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Morbidity and Mortality Weekly Report

Surveillance Summaries / Vol. 61 / No. 4

June 8, 2012

Youth Risk Behavior Surveillance


United States, 2011

U.S. Department of Health and Human Services


Centers for Disease Control and Prevention

Surveillance Summaries

CONTENTS
Introduction ............................................................................................................2
Methods ....................................................................................................................2
Results .......................................................................................................................4
Discussion ............................................................................................................. 42
Conclusion ............................................................................................................ 44
References ............................................................................................................. 45

Front cover photo: Group of adolescents engaged in recess and study time (Photo/ 2005 Comstock Images, a division of JupiterImages Corporation)
The MMWR series of publications is published by the Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention (CDC),
U.S. Department of Health and Human Services, Atlanta, GA 30333.
Suggested Citation: Centers for Disease Control and Prevention. [Title]. MMWR 2012;61(No. SS-#):[inclusive page numbers].

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Surveillance Summaries

Youth Risk Behavior Surveillance United States, 2011


Danice K. Eaton, PhD,1 Laura Kann, PhD,1 Steve Kinchen,1 Shari Shanklin, MS,1 Katherine H. Flint, MS,2
Joseph Hawkins, MA,3 William A. Harris, MM,1 Richard Lowry, MD,1 Tim McManus, MS,1 David Chyen, MS,1
Lisa Whittle, MPH,1 Connie Lim, MPA,1 Howell Wechsler, EdD1
1Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC
2ICF Macro, Calverton, Maryland
3Westat, Rockville, Maryland

Abstract
Problem: Priority health-risk behaviors, which are behaviors that contribute to the leading causes of morbidity and mortality
among youth and adults, often are established during childhood and adolescence, extend into adulthood, and are interrelated
and preventable.
Reporting Period Covered: September 2010December 2011.
Description of the System: The Youth Risk Behavior Surveillance System (YRBSS) monitors six categories of priority health-risk
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 that contribute to unintended pregnancy and sexually transmitted diseases
(STDs), including human immunodeficiency virus (HIV) infection; 5) unhealthy dietary behaviors; and 6) physical inactivity. In
addition, YRBSS monitors the prevalence of obesity and asthma. 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 from the 2011 national survey, 43 state surveys, and 21 large urban
school district surveys conducted among students in grades 912.
Results: Results from the 2011 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, 32.8% of high school students nationwide had texted or e-mailed while driving, 38.7% had drunk alcohol,
and 23.1% had used marijuana. During the 12 months before the survey, 32.8% of students had been in a physical fight, 20.1%
had ever been bullied on school property, and 7.8% had attempted suicide. Many high school students nationwide are engaged
in sexual risk behaviors associated with unintended pregnancies and STDs, including HIV infection. Nearly half (47.4%) of
students had ever had sexual intercourse, 33.7% had had sexual intercourse during the 3 months before the survey (i.e., currently
sexually active), and 15.3% had had sexual intercourse with four or more people during their life. Among currently sexually active
students, 60.2% had used a condom during their last sexual intercourse. Results from the 2011 national YRBS also indicate many
high school students are engaged in behaviors associated with the leading causes of death among adults aged 25 years in the
United States. During the 30 days before the survey, 18.1% of high school students had smoked cigarettes and 7.7% had used
smokeless tobacco. During the 7 days before the survey, 4.8% of high school students had not eaten fruit or drunk 100% fruit
juices and 5.7% had not eaten vegetables. Nearly one-third (31.1%) had played video or computer games for 3 or more hours
on an average school day.
Interpretation: Since 1991, the prevalence of many priority health-risk behaviors among high school students nationwide has
decreased. However, many high school students continue to engage in behaviors that place them at risk for the leading causes of
morbidity and mortality. Variations were observed in many health-risk behaviors by sex, race/ethnicity, and grade. The prevalence
of some health-risk behaviors varied substantially among states and large urban school districts.
Public Health Action: YRBS data are used to measure progress toward achieving 20 national health objectives for Healthy People
2020 and one of the 26 leading health indicators; to assess trends in priority health-risk behaviors among high school students;
and to evaluate the impact of broad school and community interventions at the national, state, and local levels. More effective
school health programs and other policy and programmatic
interventions are needed to reduce risk and improve health
Corresponding author: Danice K. Eaton, PhD, Division of
outcomes among youth.
Adolescent and School Health, National Center for HIV/AIDS, Viral
Hepatitis, STD, and TB Prevention, MS K-33, 4770 Buford Hwy,
NE, Atlanta, GA 30341. Telephone: 770-488-6143; Fax: 770-488-6156;
E-mail: dhe0@cdc.gov.

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

Introduction
In the United States, 72% of all deaths among youth and
young adults aged 1024 years result from four causes: motor
vehicle crashes (26%), other unintentional injuries (17%),
homicide (16%), and suicide (13%) (1). Substantial morbidity
and social problems also result from the estimated 410,000
births (2); 517,174 cases of chlamydia, gonorrhea, and syphilis
(3); and 2,036 cases of human immunodeficiency virus (HIV)
(4) reported in 2009 among youth aged 1519 years. Among
adults aged 25 years, 57% of all deaths in the United States
result from cardiovascular disease (34%) and cancer (23%) (1).
These leading causes of morbidity and mortality among youth
and adults in the United States are related to six categories of
priority health-risk behaviors: 1) behaviors that contribute to
unintentional injuries and violence; 2) tobacco use; 3) alcohol
and other drug use; 4) sexual behaviors that contribute to
unintended pregnancy and sexually transmitted diseases (STDs),
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-risk behaviors in
each of these six categories and obesity and asthma among youth
and young adults, CDC developed the Youth Risk Behavior
Surveillance System (YRBSS) (5). YRBSS includes schoolbased 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 the YRBSS
is available at http://www.cdc.gov/yrbs.
This report summarizes results from the 2011 national YRBS
and trends in health-risk behaviors during 19912011. Data
from the 43 state and 21 large urban school district surveys
with weighted data for the 2011 YRBSS cycle (Figure) also
are included in this report. Data from the remaining four
state surveys and one large urban school district survey with
unweighted data are not included. Among those with weighted
data for 2011, one state and five large urban school district
surveys were conducted during fall 2010; the national survey,
39 state surveys, and 15 large urban school district surveys
were conducted during spring 2011; and three state surveys
and one large urban school district survey were conducted
during fall 2011.

Methods
Detailed information about the methodology of the national,
state, and large urban school district YRBSs has been described
elsewhere (5).

MMWR/June 8, 2012/Vol. 61/No. 4

Sampling
National Youth Risk Behavior Survey
The sampling frame for the 2011 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 obtained from the Market
Data Retrieval (MDR) database (6). The MDR database
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
1,276 primary sampling units (PSUs), consisting of counties,
subareas of large counties, or groups of smaller, adjacent
counties. The 1,276 PSUs were categorized into 16 strata
according to their metropolitan statistical area (MSA) status
(i.e., urban city) and the percentages of black and Hispanic
students in the PSUs. From the 1,276 PSUs, 57 were sampled
with probability proportional to overall school enrollment size
for the PSU.
In the second stage of sampling, 194 schools with any of
grades 912 were sampled with probability proportional to
school enrollment size. 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, three strategies were used to oversample these
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.

State and Large Urban School District Youth Risk


Behavior Surveys
In 2011, a two-stage cluster sample design was used to
produce a representative sample of public school students in
grades 912 in 41 states and 21 large urban school districts and
of public and private school students in grades 912 in two
states (Ohio and South Dakota). In the first sampling stage,
schools with any of grades 912 were sampled with probability
proportional to school enrollment size in 42 states and four
large urban school districts; all schools with any of grades 912

Surveillance Summaries

Figure. State and Large Urban School District Youth Risk Behavior Surveys United States, 2011
Seattle

Milwaukee
Chicago
Detroit

Boston
New York City
Philadelphia
Baltimore
District of Columbia

San Francisco
San Bernardino
Los Angeles
San Diego

Memphis
Dallas
Houston

were invited to participate in one state and 17 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 42 states and 21 large urban school
districts, and all students in the sampled classes were eligible
to participate. In one state, 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
survey administration, local parental permission procedures were
followed. Students completed the self-administered questionnaire
during one class period and recorded their responses directly on a
computer-scannable booklet or answer sheet. CDCs Institutional
Review Board approved the protocol for the national YRBS.
The 2011 YRBS standard questionnaire contained 86
questions. States and large urban school districts could add
or delete questions from the standard questionnaire. For
the national questionnaire, 11 questions were added to the
standard questionnaire. Skip patterns 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. For state and large urban school

Charlotte-Mecklenburg
Duval County
Orange County
Palm Beach County
Broward County
Miami-Dade County

district surveys, only data from standard


questions are presented in this report.
Information about the reliability of the
standard questionnaire has been published
elsewhere (8). The standard and national
YRBS questionnaires are available at
http://www.cdc.gov/healthyyouth/yrbs/
questionnaire_rationale.htm.

Data Processing Procedures


and Response Rates

For the 2011 national YRBS, 15,503


questionnaires were completed in
158 schools. The national data set was
Weighted state results
cleaned and edited for inconsistencies.
Unweighted state results
Missing data were not statistically
Did not participate
imputed. Among the 15,503 completed
Weighted large urban
school district results
questionnaires, 78 failed quality control*
Unweighted large urban
and were excluded from analysis, leaving
school district results
15,425 usable questionnaires (Table 2).
The school response rate was 81%; the
student response rate was 87%; the overall response rate was
71% (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 number of completed
questionnaires that failed quality control checks and were excluded
from analysis ranged from 0 to 351 (median: 13) across the state
surveys and from 0 to 231 (median: 13) across the large urban
school district surveys. The student sample sizes ranged from
1,147 to 13,201 (median: 2,170) across the state surveys and from
1,013 to 11,570 (median: 1,767) across the large urban school
district surveys (Table 2). Among the state surveys, the school
response rates ranged from 73% to 100%; student response rates
ranged from 60% to 88%; and overall response rates ranged from
60% to 84%, and among the large urban school district surveys,
the school response rates ranged from 84% to 100%; student
response rates ranged from 61% to 86%; and overall response
rates ranged from 61% to 86% (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
* A questionnaire that fails quality control has <20 remaining responses after
editing or has the same answer to 15 questions in a row.
Overall response rate = (number of participating schools/number of eligible
sampled schools) x (number of usable questionnaires/number of eligible students
sampled).

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Surveillance Summaries

second question, students could select more than one response


option. For this report, students were classified as Hispanic/
Latino and were 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 were 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 obese or overweight based on
their body mass index (kg/m2) (BMI), which was calculated
from self-reported height and weight. The BMI values were
compared with sex- and age-specific reference data from the
2000 CDC growth charts (9). Obese 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 populationlevel 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 school in the United States.
State and large urban school district surveys that had a
representative sample of students, appropriate documentation,
and an overall response rate of 60% or higher were weighted.
A weight was applied to each record to adjust for student
nonresponse and the distribution of students by grade, sex, and
race/ethnicity in each jurisdiction. Data from 43 state and 21 large
urban school district surveys were weighted. In 41 states and all
large urban school districts, weighted estimates are representative
of all students in grades 912 attending public schools in each
jurisdiction. In two states (Ohio and South Dakota), weighted
estimates are representative of all students in grades 912
attending public and private schools in each jurisdiction.

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 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 changes in health-risk
behaviors nationwide, prevalence estimates from the earliest
year of data collection to 2011 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 simultaneously assess orthogonal
linear and quadratic time effects (12). Cubic and other higher
order time effects are not reported here. A quadratic time effect
indicates a significant but nonlinear trend in prevalence over
time. A temporal change that includes a significant linear and
quadratic time effect demonstrates nonlinear variation (e.g.,
leveling off or change in direction) in addition to an overall
increase or decrease over time. In this report, if both linear
and quadratic time effects are significant only the quadratic
time effect is reported. In addition, to identify 2-year temporal
changes in health-risk behaviors nationwide, prevalence
estimates from 2009 and 2011 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 temporal changes are described first, followed by
2-year (from 2009 to 2011) temporal changes.

Results
Behaviors that Contribute to
Unintentional Injuries
Rarely or Never Wore a Bicycle Helmet
Among the 70.2% of students nationwide who had ridden
a bicycle during the 12 months before the survey, 87.5% had

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Surveillance Summaries

rarely or never worn a bicycle helmet (Table 3). Overall, the


prevalence of having rarely or never worn a bicycle helmet was
higher among male (88.8%) than female (85.9%) students;
higher among white male (87.1%) and black male (94.4%)
than white female (83.9%) and black female (89.4%) students,
respectively; and higher among 12th-grade male (92.0%) than
12th-grade female (87.3%) students. Overall, the prevalence
of having rarely or never worn a bicycle helmet was higher
among black (92.3%) and Hispanic (92.1%) than white
(85.7%) students; higher among Hispanic female (92.0%) than
white female (83.9%) students; and higher among black male
(94.4%) and Hispanic male (92.2%) than white male (87.1%)
students. Overall, the prevalence of having rarely or never
worn a bicycle helmet was higher among 12th-grade (89.9%)
than 9th-grade (86.6%), 10th-grade (86.7%), and 11th-grade
(87.7%) students and higher among 12th-grade male (92.0%)
than 9th-grade male (87.2%), 10th-grade male (87.9%), and
11th-grade male (89.2%) students. The prevalence of having
rarely or never worn a bicycle helmet among students who
had ridden a bicycle during the 12 months before the survey
ranged from 52.7% to 95.1% across state surveys (median:
87.1%) and from 59.3% to 94.3% across large urban school
district surveys (median: 89.7%) (Table 4).
Among students nationwide who had ridden a bicycle, the
prevalence of rarely or never wearing a bicycle helmet decreased
during 19912001 (96.2%84.7%) and then did not change
significantly during 20012011 (84.7%87.5%). The
prevalence of rarely or never wearing a bicycle helmet also did
not change significantly from 2009 (84.7%) to 2011 (87.5%).

Rarely or Never Wore a Seat Belt


Nationwide, 7.7% of students rarely or never wore a seat
belt when riding in a car driven by someone else (Table 3).
Overall, the prevalence of rarely or never wearing a seat belt
was higher among male (8.9%) than female (6.3%) students;
higher among white male (7.3%) and black male (12.6%)
than white female (5.1%) and black female (8.0%) students,
respectively; and higher among 10th-grade male (9.0%),
11th-grade male (7.0%), and 12th-grade male (8.5%) than
10th-grade female (5.9%), 11th-grade female (4.9%), and
12th-grade female (5.5%) students, respectively. Overall, the
prevalence of rarely or never wearing a seat belt was higher
among black (10.3%) and Hispanic (9.3%) than white (6.3%)
students; higher among black female (8.0%) and Hispanic
female (8.4%) than white female (5.1%) students; and higher
among black male (12.6%) than white male (7.3%) students.
Overall, the prevalence of rarely or never wearing a seat belt
was higher among 9th-grade (9.5%) than 10th-grade (7.5%),
11th-grade (6.0%), and 12th-grade (7.1%) students; higher
among 10th-grade (7.5%) than 11th-grade (6.0%) students;

higher among 9th-grade female (8.4%) than 10th-grade female


(5.9%), 11th-grade female (4.9%), and 12th-grade female
(5.5%) students; and higher among 9th-grade male (10.3%)
than 11th-grade male (7.0%) students. The prevalence of rarely
or never wearing a seat belt ranged from 4.4% to 20.1% across
state surveys (median: 10.3%) and from 4.1% to 25.8% across
large urban school district surveys (median: 10.9%) (Table 4).
During 19912011, among students nationwide, a
significant linear decrease occurred in the prevalence of rarely
or never wearing a seat belt (25.9%7.7%). The prevalence
of rarely or never wearing a seat belt also decreased from 2009
(9.7%) to 2011 (7.7%).

Rode with a Driver Who Had Been Drinking


Alcohol
During the 30 days before the survey, 24.1% of students
nationwide had ridden one or more times in a car or other
vehicle driven by someone who had been drinking alcohol
(Table 5). The prevalence of having ridden with a driver
who had been drinking alcohol was higher among white
female (23.8%) than white male (20.5%) students. Overall,
the prevalence of having ridden with a driver who had been
drinking alcohol was higher among Hispanic (30.7%) than
white (22.1%) and black (22.8%) students; higher among
Hispanic female (30.7%) than white female (23.8%) and black
female (23.2%) students; and higher among Hispanic male
(30.7%) than white male (20.5%) and black male (22.5%)
students. Overall, the prevalence of having ridden with a driver
who had been drinking alcohol was higher among 12th-grade
(27.7%) than 9th-grade (21.8%), 10th-grade (23.3%), and
11th-grade (23.8%) students; higher among 12th-grade female
(28.0%) than 9th-grade female (22.9%) and 10th-grade female
(23.5%) students; and higher among 12th-grade male (27.4%)
than 9th-grade male (20.7%), 10th-grade male (23.1%), and
11th-grade male (22.4%) students. The prevalence of having
ridden with a driver who had been drinking alcohol ranged
from 13.5% to 32.2% across state surveys (median: 23.2%)
and from 17.6% to 34.2% across large urban school district
surveys (median: 24.2%) (Table 6).
During 19912011, among students nationwide, a
significant linear decrease occurred in the prevalence of riding
with a driver who had been drinking alcohol (39.9%24.1%).
The prevalence of riding with a driver who had been drinking
alcohol also decreased from 2009 (28.3%) to 2011 (24.1%).

Drove When Drinking Alcohol


During the 30 days before the survey, 8.2% of students
nationwide had driven a car or other vehicle one or more times
when they had been drinking alcohol (Table 5). Overall, the
prevalence of having driven when they had been drinking alcohol

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Surveillance Summaries

was higher among male (9.5%) than female (6.7%) students;


higher among white male (8.9%), black male (7.8%), and
Hispanic male (11.5%) than white female (7.0%), black female
(4.0%), and Hispanic female (7.8%) students, respectively; and
higher among 9th-grade male (6.1%), 11th-grade male (10.4%),
and 12th-grade male (16.0%) than 9th-grade female (3.3%),
11th-grade female (7.8%), and 12th-grade female (11.2%)
students, respectively. Overall, the prevalence of having driven
when they had been drinking alcohol was higher among white
(8.0%) than black (5.9%) students; higher among Hispanic
(9.7%) than white (8.0%) and black (5.9%) students; higher
among white female (7.0%) and Hispanic female (7.8%) than
black female (4.0%) students; and higher among Hispanic
male (11.5%) than white male (8.9%) and black male (7.8%)
students. Overall, the prevalence of having driven when they
had been drinking alcohol was higher among 11th-grade (9.1%)
and 12th-grade (13.6%) than 9th-grade (4.7%) and 10th-grade
(5.6%) students; higher among 12th-grade (13.6%) than
11th-grade (9.1%) students; higher among 10th-grade female
(5.2%), 11th-grade female (7.8%), and 12th-grade female
(11.2%) than 9th-grade female (3.3%) students; higher among
11th-grade female (7.8%) and 12th-grade female (11.2%) than
10th-grade female (5.2%) students; higher among 12th-grade
female (11.2%) than 11th-grade female (7.8%) students;
higher among 11th-grade male (10.4%) and 12th-grade male
(16.0%) than 9th-grade male (6.1%) and 10th-grade male
(6.0%) students; and higher among 12th-grade male (16.0%)
than 11th-grade male (10.4%) students. The prevalence of
having driven a car when they had been drinking alcohol ranged
from 4.0% to 11.7% across state surveys (median: 7.7%) and
from 2.9% to 11.9% across large urban school district surveys
(median: 6.8%) (Table 6).
Among students nationwide, the prevalence of having driven
a car when they had been drinking alcohol did not change
significantly during 19911997 (16.7%16.9%) and then
decreased during 19972011 (16.9%8.2%). The prevalence
of having driven a car when they had been drinking alcohol
also decreased from 2009 (9.7%) to 2011 (8.2%).

Texted or E-mailed While Driving


Nationwide, 32.8% of students 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). Overall, the prevalence of
having texted or e-mailed while driving was higher among male
(34.9%) than female (30.4%) students; higher among black
male (29.3%) and Hispanic male (35.2%) than black female
(19.0%) and Hispanic female (26.3%) students, respectively;
and higher among 9th-grade male (13.9%) and 10th-grade
male (25.6%) than 9th-grade female (9.4%) and 10th-grade
female (20.6%) students, respectively. Overall, the prevalence of

MMWR/June 8, 2012/Vol. 61/No. 4

having texted or e-mailed while driving was higher among white


(36.2%) than black (24.1%) and Hispanic (30.9%) students;
higher among Hispanic (30.9%) than black (24.1%) students;
higher among white female (35.4%) than black female (19.0%)
and Hispanic female (26.3%) students; higher among Hispanic
female (26.3%) than black female (19.0%) students; and
higher among white male (36.9%) and Hispanic male (35.2%)
than black male (29.3%) students. Overall, the prevalence of
having texted or e-mailed while driving was higher among
10th-grade (23.2%), 11th-grade (42.9%), and 12th-grade
(58.0%) than 9th-grade (11.7%) students; higher among
11th-grade (42.9%) and 12th-grade (58.0%) than 10th-grade
(23.2%) students; higher among 12th-grade (58.0%) than
11th-grade (42.9%) students; higher among 10th-grade female
(20.6%), 11th-grade female (40.6%), and 12th-grade female
(55.9%) than 9th-grade female (9.4%) students; higher among
11th-grade female (40.6%) and 12th-grade female (55.9%)
than 10th-grade female (20.6%) students; higher among
12th-grade female (55.9%) than 11th-grade female (40.6%)
students; higher among 10th-grade male (25.6%), 11th-grade
male (45.0%), and 12th-grade male (60.0%) than 9th-grade
male (13.9%) students; higher among 11th-grade male (45.0%)
and 12th-grade male (60.0%) than 10th-grade male (25.6%)
students; and higher among 12th-grade male (60.0%) than
11th-grade male (45.0%) students.

Behaviors that Contribute to Violence


Carried a Weapon
Nationwide, 16.6% of students had carried a weapon (e.g.,
a gun, knife, or club) on at least 1 day during the 30 days
before the survey (Table 8). Overall, the prevalence of having
carried a weapon was higher among male (25.9%) than
female (6.8%) students; higher among white male (27.2%),
black male (21.0%), and Hispanic male (24.5%) than white
female (6.2%), black female (7.5%), and Hispanic female
(7.5%) students, respectively; and higher among 9th-grade
male (26.6%), 10th-grade male (26.4%), 11th-grade male
(25.9%), and 12th-grade male (24.1%) than 9th-grade female
(7.6%), 10th-grade female (6.1%), 11th-grade female (6.2%),
and 12th-grade female (7.1%) students, respectively. The
prevalence of having carried a weapon was higher among white
male (27.2%) and Hispanic male (24.5%) than black male
(21.0%) students. The prevalence of having carried a weapon
ranged from 9.6% to 27.1% across state surveys (median:
17.6%) and from 9.1% to 18.9% across large urban school
district surveys (median: 13.8%) (Table 9).
Among students nationwide, the prevalence of having carried a
weapon decreased during 19911999 (26.1%17.3%) and then
did not change significantly during 19992011 (17.3%16.6%).

Surveillance Summaries

The prevalence of having carried a weapon also did not change


significantly from 2009 (17.5%) to 2011 (16.6%).

Threatened or Injured with a Weapon on School


Property

Carried a Gun

During the 12 months before the survey, 7.4% of students


nationwide had been threatened or injured with a weapon (e.g.,
a gun, knife, or club) on school property one or more times
(Table 10). Overall, the prevalence of having been threatened
or injured with a weapon on school property was higher among
male (9.5%) than female (5.2%) students; higher among white
male (8.0%), black male (11.2%), and Hispanic male (12.1%)
than white female (4.2%), black female (6.6%), and Hispanic
female (6.0%) students, respectively; and higher among
9th-grade male (10.3%), 10th-grade male (9.7%), 11th-grade
male (9.2%), and 12th-grade male (8.3%) than 9th-grade
female (6.2%), 10th-grade female (5.3%), 11th-grade female
(5.3%), and 12th-grade female (3.4%) students, respectively.
Overall, the prevalence of having been threatened or injured
with a weapon on school property was higher among black
(8.9%) and Hispanic (9.2%) than white (6.1%) students;
higher among black female (6.6%) and Hispanic female
(6.0%) than white female (4.2%) students; and higher among
black male (11.2%) and Hispanic male (12.1%) than white
male (8.0%) students. Overall, the prevalence of having been
threatened or injured with a weapon on school property was
higher among 9th-grade (8.3%) and 10th-grade (7.7%) than
12th-grade (5.9%) students and higher among 9th-grade
female (6.2%), 10th-grade female (5.3%), and 11th-grade
female (5.3%) than 12th-grade female (3.4%) students. The
prevalence of having been threatened or injured with a weapon
on school property ranged from 5.1% to 11.7% across state
surveys (median: 6.8%) and from 6.7% to 11.1% across large
urban school district surveys (median: 8.2%) (Table 11).
Among students nationwide, the prevalence of having been
threatened or injured with a weapon on school property did
not change significantly during 19932003 (7.3%9.2%)
and then decreased during 20032011 (9.2%7.4%). The
prevalence of having been threatened or injured with a weapon
on school property did not change significantly from 2009
(7.7%) to 2011 (7.4%).

Nationwide, 5.1% of students had carried a gun on at least


1 day during the 30 days before the survey (Table 8). Overall,
the prevalence of having carried a gun was higher among male
(8.6%) than female (1.4%) students; higher among white male
(7.2%), black male (10.3%), and Hispanic male (9.2%) than
white female (1.1%), black female (1.7%), and Hispanic female
(1.4%) students, respectively; and higher among 9th-grade
male (7.7%), 10th-grade male (9.4%), 11th-grade male
(8.6%), and 12th-grade male (8.2%) than 9th-grade female
(1.4%), 10th-grade female (1.6%), 11th-grade female (1.1%),
and 12th-grade female (1.0%) students, respectively. Overall,
the prevalence of having carried a gun was higher among black
(6.1%) than white (4.3%) students and higher among black
male (10.3%) than white male (7.2%) students. The prevalence
of having carried a gun ranged from 2.5% to 10.8% across
state surveys (median: 6.0%) and from 2.3% to 7.5% across
large urban school district surveys (median: 5.0%) (Table 9).
Among students nationwide, the prevalence of having carried
a gun decreased during 19931999 (7.9%4.9%) and then
did not change significantly during 19992011 (4.9%5.1%).
The prevalence of having carried a gun also did not change
significantly from 2009 (5.9%) to 2011 (5.1%).

Carried a Weapon on School Property


Nationwide, 5.4% 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 10). Overall, the
prevalence of having carried a weapon on school property
was higher among male (8.2%) than female (2.3%) students;
higher among white male (7.8%), black male (6.7%), and
Hispanic male (8.8%) than white female (2.3%), black female
(2.5%), and Hispanic female (2.6%) students, respectively;
and higher among 9th-grade male (7.4%), 10th-grade male
(9.4%), 11th-grade male (7.5%), and 12th-grade male (8.2%)
than 9th-grade female (2.1%), 10th-grade female (2.5%),
11th-grade female (1.8%), and 12th-grade female (2.8%)
students, respectively. The prevalence of having carried a
weapon on school property ranged from 3.1% to 10.5% across
state surveys (median: 5.7%) and from 2.1% to 8.1% across
large urban school district surveys (median: 4.5%) (Table 11).
Among students nationwide, the prevalence of having carried
a weapon on school property decreased during 19932003
(11.8%6.1%) and then did not change significantly during
20032011 (6.1%5.4%). The prevalence of having carried
a weapon on school property also did not change significantly
from 2009 (5.6%) to 2011 (5.4%).

In a Physical Fight
Nationwide, 32.8% of students had been in a physical
fight one or more times during the 12 months before the
survey (Table 12). Overall, the prevalence of having been in
a physical fight was higher among male (40.7%) than female
(24.4%) students; higher among white male (37.7%), black
male (45.8%), and Hispanic male (44.4%) than white female
(20.4%), black female (32.3%), and Hispanic female (28.7%)
students, respectively; and higher among 9th-grade male
(46.0%), 10th-grade male (44.2%), 11th-grade male (36.3%),

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

and 12th-grade male (34.1%) than 9th-grade female (28.8%),


10th-grade female (25.5%), 11th-grade female (22.7%), and
12th-grade female (19.4%) students, respectively. Overall, the
prevalence of having been in a physical fight was higher among
black (39.1%) and Hispanic (36.8%) than white (29.4%)
students; higher among black female (32.3%) and Hispanic
female (28.7%) than white female (20.4%) students; higher
among black female (32.3%) than Hispanic female (28.7%)
students; and higher among black male (45.8%) and Hispanic
male (44.4%) than white male (37.7%) students. Overall, the
prevalence of having been in a physical fight was higher among
9th-grade (37.7%) and 10th-grade (35.3%) than 11th-grade
(29.7%) and 12th-grade (26.9%) students; higher among
9th-grade female (28.8%) than 11th-grade female (22.7%) and
12th-grade female (19.4%) students; higher among 10th-grade
female (25.5%) than 12th-grade female (19.4%) students;
and higher among 9th-grade male (46.0%) and 10th-grade
male (44.2%) than 11th-grade male (36.3%) and 12th-grade
male (34.1%) students. The prevalence of having been in a
physical fight ranged from 19.5% to 36.0% across state surveys
(median: 26.8%) and from 18.7% to 42.2% across large urban
school district surveys (median: 31.9%) (Table 13).
Among students nationwide, the prevalence of having been in
a physical fight decreased during 19912009 (42.5%31.5%),
and then did not change significantly during 20092011
(31.5%32.8%).

Injured in a Physical Fight


During the 12 months before the survey, 3.9% 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 12). Overall, the prevalence of having been injured
in a physical fight was higher among male (5.1%) than female
(2.6%) students; higher among white male (3.5%), black
male (8.1%), and Hispanic male (7.0%) than white female
(1.9%), black female (3.2%), and Hispanic female (3.7%)
students, respectively; and higher among 9th-grade male
(5.9%), 10th-grade male (5.1%), 11th-grade male (4.8%),
and 12th-grade male (4.3%) than 9th-grade female (2.7%),
10th-grade female (3.0%), 11th-grade female (2.2%), and
12th-grade female (2.1%) students, respectively. Overall, the
prevalence of having been injured in a physical fight was higher
among black (5.7%) and Hispanic (5.5%) than white (2.8%)
students; higher among black female (3.2%) and Hispanic
female (3.7%) than white female (1.9%) students; and higher
among black male (8.1%) and Hispanic male (7.0%) than
white male (3.5%) students. The prevalence of having been
injured in a physical fight was higher among 9th-grade male
(5.9%) than 12th-grade male (4.3%) students. The prevalence
of having been injured in a physical fight ranged from 2.1%

MMWR/June 8, 2012/Vol. 61/No. 4

to 5.2% across state surveys (median: 3.5%) and from 3.5%


to 7.2% across large urban school district surveys (median:
4.4%) (Table 13).
During 19912011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
been injured in a physical fight (4.4%3.9%). The prevalence
of having been injured in a physical fight did not change
significantly from 2009 (3.8%) to 2011 (3.9%).

In a Physical Fight on School Property


Nationwide, 12.0% of students had been in a physical fight
on school property one or more times during the 12 months
before the survey (Table 14). Overall, the prevalence of having
been in a physical fight on school property was higher among
male (16.0%) than female (7.8%) students; higher among
white male (13.8%), black male (19.6%), and Hispanic male
(19.4%) than white female (5.6%), black female (13.1%),
and Hispanic female (9.0%) students, respectively; and higher
among 9th-grade male (21.7%), 10th-grade male (17.0%),
11th-grade male (12.3%), and 12th-grade male (11.4%)
than 9th-grade female (10.4%), 10th-grade female (8.0%),
11th-grade female (6.0%), and 12th-grade female (6.1%)
students, respectively. Overall, the prevalence of having been
in a physical fight on school property was higher among black
(16.4%) and Hispanic (14.4%) than white (9.9%) students;
higher among black female (13.1%) and Hispanic female
(9.0%) than white female (5.6%) students; higher among black
female (13.1%) than Hispanic female (9.0%) students; and
higher among black male (19.6%) and Hispanic male (19.4%)
than white male (13.8%) students. Overall, the prevalence
of having been in a physical fight on school property was
higher among 9th-grade (16.2%) than 10th-grade (12.8%),
11th-grade (9.2%), and 12th-grade (8.8%) students; higher
among 10th-grade (12.8%) than 11th-grade (9.2%) and
12th-grade (8.8%) students; higher among 9th-grade female
(10.4%) than 11th-grade female (6.0%) and 12th-grade
female (6.1%) students; higher among 9th-grade male (21.7%)
than 10th-grade male (17.0%), 11th-grade male (12.3%),
and 12th-grade male (11.4%) students; and higher among
10th-grade male (17.0%) than 11th-grade male (12.3%) and
12th-grade male (11.4%) students. The prevalence of having
been in a physical fight on school property ranged from 7.1%
to 15.7% across state surveys (median: 9.4%) and from 7.6%
to 18.9% across large urban school district surveys (median:
13.2%) (Table 15).
Among students nationwide, the prevalence of having been
in a physical fight on school property decreased during 1993
2009 (16.2%11.1%) and then did not change significantly
during 20092011 (11.1%12.0%).

Surveillance Summaries

Bullied on School Property


Nationwide, 20.1% of students had been bullied on school
property during the 12 months before the survey (Table 14).
Overall, the prevalence of having been bullied on school
property was higher among female (22.0%) than male (18.2%)
students; higher among white female (25.2%) than white male
(20.7%) students; and higher among 9th-grade female (27.1%),
10th-grade female (24.6%), and 12th-grade female (17.2%)
than 9th-grade male (21.5%), 10th-grade male (20.4%), and
12th-grade male (13.4%) students, respectively. Overall, the
prevalence of having been bullied on school property was
higher among white (22.9%) than black (11.7%) and Hispanic
(17.6%) students; higher among Hispanic (17.6%) than black
(11.7%) students; higher among white female (25.2%) than
black female (12.2%) and Hispanic female (19.3%) students;
higher among Hispanic female (19.3%) than black female
(12.2%) students; higher among white male (20.7%) than
black male (11.1%) and Hispanic male (16.0%) students;
and higher among Hispanic male (16.0%) than black male
(11.1%) students. Overall, the prevalence of having been
bullied on school property was higher among 9th-grade
(24.2%) and 10th-grade (22.4%) than 11th-grade (17.1%) and
12th-grade (15.2%) students; higher among 9th-grade female
(27.1%) and 10th-grade female (24.6%) than 11th-grade
female (17.5%) and 12th-grade female (17.2%) students;
higher among 9th-grade male (21.5%) than 11th-grade male
(16.7%) and 12th-grade male (13.4%) students; and higher
among 10th-grade male (20.4%) and 11th-grade male (16.7%)
than 12th-grade male (13.4%) students. The prevalence of
having been bullied on school property ranged from 14.0% to
26.7% across state surveys (median: 20.3%) and from 9.7%
to 19.5% across large urban school district surveys (median:
13.8%) (Table 15).
The prevalence of having been bullied on school property did
not change significantly from 2009 (19.9%) to 2011 (20.1%).

Electronically Bullied
Nationwide, 16.2% of students had been electronically
bullied, including being bullied through e-mail, chat rooms,
instant messaging, websites, or texting, during the 12 months
before the survey (Table 16). Overall, the prevalence of having
been electronically bullied was higher among female (22.1%)
than male (10.8%) students; higher among white female
(25.9%), black female (11.0%), and Hispanic female (18.0%)
than white male (11.8%), black male (6.9%), and Hispanic
male (9.5%) students, respectively; and higher among 9th-grade
female (22.6%), 10th-grade female (24.2%), 11th-grade female
(19.8%), and 12th-grade female (21.5%) than 9th-grade male
(8.9%), 10th-grade male (12.6%), 11th-grade male (12.4%),

and 12th-grade male (8.8%) students, respectively. Overall,


the prevalence of having been electronically bullied was
higher among white (18.6%) than black (8.9%) and Hispanic
(13.6%) students; higher among Hispanic (13.6%) than black
(8.9%) students; higher among white female (25.9%) than
black female (11.0%) and Hispanic female (18.0%) students;
higher among Hispanic female (18.0%) than black female
(11.0%) students; and higher among white male (11.8%)
and Hispanic male (9.5%) than black male (6.9%) students.
Overall, the prevalence of having been electronically bullied
was higher among 10th-grade (18.1%) than 9th-grade (15.5%)
and 12th-grade (15.0%) students; higher among 10th-grade
female (24.2%) than 11th-grade female (19.8%) students; and
higher among 10th-grade male (12.6%) and 11th-grade male
(12.4%) than 9th-grade male (8.9%) students. The prevalence
of having been electronically bullied ranged from 12.3% to
21.6% across state surveys (median: 15.6%) and from 8.2%
to 16.1% across large urban school district surveys (median:
11.0%) (Table 17).

Did Not Go to School Because of Safety Concerns


Nationwide, 5.9% 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 (Table 16). The prevalence of having not gone to school
because of safety concerns was higher among black male (8.0%)
than black female (5.3%) students. Overall, the prevalence
of having not gone to school because of safety concerns was
higher among black (6.7%) and Hispanic (9.1%) than white
(4.4%) students; higher among Hispanic (9.1%) than black
(6.7%) students; higher among Hispanic female (9.6%) than
white female (4.7%) and black female (5.3%) students; and
higher among black male (8.0%) and Hispanic male (8.5%)
than white male (4.0%) students. Overall, the prevalence of
having not gone to school because of safety concerns was higher
among 10th-grade (6.8%) than 11th-grade (5.2%) students
and higher among 10th-grade female (7.1%) than 11th-grade
female (5.1%) students. The prevalence of having not gone
to school because of safety concerns ranged from 3.4% to
9.0% across state surveys (median: 5.2%) and from 5.1%
to 20.9% across large urban school district surveys (median:
8.2%) (Table 17).
Among students nationwide, the prevalence of having not
gone to school because of safety concerns did not change
significantly during 19932011 (4.4%5.9%). The prevalence
of having not gone to school because of safety concerns also did
not change significantly from 2009 (5.0%) to 2011 (5.9%).

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

Had Property Stolen or Damaged on School


Property
Nationwide, 26.1% of students had had their property (e.g.,
car, clothing or books) stolen or deliberately damaged on school
property one or more times during the 12 months before the
survey (Table 18). Overall, the prevalence of having property
stolen or damaged on school property was higher among male
(28.8%) than female (23.4%) students; higher among white
male (26.8%) and Hispanic male (33.3%) than white female
(21.0%) and Hispanic female (27.8%) students, respectively;
and higher among 11th-grade male (26.7%) and 12th-grade
male (26.9%) than 11th-grade female (20.1%) and 12th-grade
female (19.5%) students, respectively. Overall, the prevalence
of having property stolen or damaged on school property was
higher among black (27.3%) and Hispanic (30.7%) than
white (24.0%) students; higher among Hispanic (30.7%)
than black (27.3%) students; higher among Hispanic female
(27.8%) than white female (21.0%) students; and higher
among Hispanic male (33.3%) than white male (26.8%) and
black male (28.7%) students. Overall, the prevalence of having
property stolen or damaged on school property was higher
among 10th-grade (30.6%) than 9th-grade (26.6%) students;
higher among 9th-grade (26.6%) and 10th-grade (30.6%)
than 11th-grade (23.5%) and 12th-grade (23.3%) students;
higher among 9th-grade female (25.5%) and 10th-grade female
(27.4%) than 11th-grade female (20.1%) and 12th-grade
female (19.5%) students; and higher among 10th-grade male
(33.4%) than 11th-grade male (26.7%) and 12th-grade male
(26.9%) students.
During 20032011, among students nationwide, a significant
linear decrease occurred in the prevalence of having property
stolen or damaged on school property (29.8%26.2%).

Dating Violence
During the 12 months before the survey, 9.4% of students
nationwide had been hit, slapped, or physically hurt on
purpose by their boyfriend or girlfriend (i.e., dating violence)
(Table 19). Overall, the prevalence of dating violence was
higher among black (12.2%) and Hispanic (11.4%) than
white (7.6%) students; higher among black female (11.8%)
and Hispanic female (10.6%) than white female (7.7%)
students; and higher among black male (12.4%) and Hispanic
male (12.1%) than white male (7.4%) students. Overall, the
prevalence of dating violence was higher among 10th-grade
(9.6%), 11th-grade (10.3%), and 12th-grade (10.3%) than
9th-grade (7.5%) students; higher among 10th-grade female
(9.8%) and 12th-grade female (10.7%) than 9th-grade female
(7.6%) students; and higher among 11th-grade male (11.2%)
and 12th-grade male (10.0%) than 9th-grade male (7.4%)

10

MMWR/June 8, 2012/Vol. 61/No. 4

students. The prevalence of dating violence ranged from 6.5%


to 16.1% across state surveys (median: 11.0%) and from 7.6%
to 24.2% across large urban school district surveys (median:
11.6%) (Table 20).
Among students nationwide, the prevalence of dating
violence did not change significantly during 19992011
(8.8%9.4%) or from 2009 (9.8%) to 2011 (9.4%).

Forced to Have Sexual Intercourse


Nationwide, 8.0% of students had ever been physically
forced to have sexual intercourse when they did not want to
(Table 19). Overall, the prevalence of having been forced to
have sexual intercourse was higher among female (11.8%) than
male (4.5%) students; higher among white female (12.0%),
black female (11.0%), and Hispanic female (11.2%) than
white male (3.2%), black male (6.1%), and Hispanic male
(5.4%) students, respectively; and higher among 9th-grade
female (8.2%), 10th-grade female (12.2%), 11th-grade female
(12.7%), and 12th-grade female (14.5%) than 9th-grade male
(3.5%), 10th-grade male (4.2%), 11th-grade male (5.2%), and
12th-grade male (4.7%) students, respectively. The prevalence
of having been forced to have sexual intercourse was higher
among black male (6.1%) and Hispanic male (5.4%) than
white male (3.2%) students. Overall, the prevalence of having
been forced to have sexual intercourse was higher among
10th-grade (8.0%), 11th-grade (8.8%), and 12th-grade (9.5%)
than 9th-grade (5.8%) students; higher among 10th-grade
female (12.2%), 11th-grade female (12.7%), and 12th-grade
female (14.5%) than 9th-grade female (8.2%) students; and
higher among 11th-grade male (5.2%) than 9th-grade male
(3.5%) students. The prevalence of having been forced to
have sexual intercourse ranged from 5.6% to 12.2% across
state surveys (median: 8.4%) and from 6.5% to 12.6% across
large urban school district surveys (median: 8.1%) (Table 20).
Among students nationwide, the prevalence of having been
forced to have sexual intercourse did not change significantly
during 20012011 (7.7%8.0%) or from 2009 (7.4%) to
2011 (8.0%).

Felt Sad or Hopeless


During the 12 months before the survey, 28.5% of students
nationwide had felt so sad or hopeless almost every day for 2
or more weeks in a row that they stopped doing some usual
activities (Table 21). Overall, the prevalence of having felt sad
or hopeless almost every day for 2 or more weeks in a row was
higher among female (35.9%) than male (21.5%) students;
higher among white female (34.3%), black female (31.4%),
and Hispanic female (41.4%) than white male (20.7%),
black male (18.0%), and Hispanic male (24.4%) students,
respectively; and higher among 9th-grade female (37.4%),

Surveillance Summaries

10th-grade female (37.2%), 11th-grade female (34.3%), and


12th-grade female (34.4%) than 9th-grade male (18.2%),
10th-grade male (21.1%), 11th-grade male (23.6%), and
12th-grade male (23.6%) students, respectively. Overall, the
prevalence of having felt sad or hopeless almost every day for
2 or more weeks in a row was higher among Hispanic (32.6%)
than white (27.2%) and black (24.7%) students; higher among
Hispanic female (41.4%) than white female (34.3%) and black
female (31.4%) students; and higher among Hispanic male
(24.4%) than black male (18.0%) students. The prevalence
of having felt sad or hopeless almost every day for 2 or more
weeks in a row was higher among 11th-grade male (23.6%)
and 12th-grade male (23.6%) than 9th-grade male (18.2%)
students. The prevalence of having felt sad or hopeless almost
every day for 2 or more weeks in a row ranged from 19.2% to
33.6% across state surveys (median: 25.8%) and from 21.7%
to 32.8% across large urban school district surveys (median:
27.6%) (Table 22).
During 19992011, among students nationwide, the
prevalence of having felt sad or hopeless almost every day
for 2 or more weeks in a row did not change significantly
(28.3%28.5%). The prevalence of having felt sad or hopeless
almost every day for 2 or more weeks in a row increased from
2009 (26.1%) to 2011 (28.5%).

Seriously Considered Attempting Suicide


Nationwide, 15.8% of students had seriously considered
attempting suicide during the 12 months before the survey
(Table 23). Overall, the prevalence of having seriously
considered attempting suicide was higher among female
(19.3%) than male (12.5%) students; higher among white
female (18.4%), black female (17.4%), and Hispanic female
(21.0%) than white male (12.8%), black male (9.0%), and
Hispanic male (12.6%) students, respectively; and higher
among 9th-grade female (21.5%), 10th-grade female
(22.3%), and 12th-grade female (15.8%) than 9th-grade
male (12.9%), 10th-grade male (11.4%), and 12th-grade
male (11.5%) students, respectively. Overall, the prevalence
of having seriously considered attempting suicide was higher
among white (15.5%) and Hispanic (16.7%) than black
(13.2%) students; higher among Hispanic female (21.0%)
than black female (17.4%) students; and higher among white
male (12.8%) and Hispanic male (12.6%) than black male
(9.0%) students. Overall, the prevalence of having seriously
considered attempting suicide was higher among 9th-grade
(17.1%) and 10th-grade (16.5%) than 12th-grade (13.6%)
students and higher among 9th-grade female (21.5%) and
10th-grade female (22.3%) than 11th-grade female (16.7%)
and 12th-grade female (15.8%) students. The prevalence of
having seriously considered attempting suicide ranged from

11.4% to 18.9% across state surveys (median: 14.6%) and


from 10.7% to 15.7% across large urban school district surveys
(median: 13.2%) (Table 24).
Among students nationwide, the prevalence of having
seriously considered attempting suicide decreased during
19912009 (29.0%13.8%) and then increased during 2009
2011(13.8%15.8%).

Made a Suicide Plan


During the 12 months before the survey, 12.8% of students
nationwide had made a plan about how they would attempt
suicide (Table 23). Overall, the prevalence of having made
a suicide plan was higher among female (15.0%) than male
(10.8%) students; higher among white female (13.7%),
black female (13.9%), and Hispanic female (17.6%) than
white male (10.6%), black male (8.4%), and Hispanic male
(11.1%) students, respectively; and higher among 9th-grade
female (16.9%), 10th-grade female (17.9%), and 12th-grade
female (12.0%) than 9th-grade male (10.4%), 10th-grade male
(11.3%), and 12th-grade male (9.5%) students, respectively.
Overall, the prevalence of having made a suicide plan was
higher among Hispanic (14.3%) than white (12.1%) and
black (11.1%) students and higher among Hispanic female
(17.6%) than white female (13.7%) and black female (13.9%)
students. Overall, the prevalence of having made a suicide plan
was higher among 9th-grade (13.6%) and 10th-grade (14.4%)
than 12th-grade (10.7%) students; higher among 10th-grade
(14.4%) than 11th-grade (11.9%) students; and higher among
9th-grade female (16.9%) and 10th-grade female (17.9%) than
11th-grade female (12.3%) and 12th-grade female (12.0%)
students. The prevalence of having made a suicide plan ranged
from 8.4% to 16.3% across state surveys (median: 12.3%) and
from 8.6% to 14.9% across large urban school district surveys
(median: 11.4%) (Table 24).
During 19912011, among students nationwide, a significant
linear decrease occurred in the prevalence of having made a
suicide plan (18.6%12.8%). The prevalence of having made
a suicide plan increased from 2009 (10.9%) to 2011 (12.8%).

Attempted Suicide
Nationwide, 7.8% of students had attempted suicide one
or more times during the 12 months before the survey (Table
25). Overall, the prevalence of having attempted suicide was
higher among female (9.8%) than male (5.8%) students; higher
among white female (7.9%) and Hispanic female (13.5%)
than white male (4.6%) and Hispanic male (6.9%) students,
respectively; and higher among 9th-grade female (11.8%),
10th-grade female (11.6%), and 12th-grade female (7.7%)
than 9th-grade male (6.8%), 10th-grade male (5.1%), and
12th-grade male (5.0%) students, respectively. Overall, the

MMWR/June 8, 2012/Vol. 61/No. 4

11

Surveillance Summaries

prevalence of having attempted suicide was higher among black


(8.3%) and Hispanic (10.2%) than white (6.2%) students;
higher among Hispanic female (13.5%) than white female
(7.9%) and black female (8.8%) students; and higher among
black male (7.7%) and Hispanic male (6.9%) than white male
(4.6%) students. Overall, the prevalence of having attempted
suicide was higher among 9th-grade (9.3%) and 10th-grade
(8.2%) than 11th-grade (6.6%) and 12th-grade (6.3%)
students and higher among 9th-grade female (11.8%) and
10th-grade female (11.6%) than 11th-grade female (7.4%)
and 12th-grade female (7.7%) students. The prevalence of
having attempted suicide ranged from 3.6% to 11.3% across
state surveys (median: 7.8%) and from 6.0% to 15.8% across
large urban school district surveys (median: 9.2%) (Table 26).
Among students nationwide, the prevalence of having
attempted suicide did not change significantly during 1991
2001 (7.3%8.8%) and then decreased during 20012011
(8.8%7.8%). The prevalence of having attempted suicide
increased from 2009 (6.3%) to 2011 (7.8%).

Suicide Attempt Treated by a Doctor or Nurse


During the 12 months before the survey, 2.4% 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 25). Overall, 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 (2.9%) than male (1.9%) students; higher
among white female (2.2%) and Hispanic female (4.1%)
than white male (1.5%) and Hispanic male (2.2%) students,
respectively; and higher among 9th-grade female (3.7%) and
10th-grade female (3.4%) than 9th-grade male (2.0%) and
10th-grade male (1.8%) students, respectively. Overall, 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 Hispanic (3.2%) than white
(1.9%) students and higher among Hispanic female (4.1%)
than white female (2.2%) and black female (2.4%) students.
Overall, 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
(2.8%) than 11th-grade (1.9%) and 12th-grade (2.0%)
students; higher among 10th-grade (2.6%) than 11th-grade
(1.9%) students; higher among 9th-grade female (3.7%) than
11th-grade female (2.0%) and 12th-grade female (2.3%)
students; and higher among 10th-grade female (3.4%) than
11th-grade female (2.0%) 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 ranged
from 1.1% to 5.4% across state surveys (median: 2.7%) and

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MMWR/June 8, 2012/Vol. 61/No. 4

from 1.6% to 5.6% across large urban school district surveys


(median: 3.4%) (Table 26).
Among students nationwide, 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 increased
during 19911995 (1.7%2.8%) and then decreased during
19952011 (2.8%2.4%). 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 2009 (1.9%) to 2011 (2.4%).

Tobacco Use
Ever Smoked Cigarettes
Nationwide, 44.7% of students had ever tried cigarette
smoking (even one or two puffs) (i.e., ever smoked cigarettes)
(Table 27). Overall, the prevalence of having ever smoked
cigarettes was higher among male (46.3%) than female (42.9%)
students; higher among Hispanic male (51.5%) than Hispanic
female (45.5%) students; and higher among 11th-grade male
(50.2%) than 11th-grade female (43.9%) students. Overall,
the prevalence of having ever smoked cigarettes was higher
among white (44.2%) and Hispanic (48.6%) than black
(39.1%) students; higher among Hispanic female (45.5%)
than black female (38.0%) students; higher among white male
(45.6%) than black male (40.0%) students; and higher among
Hispanic male (51.5%) than white male (45.6%) and black
male (40.0%) students. Overall, the prevalence of having ever
smoked cigarettes was higher among 11th-grade (47.1%) and
12th-grade (54.5%) than 9th-grade (37.6%) and 10th-grade
(41.0%) students; higher among 12th-grade (54.5%) than
11th-grade (47.1%) students; higher among 10th-grade female
(40.8%), 11th-grade female (43.9%), and 12th-grade female
(53.6%) than 9th-grade female (35.0%) students; higher
among 12th-grade female (53.6%) than 10th-grade female
(40.8%) and 11th-grade female (43.9%) students; and higher
among 11th-grade male (50.2%) and 12th-grade male (55.3%)
than 9th-grade male (40.0%) and 10th-grade male (41.1%)
students. The prevalence of having ever smoked cigarettes
ranged from 23.1% to 59.5% across state surveys (median:
46.4%) and from 28.9% to 51.1% across large urban school
district surveys (median: 41.0%) (Table 28).
Among students nationwide, the prevalence of having
ever smoked cigarettes did not change significantly during
19911999 (70.1%70.4%) and then decreased during
19992011 (70.4%44.7%). The prevalence of having ever
smoked cigarettes did not change significantly from 2009
(46.3%) to 2011 (44.7%).

Surveillance Summaries

Ever Smoked Cigarettes Daily


Nationwide, 10.2% of students had ever smoked at least
one cigarette every day for 30 days (i.e., ever smoked cigarettes
daily) (Table 27). Overall, the prevalence of having ever smoked
cigarettes daily was higher among male (11.0%) than female
(9.2%) students; higher among Hispanic male (9.0%) than
Hispanic female (6.4%) students; and higher among 9th-grade
male (6.8%) than 9th-grade female (5.0%) students. Overall,
the prevalence of having ever smoked cigarettes daily was
higher among white (12.0%) than black (5.3%) and Hispanic
(7.8%) students; higher among Hispanic (7.8%) than black
(5.3%) students; higher among white female (11.4%) than
black female (4.3%) and Hispanic female (6.4%) students;
higher among white male (12.5%) than black male (6.3%) and
Hispanic male (9.0%) students; and higher among Hispanic
male (9.0%) than black male (6.3%) students. Overall,
the prevalence of having ever smoked cigarettes daily was
higher among 10th-grade (8.4%), 11th-grade (11.1%), and
12th-grade (15.7%) than 9th-grade (6.0%) students; higher
among 11th-grade (11.1%) and 12th-grade (15.7%) than
10th-grade (8.4%) students; higher among 12th-grade (15.7%)
than 11th-grade (11.1%) students; higher among 10th-grade
female (8.6%), 11th-grade female (9.7%), and 12th-grade
female (14.1%) than 9th-grade female (5.0%) students; higher
among 12th-grade female (14.1%) than 10th-grade female
(8.6%) and 11th-grade female (9.7%) students; higher among
11th-grade male (12.3%) and 12th-grade male (17.3%) than
9th-grade male (6.8%) and 10th-grade male (8.3%) students;
and higher among 12th-grade male (17.3%) than 11th-grade
male (12.3%) students. The prevalence of having ever smoked
cigarettes daily ranged from 4.2% to 19.4% across state surveys
(median: 10.5%) and from 3.0% to 8.1% across large urban
school district surveys (median: 6.0%) (Table 28).
During 20012011, among students nationwide, a
significant linear decrease occurred in the prevalence of
having ever smoked cigarettes daily (20.0%10.2%). The
prevalence of having ever smoked cigarettes daily did not
change significantly from 2009 (11.2%) to 2011 (10.2%).

Smoked a Whole Cigarette Before Age 13 Years


Nationwide, 10.3% of students had smoked a whole
cigarette for the first time before age 13 years (Table 29).
Overall, the prevalence of having smoked a whole cigarette
before age 13 years was higher among male (12.0%) than
female (8.4%) students; higher among white male (11.2%),
black male (11.1%), and Hispanic male (14.7%) than white
female (8.4%), black female (6.6%), and Hispanic female
(8.7%) students, respectively; and higher among 9th-grade
male (14.8%), 10th-grade male (11.5%), and 12th-grade

male (9.6%) than 9th-grade female (9.2%), 10th-grade female


(8.5%), and 12th-grade female (6.8%) students, respectively.
Overall, the prevalence of having smoked a whole cigarette
before age 13 years was higher among Hispanic (11.8%)
than black (8.8%) students and higher among Hispanic male
(14.7%) than white male (11.2%) and black male (11.1%)
students. Overall, the prevalence of having smoked a whole
cigarette before age 13 years was higher among 9th-grade
(12.1%) than 11th-grade (9.8%) and 12th-grade (8.2%)
students; higher among 10th-grade (10.1%) than 12th-grade
(8.2%) students; and higher among 9th-grade male (14.8%)
than 10th-grade male (11.5%), 11th-grade male (10.9%), and
12th-grade male (9.6%) students. The prevalence of having
smoked a whole cigarette before age 13 years ranged from 4.6%
to 19.7% across state surveys (median: 10.9%) and from 6.4%
to 12.7% across large urban school district surveys (median:
9.1%) (Table 30).
Among students nationwide, the prevalence of having
smoked a whole cigarette before age 13 years increased during
19911993 (23.8%26.9%) and then decreased during 1993
2011 (26.9%10.3%). The prevalence of having smoked a
whole cigarette before age 13 years did not change significantly
from 2009 (10.7%) to 2011 (10.3%).

Current Cigarette Use


Nationwide, 18.1% of students had smoked cigarettes
on at least 1 day during the 30 days before the survey (i.e.,
current cigarette use) (Table 29). Overall, the prevalence of
current cigarette use was higher among male (19.9%) than
female (16.1%) students; higher among black male (13.7%)
and Hispanic male (19.5%) than black female (7.4%) and
Hispanic female (15.2%) students, respectively; and higher
among 9th-grade male (15.1%) and 12th-grade male (28.0%)
than 9th-grade female (10.9%) and 12th-grade female (22.2%)
students, respectively. Overall, the prevalence of current
cigarette use was higher among white (20.3%) and Hispanic
(17.5%) than black (10.5%) students; higher among white
female (18.9%) than black female (7.4%) and Hispanic female
(15.2%) students; higher among Hispanic female (15.2%) than
black female (7.4%) students; and higher among white male
(21.5%) and Hispanic male (19.5%) than black male (13.7%)
students. Overall, the prevalence of current cigarette use was
higher among 10th-grade (15.6%), 11th-grade (19.3%),
and 12th-grade (25.1%) than 9th-grade (13.0%) students;
higher among 11th-grade (19.3%) and 12th-grade (25.1%)
than 10th-grade (15.6%) students; higher among 12th-grade
(25.1%) than 11th-grade (19.3%) students; higher among
10th-grade female (15.1%), 11th-grade female (17.2%),
and 12th-grade female (22.2%) than 9th-grade female
(10.9%) students; higher among 12th-grade female (22.2%)

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13

Surveillance Summaries

than 10th-grade female (15.1%) and 11th-grade female


(17.2%) students; higher among 11th-grade male (21.2%)
and 12th-grade male (28.0%) than 9th-grade male (15.1%)
and 10th-grade male (16.1%) students; and higher among
12th-grade male (28.0%) than 11th-grade male (21.2%)
students. The prevalence of current cigarette use ranged from
5.9% to 24.1% across state surveys (median: 17.4%) and
from 4.8% to 14.7% across large urban school district surveys
(median: 11.0%) (Table 30).
Among students nationwide, the prevalence of current
cigarette use increased during 19911997 (27.5%36.4%)
and then decreased during 19972011 (36.4%18.1%). The
prevalence of current cigarette use did not change significantly
from 2009 (19.5%) to 2011 (18.1%).

Current Frequent Cigarette Use


Nationwide, 6.4% of students had smoked cigarettes 20 or
more days during the 30 days before the survey (i.e., current
frequent cigarette use) (Table 31). Overall, the prevalence of
current frequent cigarette use was higher among male (7.4%)
than female (5.4%) students; higher among Hispanic male
(5.8%) than Hispanic female (2.8%) students; and higher
among 9th-grade male (4.3%), 11th-grade male (9.2%),
and 12th-grade male (12.3%) than 9th-grade female (2.3%),
11th-grade female (6.2%), and 12th-grade female (9.3%)
students, respectively. Overall, the prevalence of current
frequent cigarette use was higher among white (8.0%) than
black (2.6%) and Hispanic (4.4%) students; higher among
Hispanic (4.4%) than black (2.6%) students; higher among
white female (7.4%) than black female (1.9%) and Hispanic
female (2.8%) students; higher among white male (8.6%)
than black male (3.4%) and Hispanic male (5.8%) students;
and higher among Hispanic male (5.8%) than black male
(3.4%) students. Overall, the prevalence of current frequent
cigarette use was higher among 11th-grade (7.7%) and
12th-grade (10.8%) than 9th-grade (3.3%) and 10th-grade
(4.3%) students; higher among 12th-grade (10.8%) than
11th-grade (7.7%) students; higher among 10th-grade female
(4.2%), 11th-grade female (6.2%), and 12th-grade female
(9.3%) than 9th-grade female (2.3%) students; higher among
12th-grade female (9.3%) than 10th-grade female (4.2%) and
11th-grade female (6.2%) students; higher among 11th-grade
male (9.2%) and 12th-grade male (12.3%) than 9th-grade
male (4.3%) and 10th-grade male (4.4%) students; and higher
among 12th-grade male (12.3%) than 11th-grade male (9.2%)
students. Prevalence of current frequent cigarette use ranged
from 2.1% to 11.6% across state surveys (median: 6.3%) and
from 0.9% to 5.3% across large urban school district surveys
(median: 3.2%) (Table 32).

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MMWR/June 8, 2012/Vol. 61/No. 4

Among students nationwide, the prevalence of current


frequent cigarette use increased during 19911999 (12.7%
16.8%) and then decreased during 19992011 (16.8%6.4%).
The prevalence of current frequent cigarette use did not change
significantly from 2009 (7.3%) to 2011 (6.4%).

Smoked More than 10 Cigarettes per Day


Among the 18.1% of students nationwide who currently
smoked cigarettes, 7.8% of students had smoked more than 10
cigarettes per day on the days they smoked during the 30 days
before the survey (Table 31). Overall, the prevalence of having
smoked more than 10 cigarettes per day was higher among
male (9.4%) than female (5.7%) students; higher among
Hispanic male (8.8%) than Hispanic female (2.7%) students;
and higher among 11th-grade male (11.6%) than 11th-grade
female (3.9%) students. Overall, the prevalence of having
smoked more than 10 cigarettes per day was higher among
white (8.5%) than black (4.6%) students and higher among
white female (7.4%) than Hispanic female (2.7%) students.
The prevalence of having smoked more than 10 cigarettes per
day ranged from 3.5% to 18.2% across state surveys (median:
7.8%) and from 1.9% to 12.9% across large urban school
district surveys (median: 8.3%) (Table 32).
During 19912011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
smoked more than 10 cigarettes per day (18.0%7.8%). The
prevalence of having smoked more than 10 cigarettes per day
did not change significantly from 2009 (7.8%) to 2011 (7.8%).

Smoked Cigarettes on School Property


Nationwide, 4.9% of students had smoked cigarettes on
school property on at least 1 day during the 30 days before
the survey (Table 33). Overall, the prevalence of having
smoked cigarettes on school property was higher among male
(5.7%) than female (4.1%) students; higher among black
male (4.3%) and Hispanic male (5.5%) than black female
(1.8%) and Hispanic female (3.1%) students, respectively;
and higher among 12th-grade male (8.5%) than 12th-grade
female (4.7%) students. Overall, the prevalence of having
smoked cigarettes on school property was higher among white
(5.4%) than black (3.0%) students and higher among white
female (5.0%) than black female (1.8%) and Hispanic female
(3.1%) students. Overall, the prevalence of having smoked
cigarettes on school property was higher among 10th-grade
(4.4%), 11th-grade (5.9%), and 12th-grade (6.6%) than
9th-grade (2.8%) students; higher among 11th-grade (5.9%)
and 12th-grade (6.6%) than 10th-grade (4.4%) students;
higher among 10th-grade female (4.2%), 11th-grade female
(5.2%), and 12th-grade female (4.7%) than 9th-grade female
(2.2%) students; higher among 11th-grade male (6.7%) and

Surveillance Summaries

12th-grade male (8.5%) than 9th-grade male (3.4%) students;


and higher among 12th-grade male (8.5%) than 10th-grade
male (4.6%) students. The prevalence of having smoked
cigarettes on school property ranged from 2.3% to 9.3% across
state surveys (median: 4.3%) and from 1.5% to 6.1% across
large urban school district surveys (median: 3.7%) (Table 34).
Among students nationwide, the prevalence of having
smoked cigarettes on school property did not change
significantly during 19931995 (13.2%16.0%) and then
decreased during 19952011 (16.0%4.9%). The prevalence
of having smoked cigarettes on school property did not change
significantly from 2009 (5.1%) to 2011 (4.9%).

Bought Cigarettes in a Store or Gas Station


Among the 14.2% of students nationwide who currently
smoked cigarettes and were aged <18 years, 14.0% 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 33).
Overall, the prevalence of having bought their own cigarettes
in a store or gas station was higher among male (17.1%) than
female (10.2%) students; higher among white male (17.5%)
and Hispanic male (20.8%) than white female (9.8%) and
Hispanic female (7.5%) students, respectively; and higher
among 10th-grade male (16.1%) than 10th-grade female
(6.6%) students. Overall, the prevalence of having bought
their own cigarettes in a store or gas station was higher among
11th-grade (18.3%) and 12th-grade (18.1%) than 9th-grade
(8.7%) students; higher among 11th-grade (18.3%) than
10th-grade (11.8%) students; higher among 11th-grade
female (13.4%) than 10th-grade female (6.6%) students; and
higher among 11th-grade male (22.4%) and 12th-grade male
(20.8%) than 9th-grade male (10.3%) students. The prevalence
of having bought their own cigarettes in a store or gas station
ranged from 3.0% to 25.5% across state surveys (median:
12.3%) and from 10.3% to 30.1% across large urban school
district surveys (median: 18.0%) (Table 34).
During 20012011, among students nationwide who
currently smoked cigarettes and were aged <18 years, a
significant linear decrease occurred in the prevalence of
having bought their own cigarettes in a store or gas station
(19.0%14.0%). The prevalence of having bought their own
cigarettes in a store or gas station did not change significantly
from 2009 (14.1%) to 2011 (14.0%).

Tried to Quit Smoking Cigarettes


Among the 18.1% of students nationwide who currently
smoked cigarettes, 49.9% had tried to quit smoking cigarettes
during the 12 months before the survey (Table 35). Overall, the
prevalence of having tried to quit smoking cigarettes was higher

among female (53.9%) than male (47.0%) students; higher


among white female (54.0%) and Hispanic female (55.9%)
than white male (46.3%) and Hispanic male (44.7%) students,
respectively; and higher among 11th-grade female (55.1%) and
12th-grade female (52.6%) than 11th-grade male (43.1%) and
12th-grade male (44.1%) students, respectively. Overall, the
prevalence of having tried to quit smoking cigarettes was higher
among 10th-grade (55.9%) than 12th-grade (47.8%) students
and higher among 10th-grade male (53.9%) than 11th-grade
male (43.1%) and 12th-grade male (44.1%) students. The
prevalence of having tried to quit smoking cigarettes ranged
from 44.3% to 68.0% across state surveys (median: 52.1%)
and from 40.5% to 61.6% across large urban school district
surveys (median: 53.3%) (Table 36).
During 20012011, among students nationwide who
currently smoke cigarettes, a significant linear decrease
occurred in the prevalence of having ever tried to quit smoking
cigarettes (57.4%49.9%). The prevalence of having ever tried
to quit smoking cigarettes did not change significantly from
2009 (50.8%) to 2011 (49.9%).

Current Smokeless Tobacco Use


Nationwide, 7.7% 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 37). Overall, the prevalence of current smokeless
tobacco use was higher among male (12.8%) than female
(2.2%) students; higher among white male (15.6%), black
male (5.4%), and Hispanic male (8.7%) than white female
(2.4%), black female (0.8%), and Hispanic female (2.8%)
students, respectively; and higher among 9th-grade male
(9.6%), 10th-grade male (12.1%), 11th-grade male (14.5%),
and 12th-grade male (15.0%) than 9th-grade female (2.0%),
10th-grade female (2.1%), 11th-grade female (2.3%), and
12th-grade female (2.2%) students, respectively. Overall,
the prevalence of current smokeless tobacco use was higher
among white (9.3%) than black (3.1%) and Hispanic (5.9%)
students; higher among Hispanic (5.9%) than black (3.1%)
students; higher among white female (2.4%) and Hispanic
female (2.8%) than black female (0.8%) students; higher
among white male (15.6%) than black male (5.4%) and
Hispanic male (8.7%) students; and higher among Hispanic
male (8.7%) than black male (5.4%) students. Overall, the
prevalence of current smokeless tobacco use was higher among
11th-grade (8.6%) and 12th-grade (8.8%) than 9th-grade
(5.9%) students; higher among 11th-grade male (14.5%) and
12th-grade male (15.0%) than 9th-grade male (9.6%) students;
and higher among 12th-grade male (15.0%) than 10th-grade
male (12.1%) students. The prevalence of current smokeless
tobacco use ranged from 3.5% to 16.9% across state surveys

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15

Surveillance Summaries

(median: 8.8%) and from 1.4% to 7.5% across large urban


school district surveys (median: 3.8%) (Table 38).
Among students nationwide, the prevalence of current
smokeless tobacco use decreased during 19952003
(11.4%6.7%) and then did not change significantly during
20032011 (6.7%7.7%). The prevalence of current smokeless
tobacco use also did not change significantly from 2009 (8.9%)
to 2011 (7.7%).

Used Smokeless Tobacco on School Property


Nationwide, 4.8% of students had used smokeless tobacco
(e.g., chewing tobacco, snuff, or dip) on school property on
at least 1 day during the 30 days before the survey (Table 37).
Overall, the prevalence of having used smokeless tobacco on
school property was higher among male (8.4%) than female
(0.9%) students; higher among white male (10.1%), black
male (3.4%), and Hispanic male (5.7%) than white female
(0.8%), black female (0.4%), and Hispanic female (1.4%)
students, respectively; and higher among 9th-grade male
(6.4%), 10th-grade male (7.8%), 11th-grade male (9.1%),
and 12th-grade male (10.4%) than 9th-grade female (0.9%),
10th-grade female (1.0%), 11th-grade female (0.8%), and
12th-grade female (0.7%) students, respectively. Overall,
the prevalence of having used smokeless tobacco on school
property was higher among white (5.6%) than black (1.9%)
and Hispanic (3.7%) students; higher among Hispanic
(3.7%) than black (1.9%) students; higher among white
male (10.1%) than black male (3.4%) and Hispanic male
(5.7%) students; and higher among Hispanic male (5.7%)
than black male (3.4%) students. Overall, the prevalence of
having used smokeless tobacco on school property was higher
among 12th-grade (5.7%) than 9th-grade (3.8%) students;
higher among 11th-grade male (9.1%) and 12th-grade male
(10.4%) than 9th-grade male (6.4%) students; and higher
among 12th-grade male (10.4%) than 10th-grade male (7.8%)
students. The prevalence of having used smokeless tobacco
on school property ranged from 2.3% to 11.6% across state
surveys (median: 5.1%) and from 0.7% to 3.5% across large
urban school district surveys (median: 2.2%) (Table 38).
Among students nationwide, the prevalence of having
used smokeless tobacco on school property did not change
significantly during 19952011 (6.3%4.8%) or from 2009
(5.5%) to 2011 (4.8%).

Current Cigar Use


Nationwide, 13.1% 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). Overall, the
prevalence of current cigar use was higher among male (17.8%)
than female (8.0%) students; higher among white male

16

MMWR/June 8, 2012/Vol. 61/No. 4

(19.0%), black male (15.1%), and Hispanic male (17.2%)


than white female (7.5%), black female (8.5%), and Hispanic
female (9.1%) students, respectively; and higher among
9th-grade male (12.3%), 10th-grade male (15.4%), 11th-grade
male (20.4%), and 12th-grade male (23.9%) than 9th-grade
female (5.5%), 10th-grade female (8.1%), 11th-grade female
(8.4%), and 12th-grade female (10.2%) students, respectively.
The prevalence of current cigar use was higher among white
male (19.0%) than black male (15.1%) students. Overall, the
prevalence of current cigar use was higher among 10th-grade
(11.9%), 11th-grade (14.5%), and 12th-grade (17.3%) than
9th-grade (9.0%) students; higher among 11th-grade (14.5%)
and 12th-grade (17.3%) than 10th-grade (11.9%) students;
higher among 10th-grade female (8.1%), 11th-grade female
(8.4%), and 12th-grade female (10.2%) than 9th-grade female
(5.5%) students; higher among 10th-grade male (15.4%),
11th-grade male (20.4%), and 12th-grade male (23.9%)
than 9th-grade male (12.3%) students; and higher among
11th-grade male (20.4%) and 12th-grade male (23.9%) than
10th-grade male (15.4%) students. The prevalence of current
cigar use ranged from 5.0% to 18.3% across state surveys
(median: 13.9%) and from 6.0% to 15.7% across large urban
school district surveys (median: 10.4%) (Table 40).
Among students nationwide, the prevalence of current cigar
use decreased during 19972005 (22.0%14.0%) and then did
not change significantly during 20052011 (14.0%13.1%).
The prevalence of current cigar use also did not change
significantly from 2009 (14.0%) to 2011 (13.1%).

Current Tobacco Use


Nationwide, 23.4% of students had reported current
cigarette use, current smokeless tobacco use, or current cigar use
(i.e., current tobacco use) (Table 39). Overall, the prevalence
of current tobacco use was higher among male (28.1%) than
female (18.5%) students; higher among white male (31.5%),
black male (18.8%), and Hispanic male (24.4%) than white
female (21.2%), black female (12.3%), and Hispanic female
(16.3%) students, respectively; and higher among 9th-grade
male (19.7%), 10th-grade male (25.3%), 11th-grade male
(31.6%), and 12th-grade male (37.1%) than 9th-grade
female (12.4%), 10th-grade female (17.2%), 11th-grade
female (19.8%), and 12th-grade female (25.4%) students,
respectively. Overall, the prevalence of current tobacco use was
higher among white (26.5%) than black (15.4%) and Hispanic
(20.5%) students; higher among Hispanic (20.5%) than black
(15.4%) students; higher among white female (21.2%) than
black female (12.3%) and Hispanic female (16.3%) students;
higher among Hispanic female (16.3%) than black female
(12.3%) students; higher among white male (31.5%) than
black male (18.8%) and Hispanic male (24.4%) students; and

Surveillance Summaries

higher among Hispanic male (24.4%) than black male (18.8%)


students. Overall, the prevalence of current tobacco use was
higher among 10th-grade (21.5%), 11th-grade (25.8%),
and 12th-grade (31.4%) than 9th-grade (16.1%) students;
higher among 11th-grade (25.8%) and 12th-grade (31.4%)
than 10th-grade (21.5%) students; higher among 12th-grade
(31.4%) than 11th-grade (25.8%) students; higher among
10th-grade female (17.2%), 11th-grade female (19.8%), and
12th-grade female (25.4%) than 9th-grade female (12.4%)
students; higher among 12th-grade female (25.4%) than
10th-grade female (17.2%) and 11th-grade female (19.8%)
students; higher among 10th-grade male (25.3%), 11th-grade
male (31.6%), and 12th-grade male (37.1%) than 9th-grade
male (19.7%) students; and higher among 11th-grade male
(31.6%) and 12th-grade male (37.1%) than 10th-grade male
(25.3%) students. The prevalence of current tobacco use
ranged from 7.8% to 31.9% across state surveys (median:
23.9%) and from 9.3% to 20.0% across large urban school
district surveys (median: 14.9%) (Table 40).
Among students nationwide, the prevalence of current
tobacco use decreased during 19972007 (43.4%25.7%) and
then did not change significantly during 20072011 (25.7%
23.4%). The prevalence of current tobacco use also did not
change significantly from 2009 (26.0%) to 2011 (23.4%).

Alcohol and Other Drug Use


Ever Drank Alcohol
Nationwide, 70.8% of students had had at least one drink
of alcohol on at least 1 day during their life (i.e., ever drank
alcohol) (Table 41). The prevalence of having ever drunk
alcohol was higher among black female (66.1%) than black
male (60.9%) students. Overall, the prevalence of having ever
drunk alcohol was higher among white (71.7%) and Hispanic
(73.2%) than black (63.5%) students; higher among Hispanic
female (74.1%) than black female (66.1%) students; and
higher among white male (72.3%) and Hispanic male (72.4%)
than black male (60.9%) students. Overall, the prevalence
of having ever drunk alcohol was higher among 10th-grade
(69.2%), 11th-grade (75.3%), and 12th-grade (79.0%)
than 9th-grade (61.7%) students; higher among 11th-grade
(75.3%) and 12th-grade (79.0%) than 10th-grade (69.2%)
students; higher among 12th-grade (79.0%) than 11th-grade
(75.3%) students; higher among 10th-grade female (69.1%),
11th-grade female (74.8%), and 12th-grade female (80.0%)
than 9th-grade female (61.9%) students; higher among
11th-grade female (74.8%) and 12th-grade female (80.0%)
than 10th-grade female (69.1%) students; higher among
12th-grade female (80.0%) than 11th-grade female (74.8%)

students; higher among 10th-grade male (69.2%), 11th-grade


male (75.7%), and 12th-grade male (78.0%) than 9th-grade
male (61.6%) students; and higher among 11th-grade male
(75.7%) and 12th-grade male (78.0%) than 10th-grade male
(69.2%) students. The prevalence of having ever drunk alcohol
ranged from 35.1% to 75.6% across state surveys (median:
66.3%) and from 49.1% to 72.2% across large urban school
district surveys (median: 65.2%) (Table 42).
Among students nationwide, the prevalence of having ever
drunk alcohol did not change significantly during 19911999
(81.6%81.0%) and then decreased during 19992011 (81.0%
70.8%). The prevalence of having ever drunk alcohol did not
change significantly from 2009 (72.5%) to 2011 (70.8%).

