12.8
6.8
6.3
8.4
8.8

8.1

10.5
5.9
8.9
7.7
8.6
11.2
7.6
11.1
5.5
7.8
11.7
8.7

(8.713.9)
(5.28.8)
(5.811.3)
(9.614.7)
(4.013.2)
(6.39.3)

(9.812.3)

(2.56.0)
(9.113.7)
(6.211.9)
(8.113.4)

(9.310.4)
(4.78.4)
(5.28.5)
(10.515.5)
(4.79.9)
(4.98.0)
(6.411.0)
(5.912.9)

(7.19.4)

(7.414.8)
(4.47.9)
(6.312.3)
(6.49.3)
(6.112.0)
(8.514.6)
(6.09.8)
(9.412.9)
(5.16.0)
(6.49.4)
(9.114.9)
(7.010.6)
8.5
(3.912.8)

10.4
(9.012.1)
5.4
(4.36.8)
7.1
(5.59.3)
11.3 (10.012.8)
6.9
(4.410.7)
6.9
(5.88.3)

9.6
(8.610.6)

3.3
(2.44.7)
9.8
(8.411.4)
7.3
(5.49.9)
8.5
(6.910.5)

8.4
(8.08.8)
6.0
(4.77.6)
6.3
(4.98.0)
10.9
(9.312.9)
6.1
(4.48.3)
5.1
(4.26.3)
6.4
(5.18.1)
7.2
(5.59.3)

7.1
(6.47.9)

8.9
(6.811.7)
4.7
(3.85.8)
8.1
(6.410.2)
6.1
(5.17.2)
7.1
(4.910.2)
10.0
(7.313.5)
6.9
(5.19.2)
9.7
(8.511.1)
4.4
(4.14.6)
6.7
(5.68.1)
8.3
(6.211.1)
6.6
(5.57.9)
7.1
(3.311.3)

49.0
64.3
60.0
53.9
61.4
66.3

55.6

66.1
56.2
58.9
58.8

58.3
61.8
58.3
51.3
56.1
65.5
63.2
57.9

57.4

60.0
59.4
56.2
60.6
60.4
45.6
60.8
50.0
73.4
59.7
57.7
66.0

10.6
13.6
12.2
11.6
11.0
11.5
12.0
12.6
10.9
13.2
9.4
13.1

(7.315.1)
(11.116.6)
(9.615.3)
(9.114.6)
(8.813.7)
(8.615.2)
(10.913.1)
(10.814.5)
(9.013.3)
(11.615.0)
(8.011.0)
(11.015.5)

10.8
(8.413.8)
11.4
(9.513.6)
10.7
(9.012.7)
11.4
(9.613.4)
9.5
(7.811.4)
9.0
(7.311.0)
11.3 (10.612.0)
10.7
(9.512.0)
9.9
(8.511.5)
11.6 (10.413.0)
8.0
(7.09.1)
11.7 (10.313.3)

49.3
48.0
53.6
48.5
55.3
54.2
48.2
55.7
54.3
51.3
53.7
53.1

(45.252.8)
(60.368.2)
(54.565.2)
(50.856.9)
(56.466.2)
(62.370.2)

(53.158.1)

(61.770.2)
(50.761.6)
(53.863.8)
(53.663.8)

(57.459.2)
(57.565.9)
(54.062.4)
(47.355.2)
(48.763.3)
(62.868.2)
(59.866.5)
(52.063.6)

(55.059.8)

(54.964.9)
(55.962.9)
(52.959.4)
(55.765.2)
(52.467.9)
(41.050.2)
(53.367.8)
(47.152.9)
(72.574.2)
(55.863.4)
(53.362.0)
(62.569.4)
59.1
(45.673.4)
(44.554.2)
(44.052.0)
(49.757.5)
(43.453.6)
(51.359.2)
(50.557.8)
(46.749.7)
(52.958.5)
(50.857.9)
(48.953.8)
(48.358.9)
(49.956.3)

Male
%

Total
CI

52.8
62.7
57.9
54.8
61.7
63.1

58.1

63.9
58.0
56.0
55.3

59.9
62.9
55.9
52.4
60.2
66.3
64.1
60.3

61.5

58.5
57.6
59.1
58.4
56.6
48.1
57.7
53.7
71.4
60.7
53.9
63.8

(48.557.1)
(59.066.3)
(54.960.9)
(51.358.3)
(55.867.3)
(59.566.6)

(55.860.3)

(60.167.5)
(53.362.6)
(51.560.4)
(51.858.7)

(59.160.8)
(58.966.7)
(51.260.5)
(49.155.6)
(55.664.6)
(64.168.5)
(60.068.0)
(56.064.5)

(58.964.2)

(52.564.2)
(54.660.5)
(55.362.7)
(54.961.8)
(51.761.4)
(39.456.8)
(53.162.1)
(50.556.9)
(70.572.3)
(57.264.0)
(49.458.3)
(60.666.8)
58.4
(48.171.4)

58.1
50.6
52.4
48.4
54.6
54.6
54.8
56.0
56.0
51.1
56.5
54.9

(51.664.3)
(46.554.7)
(48.256.5)
(43.653.2)
(50.758.4)
(49.959.3)
(53.256.5)
(52.859.1)
(53.059.0)
(48.353.8)
(52.260.8)
(51.158.6)

CI

51.2
63.7
59.1
54.5
61.6
64.8

56.9

64.8
57.1
57.5
57.1

59.2
62.4
57.1
51.9
58.0
66.0
63.8
59.1

59.4

59.2
58.5
57.6
59.5
58.6
46.7
59.2
51.9
72.3
60.1
55.8
64.9

(47.954.6)
(60.666.7)
(55.562.6)
(52.456.6)
(56.766.3)
(61.667.8)

(54.958.8)

(62.567.1)
(53.560.6)
(53.961.1)
(54.359.9)

(58.559.9)
(58.865.8)
(53.660.6)
(49.254.6)
(53.162.8)
(64.167.8)
(60.966.5)
(54.963.1)

(57.561.3)

(55.063.3)
(56.360.7)
(55.459.8)
(56.262.7)
(53.463.6)
(41.352.3)
(55.363.1)
(49.754.1)
(71.772.9)
(57.063.2)
(52.359.2)
(62.467.2)
59.1
(46.772.3)

53.8
49.3
53.0
48.7
54.9
54.5
51.3
56.2
55.1
51.5
55.0
54.0

(50.157.4)
(46.252.5)
(49.956.1)
(45.152.2)
(52.057.8)
(51.557.5)
(50.252.5)
(54.158.2)
(52.957.4)
(49.553.4)
(51.258.8)
(51.156.8)

See table footnotes on the next page.

138

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 88. (Continued) Percentage of high school students who did not eat vegetables*, and who ate vegetables* one or more times/day,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not eat vegetables
Female
Site

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

8.2
8.0
8.9
4.1

Ate vegetables one or more times/day

Male

CI

(6.210.8)
(6.410.1)
(6.611.8)
(2.76.0)

9.0
(4.111.3)

13.7
11.6
9.4
7.1

Total
CI

(11.017.0)
(9.713.9)
(7.611.4)
(6.08.3)

11.6
(7.113.7)

Female
CI

11.1
9.8
9.1
5.6

(9.313.3)
(8.611.2)
(7.311.3)
(4.76.6)

10.7
(5.611.7)

Male

CI

54.4
55.5
50.0
61.7

(49.858.9)
(51.859.1)
(45.554.5)
(58.664.6)

53.6
(48.061.7)

Total
CI

CI

54.8
54.9
53.0
61.1

(51.258.3)
(52.657.2)
(49.856.3)
(58.863.4)

54.3
(48.761.1)

55.4
53.9
56.2
60.4

(50.959.8)
(51.056.7)
(52.759.6)
(57.163.6)

54.8
(48.460.4)

* Green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables.
During the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 89. Percentage of high school students who ate vegetables* two or more times/day and who ate vegetables* three or more time/day,
by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Ate vegetables two or more times/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Ate vegetables three or more times/day


Total

CI

CI

29.1
17.9
23.8

(26.132.4)
(14.322.3)
(21.326.6)

28.2
25.7
30.3

(25.730.8)
(21.130.9)
(27.633.2)

28.6
22.0
27.2

24.2
25.5
26.6
29.8
26.5

(21.626.9)
(22.528.7)
(22.830.7)
(26.133.8)
(24.428.6)

28.9
28.4
30.9
30.0
29.6

(24.633.5)
(25.531.4)
(28.333.5)
(26.234.1)
(27.631.7)

26.6
26.9
28.8
29.8
28.0

Female
CI

Male

Total

CI

CI

CI

(26.431.0)
(19.125.2)
(25.229.3)

13.1
9.9
12.7

(11.514.9)
(6.215.4)
(10.715.0)

13.9
16.1
18.8

(12.415.7)
(12.720.3)
(16.521.3)

13.5
13.2
15.8

(12.214.9)
(10.815.9)
(14.217.5)

(23.929.6)
(24.629.2)
(26.631.1)
(27.032.8)
(26.429.7)

11.6
11.2
13.9
14.9
12.9

(9.713.8)
(9.213.5)
(12.016.1)
(11.219.4)
(11.814.0)

17.1
15.9
15.9
17.1
16.6

(13.920.7)
(12.819.5)
(13.518.8)
(14.719.8)
(15.218.0)

14.5
13.5
15.0
16.0
14.8

(12.516.8)
(12.015.1)
(13.416.8)
(13.718.5)
(13.815.7)

* Green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables.
During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

139

Surveillance Summaries

TABLE 90. Percentage of high school students who ate vegetables* two or more times/day and who ate vegetables* three or more time/day,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ate vegetables two or more times/day
Female
Site

CI

State surveys
Alabama
16.7 (14.119.6)
Alaska
28.5 (24.632.7)
Arizona
27.6 (22.533.4)
Arkansas
23.2 (19.227.7)
California
28.8 (25.232.8)
Connecticut
29.1 (24.534.2)
Delaware

Florida
25.0 (23.326.8)
Hawaii

Idaho
27.0 (23.630.7)
Illinois
22.2 (18.326.6)
Indiana
22.0 (18.625.9)
Kentucky
24.0 (20.827.6)
Maine

Maryland
24.1 (23.424.8)
Massachusetts
24.7 (21.428.3)
Michigan
21.2 (18.124.8)
Mississippi
20.5 (18.023.3)
Missouri
20.2 (17.323.5)
Montana
26.8 (24.729.0)
Nebraska
27.9 (24.531.5)
Nevada
25.7 (21.031.1)
New Hampshire

New Mexico
25.0 (22.927.3)
New York

North Carolina
26.3 (22.530.6)
North Dakota
25.3 (22.528.3)
Oklahoma
18.9 (16.321.8)
Pennsylvania
23.7 (20.926.8)
Rhode Island
22.2 (19.425.4)
South Carolina
16.5 (14.418.8)
South Dakota
21.8 (17.127.3)
Tennessee
18.9 (16.921.1)
Vermont
35.9 (35.036.9)
Virginia
24.9 (22.127.8)
West Virginia
24.2 (20.428.4)
Wyoming
28.8 (25.832.0)
Median
24.4
Range
(16.535.9)
Large urban school district surveys
Baltimore, MD
20.6 (16.825.0)
Boston, MA
21.3 (18.324.6)
Broward County, FL
22.2 (19.225.6)
Cleveland, OH
19.3 (16.522.4)
DeKalb County, GA
23.1 (20.026.5)
Detroit, MI
19.2 (16.522.2)
District of Columbia
19.3 (18.220.5)
Duval County, FL
22.7 (20.425.1)
Ft. Worth, TX
24.4 (21.527.5)
Houston, TX
22.7 (20.624.9)
Los Angeles, CA
19.6 (15.624.3)
Miami-Dade County, FL
26.3 (23.729.1)

Male
%

Total
CI

21.3
27.9
25.0
26.2
28.4
28.3

29.1

25.6
27.3
23.7
21.9

27.3
26.3
23.2
24.3
23.5
30.2
26.8
25.7

30.9

26.9
23.4
25.9
24.9
25.4
20.7
26.5
23.0
36.5
27.7
23.4
31.3

(17.625.5)
(24.531.6)
(21.828.5)
(23.029.6)
(24.133.1)
(25.631.2)

(27.430.8)

(22.129.3)
(24.030.8)
(20.227.6)
(18.825.4)

(26.727.9)
(22.929.9)
(20.126.6)
(21.327.5)
(20.626.7)
(27.832.6)
(23.530.3)
(23.028.7)

(28.533.5)

(23.330.8)
(20.826.1)
(22.629.5)
(22.028.2)
(22.029.1)
(15.926.5)
(22.431.2)
(20.725.6)
(35.637.5)
(24.830.7)
(19.627.6)
(28.434.5)
26.0
(20.736.5)

27.9
19.7
23.9
23.6
26.8
18.4
24.8
24.6
28.0
20.4
26.3
28.3

Ate vegetables three or more times/day

(22.434.1)
(16.823.0)
(20.228.0)
(20.327.2)
(23.630.2)
(14.922.5)
(23.426.3)
(22.127.2)
(25.131.1)
(18.023.0)
(23.728.9)
(25.031.8)

Female
CI

19.3
28.3
26.4
24.7
28.8
28.7

27.2

26.2
24.8
22.9
23.2

25.8
25.7
22.3
22.6
21.8
28.5
27.4
25.8

28.0

26.6
24.3
22.2
24.3
23.9
18.5
24.3
21.1
36.3
26.4
23.8
30.1

(16.822.0)
(25.830.9)
(22.830.3)
(23.226.4)
(25.931.9)
(25.931.6)

(26.028.4)

(24.228.3)
(22.227.5)
(20.425.7)
(21.025.5)

(25.326.3)
(23.028.6)
(20.224.6)
(20.524.8)
(19.724.1)
(26.730.4)
(24.730.3)
(22.729.0)

(26.129.9)

(23.430.1)
(22.426.4)
(19.824.8)
(21.926.9)
(21.326.8)
(16.121.2)
(21.427.5)
(19.522.9)
(35.636.9)
(23.829.1)
(21.126.6)
(27.932.4)
25.2
(18.536.3)

24.4
20.5
23.1
21.9
24.9
19.0
22.0
24.1
26.2
21.8
22.8
27.4

(21.028.2)
(18.522.8)
(20.625.9)
(19.524.5)
(22.827.1)
(16.821.3)
(21.122.9)
(22.525.7)
(23.928.7)
(20.123.6)
(20.625.2)
(25.229.7)

CI

Male
%

Total
CI

CI

8.5
15.0
15.7
12.0
15.3
12.3

13.5

11.0
11.0
8.8
11.1

11.8
11.2
10.5
11.1
8.9
11.9
13.3
14.5

13.4

11.7
10.1
9.3
9.3
10.9
7.5
9.8
8.4
17.4
11.8
12.7
13.1

(6.510.9)
(12.218.3)
(13.018.8)
(10.413.8)
(12.718.3)
(10.014.9)

(12.214.8)

(8.614.0)
(8.813.5)
(6.412.0)
(8.614.1)

(11.212.3)
(9.213.7)
(8.612.7)
(9.612.8)
(5.913.2)
(10.513.5)
(10.516.6)
(10.919.1)

(12.114.7)

(8.915.3)
(8.412.0)
(6.812.7)
(7.311.7)
(9.113.0)
(6.19.2)
(7.512.8)
(7.39.7)
(16.718.2)
(9.913.8)
(10.815.0)
(11.315.3)
11.4
(7.517.4)

11.5
13.2
13.7
14.5
16.3
13.2

17.3

11.7
14.2
10.8
10.9

14.8
12.6
9.1
13.8
12.1
14.8
13.0
13.0

19.3

13.4
12.1
15.2
12.1
12.9
10.8
13.8
10.9
18.6
15.8
13.0
14.7

(8.815.0)
(10.815.9)
(10.917.2)
(11.817.8)
(13.419.7)
(11.115.7)

(15.819.0)

(9.614.1)
(12.615.9)
(8.313.8)
(8.713.7)

(14.315.3)
(10.914.6)
(7.211.5)
(11.416.6)
(9.515.4)
(13.116.6)
(10.915.6)
(10.615.9)

(17.321.6)

(10.517.1)
(10.214.2)
(12.818.0)
(9.814.7)
(10.715.4)
(8.713.4)
(10.218.4)
(9.312.6)
(17.819.3)
(13.518.3)
(10.116.6)
(12.617.1)
13.2
(9.119.3)

10.2
14.2
14.7
13.4
15.9
12.8

15.5

11.3
12.7
9.8
11.1

13.4
12.0
9.8
12.4
10.5
13.3
13.2
13.8

16.4

12.5
11.1
12.1
10.7
12.0
9.1
11.9
9.7
18.1
13.8
12.9
13.9

(8.512.3)
(12.416.1)
(12.317.6)
(12.314.5)
(14.018.0)
(11.114.6)

(14.416.7)

(9.713.2)
(11.314.2)
(8.011.9)
(9.513.0)

(13.013.7)
(10.613.7)
(8.611.1)
(10.914.1)
(8.712.6)
(12.214.6)
(11.315.5)
(11.516.5)

(14.917.9)

(10.115.5)
(9.812.6)
(10.114.6)
(9.012.6)
(10.913.3)
(8.010.4)
(9.614.7)
(8.910.6)
(17.618.6)
(12.115.8)
(11.314.7)
(12.415.7)
12.6
(9.118.1)

13.5
10.7
12.1
10.6
12.7
9.1
10.4
10.9
14.8
12.2
9.7
15.6

(10.018.1)
(8.513.3)
(9.814.8)
(8.413.4)
(10.715.1)
(7.411.3)
(9.511.3)
(9.412.7)
(12.417.7)
(10.614.0)
(8.211.4)
(13.418.0)

15.3
9.8
13.3
15.3
13.7
9.6
13.8
12.7
17.8
11.6
13.9
17.9

(11.320.3)
(8.012.0)
(10.616.5)
(12.518.6)
(11.616.2)
(7.112.9)
(12.715.0)
(11.014.6)
(15.420.5)
(9.813.6)
(11.217.2)
(15.520.5)

14.6
10.3
12.8
13.5
13.2
9.5
12.1
12.0
16.4
12.2
11.8
16.8

(11.718.1)
(8.912.0)
(10.914.9)
(11.715.5)
(11.814.8)
(7.911.4)
(11.412.8)
(10.913.2)
(14.518.4)
(11.013.5)
(10.213.6)
(15.218.6)

See table footnotes on the next page.

140

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 90. (Continued) Percentage of high school students who ate vegetables* two or more times/day and who ate vegetables* three or more
time/day, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Ate vegetables two or more times/day
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

27.2
21.6
21.2
26.4

(23.830.7)
(18.724.8)
(18.524.1)
(23.629.4)

21.9
(19.227.2)

Ate vegetables three or more times/day

Total
CI

27.6
24.7
24.4
28.1

(23.132.5)
(21.727.9)
(20.229.2)
(25.231.1)

24.7
(18.428.3)

Female
CI

27.2
23.4
22.9
27.2

(24.230.5)
(21.225.7)
(20.425.6)
(25.229.3)

23.2
(19.027.4)

14.4
11.2
10.2
12.6

Male

CI

(11.917.2)
(9.213.6)
(8.212.6)
(10.215.5)

11.6
(9.115.6)

Total
CI

18.3
13.5
14.1
14.0

CI

16.3
12.5
12.3
13.3

(13.619.4)
(10.814.3)
(10.514.5)
(11.315.5)

12.6
(9.516.8)

(14.023.5)
(11.216.2)
(10.818.1)
(11.516.9)

13.8
(9.618.3)

* Green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or other vegetables.
During the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 91. Percentage of high school students who did not drink milk* and who drank one or more glasses/day of milk,* by sex, race/ethnicity,
and grade United States, Youth Risk Behavior Survey, 2015
Did not drink milk
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Drank one or more glasses/day of milk

Male

Total

CI

CI

24.4
44.6
26.3

(20.628.7)
(39.549.8)
(23.729.1)

12.1
25.8
13.0

(10.214.3)
(23.028.8)
(11.115.3)

18.3
34.7
19.6

27.0
26.9
31.7
28.2
28.4

(24.230.0)
(21.233.4)
(27.835.9)
(24.832.0)
(25.531.5)

15.6
14.1
14.2
16.6
15.1

(13.118.5)
(10.818.1)
(12.116.6)
(13.919.7)
(13.616.6)

20.9
20.5
22.8
22.4
21.5

Female
CI

Male

Total

CI

CI

CI

(15.921.1)
(32.437.0)
(17.721.6)

32.0
17.7
27.2

(27.636.7)
(14.521.5)
(24.630.0)

50.6
31.8
45.1

(45.755.5)
(26.238.1)
(42.647.7)

41.2
25.1
36.2

(37.145.5)
(22.228.2)
(34.438.1)

(18.823.3)
(16.924.6)
(20.325.6)
(20.124.8)
(19.823.4)

29.3
30.1
26.3
26.5
28.2

(25.533.4)
(22.938.5)
(21.931.4)
(23.429.9)
(25.131.6)

47.0
49.2
44.7
43.8
46.2

(43.051.0)
(42.555.9)
(41.248.2)
(39.847.8)
(43.349.1)

38.6
39.6
35.8
35.2
37.5

(35.242.1)
(33.745.9)
(32.239.6)
(32.737.7)
(34.840.2)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

141

Surveillance Summaries

TABLE 92. Percentage of high school students who did not drink milk* and who drank one or more glasses/day of milk,* by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Did not drink milk
Female
Site

CI

State surveys
Alabama
35.5 (30.540.8)
Alaska

Arizona

Arkansas
33.3 (27.439.7)
California
30.0 (23.537.5)
Connecticut

Delaware
30.9 (27.534.6)
Florida
29.2 (27.631.0)
Hawaii
36.6 (33.639.8)
Idaho
19.7 (16.922.7)
Illinois
31.9 (28.435.6)
Indiana
23.5 (20.227.1)
Kentucky
26.5 (22.331.0)
Maine
23.4 (22.024.8)
Maryland

Massachusetts
28.1 (24.731.7)
Michigan
29.8 (25.834.1)
Mississippi
37.7 (33.941.6)
Missouri
26.3 (22.330.7)
Montana
20.0 (18.221.8)
Nebraska
22.7 (19.126.7)
Nevada
28.9 (25.133.0)
New Hampshire

New Mexico

New York
34.2 (32.236.2)
North Carolina

North Dakota
15.9 (13.518.5)
Oklahoma
26.7 (24.229.3)
Pennsylvania
25.8 (22.729.2)
Rhode Island

South Carolina
38.6 (32.345.4)
South Dakota
18.9 (14.424.3)
Tennessee
34.2 (30.038.7)
Vermont

Virginia
35.1 (32.038.3)
West Virginia
24.6 (21.827.7)
Wyoming
23.1 (20.426.1)
Median
28.5
Range
(15.938.6)
Large urban school district surveys
Baltimore, MD
41.7 (37.146.5)
Boston, MA
32.9 (29.736.2)
Broward County, FL
40.5 (36.444.7)
Cleveland, OH

DeKalb County, GA
43.3 (39.647.1)
Detroit, MI
36.3 (32.440.3)
District of Columbia

Duval County, FL

Ft. Worth, TX
28.2 (25.231.4)
Houston, TX
33.2 (30.735.8)
Los Angeles, CA
25.5 (21.430.1)
Miami-Dade County, FL
29.5 (26.632.6)

Drank one or more glasses/day of milk

Male
%

Total
CI

22.7

20.2
15.8

18.3
17.2
22.3
10.3
16.5
16.5
18.5
14.2

13.8
17.1
25.3
14.8
11.9
12.1
17.9

26.9

12.0
17.7
15.6

21.4
13.7
19.4

20.8
17.7
16.2

(19.626.0)

(18.022.6)
(13.019.1)

(15.621.3)
(15.618.9)
(20.324.4)
(8.013.1)
(13.420.3)
(12.920.9)
(15.422.0)
(13.015.6)

(11.816.2)
(13.721.1)
(21.629.3)
(12.018.2)
(10.213.7)
(9.615.1)
(14.821.4)

(23.131.0)

(9.714.9)
(14.821.1)
(13.518.1)

(18.025.2)
(9.619.1)
(16.522.6)

(18.323.5)
(14.421.6)
(13.219.8)
17.1
(10.326.9)