Drank Alcohol Before Age 13 Years


Nationwide, 20.5% of students had drunk alcohol (other
than a few sips) for the first time before age 13 years (Table
41). Overall, the prevalence of having drunk alcohol before
age 13 years was higher among male (23.3%) than female
(17.4%) students; higher among white male (21.1%), black
male (24.1%), and Hispanic male (27.2%) than white
female (14.8%), black female (19.4%), and Hispanic female
(23.0%) students, respectively; and higher among 9th-grade
male (28.9%), 10th-grade male (24.3%), 11th-grade male
(20.9%), and 12th-grade male (17.9%) than 9th-grade
female (24.1%), 10th-grade female (17.6%), 11th-grade
female (14.2%), and 12th-grade female (12.2%) students,
respectively. Overall, the prevalence of having drunk alcohol
before age 13 years was higher among black (21.8%) than
white (18.1%) students; higher among Hispanic (25.2%)
than white (18.1%) and black (21.8%) students; higher
among black female (19.4%) than white female (14.8%)
students; higher among Hispanic female (23.0%) than
white female (14.8%) and black female (19.4%) students;
and higher among Hispanic male (27.2%) than white male
(21.1%) students. Overall, the prevalence of having drunk
alcohol before age 13 years was higher among 9th-grade
(26.6%) than 10th-grade (21.1%), 11th-grade (17.6%),
and 12th-grade (15.1%) students; higher among 10th-grade
(21.1%) than 11th-grade (17.6%) and 12th-grade (15.1%)
students; higher among 11th-grade (17.6%) than 12th-grade
(15.1%) students; higher among 9th-grade female (24.1%)
than 10th-grade female (17.6%), 11th-grade female (14.2%),
and 12th-grade female (12.2%) students; higher among
10th-grade female (17.6%) than 11th-grade female (14.2%)
and 12th-grade female (12.2%) students; higher among
9th-grade male (28.9%) than 10th-grade male (24.3%),
11th-grade male (20.9%), and 12th-grade male (17.9%)
students; and higher among 10th-grade male (24.3%) and
11th-grade male (20.9%) than 12th-grade male (17.9%)

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Surveillance Summaries

students. The prevalence of having drunk alcohol before age


13 years ranged from ranged from 10.7% to 27.4% across
state surveys (median: 19.0%) and from 16.2% to 26.4%
across large urban school district surveys (median: 21.9%)
(Table 42).
Among students nationwide, the prevalence of having
drunk alcohol before age 13 years did not change significantly
during 19911999 (32.7%32.2%) and then decreased during
19992011 (32.2%20.5%). The prevalence of having drunk
alcohol before age 13 years did not change significantly from
2009 (21.1%) to 2011 (20.5%).

Current Alcohol Use


Nationwide, 38.7% 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 43). The prevalence of current
alcohol use was higher among 11th-grade male (45.2%) and
12th-grade male (51.2%) than 11th-grade female (40.1%)
and 12th-grade female (45.4%) students, respectively. Overall,
the prevalence of current alcohol use was higher among white
(40.3%) and Hispanic (42.3%) than black (30.5%) students;
higher among white female (38.8%) and Hispanic female
(42.4%) than black female (31.6%) students; and higher
among white male (41.6%) and Hispanic male (42.1%)
than black male (29.5%) students. Overall, the prevalence of
current alcohol use was higher among 10th-grade (35.7%),
11th-grade (42.7%), and 12th-grade (48.4%) than 9th-grade
(29.8%) students; higher among 11th-grade (42.7%) and
12th-grade (48.4%) than 10th-grade (35.7%) students; higher
among 12th-grade (48.4%) than 11th-grade (42.7%) students;
higher among 10th-grade female (37.1%), 11th-grade female
(40.1%), and 12th-grade female (45.4%) than 9th-grade
female (30.3%) students; and higher among 12th-grade female
(45.4%) than 10th-grade female (37.1%) and 11th-grade
female (40.1%) students; higher among 10th-grade male
(34.4%), 11th-grade male (45.2%), and 12th-grade male
(51.2%) than 9th-grade male (29.3%) students; higher among
11th-grade male (45.2%) and 12th-grade male (51.2%)
than 10th-grade male (34.4%) students; and higher among
12th-grade male (51.2%) than 11th-grade male (45.2%)
students. The prevalence of current alcohol use ranged from
15.0% to 44.4% across state surveys (median: 36.2%) and
from 21.0% to 43.5% across large urban school district surveys
(median: 33.0%) (Table 44).
Among students nationwide, the prevalence of current
alcohol use did not change significantly during 19911999
(50.8%50.0%) and then decreased during 19992011
(50.0%38.7%). The prevalence of current alcohol use also
decreased from 2009 (41.8%) to 2011 (38.7%).

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Binge Drinking
Nationwide, 21.9% 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 (i.e., binge drinking)
(Table 43). Overall, the prevalence of binge drinking was
higher among male (23.8%) than female (19.8%) students;
higher among white male (26.1%) and black male (14.5%)
than white female (21.7%) and black female (10.3%) students,
respectively; and higher among 11th-grade male (27.9%) and
12th-grade male (35.7%) than 11th-grade female (22.6%) and
12th-grade female (27.0%) students, respectively. Overall, the
prevalence of binge drinking was higher among white (24.0%)
and Hispanic (24.2%) than black (12.4%) students; higher
among white female (21.7%) and Hispanic female (22.4%)
than black female (10.3%) students; and higher among white
male (26.1%) and Hispanic male (25.9%) than black male
(14.5%) students. Overall, the prevalence of binge drinking
was higher among 10th-grade (18.4%), 11th-grade (25.2%),
and 12th-grade (31.5%) than 9th-grade (14.0%) students;
higher among 11th-grade (25.2%) and 12th-grade (31.5%)
than 10th-grade (18.4%) students; higher among 12th-grade
(31.5%) than 11th-grade (25.2%) students; higher among
10th-grade female (17.8%), 11th-grade female (22.6%), and
12th-grade female (27.0%) than 9th-grade female (13.0%)
students; higher among 11th-grade female (22.6%) and
12th-grade female (27.0%) than 10th-grade female (17.8%)
students; higher among 12th-grade female (27.0%) than
11th-grade female (22.6%) students; higher among 10th-grade
male (19.0%), 11th-grade male (27.9%), and 12th-grade
male (35.7%) than 9th-grade male (15.0%) students; higher
among 11th-grade male (27.9%) and 12th-grade male (35.7%)
than 10th-grade male (19.0%) students; and higher among
12th-grade male (35.7%) than 11th-grade male (27.9%)
students. The prevalence of binge drinking ranged from 9.1%
to 26.5% across state surveys (median: 21.8%) and from 7.4%
to 25.2% across large urban school district surveys (median:
17.5%) (Table 44).
Among students nationwide, the prevalence of binge
drinking did not change significantly during 19911997
(31.3%33.4%) and then decreased during 19972011
(33.4%21.9%). The prevalence of binge drinking also
decreased from 2009 (24.2%) to 2011 (21.9%).

Drank Alcohol on School Property


Nationwide, 5.1% of students had drunk at least one drink
of alcohol on school property on at least 1 day during the 30
days before the survey (Table 45). The prevalence of having
drunk alcohol on school property was higher among black
male (6.5%) than black female (3.8%) students and higher

Surveillance Summaries

among 12th-grade male (6.4%) than 12th-grade female (3.8%)


students. Overall, the prevalence of having drunk alcohol on
school property was higher among Hispanic (7.3%) than white
(4.0%) and black (5.1%) students; higher among Hispanic
female (6.6%) than white female (3.8%) and black female
(3.8%) students; and higher among black male (6.5%) and
Hispanic male (7.9%) than white male (4.2%) students. The
prevalence of having drunk alcohol on school property ranged
from 2.0% to 6.4% across state surveys (median: 4.1%) and
from 2.6% to 10.7% across large urban school district surveys
(median: 5.3%) (Table 46).
During 19932011, among students nationwide, a
significant linear decrease occurred in the prevalence of
having drunk alcohol on school property (5.2%5.1%). The
prevalence of having drunk alcohol on school property did
not change significantly from 2009 (4.5%) to 2011 (5.1%).

Someone Gave Alcohol to Them


Among the 38.7% of students nationwide who currently
drank alcohol, 40.0% had usually obtained the alcohol they
drank by someone giving it to them during the 30 days before
the survey (Table 45). Overall, the prevalence of having someone
give alcohol to them was higher among female (45.7%) than
male (35.0%) students; higher among white female (43.9%),
black female (50.6%), and Hispanic female (46.9%) than
white male (34.4%), black male (39.1%), and Hispanic male
(33.1%) students, respectively; and higher among 9th-grade
female (49.4%), 11th-grade female (43.7%), and 12th-grade
female (47.3%) than 9th-grade male (29.4%), 11th-grade male
(32.9%), and 12th-grade male (36.3%) students, respectively.
Overall, the prevalence of having someone give alcohol to them
was higher among black (44.9%) than white (38.8%) students.
The prevalence of having someone give alcohol to them was
higher among 10th-grade male (41.8%) than 9th-grade
male (29.4%) and 11th-grade male (32.9%) students. The
prevalence of having someone give alcohol to them ranged
from 31.2% to 44.2% across state surveys (median: 38.5%)
and from 26.5% to 44.8% across large urban school district
surveys (median: 36.3%) (Table 46).
Among students nationwide who currently drank alcohol,
the prevalence of having someone give alcohol to them did
not change significantly during 20072011 (41.7%40.0%)
or from 2009 (42.2%) to 2011 (40.0%).

Ever Used Marijuana


Nationwide, 39.9% of students had used marijuana one or
more times during their life (i.e., ever used marijuana) (Table
47). Overall, the prevalence of having ever used marijuana was
higher among male (42.5%) than female (37.2%) students;
higher among white male (40.3%), black male (48.5%), and

Hispanic male (45.0%) than white female (35.4%), black


female (37.7%), and Hispanic female (39.1%) students,
respectively; and higher among 9th-grade male (34.9%) and
11th-grade male (48.7%) than 9th-grade female (26.4%) and
11th-grade female (42.1%) students, respectively. Overall, the
prevalence of having ever used marijuana was higher among
black (43.0%) and Hispanic (42.1%) than white (37.9%)
students and higher among black male (48.5%) and Hispanic
male (45.0%) than white male (40.3%) students. Overall, the
prevalence of having ever used marijuana was higher among
10th-grade (36.4%), 11th-grade (45.5%), and 12th-grade
(48.9%) than 9th-grade (30.8%) students; higher among
11th-grade (45.5%) and 12th-grade (48.9%) than 10th-grade
(36.4%) students; higher among 10th-grade female (35.2%),
11th-grade female (42.1%), and 12th-grade female (47.1%)
than 9th-grade female (26.4%) students; higher among
11th-grade female (42.1%) and 12th-grade female (47.1%)
than 10th-grade female (35.2%) students; higher among
12th-grade female (47.1%) than 11th-grade female (42.1%)
students; and higher among 11th-grade male (48.7%) and
12th-grade male (50.8%) than 9th-grade male (34.9%) and
10th-grade male (37.5%) students. The prevalence of having
ever used marijuana ranged from 19.6% to 46.0% across state
surveys (median: 37.3%) and from 30.1% to 54.1% across
large urban school district surveys (median: 40.5%) (Table 48).
Among students nationwide, the prevalence of having ever
used marijuana increased during 19911999 (31.3%47.2%)
and then decreased during 19992011 (47.2%39.9%). The
prevalence of having ever used marijuana increased from 2009
(36.8%) to 2011 (39.9%).

Tried Marijuana Before Age 13 Years


Nationwide, 8.1% of students had tried marijuana for
the first time before age 13 years (Table 47). Overall, the
prevalence of having tried marijuana before age 13 years was
higher among male (10.4%) than female (5.7%) students;
higher among white male (8.5%), black male (14.2%), and
Hispanic male (11.6%) than white female (4.4%), black female
(6.9%), and Hispanic female (7.1%) students, respectively;
and higher among 9th-grade male (12.7%), 10th-grade male
(10.1%), 11th-grade male (9.6%), and 12th-grade male
(8.7%) than 9th-grade female (6.6%), 10th-grade female
(4.8%), 11th-grade female (5.6%), and 12th-grade female
(5.3%) students, respectively. Overall, the prevalence of having
tried marijuana before age 13 years was higher among black
(10.5%) and Hispanic (9.4%) than white (6.5%) students;
higher among black female (6.9%) and Hispanic female
(7.1%) than white female (4.4%) students; and higher among
black male (14.2%) and Hispanic male (11.6%) than white
male (8.5%) students. Overall, the prevalence of having tried

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Surveillance Summaries

marijuana before age 13 years was higher among 9th-grade


(9.7%) than 10th-grade (7.5%), 11th-grade (7.6%), and
12th-grade (7.0%) students; higher among 9th-grade female
(6.6%) than 10th-grade female (4.8%) students; and higher
among 9th-grade male (12.7%) than 11th-grade male (9.6%)
and 12th-grade male (8.7%) students. The prevalence of
having tried marijuana before age 13 years ranged from 4.3%
to 18.5% across state surveys (median: 7.8%) and from 6.3%
to 15.2% across large urban school district surveys (median:
10.1%) (Table 48).
Among students nationwide, the prevalence of having tried
marijuana before age 13 years increased during 19911999
(7.4%11.3%) and then decreased during 19992011
(11.3%8.1%). The prevalence of having tried marijuana
before age 13 years did not change significantly from 2009
(7.5%) to 2011 (8.1%).

Current Marijuana Use


Nationwide, 23.1% of students had used marijuana one
or more times during the 30 days before the survey (i.e.,
current marijuana use) (Table 49). Overall, the prevalence of
current marijuana use was higher among male (25.9%) than
female (20.1%) students; higher among white male (24.4%),
black male (29.1%), and Hispanic male (27.0%) than white
female (18.8%), black female (21.3%), and Hispanic female
(21.6%) students, respectively; and higher among 9th-grade
male (20.5%), 10th-grade male (24.2%), 11th-grade male
(28.9%), and 12th-grade male (31.1%) than 9th-grade
female (15.4%), 10th-grade female (18.9%), 11th-grade
female (22.0%), and 12th-grade female (24.7%) students,
respectively. The prevalence of current marijuana use was
higher among black male (29.1%) than white male (24.4%)
students. Overall, the prevalence of current marijuana use was
higher among 10th-grade (21.6%), 11th-grade (25.5%), and
12th-grade (28.0%) than 9th-grade (18.0%) students; higher
among 11th-grade (25.5%) and 12th-grade (28.0%) than
10th-grade (21.6%) students; higher among 10th-grade female
(18.9%), 11th-grade female (22.0%), and 12th-grade female
(24.7%) than 9th-grade female (15.4%) students; higher
among 12th-grade female (24.7%) than 10th-grade female
(18.9%) students; higher among 11th-grade male (28.9%) and
12th-grade male (31.1%) than 9th-grade male (20.5%) and
10th-grade male (24.2%) students. The prevalence of current
marijuana use ranged from 9.6% to 28.4% across state surveys
(median: 21.1%) and from 16.3% to 31.7% across large urban
school district surveys (median: 22.1%) (Table 50).
Among students nationwide, the prevalence of current
marijuana use increased during 19911999 (14.7%26.7%)
and then decreased during 19992011 (26.7%23.1%). The

prevalence of current marijuana use increased from 2009


(20.8%) to 2011 (23.1%).

Used Marijuana on School Property


Nationwide, 5.9% of students had used marijuana on
school property one or more times during the 30 days before
the survey (Table 49). Overall, the prevalence of having used
marijuana on school property was higher among male (7.5%)
than female (4.1%) students; higher among white male (5.6%),
black male (9.3%), and Hispanic male (9.6%) than white
female (3.4%), black female (4.1%), and Hispanic female
(5.7%) students, respectively; and higher among 9th-grade
male (7.0%), 10th-grade male (8.0%), 11th-grade male
(7.5%), and 12th-grade male (7.2%) than 9th-grade female
(3.7%), 10th-grade female (4.2%), 11th-grade female (4.7%),
and 12th-grade female (3.5%) students, respectively. Overall,
the prevalence of having used marijuana on school property
was higher among black (6.7%) and Hispanic (7.7%) than
white (4.5%) students; higher among Hispanic female (5.7%)
than white female (3.4%) students; and higher among black
male (9.3%) and Hispanic male (9.6%) than white male
(5.6%) students. The prevalence of having used marijuana on
school property ranged from 2.4% to 9.7% across state surveys
(median: 4.7%) and from 4.5% to 11.5% across large urban
school district surveys (median: 6.9%) (Table 50).
Among students nationwide, the prevalence of having used
marijuana on school property decreased during 19952005
(8.8%4.5%) and then increased during 20052011 (4.5%
5.9%). The prevalence of having used marijuana on school
property increased from 2009 (4.6%) to 2011 (5.9%).

Ever Used Cocaine


Nationwide, 6.8% 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 51). Overall, the
prevalence of having ever used cocaine was higher among
male (7.9%) than female (5.7%) students; higher among
white male (7.6%), black male (4.2%), and Hispanic male
(11.9%) than white female (5.8%), black female (1.1%), and
Hispanic female (8.4%) students, respectively; and higher
among 11th-grade male (8.5%) and 12th-grade male (10.1%)
than 11th-grade female (6.4%) and 12th-grade female (6.8%)
students, respectively. Overall, the prevalence of having ever
used cocaine was higher among white (6.7%) and Hispanic
(10.2%) than black (2.6%) students; higher among Hispanic
(10.2%) than white (6.7%) students; higher among white
female (5.8%) and Hispanic female (8.4%) than black female
Pellet-sized pieces of highly purified cocaine.
A process in which cocaine is dissolved in ether

precipitate is filtered off.

20

MMWR/June 8, 2012/Vol. 61/No. 4

or sodium hydroxide and the

Surveillance Summaries

(1.1%) students; higher among Hispanic female (8.4%) than


white female (5.8%) students; higher among white male
(7.6%) and Hispanic male (11.9%) than black male (4.2%)
students; and higher among Hispanic male (11.9%) than
white male (7.6%) students. Overall, the prevalence of having
ever used cocaine was higher among 11th-grade (7.5%) and
12th-grade (8.5%) than 9th-grade (5.0%) students; higher
among 12th-grade (8.5%) than 10th-grade (6.5%) students;
higher among 11th-grade female (6.4%) and 12th-grade female
(6.8%) than 9th-grade female (4.1%) students; higher among
11th-grade male (8.5%) and 12th-grade male (10.1%) than
9th-grade male (5.8%) students; and higher among 12th-grade
male (10.1%) than 10th-grade male (7.4%) students. The
prevalence of having ever used cocaine ranged from 4.0% to
11.4% across state surveys (median: 5.9%) and from 1.5%
to 9.3% across large urban school district surveys (median:
5.8%) (Table 52).
Among students nationwide, the prevalence of having ever
used cocaine increased during 19911999 (5.9%9.5%)
and then decreased during 19992011 (9.5%6.8%). The
prevalence of having ever used cocaine did not change
significantly from 2009 (6.4%) to 2011 (6.8%).

Current Cocaine Use


Nationwide, 3.0% of students had used any form of cocaine
(e.g., powder, crack, or freebase) one or more times during
the 30 days before the survey (i.e., current cocaine use)
(Table 51). Overall, the prevalence of current cocaine use
was higher among male (4.1%) than female (1.8%) students;
higher among white male (3.3%), black male (2.0%), and
Hispanic male (7.5%) than white female (1.6%), black female
(0.1%), and Hispanic female (3.2%) students, respectively;
and higher among 9th-grade male (3.8%), 10th-grade male
(4.2%), 11th-grade male (4.1%), and 12th-grade male (4.2%)
than 9th-grade female (1.6%), 10th-grade female (1.7%),
11th-grade female (1.9%), and 12th-grade female (1.9%)
students, respectively. Overall, the prevalence of current
cocaine use was higher among white (2.5%) and Hispanic
(5.4%) than black (1.1%) students; higher among Hispanic
(5.4%) than white (2.5%) students; higher among white female
(1.6%) and Hispanic female (3.2%) than black female (0.1%)
students; higher among Hispanic female (3.2%) than white
female (1.6%) students; higher among white male (3.3%)
and Hispanic male (7.5%) than black male (2.0%) students;
and higher among Hispanic male (7.5%) than white male
(3.3%) students. The prevalence of current cocaine use ranged
from 1.4% to 5.2% across state surveys (median: 2.7%) and
from 0.8% to 4.3% across large urban school district surveys
(median: 2.8%) (Table 52).

Among students nationwide, the prevalence of current


cocaine use increased during 19912001 (1.7%4.2%)
and then decreased during 20012011 (4.2%3.0%). The
prevalence of current cocaine use did not change significantly
from 2009 (2.8%) to 2011 (3.0%).

Ever Used Inhalants


Nationwide, 11.4% 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 53). Overall, the prevalence of having
ever used inhalants was higher among female (12.3%) than
male (10.5%) students; higher among white female (11.6%)
than white male (9.8%) students; and higher among 9th-grade
female (14.2%) than 9th-grade male (11.1%) students.
Overall, the prevalence of having ever used inhalants was
higher among Hispanic (14.4%) than white (10.7%) and black
(9.2%) students; higher among white female (11.6%) and
Hispanic female (15.7%) than black female (9.1%) students;
higher among Hispanic female (15.7%) than white female
(11.6%) students; and higher among Hispanic male (13.1%)
than white male (9.8%) and black male (9.3%) students.
Overall, the prevalence of having ever used inhalants was
higher among 9th-grade (12.7%), 10th-grade (11.8%), and
11th-grade (11.1%) than 12th-grade (9.3%) students; higher
among 9th-grade female (14.2%) than 12th-grade female
(10.1%) students; and higher among 9th-grade male (11.1%)
and 10th-grade male (11.3%) than 12th-grade male (8.6%)
students. The prevalence of having ever used inhalants ranged
from 7.3% to 14.5% across state surveys (median: 10.9%) and
from 5.6% to 18.7% across large urban school district surveys
(median: 9.9%) (Table 54).
Among students nationwide, the prevalence of having ever used
inhalants decreased during 19952003 (20.3%12.1%) and
then did not change significantly during 20032011 (12.1%
11.4%). The prevalence of having ever used inhalants also did
not change significantly from 2009 (11.7%) to 2011 (11.4%).

Ever Used Ecstasy


Nationwide, 8.2% of students had used ecstasy (also called
MDMA) one or more times during their life (i.e., ever
used ecstasy) (Table 53). Overall, the prevalence of having
ever used ecstasy was higher among male (9.8%) than
female (6.5%) students; higher among white male (8.7%),
black male (8.7%), and Hispanic male (12.6%) than white
female (6.7%), black female (3.3%), and Hispanic female
(8.4%) students, respectively; and higher among 9th-grade
male (6.5%), 10th-grade male (9.5%), and 11th-grade male
(11.0%) than 9th-grade female (3.7%), 10th-grade female
(5.8%), and 11th-grade female (7.2%) students, respectively.

MMWR/June 8, 2012/Vol. 61/No. 4

21

Surveillance Summaries

Overall, the prevalence of having ever used ecstasy was higher


among Hispanic (10.6%) than white (7.7%) and black (6.0%)
students; higher among white female (6.7%) and Hispanic
female (8.4%) than black female (3.3%) students; and higher
among Hispanic male (12.6%) than white male (8.7%) and
black male (8.7%) students. Overall, the prevalence of having
ever used ecstasy was higher among 10th-grade (7.7%),
11th-grade (9.2%), and 12th-grade (11.3%) than 9th-grade
(5.2%) students; higher among 12th-grade (11.3%) than
10th-grade (7.7%) and 11th-grade (9.2%) students; higher
among 10th-grade female (5.8%), 11th-grade female (7.2%),
and 12th-grade female (9.9%) than 9th-grade female (3.7%)
students; higher among 12th-grade female (9.9%) than
10th-grade female (5.8%) and 11th-grade female (7.2%)
students; higher among 10th-grade male (9.5%), 11th-grade
male (11.0%), and 12th-grade male (12.6%) than 9th-grade
male (6.5%) students; and higher among 12th-grade male
(12.6%) than 10th-grade male (9.5%) students. The prevalence
of having ever used ecstasy ranged from 4.5% to 12.2% across
state surveys (median: 7.0%) and from 2.7% to 16.4% across
large urban school district surveys (median: 8.5%) (Table 54).
Among students nationwide, the prevalence of having ever
used ecstasy decreased during 20012007 (11.1%5.8%)
and then increased during 20072011 (5.8%8.2%). The
prevalence of having ever used ecstasy also increased from 2009
(6.7%) to 2011 (8.2%).

Ever Used Heroin


Nationwide, 2.9% 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 55). Overall, the
prevalence of having ever used heroin was higher among male
(3.9%) than female (1.8%) students; higher among white male
(3.4%), black male (4.3%), and Hispanic male (4.0%) than
white female (1.5%), black female (1.1%), and Hispanic female
(2.6%) students, respectively; and higher among 9th-grade
male (3.9%), 10th-grade male (3.8%), and 11th-grade male
(4.1%) than 9th-grade female (1.8%), 10th-grade female
(1.8%), and 11th-grade female (1.6%) students, respectively.
The prevalence of having ever used heroin was higher among
Hispanic female (2.6%) than black female (1.1%) students.
The prevalence of having ever used heroin ranged from 1.3%
to 5.2% across state surveys (median: 3.0%) and from 0.8%
to 5.3% across large urban school district surveys (median:
2.8%) (Table 56).
Among students nationwide, the prevalence of having ever
used heroin did not change significantly during 19992011
(2.4%2.9%) or from 2009 (2.5%) to 2011 (2.9%).

22

MMWR/June 8, 2012/Vol. 61/No. 4

Ever Used Methamphetamines


Nationwide, 3.8% 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 55). Overall, the prevalence of having ever used
methamphetamines was higher among male (4.5%) than
female (3.0%) students; higher among black male (4.2%)
and Hispanic male (5.7%) than black female (1.0%) and
Hispanic female (3.4%) students, respectively; and higher
among 9th-grade male (3.8%), 10th-grade male (4.7%),
and 11th-grade male (4.9%) than 9th-grade female (2.6%),
10th-grade female (2.6%), and 11th-grade female (3.1%)
students, respectively. Overall, the prevalence of having
ever used methamphetamines was higher among Hispanic
(4.6%) than black (2.6%) students and higher among white
female (3.1%) and Hispanic female (3.4%) than black
female (1.0%) students. The prevalence of having ever used
methamphetamines ranged from 2.4% to 6.0% across state
surveys (median: 3.6%) and from 1.3% to 6.9% across large
urban school district surveys (median: 4.0%) (Table 56).
During 19992011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
ever used methamphetamines (9.1%3.8%). The prevalence
of having ever used methamphetamines did not change
significantly from 2009 (4.1%) to 2011 (3.8%).

Ever Used Hallucinogenic Drugs


Nationwide, 8.7% 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). Overall, the prevalence of
having ever used hallucinogenic drugs was higher among male
(11.3%) than female (5.9%) students; higher among white
male (11.6%), black male (6.0%), and Hispanic male (12.2%)
than white female (6.9%), black female (0.7%), and Hispanic
female (5.7%) students, respectively; and higher among
9th-grade male (8.7%), 10th-grade male (9.3%), 11th-grade
male (13.4%), and 12th-grade male (14.1%) than 9th-grade
female (3.9%), 10th-grade female (5.9%), 11th-grade female
(5.2%), and 12th-grade female (8.7%) students, respectively.
Overall, the prevalence of having ever used hallucinogenic
drugs was higher among white (9.3%) and Hispanic (9.1%)
than black (3.3%) students; higher among white female
(6.9%) and Hispanic female (5.7%) than black female (0.7%)
students; and higher among white male (11.6%) and Hispanic
male (12.2%) than black male (6.0%) students. Overall, the
prevalence of having ever used hallucinogenic drugs was higher
among 11th-grade (9.4%) and 12th-grade (11.5%) than
9th-grade (6.3%) students; higher among 12th-grade (11.5%)

Surveillance Summaries

than 10th-grade (7.7%) students; higher among 10th-grade


female (5.9%) than 9th-grade female (3.9%) students; higher
among 12th-grade female (8.7%) than 9th-grade female
(3.9%), 10th-grade female (5.9%), and 11th-grade female
(5.2%) students; and higher among 11th-grade male (13.4%)
and 12th-grade male (14.1%) than 9th-grade male (8.7%) and
10th-grade male (9.3%) students.
Among students nationwide, the prevalence of having
ever used hallucinogenic drugs decreased during 20012007
(13.3%7.8%) and then did not change significantly during
20072011 (7.8%8.7%). The prevalence of having ever used
hallucinogenic drugs also did not change significantly from
2009 (8.0%) to 2011 (8.7%).

Ever Took Steroids Without a Doctors Prescription


Nationwide, 3.6% 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 57). Overall, the prevalence of having ever taken
steroids without a doctors prescription was higher among
male (4.2%) than female (2.9%) students; higher among black
male (4.5%) than black female (1.3%) students; and higher
among 10th-grade male (4.0%) and 12th-grade male (3.7%)
than 10th-grade female (2.3%) and 12th-grade female (1.9%)
students, respectively. Overall, the prevalence of having ever
taken steroids without a doctors prescription was higher among
Hispanic (4.3%) than black (2.9%) students and higher among
white female (2.8%) and Hispanic female (4.3%) than black
female (1.3%) students. Overall, the prevalence of having
ever taken steroids without a doctors prescription was higher
among 9th-grade (4.2%) than 12th-grade (2.8%) students
and higher among 9th-grade female (3.9%) than 12th-grade
female (1.9%) students. The prevalence of having ever taken
steroids without a doctors prescription ranged from 1.8%
to 6.1% across state surveys (median: 3.4%) and from 1.8%
to 5.2% across large urban school district surveys (median:
3.7%) (Table 58).
Among students nationwide, the prevalence of having
ever taken steroids without a doctors prescription increased
during 19912003 (2.7%6.1%) and then decreased during
20032011 (6.1%3.6%). The prevalence of having ever
taken steroids without a doctors prescription did not change
significantly from 2009 (3.3%) to 2011 (3.6%).

Ever Took Prescription Drugs Without a Doctors


Prescription
Nationwide, 20.7% 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 59). The prevalence


of having ever taken prescription drugs without a doctors
prescription was higher among black male (17.5%) than black
female (11.9%) students and higher among 12th-grade male
(27.9%) than 12th-grade female (23.2%) students. Overall,
the prevalence of having ever taken prescription drugs without
a doctors prescription was higher among white (22.9%)
than black (14.7%) and Hispanic (19.4%) students; higher
among Hispanic (19.4%) than black (14.7%) students; higher
among white female (22.2%) and Hispanic female (19.0%)
than black female (11.9%) students; and higher among white
male (23.6%) than black male (17.5%) students. Overall,
the prevalence of having ever taken prescription drugs
without a doctors prescription was higher among 11th-grade
(23.3%) and 12th-grade (25.6%) than 9th-grade (16.5%)
and 10th-grade (18.2%) students; higher among 11th-grade
female (22.2%) and 12th-grade female (23.2%) than 9th-grade
female (16.2%) students; higher among 12th-grade female
(23.2%) than 10th-grade female (18.1%) students; and higher
among 11th-grade male (24.5%) and 12th-grade male (27.9%)
than 9th-grade male (16.7%) and 10th-grade male (18.3%)
students. The prevalence of having ever taken prescription
drugs without a doctors prescription ranged from 12.4% to
22.1% across state surveys (median: 17.6%) and from 7.3%
to 18.3% across large urban school district surveys (median:
12.6%) (Table 60).
Among students nationwide, the prevalence of having ever
taken prescription drugs without a doctors prescription did
not change significantly from 2009 (20.2%) to 2011 (20.7%).

Ever Injected Any Illegal Drug


Nationwide, 2.3% 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 59). Overall, the
prevalence of having ever injected any illegal drug was higher
among male (2.9%) than female (1.6%) students; higher
among white male (2.3%) and black male (3.5%) than white
female (1.4%) and black female (1.4%) students, respectively;
and higher among 9th-grade male (2.6%) and 11th-grade male
(3.6%) than 9th-grade female (1.5%) and 11th-grade female
(1.1%) students, respectively. Overall, the prevalence of having
ever injected any illegal drug was higher among Hispanic
(2.9%) than white (1.9%) students. The prevalence of having
ever injected any illegal drug ranged from 1.6% to 4.2% across
state surveys (median: 2.5%) and from 1.0% to 13.0% across
large urban school district surveys (median: 2.9%) (Table 60).
Among students nationwide, the prevalence of having ever
injected any illegal drug did not change significantly during
19952011 (2.1%2.3%) or from 2009 (2.1%) to 2011 (2.3%).

MMWR/June 8, 2012/Vol. 61/No. 4

23

Surveillance Summaries

Offered, Sold, or Given an Illegal Drug on School


Property
Nationwide, 25.6% of students had been offered, sold, or
given an illegal drug by someone on school property during
the 12 months before the survey (Table 61). Overall, the
prevalence of having been offered, sold, or given an illegal
drug on school property was higher among male (29.2%) than
female (21.7%) students; higher among white male (26.3%),
black male (28.7%), and Hispanic male (35.8%) than white
female (18.8%), black female (17.0%), and Hispanic female
(30.5%) students, respectively; and higher among 9th-grade
male (25.9%), 10th-grade male (30.8%), 11th-grade male
(32.5%), and 12th-grade male (28.1%) than 9th-grade female
(21.3%), 10th-grade female (24.6%), 11th-grade female
(21.3%), and 12th-grade female (19.3%) students, respectively.
Overall, the prevalence of having been offered, sold, or given
an illegal drug on school property was higher among Hispanic
(33.2%) than white (22.7%) and black (22.8%) students;
higher among Hispanic female (30.5%) than white female
(18.8%) and black female (17.0%) students; and higher among
Hispanic male (35.8%) than white male (26.3%) and black
male (28.7%) students. Overall, the prevalence of having been
offered, sold, or given an illegal drug on school property was
higher among 10th-grade (27.8%) and 11th-grade (27.0%)
than 9th-grade (23.7%) and 12th-grade (23.8%) students;
higher among 10th-grade female (24.6%) than 9th-grade
female (21.3%), 11th-grade female (21.3%), and 12th-grade
female (19.3%) students; and higher among 10th-grade male
(30.8%) and 11th-grade male (32.5%) than 9th-grade male
(25.9%) students. The prevalence of having been offered, sold,
or given an illegal drug on school property ranged from 11.9%
to 34.6% across state surveys (median: 24.3%) and from 14.3%
to 39.3% across large urban school district surveys (median:
28.7%) (Table 62).
Among students nationwide, the prevalence of having been
offered, sold, or given an illegal drug by someone on school
property increased during 19931995 (24.0%32.1%) and
then decreased during 19952011 (32.1%25.6%). The
prevalence of having been offered, sold, or given an illegal
drug on school property increased from 2009 (22.7%) to
2011 (25.6%).

24

MMWR/June 8, 2012/Vol. 61/No. 4

Sexual Behaviors that Contribute to


Unintended Pregnancy and Sexually
Transmitted Diseases, Including
HIV Infection
Ever Had Sexual Intercourse
Nationwide, 47.4% of students had ever had sexual
intercourse (Table 63). Overall, the prevalence of having ever
had sexual intercourse was higher among male (49.2%) than
female (45.6%) students; higher among black male (66.9%)
and Hispanic male (53.0%) than black female (53.6%) and
Hispanic female (43.9%) students, respectively; and higher
among 9th-grade male (37.8%) than 9th-grade female (27.8%)
students. Overall, the prevalence of having ever had sexual
intercourse was higher among black (60.0%) and Hispanic
(48.6%) than white (44.3%) students; higher among black
(60.0%) than Hispanic (48.6%) students; higher among black
female (53.6%) than white female (44.5%) and Hispanic
female (43.9%) students; higher among black male (66.9%)
and Hispanic male (53.0%) than white male (44.0%) students;
and higher among black male (66.9%) than Hispanic male
(53.0%) students. Overall, the prevalence of having ever had
sexual intercourse was higher among 10th-grade (43.8%),
11th-grade (53.2%), and 12th-grade (63.1%) than 9th-grade
(32.9%) students; higher among 11th-grade (53.2%) and
12th-grade (63.1%) than 10th-grade (43.8%) students; higher
among 12th-grade (63.1%) than 11th-grade (53.2%) students;
higher among 10th-grade female (43.0%), 11th-grade female
(51.9%), and 12th-grade female (63.6%) than 9th-grade
female (27.8%) students; higher among 11th-grade female
(51.9%) and 12th-grade female (63.6%) than 10th-grade
female (43.0%) students; higher among 12th-grade female
(63.6%) than 11th-grade female (51.9%) students; higher
among 10th-grade male (44.5%), 11th-grade male (54.5%),
and 12th-grade male (62.6%) than 9th-grade male (37.8%)
students; higher among 11th-grade male (54.5%) and
12th-grade male (62.6%) than 10th-grade male (44.5%)
students; and higher among 12th-grade male (62.6%) than
11th-grade male (54.5%) students. The prevalence of having
ever had sexual intercourse ranged from 37.0% to 59.0% across
state surveys (median: 46.9%) and from 27.8% to 62.2% across
large urban school district surveys (median: 50.0%) (Table 64).
Among students nationwide, the prevalence of having
ever had sexual intercourse decreased during 19912001
(54.1%45.6%) and then did not change significantly during
20012011 (45.6%47.4%). The prevalence of having ever
had sexual intercourse also did not change significantly from
2009 (46.0%) to 2011 (47.4%).

Surveillance Summaries

Had First Sexual Intercourse Before Age 13 Years


Nationwide, 6.2% of students had had sexual intercourse
for the first time before age 13 years (Table 63). Overall, the
prevalence of having had sexual intercourse before age 13 years
was higher among male (9.0%) than female (3.4%) students;
higher among white male (5.2%), black male (21.1%), and
Hispanic male (11.1%) than white female (2.6%), black female
(7.0%), and Hispanic female (2.9%) students, respectively;
and higher among 9th-grade male (13.3%), 10th-grade male
(8.6%), 11th-grade male (6.8%), and 12th-grade male (6.2%)
than 9th-grade female (4.1%), 10th-grade female (3.9%),
11th-grade female (3.0%), and 12th-grade female (2.2%)
students, respectively. Overall, the prevalence of having had
sexual intercourse before age 13 years was higher among black
(13.9%) and Hispanic (7.1%) than white (3.9%) students;
higher among black (13.9%) than Hispanic (7.1%) students;
higher among black female (7.0%) than white female (2.6%)
and Hispanic female (2.9%) students; higher among black
male (21.2%) and Hispanic male (11.1%) than white male
(5.2%) students; and higher among black male (21.2%) than
Hispanic male (11.1%) students. Overall, the prevalence of
having had sexual intercourse before age 13 years was higher
among 9th-grade (8.8%) than 10th-grade (6.3%), 11th-grade
(4.9%), and 12th-grade (4.2%) students; higher among
10th-grade (6.3%) than 11th-grade (4.9%) and 12th-grade
(4.2%) students; higher among 9th-grade female (4.1%) and
10th-grade female (3.9%) than 12th-grade female (2.2%)
students; and higher among 9th-grade male (13.3%) than
10th-grade male (8.6%), 11th-grade male (6.8%), and
12th-grade male (6.2%) students. The prevalence of having
had sexual intercourse before age 13 years ranged from 3.6%
to 11.8% across state surveys (median: 5.0%) and from 4.9%
to 15.6% across large urban school district surveys (median:
8.7%) (Table 64).
Among students nationwide, the prevalence of having
had sexual intercourse for the first time before age 13 years
decreased during 19912005 (10.2%6.2%) and then did
not change significantly during 20052011 (6.2%6.2%).
The prevalence of having had sexual intercourse for the first
time before age 13 years also did not change significantly from
2009 (5.9%) to 2011 (6.2%).

Had Sexual Intercourse with Four or More Persons


During Their Life
Nationwide, 15.3% of students had had sexual intercourse
with four or more persons during their life (Table 65).
Overall, the prevalence of having had sexual intercourse with
four or more persons was higher among male (17.8%) than
female (12.6%) students; higher among black male (32.6%)

and Hispanic male (20.3%) than black female (17.5%) and


Hispanic female (9.0%) students, respectively; and higher
among 9th-grade male (12.4%), 10th-grade male (15.1%),
and 11th-grade male (19.4%) than 9th-grade female (4.9%),
10th-grade female (9.4%), and 11th-grade female (15.2%)
students, respectively. Overall, the prevalence of having had
sexual intercourse with four or more persons was higher among
black (24.8%) and Hispanic (14.8%) than white (13.1%)
students; higher among black (24.8%) than Hispanic (14.8%)
students; higher among black female (17.5%) than white
female (12.8%) students; higher among white female (12.8%)
and black female (17.5%) than Hispanic female (9.0%)
students; higher among black male (32.6%) and Hispanic male
(20.3%) than white male (13.3%) students; and higher among
black male (32.6%) than Hispanic male (20.3%) students.
Overall, the prevalence of having had sexual intercourse with
four or more persons was higher among 10th-grade (12.3%),
11th-grade (17.3%), and 12th-grade (24.1%) than 9th-grade
(8.7%) students; higher among 11th-grade (17.3%) and
12th-grade (24.1%) than 10th-grade (12.3%) students; higher
among 12th-grade (24.1%) than 11th-grade (17.3%) students;
higher among 10th-grade female (9.4%), 11th-grade female
(15.2%), and 12th-grade female (22.8%) than 9th-grade
female (4.9%) students; higher among 11th-grade female
(15.2%) and 12th-grade female (22.8%) than 10th-grade
female (9.4%) students; higher among 12th-grade female
(22.8%) than 11th-grade female (15.2%) students; higher
among 11th-grade male (19.4%) and 12th-grade male (25.5%)
than 9th-grade male (12.4%) and 10th-grade male (15.1%)
students; and higher among 12th-grade male (25.5%) than
11th-grade male (19.4%) students. The prevalence of having
had sexual intercourse with four or more persons ranged from
8.0% to 22.8% across state surveys (median: 13.8%) and
from 7.0% to 27.2% across large urban school district surveys
(median: 17.0%) (Table 66).
Among students nationwide, the prevalence of having had
sexual intercourse with four or more persons during their life
decreased during 19912001 (18.7%14.2%) and then did
not change significantly during 20012011 (14.2%15.3%).
The prevalence of having had sexual intercourse with four or
more persons during their life also did not change significantly
from 2009 (13.8%) to 2011 (15.3%).

Currently Sexually Active


Nationwide, 33.7% of students had had sexual intercourse
with at least one person during the 3 months before the survey
(i.e., currently sexually active) (Table 65). The prevalence of
being currently sexually active was higher among white female
(35.0%), black male (46.0%), and Hispanic male (35.3%)
than white male (30.0%), black female (36.9%), and Hispanic

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25

Surveillance Summaries

female (31.6%) students, respectively; and higher among


9th-grade male (23.6%) and 12th-grade female (50.7%)
than 9th-grade female (19.0%) and 12th-grade male (44.4%)
students, respectively. Overall, the prevalence of being currently
sexually active was higher among black (41.3%) than white
(32.4%) and Hispanic (33.5%) students; higher among black
female (36.9%) than Hispanic female (31.6%) students; higher
among black male (46.0%) and Hispanic male (35.3%) than
white male (30.0%) students; and higher among black male
(46.0%) than Hispanic male (35.3%) students. Overall, the
prevalence of being currently sexually active was higher among
10th-grade (30.3%), 11th-grade (38.7%), and 12th-grade
(47.5%) than 9th-grade (21.3%) students; higher among
11th-grade (38.7%) and 12th-grade (47.5%) than 10th-grade
(30.3%) students; higher among 12th-grade (47.5%) than
11th-grade (38.7%) students; higher among 10th-grade female
(31.4%), 11th-grade female (38.9%), and 12th-grade female
(50.7%) than 9th-grade female (19.0%) students; higher
among 11th-grade female (38.9%) and 12th-grade female
(50.7%) than 10th-grade female (31.4%) students; higher
among 12th-grade female (50.7%) than 11th-grade female
(38.9%) students; higher among 10th-grade male (29.1%),
11th-grade male (38.5%), and 12th-grade male (44.4%) than
9th-grade male (23.6%) students; higher among 11th-grade
male (38.5%) and 12th-grade male (44.4%) than 10th-grade
male (29.1%) students; and higher among 12th-grade male
(44.4%) than 11th-grade male (38.5%) students. The
prevalence of being currently sexually active ranged from
23.9% to 44.1% across state surveys (median: 33.8%) and
from 19.5% to 44.9% across large urban school district surveys
(median: 34.6%) (Table 66).
During 19912011, among students nationwide, a
significant linear decrease occurred in the prevalence of being
currently sexually active (37.5%33.7%). The prevalence of
being currently sexually active did not change significantly
from 2009 (34.2%) to 2011 (33.7%).

Condom Use
Among the 33.7% of currently sexually active students
nationwide, 60.2% reported that either they or their partner
had used a condom during last sexual intercourse (Table 67).
Overall, the prevalence of having used a condom during last
sexual intercourse was higher among male (67.0%) than female
(53.6%) students; higher among white male (66.3%), black
male (75.4%), and Hispanic male (63.4%) than white female
(53.4%), black female (53.8%), and Hispanic female (53.0%)
students, respectively; and higher among 9th-grade male
(67.0%), 10th-grade male (69.9%), 11th-grade male (67.0%),
and 12th-grade male (64.7%) than 9th-grade female (56.3%),
10th-grade female (56.7%), 11th-grade female (55.5%), and

26

MMWR/June 8, 2012/Vol. 61/No. 4

12th-grade female (48.9%) students, respectively. Overall,


the prevalence of having used a condom during last sexual
intercourse was higher among black (65.3%) than Hispanic
(58.4%) students and higher among black male (75.4%) than
white male (66.3%) and Hispanic male (63.4%) students.
Overall, the prevalence of having used a condom during last
sexual intercourse was higher among 10th-grade (63.3%) and
11th-grade (61.1%) than 12th-grade (56.3%) students and
higher among 10th-grade female (56.7%) and 11th-grade
female (55.5%) than 12th-grade female (48.9%) students.
The prevalence of having used a condom during last sexual
intercourse ranged from 43.9% to 70.8% across state surveys
(median: 59.9%) and from 52.9% to 75.1% across large urban
school district surveys (median: 63.2%) (Table 68).
Among currently sexually active students nationwide, the
prevalence of condom use increased during 19912003 (46.2%
63.0%) then did not change significantly during 20032011
(63.0%60.2%). The prevalence of condom use also did not
change significantly from 2009 (61.1%) to 2011 (60.2%).

Birth Control Pill Use


Among the 33.7% of currently sexually active students
nationwide, 18.0% reported that either they or their partner
had used birth control pills to prevent pregnancy before last
sexual intercourse (Table 67). Overall, the prevalence of having
used birth control pills before last sexual intercourse was
higher among female (22.6%) than male (13.4%) students;
higher among white female (30.9%) than white male (16.4%)
students; and higher among 10th-grade female (20.8%),
11th-grade female (22.7%), and 12th-grade female (30.0%)
than 10th-grade male (8.7%), 11th-grade male (12.3%), and
12th-grade male (19.7%) students, respectively. Overall, the
prevalence of having used birth control pills before last sexual
intercourse was higher among white (24.0%) than black
(10.1%) and Hispanic (10.6%) students; higher among white
female (30.9%) than black female (11.3%) and Hispanic
female (10.4%) students; and higher among white male
(16.4%) than black male (9.2%) and Hispanic male (10.8%)
students. Overall, the prevalence of having used birth control
pills before last sexual intercourse was higher among 10th-grade
(14.9%), 11th-grade (17.5%), and 12th-grade (25.1%) than
9th-grade (9.4%) students; higher among 12th-grade (25.1%)
than 10th-grade (14.9%) and 11th-grade (17.5%) students;
higher among 10th-grade female (20.8%), 11th-grade female
(22.7%), and 12th-grade female (30.0%) than 9th-grade
female (8.3%) students; higher among 12th-grade female
(30.0%) than 10th-grade female (20.8%) and 11th-grade
female (22.7%) students; and higher among 12th-grade male
(19.7%) than 9th-grade male (10.4%), 10th-grade male
(8.7%), and 11th-grade male (12.3%) students. The prevalence

Surveillance Summaries

of having used birth control pills before last sexual intercourse


ranged from 11.3% to 35.7% across state surveys (median:
21.4%) and from 5.9% to 27.6% across large urban school
district surveys (median: 10.5%) (Table 68).
Among students nationwide, the prevalence of having used
birth control pills did not change significantly during 1991
2011 (20.8%18.0%) or from 2009 (19.8%) to 2011 (18.0%).

Depo-Provera, Nuva Ring, Implanon, or Any IUD Use


Among the 33.7% of currently sexually active students
nationwide, 5.3% reported that either they or their partner
had used Depo-Provera (or any injectable birth control),
Nuva Ring (or any birth control ring), Implanon (or any
implant), or any IUD to prevent pregnancy before last sexual
intercourse (Table 69). Overall, the prevalence of having used
Depo-Provera, Nuva Ring, Implanon, or any IUD before
last sexual intercourse was higher among female (7.5%) than
male (3.2%) students; higher among white female (6.6%),
black female (10.5%), and Hispanic female (6.9%) than
white male (3.4%), black male (3.0%), and Hispanic male
(2.5%) students, respectively; and higher among 9th-grade
female (7.7%), 10th-grade female (7.4%), 11th-grade female
(7.2%), and 12th-grade female (7.7%) than 9th-grade male
(1.1%), 10th-grade male (3.5%), 11th-grade male (3.7%), and
12th-grade male (3.8%) students, respectively. The prevalence
of having used Depo-Provera, Nuva Ring, Implanon, or
any IUD before last sexual intercourse was higher among
10th-grade male (3.5%), 11th-grade male (3.7%), and
12th-grade male (3.8%) than 9th-grade male (1.1%) students.
The prevalence of having used Depo-Provera, Nuva Ring,
Implanon, or any IUD before last sexual intercourse ranged
from 2.1% to 12.4% across state surveys (median: 5.9%) and
from 1.0% to 14.9% across large urban school district surveys
(median: 5.1%) (Table 70).

Birth Control Pill, Depo-Provera, Nuva Ring,


Implanon, or Any IUD Use
Among the 33.7% of currently sexually active students
nationwide, 23.3% reported that either they or their partner
had used birth control pills, Depo-Provera, Nuva Ring,
Implanon, or any IUD to prevent pregnancy before last sexual
intercourse (Table 69). Overall, the prevalence of having used
birth control pills, Depo-Provera, Nuva Ring, Implanon, or any
IUD before last sexual intercourse was higher among female
(30.0%) than male (16.6%) students; higher among white
female (37.5%) and black female (21.8%) than white male
(19.8%) and black male (12.2%) students, respectively; and
higher among 10th-grade female (28.2%), 11th-grade female
(29.9%), and 12th-grade female (37.6%) than 10th-grade
male (12.2%), 11th-grade male (16.1%), and 12th-grade male

(23.5%) students, respectively. Overall, the prevalence of having


used birth control pills, Depo-Provera, Nuva Ring, Implanon,
or any IUD before last sexual intercourse was higher among
white (29.1%) than black (16.6%) and Hispanic (15.1%)
students; higher among white female (37.5%) than black
female (21.8%) and Hispanic female (17.2%) students; and
higher among white male (19.8%) than black male (12.2%)
and Hispanic male (13.3%) students. Overall, the prevalence
of having used birth control pills, Depo-Provera, Nuva Ring,
Implanon, or any IUD before last sexual intercourse was
higher among 10th-grade (20.3%), 11th-grade (23.0%),
and 12th-grade (31.0%) than 9th-grade (13.5%) students;
higher among 12th-grade (31.0%) than 10th-grade (20.3%)
and 11th-grade (23.0%) students; higher among 10th-grade
female (28.2%), 11th-grade female (29.9%), and 12th-grade
female (37.6%) than 9th-grade female (16.0%) students;
higher among 12th-grade female (37.6%) than 10th-grade
female (28.2%) and 11th-grade female (29.9%) students;
and higher among 12th-grade male (23.5%) than 9th-grade
male (11.6%), 10th-grade male (12.2%), and 11th-grade male
(16.1%) students. The prevalence of having used birth control
pills, Depo-Provera, Nuva Ring, Implanon, or any IUD before
last sexual intercourse ranged from 15.7% to 42.3% across
state surveys (median: 27.7%) and from 7.1% to 36.3% across
large urban school district surveys (median: 16.5%) (Table 70).

Condom Use and Birth Control Pill, Depo-Provera,


Nuva Ring, Implanon, or Any IUD Use
Among the 33.7% of currently sexually active students
nationwide, 9.5% reported that either they or their partner
had used both a condom during last sexual intercourse and
birth control pills, Depo-Provera, Nuva Ring, Implanon, or
any IUD to prevent pregnancy before last sexual intercourse
(Table 71). Overall, the prevalence of having used both a
condom during last sexual intercourse and birth control pills,
Depo-Provera, Nuva Ring, Implanon, or any IUD before
last sexual intercourse was higher among female (12.4%)
than male (6.6%) students; higher among white female
(15.9%) than white male (7.8%) students; and higher among
10th-grade female (14.4%), 11th-grade female (12.6%), and
12th-grade female (13.4%) than 10th-grade male (5.6%),
11th-grade male (7.0%), and 12th-grade male (8.3%) students,
respectively. Overall, the prevalence of having used both a
condom during last sexual intercourse and birth control pills,
Depo-Provera, Nuva Ring, Implanon, or any IUD before
last sexual intercourse was higher among white (12.1%) than
black (7.3%) and Hispanic (5.3%) students; higher among
white female (15.9%) than black female (9.1%) and Hispanic
female (6.1%) students; and higher among white male (7.8%)
than Hispanic male (4.5%) students. Overall, the prevalence
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27

Surveillance Summaries

of having used both a condom during last sexual intercourse


and birth control pills, Depo-Provera, Nuva Ring, Implanon,
or any IUD before last sexual intercourse was higher among
10th-grade (10.0%), 11th-grade (9.8%), and 12th-grade
(11.0%), than 9th-grade (5.6%) students; higher among
10th-grade female (14.4%), 11th-grade female (12.6%), and
12th-grade female (13.4%) than 9th-grade female (6.9%)
students; and higher among 12th-grade male (8.3%) than
9th-grade male (4.4%) students. The prevalence of having used
both a condom during last sexual intercourse and birth control
pills, Depo-Provera, Nuva Ring, Implanon, or any IUD before
last sexual intercourse ranged from 5.5% to 17.5% across state
surveys (median: 10.5%) and from 2.2% to 12.6% across large
urban school district surveys (median: 5.9%) (Table 72).

Did Not Use Any Method to Prevent Pregnancy


Among the 33.7% of currently sexually active students
nationwide, 12.9% had not used any method to prevent
pregnancy during last sexual intercourse (Table 71). Overall,
the prevalence of not having used any method to prevent
pregnancy was higher among female (15.1%) than male
(10.6%) students; higher among white female (11.7%), black
female (17.5%), and Hispanic female (22.6%) than white
male (8.3%), black male (9.9%), and Hispanic male (14.7%)
students, respectively; and higher among 9th-grade female
(22.3%) and 12th-grade female (13.3%) than 9th-grade male
(13.1%) and 12th-grade male (8.1%) students, respectively.
Overall, the prevalence of not having used any method to
prevent pregnancy was higher among black (13.3%) and
Hispanic (18.5%) than white (10.0%) students; higher among
Hispanic (18.5%) than black (13.3%) students; higher among
black female (17.5%) and Hispanic female (22.6%) than
white female (11.7%) students; and higher among Hispanic
male (14.7%) than white male (8.3%) and black male (9.9%)
students. Overall, the prevalence of not having used any
method to prevent pregnancy was higher among 9th-grade
(17.3%) than 11th-grade (12.0%) and 12th-grade (10.9%)
students; higher among 9th-grade female (22.3%) than
11th-grade female (12.7%) and 12th-grade female (13.3%)
students; and higher among 11th-grade male (11.4%) than
12th-grade male (8.1%) students. The prevalence of not having
used any method to prevent pregnancy ranged from 6.3% to
20.0% across state surveys (median: 12.2%) and from 10.3%
to 25.0% across large urban school district surveys (median:
15.2%) (Table 72).
During 19912011, among currently sexually active
students nationwide, a significant linear decrease occurred
in the prevalence of not having used any method to prevent
pregnancy (16.5%12.9%). The prevalence of not having used

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MMWR/June 8, 2012/Vol. 61/No. 4

any method to prevent pregnancy did not change significantly


from 2009 (11.9%) to 2011 (12.9%).

Drank Alcohol or Used Drugs Before Last Sexual


Intercourse
Among the 33.7% of currently sexually active students
nationwide, 22.1% had drunk alcohol or used drugs before last
sexual intercourse (Table 73). Overall, the prevalence of having
drunk alcohol or used drugs before last sexual intercourse was
higher among male (26.0%) than female (18.1%) students;
higher among white male (28.4%) and Hispanic male (25.6%)
than white female (18.7%) and Hispanic female (17.4%)
students, respectively; and higher among 10th-grade male
(23.8%) and 12th-grade male (31.2%) than 10th-grade female
(16.8%) and 12th-grade female (17.9%) students, respectively.
Overall, the prevalence of having drunk alcohol or used drugs
before last sexual intercourse was higher among white (23.4%)
than black (18.1%) students and higher among white male
(28.4%) and Hispanic male (25.6%) than black male (19.0%)
students. The prevalence of having drunk alcohol or used drugs
before last sexual intercourse was higher among 12th-grade
male (31.2%) than 10th-grade male (23.8%) and 11th-grade
male (23.3%) students. The prevalence of having drunk alcohol
or used drugs before last sexual intercourse ranged from 16.0%
to 26.7% across state surveys (median: 20.6%) and from 14.6%
to 27.0% across large urban school district surveys (median:
21.1%) (Table 74).
Among currently sexually active students nationwide, the
prevalence of having drunk alcohol or used drugs before last
sexual intercourse increased during 19912001 (21.6%
25.6%) and then decreased during 20012011 (25.6%
22.1%). The prevalence of having drunk alcohol or used drugs
before last sexual intercourse did not change significantly from
2009 (21.6%) to 2011 (22.1%).

Were Taught in School About AIDS or HIV


Infection
Nationwide, 84.0% of students had ever been taught in
school about AIDS or HIV infection (Table 73). Overall, the
prevalence of having been taught in school about AIDS or HIV
infection was higher among white (86.0%) and black (87.1%)
than Hispanic (77.5%) students; higher among white female
(85.3%) and black female (87.9%) than Hispanic female
(76.9%) students; and higher among white male (86.6%) and
black male (86.2%) than Hispanic male (78.1%) students.
Overall, the prevalence of having been taught in school about
AIDS or HIV infection was higher among 11th-grade (85.4%)
and 12th-grade (86.1%) than 9th-grade (81.1%) students;
higher among 10th-grade female (84.8%) and 12th-grade
female (85.1%) than 9th-grade female (80.8%) students; and

Surveillance Summaries

higher among 11th-grade male (86.5%) and 12th-grade male


(86.9%) than 9th-grade male (81.5%) students. The prevalence
of having been taught in school about AIDS or HIV infection
ranged from 74.9% to 91.4% across state surveys (median:
83.7%) and from 72.9% to 87.3% across large urban school
district surveys (median: 81.5%) (Table 74).
Among students nationwide, the prevalence of having been
taught in school about AIDS or HIV increased during 1991
1997 (83.3%91.5%) and then decreased during 19972011
(91.5%84.0%). The prevalence of having ever been taught
in school about AIDS or HIV infection also decreased from
2009 (87.0%) to 2011 (84.0%).

Tested for HIV


Nationwide, 12.9% of students had been tested for HIV, not
counting tests done when donating blood (Table 75). Overall,
the prevalence of having been tested for HIV was higher among
female (14.6%) than male (11.2%) students; higher among
white female (12.6%) than white male (8.7%) students; and
higher among 10th-grade female (13.1%), 11th-grade female
(16.9%), and 12th-grade female (19.1%) than 10th-grade
male (9.7%), 11th-grade male (10.3%), and 12th-grade male
(14.6%) students, respectively. Overall, the prevalence of
having been tested for HIV was higher among black (24.0%)
and Hispanic (12.5%) than white (10.6%) students; higher
among black (24.0%) than Hispanic (12.5%) students; higher
among black female (24.2%) than white female (12.6%)
and Hispanic female (14.0%) students; and higher among
black male (23.7%) than white male (8.7%) and Hispanic
male (11.0%) students. Overall, the prevalence of having
been tested for HIV was higher among 11th-grade (13.5%)
and 12th-grade (16.9%) than 9th-grade (10.3%) students;
higher among 12th-grade (16.9%) than 10th-grade (11.3%)
and 11th-grade (13.5%) students; higher among 11th-grade
female (16.9%) and 12th-grade female (19.1%) than 9th-grade
female (10.2%) and 10th-grade female (13.1%) students;
and higher among 12th-grade male (14.6%) than 9th-grade
male (10.3%), 10th-grade male (9.7%), and 11th-grade male
(10.3%) students.
Among students nationwide, the prevalence of having been
tested for HIV did not change significantly during 20052011
(11.9%12.9%) or from 2009 (12.7%) to 2011 (12.9%).

Dietary Behaviors
Did Not Eat Fruit or Drink 100% Fruit Juices
Nationwide, 4.8% of students had not eaten fruit or
drunk 100% fruit juices during the 7 days before the survey
(Table 76). Overall, the prevalence of having not eaten fruit or
drunk 100% fruit juices was higher among male (5.3%) than

female (4.3%) students and higher among white male (5.2%)


than white female (3.8%) students. Overall, the prevalence of
not having eaten fruit or drunk 100% fruit juices was higher
among black (6.5%) than white (4.5%) and Hispanic (4.5%)
students and higher among black female (6.3%) than white
female (3.8%) and Hispanic female (4.0%) students. The
prevalence of having not eaten fruit or drunk 100% fruit juices
ranged from 2.8% to 10.3% across state surveys (median:
6.1%) and from 3.8% to 9.7% across large urban school district
surveys (median: 6.7%) (Table 77).
Among students nationwide, the prevalence of having
not eaten fruit or drunk 100% fruit juices did not change
significantly during 19992003 (5.4%6.1%) and then
decreased during 20032011 (6.1%4.8%). The prevalence
of having not eaten fruit or drunk 100% fruit juices did not
change significantly from 2009 (5.1%) to 2011 (4.8%).

Ate Fruit or Drank 100% Fruit Juices One or More


Times per Day
Nationwide, 64.0% of students had eaten fruit or drunk
100% fruit juices one or more times per day during the 7 days
before the survey (Table 76). Overall, the prevalence of having
eaten fruit or drunk 100% fruit juices one or more times per
day was higher among male (66.1%) than female (61.6%)
students; higher among black male (67.1%) and Hispanic
male (68.9%) than black female (60.2%) and Hispanic female
(60.3%) students, respectively; and higher among 9th-grade
male (66.2%) and 10th-grade male (68.7%) than 9th-grade
female (60.3%) and 10th-grade female (63.1%) students,
respectively. The prevalence of having eaten fruit or drunk
100% fruit juices one or more times per day was higher among
Hispanic male (68.9%) than white male (64.8%) students.
Overall, the prevalence of having eaten fruit or drunk 100%
fruit juices one or more times per day was higher among
10th-grade (66.0%) than 12th-grade (62.1%) students and
higher among 10th-grade male (68.7%) than 12th-grade
male (63.1%) students. The prevalence of having eaten fruit
or drunk 100% fruit juices one or more times per day ranged
from 49.4% to 69.3% across state surveys (median: 60.5%)
and from 47.1% to 68.4% across large urban school district
surveys (median: 61.8%) (Table 77).
Among students nationwide, the prevalence of having eaten
fruit or drunk 100% fruit juices one or more times per day did
not change significantly during 19992005 (62.6%59.9%)
and then increased during 20052011 (59.9%64.0%). The
prevalence of having eaten fruit or drunk 100% fruit juices
one or more times per day did not change significantly from
2009 (64.8%) to 2011 (64.0%).

MMWR/June 8, 2012/Vol. 61/No. 4

29

Surveillance Summaries

Ate Fruit or Drank 100% Fruit Juices Two or More


Times per Day
Nationwide, 34.0% of students had eaten fruit or drunk
100% fruit juices two or more times per day during the 7
days before the survey (Table 78). Overall, the prevalence of
having eaten fruit or drunk 100% fruit juices two or more
times per day was higher among male (36.5%) than female
(31.2%) students; higher among white male (34.8%), black
male (40.0%), and Hispanic male (40.0%) than white female
(30.6%), black female (34.5%), and Hispanic female (30.9%)
students, respectively; and higher among 9th-grade male
(39.3%) and 12th-grade male (34.9%) than 9th-grade female
(30.7%) and 12th-grade female (29.3%) students, respectively.
Overall, the prevalence of having eaten fruit or drunk 100%
fruit juices two or more times per day was higher among black
(37.2%) than white (32.8%) students and higher among
Hispanic male (40.0%) than white male (34.8%) students.
Overall, the prevalence of having eaten fruit or drunk 100%
fruit juices two or more times per day was higher among
10th-grade (35.4%) than 11th-grade (32.6%) and 12th-grade
(32.2%) students; higher among 10th-grade female (33.3%)
than 12th-grade female (29.3%) students; and higher among
9th-grade male (39.3%) than 11th-grade male (34.0%) and
12th-grade male (34.9%) students. The prevalence of having
eaten fruit or drunk 100% fruit juices two or more times per
day ranged from 23.0% to 36.8% across state surveys (median:
30.2%) and from 26.6% to 39.2% across large urban school
district surveys (median: 34.3%) (Table 79).
Among students nationwide, the prevalence of having
eaten fruits or drunk 100% fruit juices two or more times per
day decreased during 19992005 (34.8%30.1%) and then
increased during 20052011 (30.1%34.0%). The prevalence
of having eaten fruits or drunk 100% fruit juices two or more
times per day did not change significantly from 2009 (33.9%)
to 2011 (34.0%).

Ate Fruit or Drank 100% Fruit Juices Three or


More Times per Day
Nationwide, 22.4% of students had eaten fruit or drunk 100%
fruit juices three or more times per day during the 7 days before
the survey (Table 78). Overall, the prevalence of having eaten
fruit or drunk 100% fruit juices three or more times per day
was higher among male (24.8%) than female (19.8%) students;
higher among white male (22.3%), black male (30.3%), and
Hispanic male (27.6%) than white female (17.4%), black female
(25.6%), and Hispanic female (21.8%) students, respectively;
and higher among 9th-grade male (27.2%) and 12th-grade
male (23.2%) than 9th-grade female (19.4%) and 12th-grade
female (18.1%) students, respectively. Overall, the prevalence

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MMWR/June 8, 2012/Vol. 61/No. 4

of having eaten fruit or drunk 100% fruit juices three or more


times per day was higher among black (27.9%) and Hispanic
(24.8%) than white (20.0%) students; higher among black
(27.9%) than Hispanic (24.8%) students; higher among black
female (25.6%) and Hispanic female (21.8%) than white female
(17.4%) students; higher among black female (25.6%) than
Hispanic female (21.8%) students; and higher among black
male (30.3%) and Hispanic male (27.6%) than white male
(22.3%) students. Overall, the prevalence of having eaten fruit
or drunk 100% fruit juices three or more times per day was
higher among 10th-grade (24.2%) than 11th-grade (20.7%)
and 12th-grade (20.7%) students; higher among 10th-grade
female (22.0%) than 12th-grade female (18.1%) students;
higher among 9th-grade male (27.2%) than 11th-grade male
(21.7%) and 12th-grade male (23.2%) students; and higher
among 10th-grade male (26.3%) than 11th-grade male (21.7%)
students. The prevalence of having eaten fruit or drunk 100%
fruit juices three or more times per day ranged from 13.7% to
25.6% across state surveys (median: 19.3%) and from 19.6%
to 29.6% across large urban school district surveys (median:
24.4%) (Table 79).
Among students nationwide, the prevalence of having eaten
fruit or drunk 100% fruit juices three or more times per
day decreased during 19992005 (24.9%19.8%) and then
increased during 20052011 (19.8%22.4%). The prevalence
of having eaten fruit or drunk 100% fruit juices three or more
times per day did not change significantly from 2009 (22.9%)
to 2011 (22.4%).

Did Not Eat Vegetables


Nationwide, 5.7% of students had not eaten vegetables**
during the 7 days before the survey (Table 80). Overall, the
prevalence of not having eaten vegetables was higher among
male (6.9%) than female (4.5%) students; higher among
white male (5.5%) than white female (2.4%) students; and
higher among 9th-grade male (8.1%), 10th-grade male
(5.9%), and 11th-grade male (8.2%) than 9th-grade female
(5.0%), 10th-grade female (3.7%), and 11th-grade female
(4.6%) students, respectively. Overall, the prevalence of not
having eaten vegetables was higher among black (9.9%) and
Hispanic (8.2%) than white (4.0%) students; higher among
black female (8.6%) and Hispanic female (8.1%) than white
female (2.4%) students; and higher among black male (11.1%)
and Hispanic male (8.2%) than white male (5.5%) students.
Overall, the prevalence of not having eaten vegetables was
higher among 9th-grade (6.6%) and 11th-grade (6.4%) than
10th-grade (4.9%) and 12th-grade (4.8%) students; higher
among 9th-grade male (8.1%) than 10th-grade male (5.9%)
** Green salad, potatoes (excluding French fries, fried potatoes, or potato chips),
carrots, or other vegetables.

Surveillance Summaries

and 12th-grade male (5.2%) students; and higher among


11th-grade male (8.2%) than 12th-grade male (5.2%) students.
The prevalence of not having eaten vegetables ranged from
3.0% to 12.2% across state surveys (median: 5.8%) and from
4.9% to 12.5% across large urban school district surveys
(median: 8.8%) (Table 81).
Among students nationwide, the prevalence of not having
eaten vegetables increased during 19992005 (4.2%6.0%)
and then did not change significantly during 20052011
(6.0%5.7%). The prevalence of not having eaten vegetables also
did not change significantly from 2009 (6.0%) to 2011 (5.7%).

Ate Vegetables One or More Times per Day


Nationwide, 62.3% of students had eaten vegetables one
or more times per day during the 7 days before the survey
(Table 80). The prevalence of having eaten vegetables one or
more times per day was higher among Hispanic male (58.9%)
than Hispanic female (53.8%) students. Overall, the prevalence
of having eaten vegetables one or more times per day was
higher among white (65.7%) than black (54.3%) and Hispanic
(56.4%) students; higher among white female (66.1%) than
black female (52.7%) and Hispanic female (53.8%) students;
and higher among white male (65.3%) than black male
(55.9%) and Hispanic male (58.9%) students. The prevalence
of having eaten vegetables one or more times per day ranged
from 49.9% to 73.6% across state surveys (median: 61.1%)
and from 45.9% to 69.1% across large urban school district
surveys (median: 55.1%) (Table 81).
Among students nationwide, the prevalence of having
eaten vegetables one or more times per day did not change
significantly during 19992011 (64.5%62.3%) or from 2009
(62.7%) to 2011 (62.3%).

Ate Vegetables Two or More Times per Day


Nationwide, 28.3% of students had eaten vegetables two or
more times per day during the 7 days before the survey (Table
82). Overall, the prevalence of having eaten vegetables two
or more times per day was higher among male (30.2%) than
female (26.1%) students; higher among white male (30.9%)
and Hispanic male (29.7%) than white female (27.2%) and
Hispanic female (23.8%) students, respectively; higher among
9th-grade male (30.6%), 10th-grade male (30.0%), and
12th-grade male (31.4%) than 9th-grade female (26.5%),
10th-grade female (25.3%), and 12th-grade female (24.3%)
students, respectively. Overall, the prevalence of having eaten
vegetables two or more times per day was higher among
white (29.1%) than black (24.9%) students and higher
among white female (27.2%) than black female (23.2%) and
Hispanic female (23.8%) students. The prevalence of having
eaten vegetables two or more times per day was higher among

11th-grade female (28.4%) than 10th-grade female (25.3%)


students. The prevalence of having eaten vegetables two or
more times per day ranged from 19.0% to 36.8% across state
surveys (median: 26.6%) and from 19.3% to 34.9% across
large urban school district surveys (median: 25.6%) (Table 83).
Among students nationwide, the prevalence of having
eaten vegetables two or more times per day did not change
significantly during 19992011 (28.5%28.3%) or from 2009
(27.6%) to 2011 (28.3%).

Ate Vegetables Three or More Times per Day


Nationwide, 15.3% of students had eaten vegetables three or
more times per day during the 7 days before the survey (Table
82). Overall, the prevalence of having eaten vegetables three
or more times per day was higher among male (16.6%) than
female (13.9%) students; higher among white male (15.5%)
and Hispanic male (18.1%) than white female (13.3%) and
Hispanic female (13.7%) students, respectively; and higher
among 9th-grade male (18.3%) and 12th-grade male (16.7%)
than 9th-grade female (14.1%) and 12th-grade female
(13.3%) students, respectively. The prevalence of having eaten
vegetables three or more times per day ranged from 9.0% to
18.7% across state surveys (median: 13.2%) and from 9.1%
to 18.5% across large urban school district surveys (median:
14.1%) (Table 83).
Among students nationwide, the prevalence of having
eaten vegetables three or more times per day did not change
significantly during 19992011 (14.0%15.3%). The
prevalence of having eaten vegetables three or more times per
day increased from 2009 (13.8%) to 2011 (15.3%).

Did Not Drink Milk


Nationwide, 17.3% of students had not drunk milk
during the 7 days before the survey (Table 84). Overall, the
prevalence of not having drunk milk was higher among female
(23.0%) than male (11.8%) students; higher among white
female (19.6%), black female (38.6%), and Hispanic female
(21.9%) than white male (9.7%), black male (21.8%), and
Hispanic male (12.3%) students, respectively; and higher
among 9th-grade female (20.3%), 10th-grade female (21.2%),
11th-grade female (24.4%), and 12th-grade female (26.9%)
than 9th-grade male (10.6%), 10th-grade male (11.3%),
11th-grade male (13.4%), and 12th-grade male (12.0%)
students, respectively. Overall, the prevalence of not having
drunk milk was higher among black (30.4%) than white
(14.5%) and Hispanic (16.9%) students; higher among black
female (38.6%) than white female (19.6%) and Hispanic
female (21.9%) students; higher among black male (21.8%)
and Hispanic male (12.3%) than white male (9.7%) students;
and higher among black male (21.8%) than Hispanic male

MMWR/June 8, 2012/Vol. 61/No. 4

31

Surveillance Summaries

(12.3%) students. Overall, the prevalence of not having drunk


milk was higher among 11th-grade (18.8%) and 12th-grade
(19.3%) than 9th-grade (15.4%) students; higher among
11th-grade (18.8%) than 10th-grade (16.1%) students; higher
among 11th-grade female (24.4%) and 12th-grade female
(26.9%) than 9th-grade female (20.3%) students; higher
among 12th-grade female (26.9%) than 10th-grade female
(21.2%) students; and higher among 11th-grade male (13.4%)
than 9th-grade male (10.6%) students.
Among students nationwide, the prevalence of not having
drunk milk did not change significantly during 19992011
(17.0%17.3%) or from 2009 (17.3%) to 2011 (17.3%).

Drank One or More Glasses per Day of Milk


Nationwide, 44.4% of students had drunk one or more
glasses per day of milk during the 7 days before the survey
(Table 84). Overall, the prevalence of having drunk one or
more glasses per day of milk was higher among male (53.4%)
than female (34.8%) students; higher among white male
(58.1%), black male (38.5%), and Hispanic male (47.3%)
than white female (39.0%), black female (20.0%), and
Hispanic female (33.6%) students, respectively; and higher
among 9th-grade male (56.9%), 10th-grade male (54.5%),
11th-grade male (52.4%), and 12th-grade male (49.0%)
than 9th-grade female (36.5%), 10th-grade female (39.0%),
11th-grade female (32.3%), and 12th-grade female (30.8%)
students, respectively. Overall, the prevalence of having drunk
one or more glasses per day of milk was higher among white
(48.8%) than black (29.0%) and Hispanic (40.7%) students;
higher among Hispanic (40.7%) than black (29.0%) students;
higher among white female (39.0%) than black female (20.0%)
and Hispanic female (33.6%) students; higher among Hispanic
female (33.6%) than black female (20.0%) students; higher
among white male (58.1%) than black male (38.5%) and
Hispanic male (47.3%) students; and higher among Hispanic
male (47.3%) than black male (38.5%) students. Overall, the
prevalence of having drunk one or more glasses per day of milk
was higher among 9th-grade (46.8%) and 10th-grade (47.1%)
than 11th-grade (42.5%) and 12th-grade (40.2%) students;
higher among 9th-grade female (36.5%) and 10th-grade female
(39.0%) than 11th-grade female (32.3%) and 12th-grade
female (30.8%) students; higher among 9th-grade male
(56.9%) than 11th-grade male (52.4%) and 12th-grade male
(49.0%) students; and higher among 10th-grade male (54.5%)
than 12th-grade male (49.0%) students.
Among students nationwide, the prevalence of having drunk
one or more glasses per day of milk did not change significantly
during 19992011 (47.1%44.4%) or from 2009 (43.9%) to
2011 (44.4%).