32.2
22.6
28.0

28.4
29.9

16.9
22.2
15.5
19.3

(25.939.3)
(19.126.5)
(25.031.3)

(25.232.0)
(26.233.9)

(14.519.7)
(20.024.5)
(13.517.7)
(16.921.9)

Female
CI

29.0

26.7
22.8

24.6
23.2
29.6
14.8
24.1
20.0
22.5
18.8

21.0
23.4
31.7
20.8
15.8
17.3
23.5

30.5

13.9
22.4
20.7

30.1
16.2
26.6

27.7
21.2
19.6

(25.432.9)

(23.729.9)
(18.727.5)

(22.327.0)
(22.024.5)
(27.531.9)
(13.016.9)
(21.526.8)
(17.223.2)
(19.925.4)
(17.919.7)

(18.823.3)
(20.226.9)
(29.134.3)
(17.624.3)
(14.517.1)
(14.919.9)
(20.926.2)

(28.432.7)

(12.315.8)
(20.324.6)
(18.423.2)

(26.534.0)
(13.918.8)
(23.529.8)

(25.530.0)
(18.923.8)
(17.422.1)
22.6
(13.931.7)

36.9
27.7
34.1

35.9
33.4

22.5
27.5
20.7
24.5

(32.541.5)
(25.230.5)
(31.336.9)

(33.438.6)
(30.536.5)

(20.624.6)
(25.729.3)
(18.123.6)
(22.826.3)

CI

18.9

22.8
23.8

23.7
24.7
16.6
30.4
25.0
27.4
22.3
34.1

27.6
26.5
18.2
28.1
33.3
33.9
24.6

21.4

45.8
26.8
27.7

17.6
38.4
21.7

25.1
26.3
33.0

(15.123.5)

(18.428.0)
(20.427.5)

(21.226.5)
(22.826.8)
(14.419.1)
(27.034.1)
(21.928.3)
(23.232.0)
(19.125.9)
(32.835.4)

(24.231.4)
(23.429.9)
(15.221.7)
(24.232.3)
(30.836.0)
(30.737.4)
(22.227.1)

(19.623.3)

(42.149.6)
(22.332.0)
(24.331.4)

(11.925.4)
(32.045.2)
(19.124.7)

(22.328.2)
(22.930.1)
(29.736.6)
25.7
(16.645.8)

16.6
23.1
16.5

16.2
13.7

23.8
20.9
21.9
25.6

(12.621.7)
(20.226.3)
(14.019.3)

(13.719.1)
(11.316.5)

(21.326.4)
(18.823.2)
(18.725.5)
(23.028.4)

Male
%

Total
CI

32.9

37.1
41.2

41.8
43.1
29.6
53.5
42.4
43.0
37.9
50.2

48.2
44.3
29.0
44.8
49.1
49.1
39.5

33.8

57.1
42.3
49.1

33.4
51.6
36.3

43.1
41.2
46.1

(30.435.4)

(32.841.7)
(37.744.8)

(38.745.0)
(40.845.3)
(27.032.3)
(49.157.8)
(38.346.7)
(38.447.6)
(33.642.4)
(48.851.7)

(45.051.5)
(38.949.8)
(24.933.6)
(41.947.7)
(46.152.1)
(44.953.2)
(36.043.2)

(31.935.8)

(53.360.8)
(38.346.3)
(45.252.9)

(26.840.8)
(48.155.1)
(32.939.8)

(39.646.7)
(36.845.7)
(41.251.1)
42.7
(29.057.1)

24.7
37.1
28.7

27.1
18.8

39.9
30.3
39.8
43.0

(20.130.0)
(33.640.7)
(25.332.4)

(23.531.1)
(15.922.1)

(37.142.8)
(27.932.7)
(36.443.3)
(39.246.8)

CI

26.1

29.9
32.7

32.9
33.9
23.0
42.1
33.8
35.3
30.3
42.3

38.0
35.4
23.5
36.0
41.5
41.7
32.2

27.7

51.6
34.2
38.4

25.4
45.2
29.3

34.4
33.8
39.7

(23.628.8)

(26.533.5)
(29.835.6)

(30.735.2)
(32.435.5)
(21.025.0)
(39.245.1)
(30.837.1)
(32.338.4)
(27.633.2)
(41.243.3)

(35.240.9)
(31.539.5)
(20.526.8)
(33.438.7)
(39.044.0)
(38.944.5)
(30.334.0)

(26.029.5)

(48.754.4)
(31.037.4)
(35.341.7)

(20.131.7)
(40.949.5)
(26.732.0)

(31.737.2)
(30.537.2)
(36.742.7)
34.0
(23.051.6)

20.8
30.3
22.8

21.6
16.2

32.0
25.8
30.6
34.1

(17.424.7)
(27.832.9)
(20.525.2)

(19.224.3)
(14.318.2)

(29.934.1)
(24.227.5)
(28.033.2)
(31.736.6)

See table footnotes on the next page.

142

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 92. (Continued) Percentage of high school students who did not drink milk* and who drank one or more glasses/day of milk,* by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not drink milk
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

Drank one or more glasses/day of milk

39.8

33.2
38.1
32.2
27.3
28.2

(37.342.3)

(29.736.9)
(35.041.3)
(28.136.5)
(24.230.6)
(24.632.0)
33.2
(25.543.3)

Total
CI

21.3

18.0
25.4
20.7
16.6
18.6

(19.523.3)

(14.921.7)
(22.628.3)
(17.324.5)
(14.119.4)
(15.621.9)
21.3
(15.532.2)

Female
CI

30.8

25.7
31.5
26.6
21.8
23.3

(29.132.5)

(23.528.1)
(29.533.6)
(23.929.6)
(19.724.1)
(21.125.8)
27.5
(20.736.9)

Male

CI

16.3

21.3
18.7
19.3
22.5
22.8

(14.418.5)

(18.624.2)
(16.421.2)
(15.523.8)
(19.325.9)
(19.426.4)
20.9
(13.725.6)

Total
CI

CI

22.4

29.9
25.4
26.1
31.3
31.2

(20.824.0)

(27.232.8)
(23.627.3)
(22.829.7)
(29.133.5)
(28.534.1)
26.1
(16.234.1)

28.5

38.7
32.3
33.3
39.8
39.6

(26.430.6)

(35.142.4)
(29.535.2)
(29.137.8)
(36.942.7)
(35.444.0)
33.3
(18.843.0)

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 93. Percentage of high school students who drank two or more glasses/day of milk* and who drank three or more glasses/day of milk,*
by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Drank two or more glasses/day of milk
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Drank three or more glasses/day of milk


Total

CI

CI

17.8
5.8
12.8

(14.821.3)
(4.08.2)
(10.815.1)

32.9
21.0
28.3

(28.537.6)
(15.727.5)
(26.230.5)

25.3
13.8
20.6

16.7
14.8
13.7
12.5
14.6

(13.820.1)
(11.518.9)
(10.817.2)
(10.215.3)
(12.616.8)

32.5
30.8
29.2
25.4
29.6

(29.136.2)
(25.636.6)
(25.333.6)
(21.829.4)
(27.032.4)

25.1
22.9
21.9
19.0
22.4

Female
CI

Male

Total

CI

CI

CI

(22.028.9)
(10.318.2)
(19.222.1)

6.4
3.0
4.9

(5.17.9)
(2.04.5)
(3.66.6)

16.1
10.3
15.0

(13.219.6)
(7.314.3)
(13.316.8)

11.2
6.9
10.0

(9.513.3)
(5.09.3)
(9.011.1)

(22.328.1)
(19.426.8)
(18.725.4)
(16.821.4)
(20.424.5)

6.9
5.1
4.6
4.6
5.4

(5.19.3)
(4.06.5)
(3.36.3)
(3.26.5)
(4.56.4)

15.7
17.0
13.8
12.1
14.8

(13.518.2)
(13.521.2)
(11.316.8)
(10.014.7)
(13.116.6)

11.5
11.0
9.4
8.4
10.2

(9.813.4)
(9.313.0)
(7.811.3)
(7.29.8)
(9.311.3)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

143

Surveillance Summaries

TABLE 94. Percentage of high school students who drank two or more glasses/day of milk* and who drank three or more glasses/day of milk,*
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Drank two or more glasses/day of milk
Female
Site

CI

State surveys
Alabama
9.3
(6.612.7)
Alaska

Arizona

Arkansas
13.6 (11.116.4)
California
10.8
(8.214.1)
Connecticut

Delaware
11.3
(9.513.4)
Florida
12.0 (10.613.5)
Hawaii
7.6
(6.39.2)
Idaho
17.3 (14.021.2)
Illinois
13.2 (11.015.7)
Indiana
15.1 (12.218.5)
Kentucky
11.6
(9.614.0)
Maine
19.4 (18.320.4)
Maryland

Massachusetts
16.2 (13.519.3)
Michigan
15.4 (13.317.8)
Mississippi
8.5
(6.311.5)
Missouri
15.8 (13.318.7)
Montana
19.7 (18.121.4)
Nebraska
18.6 (15.921.6)
Nevada
15.1 (12.518.0)
New Hampshire

New Mexico

New York
10.8
(9.312.5)
North Carolina

North Dakota
29.2 (26.032.6)
Oklahoma
13.7 (10.717.3)
Pennsylvania
14.2 (11.916.8)
Rhode Island

South Carolina
10.0
(6.914.2)
South Dakota
24.0 (17.731.6)
Tennessee
11.0
(9.013.4)
Vermont

Virginia
13.4 (11.515.7)
West Virginia
14.4 (11.817.4)
Wyoming
18.3 (15.921.0)
Median
13.9
Range
(7.629.2)
Large urban school district surveys
Baltimore, MD
10.2
(7.014.7)
Boston, MA
11.2
(8.913.9)
Broward County, FL
8.2
(6.310.6)
Cleveland, OH

DeKalb County, GA
7.5
(5.99.4)
Detroit, MI
6.0
(4.58.0)
District of Columbia

Duval County, FL

Ft. Worth, TX
12.5 (10.415.0)
Houston, TX
10.3
(8.712.1)
Los Angeles, CA
10.7
(8.513.3)
Miami-Dade County, FL
13.8 (12.015.9)

Male
%

CI

20.7

23.8
24.5

25.6
26.7
17.6
39.4
27.0
28.4
25.5
33.1

30.9
29.2
16.7
29.0
34.7
35.2
24.8

19.8

42.0
26.2
32.7

23.5
35.8
23.7

25.3
27.1
31.7

(18.223.5)

(18.929.5)
(21.627.6)

(22.528.9)
(24.828.6)
(15.919.5)
(35.643.2)
(23.331.0)
(24.432.7)
(21.230.3)
(31.634.8)

(27.534.5)
(24.834.1)
(14.019.9)
(26.132.0)
(31.837.8)
(31.339.4)
(21.528.4)

(18.321.3)

(38.845.3)
(22.230.7)
(28.936.8)

(18.329.6)
(31.440.5)
(20.926.8)

(22.428.6)
(23.830.6)
(27.736.0)
26.8
(16.742.0)

13.0
19.0
17.2

14.8
10.5

23.3
18.4
25.0
26.8

Drank three or more glasses/day of milk

Total

(9.717.2)
(16.621.7)
(14.120.8)

(12.317.7)
(8.612.7)

(20.726.0)
(16.320.6)
(20.829.8)
(24.029.8)

Female
CI

15.1

18.6
17.7

18.4
19.4
12.6
28.6
20.1
21.9
18.7
26.4

23.6
22.3
12.6
22.1
27.4
27.1
19.9

15.4

35.8
19.7
23.5

16.6
30.0
17.6

19.5
20.8
25.1

(13.117.5)

(15.522.2)
(15.719.9)

(16.620.4)
(18.320.7)
(11.513.7)
(25.931.4)
(17.822.6)
(19.524.4)
(16.321.2)
(25.527.3)

(20.926.6)
(19.725.1)
(10.415.1)
(20.224.2)
(25.529.4)
(24.629.8)
(17.822.3)

(14.016.8)

(33.438.2)
(17.222.4)
(20.826.4)

(13.220.6)
(25.535.0)
(15.320.1)

(17.621.7)
(18.423.3)
(22.927.6)
20.0
(12.635.8)

11.8
15.2
12.8

11.1
8.2

18.0
14.6
17.6
20.2

(9.115.0)
(13.317.3)
(11.014.8)

(9.612.8)
(6.89.8)

(16.219.9)
(13.216.1)
(15.020.6)
(18.522.0)

CI

Male
%

Total
CI

CI

5.0

5.3
4.0

5.3
5.2
2.7
7.3
6.0
6.4
3.9
7.9

6.4
5.9
4.5
7.1
8.5
8.4
5.5

4.3

11.1
6.3
6.3

4.8
12.0
4.6

5.8
6.9
8.1

(3.37.6)

(4.16.9)
(2.95.7)

(3.97.1)
(4.36.3)
(2.03.6)
(5.59.5)
(4.58.0)
(4.78.7)
(2.75.7)
(7.18.9)

(5.18.0)
(4.28.0)
(3.36.1)
(5.49.3)
(7.39.9)
(6.510.9)
(3.68.2)

(3.45.6)

(9.013.7)
(4.98.0)
(5.17.8)

(3.27.2)
(8.217.3)
(3.46.3)

(4.77.3)
(5.39.0)
(6.69.9)
5.9
(2.712.0)

11.5

13.1
13.2

12.4
12.5
9.0
19.7
11.3
12.9
13.2
16.9

15.4
12.6
7.7
13.8
17.5
17.6
11.9

11.5

21.9
11.0
16.4

11.0
23.5
11.3

11.4
12.8
17.7

(9.114.5)

(10.516.3)
(10.915.9)

(10.414.8)
(11.214.0)
(7.710.5)
(16.423.5)
(8.714.6)
(10.515.8)
(10.616.4)
(15.618.3)

(13.417.6)
(10.615.1)
(5.99.9)
(11.816.0)
(15.719.5)
(15.020.5)
(9.814.3)

(9.513.8)

(19.424.7)
(8.514.2)
(14.119.0)

(7.815.4)
(20.926.3)
(10.012.8)

(9.513.6)
(10.515.5)
(14.821.0)
12.8
(7.723.5)

8.4

9.2
8.7

8.9
8.9
5.8
13.6
8.7
9.9
8.7
12.5

10.9
9.2
6.0
10.4
13.2
13.2
8.7

7.9

16.7
8.5
11.4

7.8
17.9
8.1

8.7
9.9
13.0

(6.810.4)

(7.711.0)
(7.510.0)

(7.710.4)
(8.19.8)
(5.16.6)
(11.715.7)
(7.210.4)
(8.511.3)
(7.210.5)
(11.713.3)

(9.512.6)
(7.810.9)
(4.87.6)
(9.511.4)
(12.114.3)
(11.515.1)
(7.210.4)

(6.79.3)

(15.018.5)
(7.310.0)
(9.913.1)

(5.810.4)
(15.820.2)
(7.09.3)

(7.410.2)
(8.511.4)
(11.314.9)
9.0
(5.817.9)

7.0
6.0
3.3

3.2
2.5

6.3
4.9
4.1
6.3

(4.411.1)
(4.77.6)
(2.34.6)

(2.24.4)
(1.63.9)

(4.98.0)
(3.76.4)
(2.95.7)
(4.98.0)

8.6
9.5
7.5

6.9
5.7

12.0
9.6
10.3
13.6

(6.012.2)
(7.511.8)
(5.89.5)

(5.39.1)
(4.37.6)

(10.214.0)
(8.211.3)
(7.913.3)
(11.416.1)

8.0
7.9
5.4

5.0
4.1

9.1
7.4
7.1
9.9

(5.910.8)
(6.89.1)
(4.46.6)

(4.06.3)
(3.25.3)

(7.910.5)
(6.58.5)
(5.69.0)
(8.611.4)

See table footnotes on the next page.

144

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 94. (Continued) Percentage of high school students who drank two or more glasses/day of milk* and who drank three or more glasses/
day of milk,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Drank two or more glasses/day of milk
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

7.2

9.4
7.5
10.3
9.3
10.9

Male

(6.28.5)

(7.511.6)
(6.19.2)
(7.813.5)
(7.112.1)
(9.013.2)
10.2
(6.013.8)

Drank three or more glasses/day of milk

Total
CI

15.9

26.4
18.3
18.4
26.6
24.5

(14.317.5)

(22.830.3)
(16.220.5)
(15.022.5)
(23.929.4)
(21.128.2)
18.4
(10.526.8)

Female
CI

11.5

17.8
12.8
14.3
18.1
17.7

(10.312.9)

(15.520.5)
(11.714.0)
(11.917.1)
(16.320.0)
(15.720.0)
14.6
(8.220.2)

2.9

4.4
2.5
5.4
4.0
3.7

Male

CI
(2.33.7)

(2.96.5)
(1.73.8)
(3.68.2)
(2.76.0)
(2.65.2)
4.1
(2.57.0)

Total
CI

7.4

14.1
8.8
8.0
12.0
9.8

%
5.1

9.3
5.6
6.7
8.1
6.8

(6.38.5)

(10.918.0)
(7.210.7)
(5.511.5)
(10.114.2)
(7.512.6)
9.5
(5.714.1)

CI
(4.55.9)

(7.211.9)
(4.76.7)
(5.28.4)
(6.99.6)
(5.48.4)
7.1
(4.19.9)

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 95. Percentage of high school students who did not drink a can, bottle, or glass of soda or pop*, and who drank a can, bottle, or glass
of soda or pop* one or more times/day, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not drink soda or pop
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Drank soda or pop one or more times/day

Male

Total

CI

CI

33.3
22.6
26.3

(28.738.2)
(18.327.7)
(23.329.5)

21.6
23.1
19.0

(19.723.7)
(18.628.3)
(16.521.7)

27.5
22.8
22.6

30.3
28.7
33.3
31.9
31.0

(26.933.9)
(24.233.8)
(29.337.6)
(27.137.2)
(27.434.8)

21.6
20.5
19.8
23.6
21.4

(19.024.3)
(17.723.5)
(17.422.5)
(20.227.4)
(19.723.3)

25.8
24.6
26.6
27.7
26.2

Female
CI

Male

Total

CI

CI

CI

(24.231.1)
(19.526.5)
(20.325.1)

15.0
21.6
18.1

(11.519.2)
(16.328.0)
(15.321.3)

24.5
23.7
25.1

(21.128.3)
(19.129.0)
(22.727.8)

19.7
22.7
21.7

(16.423.4)
(18.128.1)
(19.524.0)

(23.528.1)
(21.228.5)
(23.829.6)
(24.031.8)
(23.628.9)

16.1
16.2
15.1
17.9
16.4

(13.319.5)
(12.920.2)
(11.719.3)
(14.621.8)
(13.719.6)

22.4
25.4
25.6
24.2
24.3

(19.325.8)
(22.029.2)
(22.928.4)
(20.428.4)
(22.026.9)

19.4
20.8
20.5
21.0
20.4

(16.922.2)
(17.824.1)
(17.723.6)
(18.124.2)
(18.123.0)

* Not counting diet soda or diet pop.


During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

145

Surveillance Summaries

TABLE 96. Percentage of high school students who did not drink a can, bottle, or glass of soda or pop*, and who drank a can, bottle, or glass
of soda or pop* one or more times/day, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not drink soda or pop
Female
Site

CI

State surveys
Alabama
17.5 (14.521.0)
Alaska
32.3 (28.636.2)
Arizona
32.2 (28.236.4)
Arkansas
22.0 (19.225.1)
California
33.0 (28.737.7)
Connecticut
37.3 (32.742.2)
Delaware
31.2 (27.834.8)
Florida
31.9 (29.734.3)
Hawaii
39.2 (35.143.5)
Idaho
32.7 (28.437.3)
Illinois
35.9 (29.742.6)
Indiana
28.5 (24.932.5)
Kentucky
24.7 (21.028.8)
Maine

Maryland
30.9 (30.131.7)
Massachusetts
40.3 (36.244.5)
Michigan
30.0 (26.733.6)
Mississippi
18.8 (15.922.0)
Missouri
28.5 (22.435.5)
Montana
31.1 (28.633.7)
Nebraska
26.9 (23.430.6)
Nevada
31.7 (26.936.8)
New Hampshire
46.1 (44.348.0)
New Mexico
25.5 (23.727.4)
New York
38.0 (34.841.2)
North Carolina
26.8 (21.732.5)
North Dakota
31.5 (28.334.9)
Oklahoma
22.8 (19.326.7)
Pennsylvania
29.4 (25.433.6)
Rhode Island
39.4 (32.247.1)
South Carolina
22.7 (17.828.6)
South Dakota
22.9 (19.726.5)
Tennessee
22.8 (19.926.1)
Vermont
42.1 (41.243.1)
Virginia
33.3 (30.236.6)
West Virginia
24.0 (20.827.5)
Wyoming
28.8 (25.432.5)
Median
31.0
Range
(17.546.1)
Large urban school district surveys
Baltimore, MD
21.4 (17.525.8)
Boston, MA
32.7 (29.336.4)
Broward County, FL
32.9 (29.236.9)
Cleveland, OH
17.9 (14.821.4)
DeKalb County, GA
28.9 (25.532.6)
Detroit, MI
25.3 (22.528.5)
District of Columbia
24.9 (23.726.2)
Duval County, FL
28.9 (26.431.5)
Ft. Worth, TX
19.3 (16.822.1)
Houston, TX
24.3 (21.926.9)
Los Angeles, CA
31.8 (27.336.6)
Miami-Dade County, FL
32.5 (30.035.1)

Drank soda or pop one or more times/day

Male
%

Total
CI

21.1
19.7
23.6
21.0
23.7
29.9
26.6
25.0
28.8
23.9
24.4
20.9
22.7

27.0
24.6
22.6
18.4
20.5
20.6
21.8
27.5
28.5
21.5
30.2
19.2
20.0
20.3
24.5
29.5
20.7
23.2
20.7
24.8
27.0
19.6
21.9

(18.124.4)
(16.523.3)
(18.729.4)
(16.626.2)
(18.929.3)
(26.633.4)
(24.029.5)
(23.426.7)
(25.831.9)
(21.226.9)
(21.827.1)
(17.624.5)
(19.226.8)

(26.227.9)
(22.027.3)
(19.226.5)
(15.321.9)
(17.024.4)
(18.323.0)
(18.525.5)
(24.730.4)
(26.730.4)
(20.023.1)
(26.634.0)
(16.122.8)
(17.722.4)
(16.724.5)
(21.927.3)
(25.933.5)
(17.125.0)
(18.129.2)
(18.323.2)
(24.025.7)
(24.230.0)
(16.023.8)
(18.426.0)
22.9
(18.430.2)

18.5
26.3
30.0
24.7
24.3
26.8
25.9
29.5
18.2
22.2
22.9
22.7

(14.523.2)
(22.830.1)
(26.034.3)
(21.728.0)
(20.928.0)
(23.130.8)
(24.527.3)
(26.332.9)
(16.020.7)
(19.824.8)
(19.626.5)
(20.125.5)

Female
CI

19.3
25.7
27.8
21.6
28.4
33.6
29.0
28.6
34.2
28.1
30.1
24.6
23.6

29.0
32.6
26.3
18.7
24.5
25.7
24.3
29.6
37.0
23.5
34.1
23.1
25.6
21.7
26.9
34.4
21.7
23.1
21.7
33.3
30.0
21.8
25.4

(17.321.5)
(22.928.6)
(24.431.6)
(18.425.2)
(25.032.2)
(30.636.8)
(26.831.4)
(27.130.0)
(31.437.0)
(25.431.1)
(26.434.0)
(21.627.8)
(20.826.7)

(28.529.6)
(29.735.5)
(24.328.5)
(16.421.3)
(20.429.0)
(23.827.6)
(22.026.9)
(26.632.8)
(35.638.4)
(22.124.8)
(32.236.1)
(19.826.8)
(23.627.8)
(19.024.7)
(24.629.3)
(29.739.4)
(18.525.3)
(19.327.3)
(19.624.0)
(32.734.0)
(27.432.7)
(19.424.5)
(22.628.3)
26.0
(18.737.0)

19.6
29.6
31.3
21.6
26.6
25.9
25.5
29.2
18.9
23.2
27.4
27.9

(17.022.4)
(27.332.0)
(28.334.5)
(19.524.0)
(24.229.1)
(23.528.4)
(24.626.5)
(26.931.5)
(17.320.6)
(21.425.2)
(24.131.0)
(26.029.8)

CI

28.6
14.5
16.3
26.1
12.3
7.8
16.9
17.0
10.2
9.7
14.1
15.7
31.6

14.2
9.7
14.8
29.1
17.1
12.9
15.8
11.3
7.5
17.7
11.3
23.9
12.3
25.3
12.9
9.5
26.5
17.4
26.0
9.5
14.2
26.4
15.6

(25.232.2)
(11.717.8)
(12.820.5)
(22.530.0)
(8.816.9)
(5.810.4)
(14.320.0)
(15.318.9)
(8.812.0)
(7.312.8)
(11.017.9)
(12.819.2)
(26.936.8)

(13.514.9)
(7.912.0)
(12.317.6)
(26.931.5)
(13.221.9)
(11.314.7)
(13.019.1)
(8.814.5)
(6.68.4)
(16.419.0)
(9.912.8)
(19.329.2)
(9.815.4)
(21.429.6)
(10.216.2)
(6.214.2)
(21.332.5)
(14.620.6)
(23.428.8)
(8.910.0)
(11.917.0)
(22.930.2)
(13.218.2)
15.2
(7.531.6)

28.2
14.3
11.2
25.9
14.8
25.1
18.4
18.2
23.6
18.4
8.3
15.8

(23.633.3)
(11.517.6)
(8.814.1)
(22.529.6)
(12.617.2)
(21.029.6)
(17.219.6)
(16.020.6)
(21.126.2)
(16.220.9)
(6.310.8)
(13.518.5)

Male
%

Total
CI

27.6
22.6
22.5
32.6
16.3
16.0
20.7
24.4
16.7
16.9
22.3
23.6
33.0

19.1
17.7
23.0
29.9
25.2
23.9
24.4
16.1
18.1
24.3
16.4
29.8
24.7
33.4
23.3
15.6
26.6
28.7
31.8
19.9
19.5
33.7
26.6

(24.630.8)
(19.526.0)
(19.026.5)
(27.738.0)
(14.318.6)
(13.219.1)
(17.923.8)
(22.426.5)
(14.818.6)
(14.219.9)
(19.325.6)
(18.529.7)
(28.138.3)

(18.419.7)
(14.821.0)
(20.625.6)
(26.333.9)
(21.828.9)
(22.225.7)
(21.327.8)
(13.219.6)
(16.819.5)
(22.825.8)
(13.619.7)
(24.635.5)
(21.927.8)
(28.838.4)
(20.226.8)
(13.917.6)
(22.631.1)
(22.336.1)
(28.735.1)
(19.120.7)
(16.523.0)
(30.337.4)
(23.030.6)
23.4
(15.633.7)

26.3
19.6
19.3
22.5
17.6
24.2
19.8
20.3
29.0
20.9
14.5
23.8

(21.731.5)
(16.922.7)
(16.522.4)
(19.126.3)
(14.920.6)
(19.629.3)
(18.521.2)
(18.222.7)
(26.231.9)
(18.523.4)
(12.317.0)
(21.326.6)

CI

28.2
18.8
19.5
29.3
14.2
11.9
19.1
20.8
13.4
13.5
18.3
20.0
32.4

16.6
13.8
18.9
29.4
21.1
18.6
20.4
13.7
13.0
21.0
14.0
26.8
18.7
29.4
18.2
12.6
26.7
23.2
29.0
14.8
17.0
30.1
21.2

(25.531.1)
(16.321.6)
(16.323.2)
(26.232.7)
(12.316.4)
(10.114.0)
(17.021.3)
(19.222.6)
(12.314.7)
(11.515.7)
(16.020.8)
(16.524.1)
(29.535.4)

(16.117.1)
(11.616.2)
(17.120.9)
(27.431.5)
(18.124.4)
(17.320.0)
(18.122.8)
(11.716.0)
(12.213.9)
(19.922.1)
(12.215.9)
(22.731.4)
(16.620.9)
(25.933.2)
(15.920.8)
(10.415.2)
(23.630.0)
(19.427.4)
(26.531.7)
(14.415.3)
(14.819.4)
(27.632.7)
(18.923.6)
19.0
(11.932.4)

27.5
16.9
15.4
24.2
16.3
24.7
19.1
19.2
26.2
19.8
11.3
19.8

(24.231.0)
(15.119.0)
(13.417.5)
(21.527.1)
(14.518.1)
(21.428.3)
(18.220.0)
(17.720.8)
(24.228.3)
(18.121.7)
(9.613.4)
(18.121.6)

See table footnotes on the next page.

146

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 96. (Continued) Percentage of high school students who did not drink a can, bottle, or glass of soda or pop*, and who drank a can,
bottle, or glass of soda or pop* one or more times/day, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not drink soda or pop
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

Drank soda or pop one or more times/day

30.9

34.2
35.5
28.0
41.6
46.1

(27.135.0)

(30.438.3)
(32.239.1)
(23.133.5)
(38.145.3)
(41.850.4)
29.9
(17.946.1)

Total
CI

27.1

27.1
29.9
21.0
28.8
31.5

(25.328.9)

(23.830.6)
(26.433.6)
(17.724.8)
(26.331.5)
(28.434.7)
26.1
(18.231.5)

Female
CI

29.0 (26.831.3)

30.7 (28.033.5)
33.0 (30.635.6)
24.5 (21.627.8)
35.0 (32.637.5)
39.0 (36.141.9)
27.6
(18.939.0)

Male

CI

15.0

14.2
13.6
18.3
6.1
8.8

(12.717.7)

(11.217.8)
(11.715.7)
(15.122.0)
(4.68.1)
(7.310.6)
15.4
(6.128.2)

Total
CI

16.5

22.8
17.7
24.8
13.0
12.1

(14.518.8)

(19.027.0)
(15.120.6)
(21.428.4)
(11.015.2)
(9.914.9)
20.0
(12.129.0)

CI

15.8 (14.117.7)

18.7 (15.921.8)
15.6 (13.817.6)
21.6 (19.124.2)
9.6
(8.211.2)
10.5
(8.912.3)
18.9
(9.627.5)

* Not counting diet soda or diet pop.


During the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 97. Percentage of high school students who drank a can, bottle, or glass of soda or pop* two or more times/day and who drank a can,
bottle, or glass of soda or pop* three or more times/day, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Drank soda or pop two or more times/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Drank soda or pop three or more times/day


Total

CI

CI

9.1
15.0
11.4

(6.612.4)
(10.221.5)
(8.914.5)

15.1
15.8
17.4

(12.518.2)
(11.321.6)
(15.219.8)

12.1
15.4
14.4

10.0
10.2
10.5
10.5
10.4

(8.012.6)
(7.413.8)
(7.813.9)
(7.714.0)
(8.213.0)

14.6
15.8
16.1
16.0
15.6

(12.217.3)
(13.118.9)
(13.818.8)
(13.019.6)
(13.717.8)

12.4
13.0
13.4
13.2
13.0

Female
CI

Male

Total

CI

CI

CI

(9.615.0)
(11.420.6)
(12.416.6)

4.7
9.9
6.7

(3.16.9)
(7.313.3)
(5.18.8)

7.2
9.3
9.4

(5.49.6)
(6.313.4)
(7.911.2)

5.9
9.5
8.1

(4.48.0)
(7.212.4)
(6.89.5)

(10.514.6)
(10.416.1)
(11.216.0)
(10.916.0)
(11.115.2)

5.8
6.0
5.8
5.5
5.9

(4.38.0)
(4.38.4)
(4.28.0)
(3.87.9)
(4.67.5)

7.5
9.1
7.8
8.4
8.3

(5.510.2)
(7.211.3)
(6.010.2)
(6.311.1)
(6.810.0)

6.7
7.5
7.0
7.0
7.1

(5.38.5)
(6.09.4)
(5.68.7)
(5.49.0)
(5.88.6)

* Not counting diet soda or diet pop.


During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

147

Surveillance Summaries

TABLE 98. Percentage of high school students who drank a can, bottle, or glass of soda or pop* two or more times/day and who drank a can,
bottle, or glass of soda or pop* three or more times/day, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Drank soda or pop two or more times/day
Female
Site

CI

State surveys
Alabama
19.8 (17.022.9)
Alaska
10.8
(8.214.1)
Arizona
9.3
(6.912.4)
Arkansas
19.0 (14.924.0)
California
6.3
(4.48.9)
Connecticut
5.1
(3.57.2)
Delaware
10.8
(8.613.5)
Florida
11.3
(9.912.8)
Hawaii
6.1
(4.97.5)
Idaho
5.2
(3.67.5)
Illinois
8.9
(6.811.5)
Indiana
10.2
(7.913.1)
Kentucky
22.5 (18.427.2)
Maine

Maryland
9.5
(9.010.0)
Massachusetts
6.7
(5.28.5)
Michigan
9.0
(7.011.4)
Mississippi
20.7 (18.423.1)
Missouri
10.8
(7.715.0)
Montana
6.7
(5.68.1)
Nebraska
7.8
(5.810.4)
Nevada
6.7
(4.99.1)
New Hampshire
4.7
(4.15.5)
New Mexico
10.3
(9.311.4)
New York
6.8
(5.68.3)
North Carolina
16.6 (12.122.2)
North Dakota
7.1
(5.010.0)
Oklahoma
17.3 (14.220.8)
Pennsylvania
8.9
(6.512.1)
Rhode Island
6.1
(3.79.8)
South Carolina
21.1 (16.626.4)
South Dakota
11.0
(8.214.7)
Tennessee
16.5 (14.518.6)
Vermont
5.8
(5.46.3)
Virginia
7.7
(6.09.9)
West Virginia
18.9 (15.822.4)
Wyoming
8.8
(6.611.5)
Median
9.1
Range
(4.722.5)
Large urban school district surveys
Baltimore, MD
21.5 (17.326.4)
Boston, MA
9.8
(7.413.0)
Broward County, FL
7.7
(5.810.2)
Cleveland, OH
19.5 (16.622.9)
DeKalb County, GA
9.9
(8.112.1)
Detroit, MI
18.7 (15.522.5)
District of Columbia
12.8 (11.813.9)
Duval County, FL
13.0 (11.215.0)
Ft. Worth, TX
16.4 (14.118.9)
Houston, TX
11.0
(9.412.9)
Los Angeles, CA
4.8
(3.46.9)
Miami-Dade County, FL
11.4
(9.313.7)

Male
%

Drank soda or pop three or more times/day

Total
CI

20.5
15.2
12.0
23.9
9.0
10.1
12.7
16.1
10.0
9.2
13.3
16.0
23.9

12.5
11.4
14.6
20.4
17.1
14.4
15.6
9.3
13.7
15.7
10.7
21.6
16.2
21.9
15.0
10.5
18.9
20.5
22.8
13.7
12.8
25.2
16.8

(17.923.3)
(11.819.4)
(9.315.4)
(19.628.8)
(7.410.9)
(8.012.7)
(10.415.3)
(14.218.2)
(8.611.5)
(7.012.1)
(11.115.8)
(12.720.0)
(19.828.7)

(11.913.1)
(9.014.3)
(12.117.5)
(17.324.0)
(13.321.7)
(13.015.9)
(13.218.2)
(6.712.7)
(12.614.9)
(14.317.2)
(8.912.8)
(16.827.4)
(13.918.9)
(17.926.5)
(12.517.9)
(9.112.0)
(16.022.2)
(15.326.9)
(20.425.5)
(13.014.3)
(10.615.5)
(22.028.7)
(13.321.0)
15.1
(9.025.2)

16.1
13.4
11.5
17.1
11.9
18.3
13.3
13.2
19.2
12.4
8.1
16.9

(12.520.6)
(11.215.9)
(9.613.9)
(14.320.3)
(9.614.7)
(14.123.5)
(12.214.5)
(11.415.2)
(16.821.8)
(10.814.3)
(6.410.2)
(14.819.2)

Female
CI

CI

Male
%

Total
CI

20.1
13.1
10.8
21.4
7.6
7.6
11.8
13.7
8.0
7.3
11.2
13.3
23.3

11.0
9.1
11.8
20.4
14.0
10.7
11.9
8.0
9.4
13.0
8.8
19.1
11.7
19.8
12.0
8.3
20.1
15.9
19.7
9.9
10.4
22.1
12.9

(18.222.1)
(10.416.4)
(8.713.4)
(18.025.2)
(6.58.9)
(6.39.2)
(10.013.8)
(12.415.2)
(7.09.1)
(5.69.3)
(9.613.0)
(11.115.9)
(20.326.5)

(10.611.4)
(7.411.1)
(10.013.9)
(18.522.5)
(11.217.2)
(9.811.7)
(10.213.8)
(6.49.9)
(8.710.2)
(12.113.9)
(7.710.1)
(15.323.6)
(10.113.7)
(16.823.0)
(9.914.5)
(6.810.1)
(17.223.4)
(12.619.7)
(17.821.8)
(9.510.3)
(8.612.4)
(19.824.6)
(11.114.9)
11.8
(7.323.3)

11.9
6.1
4.9
11.7
3.3
2.5
6.7
5.7
3.4
2.6
5.6
4.5
13.3

5.6
3.5
4.9
11.3
5.0
3.1
3.3
4.5
2.6
5.3
3.9
11.2
3.5
7.7
5.0
3.5
13.1
4.7
9.2
3.2
3.7
11.5
3.8

(9.914.2)
(4.48.4)
(3.66.8)
(7.817.0)
(2.54.4)
(1.64.0)
(5.28.6)
(4.86.7)
(2.54.6)
(1.64.3)
(4.17.7)
(3.26.2)
(10.017.4)

(5.16.0)
(2.54.9)
(3.76.6)
(9.613.2)
(2.410.1)
(2.53.9)
(2.25.0)
(3.16.5)
(2.13.3)
(4.46.4)
(3.05.0)
(7.616.2)
(2.25.7)
(5.710.4)
(3.47.3)
(1.67.5)
(9.917.2)
(2.87.7)
(7.411.5)
(2.93.6)
(2.65.2)
(9.513.9)
(2.46.0)
4.9
(2.513.3)

13.0
9.4
5.8
14.2
4.9
5.9
8.1
9.0
6.2
5.4
7.3
8.5
13.0

7.5
6.6
7.5
12.6
9.5
7.2
6.5
4.8
7.5
8.6
6.2
13.6
8.0
11.7
8.2
5.4
11.6
9.4
12.2
8.0
7.6
15.5
9.3

(10.515.9)
(6.912.7)
(4.37.8)
(10.618.6)
(3.47.2)
(4.28.2)
(6.610.0)
(7.610.7)
(5.07.6)
(3.87.6)
(5.79.4)
(6.511.2)
(10.116.5)

(7.08.0)
(5.18.6)
(5.99.6)
(9.516.6)
(7.312.2)
(6.08.6)
(5.08.5)
(3.27.2)
(6.88.3)
(7.59.8)
(4.78.1)
(11.016.6)
(6.310.2)
(9.015.2)
(6.510.4)
(4.17.2)
(8.216.1)
(6.014.4)
(10.614.0)
(7.58.5)
(6.09.5)
(13.318.0)
(7.411.8)
8.0
(4.815.5)

19.2 (16.422.4)
11.6
(9.913.6)
9.7
(8.211.5)
18.4 (16.220.8)
10.9
(9.412.6)
18.6 (15.522.1)
13.0 (12.313.8)
13.0 (11.814.3)
17.7 (15.919.8)
11.8 (10.513.2)
6.4
(5.27.9)
14.1 (12.615.8)

15.2
6.6
4.8
14.2
6.2
12.9
8.5
8.3
10.0
5.8
2.8
6.1

(11.719.6)
(4.79.2)
(3.46.8)
(11.617.4)
(4.78.3)
(10.016.3)
(7.69.4)
(6.99.9)
(8.112.2)
(4.77.3)
(2.03.9)
(4.87.9)

11.6
9.0
6.7
10.3
6.8
11.7
8.1
8.3
10.0
7.2
3.7
8.8

(8.615.6)
(7.011.4)
(5.18.7)
(7.913.4)
(4.99.3)
(8.316.3)
(7.29.1)
(6.810.1)
(8.411.9)
(5.98.6)
(2.75.2)
(7.410.3)

CI

12.4
7.8
5.4
12.9
4.1
4.2
7.5
7.4
4.8
4.0
6.6
6.6
13.2

6.5
5.0
6.3
11.9
7.2
5.2
5.1
4.7
5.2
7.0
5.0
12.3
5.8
9.7
6.6
4.5
12.5
7.1
10.8
5.7
5.7
13.5
6.7

(10.814.2)
(6.110.0)
(4.27.1)
(9.916.6)
(3.15.4)
(3.15.6)
(6.38.9)
(6.58.5)
(3.95.8)
(2.95.6)
(5.47.9)
(5.28.4)
(11.015.8)

(6.26.9)
(3.96.5)
(5.17.7)
(9.914.3)
(5.110.2)
(4.56.1)
(4.06.5)
(3.56.2)
(4.75.8)
(6.37.7)
(4.26.1)
(10.015.0)
(4.77.2)
(7.612.4)
(5.28.4)
(3.16.4)
(10.015.5)
(5.49.2)
(9.312.5)
(5.46.0)
(4.57.2)
(12.314.8)
(5.67.9)
6.6
(4.013.5)

13.5 (10.916.6)
7.7
(6.39.4)
5.8
(4.67.4)
12.4 (10.314.8)
6.5
(5.37.9)
12.3
(9.715.6)
8.3
(7.68.9)
8.3
(7.29.4)
10.0
(8.711.4)
6.6
(5.67.7)
3.3
(2.54.2)
7.5
(6.58.6)

See table footnotes on the next page.

148

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 98. (Continued) Percentage of high school students who drank a can, bottle, or glass of soda or pop* two or more times/day and who
drank a can, bottle, or glass of soda or pop* three or more times/day, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Drank soda or pop two or more times/day
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

10.0

9.0
8.9
13.7
3.5
6.5

Male

(8.312.0)

(7.011.5)
(7.410.6)
(10.517.7)
(2.44.9)
(5.18.3)
10.5
(3.521.5)

%
10.7

15.2
11.7
17.2
8.4
6.2

Drank soda or pop three or more times/day

Total
CI

(9.212.4)

(12.019.1)
(9.614.1)
(13.921.2)
(6.710.4)
(4.68.2)
13.2
(6.219.2)

Female
CI

10.3

12.2
10.1
15.5
6.0
6.3

(9.111.7)

(10.014.7)
(8.711.7)
(12.918.5)
(4.97.2)
(5.27.7)
12.0
(6.019.2)

5.5

5.4
4.5
9.8
1.8
2.6

Male

CI

(4.46.7)

(3.87.6)
(3.55.8)
(6.913.7)
(1.12.9)
(1.64.2)
6.1
(1.815.2)

Total
CI

5.9

10.1
6.6
10.5
5.4
2.7

CI

5.7

7.8
5.5
10.1
3.6
2.6

(5.06.6)

(6.110.1)
(4.56.6)
(8.212.4)
(2.94.6)
(1.74.0)
7.6
(2.613.5)

(4.97.2)

(7.713.1)
(5.38.2)
(8.512.9)
(4.17.1)
(1.64.4)
8.2
(2.711.7)

* Not counting diet soda or diet pop.


During the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 99. Percentage of high school students who did not drink a can, bottle, or glass of a sports drink*, and who drank a can, bottle, or glass
of a sports drink* one or more times/day, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not drink sports drinks
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Drank sports drinks one or more times/day

Male

Total

CI

CI

55.8
45.7
45.2

(52.259.4)
(37.054.7)
(39.950.7)

33.5
25.9
27.6

(30.836.4)
(20.132.9)
(23.232.4)

44.6
36.0
36.2

49.7
51.4
53.4
57.1
52.7

(44.754.7)
(46.856.0)
(48.058.7)
(53.061.1)
(48.956.6)

31.3
31.2
29.8
36.9
32.3

(27.935.0)
(26.436.4)
(25.334.6)
(28.745.9)
(29.934.7)

40.0
41.6
41.5
46.8
42.4

Female
CI

Male

Total

CI

CI

CI

(41.347.9)
(30.641.8)
(31.940.8)

6.7
14.3
12.2

(4.89.1)
(11.817.2)
(9.815.1)

18.1
25.2
19.0

(15.920.5)
(19.032.5)
(16.721.5)

12.4
19.7
15.7

(10.414.8)
(16.623.3)
(13.518.0)

(36.443.8)
(37.346.1)
(36.846.3)
(42.051.6)
(39.545.4)

9.9
9.6
9.0
6.5
8.8

(7.812.6)
(7.612.1)
(6.412.4)
(4.79.1)
(7.111.0)

18.5
20.5
21.1
14.5
18.7

(16.221.2)
(17.324.1)
(18.424.1)
(10.918.9)
(16.920.7)

14.4
14.9
15.3
10.6
13.8

(12.516.6)
(12.617.6)
(12.818.1)
(8.213.4)
(12.115.8)

* Not counting low calorie sports drinks.


During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

149

Surveillance Summaries

TABLE 100. Percentage of high school students who drank a can, bottle, or glass of a sports drink* two or more times/day and who drank a can,
bottle, or glass of a sports drink* three or more times/day, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Drank sports drinks two or more times/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Drank sports drinks three or more times/day

Total

CI

CI

3.5
10.1
7.9

(2.55.1)
(7.513.5)
(6.29.9)

9.0
21.4
13.0

(7.510.8)
(16.028.0)
(10.915.3)

6.3
15.8
10.5

5.4
5.8
5.9
4.1
5.4

(3.97.5)
(4.57.4)
(4.18.4)
(2.86.0)
(4.36.7)

10.6
12.8
12.4
9.0
11.2

(8.612.9)
(10.315.9)
(10.414.7)
(6.612.1)
(9.713.0)

8.1
9.2
9.3
6.6
8.3

Female
CI

Male

Total

CI

CI

CI

(5.07.9)
(13.218.7)
(8.912.3)

1.9
5.1
5.4

(1.13.2)
(3.67.3)
(3.97.5)

4.3
13.1
8.7

(3.15.9)
(8.719.1)
(7.110.7)

3.1
9.2
7.1

(2.34.3)
(6.912.1)
(5.88.7)

(6.79.9)
(7.711.1)
(7.611.3)
(5.08.6)
(7.19.8)

3.3
3.4
3.6
2.1
3.1

(2.34.7)
(2.25.3)
(2.45.4)
(1.33.6)
(2.44.2)

5.0
8.3
6.6
5.5
6.3

(3.57.1)
(6.410.6)
(5.08.8)
(3.87.9)
(5.07.9)

4.2
5.8
5.2
3.8
4.8

(3.15.6)
(4.57.5)
(3.96.8)
(2.85.3)
(3.95.9)

* Not counting low calorie sports drinks.