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MMWR/June 8, 2012/Vol. 61/No. 4

Drank Two or More Glasses per Day of Milk


Nationwide, 29.9% of students had drunk two or more
glasses per day of milk during the 7 days before the survey
(Table 85). Overall, the prevalence of having drunk two or
more glasses per day of milk was higher among male (37.6%)
than female (21.6%) students; higher among white male
(42.2%), black male (25.5%), and Hispanic male (32.6%) than
white female (24.5%), black female (10.4%), and Hispanic
female (20.9%) students, respectively; and higher among
9th-grade male (41.1%), 10th-grade male (39.5%), 11th-grade
male (35.7%), and 12th-grade male (33.4%) than 9th-grade
female (24.6%), 10th-grade female (24.5%), 11th-grade
female (18.8%), and 12th-grade female (17.8%) students,
respectively. Overall, the prevalence of having drunk two or
more glasses per day of milk was higher among white (33.6%)
than black (17.7%) and Hispanic (27.0%) students; higher
among Hispanic (27.0%) than black (17.7%) students; higher
among white female (24.5%) and Hispanic female (20.9%)
than black female (10.4%) students; higher among white male
(42.2%) than black male (25.5%) and Hispanic male (32.6%)
students; and higher among Hispanic male (32.6%) than black
male (25.5%) students. Overall, the prevalence of having
drunk two or more glasses per day of milk was higher among
9th-grade (32.9%) and 10th-grade (32.3%) than 11th-grade
(27.4%) and 12th-grade (25.8%) students; higher among
9th-grade female (24.6%) and 10th-grade female (24.5%)
than 11th-grade female (18.8%) and 12th-grade female
(17.8%) students; higher among 9th-grade male (41.1%)
than 11th-grade male (35.7%) and 12th-grade male (33.4%)
students; and higher among 10th-grade male (39.5%) than
12th-grade male (33.4%) students.
During 19992011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
drunk two or more glasses per day of milk (33.6%29.9%).
The prevalence of having drunk two or more glasses per day
of milk did not change significantly from 2009 (28.8%) to
2011 (29.9%).

Drank Three or More Glasses per Day of Milk


Nationwide, 14.9% of students had drunk three or more
glasses per day of milk during the 7 days before the survey
(Table 85). Overall, the prevalence of having drunk three
or more glasses per day of milk was higher among male
(20.0%) than female (9.3%) students; higher among white
male (22.9%), black male (13.0%), and Hispanic male
(16.6%) than white female (9.9%), black female (6.3%), and
Hispanic female (9.9%) students, respectively; and higher
among 9th-grade male (22.5%), 10th-grade male (21.0%),
11th-grade male (17.2%), and 12th-grade male (18.4%)

Surveillance Summaries

than 9th-grade female (11.8%), 10th-grade female (11.0%),


11th-grade female (7.4%), and 12th-grade female (6.5%)
students, respectively. Overall, the prevalence of having drunk
three or more glasses per day of milk was higher among white
(16.6%) than black (9.5%) and Hispanic (13.4%) students;
higher among Hispanic (13.4%) than black (9.5%) students;
higher among white female (9.9%) and Hispanic female
(9.9%) than black female (6.3%) students; higher among white
male (22.9%) than black male (13.0%) and Hispanic male
(16.6%) students; and higher among Hispanic male (16.6%)
than black male (13.0%) students. Overall, the prevalence
of having drunk three or more glasses per day of milk was
higher among 9th-grade (17.2%) and 10th-grade (16.2%)
than 11th-grade (12.4%) and 12th-grade (12.6%) students;
higher among 9th-grade female (11.8%) and 10th-grade
female (11.0%) than 11th-grade female (7.4%) and 12th-grade
female (6.5%) students; higher among 9th-grade male (22.5%)
than 11th-grade male (17.2%) and 12th-grade male (18.4%)
students; and higher among 10th-grade male (21.0%) than
11th-grade male (17.2%) students.
During 19992011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
drunk three or more glasses per day of milk (18.0%14.9%).
The prevalence of having drunk three or more glasses per day
of milk did not change significantly from 2009 (14.5%) to
2011 (14.9%).

Did Not Drink Soda or Pop


Nationwide, 20.9% of students had not drunk soda or pop
(not counting diet soda or diet pop) during the 7 days before
the survey (Table 86). Overall, the prevalence of not having
drunk soda or pop was higher among female (23.6%) than male
(18.4%) students; higher among white female (25.9%) than
white male (17.6%) students; and higher among 9th-grade
female (19.3%), 10th-grade female (22.9%), 11th-grade female
(26.9%), and 12th-grade female (26.2%) than 9th-grade male
(16.0%), 10th-grade male (17.9%), 11th-grade male (20.0%),
and 12th-grade male (20.5%) students, respectively. Overall,
the prevalence of not having drunk soda or pop was higher
among white (21.6%) than black (18.8%) students and higher
among white female (25.9%) than black female (18.5%) and
Hispanic female (20.8%) students. Overall, the prevalence of
not having drunk soda or pop was higher among 10th-grade
(20.3%), 11th-grade (23.4%), and 12th-grade (23.3%) than
9th-grade (17.6%) students; higher among 11th-grade (23.4%)
and 12th-grade (23.3%) than 10th-grade (20.3%) students;
higher among 11th-grade female (26.9%) and 12th-grade
female (26.2%) than 9th-grade female (19.3%) students; and
higher among 11th-grade male (20.0%) and 12th-grade male
(20.5%) than 9th-grade male (16.0%) students. The prevalence

of not having drunk soda or pop ranged from 14.3% to


32.9% across state surveys (median: 21.6%) and from 13.4%
to 32.2% across large urban school district surveys (median:
20.9%) (Table 87).
Among students nationwide, the prevalence of not having
drunk soda or pop did not change significantly during 2007
2011 (18.6%20.9%) or from 2009 (19.4%) to 2011 (20.9%).

Drank Soda or Pop One or More Times per Day


Nationwide, 27.8% 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 86). Overall, the prevalence of having drunk soda
or pop one or more times per day was higher among male
(31.4%) than female (24.0%) students; higher among white
male (34.0%) than white female (23.2%) students; and higher
among 9th-grade male (32.8%), 10th-grade male (29.6%),
11th-grade male (31.7%), and 12th-grade male (31.2%)
than 9th-grade female (26.4%), 10th-grade female (24.7%),
11th-grade female (21.2%), and 12th-grade female (22.7%)
students, respectively. The prevalence of having drunk soda
or pop at least one or more times per day was higher among
white male (34.0%) than Hispanic male (28.0%) students.
The prevalence of having drunk soda or pop at least one
time per day was higher among 9th-grade female (26.4%)
than 11th-grade female (21.2%) students. The prevalence of
having drunk soda or pop one or more times per day ranged
from 14.3% to 40.9% across state surveys (median: 26.0%)
and from 12.7% to 38.9% across large urban school district
surveys (median: 24.6%) (Table 87).
During 20072011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
drunk soda or pop one or more times per day (33.8%27.8%).
The prevalence of having drunk soda or pop one or more times
per day did not change significantly from 2009 (29.2%) to
2011 (27.8%).

Drank Soda or Pop Two or More Times per Day


Nationwide, 19.0% 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 88). Overall, the prevalence of having drunk soda
or pop two or more times per day was higher among male
(21.8%) than female (16.1%) students; higher among white
male (22.9%) than white female (14.8%) students; and higher
among 9th-grade male (22.6%), 11th-grade male (22.1%),
and 12th-grade male (22.5%) than 9th-grade female (17.8%),
11th-grade female (13.4%), and 12th-grade female (14.9%)
students, respectively. Overall, the prevalence of having drunk
soda or pop two or more times per day was higher among

MMWR/June 8, 2012/Vol. 61/No. 4

33

Surveillance Summaries

black (22.2%) than Hispanic (18.0%) students; higher


among black female (21.1%) than white female (14.8%) and
Hispanic female (16.8%) students; and higher among white
male (22.9%) and black male (19.0%) than Hispanic male
(19.0%) students. The prevalence of having drunk soda or pop
two or more times per day was higher among 9th-grade female
(17.8%) and 10th-grade female (17.6%) than 11th-grade
female (13.4%) students. The prevalence of having drunk
soda or pop two or more times per day ranged from 8.4% to
31.7% across state surveys (median: 17.5%) and from 8.1%
to 31.5% across large urban school district surveys (median:
17.9%) (Table 89).
During 20072011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
drunk soda or pop two or more times per day (24.4%19.0%).
The prevalence of having drunk soda or pop two or more times
per day did not change significantly from 2009 (19.7%) to
2011 (19.0%).

Drank Soda or Pop Three or More Times per Day


Nationwide, 11.3% 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 88). Overall, the prevalence of having drunk soda
or pop three or more times per day was higher among male
(13.2%) than female (9.3%) students; higher among white
male (13.2%) and Hispanic male (11.8%) than white female
(8.1%) and Hispanic female (9.3%) students, respectively;
and higher among 9th-grade male (14.2%), 11th-grade
male (13.1%), and 12th-grade male (12.9%) than 9th-grade
female (10.7%), 11th-grade female (7.5%), and 12th-grade
female (8.1%) students, respectively. Overall, the prevalence
of having drunk soda or pop three or more times per day was
higher among black (14.6%) than white (10.7%) and Hispanic
(10.6%) students; higher among black female (13.0%) than
white female (8.1%) and Hispanic female (9.3%) students;
and higher among black male (16.2%) than Hispanic male
(11.8%) students. Overall, the prevalence of having drunk soda
or pop three or more times per day was higher among 9th-grade
(12.5%) than 11th-grade (10.3%) students and higher among
9th-grade female (10.7%) and 10th-grade female (10.3%)
than 11th-grade female (7.5%) students. The prevalence of
having drunk soda or pop three or more times per day ranged
from 4.5% to 19.5% across state surveys (median: 9.1%) and
from 4.7% to 20.4% across large urban school district surveys
(median: 11.0%) (Table 89).
During 20072011, among students nationwide, a
significant linear decrease occurred in the prevalence of having

34

MMWR/June 8, 2012/Vol. 61/No. 4

drunk soda or pop three or more times per day (14.4%


11.3%). The prevalence of having drunk soda or pop three or
more times per day did not change significantly from 2009
(11.2%) to 2011 (11.3%).

Ate Breakfast on 0 Days


Nationwide, 13.1% of students had eaten breakfast on 0 days
during the 7 days before the survey (Table 90). Overall, the
prevalence of having eaten breakfast on 0 days was higher
among female (13.9%) than male (12.3%) students; higher
among white female (12.8%) and black female (19.0%)
than white male (11.2%) and black male (12.9%) students,
respectively; and higher among 9th-grade female (14.7%)
and 10th-grade female (14.5%) than 9th-grade male (11.3%)
and 10th-grade male (11.4%) students, respectively. Overall,
the prevalence of having eaten breakfast on 0 days was higher
among black (16.1%) and Hispanic (14.4%) than white
(12.0%) students; higher among black female (19.0%) than
white female (12.8%) and Hispanic female (14.6%) students;
and higher among Hispanic male (14.1%) than white male
(11.2%) students. The prevalence of having eaten breakfast
on 0 days was higher among 11th-grade male (14.3%) than
9th-grade male (11.3%) students.

Ate Breakfast on All 7 Days


Nationwide, 37.7% of students had eaten breakfast on all
7 days before the survey (Table 90). Overall, the prevalence
of having eaten breakfast on all 7 days was higher among
male (41.0%) than female (34.3%) students; higher among
white male (42.1%), black male (35.7%), and Hispanic male
(42.5%) than white female (37.1%), black female (26.9%),
and Hispanic female (31.4%) students, respectively; and higher
among 9th-grade male (47.1%) and 10th-grade male (43.2%)
than 9th-grade female (32.6%) and 10th-grade female (33.3%)
students, respectively. Overall, the prevalence of having eaten
breakfast on all 7 days was higher among white (39.7%) and
Hispanic (37.1%) than black (31.2%) students; higher among
white female (37.1%) than black female (26.9%) and Hispanic
female (31.4%) students; and higher among white male (42.1%)
and Hispanic male (42.5%) than black male (35.7%) students.
Overall, the prevalence of having eaten breakfast on all 7 days
was higher among 9th-grade (39.9%), 10th-grade (38.4%),
and 11th-grade (37.9%) than 12th-grade (34.2%) students;
higher among 11th-grade female (37.9%) than 9th-grade female
(32.6%), 10th-grade female (33.3%), and 12th-grade female
(33.4%) students; and higher among 9th-grade male (47.1%)
and 10th-grade male (43.2%) than 11th-grade male (37.9%)
and 12th-grade male (35.0%) students.

Surveillance Summaries

Physical Activity
Did Not Participate in at Least 60 Minutes of
Physical Activity on Any Day
Nationwide, 13.8% 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
any day) (Table 91). Overall, the prevalence of not having
participated in at least 60 minutes of physical activity on any
day was higher among female (17.7%) than male (10.0%)
students; higher among white female (13.7%), black female
(26.7%), and Hispanic female (21.3%) than white male
(8.5%), black male (12.3%), and Hispanic male (10.7%)
students, respectively; and higher among 9th-grade female
(13.9%), 10th-grade female (17.9%), 11th-grade female
(19.0%), and 12th-grade female (20.6%) than 9th-grade male
(8.7%), 10th-grade male (10.0%), 11th-grade male (10.5%),
and 12th-grade male (10.8%) students, respectively. Overall,
the prevalence of not having participated in at least 60 minutes
of physical activity on any day was higher among black (19.6%)
and Hispanic (15.9%) than white (11.0%) students; higher
among black (19.6%) than Hispanic (15.9%) students; higher
among black female (26.7%) and Hispanic female (21.3%)
than white female (13.7%) students; higher among black
female (26.7%) than Hispanic female (21.3%) students; and
higher among black male (12.3%) and Hispanic male (10.7%)
than white male (8.5%) students. Overall, the prevalence of not
having participated in at least 60 minutes of physical activity on
any day was higher among 11th-grade (14.7%) and 12th-grade
(15.6%) than 9th-grade (11.2%) students and higher among
10th-grade female (17.9%), 11th-grade female (19.0%), and
12th-grade female (20.6%) than 9th-grade female (13.9%)
students. The prevalence of not having participated in at least
60 minutes of physical activity on any day ranged from 9.0%
to 20.6% across state surveys (median: 13.8%) and from 15.5%
to 27.1% across large urban school district surveys (median:
20.0%) (Table 92).
Because of changes in question context starting in 2011, national YRBS
prevalence estimates derived from the 60 minutes of physical activity question
in 2011 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 national YRBS
questionnaire, only the 60 minutes of aerobic physical activity question was
included.

Physically Active at Least 60 Minutes per Day on 5


or More Days
Nationwide, 49.5% 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 91). Overall, the prevalence
of having been physically active at least 60 minutes per day on
5 or more days was higher among male (59.9%) than female
(38.5%) students; higher among white male (62.1%), black
male (57.1%), and Hispanic male (57.1%) than white female
(42.6%), black female (31.9%), and Hispanic female (33.0%)
students, respectively; and higher among 9th-grade male
(61.0%), 10th-grade male (62.3%), 11th-grade male (58.5%),
and 12th-grade male (57.3%) than 9th-grade female (44.5%),
10th-grade female (40.3%), 11th-grade female (35.7%), and
12th-grade female (32.0%) students, respectively. Overall, 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 (44.4%) and Hispanic (45.4%) students; higher
among white female (42.6%) than black female (31.9%)
and Hispanic female (33.0%) students; and higher among
white male (62.1%) than Hispanic male (57.1%) students.
Overall, the prevalence of having been physically active at
least 60 minutes per day on 5 or more days was higher among
9th-grade (52.9%) and 10th-grade (51.8%) than 11th-grade
(47.3%) and 12th-grade (44.8%) students and higher among
9th-grade female (44.5%) and 10th-grade female (40.3%) than
11th-grade female (35.7%) and 12th-grade female (32.0%)
students. The prevalence of having been physically active at
least 60 minutes per day on 5 or more days ranged from 37.9%
to 54.7% across state surveys (median: 46.9%) and from 26.7%
to 45.7% across large urban school district surveys (median:
37.1%) (Table 92).

Physically Active at Least 60 Minutes per Day on


All 7 Days
Nationwide, 28.7% 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 least 60 minutes per day on each of the 7 days before the
survey (i.e., physically active at least 60 minutes on all 7 days)
(Table 93). Overall, the prevalence of having been physically
active at least 60 minutes on all 7 days was higher among
male (38.3%) than female (18.5%) students; higher among
white male (40.4%), black male (35.2%), and Hispanic male
(35.6%) than white female (19.7%), black female (16.9%),
and Hispanic female (16.9%) students, respectively; and higher

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Surveillance Summaries

among 9th-grade male (38.8%), 10th-grade male (42.6%),


11th-grade male (36.2%), and 12th-grade male (34.9%)
than 9th-grade female (22.2%), 10th-grade female (18.1%),
11th-grade female (18.0%), and 12th-grade female (14.9%)
students, respectively. Overall, the prevalence of having been
physically active at least 60 minutes on all 7 days was higher
among white (30.4%) than black (26.0%) and Hispanic
(26.5%) students and higher among white male (40.4%) than
black male (35.2%) and Hispanic male (35.6%) students.
Overall, the prevalence of having been physically active at
least 60 minutes on all 7 days was higher among 9th-grade
(30.7%) and 10th-grade (30.8%) than 11th-grade (27.3%)
and 12th-grade (25.1%) students; higher among 9th-grade
female (22.2%) than 10th-grade female (18.1%), 11th-grade
female (18.0%), and 12th-grade female (14.9%) students;
higher among 10th-grade female (18.1%) and 11th-grade
female (18.0%) than 12th-grade female (14.9%) students;
higher among 9th-grade male (38.8%) than 12th-grade
male (34.9%) students; and higher among 10th-grade male
(42.6%) than 11th-grade male (36.2%) and 12th-grade male
(34.9%) students. The prevalence of having been physically
active at least 60 minutes on all 7 days ranged from 20.8% to
33.1% across state surveys (median: 25.8%) and from 13.4%
to 25.9% across large urban school district surveys (median:
19.9%) (Table 94).

Participated in Muscle Strengthening Activities


on 3 or More Days
Nationwide, 55.6% of students had participated in muscle
strengthening activities (e.g., push-ups, sit-ups, or weightlifting)
on 3 or more days during the 7 days before the survey (Table
93). Overall, the prevalence of having participated in muscle
strengthening activities on 3 or more days was higher among
male (66.7%) than female (43.8%) students; higher among
white male (65.5%), black male (71.5%), and Hispanic male
(67.6%) than white female (45.3%), black female (37.3%),
and Hispanic female (44.7%) students, respectively; and higher
among 9th-grade male (68.6%), 10th-grade male (68.8%),
11th-grade male (64.9%), and 12th-grade male (63.8%)
than 9th-grade female (49.8%), 10th-grade female (43.3%),
11th-grade female (41.3%), and 12th-grade female (39.8%)
students, respectively. The prevalence of having participated in
muscle strengthening activities on 3 or more days was higher
among white female (45.3%) than black female (37.3%)
students and higher among black male (71.5%) than white male
(65.5%) students. Overall, the prevalence of having participated
in muscle strengthening activities on 3 or more days was higher
among 9th-grade (59.3%) than 11th-grade (53.4%) and
12th-grade (52.2%) students; higher among 9th-grade female

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MMWR/June 8, 2012/Vol. 61/No. 4

(49.8%) than 10th-grade female (43.3%), 11th-grade female


(41.3%), and 12th-grade female (39.8%) students; and higher
among 9th-grade male (68.6%) and 10th-grade male (68.8%)
than 12th-grade male (63.8%) students.
During 19912011, among students nationwide, a
significant linear increase occurred in the prevalence of having
participated in muscle strengthening activities on 3 or more
days (47.8%55.6%).

Used Computers 3 or More Hours per Day


Nationwide, 31.1% 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
95). Overall, the prevalence of using computers 3 or more
hours per day was higher among male (35.3%) than female
(26.6%) students; higher among white male (33.3%), black
male (41.1%), and Hispanic male (36.3%) than white female
(22.6%), black female (35.2%), and Hispanic female (28.3%)
students, respectively; and higher among 9th-grade male
(35.5%), 10th-grade male (36.1%), 11th-grade male (36.7%),
and 12th-grade male (32.4%) than 9th-grade female (29.5%),
10th-grade female (26.7%), 11th-grade female (24.6%), and
12th-grade female (25.0%) students, respectively. Overall,
the prevalence of using computers 3 or more hours per day
was higher among black (38.1%) and Hispanic (32.4%)
than white (28.1%) students; higher among black (38.1%)
than Hispanic (32.4%) students; higher among black female
(35.2%) and Hispanic female (28.3%) than white female
(22.6%) students; higher among black female (35.2%) than
Hispanic female (28.3%) students; and higher among black
male (41.1%) than white male (33.3%) and Hispanic male
(36.3%) students. Overall, the prevalence of using computers
3 or more hours per day was higher among 9th-grade (32.5%)
and 10th-grade (31.6%) than 12th-grade (28.8%) students;
higher among 9th-grade female (29.5%) than 11th-grade
female (24.6%) and 12th-grade female (25.0%) students; and
higher among 11th-grade male (36.7%) than 12th-grade male
(32.4%) students. The prevalence of using computers 3 or
more hours per day ranged from 18.7% to 37.3% across state
surveys (median: 28.8%) and from 28.2% to 43.9% across
large urban school district surveys (median: 34.6%) (Table 96).
Among students nationwide, the prevalence of using
computers 3 or more hours per day did not change significantly
during 20032005 (22.121.1%) and then increased during
20052011 (21.1%31.1%). The prevalence of having used
computers 3 or more hours per day also increased from 2009
(24.9%) to 2011 (31.1%).

Surveillance Summaries

Watched Television 3 or More Hours per Day


Nationwide, 32.4% of students watched television 3 or
more hours per day on an average school day (Table 95). The
prevalence of watching television 3 or more hours per day was
higher among white male (27.3%) than white female (23.9%)
students. Overall, the prevalence of watching television 3 or
more hours per day was higher among black (54.6%) and
Hispanic (37.8%) than white (25.6%) students; higher among
black (54.6%) than Hispanic (37.8%) students; higher among
black female (54.9%) and Hispanic female (37.2%) than white
female (23.9%) students; higher among black female (54.9%)
than Hispanic female (37.2%) students; higher among black
male (54.4%) and Hispanic male (38.4%) than white male
(27.3%) students; and higher among black male (54.4%) than
Hispanic male (38.4%) students. Overall, the prevalence of
watching television 3 or more hours per day was higher among
9th-grade (33.9%) than 12th-grade (30.4%) students and
higher among 10th-grade male (35.3%) than 12th-grade male
(30.9%) students. The prevalence of watching television 3 or
more hours per day ranged from 19.3% to 42.9% across state
surveys (median: 29.5%) and from 22.7% to 56.4% across
large urban school district surveys (median: 40.6%) (Table 96).
During 19992011, a significant linear decrease occurred
in the prevalence of watching television 3 or more hours per
day (42.8%32.4%). The prevalence of watching television 3
or more hours per day did not change significantly from 2009
(32.8%) to 2011 (32.4%).

Attended Physical Education Classes


Nationwide, 51.8% 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 97). Overall,
the prevalence of attending PE classes was higher among
male (56.7%) than female (46.7%) students; higher among
white male (56.3%), black male (58.0%), and Hispanic male
(58.1%) than white female (47.4%), black female (40.7%),
and Hispanic female (48.6%) students, respectively; and
higher among 9th-grade male (70.8%), 10th-grade male
(59.2%), 11th-grade male (49.2%), and 12th-grade male
(44.7%) than 9th-grade female (65.3%), 10th-grade female
(49.8%), 11th-grade female (36.3%), and 12th-grade female
(32.1%) students, respectively. Overall, the prevalence of
attending PE classes was higher among 9th-grade (68.1%)
than 10th-grade (54.6%), 11th-grade (42.9%), and 12th-grade
(38.5%) students; higher among 10th-grade (54.6%) than
11th-grade (42.9%) and 12th-grade (38.5%) students; higher
among 11th-grade (42.9%) than 12th-grade (38.5%) students;
higher among 9th-grade female (65.3%) than 10th-grade
female (49.8%), 11th-grade female (36.3%), and 12th-grade

female (32.1%) students; higher among 10th-grade female


(49.8%) than 11th-grade female (36.3%) and 12th-grade
female (32.1%) students; higher among 11th-grade female
(36.3%) than 12th-grade female (32.1%) students; higher
among 9th-grade male (70.8%) than 10th-grade male
(59.2%), 11th-grade male (49.2%), and 12th-grade male
(44.7%) students; higher among 10th-grade male (59.2%)
than 11th-grade male (49.2%) and 12th-grade male (44.7%)
students; and higher among 11th-grade male (49.2%) than
12th-grade male (44.7%) students. The prevalence of attending
PE classes ranged from 32.8% to 91.3% across state surveys
(median: 46.2%) and from 31.7% to 79.5% across large urban
school district surveys (median: 47.0%) (Table 98).
Among students nationwide, the prevalence of attending
PE classes did not change significantly during 19912011
(48.9%51.8%) or from 2009 (56.4%) to 2011 (51.8%).

Attended Physical Education Classes Daily


Nationwide, 31.5% of students went to physical education
(PE) classes 5 days in an average week when they were in
school (i.e., attended PE classes daily) (Table 97). Overall,
the prevalence of attending PE classes daily was higher among
male (35.5%) than female (27.2%) students; higher among
white male (37.0%), black male (33.2%), and Hispanic male
(34.1%) than white female (28.8%), black female (22.1%),
and Hispanic female (25.7%) students, respectively; and higher
among 9th-grade male (44.0%), 10th-grade male (36.7%),
11th-grade male (31.6%), and 12th-grade male (27.9%)
than 9th-grade female (38.6%), 10th-grade female (29.3%),
11th-grade female (18.4%), and 12th-grade female (20.4%)
students, respectively. Overall, the prevalence of attending
PE classes daily was higher among 9th-grade (41.3%) than
10th-grade (33.1%), 11th-grade (25.1%), and 12th-grade
(24.2%) students; higher among 10th-grade (33.1%) than
11th-grade (25.1%) and 12th-grade (24.2%) students; higher
among 9th-grade female (38.6%) than 10th-grade female
(29.3%), 11th-grade female (18.4%), and 12th-grade female
(20.4%) students; higher among 10th-grade female (29.3%)
than 11th-grade female (18.4%) and 12th-grade female
(20.4%) students; higher among 9th-grade male (44.0%)
than 10th-grade male (36.7%), 11th-grade male (31.6%),
and 12th-grade male (27.9%) students; and higher among
10th-grade male (36.7%) than 12th-grade male (27.9%)
students. The prevalence of attending PE classes daily ranged
from 6.3% to 71.2% across state surveys (median: 24.2%) and
from 9.0% to 50.5% across large urban school district surveys
(median: 23.0%) (Table 98).
Among students nationwide, the prevalence of attending
PE classes daily decreased during 19911995 (41.6%25.4%)
and then did not change significantly during 19952011

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37

Surveillance Summaries

(25.4%31.5%). The prevalence of attending PE classes daily also


did not change significantly from 2009 (33.3%) to 2011 (31.5%).

Played on at Least One Sports Team


Nationwide, 58.4% 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 99). Overall, the
prevalence of having played on at least one sports team was
higher among male (64.0%) than female (52.6%) students;
higher among white male (64.7%), black male (67.3%), and
Hispanic male (63.0%) than white female (57.1%), black
female (46.9%), and Hispanic female (44.6%) students,
respectively; and higher among 9th-grade male (65.6%),
10th-grade male (68.2%), 11th-grade male (60.9%), and
12th-grade male (60.2%) than 9th-grade female (57.1%),
10th-grade female (56.1%), 11th-grade female (51.3%), and
12th-grade female (44.5%) students, respectively. Overall, the
prevalence of having played on at least one sports team was
higher among white (60.9%) than Hispanic (54.1%) students;
higher among white female (57.1%) than black female (46.9%)
and Hispanic female (44.6%) students; and higher among
black male (67.3%) than Hispanic male (63.0%) students.
Overall, the prevalence of having played on at least one sports
team was higher among 9th-grade (61.4%) and 10th-grade
(62.3%) than 11th-grade (56.2%) and 12th-grade (52.5%)
students; higher among 11th-grade (56.2%) than 12th-grade
(52.5%) students; higher among 9th-grade female (57.1%)
than 11th-grade female (51.3%) and 12th-grade female
(44.5%) students; higher among 10th-grade female (56.1%)
and 11th-grade female (51.3%) than 12th-grade female
(44.5%) students; and higher among 9th-grade male (65.6%)
and 10th-grade male (68.2%) than 11th-grade male (60.9%)
and 12th-grade male (60.2%) students. The prevalence of
having played on at least one sports team ranged from 46.3%
to 64.1% across state surveys (median: 56.0%) and from 42.8%
to 57.3% across large urban school district surveys (median:
49.0%) (Table 100).
During 19992011, among students nationwide, a
significant linear increase occurred in the prevalence of having
played on at least one sports team (55.1%58.4%). The
prevalence of having played on at least one sports team did
not change significantly from 2009 (58.3%) to 2011 (58.4%).

Obesity, Overweight, and Weight Control


Obese
Nationwide, 13.0% of students were obese (Table 101).
Overall, the prevalence of obesity was higher among male
(16.1%) than female (9.8%) students; higher among white
male (15.0%) and Hispanic male (19.2%) than white female
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MMWR/June 8, 2012/Vol. 61/No. 4

(7.7%) and Hispanic female (8.6%) students, respectively;


and higher among 9th-grade male (15.8%), 10th-grade male
(15.5%), 11th-grade male (17.7%), and 12th-grade male
(15.1%) than 9th-grade female (11.4%), 10th-grade female
(9.8%), 11th-grade female (8.0%), and 12th-grade female
(9.8%) students, respectively. Overall, the prevalence of obesity
was higher among black (18.2%) and Hispanic (14.1%)
than white (11.5%) students; higher among black (18.2%)
than Hispanic (14.1%) students; higher among black female
(18.6%) than white female (7.7%) and Hispanic female (8.6%)
students; and higher among Hispanic male (19.2%) than white
male (15.0%) students. The prevalence of obesity was higher
among 9th-grade female (11.4%) than 11th-grade female
(8.0%) students. The prevalence of obesity ranged from 7.3%
to 17.0% across state surveys (median: 12.0%) and from 7.4%
to 18.9% across large urban school district surveys (median:
13.3%) (Table 102).
During 19992011, a significant linear increase occurred
in the prevalence of obesity (10.6%13.0%). The prevalence
of obesity did not change significantly from 2009 (11.8%) to
2011 (13.0%).

Overweight
Nationwide, 15.2% of students were overweight (Table
101). The prevalence of overweight was higher among black
female (19.6%) than black male (12.8%) students. Overall, the
prevalence of overweight was higher among Hispanic (17.4%)
than white (14.2%) students; higher among black female
(19.6%) and Hispanic female (18.0%) than white female
(13.8%) students; and higher among Hispanic male (16.9%)
than black male (12.8%) students. Overall, the prevalence
of overweight was higher among 9th-grade (17.3%) than
10th-grade (14.4%), 11th-grade (14.3%), and 12th-grade
(14.7%) students and higher among 9th-grade male (18.2%)
than 11th-grade male (13.4%) and 12th-grade male (14.0%)
students. The prevalence of overweight ranged from 10.7% to
19.5% across state surveys (median: 14.7%) and from 11.6%
to 22.7% across large urban school district surveys (median:
16.8%) (Table 102).
During 19992011, a significant linear increase occurred in
the prevalence of overweight (14.2%15.2%). The prevalence
of overweight did not change significantly from 2009 (15.6%)
to 2011 (15.2%).

Described Themselves as Overweight


Nationwide, 29.2% of students described themselves as
slightly or very overweight (Table 103). Overall, the prevalence
of describing themselves as overweight was higher among
female (34.8%) than male (23.9%) students; higher among
white female (33.7%), black female (35.4%), and Hispanic

Surveillance Summaries

female (36.3%) than white male (23.7%), black male (18.2%),


and Hispanic male (27.4%) students, respectively; and higher
among 9th-grade female (33.4%), 10th-grade female (34.3%),
11th-grade female (35.3%), and 12th-grade female (36.4%)
than 9th-grade male (23.5%), 10th-grade male (23.0%),
11th-grade male (23.6%), and 12th-grade male (25.4%)
students, respectively. Overall, the prevalence of describing
themselves as overweight was higher among Hispanic (31.7%)
than white (28.5%) and black (26.8%) students; higher
among white male (23.7%) than black male (18.2%) students;
and higher among Hispanic male (27.4%) than white male
(23.7%) and black male (18.2%) students. The prevalence of
describing themselves as overweight ranged from 24.1% to
32.7% across state surveys (median: 28.6%) and from 19.0%
to 33.8% across large urban school district surveys (median:
26.0%) (Table 104).
Among students nationwide, the prevalence of describing
themselves as slightly or very overweight decreased during
19911997 (31.8%27.3%) and then did not change
significantly during 19972011 (27.3%29.2%). The
prevalence of describing themselves as slightly or very
overweight also did not change significantly from 2009
(27.7%) to 2011 (29.2%).

Were Trying to Lose Weight


Nationwide, 46.0% of students were trying to lose weight
(Table 103). Overall, the prevalence of trying to lose weight
was higher among female (61.2%) than male (31.6%) students;
higher among white female (61.4%), black female (55.2%),
and Hispanic female (66.4%) than white male (29.2%),
black male (26.6%), and Hispanic male (39.6%) students,
respectively; and higher among 9th-grade female (59.2%),
10th-grade female (61.6%), 11th-grade female (61.6%), and
12th-grade female (63.0%) than 9th-grade male (33.3%),
10th-grade male (30.4%), 11th-grade male (30.7%), and
12th-grade male (31.2%) students, respectively. Overall, the
prevalence of trying to lose weight was higher among white
(44.8%) than black (40.9%) students; higher among Hispanic
(52.6%) than white (44.8%) and black (40.9%) students;
higher among white female (61.4%) than black female (55.2%)
students; higher among Hispanic female (66.4%) than white
female (61.4%) and black female (55.2%) students; and higher
among Hispanic male (39.6%) than white male (29.2%) and
black male (26.6%) students. The prevalence of trying to
lose weight ranged from 39.6% to 49.3% across state surveys
(median: 44.9%) and from 33.7% to 52.1% across large urban
school district surveys (median: 43.5%) (Table 104).
During 19912011, among students nationwide, a
significant linear increase occurred in the prevalence of trying
to lose weight (41.8%46.0%). The prevalence of trying to

lose weight did not change significantly from 2009 (44.4%)


to 2011 (46.0%).

Did Not Eat for 24 Hours to Lose Weight or to


Keep from Gaining Weight
Nationwide, 12.2% of students had not eaten for 24 or more
hours to lose weight or to keep from gaining weight during the
30 days before the survey (Table 105). Overall, the prevalence
of having not eaten for 24 or more hours to lose weight or to
keep from gaining weight was higher among female (17.4%)
than male (7.2%) students; higher among white female
(17.5%), black female (15.1%), and Hispanic female (18.8%)
than white male (6.7%), black male (8.0%), and Hispanic male
(7.8%) students, respectively; and higher among 9th-grade
female (18.8%), 10th-grade female (17.4%), 11th-grade female
(17.3%), and 12th-grade female (15.6%) than 9th-grade male
(6.3%), 10th-grade male (6.8%), 11th-grade male (8.6%), and
12th-grade male (7.1%) students, respectively. The prevalence
of having not eaten for 24 or more hours to lose weight or to
keep from gaining weight was higher among 9th-grade female
(18.8%) than 12th-grade female (15.6%) students and higher
among 11th-grade male (8.6%) than 9th-grade male (6.3%)
students. The prevalence of having not eaten for 24 or more
hours to lose weight or to keep from gaining weight ranged
from 8.4% to 17.7% across state surveys (median: 13.1%) and
from 9.0% to 17.5% across large urban school district surveys
(median: 12.8%) (Table 106).
During 19992011, among students nationwide, a
significant linear decrease occurred in the prevalence of having
not eaten for 24 hours or more to lose weight or to keep from
gaining weight (12.6%12.2%). The prevalence of having
not eaten for 24 hours or more to lose weight or to keep from
gaining weight increased from 2009 (10.6%) to 2011 (12.2%).

Took Diet Pills, Powders, or Liquids to Lose Weight


or to Keep from Gaining Weight
Nationwide, 5.1% of students had taken diet pills, powders,
or liquids without a doctors advice to lose weight or to keep
from gaining weight during the 30 days before the survey
(Table 105). Overall, the prevalence of having taken diet
pills, powders, or liquids without a doctors advice to lose
weight or to keep from gaining weight was higher among
female (5.9%) than male (4.2%) students; higher among
white female (5.8%) and Hispanic female (7.8%) than white
male (3.7%) and Hispanic male (5.0%) students, respectively;
and higher among 9th-grade female (5.5%) and 12th-grade
female (6.8%) than 9th-grade male (3.6%) and 12th-grade
male (4.0%) students, respectively. Overall, the prevalence of
having taken diet pills, powders, or liquids without a doctors
advice to lose weight or to keep from gaining weight was
MMWR/June 8, 2012/Vol. 61/No. 4

39

Surveillance Summaries

higher among Hispanic (6.4%) than white (4.7%) and black


(4.2%) students and higher among white female (5.8%) and
Hispanic female (7.8%) than black female (4.1%) students.
Overall, the prevalence of having taken diet pills, powders,
or liquids without a doctors advice to lose weight or to keep
from gaining weight was higher among 11th-grade (5.9%)
than 9th-grade (4.6%) and 10th-grade (4.3%) students; higher
among 11th-grade female (6.8%) and 12th-grade female
(6.8%) than 10th-grade female (4.5%) students; and higher
among 11th-grade male (5.1%) than 9th-grade male (3.6%)
students. The prevalence of having taken diet pills, powders,
or liquids without a doctors advice to lose weight or to keep
from gaining weight ranged from 4.0% to 9.6% across state
surveys (median: 5.6%) and from 3.4% to 7.9% across large
urban school district surveys (median: 5.7%) (Table 106).
Among students nationwide, the prevalence of having taken
diet pills, powders, or liquids without a doctors advice to
lose weight or to keep from gaining weight increased during
19992001 (7.6%9.2%) and then decreased during 2001
2011 (9.2%5.1%). The prevalence of having taken diet pills,
powders, or liquids without a doctors advice to lose weight or
to keep from gaining weight did not change significantly from
2009 (5.0%) to 2011 (5.1%).

Vomited or Took Laxatives to Lose Weight or to


Keep from Gaining Weight
Nationwide, 4.3% of students had vomited or taken laxatives
to lose weight or to keep from gaining weight during the 30
days before the survey (Table 107). Overall, the prevalence of
having vomited or taken laxatives to lose weight or to keep
from gaining weight was higher among female (6.0%) than
male (2.5%) students; higher among white female (6.5%)
and Hispanic female (7.2%) than white male (1.8%) and
Hispanic male (3.3%) students, respectively; and higher
among 9th-grade female (5.9%), 10th-grade female (5.9%),
11th-grade female (5.8%), and 12th-grade female (6.4%)
than 9th-grade male (2.4%), 10th-grade male (2.3%),
11th-grade male (2.9%), and 12th-grade male (2.5%) students,
respectively. Overall, the prevalence of having vomited or
taken laxatives to lose weight or to keep from gaining weight
was higher among white (4.1%) and Hispanic (5.2%) than
black (3.0%) students; higher among white female (6.5%) and
Hispanic female (7.2%) than black female (2.9%) students;
and higher among Hispanic male (3.3%) than white male
(1.8%) students. The prevalence of having vomited or taken
laxatives to lose weight or to keep from gaining weight ranged
from 2.9% to 8.4% across state surveys (median: 5.0%) and
from 3.0% to 6.5% across large urban school district surveys
(median: 5.0%) (Table 108).

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MMWR/June 8, 2012/Vol. 61/No. 4

Among students nationwide, the prevalence of having


vomited or taken laxatives to lose weight or to keep from
gaining weight did not change significantly during 19952003
(4.8%6.0%) and then decreased during 20032011 (6.0%
4.3%). The prevalence of having vomited or taken laxatives
to lose weight or to keep from gaining weight did not change
significantly from 2009 (4.0%) to 2011 (4.3%).

Other Health-Related Topics


Ever Had Asthma
Nationwide, 23.0% of students had ever been told by a
doctor or nurse that they had asthma (i.e., ever had asthma)
(Table 109). The prevalence of having ever had asthma was
higher among black male (29.9%) than black female (23.5%)
students. Overall, the prevalence of having ever had asthma was
higher among black (26.8%) than white (22.8%) and Hispanic
(20.3%) students and higher among black male (29.9%) than
white male (22.8%) and Hispanic male (20.8%) students. The
prevalence of having ever had asthma ranged from 16.0% to
28.7% across state surveys (median: 22.3%) and from 16.4%
to 29.5% across large urban school district surveys (median:
21.5%) (Table 110).
During 20032011, among students nationwide, a
significant linear increase occurred in the prevalence of having
ever had asthma (18.9%23.0%). The prevalence of having
ever had asthma did not change significantly from 2009
(22.0%) to 2011 (23.0%).

Current Asthma
Nationwide, 11.9% of students had ever had and still
had asthma (i.e., current asthma) (Table 109). Overall, the
prevalence of current asthma was higher among female (13.5%)
than male (10.4%) students; higher among white female
(14.5%) than white male (10.5%) students; and higher among
11th-grade female (13.9%) and 12th-grade female (13.4%)
than 11th-grade male (9.3%) and 12th-grade male (9.6%)
students, respectively. Overall, the prevalence of current asthma
was higher among white (12.4%) and black (13.5%) than
Hispanic (9.1%) students; higher among white female (14.5%)
than Hispanic female (9.8%) students; and higher among black
male (13.9%) than white male (10.5%) and Hispanic male
(8.4%) students. The prevalence of current asthma was higher
among 10th-grade male (11.2%) than 11th-grade male (9.3%)
students. The prevalence of current asthma ranged from 7.5%
to 14.4% across state surveys (median: 11.1%) and from 6.4%
to 16.3% across large urban school district surveys (median:
9.1%) (Table 110).

Surveillance Summaries

Among students nationwide, the prevalence of current


asthma did not change significantly during 20072011
(10.9%11.9%) or from 2009 (10.8%) to 2011 (11.9%).

Routine Sunscreen Use


Nationwide, 10.8% of students 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 (i.e., routine sunscreen use)
(Table 111). Overall, the prevalence of routine sunscreen use
was higher among female (14.4%) than male (7.3%) students;
higher among white female (17.4%), black female (6.3%), and
Hispanic female (9.2%) than white male (8.8%), black male
(3.2%), and Hispanic male (4.4%) students, respectively; and
higher among 9th-grade female (14.6%), 10th-grade female
(13.4%), 11th-grade female (13.7%), and 12th-grade female
(15.9%) than 9th-grade male (7.8%), 10th-grade male (7.5%),
11th-grade male (7.4%), and 12th-grade male (6.1%) students,
respectively. Overall, the prevalence of routine sunscreen use
was higher among white (13.0%) than black (4.8%) and
Hispanic (6.7%) students; higher among Hispanic (6.7%)
than black (4.8%) students; higher among white female
(17.4%) than black female (6.3%) and Hispanic female (9.2%)
students; higher among Hispanic female (9.2%) than black
female (6.3%) students; and higher among white male (8.8%)
than black male (3.2%) and Hispanic male (4.4%) students.
During 19992011, among students nationwide, a
significant linear decrease occurred in the prevalence of routine
sunscreen use (13.3%10.8%). The prevalence of routine
sunscreen use did not change significantly from 2009 (9.3%)
to 2011 (10.8%).

Indoor Tanning Device Use


Nationwide, 13.3% of students had used an indoor tanning
device, such as a sunlamp, sunbed, or tanning booth, one
or more times during the 12 months before the survey (i.e.,
indoor tanning device use) (Table 111). Overall, the prevalence
of indoor tanning device use was higher among female
(20.9%) than male (6.2%) students; higher among white
female (29.3%) and Hispanic female (9.6%) than white male
(6.2%) and Hispanic male (5.7%) students, respectively; and
higher among 9th-grade female (11.7%), 10th-grade female
(15.7%), 11th-grade female (26.5%), and 12th-grade female
(31.8%) than 9th-grade male (4.5%), 10th-grade male (4.9%),
11th-grade male (6.8%), and 12th-grade male (8.5%) students,
respectively. Overall, the prevalence of indoor tanning device
use was higher among white (17.4%) than black (3.9%) and
Hispanic (7.6%) students; higher among Hispanic (7.6%)
than black (3.9%) students; higher among white female
(29.3%) than black female (3.3%) and Hispanic female (9.6%)
students; and higher among Hispanic female (9.6%) than black

female (3.3%) students. Overall, the prevalence of indoor


tanning device use was higher among 11th-grade (16.4%) and
12th-grade (19.7%) than 9th-grade (8.1%) and 10th-grade
(10.1%) students; higher among 12th-grade (19.7%) than
11th-grade (16.4%) students; higher among 10th-grade
female (15.7%), 11th-grade female (26.5%), and 12th-grade
female (31.8%) than 9th-grade female (11.7%) students;
higher among 11th-grade female (26.5%) and 12th-grade
female (31.8%) than 10th-grade female (15.7%) students;
higher among 12th-grade female (31.8%) than 11th-grade
female (26.5%) students; and higher among 12th-grade male
(8.5%) than 9th-grade male (4.5%) and 10th-grade male
(4.9%) students.
Among students nationwide, the prevalence of indoor
tanning device use did not change significantly from 2009
(15.6%) to 2011 (13.3%).

Eight or More Hours of Sleep


Nationwide, 31.4% of students got 8 or more hours of sleep
on an average school night (Table 112). Overall, the prevalence
of getting 8 or more hours of sleep was higher among male
(33.6%) than female (29.1%) students; higher among white
male (35.0%) and Hispanic male (33.7%) than white female
(30.2%) and Hispanic female (27.7%) students, respectively;
and higher among 9th-grade male (43.1%), 10th-grade
male (35.9%), and 11th-grade male (28.7%) than 9th-grade
female (36.8%), 10th-grade female (30.8%), and 11th-grade
female (24.5%) students, respectively. Overall, the prevalence
of getting 8 or more hours of sleep was higher among white
(32.7%) than black (27.9%) students and higher among white
male (35.0%) and Hispanic male (33.7%) than black male
(27.9%) students. Overall, the prevalence of getting 8 or more
hours of sleep was higher among 9th-grade (40.0%) than
10th-grade (33.4%), 11th-grade (26.7%), and 12th-grade
(23.8%) students; higher among 10th-grade (33.4%) than
11th-grade (26.7%) and 12th-grade (23.8%) students; higher
among 11th-grade (26.7%) than 12th-grade (23.8%) students;
higher among 9th-grade female (36.8%) than 10th-grade female
(30.8%), 11th-grade female (24.5%), and 12th-grade female
(22.8%) students; higher among 10th-grade female (30.8%)
than 11th-grade female (24.5%) and 12th-grade female
(22.8%) students; higher among 9th-grade male (43.1%)
than 10th-grade male (35.9%), 11th-grade male (28.7%), and
12th-grade male (24.8%) students; higher among 10th-grade
male (35.9%) than 11th-grade male (28.7%) and 12th-grade
male (24.8%) students; and higher among 11th-grade male
(28.7%) than 12th-grade male (24.8%) students.
Among students nationwide, the prevalence of getting 8 or
more hours of sleep did not change significantly during 2007
2011 (31.1%31.4%) or from 2009 (30.9%) to 2011 (31.4%).

MMWR/June 8, 2012/Vol. 61/No. 4

41

Surveillance Summaries

Discussion
YRBSS is the largest public health surveillance system in the
United States monitoring a broad range of health-risk behaviors
among high school students. In addition to describing the
prevalence of health-risk behaviors, YRBSS data are used widely
to compare health-risk behavior prevalence among students
overall and by sex, race/ethnicity, grade, and age; assess trends
in health-risk behaviors over time; monitor progress toward
achieving national health objectives; provide comparable state
and local data; and evaluate and improve health-related policies
and programs.

inhalants, and ecstasy; and to have not used any method to


prevent pregnancy during last sexual intercourse.
However, this analysis could not isolate the effects of these
demographic characteristics from the effects of socioeconomic
status (SES) or culture on health-risk behaviors. 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 (13). Additional
research is needed to assess the effect of specific educational,
socioeconomic, cultural, and racial/ethnic factors on the
prevalence of health-risk behaviors among high school students.

Compare Health-Risk Behavior Prevalence


Among Student Subpopulations

Assess Trends in Health-Risk


Behaviors Over Time

Variations in health-risk behaviors among subpopulations of


high school students as defined by sex and race/ethnicity can
be identified with YRBSS data. For example, male high school
students were more likely than female high school students
to have engaged in certain behaviors related to unintentional
injury (e.g., rarely or never worn a seatbelt and drove when
drinking alcohol); violence (e.g., carried a weapon and been in
a physical fight); tobacco use (e.g., currently smoked cigarettes,
currently smoked cigars, and currently used smokeless
tobacco); alcohol and other drug use (e.g., binge drank and ever
used marijuana, cocaine, ecstasy, heroin, methamphetamines,
and hallucinogenic drugs); and sexual behaviors related to
unintentional pregnancy and STDs, including HIV infection
(e.g., ever had sexual intercourse and had sexual intercourse
with four or more persons during their life). Female high school
students were more likely than male high school students to
have been bullied on school property, electronically bullied,
forced to have sexual intercourse, engaged in suicide-related
behaviors (e.g., felt sad or hopeless and attempted suicide),
been physically inactive, engaged in unhealthy weight control
behaviors, and used an indoor tanning device.
Variations by race/ethnicity also were observed. For example,
white high school students were most likely to have texted or
e-mailed while driving, been bullied on school property, been
electronically bullied, used tobacco (e.g., smoked cigarettes
daily and currently used smokeless tobacco), and to have used
an indoor tanning device. Black high school students were most
likely to have engaged in risky sexual behaviors (e.g., ever had
sexual intercourse and had sexual intercourse for the first time
before age 13 years), been physically inactive, watched television
for 3 or more hours per day, and to be obese. Hispanic high
school students were most likely to have ridden with a driver
who had been drinking alcohol; felt sad or hopeless; had their
first drink of alcohol before age 13 years; ever used cocaine,

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MMWR/June 8, 2012/Vol. 61/No. 4

Long-term trends in health-risk behaviors can be assessed


using YRBSS data. Since 1991, substantial progress has
been made in decreasing the prevalence of many health-risk
behaviors among high school students nationwide, including
never or rarely wearing a seatbelt, riding with a driver who
had been drinking alcohol, current frequent cigarette use, and
being currently sexually active. However, the percentage of high
school students who are obese increased during 19992011,
and the percentage who drank three or more glasses per day
of milk and who routinely used sunscreen decreased during
this same period. In addition, among students who currently
smoke cigarettes, the percentage who tried to quit smoking
cigarettes decreased during 20012011. Emerging behavior
patterns can be detected by examining temporal changes
during 20092011. For example, encouraging changes during
20092011 include a decrease in the percentage of students
who currently used alcohol and binge drank and an increase
in the percentage of students who ate vegetables three or more
times per day. Concerning changes during 20092011 include
a decrease in the percentage of students who were taught in
school about AIDS or HIV infection and an increase in the
percentage of students who attempted suicide and currently
used marijuana.

Monitor Progress Toward Achieving


National Health Objectives
The national YRBS is the primary source of data to measure 20
Healthy People 2020 objectives, including one leading health
indicator (14). The Healthy People 2020 objectives provide a
comprehensive agenda for improving the health of all persons
in the United States during the second decade of the 21st
century. This report provides the Healthy People 2020 target

Surveillance Summaries

and data from the 2011 national YRBS for all 20 objectives
(Table 113). The data indicate that as of 2011 two of the 20
Healthy People 2020 objectives have been achieved. Healthy
People 2020 objective C-20.3 is to reduce the proportion of
adolescents in grades 9 through 12 who report using artificial
sources of ultraviolet light for tanning to below 14.0%. In
2011, 13.3% of high school students nationally had used an
indoor tanning device during the 12 months before the survey.
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 below
25.5%. In 2011, 24.1% of high school students nationally had
ridden in a car or other vehicle driven by someone who had
been drinking alcohol during the 30 days before the survey.
Although the data indicate the Healthy People 2020 objective
PA-3.1 to increase the proportion of adolescents who meet
current federal physical activity guidelines for aerobic physical
activity has been met, the 2011 YRBS prevalence estimate
for aerobic physical activity is not comparable to the baseline
prevalence upon which the target was set because of a change
in the context of the question starting with the 2011 national
YRBS questionnaire.
To obtain certain Healthy People 2020 objectives, substantial
progress still must be made. For example, Healthy People 2020
objective PA-8.3.3 is to increase the proportion of adolescents
in grades 9 12 who use a computer or play computer games
outside of school (for nonschool work) for no more than
2 hours a day to 82.6%. As of 2011, only 68.9% of high school
students nationally met this objective. To reach many of the
Healthy People 2020 goals, additional support is needed for
coordinated, comprehensive school health programs and other
interventions that address health-risk behaviors.

Provide Comparable State and Large


Urban School District Data
Because all state and large urban school district surveys
share similar sampling, questionnaires, data collection, and
data-processing procedures, it is possible to compare state
and large urban school district YRBS data. The prevalence of
some health-risk behaviors varied substantially among states
and large urban school districts. Across state surveys, a range of
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 national
YRBS questionnaire, only the 60 minutes of aerobic physical activity question
was included.

25 or more percentage points or a fivefold variation or greater


was identified for the following health-risk behaviors:
rarely or never wore a bicycle helmet (minimum: 52.7%;
maximum: 95.1%);
ever smoked cigarettes (minimum: 23.1%; maximum:
59.5%);
current frequent cigarette use (minimum: 2.1%;
maximum: 11.6%);
smoked more than 10 cigarettes/day (minimum: 3.5%;
maximum: 18.2%);
bought cigarettes in a store or gas station (minimum:
3.0%; maximum: 25.5%);
used smokeless tobacco on school property (minimum:
2.3%; maximum: 11.6%);
ever drank alcohol (minimum: 35.1%; maximum: 75.6%);
current alcohol use (minimum: 15.0%; maximum:
44.4%);
ever used marijuana (minimum: 19.6%; maximum:
46.0%);
condom use (minimum: 43.9%; maximum: 70.8%);
Depo-Provera, Nuva Ring, Implanon, or any IUD use
(minimum: 2.1%; maximum: 12.4%);
birth control pill, Depo-Provera, Nuva Ring, Implanon,
or any IUD use (minimum: 15.7%; maximum: 42.3%);
drank soda or pop one or more times/day (minimum:
14.3%; maximum: 40.9%);
attended PE classes (minimum: 32.8%; maximum:
91.3%); and
attended PE classes daily (minimum: 6.3%; maximum:
71.2%).
Across large urban school district surveys, a range of 25 or
more percentage points or a fivefold variation or greater was
identified for the following health-risk behaviors:
rarely or never wore a bicycle helmet (minimum: 59.3%;
maximum: 94.3%);
rarely or never wore a seat belt (minimum: 4.1%;
maximum: 25.8%);
current frequent cigarette use (minimum: 0.9%;
maximum: 5.3%);
smoked more than 10 cigarettes/day (minimum: 1.9%;
maximum: 12.9%);
current smokeless tobacco use (minimum: 1.4%;
maximum: 7.5%);
ever used cocaine (minimum: 1.5%; maximum: 9.3%);
current cocaine use (minimum: 0.8%; maximum: 4.3%);
ever used ecstasy (minimum: 2.7%; maximum: 16.4%);
ever used heroin (minimum: 0.8%; maximum: 5.3%);
ever used methamphetamines (minimum: 1.3%;
maximum: 6.9%);

MMWR/June 8, 2012/Vol. 61/No. 4

43

Surveillance Summaries

ever injected any illegal drug (minimum: 1.0%; maximum:


13.0%);
ever had sexual intercourse (minimum: 27.8%; maximum:
62.2%);
currently sexually active (minimum: 19.5%; maximum:
44.9%);
Depo-Provera, Nuva Ring, Implanon, or any IUD use
(minimum: 1.0%; maximum: 14.9%);
birth control pill, Depo-Provera, Nuva Ring, Implanon,
or any IUD use (minimum: 7.1%; maximum: 36.3%);
condom use and birth control pill, Depo-Provera, Nuva
Ring, Implanon, or any IUD use (minimum: 2.2%;
maximum: 12.6%);
drank soda or pop one or more times/day (minimum:
12.7%; maximum: 38.9%);
watched television 3 or more hours/day (minimum:
22.7%; maximum: 56.4%);
attended PE classes (minimum: 31.7%; maximum:
79.5%); and
attended PE classes daily (minimum: 9.0%; maximum:
50.5%).
These variations might occur, in part, because of differences
in state and local laws and policies, enforcement practices,
access to illegal drugs, availability of effective school and
community interventions, prevailing behavioral and social
norms, demographic characteristics of the population, and adult
practices. Longitudinal research is needed to better understand
the effect of these factors on the development and prevalence
of health-risk behaviors.

Evaluate and Improve Health-Related


Policies and Programs
CDC and other federal agencies use national YRBS data to
evaluate components of CDCs Performance Plan in compliance
with the Government Performance and Results Act (15) and to
evaluate the contribution of HIV prevention and chronic disease
prevention efforts toward helping reduce health-risk behaviors
among youth. State and local agencies and nongovernmental
organizations use YRBS data to improve health-related policies and
programs. For example, YRBS data were used in Massachusetts
to develop a fact sheet on student obesity, physical activity, and
eating behaviors. This fact sheet was used to build support for
legislation limiting competitive foods in schools and for best
practice guidelines on school physical education and physical
activity programs. In New York City, YRBS data were cited by

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MMWR/June 8, 2012/Vol. 61/No. 4

the New York City Commissioner of Health in testimony before


the City Council to support a smoking ban in all New York City
public parks and beaches. The law took effect in May 2011, and
prohibits smoking in 1,700 city parks and along 14 miles of the
citys public beaches. In Wisconsin, the Department of Public
Instruction and the Department of Health Services developed a
joint report on sexual behaviors based on YRBS data. This report
is used to identify high-risk populations in the state. In South
Dakota, YRBS data were used to identify underage alcohol use and
binge drinking among youth as priority health risk behaviors in a
grant application. As a result, the South Dakota Department of
Human Services/Social Services received the Strategic Prevention
Framework State Incentive Grant to address this issue.

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 2009, of persons aged 1617
years, approximately 4% were not enrolled in a high school
program and had not completed high school (16). Second, the
extent of underreporting or overreporting of behaviors cannot
be determined, although the survey questions demonstrate
good test-retest reliability (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 (17).
Fourth, not all states and large urban school districts include
all of the standard questions on their YRBS questionnaire. For
example, five states (Georgia, Louisiana, Maryland, Utah, and
Virginia) do not ask any questions on sexual risk behaviors.

Conclusion
The results of this report indicate a need for continued monitoring
of health-risk behaviors among high school students nationally and
at the state and local levels. In 2011, a total of 43 states and 21 large
urban school districts collected YRBS data representative of high
school students in their jurisdiction. YRBSS provides ongoing,
systematic monitoring of youth risk behaviors at the national,
state, and local levels. During the preceding 20 years, analysis and
interpretation of YRBSS data have been instrumental in planning,
implementation, and evaluation of public health and school-based
policies and practices. Additional support for YRBSS will ensure
data on priority risk behaviors are available to enhance and inform
future efforts to protect and promote the health of youth.

Surveillance Summaries

References
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[CD-ROM]. 2011.
2. CDC. Vital signs: teen pregnancy United States, 19912009.
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3. CDC, NCHHSTP. Sexually transmitted disease morbidity for selected
STDs by age, race/ethnicity and gender, 19962009, CDC WONDER
Online Database, June 2011. Available at http://wonder.cdc.gov/stdstd-race-age.html. Accessed April 5, 2012.
4. CDC. HIV surveillance report, 2009; vol. 21. Available at http://www.
cdc.gov/hiv/topics/surveillance/resources/reports. Accessed April 5, 2012.
5. Brener ND, Kann L, Kinchen S, et al. Methodology of the Youth Risk
Behavior Surveillance System. MMWR 2004;53(No RR-12).
6. MDR National Education Database Master Extract, Shelton, CT: Market
Data Retrieval, Inc.: 2010.
7. US Department of Education, National Center for Education Statistics.
Common Core of Data Public Elementary/Secondary School Universe
Survey. Washington, DC: US Department of Education, National Center
for Education Statistics. Available at http://nces.ed.gov/ccd. Accessed
April 5, 2012.
8. Brener ND, Kann L, McManus T, Kinchen SA, Sundberg EC, Ross JG.
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 9.2 [software and documentation].
Cary, NC: SAS Institute; 2008.
11. Research Triangle Institute. SUDAAN, version 10 [software and
documentation]. Research Triangle Park, NC: Research Triangle
Institute; 2008.
12. Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral
sciences. 5th ed. Boston, MA: Houghton Mifflin Co.; 2003.
13. Ali MK, McKeever Bullard K, Beckles GL, Stevens MR, Barker L,
Narayan V, Imperatore G. Household income and cardiovascular disease
risks in U.S. children and young adults. Diabetes Care 2011;34:
19982004.
14. U.S. Department of Health and Human Services. Office of Disease
Prevention and Health Promotion. Healthy People 2020. Washington,
DC. Available at http://www.healthypeople.gov. Accessed April 5, 2012.
15. CDC. FY 2012 Online Performance Appendix. Atlanta, GA: US
Department of Health and Human Services, CDC; 2011. Available at
http://www.cdc.gov/fmo/topic/Performance/performance_docs/FY2012_
CDC_Online_Performance_Appendix.pdf. Accessed April 5, 2012.
16. Chapman C, Laird J, Ifill N, KewalRamani A (2011). Trends in high
school dropout and completion rates in the United States: 1972-2009
(NCES 2012-006). Washington, DC: National Center for Education
Statistics, US Department of Education. Available at http://nces.ed.gov/
pubs2012/2012006.pdf. Accessed April 5, 2012.
17. 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.

MMWR/June 8, 2012/Vol. 61/No. 4

45

Surveillance Summaries

State and Large Urban School District Youth Risk Behavior Survey Coordinators
States: Alabama, Elainer Jones, MEd, Department of Education; Alaska, Wendy S. Hamilton, Department of Health and Social Services; Arizona, Jean
Ajamie, Department of Education; Arkansas, Kathleen Courtney, MS, Department of Education; Colorado, Amy Dillon, MEd, Department of Education;
Connecticut, Diane Aye, PhD, Department of Public Health; Delaware, John B. Ray, MS, Department of Education; Florida, Meredith Jagger, MS, Department
of Health; Georgia, Suparna Bagchi, DrPH, Department of Health; Hawaii, Katherine Sakuda, MEd, Department of Education; Idaho, Patricia Stewart,
Department of Education; Illinois, Glenn Steinhausen, PhD, State Board of Education; Indiana, Joseph A. Haddix, MPH, Department of Health; Iowa, Sara
A. Peterson, MA, Department of Education; Kansas, Mark Thompson, PhD, State Department of Education; Kentucky, Stephanie Bunge, MEd, Department
of Education; Louisiana, Raegan Carter, MPH, Department of Education; Maine, Jean Zimmerman, MS, Department of Education; Maryland, Richard D.
Scott, DMin, Department of Education; Massachusetts, Chiniqua Milligan, MPH, Department of Elementary and Secondary Education; Michigan, Kimberly
Kovalchick, MPH, Department of Education; Mississippi, Shalonda Matthews, MS, Department of Education; Montana, Susan Court, Office of Public
Instruction; Nebraska, Julane Hill, Department of Education; New Hampshire, Mary Bubnis, MEd, Department of Education; New Jersey, Gregory Kocher,
MS, Department of Education; New Mexico, Kristine M. Meurer, PhD, Public Education Department; New York, Martha R. Morrissey, MA, Department of
Education; North Carolina, Sherry Lehman, MEd, Department of Public Instruction; North Dakota, Gail Schauer, MS, Department of Public Instruction; Ohio,
Angela Norton, MA, Department of Health; Oklahoma, Thad Burk, MPH, Department of Health; Rhode Island, Bruce Cryan, MS, Department of Health;
South Carolina, Delores Pluto, PhD, Department of Education; South Dakota, Amy Beshara, Department of Education; Tennessee, Mark A. Bloodworth,
EdS, Department of Education; Texas, Jennifer Haussler Garing, MS, Department of State Health Services; Utah, Michael Friedrichs, MS, Department of
Health; Vermont, Jessie Brosseau, MPH, Department of Health; Virginia, Shanee Harmon, MS, Department of Health; West Virginia, Rick Deem, MS,
Department of Education; Wisconsin, Emily S. Holder, MA, Department of Public Instruction; Wyoming, Shannon Cranmore, Department of Education.
Large Urban School Districts: Boston, MA, Barbara Huscher Cohen, MEd, Boston Public Schools; Broward County, FL, Sebrina James, MS, Broward
County Public Schools; Charlotte, NC, Nancy A. Langenfeld, MS, Charlotte-Mecklenburg Schools; Chicago, IL, Blair Harvey-Gintoft, MA, Chicago Public
Schools; Dallas, TX, Angelica Duran Harkins, LMSW, Dallas Independent School District; Detroit, MI, Arlene Richardson, EdD, Detroit Public Schools;
District of Columbia, Julie Christine Ost, MPH, Office of the State Superintendent of Education; Duval County, FL, Kathleen Bowles, MAT, Duval County
Public Schools; Houston, TX, Rose Haggerty, MEd, Houston Independent School District; Los Angeles, CA, Timothy Kordic, MA, Los Angeles Unified
School District; Memphis, TN, Carla Shirley, PhD, Memphis City Schools; Miami-Dade County, FL, Rodolfo Abella, PhD, Miami-Dade County Public
Schools; Milwaukee, WI, Brett A. Fuller, MAE, Milwaukee Public Schools; New York City, NY, Kinjia Hinterland, MPH, New York City Department of
Health and Mental Hygiene; Orange County, FL, Brenda Christopher-Muench, Orange County Public Schools; Palm Beach, FL, Danette Fitzgerald, MS,
School District of Palm Beach County; Philadelphia, PA, Bettyann Creighton, MEd, School District of Philadelphia; San Bernardino, CA, Charlene D. Long,
San Bernardino City Unified School District; San Diego, CA, Marge Kleinsmith-Hildebrand, MS, San Diego Unified School District; San Francisco, CA,
Kim Levine, MHA, San Francisco Unified School District; Seattle, WA, Lisa Sharp, Seattle Public Schools.

46

MMWR/June 8, 2012/Vol. 61/No. 4

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, 19912011
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

26
40
39
38
41
37
43
44
44
47
47

9
22
22
24
22
22
32
40
39
42
43

17
18
17
14
19
15
11
4
5
5
4

11
14
17
17
17
19
22
23
22
23
22

7
9
12
15
14
14
20
21
22
20
21

4
5
5
2
3
5
2
2
0
3
1

MMWR/June 8, 2012/Vol. 61/No. 4

47

Surveillance Summaries

TABLE 2. Sample sizes, response rates, and demographic characteristics* United States and selected U.S. sites, Youth Risk Behavior Surveys,
2011

Site
National survey
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming

Student
sample
size

Response rate (%)

Sex (%)

Race/Ethnicity (%)

School

Student

Overall

Female

Male

10

11

12

White

15,425

81

87

71

48.4

51.6

27.6

25.8

23.8

22.6

56.9

14.2

20.0

9.0

1,358
1,327
2,899
1,375
1,523
2,058
2,299
6,212
1,969
4,329
1,702
3,616
2,855
1,535
1,876
1,829
1,160
9,918
2,920
2,729
4,194
1,828
4,148
3,832
1,413
1,657
5,875
13,201
2,278
1,911
1,442
1,147
3,961
1,493
1,543
2,635
4,209
1,729
8,654
1,440
2,170
3,043
2,519

88
95
87
83
83
80
98
96
84
100
84
80
76
75
79
98
80
85
100
81
90
80
92
91
85
82
93
87
83
96
78
73
88
86
96
93
84
96
96
97
100
89
100

68
65
81
82
81
75
80
78
86
60
88
85
79
83
84
81
81
77
72
86
87
86
81
72
83
73
68
79
85
81
77
81
79
79
87
82
85
68
80
64
82
85
83

60
62
71
68
67
60
78
75
72
60
74
68
60
62
67
79
65
65
72
69
78
69
74
66
70
60
63
68
70
84
60
60
69
68
84
76
72
66
77
62
82
76
83

49.3
48.4
49.1
49.1
49.0
49.0
50.7
49.2
49.4
50.9
48.4
49.4
48.8
48.6
48.9
49.2
50.8
48.5
49.3
49.2
48.8
50.2
48.2
48.6
48.5
49.6
48.8
49.2
49.1
48.6
48.7
50.0
49.7
49.1
48.8
48.8
48.8
48.4
48.6
49.0
48.6
48.7
48.8

50.7
51.6
50.9
50.9
51.0
51.0
49.3
50.8
50.6
49.1
51.6
50.6
51.2
51.4
51.1
50.8
49.2
51.5
50.7
50.8
51.2
49.8
51.8
51.4
51.5
50.4
51.2
50.8
50.9
51.4
51.3
50.0
50.3
50.9
51.2
51.2
51.2
51.6
51.4
51.0
51.4
51.3
51.2

28.2
27.0
25.9
28.0
26.2
26.3
29.6
27.3
30.1
29.0
26.3
26.8
26.6
24.8
26.4
27.8
29.8
24.7
27.3
26.8
25.9
27.5
26.7
25.5
26.6
26.3
29.8
27.1
29.1
24.9
26.6
27.3
27.7
29.0
27.0
27.3
28.9
26.5
24.5
26.9
27.9
24.9
26.0

25.8
25.2
25.2
26.2
25.4
25.2
26.3
26.0
26.0
25.4
25.2
26.5
25.6
25.1
25.5
25.6
25.4
24.8
25.8
25.3
26.2
25.9
24.8
24.9
25.2
25.3
26.2
25.8
25.8
25.5
24.9
25.9
25.3
26.1
25.8
26.4
25.5
25.7
25.1
25.4
25.8
24.0
25.5

23.4
25.6
24.0
23.9
24.1
24.4
22.9
23.7
21.6
23.5
24.5
23.4
24.4
24.7
24.2
23.7
22.7
25.0
23.8
24.3
23.7
22.5
24.4
24.3
24.2
24.5
22.4
23.4
23.7
24.4
23.9
24.1
23.3
23.2
24.0
24.2
23.3
24.8
25.4
24.0
23.6
25.2
24.5

22.3
22.1
24.6
21.9
24.1
23.7
21.0
22.6
21.7
21.9
23.9
23.2
23.2
25.4
23.9
22.4
21.7
25.1
22.8
23.3
24.1
21.1
23.9
25.2
23.6
23.6
20.9
22.8
21.1
25.0
23.4
22.7
23.5
21.4
22.9
21.9
22.2
22.7
24.6
23.5
22.7
25.2
23.9

58.5
53.0
45.1
66.6
61.2
65.4
48.0
45.5
45.1
14.1
81.7
56.9
75.4
85.0
71.3
84.9
51.8
93.1
45.5
70.0
71.2
46.0
86.9
73.8
91.2
56.9
27.7
56.7
55.1
85.3
78.0
58.8
67.5
55.9
79.6
68.8
34.0
79.6
92.0
56.1
92.7
77.7
83.3

35.7
2.4
5.3
21.8
5.2
13.1
27.6
22.7
38.9
1.2
0.4
17.4
13.8
3.0
7.7
9.9
41.8
1.4
36.1
8.8
19.5
50.7
0.4
6.4
1.2
16.2
1.4
16.9
28.0
0.5
15.0
10.7
8.4
35.4
1.1
26.4
13.5
1.2
1.4
24.4
5.2
9.2
0.5

3.3
7.3
40.5
7.8
26.9
16.4
13.8
26.2
9.6
10.0
13.5
19.0
5.9
6.4
13.4
2.3
3.0
2.0
9.7
14.0
4.8
1.0
2.3
13.7
4.1
18.3
56.6
18.0
9.6
2.2
3.7
9.0
18.9
5.5
2.5
2.7
46.9
13.3
2.1
10.0
0.8
7.1
10.7

2.5
37.3
9.1
3.9
6.7
5.1
10.6
5.5
6.4
74.7
4.4
6.7
4.9
5.6
7.6
2.9
3.4
3.5
8.8
7.2
4.6
2.3
10.5
6.1
3.5
8.7
14.4
8.3
7.3
12.0
3.3
21.4
5.1
3.3
16.7
2.0
5.6
5.9
4.5
9.5
1.3
6.1
5.5

See table footnotes on page 49.

48

Grade (%)

MMWR/June 8, 2012/Vol. 61/No. 4

Black

Hispanic

Other

Surveillance Summaries

TABLE 2. (Continued) Sample sizes, response rates, and demographic characteristics* United States and selected U.S. sites, Youth Risk Behavior
Surveys, 2011
Student
sample
size

Site

Large urban school


district surveys
Boston, MA
1,013
Broward County, FL
1,681
Charlotte1,555
Mecklenburg, NC
Chicago, IL
1,907
Dallas, TX
1,152
Detroit, MI
2,237
District of Columbia
1,396
Duval County, FL
3,336
Houston, TX
2,182
Los Angeles, CA
1,767
Memphis, TN
1,466
Miami-Dade County, FL 2,302
Milwaukee, WI
1,862
New York City, NY
11,570
Orange County, FL
1,524
Palm Beach County, FL 2,198
Philadelphia, PA
1,539
San Bernardino, CA
1,430
San Diego, CA
1,529
San Francisco, CA
2,220
Seattle, WA
1,896

Response rate (%)

Sex (%)

Grade (%)

Race/Ethnicity (%)

School

Student

Overall

Female

Male

10

11

12

White

Black

Other

95
100
100

72
80
85

68
80
85

48.9
49.1
49.7

51.1
50.9
50.3

27.0
25.0
31.6

23.9
25.8
26.5

23.7
24.1
22.0

25.1
24.8
19.3

13.1
30.2
33.6

36.9
38.5
44.4

39.2
24.8
13.6

10.8
6.5
8.4

84
100
100
100
100
100
100
100
98
100
93
95
96
94
100
100
95
100

82
61
86
74
76
86
86
71
76
71
79
84
78
78
80
86
77
84

69
61
86
74
76
86
86
71
75
71
73
80
75
73
80
86
74
84

52.1
50.4
52.7
51.3
50.2
49.3
48.0
50.2
50.2
49.0
50.0
49.9
49.7
50.9
49.6
48.7
49.3
47.9

47.9
49.6
47.3
48.7
49.8
50.7
52.0
49.8
49.8
51.0
50.0
50.1
50.3
49.1
50.4
51.3
50.7
52.1

28.7
31.9
25.4
31.1
28.3
29.8
35.0
27.3
27.2
31.5
29.7
27.0
26.4
28.1
28.3
27.7
25.3
28.8

28.6
24.6
28.2
25.1
27.2
25.2
25.8
25.6
26.0
23.3
27.2
26.1
25.9
26.5
26.9
26.1
26.0
25.7

21.6
22.4
22.4
23.0
22.8
22.8
21.5
24.2
22.8
25.2
22.1
24.0
23.4
22.8
23.7
23.7
24.4
22.7

20.6
20.9
23.3
20.3
21.3
22.1
17.1
22.8
23.6
19.0
20.5
22.7
23.9
22.4
21.0
22.4
23.4
21.9

9.0
3.7
0.2
10.6
41.1
8.8
8.6
6.8
9.4
11.9
14.1
41.8
40.7
13.1
10.7
23.7
8.5
40.0

46.1
25.1
95.9
64.6
46.1
29.5
11.1
86.6
24.6
62.1
34.6
20.4
27.9
61.1
15.8
11.9
9.9
22.5

40.4
68.2
2.1
10.6
7.5
57.0
73.6
3.1
64.1
19.9
35.4
31.7
24.9
16.3
68.8
42.6
21.1
6.3

4.5
3.0
1.8
14.2
5.3
4.7
6.7
3.5
1.8
6.1
15.9
6.1
6.4
9.5
4.6
21.8
60.5
31.2

Hispanic

* 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).