During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

TABLE 101. Percentage of high school students who did not drink water* and who drank one or more glasses/day of water,* by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not drink water
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Drank one or more glasses/day of water

Male

Total

Female

Male

Total

CI

CI

CI

2.5
9.0
2.8

(1.63.8)
(6.113.2)
(2.03.8)

2.9
7.8
3.8

(2.04.2)
(5.111.8)
(2.75.3)

2.7
8.7
3.3

(2.03.7)
(6.411.7)
(2.54.3)

77.2
58.4
70.6

(72.881.0)
(50.565.9)
(67.573.6)

76.4
62.0
72.5

(73.079.6)
(56.367.3)
(69.375.4)

76.6
60.2
71.6

(73.279.7)
(54.865.2)
(69.473.7)

2.9
4.4
2.0
3.5
3.3

(1.94.4)
(2.96.5)
(1.23.4)
(2.25.4)
(2.44.3)

4.1
2.7
3.1
4.1
3.5

(2.76.3)
(1.84.1)
(1.95.1)
(2.56.7)
(2.74.7)

3.7
3.6
2.7
3.9
3.5

(2.75.0)
(2.65.0)
(1.93.9)
(2.65.8)
(2.84.3)

70.9
71.8
76.0
75.4
73.4

(66.574.9)
(67.875.5)
(72.179.6)
(69.480.5)
(70.076.6)

71.6
75.1
74.7
75.3
74.1

(67.275.6)
(71.478.5)
(70.078.9)
(72.178.2)
(71.576.5)

71.2
73.4
75.0
75.3
73.6

(67.374.8)
(70.376.2)
(71.478.4)
(72.078.4)
(70.976.2)

CI

CI

CI

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

150

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 102. Percentage of high school students who drank two or more glasses/day of water* and who drank three or more glasses/day of
water,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Drank two or more glasses/day of water
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

CI

Male
%

Drank three or more glasses/day of water


Total

CI

Female
CI

CI

Male
%

Total
CI

CI

65.7
47.4
62.7

(61.469.8)
(40.454.4)
(59.865.4)

67.2
54.1
64.7

(63.870.4)
(47.460.7)
(61.168.0)

66.3
50.8
63.7

(63.069.5)
(46.155.4)
(61.366.1)

49.7
35.7
47.9

(45.753.6)
(31.140.6)
(44.850.9)

50.5
42.2
52.5

(47.553.5)
(34.350.6)
(49.056.0)

49.9
39.1
50.3

(47.352.6)
(34.244.3)
(47.653.0)

61.3
60.6
66.1
65.4
63.2

(57.564.9)
(57.064.0)
(62.369.7)
(59.071.4)
(60.066.4)

61.7
67.5
66.1
67.6
65.6

(57.865.5)
(63.771.1)
(62.169.8)
(63.871.2)
(63.267.8)

61.3
63.9
65.8
66.6
64.3

(58.364.3)
(61.166.7)
(62.768.9)
(62.770.2)
(61.866.7)

47.4
46.1
51.4
47.9
48.1

(44.250.6)
(42.949.4)
(46.955.9)
(43.452.4)
(45.650.6)

50.8
49.1
50.2
53.6
51.0

(46.255.3)
(46.252.0)
(45.754.7)
(48.758.4)
(48.753.2)

49.0
47.6
50.6
50.7
49.5

(45.852.3)
(45.349.9)
(47.054.2)
(47.354.1)
(47.551.5)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

TABLE 103. Percentage of high school students who did not eat breakfast* and who ate breakfast on all 7 days,* by sex, race/ethnicity, and
grade United States, Youth Risk Behavior Survey, 2015
Did not eat breakfast
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

CI

Ate breakfast on all 7 days

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

12.5
19.3
15.5

(10.215.3)
(14.625.2)
(13.318.0)

11.3
16.8
13.8

(9.014.0)
(12.921.6)
(11.516.5)

12.0
18.0
14.7

(10.114.3)
(15.520.7)
(12.816.9)

34.8
24.7
30.1

(29.740.3)
(19.330.9)
(27.532.8)

43.3
30.8
39.5

(39.347.4)
(25.836.2)
(36.242.8)

39.0
27.9
34.8

(34.943.3)
(23.532.7)
(32.537.2)

14.8
15.5
12.7
13.3
14.2

(12.517.6)
(12.818.6)
(10.415.5)
(10.716.5)
(12.516.2)

10.9
13.6
14.2
14.8
13.3

(8.913.2)
(10.617.2)
(11.617.1)
(11.818.4)
(11.615.3)

12.8
14.5
13.8
14.3
13.8

(10.914.8)
(12.217.1)
(11.816.0)
(12.216.6)
(12.415.4)

31.9
31.1
32.4
32.9
32.1

(27.336.8)
(27.934.6)
(28.037.1)
(28.437.8)
(28.935.4)

46.6
42.3
37.1
34.7
40.5

(42.650.7)
(38.446.4)
(34.340.1)
(30.938.9)
(37.943.2)

39.6
36.6
34.6
33.8
36.3

(35.643.7)
(33.639.8)
(31.637.7)
(30.837.0)
(33.739.1)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

151

Surveillance Summaries

TABLE 104. Percentage of high school students who did not eat breakfast* and who ate breakfast on all 7 days,* by sex selected U.S. sites,
Youth Risk Behavior Survey, 2015
Did not eat breakfast
Female
Site

CI

State surveys
Alabama
13.4 (10.317.2)
Alaska

Arizona
15.5 (12.618.9)
Arkansas
15.8 (11.621.2)
California
11.5
(8.814.8)
Connecticut
12.6 (10.215.4)
Delaware
13.5 (10.517.1)
Florida
15.4 (14.116.9)
Hawaii
10.9
(9.312.6)
Idaho
12.0
(9.515.0)
Illinois
14.1 (11.017.8)
Indiana
15.1 (11.719.4)
Kentucky
12.4
(9.715.6)
Maine

Maryland

Massachusetts
14.3 (12.116.9)
Michigan
14.5 (11.717.9)
Mississippi
20.3 (17.024.1)
Missouri
15.5 (12.519.0)
Montana
11.5 (10.213.0)
Nebraska
13.3 (10.616.6)
Nevada
16.8 (13.720.3)
New Hampshire

New Mexico
15.1 (13.616.7)
New York
14.7 (12.717.0)
North Carolina
13.6 (10.217.9)
North Dakota
10.0
(8.212.0)
Oklahoma
15.5 (12.618.9)
Pennsylvania
14.3 (12.116.8)
Rhode Island
14.8 (11.319.1)
South Carolina
22.2 (18.626.1)
South Dakota
15.0 (11.119.9)
Tennessee
15.7 (14.017.6)
Vermont
10.8 (10.211.4)
Virginia
14.9 (12.517.6)
West Virginia
15.2 (12.019.1)
Wyoming
13.7 (11.017.0)
Median
14.5
Range
(10.022.2)
Large urban school district surveys
Baltimore, MD
21.2 (17.525.6)
Boston, MA
14.3 (11.917.0)
Broward County, FL
15.3 (12.418.7)
Cleveland, OH
23.2 (20.026.7)
DeKalb County, GA
16.7 (14.019.9)
Detroit, MI
20.8 (17.724.2)
District of Columbia
17.4 (16.218.5)
Duval County, FL

Ft. Worth, TX
17.5 (15.120.2)
Houston, TX
18.1 (16.120.4)
Los Angeles, CA
13.1 (10.815.8)
Miami-Dade County, FL
12.1 (10.114.4)

Ate breakfast on all 7 days

Male
%

Total
CI

Female
CI

17.5

15.0
17.4
9.3
14.1
12.4
14.3
13.4
9.7
18.8
14.8
13.0

12.9
19.2
18.7
15.6
13.4
13.3
16.3

13.9
20.3
14.0
13.8
17.7
13.5
14.7
17.8
13.3
13.6
10.9
13.3
14.3
15.6

(14.121.6)

(13.017.4)
(15.519.5)
(7.211.8)
(11.217.6)
(10.314.9)
(13.115.6)
(11.615.3)
(7.412.6)
(14.524.0)
(10.021.4)
(10.815.5)

(11.015.0)
(15.923.0)
(16.121.6)
(11.820.2)
(11.715.3)
(10.816.3)
(13.919.1)

(12.715.2)
(17.223.8)
(10.818.1)
(11.516.4)
(14.122.0)
(11.515.8)
(11.718.3)
(13.722.7)
(8.819.6)
(11.815.7)
(10.311.5)
(11.415.6)
(12.216.8)
(13.118.5)
14.1
(9.320.3)

15.5

15.2
16.6
10.3
13.4
13.0
15.0
12.1
10.9
16.4
15.0
12.6

13.7
16.8
19.8
15.5
12.5
13.3
16.8

14.6
17.4
14.1
11.9
16.5
13.9
14.9
20.1
14.2
14.6
10.9
14.1
14.8
14.7

(12.718.7)

(13.716.8)
(14.219.3)
(8.512.5)
(11.315.8)
(11.215.1)
(13.916.1)
(11.013.4)
(8.913.2)
(13.420.0)
(11.219.7)
(11.014.5)

(12.015.5)
(14.219.9)
(17.422.3)
(12.618.9)
(11.413.8)
(11.415.4)
(14.719.0)

(13.615.7)
(15.219.8)
(11.716.9)
(10.413.7)
(13.719.6)
(12.315.7)
(12.018.3)
(17.023.6)
(11.118.0)
(13.016.4)
(10.511.3)
(12.416.0)
(12.317.6)
(12.517.3)
14.6
(10.320.1)

19.3
15.1
16.6
23.5
17.6
22.9
16.9

18.3
19.9
10.6
11.0

(14.425.4)
(12.218.5)
(13.120.9)
(20.127.2)
(14.521.2)
(17.828.8)
(15.718.2)

(16.120.8)
(17.622.3)
(8.513.2)
(9.412.8)

20.6
14.6
16.0
23.8
17.1
21.7
17.2

17.8
19.2
11.8
11.6

(17.823.8)
(12.616.9)
(13.618.7)
(21.226.6)
(15.119.4)
(18.824.9)
(16.418.1)

(16.119.6)
(17.620.9)
(10.613.2)
(10.313.1)

CI

25.6

32.6
29.7
38.2
34.8
35.4
34.8
34.0
35.0
32.3
27.7
32.2

34.0
31.0
23.5
30.5
36.0
33.9
30.8

30.2
34.0
31.1
38.4
28.2
31.4
32.2
25.3
31.5
30.8
38.1
32.7
29.5
31.9

(21.630.2)

(27.837.9)
(26.233.5)
(34.941.7)
(30.539.3)
(31.240.0)
(32.936.7)
(31.137.0)
(32.238.0)
(26.438.9)
(23.831.8)
(27.837.0)

(30.737.4)
(24.937.9)
(20.327.0)
(24.337.5)
(33.438.7)
(30.437.5)
(26.835.1)

(27.133.5)
(31.236.8)
(27.534.9)
(35.041.8)
(24.632.1)
(27.735.3)
(27.137.7)
(21.230.0)
(26.736.8)
(27.434.5)
(37.239.0)
(29.336.3)
(26.532.7)
(28.735.4)
32.2
(23.538.4)

23.1
27.2
31.4
16.9
26.8
13.7
21.2

28.7
27.9
35.7
39.2

(18.728.3)
(24.130.4)
(27.635.4)
(14.319.9)
(23.530.4)
(10.917.0)
(20.022.4)

(25.931.7)
(25.330.8)
(32.938.7)
(35.443.2)

Male
%

Total
CI

35.7

38.6
33.1
45.9
40.1
42.6
44.0
38.4
41.9
33.6
32.5
37.3

35.8
33.8
30.0
31.7
40.4
38.8
36.5

37.6
35.6
40.2
36.9
33.6
39.1
35.2
34.1
36.0
39.9
42.9
42.5
38.7
37.5

(31.040.7)

(34.343.1)
(27.539.2)
(38.353.7)
(36.144.2)
(39.346.1)
(41.446.5)
(36.340.5)
(38.645.3)
(28.039.7)
(27.837.4)
(33.041.9)

(32.739.0)
(29.338.6)
(26.933.4)
(27.436.4)
(37.942.8)
(35.342.5)
(32.041.3)

(35.639.7)
(31.939.5)
(37.343.1)
(34.139.7)
(29.837.6)
(34.444.0)
(30.540.2)
(29.139.4)
(30.541.9)
(37.442.4)
(42.043.9)
(39.445.7)
(34.742.9)
(34.840.2)
37.5
(30.045.9)

24.1
35.1
31.9
22.7
31.8
19.4
28.4

33.1
28.9
41.3
50.0

(19.629.4)
(30.640.0)
(27.137.0)
(19.626.2)
(27.936.1)
(15.923.5)
(27.029.9)

(30.236.2)
(26.331.7)
(38.244.4)
(46.753.3)

CI

30.5

35.6
31.3
42.1
37.4
39.0
39.4
36.0
38.5
32.9
30.1
34.8

34.9
32.5
26.6
30.9
38.2
36.2
33.6

33.9
34.6
35.5
37.6
30.7
35.2
33.7
29.5
33.8
35.4
40.5
37.7
34.3
34.6

(26.934.3)

(32.039.3)
(27.535.3)
(37.247.2)
(33.841.1)
(35.942.1)
(37.641.2)
(34.038.0)
(36.141.0)
(28.737.4)
(26.833.6)
(31.937.8)

(32.537.4)
(27.937.4)
(24.329.1)
(26.335.9)
(36.340.2)
(33.539.1)
(30.337.0)

(31.836.1)
(32.137.3)
(32.738.3)
(35.240.1)
(27.733.9)
(31.639.1)
(29.238.5)
(25.733.7)
(30.237.6)
(33.038.0)
(39.841.1)
(35.140.4)
(31.736.9)
(32.237.2)
34.8
(26.642.1)

23.2
31.1
31.5
19.7
29.3
16.4
24.6

31.0
28.3
38.4
44.6

(19.926.9)
(28.633.7)
(28.334.8)
(17.522.1)
(26.232.6)
(14.118.9)
(23.625.5)

(28.833.3)
(26.330.4)
(36.340.6)
(42.147.1)

See table footnotes on the next page.

152

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 104. (Continued) Percentage of high school students who did not eat breakfast* and who ate breakfast on all 7 days,* by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Did not eat breakfast
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Ate breakfast on all 7 days

Male

15.4
15.9
12.6
15.5
18.1
11.5
12.6

(13.517.6)
(12.919.5)
(10.215.3)
(13.617.6)
(14.622.2)
(9.513.9)
(10.215.5)
15.7
(11.523.2)

Total
CI

15.1
19.0
13.8
15.6
15.7
14.1
13.4

(13.616.7)
(16.022.3)
(11.416.6)
(13.018.6)
(12.219.9)
(12.216.1)
(10.616.7)
16.1
(10.623.5)

Female
CI

15.3
17.6
13.1
15.7
16.9
12.8
13.4

(14.116.6)
(15.420.0)
(11.415.0)
(14.017.7)
(15.019.0)
(11.314.5)
(11.415.6)
16.4
(11.623.8)

Male

CI

31.9
27.6
34.0
33.8
22.7
34.9
35.4

(28.735.2)
(24.231.3)
(29.738.5)
(30.936.9)
(19.226.7)
(31.138.9)
(31.839.1)
28.3
(13.739.2)

Total
CI

CI

35.0
28.9
39.2
35.5
26.3
37.1
40.4

(32.537.6)
(26.431.6)
(35.742.8)
(33.337.7)
(23.429.4)
(34.539.7)
(37.343.6)
31.0
(16.444.6)

38.4
30.5
44.6
37.5
30.4
39.2
45.5

(36.140.8)
(27.134.0)
(39.949.3)
(34.141.1)
(26.734.3)
(35.543.1)
(40.950.1)
32.5
(19.450.0)

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 105. Percentage of high school students who did not participate in at least 60 minutes of physical activity on at least 1 day* and who were
physically active at least 60 minutes/day on 5 or more days,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Did not participate in at least 60 minutes of physical activity
on at least 1 day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Physically active at least 60 minutes/day


on 5 or more days

Total

CI

CI

14.3
25.2
19.2

(11.517.6)
(21.329.6)
(17.321.2)

8.8
16.2
11.9

(7.111.0)
(12.121.4)
(9.514.8)

11.6
20.4
15.6

14.7
15.8
18.2
21.4
17.5

(12.317.5)
(13.019.1)
(15.820.8)
(18.424.9)
(15.619.5)

9.5
10.4
12.4
12.4
11.1

(7.012.6)
(8.013.5)
(9.815.6)
(9.615.9)
(9.512.9)

12.0
13.1
15.5
16.9
14.3

Female
CI

Male

Total

CI

CI

CI

(9.713.8)
(16.924.5)
(13.717.6)

43.5
33.4
33.1

(38.848.2)
(28.438.8)
(29.537.0)

62.0
52.2
53.5

(58.565.4)
(46.158.2)
(50.956.2)

52.7
43.5
43.4

(49.356.2)
(38.948.2)
(40.746.2)

(10.114.1)
(10.815.8)
(13.517.8)
(14.619.4)
(12.915.8)

43.9
41.9
36.6
33.4
39.1

(38.948.9)
(36.747.2)
(32.640.8)
(29.537.6)
(35.542.8)

62.3
58.7
56.3
53.3
57.8

(58.566.1)
(54.163.1)
(52.060.6)
(47.858.8)
(55.060.5)

53.7
50.2
46.5
43.5
48.6

(49.957.4)
(46.154.2)
(43.249.9)
(40.246.8)
(46.051.2)

* Doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey.
95% confidence interval.
Non-Hispanic.
NOTE: Because of changes in question context starting in 2011, national YRBS prevalence estimates derived from the 60 minutes of physical activity question in 2011,
2013, and 2015 are not comparable to those reported in 2009 or earlier. On the 20052009 national YRBS questionnaire, physical activity was assessed with three
questions (in the following order) that asked the number of days students participated in 1) at least 20 minutes of vigorous physical activity; 2) at least 30 minutes of
moderate physical activity; and 3) at least 60 minutes of aerobic (moderate and vigorous) physical activity. On the 2011, 2013, and 2015 national YRBS questionnaires,
only the 60 minutes of aerobic physical activity question was included.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

153

Surveillance Summaries

TABLE 106. Percentage of high school students who did not participate in at least 60 minutes of physical activity on at least 1 day* and who
were physically active at least 60 minutes/day on 5 or more days,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not participate in at least 60 minutes of physical activity
on at least 1 day
Female
Site

CI

State surveys
Alabama
21.0 (16.726.0)
Alaska
18.4 (15.621.6)
Arizona
17.3 (13.921.2)
Arkansas
24.9 (21.328.9)
California
14.7 (11.718.3)
Connecticut
16.9 (14.120.1)
Delaware
22.9 (20.125.9)
Florida
24.7 (22.427.1)
Hawaii
21.4 (18.125.1)
Idaho
14.7 (11.818.2)
Illinois
14.3 (11.417.7)
Indiana
17.8 (14.521.6)
Kentucky
18.8 (16.920.8)
Maine
18.1 (16.819.6)
Maryland
22.8 (22.123.6)
Massachusetts
18.0 (14.721.9)
Michigan
18.5 (14.723.0)
Mississippi
26.6 (24.329.0)
Missouri
18.8 (15.223.1)
Montana
12.3 (10.913.9)
Nebraska
15.7 (12.918.9)
Nevada
16.4 (13.220.1)
New Hampshire
15.1 (13.816.5)
New Mexico
18.1 (16.519.8)
New York
19.8 (17.622.1)
North Carolina
21.6 (19.424.0)
North Dakota
13.5 (11.116.2)
Oklahoma
17.1 (13.820.9)
Pennsylvania
18.5 (15.522.1)
Rhode Island
17.5 (12.723.6)
South Carolina
26.8 (23.230.7)
South Dakota
16.4 (13.320.2)
Tennessee
21.2 (19.023.5)
Vermont
16.9 (16.217.7)
Virginia
21.6 (18.624.9)
West Virginia
18.8 (15.722.4)
Wyoming
14.3 (11.417.8)
Median
18.1
Range
(12.326.8)
Large urban school district surveys
Baltimore, MD
28.5 (22.934.9)
Boston, MA
29.5 (26.233.1)
Broward County, FL
29.6 (25.434.2)
Cleveland, OH
36.3 (31.641.3)
DeKalb County, GA
25.9 (22.529.6)
Detroit, MI
27.8 (25.130.6)
District of Columbia
29.5 (28.230.9)
Duval County, FL
27.7 (25.230.3)
Ft. Worth, TX
19.8 (17.322.6)
Houston, TX
25.2 (22.528.1)
Los Angeles, CA
16.1 (13.219.5)
Miami-Dade County, FL
25.6 (22.329.3)

Male
%

Physically active at least 60 minutes/day


on 5 or more days

Total
CI

Female
CI

14.4
14.0
14.5
15.1
11.5
11.7
14.1
15.1
14.5
9.0
13.6
12.9
13.9
13.6
16.6
12.0
13.4
19.0
13.5
9.2
12.7
9.4
12.2
11.0
17.6
13.5
10.9
7.7
12.5
14.4
14.3
12.9
15.2
11.8
12.5
15.5
11.9

(11.717.5)
(11.317.2)
(11.318.3)
(12.618.0)
(7.816.7)
(9.314.6)
(11.217.6)
(13.516.8)
(12.816.3)
(6.512.2)
(11.615.8)
(9.417.4)
(11.816.2)
(12.514.8)
(16.017.3)
(9.914.6)
(10.816.5)
(16.322.1)
(10.417.2)
(7.810.7)
(9.816.3)
(7.411.8)
(11.113.4)
(9.812.4)
(14.820.9)
(11.715.5)
(9.013.1)
(5.910.0)
(10.514.8)
(12.616.4)
(10.619.0)
(9.018.1)
(13.716.9)
(11.112.4)
(10.514.7)
(12.818.8)
(9.814.2)
13.5
(7.719.0)

17.5
16.1
15.9
20.0
13.1
14.3
18.5
19.9
18.0
11.7
13.9
15.4
16.5
15.9
19.8
15.1
15.9
22.9
16.4
10.7
14.1
13.0
13.6
14.6
18.8
17.6
12.1
12.4
15.5
16.0
20.6
14.7
18.2
14.4
16.9
17.2
13.0

(14.820.7)
(14.118.4)
(13.818.3)
(17.922.2)
(10.915.7)
(12.016.9)
(16.520.7)
(18.421.5)
(15.920.3)
(9.614.3)
(12.215.9)
(12.618.6)
(15.117.9)
(15.016.8)
(19.220.4)
(12.717.8)
(13.418.8)
(20.924.9)
(14.218.8)
(9.711.8)
(11.916.6)
(11.414.7)
(12.714.5)
(13.515.7)
(16.621.2)
(16.219.1)
(10.713.8)
(10.314.8)
(13.417.8)
(12.919.7)
(17.324.3)
(11.818.1)
(16.719.7)
(13.914.9)
(15.019.0)
(14.819.8)
(11.115.2)
15.9
(10.722.9)

18.0
21.0
19.3
24.1
17.4
20.9
21.5
21.2
12.0
18.1
12.0
13.6

(14.322.4)
(18.024.2)
(16.123.0)
(20.328.4)
(14.321.1)
(17.225.2)
(20.122.9)
(18.624.0)
(9.814.5)
(16.120.4)
(10.114.2)
(11.416.2)

23.3
25.4
24.4
30.1
21.6
24.7
25.7
24.7
15.8
21.6
14.1
19.8

(19.527.5)
(22.928.1)
(21.327.8)
(27.133.3)
(19.523.9)
(22.327.2)
(24.826.7)
(22.926.7)
(13.917.9)
(19.723.7)
(12.216.2)
(17.622.2)

CI

31.1
38.8
40.0
35.0
41.4
39.9
33.3
30.6
30.7
43.6
42.5
38.5
29.9
34.9
30.1
37.4
42.0
23.5
40.1
47.6
46.3
42.4
40.7
44.3
37.3
33.7
42.9
43.9
37.4
35.0
31.4
37.8
33.8
38.3
35.6
39.2
43.7

(27.035.6)
(35.042.6)
(35.145.0)
(29.640.7)
(37.945.1)
(34.745.3)
(30.236.6)
(28.432.9)
(27.833.8)
(38.848.4)
(36.948.2)
(34.842.2)
(25.734.5)
(32.937.0)
(29.330.9)
(32.642.5)
(34.949.4)
(19.827.6)
(36.044.3)
(44.850.3)
(41.651.1)
(37.447.6)
(37.943.6)
(41.547.0)
(33.041.8)
(31.236.2)
(39.546.3)
(40.447.5)
(34.340.6)
(29.441.2)
(26.936.3)
(33.042.9)
(31.136.6)
(37.439.3)
(32.239.0)
(35.842.7)
(39.448.1)
38.3
(23.547.6)

32.1
22.0
25.5
24.3
32.0
25.8
24.8
23.7
32.9
27.7
39.1
27.1

(26.438.4)
(19.225.2)
(21.929.4)
(21.227.7)
(28.435.8)
(22.030.0)
(23.626.1)
(21.526.0)
(29.936.0)
(23.532.4)
(35.043.4)
(23.930.5)

Male
%

Total
CI

51.6
49.3
52.7
51.9
55.0
50.8
53.1
53.1
45.8
62.3
56.7
54.5
44.1
47.4
44.0
52.9
50.1
45.1
51.9
60.1
59.0
58.9
52.9
60.1
46.8
53.1
59.3
64.2
53.8
52.2
53.7
56.4
51.3
53.3
54.2
50.4
57.4

(47.156.2)
(45.653.0)
(46.558.8)
(45.258.5)
(50.759.2)
(45.256.3)
(49.157.1)
(50.255.9)
(43.248.3)
(55.968.3)
(52.061.4)
(48.760.2)
(38.250.1)
(45.149.8)
(42.845.2)
(49.056.8)
(44.555.7)
(40.450.0)
(45.957.8)
(57.762.5)
(54.563.3)
(53.664.1)
(51.254.6)
(57.362.7)
(42.850.8)
(48.957.1)
(55.962.6)
(60.367.9)
(49.758.0)
(47.057.3)
(47.160.1)
(49.363.3)
(48.654.1)
(52.354.3)
(50.657.8)
(44.756.1)
(53.261.6)
53.1
(44.064.2)

41.8
38.0
41.9
32.5
49.1
30.9
37.0
36.4
51.1
40.7
54.6
45.2

(35.548.2)
(34.341.8)
(37.146.9)
(28.237.2)
(45.752.5)
(26.935.3)
(35.438.6)
(33.439.5)
(47.654.7)
(37.943.6)
(50.059.2)
(41.948.5)

CI

41.3
44.2
46.4
43.3
48.1
45.3
43.3
41.9
38.1
53.1
49.6
46.5
37.0
41.2
36.9
45.2
46.0
34.2
45.7
54.0
52.8
50.6
46.9
52.2
41.8
43.4
51.3
54.0
45.6
43.7
42.3
47.4
42.7
45.8
45.2
44.9
50.7

(37.445.3)
(41.447.0)
(41.551.4)
(39.846.7)
(45.251.0)
(41.449.3)
(40.546.2)
(39.943.9)
(36.340.0)
(48.957.4)
(46.253.0)
(42.650.5)
(32.941.4)
(39.642.8)
(36.137.7)
(41.249.3)
(39.952.1)
(30.737.8)
(41.649.8)
(52.355.7)
(48.856.7)
(47.154.1)
(45.148.7)
(49.954.4)
(38.445.3)
(40.746.1)
(48.753.8)
(51.056.9)
(42.548.8)
(38.349.3)
(37.946.9)
(43.950.9)
(40.644.9)
(45.246.5)
(42.248.2)
(41.548.3)
(47.354.1)
45.3
(34.254.0)

36.7
30.1
33.8
28.3
40.4
28.1
30.5
29.5
42.0
34.3
46.6
36.1

(32.341.4)
(27.432.9)
(30.936.9)
(25.231.5)
(37.943.1)
(25.131.2)
(29.531.5)
(27.631.5)
(39.644.5)
(31.437.2)
(42.950.4)
(33.838.4)

See table footnotes on the next page.