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, 2011
Rarely or never wore a bicycle helmet
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Rarely or never wore a seat belt


Total

CI

CI

83.9
89.4
92.0

(79.387.7)
(84.892.7)
(89.893.7)

87.1
94.4
92.2

(84.089.6)
(92.096.1)
(89.394.5)

85.8
85.2
85.7
87.3
85.9

(82.188.8)
(80.189.1)
(80.589.7)
(84.189.9)
(82.688.6)

87.2
87.9
89.2
92.0
88.8

(83.490.3)
(85.290.1)
(85.791.9)
(90.093.6)
(86.590.7)

Female

Male
%

Total

CI

CI

CI

CI

85.7
92.3
92.1

(82.188.6)
(90.294.0)
(90.093.8)

5.1
8.0
8.4

(4.06.6)
(6.110.4)
(6.810.3)

7.3
12.6
10.1

(5.49.8)
(10.215.5)
(7.912.9)

6.3
10.3
9.3

(4.88.1)
(8.512.5)
(7.711.2)

86.6
86.7
87.7
89.9
87.5

(83.389.3)
(83.689.2)
(84.290.4)
(88.091.5)
(85.089.7)

8.4
5.9
4.9
5.5
6.3

(6.710.5)
(4.67.6)
(3.56.9)
(4.17.4)
(5.37.6)

10.3
9.0
7.0
8.5
8.9

(8.213.0)
(7.011.4)
(5.68.8)
(6.311.5)
(7.410.7)

9.5
7.5
6.0
7.1
7.7

(7.811.4)
(6.29.1)
(4.87.5)
(5.59.0)
(6.59.1)

* Among the 70.2% 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.

MMWR/June 8, 2012/Vol. 61/No. 4

49

Surveillance Summaries

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, 2011
Rarely or never wore a bicycle helmet
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

Female

Male

Total

CI

93.7
72.4
84.3
94.4

86.4
89.6
86.7
86.8
85.6
91.8
92.4
87.4
82.9
93.5
96.7
61.1
78.8

89.0
93.4
80.2
91.1
59.1

(91.195.6)
(65.378.5)
(77.789.2)
(91.396.5)

(82.789.4)
(88.091.0)
(75.393.3)
(83.089.8)
(81.489.0)
(88.494.2)
(89.794.5)
(81.091.8)
(76.687.8)
(89.196.2)
(93.598.3)
(55.366.7)
(71.984.4)

(86.291.3)
(89.995.7)
(77.382.8)
(88.493.2)
(53.764.3)

90.9
72.3
87.0
92.6

89.8
89.8
87.7
88.5
83.0
93.6
93.9
89.4
89.0
94.9
94.4
70.7
81.4

89.8
96.6
82.1
91.0
66.5

(85.694.3)
(67.776.4)
(81.391.2)
(89.295.0)

(87.291.8)
(88.091.3)
(81.592.1)
(85.990.7)
(78.986.5)
(90.595.7)
(90.496.2)
(83.293.5)
(82.993.0)
(91.796.9)
(89.397.2)
(66.674.4)
(73.287.5)

(85.293.1)
(94.897.8)
(79.584.4)
(89.192.6)
(61.970.8)

92.1
72.3
85.7
93.1

88.3
89.7
87.1
87.6
84.3
92.7
93.3
88.5
86.2
94.0
95.1
66.4
80.4

89.4
95.1
81.2
91.0
63.2

(88.594.6)
(68.076.2)
(80.489.7)
(91.394.6)

(85.990.3)
(88.390.9)
(79.392.3)
(85.489.5)
(81.187.0)
(90.194.6)
(90.595.3)
(83.692.1)
(81.589.8)
(91.695.8)
(90.797.5)
(61.870.8)
(73.985.6)

(86.092.1)
(93.496.4)
(79.183.2)
(89.392.5)
(59.866.5)

8.9
7.2
13.7
9.4

7.3
3.4
6.8
12.0

6.8
5.9
6.0
2.2
4.2
8.8
4.6
6.2
10.0
10.3
3.7
7.7
8.2
12.3
9.0

(5.813.5)
(4.511.3)
(10.517.7)
(7.012.6)

(5.59.6)
(2.54.7)
(5.87.9)
(7.518.6)

(4.99.5)
(4.67.5)
(4.48.3)
(1.24.1)
(2.86.2)
(6.611.7)
(2.39.0)
(5.27.3)
(6.515.0)
(7.514.0)
(2.74.9)
(6.79.0)
(7.19.5)
(10.114.9)
(6.712.0)

15.0
10.0
15.3
18.9

10.9
7.9
10.6
13.2

8.9
8.1
11.1
6.2
11.8
15.7
16.5
10.2
12.9
16.4
7.9
17.5
14.0
18.8
12.3

(13.017.3)
(7.313.4)
(12.019.4)
(13.825.3)

(9.312.8)
(6.310.0)
(9.112.3)
(8.819.4)

(6.811.6)
(6.410.1)
(9.013.6)
(4.09.5)
(9.214.9)
(12.619.3)
(11.123.9)
(8.712.0)
(9.317.7)
(13.420.0)
(6.210.0)
(14.221.4)
(11.916.4)
(16.421.3)
(9.615.5)

12.1
8.7
14.6
14.4

9.2
5.7
8.8
12.8

7.9
7.0
8.6
4.4
8.1
12.4
10.5
8.4
11.8
13.5
5.9
12.6
11.2
15.7
10.7

(9.914.9)
(6.311.8)
(11.817.9)
(11.318.2)

(7.810.8)
(4.76.9)
(7.89.9)
(8.518.8)

(6.39.9)
(5.98.4)
(7.010.6)
(2.96.6)
(6.410.2)
(10.414.7)
(8.213.5)
(7.29.6)
(8.316.3)
(10.816.9)
(4.87.2)
(10.614.8)
(9.812.8)
(13.817.6)
(8.713.1)

84.0 (78.988.1)
80.8 (77.184.0)
85.9 (78.491.0)

88.1
86.0
87.4

(84.790.8)
(83.488.3)
(80.792.1)

86.3
83.6
86.8

(82.389.6)
(80.886.0)
(80.591.3)

8.1
6.1

5.0

(5.911.1)
(5.27.2)

(3.76.8)

12.5
9.7

10.9

(9.915.7)
(8.311.2)

(9.013.1)

10.5
8.0

8.1

(8.213.3)
(6.99.1)

(6.69.7)

10.0

(7.812.6)

16.6

(13.719.9)

13.4

(11.215.9)

94.7
81.0
94.7

(91.996.6)
(75.485.5)
(91.396.8)

93.1
77.5
92.7

(90.894.9)
(70.982.9)
(89.395.1)

13.9
4.9
7.5

(10.518.1)
(3.37.1)
(5.410.3)

19.3
11.5
12.4

(15.923.3)
(8.914.8)
(9.615.9)

16.7
8.2
10.1

(13.820.1)
(6.510.4)
(7.713.2)

14.7

(10.720.0)

25.2

(20.930.1)

20.1

(16.624.2)

7.2
6.5
4.8
4.9
5.8
10.4
7.8
10.9

(5.69.2)
(5.47.9)
(3.27.1)
(3.56.8)
(4.67.3)
(8.013.5)
(5.810.3)
(9.212.9)
7.3
2.214.7

13.7
9.4
8.1
7.8
8.7
17.1
12.7
20.3

(11.017.1)
(7.611.6)
(6.110.6)
(6.29.8)
(6.411.7)
(13.721.0)
(10.415.4)
(17.623.4)
12.4
6.225.2

10.5
8.0
6.5
6.4
7.3
13.8
10.3
15.8

91.2 (87.094.2)
72.7 (63.580.3)
90.8 (85.694.3)

88.2
90.3
76.0
49.4
85.6
83.6

81.3

(84.491.1)
(87.692.4)
(72.079.5)
(41.757.2)
(80.989.3)
(76.089.2)

(76.985.1)
86.4
49.496.7

CI

89.9
93.1
78.8
55.1
88.5
87.4

85.4

(84.993.4)
(90.994.9)
(75.382.0)
(45.164.7)
(84.991.3)
(81.591.7)

(82.687.9)
88.5
55.196.6

See table footnotes on page 51.

50

Rarely or never wore a seat belt

MMWR/June 8, 2012/Vol. 61/No. 4

89.1
91.9
77.7
52.7
87.1
85.8

83.6

CI

(85.392.0)
(89.793.7)
(74.780.5)
(43.761.5)
(83.789.8)
(79.990.2)

(81.185.8)
87.1
52.795.1

CI

CI

CI

(8.712.7)
(6.79.6)
(5.18.1)
(4.98.4)
(5.98.8)
(11.316.8)
(8.412.6)
(13.917.9)
10.3
4.420.1

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, 2011
Rarely or never wore a bicycle helmet
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

CI

Male
%

Rarely or never wore a seat belt


Total

CI

Female
CI

CI

Male
%

Total
CI

CI

90.6
87.3

(85.394.1)
(84.090.1)

92.4
90.8

(87.195.6)
(88.193.0)

91.6 (87.894.4)
89.3 (87.091.2)

18.0
6.4
8.8

(14.621.9)
(4.88.5)
(6.312.1)

29.5
10.2
13.5

(24.934.5)
(8.212.6)
(11.116.4)

23.8 (21.226.6)
8.4 (7.29.8)
11.3 (9.213.7)

93.9
93.4
72.1

87.9
88.1
86.9
92.0
89.8

(90.196.3)
(90.195.7)
(65.478.0)

(85.390.1)
(83.791.4)
(81.291.1)
(88.794.4)
(87.192.1)

95.8
93.9
91.0

91.2
91.3
87.3
91.1
90.8

(93.697.2)
(90.396.2)
(86.794.0)

(88.993.1)
(88.893.3)
(81.191.6)
(88.093.5)
(87.493.4)

94.3
93.7
82.3

89.7
89.9
86.8
91.5
90.4

(92.096.0)
(91.395.5)
(78.185.8)

(88.091.2)
(87.392.0)
(81.590.8)
(89.493.2)
(88.192.3)

11.1
6.1
8.3
8.3
10.3
9.0
4.6
5.7
9.4

(8.514.3)
(3.89.8)
(6.710.3)
(6.510.6)
(8.612.3)
(7.011.4)
(3.16.8)
(4.08.0)
(7.411.8)

16.6
8.9
18.2
13.1
15.2
11.2
6.7
8.9
14.5

(13.719.8)
(6.112.8)
(14.422.7)
(10.216.8)
(13.017.7)
(9.313.5)
(3.811.5)
(7.011.4)
(11.917.5)

13.9
7.6
13.2
10.9
12.9
10.1
5.9
7.3
12.0

86.0
87.5
86.3

(82.588.8)
(83.091.0)
(83.788.5)

89.0
89.1
91.6

(86.990.8)
(85.591.8)
(88.893.7)

87.6 (85.089.7)
88.4 (85.490.8)
89.2 (87.191.0)

21.6

5.6
6.9

(18.525.0)

(4.07.8)
(5.39.1)

26.4

8.9
10.0

(22.630.5)

(7.211.1)
(7.712.9)

24.0 (21.426.8)

7.2 (6.08.8)
8.4 (6.810.5)

(86.293.2)
(84.090.4)
(67.878.8)
(46.358.5)

87.6
52.493.9

93.5
92.1
79.1
64.2

92.1
90.2
76.8
59.3

23.8
6.2
3.3
11.9

(20.527.4)
(4.68.4)
(2.15.1)
(8.516.3)

8.3
3.323.8

27.6
5.1
4.9
11.8

(23.632.0)
(3.47.5)
(3.47.0)
(8.915.3)

11.8
4.929.5

25.8 (22.829.0)
5.6 (4.37.3)
4.1 (3.05.6)
12.2 (9.615.5)

10.9
4.125.8

90.3
87.6
73.6
52.4

(90.795.6)
(88.494.7)
(73.284.1)
(58.569.5)

91.1
64.295.8

(89.494.1)
(87.892.1)
(71.881.1)
(54.863.5)

89.7
59.394.3

(11.616.6)
(5.410.6)
(11.115.5)
(8.913.3)
(11.414.5)
(8.511.9)
(4.47.9)
(6.08.8)
(10.214.0)

* 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.

MMWR/June 8, 2012/Vol. 61/No. 4

51

Surveillance Summaries

TABLE 5. Percentage of high school students who rode in a car or other vehicle driven by someone who had been drinking alcohol* and who
drove a car or other vehicle when they had been drinking alcohol,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior
Survey, 2011
Rode with a driver who had been drinking alcohol
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

CI

Male
%

CI

Female
CI

CI

Male
%

Total
CI

CI

23.8
23.2
30.7

(21.925.9)
(20.226.4)
(27.434.2)

20.5
22.5
30.7

(18.522.6)
(19.825.4)
(27.234.5)

22.1
22.8
30.7

(20.723.5)
(20.924.9)
(27.833.7)

7.0
4.0
7.8

(5.88.4)
(2.95.5)
(6.39.7)

8.9
7.8
11.5

(8.19.8)
(5.810.4)
(9.713.6)

8.0
5.9
9.7

(7.38.8)
(4.67.5)
(8.511.2)

22.9
23.5
25.2
28.0
24.9

(20.325.7)
(21.026.1)
(21.829.0)
(25.530.7)
(23.426.4)

20.7
23.1
22.4
27.4
23.3

(18.523.0)
(20.326.1)
(20.124.8)
(24.630.3)
(21.825.0)

21.8
23.3
23.8
27.7
24.1

(20.023.7)
(21.525.2)
(21.626.1)
(25.729.7)
(22.925.3)

3.3
5.2
7.8
11.2
6.7

(2.44.5)
(4.16.5)
(5.910.2)
(8.914.0)
(5.87.7)

6.1
6.0
10.4
16.0
9.5

(4.77.9)
(4.67.8)
(8.912.2)
(14.018.1)
(8.610.4)

4.7
5.6
9.1
13.6
8.2

(3.85.9)
(4.66.8)
(7.710.8)
(12.315.1)
(7.68.8)

* One or more times during the 30 days before the survey.


95% confidence interval.
Non-Hispanic.

52

Drove when drinking alcohol

Total

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 6. Percentage of high school students who rode in a car or other vehicle driven by someone who had been drinking alcohol* and who
drove a car or other vehicle when they had been drinking alcohol,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Rode with a driver who had been drinking alcohol
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Drove when drinking alcohol

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

(20.328.6)
(14.023.1)

(20.730.9)
(18.327.0)
(22.328.8)
(21.727.9)
(23.627.0)
(17.930.7)

(15.623.1)
(25.130.9)
(17.525.2)
(19.726.3)
(21.528.3)
(16.423.0)
(26.134.3)

(21.930.7)
(19.825.3)
(18.223.4)
(23.930.9)
(24.129.1)
(23.129.4)
(18.225.2)

24.4
18.9

25.4
20.8
25.0
24.9
22.6
24.6

22.5
24.1
22.2
24.7
22.8
20.4
33.7

25.2
23.2
22.7
27.2
25.7
21.7
23.8

(18.132.0)
(16.022.3)

(20.630.7)
(17.824.3)
(21.129.4)
(21.528.5)
(21.423.8)
(20.129.7)

(18.726.7)
(21.926.5)
(18.326.7)
(18.532.2)
(19.326.7)
(16.824.5)
(27.939.9)

(21.729.0)
(20.526.2)
(20.625.0)
(23.831.0)
(23.627.9)
(19.324.4)
(20.727.2)

24.4
18.6

25.6
21.8
25.2
24.9
24.0
24.3

20.8
26.0
21.7
23.8
23.8
20.2
32.1

25.9
22.9
21.7
27.3
26.1
23.9
22.7

(19.729.9)
(16.121.5)

(21.430.2)
(18.825.1)
(22.128.5)
(22.127.8)
(22.925.0)
(19.529.9)

(17.624.4)
(24.028.1)
(18.725.0)
(20.427.7)
(21.426.3)
(17.523.2)
(28.735.6)

(22.429.6)
(20.725.4)
(19.723.8)
(24.830.0)
(24.128.1)
(21.726.3)
(20.325.2)

7.8
4.7
8.3
6.3
3.7
4.6
7.2
6.7
4.6

5.9
5.4
3.7
7.9
8.4
4.3
9.5

7.0
4.9
4.8
6.1
9.6
6.9
7.2

(6.010.2)
(2.87.8)
(6.311.0)
(4.09.9)
(2.65.1)
(3.56.1)
(5.79.2)
(5.87.8)
(2.87.3)

(4.67.6)
(4.17.2)
(2.55.5)
(5.810.7)
(6.211.3)
(3.06.2)
(6.513.6)

(5.39.2)
(3.86.4)
(3.66.5)
(4.58.3)
(8.311.2)
(5.29.1)
(5.110.1)

12.0
6.4
10.2
11.2
7.5
9.1
8.8
11.3
8.6

10.4
9.9
6.9
12.8
9.1
9.1
13.8

7.9
8.0
7.0
13.8
11.6
7.2
9.9

(9.315.4)
(4.98.4)
(8.412.3)
(8.315.0)
(4.711.6)
(7.311.2)
(7.011.0)
(10.012.7)
(6.711.1)

(7.614.1)
(7.912.5)
(5.38.9)
(8.718.4)
(7.510.9)
(6.911.9)
(9.419.8)

(6.110.1)
(6.99.4)
(5.78.5)
(9.919.0)
(10.113.2)
(5.59.4)
(7.413.2)

9.9
5.6
9.3
8.9
5.8
6.9
8.0
9.1
6.8

8.2
7.7
5.3
10.5
8.7
6.9
11.7

7.7
6.5
6.0
10.0
10.6
7.2
8.6

(7.812.5)
(4.47.2)
(7.811.1)
(6.911.3)
(4.27.9)
(5.88.1)
(6.79.4)
(8.110.1)
(5.38.7)

(6.410.4)
(6.19.7)
(4.16.8)
(8.313.2)
(7.210.5)
(5.68.5)
(9.015.1)

(6.49.2)
(5.67.6)
(5.07.1)
(7.413.3)
(9.511.8)
(5.79.1)
(6.910.6)

23.0 (20.525.8)
27.1 (24.130.4)

20.1 (17.822.6)

19.7
24.6

21.8

(15.624.5)
(21.727.7)

(19.025.0)

21.4
25.8

21.0

(19.023.9)
(23.228.7)

(18.923.2)

6.0
8.2
3.9
4.0

(4.09.0)
(6.89.9)
(2.85.4)
(3.15.1)

6.8
10.4
6.9
8.6

(4.89.5)
(8.812.3)
(5.19.2)
(6.810.7)

6.4
9.3
5.4
6.3

(4.69.0)
(8.110.8)
(4.56.5)
(5.37.5)

26.5 (22.730.7)

23.6

(20.726.7)

25.1

(22.727.7)

11.6

(9.114.7)

11.8

(9.514.6)

11.7

(9.714.1)

21.5
19.0
21.5
24.6

(18.225.3)
(15.223.4)
(19.124.0)
(20.129.7)

20.5
20.5
22.3
27.6

(15.726.5)
(15.925.9)
(19.125.8)
(23.232.6)

21.0
19.7
21.9
26.3

(17.525.0)
(16.823.0)
(19.424.6)
(22.930.1)

5.5
4.5
5.5
7.9

(3.87.7)
(2.38.6)
(4.36.9)
(6.210.2)

8.8
10.1
7.3
14.0

(6.911.3)
(6.914.4)
(5.99.1)
(10.618.3)

7.2
7.2
6.5
11.1

(5.89.0)
(5.010.3)
(5.37.9)
(8.913.6)

23.0 (18.428.4)

23.3

(18.928.5)

23.2

(19.227.9)

7.7

(6.29.6)

14.0

(10.518.5)

10.9

(8.713.7)

19.8
32.3
11.7
20.6
20.2
17.5
21.8
25.4

20.6
32.0
14.4
20.9
19.6
19.9
24.0
26.0

(18.423.1)
(27.636.7)
(11.418.1)
(19.122.7)
(15.724.2)
(16.723.5)
(20.827.5)
(23.129.1)
23.2
14.433.7

20.3
32.2
13.5
20.7
20.0
18.7
22.9
25.7

(18.222.4)
(28.835.7)
(10.916.5)
(19.322.3)
(17.422.9)
(16.121.7)
(20.825.2)
(23.528.0)
23.2
13.532.2

5.3
8.3
2.3
5.1
4.9
4.1
7.8
10.3

10.0
11.9
5.2
8.9
6.5
9.1
9.5
13.0

(7.812.8)
(9.814.4)
(3.67.3)
(7.610.4)
(4.59.3)
(7.610.9)
(7.412.1)
(10.915.5)
9.1
5.214.0

7.7
10.2
4.0
7.1
5.7
6.7
8.7
11.7

24.2
18.1

25.5
22.3
25.4
24.7
25.2
23.7

19.1
27.9
21.1
22.8
24.8
19.5
30.0

26.0
22.5
20.7
27.3
26.5
26.1
21.5

(16.723.3)
(29.235.6)
(9.015.3)
(18.722.5)
(17.623.2)
(14.421.1)
(18.725.1)
(22.828.3)
23.0
11.732.3

(4.16.8)
(7.09.8)
(1.33.9)
(3.77.0)
(3.47.0)
(2.86.2)
(6.010.1)
(8.312.6)
6.0
2.311.6

(6.39.4)
(8.811.7)
(3.05.4)
(6.18.3)
(4.47.3)
(5.68.0)
(7.210.5)
(10.113.5)
7.7
4.011.7

See table footnotes on page 54.

MMWR/June 8, 2012/Vol. 61/No. 4

53

Surveillance Summaries

TABLE 6. (Continued) Percentage of high school students who rode in a car or other vehicle driven by someone who had been drinking alcohol*
and who drove a car or other vehicle when they had been drinking alcohol,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Rode with a driver who had been drinking alcohol
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
Charlotte-
Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

CI

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

22.7
23.8
23.1

(18.827.2)
(20.727.1)
(20.226.2)

21.4
24.8
23.9

(17.126.5)
(21.927.9)
(20.327.9)

22.0 (19.225.0)
24.4 (22.127.0)
23.8 (21.526.1)

4.9
5.2
5.5

(2.88.5)
(3.97.0)
(4.07.4)

6.1
11.3
10.5

(4.09.2)
(8.914.3)
(8.513.0)

5.5
8.5
8.1

(4.17.4)
(7.010.4)
(6.79.9)

33.1
32.2
25.3
23.6
28.4
31.9
23.0
21.2
28.4

(29.636.9)
(27.537.3)
(21.929.0)
(20.626.9)
(25.831.1)
(28.535.5)
(19.826.4)
(18.224.5)
(25.032.0)

33.3
36.2
26.9
22.2
27.6
31.4
25.1
21.3
24.1

(30.036.7)
(32.340.3)
(23.230.9)
(18.925.8)
(25.330.1)
(28.035.0)
(22.328.3)
(18.124.9)
(20.528.1)

33.2
34.2
26.2
22.8
28.2
31.7
24.3
21.3
26.2

(30.735.7)
(31.137.4)
(23.429.1)
(20.824.9)
(26.430.1)
(29.234.3)
(21.627.2)
(18.924.0)
(23.629.0)

4.8
6.9
2.9
2.9
8.4
6.2
2.6
2.4
6.4

(3.27.1)
(4.89.9)
(1.94.3)
(1.94.3)
(6.810.2)
(4.97.9)
(1.74.2)
(1.53.7)
(5.08.1)

10.7
9.9
4.7
7.5
9.1
9.5
8.5
3.4
9.0

(8.812.9)
(7.313.4)
(3.07.3)
(5.510.2)
(7.511.1)
(7.412.1)
(5.413.1)
(2.15.5)
(6.612.0)

7.6
8.3
3.9
5.4
8.9
8.0
5.9
2.9
7.7

(6.39.2)
(6.410.7)
(2.95.2)
(4.17.2)
(7.710.2)
(6.69.6)
(4.18.5)
(2.04.3)
(6.39.3)

24.1

24.2
31.4

(21.027.5)

(20.228.6)
(28.434.5)

21.8

24.1
25.9

(18.425.6)

(21.027.6)
(23.129.0)

23.2 (20.725.9)

24.1 (21.327.1)
28.7 (26.531.0)

3.1
1.9
5.9
9.9

(2.14.4)
(1.32.6)
(4.28.2)
(7.812.6)

5.7
3.6
10.1
13.7

(4.27.8)
(3.04.5)
(7.713.2)
(11.216.6)

4.5
2.9
8.0
11.9

(3.55.8)
(2.33.5)
(6.49.9)
(10.014.1)

(20.326.5)
(26.234.3)
(20.028.5)
(15.320.7)
(16.623.4)
24.0
17.933.1

21.4
29.8
23.8
16.9
22.1

22.2
29.9
24.0
17.6
21.1

3.9
4.5
5.0
3.5
4.3

(3.67.7)
(6.711.2)
(6.711.1)
(3.47.5)
(6.711.3)
8.7
3.413.7

4.7
6.6
6.8
4.5
6.9

23.3
30.1
24.0
17.9
19.8

(18.224.8)
(25.334.7)
(20.427.6)
(14.220.2)
(18.426.2)
24.1
16.936.2

* One or more times during the 30 days before the survey.


95% confidence interval.
Not available.

54

Drove when drinking alcohol

MMWR/June 8, 2012/Vol. 61/No. 4

(19.824.7)
(26.833.2)
(21.127.0)
(15.619.9)
(18.424.1)
24.2
17.634.2

(2.85.5)
(3.06.5)
(3.57.1)
(2.35.3)
(3.16.0)
4.8
1.99.9

5.3
8.7
8.7
5.0
8.8

(3.66.0)
(5.28.2)
(5.58.5)
(3.26.1)
(5.68.5)
6.8
2.911.9

Surveillance Summaries

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, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

35.4
19.0
26.3

(31.539.4)
(14.924.0)
(22.830.2)

36.9
29.3
35.2

(33.640.3)
(26.132.8)
(32.038.6)

36.2
24.1
30.9

(32.839.7)
(20.727.9)
(28.034.0)

9.4
20.6
40.6
55.9
30.4

(7.511.7)
(16.525.4)
(34.447.2)
(51.060.7)
(27.533.6)

13.9
25.6
45.0
60.0
34.9

(11.516.6)
(22.528.9)
(40.749.5)
(54.665.2)
(32.637.3)

11.7
23.2
42.9
58.0
32.8

(9.913.8)
(20.026.8)
(37.948.0)
(53.662.4)
(30.335.3)

* On at least 1 day during the 30 days before the survey.


95% confidence interval.
Non-Hispanic.

TABLE 8. 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, 2011
Carried a weapon
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Carried a gun

Male

Total

CI

CI

6.2
7.5
7.5

(5.27.5)
(6.09.3)
(5.79.9)

27.2
21.0
24.5

(23.731.1)
(18.423.9)
(22.426.6)

7.6
6.1
6.2
7.1
6.8

(6.29.2)
(4.87.6)
(4.97.9)
(5.78.9)
(6.17.7)

26.6
26.4
25.9
24.1
25.9

(23.130.4)
(23.529.5)
(23.228.9)
(20.727.8)
(23.828.2)

Female

Male

CI

CI

17.0
14.2
16.2

(15.019.3)
(12.616.0)
(14.617.9)

1.1
1.7
1.4

(0.71.8)
(1.12.8)
(0.82.3)

7.2
10.3
9.2

17.3
16.6
16.2
15.8
16.6

(15.219.6)
(14.918.5)
(14.618.0)
(14.017.7)
(15.418.0)

1.4
1.6
1.1
1.0
1.4

(0.92.2)
(1.02.5)
(0.71.9)
(0.61.8)
(1.11.8)

7.7
9.4
8.6
8.2
8.6

Total
CI

CI

(5.88.9)
(8.312.9)
(7.910.8)

4.3
6.1
5.5

(3.55.2)
(4.97.4)
(4.66.5)

(6.49.2)
(7.811.3)
(7.210.3)
(6.310.6)
(7.69.7)

4.7
5.7
5.0
4.8
5.1

(3.95.5)
(4.86.8)
(4.25.9)
(3.76.0)
(4.65.7)

* For example, a gun, knife, or club.


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

MMWR/June 8, 2012/Vol. 61/No. 4

55

Surveillance Summaries

TABLE 9. Percentage of high school students who carried a weapon*, and who carried a gun, by sex selected U.S. sites, Youth Risk Behavior
Survey, 2011
Carried a weapon
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

10.5
10.5
7.9
7.8
6.9

6.6
7.9
13.0
7.7
9.4
6.2
5.4
3.9

8.9
11.5

8.5
4.4
6.2
6.4
9.1
6.5
6.0

(8.413.0)
(8.213.2)
(6.49.8)
(5.910.3)
(5.19.5)

(4.69.2)
(6.69.5)
(8.718.9)
(6.19.7)
(7.112.3)
(4.87.9)
(4.07.2)
(2.75.6)

(6.611.9)
(7.218.0)

(6.810.6)
(3.26.2)
(4.48.5)
(4.88.5)
(7.810.7)
(5.18.3)
(4.38.3)

32.0
27.0
26.9
34.4
23.4

20.3
22.9
32.3
20.1
35.3
19.0
28.0
27.0

36.4
32.9

22.9
19.9
24.8
29.9
37.1
30.3
22.2

(26.438.2)
(23.730.6)
(23.330.9)
(29.639.4)
(19.427.9)

(18.022.8)
(21.025.1)
(27.237.8)
(17.722.7)
(32.138.7)
(16.322.0)
(23.133.5)
(22.931.6)

(31.441.7)
(28.837.2)

(19.426.9)
(17.223.0)
(21.328.8)
(25.634.6)
(34.140.3)
(27.233.7)
(19.225.6)

21.5
19.0
17.5
21.1
15.5

13.5
15.6
22.8
13.9
22.8
12.6
17.0
15.8

22.8
22.2

15.9
12.3
15.7
18.0
23.5
18.6
14.5

(18.424.9)
(16.721.5)
(15.220.0)
(17.725.0)
(12.918.4)

(11.815.3)
(14.117.2)
(18.527.8)
(12.415.6)
(20.325.6)
(10.914.5)
(14.220.2)
(13.318.7)

(19.526.6)
(20.124.4)

(13.718.4)
(10.514.4)
(13.817.7)
(15.421.0)
(21.725.5)
(16.920.4)
(12.616.7)

2.9
1.6
2.0
2.0

1.3

1.2
1.0
0.6

2.2
2.9

2.1
0.2
1.6
1.5
2.2
2.7

(1.74.8)
(0.92.8)
(1.23.4)
(1.33.2)

(0.82.1)

(0.71.9)
(0.51.8)
(0.21.6)

(1.43.5)
(2.04.2)

(1.33.3)
(0.00.6)
(1.22.2)
(0.92.7)
(1.62.8)
(1.93.9)

12.9
7.7
9.9
15.6

7.3

6.0
8.1
9.3

14.7
17.9

8.9
4.7
8.3
14.3
15.2
15.2

(9.317.6)
(5.710.2)
(7.313.2)
(12.818.9)

(5.79.5)

(4.87.4)
(6.210.5)
(6.513.0)

(11.718.2)
(14.222.3)

(6.312.4)
(3.95.6)
(7.09.8)
(12.216.6)
(13.317.5)
(12.718.0)

8.1
4.8
6.0
8.8

4.4

3.6
4.6
5.1

8.6
10.4

5.7
2.5
5.1
7.9
9.0
9.1

(5.910.9)
(3.66.2)
(4.67.9)
(7.110.7)

(3.55.5)

(3.04.3)
(3.65.9)
(3.67.2)

(7.010.6)
(8.312.9)

(4.27.7)
(2.13.1)
(4.36.0)
(6.69.4)
(7.910.2)
(7.710.6)

4.7
11.9
5.8
9.6

(3.36.5)
(10.413.7)
(4.67.4)
(7.512.1)

14.3
33.3
19.2
32.0

(10.519.3)
(30.536.3)
(16.921.8)
(27.736.6)

9.6
22.8
12.6
20.8

(7.412.4)
(21.024.8)
(11.214.2)
(18.423.5)

3.3
1.3

(2.54.2)
(0.82.1)

13.6
7.7

(12.315.1)
(6.09.8)

8.5
4.5

(7.69.6)
(3.65.7)

24.5
31.0
17.4
37.8

(20.628.9)
(25.737.0)
(14.221.0)
(32.043.9)

16.4
19.4
11.2
23.4

(13.819.5)
(15.823.5)
(9.513.1)
(19.827.5)

1.4

1.3

(0.53.8)

(0.92.1)

10.3

19.0

(7.114.8)

(15.622.9)

5.9

10.2

(4.18.4)

(8.412.5)

21.1
17.6
16.8

20.4
20.7
10.4
27.1

(18.524.0)
(16.119.1)
(14.020.1)

(17.923.2)
(17.524.4)
(9.111.8)
(24.829.6)
17.6
9.627.1

1.2
1.6
2.1

4.4
1.2
0.4
5.1

7.2
7.8
4.7
8.6

(4.710.9)
(5.511.1)
(3.76.0)
(6.411.6)

7.4
7.5
5.6

9.5
6.0
3.9
13.5

(6.28.8)
(6.48.8)
(3.97.9)

(7.412.0)
(4.58.0)
(2.95.2)
(11.515.7)
7.5
3.913.5

34.4
27.3
27.2

31.2
35.0
16.5
40.4

(30.139.0)
(24.730.0)
(23.231.6)

(26.935.8)
(29.840.5)
(14.219.2)
(37.043.8)
27.3
14.340.4

See table footnotes on page 57.

56

Carried a gun

MMWR/June 8, 2012/Vol. 61/No. 4

(0.72.0)
(1.22.0)
(1.33.6)

(2.96.6)
(0.52.6)
(0.21.0)
(3.96.6)
1.6
0.25.1

11.6
10.3
9.3

13.6
9.8
8.5
16.2

(9.813.6)
(8.412.5)
(7.112.1)

(10.018.3)
(7.313.0)
(6.311.5)
(13.918.8)
10.3
4.719.0

6.5
6.0
5.9

9.1
5.6
4.6
10.8

(5.47.9)
(5.07.3)
(4.57.7)

(6.812.1)
(4.17.6)
(3.36.2)
(9.412.5)
6.0
2.510.8

Surveillance Summaries

TABLE 9. (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, 2011
Carried a weapon
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Carried a gun

Total
CI

Female
CI

Male

CI

Total
CI

CI

9.3
5.3
7.5

(6.513.3)
(3.87.4)
(5.89.7)

21.5
17.0
24.4

(17.126.7)
(14.320.1)
(21.427.6)

15.4
11.4
15.9

(12.019.6)
(9.613.6)
(13.818.3)

0.9
1.5
1.7

(0.32.4)
(0.63.4)
(1.02.8)

5.8
6.0
8.9

(3.49.7)
(4.08.9)
(6.811.7)

3.3
3.9
5.4

(2.05.6)
(2.55.9)
(4.17.0)

12.5
6.8
8.0
13.8
11.1
6.2
5.7
6.5
6.4

(9.416.4)
(5.09.1)
(6.210.4)
(11.117.1)
(9.513.0)
(4.88.0)
(4.18.0)
(4.98.7)
(4.88.6)

21.1
22.4
18.2
23.8
26.5
21.5
18.5
16.5
15.9

(17.924.6)
(17.627.9)
(14.622.5)
(20.227.8)
(24.129.1)
(18.824.4)
(15.022.5)
(14.219.0)
(13.219.1)

16.5
14.4
13.2
18.9
18.8
13.9
12.5
11.4
11.1

(13.819.7)
(11.617.7)
(11.315.5)
(16.321.7)
(17.120.6)
(12.215.9)
(10.315.1)
(9.913.1)
(9.213.4)

2.0
1.0
1.4
2.3
3.2
1.2
1.6
1.3
2.0

(1.33.1)
(0.52.2)
(0.82.4)
(1.34.1)
(2.44.4)
(0.72.1)
(0.82.9)
(0.72.4)
(1.23.4)

9.5
9.1
7.3
12.5
11.1
9.1
6.7
9.6
7.5

(7.811.6)
(6.812.1)
(5.110.3)
(9.915.6)
(9.413.0)
(7.111.7)
(4.210.5)
(7.811.9)
(5.710.0)

5.8
5.0
4.4
7.5
7.1
5.3
4.4
5.5
4.8

(4.67.2)
(3.66.8)
(3.35.9)
(5.89.7)
(6.18.3)
(4.26.7)
(3.06.5)
(4.46.7)
(3.66.3)

8.0
5.5
7.5
7.9

(6.010.8)
(4.56.7)
(5.510.3)
(6.39.9)

21.7
12.5
20.2
20.4

(18.625.1)
(11.214.0)
(17.123.7)
(17.423.6)

14.9
9.1
13.8
14.2

(12.817.4)
(8.210.1)
(11.915.9)
(12.416.2)

1.4
0.7
2.0
3.0

(0.63.1)
(0.51.1)
(1.33.2)
(2.04.5)

12.7
3.8
6.9
7.0

(10.115.9)
(3.14.7)
(5.09.6)
(5.39.3)

7.1
2.3
4.4
5.1

(5.69.1)
(1.92.8)
(3.45.8)
(4.06.5)

10.2
6.4
6.2
6.7

(8.112.7)
(4.88.5)
(4.48.6)
(5.18.8)

7.1
5.313.8

20.7
19.8
17.9
14.8

(17.324.6)
(15.924.3)
(15.420.8)
(12.217.7)

20.3
12.526.5

15.6
13.1
12.2
11.4

(13.517.9)
(10.915.5)
(10.614.1)
(9.413.6)

13.8
9.118.9

1.5
0.9
0.8
1.9
2.1

(0.72.9)
(0.41.8)
(0.41.9)
(1.13.1)
(1.43.3)
1.5
0.73.2

9.0
7.4
6.6
6.0
7.9

(6.911.6)
(5.210.6)
(4.69.4)
(4.28.6)
(6.110.3)
7.5
3.812.7

5.4
4.2
3.9
4.3
5.3

(4.36.7)
(3.05.8)
(2.75.4)
(3.25.8)
(4.26.7)

5.0
2.37.5

* For example, a gun, knife, or club.


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

TABLE 10. 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, 2011
Carried a weapon on school property
Female
Category
Race/Ethnicity
White**
Black**
Hispanic
Grade
9
10
11
12
Total

Male

CI

2.3
2.5
2.6

(1.82.8)
(1.63.8)
(1.83.8)

7.8
6.7
8.8

2.1
2.5
1.8
2.8
2.3

(1.53.0)
(1.83.5)
(1.22.6)
(2.03.9)
(2.02.8)

7.4
9.4
7.5
8.2
8.2

Threatened or injured with a weapon on school property


Total

CI

Female

Male

CI

CI

(6.59.3)
(4.89.2)
(6.611.6)

5.1
4.6
5.8

(4.46.0)
(3.46.1)
(4.67.4)

4.2
6.6
6.0

(3.35.2)
(5.08.6)
(4.97.4)

8.0
11.2
12.1

(5.79.5)
(7.112.3)
(6.29.1)
(6.510.4)
(7.19.5)

4.8
6.1
4.7
5.6
5.4

(3.95.9)
(4.87.7)
(3.95.7)
(4.66.7)
(4.76.1)

6.2
5.3
5.3
3.4
5.2

(4.97.7)
(4.26.7)
(4.16.7)
(2.44.8)
(4.56.0)

10.3
9.7
9.2
8.3
9.5

Total
CI

CI

(7.28.8)
(8.814.2)
(9.814.9)

6.1
8.9
9.2

(5.56.9)
(7.710.3)
(7.711.0)

(8.612.2)
(8.111.6)
(7.611.2)
(7.09.8)
(8.710.3)

8.3
7.7
7.3
5.9
7.4

(7.19.7)
(6.68.9)
(6.18.6)
(5.16.9)
(6.88.1)

* On at least 1 day during the 30 days before the survey.


For example, a gun, knife, or club.
One or more times during the 12 months before the survey.
95% confidence interval.
** Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

57

Surveillance Summaries

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 selected U.S. sites, Youth Risk Behavior Survey, 2011
Carried a weapon on school property
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

Female

Male

Total

CI

CI

4.5
3.3
3.0
2.3
3.3
3.4
3.3
**
5.4
2.3
2.2
2.6
1.6
1.8
2.6
3.1
1.9
3.7
2.8
1.9
1.7
1.6
3.5
1.2

(2.77.2)
(1.95.5)
(2.14.2)
(1.43.8)
(2.05.3)
(2.25.2)
(2.05.3)

(2.810.3)
(1.53.5)
(1.33.7)
(1.83.8)
(0.92.6)
(1.12.9)
(1.64.1)
(1.85.2)
(0.93.8)
(3.14.3)
(1.94.2)
(1.22.9)
(0.93.3)
(1.02.7)
(2.64.7)
(0.72.0)

11.6
8.0
8.3
10.6
7.6
9.8
7.1

11.4
6.2
10.2
5.2
5.8
6.6
7.4
11.6
6.1
11.9
7.2
5.3
5.2
6.7
14.7
6.1

(8.315.9)
(6.010.5)
(6.211.1)
(7.414.9)
(5.610.1)
(7.812.4)
(5.88.7)

(7.716.5)
(4.97.7)
(8.112.8)
(3.57.6)
(4.47.6)
(4.210.3)
(5.410.0)
(8.116.3)
(3.610.3)
(10.413.5)
(5.59.4)
(4.26.8)
(3.96.9)
(4.410.1)
(12.617.0)
(4.77.9)

8.2
5.7
5.7
6.5
5.5
6.6
5.2

8.6
4.2
6.3
3.9
3.7
4.5
5.2
7.4
4.2
8.0
5.3
3.7
3.5
4.2
9.3
3.8

(6.310.6)
(4.47.3)
(4.67.0)
(4.88.8)
(4.27.1)
(5.48.2)
(4.26.4)

(5.513.2)
(3.45.2)
(4.98.1)
(3.05.1)
(2.94.8)
(3.16.4)
(3.96.9)
(5.210.4)
(2.47.0)
(7.18.9)
(4.26.6)
(2.84.7)
(2.84.3)
(2.96.1)
(8.010.7)
(3.04.8)

5.2
3.2
7.2
4.5
4.0
4.6
4.4
5.8
9.2
4.7
4.9
6.2
5.7
3.9
3.5
5.1
6.9
4.7
5.3
4.2
5.1
5.3
5.0
4.2

(3.67.7)
(2.05.1)
(5.89.0)
(2.67.6)
(3.15.3)
(3.16.6)
(3.26.1)
(4.96.8)
(5.515.0)
(3.66.1)
(3.37.1)
(4.78.1)
(3.78.5)
(2.55.8)
(2.45.2)
(3.57.4)
(3.812.3)
(4.15.3)
(4.16.9)
(3.25.6)
(4.06.5)
(3.87.3)
(4.06.3)
(3.15.7)

9.6
7.6
13.1
7.3
9.3
8.8
8.5
8.4
13.5
7.9
9.6
8.9
7.8
8.2
7.4
8.7
10.0
8.4
10.6
9.0
8.3
9.3
9.7
8.3

(6.913.3)
(5.89.9)
(10.715.9)
(5.69.4)
(6.413.3)
(6.911.1)
(6.710.7)
(7.69.4)
(9.618.6)
(6.110.2)
(6.913.1)
(7.910.1)
(5.411.1)
(5.512.1)
(5.59.9)
(6.511.6)
(8.012.4)
(7.69.2)
(8.513.1)
(7.111.3)
(7.09.9)
(7.611.3)
(8.211.4)
(6.810.3)

7.6
5.6
10.4
6.3
6.7
6.8
6.4
7.2
11.7
6.3
7.3
7.6
6.8
6.3
5.5
7.4
8.7
6.8
8.4
6.8
6.8
7.5
7.5
6.4

(5.410.5)
(4.47.2)
(8.912.0)
(4.78.3)
(5.28.6)
(5.48.4)
(5.37.7)
(6.67.9)
(8.016.8)
(5.27.7)
(5.59.6)
(6.78.7)
(4.89.5)
(4.78.3)
(4.37.1)
(5.69.7)
(6.411.6)
(6.37.3)
(7.09.9)
(5.58.3)
(5.87.9)
(6.38.9)
(6.58.6)
(5.47.6)

3.9
2.4
2.6

(3.14.8)
(1.83.3)
(1.74.1)

9.0
5.8
9.5

(7.510.7)
(4.97.0)
(7.511.9)

6.5
4.2
6.1

(5.57.6)
(3.64.8)
(4.97.6)

4.2

5.2
6.7

(3.15.8)

(3.96.9)
(4.99.2)

7.0

9.3
11.1

(5.19.4)

(7.711.2)
(8.514.3)

5.7

7.3
9.1

(4.76.8)

(6.28.6)
(7.311.3)

2.9

(1.94.4)

8.3

(6.310.8)

5.7

(4.47.3)

2.0
2.1
2.3

(1.03.8)
(1.43.1)
(1.53.6)

10.0
5.7
9.7

(6.814.5)
(4.67.1)
(6.813.7)

6.1
4.0
6.3

(4.18.9)
(3.25.0)
(4.68.4)

4.3

6.4

(2.38.0)

(4.49.3)

6.9

11.0

(4.610.1)

(8.813.7)

5.7

9.2

(4.17.8)

(7.511.3)

2.2

(1.23.9)

8.9

(7.111.1)

5.7

(4.76.9)

3.7

(2.65.3)

8.2

(6.011.1)

6.0

(4.67.8)

1.8
2.6
2.0
3.7
2.8
1.4
1.6
3.9

(1.13.0)
(1.93.5)
(0.94.2)
(3.14.4)
(1.94.3)
(0.82.3)
(0.92.6)
(2.95.4)
2.6
1.25.4

8.4
7.0
9.3
14.1
8.3
9.5
4.5
16.8

(6.011.7)
(5.78.5)
(6.712.8)
(11.517.3)
(6.111.1)
(7.212.5)
(3.46.1)
(14.519.4)
8.3
4.516.8

5.2
4.9
5.9
9.1
5.7
5.5
3.1
10.5

4.9
5.1
4.5
4.4
5.5
4.7
2.9
5.3

(3.66.7)
(4.46.0)
(3.26.4)
(3.55.4)
(3.97.6)
(3.46.5)
(2.04.3)
(4.26.9)
4.9
2.99.2

6.6
8.0
9.0
6.6
8.0
8.3
7.1
9.0

(5.48.0)
(6.69.8)
(6.412.4)
(5.47.9)
(5.611.5)
(5.811.6)
(5.88.5)
(7.410.9)
8.4
6.613.5

5.8
6.8
7.0
5.5
7.0
6.5
5.1
7.3

See table footnotes on page 59.

58

Threatened or injured with a weapon on school property

MMWR/June 8, 2012/Vol. 61/No. 4

CI

(3.87.1)
(4.05.9)
(4.28.4)
(7.610.8)
(4.57.2)
(4.17.3)
(2.44.1)
(9.212.0)
5.7
3.110.5

CI

CI

CI

(4.87.0)
(6.07.7)
(5.39.3)
(4.86.3)
(5.49.0)
(4.88.8)
(4.26.2)
(6.28.5)
6.8
5.111.7

Surveillance Summaries

TABLE 11. (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, 2011
Carried a weapon on school property
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
Charlotte-
Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

4.7
2.2
2.5

(2.78.1)
(1.24.0)
(1.64.0)

8.1
4.6
5.3

4.4
1.9
2.7
3.1
5.2
2.1
1.9
1.7
2.4

(3.06.4)
(1.03.6)
(1.94.0)
(2.04.8)
(4.26.5)
(1.33.2)
(1.03.5)
(0.93.1)
(1.63.6)

3.8
1.8
2.4
3.0
2.7
3.2
2.4
2.8
4.3

Site

Threatened or injured with a weapon on school property


Total

CI

Female

Male

CI

CI

(5.611.6)
(3.16.7)
(3.97.2)

6.4
3.5
4.0

(4.59.1)
(2.45.0)
(3.05.3)

6.3
6.0
5.3

(4.78.5)
(4.58.0)
(3.87.4)

10.1
8.0
13.9

(7.014.3)
(6.110.3)
(11.017.4)

8.2
7.1
10.2

(6.310.7)
(5.88.6)
(8.212.6)

5.0
5.5
4.9
8.2
7.8
6.0
7.0
2.5
5.2

(3.76.8)
(3.58.6)
(3.27.4)
(5.711.5)
(6.39.5)
(4.58.1)
(4.610.5)
(1.54.0)
(3.77.1)

4.7
3.7
4.2
5.5
6.5
4.1
4.8
2.1
3.7

(3.66.1)
(2.55.4)
(3.25.5)
(4.07.6)
(5.67.6)
(3.35.0)
(3.36.8)
(1.43.1)
(2.84.9)

8.1
4.6
6.9
5.8
8.8
5.0
4.5
7.3
6.2

(6.410.4)
(2.87.6)
(5.48.8)
(4.18.0)
(7.310.6)
(3.57.1)
(3.06.7)
(5.59.5)
(4.97.9)

13.6
9.7
8.3
11.1
12.2
11.1
10.4
8.9
8.7

(11.216.4)
(7.013.2)
(6.211.0)
(8.414.5)
(10.613.9)
(9.013.5)
(7.115.0)
(7.111.2)
(6.910.9)

11.1
7.1
7.8
8.7
10.7
8.2
7.9
8.2
7.5

(9.413.1)
(5.69.0)
(6.59.3)
(7.010.7)
(9.412.1)
(6.89.9)
(6.010.2)
(6.610.1)
(6.38.9)

(2.55.9)
(1.32.5)
(1.53.7)
(1.94.6)

5.3
5.3
5.2
7.0

(3.48.1)
(4.46.3)
(3.57.7)
(5.19.6)

4.6
3.6
3.8
5.1

(3.46.2)
(3.14.3)
(2.85.0)
(3.86.8)

6.8
4.8
5.6
6.9

(5.19.1)
(4.05.8)
(4.27.3)
(5.48.9)

10.0
8.3
8.7
10.5

(7.712.9)
(7.29.4)
(6.212.1)
(8.612.8)

8.7
6.7
7.1
8.9

(6.910.8)
(5.97.6)
(5.69.0)
(7.610.4)

(1.74.2)
(2.14.8)
(1.44.1)
(1.84.3)
(3.25.9)
2.7
1.75.2

4.3
6.5
6.5
8.0
11.1

(2.84.9)
(3.76.2)
(3.36.0)
(4.47.6)
(6.69.8)
4.5
2.18.1

7.9
7.6
4.6
4.3
4.5

(7.111.3)
(9.715.0)
(6.511.2)
(6.511.2)
(6.710.3)
9.7
8.013.9

8.8
9.9
6.7
7.1
6.9

(3.06.1)
(4.69.0)
(4.79.0)
(6.110.4)
(8.813.9)
5.5
2.511.1

3.7
4.8
4.5
5.8
8.1

Total

(5.910.4)
(5.810.0)
(3.36.3)
(3.06.1)
(3.26.1)
6.0
4.38.8

CI

9.0
12.1
8.5
8.6
8.3

CI

(7.310.5)
(8.311.7)
(5.38.4)
(5.78.7)
(5.68.5)
8.2
6.711.1

* On at least 1 day during the 30 days before the survey.


For example, a gun, knife, or club.
One or more times during the 12 months before the survey.
95% confidence interval.
** Not available.

TABLE 12. 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, 2011
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

20.4
32.3
28.7

(18.222.8)
(29.235.5)
(25.931.7)

37.7
45.8
44.4

(35.739.7)
(41.350.3)
(41.247.8)

28.8
25.5
22.7
19.4
24.4

(25.632.2)
(22.428.8)
(19.426.4)
(16.822.3)
(22.626.3)

46.0
44.2
36.3
34.1
40.7

(43.448.7)
(40.448.1)
(33.339.3)
(31.037.3)
(39.242.2)

Female

Male

Total

CI

CI

CI

CI

29.4
39.1
36.8

(27.930.9)
(36.042.1)
(34.039.8)

1.9
3.2
3.7

(1.52.4)
(2.24.6)
(2.75.0)

3.5
8.1
7.0

(2.94.3)
(6.210.6)
(5.98.2)

2.8
5.7
5.5

(2.43.2)
(4.57.2)
(4.76.4)

37.7
35.3
29.7
26.9
32.8

(35.439.9)
(32.738.1)
(27.432.0)
(25.028.9)
(31.534.1)

2.7
3.0
2.2
2.1
2.6

(2.03.6)
(2.24.0)
(1.63.2)
(1.33.3)
(2.23.0)

5.9
5.1
4.8
4.3
5.1

(4.67.5)
(4.16.5)
(3.86.1)
(3.35.4)
(4.65.8)

4.4
4.1
3.6
3.3
3.9

(3.65.3)
(3.45.0)
(2.94.4)
(2.64.1)
(3.54.4)

* 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.

MMWR/June 8, 2012/Vol. 61/No. 4

59

Surveillance Summaries

TABLE 13. 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, 2011
In a physical fight
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

CI

CI

23.8
18.0
18.3
20.6
18.2
17.6
22.0
21.1
25.9
17.3
19.0
23.7
20.0
16.6
14.7
21.2
27.8
11.9
23.6
17.9
20.6
19.5
19.3
20.6
16.2

(19.528.8)
(14.921.6)
(16.120.8)
(16.525.4)
(15.221.6)
(14.720.8)
(18.725.8)
(19.522.7)
(21.131.4)
(15.019.8)
(16.222.2)
(20.826.9)
(17.023.3)
(13.220.6)
(12.317.4)
(17.625.4)
(18.639.2)
(10.813.0)
(19.428.5)
(16.119.9)
(16.026.2)
(16.223.5)
(17.421.3)
(18.323.1)
(13.319.6)

32.6
29.0
36.4
37.1
30.3
32.4
33.9
34.7
39.8
27.5
33.3
35.3
37.3
31.7
29.5
35.7
44.9
26.5
33.6
32.5
33.8
39.0
31.0
32.1
31.1

(28.137.6)
(25.632.7)
(33.040.0)
(33.041.4)
(25.735.3)
(28.836.2)
(29.938.2)
(32.636.8)
(36.742.9)
(24.530.7)
(29.337.5)
(32.338.4)
(33.441.5)
(26.437.6)
(25.933.4)
(31.140.6)
(42.447.4)
(24.628.4)
(28.938.6)
(29.835.4)
(31.136.6)
(35.342.8)
(28.933.1)
(29.235.2)
(27.734.7)

16.2
25.1
20.8
19.4

(13.020.1)
(22.527.9)
(17.924.0)
(15.923.5)

31.4
37.6
33.1
35.6

(26.037.5)
(34.940.4)
(29.736.7)
(31.839.6)

Female

Male

Total

CI

CI

28.4
23.7
27.6
29.1
24.9
25.1
28.0
28.0
33.1
22.3
26.4
29.5
29.0
24.4
22.4
28.7
36.0
19.5
29.1
25.4
27.4
29.3
25.4
26.7
23.8

(24.832.3)
(21.426.1)
(24.930.6)
(25.632.9)
(21.528.6)
(22.028.4)
(25.031.3)
(26.529.4)
(29.836.6)
(20.224.6)
(23.529.5)
(26.832.4)
(26.331.8)
(20.628.6)
(19.625.4)
(25.432.2)
(30.342.1)
(18.620.5)
(25.433.1)
(23.527.3)
(24.730.2)
(25.933.0)
(24.026.8)
(24.628.9)
(21.426.4)

2.9
1.7

1.9

3.5
2.6
3.9

2.3
2.5
3.0
1.2

2.7
2.9
1.8
3.9
2.3
1.7
2.1
2.1
2.4
3.5

(1.65.4)
(0.93.2)

(1.13.3)

(2.35.2)
(2.03.3)
(2.56.1)

(1.33.8)
(1.83.4)
(2.04.6)
(0.72.2)

(1.94.0)
(1.55.7)
(1.42.4)
(2.85.5)
(1.43.9)
(1.22.4)
(1.43.1)
(1.62.8)
(1.73.6)
(2.45.0)

3.2
4.3

4.3

4.8
5.4
5.2

4.2
5.0
4.3
3.3

5.2
6.6
3.7
5.9
5.1
3.1
5.2
3.2
3.7
4.8

(1.95.5)
(3.06.0)

(2.76.7)

(3.56.5)
(4.66.2)
(3.57.6)

(2.96.0)
(3.96.5)
(3.06.3)
(2.15.3)

(4.06.8)
(3.911.0)
(3.24.3)
(3.89.2)
(4.06.5)
(2.44.0)
(3.86.9)
(2.44.2)
(2.65.1)
(3.27.2)

3.1
3.0

3.3

4.2
4.0
4.9

3.2
3.8
3.7
2.4

4.2
5.0
2.9
5.2
3.8
2.5
3.6
2.7
3.1
4.2

(1.94.9)
(2.34.0)

(2.44.5)

(3.25.5)
(3.64.5)
(3.66.6)

(2.44.4)
(3.14.6)
(2.75.1)
(1.63.7)

(3.35.3)
(3.37.4)
(2.63.2)
(3.67.2)
(3.04.7)
(2.03.0)
(2.84.8)
(2.33.2)
(2.44.0)
(3.05.7)

23.9
31.5
27.0
27.6

(20.727.4)
(29.433.6)
(24.629.5)
(24.930.5)

2.6

(1.74.0)

4.7

(3.17.2)

3.7

(2.65.2)

CI

CI

(19.929.0)
(16.925.1)
(15.019.9)
(19.730.6)

37.5
36.4
29.7
40.3

(33.541.6)
(30.942.2)
(27.032.5)
(35.745.0)

31.2
28.5
23.5
32.6

(28.034.6)
(24.732.7)
(21.825.3)
(28.537.0)

3.2

(2.05.1)

2.9

(1.55.4)

3.0

(2.04.6)

17.5 (12.723.7)

31.1

(26.336.5)

24.5

(20.229.3)

1.5

(0.82.5)

2.6

(1.64.2)

2.1

(1.43.1)

24.4
24.7
14.6
15.1
20.2
17.8
19.6
18.9

36.8
42.9
32.5
30.8
29.4
33.4
30.8
33.8

(33.739.9)
(40.345.6)
(28.237.2)
(27.833.9)
(25.034.3)
(29.937.1)
(27.234.6)
(30.936.9)
33.3
26.544.9

30.8
34.1
23.9
23.1
24.9
25.7
25.3
26.5

(28.333.4)
(32.136.0)
(20.328.0)
(20.226.3)
(21.528.7)
(22.429.4)
(22.029.0)
(24.428.7)
26.8
19.536.0

2.2
3.0
1.9

3.5
2.2
2.4
3.3

(1.53.3)
(2.43.7)
(1.13.1)

(2.25.3)
(1.43.5)
(1.44.2)
(2.54.3)
2.4
1.23.9

4.1
4.7
4.7

3.5
4.9
2.8
4.8

(2.86.1)
(3.76.1)
(3.46.3)

(2.15.8)
(4.06.0)
(1.84.3)
(3.86.1)
4.5
2.66.6

3.2
3.9
3.4

3.5
3.6
2.7
4.1

24.2
20.7
17.3
24.7

(21.427.7)
(22.127.5)
(11.218.8)
(12.118.5)
(15.525.9)
(14.222.1)
(15.724.1)
(16.721.3)
19.5
11.927.8

See table footnotes on page 61.

60

Injured in a physical fight

MMWR/June 8, 2012/Vol. 61/No. 4

(2.44.4)
(3.24.8)
(2.64.5)

(2.54.9)
(2.84.5)
(1.83.8)
(3.44.9)
3.5
2.15.2

Surveillance Summaries

TABLE 13. (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, 2011
In a physical fight
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Injured in a physical fight

Total
CI

Female
CI

Male

Total

CI

CI

CI

24.2
21.5
24.5

(18.930.4)
(18.125.4)
(21.727.6)

32.1
36.0
38.3

(27.437.3)
(32.340.0)
(34.342.6)

28.2
28.9
31.5

(23.633.3)
(26.231.8)
(28.534.6)

3.4
3.1
2.4

(2.44.7)
(2.04.9)
(1.53.9)

5.2
5.1
5.3

(3.38.1)
(3.86.7)
(3.77.5)

4.3
4.2
3.9

(3.25.8)
(3.35.4)
(2.85.4)

36.5
32.5
29.3
33.5
27.2
27.5
21.1
29.9
24.3

(32.141.1)
(28.536.7)
(26.032.9)
(29.437.9)
(24.530.0)
(23.631.8)
(19.023.4)
(26.234.0)
(21.127.8)

42.5
42.2
40.5
42.2
37.3
41.7
36.3
41.0
36.8

(38.146.9)
(36.648.1)
(36.344.9)
(38.146.4)
(34.540.2)
(38.045.5)
(32.140.7)
(36.545.7)
(32.441.4)

39.3
37.2
34.7
37.9
32.3
34.7
29.0
35.4
30.5

(35.543.3)
(33.640.9)
(31.737.8)
(34.641.4)
(30.134.6)
(31.538.0)
(26.531.7)
(32.238.8)
(27.234.0)

5.5
2.5
4.1

3.7
4.0
2.7
3.3
3.1

(4.36.9)
(1.54.2)
(2.85.9)

(2.74.9)
(2.85.8)
(1.64.6)
(2.05.3)
(2.44.2)

7.6
4.8
6.0

7.0
7.5
5.3
6.3
6.2

(5.111.0)
(2.98.0)
(4.38.2)

(5.78.5)
(5.99.5)
(3.28.7)
(4.29.2)
(4.78.2)

6.5
3.6
5.2

5.5
5.9
4.1
4.8
4.6

(5.08.5)
(2.55.3)
(4.16.5)

(4.66.5)
(4.87.1)
(2.95.9)
(3.56.5)
(3.75.7)

39.1
23.8
19.2
20.8

(35.043.4)
(21.326.4)
(16.022.7)
(17.824.1)

42.9
33.1
36.3
33.5

(38.946.9)
(31.334.9)
(31.841.1)
(29.937.2)

41.0
28.6
27.6
27.2

(37.744.5)
(26.830.4)
(24.730.7)
(24.530.1)

5.0

2.3
4.3

(3.57.0)

(1.33.8)
(3.06.0)

6.9

4.8
6.5

(5.28.9)

(3.36.9)
(4.88.7)

6.0

3.5
5.6

(4.87.6)

(2.64.7)
(4.56.9)

(34.043.0)
(23.432.0)
(20.127.3)
(10.915.7)

25.8
13.139.1

45.8
42.3
34.2
23.3

(40.850.8)
(37.647.1)
(30.138.5)
(20.326.7)

37.8
23.345.8

42.2
34.9
29.0
18.7

(38.745.8)
(31.238.9)
(26.032.2)
(16.621.0)

31.9
18.742.2

6.3
1.9
2.3
2.0

(4.88.3)
(1.13.1)
(1.43.6)
(1.23.3)

3.2
1.96.3

7.6
6.4
5.3
4.5

38.4
27.5
23.5
13.1

(5.610.3)
(4.49.4)
(3.87.3)
(3.06.6)

6.1
4.57.6

7.2
4.2
3.8
3.7

(5.79.0)
(3.05.8)
(2.95.1)
(2.75.0)

4.4
3.57.2

* 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 14. Percentage of high school students who were in a physical fight on school property* and who were bullied on school property, by
sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
In a physical fight on school property
Female
Category

Race/Ethnicity
White
5.6
Black
13.1
Hispanic
9.0
Grade
9
10.4
10
8.0
11
6.0
12
6.1
Total
7.8

Male

Bullied on school property


Total

Female

Male

Total

CI

CI

(4.66.8)
(10.715.9)
(7.710.5)

13.8
19.6
19.4

(12.315.5)
(17.122.5)
(17.521.5)

9.9
16.4
14.4

(8.910.9)
(14.618.3)
(12.916.1)

25.2
12.2
19.3

(23.627.0)
(9.815.2)
(16.622.2)

20.7
11.1
16.0

(18.423.2)
(8.913.9)
(13.219.3)

22.9 (21.424.5)
11.7
(9.713.9)
17.6 (15.420.0)

(8.812.1)
(6.310.1)
(4.77.7)
(4.87.6)
(7.08.7)

21.7
17.0
12.3
11.4
16.0

(19.324.2)
(14.719.6)
(10.514.4)
(9.214.1)
(14.917.2)

16.2
12.8
9.2
8.8
12.0

(14.717.8)
(11.114.6)
(8.210.4)
(7.510.3)
(11.312.8)

27.1
24.6
17.5
17.2
22.0

(23.930.5)
(22.227.2)
(14.620.9)
(14.720.0)
(20.623.5)

21.5
20.4
16.7
13.4
18.2

(19.323.9)
(16.724.6)
(14.219.6)
(11.715.4)
(16.620.1)

24.2
22.4
17.1
15.2
20.1

CI

CI

CI

CI

(22.126.4)
(20.025.0)
(14.819.7)
(13.517.1)
(18.721.5)

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


During the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

61

Surveillance Summaries

TABLE 15. Percentage of high school students who were in a physical fight on school property* and who were bullied on school property, by
sex selected U.S. sites, Youth Risk Behavior Survey, 2011
In a physical fight on school property
Female
Site

CI

State surveys
Alabama
6.5

Alaska
4.9 (3.37.0)
Arizona
6.6 (5.38.3)
Arkansas
7.2 (4.910.5)
Colorado

Connecticut
4.8 (3.46.8)
Delaware
6.4 (4.68.7)
Florida
7.0 (6.27.9)
Georgia
8.7 (6.811.2)
Hawaii
6.2 (5.07.8)
Idaho
4.9 (3.47.0)
Illinois
6.6 (5.28.3)
Indiana
6.6 (5.38.3)
Iowa
6.2 (4.78.1)
Kansas
4.7 (3.46.6)
Kentucky
7.2 (5.69.2)
Louisiana
11.8 (6.121.7)
Maine
4.0 (3.34.7)
Maryland
8.5 (6.411.2)
Massachusetts 4.1 (3.25.3)
Michigan
6.3 (4.39.1)
Mississippi
7.4 (5.410.1)
Montana
6.3 (5.07.8)
Nebraska
5.0 (3.86.6)
New
6.4 (4.78.8)
Hampshire
New Jersey

New Mexico
8.4 (6.710.6)
New York

North
6.4 (4.78.7)
Carolina
North
4.9 (3.76.4)
Dakota
Ohio
6.2 (4.58.6)
Oklahoma
6.1 (3.79.7)
Rhode Island
5.2 (3.87.0)
South
9.4 (6.513.5)
Carolina
South
4.8 (3.36.9)
Dakota
Tennessee
8.4 (6.610.5)
Texas
8.5 (6.910.3)
Utah
4.0 (2.56.4)
Vermont
4.7 (3.56.3)
Virginia
6.2 (4.19.1)
West Virginia
6.9 (5.09.4)
Wisconsin
6.2 (4.38.8)
Wyoming
8.0 (6.59.7)
Median
6.3
Range
4.011.8

Male

Total
CI

CI

Male
%

Total

CI

16.6
10.3
14.7
14.5

12.4
11.1
13.2
14.5
10.2
13.8
12.9
11.0
12.7
10.5
15.1
20.0
11.1
13.0
9.8
11.7
17.3
11.7
9.7
13.2

(12.621.6)
(8.113.1)
(12.217.5)
(11.218.6)

(10.314.8)
(8.414.4)
(11.714.7)
(11.917.6)
(7.813.2)
(11.416.6)
(11.015.0)
(8.414.2)
(10.415.4)
(8.313.2)
(12.717.9)
(16.723.7)
(10.112.2)
(9.916.8)
(7.812.1)
(9.614.1)
(14.620.4)
(10.213.4)
(7.911.8)
(11.015.9)

11.8
7.7
10.7
11.0

8.7
8.8
10.2
11.9
8.1
9.4
9.8
8.9
9.6
7.8
11.4
15.7
7.9
11.0
7.1
9.1
12.3
9.1
7.4
9.9

(9.314.8)
(6.19.7)
(9.312.4)
(8.514.2)

(7.110.6)
(7.011.1)
(9.311.1)
(9.914.3)
(6.89.7)
(7.911.2)
(8.511.3)
(7.310.6)
(7.911.7)
(6.29.7)
(9.613.5)
(11.621.1)
(7.38.4)
(8.714.0)
(5.98.6)
(7.810.6)
(10.314.7)
(8.210.2)
(6.28.9)
(8.211.8)

15.5
25.1

25.5
21.0
20.6
19.3
15.5
21.3
20.6
25.3
20.4
28.2
26.4
22.3
20.8
22.2
23.7
20.8
20.4
24.7
17.9
28.4
23.2
27.4

(12.419.1)
(21.728.9)

(20.930.6)
(17.924.4)
(17.424.3)
(16.622.5)
(13.917.3)
(17.226.0)
(17.623.9)
(21.329.7)
(17.323.9)
(24.532.3)
(22.830.3)
(19.525.4)
(17.324.8)
(18.027.1)
(22.524.9)
(17.125.1)
(17.923.0)
(21.028.8)
(14.821.6)
(25.631.4)
(21.025.6)
(23.931.1)

12.5
20.9

18.6
17.4
22.3
13.8
12.5
16.8
20.0
20.6
18.2
21.8
18.6
18.6
17.1
15.6
21.0
21.2
15.9
20.8
13.2
23.6
22.6
23.7

(9.715.9)
(17.824.3)

(14.423.6)
(14.321.0)
(19.026.1)
(11.316.7)
(11.313.7)
(13.720.4)
(17.522.8)
(16.825.0)
(15.321.6)
(18.725.2)
(14.323.7)
(15.222.6)
(14.819.8)
(11.820.3)
(19.822.3)
(18.424.3)
(13.618.5)
(17.924.0)
(10.816.1)
(21.525.9)
(20.325.1)
(20.327.6)

14.1
23.0

21.9
19.3
21.6
16.5
14.0
19.1
20.3
22.8
19.3
25.0
22.5
20.5
18.9
19.2
22.4
21.2
18.1
22.7
15.6
26.0
22.9
25.3

(11.716.8)
(20.525.8)

(18.525.7)
(16.622.3)
(19.424.0)
(14.518.6)
(13.015.2)
(15.922.8)
(17.922.9)
(19.426.6)
(16.822.1)
(22.327.9)
(19.525.8)
(18.023.3)
(16.521.6)
(16.322.4)
(21.523.3)
(18.624.1)
(16.120.3)
(20.025.8)
(13.118.5)
(23.928.2)
(21.224.6)
(23.027.8)

14.1

14.6

(12.415.9)

(11.717.9)

11.3

10.6

(9.813.0)

(8.712.9)

21.9
20.5
17.8
22.6

(18.226.1)
(19.122.1)
(15.720.0)
(19.126.4)

18.0
17.0
17.6
18.2

(14.422.2)
(14.919.4)
(15.719.7)
(15.421.3)

20.0
18.7
17.7
20.5

(16.823.5)
(17.320.3)
(16.519.1)
(17.823.4)

11.1

(9.113.4)

8.2

(6.99.8)

29.5

(26.832.5)

20.6

(17.624.0)

24.9

(22.527.4)

10.8
12.7
10.2
14.4

(8.413.7)
(8.718.2)
(8.512.2)
(10.819.0)

8.8
9.4
7.8
12.2

(7.410.3)
(7.112.3)
(6.79.0)
(9.515.6)

24.0
18.7
20.5
21.8

(19.728.8)
(15.722.1)
(16.025.9)
(18.825.2)

21.1
14.5
17.6
14.7

(16.925.9)
(11.318.3)
(14.920.8)
(11.518.5)

22.7
16.7
19.1
18.3

(19.126.7)
(14.319.5)
(15.623.2)
(15.621.2)

11.3

(8.415.1)

8.2

(6.410.3)

28.1

(24.132.5)

25.5

(21.230.3)

26.7

(24.229.4)

12.4
16.2
11.8
12.6
9.7
13.6
11.9
14.5

(10.514.5)
(14.318.2)
(8.915.5)
(10.714.7)
(7.212.9)
(11.416.3)
(9.714.6)
(12.716.5)
12.6
9.720.0

10.5
12.5
8.1
8.8
7.9
10.3
9.1
11.3

(8.912.3)
(11.113.9)
(5.910.8)
(7.310.5)
(6.210.1)
(8.412.7)
(7.411.3)
(10.112.7)
9.4
7.115.7

20.4
18.5
22.7

22.3
21.5
25.8
28.1

(17.024.2)
(16.420.7)
(20.125.6)

(18.426.7)
(17.426.3)
(22.129.8)
(25.331.0)
21.9
15.529.5

14.7
14.6
20.6

18.4
15.8
22.3
22.0

(12.816.8)
(13.216.0)
(17.723.9)

(15.022.3)
(12.519.8)
(19.625.4)
(19.324.9)
18.4
12.525.5

17.5
16.5
21.7

20.3
18.6
24.0
25.0

MMWR/June 8, 2012/Vol. 61/No. 4

Female

See table footnotes on page 63.

62

Bullied on school property


CI

CI

(15.819.4)
(15.018.1)
(19.823.8)

(17.623.4)
(15.222.4)
(21.426.9)
(23.127.0)
20.3
14.026.7

Surveillance Summaries

TABLE 15. (Continued) Percentage of high school students who were in a physical fight on school property* and who were bullied on school
property, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
In a physical fight on school property
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Bullied on school property


Total

CI

Female
CI

Male

CI

Total
CI

CI

7.0
7.3
8.1

(4.610.5)
(5.39.9)
(6.410.1)

10.4
12.0
15.1

(7.613.9)
(9.914.4)
(12.118.7)

8.7
9.8
11.7

(6.611.4)
(8.311.4)
(9.713.9)

17.7
14.9
18.5

(14.821.0)
(12.218.1)
(15.322.2)

10.4
11.7
18.8

(7.214.6)
(9.514.3)
(16.121.9)

13.9
13.2
18.8

(11.716.5)
(11.315.4)
(16.521.2)

14.4
12.8
12.1
12.9
11.2
11.5
7.6
11.9
8.3

(11.617.8)
(9.716.7)
(9.914.8)
(10.416.1)
(9.513.1)
(9.114.4)
(5.89.8)
(9.714.5)
(6.710.4)

20.7
20.0
19.4
18.3
15.9
17.2
17.2
16.9
16.1

(16.925.1)
(15.725.1)
(16.422.8)
(14.522.9)
(13.818.3)
(14.620.1)
(14.220.7)
(13.620.9)
(13.119.6)

17.7
16.3
15.6
15.8
13.7
14.5
12.8
14.4
12.1

(14.820.9)
(13.319.8)
(13.617.7)
(13.019.2)
(12.215.4)
(12.516.7)
(10.815.1)
(12.117.0)
(10.114.4)

13.3
15.4
23.6
7.2
18.4
11.5
16.7
10.6
11.3

(10.217.0)
(11.819.9)
(19.927.8)
(5.49.7)
(16.420.5)
(9.613.7)
(13.420.8)
(8.613.1)
(9.413.5)

12.2
10.1
15.0
12.1
16.8
12.4
14.0
10.2
9.9

(10.014.9)
(7.613.4)
(12.318.1)
(9.016.0)
(14.919.0)
(10.215.0)
(10.218.7)
(8.112.9)
(7.912.2)

12.8
12.9
19.5
9.7
17.6
12.0
15.3
10.5
10.6

(10.815.1)
(10.415.9)
(16.922.5)
(7.712.1)
(16.219.2)
(10.413.8)
(12.019.4)
(8.912.5)
(9.212.3)

15.4

7.0
7.3

(13.018.2)

(5.29.4)
(5.79.4)

20.1

12.9
11.5

(16.624.1)

(10.515.8)
(9.314.1)

17.8

10.0
9.6

(15.420.5)

(8.411.8)
(8.011.4)

13.5
11.8
15.9
16.6

(11.116.3)
(9.914.0)
(12.919.5)
(14.518.9)

11.0
11.5
12.5
14.4

(8.614.1)
(10.213.0)
(10.115.3)
(12.017.2)

12.2
11.7
14.2
15.5

(10.414.3)
(10.513.0)
(12.316.4)
(13.817.4)

16.9
11.4
8.3
5.2
8.0

(14.020.3)
(9.114.2)
(6.311.0)
(3.77.4)
(6.210.4)
9.7
5.216.9

20.7
21.2
13.3
9.3
15.2

(17.424.5)
(18.024.8)
(10.616.6)
(7.012.1)
(12.917.7)
16.5
9.321.2

18.9
16.4
10.9
7.6
12.1

(16.421.8)
(14.218.9)
(9.113.1)
(6.39.3)
(10.414.1)
13.2
7.618.9

12.6
15.6
17.6
9.2
14.0

(10.115.6)
(12.419.4)
(13.921.9)
(7.411.4)
(11.916.5)
14.9
7.223.6

14.8
13.0
13.8
11.4
14.1

(11.918.1)
(10.615.7)
(11.416.5)
(9.313.8)
(11.916.5)
12.4
9.918.8

13.8
14.3
15.6
10.6
14.2

(11.915.9)
(12.116.8)
(13.218.3)
(9.012.4)
(12.715.9)
13.8
9.719.5

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


During the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 16. Percentage of high school students who were electronically bullied,*, 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, 2011
Electronically bullied
Female
Category
Race/Ethnicity
White**
Black**
Hispanic
Grade
9
10
11
12
Total

CI

Did not go to school because of safety concerns

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

25.9
11.0
18.0

(24.127.9)
(9.213.1)
(16.020.2)

11.8
6.9
9.5

(10.013.9)
(5.09.4)
(8.111.3)

18.6
8.9
13.6

(17.220.1)
(7.610.4)
(12.115.3)

4.7
5.3
9.6

(3.76.0)
(3.57.8)
(7.711.8)

4.0
8.0
8.5

(3.25.0)
(6.310.1)
(6.710.8)

4.4
6.7
9.1

(3.65.4)
(5.38.5)
(7.710.6)

22.6
24.2
19.8
21.5
22.1

(20.125.3)
(21.826.7)
(17.322.5)
(18.924.4)
(20.923.3)

8.9
12.6
12.4
8.8
10.8

(7.310.8)
(9.616.3)
(9.915.4)
(7.010.9)
(9.612.0)

15.5
18.1
16.0
15.0
16.2

(14.017.2)
(16.420.0)
(13.718.5)
(13.316.8)
(15.317.2)

6.3
7.1
5.1
5.1
6.0

(4.88.1)
(5.59.1)
(3.86.8)
(3.86.9)
(5.07.2)

5.4
6.4
5.3
5.9
5.8

(4.26.8)
(4.88.6)
(4.26.8)
(4.67.5)
(5.06.9)

5.8
6.8
5.2
5.5
5.9

(4.77.2)
(5.48.4)
(4.26.4)
(4.56.8)
(5.16.9)

* During the 12 months before the survey.


Including being bullied through e-mail, chat rooms, instant messaging, Web sites, or texting.
On at least 1 day during the 30 days before the survey.
95% confidence interval.
** Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

63

Surveillance Summaries

TABLE 17. Percentage of high school students who were electronically bullied,*, 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, 2011
Electronically bullied
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Total

CI

(12.622.7)
(17.424.1)

(18.926.6)
(14.921.3)
(17.123.3)

(15.118.1)
(14.620.8)
(16.022.0)
(19.024.0)
(18.025.4)
(22.628.7)
(20.826.4)
(16.622.1)
(18.325.9)
(19.531.3)
(23.827.2)
(14.620.7)

(19.726.2)
(14.019.1)
(25.029.8)
(17.922.6)
(24.732.7)

7.4
10.2

11.1
11.1
12.5

8.3
9.4
10.9
12.8
10.5
12.1
10.2
11.8
13.1
10.7
14.1
10.4

13.4
8.4
11.4
11.8
15.2

(5.510.1)
(7.713.5)

(8.215.0)
(8.913.6)
(10.714.5)

(7.29.6)
(7.312.1)
(9.312.9)
(9.816.7)
(8.313.2)
(9.315.7)
(7.813.3)
(9.714.3)
(10.216.8)
(8.014.3)
(13.115.2)
(8.912.3)

(11.615.4)
(6.111.3)
(9.913.2)
(10.013.8)
(12.618.1)

12.3
15.3

16.7
14.4
16.3

12.4
13.6
14.9
17.0
16.0
18.7
16.8
15.5
17.4
18.0
19.7
14.2

18.0
12.5
19.2
15.8
21.6

(16.125.7)
(16.620.7)
(19.222.8)
(18.922.6)
(20.226.8)
(18.125.9)
(18.227.0)
(16.924.3)
(17.726.6)
(22.129.6)
(17.222.2)
(15.320.5)
(16.924.1)
(18.822.7)
(16.726.0)
(17.424.4)
(19.324.5)
(22.427.8)
20.8
16.428.5

10.8
8.2
11.6
10.6
11.8
7.7
8.8
10.1
9.5
13.7
8.5
8.6
13.2
10.2
8.8
10.6
11.7
12.5

(8.214.1)
(7.09.5)
(10.113.3)
(8.313.5)
(9.414.8)
(5.710.2)
(6.112.5)
(8.711.8)
(6.713.3)
(10.717.3)
(7.210.1)
(7.59.8)
(10.915.9)
(9.411.0)
(6.412.1)
(8.013.8)
(9.913.7)
(10.814.3)
10.7
7.415.2

15.6
13.2
16.2
15.7
17.4
14.7
15.6
15.3
15.6
19.6
13.9
13.0
16.6
15.2
14.8
15.5
16.6
18.7

17.0
20.5
**
22.5
17.9
20.1

16.6
17.5
18.8
21.4
21.5
25.5
23.5
19.2
21.9
25.0
25.5
17.4

22.8
16.4
27.3
20.1
28.5
20.5
18.5
20.9
20.7
23.4
21.8
22.3
20.4
21.8
25.7
19.6
17.7
20.3
20.7
21.0
20.7
21.8
25.0

See table footnotes on page 65.

64

Did not go to school because of safety concerns

MMWR/June 8, 2012/Vol. 61/No. 4

Female
CI

CI

Male

Total

CI

CI
(3.47.5)
(3.56.1)
(5.78.5)
(4.37.4)
(3.26.0)
(3.97.0)
(4.06.5)
(5.57.6)
(5.614.1)
(5.77.6)
(2.64.7)
(3.85.6)
(3.27.6)
(2.95.5)
(3.36.3)
(6.510.8)
(4.511.3)
(4.15.0)
(5.410.1)
(3.86.1)
(4.16.9)
(4.37.0)
(3.64.9)
(3.04.7)
(3.86.3)

(9.316.2)
(13.317.5)

(13.820.0)
(12.316.9)
(14.618.0)

(11.313.5)
(11.516.0)
(13.416.6)
(14.719.6)
(13.418.9)
(16.421.2)
(14.919.0)
(13.717.4)
(15.219.9)
(14.921.6)
(18.620.9)
(12.615.9)

(16.219.9)
(10.814.6)
(17.421.1)
(14.217.4)
(19.224.2)

4.6
4.8
6.6
5.3
3.4
4.3
5.4
6.8
7.9
6.7
3.5
5.2
6.2
3.5
5.3
7.3
7.8
4.5
4.9
4.4
6.1
4.7
4.2
2.8
4.6

(3.36.6)
(3.36.9)
(4.89.0)
(3.09.1)
(2.25.2)
(2.67.1)
(4.27.1)
(5.58.3)
(4.513.4)
(5.68.1)
(2.25.6)
(4.06.7)
(4.19.2)
(2.25.5)
(3.67.8)
(5.89.1)
(4.513.4)
(4.05.1)
(3.47.2)
(3.55.6)
(4.38.6)
(3.26.9)
(3.35.2)
(2.03.9)
(3.26.6)

5.2
4.4
7.1
5.5
4.7
6.1
4.8
6.0
9.6
6.2
3.3
4.1
3.7
4.2
3.6
8.9
6.6
4.3
9.0
5.0
4.4
6.0
4.2
4.5
5.2

(3.09.0)
(2.96.7)
(5.78.8)
(4.36.9)
(3.36.7)
(4.87.7)
(3.36.8)
(5.07.3)
(5.815.4)
(4.97.9)
(2.54.4)
(3.25.3)
(2.06.6)
(2.76.4)
(1.96.7)
(6.412.3)
(3.611.7)
(3.84.9)
(6.212.9)
(3.67.0)
(3.26.0)
(4.77.8)
(3.35.3)
(3.46.0)
(3.67.5)

5.1
4.7
7.0
5.7
4.4
5.3
5.1
6.5
9.0
6.6
3.5
4.7
4.9
4.0
4.6
8.4
7.2
4.6
7.4
4.8
5.3
5.5
4.2
3.8
4.9

(12.419.4)
(11.914.6)
(14.917.6)
(14.017.5)
(15.219.8)
(12.617.1)
(13.318.3)
(13.018.0)
(12.818.8)
(17.721.6)
(12.615.4)
(11.714.5)
(14.419.0)
(14.116.4)
(12.018.2)
(13.218.1)
(15.218.2)
(17.220.4)
15.6
12.321.6

4.0
9.0
6.2
6.8

5.1
4.4
5.5
6.9
3.3
5.1
7.7
5.0
4.4
6.2
5.7
3.9
6.8

(2.85.8)
(6.013.3)
(4.58.5)
(5.38.6)

(3.37.6)
(2.67.5)
(4.37.0)
(5.09.6)
(1.95.6)
(3.86.9)
(6.09.8)
(3.76.8)
(3.45.7)
(4.09.4)
(3.39.7)
(2.75.6)
(5.48.4)
5.1
2.89.0

3.0
7.1
6.6
6.8

7.0
2.3
5.7
10.7
4.3
4.8
6.3
5.8
4.0
4.7
4.2
2.9
5.3

(1.75.3)
(5.19.8)
(5.08.8)
(5.09.1)

(4.99.8)
(1.14.8)
(4.67.2)
(7.714.6)
(3.25.7)
(3.56.5)
(4.98.1)
(3.88.7)
(2.95.6)
(2.77.9)
(3.05.8)
(1.84.5)
(4.26.8)
5.1
2.310.7

3.6
8.1
6.4
6.8

6.2
3.5
5.9
9.0
3.9
5.0
7.1
5.6
4.3
5.5
4.9
3.4
6.1

(2.65.1)
(5.611.4)
(4.98.4)
(5.48.6)

(4.48.7)
(2.35.2)
(4.87.2)
(6.811.7)
(3.05.1)
(4.25.9)
(5.78.7)
(4.27.4)
(3.45.4)
(3.97.8)
(3.47.2)
(2.44.7)
(5.27.2)
5.2
3.49.0

Surveillance Summaries

TABLE 17. (Continued) Percentage of high school students who were electronically bullied,*, 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, 2011
Electronically bullied
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Did not go to school because of safety concerns

Male

CI

Total
CI

Female
CI

CI

8.4
8.3
7.5

14.9
13.6
20.1

(11.119.8)
(11.316.2)
(16.724.0)

6.5
8.4
11.6

(3.711.0)
(6.610.8)
(9.214.4)

10.8
11.0
16.1

(8.613.4)
(9.412.8)
(13.918.7)

14.5
12.4
9.0
11.5

13.2
16.0
10.9
13.4

(12.417.0)
(9.615.9)
(6.911.6)
(8.814.8)

(10.916.0)
(13.518.8)
(8.713.6)
(10.816.5)

8.3
5.7
8.9
9.1

9.6
9.5
5.4
8.8

(6.410.6)
(3.78.5)
(6.811.5)
(6.712.2)

(7.711.8)
(7.112.5)
(3.87.6)
(7.210.8)

11.5
9.3
9.1
10.6

11.4
12.8
8.2
11.0

(9.913.3)
(7.211.9)
(7.610.9)
(8.712.8)

(9.813.2)
(10.815.2)
(6.710.1)
(9.812.4)

11.4 (8.814.6)
7.4 (5.310.2)
25.3 (21.629.3)
6.4 (4.68.8)
11.4 (9.513.5)
11.2 (8.913.9)
7.8 (5.910.2)
7.7 (5.910.0)
6.9 (5.58.7)

12.7
12.8
16.7
18.7

(10.914.6)
(11.114.7)
(13.920.1)
(16.121.5)

8.4
8.9
7.6
9.2

(6.411.0)
(7.99.9)
(5.810.0)
(7.411.3)

10.5
11.0
12.2
13.9

(9.212.1)
(10.111.9)
(10.514.2)
(12.415.6)

11.7
8.2
7.6
7.4

11.5
12.4
16.2
11.5
10.8

(9.513.9)
(9.815.4)
(13.120.0)
(9.413.9)
(8.813.2)
13.0
9.020.1

7.4
8.3
8.6
11.0
9.2

(5.510.0)
(6.310.8)
(6.710.9)
(8.813.6)
(7.711.1)
8.7
5.411.6

9.5
10.4
12.4
11.4
10.1

(8.011.3)
(8.712.4)
(10.414.6)
(9.813.3)
(8.711.6)
11.0
8.216.1

9.9
10.1
6.8
5.1
5.2

(6.211.3)
(6.410.6)
(5.410.4)

Male
%

8.4
7.6
8.3

Total

CI

(5.512.6)
(5.99.7)
(6.111.3)

9.8 (7.412.9)
7.7 (5.410.9)
14.9 (11.818.6)
8.7 (6.611.4)
10.5 (8.812.4)
12.2 (9.815.0)
7.7 (5.610.5)
6.2 (4.58.7)
7.0 (5.49.0)

CI

8.4
8.0
8.4

(6.311.1)
(6.69.8)
(6.510.9)

10.8 (8.813.2)
7.5 (5.89.7)
20.9 (18.323.7)
7.7 (6.39.4)
11.0 (9.712.6)
11.8 (9.914.0)
7.9 (6.110.2)
7.0 (5.68.8)
7.0 (5.88.4)

(6.210.8)
(7.210.0)
(4.59.2)
(6.810.6)

10.2
8.4
7.0
8.2

(6.210.5)
(7.513.6)
(3.97.4)
(4.47.7)
(3.05.7)
8.2
4.214.9

9.3
10.1
6.1
6.1
5.1

(9.514.5)
(7.09.6)
(5.89.9)
(5.89.3)

8.2
8.5
6.5
8.5

(8.112.1)
(8.112.5)
(4.89.4)
(3.67.1)
(3.57.6)
7.8
5.125.3

8.1
10.1
5.4
5.8
4.2

(8.412.5)
(7.59.4)
(5.58.8)
(6.89.7)

(7.911.1)
(8.312.4)
(4.87.7)
(4.97.5)
(4.06.6)
8.2
5.120.9

* During the 12 months before the survey.


Including being bullied through e-mail, chat rooms, instant messaging, Web sites, or texting.
On at least 1 day during the 30 days before the survey.
95% confidence interval.
** Not available.

TABLE 18. Percentage of high school students who had their property stolen or deliberately damaged on school property,*, by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

21.0
25.9
27.8

(19.023.2)
(20.631.9)
(24.331.6)

26.8
28.7
33.3

(24.429.3)
(25.432.4)
(30.136.7)

24.0
27.3
30.7

(22.425.8)
(24.630.1)
(28.433.2)

25.5
27.4
20.1
19.5
23.4

(22.229.2)
(24.131.0)
(16.724.1)
(16.922.3)
(21.425.5)

27.7
33.4
26.7
26.9
28.8

(24.631.0)
(28.438.7)
(24.029.4)
(24.629.4)
(26.631.1)

26.6
30.6
23.5
23.3
26.1

(24.229.2)
(27.433.9)
(21.126.1)
(21.525.1)
(24.627.8)

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


For example, car, clothing, or books.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

65

Surveillance Summaries

TABLE 19. Percentage of high school students who experienced dating violence* and who were ever physically forced to have sexual intercourse,
by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Dating violence
Female
Category

Race/Ethnicity
White
7.7
Black
11.8
Hispanic
10.6
Grade
9
7.6
10
9.8
11
9.3
12
10.7
Total
9.3

CI

Forced to have sexual intercourse

Male

Total
%

Female

CI

CI

(6.39.4)
(9.914.1)
(9.012.4)

7.4
12.4
12.1

(6.48.7)
(10.614.4)
(9.714.9)

7.6
12.2
11.4

(6.68.6)
(10.813.7)
(9.913.0)

(6.39.2)
(8.012.0)
(7.711.1)
(8.713.0)
(8.210.5)

7.4
9.5
11.2
10.0
9.5

(5.89.2)
(8.011.1)
(9.213.7)
(8.212.0)
(8.510.6)

7.5
9.6
10.3
10.3
9.4

(6.48.8)
(8.411.0)
(8.712.1)
(8.911.9)
(8.610.3)

MMWR/June 8, 2012/Vol. 61/No. 4

Total

CI

CI

12.0
11.0
11.2

(10.313.8)
(8.414.4)
(9.613.1)

3.2
6.1
5.4

(2.63.9)
(4.78.0)
(4.17.0)

7.4
8.6
8.2

(6.58.4)
(7.010.6)
(7.29.4)

8.2
12.2
12.7
14.5
11.8

(6.79.9)
(10.114.5)
(10.814.7)
(12.516.8)
(10.613.0)

3.5
4.2
5.2
4.7
4.5

(2.54.9)
(3.25.6)
(3.96.9)
(3.66.1)
(3.85.3)

5.8
8.0
8.8
9.5
8.0

(4.96.9)
(6.79.5)
(7.610.2)
(8.410.8)
(7.38.8)

* Hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend during the 12 months before the survey.
When they did not want to.
95% confidence interval.
Non-Hispanic.

66

Male

CI

Surveillance Summaries

TABLE 20. Percentage of high school students who experienced dating violence* and who were ever physically forced to have sexual intercourse,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Dating violence
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Forced to have sexual intercourse

Male

Total

CI

Female

Male

CI

CI

Total
CI

CI

10.5
10.5
11.7
15.2
6.3
7.0
10.3
8.3
16.6
9.0
8.9
9.6
10.6
6.9
11.6
13.8
13.3
10.7
14.8

12.1
9.9
10.5
11.1
7.2

(7.714.1)
(7.514.5)
(10.113.6)
(12.618.1)
(4.68.7)
(5.39.1)
(7.813.4)
(7.39.4)
(12.621.7)
(7.011.6)
(6.911.3)
(8.211.2)
(8.113.8)
(5.58.6)
(9.713.8)
(10.817.6)
(9.318.7)
(9.811.6)
(11.419.0)

(9.615.1)
(7.812.6)
(9.211.9)
(9.413.2)
(5.49.5)

12.4
13.4
11.1
15.7
8.7
9.3
9.3
10.2
15.4
7.9
8.5
12.4
12.0
8.7
9.9
14.8
15.2
11.6
17.0

11.6
14.1
11.4
10.7
9.6

(9.915.5)
(10.616.9)
(8.614.1)
(12.419.8)
(7.110.7)
(7.311.8)
(6.912.3)
(9.011.5)
(12.019.7)
(6.310.0)
(6.311.4)
(10.714.2)
(9.115.6)
(5.813.0)
(7.712.8)
(11.918.2)
(12.019.1)
(10.512.7)
(13.521.2)

(10.013.3)
(11.816.6)
(10.012.9)
(8.912.7)
(7.712.1)

11.5
12.0
11.4
15.6
7.7
8.2
9.7
9.3
16.1
8.5
8.7
11.1
11.3
8.0
10.7
14.3
14.2
11.3
16.0

11.9
12.0
11.0
10.9
8.4

(9.413.9)
(9.615.0)
(9.713.3)
(13.118.4)
(6.39.3)
(6.89.8)
(7.612.3)
(8.510.2)
(12.720.3)
(7.110.2)
(7.110.5)
(10.012.2)
(9.014.0)
(6.410.0)
(9.012.7)
(12.416.4)
(11.217.9)
(10.612.0)
(13.019.5)

(10.313.7)
(10.214.2)
(10.111.9)
(9.712.3)
(7.110.0)

13.3
11.3
12.8
12.1
9.9
10.2
12.3
9.3

9.8
13.9
11.5
14.5
10.0
10.0
13.0

10.3

10.8
11.0
13.2
11.1
8.4

(9.418.5)
(8.514.7)
(10.715.2)
(8.616.9)
(7.113.7)
(8.412.4)
(9.915.0)
(8.410.4)

(8.012.0)
(11.117.3)
(10.013.3)
(12.017.5)
(7.513.2)
(8.112.2)
(10.416.2)

(9.511.2)

(9.012.9)
(8.913.6)
(11.315.4)
(9.213.3)
(6.311.1)

7.5
7.2
7.1
8.4
4.2
4.4
4.6
5.0

4.2
4.0
5.3
5.2
3.8
5.2
8.8

5.7

5.1
5.4
6.6
5.3
4.1

(4.611.9)
(5.39.7)
(5.49.2)
(6.311.1)
(2.86.4)
(3.65.4)
(3.16.8)
(4.25.8)

(3.05.9)
(2.27.0)
(4.07.1)
(3.57.7)
(2.36.3)
(4.16.7)
(6.412.1)

(5.16.4)

(3.96.7)
(3.77.9)
(5.67.9)
(4.16.9)
(2.76.3)

10.5
9.2
10.0
10.2
7.0
7.3
8.5
7.2

7.1
8.8
8.4
9.8
6.9
7.5
11.0

8.0

7.9
8.2
9.8
8.1
6.1

(8.013.6)
(7.311.6)
(8.811.2)
(8.112.8)
(5.29.4)
(6.38.4)
(7.110.2)
(6.68.0)

(5.88.5)
(7.110.8)
(7.49.6)
(8.111.9)
(5.29.0)
(6.48.9)
(9.113.2)

(7.48.7)

(6.79.3)
(6.99.9)
(8.711.1)
(6.99.5)
(4.87.8)

10.5
8.9
9.3
13.3

(8.612.8)
(7.910.0)
(8.110.7)
(9.718.1)

11.4
9.6
11.2
14.7

(8.315.5)
(8.510.8)
(9.712.8)
(11.418.7)

11.0
9.2
10.3
14.1

(9.113.3)
(8.510.1)
(9.511.1)
(11.517.2)

10.3
11.4
8.4
12.3

(7.114.7)
(10.412.5)
(7.29.8)
(9.715.6)

5.6
5.9
6.4
6.6

(3.49.0)
(5.07.0)
(5.17.8)
(5.18.5)

8.0
8.6
7.4
9.5

(5.810.9)
(7.89.5)
(6.68.2)
(7.611.7)

6.7

(5.38.4)

6.7

(4.99.2)

6.7

(5.58.1)

10.2

(8.112.7)

3.0

(2.04.4)

6.4

(5.27.9)

7.4
7.6
12.9

(5.210.3)
(6.48.9)
(10.016.4)

6.3
8.6
10.7

(4.49.0)
(7.010.6)
(8.813.1)

6.8
8.2
11.8

(5.38.7)
(7.58.9)
(10.113.9)

14.2
14.4
8.3
13.4

(10.818.4)
(11.318.2)
(7.19.7)
(10.317.3)

3.9
3.6
5.2
8.0

(2.65.7)
(2.06.1)
(4.46.2)
(5.810.9)

9.0
8.9
6.9
10.7

(6.811.6)
(6.911.4)
(6.07.9)
(9.112.6)

11.6

(9.114.8)

13.8

(11.316.8)

12.8

(10.815.1)

13.5

(10.816.7)

5.8

(4.47.8)

9.6

(8.011.5)

10.1
13.2
9.4
5.2
13.4
8.1
7.9
14.5

(8.611.7)
(11.615.0)
(7.711.4)
(4.26.4)
(10.816.4)
(6.410.2)
(6.210.1)
(12.117.2)
10.5
5.216.6

8.7
10.4
13.9
7.7
10.7
12.4
7.8
13.9

(6.611.4)
(9.411.6)
(10.618.1)
(6.88.6)
(8.014.0)
(9.715.6)
(6.49.6)
(11.916.2)
11.1
6.317.0

9.4
11.8
11.8
6.5
12.1
10.3
7.9
14.2

(8.110.9)
(11.012.7)
(9.614.4)
(5.77.3)
(10.314.1)
(8.811.9)
(6.79.3)
(12.616.0)
11.0
6.516.1

11.1
12.7
9.3
7.7

10.9

16.5

(9.113.6)
(11.014.5)
(7.211.9)
(6.39.4)

(8.813.4)

(14.219.1)
11.1
7.716.5

4.2
5.0
6.5
3.5

6.3

7.9

(3.05.8)
(3.96.5)
(4.210.0)
(3.04.0)

(4.68.7)

(6.69.4)
5.3
3.08.8

7.6
8.8
7.9
5.6

8.5

12.2

(6.48.9)
(7.89.9)
(6.59.6)
(4.96.3)

(7.010.4)

(10.913.6)
8.4
5.612.2

See table footnotes on page 68.

MMWR/June 8, 2012/Vol. 61/No. 4

67

Surveillance Summaries

TABLE 20. (Continued) Percentage of high school students who experienced dating violence* and who were ever physically forced to have
sexual intercourse, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Dating violence
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Forced to have sexual intercourse

Male

CI

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

12.6
7.3
12.7

(8.618.1)
(5.79.4)
(10.515.4)

14.7
12.2
14.1

(10.720.0)
(9.715.4)
(10.818.1)

13.7
9.9
13.6

(10.417.8)
(8.311.8)
(11.416.2)

15.8
7.4
13.2

(12.120.4)
(5.79.7)
(10.416.6)

9.2
5.5
7.0

(6.413.1)
(4.17.3)
(5.09.7)

12.6 (10.015.7)
6.5 (5.47.9)
10.3 (8.512.4)

15.3
13.9
29.0
13.6
15.1
12.6
11.0
10.8
10.3

(12.818.2)
(10.318.5)
(25.333.0)
(10.817.0)
(13.217.2)
(10.515.1)
(8.913.7)
(8.613.5)
(8.212.8)

16.8
12.9
18.6
15.5
15.9
16.1
10.9
9.7
10.9

(14.419.6)
(10.116.4)
(15.721.8)
(12.718.7)
(13.818.1)
(13.718.8)
(7.715.2)
(7.512.5)
(9.212.9)

16.3
13.4
24.2
14.7
15.5
14.3
11.1
10.4
10.7

(14.418.4)
(10.816.3)
(21.926.7)
(12.717.0)
(14.117.1)
(12.616.3)
(9.013.8)
(8.912.2)
(9.412.2)

10.9
11.2
11.3
12.7
14.0
9.3
9.5
8.8
7.5

(8.513.7)
(8.814.1)
(9.313.6)
(10.315.7)
(12.216.2)
(7.611.4)
(7.412.0)
(7.011.0)
(5.99.3)

7.5
6.4
7.4
6.3
9.6
7.7
5.8
5.5
7.0

(5.69.9)
(4.49.2)
(5.59.9)
(4.58.6)
(7.911.5)
(6.09.8)
(4.08.2)
(3.88.0)
(5.39.2)

9.3 (7.711.2)
8.8 (7.210.6)
9.7 (8.311.4)
9.7 (8.011.7)
11.9 (10.613.4)
8.5 (7.210.0)
7.7 (6.19.8)
7.2 (5.98.7)
7.3 (6.18.7)

13.3
9.6
8.1
9.2

(10.716.5)
(8.710.7)
(6.210.5)
(7.511.3)

13.2
11.0
9.5
12.0

(11.115.6)
(9.712.5)
(7.112.5)
(9.714.7)

13.2
10.4
8.9
10.7

(11.415.2)
(9.611.3)
(7.310.8)
(8.912.7)

7.7
9.0
10.0

(6.88.7)
(6.612.2)
(8.112.3)

5.2
5.1
7.0

(4.46.2)
(3.57.4)
(5.19.5)

16.4
9.3
11.2
6.4
10.2

(13.919.2)
(7.311.9)
(8.814.2)
(4.88.4)
(8.012.9)
11.2
6.429.0

13.5
9.3
11.9
8.1
12.2

(10.517.1)
(7.211.7)
(9.714.6)
(6.410.3)
(10.014.8)
12.2
8.118.6

15.2
9.3
11.6
7.6
11.4

(13.217.4)
(7.811.1)
(9.813.6)
(6.39.0)
(9.813.2)
11.6
7.624.2

11.6
9.0
7.9
6.9
6.3

(9.813.7)
(6.712.1)
(6.39.9)
(4.99.4)
(4.88.2)
9.4
6.315.8

9.2
5.3
5.9
7.0
6.6

6.5
7.0
8.5

(6.812.3)
(3.57.8)
(4.38.2)
(5.09.6)
(5.08.6)
6.8
5.19.6

(5.87.2)
(5.68.7)
(7.110.2)

10.7
7.1
6.9
7.1
6.7

(8.812.9)
(5.78.8)
(5.78.3)
(5.69.1)
(5.58.1)
8.1
6.512.6

* Hit, slapped, or physically hurt on purpose by their boyfriend or girlfriend during the 12 months before the survey.
When they did not want to.
95% confidence interval.
Not available.

TABLE 21. Percentage of high school students who felt sad or hopeless,*, by sex, race/ethnicity, and grade United States, Youth Risk Behavior
Survey, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

CI

CI

34.3
31.4
41.4

(31.936.8)
(27.635.4)
(38.943.9)

20.7
18.0
24.4

(18.522.9)
(14.722.0)
(21.527.4)

27.2
24.7
32.6

(25.828.7)
(22.127.4)
(30.634.7)

37.4
37.2
34.3
34.4
35.9

(34.141.0)
(34.440.0)
(30.837.9)
(31.437.5)
(34.137.8)

18.2
21.1
23.6
23.6
21.5

(15.721.0)
(18.224.3)
(21.425.9)
(21.425.8)
(19.923.1)

27.6
28.7
28.8
28.9
28.5

(25.330.1)
(26.531.1)
(26.830.9)
(27.130.6)
(27.229.7)

* Almost every day for 2 or more weeks in a row so that they stopped doing some usual activities.
During the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

68

Total

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 22. Percentage of high school students who felt sad or hopeless,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

%
32.6
32.8
38.9
36.2
27.1
31.0
34.0
32.9
38.5
35.2
33.6
34.7
34.5
28.3
26.9
32.1
34.9
27.5
31.4
31.5
31.6
34.0
30.8
27.7
31.3
33.4
37.3
31.8
32.6
31.2
33.9
35.7
31.5
38.1

32.8
36.9
33.2
24.6
33.9
32.6
30.1
30.0

Male
CI

(28.237.3)
(28.437.6)
(35.342.7)
(32.839.7)
(21.833.1)
(26.835.5)
(30.238.1)
(30.635.3)
(34.842.4)
(31.838.8)
(29.638.0)
(30.738.8)
(31.237.9)
(24.832.2)
(23.630.6)
(28.635.9)
(30.939.1)
(26.029.1)
(27.535.6)
(29.134.1)
(29.034.3)
(31.336.7)
(28.333.3)
(24.331.4)
(27.035.8)
(29.138.0)
(35.239.4)
(28.735.1)
(29.436.0)
(27.834.9)
(27.341.2)
(32.339.3)
(28.934.2)
(32.044.7)

(29.835.9)
(34.639.1)
(28.438.4)
(21.328.3)
(29.838.2)
(28.237.4)
(26.733.7)
(27.332.8)
32.7
24.638.9

Total

CI

CI

19.2
19.4
28.5
20.9
16.9
18.0
19.2
18.7
22.6
23.5
21.3
20.7
23.7
17.5
17.0
22.1
24.9
16.6
19.2
19.0
20.5
16.7
19.9
14.5
19.4
19.0
21.2
18.1
24.0
16.6
20.2
21.2
17.6
22.8

19.3
22.0
20.4
14.0
17.3
16.8
15.5
21.1

(14.924.3)
(16.622.6)
(25.931.3)
(17.624.7)
(14.320.0)
(15.221.2)
(16.422.4)
(17.020.5)
(18.527.2)
(21.126.0)
(18.524.4)
(18.722.9)
(19.029.2)
(14.521.0)
(14.020.4)
(19.025.5)
(19.032.0)
(15.617.8)
(16.622.1)
(16.621.7)
(18.622.7)
(13.520.6)
(17.822.1)
(12.716.5)
(16.922.2)
(15.822.8)
(19.423.1)
(15.720.9)
(20.727.7)
(13.919.6)
(17.523.2)
(16.526.9)
(15.719.6)
(17.728.8)

(16.822.1)
(20.323.7)
(16.824.5)
(12.116.2)
(13.322.2)
(13.920.1)
(13.118.3)
(18.723.7)

25.8
25.9
33.6
28.4
21.9
24.4
26.8
25.7
30.6
29.5
27.3
27.6
29.1
22.8
21.9
27.0
30.1
22.0
25.4
25.2
26.0
25.5
25.2
21.0
25.2
26.1
29.1
24.9
28.3
23.8
27.1
28.6
24.6
30.5

25.9
29.2
26.7
19.2
25.5
24.5
22.7
25.5

(22.029.9)
(23.228.9)
(31.136.2)
(25.631.3)
(18.625.5)
(21.727.2)
(24.529.2)
(24.227.3)
(27.533.9)
(27.431.6)
(24.730.1)
(25.130.2)
(26.331.9)
(20.425.2)
(19.124.9)
(24.529.8)
(26.633.9)
(21.023.0)
(22.628.3)
(23.327.2)
(24.127.9)
(23.427.8)
(23.427.1)
(18.923.2)
(22.627.8)
(23.429.0)
(28.030.2)
(23.026.8)
(25.631.2)
(21.126.8)
(23.031.6)
(25.532.0)
(22.826.5)
(25.835.7)

(23.828.0)
(27.830.8)
(23.630.0)
(16.822.0)
(22.029.4)
(21.627.6)
(20.525.0)
(23.727.4)

19.3
14.028.5

25.8
19.233.6

See table footnotes on page 70.

MMWR/June 8, 2012/Vol. 61/No. 4

69

Surveillance Summaries

TABLE 22. (Continued) Percentage of high school students who felt sad or hopeless,*, by sex selected U.S. sites, Youth Risk Behavior Survey,
2011
Female
Site
Large urban school district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

CI

31.9
34.7
36.6
38.7
41.3
33.8
28.1
34.1
35.4
36.5
32.3
32.6
34.4
33.0
39.1
32.6
39.0
39.3
33.0
31.4
25.2

(26.937.2)
(31.338.2)
(32.241.3)
(34.543.2)
(36.346.6)
(30.337.5)
(24.531.9)
(31.536.9)
(31.339.7)
(31.841.5)
(29.035.7)
(29.735.7)
(30.238.9)
(31.035.0)
(34.643.7)
(29.635.8)
(35.542.6)
(35.443.4)
(29.237.0)
(28.035.0)
(22.028.7)

18.1
18.7
22.6
21.1
23.7
22.1
21.0
20.9
25.7
19.2
15.6
18.1
21.2
20.8
19.5
18.0
23.7
23.1
18.5
20.0
18.1

(13.523.8)
(16.121.6)
(19.725.8)
(18.324.3)
(20.427.4)
(18.526.2)
(17.425.1)
(18.823.2)
(22.928.7)
(16.422.4)
(12.918.8)
(15.521.0)
(18.224.7)
(19.522.2)
(16.622.7)
(15.720.6)
(20.327.4)
(20.226.2)
(15.821.5)
(17.123.2)
(15.521.1)

24.8
26.7
29.9
30.3
32.8
28.2
24.9
27.6
30.5
27.6
24.0
25.4
27.7
26.9
29.3
25.3
31.5
31.2
25.6
25.9
21.7

(20.829.2)
(24.529.0)
(26.833.1)
(27.233.6)
(29.736.0)
(25.731.0)
(22.227.7)
(25.729.5)
(27.933.3)
(24.730.8)
(21.526.5)
(23.627.4)
(24.830.9)
(25.628.2)
(26.332.5)
(23.227.4)
(29.333.9)
(28.334.2)
(23.028.3)
(23.628.3)
(19.324.3)

34.1
25.241.3

27.6
21.732.8

20.8
15.625.7

* Almost every day for 2 or more weeks in a row so that they stopped doing some usual activities.
During the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 23. 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, 2011
Seriously considered attempting suicide
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Female

Male

Total

CI

CI

18.4
17.4
21.0

(16.820.2)
(14.920.1)
(19.023.2)

12.8
9.0
12.6

(11.514.2)
(6.911.7)
(10.714.6)

15.5
13.2
16.7

(14.316.8)
(11.515.0)
(15.218.4)

13.7
13.9
17.6

(12.315.1)
(11.616.6)
(16.219.0)

10.6
8.4
11.1

(9.312.1)
(5.911.6)
(9.313.2)

12.1
11.1
14.3

(11.213.1)
(9.512.9)
(12.915.8)

21.5
22.3
16.7
15.8
19.3

(19.224.0)
(20.024.7)
(14.818.9)
(13.818.1)
(18.220.4)

12.9
11.4
14.3
11.5
12.5

(11.314.8)
(9.413.7)
(11.917.1)
(9.613.7)
(11.613.5)

17.1
16.5
15.5
13.6
15.8

(15.618.8)
(15.218.0)
(13.717.4)
(12.215.1)
(15.116.5)

16.9
17.9
12.3
12.0
15.0

(14.819.1)
(15.920.1)
(10.314.5)
(10.314.0)
(14.016.0)

10.4
11.3
11.6
9.5
10.8

(8.912.2)
(9.613.4)
(9.314.5)
(7.911.4)
(9.711.9)

13.6
14.4
11.9
10.7
12.8

(12.215.1)
(13.315.7)
(10.114.0)
(9.412.2)
(12.013.6)

* During the 12 months before the survey.


95% confidence interval.
Non-Hispanic.

70

Made a suicide plan


Total

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

Surveillance Summaries

TABLE 24. 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, 2011
Seriously considered attempting suicide
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Made a suicide plan


Total

Female

CI

CI

18.9
16.8
22.0
17.6
17.5
17.3
16.7
15.0
19.1
20.2
16.8
17.9
21.5
17.6
13.6
18.0
17.1
12.8
19.3
16.1
18.7
16.0
17.1
18.0
16.8

(15.423.0)
(13.321.1)
(19.424.9)
(13.322.9)
(13.522.5)
(14.720.4)
(14.119.5)
(13.216.9)
(16.122.5)
(18.222.4)
(14.120.0)
(15.720.4)
(17.626.1)
(15.020.6)
(11.116.7)
(14.721.8)
(11.025.6)
(11.813.9)
(16.722.1)
(14.118.3)
(16.920.7)
(13.618.9)
(15.418.9)
(15.520.9)
(13.620.5)

12.3
12.2
15.5
11.2
12.1
11.9
10.3
9.2
11.7
12.0
14.0
10.6
16.3
11.8
10.0
11.6
15.6
9.8
12.9
10.5
12.8
10.6
13.4
10.8
12.2

(10.214.8)
(9.615.4)
(12.918.6)
(8.714.3)
(9.615.0)
(9.415.0)
(8.113.0)
(8.210.4)
(9.015.0)
(9.814.4)
(11.616.9)
(9.012.6)
(13.020.3)
(9.115.2)
(8.511.9)
(9.314.4)
(11.421.0)
(8.910.8)
(9.716.9)
(9.112.1)
(11.214.6)
(8.413.2)
(11.915.0)
(9.112.7)
(9.915.0)

15.7
14.5
18.7
14.3
14.8
14.6
13.5
12.1
15.5
16.1
15.4
14.3
18.9
14.6
11.8
14.8
16.4
11.4
16.2
13.3
15.7
13.3
15.2
14.2
14.3

(13.218.5)
(12.117.3)
(16.621.0)
(11.917.2)
(12.217.8)
(12.816.6)
(11.815.3)
(11.013.2)
(13.417.8)
(14.418.1)
(13.117.9)
(13.115.6)
(15.822.5)
(12.716.7)
(10.313.5)
(12.417.6)
(12.121.9)
(10.512.3)
(13.719.0)
(12.114.7)
(14.517.0)
(11.315.5)
(14.116.5)
(12.715.9)
(12.116.8)

16.0
20.8
15.9
15.1

(12.720.0)
(19.022.6)
(14.617.3)
(12.518.1)

9.8
12.8
10.0
13.5

(8.211.7)
(11.714.1)
(8.112.3)
(11.016.5)

12.9
16.7
12.9
14.3

19.4 (16.322.8)

10.0

(8.212.3)

18.1
18.7
14.6
19.9

(14.222.8)
(15.722.1)
(13.615.7)
(15.924.6)

10.7
9.8
10.1
10.9

22.3 (17.128.5)
17.8
19.8
16.4

21.9
16.7
17.0
20.2

(15.021.1)
(18.121.7)
(13.619.8)

(18.525.7)
(13.221.0)
(14.619.6)
(17.922.7)
17.6
12.822.3

CI

Male

Total

CI

CI

CI

14.7
14.3
17.6
14.4
13.7

11.8
11.1
14.1
17.9
13.2
16.1
14.2
13.8
10.6
14.5
13.8
10.4
14.5
13.9
14.7
12.7
13.1
13.4
11.4

(11.618.6)
(11.217.9)
(15.320.2)
(11.218.4)
(10.517.7)

(9.514.5)
(9.712.5)
(12.116.4)
(15.520.6)
(10.716.2)
(14.218.3)
(12.416.3)
(11.217.0)
(8.413.3)
(12.117.2)
(9.220.1)
(9.311.6)
(12.716.5)
(12.115.9)
(13.116.4)
(10.814.9)
(11.614.8)
(11.515.5)
(8.814.7)

9.0
11.2
14.9
12.3
9.3

8.7
7.8
11.5
11.8
11.9
10.1
12.8
9.2
9.3
12.8
10.2
7.7
10.0
10.5
11.0
8.0
11.4
8.6
10.8

(6.712.0)
(8.514.6)
(13.216.7)
(9.815.2)
(6.912.3)

(6.811.2)
(6.89.0)
(9.014.5)
(10.013.8)
(9.514.7)
(8.312.2)
(10.415.7)
(6.912.1)
(7.611.4)
(11.114.7)
(6.815.0)
(6.98.6)
(7.613.1)
(8.812.6)
(9.412.9)
(6.110.3)
(10.013.0)
(6.910.8)
(8.813.3)

11.8
12.8
16.3
13.4
11.4

10.3
9.4
12.8
15.0
12.6
13.1
13.6
11.5
9.9
13.7
12.0
9.0
12.6
12.2
12.8
10.4
12.3
10.9
11.0

(8.612.2)
(8.610.4)
(10.914.9)
(13.316.9)
(10.814.5)
(11.614.8)
(11.915.5)
(9.813.4)
(8.211.9)
(12.015.5)
(8.416.9)
(8.39.8)
(10.914.4)
(10.913.6)
(11.614.0)
(9.111.8)
(11.213.5)
(9.712.3)
(9.113.3)

(10.615.6)
(15.717.8)
(12.113.8)
(12.516.4)

12.3
16.1

13.2

(9.715.3)
(14.717.5)

(11.215.6)

9.6
10.8

13.6

(7.612.1)
(9.712.2)

(11.715.9)

10.9
13.4

13.5

(8.913.3)
(12.614.4)

(12.115.0)

14.7

(12.716.9)

14.5

(12.117.2)

9.6

(7.412.4)

12.1

(10.613.8)

(8.313.6)
(7.612.6)
(8.611.7)
(8.713.6)

14.3
14.3
12.3
15.5

(11.517.6)
(12.716.0)
(11.413.3)
(12.818.6)

16.0
13.8
12.7
17.8

(11.921.1)
(11.017.1)
(10.814.9)
(14.721.3)

12.9
7.3
8.8
11.0

(10.615.6)
(5.210.3)
(7.99.8)
(9.013.4)

14.5
10.7
10.7
14.4

(11.617.9)
(9.312.2)
(9.512.1)
(12.516.5)

13.5

(10.317.6)

17.8

(13.922.7)

15.8

(11.820.8)

10.0

(7.313.7)

12.8

(9.716.8)

11.4
11.8
11.7

12.0
9.6
10.0
14.7

(9.813.3)
(10.213.7)
(9.514.5)

(9.115.8)
(7.711.9)
(8.112.4)
(12.617.0)
11.7
9.216.3

14.7
15.8
14.2

16.9
13.0
13.5
17.4

(13.116.3)
(14.617.1)
(12.316.4)

(14.320.0)
(10.915.6)
(11.815.3)
(15.919.1)
14.6
11.418.9

13.6
16.9
13.2
10.1
16.0
12.4
13.2
16.5

(11.516.0)
(15.418.4)
(10.117.2)
(8.112.6)
(12.220.7)
(9.216.4)
(11.115.7)
(14.518.8)
13.8
10.117.9

8.7
9.6
11.1
6.8
10.6
7.9
9.8
12.0

(6.911.0)
(8.211.2)
(8.913.9)
(5.68.2)
(8.313.5)
(5.810.7)
(8.012.0)
(9.914.4)
10.1
6.814.9

11.1
13.2
12.4
8.4
13.2
10.1
11.5
14.2

(9.514.5)
(10.914.9)
(15.217.4)
(11.216.0)
(9.313.8)

(9.712.8)
(12.214.2)
(10.414.7)
(7.010.1)
(10.516.5)
(8.012.7)
(9.813.4)
(12.815.9)
12.3
8.416.3

See table footnotes on page 72.

MMWR/June 8, 2012/Vol. 61/No. 4

71

Surveillance Summaries

TABLE 24. (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, 2011
Seriously considered attempting suicide
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Made a suicide plan


Total

CI

Female
CI

Male

CI

CI

Total
%

CI

17.5
14.4
16.7

(13.123.0)
(11.318.2)
(13.320.7)

9.0
10.2
12.0

(6.412.4)
(8.412.4)
(9.814.5)

13.2
12.3
14.5

(10.616.3)
(10.314.6)
(12.417.0)

10.3
12.3
13.8

(7.613.8)
(9.715.5)
(11.117.0)

8.4 (5.312.9)
7.9 (6.110.1)
11.2 (8.714.4)

9.3 (7.411.7)
10.1 (8.412.0)
12.9 (10.815.3)

19.8
17.0
19.6
12.4
18.1
15.9
19.3
17.9
13.4

(17.422.4)
(13.022.0)
(16.722.9)
(10.115.0)
(15.920.5)
(13.219.0)
(17.121.6)
(14.921.3)
(11.116.1)

10.8
8.9
10.8
9.3
11.6
12.5
9.5
7.9
7.7

(9.112.7)
(6.412.2)
(8.613.5)
(7.112.1)
(9.913.5)
(10.614.6)
(6.014.7)
(5.910.6)
(6.09.8)

15.5
13.1
15.7
11.1
14.9
14.2
14.3
12.9
10.7

(14.217.0)
(10.915.6)
(13.618.0)
(9.612.9)
(13.516.4)
(12.615.8)
(12.216.8)
(11.115.1)
(9.212.3)

16.1
13.6
15.6
11.2
16.6
15.6
16.9
12.1
11.0

(13.618.9)
(10.816.9)
(13.118.6)
(9.013.8)
(14.618.8)
(13.018.5)
(14.319.8)
(9.914.7)
(9.213.1)

11.5 (9.414.0)
7.8 (5.511.1)
10.6 (8.213.6)
10.7 (7.814.4)
12.8 (11.114.7)
12.7 (10.814.9)
10.4 (8.213.0)
5.0 (3.67.0)
6.9 (5.68.6)

13.9
10.7
13.2
11.2
14.7
14.1
13.6
8.6
9.1

16.3
14.9
20.0
15.4

(14.018.9)
(13.616.2)
(17.023.4)
(13.317.7)

9.0
8.1
9.0
10.4

(7.211.1)
(7.38.9)
(6.712.0)
(8.512.7)

12.6
11.6
14.5
12.9

(11.114.4)
(10.912.2)
(12.516.7)
(11.414.6)

13.4

13.7
12.0

(11.615.5)

(10.817.2)
(10.014.4)

10.2 (8.112.8)

7.6 (5.410.7)
9.3 (7.511.3)

11.8 (10.413.3)

10.6 (8.712.9)
10.6 (9.312.1)

17.0
19.0
16.3
14.5
12.1

(14.819.5)
(16.322.0)
(12.920.4)
(12.217.2)
(10.014.6)
16.7
12.120.0

11.0
10.7
10.4
10.5
10.4

(8.713.8)
(8.413.4)
(8.213.0)
(8.612.8)
(8.412.8)
10.4
7.712.5

14.1
14.9
13.3
12.9
11.4

(12.415.9)
(12.917.1)
(11.115.8)
(11.314.7)
(9.813.2)
13.2
10.715.7

12.4
13.8
15.1
16.9
12.4

9.3
8.9
7.9
12.0
11.6

10.9 (9.312.8)
11.4 (9.813.1)
11.5 (9.513.8)
14.9 (13.116.9)
12.1 (10.813.6)
11.4
8.614.9

(10.614.5)
(11.616.4)
(11.918.9)
(14.419.7)
(10.314.8)
13.6
10.316.9

(7.112.0)
(7.011.4)
(6.010.5)
(9.914.5)
(9.613.9)
9.7
5.012.8

(12.415.6)
(8.613.3)
(11.315.4)
(9.113.7)
(13.416.1)
(12.615.8)
(11.815.7)
(7.110.3)
(7.910.5)

* During the 12 months before the survey.


95% confidence interval.
Not available.

TABLE 25. 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, 2011
Attempted suicide
Female
Category

Race/Ethnicity
White
7.9
Black
8.8
Hispanic
13.5
Grade
9
11.8
10
11.6
11
7.4
12
7.7
Total
9.8

Total

CI

CI

(6.99.1)
(7.011.0)
(11.815.3)

4.6
7.7
6.9

(3.85.5)
(5.211.3)
(5.48.7)

(10.013.8)
(10.213.1)
(6.09.0)
(6.39.3)
(8.910.7)

6.8
5.1
5.9
5.0
5.8

(5.48.6)
(4.06.5)
(4.67.6)
(4.06.3)
(5.06.7)

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


During the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

72

Suicide attempt treated by a doctor or nurse

Male

MMWR/June 8, 2012/Vol. 61/No. 4

Female

Male

Total

CI

CI

CI

CI

6.2
8.3
10.2

(5.66.9)
(6.810.0)
(8.811.8)

2.2
2.4
4.1

(1.63.0)
(1.73.3)
(3.05.6)

1.5
2.4
2.2

(1.12.0)
(1.44.1)
(1.53.3)

1.9
2.4
3.2

(1.42.4)
(1.73.4)
(2.44.2)

9.3
8.2
6.6
6.3
7.8

(8.010.8)
(7.59.1)
(5.57.9)
(5.47.4)
(7.18.5)

3.7
3.4
2.0
2.3
2.9

(2.75.0)
(2.64.4)
(1.42.9)
(1.63.2)
(2.43.6)

2.0
1.8
1.9
1.8
1.9

(1.42.9)
(1.32.7)
(1.22.9)
(1.13.0)
(1.52.4)

2.8
2.6
1.9
2.0
2.4

(2.23.6)
(2.13.2)
(1.42.6)
(1.52.8)
(2.02.9)

Surveillance Summaries

TABLE 26. 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, 2011
Attempted suicide
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Suicide attempt treated by a doctor or nurse

Male

Total

CI

Female

Male

Total

CI

CI

CI

CI

9.6
9.9
11.7
11.3
8.4
8.2
8.8
8.2
10.9
10.5
8.1
9.4
11.4
7.7
5.7
10.8
10.4
7.1
11.1
8.2
9.2
9.5
6.9
8.5
7.5

(7.112.8)
(6.714.5)
(9.714.1)
(8.714.6)
(5.712.2)
(6.710.0)
(6.611.6)
(7.19.5)
(8.314.3)
(8.612.9)
(5.911.0)
(7.511.8)
(8.515.1)
(6.09.7)
(3.88.3)
(7.814.7)
(6.117.3)
(6.28.1)
(8.214.9)
(6.510.3)
(7.710.9)
(7.012.7)
(5.78.3)
(6.810.5)
(5.410.3)

4.7
7.4
9.0
8.5
3.8
5.2
6.7
5.5
10.0
6.5
5.1
6.3
10.5
4.1
6.0
10.4
10.6
7.7
10.1
5.2
7.0
7.2
6.0
6.8
4.8

(3.07.1)
(5.310.2)
(7.011.3)
(5.413.1)
(2.26.7)
(3.87.0)
(5.18.9)
(4.66.6)
(7.613.0)
(4.88.6)
(3.77.0)
(5.08.0)
(7.614.3)
(2.56.6)
(4.77.6)
(7.713.8)
(6.616.6)
(7.08.4)
(7.613.2)
(3.96.9)
(5.78.5)
(5.110.1)
(4.87.5)
(5.28.8)
(3.36.9)

7.1
8.7
10.3
10.0
6.1
6.7
7.8
6.9
10.8
8.6
6.5
8.0
11.0
6.0
5.9
10.9
10.6
7.6
10.9
6.8
8.1
8.5
6.5
7.7
6.1

(5.59.2)
(6.511.6)
(9.111.7)
(8.112.2)
(4.38.6)
(5.58.0)
(6.39.6)
(6.17.8)
(8.613.5)
(7.110.5)
(5.08.5)
(6.79.4)
(8.913.4)
(4.87.4)
(4.67.6)
(8.613.8)
(6.915.9)
(6.98.2)
(8.513.9)
(5.58.3)
(7.09.3)
(6.611.0)
(5.57.7)
(6.49.2)
(4.87.9)

3.7
2.4
3.9
4.5
2.7

2.4
2.0
3.2
4.1
2.3
2.8
3.9
2.0
2.2
4.1
6.3

4.9
2.1
3.3
2.8
2.4
2.5
2.9

(2.16.5)
(1.44.4)
(2.65.7)
(2.77.3)
(1.64.5)

(1.53.8)
(1.62.5)
(2.14.8)
(3.05.5)
(1.33.8)
(1.74.6)
(2.46.3)
(1.23.2)
(1.23.8)
(2.56.5)
(3.610.7)

(3.27.6)
(1.43.2)
(2.24.9)
(1.64.8)
(1.73.4)
(1.73.6)
(1.74.7)

1.5
2.7
2.8
3.5
1.7

2.4
2.4
3.8
2.6
1.5
2.4
4.0
1.8
2.8
4.9
4.3

5.2
2.4
2.1
3.1
2.2
2.6
2.0

(0.73.2)
(1.64.7)
(1.84.4)
(1.86.7)
(0.93.0)

(1.54.1)
(1.83.3)
(2.36.1)
(1.64.4)
(0.92.5)
(1.63.6)
(2.56.3)
(0.93.5)
(1.93.9)
(3.37.3)
(2.76.7)

(4.06.7)
(1.63.5)
(1.52.9)
(1.85.3)
(1.72.8)
(1.73.9)
(1.13.4)

2.6
2.7
3.3
4.1
2.2

2.4
2.3
3.6
3.4
1.9
2.6
3.9
1.9
2.5
4.6
5.4

5.2
2.3
2.7
3.1
2.4
2.6
2.4

(1.54.4)
(1.83.9)
(2.64.3)
(2.95.7)
(1.43.4)

(1.63.5)
(1.92.7)
(2.64.8)
(2.54.6)
(1.32.7)
(1.93.6)
(3.24.9)
(1.23.0)
(1.83.3)
(3.26.5)
(3.58.2)

(3.96.9)
(1.73.0)
(2.03.6)
(2.14.6)
(1.93.0)
(1.93.4)
(1.63.6)

6.5
12.3
8.0

(5.08.5)
(10.813.9)
(6.69.7)

5.6
5.0
6.1

(4.07.7)
(4.16.2)
(4.68.1)

6.0
8.6
7.1

(4.77.6)
(7.89.6)
(6.18.3)

1.8
4.2
2.7
3.8

(0.83.9)
(3.45.1)
(1.84.0)
(2.85.3)

2.5
1.8
2.4
6.1

(1.64.0)
(1.32.3)
(1.73.4)
(4.38.7)

2.1
3.0
2.6
5.0

(1.43.3)
(2.63.5)
(2.03.4)
(3.86.5)

12.0

(9.914.5)

9.6

(7.811.8)

10.8

(9.412.3)

9.9
9.1
8.1
12.8

(6.814.1)
(6.412.9)
(6.510.0)
(9.417.2)

8.0
3.4
9.1
8.6

(6.010.7)
(1.86.2)
(7.511.0)
(6.211.8)

9.1
6.3
8.7
11.0

(7.111.6)
(4.58.7)
(7.310.4)
(9.013.3)

3.9
1.4
3.0
4.3

(2.46.2)
(0.63.0)
(2.24.2)
(2.96.4)

4.1
0.9
4.7
3.1

(2.56.4)
(0.23.7)
(3.66.3)
(2.14.5)

4.0
1.1
3.9
3.7

(2.85.7)
(0.62.1)
(2.95.1)
(2.85.0)

10.6

(6.217.5)

5.1

(2.79.6)

7.9

(4.713.0)

4.3

(2.76.9)

1.3

(0.72.6)

2.8

(2.04.0)

8.5
12.9
6.5
4.5
12.4
6.2
7.8
12.0

(6.910.4)
(11.015.1)
(4.49.6)
(3.36.2)
(9.416.2)
(4.29.1)
(6.19.9)
(10.014.4)
9.1
4.512.9

3.9
8.4
7.3
2.7
8.4
4.8
5.5
10.5

6.2
10.8
7.2
3.6
10.5
5.5
6.7
11.3

(5.17.4)
(9.712.1)
(5.69.2)
(2.84.6)
(8.213.2)
(4.07.6)
(5.58.1)
(9.913.0)
7.8
3.611.3

3.0
4.6
2.8

3.7
1.9
3.0
6.0

(2.34.0)
(3.56.1)
(1.55.1)

(2.26.3)
(0.94.2)
(2.04.6)
(4.77.7)
3.0
1.46.3

1.3
2.2
3.3

3.1
1.8
2.3
3.7

(0.62.6)
(1.43.4)
(2.05.6)

(1.75.4)
(1.03.2)
(1.72.9)
(2.65.4)
2.5
0.96.1

2.2
3.5
3.1

3.4
1.9
2.6
4.9

(2.75.6)
(7.010.2)
(5.59.8)
(2.23.3)
(5.412.8)
(3.27.2)
(4.27.1)
(8.512.9)
6.6
2.710.6

(1.63.0)
(2.84.3)
(2.14.6)

(2.34.9)
(1.13.1)
(2.03.5)
(4.06.1)
2.7
1.15.4

See table footnotes on page 74.

MMWR/June 8, 2012/Vol. 61/No. 4

73

Surveillance Summaries

TABLE 26. (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, 2011
Attempted suicide
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Suicide attempt treated by a doctor or nurse

Total
CI

Female
CI

Male

Total

CI

CI

CI

9.7
7.5
12.8

(7.013.4)
(5.610.0)
(10.315.9)

7.6
4.4
16.7

(5.310.8)
(3.06.4)
(13.120.9)

8.6
6.0
15.3

(6.810.8)
(4.87.4)
(12.718.4)

2.9
2.1

(1.55.4)
(1.23.6)

4.3
2.3

(2.66.9)
(1.34.1)

3.6 (2.45.2)
2.2 (1.53.2)

16.0
11.4
14.0
10.6
12.9
10.6
12.8
10.6
7.9

(12.420.4)
(8.415.3)
(11.516.9)
(8.213.6)
(11.114.9)
(8.613.2)
(10.415.7)
(8.313.6)
(6.010.2)

15.3
6.6
9.6
12.5
12.1
11.4
8.5
4.1
5.6

(12.418.7)
(4.69.5)
(7.013.1)
(9.316.6)
(9.914.6)
(9.214.0)
(5.712.5)
(2.76.4)
(4.07.8)

15.8
9.1
12.3
11.5
12.7
11.1
10.8
7.6
6.8

(12.919.3)
(7.211.5)
(10.314.7)
(9.513.9)
(11.314.3)
(9.612.8)
(9.212.8)
(6.19.4)
(5.58.4)

5.6
4.1
5.4
4.7
4.5
3.0
4.0
2.6
2.7

(3.98.0)
(2.46.9)
(3.77.8)
(3.26.8)
(3.46.0)
(1.94.6)
(2.85.7)
(1.54.2)
(1.74.1)

5.6
2.5
4.0
5.0
5.2
3.9
4.2
0.3
2.9

(3.39.1)
(1.54.3)
(2.56.4)
(3.27.7)
(3.96.8)
(2.85.5)
(2.66.9)
(0.11.3)
(1.84.8)

5.6
3.3
5.0
4.8
4.9
3.6
4.1
1.6
2.9

(3.97.9)
(2.24.9)
(3.86.6)
(3.56.4)
(4.06.0)
(2.84.6)
(3.05.6)
(0.92.6)
(2.04.1)

14.2
9.4
11.2
8.8

(11.717.2)
(8.110.8)
(8.414.7)
(6.911.1)

11.6
7.0
4.9
7.9

(8.815.2)
(6.08.0)
(3.37.2)
(5.710.8)

13.1
8.4
8.1
8.5

(10.815.8)
(7.59.3)
(6.510.1)
(7.010.4)

4.4
2.8
3.1
2.9

(3.35.9)
(2.33.5)
(1.95.0)
(1.94.4)

3.7
1.9
1.2
3.6

(2.35.8)
(1.52.5)
(0.52.9)
(2.35.7)

4.0
2.5
2.2
3.3

(3.05.3)
(2.12.9)
(1.53.3)
(2.44.6)

13.0
11.5
11.2
8.1
6.5

(10.715.7)
(9.314.2)
(8.514.5)
(6.310.4)
(4.98.6)
11.2
6.516.0

8.8
6.6
6.9
9.7
8.0

(6.711.5)
(4.79.3)
(4.89.7)
(7.412.6)
(6.010.6)
8.0
4.116.7

11.2
9.2
9.1
9.4
7.3

(9.413.3)
(7.511.1)
(7.511.1)
(7.711.4)
(5.98.9)
9.2
6.015.8

3.7
3.2
3.2
3.0
2.4

(2.35.8)
(2.05.1)
(1.95.4)
(1.84.8)
(1.53.9)
3.1
2.15.6

3.2
1.7
2.7
4.4
3.0

(1.95.2)
(0.93.2)
(1.74.2)
(3.16.4)
(1.94.6)
3.4
0.35.6

3.6
2.5
3.0
3.8
2.7

(2.65.2)
(1.73.5)
(2.14.2)
(2.85.3)
(2.03.7)
3.4
1.65.6

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


During the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 27. Percentage of high school students who ever smoked cigarettes, by sex, race/ethnicity, and grade United States, Youth Risk
Behavior Survey, 2011
Ever smoked cigarettes daily

Ever smoked cigarettes*


Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

Male

Total

CI

42.6
38.0
45.5

(38.946.3)
(33.742.6)
(40.950.2)

45.6
40.0
51.5

(42.049.2)
(36.243.9)
(47.155.8)

44.2
39.1
48.6

(40.947.5)
(35.742.5)
(44.852.5)

11.4
4.3
6.4

(9.513.7)
(2.86.6)
(5.37.7)

12.5
6.3
9.0

(11.114.1)
(4.78.4)
(7.710.5)

12.0
5.3
7.8

(10.613.5)
(4.07.1)
(6.88.8)

35.0
40.8
43.9
53.6
42.9

(30.240.1)
(36.944.9)
(39.548.5)
(49.257.9)
(40.145.8)

40.0
41.1
50.2
55.3
46.3

(36.543.6)
(36.845.6)
(45.854.6)
(50.659.9)
(43.549.1)

37.6
41.0
47.1
54.5
44.7

(34.241.1)
(37.344.8)
(43.550.8)
(50.658.3)
(42.347.2)

5.0
8.6
9.7
14.1
9.2

(3.86.5)
(6.810.8)
(7.512.5)
(11.816.9)
(7.910.7)

6.8
8.3
12.3
17.3
11.0

(5.28.9)
(6.810.0)
(10.614.3)
(14.919.9)
(10.012.1)

6.0
8.4
11.1
15.7
10.2

(4.77.6)
(7.29.9)
(9.512.8)
(14.117.4)
(9.211.2)

* Ever tried cigarette smoking, even one or two puffs.


Ever smoked at least one cigarette every day for 30 days.
95% confidence interval.
Non-Hispanic.

74

Female

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

Surveillance Summaries

TABLE 28. Percentage of high school students who ever smoked cigarettes, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ever smoked cigarettes daily

Ever smoked cigarettes*


Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

CI

CI

47.6
42.4
45.8
48.0

46.2

46.8
35.7
35.1
44.6
46.6
36.6
37.8
57.0
54.7

41.4
35.4
36.4
43.9
40.6
38.8

(42.552.9)
(36.748.2)
(40.451.3)
(43.153.0)

(42.350.1)

(42.651.0)
(30.641.1)
(29.541.2)
(40.149.1)
(42.251.1)
(31.542.0)
(32.843.1)
(51.462.4)
(46.662.6)

(35.547.5)
(31.139.9)
(32.640.3)
(40.547.3)
(36.744.6)
(35.642.0)

52.9
46.1
47.2
54.1

46.2

47.2
39.2
42.6
50.1
52.2
41.3
44.7
61.2
64.7

40.6
41.6
43.8
52.0
47.2
38.5

(47.558.2)
(41.151.1)
(39.255.3)
(47.760.4)

(42.350.1)

(42.052.4)
(35.243.4)
(37.847.5)
(46.953.4)
(48.356.0)
(34.648.3)
(40.349.2)
(56.565.7)
(56.672.0)

(36.045.4)
(38.145.3)
(40.247.4)
(46.157.8)
(43.650.9)
(35.541.6)

38.5 (33.443.9)
51.4 (48.354.5)
32.7 (29.336.3)

42.4
55.4
34.3

41.9 (37.246.8)
50.3
45.8
33.0
52.5

Male
%

Total

CI

CI

50.4
44.3
46.5
51.0

46.4

47.1
37.3
39.0
47.4
49.5
39.1
41.3
59.2
59.5

41.2
38.5
40.1
48.0
44.0
38.7

(46.554.3)
(40.448.3)
(41.052.0)
(47.054.9)

(43.149.6)

(43.151.1)
(33.341.5)
(34.343.9)
(44.250.5)
(45.953.0)
(34.743.7)
(37.245.5)
(55.063.2)
(52.466.2)

(36.645.8)
(35.641.6)
(36.843.5)
(43.752.2)
(40.747.4)
(36.241.3)

11.5
9.6

9.3

11.9

6.6
7.1
9.0
12.6
9.2
7.7
18.7
13.0

10.9
7.6
7.2
7.6
10.3
8.7

(8.615.1)
(6.514.0)

(6.812.5)

(9.415.0)

(4.98.7)
(4.610.8)
(7.011.6)
(10.015.7)
(6.712.5)
(5.810.2)
(15.023.0)
(8.419.6)

(7.216.3)
(6.19.5)
(5.39.7)
(6.29.5)
(8.512.4)
(7.110.6)

15.5
8.4

14.4

11.1

9.2
11.6
11.9
14.9
11.5
9.9
20.1
17.4

10.0
10.7
11.0
13.0
12.5
9.8

(35.749.4)
(51.859.0)
(30.138.7)

40.6
53.5
33.5

(35.845.5)
(50.556.4)
(30.636.5)

45.9

(40.851.0)

44.1

(39.848.5)

(42.258.4)
(39.951.9)
(28.837.4)
(47.956.9)

52.3
54.1
37.1
63.0

(45.758.8)
(48.559.6)
(32.242.2)
(58.367.5)

51.5
50.0
35.0
57.7

(45.157.9)
(45.254.8)
(30.939.3)
(53.861.4)

12.1
9.2
6.9
11.2

(8.417.1)
(6.912.2)
(5.48.8)
(8.315.0)

13.6
14.5
9.1
15.6

(10.018.1)
(11.218.6)
(6.313.0)
(12.119.9)

13.1
11.8
8.0
13.4

(9.917.2)
(9.914.0)
(6.010.7)
(10.816.6)

47.0 (35.958.3)

48.3

(40.556.3)

47.6

(38.856.5)

14.8

(10.420.5)

14.8

(10.320.8)

14.7

(10.620.1)

45.2
47.0
19.4

42.4
46.2
39.8
46.4

51.1
53.4
25.9

38.8
48.0
41.5
49.8

(45.556.7)
(49.557.2)
(21.530.7)

(33.744.1)
(41.354.8)
(38.444.7)
(45.354.4)
47.2
25.964.7

48.2
50.2
23.1

40.6
47.1
40.7
48.1

(43.553.0)
(47.153.4)
(19.427.2)

(35.545.8)
(41.153.1)
(37.244.3)
(44.651.7)
46.4
23.159.5

10.8
6.9
2.7

8.1
11.8
7.4
16.6

(8.114.2)
(5.78.4)
(1.84.1)

(5.412.0)
(9.015.3)
(5.89.4)
(13.620.2)
9.2
2.718.7

14.6
10.1
5.6

9.9
12.2
9.8
15.4

(11.618.2)
(8.312.3)
(3.97.9)

(6.814.2)
(9.715.1)
(7.512.6)
(13.018.2)
11.7
5.620.1

12.7
8.5
4.2

9.0
12.0
8.6
16.0

(40.450.1)
(43.550.6)
(15.024.6)

(36.448.6)
(39.553.1)
(35.044.7)
(42.350.5)
44.2
19.457.0

Female

CI

CI

(11.420.6)
(5.612.3)

(11.218.4)

(9.213.5)

(7.111.7)
(8.116.4)
(9.714.5)
(12.318.1)
(8.615.4)
(7.413.0)
(16.224.6)
(12.324.2)

(6.914.2)
(8.613.2)
(8.813.6)
(10.316.1)
(10.215.2)
(8.311.7)

13.5
9.1

11.8

11.6

7.8
9.5
10.5
13.8
10.4
8.8
19.4
15.2

10.5
9.2
9.1
10.4
11.4
9.3

(10.616.9)
(6.512.7)

(9.414.7)

(9.713.9)

(6.39.6)
(6.913.0)
(8.712.6)
(11.716.3)
(8.412.7)
(7.110.8)
(16.422.9)
(10.920.8)

(7.714.1)
(7.611.0)
(7.211.5)
(8.612.5)
(9.613.5)
(8.010.7)

(10.215.8)
(7.310.0)
(3.25.4)

(6.512.4)
(9.814.5)
(7.010.6)
(13.618.6)
10.5
4.219.4

See table footnotes on page 76.

MMWR/June 8, 2012/Vol. 61/No. 4

75

Surveillance Summaries

TABLE 28. (Continued) Percentage of high school students who ever smoked cigarettes, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ever smoked cigarettes daily

Ever smoked cigarettes*


Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Total
CI

Female
CI

Male

CI

Total
CI

CI

38.0
32.3

(33.542.7)
(26.838.4)

44.2
38.5

(39.848.7)
(33.643.6)

41.0
35.5

(37.744.4)
(31.339.9)

6.9
4.3

(4.211.1)
(2.67.2)

9.2
6.6

(6.313.2)
(4.79.2)

8.0
5.5

(6.310.1)
(4.07.5)

51.2
43.4
47.5
41.4

41.7
38.3
31.4
35.3

(46.655.7)
(39.147.8)
(43.751.3)
(37.045.9)

(37.646.0)
(33.743.1)
(27.535.6)
(32.438.3)

51.4
57.6
49.5
44.0

50.2
39.9
33.7
32.5

(47.155.6)
(53.062.1)
(43.955.2)
(39.548.7)

(46.653.8)
(33.946.1)
(29.937.7)
(29.435.7)

51.1
50.4
48.6
43.1

46.0
39.2
32.5
34.1

(47.754.6)
(46.554.3)
(45.251.9)
(39.746.5)

(43.148.8)
(34.843.7)
(29.635.5)
(31.836.5)

5.8
4.7
2.5
5.7
6.2
3.8
4.7
2.0
4.0

(4.37.9)
(3.26.9)
(1.63.8)
(4.27.8)
(4.87.9)
(2.75.4)
(3.36.7)
(1.13.9)
(2.95.6)

9.4
5.8
3.4
10.4
8.8
7.3
5.5
4.4
6.5

(7.212.3)
(3.88.7)
(2.44.9)
(8.013.5)
(7.011.0)
(5.69.5)
(3.19.5)
(2.96.7)
(4.78.9)

7.5
5.2
3.0
8.1
7.5
5.6
5.2
3.2
5.3

(6.09.5)
(3.96.9)
(2.33.9)
(6.510.0)
(6.48.9)
(4.57.0)
(3.77.4)
(2.34.5)
(4.16.8)

43.2
28.8
32.0
36.0

(39.946.6)
(26.331.5)
(27.836.4)
(32.040.3)

48.0
28.9
40.3
39.0

(43.852.2)
(26.831.1)
(35.944.9)
(34.943.3)

45.7
28.9
36.2
37.5

(42.848.7)
(26.831.0)
(32.939.6)
(34.041.2)

4.0

4.9
6.5

(2.95.4)

(3.37.4)
(5.08.4)

7.8

7.1
7.7

(5.610.7)

(4.810.3)
(5.610.5)

5.9

6.0
7.1

(4.67.6)

(4.58.0)
(5.68.9)

43.3
42.4
41.7
33.6
27.8

(39.647.1)
(37.647.3)
(36.347.3)
(30.037.4)
(24.731.1)
38.3
27.851.2

45.6
48.8
45.0
37.1
34.2

(41.649.6)
(43.853.7)
(40.249.8)
(33.341.1)
(30.138.5)
44.0
28.957.6

44.6
45.5
43.4
35.6
31.4

(41.847.4)
(41.849.4)
(39.047.9)
(32.838.6)
(28.534.4)
41.0
28.951.1

7.2
4.5
5.3
6.1
5.2

(5.79.0)
(3.16.5)
(3.57.8)
(4.09.2)
(3.77.2)
4.9
2.07.2

6.3
6.4
8.4
8.9
6.6

(4.29.4)
(4.59.0)
(6.810.3)
(6.811.6)
(4.69.2)
7.1
3.410.4

7.0
5.4
6.9
7.7
6.0

(5.58.8)
(4.27.0)
(5.58.7)
(6.49.2)
(4.58.0)
6.0
3.08.1

* Ever tried cigarette smoking, even one or two puffs.


Ever smoked at least one cigarette every day for 30 days.
95% confidence interval.
Not available.