154

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 106. (Continued) Percentage of high school students who did not participate in at least 60 minutes of physical activity on at least 1 day*
and who were physically active at least 60 minutes/day on 5 or more days,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Did not participate in at least 60 minutes of physical activity
on at least 1 day
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

24.3

22.4
26.2
28.4
15.6
20.0

(21.627.2)

(19.525.7)
(22.929.8)
(23.933.3)
(12.818.9)
(16.024.8)
26.0
(15.636.3)

Male
%

Physically active at least 60 minutes/day


on 5 or more days

Total
CI

16.3

15.3
16.5
20.0
10.9
16.0

(14.618.2)

(12.618.5)
(14.219.1)
(17.722.5)
(9.312.8)
(13.119.5)
17.7
(10.924.1)

Female
CI

20.5

19.1
21.4
24.3
13.2
18.2

(18.722.3)

(17.021.4)
(19.323.8)
(21.727.2)
(11.615.0)
(15.521.3)
21.6
(13.230.1)

Male

CI

32.3

31.3
26.5
26.3
42.6
40.3

(27.737.1)

(27.435.6)
(23.329.9)
(22.930.2)
(38.047.4)
(35.345.4)
27.4
(22.042.6)

Total
CI

CI

38.7

40.5
36.2
32.9
51.1
43.2

(36.141.4)

(37.643.5)
(33.738.9)
(30.035.9)
(47.554.6)
(39.047.5)
36.1
(28.151.1)

45.7

49.8
46.4
40.0
59.0
46.7

(43.448.0)

(45.754.0)
(43.249.7)
(35.344.9)
(55.462.5)
(41.452.0)
43.5
(30.959.0)

* Doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 107. Percentage of high school students who were physically active at least 60 minutes/day on all 7 days* and who participated in
muscle strengthening activities on 3 or more days, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Physically active at least 60 minutes/day on all 7 days
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Participated in muscle strengthening activities

Total

CI

CI

19.5
16.6
14.7

(17.621.6)
(12.421.9)
(11.818.1)

38.5
30.8
34.2

(35.142.0)
(25.836.3)
(31.537.1)

29.0
24.2
24.6

20.9
19.0
16.0
14.3
17.7

(18.523.5)
(16.322.1)
(14.318.0)
(12.017.0)
(16.219.2)

40.1
36.7
34.3
32.6
36.0

(36.543.8)
(33.340.2)
(30.638.2)
(27.438.4)
(33.638.5)

31.0
27.8
25.3
23.5
27.1

Female
CI

Male

Total

CI

CI

CI

(26.631.6)
(20.428.3)
(22.127.3)

46.1
34.5
39.9

(41.850.3)
(28.441.1)
(35.544.5)

63.0
69.8
64.4

(59.666.3)
(63.175.6)
(60.967.7)

54.5
52.3
52.4

(51.457.7)
(48.056.6)
(49.355.4)

(28.533.7)
(25.430.4)
(23.127.6)
(20.626.8)
(25.428.8)

48.2
43.0
39.3
39.9
42.7

(43.752.8)
(39.147.0)
(35.143.7)
(34.145.9)
(39.546.0)

64.9
67.3
62.5
59.9
63.7

(60.968.7)
(63.271.2)
(59.065.8)
(55.963.9)
(61.266.1)

56.9
54.9
51.1
50.0
53.4

(53.360.4)
(51.858.0)
(48.054.2)
(46.353.7)
(51.155.6)

* Doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey.
Such as, push-ups, sit-ups, or weight lifting, during the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

NOTE: Because of changes in question context starting in 2011, national YRBS prevalence estimates derived from the 60 minutes of physical activity question in 2011,
2013, and 2015 are not comparable to those reported in 2009 or earlier. On the 20052009 national YRBS questionnaire, physical activity was assessed with three
questions (in the following order) that asked the number of days students participated in 1) at least 20 minutes of vigorous physical activity; 2) at least 30 minutes of
moderate physical activity; and 3) at least 60 minutes of aerobic (moderate and vigorous) physical activity. On the 2011, 2013, and 2015 national YRBS questionnaires,
only the 60 minutes of aerobic physical activity question was included.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

155

Surveillance Summaries

TABLE 108. Percentage of high school students who were physically active at least 60 minutes/day on all 7 days,* by sex selected U.S. sites,
Youth Risk Behavior Survey, 2015
Female

Total

CI

CI

15.2
17.0
19.3
20.7
18.9
18.1
17.6
14.3
14.2
21.1
19.9
16.5
12.9
15.6
14.1
17.6
19.3
13.9
19.0
20.7
23.6
21.2
15.1
23.4
19.0
14.8
15.7
21.5
17.3
12.6
13.6
18.8
17.6
15.6
17.6
18.3
20.5

(12.019.2)
(14.519.7)
(16.921.9)
(17.124.9)
(16.221.8)
(15.421.2)
(15.120.4)
(12.815.9)
(12.216.6)
(17.425.3)
(16.124.2)
(13.719.7)
(9.816.7)
(14.117.3)
(13.614.7)
(15.320.2)
(15.723.5)
(10.817.7)
(16.322.1)
(18.722.8)
(20.527.1)
(18.324.3)
(13.816.4)
(21.425.4)
(16.022.5)
(12.317.8)
(13.218.7)
(18.225.1)
(15.319.5)
(10.814.8)
(10.217.9)
(15.822.1)
(15.819.5)
(14.916.3)
(15.619.8)
(15.221.8)
(17.723.5)

35.5
24.7
32.1
36.7
31.8
32.6
31.4
34.0
26.7
37.9
33.8
33.8
27.3
27.4
25.0
30.4
30.0
28.6
33.5
36.3
35.6
35.9
29.0
38.3
27.8
33.8
34.5
43.6
32.4
27.7
34.0
36.8
33.9
30.3
32.3
33.0
33.5

(31.439.9)
(21.528.3)
(27.437.2)
(31.941.8)
(27.037.1)
(28.437.1)
(28.035.1)
(31.736.4)
(23.730.0)
(33.043.0)
(29.638.2)
(29.438.4)
(22.732.4)
(25.329.7)
(24.225.9)
(26.934.3)
(25.934.4)
(25.132.3)
(28.139.2)
(33.639.1)
(31.440.0)
(31.640.5)
(27.530.5)
(36.040.7)
(24.231.7)
(32.335.4)
(31.437.9)
(38.349.1)
(28.836.1)
(24.531.2)
(27.541.2)
(31.242.9)
(31.536.3)
(29.531.2)
(29.335.5)
(29.037.2)
(30.236.9)

25.4
20.9
26.0
28.6
25.3
25.3
24.7
24.1
20.3
29.6
26.8
25.3
20.2
21.6
19.5
24.1
24.6
21.2
26.0
28.7
29.7
28.6
22.3
30.9
23.3
24.3
25.4
32.2
24.8
20.3
23.6
28.1
25.9
23.1
25.1
25.8
27.1

(22.328.7)
(18.823.3)
(22.729.5)
(25.531.8)
(21.729.2)
(22.728.1)
(22.527.0)
(22.625.7)
(18.721.9)
(26.532.9)
(24.229.6)
(22.928.0)
(17.123.7)
(20.422.9)
(19.020.0)
(21.427.0)
(21.128.6)
(18.623.9)
(22.030.3)
(27.030.4)
(26.932.7)
(25.831.5)
(21.223.4)
(29.132.7)
(20.925.8)
(22.925.8)
(23.227.7)
(29.435.2)
(22.427.4)
(18.022.7)
(20.227.4)
(24.332.1)
(24.227.7)
(22.523.7)
(22.927.5)
(23.228.5)
(24.829.6)

(12.321.7)
(7.811.7)
(9.114.3)
(11.816.7)
(13.219.2)
(12.317.7)
(10.712.7)
(9.613.4)
(14.418.9)
(11.618.3)
(13.719.7)
(10.814.9)

25.6
21.9
24.1
19.1
31.5
17.0
20.9
21.2
32.5
24.9
30.3
26.7

(20.032.3)
(18.825.5)
(19.729.2)
(16.022.6)
(29.034.2)
(13.621.1)
(19.622.2)
(18.723.9)
(29.435.8)
(22.427.6)
(26.834.1)
(23.630.0)

20.8
15.9
17.9
16.4
23.7
15.8
16.0
15.9
24.5
19.8
23.2
19.5

Site
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

Male
CI

16.4
9.6
11.4
14.1
16.0
14.8
11.7
11.4
16.5
14.7
16.5
12.7

17.6
(12.623.6)

33.0
(24.743.6)

25.3
(19.532.2)

(17.125.0)
(13.918.1)
(15.420.6)
(14.318.7)
(21.525.9)
(13.518.3)
(15.216.8)
(14.317.6)
(22.526.7)
(17.622.3)
(20.925.7)
(17.921.3)

See table footnotes on the next page.

156

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 108. (Continued) Percentage of high school students who were physically active at least 60 minutes/day on all 7 days,* by sex selected
U.S. sites, Youth Risk Behavior Survey, 2015
Female
Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

Total

CI

CI

CI

15.9

13.7
11.0
14.5
18.3
14.4

(13.718.4)

(11.216.5)
(8.813.7)
(12.317.0)
(15.122.0)
(11.717.6)

26.2

30.5
30.1
25.2
35.5
22.9

(23.728.9)

(26.734.6)
(27.133.3)
(22.627.9)
(31.339.8)
(19.326.9)

20.9

22.1
20.4
19.6
27.0
18.6

(19.422.5)

(19.624.9)
(18.322.7)
(18.021.3)
(23.830.6)
(16.021.5)

14.4
(9.618.3)

25.4
(17.035.5)

19.7
(15.827.0)

* Doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 109. Percentage of high school students who played video or computer games or used a computer* for 3 or more hours/day and who
watched 3 or more hours/day of television, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Used computers 3 or more hours/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Watched television 3 or more hours/day


Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

38.3
48.4
47.4

(33.243.7)
(41.755.1)
(44.150.7)

38.9
41.2
45.1

(35.542.4)
(36.446.3)
(42.547.7)

38.6
44.6
46.2

(34.842.5)
(40.249.1)
(44.348.1)

18.8
41.5
29.2

(15.822.1)
(37.046.1)
(26.332.3)

21.4
37.0
27.4

(18.224.9)
(30.244.4)
(24.830.1)

20.0
39.2
28.2

(17.323.1)
(34.144.5)
(26.030.6)

48.7
43.3
38.1
40.4
42.8

(45.851.6)
(40.246.5)
(34.441.9)
(34.846.2)
(39.945.7)

42.5
43.4
36.1
40.8
40.6

(37.847.2)
(39.847.0)
(32.439.9)
(36.345.5)
(37.743.7)

45.4
43.4
37.2
40.5
41.7

(42.248.7)
(40.646.2)
(34.340.1)
(36.844.3)
(39.344.2)

25.3
24.1
22.4
25.9
24.4

(21.929.0)
(20.028.8)
(20.124.8)
(22.429.7)
(22.226.8)

26.3
24.6
24.6
24.4
25.0

(22.929.9)
(20.928.7)
(21.328.1)
(21.627.5)
(22.627.5)

25.7
24.5
23.6
25.1
24.7

(23.028.6)
(21.028.4)
(21.425.9)
(22.727.7)
(22.726.9)

* For something that was not school work.


On an average school day.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

157

Surveillance Summaries

TABLE 110. Percentage of high school students who played video or computer games or used a computer* for 3 or more hours/day and who
watched 3 hours/day of television, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Used computers 3 or more hours/day
Female
Site

CI

State surveys
Alabama
40.8 (36.745.0)
Alaska
32.8 (28.537.5)
Arizona
41.5 (35.148.1)
Arkansas
40.8 (35.845.9)
California
43.5 (38.049.1)
Connecticut
38.2 (33.942.8)
Delaware
32.7 (29.136.4)
Florida
42.1 (40.443.9)
Hawaii
42.1 (38.845.5)
Idaho
32.5 (29.735.6)
Illinois
36.6 (30.543.1)
Indiana
37.4 (33.941.1)
Kentucky
41.9 (37.646.3)
Maine
37.2 (35.339.1)
Maryland
37.9 (37.138.6)
Massachusetts
43.3 (40.246.4)
Michigan
40.0 (36.044.1)
Mississippi
35.2 (31.539.1)
Missouri
38.3 (32.943.9)
Montana
32.4 (30.134.7)
Nebraska
31.9 (27.636.5)
Nevada
36.7 (31.642.2)
New Hampshire
37.0 (35.338.8)
New Mexico
39.1 (37.141.2)
New York
37.4 (33.641.2)
North Carolina
42.3 (36.348.5)
North Dakota
37.4 (34.240.8)
Oklahoma
44.6 (41.647.6)
Pennsylvania
42.3 (38.646.0)
Rhode Island
40.3 (33.647.3)
South Carolina
42.7 (39.446.0)
South Dakota
39.5 (34.944.3)
Tennessee
42.6 (39.845.4)
Vermont

Virginia
42.3 (38.745.9)
West Virginia
41.9 (36.747.3)
Wyoming
29.7 (26.233.4)
Median
39.3
Range
(29.744.6)
Large urban school district surveys
Baltimore, MD
34.0 (30.138.2)
Boston, MA
45.4 (41.349.6)
Broward County, FL
42.6 (38.546.9)
Cleveland, OH
42.4 (37.347.6)
DeKalb County, GA
36.3 (32.840.0)
Detroit, MI
35.1 (31.139.4)
District of Columbia
38.2 (36.839.7)
Duval County, FL
35.9 (33.438.6)
Ft. Worth, TX
43.5 (40.346.7)
Houston, TX
34.7 (31.737.8)
Los Angeles, CA
41.7 (37.745.9)
Miami-Dade County, FL
42.5 (38.746.4)

Male
%

CI

36.2
35.4
39.6
42.0
40.7
37.3
38.3
42.2
39.3
34.8
37.3
39.5
38.5
39.3
38.9
42.9
41.4
33.3
37.1
36.0
31.1
36.9
40.5
38.6
37.2
42.2
39.7
46.5
43.9
40.0
36.3
36.3
44.1

41.4
44.9
30.3

(31.541.1)
(31.639.3)
(35.444.0)
(38.245.9)
(33.548.4)
(33.741.1)
(34.442.4)
(39.944.6)
(35.443.2)
(29.640.4)
(33.241.5)
(33.945.3)
(34.742.4)
(36.742.1)
(38.039.8)
(39.746.3)
(37.245.7)
(29.936.8)
(32.242.2)
(33.838.3)
(27.135.5)
(30.943.3)
(38.942.1)
(35.941.4)
(33.241.3)
(36.248.4)
(36.243.3)
(41.151.9)
(40.347.6)
(35.045.2)
(30.242.9)
(32.140.7)
(41.347.0)

(39.143.8)
(40.749.2)
(27.433.4)
39.1
(30.346.5)

37.1
43.5
39.2
43.2
36.5
32.0
38.0
36.6
42.3
35.4
41.7
41.4

Watched television 3 or more hours/day


Total

(30.444.3)
(39.947.3)
(34.943.6)
(38.248.4)
(32.340.8)
(28.036.3)
(36.439.6)
(33.939.3)
(38.346.4)
(32.638.3)
(38.844.6)
(38.244.6)

Female
CI

38.2
34.3
40.5
41.2
42.1
37.8
35.6
42.2
40.6
33.7
36.9
38.4
40.1
38.3
38.3
43.2
40.6
34.1
37.4
34.2
31.5
36.7
38.9
38.9
37.2
42.3
38.6
45.6
43.0
40.0
39.5
37.8
43.4

41.9
43.4
30.1

(35.141.5)
(31.237.5)
(35.745.5)
(37.245.4)
(36.547.9)
(34.641.1)
(32.838.5)
(40.643.8)
(39.242.0)
(30.637.0)
(33.340.7)
(34.542.5)
(37.143.2)
(36.440.3)
(37.739.0)
(40.845.7)
(37.344.0)
(31.636.7)
(33.541.5)
(32.535.9)
(28.434.9)
(33.140.5)
(37.740.1)
(37.040.8)
(34.340.3)
(38.246.4)
(36.540.7)
(42.748.6)
(40.545.6)
(35.045.2)
(36.242.9)
(33.941.9)
(41.345.6)

(39.444.3)
(39.347.5)
(27.832.4)
38.7
(30.145.6)

35.3
44.4
40.9
42.5
36.4
33.8
38.1
36.2
42.9
34.8
41.7
42.0

(31.039.9)
(41.447.3)
(38.043.9)
(38.746.3)
(33.739.1)
(30.337.4)
(37.039.1)
(34.338.0)
(40.345.6)
(32.637.1)
(38.744.7)
(39.744.4)

CI

33.5
20.1
26.2
30.8
22.3
22.3
27.2
27.8
21.8
20.6
21.6
22.2
25.4
22.7
27.1

20.9
36.1
23.9
22.0
19.1
22.1
18.6
24.9
27.0
30.3
16.7
28.2
27.2
21.9
29.1
21.7
29.6

23.5
28.6
22.0

(27.140.7)
(17.123.6)
(22.630.0)
(25.436.7)
(18.227.0)
(19.825.1)
(24.230.4)
(25.330.4)
(19.524.2)
(17.524.0)
(18.025.7)
(17.627.4)
(22.328.7)
(21.024.5)
(26.328.0)

(17.624.6)
(31.141.4)
(18.730.1)
(19.924.1)
(16.322.4)
(19.125.4)
(17.120.3)
(23.226.6)
(24.329.8)
(26.534.4)
(14.119.7)
(25.031.7)
(23.830.9)
(16.728.2)
(22.736.4)
(17.826.3)
(27.931.3)

(20.427.0)
(25.132.3)
(18.625.8)
23.5
(16.736.1)

36.9
28.8
28.3
38.0
29.9
31.9
32.6
29.7
30.9
29.9
27.5
29.4

(32.341.8)
(25.632.2)
(25.131.7)
(34.341.9)
(26.333.8)
(28.735.3)
(31.234.0)
(27.332.2)
(28.034.0)
(27.132.9)
(24.730.4)
(26.532.5)

Male
%

Total
CI

28.0
24.1
22.8
31.2
23.7
21.6
28.1
28.8
21.8
19.1
22.0
22.2
25.3
23.5
26.4

22.4
30.9
18.1
21.9
21.1
22.2
19.7
24.6
21.7
31.0
20.9
29.9
28.3
22.6
27.8
21.1
28.9

24.2
25.0
19.8

(24.432.0)
(20.927.6)
(18.827.2)
(24.339.1)
(20.926.8)
(18.325.4)
(25.031.4)
(26.231.4)
(19.923.7)
(16.122.5)
(17.527.2)
(18.626.3)
(21.629.4)
(21.825.3)
(25.427.3)

(18.427.0)
(26.635.6)
(14.822.1)
(19.424.7)
(18.524.0)
(17.527.7)
(18.620.9)
(23.026.4)
(19.324.3)
(27.834.3)
(18.723.4)
(26.533.5)
(25.231.7)
(18.327.5)
(21.634.8)
(15.628.0)
(25.332.8)

(21.327.5)
(20.430.2)
(17.622.2)
23.5
(18.131.2)

35.4
33.1
27.7
33.7
31.8
29.7
31.9
26.8
32.5
26.1
26.8
27.9

(28.443.1)
(29.636.8)
(23.732.1)
(29.038.8)
(28.635.1)
(25.534.2)
(30.433.5)
(24.229.6)
(29.635.5)
(23.428.9)
(23.930.0)
(24.931.1)

CI

30.8
22.2
24.7
31.0
23.1
21.9
27.9
28.2
21.8
19.7
21.8
22.3
25.5
23.1
26.7

21.7
33.4
21.2
21.9
20.1
22.1
19.1
24.7
24.2
30.5
18.9
28.9
27.8
22.2
28.4
21.5
29.2

23.9
26.8
21.0

(26.635.2)
(20.224.5)
(21.228.5)
(25.736.9)
(20.226.1)
(19.724.3)
(25.730.2)
(26.130.5)
(20.223.5)
(17.122.6)
(18.525.5)
(19.725.1)
(23.128.0)
(21.624.6)
(26.027.5)

(18.325.4)
(29.837.2)
(17.625.3)
(20.024.0)
(18.022.4)
(19.225.2)
(18.220.1)
(23.426.1)
(22.226.3)
(27.733.4)
(17.120.7)
(26.431.5)
(25.330.4)
(17.627.5)
(23.234.2)
(18.225.2)
(27.131.5)

(21.326.6)
(23.630.2)
(18.723.5)
23.1
(18.933.4)

35.9
30.9
28.1
35.5
30.9
30.9
32.2
28.2
31.7
28.1
27.1
28.7

(32.040.0)
(28.733.3)
(25.131.3)
(32.438.7)
(28.233.7)
(28.233.7)
(31.233.3)
(26.330.2)
(29.533.9)
(26.030.2)
(25.129.1)
(26.431.0)

See table footnotes on the next page.

158

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 110. (Continued) Percentage of high school students who played video or computer games or used a computer* for 3 or more hours/day and
who watched 3 hours/day of television, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Used computers 3 or more hours/day
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

44.5
41.4
42.5
38.9
46.6
46.4

(41.247.7)
(36.346.8)
(38.446.8)
(35.542.4)
(41.951.4)
(43.049.8)

42.0
(34.046.6)

Watched television 3 or more hours/day


Total

CI

46.8
42.2
44.7
36.0
49.3
43.3

(43.949.7)
(38.346.1)
(40.449.0)
(32.839.2)
(44.154.5)
(40.046.7)

41.5
(32.049.3)

Female
CI

45.6
41.7
43.8
37.7
47.7
44.8

(43.148.1)
(38.245.3)
(40.646.9)
(35.040.4)
(44.750.8)
(42.547.2)

41.7
(33.847.7)

Male

CI

31.5
28.4
28.4
26.2
34.3
19.5

(28.834.4)
(24.632.7)
(24.033.2)
(23.129.6)
(27.841.5)
(17.122.2)

29.8
(19.538.0)

Total
CI

26.2
31.0
29.5
26.4
34.1
19.9

(23.429.2)
(26.735.7)
(25.334.1)
(23.829.1)
(29.039.5)
(17.722.4)

29.6
(19.935.4)

CI

28.9
29.7
29.0
26.0
34.2
19.7

(26.631.3)
(26.832.7)
(25.632.7)
(23.928.2)
(30.138.6)
(18.121.4)

29.3
(19.735.9)

* For something that was not school work.