TABLE 29. Percentage of high school students who smoked a whole cigarette for the first time before age 13 years and who currently smoked
cigarettes,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Smoked a whole cigarette before age 13 years
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

CI

Male
%

Total
CI

CI

Female
%

CI

Male
%

Total
CI

CI

8.4
6.6
8.7

(6.710.4)
(4.49.6)
(7.210.6)

11.2
11.1
14.7

(9.712.9)
(8.813.8)
(12.716.9)

9.8 (8.411.5)
8.8 (7.110.9)
11.8 (10.313.5)

18.9
7.4
15.2

(16.521.5)
(5.410.0)
(13.517.2)

21.5
13.7
19.5

(19.523.8)
(10.717.3)
(16.423.1)

20.3
10.5
17.5

(18.422.2)
(8.413.0)
(15.319.9)

9.2
8.5
8.7
6.8
8.4

(7.311.5)
(6.910.4)
(6.910.9)
(4.99.3)
(7.110.0)

14.8
11.5
10.9
9.6
12.0

(12.417.5)
(9.813.5)
(9.212.8)
(8.211.1)
(10.913.2)

12.1 (10.314.1)
10.1 (8.811.5)
9.8 (8.511.3)
8.2 (6.99.7)
10.3 (9.311.5)

10.9
15.1
17.2
22.2
16.1

(9.013.0)
(12.817.7)
(14.720.1)
(19.225.5)
(14.617.8)

15.1
16.1
21.2
28.0
19.9

(12.518.0)
(13.718.9)
(17.725.3)
(24.931.3)
(18.221.7)

13.0
15.6
19.3
25.1
18.1

(11.115.1)
(13.817.7)
(17.021.8)
(23.227.1)
(16.719.5)

* Smoked cigarettes on at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

76

Current cigarette use

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 30. Percentage of high school students who smoked a whole cigarette for the first time before age 13 years and who currently smoked
cigarettes,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Smoked a whole cigarette before age 13 years
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Current cigarette use

Total
%

Female
CI

CI

Male

CI

10.3 (8.113.0)
10.2 (7.513.7)
8.7 (6.811.0)
12.2 (8.317.7)
6.4 (4.19.8)

12.2 (9.914.9)
7.5 (6.68.5)
10.4 (8.013.4)
7.6 (6.39.2)
5.5 (3.68.4)
8.5 (7.010.2)
10.4 (8.512.7)
6.9 (5.09.5)
8.3 (6.111.1)
16.1 (12.420.7)
10.4 (6.416.6)
7.1 (6.08.4)
9.4 (6.713.1)
5.2 (3.97.0)
6.1 (4.68.1)
7.7 (6.010.0)
9.6 (8.111.3)
7.3 (6.08.8)
7.6 (5.410.6)

16.7
11.7
13.4
16.2
11.2

12.4
10.9
13.2
9.7
11.6
12.1
11.8
10.0
11.2
23.2
18.4
10.3
12.2
7.5
10.2
18.8
12.6
9.1
10.1

(13.420.6)
(8.915.2)
(11.315.8)
(12.720.5)
(8.015.4)

(10.214.9)
(9.512.4)
(10.516.5)
(7.812.0)
(8.815.1)
(9.814.8)
(10.013.9)
(7.213.7)
(8.614.4)
(18.628.5)
(15.222.0)
(8.911.9)
(9.116.1)
(6.09.4)
(8.312.4)
(16.121.9)
(10.315.3)
(7.610.9)
(7.813.2)

13.6
11.1
11.2
14.4
8.9

12.3
9.2
12.2
8.7
8.7
10.3
11.1
8.5
9.7
19.7
14.5
8.9
10.9
6.5
8.2
13.3
11.1
8.2
8.9

(11.416.2)
(8.714.0)
(9.812.8)
(11.318.1)
(7.011.3)

(10.514.2)
(8.310.2)
(9.914.9)
(7.510.1)
(6.811.1)
(8.812.0)
(9.612.9)
(6.411.2)
(7.712.2)
(16.823.1)
(10.819.3)
(7.910.1)
(8.514.0)
(5.28.0)
(6.79.9)
(11.215.7)
(9.512.9)
(7.29.4)
(7.011.3)

19.0
14.7
14.7
15.1
14.0
14.4
18.7
12.6
14.5
10.3
11.9
15.9
16.0
18.1
13.0
21.4
18.7
12.9
12.3
12.4
11.1
13.8
14.8
15.5
17.5

(15.623.0)
(10.120.8)
(12.017.8)
(12.118.7)
(10.418.6)
(11.118.3)
(15.821.9)
(11.214.2)
(11.418.4)
(8.013.2)
(8.716.0)
(13.218.9)
(13.419.0)
(15.021.7)
(10.516.1)
(17.126.4)
(13.425.4)
(11.714.3)
(8.916.9)
(9.815.5)
(8.414.6)
(11.816.1)
(12.517.4)
(13.617.7)
(13.422.6)

26.4
13.5
20.0
21.1
17.0
17.3
17.3
15.9
19.1
9.8
16.5
19.1
19.9
18.2
15.6
26.7
24.7
17.2
12.2
15.6
16.9
22.2
18.1
14.4
22.1

3.5 (2.35.4)
12.0 (10.014.3)

9.3 (7.511.4)

5.6
17.7

15.3

(3.68.6)
(15.020.8)

(11.919.5)

4.6
14.9

12.4

(3.46.2)
(12.817.3)

(10.314.8)

14.8
16.5
11.8
14.7

(11.219.4)
(14.618.6)
(10.313.6)
(11.319.0)

Total
CI

CI

(21.532.1)
(10.816.9)
(16.523.9)
(17.225.5)
(13.121.7)
(14.320.7)
(14.920.1)
(13.818.2)
(15.223.8)
(7.612.5)
(12.421.7)
(16.422.1)
(17.422.8)
(14.223.1)
(12.419.5)
(22.431.4)
(18.632.1)
(15.419.1)
(8.916.6)
(13.118.6)
(14.219.9)
(18.127.0)
(15.421.1)
(12.316.7)
(18.026.8)

22.9
14.1
17.4
18.2
15.7
15.9
18.3
14.3
17.0
10.1
14.3
17.5
18.1
18.1
14.4
24.1
21.8
15.2
12.5
14.0
14.0
17.9
16.5
15.0
19.8

(19.526.6)
(10.818.3)
(14.820.4)
(15.221.6)
(12.819.0)
(13.119.1)
(16.220.5)
(12.915.8)
(14.220.1)
(8.412.2)
(11.118.3)
(15.320.0)
(15.920.4)
(15.521.0)
(12.017.2)
(21.027.6)
(17.726.5)
(14.016.5)
(9.416.3)
(12.216.0)
(11.517.0)
(15.221.1)
(14.418.8)
(13.316.8)
(16.323.9)

17.2
23.2
13.2
20.5

(13.322.0)
(19.926.9)
(10.816.2)
(17.224.1)

16.1
19.9
12.5
17.7

(13.219.6)
(17.622.4)
(10.814.5)
(14.920.9)

7.6

(5.710.1)

9.3

(6.912.6)

8.6

(6.910.7)

20.5

(17.024.4)

18.0

(15.021.4)

19.4

(16.622.5)

13.2
7.2
5.1
9.6

(9.618.0)
(4.711.0)
(3.86.9)
(7.112.8)

14.8
12.8
9.1
20.0

(11.019.7)
(8.618.8)
(7.510.9)
(16.524.1)

14.2
10.0
7.1
15.0

(11.018.2)
(7.014.0)
(5.88.7)
(12.517.8)

19.0
18.7
9.6
15.9

(13.326.4)
(14.923.3)
(7.612.1)
(12.719.8)

22.9
26.9
13.3
22.3

(17.728.9)
(21.533.1)
(9.817.7)
(18.426.9)

21.1
22.7
11.4
19.1

(16.127.1)
(19.126.7)
(9.014.4)
(16.122.5)

9.9

(6.015.9)

14.7

(8.424.4)

12.4

(7.519.8)

24.3

(16.634.1)

22.0

(17.027.9)

23.1

(17.130.5)

10.1 (8.312.4)
7.6 (6.29.2)
2.5 (1.44.3)
5.5 (4.17.5)
10.5 (7.414.7)
11.9 (8.516.4)
8.6 (6.611.2)
12.4 (10.314.9)
8.6
2.516.1

15.3
12.1
8.0
8.0
11.6
14.3
9.2
14.8

(12.019.2)
(10.613.9)
(5.611.1)
(6.69.6)
(8.216.2)
(11.218.0)
(7.611.0)
(12.317.7)
12.1
5.623.2

12.7
10.0
5.4
6.8
11.2
13.1
8.9
13.7

(10.815.0)
(8.911.1)
(3.97.4)
(5.58.5)
(8.414.8)
(10.116.8)
(7.410.8)
(11.915.8)
10.9
4.619.7

19.0
14.1
4.5
11.9
15.5
16.3
13.5
21.3

(15.522.9)
(12.416.0)
(3.16.4)
(10.513.4)
(11.321.0)
(12.720.8)
(11.016.6)
(18.025.0)
14.8
4.524.3

24.0
20.6
7.0
14.3
14.4
21.8
15.5
22.8

(20.328.2)
(17.524.0)
(5.19.5)
(12.816.1)
(10.419.5)
(17.626.8)
(13.118.3)
(19.226.7)
18.1
7.026.9

21.6
17.4
5.9
13.3
15.0
19.1
14.6
22.0

(18.425.1)
(15.519.4)
(4.97.2)
(12.114.6)
(11.319.5)
(16.022.6)
(12.516.9)
(19.225.1)
17.4
5.924.1

See table footnotes on page 78.

MMWR/June 8, 2012/Vol. 61/No. 4

77

Surveillance Summaries

TABLE 30. (Continued) Percentage of high school students who smoked a whole cigarette for the first time before age 13 years and who currently
smoked cigarettes,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Smoked a whole cigarette before age 13 years
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Current cigarette use

Total

Female

Male

Total

CI

9.0
5.5
8.2

(6.811.8)
(4.07.5)
(6.010.9)

9.7
8.3
11.4

(7.113.0)
(6.510.7)
(8.315.6)

9.3
6.9
10.0

(7.611.3)
(5.68.4)
(8.012.5)

8.4
10.0
11.5

(6.011.8)
(7.812.7)
(9.014.7)

11.6
12.0
16.2

(8.116.4)
(9.614.9)
(12.620.6)

10.0
11.0
14.2

(8.112.3)
(9.312.9)
(11.717.2)

8.5
8.0
7.3
5.4
8.2
6.6
5.7
6.3
6.0

(6.411.2)
(5.711.1)
(5.89.2)
(3.87.5)
(6.710.1)
(4.98.9)
(4.27.6)
(4.39.0)
(4.67.9)

14.1
17.5
9.8
11.4
14.0
14.6
12.2
7.0
6.8

(11.916.6)
(13.821.9)
(7.812.1)
(8.515.1)
(12.216.0)
(12.117.4)
(8.617.0)
(5.19.7)
(5.19.0)

11.1
12.7
8.6
8.3
11.3
10.7
9.2
6.6
6.4

(9.513.0)
(10.215.6)
(7.410.1)
(6.510.6)
(10.012.8)
(9.112.6)
(7.012.0)
(5.18.5)
(5.18.0)

12.0
11.3
3.2
9.3
10.1
9.2
6.8
4.6
10.6

(9.415.1)
(8.714.6)
(2.14.9)
(7.012.2)
(8.511.9)
(7.211.8)
(5.28.8)
(3.16.8)
(8.313.5)

15.5
18.2
6.1
15.3
14.5
15.1
11.0
9.7
10.9

(12.219.4)
(14.123.2)
(4.77.9)
(12.119.2)
(12.117.2)
(12.518.3)
(7.915.2)
(7.712.3)
(8.314.0)

13.6
14.7
4.8
12.5
12.4
12.3
9.1
7.2
10.8

(11.216.5)
(12.117.8)
(3.85.9)
(10.215.1)
(10.914.2)
(10.414.4)
(7.111.7)
(5.98.7)
(8.913.0)

10.7

6.3
6.6

(8.513.3)

(4.39.1)
(5.28.5)

13.5

8.8
11.4

(10.217.7)

(6.611.6)
(9.214.0)

12.2

7.5
9.0

(10.314.5)

(5.89.5)
(7.510.7)

8.2
7.9
10.1
12.8

(6.410.3)
(6.79.3)
(7.613.2)
(10.615.3)

12.4
9.0
14.4
12.7

(9.915.5)
(7.810.4)
(11.318.2)
(10.315.7)

10.4
8.5
12.3
12.8

(8.512.6)
(7.59.6)
(10.214.7)
(10.915.0)

8.3
7.2
6.5
6.7
4.8

(6.510.5)
(5.29.7)
(4.59.4)
(5.18.7)
(3.56.6)
6.6
4.810.7

11.2
12.7
10.8
10.1
8.6

(8.814.2)
(9.716.5)
(8.513.7)
(7.513.5)
(6.511.4)
11.3
6.817.5

9.9
10.0
8.8
8.8
6.9

(8.311.9)
(8.112.2)
(7.110.9)
(7.310.7)
(5.58.5)
9.1
6.412.7

7.7
11.3
12.4
8.4
7.6

(6.09.9)
(8.814.4)
(8.617.6)
(6.411.0)
(5.510.3)

10.8
16.2
15.9
12.2
9.1

(8.214.0)
(13.119.8)
(13.418.7)
(10.014.9)
(7.211.5)
12.4
6.118.2

9.6
13.6
14.2
10.7
8.5

CI

CI

CI

9.3
3.212.8

CI

CI

(7.911.7)
(11.316.3)
(11.517.6)
(9.112.5)
(6.810.6)
11.0
4.814.7

* Smoked cigarettes on at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 31. Percentage of high school students who currently smoked cigarettes, by sex, race/ethnicity, and grade United States, Youth Risk
Behavior Survey, 2011
Smoked more than 10 cigarettes/day

Current frequent cigarette use*


Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

CI

7.4
1.9
2.8

(6.09.1)
(1.13.2)
(1.94.0)

8.6
3.4
5.8

2.3
4.2
6.2
9.3
5.4

(1.63.3)
(3.15.7)
(4.58.4)
(7.511.6)
(4.56.5)

4.3
4.4
9.2
12.3
7.4

Total
CI

Female

CI

(7.410.1)
(2.25.3)
(4.96.8)

8.0
2.6
4.4

(7.19.1)
(1.83.8)
(3.75.2)

7.4
**
2.7

(3.06.2)
(3.26.0)
(7.710.9)
(10.714.1)
(6.58.3)

3.3
4.3
7.7
10.8
6.4

(2.54.4)
(3.55.4)
(6.59.1)
(9.712.0)
(5.87.1)

4.1
7.6
3.9
6.0
5.7

CI

Male

Total

CI

CI

(4.611.8)

(1.26.1)

9.3
6.9
8.8

(7.411.6)
(3.015.2)
(5.513.7)

8.5
4.6
6.4

(6.610.9)
(2.29.6)
(4.29.7)

(1.98.9)
(4.013.8)
(1.98.1)
(3.111.5)
(3.68.9)

7.5
6.2
11.6
10.8
9.4

(4.512.3)
(3.311.3)
(8.316.0)
(7.515.3)
(7.711.4)

6.2
6.8
8.2
8.7
7.8

(4.19.3)
(4.111.1)
(5.811.5)
(6.112.3)
(6.39.7)

* Smoked cigarettes on 20 or more days during the 30 days before the survey.
On the days they smoked during the 30 days before the survey, among the 18.1% of students nationwide who currently smoked cigarettes.
95% confidence interval.
Non-Hispanic.
** Not available.

78

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 32. Percentage of high school students who currently smoked cigarettes, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Smoked more than 10 cigarettes/day

Current frequent cigarette use*


Female
Site

CI

State surveys
Alabama
8.1
(5.911.0)
Alaska
4.9
(3.07.9)
Arizona
4.2
(2.86.0)
Arkansas
6.3
(4.19.6)
Colorado
5.2
(3.18.6)
Connecticut
4.7
(3.07.3)
Delaware
7.1
(4.910.0)
Florida
3.2
(2.73.9)
Georgia
6.4
(4.58.9)
Hawaii
3.9
(2.85.5)
Idaho
4.0
(2.66.1)
Illinois
5.2
(3.87.3)
Indiana
7.0
(5.49.1)
Iowa
5.0
(3.08.3)
Kansas
4.4
(3.16.2)
Kentucky
10.5
(7.514.5)
Louisiana
7.2
(4.810.8)
Maine
5.4
(4.66.3)
Maryland
4.1
(2.17.9)
Massachusetts 4.0
(2.95.4)
Michigan
3.9
(2.85.4)
Mississippi
3.9
(3.14.9)
Montana
6.2
(5.07.6)
Nebraska
5.3
(4.17.0)
New
7.9
(5.112.2)
Hampshire
New Jersey
4.4
(2.77.2)
New Mexico
4.2
(3.15.7)
New York
4.3
(3.25.7)
North
4.3
(2.57.3)
Carolina
North
8.4
(6.510.7)
Dakota
Ohio
8.9
(5.813.4)
Oklahoma
7.3
(5.310.0)
Rhode Island
3.2
(2.24.8)
South
5.5
(3.39.2)
Carolina
South
10.4
(6.915.3)
Dakota
Tennessee
7.8
(5.610.9)
Texas
3.6
(2.74.9)
Utah
1.0
(0.42.3)
Vermont
4.5
(3.55.8)
Virginia
4.4
(2.18.7)
West Virginia
7.0
(4.810.1)
Wisconsin
4.3
(3.35.5)
Wyoming
9.7
(7.213.0)
Median
5.0
Range
1.010.5

Male

Total

CI

10.9
5.3
7.5
8.7
5.2
6.2
7.9
6.0
8.4
3.9
7.1
7.2
9.1
8.5
6.0
12.3
11.9
7.8
4.5
7.2
7.0
9.7
6.7
6.2
11.6

(7.914.8)
(3.28.8)
(5.310.6)
(6.511.7)
(3.57.5)
(4.39.0)
(5.910.5)
(5.17.2)
(6.111.7)
(2.85.4)
(4.710.8)
(5.69.3)
(7.311.3)
(5.912.2)
(4.38.3)
(9.216.4)
(8.117.1)
(6.69.2)
(2.77.5)
(5.69.2)
(5.19.4)
(7.412.6)
(5.28.6)
(5.17.6)
(8.515.5)

5.4
7.3
6.7
9.1

Female

Male

Total

CI

CI

CI

CI

9.5
5.2
5.8
7.5
5.3
5.4
7.6
4.7
7.5
3.9
5.7
6.3
8.1
6.8
5.2
11.6
9.4
6.7
4.4
5.6
5.4
6.7
6.4
5.8
9.7

(7.412.0)
(3.57.6)
(4.47.6)
(5.89.6)
(4.46.5)
(3.97.5)
(6.19.5)
(4.15.4)
(5.89.6)
(3.05.1)
(4.07.9)
(5.07.8)
(6.79.8)
(4.89.7)
(4.16.7)
(9.214.5)
(6.613.3)
(5.97.6)
(2.77.2)
(4.47.0)
(4.07.2)
(5.48.3)
(5.37.9)
(4.86.9)
(7.113.3)

7.2

4.6

7.8

9.2
4.9
3.7
3.0
5.5
5.3
3.5
15.8

11.0
1.6

5.4
4.2
5.0
3.1

(3.613.7)

(2.78.0)

(4.812.5)

(4.816.8)
(2.88.3)
(1.111.4)
(1.09.0)
(2.710.9)
(2.311.9)
(1.39.3)
(9.525.1)

(8.414.3)
(0.46.8)

(3.87.6)
(1.89.8)
(3.17.9)
(1.66.0)

10.7

9.6
8.8

10.1

10.0
7.0
10.4
9.9
9.5
11.6
9.0
20.3
16.5
18.3
10.5

9.3
13.8
8.3
11.4

(6.217.9)

(5.915.2)
(5.114.8)

(5.717.2)

(5.417.6)
(3.214.6)
(5.518.7)
(6.415.1)
(5.116.9)
(5.722.3)
(4.916.0)
(14.827.2)
(7.432.8)
(15.221.9)
(4.721.9)

(6.712.7)
(9.319.9)
(5.312.8)
(7.816.4)

9.2
5.7
7.4
7.8

8.7

10.3
6.0
7.7
6.8
7.7
8.5
6.5
18.2
13.2
15.3
6.3

7.8
10.0
6.9
7.1

(5.614.5)
(2.512.1)
(5.110.7)
(5.011.9)

(6.112.2)

(6.615.6)
(3.79.5)
(4.113.8)
(4.310.5)
(5.111.4)
(4.515.5)
(3.611.5)
(13.723.7)
(8.120.9)
(12.918.1)
(3.012.4)

(6.010.0)
(7.014.2)
(4.79.9)
(5.19.8)

(3.58.3)
(5.69.6)
(5.28.6)
(7.411.1)

4.9
5.8
5.5
6.8

(3.66.7)
(4.57.4)
(4.56.6)
(5.18.8)

2.3
3.8
13.3

(0.76.7)
(2.36.3)
(9.219.0)

11.2
7.2
18.9

(6.319.1)
(5.39.7)
(14.823.9)

7.1
5.9
16.3

(4.112.0)
(4.47.9)
(13.719.4)

8.2

(5.911.3)

8.3

(6.510.5)

9.8
10.0
5.6
9.7

(7.013.4)
(7.213.7)
(3.49.1)
(6.813.5)

9.5
8.6
4.4
7.5

(7.112.6)
(7.010.5)
(3.06.5)
(5.410.5)

7.2
3.4
4.7
9.4

(3.614.1)
(0.714.6)
(1.711.9)
(4.319.3)

17.6
3.6
11.4
7.6

(10.328.5)
(1.39.7)
(6.020.7)
(4.113.8)

13.5
3.5
8.6
8.3

(8.720.4)
(1.58.1)
(5.014.6)
(5.612.3)

9.1

(6.013.6)

9.8

(6.813.8)

1.5

(0.45.2)

8.0

(4.214.7)

4.6

(2.48.4)

11.1
5.4
2.8
5.8
6.4
9.6
6.1
10.8

(8.614.3)
(4.46.7)
(1.64.9)
(4.86.9)
(4.29.5)
(7.112.8)
(4.58.3)
(8.513.7)
7.3
2.812.3

9.5
4.5
2.1
5.2
5.4
8.3
5.2
10.2

(7.412.2)
(3.85.3)
(1.43.3)
(4.36.3)
(3.48.5)
(6.311.0)
(4.26.5)
(8.112.9)
6.3
2.111.6

6.8
4.5

7.0
6.7
9.2
2.2
11.2

(11.120.2)
(1.66.2)

(10.516.5)
(8.722.6)
(7.318.0)
(2.012.1)
(8.819.7)
10.4
3.220.3

11.5
3.7

10.6
10.7
10.6
3.9
12.3

(3.712.2)
(2.57.9)

(4.211.6)
(2.417.5)
(4.717.3)
(0.77.1)
(7.815.7)
5.1
1.515.8

15.1
3.2

13.2
14.3
11.7
5.1
13.3

(8.615.2)
(2.16.3)

(8.613.0)
(7.315.5)
(7.914.1)
(2.07.3)
(9.216.2)
7.8
3.518.2

See table footnotes on page 80.

MMWR/June 8, 2012/Vol. 61/No. 4

79

Surveillance Summaries

TABLE 32. (Continued) Percentage of high school students who currently smoked cigarettes, by sex selected U.S. sites, Youth Risk Behavior
Survey, 2011
Smoked more than 10 cigarettes/day

Current frequent cigarette use*


Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

3.1
2.0
4.5

(1.66.2)
(1.13.5)
(3.16.6)

4.3
4.1
5.9

(2.67.0)
(3.05.7)
(4.08.8)

2.0
1.0
0.4
1.9
3.6
1.0
0.9

(1.13.6)
(0.33.1)
(0.11.0)
(1.03.7)
(2.74.8)
(0.51.9)
(0.51.6)

4.6
2.8
1.5
6.9
5.8
3.4
3.1

1.0
1.7

(0.42.1)
(1.02.9)

2.5
1.7
2.2
3.8
2.8
1.7
2.9
2.5
2.7

Female

Male

CI

Total

CI

3.7
3.1
5.3

(2.75.1)
(2.34.2)
(3.97.0)

10.3

(4.123.5)

10.4
8.2

(4.821.0)
(3.518.1)

(3.17.0)
(1.74.8)
(0.82.6)
(5.09.2)
(4.57.4)
(2.35.1)
(1.37.5)

3.2
2.0
0.9
4.2
4.7
2.2
2.2

(2.24.6)
(1.23.4)
(0.51.4)
(3.25.5)
(3.85.8)
(1.53.0)
(1.14.3)

4.3

4.5

(2.37.9)

(2.010.0)

3.1
1.9

7.3

3.8
11.2

(1.85.3)
(0.74.7)

(3.514.6)

(1.87.7)
(5.421.6)

3.6
4.3

(2.35.6)
(2.86.5)

2.3
3.0

(1.53.4)
(2.04.3)

9.0

(3.919.5)

10.8

(5.520.1)

9.2
9.8

(4.617.5)
(6.015.6)

(1.64.0)
(1.22.6)
(1.14.3)
(2.75.4)

3.8
3.3
4.4
4.4

(2.46.0)
(2.74.1)
(2.86.7)
(3.06.4)

3.2
2.5
3.3
4.2

(2.24.5)
(2.03.2)
(2.34.8)
(3.25.4)

3.6

7.7

(2.16.1)

(3.914.6)

12.1

17.2

(8.217.5)

(9.529.0)

8.3
8.4
10.2
12.9

(4.415.0)
(6.111.4)
(5.916.9)
(8.020.0)

(1.84.4)
(1.03.0)
(1.65.2)
(1.54.1)
(1.64.4)
2.0
0.44.5

3.5
4.3
4.4
3.6
2.9

(2.15.8)
(2.86.6)
(2.96.7)
(2.45.5)
(1.65.2)
4.1
1.56.9

3.3
3.0
3.7
3.3
2.9

(2.34.7)
(2.04.4)
(2.65.1)
(2.44.5)
(1.84.5)
3.2
0.95.3

6.7
4.0
16.2

(3.014.2)
(1.411.1)
(8.728.1)

10.3
4.017.2

7.9
5.2
2.8
11.1
8.6

7.7
3.69.0

CI

CI

(4.014.7)
(2.79.5)
(1.17.2)
(6.219.2)
(5.014.6)
8.3
1.912.9

* Smoked cigarettes on 20 or more days during the 30 days before the survey.
On the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes.
95% confidence interval.
Not available.

TABLE 33. Percentage of high school students who smoked cigarettes on school property* and who usually obtained their own cigarettes by
buying them in a store or gas station, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Smoked cigarettes on school property
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Bought cigarettes in a store or gas station


Total

Female

CI

CI

CI

5.0
1.8
3.1

(4.06.2)
(0.84.0)
(2.24.2)

5.7
4.3
5.5

(4.77.1)
(3.06.0)
(4.46.9)

5.4
3.0
4.4

(4.66.3)
(2.14.4)
(3.65.4)

9.8
**
7.5

2.2
4.2
5.2
4.7
4.1

(1.63.1)
(3.25.6)
(3.96.8)
(3.17.0)
(3.44.8)

3.4
4.6
6.7
8.5
5.7

(2.54.6)
(3.46.3)
(4.99.0)
(7.210.1)
(5.06.5)

2.8
4.4
5.9
6.6
4.9

(2.23.6)
(3.55.5)
(4.97.2)
(5.67.9)
(4.45.4)

6.5
6.6
13.4
15.5
10.2

CI

Male
%

Total
CI

(6.315.1)

(4.412.5)

17.5

20.8

(12.923.3)

(15.527.2)

13.9
13.7
14.9

(10.618.0)
(8.521.2)
(11.219.5)

(3.412.1)
(3.412.3)
(9.019.6)
(8.526.5)
(7.613.7)

10.3
16.1
22.4
20.8
17.1

(6.116.9)
(10.923.2)
(16.829.2)
(13.331.1)
(13.521.3)

8.7
11.8
18.3
18.1
14.0

(5.912.7)
(8.516.1)
(14.822.5)
(11.727.0)
(11.516.9)

* On at least 1 day during the 30 days before the survey.


During the 30 days before the survey, among the 14.2% of students nationwide who currently smoked cigarettes and who were aged <18 years.
95% confidence interval.
Non-Hispanic.
** Not available.

80

MMWR/June 8, 2012/Vol. 61/No. 4

CI

Surveillance Summaries

TABLE 34. Percentage of high school students who smoked cigarettes on school property* and who usually obtained their own cigarettes by
buying them in a store or gas station, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Smoked cigarettes on school property
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Bought cigarettes in a store or gas station


Total

CI

Female
CI

CI

Male
%

Total
CI

CI

4.9
3.9
3.3
1.7

6.1
3.1
5.4
3.4
2.3
3.5
3.6
1.7
2.3
7.5
2.1

3.6
4.1
1.9
2.2
3.4
3.5

(3.17.5)
(2.26.8)
(2.34.6)
(0.93.3)

(4.48.5)
(2.44.0)
(4.07.3)
(2.34.9)
(1.53.4)
(2.54.9)
(2.25.6)
(0.93.4)
(1.43.7)
(5.410.2)
(1.23.6)

(2.35.7)
(2.95.8)
(1.42.8)
(1.53.1)
(2.74.4)
(2.54.7)

7.1
3.8
4.8
6.6

5.9
5.7
6.9
3.3
4.4
6.8
5.5
5.2
3.8
10.9
5.7

4.8
7.7
4.4
5.6
5.1
4.1

(4.910.0)
(2.26.3)
(3.46.7)
(4.98.7)

(4.28.3)
(4.76.9)
(5.09.5)
(2.34.7)
(2.77.2)
(5.38.8)
(4.07.4)
(3.08.8)
(2.55.8)
(8.114.6)
(3.98.2)

(3.17.3)
(6.09.8)
(3.45.7)
(4.07.8)
(3.57.5)
(3.15.5)

6.1
3.9
4.2
4.3

6.2
4.4
6.4
3.4
3.4
5.2
4.5
3.5
3.1
9.3
3.8

4.3
5.9
3.2
3.9
4.3
3.8

(4.87.8)
(2.65.8)
(3.15.5)
(3.45.6)

(4.88.0)
(3.85.2)
(5.08.1)
(2.64.5)
(2.34.9)
(4.16.5)
(3.55.8)
(2.35.3)
(2.24.2)
(7.311.8)
(2.85.2)

(3.06.2)
(4.87.4)
(2.54.1)
(2.95.1)
(3.25.7)
(3.04.8)

11.8

8.3

8.5

14.9
1.2

11.3
13.0
5.6
4.4
8.7

4.9
10.5

11.6
9.0
6.0
3.0

(5.523.4)

(3.816.9)

(4.814.4)

(9.323.0)
(0.53.0)

(6.519.0)
(6.823.3)
(1.915.4)
(1.710.8)
(4.117.5)

(3.66.7)
(4.821.5)

(7.617.3)
(4.218.2)
(3.410.2)
(1.56.1)

17.8

21.6
21.9

17.9

21.8
10.1

20.9
14.8
6.4
11.9
32.0

12.6

18.6
25.3
11.6
6.7

(9.531.1)

(12.834.1)
(14.132.5)

(10.728.5)

(13.832.7)
(5.118.9)

(13.131.6)
(9.322.7)
(4.010.0)
(8.017.3)
(24.241.0)

(10.315.4)

(14.723.3)
(19.132.8)
(6.918.8)
(3.612.0)

15.0
3.1
15.1
16.2
11.2

12.9

18.1
5.5
3.0
16.4
13.9
6.0
8.5
21.2
16.9
9.6
15.2

15.7
18.9
9.0
5.1

(8.724.6)
(1.37.1)
(9.722.7)
(10.524.1)
(6.019.9)

(9.117.8)

(12.226.1)
(2.910.2)
(1.36.6)
(11.023.8)
(10.119.0)
(3.69.8)
(5.812.4)
(15.029.2)
(9.029.4)
(8.111.4)
(9.523.3)

(12.519.5)
(13.425.9)
(6.013.4)
(3.28.1)

4.7

(4.05.6)

8.2

(6.310.6)

6.5

(5.47.8)

6.9

(4.510.5)

15.7

(11.521.0)

12.0

(9.215.5)

3.7

(1.49.1)

16.6

(9.726.9)

9.7

(5.915.6)

4.0
3.0
3.3
3.2

(2.46.6)
(1.55.8)
(2.24.8)
(1.95.5)

7.1
4.8
5.9
8.3

(5.010.2)
(2.88.3)
(4.18.5)
(5.512.3)

5.7
3.9
4.6
5.8

(4.18.0)
(2.95.2)
(3.56.1)
(3.88.6)

14.3

(8.822.3)

33.2
18.6

(24.942.7)
(10.730.4)

5.8

(4.08.4)

5.5

(3.58.4)

5.7

(4.17.8)

3.7

(0.815.8)

3.8
2.3
1.0

3.5
2.7
2.9
6.8

(2.55.7)
(1.63.1)
(0.51.9)

(2.06.1)
(1.54.7)
(2.14.0)
(5.38.7)
3.4
1.07.5

7.2
4.4
3.2

4.1
5.3
4.5
7.5

(5.59.4)
(3.16.0)
(1.85.5)

(2.66.6)
(3.38.2)
(3.46.1)
(5.99.3)
5.5
3.210.9

5.6
3.4
2.3

3.8
4.0
3.7
7.1

(4.37.2)
(2.64.3)
(1.53.4)

(2.65.6)
(2.85.6)
(2.94.8)
(6.18.4)
4.3
2.39.3

7.0
6.2

3.5

0.8

7.3

(3.712.8)
(3.111.7)

(1.86.5)

(0.15.2)

(4.112.5)
7.0
0.814.9

25.8
17.4

9.8

14.3

15.6

(20.132.4)
(12.723.5)

(6.614.3)

(6.927.3)

(10.622.2)
17.4
6.433.2

8.3 (5.911.6)
16.2 (10.623.8)
25.5 (20.331.6)
14.0 (9.320.7)
9.0

(5.115.5)

17.3 (13.122.5)
12.6 (9.416.6)

6.9 (5.09.5)
8.7 (5.613.3)
8.1 (4.115.4)

11.3 (8.315.2)
12.3
3.025.5

See table footnotes on page 82.

MMWR/June 8, 2012/Vol. 61/No. 4

81

Surveillance Summaries

TABLE 34. (Continued) Percentage of high school students who smoked cigarettes on school property* and who usually obtained their own
cigarettes by buying them in a store or gas station, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Smoked cigarettes on school property
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

3.9
2.9
4.0

(2.17.0)
(2.04.2)
(2.75.8)

6.1
4.4
7.6

(3.89.8)
(3.36.0)
(5.510.6)

4.4
2.6
0.7
3.4

1.1
1.7
0.9
2.3

(2.96.6)
(1.64.2)
(0.41.5)
(2.15.3)

(0.62.1)
(0.92.9)
(0.42.0)
(1.53.6)

7.7
5.1
1.9
5.5

3.7
3.0
3.5
4.5

3.1

2.0
2.8

(2.14.5)

(1.04.0)
(1.84.2)

3.2
3.1
1.6
1.6
3.7

(2.14.6)
(2.14.6)
(0.83.2)
(0.83.0)
(2.55.5)
2.8
0.74.4

Bought cigarettes in a store or gas station

CI

Female

Male
%

Total

CI

CI

5.0
3.7
6.1

(3.76.7)
(3.04.7)
(4.68.1)

(5.710.4)
(3.08.6)
(1.13.1)
(3.68.3)

(2.65.1)
(1.65.6)
(2.35.4)
(3.06.8)

5.9
3.9
1.5
4.4

2.5
2.6
2.2
3.4

(4.57.9)
(2.65.9)
(1.02.2)
(3.26.0)

(1.93.3)
(1.74.0)
(1.53.2)
(2.54.6)

15.7

(9.424.9)

42.2

19.6
33.5

(31.553.6)

(13.827.0)
(24.743.6)

30.1
16.4

21.7
18.0
24.5
10.3

21.2

(22.938.4)
(10.025.9)

(14.431.3)
(13.623.5)
(18.731.4)
(6.216.4)

(14.130.5)

4.8

4.1
4.2

(3.27.0)

(2.46.7)
(2.86.3)

4.1

3.0
3.5

(3.05.5)

(1.94.8)
(2.64.7)

13.5

(8.021.8)

15.6 (9.923.8)
19.3 (14.026.1)

5.3
7.2
4.5
4.3
4.8

(3.87.4)
(5.29.9)
(3.26.3)
(3.16.0)
(3.17.2)

4.3
5.1
3.2
3.2
4.4

(3.35.6)
(3.86.8)
(2.34.5)
(2.44.3)
(3.16.1)
3.7
1.56.1

12.6 (8.019.3)
15.4 (10.023.1)
24.7 (18.532.1)
11.9 (5.922.6)
18.0
10.330.1

4.5
1.97.7

14.6
13.515.7

CI

33.5
19.642.2

CI

* On at least 1 day during the 30 days before the survey.


During the 30 days before the survey, among students who were aged <18 years and who currently smoked cigarettes.
95% confidence interval.
Not available.

TABLE 35. Percentage of high school students who tried to quit smoking cigarettes,* by sex, race/ethnicity, and grade United States, Youth
Risk Behavior Survey, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

CI

54.0

55.9

(49.558.5)

(46.864.6)

46.3
49.5
44.7

(41.351.3)
(38.760.3)
(37.851.9)

49.7
48.3
49.3

(45.753.7)
(40.456.4)
(43.555.1)

50.5
58.5
55.1
52.6
53.9

(39.861.2)
(51.764.9)
(47.362.7)
(46.858.3)
(49.758.0)

47.4
53.9
43.1
44.1
47.0

(40.354.6)
(47.560.3)
(35.950.7)
(37.251.3)
(43.150.9)

48.7
55.9
48.5
47.8
49.9

(42.455.0)
(50.760.9)
(42.354.6)
(42.752.9)
(46.953.0)

* During the 12 months before the survey, among the 18.1% of students nationwide who currently smoked cigarettes.
95% confidence interval.
Non-Hispanic.
Not available.

82

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 36. Percentage of high school students who tried to quit smoking cigarettes,* by sex selected U.S. sites, Youth Risk Behavior Survey,
2011
Female

Total

CI

46.9

50.3

43.7

51.5
67.2
58.0
56.5
60.1
44.7
54.4
55.5

50.8
54.2
59.0
61.8
59.9
62.4

49.9
44.7
57.7
54.9

42.2
45.6
58.4
60.3
53.2
52.8

50.9
49.5
63.9
49.1
56.4

(35.558.5)

(41.159.5)

(35.152.6)

(40.562.3)
(55.277.2)
(47.468.0)
(49.363.4)
(50.668.9)
(36.253.5)
(45.962.6)
(47.563.3)

(43.558.0)
(46.661.6)
(50.866.8)
(51.970.7)
(53.266.2)
(55.868.5)

(45.454.4)
(38.850.6)
(47.267.5)
(47.362.3)

(29.855.7)
(35.256.4)
(45.770.1)
(51.768.2)
(47.558.9)
(44.161.3)

(42.459.3)
(35.463.8)
(55.571.5)
(41.556.8)
(49.063.6)

44.2

44.5
50.6

44.0

47.0
66.4
53.3
54.9
54.6
45.7
49.8
49.0
57.0

51.8
54.0
55.3
53.0
53.3

48.3
45.6
44.6
50.0
54.1
48.9
50.6
47.9
55.9
45.6
47.0

39.7
44.1
45.2
47.7
53.0

(36.052.7)

(36.353.1)
(38.562.7)

(34.354.1)

(41.652.5)
(56.375.2)
(42.164.1)
(46.762.9)
(44.964.0)
(40.650.8)
(39.760.0)
(40.357.7)
(43.869.3)

(41.961.6)
(48.159.9)
(47.263.0)
(47.958.1)
(46.360.1)

(44.152.7)
(38.952.4)
(38.550.8)
(39.960.2)
(44.063.8)
(41.356.5)
(46.354.9)
(39.856.1)
(42.468.6)
(39.651.8)
(39.754.4)

(32.747.1)
(31.857.1)
(38.951.8)
(39.656.0)
(47.358.6)

45.7
68.0
46.8
52.8

44.3

48.6
66.8
54.9
55.6
56.8
45.3
52.1
51.6
52.1

50.7
52.9
55.9
57.8
56.2
57.7

48.9
45.1
50.0
52.8
56.5
46.1
48.5
52.5
58.0
49.0
49.3

44.4
46.7
53.1
48.3
54.7

Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male
CI

54.3
42.267.2

49.4
39.766.4

CI
(40.451.1)
(57.676.9)
(41.452.2)
(44.460.9)

(37.451.4)

(42.454.7)
(58.574.1)
(47.562.2)
(50.460.6)
(49.763.6)
(39.950.8)
(46.557.7)
(46.456.7)
(40.463.6)

(44.457.0)
(46.059.6)
(50.761.1)
(50.664.8)
(51.760.5)
(52.862.4)

(45.452.5)
(41.149.2)
(44.056.0)
(46.758.9)
(48.963.8)
(39.053.5)
(42.954.3)
(45.359.5)
(48.866.8)
(44.054.0)
(43.555.2)

(38.450.5)
(35.458.3)
(47.159.0)
(42.454.3)
(49.959.4)
52.1
44.368.0

See table footnotes on page 84.

MMWR/June 8, 2012/Vol. 61/No. 4

83

Surveillance Summaries

TABLE 36. (Continued) Percentage of high school students who tried to quit smoking cigarettes,* by sex selected U.S. sites, Youth Risk
Behavior Survey, 2011
Female
Site
Large urban school district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

CI

45.4

43.7

52.8

42.6

(36.754.3)

(33.954.0)

(45.060.4)

(32.753.1)

55.2
55.9

45.7
51.3

37.9

54.9

42.3

53.2
55.3
59.1

(45.464.5)
(45.765.6)

(37.753.9)
(41.461.0)

(28.448.5)

(50.359.4)

(33.351.9)

(40.865.3)
(45.364.9)
(48.069.4)

49.9
55.5
53.3
58.8

61.6
45.9
49.3
50.4
53.4
40.5
55.1
53.9
46.3
42.8
56.9
57.2
52.1
53.9
49.4

(39.060.9)
(48.362.5)
(46.060.4)
(51.465.9)

(50.971.2)
(40.151.9)
(41.457.3)
(38.961.8)
(43.563.1)
(34.846.3)
(45.964.0)
(49.358.4)
(38.454.5)
(35.650.2)
(48.465.0)
(46.667.2)
(44.959.2)
(46.261.4)
(38.760.2)

44.5
42.652.8

53.3
40.561.6

54.0
37.959.1

* During the 12 months before the survey, among students who currently smoked cigarettes.
95% confidence interval.
Not available.

TABLE 37. Percentage of high school students who currently used smokeless tobacco* and who used smokeless tobacco on school property,*
by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Current smokeless tobacco use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Used smokeless tobacco on school property

Male

Total

Female

CI

CI

CI

CI

2.4
0.8
2.8

(1.73.3)
(0.41.5)
(1.74.5)

15.6
5.4
8.7

(12.918.8)
(3.87.7)
(6.811.1)

9.3
3.1
5.9

(7.811.0)
(2.24.4)
(4.47.7)

0.8
0.4
1.4

(0.51.4)
(0.11.3)
(0.73.0)

10.1
3.4
5.7

2.0
2.1
2.3
2.2
2.2

(1.42.8)
(1.53.0)
(1.43.8)
(1.24.0)
(1.72.8)

9.6
12.1
14.5
15.0
12.8

(7.013.2)
(9.914.8)
(12.117.4)
(12.318.2)
(10.915.0)

5.9
7.4
8.6
8.8
7.7

(4.47.9)
(6.08.9)
(7.010.4)
(7.210.7)
(6.69.0)

0.9
1.0
0.8
0.7
0.9

(0.41.9)
(0.51.9)
(0.41.7)
(0.31.7)
(0.61.3)

6.4
7.8
9.1
10.4
8.4

* Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

84

Male

MMWR/June 8, 2012/Vol. 61/No. 4

Total
CI

CI

(7.812.9)
(2.25.4)
(4.47.5)

5.6
1.9
3.7

(4.57.1)
(1.23.1)
(2.74.9)

(4.49.3)
(6.010.0)
(7.211.5)
(8.313.1)
(6.910.3)

3.8
4.5
5.0
5.7
4.8

(2.65.3)
(3.55.8)
(4.06.3)
(4.57.1)
(4.05.9)

Surveillance Summaries

TABLE 38. Percentage of high school students who currently used smokeless tobacco* and who used smokeless tobacco on school property,*
by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current smokeless tobacco use
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Used smokeless tobacco on school property

Male

Total

CI

1.8
4.3
3.5
2.6
1.8

2.1

3.8
2.0
3.3
1.4
2.3
2.8
3.0
5.0
3.1
3.0
2.8

1.6
2.0
5.2
2.2
2.2

(1.13.2)
(2.37.7)
(2.74.5)
(1.35.3)
(0.93.6)

(1.33.5)

(1.97.3)
(1.43.0)
(2.24.9)
(0.82.4)
(1.53.3)
(1.65.0)
(1.75.2)
(3.47.3)
(1.56.2)
(2.43.7)
(1.64.8)

(1.02.4)
(1.33.1)
(3.87.1)
(1.63.1)
(1.33.6)

17.5
12.1
10.4
20.3
11.1

11.1

14.8
4.8
14.5
10.1
13.9
17.5
14.1
28.1
20.0
11.9
10.9

13.2
18.5
21.2
10.2
14.2

(12.424.1)
(9.315.5)
(8.213.2)
(15.226.6)
(8.214.9)

(9.213.4)

(11.618.8)
(3.36.9)
(10.619.5)
(7.813.1)
(12.215.8)
(14.121.7)
(11.017.9)
(23.433.3)
(16.424.2)
(10.413.6)
(6.916.9)

(10.516.5)
(14.423.3)
(18.024.8)
(8.811.8)
(10.818.3)

3.9
3.4
2.6

(3.24.8)
(2.15.2)
(1.83.7)

14.8
11.0
19.0

4.6

(3.16.7)

4.4
2.7
1.5
3.7
7.1

CI

9.8
8.4
7.1
11.6
7.0

6.6

9.6
3.5
9.0
5.8
8.2
10.4
8.8
16.9
11.4
7.7
7.2

7.6
10.2
13.5
6.4
8.4

(6.913.6)
(6.710.4)
(5.78.8)
(8.615.5)
(5.58.9)

(5.48.0)

(7.312.5)
(2.64.7)
(6.811.9)
(4.67.3)
(7.29.3)
(8.412.9)
(7.110.9)
(14.020.2)
(9.014.2)
(6.88.7)
(4.711.1)

(6.09.6)
(8.012.9)
(11.315.9)
(5.57.4)
(6.510.8)

0.9
1.5
1.3
1.0

1.2

2.5
1.4
0.9
0.4
0.8
1.6
1.0
2.7
1.5

1.1

0.6
0.8
2.6
0.7

(0.42.1)
(0.73.3)
(0.72.5)
(0.32.9)

(0.62.6)

(1.34.6)
(0.82.5)
(0.41.9)
(0.20.9)
(0.41.5)
(0.83.2)
(0.42.3)
(1.64.6)
(0.63.8)

(0.52.2)

(0.31.1)
(0.41.8)
(1.83.7)
(0.31.4)

(12.417.7)
(8.813.6)
(15.123.6)

9.5
7.3
11.0

(8.011.1)
(6.08.8)
(8.713.8)

22.2

(18.126.8)

13.6

(11.116.6)

(2.57.7)
(1.35.3)
(1.02.2)
(2.16.4)

19.2
23.8
9.8
21.6

(14.125.5)
(18.829.6)
(7.912.0)
(16.527.8)

12.2
13.1
5.7
13.0

(3.613.7)

22.0

(17.127.9)

21.8
10.2
6.2
11.0
13.7
25.5
14.1
22.1

(17.227.1)
(8.612.1)
(4.68.2)
(9.712.4)
(10.218.2)
(20.531.2)
(11.517.1)
(19.624.7)
14.2
4.828.1

(2.04.3)
(1.52.6)
(0.52.2)
(1.43.2)
(1.04.8)
(1.84.3)
(1.33.7)
(6.39.6)
2.8
1.07.8

Female
CI

2.9
2.0
1.0
2.1
2.3
2.8
2.2
7.8

CI

Male
%

Total
CI

CI

12.1
6.9
5.5
14.4

7.1

10.1
2.9
9.3
4.8
7.9
10.2
7.0
19.7
8.5

6.5

7.3
13.0
13.1
5.2

(8.716.7)
(4.89.7)
(3.97.6)
(10.319.7)

(5.59.1)

(7.214.0)
(1.84.7)
(6.513.1)
(3.46.8)
(6.49.8)
(6.914.7)
(5.39.2)
(15.125.4)
(5.912.1)

(3.711.3)

(5.59.5)
(10.016.7)
(10.716.0)
(4.16.6)

6.6
4.3
3.5
7.9

4.1

6.5
2.3
5.2
2.7
4.4
6.1
4.0
11.6
5.1

4.2

4.0
6.9
8.0
3.1

(4.79.2)
(3.16.0)
(2.64.7)
(5.611.0)

(3.25.4)

(4.79.0)
(1.63.2)
(3.77.3)
(1.93.8)
(3.55.6)
(4.28.6)
(3.15.3)
(8.915.0)
(3.57.4)

(2.66.8)

(3.15.3)
(5.39.0)
(6.59.8)
(2.53.8)

(9.016.4)
(10.116.9)
(4.76.7)
(9.817.1)

2.1
0.9
0.6
1.8

(0.95.1)
(0.42.1)
(0.40.9)
(0.84.0)

11.1
17.1
5.6
15.0

(7.516.1)
(13.421.5)
(4.37.2)
(11.020.2)

7.0
8.9
3.2
8.7

(4.710.2)
(6.811.5)
(2.63.9)
(6.112.1)

14.7

(10.919.6)

3.5

(1.58.0)

11.5

(7.716.7)

7.6

(4.811.7)

12.6
6.2
3.7
6.7
8.2
14.4
8.3
15.1

(10.015.7)
(5.37.2)
(2.85.0)
(5.87.7)
(5.911.2)
(11.617.8)
(6.810.0)
(13.416.8)
8.8
3.516.9

1.4
0.8
0.9

0.8
1.4

(0.82.4)
(0.51.3)
(0.41.9)

(0.32.0)
(0.82.6)

1.1
0.43.5

13.1
6.4
3.8

7.0
16.7

(9.817.3)
(5.37.7)
(2.26.3)

(4.411.0)
(12.921.3)

8.5
2.919.7

7.4
3.7
2.5

4.0
9.2

(5.59.9)
(3.14.4)
(1.63.8)

(2.66.2)
(7.111.9)

5.1
2.311.6

See table footnotes on page 86.

MMWR/June 8, 2012/Vol. 61/No. 4

85

Surveillance Summaries

TABLE 38. (Continued) Percentage of high school students who currently used smokeless tobacco* and who used smokeless tobacco on school
property,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current smokeless tobacco use
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

3.1
1.4
2.4

(1.66.2)
(0.63.2)
(1.44.0)

5.0
7.2
12.0

(3.37.7)
(5.010.3)
(8.516.5)

2.4
1.5
1.3
1.8
3.9
2.1
2.2
0.6
2.3

(1.53.8)
(0.92.5)
(0.72.2)
(1.03.0)
(3.05.0)
(1.33.2)
(1.23.9)
(0.21.3)
(1.43.7)

4.1
4.5
2.9
6.0
10.6
5.8
4.6
2.2
5.1

2.1
2.2
2.6

(1.62.7)
(1.14.0)
(1.73.9)

4.3
7.4
8.8

1.5
2.7
2.5
2.3
2.5

(0.82.5)
(1.74.1)
(1.63.9)
(1.24.2)
(1.54.1)
2.2
0.63.9

4.1
4.7
5.1
5.4
4.2

Site

Used smokeless tobacco on school property


%

Female

Male

Total

CI

CI

CI

CI

4.1
4.5
7.5

(2.85.9)
(3.26.4)
(5.310.5)

1.2
0.5

(0.43.7)
(0.21.4)

2.1
5.5

(1.14.1)
(3.58.4)

1.6
3.2

(0.92.7)
(2.15.0)

(2.76.3)
(2.87.1)
(2.04.3)
(3.89.4)
(9.012.5)
(4.57.4)
(2.77.8)
(1.33.7)
(3.67.1)

3.5
3.0
2.2
4.1
7.5
4.0
3.6
1.4
3.7

(2.64.6)
(2.04.3)
(1.63.1)
(2.86.0)
(6.48.7)
(3.24.9)
(2.55.4)
(0.92.3)
(2.75.0)

1.1
0.3
0.8
0.5

1.3
0.9
0.2
1.7

(0.62.1)
(0.11.4)
(0.41.7)
(0.21.5)

(0.72.3)
(0.41.8)
(0.11.0)
(1.02.8)

1.9
1.9
1.9
3.7

2.6
3.5
1.1
2.9

(1.03.5)
(1.03.6)
(1.13.2)
(2.16.4)

(1.74.0)
(1.96.3)
(0.52.2)
(1.84.5)

1.8
1.1
1.5
2.2

2.0
2.5
0.7
2.2

(1.22.6)
(0.62.0)
(1.02.3)
(1.43.7)

(1.52.8)
(1.64.1)
(0.41.4)
(1.53.2)

(3.65.1)
(5.510.0)
(6.911.3)

3.3
4.8
5.9

(2.84.0)
(3.76.1)
(4.77.3)

1.5
1.8

(0.73.0)
(1.13.1)

4.9
4.8

(3.47.1)
(3.36.8)

3.2
3.5

(2.34.3)
(2.64.7)

2.8
3.7
3.9
4.1
3.8

(1.94.2)
(2.75.0)
(2.95.1)
(3.05.7)
(2.85.0)
3.8
1.47.5

0.5
1.6
1.1
1.2
1.3

(0.11.5)
(0.92.9)
(0.52.5)
(0.52.7)
(0.72.3)
1.1
0.21.8

2.0
3.1
2.9
4.5
2.9

(1.04.1)
(1.94.9)
(1.94.4)
(3.06.6)
(1.94.3)
2.9
1.15.5

1.2
2.3
2.0
3.2
2.3

(2.56.5)
(3.26.9)
(3.77.0)
(3.77.9)
(3.15.8)
5.0
2.212.0

(0.62.5)
(1.63.5)
(1.33.1)
(2.24.6)
(1.73.3)
2.2
0.73.5

* Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 39. Percentage of high school students who currently smoked cigars* and who currently used tobacco, by sex, race/ethnicity, and
grade United States, Youth Risk Behavior Survey, 2011
Current cigar use
Female
Category

Race/Ethnicity
White
7.5
Black
8.5
Hispanic
9.1
Grade
9
5.5
10
8.1
11
8.4
12
10.2
Total
8.0

CI

Current tobacco use

Male

Total
%

Female
CI

86

(6.38.9)
(6.311.4)
(7.311.3)

19.0
15.1
17.2

(17.420.8)
(12.218.6)
(15.019.6)

13.5
11.8
13.3

(12.614.4)
(9.814.2)
(11.515.3)

21.2
12.3
16.3

(18.724.0)
(9.815.2)
(14.418.4)

31.5
18.8
24.4

(28.834.3)
(14.823.5)
(21.227.9)

26.5
15.4
20.5

(24.528.7)
(12.818.5)
(18.123.0)

(4.27.1)
(6.310.3)
(6.810.4)
(8.212.5)
(7.19.1)

12.3
15.4
20.4
23.9
17.8

(10.614.2)
(13.217.8)
(17.224.1)
(20.827.2)
(16.319.4)

9.0
11.9
14.5
17.3
13.1

(7.810.4)
(10.413.6)
(12.516.8)
(15.519.1)
(12.214.1)

12.4
17.2
19.8
25.4
18.5

(10.215.0)
(14.720.1)
(17.122.9)
(22.328.8)
(16.820.3)

19.7
25.3
31.6
37.1
28.1

(16.623.2)
(22.028.9)
(27.536.0)
(33.840.6)
(25.930.3)

16.1
21.5
25.8
31.4
23.4

(13.918.7)
(19.124.1)
(23.228.5)
(29.333.5)
(21.825.1)

MMWR/June 8, 2012/Vol. 61/No. 4

Total

CI

* Smoked cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey.
Current cigarette use, current smokeless tobacco use, or current cigar use.
95% confidence interval.
Non-Hispanic.

CI

Male

CI

CI

Surveillance Summaries

TABLE 40. Percentage of high school students who currently smoked cigars* and who currently used tobacco, by sex selected U.S. sites,
Youth Risk Behavior Survey, 2011
Current cigar use
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Current tobacco use

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

12.1
6.1
10.4
7.4

8.6

13.1
5.4
6.0
8.2
8.4
7.8
7.1
11.0
12.2
6.9
8.9
8.0
6.9
8.0
9.6
6.5
8.9

(9.016.0)
(4.09.1)
(8.212.9)
(5.410.1)

(6.611.1)

(9.817.3)
(4.17.2)
(3.99.2)
(6.79.9)
(6.510.9)
(6.010.2)
(5.39.4)
(8.514.1)
(7.718.9)
(6.08.0)
(6.811.4)
(6.210.1)
(5.58.7)
(6.49.8)
(8.111.3)
(5.38.0)
(6.512.2)

19.4
14.2
21.1
21.1

17.0

22.0
8.1
15.7
17.9
20.4
17.2
14.1
23.4
21.4
17.8
16.1
20.2
16.8
21.1
22.1
12.5
22.9

(14.325.8)
(11.118.0)
(18.224.4)
(17.425.3)

(14.619.7)

(18.925.5)
(6.410.1)
(12.619.3)
(14.921.3)
(17.423.9)
(12.723.0)
(11.517.2)
(19.927.4)
(17.725.7)
(16.419.4)
(12.920.0)
(17.123.7)
(14.219.9)
(17.625.0)
(19.824.6)
(10.714.5)
(19.127.2)

15.8
10.3
15.8
14.4

12.9

17.8
6.8
11.0
13.1
14.6
12.8
10.7
17.5
17.0
12.6
12.9
14.3
12.1
14.6
16.1
9.6
16.4

(12.419.9)
(8.013.1)
(13.618.4)
(12.716.4)

(11.015.0)

(15.021.0)
(5.48.6)
(8.613.9)
(10.815.9)
(12.616.9)
(10.315.9)
(8.912.9)
(15.319.9)
(14.519.9)
(11.613.7)
(10.715.6)
(12.316.5)
(10.513.8)
(12.616.9)
(14.617.8)
(8.311.1)
(13.919.2)

22.6
17.9
17.6
17.2

20.7

18.3
11.5
14.0
19.3
19.1
20.4
16.1
23.4
21.1
15.0
15.4

13.7
17.7
20.2
17.2
19.6

(18.627.2)
(12.724.7)
(14.720.9)
(14.420.3)

(17.724.1)

(14.622.7)
(9.114.4)
(10.618.4)
(16.322.8)
(16.422.0)
(16.724.7)
(13.319.4)
(19.328.1)
(16.526.5)
(13.716.4)
(11.420.6)

(11.017.0)
(15.420.2)
(17.622.9)
(15.019.5)
(15.324.6)

33.1
21.9
26.0
32.9

26.0

27.1
12.5
25.1
27.5
29.6
29.9
25.4
40.1
36.0
25.2
19.9

25.3
33.6
34.2
20.5
35.3

(26.840.1)
(18.426.0)
(21.930.6)
(26.939.5)

(22.929.4)

(21.933.0)
(10.414.9)
(20.330.7)
(23.831.4)
(26.133.4)
(23.836.8)
(21.529.8)
(34.845.8)
(28.244.6)
(23.127.3)
(14.726.4)

(21.929.1)
(28.239.5)
(30.837.7)
(18.322.9)
(30.540.5)

28.0
20.0
21.8
24.9

23.5

22.7
12.0
19.7
23.4
24.5
25.3
20.8
31.9
28.3
20.3
17.9

19.6
25.5
27.3
18.9
27.9

(23.832.6)
(16.124.5)
(18.725.3)
(21.029.2)

(21.226.0)

(18.927.0)
(10.114.1)
(15.924.2)
(20.226.9)
(21.827.3)
(21.329.7)
(17.924.2)
(28.235.7)
(24.532.4)
(19.021.6)
(13.822.8)

(16.822.7)
(22.229.1)
(24.730.1)
(17.120.8)
(24.032.1)

10.7

(9.012.8)

19.3

(16.822.0)

15.1

(13.616.8)

18.3

(16.220.7)

31.5

(28.335.0)

25.0

(22.627.6)

9.1

(7.011.6)

17.6

(14.421.4)

13.5

(11.315.9)

22.9

(19.326.9)

33.2

(28.338.6)

28.3

(24.532.6)

8.2
8.3
7.2
11.2

(5.911.3)
(5.612.2)
(6.18.5)
(9.213.6)

18.7
20.1
19.1
24.9

(13.725.1)
(16.723.9)
(15.423.5)
(20.529.8)

13.7
14.1
13.3
18.3

(10.517.7)
(12.116.4)
(10.916.0)
(15.421.6)

22.4
21.3
12.8
21.1

(16.929.2)
(16.726.7)
(10.515.5)
(17.525.3)

33.0
39.1
23.3
36.0

(26.140.7)
(33.844.7)
(18.429.1)
(31.341.1)

27.9
29.9
17.9
28.4

(22.434.2)
(25.734.6)
(14.621.7)
(24.632.6)

10.8
11.5
2.4
7.9
9.0
6.1
8.5
11.5

(8.713.3)
(10.213.0)
(1.44.3)
(6.010.2)
(6.013.4)
(4.78.0)
(6.511.0)
(9.413.9)
8.3
2.413.1

20.0
20.0
6.9
17.6
14.6
17.0
20.8
21.5

(17.023.3)
(17.922.2)
(5.29.1)
(16.019.2)
(11.518.2)
(13.321.4)
(17.524.5)
(18.724.6)
19.2
6.924.9

15.5
16.0
5.0
12.8
12.0
11.7
14.8
16.6

(13.517.8)
(14.817.3)
(3.76.6)
(11.514.4)
(9.315.2)
(9.414.4)
(12.717.1)
(14.618.7)
13.9
5.018.3

22.5
17.3
5.1
15.7
17.3
18.9
18.3
25.0

(19.326.1)
(15.619.1)
(3.57.4)
(13.817.7)
(12.523.5)
(14.823.7)
(15.421.5)
(22.028.3)
18.3
5.125.0

37.0
28.6
10.2
24.8
23.9
35.4
29.4
34.9

(31.842.6)
(25.232.3)
(8.212.5)
(22.926.9)
(20.228.0)
(30.640.4)
(26.232.7)
(30.939.1)
29.4
10.240.1

29.9
22.9
7.8
20.4
20.7
27.2
23.9
30.0

(26.034.2)
(20.925.2)
(6.69.1)
(18.822.2)
(17.024.9)
(23.830.9)
(21.426.5)
(27.133.0)
23.9
7.831.9

See table footnotes on page 88.

MMWR/June 8, 2012/Vol. 61/No. 4

87

Surveillance Summaries

TABLE 40. (Continued) Percentage of high school students who currently smoked cigars* and who currently used tobacco, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2011
Current cigar use
Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Current tobacco use

Male

CI

Total

CI

Female
CI

Male

CI

Total
CI

CI

7.4
5.6

(5.210.5)
(3.88.2)

14.0 (10.718.2)
12.9 (9.916.8)

10.7
9.8

(8.413.5)
(7.412.7)

10.6
11.6

(8.013.9)
(8.515.6)

16.1
16.1

(12.221.0)
(12.720.1)

13.2 (11.015.9)
14.2 (11.517.3)

11.7
12.9
7.4
9.6
11.4
11.0
4.5
8.8
6.5

(9.614.2)
(9.816.9)
(5.89.3)
(7.412.5)
(9.713.2)
(8.813.6)
(3.26.1)
(6.511.7)
(4.88.9)

13.9
17.9
11.4
17.3
19.6
17.9
11.8
12.0
10.8

(11.516.7)
(13.922.6)
(9.114.2)
(13.921.2)
(17.122.3)
(15.220.8)
(8.316.5)
(9.714.9)
(8.713.3)

13.0
15.3
9.7
13.7
15.7
14.6
8.5
10.4
8.7

(11.215.0)
(12.918.1)
(8.311.5)
(11.616.2)
(14.117.5)
(12.616.8)
(6.411.3)
(8.912.2)
(7.310.4)

15.4
15.8
6.4
13.0
15.6
12.7
7.6
11.5
11.5

(12.518.9)
(12.719.5)
(4.98.5)
(10.216.5)
(13.717.7)
(10.115.9)
(6.09.6)
(8.814.8)
(9.114.4)

17.9
20.3
12.1
20.4
24.4
18.7
13.0
16.3
12.6

(14.821.5)
(15.725.7)
(9.714.9)
(16.624.9)
(21.327.9)
(15.722.0)
(9.417.7)
(13.320.0)
(10.015.7)

16.5
18.0
9.3
16.8
20.0
15.7
10.5
13.9
12.0

7.4
8.0

(5.69.8)
(6.310.2)

16.0 (12.220.7)
14.7 (12.017.7)

11.7
11.5

(9.414.4)
(9.813.5)

12.7
15.7

(10.115.8)
(13.118.6)

20.6
21.0

(16.625.3)
(17.724.8)

16.6 (14.219.4)
18.3 (16.020.9)

8.6 (6.012.0)
11.1 (8.614.2)
14.3 (12.116.9)
9.8 (7.712.4)
11.5 (9.214.3)
13.4
8.619.6

6.0
9.1
10.5
7.8
9.0

(4.87.6)
(7.411.1)
(8.912.4)
(6.49.5)
(7.410.9)
10.4
6.015.7

8.7
12.2
14.0
9.2
8.3

(6.911.0)
(9.715.2)
(10.019.4)
(7.111.9)
(6.211.0)
11.9
6.415.8

12.5
19.1
19.3
13.3
12.6

(9.516.3)
(15.823.0)
(16.422.6)
(10.916.1)
(10.315.3)
17.1
12.124.4

10.7 (8.713.0)
15.6 (13.118.4)
16.8 (13.820.4)
11.5 (9.913.5)
10.7 (8.912.8)
14.9
9.320.0

3.3
7.2
6.3
4.7
5.4

(2.24.9)
(5.29.7)
(4.68.6)
(3.36.8)
(4.07.2)
7.4
3.312.9

(14.019.4)
(15.221.2)
(7.911.0)
(14.519.4)
(18.022.2)
(13.418.2)
(8.313.2)
(11.816.2)
(10.014.4)

* Smoked cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey.
Current cigarette use, current smokeless tobacco use, or current cigar use.
95% confidence interval.
Not available.

TABLE 41. 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, 2011
Ever drank alcohol
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Drank alcohol for the first time before age 13 years

Male

Total

Male

Total

CI

CI

71.0
66.1
74.1

(67.973.9)
(61.470.5)
(71.376.7)

72.3
60.9
72.4

(69.674.9)
(55.865.7)
(69.475.3)

71.7
63.5
73.2

(69.473.9)
(59.367.5)
(70.875.5)

14.8
19.4
23.0

(13.216.7)
(16.922.2)
(20.425.7)

21.1
24.1
27.2

(19.522.9)
(20.528.2)
(24.729.9)

18.1
21.8
25.2

(16.619.7)
(19.424.3)
(23.227.3)

61.9
69.1
74.8
80.0
70.9

(57.066.5)
(65.472.6)
(71.877.5)
(77.382.5)
(68.673.2)

61.6
69.2
75.7
78.0
70.6

(58.764.3)
(65.872.4)
(73.278.1)
(74.880.8)
(68.772.5)

61.7
69.2
75.3
79.0
70.8

(58.564.9)
(66.771.5)
(73.277.2)
(76.781.1)
(69.072.5)

24.1
17.6
14.2
12.2
17.4

(21.427.1)
(15.420.1)
(12.216.5)
(10.314.3)
(16.019.0)

28.9
24.3
20.9
17.9
23.3

(26.032.0)
(21.327.5)
(18.723.2)
(15.520.6)
(21.924.8)

26.6
21.1
17.6
15.1
20.5

(24.428.8)
(19.023.4)
(16.019.3)
(13.616.9)
(19.221.8)

* Had at least one drink of alcohol on at least 1 day during their life.
Other than a few sips.
95% confidence interval.
Non-Hispanic.

88

Female

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

Surveillance Summaries

TABLE 42. 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, 2011
Ever drank alcohol
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Drank alcohol for the first time before age 13 years

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

68.1
68.2

66.9
67.4

75.2

68.2

64.9
72.0
71.3
68.0
67.7
67.5
78.3
59.2
66.8
67.3
63.9
65.8
73.1
62.0
67.3

(62.373.5)
(63.572.6)

(63.870.0)
(62.272.2)

(71.478.7)

(62.973.1)

(57.571.7)
(68.275.5)
(66.275.9)
(63.072.7)
(62.772.3)
(62.272.3)
(72.183.5)
(57.261.2)
(61.371.9)
(63.570.8)
(59.967.7)
(62.568.9)
(70.675.5)
(58.365.6)
(62.272.1)

65.1
62.0

64.9
63.4

68.7

63.8

65.5
67.6
69.4
64.5
60.3
64.6
72.6
58.5
59.8
67.7
63.8
63.6
72.5
59.1
66.7

(59.370.6)
(56.467.2)

(60.069.4)
(57.269.2)

(65.072.2)

(58.968.4)

(59.071.5)
(64.570.5)
(65.073.5)
(58.070.6)
(55.365.2)
(60.168.8)
(65.978.4)
(57.060.1)
(55.164.3)
(64.370.9)
(60.567.0)
(59.067.9)
(70.174.7)
(55.462.8)
(62.870.4)

66.6
65.0

65.9
65.5

72.0

66.1

65.2
69.8
70.4
66.3
63.9
66.1
75.6
59.0
63.5
67.5
63.8
64.8
72.8
60.6
67.1

(62.770.4)
(60.868.9)

(63.068.7)
(60.969.8)

(69.474.5)

(62.269.8)

(58.871.1)
(66.972.5)
(66.374.1)
(61.570.8)
(59.568.2)
(62.269.9)
(70.080.5)
(57.660.3)
(59.167.6)
(65.169.8)
(60.866.8)
(61.468.0)
(70.874.6)
(57.963.3)
(63.970.1)

21.7
14.4
17.4
20.5
15.1
12.7
19.4
16.9
21.9
18.2
14.0
16.9
15.0
12.7
14.8
16.1
22.5
13.1
22.2
13.0
12.1
17.8
16.9
14.0
13.9

(18.026.0)
(11.717.5)
(14.421.0)
(15.726.2)
(10.920.6)
(10.615.1)
(16.422.8)
(15.418.6)
(16.728.1)
(15.920.7)
(11.117.5)
(14.120.0)
(12.917.4)
(10.814.9)
(11.918.3)
(12.820.2)
(17.927.9)
(12.014.3)
(19.225.5)
(10.715.7)
(9.914.6)
(15.120.9)
(15.218.8)
(11.816.6)
(10.218.6)

25.3
19.1
24.8
27.5
23.3
18.2
26.1
22.0
23.7
20.3
21.0
19.5
20.1
18.4
19.9
24.4
29.0
18.0
24.1
16.0
18.9
29.9
25.4
18.8
14.7

(20.730.4)
(15.823.0)
(22.027.7)
(24.430.8)
(19.727.4)
(15.621.1)
(23.229.3)
(20.623.5)
(20.027.8)
(18.422.4)
(17.524.9)
(16.522.9)
(16.823.8)
(14.822.6)
(16.423.8)
(20.728.4)
(25.033.3)
(16.219.9)
(20.528.1)
(13.518.9)
(16.221.8)
(26.433.8)
(23.127.9)
(16.521.3)
(12.117.6)

23.6
16.9
21.3
24.1
19.4
15.6
22.7
19.5
23.0
19.2
17.6
18.2
17.6
15.7
17.5
20.5
26.0
15.8
23.2
14.6
15.6
23.9
21.4
16.5
14.3

(20.527.1)
(14.719.3)
(18.923.9)
(21.227.2)
(16.722.4)
(13.418.0)
(20.425.2)
(18.320.7)
(19.227.4)
(18.020.6)
(15.020.7)
(16.020.6)
(15.619.8)
(13.518.1)
(15.020.3)
(17.723.6)
(22.829.4)
(14.517.1)
(20.726.0)
(12.616.8)
(13.617.8)
(21.726.3)
(19.723.1)
(14.718.5)
(11.917.1)

70.6

(65.875.0)

67.6

(61.573.3)

69.1

(64.473.5)

11.4
23.0
16.8
13.8

(9.413.7)
(21.025.1)
(15.218.6)
(10.717.6)

17.5
31.5
21.1
22.3

(12.823.4)
(28.734.5)
(18.823.7)
(20.124.8)

14.4
27.4
19.0
18.2

(11.717.6)
(25.429.4)
(17.520.7)
(16.120.5)

68.9

(65.272.3)

67.6

(63.771.3)

68.3

(65.471.1)

13.1

(10.815.9)

19.7

(16.423.6)

16.7

(14.419.3)

71.3
70.0
64.2
72.2

(64.977.0)
(65.973.7)
(61.267.0)
(67.976.2)

69.9
72.2
59.7
70.5

(64.075.2)
(66.477.3)
(55.963.3)
(65.575.0)

70.7
71.0
62.0
71.4

(65.575.5)
(67.674.2)
(59.164.7)
(68.674.0)

16.5
16.7
14.3
20.1

(12.321.7)
(12.721.6)
(11.817.3)
(17.023.7)

19.4
22.2
16.7
27.7

(15.523.8)
(16.529.1)
(13.919.9)
(23.632.2)

18.1
19.4
15.6
24.1

(14.821.9)
(15.324.3)
(13.318.1)
(21.327.1)

71.0

(64.576.7)

67.1

(61.172.7)

69.1

(64.573.3)

17.6

(14.621.2)

20.2

(15.725.5)

19.0

(16.022.3)

(63.269.6)
(72.678.5)
(29.640.4)

(58.670.0)
(64.675.1)
(69.175.6)
(63.369.8)
68.0
34.878.3

63.8
70.0
35.2

56.6
66.9
69.9
65.0

(60.067.4)
(66.473.3)
(30.340.4)

(51.461.5)
(62.670.9)
(66.273.4)
(61.168.8)
65.1
35.272.6

65.1
72.7
35.1

60.5
68.5
71.2
65.7

(62.168.0)
(69.975.4)
(30.639.8)

(55.964.9)
(64.372.3)
(68.573.7)
(62.768.6)
66.3
35.175.6

18.2
19.3
7.9
11.8
19.0
15.6
15.8
21.1

(15.121.9)
(17.121.8)
(5.311.6)
(9.614.4)
(16.222.1)
(12.020.0)
(12.919.1)
(18.624.0)
16.5
7.923.0

21.0
26.0
13.1
17.6
16.9
22.8
21.3
25.8

(18.224.0)
(23.828.4)
(10.216.8)
(15.220.3)
(13.520.9)
(18.627.6)
(19.023.7)
(23.328.6)
21.0
13.131.5

19.7
22.8
10.7
14.8
18.1
19.2
18.6
23.5

66.5
75.6
34.8

64.5
70.2
72.4
66.6

(17.322.3)
(21.024.7)
(8.113.9)
(12.717.3)
(15.321.2)
(15.523.6)
(16.520.9)
(21.825.4)
19.0
10.727.4

See table footnotes on page 90.