On an average school day.
95% confidence interval.
Not available.

TABLE 111. Percentage of high school students who attended physical education (PE) classes on 1 days* and who attended PE classes on all
5 days,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Attended PE classes
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Attended PE classes daily

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

45.9
52.2
50.1

(38.154.0)
(44.360.1)
(43.456.8)

51.0
65.4
60.5

(42.759.3)
(60.270.2)
(53.167.6)

48.4
59.2
55.4

(41.155.8)
(53.864.4)
(49.061.6)

21.1
32.2
33.0

(13.830.8)
(26.039.1)
(26.440.4)

29.6
38.9
42.4

(23.137.1)
(31.247.2)
(34.550.6)

25.4
35.8
37.7

(18.833.3)
(29.342.7)
(30.745.3)

70.4
53.9
34.6
29.1
47.8

(62.677.2)
(45.162.5)
(25.744.7)
(22.536.8)
(41.454.1)

72.2
61.3
42.2
42.9
55.3

(62.680.1)
(52.169.7)
(34.849.9)
(36.249.9)
(48.761.7)

71.4
57.5
38.5
36.1
51.6

(63.678.1)
(49.165.5)
(31.646.0)
(30.142.5)
(45.957.4)

39.5
27.0
18.1
16.0
25.5

(31.248.4)
(18.837.0)
(12.625.4)
(11.421.9)
(19.632.6)

44.6
36.1
25.2
27.9
33.8

(35.454.1)
(29.243.7)
(19.232.4)
(22.134.6)
(27.540.6)

42.2
31.5
21.8
21.9
29.8

(34.050.9)
(24.339.7)
(16.727.9)
(17.327.3)
(24.036.2)

* In an average week when they were in school.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

159

Surveillance Summaries

TABLE 112. Percentage of high school students who attended physical education (PE) classes on 1 days* and who attended PE classes on all
5 days,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Attended PE classes
Female
Site

CI

State surveys
Alabama
41.1 (33.549.1)
Alaska
34.9 (29.840.4)
Arizona
34.0 (27.041.9)
Arkansas
34.2 (29.339.6)
California
54.7 (46.862.4)
Connecticut
58.2 (49.166.9)
Delaware
36.2 (30.342.5)
Florida
31.6 (29.034.4)
Hawaii
36.8 (33.240.5)
Idaho
38.0 (29.946.8)
Illinois
77.7 (66.186.1)
Indiana
32.6 (25.141.1)
Kentucky
31.1 (24.538.5)
Maine
35.4 (31.939.0)
Maryland
30.6 (29.232.0)
Massachusetts
52.4 (45.359.5)
Michigan
23.7 (18.529.9)
Mississippi
39.1 (33.744.8)
Missouri
36.9 (27.946.9)
Montana
49.9 (45.054.8)
Nebraska
41.1 (36.246.2)
Nevada
50.3 (41.259.4)
New Hampshire

New Mexico
44.0 (40.148.0)
New York
91.1 (87.993.5)
North Carolina
31.8 (25.239.1)
North Dakota
46.5 (41.052.1)
Oklahoma
30.4 (25.535.8)
Pennsylvania
57.6 (47.467.1)
Rhode Island
73.5 (63.781.4)
South Carolina
25.3 (17.535.1)
South Dakota
25.4 (17.235.8)
Tennessee
34.9 (30.839.2)
Vermont

Virginia
44.3 (38.250.6)
West Virginia
33.1 (26.540.5)
Wyoming
45.8 (39.951.9)
Median
36.9
Range
(23.791.1)
Large urban school district surveys
Baltimore, MD
28.8 (21.337.8)
Boston, MA
32.1 (24.540.8)
Broward County, FL
27.1 (22.332.4)
Cleveland, OH

DeKalb County, GA
36.9 (30.543.9)
Detroit, MI
42.5 (37.947.2)
District of Columbia

Duval County, FL

Ft. Worth, TX
49.7 (44.954.5)
Houston, TX
53.5 (48.658.3)
Los Angeles, CA
60.8 (51.869.1)
Miami-Dade County, FL
36.5 (31.042.4)

Attended PE classes daily

Male
%

Total
CI

57.1
51.1
47.3
46.0
56.7
66.4
40.9
50.9
48.3
53.9
79.3
49.6
44.2
42.6
44.3
57.6
39.3
49.1
55.6
59.5
56.6
67.6

55.6
84.4
47.3
51.6
46.0
61.2
72.9
48.9
34.1
47.3

55.3
40.1
52.8

(50.863.1)
(45.456.7)
(41.053.6)
(39.153.2)
(48.564.6)
(57.774.1)
(34.947.2)
(47.754.0)
(44.052.6)
(47.660.1)
(72.085.1)
(41.258.0)
(38.350.3)
(38.446.8)
(42.945.8)
(51.563.5)
(32.246.8)
(42.955.3)
(47.863.1)
(55.463.4)
(52.860.3)
(58.875.4)

(51.959.2)
(80.287.8)
(38.756.1)
(45.757.5)
(37.954.2)
(53.668.2)
(67.777.5)
(39.158.8)
(22.248.3)
(41.952.7)

(50.859.6)
(31.948.9)
(47.957.6)
51.1
(34.184.4)

37.2
42.1
47.9

45.3
47.7

55.1
54.8
61.1
51.3

(31.243.7)
(35.149.6)
(41.354.5)

(40.250.6)
(42.153.3)

(51.258.9)
(51.358.3)
(50.670.6)
(45.557.0)

Female
CI

49.0
43.2
40.9
40.1
55.9
62.3
38.5
41.2
42.4
46.1
78.5
41.2
37.8
39.0
37.6
55.0
31.5
44.3
46.0
54.9
49.0
59.1

49.8
87.8
39.8
49.2
37.8
59.4
73.2
37.0
29.9
41.3

50.0
36.8
49.4

(43.055.0)
(38.448.1)
(34.547.7)
(37.243.1)
(48.363.3)
(53.870.2)
(33.244.2)
(38.743.7)
(39.245.7)
(39.652.8)
(70.185.0)
(33.249.7)
(32.643.3)
(35.642.6)
(36.438.8)
(49.061.0)
(26.537.0)
(39.549.2)
(38.553.8)
(50.758.9)
(45.152.9)
(51.266.5)

(46.553.2)
(84.590.4)
(33.047.0)
(44.354.0)
(32.443.6)
(51.067.4)
(66.079.4)
(28.047.0)
(20.141.9)
(36.945.8)

(45.354.7)
(29.844.3)
(44.454.4)
44.3
(29.987.8)

33.4
37.2
37.7

41.1
45.0

52.4
54.4
61.1
43.7

(27.539.9)
(30.344.5)
(33.042.5)

(36.046.4)
(40.749.4)

(48.855.9)
(50.858.0)
(51.969.5)
(38.848.7)

CI

25.2
13.2
21.5
25.2
36.9
10.5
9.6
14.1
5.0
16.9
59.8
21.6
19.3
4.9
12.6
18.4
16.1
24.3
18.2
28.3
26.9
27.6

23.4
18.7
19.9
34.6
26.8
15.0
20.0
15.2
11.0
21.6

11.8
24.7
21.2

(18.233.8)
(10.316.7)
(14.430.9)
(21.429.5)
(28.845.9)
(6.117.6)
(7.013.1)
(12.016.6)
(3.86.4)
(11.124.7)
(45.073.0)
(17.126.9)
(13.526.9)
(3.27.6)
(11.613.8)
(13.724.3)
(11.921.4)
(19.829.5)
(11.128.2)
(24.232.9)
(23.031.3)
(19.837.1)

(19.827.5)
(14.823.5)
(13.528.2)
(29.340.3)
(22.731.3)
(10.620.9)
(10.036.1)
(9.623.3)
(6.019.1)
(17.925.9)

(8.416.4)
(18.632.0)
(16.726.6)
19.9
(4.959.8)

15.4
7.6
16.1

24.8
15.5

33.5
22.6
39.2
6.4

(8.526.1)
(5.410.6)
(12.720.2)

(19.730.6)
(12.419.3)

(29.637.6)
(17.928.1)
(27.552.4)
(4.59.0)

Male
%

Total
CI

39.6
18.5
30.6
32.2
40.1
12.6
12.3
30.3
8.5
25.7
61.8
34.1
25.2
6.5
18.7
22.1
28.8
25.8
28.2
36.8
38.9
30.7

30.8
17.8
30.4
37.9
41.3
22.1
16.7
33.2
15.4
28.9

14.7
25.6
21.6

(33.546.0)
(14.323.5)
(23.139.2)
(24.241.5)
(30.850.1)
(8.618.1)
(9.515.7)
(27.033.8)
(7.010.2)
(16.837.1)
(50.971.5)
(26.742.4)
(19.531.9)
(4.39.8)
(17.320.2)
(17.527.4)
(22.036.7)
(20.631.7)
(20.437.7)
(32.441.3)
(34.443.6)
(21.741.6)

(27.134.7)
(14.122.2)
(23.737.9)
(33.642.3)
(34.548.5)
(17.227.8)
(9.827.0)
(26.840.2)
(10.122.7)
(23.934.5)

(10.520.3)
(18.035.0)
(17.027.2)
28.2
(6.561.8)

16.6
9.6
30.5

27.4
18.1

40.3
22.5
34.0
11.2

(12.422.0)
(6.713.5)
(24.137.7)

(23.032.3)
(14.722.0)

(36.344.5)
(19.326.0)
(24.844.6)
(8.914.1)

CI

32.2
15.9
26.3
28.6
38.8
11.5
11.1
22.2
6.7
21.4
60.7
28.0
22.3
5.8
15.6
20.1
22.4
25.0
23.0
32.7
32.8
29.1

27.1
18.4
25.2
36.3
33.7
18.5
18.4
24.2
13.2
25.3

13.3
25.2
21.4

(26.039.0)
(13.019.3)
(18.935.2)
(24.233.4)
(30.448.0)
(7.617.1)
(8.913.7)
(19.724.8)
(5.67.8)
(14.630.3)
(48.771.5)
(22.534.3)
(17.627.8)
(3.98.5)
(14.516.8)
(15.825.3)
(17.728.1)
(21.129.4)
(16.231.8)
(28.737.0)
(29.236.7)
(21.937.5)

(23.630.9)
(15.122.2)
(19.731.6)
(32.340.4)
(29.238.6)
(14.223.8)
(10.131.2)
(18.031.6)
(8.519.8)
(21.329.8)

(9.717.9)
(19.032.6)
(17.226.3)
23.0
(5.860.7)

15.7 (10.922.2)
8.6
(6.411.5)
23.4 (19.627.6)

26.1 (22.030.6)
16.6 (13.720.0)

36.9 (33.740.1)
22.5 (19.126.3)
36.7 (26.548.2)
8.8
(7.110.7)

See table footnotes on the next page.

160

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 112. (Continued) Percentage of high school students who attended physical education (PE) classes on 1 days* and who attended PE
classes on all 5 days,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Attended PE classes
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI

Site

85.5

34.2
32.1
45.3
57.1

Attended PE classes daily

(78.890.3)

(27.341.8)
(27.437.2)
(36.754.3)
(47.866.0)

39.7
(27.185.5)

Total
CI

82.6

57.8
50.1
45.8
60.4

(78.286.3)

(51.264.2)
(45.055.2)
(39.352.4)
(53.067.3)

50.7
(37.282.6)

Female
CI

84.0

46.0
41.5
45.7
58.8

(79.088.1)

(39.452.8)
(37.046.1)
(38.652.9)
(50.966.3)

45.3
(33.484.0)

CI

35.8

19.4
10.4
17.5
39.8

(27.744.8)

(15.224.6)
(7.713.9)
(11.026.8)
(32.647.6)

18.4
(6.439.8)

Male
%
36.3

40.5
17.8
17.6
45.2

Total
CI

(29.343.9)

(35.645.5)
(15.021.1)
(12.224.6)
(39.151.4)

24.9
(9.645.2)

CI

36.0

29.9
14.1
17.5
42.7

(29.043.6)

(25.734.5)
(11.816.7)
(12.124.5)
(36.449.2)

22.9
(8.642.7)

* In an average week when they were in school.


95% confidence interval.
Not available.

TABLE 113. Percentage of high school students who played on at least one sports team,* by sex, race/ethnicity, and grade United States,
Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

60.7
47.7
40.7

(51.669.2)
(41.853.8)
(37.344.1)

64.4
66.5
56.3

(60.668.0)
(60.372.2)
(52.360.3)

62.4
57.6
48.5

(56.667.9)
(52.862.2)
(46.150.9)

57.6
55.1
51.7
46.9
53.0

(52.662.6)
(47.262.8)
(45.657.8)
(39.954.0)
(47.358.6)

68.1
63.5
62.3
54.6
62.2

(62.773.0)
(59.567.3)
(57.566.8)
(48.560.7)
(59.564.9)

63.0
59.2
57.0
50.8
57.6

(58.667.2)
(53.864.3)
(52.661.3)
(46.455.3)
(54.061.2)

* Run by their school or community groups during the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

161

Surveillance Summaries

TABLE 114. Percentage of high school students who played on at least one sports team,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female
Site

State surveys
Alabama
47.7
Alaska
61.9
Arizona
45.8
Arkansas
45.4
California
50.6
Connecticut

Delaware
50.3
Florida
43.7
Hawaii
48.6
Idaho
55.7
Illinois
53.0
Indiana
58.6
Kentucky
48.2
Maine

Maryland

Massachusetts
59.0
Michigan

Mississippi
43.4
Missouri
56.4
Montana
60.4
Nebraska
61.5
Nevada
50.3
New Hampshire

New Mexico

New York

North Carolina

North Dakota

Oklahoma
52.6
Pennsylvania
60.3
Rhode Island

South Carolina
42.8
South Dakota

Tennessee
44.1
Vermont

Virginia
51.3
West Virginia
49.7
Wyoming
59.6
Median
Range
Large urban school district surveys
Baltimore, MD
41.2
Boston, MA
41.4
Broward County, FL
40.5
Cleveland, OH
40.0
DeKalb County, GA
50.3
Detroit, MI

District of Columbia
49.7
Duval County, FL
44.5
Ft. Worth, TX
49.1
Houston, TX
41.4
Los Angeles, CA
45.7
Miami-Dade County, FL
34.6

Male
CI

Total

(42.652.8)
(56.766.9)
(40.551.2)
(38.952.0)
(43.857.4)

(45.754.9)
(41.446.0)
(45.851.4)
(51.260.1)
(48.257.6)
(53.563.6)
(44.152.3)

(54.563.4)

(40.546.4)
(49.263.4)
(58.062.8)
(56.466.3)
(45.555.1)

(47.657.4)
(56.563.9)

(37.548.2)

(41.247.2)

(47.854.8)
(45.354.2)
(55.163.9)
50.6
(42.861.9)

56.7
63.4
52.4
58.4
61.5

58.5
54.3
55.8
60.7
61.5
62.2
53.3

62.6

53.9
56.2
64.1
66.7
58.4

56.4
62.8

54.6

56.0

60.0
53.6
64.5

(35.347.4)
(37.945.1)
(36.844.4)
(35.444.8)
(45.854.8)

(48.251.2)
(41.747.5)
(45.252.9)
(37.845.2)
(41.050.5)
(31.837.5)

60.8
52.6
53.8
52.6
57.9

60.7
53.0
60.1
51.5
53.8
54.7

CI

(52.660.7)
(59.567.1)
(47.257.6)
(53.063.5)
(58.364.5)

(54.162.9)
(51.756.9)
(52.559.0)
(53.567.4)
(56.466.4)
(56.567.5)
(49.157.4)

(58.166.9)

(50.557.2)
(52.360.0)
(61.566.7)
(62.770.5)
(53.263.4)

(51.860.9)
(58.966.6)

(50.758.4)

(52.659.4)

(56.563.3)
(48.958.2)
(60.468.3)

52.1
62.7
49.2
51.7
56.0

54.7
49.0
52.2
58.1
57.3
60.4
50.8

60.6

48.7
56.3
62.4
64.3
54.3

54.8
61.6

48.6

50.2

55.8
51.7
62.0

(53.867.4)
(48.756.5)
(49.258.4)
(48.456.8)
(54.361.5)

(59.162.4)
(50.155.8)
(57.063.1)
(48.654.4)
(50.956.7)
(51.358.0)

50.8
47.0
47.3
46.6
54.1

54.9
48.7
54.8
46.9
49.6
44.7

58.4
(52.466.7)

CI
(48.455.9)
(59.266.1)
(45.253.3)
(48.155.3)
(52.159.8)

(51.058.5)
(47.051.0)
(50.254.2)
(53.362.8)
(53.161.4)
(55.764.8)
(48.153.5)

(56.664.4)

(46.151.3)
(51.561.0)
(60.564.2)
(60.967.5)
(50.558.1)

(51.857.7)
(58.764.3)

(46.151.2)

(47.652.8)

(53.058.5)
(48.055.5)
(58.465.5)

54.8
(48.664.3)

(46.055.5)
(44.149.9)
(43.950.7)
(43.350.0)
(50.857.4)

(53.856.0)
(46.650.9)
(52.157.5)
(44.449.4)
(46.652.6)
(42.247.3)

See table footnotes on the next page.

162

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 114. (Continued) Percentage of high school students who played on at least one sports team,* by sex selected U.S. sites, Youth Risk
Behavior Survey, 2015
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

43.8
41.2
42.7
48.7

Male
CI

Total

(40.447.3)
(37.744.8)
(37.547.9)
(44.652.9)

42.7
(34.650.3)

57.5
54.8
55.5
62.1

CI

CI

50.7
48.5
48.9
55.6

(53.061.9)
(51.857.9)
(52.358.7)
(58.765.4)

54.8
(51.562.1)

(47.853.6)
(46.051.0)
(45.652.3)
(52.858.4)

48.9
(44.755.6)

* Run by their school or community groups during the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 115. Percentage of high school students who had obesity* and who were overweight, by sex, race/ethnicity, and grade United
States, Youth Risk Behavior Survey, 2015
Obesity
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Overweight

Male

Total

CI

CI

9.1
15.2
13.3

(6.612.4)
(11.719.5)
(11.615.2)

15.6
18.2
19.4

(13.418.1)
(15.221.5)
(17.022.0)

12.4
16.8
16.4

10.3
12.1
10.2
10.5
10.8

(8.812.0)
(9.415.5)
(8.112.8)
(8.412.9)
(9.312.5)

15.4
18.2
18.4
15.0
16.8

(13.317.8)
(15.221.7)
(15.521.8)
(12.018.7)
(14.819.0)

13.0
15.2
14.5
12.7
13.9

Female
CI

Male

Total

CI

CI

CI

(10.514.6)
(14.219.6)
(14.818.2)

14.6
21.2
20.0

(13.116.2)
(16.626.7)
(17.922.2)

15.9
13.6
17.0

(14.117.8)
(10.417.4)
(14.819.4)

15.2
17.2
18.4

(14.116.5)
(15.119.5)
(17.019.9)

(11.714.4)
(13.017.6)
(12.616.6)
(10.715.1)
(12.515.5)

17.6
16.3
15.3
17.0
16.6

(14.920.7)
(14.418.4)
(13.417.4)
(14.320.0)
(15.317.9)

16.0
14.8
16.4
15.0
15.5

(13.419.1)
(12.117.9)
(14.218.8)
(12.418.0)
(14.217.0)

16.8
15.5
15.9
16.0
16.0

(14.819.0)
(13.817.4)
(14.517.4)
(13.818.4)
(15.216.9)

* Students who were 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts.
Students who were 85th percentile but <95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

163

Surveillance Summaries

TABLE 116. Percentage of high school students who had obesity* and who were overweight, by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Obesity
Female
Site

CI

State surveys
Alabama
13.5
(9.918.2)
Alaska
10.9
(8.414.1)
Arizona
7.0
(4.710.4)
Arkansas
14.7 (11.818.1)
California
9.2
(7.311.6)
Connecticut
9.3
(6.912.5)
Delaware
13.3 (11.115.8)
Florida
8.7
(7.510.0)
Hawaii
8.1
(6.69.9)
Idaho
7.4
(5.510.0)
Illinois
8.4
(6.311.2)
Indiana
9.7
(7.312.8)
Kentucky
16.2 (13.619.3)
Maine
9.1
(7.611.0)
Maryland
8.8
(8.39.4)
Massachusetts
7.2
(5.69.1)
Michigan
11.5
(9.513.9)
Mississippi
16.2 (14.018.5)
Missouri
10.3
(6.516.0)
Montana
7.4
(6.28.7)
Nebraska
9.3
(7.112.2)
Nevada
6.3
(4.58.9)
New Hampshire
7.9
(7.18.8)
New Mexico
11.6 (10.313.0)
New York
10.1
(8.312.3)
North Carolina
12.5
(9.516.3)
North Dakota
8.6
(7.210.2)
Oklahoma
12.9
(9.217.8)
Pennsylvania
12.4 (10.414.9)
Rhode Island
7.6
(5.210.9)
South Carolina
13.4 (10.916.3)
South Dakota
10.3
(6.715.6)
Tennessee
14.2 (12.016.7)
Vermont
8.6
(8.09.2)
Virginia
11.4
(9.014.3)
West Virginia
12.2
(9.016.4)
Wyoming
8.0
(6.69.6)
Median
9.7
Range
(6.316.2)
Large urban school district surveys
Baltimore, MD
17.9 (13.922.7)
Boston, MA
11.7
(9.514.4)
Broward County, FL
8.8
(6.711.6)
Cleveland, OH
17.6 (14.820.8)
DeKalb County, GA
12.4 (10.215.1)
Detroit, MI
21.2 (18.424.2)
District of Columbia
14.4 (13.415.5)
Duval County, FL
10.2
(8.612.1)
Ft. Worth, TX
14.0 (12.016.3)
Houston, TX
14.4 (12.316.7)
Los Angeles, CA
10.1
(7.313.8)
Miami-Dade County, FL
9.6
(7.911.6)

Overweight

Male
%

Total
CI

18.6
16.9
14.5
21.3
18.5
15.2
18.1
15.8
17.6
14.5
16.7
17.5
20.6
17.2
14.1
14.7
17.0
21.7
15.9
13.0
16.5
17.8
16.3
19.5
16.1
20.2
19.1
22.0
15.4
16.2
19.0
18.8
22.7
16.1
14.5
23.4
13.8

(16.021.6)
(14.319.9)
(11.518.2)
(18.624.4)
(15.222.3)
(12.817.9)
(15.920.6)
(14.417.3)
(14.620.9)
(11.717.9)
(14.519.1)
(14.820.5)
(17.624.1)
(15.718.9)
(13.514.7)
(12.117.6)
(15.219.0)
(18.625.2)
(13.319.1)
(11.514.8)
(13.919.5)
(14.421.8)
(15.017.6)
(18.220.8)
(14.318.1)
(17.123.7)
(16.821.6)
(18.126.4)
(12.818.4)
(13.818.9)
(15.123.7)
(16.721.2)
(20.125.4)
(15.416.9)
(12.616.5)
(20.326.8)
(11.416.6)
17.0
(13.023.4)

16.2
17.2
11.6
18.2
11.0
24.2
15.9
16.1
21.6
19.0
16.6
13.6

(12.520.8)
(14.220.7)
(9.414.3)
(16.020.7)
(9.013.5)
(20.728.0)
(14.717.0)
(14.118.4)
(18.924.6)
(17.021.2)
(14.319.2)
(11.016.8)

Female
CI

16.1
14.0
10.9
18.0
13.9
12.3
15.8
12.3
12.9
11.1
12.6
13.6
18.5
13.3
11.5
11.0
14.3
18.9
13.1
10.3
13.0
12.2
12.2
15.6
13.1
16.4
14.0
17.3
14.0
12.0
16.3
14.7
18.6
12.4
13.0
17.9
11.0