MMWR/June 8, 2012/Vol. 61/No. 4

89

Surveillance Summaries

TABLE 42. (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, 2011
Ever drank alcohol
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Drank alcohol for the first time before age 13 years

Total
CI

Female
CI

Male

CI

Total
CI

CI

67.6
70.7
69.2

(62.372.4)
(66.374.7)
(64.573.5)

68.4
63.5
68.8

(62.373.9)
(58.468.3)
(64.772.7)

67.8
66.9
69.1

(63.072.2)
(63.370.3)
(65.672.3)

18.3
21.1
17.5

(14.622.7)
(18.324.3)
(14.920.4)

22.9
23.1
26.3

(18.428.0)
(20.126.4)
(23.029.8)

20.5
22.0
22.2

(17.523.9)
(19.924.2)
(20.224.4)

70.2
71.6
73.1
64.8
66.8
66.9
66.3
59.4
67.5

(65.674.5)
(66.076.6)
(69.876.1)
(59.969.3)
(63.769.7)
(63.270.4)
(62.270.2)
(55.263.5)
(63.871.0)

67.6
70.9
63.4
55.3
63.6
62.1
63.8
52.0
58.7

(62.772.1)
(66.275.2)
(59.467.3)
(50.160.3)
(60.566.6)
(58.165.9)
(59.867.5)
(47.056.9)
(54.662.6)

68.9
71.3
68.8
60.3
65.2
64.5
65.1
55.8
63.1

(64.972.7)
(67.674.6)
(65.871.6)
(56.763.7)
(62.967.5)
(61.567.4)
(62.267.9)
(52.559.0)
(60.166.1)

21.6
19.4
17.5
20.7
19.8
18.9
22.8
16.5
20.6

(18.425.1)
(16.223.0)
(14.620.8)
(16.725.3)
(17.522.3)
(16.521.5)
(16.031.5)
(13.819.6)
(17.024.6)

31.8
25.6
24.3
21.6
23.7
25.7
27.5
20.6
24.0

(28.735.0)
(21.530.3)
(20.428.7)
(18.125.6)
(21.426.3)
(22.928.8)
(23.831.6)
(17.124.6)
(20.827.5)

26.4
22.6
21.0
21.3
21.9
22.4
25.5
18.5
22.2

(24.428.5)
(19.625.9)
(18.423.9)
(18.124.9)
(20.123.7)
(20.224.7)
(20.830.8)
(16.420.9)
(19.525.2)

67.9

68.2
70.8

(63.971.6)

(63.172.8)
(66.874.5)

61.5

64.8
66.8

(57.165.8)

(60.269.2)
(62.371.0)

64.9

66.5
68.8

(61.967.8)

(62.570.2)
(65.372.2)

19.9
21.4
17.9
19.1

(16.723.6)
(19.123.9)
(14.721.7)
(16.322.2)

23.9
24.0
21.5
24.3

(20.927.2)
(22.026.1)
(17.925.6)
(21.027.9)

22.2
22.8
19.7
21.7

(20.024.5)
(21.024.7)
(17.022.8)
(19.424.2)

66.8
75.0
68.0
49.5

(62.670.7)
(70.878.8)
(63.872.0)
(45.453.5)

67.9
49.575.0

61.7
69.5
62.2
48.4

(56.466.8)
(64.773.8)
(57.966.3)
(44.552.3)

63.5
48.470.9

64.3
72.2
65.1
49.1

(60.468.1)
(68.975.3)
(61.568.6)
(46.052.2)

65.2
49.172.2

17.5
22.3
20.6
16.2
13.6

(14.421.0)
(18.926.2)
(17.024.8)
(13.419.4)
(11.016.6)
19.4
13.622.8

24.9
29.5
22.8
19.5
18.5

(21.428.8)
(26.033.2)
(19.626.3)
(16.423.1)
(15.621.8)
24.0
18.531.8

21.1
25.9
21.7
18.1
16.2

(18.723.8)
(23.129.0)
(18.825.0)
(16.020.5)
(14.018.7)
21.9
16.226.4

* Had 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 43. Percentage of high school students who drank alcohol, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Binge drinking

Current alcohol use*


Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

Female

Male

CI

38.8
31.6
42.4

(36.141.6)
(28.035.3)
(39.445.5)

41.6
29.5
42.1

(39.244.1)
(25.833.5)
(38.445.8)

40.3
30.5
42.3

(38.342.2)
(27.833.4)
(39.545.1)

21.7
10.3
22.4

(20.023.5)
(8.312.6)
(20.524.5)

26.1
14.5
25.9

(24.328.1)
(12.217.2)
(22.130.1)

24.0
12.4
24.2

(22.825.3)
(10.714.2)
(21.926.7)

30.3
37.1
40.1
45.4
37.9

(27.233.6)
(33.940.3)
(36.943.3)
(41.649.4)
(36.139.8)

29.3
34.4
45.2
51.2
39.5

(25.932.8)
(30.838.2)
(41.648.8)
(48.054.4)
(37.641.3)

29.8
35.7
42.7
48.4
38.7

(27.132.6)
(33.038.5)
(40.145.3)
(45.851.0)
(37.240.3)

13.0
17.8
22.6
27.0
19.8

(10.915.3)
(15.919.9)
(19.925.4)
(23.830.6)
(18.621.1)

15.0
19.0
27.9
35.7
23.8

(12.318.3)
(17.021.1)
(24.731.3)
(33.138.5)
(22.525.2)

14.0
18.4
25.2
31.5
21.9

(11.916.4)
(17.119.9)
(23.027.7)
(29.233.8)
(21.022.8)

CI

CI

* Had at least one drink of alcohol on at least 1 day during the 30 days before the survey.
Had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

90

Total

CI

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

Surveillance Summaries

TABLE 44. Percentage of high school students who drank alcohol, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Binge drinking

Current alcohol use*


Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

Female

Male

Total

CI

CI

34.9
31.0
44.4
33.9
38.0
42.1
41.9
37.7
36.3
32.3
35.6
38.7
33.6
35.8
35.0
33.3
45.8
28.0
36.8
39.0
28.8
35.1
36.9
27.5
37.5

(30.439.6)
(26.236.1)
(41.047.9)
(29.738.4)
(32.044.4)
(38.146.1)
(37.946.1)
(35.440.0)
(30.842.1)
(28.236.6)
(30.341.3)
(34.443.2)
(29.737.8)
(31.140.7)
(31.538.6)
(28.538.6)
(39.652.2)
(26.229.9)
(31.642.3)
(35.542.7)
(25.232.8)
(31.738.8)
(34.139.7)
(24.630.7)
(32.742.5)

36.4
26.2
43.4
33.6
34.7
41.3
38.8
36.2
32.4
25.8
36.9
36.9
33.2
38.2
30.2
35.6
42.5
29.1
32.3
41.3
32.2
37.3
39.7
25.7
39.0

(30.143.3)
(21.531.5)
(39.247.6)
(27.840.0)
(29.640.2)
(36.146.6)
(35.142.5)
(33.838.7)
(28.636.6)
(22.629.2)
(31.842.4)
(31.442.7)
(29.537.0)
(30.646.4)
(26.534.2)
(31.440.0)
(37.048.2)
(27.430.9)
(27.437.7)
(37.445.3)
(28.336.3)
(31.643.4)
(37.242.3)
(22.828.9)
(34.144.1)

35.6
28.6
43.8
33.9
36.4
41.5
40.4
37.0
34.6
29.1
36.2
37.8
33.4
37.1
32.6
34.6
44.4
28.7
34.8
40.1
30.5
36.2
38.3
26.6
38.4

(31.639.9)
(24.832.6)
(40.846.8)
(30.237.7)
(31.741.4)
(37.745.5)
(37.443.5)
(35.039.0)
(30.738.7)
(25.932.4)
(31.741.0)
(34.141.6)
(30.236.9)
(31.842.7)
(29.535.8)
(31.437.8)
(40.148.8)
(27.330.1)
(30.739.2)
(37.043.3)
(27.334.0)
(32.140.6)
(36.240.5)
(24.229.1)
(34.842.1)

19.7
16.7
26.2
17.6
21.6
19.3
21.6
18.8
17.0
16.4
19.4
21.1
18.4
20.4
20.7
21.2
19.2
14.5
18.2
19.8
15.5
15.6
23.0
17.3
22.9

(16.023.9)
(12.921.4)
(23.629.1)
(14.221.5)
(17.526.5)
(15.823.4)
(18.824.7)
(17.020.7)
(13.221.6)
(14.318.6)
(16.422.9)
(18.523.9)
(15.721.4)
(16.724.8)
(17.624.2)
(17.825.0)
(16.422.4)
(13.215.9)
(14.123.1)
(17.322.5)
(12.519.0)
(12.619.3)
(20.925.3)
(14.720.2)
(18.627.8)

22.1
16.7
26.8
22.4
22.8
25.4
22.1
19.4
17.7
14.3
24.1
24.0
21.0
25.5
20.5
24.8
26.6
17.7
18.4
24.8
20.0
22.8
27.3
15.6
24.5

(16.628.7)
(13.820.0)
(22.831.2)
(17.428.5)
(17.928.5)
(20.630.9)
(19.125.4)
(17.321.6)
(14.421.5)
(11.917.1)
(19.828.9)
(18.230.8)
(17.724.8)
(18.733.7)
(18.023.2)
(21.628.3)
(20.733.4)
(16.319.3)
(14.323.3)
(20.929.1)
(16.923.6)
(18.028.5)
(25.229.5)
(13.418.0)
(20.429.0)

21.0
16.7
26.5
20.1
22.3
22.3
21.9
19.1
17.5
15.4
21.8
22.5
19.8
23.0
20.7
23.2
23.0
16.2
18.4
22.2
17.8
19.3
25.2
16.4
23.8

(17.524.9)
(14.119.7)
(23.929.2)
(16.624.1)
(18.426.7)
(18.926.1)
(19.424.6)
(17.320.9)
(14.421.0)
(13.717.2)
(18.625.5)
(19.226.3)
(17.022.9)
(18.328.6)
(18.323.3)
(20.725.9)
(19.726.8)
(15.117.4)
(14.922.6)
(19.625.1)
(15.021.1)
(15.923.3)
(23.527.1)
(14.518.5)
(20.727.3)

44.3
38.3
40.5
33.2

(38.650.0)
(34.742.1)
(36.244.9)
(29.537.0)

41.5
35.7
36.3
35.5

(35.847.5)
(33.338.2)
(32.340.5)
(31.240.1)

42.9
36.9
38.4
34.3

(37.848.2)
(34.139.8)
(34.642.3)
(31.537.3)

23.3
22.0
21.8
13.6

(18.828.3)
(19.524.8)
(18.226.0)
(11.316.2)

24.1
22.8
22.1
21.7

(18.830.3)
(20.225.5)
(18.726.0)
(18.625.2)

23.7
22.4
22.0
17.6

(19.128.9)
(20.324.6)
(18.925.4)
(15.520.1)

39.5 (35.044.1)

37.9

(33.742.4)

38.8

(35.542.2)

24.0

(20.627.8)

26.9

(23.330.8)

25.6

(22.828.7)

38.7
36.3
35.2
39.0

(33.743.9)
(30.442.7)
(32.338.3)
(35.342.9)

37.2
40.2
32.6
40.4

(29.845.3)
(34.945.8)
(29.236.3)
(35.245.9)

38.0
38.3
34.0
39.7

(32.144.3)
(34.842.0)
(31.336.8)
(36.243.3)

22.1
21.1
17.2
16.9

(18.326.3)
(16.626.4)
(15.419.1)
(13.920.4)

25.0
25.4
19.1
26.3

(20.030.8)
(20.431.0)
(16.022.7)
(21.032.3)

23.7
23.3
18.3
21.7

(19.928.0)
(19.727.2)
(16.120.7)
(17.826.1)

39.9 (34.645.5)

38.6

(32.844.7)

39.2

(34.943.7)

24.1

(18.730.5)

28.3

(22.934.3)

26.2

(21.930.9)

34.0 (31.436.7)
39.3 (36.142.6)
13.1 (9.517.9)
33.7 (31.535.9)
33.0 (27.439.2)
33.8 (27.740.6)
39.1 (35.143.3)
36.6 (33.539.8)
36.3
13.145.8

32.4 (28.436.7)
40.2 (36.643.9)
16.4 (12.920.7)
36.7 (33.639.9)
28.0 (22.534.2)
34.7 (29.540.3)
39.3 (35.243.5)
35.7 (32.039.5)
36.3
16.443.4

CI

33.3 (30.436.2)
39.7 (37.442.2)
15.0 (12.118.5)
35.3 (33.037.8)
30.5 (25.535.9)
34.3 (29.539.5)
39.2 (36.542.0)
36.1 (33.538.7)
36.2
15.044.4

CI

16.9 (14.619.4)
21.6 (18.824.7)
7.1
(4.810.3)
18.5 (17.020.1)
16.2 (12.720.3)
18.5 (14.323.5)
21.5 (18.424.9)
23.5 (20.926.4)
19.4
7.126.2

CI

20.1
(17.123.6)
25.2
(21.928.9)
10.9
(8.114.4)
23.1
(20.825.7)
15.3
(11.919.5)
21.9
(18.625.5)
26.1
(22.430.1)
26.7
(23.929.7)
22.8
10.928.3

CI

18.6 (16.321.1)
23.5 (21.126.0)
9.1
(7.011.9)
20.9 (19.322.7)
15.7 (12.919.1)
20.2 (16.924.0)
23.8 (21.126.8)
25.1 (23.027.4)
21.8
9.126.5

See table footnotes on page 92.

MMWR/June 8, 2012/Vol. 61/No. 4

91

Surveillance Summaries

TABLE 44. (Continued) Percentage of high school students who drank alcohol, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Binge drinking

Current alcohol use*


Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles,CA
Memphis, TN
Miami- Dade
County, FL
Milwaukee,WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Total
CI

Female
CI

Male

CI

CI

Total
%

CI

37.5
36.7
33.1

(32.542.8)
(33.040.6)
(29.436.9)

39.4
37.4
35.0

(33.945.2)
(33.941.2)
(30.839.4)

38.3
37.2
34.1

(34.242.7)
(34.640.0)
(30.937.5)

16.5
15.2
13.9

(12.122.0)
(13.017.7)
(11.616.6)

16.8 (12.921.6)
19.6 (16.323.5)
16.9 (14.020.2)

16.6 (13.520.2)
17.6 (15.520.0)
15.6 (13.617.9)

39.3
37.6
24.7
34.9
38.0
34.5
33.8
25.8
39.6

(35.543.2)
(32.443.1)
(21.528.2)
(29.540.7)
(35.141.0)
(30.339.0)
(29.338.5)
(22.529.4)
(36.343.1)

35.9
32.9
23.9
30.5
32.8
31.3
32.0
18.8
30.3

(31.340.9)
(27.538.9)
(20.128.3)
(25.835.7)
(29.536.4)
(27.335.5)
(27.337.2)
(15.822.2)
(26.134.9)

37.7
35.4
24.7
32.8
35.6
33.0
32.9
22.4
35.1

(34.341.3)
(31.639.4)
(22.227.3)
(29.136.7)
(33.138.2)
(30.136.0)
(29.536.5)
(19.925.1)
(32.038.4)

18.9
20.0
7.8
12.9
17.1
17.8
17.5
8.4
17.8

(14.823.9)
(16.324.4)
(6.29.7)
(10.316.2)
(15.119.4)
(15.620.2)
(14.521.1)
(6.211.2)
(15.820.1)

20.7
19.1
8.5
12.2
17.9
17.1
18.1
6.4
17.1

(17.324.5)
(14.824.3)
(6.810.5)
(9.415.8)
(15.420.7)
(14.520.2)
(14.422.5)
(4.58.9)
(14.120.6)

19.7
19.6
8.2
12.6
17.6
17.5
17.9
7.4
17.5

(16.523.4)
(16.523.1)
(7.09.6)
(10.415.3)
(15.819.6)
(15.619.6)
(15.520.5)
(5.89.5)
(15.419.8)

30.5
32.6
37.8
45.4

(27.234.0)
(29.835.5)
(33.242.6)
(40.850.2)

30.0
28.3
35.0
41.2

(26.433.8)
(26.230.5)
(30.240.1)
(36.845.6)

30.5
30.6
36.2
43.5

(28.033.2)
(28.832.5)
(32.540.1)
(39.647.4)

12.6
12.7
15.9
24.8

(10.714.9)
(11.414.2)
(12.719.7)
(21.628.3)

14.4
12.5
19.3
25.2

(12.017.1)
(11.213.9)
(15.324.0)
(21.429.5)

13.6
12.7
17.5
25.2

(12.115.3)
(11.713.9)
(14.620.8)
(22.228.4)

(29.238.4)
(37.747.1)
(27.737.3)
(18.525.0)
(26.133.9)
34.5
21.645.4

29.0
39.0
33.6
20.2
24.4

(24.633.8)
(34.344.0)
(28.838.7)
(17.323.4)
(20.828.4)
32.0
18.841.2

31.6
40.6
33.0
21.0
27.2

(27.935.5)
(37.044.4)
(28.937.2)
(18.823.5)
(24.130.6)
33.0
21.043.5

14.6
22.6
18.2
10.0
17.5

(11.818.0)
(19.126.5)
(14.822.3)
(7.713.0)
(14.521.0)
16.5
7.824.8

15.6
23.0
19.8
13.0
16.8

(12.519.3)
(19.626.8)
(16.523.5)
(10.715.8)
(13.920.3)
17.1
6.425.2

15.2
22.7
19.0
11.7
17.4

33.6
42.3
32.3
21.6
29.9

(12.718.0)
(20.225.5)
(16.122.3)
(10.013.5)
(15.020.2)
17.5
7.425.2

* Had at least one drink of alcohol on at least 1 day during the 30 days before the survey.
Had five or more drinks of alcohol in a row within a couple of hours on at least 1 day during the 30 days before the survey.
95% confidence interval.

TABLE 45. Percentage of high school students who drank alcohol on school property* 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, 2011
Drank alcohol on school property
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Someone gave alcohol to them

Male

CI

3.8
3.8
6.6

(3.14.7)
(3.04.8)
(5.48.1)

4.2
6.5
7.9

5.2
4.5
4.9
3.8
4.7

(3.96.8)
(3.46.0)
(3.76.5)
(2.85.2)
(4.05.4)

5.6
4.2
5.4
6.4
5.4

Total
CI

Female
%

CI

(3.35.2)
(5.18.2)
(6.110.1)

4.0
5.1
7.3

(3.34.8)
(4.26.3)
(6.18.8)

43.9
50.6
46.9

(39.248.7)
(43.757.5)
(42.151.7)

34.4
39.1
33.1

(30.238.9)
(33.245.2)
(29.736.6)

38.8
44.9
39.8

(35.741.9)
(39.550.5)
(37.242.5)

(4.27.5)
(3.15.8)
(4.27.0)
(5.08.2)
(4.66.4)

5.4
4.4
5.2
5.1
5.1

(4.46.7)
(3.45.5)
(4.16.4)
(4.26.2)
(4.55.8)

49.4
42.8
43.7
47.3
45.7

(42.356.6)
(36.649.3)
(38.049.7)
(41.753.1)
(41.849.6)

29.4
41.8
32.9
36.3
35.0

(24.135.4)
(33.650.4)
(28.038.2)
(32.140.8)
(31.638.6)

39.3
42.3
37.9
41.3
40.0

(35.343.5)
(37.147.6)
(34.441.5)
(38.344.4)
(37.542.5)

MMWR/June 8, 2012/Vol. 61/No. 4

Total

CI

* At least one drink of alcohol on at least 1 day during the 30 days before the survey.
Among the 38.7% of students nationwide who currently drank alcohol during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

92

Male

CI

CI

Surveillance Summaries

TABLE 46. Percentage of high school students who drank alcohol on school property* and who usually obtained the alcohol they drank by
someone giving it to them, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Drank alcohol on school property
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Someone gave alcohol to them


Total

Female

CI

CI

CI

Male
%

Total
CI

CI

4.5
3.1
4.8
2.9
4.6
3.4
4.1
4.0
3.9
5.2
3.2
2.6
1.5
1.6
2.4
2.7
4.6
2.3
4.8
2.6
2.2
3.0
2.5
2.5
4.9

(3.06.7)
(1.95.0)
(3.95.8)
(1.65.2)
(3.16.9)
(2.35.0)
(3.05.4)
(3.34.8)
(2.07.2)
(4.36.4)
(2.24.7)
(1.93.6)
(0.82.8)
(1.02.6)
(1.43.9)
(2.03.6)
(2.29.2)
(1.82.9)
(3.37.0)
(1.64.3)
(1.63.0)
(1.94.7)
(1.93.3)
(1.83.4)
(3.17.6)

6.9
3.7
7.6
5.3
5.4
5.8
6.0
6.1
6.4
4.7
4.9
4.1
2.5
2.9
3.3
5.3
7.1
3.8
5.6
4.5
3.0
6.0
4.4
3.4
6.3

(4.211.0)
(2.45.7)
(5.710.2)
(3.67.8)
(3.38.8)
(4.17.9)
(4.67.8)
(5.27.2)
(4.58.9)
(3.46.4)
(3.56.7)
(2.95.6)
(1.54.2)
(1.65.0)
(2.24.9)
(3.77.6)
(3.912.5)
(3.24.4)
(4.27.3)
(3.46.0)
(2.14.4)
(4.09.0)
(3.45.6)
(2.34.9)
(4.58.7)

5.7
3.4
6.2
4.1
5.3
4.6
5.0
5.1
5.4
5.0
4.1
3.3
2.0
2.3
2.9
4.1
6.0
3.1
5.3
3.6
2.7
4.5
3.5
3.0
5.6

(3.88.4)
(2.54.6)
(5.27.5)
(2.95.8)
(3.77.5)
(3.46.0)
(4.16.1)
(4.65.7)
(3.97.3)
(4.35.9)
(3.15.2)
(2.64.2)
(1.42.9)
(1.63.4)
(2.13.9)
(3.15.3)
(3.79.8)
(2.73.5)
(4.26.9)
(2.84.6)
(2.03.5)
(3.46.1)
(2.84.2)
(2.33.9)
(4.47.2)

49.6

38.1
47.5
41.4
45.3

48.5
47.9
51.7
42.9
49.8
50.0
43.6
39.5
37.7
39.0
49.2

43.6
49.2
39.3
37.7
41.3

(42.356.9)

(32.044.6)
(40.754.5)
(35.547.5)
(40.250.5)

(42.454.7)
(41.854.1)
(46.656.8)
(37.448.6)
(43.855.9)
(43.456.7)
(36.750.7)
(31.847.8)
(28.847.4)
(35.143.1)
(43.954.6)

(38.648.6)
(43.754.7)
(35.043.7)
(30.945.0)
(35.047.9)

28.0

25.2
25.6
27.0
37.0

32.4
32.9
37.2
29.4
28.0
35.3
38.0
26.6
28.2
28.8
38.4

28.7
29.5
29.6
32.3
26.1

(21.335.9)

(18.832.9)
(19.333.1)
(21.733.0)
(31.642.7)

(24.641.4)
(26.639.9)
(29.845.2)
(23.635.8)
(23.233.4)
(30.140.7)
(29.747.0)
(21.033.0)
(19.039.6)
(25.032.9)
(33.443.7)

(25.632.1)
(23.636.3)
(26.532.8)
(27.237.8)
(20.033.3)

38.5

31.6
36.9
34.1
41.5

40.9
41.4
44.0
36.3
39.0
42.2
41.0
32.8
33.0
33.5
44.2

35.6
39.5
34.1
35.2
33.0

(32.944.4)

(26.237.5)
(33.041.0)
(30.338.2)
(38.244.9)

(36.345.7)
(37.046.1)
(39.249.0)
(31.741.3)
(36.241.9)
(37.547.0)
(36.046.2)
(27.638.3)
(27.239.4)
(30.836.3)
(40.348.1)

(33.238.1)
(35.643.6)
(31.436.9)
(30.540.2)
(28.038.4)

6.0

3.7

(5.07.3)

(2.36.0)

6.7

7.1

(5.68.1)

(5.49.4)

6.4

5.5

(5.47.6)

(4.17.4)

37.5
50.6
35.9
41.1

(32.442.9)
(47.354.0)
(31.540.6)
(34.947.7)

29.7
32.7
26.1
27.8

(24.835.2)
(27.838.1)
(22.330.2)
(22.633.6)

33.6
41.9
31.2
34.2

(29.138.3)
(38.645.1)
(27.834.9)
(30.138.5)

2.8

(1.74.6)

3.4

(2.44.8)

3.1

(2.24.3)

40.6

(34.447.0)

26.6

(22.131.7)

33.5

(29.437.9)

2.3

4.8

(1.05.0)

(3.26.9)

3.0

6.8

(1.65.4)

(4.610.0)

2.6

5.9

(1.64.4)

(4.38.1)

53.2

(43.962.3)

33.0

(25.042.1)

42.5

(35.949.4)

2.7
3.7
1.8
2.2
2.8
3.0

4.1

(2.13.6)
(2.84.9)
(1.03.1)
(1.14.5)
(1.74.5)
(1.94.7)

(3.15.3)
3.0
1.56.0

3.6
3.9
3.4
4.2
3.8
5.4

6.0

(2.55.1)
(3.05.0)
(2.05.8)
(3.15.7)
(2.45.9)
(3.67.9)

(4.77.6)
4.9
2.57.6

3.2
3.9
2.7
3.3
3.3
4.2

5.1

(2.64.0)
(3.24.7)
(1.84.1)
(2.44.6)
(2.34.8)
(3.05.9)

(4.26.1)
4.1
2.06.4

48.9
44.3
47.0

51.4
51.3
46.0
50.2

(43.354.5)
(39.449.4)
(35.458.9)

(40.462.4)
(45.557.0)
(40.052.1)
(44.955.4)
45.6
35.953.2

30.9
32.7
33.3

28.4
37.2
31.6
29.7

(26.036.3)
(28.637.1)
(22.945.6)

(21.237.0)
(30.444.4)
(27.935.6)
(25.034.9)
29.6
25.238.4

39.8
38.3
39.4

40.7
44.0
38.6
40.0

(36.043.8)
(34.542.3)
(32.347.0)

(34.147.6)
(39.448.8)
(35.342.0)
(36.144.0)
38.5
31.244.2

See table footnotes on page 94.

MMWR/June 8, 2012/Vol. 61/No. 4

93

Surveillance Summaries

TABLE 46. (Continued) Percentage of high school students who drank alcohol on school property* and who usually obtained the alcohol they
drank by someone giving it to them, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Drank alcohol on school property
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

Female

Male

Total

CI

4.7
3.3
5.2

(2.78.0)
(2.34.8)
(3.57.6)

5.4
5.5
7.8

(3.58.3)
(4.27.3)
(5.910.3)

5.0
4.5
6.6

(3.67.0)
(3.65.6)
(4.98.7)

39.4
43.8

(28.152.1)
(35.852.2)

28.6
33.4

(21.137.5)
(26.740.8)

34.4
38.6

(27.442.1)
(34.343.0)

4.4
4.3
2.2
6.6
6.3
4.5
8.9
2.9
4.5

(3.35.9)
(3.06.1)
(1.53.3)
(4.79.3)
(5.07.8)
(3.26.1)
(6.612.1)
(2.04.1)
(3.45.9)

6.1
7.0
4.5
6.9
6.2
4.8
9.4
2.1
5.1

(4.68.2)
(4.710.2)
(3.46.1)
(4.99.7)
(5.07.8)
(3.76.3)
(6.513.6)
(1.23.8)
(3.96.7)

5.2
5.6
3.3
6.7
6.3
4.7
9.3
2.6
4.8

(4.26.5)
(4.27.4)
(2.64.2)
(5.18.8)
(5.47.4)
(3.95.7)
(7.111.9)
(1.83.6)
(3.86.0)

36.9
51.4
40.8

46.0
39.1
44.3
56.5
43.3

(31.742.3)
(42.260.5)
(35.646.3)

(41.550.6)
(33.345.2)
(37.851.1)
(48.264.5)
(37.149.6)

28.4
31.7
33.6

32.4
29.0
23.0
28.7
28.4

(22.834.7)
(24.839.6)
(23.745.2)

(27.238.2)
(24.134.4)
(17.230.1)
(20.239.1)
(21.736.2)

33.3
42.9
37.6

39.8
34.3
33.4
44.8
37.0

(29.137.7)
(36.249.8)
(32.642.9)

(36.243.6)
(30.138.7)
(28.438.7)
(37.752.1)
(32.541.8)

3.5
6.1

(2.25.6)
(4.48.3)

4.5
6.3

(3.16.7)
(4.68.5)

4.0
6.4

(3.05.4)
(5.08.0)

53.8
36.4
51.6
43.7

(47.759.9)
(33.339.6)
(43.959.3)
(38.249.3)

32.6
27.2
34.5
31.3

(26.539.4)
(24.230.4)
(28.441.1)
(25.537.6)

43.2
32.0
43.3
37.8

(38.248.4)
(29.734.5)
(38.148.6)
(33.242.7)

(27.141.3)
(35.949.9)
(36.353.2)
(25.140.5)
(33.747.5)
43.3
32.356.5

26.7
29.5
19.6
20.5
28.6

(21.033.2)
(24.135.5)
(15.025.1)
(15.426.7)
(21.936.3)
28.7
19.634.5

30.5
36.3
31.6
26.5
34.8

Site

Someone gave alcohol to them

4.2
10.6
7.8
4.9
5.9

(2.86.2)
(8.413.4)
(5.111.6)
(3.66.6)
(4.37.9)
4.7
2.210.6

CI

CI

4.8
10.7
7.8
5.3
6.1

(3.76.3)
(8.813.0)
(5.710.5)
(4.26.8)
(4.87.8)
5.3
2.610.7

5.4
10.9
7.8
5.6
5.9

(3.77.8)
(8.014.7)
(5.610.8)
(4.07.7)
(4.08.5)
5.9
2.110.9

CI

33.8
42.7
44.6
32.3
40.4

CI

CI

(25.835.6)
(32.140.6)
(26.037.8)
(22.131.4)
(29.740.2)
36.3
26.544.8

* At least one drink of alcohol on at least 1 day during the 30 days before the survey.
Among students who currently drank alcohol during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 47. Percentage of high school students who used marijuana, by sex, race/ethnicity, and grade United States, Youth Risk Behavior
Survey, 2011
Ever used marijuana*
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Total

CI

CI

35.4
37.7
39.1

(32.638.3)
(33.342.4)
(35.542.7)

40.3
48.5
45.0

(36.943.8)
(43.253.7)
(41.848.2)

26.4 (23.329.8)
35.2 (31.938.7)
42.1 (38.545.9)
47.1 (42.651.6)
37.2 (34.739.7)

34.9
37.5
48.7
50.8
42.5

(31.538.6)
(33.242.0)
(44.453.0)
(46.954.6)
(39.845.2)

* Used marijuana one or more times during their life.


95% confidence interval.
Non-Hispanic.

94

Tried marijuana for the first time before age 13 years

Male

MMWR/June 8, 2012/Vol. 61/No. 4

Female

Male
%

Total

CI

CI

CI

CI

37.9
43.0
42.1

(35.340.6)
(38.947.3)
(39.245.0)

4.4
6.9
7.1

(3.45.7)
(4.99.7)
(5.78.6)

8.5
14.2
11.6

(7.49.7)
(11.517.3)
(9.414.3)

6.5
10.5
9.4

(5.77.4)
(8.812.6)
(7.911.2)

30.8
36.4
45.5
48.9
39.9

(28.033.7)
(33.439.5)
(42.148.9)
(45.752.1)
(37.842.1)

6.6
4.8
5.6
5.3
5.7

(5.28.3)
(3.66.2)
(4.27.3)
(4.07.1)
(4.86.7)

12.7
10.1
9.6
8.7
10.4

(10.814.9)
(8.112.4)
(8.011.5)
(7.110.6)
(9.311.6)

9.7
7.5
7.6
7.0
8.1

(8.311.3)
(6.38.9)
(6.49.1)
(5.88.5)
(7.39.0)

Surveillance Summaries

TABLE 48. Percentage of high school students who used marijuana, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ever used marijuana*
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Tried marijuana for the first time before age 13 years

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

32.4
40.2
40.9
29.2
37.2
35.7
43.8
36.2
36.4

29.8
35.6
33.3
24.8
29.6
34.8
29.2
33.1
36.9
37.8
30.7
25.7
36.0
23.6
40.5

(27.837.5)
(34.346.4)
(37.244.7)
(25.832.8)
(31.343.6)
(31.839.7)
(39.048.8)
(33.938.6)
(30.842.3)

(24.335.9)
(32.039.3)
(29.437.4)
(19.630.8)
(25.434.2)
(29.041.2)
(21.238.8)
(30.935.4)
(30.943.3)
(34.241.5)
(26.035.9)
(23.927.5)
(32.140.1)
(20.227.4)
(34.746.6)

44.7
42.1
45.0
37.0
40.6
43.7
47.7
41.9
39.2

39.0
41.1
41.0
30.5
33.6
39.7
39.7
38.2
36.9
48.5
38.2
40.5
42.2
26.3
46.2

(38.151.6)
(36.747.8)
(40.449.7)
(30.344.3)
(35.046.5)
(39.448.1)
(43.352.1)
(39.544.4)
(35.942.7)

(32.645.6)
(36.945.4)
(35.946.3)
(22.340.1)
(29.238.4)
(35.444.1)
(33.546.2)
(36.240.3)
(33.440.5)
(44.552.5)
(34.541.9)
(36.944.2)
(38.246.4)
(23.429.5)
(41.950.5)

38.5
41.2
42.8
33.3
39.5
39.6
46.0
39.1
37.9

34.6
38.4
37.2
27.8
31.6
37.4
34.2
35.8
37.0
43.1
34.5
33.2
39.2
25.0
43.5

(33.743.5)
(36.346.3)
(39.246.5)
(29.037.9)
(34.344.9)
(36.243.2)
(42.149.9)
(37.141.2)
(34.441.6)

(29.440.1)
(34.742.2)
(33.541.1)
(21.734.8)
(28.435.0)
(33.441.5)
(28.140.8)
(34.137.5)
(33.141.1)
(39.946.4)
(30.938.3)
(30.935.5)
(35.543.1)
(22.327.9)
(39.647.6)

4.5
8.7
8.4
4.5
7.2
4.4
7.0
6.4
8.1
7.5
3.9
5.8
5.8
2.6
4.8
6.6
5.8
5.2
6.0
5.0
4.4
4.3
5.8
2.7
7.3

(2.87.2)
(6.012.3)
(6.910.2)
(3.35.9)
(5.010.2)
(2.96.5)
(5.58.8)
(5.57.4)
(6.010.9)
(6.19.0)
(2.75.6)
(4.18.0)
(4.18.0)
(1.54.5)
(3.56.5)
(4.69.2)
(3.88.8)
(4.46.2)
(4.38.3)
(3.57.2)
(3.16.1)
(2.96.1)
(4.37.9)
(1.84.0)
(5.210.1)

12.5
11.9
14.2
10.7
10.4
8.3
13.9
11.0
11.8
11.6
7.8
8.5
8.1
6.0
7.2
13.1
16.0
9.1
11.1
8.8
9.0
12.8
10.0
6.8
8.1

(8.817.4)
(8.316.7)
(11.916.9)
(8.313.8)
(7.514.1)
(6.210.9)
(11.516.7)
(9.812.5)
(9.015.2)
(9.713.8)
(5.810.3)
(6.910.5)
(6.410.2)
(4.08.9)
(5.110.2)
(10.016.9)
(12.719.9)
(8.010.4)
(8.414.5)
(6.911.0)
(7.211.1)
(10.415.7)
(8.012.3)
(5.38.6)
(5.910.9)

8.5
10.4
11.4
7.8
9.0
6.3
10.4
8.8
10.2
9.5
5.9
7.2
6.9
4.4
6.0
10.0
10.7
7.3
8.5
6.9
6.8
8.6
8.0
4.9
7.7

(6.111.7)
(7.713.8)
(9.913.1)
(6.59.4)
(7.111.3)
(5.17.9)
(8.912.2)
(7.89.8)
(8.412.3)
(8.310.8)
(4.57.6)
(6.08.5)
(5.68.6)
(3.25.9)
(4.58.0)
(8.212.3)
(9.112.4)
(6.58.3)
(6.810.7)
(5.58.7)
(5.58.3)
(7.010.6)
(6.49.9)
(3.86.1)
(5.910.0)

33.0

37.5

(28.038.4)

(32.542.8)

41.0

48.3

(35.946.2)

(43.653.0)

36.9

42.9

(33.340.7)

(38.647.4)

1.9
14.8
5.8
6.1

(1.13.4)
(11.918.2)
(4.77.1)
(4.38.8)

6.6
22.1
9.3
12.3

(4.69.3)
(18.426.3)
(7.910.9)
(9.615.7)

4.3
18.5
7.6
9.4

(3.25.8)
(15.422.0)
(6.78.6)
(7.212.1)

4.0

(2.85.8)

8.3

(5.911.4)

6.3

(4.78.5)

38.6
32.1
36.2
39.1

(32.045.8)
(27.037.7)
(31.441.2)
(34.044.5)

46.5
40.2
44.1
49.3

(40.253.0)
(35.545.1)
(40.447.8)
(43.255.3)

42.8
36.1
40.1
44.1

(37.448.3)
(32.040.4)
(36.543.9)
(40.248.2)

5.6
4.7
4.7
5.4

(3.97.9)
(2.68.4)
(3.46.5)
(3.87.5)

11.8
9.9
9.3
16.5

(8.815.8)
(6.614.6)
(7.611.3)
(12.920.8)

9.0
7.4
7.1
11.0

(7.011.5)
(5.110.6)
(5.98.6)
(8.713.8)

33.8

(23.546.0)

32.0

(23.142.4)

32.8

(23.543.8)

6.7

(3.612.1)

8.9

(4.118.2)

7.8

(3.914.9)

(30.737.5)
(31.340.3)
(12.622.0)

(24.038.3)
(27.436.4)
(29.639.3)
(30.337.2)
34.1
16.843.8

41.5
45.1
21.8

33.1
41.9
40.2
38.1

(37.845.3)
(41.049.4)
(17.426.9)

(27.439.4)
(37.546.5)
(33.946.9)
(33.742.8)
40.8
21.849.3

37.8
40.5
19.6

31.9
36.9
37.3
35.9

(35.040.7)
(36.844.3)
(15.824.1)

(26.637.8)
(33.240.8)
(32.242.7)
(32.639.3)
37.3
19.646.0

6.5
6.1
2.8
4.0
6.0
4.3
4.0
8.4

(5.18.3)
(4.77.8)
(1.45.5)
(3.34.9)
(4.48.1)
(2.76.8)
(2.85.7)
(6.810.3)
5.8
1.914.8

11.7
11.8
7.0
8.7
10.2
10.6
7.7
10.2

(9.214.7)
(10.213.5)
(4.610.4)
(7.110.5)
(6.914.8)
(8.213.7)
(6.09.8)
(8.112.7)
10.2
6.022.1

9.2
9.0
5.1
6.4
8.1
7.5
5.9
9.3

34.0
35.6
16.8

30.7
31.7
34.3
33.7

(7.511.2)
(7.910.3)
(3.47.6)
(5.57.6)
(6.110.7)
(5.89.8)
(4.77.5)
(7.911.0)
7.8
4.318.5

See table footnotes on page 96.

MMWR/June 8, 2012/Vol. 61/No. 4

95

Surveillance Summaries

TABLE 48. (Continued) Percentage of high school students who used marijuana, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ever used marijuana*
Female
CI

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Tried marijuana for the first time before age 13 years

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

36.2
34.4
43.6

(31.940.7)
(30.538.6)
(38.349.1)

44.5
41.5
48.6

(38.850.4)
(37.345.8)
(42.954.2)

40.3
38.1
46.3

(36.943.8)
(34.941.4)
(42.050.6)

6.6
4.3
6.9

(4.59.4)
(3.06.0)
(5.09.5)

12.8
10.7
14.4

(10.016.2)
(8.713.1)
(11.617.8)

9.7
7.5
11.1

(8.111.5)
(6.29.0)
(9.113.4)

40.0
35.3
46.3
40.3
36.7
34.9
40.5
33.6
30.0

(35.544.7)
(30.740.1)
(42.350.4)
(36.044.8)
(33.440.1)
(31.138.8)
(35.945.4)
(30.137.2)
(26.733.4)

45.8
46.8
49.2
46.1
44.1
42.8
43.8
42.3
34.1

(40.351.4)
(42.351.4)
(44.154.3)
(41.151.2)
(40.747.6)
(38.846.9)
(36.651.4)
(37.447.4)
(29.938.5)

42.6
41.0
47.9
43.0
40.5
38.9
42.4
37.8
32.2

(38.446.9)
(37.344.8)
(44.551.3)
(39.646.5)
(37.843.2)
(36.042.0)
(37.047.9)
(34.241.5)
(29.435.1)

9.2
7.8
5.6
9.0
8.3
7.1
8.8
7.2
4.8

(7.511.4)
(5.211.5)
(4.47.1)
(6.711.9)
(6.610.4)
(5.59.1)
(6.312.3)
(5.49.7)
(3.56.5)

14.6
12.1
14.4
13.2
14.4
13.5
15.1
13.2
7.8

(12.317.3)
(9.016.1)
(11.018.5)
(10.316.8)
(12.316.9)
(11.216.2)
(12.118.8)
(10.516.4)
(6.29.7)

11.9 (10.114.0)
10.0 (7.712.8)
10.1 (8.212.3)
11.0 (9.213.1)
11.5 (10.113.0)
10.4 (8.812.1)
12.3 (10.314.5)
10.2 (8.412.3)
6.3 (5.27.7)

51.6

31.5
41.3

(47.755.4)

(27.335.9)
(37.745.0)

56.3

36.2
45.7

(52.460.1)

(31.641.0)
(41.849.6)

54.1

33.9
43.5

(51.256.9)

(30.337.7)
(40.246.9)

11.9
5.2
5.0
6.6

(9.714.6)
(4.26.3)
(3.37.5)
(4.98.7)

18.3
8.9
10.1
10.5

(15.221.9)
(7.810.1)
(7.613.3)
(8.313.2)

15.2 (13.117.6)
7.1 (6.28.1)
7.6 (6.09.5)
8.6 (7.110.3)

33.7
46.6
38.9
28.3

(29.538.2)
(41.352.1)
(34.443.7)
(24.932.1)

36.7
28.351.6

42.6
49.1
41.2
31.0

(37.947.5)
(44.453.8)
(35.846.8)
(27.235.1)

44.1
31.056.3

38.2
47.8
40.1
30.1

(34.642.1)
(43.552.1)
(35.644.8)
(27.133.2)

40.5
30.154.1

5.1
7.7
8.7
6.7
5.1

(3.76.9)
(5.910.1)
(6.212.1)
(4.99.1)
(3.86.9)
6.9
4.311.9

10.7
17.0
12.5
9.2
9.4

(8.114.0)
(13.421.3)
(9.616.1)
(6.512.8)
(7.511.6)
12.8
7.818.3

7.9 (6.29.8)
12.4 (10.115.1)
10.6 (8.213.7)
8.3 (6.510.6)
7.5 (6.29.0)
10.1
6.315.2

* Used marijuana one or more times during their life.


95% confidence interval.
Not available.

TABLE 49. Percentage of high school students who currently used marijuana* and who used marijuana on school property, by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Current marijuana use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Used marijuana on school property

Male

Total

CI

CI

18.8
21.3
21.6

(16.421.6)
(17.925.3)
(18.824.7)

24.4
29.1
27.0

(21.527.4)
(25.832.5)
(24.329.9)

15.4
18.9
22.0
24.7
20.1

(13.018.2)
(16.721.3)
(18.825.5)
(21.328.6)
(18.222.1)

20.5
24.2
28.9
31.1
25.9

(18.123.2)
(20.728.0)
(25.332.7)
(28.633.8)
(23.928.0)

MMWR/June 8, 2012/Vol. 61/No. 4

Male

Total

CI

CI

CI

21.7
25.1
24.4

(19.624.0)
(22.527.9)
(22.027.1)

3.4
4.1
5.7

(2.64.3)
(2.86.1)
(4.67.0)

5.6
9.3
9.6

(4.57.0)
(7.112.1)
(8.211.1)

4.5
6.7
7.7

(3.85.5)
(5.38.4)
(6.78.9)

18.0
21.6
25.5
28.0
23.1

(15.920.4)
(19.424.0)
(22.728.5)
(25.930.2)
(21.524.7)

3.7
4.2
4.7
3.5
4.1

(2.75.0)
(3.25.5)
(3.66.1)
(2.64.7)
(3.54.8)

7.0
8.0
7.5
7.2
7.5

(5.39.2)
(6.210.3)
(5.610.0)
(6.08.5)
(6.58.7)

5.4
6.2
6.2
5.4
5.9

(4.26.9)
(5.07.6)
(4.97.8)
(4.66.2)
(5.16.7)

* Used marijuana one or more times during the 30 days before the survey.
One or more times during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

96

Female

CI

Surveillance Summaries

TABLE 50. Percentage of high school students who currently used marijuana* and who used marijuana on school property, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2011
Current marijuana use
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Used marijuana on school property

Male

Total

CI

CI

15.9
18.7
19.6
14.0
20.1
21.0
26.5
19.7
19.6
21.1
15.7
18.6
16.4
11.2
13.9
17.4
13.5
18.4
20.4
23.1
15.5
11.5
19.4
12.0
25.8

(12.719.6)
(15.222.9)
(16.822.7)
(10.818.0)
(17.423.1)
(17.624.8)
(23.330.1)
(17.921.7)
(15.924.0)
(17.724.8)
(12.619.3)
(16.321.3)
(14.019.2)
(8.115.4)
(11.916.2)
(14.420.9)
(10.916.7)
(16.920.0)
(15.825.9)
(19.926.6)
(12.818.7)
(9.513.8)
(16.522.6)
(9.415.1)
(21.031.3)

25.7
23.5
26.3
19.2
23.6
27.3
28.2
25.2
22.5
22.9
21.9
27.5
23.4
17.9
19.6
20.6
20.4
23.6
25.9
32.6
21.6
23.2
23.0
13.5
30.6

(20.531.7)
(19.528.0)
(22.230.9)
(15.423.8)
(19.927.8)
(23.531.4)
(24.831.9)
(23.027.5)
(19.425.9)
(20.425.6)
(17.127.5)
(23.631.8)
(19.927.3)
(12.325.4)
(16.822.6)
(16.725.3)
(16.225.4)
(21.725.7)
(23.828.1)
(29.735.5)
(18.824.7)
(20.026.7)
(19.626.7)
(11.216.2)
(26.535.0)

18.2
25.4
19.2
18.0

(15.021.9)
(21.829.4)
(17.620.8)
(15.021.4)

24.0
29.8
21.9
30.2

13.7

(10.717.5)

19.0
17.3
22.7
19.2
17.1

Female

Male

CI

CI

20.8
21.2
22.9
16.8
22.0
24.1
27.6
22.5
21.2
21.9
18.8
23.1
20.0
14.6
16.8
19.2
16.8
21.2
23.2
27.9
18.6
17.5
21.2
12.7
28.4

(17.624.3)
(18.024.7)
(19.826.3)
(13.520.7)
(19.624.5)
(21.327.3)
(24.930.4)
(20.824.3)
(18.823.9)
(19.524.7)
(15.522.7)
(20.126.4)
(17.822.4)
(10.919.4)
(15.018.6)
(16.422.4)
(14.719.2)
(19.722.7)
(20.126.5)
(25.330.6)
(16.321.1)
(15.220.0)
(18.424.4)
(10.814.9)
(24.932.2)

3.1
4.0
5.0
2.2
4.7
3.3
4.6
3.9
4.1
7.8
3.8
3.3
1.9
1.7
1.7
3.0
1.7

4.5
3.6
2.2
2.3
4.0
0.9
4.7

(1.75.6)
(2.66.2)
(3.76.6)
(1.04.5)
(3.36.7)
(2.24.9)
(3.16.7)
(3.34.6)
(2.95.6)
(6.39.7)
(2.65.6)
(2.34.8)
(1.23.1)
(1.12.7)
(1.02.7)
(1.94.9)
(0.83.8)

(3.06.6)
(2.84.6)
(1.53.3)
(1.43.8)
(3.05.3)
(0.41.7)
(3.36.6)

4.9
4.5
6.0
5.1
6.8
7.0
7.4
8.6
6.9
7.2
5.8
6.0
4.7
5.1
4.0
5.3
6.5

6.3
8.9
4.3
4.0
7.0
4.5
9.4

(20.228.4)
(26.633.3)
(18.625.6)
(27.233.4)

21.1
27.6
20.5
24.2

(18.424.0)
(24.531.0)
(18.522.7)
(21.726.9)

8.3

2.4

(6.810.1)

(1.44.2)

16.5

(13.220.5)

15.3

(12.518.5)

1.4

(14.624.4)
(13.022.5)
(18.827.2)
(15.623.4)

27.7
21.0
30.0
29.1

(21.834.4)
(16.127.0)
(26.733.6)
(23.735.3)

23.6
19.1
26.3
24.1

(19.827.9)
(15.523.4)
(23.529.4)
(20.228.5)

(11.225.1)

18.5

(11.728.0)

17.8

(15.119.6)
(14.620.0)
(5.011.2)
(18.123.2)
(13.121.6)
(12.118.9)
(15.222.2)
(14.620.0)
18.2
7.526.5

23.8
24.2
11.2
27.8
18.9
24.2
24.5
19.8

(20.927.0)
(20.528.3)
(8.215.1)
(24.131.9)
(14.324.6)
(20.428.4)
(20.029.8)
(16.723.3)
23.6
11.232.6

20.6
20.8
9.6
24.4
18.0
19.7
21.6
18.5

17.2
17.1
7.5
20.5
16.9
15.1
18.4
17.1

Total
%

CI

(3.17.5)
(3.16.6)
(4.38.4)
(3.28.0)
(4.89.6)
(5.19.6)
(5.89.5)
(7.410.0)
(4.89.6)
(5.69.3)
(3.98.6)
(4.87.5)
(2.87.8)
(2.69.8)
(2.76.0)
(3.77.6)
(4.59.5)

(4.88.2)
(7.210.9)
(3.15.9)
(2.56.4)
(5.48.8)
(3.26.3)
(7.012.5)

4.0
4.3
5.6
3.9
6.0
5.2
6.1
6.3
5.6
7.6
4.9
4.7
3.3
3.4
2.9
4.2
4.1

5.7
6.3
3.3
3.2
5.5
2.7
7.3

(2.85.7)
(3.35.7)
(4.27.3)
(2.55.9)
(4.67.9)
(3.96.8)
(4.97.5)
(5.57.1)
(4.37.2)
(6.49.0)
(3.66.6)
(3.85.8)
(2.25.0)
(2.05.9)
(2.04.2)
(3.15.8)
(3.05.6)

(4.37.4)
(5.37.4)
(2.54.3)
(2.24.7)
(4.56.8)
(2.03.7)
(5.79.2)

11.0

8.1

(9.013.3)

(5.711.4)

9.7

5.2

(8.111.5)

(3.77.5)

(0.82.4)

5.3

(3.87.2)

3.4

(2.64.4)

0.9

2.1

(0.51.8)

(1.33.4)

4.0

8.2

(2.17.5)

(5.611.8)

2.4

5.2

(1.54.0)

(3.97.0)

(11.626.3)

(18.722.6)
(18.223.6)
(7.312.5)
(21.427.6)
(14.522.1)
(16.623.3)
(18.225.4)
(16.221.1)
21.1
9.628.4

2.6
2.3
2.1
3.9
3.2
1.7

3.0

(2.13.3)
(1.73.2)
(1.33.2)
(2.56.0)
(1.66.0)
(0.93.0)

(2.34.1)
3.0
0.98.3

4.6
7.1
5.5
7.9
3.6
4.3

6.3

CI

(3.36.3)
(5.59.2)
(3.48.9)
(6.010.3)
(2.35.6)
(3.16.1)

(4.98.0)
6.0
3.611.0

3.6
4.8
4.0
6.0
3.5
3.0

4.7

(2.94.5)
(3.95.9)
(2.85.8)
(4.48.1)
(2.35.3)
(2.24.1)

(3.95.6)
4.7
2.49.7

See table footnotes on page 98.

MMWR/June 8, 2012/Vol. 61/No. 4

97

Surveillance Summaries

TABLE 50. (Continued) Percentage of high school students who currently used marijuana* and who used marijuana on school property, by
sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current marijuana use
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Used marijuana on school property

Total
CI

Female
CI

Male

Total

CI

CI

CI

21.2
17.9
24.0

(17.625.4)
(15.321.0)
(20.627.7)

32.7
25.7
31.0

(27.338.6)
(22.529.2)
(26.535.8)

27.0
22.1
27.6

(24.130.2)
(19.824.5)
(24.730.8)

5.9
3.4

(3.98.8)
(2.34.9)

8.2
7.8

(5.512.3)
(6.010.0)

7.1
5.8

(5.39.5)
(4.67.3)

21.7
17.1
13.6
24.0
18.9
16.0
19.8
15.2
15.7

(17.826.1)
(13.521.5)
(11.016.7)
(20.927.3)
(16.621.5)
(13.518.9)
(16.423.8)
(12.118.8)
(13.318.4)

29.1
22.2
18.8
28.5
26.7
22.8
24.8
26.0
20.8

(24.933.6)
(17.627.7)
(15.023.1)
(24.333.1)
(23.929.8)
(19.526.5)
(18.732.0)
(22.130.2)
(17.624.5)

25.0
19.5
16.3
26.1
22.9
19.5
22.4
20.4
18.3

(21.428.9)
(16.423.1)
(13.919.1)
(23.628.7)
(20.925.0)
(17.122.1)
(18.327.2)
(17.823.3)
(16.320.6)

6.2
1.8
2.1
6.5
4.7
4.5
7.8
2.1
5.0

(4.48.6)
(0.93.5)
(1.43.0)
(4.98.6)
(3.56.3)
(3.36.3)
(5.810.5)
(1.33.4)
(3.57.2)

12.6
7.8
6.9
9.4
9.8
6.2
12.3
7.8
8.1

(10.415.2)
(4.912.2)
(5.19.5)
(6.613.3)
(8.111.7)
(4.88.1)
(8.617.4)
(5.710.6)
(6.010.8)

9.1
4.7
4.6
7.9
7.3
5.5
10.3
4.9
6.5

(7.211.4)
(3.17.1)
(3.65.9)
(6.29.9)
(6.38.5)
(4.46.8)
(8.013.1)
(3.76.5)
(5.18.4)

28.5
15.7
18.0
25.5

(25.032.2)
(14.117.5)
(15.121.4)
(22.229.0)

34.7
19.7
22.5
27.4

(30.938.8)
(18.221.1)
(18.726.9)
(23.931.3)

31.7
17.7
20.2
26.6

(28.934.7)
(16.619.0)
(17.623.2)
(23.829.6)

2.4
5.7

(1.34.5)
(4.37.4)

6.6
8.5

(4.210.3)
(6.511.1)

4.5
7.2

(3.16.4)
(5.98.8)

17.7
23.1
21.5
17.6
18.3

(15.020.9)
(19.627.0)
(17.625.9)
(14.720.9)
(14.922.2)
18.3
13.628.5

24.5
28.4
26.4
17.7
22.8

(20.828.6)
(24.233.1)
(22.530.8)
(14.621.3)
(19.426.6)
25.7
17.734.7

21.3
25.8
24.0
17.9
20.8

(18.624.3)
(22.529.3)
(20.627.9)
(15.820.3)
(18.223.7)
22.1
16.331.7

3.7
8.6
5.8
4.5
6.6

7.4
14.5
10.3
8.5
9.7

(5.310.2)
(11.118.7)
(7.813.5)
(6.311.4)
(7.612.3)
8.3
6.214.5

5.4
11.5
8.2
6.7
8.5

(2.65.1)
(6.611.2)
(4.08.4)
(3.06.7)
(4.88.9)
4.8
1.88.6

(4.26.9)
(9.514.0)
(6.210.7)
(5.38.5)
(6.810.6)
6.9
4.511.5

* Used marijuana one or more times during the 30 days before the survey.
One or more times during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 51. Percentage of high school students who used cocaine, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey,
2011
Current cocaine use

Ever used cocaine*


Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

CI

5.8
1.1
8.4

(5.06.7)
(0.42.7)
(6.610.7)

7.6
4.2
11.9

(6.58.8)
(2.76.4)
(10.313.8)

6.7
2.6
10.2

4.1
5.5
6.4
6.8
5.7

(3.05.5)
(4.46.8)
(5.08.3)
(5.48.6)
(4.96.5)

5.8
7.4
8.5
10.1
7.9

(4.67.4)
(5.69.7)
(7.010.1)
(8.711.7)
(7.08.9)

5.0
6.5
7.5
8.5
6.8

Female
CI

MMWR/June 8, 2012/Vol. 61/No. 4

Total

CI

CI

(6.07.5)
(1.83.8)
(8.811.9)

1.6
0.1
3.2

(1.22.3)
(0.00.5)
(2.34.3)

3.3
2.0
7.5

(2.64.2)
(1.33.2)
(6.19.2)

2.5
1.1
5.4

(2.22.9)
(0.71.7)
(4.56.5)

(4.26.1)
(5.47.8)
(6.48.9)
(7.59.6)
(6.27.5)

1.6
1.7
1.9
1.9
1.8

(1.12.3)
(1.12.7)
(1.22.9)
(1.22.9)
(1.52.3)

3.8
4.2
4.1
4.2
4.1

(2.94.9)
(3.05.9)
(3.15.4)
(3.15.5)
(3.54.9)

2.8
3.0
3.0
3.0
3.0

(2.23.4)
(2.34.0)
(2.34.0)
(2.43.9)
(2.63.5)

* Used any form of cocaine (e.g., powder, crack, or freebase) one or more times during their life.
Used any form of cocaine one or more times during the 30 days before the survey.
95% confidence interval.
Non-Hispanic.

98

Male

CI

Surveillance Summaries

TABLE 52. Percentage of high school students who used cocaine, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current cocaine use

Ever used cocaine*


Female
Site

CI

State surveys
Alabama
4.0 (2.66.1)
Alaska
5.0 (3.57.1)
Arizona
10.0 (8.311.9)
Arkansas
3.0 (1.75.3)
Colorado
5.7 (3.88.4)
Connecticut
3.6 (2.45.3)
Delaware
3.6 (2.55.2)
Florida
5.2 (4.46.3)
Georgia
4.7 (2.87.7)
Hawaii
5.6 (4.17.7)
Idaho
5.3 (3.57.9)
Illinois
4.3 (3.15.9)
Indiana
4.9 (3.66.6)
Iowa
3.5 (2.15.8)
Kansas
4.1 (3.05.7)
Kentucky
5.0 (3.67.1)
Louisiana
4.8 (2.39.9)
Maine

Maryland
4.6 (3.06.9)
Massachusetts 2.9 (2.04.1)
Michigan
2.9 (2.04.2)
Mississippi
2.4 (1.63.4)
Montana
4.6 (3.26.5)
Nebraska
3.1 (2.24.3)
New
6.5 (4.49.5)
Hampshire
New Jersey
3.7 (2.45.7)
New Mexico 10.7 (9.512.0)
New York
5.1 (3.96.7)
North
4.2 (3.15.7)
Carolina
North
4.9 (3.56.8)
Dakota
Ohio
5.3 (3.18.9)
Oklahoma
4.6 (2.87.4)
Rhode Island
3.9 (2.85.5)
South
3.2 (1.85.6)
Carolina
South

Dakota
Tennessee
4.8 (3.95.9)
Texas
7.8 (6.89.1)
Utah
4.1 (2.56.5)
Vermont

Virginia
4.3 (3.15.8)
West Virginia
3.1 (1.95.2)
Wisconsin
3.2 (2.14.8)
Wyoming
7.9 (6.49.7)
Median
4.6
Range
2.410.7

Male

Total

CI

7.9
4.8
11.1
6.4
6.8
6.3
6.9
7.3
8.2
7.0
7.8
7.1
6.4
5.7
6.4
9.3
8.6

6.8
7.1
5.4
6.2
7.5
5.0
10.3

(4.912.4)
(3.36.9)
(8.713.9)
(4.29.6)
(4.89.5)
(4.58.7)
(5.19.2)
(6.28.6)
(6.99.8)
(5.49.0)
(5.211.3)
(5.98.6)
(3.910.1)
(4.08.1)
(4.49.2)
(6.912.5)
(6.511.5)

(4.79.8)
(5.88.5)
(4.36.8)
(4.48.5)
(6.29.1)
(3.76.7)
(7.613.7)

5.1
12.1
7.2
9.9

Male

Total

CI

CI

CI

5.9
4.9
10.5
4.8
6.3
5.0
5.3
6.4
6.7
6.4
6.6
5.7
5.6
4.6
5.3
7.5
7.0

5.9
5.0
4.2
4.3
6.1
4.2
8.4

(4.08.6)
(3.86.3)
(8.812.5)
(3.56.6)
(4.88.3)
(3.76.7)
(4.16.6)
(5.67.2)
(5.38.5)
(4.98.3)
(4.79.1)
(4.77.0)
(4.17.7)
(3.56.1)
(3.87.3)
(6.09.3)
(5.09.7)

(4.57.7)
(4.35.9)
(3.64.9)
(3.35.5)
(5.17.4)
(3.35.3)
(6.311.0)

1.5
1.7
3.0
0.8

2.0
2.3
2.3

1.9
1.7
1.7

2.4

1.6

1.1
1.0
1.5
0.8
3.0

(1.02.4)
(0.93.2)
(2.24.2)
(0.31.8)

(1.23.3)
(1.83.0)
(1.34.0)

(1.13.0)
(0.93.1)
(0.74.0)

(0.95.8)

(0.92.9)

(0.61.8)
(0.61.9)
(1.02.2)
(0.41.6)
(1.85.0)

4.2
2.2
5.8
3.1

3.4
4.4
3.3

3.2
2.9
2.8

3.9

3.3

2.6
2.8
3.1
2.1
4.9

(2.47.2)
(1.43.6)
(4.08.3)
(1.75.6)

(2.25.1)
(3.65.3)
(2.34.6)

(2.63.9)
(1.74.7)
(1.74.7)

(2.46.3)

(2.34.8)

(1.83.6)
(1.64.8)
(2.34.2)
(1.33.4)
(3.37.2)

2.9
2.0
4.5
2.1

2.7
3.4
2.9

2.5
2.3
2.3

3.4

2.7

1.9
1.9
2.4
1.6
4.0

(1.84.6)
(1.43.0)
(3.36.0)
(1.33.2)

(1.93.9)
(2.94.1)
(2.04.2)

(2.13.1)
(1.73.2)
(1.43.6)

(2.15.5)

(2.03.6)

(1.52.3)
(1.33.0)
(1.93.0)
(1.12.3)
(2.85.5)

(3.37.9)
(10.114.4)
(5.79.1)
(7.013.7)

4.4
11.4
6.2
7.1

(3.35.9)
(10.013.0)
(5.47.2)
(5.49.3)

4.7

(3.95.6)

5.6

(4.37.2)

5.2

(4.36.2)

7.1

(5.49.2)

6.0

(4.87.4)

8.1
5.8
7.7
9.2

(5.412.1)
(3.69.1)
(6.59.0)
(6.912.3)

7.0
5.2
5.9
6.6

(4.810.0)
(3.77.2)
(4.87.3)
(5.08.8)

2.2

1.6

(1.04.8)

(0.83.0)

2.6

5.3

(1.16.3)

(3.38.4)

2.4

3.7

(1.34.4)

(2.45.7)

2.2

(1.04.6)

4.3

(2.76.8)

3.3

(2.05.5)

1.9
2.7
1.7
2.1
2.2
1.2
0.9
2.6

(1.32.7)
(2.23.5)
(0.93.2)
(1.53.0)
(1.33.7)
(0.62.2)
(0.42.0)
(1.83.7)
1.9
0.84.7

3.4
5.4
4.1
4.5
3.2
3.8
1.8
4.3

(2.44.8)
(4.16.9)
(2.56.6)
(3.65.7)
(1.85.6)
(2.55.8)
(1.22.8)
(3.25.8)
3.4
1.85.8

2.7
4.1
3.0
3.4
2.8
2.5
1.4
3.5

7.4
10.8
6.6

6.6
7.0
4.7
9.2

(5.79.5)
(8.813.1)
(4.69.3)

(4.69.3)
(5.39.2)
(3.66.2)
(7.211.6)
7.1
4.712.1

Female

6.2
9.4
5.4

5.6
5.1
4.0
8.6

(5.27.4)
(8.111.0)
(3.97.3)

(4.27.5)
(4.16.4)
(3.15.1)
(7.210.2)
5.9
4.011.4

CI

(2.13.4)
(3.54.9)
(1.94.5)
(2.74.3)
(1.84.5)
(1.83.6)
(1.02.0)
(2.84.4)
2.7
1.45.2

See table footnotes on page 100.

MMWR/June 8, 2012/Vol. 61/No. 4

99

Surveillance Summaries

TABLE 52. (Continued) Percentage of high school students who used cocaine, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current cocaine use

Ever used cocaine*


Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Total

CI

1.6
4.8
5.0

(0.82.8)
(3.46.7)
(3.67.1)

4.6
5.8
9.2

(2.87.6)
(4.28.0)
(6.413.1)

3.1
5.5
7.5

4.5
6.4
2.3
1.8
4.4
7.0
8.3
0.8
5.5

(3.36.0)
(4.39.5)
(1.43.8)
(1.13.2)
(3.45.6)
(5.39.0)
(6.410.7)
(0.41.6)
(4.17.3)

7.3
9.5
4.9
7.3
6.8
9.8
9.5
2.2
6.9

(5.49.8)
(7.412.3)
(3.56.9)
(4.711.2)
(5.48.5)
(7.812.4)
(6.613.5)
(1.43.4)
(5.19.4)

3.2
3.0
3.2
5.5

(2.14.7)
(2.53.8)
(2.15.0)
(4.27.2)

6.9
4.9
7.1
7.8

Site

Male

CI

1.4
6.4
6.9
4.8

(0.72.8)
(4.68.7)
(4.610.3)
(3.46.9)

4.6
0.88.3

Female

Total

CI

CI

(2.04.6)
(4.36.9)
(5.510.0)

1.2
2.0

(0.53.0)
(1.23.3)

2.3
3.3

(0.95.8)
(2.34.7)

1.7
2.7

(0.93.3)
(2.03.6)

5.9
8.0
4.1
4.6
5.7
8.5
9.2
1.5
6.1

(4.77.4)
(6.59.8)
(3.05.4)
(3.06.9)
(4.86.8)
(7.110.1)
(7.411.4)
(1.02.3)
(5.07.6)

1.4
1.8
0.7

2.3
1.9
2.6
0.7
3.3

(0.82.3)
(1.03.2)
(0.41.5)

(1.63.2)
(1.23.0)
(1.74.1)
(0.31.4)
(2.34.6)

3.1
3.1
2.9

3.6
4.6
4.9
0.8
4.2

(2.04.6)
(2.04.7)
(1.84.8)

(2.74.8)
(3.46.1)
(2.88.4)
(0.41.7)
(2.96.1)

2.2
2.5
2.0

3.0
3.3
4.1
0.8
3.7

(1.63.1)
(1.73.4)
(1.43.0)

(2.43.9)
(2.64.3)
(2.86.0)
(0.51.2)
(2.84.9)

(5.19.2)
(4.15.9)
(4.910.2)
(6.010.0)

5.1
4.1
5.1
6.8

(4.06.4)
(3.54.8)
(3.96.8)
(5.78.1)

1.8

2.0
2.9

(1.13.1)

(1.23.5)
(1.94.3)

3.1

4.1
5.5

(1.95.0)

(2.46.7)
(4.07.4)

2.6

3.0
4.3

(1.83.9)

(2.14.4)
(3.45.4)

(3.17.3)
(9.515.5)
(7.612.5)
(6.210.5)

7.2
2.212.2

3.2
9.3
8.4
7.1

(0.31.6)
(1.64.6)
(1.95.0)

1.9
0.73.3

2.8
5.3
4.6

(1.65.0)
(3.67.6)
(3.26.7)

3.4
0.85.5

1.9
4.0
3.9

4.8
12.2
9.8
8.1

CI

Male

(2.34.5)
(7.611.3)
(6.610.7)
(5.68.9)

5.8
1.59.3

0.7
2.8
3.1

CI

(1.22.9)
(2.95.4)
(3.05.0)

2.8
0.84.3

* Used any form of cocaine (e.g., powder, crack, or freebase) one or more times during their life.
Used any form of cocaine one or more times during the 30 days before the survey.
95% confidence interval.
Not available.

TABLE 53. Percentage of high school students who used inhalants* and who used ecstasy, by sex, race/ethnicity, and grade United States,
Youth Risk Behavior Survey, 2011
Ever used inhalants
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ever used ecstasy

Male

Total

CI

CI

11.6
9.1
15.7

(10.313.1)
(7.511.1)
(13.018.8)

9.8
9.3
13.1

(8.811.0)
(7.112.1)
(11.414.9)

14.2 (12.416.4)
12.3 (10.913.9)
11.7
(9.614.1)
10.1
(7.813.0)
12.3 (11.213.4)

11.1
11.3
10.4
8.6
10.5

(9.513.0)
(9.513.5)
(8.912.3)
(7.010.4)
(9.711.4)

Female

Male
%

Total

CI

CI

CI

10.7
9.2
14.4

(9.711.8)
(7.810.8)
(12.716.2)

6.7
3.3
8.4

(5.48.3)
(2.34.8)
(6.011.7)

8.7
8.7
12.6

(7.410.1)
(6.711.3)
(10.215.5)

7.7
6.0
10.6

(6.79.0)
(4.77.7)
(8.313.6)

12.7
11.8
11.1
9.3
11.4

(11.214.3)
(10.513.3)
(9.712.7)
(8.010.8)
(10.712.1)

3.7
5.8
7.2
9.9
6.5

(2.84.7)
(4.47.7)
(5.59.4)
(7.612.8)
(5.47.8)

6.5
9.5
11.0
12.6
9.8

(5.38.0)
(7.611.8)
(9.113.2)
(10.714.8)
(8.611.1)

5.2
7.7
9.2
11.3
8.2

(4.36.2)
(6.49.4)
(7.611.0)
(9.713.1)
(7.29.4)

* 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.
Used ecstasy (also called MDMA) one or more times during their life.
95% confidence interval.
Non-Hispanic.

100

MMWR/June 8, 2012/Vol. 61/No. 4

CI

Surveillance Summaries

TABLE 54. Percentage of high school students who used inhalants* and who used ecstasy, by sex selected U.S. sites, Youth Risk Behavior
Survey, 2011
Ever used inhalants
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Ever used ecstasy

Male

Total

CI

Female

Male
%

Total

CI

CI

CI

CI

4.9
4.1

3.6
5.1
6.0

6.0
9.0
7.0
5.3
5.1
3.8
3.9
4.1
5.0

5.5
4.0

3.2
6.2
3.3
6.1

(3.37.2)
(2.66.2)

(2.25.8)
(9.115.3)
(3.77.0)
(4.38.3)

(4.38.5)
(6.811.9)
(5.09.6)
(4.07.2)
(4.16.2)
(2.55.6)
(2.65.7)
(2.76.1)
(3.27.8)

(3.68.2)
(3.24.9)

(2.24.5)
(5.07.5)
(2.54.4)
(4.38.6)

7.7
7.3

8.8
11.2
7.5
8.2

10.7
8.8
10.2
7.9
7.5
6.3
8.1
8.5
10.1

7.5
7.4

7.5
10.1
5.6
11.2

(5.211.4)
(5.59.4)

(6.012.6)
(7.815.8)
(5.69.8)
(6.410.5)

(8.713.1)
(7.310.6)
(6.914.9)
(6.310.0)
(4.711.7)
(4.68.6)
(6.110.7)
(6.411.1)
(7.413.5)

(5.79.7)
(6.09.1)

(5.410.2)
(8.512.0)
(4.37.4)
(8.514.8)

6.3
5.7

6.4
11.7
6.3
7.2

8.5
9.0
8.7
6.7
6.3
5.1
6.0
6.6
7.8

6.9
5.8

5.3
8.2
4.5
8.7

(4.68.6)
(4.67.2)

(4.58.9)
(9.214.9)
(4.98.1)
(5.88.9)

(6.810.6)
(7.411.0)
(6.311.7)
(5.48.2)
(4.68.5)
(3.96.5)
(4.67.9)
(5.38.1)
(6.010.0)

(5.48.6)
(5.16.7)

(3.97.1)
(7.19.5)
(3.65.6)
(6.911.0)

12.4
8.4
14.8
13.1
7.9
9.1
11.8

13.5
9.6
11.7
10.1
10.2
8.9
8.7
10.3
11.4
9.5
8.2

10.1
10.0
12.1
10.6
12.0

(8.917.0)
(6.311.0)
(11.219.3)
(10.416.3)
(6.010.4)
(7.211.5)
(9.714.3)

(11.615.6)
(8.411.1)
(9.314.7)
(8.412.2)
(8.212.5)
(6.911.4)
(6.910.9)
(8.212.9)
(8.016.1)
(8.510.6)
(6.510.3)

(8.412.0)
(8.012.4)
(10.613.9)
(9.012.6)
(9.115.6)

10.5
6.2
10.3
13.2
8.9
8.7
11.3

12.5
9.5
12.5
9.5
10.8
8.4
10.1
12.1
14.7
12.0
9.9

9.4
11.7
11.0
8.8
12.1

(7.714.2)
(4.48.6)
(8.213.0)
(10.316.8)
(5.713.6)
(6.910.8)
(9.213.7)

(10.115.3)
(7.711.7)
(10.115.4)
(8.011.2)
(7.615.1)
(6.011.8)
(8.412.1)
(10.114.5)
(11.318.7)
(10.713.5)
(7.912.3)

(7.811.3)
(9.314.7)
(9.213.1)
(7.011.1)
(9.615.1)

11.6
7.3
12.7
13.2
8.6
9.0
11.6

13.2
9.7
12.2
9.8
10.6
8.6
9.5
11.4
13.2
11.0
9.4

9.8
11.0
11.6
9.7
12.0

(8.615.3)
(5.79.2)
(10.315.5)
(11.215.5)
(6.710.9)
(7.410.8)
(9.913.5)

(11.814.8)
(8.610.9)
(10.314.4)
(8.511.4)
(8.113.6)
(6.711.0)
(8.111.2)
(9.813.2)
(10.716.2)
(10.111.9)
(8.011.2)

(8.511.3)
(9.512.6)
(10.213.1)
(8.411.2)
(9.814.6)

11.0

10.1
9.7

(8.813.6)

(8.711.7)
(7.212.8)

8.9

9.6
12.4

(6.811.6)

(7.512.3)
(9.915.4)

9.9

9.9
11.2

(8.311.8)

(8.711.2)
(9.313.4)

5.8
11.1
5.5

(3.88.7)
(9.413.1)
(4.17.5)

8.3
13.3
8.3

(5.712.0)
(11.115.7)
(6.610.5)

7.1
12.2
7.0

(5.49.4)
(10.613.9)
(6.08.2)

11.9

(9.714.5)

11.4

(9.214.1)

11.6

(9.913.6)

9.2

13.9

(6.113.5)

(11.017.4)

10.0

14.6

(6.614.8)

(10.819.6)

9.6

14.5

(7.013.1)

(11.917.6)

5.6

4.9

(3.29.5)

(3.07.8)

10.0

10.8

(7.413.4)

(8.214.1)

7.9

8.1

(6.49.7)

(6.010.7)

12.9

(9.217.8)

10.5

(8.013.6)

11.8

(8.815.5)

11.9
12.1
9.8
7.7
10.6
9.3
9.0
15.0

(9.814.3)
(10.513.9)
(7.113.5)
(5.410.8)
(8.313.5)
(7.112.2)
(7.111.3)
(12.917.3)
10.2
7.715.0

11.3
10.7
11.2
8.4
9.0
10.2
7.7
13.9

(9.413.6)
(9.012.7)
(8.514.6)
(7.39.8)
(6.312.7)
(7.913.1)
(6.39.4)
(11.916.3)
10.5
6.214.7

11.6
11.4
10.8
8.2
9.9
9.8
8.4
14.4

(10.113.4)
(10.112.9)
(8.513.8)
(6.610.1)
(7.712.7)
(8.011.8)
(7.29.7)
(12.816.2)
10.9
7.314.5

5.7
10.2
6.3

5.4
2.8
3.5
8.7

11.9

(4.77.1)
(8.412.3)
(4.09.9)

(3.67.9)
(1.84.3)
(2.45.3)
(7.110.7)
5.4
2.811.9

8.6
13.4
9.4

7.3
6.1
6.5
10.1

(6.810.8)
(11.016.3)
(7.012.6)

(5.39.9)
(4.38.5)
(5.28.1)
(8.212.4)
8.3
5.613.4

7.3
11.9
8.2

6.4
4.5
5.1
9.4

(6.18.7)
(10.014.1)
(6.110.8)

(4.88.4)
(3.45.9)
(4.06.3)
(8.110.9)
7.0
4.512.2

See table footnotes on page 102.

MMWR/June 8, 2012/Vol. 61/No. 4

101

Surveillance Summaries

TABLE 54. (Continued) Percentage of high school students who used inhalants* and who used ecstasy, by sex selected U.S. sites, Youth Risk
Behavior Survey, 2011
Ever used inhalants
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Ever used ecstasy

Total

CI

Female
CI

Male

CI

CI

Total
%

CI

3.9
9.4
12.3

(2.56.0)
(6.813.0)
(9.815.4)

7.4 (4.312.5)
8.4 (5.911.8)
11.8 (8.516.0)

5.6
9.0
12.3

(3.98.0)
(6.711.9)
(10.214.7)

2.0
7.1
6.1

(1.04.0)
(4.910.1)
(4.38.4)

4.6
10.6
10.2

(2.68.2)
(7.914.1)
(7.214.2)

3.3
9.2
8.5

(2.05.4)
(6.912.0)
(6.511.2)

10.4
9.1

(8.213.0)
(6.812.2)

10.9 (8.713.6)
7.9 (5.810.9)

10.7
8.5

(9.112.5)
(6.710.7)

5.1
5.1

(3.77.1)
(3.57.4)

8.7
10.7

(6.811.0)
(8.114.0)

6.9
7.9

(5.68.4)
(6.59.7)

7.6
11.4
11.3
9.3
16.8
9.1
10.6

(5.89.9)
(9.114.3)
(9.513.4)
(7.411.6)
(14.319.7)
(7.011.7)
(7.913.9)

7.4
12.2
9.6
9.0
12.4
4.0
9.4

(5.410.0)
(9.016.3)
(8.011.6)
(7.011.5)
(9.216.6)
(2.76.0)
(7.411.9)

7.9
11.8
10.7
9.2
14.9
6.6
9.9

(6.59.5)
(9.714.2)
(9.412.1)
(8.010.7)
(12.717.3)
(5.28.5)
(8.112.1)

2.9
5.2
7.8
16.7
1.6
9.0

(1.94.5)
(4.26.6)
(6.010.0)
(13.520.5)
(0.92.7)
(7.211.3)

6.8
10.4
11.0
15.5
3.7
10.7

(4.79.7)
(8.512.7)
(8.813.7)
(11.620.4)
(2.35.9)
(8.513.4)

10.5
11.2
10.9
9.5

(8.413.2)
(9.613.0)
(8.214.4)
(7.811.5)

9.5
8.4
10.0
9.7

(7.012.7)
(7.49.5)
(7.613.0)
(7.512.4)

10.3
10.0
10.5
9.8

(8.412.5)
(8.911.1)
(8.812.5)
(8.511.3)

6.4
3.0
5.6
9.7

(4.68.8)
(2.43.8)
(4.07.9)
(7.812.0)

11.3
6.2
8.7
11.6

(8.614.7)
(5.27.3)
(6.212.2)
(9.214.6)

7.1
20.1
12.1
5.0
6.4

(5.59.1)
(17.023.6)
(9.415.4)
(3.67.0)
(5.08.2)
10.4
3.920.1

9.6
17.2
9.8
8.6
9.0

(7.112.8)
(14.220.8)
(8.012.0)
(6.411.5)
(7.211.4)
9.5
4.017.2

8.5
18.7
11.0
7.4
8.1

(7.010.2)
(16.421.2)
(9.213.1)
(5.99.3)
(6.89.6)
9.9
5.618.7

3.2
15.6
16.8
10.6

(1.95.3)
(12.918.7)
(13.021.4)
(8.513.2)

6.1
1.616.8

4.3
16.9
15.4
12.6

(2.67.1)
(14.120.1)
(12.618.7)
(10.315.2)

10.6
3.716.9

4.8 (3.66.5)
8.0 (6.89.4)
9.5 (8.111.2)
16.4 (13.819.3)
2.7 (1.83.9)
9.9 (8.211.9)
9.2
4.7
7.2
10.7

(7.211.6)
(4.15.4)
(5.69.3)
(9.012.7)

4.0 (2.66.1)
16.2 (13.918.7)
16.1 (13.319.2)
12.1 (10.214.2)

8.5
2.716.4

* 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.
Used ecstasy (also called MDMA) one or more times during their life.
95% confidence interval.
Not available.

TABLE 55. Percentage of high school students who used heroin* and who used methamphetamines, by sex, race/ethnicity, and grade United
States, Youth Risk Behavior Survey, 2011
Ever used heroin
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ever used methamphetamines

Male

Total

Female

Total

CI

CI

CI

CI

CI

CI

1.5
1.1
2.6

(1.12.2)
(0.52.0)
(1.73.9)

3.4
4.3
4.0

(2.74.3)
(3.06.1)
(3.05.3)

2.5
2.7
3.3

(2.13.0)
(1.93.7)
(2.64.3)

3.1
1.0
3.4

(2.44.0)
(0.51.9)
(2.54.7)

4.1
4.2
5.7

(3.35.1)
(3.05.9)
(4.47.4)

3.7
2.6
4.6

(3.14.3)
(1.93.6)
(3.75.8)

1.8
1.8
1.6
1.9
1.8

(1.32.7)
(1.22.6)
(0.92.7)
(1.13.3)
(1.42.3)

3.9
3.8
4.1
3.4
3.9

(2.95.2)
(2.85.2)
(3.25.2)
(2.44.8)
(3.34.6)

2.9
2.8
2.8
2.7
2.9

(2.33.7)
(2.23.7)
(2.23.6)
(2.13.5)
(2.53.3)

2.6
2.6
3.1
3.6
3.0

(1.83.7)
(1.73.9)
(2.34.2)
(2.74.9)
(2.53.6)

3.8
4.7
4.9
4.6
4.5

(2.94.9)
(3.56.4)
(3.76.5)
(3.75.7)
(3.95.2)

3.2
3.7
4.1
4.1
3.8

(2.64.1)
(2.94.7)
(3.35.0)
(3.44.9)
(3.44.3)

* Used heroin (also called smack, junk, or China White) one or more times during their life.
Used methamphetamines (also called speed, crystal, crank, or ice) one or more times during their life.
95% confidence interval.
Non-Hispanic.