(13.519.1)
(11.916.5)
(8.813.4)
(16.120.1)
(11.416.9)
(10.214.7)
(14.117.5)
(11.213.4)
(11.015.2)
(9.113.5)
(10.914.6)
(11.815.7)
(16.420.8)
(11.914.9)
(11.112.0)
(9.412.8)
(12.616.2)
(17.021.0)
(9.917.0)
(9.211.5)
(11.115.2)
(10.314.4)
(11.513.0)
(14.816.5)
(11.614.8)
(13.819.5)
(12.515.7)
(14.420.6)
(12.315.8)
(9.814.5)
(14.518.2)
(12.217.6)
(16.720.7)
(11.912.9)
(11.314.9)
(15.121.2)
(9.512.6)
13.3
(10.318.9)

17.0
14.6
10.3
17.9
11.7
22.5
15.1
13.1
17.9
16.8
13.3
11.6

(14.420.0)
(12.516.9)
(8.712.1)
(16.219.8)
(10.213.4)
(20.125.2)
(14.415.9)
(11.814.5)
(16.119.8)
(15.318.3)
(10.916.1)
(10.013.5)

CI

17.0
18.1
14.2
18.5
15.8
14.1
17.3
15.5
15.1
14.3
14.6
18.1
19.2
14.8
15.4
14.7
16.2
19.2
12.4
14.9
16.4
14.1
14.4
16.6
13.9
17.2
17.1
16.7
16.7
14.1
17.5
13.3
17.8
13.9
15.7
17.1
13.9

(14.420.0)
(14.821.8)
(12.116.7)
(16.320.9)
(13.518.4)
(11.317.4)
(14.820.2)
(13.917.2)
(13.017.4)
(12.116.8)
(11.718.1)
(14.622.3)
(15.923.1)
(13.416.3)
(14.816.1)
(12.417.3)
(13.219.7)
(16.522.3)
(9.915.5)
(13.316.7)
(14.019.1)
(10.718.4)
(13.315.6)
(15.218.0)
(11.816.2)
(13.521.7)
(14.719.9)
(13.720.2)
(14.619.1)
(10.818.1)
(15.120.1)
(10.916.1)
(15.919.8)
(13.214.6)
(13.518.1)
(14.220.5)
(12.016.1)
15.7
(12.419.2)

17.3
22.3
15.2
21.0
16.1
25.0
20.8
15.6
21.2
19.9
23.8
16.1

(13.422.1)
(19.525.4)
(11.819.4)
(18.124.1)
(13.419.2)
(22.327.9)
(19.622.0)
(13.917.6)
(18.524.2)
(17.822.1)
(21.825.8)
(13.718.8)

Male
%

Total
CI

18.0
15.5
15.1
17.6
17.1
14.4
14.3
13.6
15.6
16.2
16.1
16.5
14.9
14.9
14.5
16.0
15.8
14.9
14.3
15.1
17.3
15.9
14.6
15.9
13.9
14.6
12.3
13.9
15.0
15.2
18.8
15.7
16.4
14.1
14.6
16.8
15.2

(14.921.5)
(13.418.0)
(12.917.6)
(13.223.0)
(12.822.5)
(12.416.6)
(12.116.9)
(12.314.9)
(14.117.2)
(13.319.5)
(14.018.5)
(13.120.5)
(12.118.2)
(14.016.0)
(13.915.1)
(14.217.8)
(13.818.0)
(12.717.4)
(11.417.7)
(13.716.6)
(14.520.7)
(13.119.0)
(13.116.2)
(14.617.2)
(11.716.6)
(11.917.9)
(10.414.7)
(10.917.5)
(12.717.6)
(14.316.3)
(16.321.6)
(11.920.5)
(14.618.3)
(13.414.8)
(12.716.7)
(13.820.2)
(12.318.6)
15.2
(12.318.8)

17.5
17.0
12.1
16.1
13.4
17.5
15.0
13.8
16.7
17.2
15.9
16.6

(13.722.1)
(13.620.9)
(9.715.0)
(13.918.6)
(11.016.3)
(14.720.7)
(13.916.1)
(11.816.0)
(14.419.2)
(15.319.4)
(13.219.0)
(14.319.2)

CI

17.5
16.7
14.7
18.0
16.5
14.3
15.8
14.5
15.3
15.3
15.4
17.3
17.0
14.9
14.9
15.3
16.0
17.1
13.3
15.0
16.9
15.0
14.5
16.2
13.9
15.9
14.7
15.3
15.8
14.7
18.2
14.5
17.1
14.0
15.1
17.0
14.6

(15.320.0)
(14.719.0)
(13.016.5)
(15.321.2)
(13.719.7)
(12.416.4)
(13.917.8)
(13.515.6)
(14.016.8)
(13.417.3)
(14.116.8)
(14.520.5)
(14.519.9)
(14.015.8)
(14.515.4)
(13.617.2)
(14.217.9)
(15.718.5)
(11.215.8)
(14.016.2)
(15.118.8)
(12.817.6)
(13.415.6)
(15.217.3)
(12.515.5)
(13.418.8)
(13.216.3)
(13.117.8)
(14.317.5)
(13.016.5)
(17.119.3)
(12.117.4)
(15.918.3)
(13.514.5)
(13.616.8)
(15.019.1)
(13.116.2)
15.3
(13.318.2)

17.4
19.5
13.6
18.4
14.7
21.6
17.9
14.7
18.9
18.5
19.9
16.3

(14.221.1)
(17.222.2)
(11.416.2)
(16.720.3)
(12.717.0)
(19.523.8)
(17.018.7)
(13.416.2)
(17.120.8)
(17.120.0)
(17.922.0)
(14.818.0)

See table footnotes on the next page.

164

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 116. (Continued) Percentage of high school students who had obesity* and who were overweight, by sex selected U.S. sites, Youth
Risk Behavior Survey, 2015
Obesity
Female
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

10.6
10.8
7.8
9.2
13.6
7.5
5.9

Male

CI

Site

Overweight

(9.012.4)
(8.413.8)
(5.910.1)
(7.511.1)
(11.016.6)
(5.89.8)
(4.38.0)
10.8
(5.921.2)

Total
CI

14.2
20.5
14.0
12.8
13.9
15.3
13.6

(12.615.9)
(17.324.2)
(11.517.0)
(10.715.2)
(10.218.5)
(13.017.9)
(11.416.2)
15.9
(11.024.2)

Female
CI

12.4
16.1
10.9
11.0
13.7
11.5
9.9

(11.313.7)
(13.818.7)
(9.212.9)
(9.612.6)
(12.115.5)
(10.013.2)
(8.411.6)
13.3
(9.922.5)

Male

CI

17.1
23.3
15.8
12.0
20.0
17.9
13.7

(14.719.8)
(19.627.5)
(13.218.9)
(10.014.3)
(17.422.9)
(15.620.3)
(10.917.0)
17.9
(12.025.0)

Total
CI

CI

15.5
16.9
15.5
13.9
16.8
16.6
13.2

(13.817.4)
(14.819.2)
(13.417.8)
(12.215.8)
(15.318.3)
(14.718.6)
(10.915.8)
16.8
(13.221.6)

14.0
11.4
15.2
15.7
13.6
15.3
12.7

(12.515.7)
(9.114.3)
(12.518.3)
(13.518.2)
(11.416.0)
(12.718.3)
(9.916.3)
15.3
(11.417.5)

* Students who were 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts.
Students who were 85th percentile but <95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts.
95% confidence interval.

TABLE 117. Percentage of high school students who described themselves as slightly or very overweight and who were trying to lose weight,
by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Described themselves as overweight
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Were trying to lose weight


Total

CI*

CI

35.7
34.9
45.3

(32.339.3)
(29.241.1)
(43.147.4)

24.9
20.0
28.0

(22.527.5)
(17.323.0)
(24.931.3)

30.3
27.0
36.4

35.8
38.9
38.5
39.6
38.2

(32.938.9)
(34.143.9)
(35.441.7)
(36.143.3)
(36.240.2)

25.5
25.2
25.2
25.0
25.3

(23.227.9)
(21.928.8)
(22.428.2)
(21.428.9)
(23.427.3)

30.3
32.0
31.6
32.3
31.5

Female
CI

Male

Total

CI

CI

CI

(28.632.2)
(24.230.1)
(34.238.8)

59.5
54.2
66.4

(56.162.7)
(48.659.8)
(63.469.3)

28.8
26.2
40.0

(26.131.7)
(23.429.1)
(37.043.1)

44.1
39.4
53.1

(41.846.4)
(35.743.2)
(50.255.9)

(28.432.2)
(29.534.7)
(29.334.0)
(29.335.4)
(30.232.9)

59.4
59.3
61.7
62.6
60.6

(56.662.1)
(54.064.4)
(57.765.5)
(58.666.5)
(58.762.5)

31.1
32.0
31.0
31.9
31.4

(28.034.4)
(29.334.7)
(27.434.8)
(29.234.8)
(29.533.5)

44.3
45.7
45.7
47.3
45.6

(41.747.0)
(43.148.4)
(42.349.2)
(44.650.0)
(44.047.3)

* 95% confidence interval.


Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

165

Surveillance Summaries

TABLE 118. Percentage of high school students who described themselves as slightly or very overweight and who were trying to lose weight,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Described themselves as overweight
Female
Site

CI*

State surveys
Alabama
36.0 (32.439.8)
Alaska
37.9 (33.642.4)
Arizona
35.0 (31.139.2)
Arkansas
38.4 (34.642.4)
California
37.9 (34.241.9)
Connecticut
33.4 (29.737.4)
Delaware
37.7 (34.041.5)
Florida
33.0 (30.935.2)
Hawaii
36.1 (33.838.5)
Idaho
36.9 (33.240.7)
Illinois
35.1 (31.638.9)
Indiana
37.2 (33.341.3)
Kentucky
38.8 (34.942.9)
Maine

Maryland
30.8 (30.131.5)
Massachusetts
35.9 (32.639.3)
Michigan
39.3 (34.943.9)
Mississippi
35.9 (32.439.6)
Missouri

Montana
35.6 (33.138.2)
Nebraska
35.6 (31.539.9)
Nevada
34.0 (30.238.0)
New Hampshire

New Mexico

New York

North Carolina
32.1 (28.835.6)
North Dakota
38.0 (34.641.5)
Oklahoma
40.2 (35.944.6)
Pennsylvania
36.3 (33.139.6)
Rhode Island
31.8 (29.334.4)
South Carolina
34.2 (28.740.1)
South Dakota
39.9 (34.345.8)
Tennessee
36.5 (34.138.9)
Vermont
36.3 (35.437.3)
Virginia
35.1 (32.038.3)
West Virginia
36.2 (32.939.6)
Wyoming
34.9 (31.838.0)
Median
36.0
Range
(30.840.2)
Large urban school district surveys
Baltimore, MD
29.3 (23.236.3)
Boston, MA
36.1 (32.739.7)
Broward County, FL
35.8 (32.339.5)
Cleveland, OH
39.1 (35.243.1)
DeKalb County, GA
33.2 (29.836.8)
Detroit, MI
32.0 (28.935.3)
District of Columbia
31.0 (29.732.4)
Duval County, FL
33.1 (30.735.7)
Ft. Worth, TX
39.7 (36.942.6)
Houston, TX
36.8 (34.339.3)
Los Angeles, CA
40.7 (35.646.0)
Miami-Dade County, FL
34.8 (31.838.0)

Male
%

Total
CI

21.6
26.3
26.1
25.4
29.4
26.6
25.6
23.7
27.8
23.8
25.7
26.1
25.5

21.6
27.3
26.1
22.5

23.8
25.5
27.7

23.3
26.7
24.0
25.7
25.0
25.1
25.4
24.9
26.1
25.1
29.2
23.2

(18.924.5)
(22.830.2)
(23.129.3)
(21.629.5)
(26.033.0)
(23.030.5)
(22.529.0)
(21.825.7)
(25.330.5)
(20.627.2)
(22.928.7)
(22.230.3)
(22.129.2)

(20.922.2)
(24.730.0)
(23.429.0)
(20.224.8)

(21.925.9)
(22.728.6)
(24.431.2)

(20.526.3)
(24.129.5)
(20.428.1)
(22.429.4)
(23.027.1)
(21.928.7)
(21.929.3)
(22.427.6)
(25.226.9)
(22.627.7)
(26.332.3)
(20.526.2)
25.5
(21.629.4)

19.3
27.0
24.0
26.0
16.6
17.3
18.4
20.5
28.3
26.0
31.0
24.9

Were trying to lose weight

(15.524.0)
(23.830.5)
(20.527.8)
(23.229.0)
(13.919.6)
(13.721.7)
(17.219.7)
(18.322.9)
(25.531.4)
(23.928.2)
(27.235.1)
(21.828.4)

Female
CI

28.8
31.9
30.4
31.9
33.4
30.0
31.5
28.3
32.0
30.1
30.3
31.6
32.0

26.2
31.5
32.7
29.1

29.5
30.3
30.8

27.6
32.2
32.2
30.9
28.3
29.6
32.5
30.5
31.1
30.0
32.7
28.9

(26.631.1)
(29.434.4)
(28.132.8)
(28.935.1)
(30.935.9)
(27.033.2)
(29.234.0)
(26.929.8)
(30.533.6)
(27.532.9)
(28.032.7)
(29.034.2)
(28.935.3)

(25.726.7)
(29.733.4)
(30.435.0)
(27.331.0)

(28.131.0)
(27.932.9)
(27.534.2)

(25.729.6)
(30.034.4)
(28.935.7)
(28.733.2)
(26.530.2)
(27.032.4)
(29.335.8)
(28.632.5)
(30.431.7)
(28.131.9)
(30.435.0)
(26.731.1)
30.6
(26.233.4)

24.2
31.6
29.9
32.4
24.8
25.5
25.0
27.1
34.1
31.2
35.9
29.8

(20.328.6)
(29.134.1)
(27.532.4)
(30.034.9)
(22.227.6)
(22.728.6)
(24.125.9)
(25.329.0)
(32.036.3)
(29.433.0)
(31.940.2)
(27.632.2)

CI

56.2

61.1
61.2
59.2
60.5
59.5
56.7

63.1
58.0
61.0
61.2

59.5
64.0
57.5
58.8
54.6
55.2
59.9
61.2

58.3
60.7
62.8
56.9
58.3
55.6

55.5
56.2
56.2
59.8
57.7

(52.459.9)

(56.166.0)
(58.364.0)
(54.164.1)
(56.764.2)
(56.262.7)
(54.658.8)

(57.967.9)
(53.262.7)
(57.564.4)
(58.164.2)

(56.862.0)
(60.467.4)
(52.062.8)
(53.763.7)
(51.857.5)
(50.959.5)
(55.863.9)
(59.163.3)

(55.361.2)
(57.264.0)
(58.766.7)
(53.959.9)
(53.662.9)
(51.259.8)

(53.157.9)
(55.357.2)
(52.859.5)
(56.563.0)
(54.161.2)
59.0
(54.664.0)

51.5
60.9
57.3
59.7
56.4
58.6
54.8
54.7
61.3
58.5
66.6
58.0

(46.756.3)
(57.264.6)
(53.461.1)
(55.863.5)
(53.459.4)
(54.962.2)
(53.456.3)
(51.957.5)
(58.364.2)
(55.261.7)
(64.169.1)
(55.061.0)

Male
%

Total
CI

32.5

36.4
35.1
35.6
34.2
29.6
29.0

25.9
34.5
33.2
32.9

32.7
32.9
36.3
29.0
27.7
32.1
35.9
27.6

33.5
29.5
31.9
31.4
33.8
30.1

32.2
27.9
32.7
39.6
27.9

(28.137.2)

(31.741.4)
(29.840.9)
(31.539.9)
(29.838.9)
(26.732.7)
(26.831.3)

(22.130.1)
(30.339.0)
(29.637.1)
(30.135.7)

(29.935.6)
(29.136.9)
(33.339.3)
(25.033.4)
(25.829.7)
(27.836.6)
(32.639.3)
(26.229.1)

(29.737.5)
(26.832.4)
(28.335.8)
(28.634.4)
(29.438.5)
(26.234.5)

(29.435.1)
(27.128.8)
(29.735.8)
(36.143.1)
(25.230.7)
32.6
(25.939.6)

30.4
37.4
31.8
36.1
29.4
39.6
33.4
30.0
41.2
41.9
42.8
34.0

(25.435.9)
(33.141.9)
(27.736.1)
(32.739.6)
(26.332.6)
(34.545.0)
(31.935.0)
(27.432.8)
(37.744.9)
(39.244.5)
(38.747.0)
(31.236.9)

CI

44.3

48.5
48.3
46.9
47.2
44.8
42.8

44.0
46.1
46.9
46.9

46.0
48.4
46.8
44.6
40.7
43.2
47.8
44.1

45.7
44.7
47.6
44.0
45.8
42.9

43.4
41.9
44.1
49.5
42.4

(41.347.4)

(46.050.9)
(44.851.9)
(43.050.9)
(44.150.3)
(42.347.4)
(41.544.1)

(39.948.3)
(42.549.8)
(44.149.7)
(44.449.4)

(43.848.3)
(45.451.5)
(43.749.8)
(40.648.5)
(38.842.7)
(40.146.4)
(44.251.4)
(42.745.4)

(43.647.8)
(42.546.8)
(44.350.8)
(42.046.0)
(43.048.7)
(40.045.8)

(41.545.4)
(41.242.5)
(41.546.6)
(47.151.9)
(40.344.5)
45.2
(40.749.5)

41.1
49.1
44.5
47.5
43.0
49.9
44.7
42.8
51.3
49.8
55.1
46.1

(37.544.8)
(46.152.1)
(41.447.7)
(44.850.2)
(40.345.7)
(46.653.3)
(43.645.8)
(40.844.8)
(48.853.8)
(48.051.7)
(52.557.6)
(44.148.2)

See table footnotes on the next page.

166

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 118. (Continued) Percentage of high school students who described themselves as slightly or very overweight and who were trying to
lose weight, by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Described themselves as overweight
Female
%

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

Male

CI*

38.7
31.0
30.6
31.3
37.8
40.8

(34.343.2)
(26.935.5)
(27.334.1)
(28.334.6)
(34.141.7)
(37.044.8)
35.3
(29.340.8)

Were trying to lose weight


Total

CI

24.3
23.3
21.1
20.9
27.2
23.1

(20.928.0)
(20.126.9)
(18.723.7)
(17.125.1)
(24.230.3)
(19.726.9)
23.6
(16.631.0)

Female
CI

31.2
27.1
25.8
26.2
32.4
31.5

(28.434.3)
(24.230.2)
(23.728.1)
(24.028.6)
(30.234.7)
(28.734.5)
29.8
(24.235.9)

Male

CI

57.2
54.0
55.8
60.5
58.4

(53.261.2)
(51.156.9)
(51.559.9)
(57.063.8)
(54.362.4)
58.0
(51.566.6)

Total
CI

CI

43.8
42.6
45.1
47.5
45.9

(41.246.5)
(40.644.8)
(42.148.2)
(44.750.2)
(43.048.9)
45.9
(41.155.1)

30.5
32.0
33.8
34.9
33.8

(27.333.8)
(29.234.8)
(29.338.6)
(31.338.7)
(30.337.5)
33.8
(29.442.8)

* 95% confidence interval.


Not available.

TABLE 119. Percentage of high school students who had ever been told by a doctor or nurse that they had asthma and who saw a dentist,* by
sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Had asthma
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Saw a dentist

Male

Total

CI

CI

23.7
27.3
22.0

(21.925.6)
(22.033.3)
(19.125.2)

20.4
28.4
23.0

(18.422.6)
(24.332.8)
(20.326.0)

22.1
27.8
22.5

23.5
22.7
23.6
23.6
23.3

(20.826.3)
(20.325.3)
(20.427.2)
(20.427.2)
(21.824.9)

22.6
22.6
22.8
20.9
22.2

(19.226.5)
(19.526.1)
(20.625.1)
(17.624.8)
(20.524.0)

23.0
22.7
23.2
22.3
22.8

Female
CI

Male

Total

CI

CI

CI

(20.723.5)
(24.631.2)
(20.025.2)

80.9
64.2
68.1

(77.783.7)
(59.768.4)
(64.571.4)

81.3
61.1
64.8

(77.984.3)
(55.466.4)
(62.167.4)

81.0
62.5
66.4

(78.283.6)
(58.566.3)
(64.468.3)

(20.825.3)
(20.625.0)
(21.225.2)
(19.725.1)
(21.524.1)

75.1
76.4
75.8
75.0
75.5

(71.478.5)
(71.380.8)
(72.778.6)
(69.879.5)
(72.678.1)

76.5
72.1
75.8
70.5
73.7

(72.679.9)
(67.476.3)
(70.180.7)
(66.974.0)
(70.476.8)

75.6
74.2
75.6
72.7
74.4

(72.678.3)
(69.978.2)
(71.979.0)
(68.976.2)
(71.677.1)

* For a check-up, exam, teeth cleaning, or other dental work during the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

167

Surveillance Summaries

TABLE 120. Percentage of high school students who had ever been told by a doctor or nurse that they had asthma and who saw a dentist,* by sex
selected U.S. sites, Youth Risk Behavior Survey, 2015
Had asthma
Female
Site

CI

State surveys
Alabama
22.0 (18.426.0)
Alaska
20.6 (17.723.9)
Arizona

Arkansas
24.7 (20.329.6)
California
21.4 (18.125.3)
Connecticut

Delaware
24.4 (21.827.2)
Florida
22.8 (21.224.3)
Hawaii
30.4 (28.432.5)
Idaho
18.2 (15.221.7)
Illinois
21.1 (18.723.8)
Indiana
25.7 (21.829.9)
Kentucky
25.6 (22.629.0)
Maine
24.0 (22.525.5)
Maryland
25.2 (24.525.9)
Massachusetts

Michigan
24.0 (21.227.1)
Mississippi
26.0 (22.230.3)
Missouri
20.6 (16.225.8)
Montana
23.2 (21.525.0)
Nebraska
19.3 (16.522.5)
Nevada

New Hampshire
23.1 (21.724.6)
New Mexico
24.2 (22.725.7)
New York
25.2 (23.427.1)
North Carolina
24.5 (20.628.9)
North Dakota

Oklahoma
24.1 (20.827.7)
Pennsylvania
23.1 (20.525.9)
Rhode Island

South Carolina
21.1 (17.924.8)
South Dakota

Tennessee
21.7 (19.624.1)
Vermont

Virginia
22.3 (20.324.5)
West Virginia
24.9 (21.928.1)
Wyoming
23.1 (19.926.8)
Median
23.2
Range
(18.230.4)
Large urban school district surveys
Baltimore, MD
32.4 (29.036.0)
Boston, MA

Broward County, FL
21.0 (18.024.3)
Cleveland, OH

DeKalb County, GA
26.5 (23.629.6)
Detroit, MI
26.2 (23.329.3)
District of Columbia
30.4 (29.131.8)
Duval County, FL
25.7 (23.528.0)
Ft. Worth, TX
19.4 (17.021.9)
Houston, TX
21.4 (19.123.9)
Los Angeles, CA
20.6 (17.324.4)
Miami-Dade County, FL
20.8 (18.723.1)

Saw a dentist

Male
%

Total
CI

28.7
18.3

27.1
19.7

26.5
23.5
32.2
20.3
21.6
22.3
25.3
24.6
27.4

26.7
24.6
23.5
21.3
20.5

21.5
26.5
25.8
27.5

24.3
26.3

24.2

21.6

22.4
27.1
23.5

(23.933.9)
(15.621.4)

(23.830.7)
(16.922.8)

(24.029.2)
(21.825.2)
(29.934.6)
(17.223.8)
(18.924.6)
(19.125.9)
(22.428.4)
(23.126.1)
(26.628.2)

(23.130.5)
(21.528.1)
(20.227.1)
(18.823.9)
(17.324.2)

(20.222.8)
(24.728.4)
(22.329.7)
(24.031.3)

(21.427.4)
(23.629.3)

(18.930.3)

(18.724.8)

(20.124.9)
(23.131.4)
(20.726.5)
24.3
(18.332.2)

35.3

26.0

29.8
32.2
31.0
27.2
18.6
23.3
18.7
24.9

(30.340.6)

(22.430.0)

(26.433.4)
(28.636.1)
(29.432.5)
(24.630.0)
(16.221.3)
(20.826.1)
(15.622.4)
(22.327.6)

Female
CI

25.2
19.4

25.9
20.4

25.4
23.2
31.3
19.3
21.4
23.9
25.5
24.3
26.3

25.3
25.6
22.0
22.2
20.0

22.3
25.3
25.6
25.9

24.5
24.7

22.6

21.8

22.4
25.9
23.4

(21.928.9)
(17.421.6)

(23.328.7)
(18.322.8)

(23.627.3)
(22.024.5)
(29.533.1)
(17.421.3)
(19.323.6)
(21.226.8)
(23.128.1)
(23.225.4)
(25.826.9)

(22.628.1)
(22.628.8)
(18.725.7)
(20.723.9)
(17.522.8)

(21.323.4)
(24.226.5)
(23.627.8)
(23.228.9)

(22.127.0)
(22.926.6)

(18.826.9)

(19.823.9)

(20.724.1)
(23.129.0)
(21.225.8)
24.3
(19.331.3)

34.4

23.7

28.1
28.9
30.8
26.2
19.0
22.4
19.7
22.8

(31.137.8)

(21.226.4)

(25.930.3)
(26.431.5)
(29.831.9)
(24.528.0)
(17.320.7)
(20.524.4)
(17.122.5)
(21.024.8)

CI

73.5
71.1

72.1
74.5
81.5
77.2
67.7
72.4
81.7
78.9
75.3
71.5

77.5

75.2

73.2
77.0
77.3
70.0
84.1
75.4
74.0

78.6
75.8
83.6
80.2
69.2
81.0
70.1

77.1
74.3
76.9

(69.277.4)
(66.075.7)

(68.475.6)
(70.977.9)
(77.684.9)
(74.180.0)
(64.770.6)
(68.376.1)
(78.884.4)
(74.382.9)
(69.980.0)
(67.075.5)

(76.678.4)

(71.578.6)

(67.578.3)
(73.780.0)
(73.580.7)
(66.973.0)
(82.885.2)
(73.777.1)
(70.277.4)

(75.381.6)
(71.479.7)
(79.886.7)
(72.486.2)
(62.874.9)
(76.484.9)
(67.672.5)

(73.680.3)
(69.678.6)
(74.079.6)
75.4
(67.784.1)

69.8
70.7
64.5

62.1
56.1

67.5
66.6
62.2
71.0
65.9

(65.573.8)
(67.274.0)
(60.368.5)

(58.465.7)
(52.060.1)

(64.970.0)
(64.069.1)
(59.165.2)
(67.274.5)
(62.269.4)

Male
%

Total
CI

68.0
69.6

66.6
72.7
80.4
70.0
64.1
69.4
77.5
75.3
73.3
68.2

75.2

72.3

65.4
73.0
73.6
67.8
81.6
71.7
72.2

75.5
67.3
79.8
76.0
69.9
72.8
66.9

74.2
72.3
73.1

(64.071.7)
(65.173.8)

(62.170.9)
(67.277.7)
(76.983.5)
(65.274.5)
(61.466.7)
(64.673.7)
(72.881.6)
(72.178.3)
(66.179.4)
(64.271.9)

(74.376.0)

(68.875.5)

(60.470.1)
(70.475.5)
(69.877.2)
(64.271.2)
(80.283.0)
(69.773.7)
(68.675.5)

(72.578.2)
(61.872.4)
(76.083.2)
(69.381.5)
(64.574.9)
(66.078.7)
(63.969.9)

(71.376.9)
(67.676.6)
(69.876.1)
72.3
(64.181.6)

55.3
71.4
67.1

63.1
54.0

64.2
64.5
59.1
68.5
63.6

(49.960.6)
(68.274.4)
(62.671.4)

(58.967.1)
(48.958.9)

(61.167.1)
(61.067.9)
(56.062.1)
(64.972.0)
(59.567.6)

CI

70.4
70.3

69.4
73.6
80.8
73.3
65.7
70.8
79.6
77.1
74.3
69.8

76.1

73.7

69.2
74.9
75.2
68.9
82.7
73.5
73.0

77.0
71.6
81.6
78.0
69.6
76.8
68.5

75.6
73.3
74.9

(67.173.5)
(66.573.8)

(67.671.2)
(70.276.8)
(78.083.3)
(69.976.5)
(63.268.1)
(66.674.6)
(77.181.9)
(74.179.8)
(69.178.9)
(66.572.9)

(75.476.9)

(70.776.5)

(65.772.6)
(72.677.0)
(72.477.8)
(66.171.4)
(81.883.7)
(72.075.0)
(69.875.9)

(74.779.2)
(67.575.4)
(78.584.4)
(71.483.4)
(64.374.5)
(72.380.8)
(66.070.8)

(72.778.3)
(69.277.0)
(72.477.1)
73.6
(65.782.7)

62.6
71.1
65.7

62.5
55.1

65.7
65.6
60.4
69.6
64.8

(59.465.7)
(68.773.5)
(62.568.8)

(59.665.4)
(51.658.6)

(63.767.7)
(63.467.8)
(58.262.6)
(66.272.9)
(61.567.9)

See table footnotes on the next page.

168

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 120. (Continued) Percentage of high school students who had ever been told by a doctor or nurse that they had asthma and who saw
a dentist,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Had asthma
Female
CI

Site
New York City, NY
Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

22.8
23.8
22.8
20.7
28.7
17.7
19.9

Saw a dentist

Male
%

(20.225.6)
(20.227.7)
(19.926.0)
(17.823.9)
(26.631.0)
(15.220.6)
(17.222.8)
22.8
(17.732.4)

Total
CI

25.7
23.2
19.6
25.8
28.4
20.5
20.0

(22.828.8)
(19.627.4)
(16.722.8)
(23.028.8)
(25.032.0)
(17.923.3)
(17.023.4)
25.7
(18.635.3)

Female
CI

24.2
23.8
21.0
23.4
28.5
19.2
20.0

(22.026.6)
(21.326.5)
(19.223.1)
(21.325.6)
(26.330.8)
(17.421.2)
(17.922.4)
23.7
(19.034.4)

CI

68.4
66.8
65.2
65.2
70.4
72.5
73.4

(65.970.8)
(62.570.9)
(61.368.9)
(61.768.6)
(65.575.0)
(68.775.9)
(69.477.1)
66.8
(56.173.4)

Male
%

Total
CI

71.3
65.9
58.3
64.6
65.2
68.6
72.2

(68.773.8)
(62.069.6)
(53.163.3)
(61.767.4)
(58.971.0)
(65.871.3)
(68.675.5)
64.6
(54.072.2)

CI

69.7
66.2
61.6
64.5
67.8
70.5
72.6

(68.171.3)
(62.969.3)
(58.165.0)
(62.166.9)
(63.172.3)
(68.072.9)
(70.374.9)
65.7
(55.172.6)

* For a check-up, exam, teeth cleaning, or other dental work during the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 121. Percentage of high school students who had 8 or more hours of sleep,* by sex, race/ethnicity, and grade United States, Youth
Risk Behavior Survey, 2015
Female

Total

CI

CI

24.9
20.6
26.8

(22.527.4)
(17.024.6)
(23.230.6)

31.1
25.6
32.9

(27.934.6)
(21.130.7)
(29.136.9)

28.0
23.5
29.8

(25.630.5)
(20.127.2)
(26.433.4)

29.1
23.1
23.0
22.2
24.4

(26.032.5)
(20.026.5)
(19.626.8)
(19.625.1)
(22.326.7)

39.3
33.8
22.9
22.6
30.1

(35.243.4)
(31.236.6)
(18.827.5)
(18.826.8)
(27.233.0)

34.4
28.4
22.9
22.4
27.3

(31.537.4)
(26.030.9)
(19.726.5)
(19.825.3)
(25.129.6)

Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

* On an average school night.


95% confidence interval.
Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

169

Surveillance Summaries

TABLE 122. Percentage of high school students who had 8 or more hours of sleep,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2015
Female
%

Site
State surveys
Alabama
Alaska
Arizona
Arkansas
California
Connecticut
Delaware
Florida
Hawaii
Idaho
Illinois
Indiana
Kentucky
Maine
Maryland
Massachusetts
Michigan
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Oklahoma
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Vermont
Virginia
West Virginia
Wyoming
Median
Range
Large urban school district surveys
Baltimore, MD
Boston, MA
Broward County, FL
Cleveland, OH
DeKalb County, GA
Detroit, MI
District of Columbia
Duval County, FL
Ft. Worth, TX
Houston, TX
Los Angeles, CA
Miami-Dade County, FL

25.3

29.1
26.5
17.5
22.0
21.1
22.5

21.6
19.2
21.8

22.1
19.1
18.5

25.5
29.3
28.9
22.7
24.6
28.0
21.2
20.8
28.1
24.7
22.3

26.2
34.7
29.1

25.1
16.2
28.3

23.5
16.3
13.7
19.5
18.0
15.9
28.0
16.8
30.4
25.3
27.5
17.4

23.6
(16.234.7)

Male

Total

CI

CI

CI

(21.030.1)

(24.434.2)
(20.633.2)
(14.920.4)
(19.225.2)
(19.323.1)
(19.226.3)

(18.525.0)
(16.022.9)
(18.725.2)

(21.322.9)
(16.921.6)
(15.422.1)

(21.430.1)
(27.531.2)
(24.533.8)
(19.326.6)
(22.526.9)
(26.130.0)
(19.123.5)
(16.426.0)
(24.931.5)
(20.829.1)
(19.425.5)

(22.130.8)
(28.641.4)
(26.032.4)

(22.927.4)
(12.920.2)
(24.931.9)

31.2

29.7
31.5
22.1
26.6
25.0
27.0

25.4
23.5
26.8

25.7
25.0
22.0

29.4
35.8
35.1
25.6
31.8
35.5
22.4
29.3
30.9
31.9
29.1

29.8
41.5
29.7

30.0
18.9
32.4

(27.535.2)

(25.034.9)
(26.437.2)
(19.425.1)
(23.230.3)
(23.126.9)
(24.629.5)

(21.230.1)
(20.726.6)
(22.831.2)

(24.926.5)
(21.928.3)
(18.925.5)

(25.933.2)
(33.038.6)
(31.139.3)
(22.229.3)
(30.033.6)
(33.637.5)
(19.525.6)
(24.234.9)
(27.434.5)
(28.136.0)
(26.332.1)

(24.236.1)
(37.645.6)
(27.232.3)

(27.233.0)
(15.722.5)
(29.435.6)

28.1

29.5
29.0
19.9
24.2
23.1
24.7

23.5
21.4
24.3

23.8
22.0
20.3

27.4
32.6
31.9
24.1
28.4
31.7
21.9
25.0
29.5
28.2
25.6

27.9
38.2
29.4

27.6
17.5
30.3

(25.431.0)

(25.334.0)
(23.734.9)
(18.121.7)
(21.926.7)
(21.724.6)
(22.227.3)

(21.026.1)
(19.223.8)
(21.527.3)

(23.224.5)
(19.824.3)
(17.923.1)

(24.031.0)
(30.934.4)
(28.635.5)
(21.626.8)
(26.929.9)
(30.233.3)
(19.824.3)
(21.728.5)
(27.032.2)
(25.131.5)
(23.328.1)

(24.232.0)
(34.242.3)
(27.831.0)

(25.429.9)
(14.720.7)
(28.332.3)

(19.228.4)
(13.619.4)
(11.017.0)
(16.123.3)
(15.520.8)
(13.518.5)
(26.829.3)
(14.519.5)
(27.433.5)
(22.728.2)
(22.633.1)
(14.920.3)

24.4
18.6
15.2
20.3
21.4
14.6
29.0
21.1
32.1
23.4
33.0
21.9

(18.930.7)
(15.522.2)
(12.318.7)
(17.323.6)
(18.824.3)
(11.818.1)
(27.630.3)
(18.823.6)
(29.035.5)
(20.626.5)
(29.536.8)
(19.025.2)

23.9
17.6
14.4
20.1
19.6
15.3
28.4
19.0
31.3
24.4
30.2
19.6

29.3
(18.941.5)

26.5
(17.538.2)

(20.327.9)
(15.320.3)
(12.416.6)
(18.022.3)
(17.621.8)
(13.317.6)
(27.529.4)
(17.221.0)
(28.833.8)
(22.426.6)
(26.833.8)
(17.322.0)

See table footnotes on the next page.

170

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 122. (Continued) Percentage of high school students who had 8 or more hours of sleep,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2015
Female

Male

Site

CI

New York City, NY


Oakland, CA
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Diego, CA
San Francisco, CA
Median
Range

23.1
28.6
16.8
16.8
20.5
23.7
22.7

(20.525.9)
(23.833.9)
(14.119.9)
(14.219.6)
(17.723.7)
(20.826.8)
(19.526.4)

20.5
(13.730.4)

Total

CI

CI

27.3
30.3
24.5
20.3
18.7
32.3
27.2

(23.931.0)
(26.134.9)
(20.529.0)
(17.623.3)
(14.124.3)
(28.536.5)
(23.731.0)

25.2
29.4
20.6
18.5
19.7
28.1
24.8

(22.927.6)
(25.833.3)
(17.923.7)
(16.420.8)
(16.822.8)
(25.231.3)
(22.127.7)

23.4
(14.633.0)

20.6
(14.431.3)

* On an average school night.


95% confidence interval.
Not available.

TABLE 123. Percentage of high school students who used an indoor tanning device* and who had a sunburn, by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

15.2
2.1
5.8

(11.719.5)
(1.13.8)
(3.98.5)

3.7
5.3
3.7

(2.75.2)
(3.09.1)
(2.75.1)

9.4
3.7
4.7

(7.511.6)
(2.55.4)
(3.56.3)

77.7
16.2
43.8

(72.182.4)
(12.421.1)
(39.448.4)

67.6
13.4
38.0

(64.071.0)
(9.418.6)
(34.142.0)

72.5
15.0
40.8

(68.376.4)
(12.118.4)
(37.444.4)

6.0
7.1
14.0
16.2
10.6

(4.57.9)
(4.411.3)
(9.919.3)
(12.420.8)
(8.413.4)

2.7
3.5
3.9
5.8
4.0

(1.74.3)
(2.45.2)
(2.46.4)
(4.28.1)
(3.25.0)

4.2
5.3
9.0
10.9
7.3

(3.35.4)
(3.87.5)
(6.612.1)
(8.613.5)
(6.08.9)

60.0
58.9
60.7
59.5
59.8

(54.765.1)
(52.265.3)
(55.465.9)
(51.766.8)
(54.165.2)

50.4
52.9
52.4
52.2
52.0

(43.956.9)
(47.258.5)
(47.557.3)
(47.557.0)
(47.956.0)

54.9
55.9
56.4
55.8
55.8

(49.860.0)
(50.061.7)
(52.160.6)
(50.561.0)
(51.260.3)

CI

* Such as a sunlamp, sunbed, or tanning booth (not counting getting a spray-on tan) one or more times during the 12 months before the survey.
One or more times during the 12 months before the survey, counting even a small part of the skin turning red or hurting for 12 hours or more after being outside
in the sun or after using a sunlamp or other indoor tanning device.

95% confidence interval.


Non-Hispanic.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

171

Surveillance Summaries

TABLE 124. Percentage of high school students who avoided foods because eating the food could cause an allergic reaction,* by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2015
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

19.5
22.3
18.2

(17.621.4)
(17.428.1)
(15.920.8)

11.3
18.8
10.2

(9.014.1)
(13.226.1)
(8.312.5)

15.4
20.7
14.1

(13.517.5)
(17.124.8)
(12.715.7)

24.3
17.6
19.0
18.8
19.9

(21.327.7)
(15.120.4)
(16.921.3)
(16.621.2)
(18.621.4)

13.5
12.5
10.7
11.3
12.0

(10.916.6)
(10.015.5)
(8.313.8)
(8.315.2)
(10.513.8)

18.7
15.2
14.8
14.9
16.0

(16.720.8)
(13.517.1)
(13.016.8)
(12.917.1)
(14.817.2)

CI

* Such as skin rashes, swelling, itching, vomiting, coughing, or trouble breathing.


95% confidence interval.
Non-Hispanic.

172

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

Surveillance Summaries

TABLE 125. National health objectives and leading health indicators from Healthy People 2020,* measured by the Youth Risk Behavior
Survey, 2015.
% students in
grades 912
HP2020
target

2015
YRBS

Topic Area

Objective
number*

Adolescent Health

AH-7

Reduce the proportion of adolescents who


have been offered, sold, or given an illegal
drug on school property

Were offered, sold, or given an illegal drug on


school property during the past 12 months

20.4

21.7

Cancer

C-20.3

Reduce the proportion of adolescents in grades


9 through 12 who report using artificial
sources of ultraviolet light for tanning

Used an indoor tanning device, such as a sunlamp,


sunbed, or tanning booth one or more times
during the 12 months before the survey

14.0

7.3

Cancer

C-20.5

Increase the proportion of adolescents in


grades 9 through 12 who follow protective
measures that may reduce the risk of
skin cancer

Most of the time or always wore sunscreen with


an SPF of 15 or higher when outside for more
than 1 hour on a sunny day

11.2

NA

Injury and Violence


Prevention

IVP-34

Reduce physical fighting among adolescents

In a physical fight one or more times during the


12 months before the survey

28.4

22.6

Injury and Violence


Prevention

IVP-35

Reduce bullying among adolescents

Bullied on school property during the 12 months


before the survey

17.9

20.2

Injury and Violence


Prevention

IVP-36

Reduce weapon carrying by adolescents on


school property

Carried a weapon (e.g., a gun, knife, or club) on


school property on at least 1 day during the 30
days before the survey

4.6

4.1

Mental Health and


Mental Disorders

MHMD-2 Reduce suicide attempts by adolescents

Made a suicide attempt during the 12 months


before the survey that resulted in an injury,
poisoning, or overdose that had to be treated by
a doctor or nurse

1.7

2.8

Mental Health and


Mental Disorders

MHMD-3 Reduce the proportion of adolescents who


engage in disordered eating behaviors in an
attempt to control their weight

Did not eat for 24 or more hours; took diet pills,


powders, or liquids without a doctors advice; or
vomited or took laxatives to lose weight to keep
from gaining weight during the 30 days before
the survey

12.9

NA

Physical Activity

PA-3.1

Increase the proportion of adolescents who


meet current Federal physical activity
guidelines for aerobic physical activity

Were physically active doing any kind of physical


activity that increased their heart rate and made
them breathe hard some of the time for a total of
at least 60 minutes per day on each of the 7 days
before the survey

20.2

27.1

Physical Activity

PA-3.2

Increase the proportion of adolescents who


meet current Federal physical activity
guidelines for muscle-strengthening activity

Participated in muscle strengthening activities,


such as push-ups, sit-ups or weight lifting on 3 or
more days during the 7 days before the survey

None set

53.4

Physical Activity

PA-3.3

Increase the proportion of adolescents who


meet current Federal physical activity
guidelines for aerobic physical activity and for
muscle-strengthening activity

Were physically active doing any kind of physical


activity that increased their heart rate and made
them breathe hard some of the time for a total of
at least 60 minutes per day on each of the 7 days
before the survey and who participated in
muscle strengthening activities, such as
push-ups, sit-ups or weight lifting on 3 or more
days during the 7 days before the survey

None set

20.5

Physical Activity

PA-5

Increase the proportion of adolescents who


participate in daily school physical education

Went to physical education classes 5 days in an


average week when they are in school

36.6

29.8

Physical Activity

PA-8.2.3 Increase the proportion of adolescents in


grades 9 through 12 who view television,
videos, or play video games for no more than
2 hours a day

Watched television for no more than 2 hours per


day on an average school day

73.9

75.3

Physical Activity

PA-8.3.3 Increase the proportion of adolescents in


grades 9 through 12 who use a computer or
play computer games outside of school (for
nonschool work) for no more than 2 hours
a day

Played video or computer games or used a


computer for something that was not school
work for no more than 2 hours per day on an
average school day

82.6

58.3

Objective

Behavior description

See table footnotes on the next page.

US Department of Health and Human Services/Centers for Disease Control and Prevention

MMWR/June 10, 2016/Vol. 65/No. 6

173

Surveillance Summaries

TABLE 125. (Continued) National health objectives and leading health indicators from Healthy People 2020,* measured by the Youth Risk
Behavior Survey, 2015.
% students in
grades 912
HP2020
target

2015
YRBS

Topic Area

Objective
number*

Sleep Health

SH-3

Increase the proportion of students in grades 9


through 12 who get sufficient sleep

Had 8 or more hours of sleep on an average


school night

33.2

27.3

Substance Abuse

SA-1

Reduce the proportion of adolescents who


report that they rode, during the previous 30
days, with a driver who had been drinking
alcohol

Rode in a car or other vehicle one or more times


driven by someone who had been drinking
alcohol during the 30 days before the survey

25.5

20.0

Tobacco Use

TU-2.1

Reduce the proportion of adolescents who use


tobacco products (past 30 days)

Smoked cigarettes; used chewing tobacco, snuff,


or dip; or smoked cigars, cigarillos, or little cigars
on at least one day during the 30 days before the
survey

21.0

17.0

Tobacco Use

TU-2.2

Reduce the proportion of adolescents who use


cigarettes (past 30 days)

Currently smoked cigarettes on at least one day


during the 30 days before the survey

16.0

10.8

Tobacco Use

TU-2.3

Reduce the proportion of adolescents who use


smokeless tobacco products (past 30 days)

Currently used chewing tobacco, snuff, or dip on


at least one day during the 30 days before the
survey

6.9

7.3

Tobacco Use

TU-2.4

Reduce the proportion of adolescents who use


cigars (past 30 days)

Currently smoked cigars, cigarillos, or little cigars


on at least one day during the 30 days before the
survey

8.0

10.3

Tobacco Use

TU-7

Increase smoking cessation attempts by


adolescent smokers

Tried to quit smoking cigarettes, among students


who ever smoked cigarettes daily during the 12
months before the survey

64.0

NA

Objective

Behavior description

* Source: Adapted from U.S. Department of Health and Human Services and Office of Disease Prevention Health Promotion, Healthy People 2020. Washington, DC.
Available at http://www.healthypeople.gov. Accessed January 17, 2016.
Not available from the 2015 national YRBS.
The target setting method for this objective was a 10% improvement from the baseline; the baseline source was the 2009 national YRBS.However, because of changes
in question context starting in 2011, national YRBS prevalence estimates derived from the 60 minutes of physical activity question in 2011, 2013, and 2015 are not
comparable to those reported in 2009 or earlier. On the 20052009 national YRBS questionnaire, physical activity was assessed with three questions (in the following
order) that asked the number of days students participated in 1) at least 20 minutes of vigorous physical activity; 2) at least 30 minutes of moderate physical activity;
and 3) at least 60 minutes of aerobic (moderate and vigorous) physical activity. On the 2011, 2013, and 2015 national YRBS questionnaire, only the 60 minutes of
aerobic physical activity question was included.
Leading Health Indicator.

174

MMWR/June 10, 2016/Vol. 65/No. 6

US Department of Health and Human Services/Centers for Disease Control and Prevention

The Morbidity and Mortality Weekly Report (MMWR) Series is prepared by the Centers for Disease Control and Prevention (CDC) and is available free of
charge in electronic format. To receive an electronic copy each week, visit MMWRs free subscription page at http://www.cdc.gov/mmwr/mmwrsubscribe.html.
Paper copy subscriptions are available through the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402; telephone
202-512-1800.
Readers who have difficulty accessing this PDF file may access the HTML file at http://www.cdc.gov/mmwr/volumes/65/ss/ss6506a1.htm?s_cid=ss6506a1_w.
Address all inquiries about the MMWR Series, including material to be considered for publication, to Executive Editor, MMWR Series, Mailstop E-90,
CDC, 1600 Clifton Rd., N.E., Atlanta, GA 30329-4027 or to mmwrq@cdc.gov.
All material in the MMWR Series is in the public domain and may be used and reprinted without permission; citation as to source, however, is appreciated.
Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services.
References to non-CDC sites on the Internet are provided as a service to MMWR readers and do not constitute or imply endorsement of these organizations
or their programs by CDC or the U.S. Department of Health and Human Services. CDC is not responsible for the content of these sites. URL addresses
listed in MMWR were current as of the date of publication.

ISSN: 1546-0738 (Print)

Você também pode gostar