102

Male

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 56. Percentage of high school students who used heroin* and who used methamphetamines, by sex selected U.S. sites, Youth Risk
Behavior Survey, 2011
Ever used heroin
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Ever used methamphetamines

Male

Total

Female

Male

Total

CI

CI

CI

CI

CI

CI

1.4
1.6
2.8
1.4
2.0
1.7
1.8

2.8

1.9
1.6
1.7
1.6

2.1
1.9

1.9
1.5
1.0
0.9
1.8
1.1
2.1

(0.62.9)
(0.93.0)
(1.74.5)
(0.63.2)
(1.23.4)
(0.93.3)
(1.03.0)

(1.64.9)

(0.93.8)
(1.02.5)
(1.02.7)
(0.83.1)

(1.13.9)
(0.84.6)

(1.23.2)
(0.82.6)
(0.51.8)
(0.41.8)
(1.32.5)
(0.71.9)
(1.23.6)

4.9
3.0
4.9
4.3
5.2
4.2
4.2

5.8

3.5
2.4
3.9
3.1

7.4
6.8

5.7
2.4
3.8
3.4
3.3
2.6
5.0

(3.08.0)
(1.94.7)
(3.66.6)
(3.06.2)
(3.09.0)
(2.76.4)
(2.95.9)

(4.27.9)

(2.06.0)
(1.83.3)
(2.07.6)
(1.85.5)

(5.010.7)
(4.510.1)

(3.98.4)
(1.63.6)
(2.65.6)
(1.96.0)
(2.44.5)
(1.73.8)
(3.37.4)

3.1
2.4
4.0
2.9
3.9
2.9
3.1

4.7

2.7
2.0
2.8
2.4

5.2
4.6

4.2
2.1
2.5
2.3
2.6
1.9
3.6

(2.04.8)
(1.73.4)
(3.05.4)
(2.04.3)
(2.56.0)
(1.94.4)
(2.34.1)

(3.46.3)

(1.74.3)
(1.62.6)
(1.74.5)
(1.43.9)

(3.87.1)
(3.26.8)

(2.96.0)
(1.52.9)
(1.83.5)
(1.43.6)
(2.13.2)
(1.32.6)
(2.55.1)

3.7
2.5
4.4
2.2
2.1
2.4

4.2
2.3
1.5
1.7
3.4
2.2
2.9
3.2
3.7

2.4
1.8
1.5
1.8
2.4
1.8
2.8

(2.16.3)
(1.44.1)
(3.16.2)
(1.14.2)
(1.23.1)
(1.33.3)
(1.63.8)

(3.06.0)
(1.53.6)
(0.83.0)
(1.02.9)
(2.25.1)
(1.14.3)
(2.04.3)
(2.24.8)
(2.06.8)

(1.53.9)
(1.12.8)
(1.02.2)
(1.22.8)
(1.83.2)
(1.22.6)
(1.84.5)

6.3
3.6
5.9
6.0
4.5
4.4
4.9

7.2
4.2
4.8
3.4
4.5
4.0
3.5
7.2
7.8

5.8
3.4
4.3
4.1
3.8
3.5
5.6

(3.810.2)
(2.45.6)
(4.38.0)
(3.99.3)
(2.97.0)
(3.06.4)
(3.37.2)

(5.69.2)
(3.15.7)
(3.17.2)
(2.54.5)
(2.38.5)
(2.76.1)
(2.55.0)
(5.110.1)
(5.311.4)

(3.88.8)
(2.54.7)
(3.35.5)
(2.56.6)
(2.95.1)
(2.54.8)
(3.97.9)

5.0
3.1
5.2
4.3
3.4
3.2
3.7

6.0
3.4
3.2
2.6
3.9
3.1
3.3
5.6
6.0

4.5
2.7
2.9
3.0
3.1
2.7
4.2

(3.27.6)
(2.24.4)
(4.16.6)
(2.76.7)
(2.35.0)
(2.34.6)
(2.75.2)

(4.87.6)
(2.54.4)
(2.24.6)
(2.03.4)
(2.36.5)
(2.14.7)
(2.54.3)
(4.37.1)
(4.18.7)

(3.16.5)
(2.13.5)
(2.33.7)
(2.04.3)
(2.53.9)
(2.13.5)
(3.15.7)

1.0
4.2
2.7

(0.52.0)
(3.35.3)
(1.93.8)

2.1
5.2
5.2

(1.13.9)
(4.26.5)
(3.77.2)

1.6
4.7
4.0

(1.02.5)
(4.05.6)
(3.25.1)

1.8
4.4
3.3
2.4

(1.13.0)
(3.45.7)
(2.24.9)
(1.53.7)

3.6
6.6
5.8
6.9

(2.25.7)
(5.48.1)
(4.18.2)
(4.510.5)

2.7
5.5
4.6
4.8

(1.94.0)
(4.66.7)
(3.65.9)
(3.36.8)

2.7
1.0

2.4

(1.16.1)
(0.42.6)

(1.24.9)

3.6
3.4

5.5

(2.25.7)
(1.67.0)

(3.39.0)

3.1
2.2

4.2

(2.04.8)
(1.24.0)

(2.66.8)

2.9

3.6

(1.65.4)

(2.35.6)

5.5

7.7

(3.87.9)

(5.311.0)

4.2

5.9

(3.05.9)

(4.38.1)

3.4

(2.35.2)

3.5

(2.05.8)

3.5

(2.64.8)

1.0
2.1
1.7
1.4
2.1
1.6
0.6
3.2

(0.61.7)
(1.62.8)
(0.83.6)
(1.11.8)
(0.94.9)
(0.73.2)
(0.31.2)
(2.54.2)
1.7
0.64.2

2.8
4.3
4.5
3.6
4.2
4.3
1.8
5.7

2.7
4.1
2.2
1.9
3.6
2.3
1.3
4.9

(2.03.7)
(3.05.6)
(1.24.1)
(1.42.6)
(1.96.6)
(1.43.8)
(0.72.3)
(3.76.4)
2.4
1.34.9

4.2
5.8
4.4
3.9
3.9
5.0
3.5
5.4

(2.76.5)
(4.87.1)
(2.76.9)
(3.05.2)
(2.46.4)
(3.76.8)
(2.64.6)
(4.17.1)
4.5
3.47.8

3.5
5.0
3.6
3.0
4.0
3.7
2.4
5.2

(2.04.0)
(3.25.8)
(2.87.1)
(2.84.8)
(2.76.5)
(3.35.6)
(1.22.9)
(4.47.4)
4.2
1.87.4

2.0
3.3
3.5
2.6
3.4
3.0
1.3
4.5

(1.52.7)
(2.64.1)
(2.35.4)
(2.03.3)
(2.15.5)
(2.24.0)
(0.91.8)
(3.75.5)
3.0
1.35.2

1.9

(2.74.5)
(4.35.9)
(2.45.3)
(2.43.8)
(2.65.9)
(2.94.8)
(1.83.2)
(4.36.2)
3.6
2.46.0

See table footnotes on page 104.

MMWR/June 8, 2012/Vol. 61/No. 4

103

Surveillance Summaries

TABLE 56. (Continued) Percentage of high school students who used heroin* and who used methamphetamines, by sex selected U.S. sites,
Youth Risk Behavior Survey, 2011
Ever used heroin
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

Female

CI

1.0
1.7
2.2

(0.42.3)
(0.93.2)
(1.43.5)

2.9
2.4
6.5

(1.55.8)
(1.44.2)
(3.910.4)

2.0
2.1
4.8

(1.13.5)
(1.23.5)
(3.17.4)

0.9
2.5
3.3

2.2
1.5
1.1
1.2

1.9
1.3
0.3
2.0

(1.33.6)
(0.82.8)
(0.62.1)
(0.43.9)

(1.22.9)
(0.72.5)
(0.11.2)
(1.33.1)

5.1
3.6
3.3
6.6

5.5
6.7
1.2
4.0

(3.47.7)
(2.35.6)
(1.95.6)
(4.110.3)

(4.27.2)
(3.911.4)
(0.52.6)
(2.75.8)

3.9
2.6
2.4
3.9

3.8
4.4
0.8
3.0

(2.95.2)
(1.83.8)
(1.53.6)
(2.46.4)

(3.04.8)
(2.87.1)
(0.41.7)
(2.14.2)

3.9
1.6
1.2
3.2

(2.75.6)
(1.22.1)
(0.62.3)
(2.24.5)

6.1
3.5
3.9
5.3

(4.09.4)
(2.84.2)
(2.26.9)
(3.77.7)

5.3
2.7
2.5
4.4

1.2
1.5
1.9
2.3

(0.62.5)
(0.82.7)
(1.13.2)
(1.34.1)

1.6
0.33.9

4.0
2.9
3.5
6.5

(2.46.6)
(1.84.6)
(2.25.5)
(4.88.7)

4.0
1.26.7

2.8
2.2
2.8
5.0

Site

Ever used methamphetamines

CI

CI

Male

CI

Total

CI

(0.32.4)
(1.24.9)
(2.15.1)

3.1
3.7
6.8

(1.56.2)
(2.36.0)
(4.210.9)

2.0
3.3
5.6

(1.13.7)
(2.05.2)
(3.88.0)

2.0
1.7
1.5
0.7
4.6
2.9
5.2
0.6
3.7

(1.13.8)
(0.93.2)
(0.92.4)
(0.21.9)
(3.65.9)
(1.94.5)
(4.16.6)
(0.21.7)
(2.94.9)

4.4
4.5
4.3
5.1
5.8
5.4
8.0
2.0
4.4

(3.16.0)
(3.06.6)
(2.86.6)
(3.18.4)
(4.57.5)
(3.77.8)
(5.511.4)
(1.23.4)
(3.06.4)

3.4
3.1
3.3
3.0
5.4
4.3
6.9
1.3
4.0

(2.74.3)
(2.14.4)
(2.44.6)
(1.84.9)
(4.56.5)
(3.35.6)
(5.48.7)
(0.82.2)
(3.15.2)

(3.77.7)
(2.33.2)
(1.64.0)
(3.45.8)

2.8
1.6
2.2
3.6

(1.84.3)
(1.32.0)
(1.33.7)
(2.55.3)

7.5
3.7
3.7
5.6

(5.210.8)
(2.94.7)
(2.26.1)
(3.88.2)

5.4
2.8
2.9
4.8

(3.77.9)
(2.33.4)
(2.04.3)
(3.76.2)

(1.84.2)
(1.63.1)
(1.93.9)
(3.76.6)

2.8
0.85.3

1.6
4.1
3.2
3.4
3.8

(0.83.2)
(2.95.7)
(2.14.9)
(2.25.2)
(2.55.8)

3.7
5.3
6.4
6.0
6.0

2.8
0.65.2

(2.26.2)
(3.77.5)
(4.78.8)
(4.58.0)
(4.87.5)
5.1
2.08.0

CI

2.8
4.6
4.9
5.3
5.2

(1.84.4)
(3.75.9)
(3.86.4)
(4.26.6)
(4.06.6)
4.0
1.36.9

* Used heroin (also called smack, junk, or China White) one or more times during their life.
Used methamphetamines (also called speed, crystal, crank, or ice) one or more times during their life.
95% confidence interval.
Not available.

TABLE 57. Percentage of high school students who used hallucinogenic drugs* and who took steroids, by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2011
Ever used hallucinogenic drugs
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ever took steroids without a doctors prescription

Male

Total

CI

CI

6.9
0.7
5.7

(5.88.2)
(0.31.8)
(4.67.2)

11.6
6.0
12.2

(10.213.2)
(4.28.6)
(10.114.6)

9.3
3.3
9.1

3.9
5.9
5.2
8.7
5.9

(2.95.2)
(4.67.5)
(3.87.2)
(6.711.2)
(5.06.9)

8.7
9.3
13.4
14.1
11.3

(6.910.9)
(7.211.9)
(11.415.8)
(11.417.3)
(10.112.6)

6.3
7.7
9.4
11.5
8.7

Female
CI

Male

CI

CI

CI

(8.410.3)
(2.34.7)
(7.910.5)

2.8
1.3
4.3

(2.13.9)
(0.82.2)
(3.06.2)

3.8
4.5
4.2

(3.14.6)
(3.26.3)
(3.35.4)

3.3
2.9
4.3

(2.83.9)
(2.04.1)
(3.45.5)

(5.17.8)
(6.39.3)
(8.210.8)
(9.813.5)
(7.99.5)

3.9
2.3
3.3
1.9
2.9

(2.65.8)
(1.73.0)
(2.25.0)
(1.13.1)
(2.33.7)

4.5
4.0
4.1
3.7
4.2

(3.55.8)
(3.15.2)
(3.05.7)
(2.94.8)
(3.74.7)

4.2
3.2
3.7
2.8
3.6

(3.35.4)
(2.63.8)
(2.94.8)
(2.33.5)
(3.24.1)

* Used hallucinogenic drugs (e.g., LSD, acid, PCP, angel dust, mescaline, or mushrooms) one or more times during their life.
Took steroid pills or shots without a doctors prescription one or more times during their life.
95% confidence interval.
Non-Hispanic.

104

MMWR/June 8, 2012/Vol. 61/No. 4

Total

Surveillance Summaries

TABLE 58. Percentage of high school students who ever took steroids without a doctors prescription,* by sex selected U.S. sites, Youth Risk
Behavior Survey, 2011
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

CI

CI

CI

2.1

4.9
1.3
1.4

2.5
2.1
3.8

2.1
1.8
2.5
1.5
1.7
2.4
3.9

2.6
2.0
1.0
1.9
2.1
2.0
1.1
0.7

1.6
2.1
2.2
1.0

4.5
1.1
2.2
3.6
1.5

2.3
1.1

4.0

(1.33.5)

(4.15.8)
(0.72.4)
(0.82.5)

(1.44.5)
(1.72.7)
(2.36.3)

(1.23.6)
(1.13.0)
(1.73.6)
(0.73.2)
(0.93.1)
(1.63.7)
(2.46.2)

(1.83.8)
(1.23.2)
(0.51.8)
(1.32.9)
(1.53.1)
(1.32.9)
(0.71.9)
(0.31.6)

(1.02.6)
(1.33.4)
(0.95.1)
(0.52.1)

(3.16.4)
(0.52.2)
(1.62.9)
(3.04.3)
(0.82.9)

(1.05.1)
(0.62.1)

(3.05.3)

6.7

5.2
5.3
3.8

4.9
5.5
6.4

3.3
2.5
4.2
3.4
3.5
7.6
7.7

6.3
3.5
3.1
6.5
3.5
3.5
4.4
3.8

6.7
3.7
5.2
3.0

6.2
2.5
4.4
5.7
4.2

3.3
6.3

6.3

(4.79.4)

(3.96.8)
(3.18.9)
(2.17.0)

(3.66.7)
(4.56.6)
(4.58.9)

(2.15.3)
(1.83.4)
(2.66.9)
(2.15.3)
(2.15.7)
(5.610.3)
(4.712.4)

(4.49.1)
(2.84.4)
(2.24.3)
(4.78.9)
(2.84.5)
(2.54.8)
(2.96.7)
(2.55.9)

(4.69.7)
(2.26.1)
(3.67.6)
(2.04.6)

(3.99.7)
(1.54.1)
(3.26.1)
(4.27.5)
(2.76.4)

(2.15.2)
(4.29.4)

(5.08.0)

4.4

5.2
3.4
3.0

3.8
3.9
5.4

2.8
2.2
3.4
2.5
2.7
5.3
6.1

5.0
2.8
2.1
4.2
2.9
2.8
2.8
2.3

4.2
2.9
3.8
2.1

5.6
1.8
3.4
4.8
3.1

2.9
3.8

5.2

(3.26.1)

(4.36.2)
(2.15.3)
(1.94.7)

(2.75.2)
(3.44.6)
(3.97.4)

(1.94.1)
(1.63.1)
(2.44.8)
(1.63.7)
(1.74.1)
(4.16.9)
(4.19.0)

(4.06.2)
(2.33.5)
(1.53.0)
(3.35.4)
(2.33.7)
(2.13.6)
(2.04.0)
(1.63.4)

(2.96.1)
(2.04.4)
(2.55.7)
(1.52.9)

(3.98.1)
(1.22.8)
(2.74.3)
(3.95.9)
(2.14.6)

(1.84.7)
(2.55.7)

(4.36.4)

2.1
0.74.9

4.4
2.57.7

3.4
1.86.1

See table footnotes on page 106.

MMWR/June 8, 2012/Vol. 61/No. 4

105

Surveillance Summaries

TABLE 58. (Continued) Percentage of high school students who ever took steroids without a doctors prescription,* by sex selected U.S. sites,
Youth Risk Behavior Survey, 2011
Female
Site
Large urban school district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

1.1
1.7

3.5
2.0
1.7
1.2
3.4
4.7
1.8
1.3
2.8

3.4
2.7
2.8
3.9
2.3

(0.52.6)
(1.02.9)

(2.25.5)
(1.13.8)
(1.12.8)
(0.62.5)
(2.64.5)
(3.56.4)
(1.12.9)
(0.62.8)
(1.84.5)

(2.44.9)
(1.84.1)
(1.94.2)
(2.66.0)
(1.34.0)

4.0
3.6

5.0
2.8
2.7
6.6
6.6
5.3
5.2
2.2
4.6

4.8
6.5
4.2
4.1
3.3

Total
CI
(2.27.3)
(2.55.2)

(3.57.1)
(1.55.2)
(1.64.4)
(4.59.8)
(5.18.3)
(4.07.0)
(3.08.7)
(1.33.8)
(3.36.4)

(2.97.7)
(4.78.8)
(2.86.3)
(2.76.3)
(2.15.2)

2.5
1.14.7

CI

2.6
2.8

4.5
2.4
2.5
3.9
5.2
5.1
3.8
1.8
3.7

4.1
4.7
3.7
4.0
2.9

(1.54.4)
(2.13.8)

(3.55.7)
(1.53.8)
(1.83.5)
(2.65.9)
(4.36.3)
(4.26.3)
(2.55.7)
(1.22.8)
(2.75.0)

(3.05.5)
(3.76.1)
(2.75.0)
(2.95.5)
(1.94.3)

3.7
1.85.2

4.4
2.26.6

* Took steroid pills or shots without a doctors prescription one or more times during their life.
95% confidence interval.
Not available.

TABLE 59. Percentage of high school students who took prescription drugs* and who injected illegal drugs, by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2011
Ever took prescription drugs without a doctors prescription
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Ever injected any illegal drug

Total

CI

CI

22.2
11.9
19.0

(19.625.0)
(9.315.2)
(15.822.5)

23.6
17.5
19.7

(21.426.0)
(14.521.1)
(16.523.3)

16.2
18.1
22.2
23.2
19.8

(13.419.5)
(15.521.1)
(18.925.8)
(20.326.4)
(17.821.9)

16.7
18.3
24.5
27.9
21.5

(14.119.7)
(15.921.0)
(21.328.0)
(25.330.7)
(19.923.2)

Female

Male

Total

CI

CI

CI

CI

22.9
14.7
19.4

(21.124.8)
(12.317.5)
(16.422.6)

1.4
1.4
2.2

(1.02.0)
(0.82.3)
(1.53.2)

2.3
3.5
3.5

(1.82.9)
(2.35.2)
(2.54.9)

1.9
2.4
2.9

(1.62.3)
(1.73.5)
(2.23.8)

16.5
18.2
23.3
25.6
20.7

(14.219.1)
(16.120.6)
(20.826.1)
(23.428.0)
(19.222.2)

1.5
1.9
1.1
1.7
1.6

(1.02.1)
(1.32.8)
(0.61.8)
(1.02.8)
(1.32.0)

2.6
2.7
3.6
2.6
2.9

(1.83.7)
(1.83.8)
(2.74.7)
(1.74.1)
(2.43.4)

2.1
2.3
2.4
2.2
2.3

(1.52.7)
(1.83.0)
(1.83.0)
(1.53.1)
(1.92.7)

* Took prescription drugs (e.g., Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctors prescription one or more times during their life.
Used a needle to inject any illegal drug into their body one or more times during their life.
95% confidence interval.
Non-Hispanic.

106

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 60. Percentage of high school students who took prescription drugs* and who injected illegal drugs, by sex selected U.S. sites, Youth
Risk Behavior Survey, 2011
Ever took prescription drugs without a doctors prescription
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Ever injected any illegal drug

Total
CI

Female
CI

CI

Male
%

Total

CI

CI

15.0
15.1

18.2
19.2

14.8

14.5
19.0
14.7
21.5
16.4
14.2
17.0
18.2
12.1
14.3

13.1
17.4
11.4
20.3

(10.820.5)
(12.118.7)

(15.021.8)
(16.322.6)

(13.216.7)

(11.917.6)
(15.123.5)
(12.117.7)
(18.724.5)
(13.919.1)
(11.217.8)
(13.920.6)
(13.923.4)
(11.113.1)
(11.317.9)

(10.815.7)
(15.319.6)
(9.413.6)
(16.325.0)

20.8
16.4

19.1
19.7

15.1

14.0
21.2
15.1
21.3
18.5
15.8
20.6
19.4
15.4
15.5

18.1
19.4
13.4
21.3

(16.725.6)
(13.120.3)

(15.123.8)
(16.523.3)

(13.716.6)

(12.116.2)
(17.925.0)
(12.718.0)
(16.427.2)
(13.924.2)
(13.518.4)
(17.923.5)
(15.524.1)
(13.917.1)
(13.018.3)

(15.021.8)
(17.421.5)
(11.116.2)
(18.025.0)

17.9
15.8

18.7
19.6

15.0

14.3
20.1
14.9
21.4
17.4
15.0
19.0
19.1
13.9
15.2

15.7
18.4
12.4
20.8

(14.122.5)
(13.518.4)

(15.722.1)
(17.222.1)

(13.716.4)

(12.616.3)
(17.023.7)
(12.817.4)
(18.324.8)
(14.420.8)
(12.717.6)
(17.021.3)
(17.021.3)
(12.915.0)
(13.317.3)

(13.218.4)
(16.820.2)
(10.814.3)
(17.624.4)

1.7
1.5

1.7

1.8

2.1

1.0
1.4
2.0
1.3
1.7
2.7
2.5
2.4
2.5
0.8
2.1
0.8
1.5
1.4

(0.73.8)
(0.82.8)

(0.93.0)

(1.13.2)

(1.33.2)

(0.52.0)
(0.92.3)
(1.13.5)
(0.62.6)
(1.12.7)
(1.64.5)
(0.96.7)
(1.93.0)
(1.83.5)
(0.41.5)
(1.33.4)
(0.51.3)
(0.92.4)
(0.82.4)

4.7
2.0

4.0

3.7

3.7

2.7
2.7
2.2
2.1
2.4
5.6
4.8
4.4
5.0
2.7
3.0
4.1
2.4
2.3

(3.07.3)
(1.13.6)

(2.56.4)

(2.65.2)

(2.55.4)

(1.74.1)
(2.13.5)
(1.33.7)
(1.13.8)
(1.63.5)
(4.47.2)
(2.97.8)
(3.85.2)
(3.66.9)
(2.03.7)
(2.14.1)
(2.27.6)
(1.73.3)
(1.53.6)

3.2
1.8

2.9

2.7

2.9

1.8
2.1
2.1
1.7
2.1
4.2
3.7
3.6
4.1
1.8
2.6
2.5
2.0
1.9

(2.04.9)
(1.22.7)

(2.04.3)

(1.93.9)

(2.23.9)

(1.22.8)
(1.72.6)
(1.33.2)
(1.02.9)
(1.62.9)
(3.55.1)
(2.26.1)
(3.14.1)
(3.15.2)
(1.32.6)
(2.03.4)
(1.44.2)
(1.62.6)
(1.42.7)

15.5
19.8

16.5

(11.720.2)
(17.822.0)

(13.819.7)

14.8
20.5

24.1

(12.317.8)
(18.023.3)

(20.028.6)

15.1
20.2

20.4

(12.418.4)
(18.322.2)

(17.323.9)

1.6
3.1
2.1

(0.83.2)
(2.43.9)
(1.43.1)

2.8
4.5
4.8

(1.84.3)
(3.75.5)
(3.66.3)

2.3
3.8
3.5

(1.53.4)
(3.34.5)
(2.84.4)

16.3

(13.719.2)

15.9

(13.219.0)

16.2

(14.218.5)

1.8

(1.13.1)

2.2

(1.43.4)

2.0

(1.42.9)

19.6
11.6
19.4

(15.225.0)
(9.613.9)
(15.723.7)

19.3
16.3
21.7

(15.423.9)
(13.519.4)
(18.025.9)

19.6
14.1
20.9

(15.923.8)
(11.816.8)
(18.123.9)

4.0
1.2

1.6

(1.88.6)
(0.52.9)

(0.73.8)

2.3
2.1

4.7

(1.24.3)
(0.94.9)

(2.97.6)

3.2
1.6

3.3

(1.66.2)
(0.83.4)

(2.05.3)

13.5

(10.816.9)

16.0

(10.823.0)

14.8

(11.119.4)

1.8

(1.03.4)

2.4

(1.44.2)

2.1

(1.33.4)

(15.623.4)
(18.924.7)
(8.213.3)

(12.819.6)
(11.919.4)
(15.520.2)
(16.321.6)
16.3
10.521.7

20.4
22.3
13.6

15.2
18.6
18.3
20.0

(17.223.9)
(19.425.3)
(10.417.6)

(11.619.8)
(15.522.2)
(16.120.7)
(17.123.3)
18.5
13.424.1

19.9
22.1
12.4

15.6
16.9
18.1
19.5

(17.023.1)
(19.724.7)
(10.115.0)

(12.719.0)
(14.719.4)
(16.419.9)
(17.321.9)
17.6
12.422.1

1.4
2.1
1.5

1.5
0.9

3.3

(0.82.3)
(1.52.9)
(0.73.3)

(0.73.3)
(0.51.6)

(2.44.5)
1.7
0.84.0

2.7
4.0
3.8

3.2
3.4

4.5

(1.83.9)
(2.85.6)
(2.65.5)

(2.05.1)
(2.44.8)

(3.46.0)
3.2
2.05.6

2.1
3.1
2.9

2.5
2.2

4.0

19.2
21.7
10.5

15.9
15.2
17.7
18.8

(1.53.0)
(2.53.9)
(2.04.3)

(1.63.9)
(1.53.0)

(3.34.9)
2.5
1.64.2

See table footnotes on page 108.

MMWR/June 8, 2012/Vol. 61/No. 4

107

Surveillance Summaries

TABLE 60. (Continued) Percentage of high school students who took prescription drugs* and who injected illegal drugs, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2011
Ever took prescription drugs without a doctors prescription
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Ever injected any illegal drug

Total
CI

Female
CI

CI

Male

Total

CI

CI

11.1
16.2

(9.113.5)
(13.119.9)

14.1
20.1

(11.317.3)
(16.424.4)

12.8
18.3

(11.014.9)
(15.521.5)

0.9
1.3

(0.32.3)
(0.63.0)

2.7
1.3

(1.45.3)
(0.72.3)

1.8
1.4

(1.03.2)
(0.82.6)

7.9
11.9

5.8

15.1
11.9
7.2
9.8

(5.611.2)
(8.815.8)

(3.98.5)

(12.817.8)
(9.814.3)
(5.69.2)
(8.311.5)

11.7
17.4

8.8

15.1
11.7
9.5
11.8

(9.414.5)
(14.520.6)

(6.312.1)

(12.518.0)
(8.316.1)
(7.512.0)
(9.714.3)

9.8
14.5

7.3

15.1
12.1
8.4
10.7

(7.912.0)
(12.417.0)

(5.69.6)

(13.317.1)
(10.014.5)
(7.010.0)
(9.312.3)

2.0
1.0
17.4

3.7
2.5
1.7
0.6
2.8

(1.43.1)
(0.42.1)
(13.821.6)

(2.85.1)
(1.83.5)
(0.93.1)
(0.31.2)
(1.94.2)

4.6
1.1
7.9

4.9
4.6
4.7
1.4
4.7

(3.16.6)
(0.52.5)
(5.511.1)

(3.76.5)
(3.46.2)
(2.39.2)
(0.72.6)
(3.36.5)

3.4
1.0
13.0

4.5
3.7
3.4
1.0
3.7

(2.74.2)
(0.61.8)
(10.416.0)

(3.65.4)
(2.94.6)
(1.96.0)
(0.61.7)
(2.85.0)

14.1

11.3
14.3

(12.316.3)

(8.914.4)
(12.017.0)

19.1

13.6
13.5

(16.322.4)

(10.617.1)
(11.216.1)

16.9

12.5
14.0

(15.118.8)

(10.714.6)
(12.315.8)

1.5
1.3
2.5

(1.02.0)
(0.62.5)
(1.54.1)

3.4
3.4
4.8

(2.54.4)
(1.96.0)
(3.37.0)

2.5
2.3
3.8

(1.93.2)
(1.53.7)
(2.85.2)

7.2
15.1
12.6
9.5

(5.49.5)
(12.018.9)
(9.316.7)
(7.511.9)

11.6
5.816.2

9.5
16.4
15.2
12.0

(7.412.2)
(13.420.0)
(12.418.5)
(9.215.5)

13.5
8.820.1

8.6
15.8
13.9
11.4

(7.110.5)
(13.518.4)
(11.516.6)
(9.313.8)

12.6
7.318.3

2.0
1.1
1.5

2.5

(1.13.5)
(0.52.5)
(0.92.6)

(1.73.8)

3.4
2.3
4.1

4.2

(2.15.3)
(1.24.4)
(2.85.8)

(3.05.9)
4.1
1.17.9

2.7
1.7
2.9

3.5

1.7
0.617.4

(1.84.0)
(1.02.8)
(2.13.9)

(2.74.7)
2.9
1.013.0

* Took prescription drugs (e.g., Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctors prescription one or more times during their life.
Used a needle to inject any illegal drug into their body one or more times during their life.
95% confidence interval.
Not available.

TABLE 61. Percentage of high school students who were offered, sold, or given an illegal drug by someone on school property,* by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

CI

CI

18.8
17.0
30.5

(16.421.6)
(13.621.1)
(26.634.6)

26.3
28.7
35.8

(24.028.8)
(24.033.8)
(32.539.2)

22.7
22.8
33.2

(20.924.7)
(19.426.7)
(29.936.7)

21.3
24.6
21.3
19.3
21.7

(18.524.4)
(21.927.5)
(18.224.7)
(16.622.4)
(19.524.2)

25.9
30.8
32.5
28.1
29.2

(23.328.7)
(27.234.6)
(28.936.4)
(24.731.8)
(27.131.5)

23.7
27.8
27.0
23.8
25.6

(21.326.2)
(25.530.3)
(24.130.2)
(21.626.2)
(23.627.6)

* During the 12 months before the survey.


95% confidence interval.
Non-Hispanic.

108

Total

CI

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 62. Percentage of high school students who were offered, sold, or given an illegal drug by someone on school property,* by sex
selected U.S. sites, Youth Risk Behavior Survey, 2011
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male
CI

%
17.3
20.2
30.7
25.8
15.0
23.3
19.9
18.8
30.8
28.1
20.9
23.4
24.8
8.9
22.4
22.1
20.9
18.5
27.4
22.8
20.6
11.3
21.3
19.8
18.5
20.1
32.0

24.0
20.2
20.3
14.8
18.0
24.9
15.3
14.8
27.3
17.3
12.6
22.9
14.1
15.9
23.8

(13.621.7)
(17.323.5)
(27.434.2)
(22.629.2)
(12.318.2)
(19.827.2)
(16.923.2)
(16.820.8)
(27.134.7)
(25.031.3)
(17.724.4)
(20.426.6)
(21.528.4)
(6.512.0)
(19.625.5)
(18.526.1)
(16.625.9)
(17.020.1)
(23.232.1)
(20.425.4)
(18.323.1)
(9.113.9)
(19.323.5)
(17.622.1)
(14.922.7)
(16.124.8)
(29.234.9)

(20.827.5)
(17.523.1)
(15.925.6)
(11.419.0)
(15.620.6)
(19.930.8)
(11.819.6)
(12.916.8)
(24.829.8)
(13.821.5)
(10.215.5)
(18.228.5)
(11.816.7)
(13.718.4)
(21.526.1)
20.4
8.932.0

%
23.2
26.0
38.2
26.3
19.0
32.3
26.4
26.9
33.1
35.6
27.9
31.2
31.7
14.5
27.1
26.6
29.6
24.6
33.1
31.4
29.9
20.6
28.7
20.7
27.4
34.3
36.9

35.5
21.5
27.7
19.4
26.8
33.6
16.6
18.1
31.4
24.4
22.2
25.1
20.4
25.5
26.3
26.8
14.538.2

Total
CI

CI

(20.426.4)
(23.129.1)
(33.942.6)
(22.630.4)
(15.423.3)
(28.836.0)
(23.829.2)
(24.629.3)
(29.936.4)
(32.438.9)
(24.032.2)
(27.535.1)
(28.934.6)
(11.917.6)
(23.830.6)
(23.529.9)
(25.534.1)
(22.826.6)
(28.438.1)
(28.134.8)
(27.532.4)
(17.823.6)
(26.531.0)
(18.223.5)
(23.831.5)
(30.837.9)
(34.139.7)

(30.740.6)
(18.824.4)
(23.232.8)
(15.324.2)
(24.329.5)
(29.637.9)
(13.021.1)
(15.621.0)
(27.535.6)
(20.828.6)
(18.226.7)
(21.329.4)
(17.124.2)
(21.829.7)
(23.629.3)

20.3
23.1
34.6
26.1
17.2
27.8
23.1
22.9
32.1
31.7
24.4
27.3
28.3
11.9
24.8
24.4
25.1
21.7
30.4
27.1
25.4
15.9
25.2
20.3
23.1
27.3
34.5

29.8
20.8
24.3
17.2
22.4
29.3
16.0
16.5
29.4
21.4
17.6
24.0
17.3
20.9
25.2

(17.623.2)
(21.325.2)
(31.537.8)
(23.528.9)
(14.720.1)
(24.930.9)
(20.825.6)
(21.224.6)
(29.435.0)
(28.934.7)
(21.427.8)
(24.530.3)
(25.631.1)
(9.714.6)
(22.527.4)
(21.627.4)
(21.329.3)
(20.123.4)
(26.334.8)
(25.029.3)
(23.627.3)
(14.117.8)
(23.427.0)
(18.422.3)
(20.426.2)
(24.530.4)
(32.037.1)

(26.133.8)
(18.822.9)
(21.028.0)
(14.620.2)
(20.424.5)
(25.633.2)
(12.620.0)
(14.818.4)
(26.732.3)
(18.424.8)
(14.521.1)
(20.627.7)
(15.219.5)
(18.323.6)
(23.327.2)
24.3
11.934.6

See table footnotes on page 110.

MMWR/June 8, 2012/Vol. 61/No. 4

109

Surveillance Summaries

TABLE 62. (Continued) Percentage of high school students who were offered, sold, or given an illegal drug by someone on school property,*
by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

CI

23.9
19.6
32.0
29.2
32.4
37.8
16.6
28.7
27.2
41.4
10.5
21.3
24.4

17.2
18.2
22.9
33.4
26.8
24.0
23.5

(20.128.1)
(16.922.7)
(28.435.8)
(25.433.2)
(28.136.9)
(33.342.6)
(13.520.2)
(26.531.0)
(24.430.2)
(35.547.6)
(8.712.7)
(18.724.3)
(21.427.7)

(14.420.4)
(16.020.7)
(19.526.7)
(30.037.0)
(23.530.5)
(21.127.0)
(20.626.8)

29.2
26.0
44.3
37.5
40.3
35.2
28.6
37.3
32.6
37.1
17.9
24.9
33.6

27.0
27.4
28.6
38.7
37.0
32.0
32.3

(24.035.0)
(23.129.1)
(40.148.5)
(33.841.4)
(35.844.9)
(31.539.0)
(24.533.1)
(34.240.5)
(28.936.6)
(33.341.0)
(15.021.2)
(21.428.7)
(30.037.4)

(23.730.6)
(24.530.5)
(25.032.6)
(35.242.3)
(32.741.5)
(28.735.5)
(29.035.8)

26.6
23.1
38.3
33.0
36.4
36.6
22.6
33.0
29.9
39.3
14.3
23.2
29.2

22.0
22.7
26.0
36.1
32.0
28.3
28.2

(24.029.3)
(21.125.1)
(35.541.2)
(30.036.1)
(32.940.1)
(33.639.6)
(19.725.8)
(30.935.1)
(27.432.6)
(35.742.9)
(12.516.2)
(20.925.6)
(26.731.7)

(19.724.5)
(20.724.9)
(23.528.6)
(33.638.7)
(28.835.4)
(25.930.8)
(25.930.6)

24.2
10.541.4

28.7
14.339.3

32.4
17.944.3

* During the 12 months before the survey.


95% confidence interval.
Not available.

TABLE 63. 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, 2011
Ever had sexual intercourse
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI*

CI

44.5
53.6
43.9

(40.848.3)
(48.758.5)
(40.847.1)

44.0
66.9
53.0

(40.947.2)
(63.670.0)
(50.655.4)

27.8
43.0
51.9
63.6
45.6

(24.031.9)
(38.847.2)
(48.855.0)
(59.367.7)
(43.048.3)

37.8
44.5
54.5
62.6
49.2

(34.841.0)
(39.949.2)
(51.157.9)
(58.766.4)
(46.651.8)

* 95% confidence interval.


Non-Hispanic.

110

Had first sexual intercourse before age 13 years

MMWR/June 8, 2012/Vol. 61/No. 4

Female

Male
%

Total

CI

CI

CI

CI

44.3
60.0
48.6

(41.147.4)
(56.663.4)
(46.151.0)

2.6
7.0
2.9

(2.03.3)
(5.29.4)
(2.23.8)

5.2
21.2
11.1

(4.26.4)
(18.124.6)
(9.413.0)

3.9
13.9
7.1

(3.34.7)
(12.515.4)
(6.18.1)

32.9
43.8
53.2
63.1
47.4

(29.936.0)
(40.047.6)
(50.456.1)
(59.666.5)
(45.049.9)

4.1
3.9
3.0
2.2
3.4

(3.15.6)
(2.85.4)
(2.24.1)
(1.63.1)
(2.94.0)

13.3
8.6
6.8
6.2
9.0

(11.315.6)
(6.710.8)
(5.48.5)
(4.97.7)
(7.910.2)

8.8
6.3
4.9
4.2
6.2

(7.610.1)
(5.37.4)
(4.16.0)
(3.45.1)
(5.66.9)

Surveillance Summaries

TABLE 64. 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, 2011
Ever had sexual intercourse
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Had first sexual intercourse before age 13 years

Male

Total

CI*

CI

54.4
37.3
44.2
48.6
36.1
41.8
57.1
43.9

37.4
39.1
45.3
50.5
43.5
43.0
51.9

45.2

39.4
40.4
53.3
46.6
37.2
45.7

(49.159.7)
(31.843.1)
(38.749.9)
(42.954.3)
(29.443.3)
(36.647.1)
(51.762.4)
(41.446.5)

(31.244.1)
(32.446.2)
(40.250.5)
(45.155.9)
(38.948.3)
(35.351.1)
(45.058.7)

(42.747.8)

(34.244.8)
(34.646.5)
(48.957.5)
(43.250.1)
(33.640.9)
(40.351.2)

60.6
39.3
49.7
51.9
44.5
43.7
60.8
52.4

36.7
40.8
44.4
51.4
44.3
43.4
51.7

44.6

44.7
42.1
62.5
49.1
37.2
49.4

(54.965.9)
(34.444.5)
(44.255.2)
(46.257.5)
(36.952.4)
(38.049.6)
(56.065.5)
(49.755.1)

(32.341.2)
(34.747.2)
(39.949.0)
(46.656.2)
(35.953.0)
(39.247.8)
(46.556.9)

(42.546.8)

(39.550.0)
(37.347.0)
(56.768.0)
(45.452.9)
(33.441.2)
(43.855.1)

41.4 (35.447.7)

39.6 (36.143.2)
47.1 (42.052.3)

47.6

44.5
51.4

46.2 (41.451.2)

Female

Male
%

Total

CI

CI

57.6
38.3
46.9
50.3
40.8
42.7
59.0
48.2

37.0
40.0
44.8
51.0
43.9
43.2
51.8

45.1

42.0
41.2
57.9
47.9
37.1
47.5

(52.662.4)
(33.942.8)
(42.351.5)
(46.254.3)
(34.547.4)
(38.047.6)
(54.663.3)
(46.050.4)

(32.042.3)
(34.446.0)
(40.649.2)
(46.455.5)
(38.349.8)
(37.748.8)
(46.656.9)

(43.047.3)

(37.546.6)
(36.446.1)
(53.961.8)
(44.950.8)
(34.240.1)
(42.952.1)

5.8
2.4
3.1
4.7
2.0
3.3
4.3
3.2

3.0
2.2
3.4
3.6
2.5
1.9
5.5

2.2

2.1
2.9
4.8
2.4
2.7
2.4

(3.88.9)
(1.44.3)
(2.14.7)
(2.87.9)
(1.23.1)
(2.05.3)
(3.16.0)
(2.73.9)

(2.14.1)
(1.33.6)
(2.44.8)
(2.55.2)
(1.83.4)
(1.13.2)
(3.97.6)

(1.82.7)

(1.43.1)
(1.94.5)
(3.36.9)
(1.83.2)
(1.93.7)
(1.44.2)

13.9
6.2
7.9
12.1
5.4
6.5
13.7
11.8

7.5
4.9
9.1
6.9
5.6
5.5
8.9

5.6

6.2
5.9
19.1
6.3
4.8
6.5

(9.519.7)
(4.48.8)
(5.810.7)
(8.417.3)
(3.97.4)
(4.59.4)
(11.216.6)
(10.513.2)

(6.09.3)
(3.37.2)
(7.311.4)
(5.19.4)
(3.88.2)
(3.77.9)
(6.911.4)

(4.76.7)

(4.29.0)
(4.08.7)
(14.325.0)
(5.08.0)
(3.66.4)
(4.59.1)

10.0
4.4
5.4
8.4
3.6
4.9
8.8
7.6

5.2
3.6
6.3
5.2
4.2
3.7
7.2

4.0

4.2
4.4
11.8
4.4
3.8
4.5

(7.413.3)
(3.26.0)
(4.36.9)
(6.011.6)
(2.84.7)
(3.66.7)
(7.310.7)
(6.88.4)

(4.26.3)
(2.55.1)
(5.17.6)
(4.06.8)
(3.25.6)
(2.65.2)
(5.89.0)

(3.44.6)

(3.15.5)
(3.16.2)
(8.915.6)
(3.55.5)
(3.14.7)
(3.46.0)

(40.654.7)

(40.548.6)
(46.856.0)

44.6

42.0
49.3

(38.950.4)

(39.244.9)
(44.653.9)

2.6
5.1
4.0
5.3

(1.73.8)
(4.26.1)
(2.95.3)
(3.48.4)

7.5
10.4
7.6
12.0

(4.911.2)
(8.412.6)
(6.19.5)
(9.315.3)

5.1
7.7
5.7
8.6

(3.67.2)
(6.69.1)
(4.67.1)
(6.511.4)

43.4

(38.248.8)

44.8

(40.549.2)

3.0

(2.14.4)

4.4

(2.96.7)

3.7

(2.75.1)

50.1 (43.157.1)
38.2 (34.741.8)
52.0 (45.758.3)

51.0
45.4
61.3

(45.556.4)
(40.150.7)
(55.067.3)

50.5
41.7
56.6

(45.455.6)
(37.646.0)
(51.061.9)

4.3
2.7
1.7
3.9

(2.57.5)
(1.45.1)
(1.02.9)
(2.56.1)

8.0
7.2
8.0
17.1

(5.811.1)
(4.810.7)
(5.810.9)
(12.822.5)

6.1
5.0
4.9
10.5

(4.48.4)
(3.67.0)
(3.56.7)
(8.113.5)

48.9 (41.256.6)

46.1

(36.855.7)

47.4

(39.755.2)

2.5

(1.44.3)

5.1

(3.18.3)

3.8

(2.55.8)

49.4
48.6

50.1
41.4
47.4

55.3
54.8

51.8
41.7
48.5

(50.859.7)
(49.659.9)

(46.157.4)
(35.348.3)
(44.452.5)
47.6
36.762.5

52.4
51.6

50.9
41.6
47.9

(48.356.4)
(47.555.7)

(45.556.3)
(37.345.9)
(44.751.2)
46.9
37.059.0

4.0
4.0

2.6

2.3
2.7
4.3

(2.95.4)
(3.34.9)

(2.33.0)

(1.34.2)
(1.84.0)
(3.35.6)
3.0
1.75.8

10.4
10.1

5.7

7.5
6.0
7.6

(44.654.1)
(44.652.6)

(43.956.4)
(38.144.8)
(43.751.3)
45.3
36.157.1

CI

(7.913.6)
(7.613.3)

(4.57.1)

(4.711.7)
(3.111.3)
(6.19.6)
7.5
4.419.1

CI

7.2
7.0

4.2

4.9
4.4
6.0

(5.89.0)
(5.78.7)

(3.55.0)

(3.17.7)
(2.77.0)
(5.17.1)
5.0
3.611.8

See table footnotes on page 112.

MMWR/June 8, 2012/Vol. 61/No. 4

111

Surveillance Summaries

TABLE 64. (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, 2011
Ever had sexual intercourse
Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Had first sexual intercourse before age 13 years

Male

CI*

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

45.3
41.6
46.5

(39.751.1)
(36.746.7)
(40.552.7)

66.1
55.5
53.5

(60.371.3)
(50.560.4)
(47.259.6)

55.5
48.8
50.0

(50.660.3)
(44.852.7)
(44.655.3)

4.5
4.5
5.4

(2.87.4)
(3.16.6)
(4.07.3)

18.6
12.0
12.9

(13.624.9)
(9.714.8)
(9.716.9)

11.4 (8.515.3)
8.3 (6.810.0)
9.1 (7.411.3)

45.7
47.4
57.3
49.3
46.8
46.3
34.2
55.9
43.0

(39.551.9)
(41.353.6)
(51.862.5)
(44.154.5)
(43.250.5)
(42.150.6)
(28.240.8)
(51.460.3)
(38.947.1)

60.3
58.1
62.6
61.7
55.1
58.6
43.2
69.0
52.0

(54.765.7)
(50.165.7)
(57.667.4)
(55.467.5)
(51.259.1)
(54.063.1)
(35.151.6)
(64.073.6)
(47.756.2)

52.2
52.5
59.8
54.9
50.9
52.3
38.9
62.2
47.4

(46.857.5)
(46.458.4)
(56.363.2)
(50.059.6)
(47.754.0)
(48.556.2)
(32.445.7)
(58.465.9)
(43.950.9)

4.2
4.1
3.9
4.6
4.7
6.7
2.2
5.5
3.0

(2.86.2)
(2.66.3)
(2.75.6)
(2.97.1)
(3.56.3)
(4.69.6)
(1.33.5)
(4.17.4)
(2.14.3)

21.5
13.7
22.6
24.0
16.3
14.6
9.0
26.2
12.7

(17.726.0)
(9.719.2)
(18.627.1)
(19.828.7)
(13.919.1)
(11.917.9)
(6.113.2)
(23.029.7)
(10.015.9)

11.9 (10.014.3)
8.7 (6.511.4)
12.5 (10.514.9)
13.3 (11.115.9)
10.4 (8.912.0)
10.5 (8.812.6)
5.7 (4.27.8)
15.6 (13.617.9)
7.6 (6.19.5)

54.8
32.1
38.1
45.7

(50.259.2)
(28.336.2)
(32.344.3)
(41.250.3)

65.9
43.9
45.4
50.9

(60.670.9)
(40.647.3)
(40.750.2)
(46.455.3)

60.2
37.8
41.5
48.3

(56.563.8)
(34.541.2)
(37.246.0)
(44.452.1)

7.1
3.9
4.1
3.8

(5.39.3)
(3.04.9)
(2.86.0)
(2.65.5)

22.1
10.5
11.2
12.5

(17.327.6)
(9.112.0)
(9.113.7)
(9.815.7)

14.4 (12.017.3)
7.0 (6.08.1)
7.6 (6.48.9)
8.1 (6.510.0)

(50.260.6)
(35.949.1)
(32.845.3)
(22.530.7)
(22.731.1)
45.7
26.457.3

66.9
55.2
46.0
29.0
32.7

(60.872.4)
(49.960.5)
(39.852.2)
(24.833.6)
(28.237.5)
55.2
29.069.0

61.0
48.6
42.5
27.8
29.8

(56.165.6)
(43.653.6)
(37.347.8)
(24.631.3)
(26.233.7)
50.0
27.862.2

5.9
1.9
2.9
2.0
2.4

(4.18.4)
(1.13.3)
(1.84.6)
(1.23.3)
(1.53.9)
4.1
1.97.1

25.0
12.7
9.3
7.5
7.3

(21.329.3)
(10.015.9)
(7.112.2)
(5.410.4)
(5.310.0)
12.9
7.326.2

15.1 (13.017.5)
7.2 (5.79.1)
6.1 (4.87.7)
4.9 (3.86.4)
5.0 (3.86.7)
8.7
4.915.6

55.5
42.3
38.9
26.4
26.7

* 95% confidence interval.


Not available.

TABLE 65. 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, 2011
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

Female

Male

Total

CI

CI

12.8
17.5
9.0

(11.114.7)
(14.321.3)
(7.710.6)

13.3
32.6
20.3

(11.715.0)
(29.336.0)
(18.921.8)

13.1
24.8
14.8

(11.714.5)
(22.427.3)
(13.616.0)

35.0
36.9
31.6

(31.738.4)
(33.140.9)
(29.034.3)

30.0
46.0
35.3

(27.133.0)
(42.249.8)
(33.337.3)

32.4
41.3
33.5

(29.735.3)
(38.444.3)
(31.635.4)

4.9
(3.66.4)
9.4
(7.811.3)
15.2 (12.817.9)
22.8 (19.626.3)
12.6 (11.414.0)

12.4
15.1
19.4
25.5
17.8

(10.414.6)
(12.518.1)
(16.722.3)
(22.928.2)
(16.219.4)

8.7
12.3
17.3
24.1
15.3

(7.510.0)
(10.614.3)
(15.319.6)
(22.026.4)
(14.216.4)

19.0
31.4
38.9
50.7
34.2

(16.122.2)
(28.234.8)
(36.441.5)
(47.054.4)
(32.136.4)

23.6
29.1
38.5
44.4
33.3

(20.926.4)
(25.632.9)
(35.341.8)
(40.648.3)
(31.135.6)

21.3
30.3
38.7
47.5
33.7

(19.023.8)
(27.533.2)
(36.241.4)
(44.650.5)
(31.835.7)

CI

* Had sexual intercourse with at least one person during the 3 months before the survey.
95% confidence interval.
Non-Hispanic.

112

Currently sexually active

Total

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

Surveillance Summaries

TABLE 66. 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, 2011
Had sexual intercourse with four or more persons during their life
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Currently sexually active

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

19.0
7.5
11.9
16.0
11.1
8.6
17.0
10.8

7.4
11.0
10.4
15.2
13.1
8.5
16.3

9.6

9.5
9.0
13.7
14.5
9.9
11.5

(14.924.0)
(5.510.2)
(9.415.0)
(13.219.2)
(8.215.0)
(6.511.3)
(14.320.2)
(9.512.2)

(5.89.6)
(7.815.4)
(7.614.1)
(11.619.8)
(10.017.0)
(6.211.6)
(12.121.5)

(8.610.8)

(7.312.1)
(7.011.5)
(11.316.5)
(12.217.2)
(7.712.5)
(8.615.1)

26.3
11.8
16.6
23.0
14.8
12.6
26.5
21.4

8.7
16.5
14.4
18.4
13.1
10.9
17.0

11.2

13.3
12.2
30.6
15.5
11.3
13.4

(20.533.0)
(9.015.4)
(13.819.9)
(18.028.9)
(11.019.8)
(9.816.0)
(23.130.1)
(19.024.0)

(7.010.7)
(12.521.3)
(11.517.9)
(15.222.2)
(8.819.0)
(8.314.3)
(12.822.2)

(10.012.5)

(9.917.6)
(9.515.6)
(27.434.1)
(13.118.3)
(9.513.5)
(10.516.9)

22.8
9.7
14.2
19.5
13.2
10.6
21.7
16.1

8.0
13.8
12.4
16.8
13.1
9.7
16.6

10.5

11.4
10.7
22.1
15.0
10.6
12.4

(18.328.0)
(7.911.9)
(12.416.3)
(16.422.9)
(10.516.4)
(8.712.9)
(19.224.5)
(14.617.7)

(6.59.8)
(10.617.7)
(10.115.1)
(14.120.0)
(10.316.4)
(7.612.2)
(13.220.6)

(9.711.4)

(9.114.2)
(8.613.1)
(19.824.6)
(13.017.3)
(9.112.4)
(10.215.1)

44.8
26.2
31.3
39.6
29.2
31.9
42.9
32.2

25.9

35.2
39.9
34.3
33.6
40.9

35.6

30.3
30.9
38.6
36.8
28.5
36.4

(40.249.6)
(21.531.5)
(26.636.5)
(34.944.5)
(23.635.5)
(27.436.8)
(38.347.5)
(30.234.2)

(21.231.2)

(30.440.3)
(34.545.6)
(30.638.2)
(26.941.1)
(34.947.3)

(33.338.0)

(26.134.8)
(26.236.1)
(34.442.9)
(33.640.2)
(25.431.9)
(31.341.8)

43.1
24.2
35.9
36.4
33.5
29.2
42.7
35.8

21.7

30.3
37.0
31.7
32.1
34.6

31.3

30.7
27.2
45.4
32.6
25.7
37.9

(37.548.9)
(20.029.0)
(31.940.0)
(31.042.2)
(27.240.5)
(24.833.9)
(37.847.8)
(33.538.3)

(18.725.1)

(26.434.5)
(31.642.8)
(25.139.1)
(27.636.9)
(29.240.3)

(29.732.9)

(27.034.5)
(23.531.3)
(40.550.5)
(29.835.5)
(22.928.8)
(32.743.3)

44.1
25.2
33.5
38.1
31.8
30.5
42.9
34.0

23.9

32.8
38.5
33.0
32.8
37.7

33.6

30.4
29.1
42.1
34.7
27.0
37.1

(39.748.6)
(21.729.1)
(29.837.5)
(34.242.2)
(26.537.5)
(27.034.3)
(39.246.8)
(32.335.8)

(20.327.9)

(29.236.6)
(34.442.8)
(28.338.1)
(27.738.4)
(32.743.1)

(31.935.3)

(27.034.1)
(25.832.6)
(38.545.8)
(32.237.2)
(24.829.3)
(32.941.6)

9.9
11.5
11.1
14.6

(7.513.0)
(10.212.9)
(8.813.9)
(11.418.6)

17.8
17.5
15.5
18.9

(12.225.3)
(15.020.3)
(12.718.8)
(14.923.7)

13.9
14.5
13.3
16.8

(10.218.7)
(12.916.3)
(11.415.3)
(13.820.3)

30.6
31.8
31.1
36.7

(25.036.8)
(28.535.3)
(28.034.4)
(32.141.6)

33.6
31.9
31.0
32.9

(26.541.6)
(28.935.1)
(28.134.1)
(29.936.1)

32.2
31.9
31.0
34.9

(26.638.3)
(29.134.8)
(29.033.2)
(31.438.6)

14.7

(11.718.3)

11.5

(8.415.6)

13.2

(10.816.0)

15.8
14.9
7.2
16.7

(11.022.0)
(11.119.8)
(5.98.9)
(12.821.6)

19.0
18.6
13.9
25.9

(15.423.3)
(14.224.0)
(10.618.1)
(20.132.8)

17.5
16.8
10.5
21.3

(13.622.2)
(13.121.3)
(8.313.1)
(17.725.5)

43.3
39.2
28.4
38.9

(35.851.2)
(32.846.0)
(25.431.7)
(33.844.3)

39.8
36.4
31.2
44.6

(32.347.9)
(32.141.0)
(27.335.5)
(39.150.4)

41.8
37.8
29.8
41.8

(34.749.3)
(33.242.5)
(26.433.4)
(37.246.5)

15.4

(11.220.7)

14.5

(10.819.2)

14.9

(11.319.4)

37.6

(30.345.6)

33.4

(27.440.0)

35.4

(29.641.7)

13.9
12.9

10.0

10.2
9.6
16.2

(11.716.5)
(11.414.5)

(8.711.6)

(7.513.7)
(7.911.6)
(13.719.0)
11.5
7.219.0

20.5
20.7

12.1

14.6
10.1
18.4

(17.823.5)
(16.725.3)

(10.414.0)

(11.518.5)
(6.714.9)
(15.421.8)
15.5
8.730.6

17.2
16.7

11.1

12.4
9.9
17.3

(15.319.3)
(14.519.2)

(9.812.6)

(9.815.6)
(7.712.6)
(15.119.8)
13.8
8.022.8

37.4
36.8

32.8

39.4
32.9
37.8

(33.241.7)
(33.340.4)

(29.436.4)

(34.344.8)
(30.035.9)
(34.241.6)
35.4
25.944.8

36.8
35.6

30.7

35.9
28.8
31.6

(33.640.1)
(30.940.6)

(27.833.8)

(31.340.8)
(25.033.0)
(27.835.6)
33.1
21.745.4

37.1
36.2

31.8

37.6
30.8
34.7

(33.940.4)
(32.340.2)

(29.334.4)

(34.041.4)
(28.033.8)
(31.637.8)
33.8
23.944.1

See table footnotes on page 114.

MMWR/June 8, 2012/Vol. 61/No. 4

113

Surveillance Summaries

TABLE 66. (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, 2011
Had sexual intercourse with four or more persons during their life
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Currently sexually active

Total

Female

Male

Total

CI

13.1
10.4
15.1

(10.116.9)
(7.813.6)
(11.919.1)

31.6
23.2
24.2

(26.637.1)
(19.827.0)
(19.230.1)

22.2
16.8
19.7

(18.925.9)
(14.519.3)
(16.323.7)

30.4
29.9
34.4

(25.535.9)
(25.334.9)
(29.140.1)

41.3
36.7
34.5

(34.448.5)
(32.741.0)
(29.739.6)

35.8
33.6
34.6

(30.941.0)
(30.437.1)
(30.339.1)

10.5
11.2
11.8
15.4
11.8
10.5
5.3
14.1
9.3

(7.913.9)
(8.115.2)
(9.914.1)
(12.618.8)
(9.814.2)
(7.913.8)
(3.48.2)
(11.217.6)
(7.411.6)

26.3
23.4
30.1
34.5
26.7
24.4
12.8
37.1
24.0

(21.831.3)
(19.028.5)
(25.834.8)
(28.641.0)
(23.630.1)
(20.828.5)
(9.117.7)
(32.841.5)
(20.328.1)

17.5
17.0
20.3
23.9
19.0
17.3
9.2
25.3
16.4

(14.421.2)
(13.720.8)
(17.923.1)
(20.627.6)
(16.921.4)
(14.520.4)
(6.812.3)
(22.328.6)
(14.218.9)

33.4
33.5
31.8
36.8
34.9
32.9
24.5
37.0
30.2

(28.738.6)
(28.738.7)
(27.236.8)
(32.541.4)
(31.838.1)
(28.737.4)
(19.330.4)
(32.242.2)
(26.334.5)

43.3
35.4
38.3
49.3
38.6
38.0
26.6
46.0
35.6

(38.548.2)
(29.741.5)
(33.343.7)
(43.555.1)
(34.842.5)
(34.142.2)
(20.034.5)
(41.151.0)
(32.039.5)

37.8
34.4
34.8
42.3
36.7
35.4
25.7
41.4
32.8

(33.841.9)
(30.338.8)
(31.338.6)
(38.346.5)
(33.939.6)
(31.939.1)
(20.132.1)
(37.545.4)
(29.736.1)

16.0
7.1
11.6
12.0

(12.620.0)
(5.68.9)
(8.515.8)
(9.814.6)

32.1
18.2
16.9
21.5

(27.637.0)
(16.120.5)
(13.421.3)
(18.325.0)

23.6
12.3
14.2
16.7

(20.726.9)
(10.714.2)
(11.916.8)
(14.419.1)

39.1
22.5
28.7
35.5

(35.143.3)
(19.525.9)
(23.934.0)
(31.439.9)

47.9
27.8
30.3
35.3

(43.252.5)
(25.030.8)
(25.935.1)
(31.339.5)

43.2
25.1
29.3
35.4

(39.746.8)
(22.627.7)
(25.733.2)
(32.238.7)

16.7
7.8
8.8
4.4
5.3

(13.620.4)
(5.311.1)
(6.112.4)
(3.16.2)
(4.07.1)
11.2
4.416.7

39.0
20.8
14.9
9.6
9.1

(34.044.3)
(17.424.8)
(11.918.4)
(7.412.4)
(7.011.8)
24.0
9.139.0

27.2
14.1
11.9
7.0
7.3

(23.930.8)
(11.916.7)
(9.714.5)
(5.88.4)
(5.99.1)
17.0
7.027.2

41.0
29.1
26.3
19.7
20.1

(36.046.3)
(23.934.9)
(21.531.6)
(16.323.5)
(16.624.2)
31.8
19.741.0

49.0
37.3
29.4
19.1
21.6

(43.554.5)
(32.442.6)
(25.533.5)
(15.623.0)
(18.025.8)
36.7
19.149.3

44.9
33.1
27.8
19.5
21.0

CI

CI

CI

CI

CI

(40.449.6)
(29.037.5)
(24.131.9)
(16.922.3)
(18.124.1)
34.6
19.544.9

* Had sexual intercourse with at least one person during the 3 months before the survey.
95% confidence interval.
Not available.

TABLE 67. 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, 2011
Condom use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Birth control pill use

Male

Total

Female

Total

CI

CI

53.4
53.8
53.0

(49.257.5)
(47.160.4)
(48.557.4)

66.3
75.4
63.4

(61.271.1)
(70.080.1)
(56.869.5)

59.5
65.3
58.4

(55.463.5)
(60.469.9)
(54.062.7)

30.9
11.3
10.4

(26.835.3)
(7.816.0)
(6.615.9)

16.4
9.2
10.8

(13.619.7)
(7.211.7)
(7.714.9)

24.0
10.1
10.6

(21.227.1)
(8.212.5)
(8.013.8)

56.3
56.7
55.5
48.9
53.6

(49.263.1)
(50.063.2)
(51.859.0)
(44.753.0)
(50.656.4)

67.0
69.9
67.0
64.7
67.0

(60.073.2)
(64.275.1)
(63.070.7)
(57.970.9)
(63.570.3)

62.2
63.3
61.1
56.3
60.2

(57.266.8)
(58.367.9)
(58.364.0)
(52.060.5)
(57.562.9)

8.3
20.8
22.7
30.0
22.6

(4.813.8)
(17.225.0)
(18.627.4)
(25.235.2)
(19.625.9)

10.4
8.7
12.3
19.7
13.4

(7.314.7)
(6.311.9)
(9.416.1)
(15.724.4)
(11.515.5)

9.4
14.9
17.5
25.1
18.0

(6.813.0)
(12.617.5)
(14.620.9)
(21.728.9)
(15.920.2)

CI

* Among the 33.7% of students nationwide who were currently sexually active.
To prevent pregnancy.
95% confidence interval.
Non-Hispanic.

114

Male

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

Surveillance Summaries

TABLE 68. 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, 2011
Condom use
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Birth control pill use

Male

Total

Female

Male

Total

CI

CI

49.3
55.3
48.6
47.3
64.4
53.3
54.1
58.2

38.9

54.5
55.1
56.2
52.8
46.4

55.3

51.0
56.6
56.7
58.6
56.0
56.6

(42.955.6)
(47.263.1)
(40.956.3)
(39.854.8)
(52.974.4)
(46.560.0)
(49.758.4)
(54.861.5)

(33.244.9)

(48.660.3)
(49.360.8)
(46.765.3)
(46.359.2)
(41.851.1)

(52.258.4)

(45.956.0)
(51.161.9)
(50.662.6)
(54.962.2)
(50.461.4)
(48.164.7)

64.8
64.0
69.2
63.8
75.4
68.5
64.1
69.9

50.9

69.9
60.8
66.7
69.4
55.9

65.5

64.5
66.3
72.1
66.5
68.6
64.7

(59.270.0)
(55.471.8)
(62.575.1)
(54.572.2)
(69.680.4)
(62.773.7)
(59.368.6)
(66.673.0)

(44.357.5)

(63.275.9)
(53.267.9)
(59.473.3)
(60.077.4)
(49.562.2)

(61.569.4)

(57.371.1)
(60.871.4)
(66.377.2)
(62.869.9)
(63.273.6)
(58.770.2)

57.0
59.6
59.2
55.1
70.8
60.5
58.7
64.3

43.9

61.5
57.8
61.4
60.9
50.6

59.9

57.7
61.2
64.6
62.4
62.0
60.8

(52.861.1)
(53.265.6)
(53.065.2)
(49.260.8)
(63.577.1)
(55.565.3)
(55.361.9)
(61.866.8)

(39.648.3)

(56.366.4)
(52.862.5)
(55.067.4)
(55.266.3)
(46.654.6)

(57.662.1)

(52.862.5)
(56.865.5)
(59.769.3)
(59.365.3)
(57.866.0)
(56.664.9)

20.9
21.2
25.3
19.8
29.0
24.8
21.1
18.6

14.5

24.9
28.2
26.2
28.5
27.1

40.7

30.5
25.0
18.2
25.8
26.4
40.8

(16.226.4)
(15.628.1)
(19.931.6)
(12.529.8)
(22.136.9)
(19.131.6)
(16.925.9)
(15.422.3)

(10.919.1)

(18.133.2)
(22.834.2)
(20.532.8)
(19.739.4)
(22.132.9)

(37.643.8)

(24.037.9)
(20.430.3)
(14.522.7)
(22.029.9)
(21.631.7)
(34.647.4)

14.3
16.1
20.2
18.2
17.9
19.6
16.1
10.3

14.1

15.1
25.3
22.4
15.6
13.8

27.6

22.5
16.9
11.4
16.5
17.0
24.8

(9.121.7)
(11.022.9)
(14.028.3)
(12.725.4)
(13.124.1)
(14.226.3)
(12.720.3)
(8.013.2)

(9.520.4)

(11.719.4)
(16.536.7)
(15.930.6)
(11.421.0)
(9.619.4)

(24.930.4)

(17.528.3)
(13.021.7)
(8.215.7)
(13.519.9)
(12.622.5)
(19.431.2)

18.0
18.7
22.6
19.2
22.8
22.3
18.5
14.2

14.3

20.5
26.8
24.5
22.3
21.2

34.5

26.5
21.2
14.8
21.4
21.9
32.4

(14.721.9)
(15.123.0)
(17.828.3)
(14.724.6)
(17.828.7)
(18.426.7)
(15.621.8)
(12.216.5)

(11.817.2)

(15.726.4)
(20.833.8)
(19.230.6)
(16.429.5)
(17.725.3)

(32.336.8)

(21.532.2)
(17.825.0)
(12.117.9)
(18.824.2)
(18.625.6)
(27.937.3)

55.4
51.3
58.1
49.4

(47.363.2)
(48.254.3)
(53.262.8)
(44.254.7)

69.5
64.4
67.3
58.4

(57.179.6)
(60.668.1)
(60.973.2)
(52.564.1)

62.6
57.8
62.6
53.7

(54.969.6)
(55.360.2)
(58.366.6)
(49.457.9)

19.6
15.9
21.4

(12.828.7)
(12.520.0)
(17.126.4)

15.0
13.2
14.6

(9.722.4)
(10.716.3)
(11.418.4)

17.4
14.5
18.1

(11.924.7)
(12.017.5)
(15.321.2)

53.6 (43.962.9)
54.5 (49.059.9)
51.3 (44.458.1)

60.8
63.7
63.6

(51.469.4)
(59.467.7)
(53.472.8)

57.1
59.1
57.5

(49.264.7)
(55.063.0)
(51.263.6)

27.6
26.2
29.4
21.4

(21.334.9)
(17.936.7)
(23.935.5)
(17.026.6)

17.8
14.4
22.7
13.8

(12.125.4)
(10.619.3)
(19.126.8)
(10.118.5)

22.8
20.5
26.1
17.4

(18.427.9)
(15.027.5)
(22.530.2)
(14.420.8)

51.8 (47.556.1)

70.7

(63.577.1)

60.6

(56.764.4)

31.5

(26.736.7)

14.5

(9.920.7)

23.6

(19.528.3)

51.2
46.2

57.8

57.7
57.6
49.4

66.0
62.0

67.7

62.9
71.4
69.4

(58.872.5)
(57.566.4)

(62.772.2)

(57.568.0)
(63.977.8)
(64.074.4)
66.0
50.975.4

58.7
53.8

62.6

60.3
64.1
58.6

(52.864.3)
(51.056.6)

(57.767.4)

(54.266.0)
(59.568.4)
(54.762.5)
59.9
43.970.8

20.6
13.2

41.3

29.1
31.8
24.8

(16.325.6)
(10.117.0)

(38.943.7)

(23.535.4)
(24.739.9)
(20.030.3)
25.3
13.241.3

14.1
9.3

29.6

21.7
19.0
17.7

(10.618.4)
(7.012.2)

(25.833.8)

(17.426.8)
(14.424.7)
(13.223.3)
16.5
9.329.6

17.3
11.3

35.7

25.5
25.8
21.5

(45.456.9)
(42.749.8)

(52.063.5)

(48.366.6)
(52.662.5)
(43.954.8)
54.5
38.964.4

CI

CI

CI

CI

(14.121.0)
(9.113.9)

(33.338.2)

(22.928.2)
(21.131.3)
(18.325.1)
21.4
11.335.7

See table footnotes on page 116.

MMWR/June 8, 2012/Vol. 61/No. 4

115

Surveillance Summaries

TABLE 68. (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, 2011
Condom use
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Total

Female

Male

Total

CI

53.0
66.1
52.7

(43.062.8)
(59.072.6)
(45.160.1)

78.0
76.3
70.7

(69.984.5)
(69.082.3)
(64.975.8)

67.0 (58.974.3)
71.2 (66.475.6)
61.3 (56.366.0)

20.9 (13.830.3)
8.2 (4.813.7)
16.4 (11.323.2)

12.7 (7.919.7)
7.8 (4.014.9)
8.6 (5.812.6)

16.4 (12.321.4)
7.9 (5.111.9)
12.9 (10.016.5)

59.8
45.6
54.8
67.7
53.1
50.4
57.7
65.2
60.8

(51.567.5)
(36.355.3)
(48.261.3)
(59.974.6)
(47.758.5)
(42.458.5)
(45.868.8)
(58.471.4)
(53.367.8)

69.2
66.0
75.0
81.8
65.5
67.7
64.0
78.1
75.7

(63.874.1)
(58.972.4)
(69.679.8)
(76.186.4)
(60.570.3)
(60.774.0)
(52.873.9)
(72.682.8)
(70.180.5)

64.3
55.5
64.8
75.1
59.2
59.5
61.1
72.1
68.3

(59.469.0)
(49.761.1)
(60.269.1)
(70.479.2)
(55.463.0)
(54.764.0)
(55.266.7)
(67.876.1)
(62.773.4)

12.8 (9.017.8)
6.1 (3.410.6)
10.5 (7.414.8)
7.6 (4.612.5)
14.9 (11.419.4)
6.9 (4.111.2)
7.2 (3.713.7)
13.3 (8.919.3)
8.3 (4.814.0)

10.9
5.7
8.3
5.3
12.1
9.3
9.5
4.8
4.0

(7.415.8)
(2.811.3)
(4.614.6)
(3.09.1)
(9.115.9)
(6.014.3)
(5.116.9)
(2.78.4)
(2.07.7)

11.8 (9.115.2)
5.9 (3.79.1)
9.4 (6.713.1)
6.4 (4.39.4)
13.6 (11.216.5)
8.1 (5.911.1)
8.4 (5.412.8)
8.8 (6.312.2)
6.1 (4.09.1)

53.1
59.6
59.6
60.1

(47.858.3)
(54.764.4)
(52.066.8)
(54.066.0)

75.6
70.8
73.0
66.4

(70.679.9)
(66.375.0)
(66.178.9)
(60.072.2)

65.2
65.4
66.4
63.2

(61.368.8)
(61.469.2)
(61.371.1)
(58.567.5)

13.4 (9.618.4)
10.4 (8.213.1)
12.9 (7.920.3)
23.6 (19.428.4)

7.9
8.4
13.9
19.0

(5.710.8)
(6.710.4)
(9.719.3)
(14.025.2)

10.5 (8.413.0)
9.3 (7.811.2)
13.4 (10.117.5)
21.3 (18.124.9)

50.4
42.5
50.1
47.3
58.3

(43.757.1)
(34.451.0)
(41.658.6)
(38.856.0)
(48.667.5)
54.8
42.567.7

69.0
67.0
65.9
60.4
57.1

(61.375.8)
(59.373.9)
(57.273.7)
(51.368.9)
(46.567.0)
69.2
57.181.8

59.6
55.9
58.6
52.9
57.6

19.5
9.0
24.9
17.2
32.9

10.3
6.9
17.1
5.6
23.3

(7.114.7)
(4.410.5)
(10.626.2)
(2.910.6)
(15.433.7)
8.6
4.023.3

14.8 (12.118.0)
7.8 (5.810.4)
20.7 (14.828.0)
11.5 (8.216.0)
27.6 (22.333.6)
10.5
5.927.6

Site

Birth control pill use

Male
CI

CI

(54.264.8)
(49.562.2)
(52.264.7)
(47.758.1)
(51.163.8)
63.2
52.975.1

CI

(14.925.0)
(5.913.5)
(17.234.5)
(11.425.2)
(24.842.1)
12.9
6.132.9

CI

CI

* Among students who were currently sexually active.


To prevent pregnancy.
95% confidence interval.
Not available.

TABLE 69. Percentage of high school students who used Depo-Provera,* Nuva Ring, Implanon, or any IUD before last sexual intercourse,**
and who used birth control pills, Depo-Provera,* Nuva Ring, Implanon, or any IUD before last sexual intercourse,,** by sex, race/ethnicity,
and grade United States, Youth Risk Behavior Survey, 2011
Depo-Provera, Nuva Ring, Implanon, or any IUD use
Female
Category

Race/Ethnicity
White
6.6
Black
10.5
Hispanic
6.9
Grade
9
7.7
10
7.4
11
7.2
12
7.7
Total
7.5

CI

Male

Birth control pill, Depo-Provera, Nuva Ring, Implanon, or any IUD use

Total

Female

CI

CI

(4.98.8)
(6.816.1)
(4.710.0)

3.4
3.0
2.5

(2.35.1)
(1.65.8)
(1.44.2)

5.1
6.5
4.6

(3.96.6)
(4.29.7)
(3.26.5)

37.5
21.8
17.2

(33.841.4)
(15.429.9)
(12.523.3)

(4.812.2)
(5.110.5)
(5.010.3)
(5.310.9)
(6.09.2)

1.1
3.5
3.7
3.8
3.2

(0.42.9)
(1.96.1)
(2.45.8)
(2.55.8)
(2.54.2)

4.1
5.4
5.5
5.9
5.3

(2.66.3)
(3.87.7)
(4.17.2)
(4.47.8)
(4.46.4)

16.0
28.2
29.9
37.6
30.0

(10.723.1)
(23.533.4)
(25.934.3)
(33.142.4)
(26.933.3)

* Or any injectable birth control.


Or any birth control ring.
Or any implant.
Among the 33.7% of students nationwide who were currently sexually active.
** To prevent pregnancy.
95% confidence interval.
Non-Hispanic.

116

MMWR/June 8, 2012/Vol. 61/No. 4

CI

Male
%

Total
CI

CI

19.8
12.2
13.3

(16.523.5)
(9.315.9)
(9.518.1)

29.1
16.6
15.1

(26.332.0)
(12.921.1)
(11.819.3)

11.6
12.2
16.1
23.5
16.6

(8.415.7)
(8.916.5)
(12.819.9)
(19.428.2)
(14.418.9)

13.5
20.3
23.0
31.0
23.3

(10.417.5)
(17.123.9)
(19.926.3)
(27.434.8)
(21.025.7)

Surveillance Summaries

TABLE 70. Percentage of high school students who used Depo-Provera,* Nuva Ring, Implanon, or any IUD before last sexual intercourse,**
and who used birth control pills, Depo-Provera,* Nuva Ring, Implanon, or any IUD before last sexual intercourse,,** by sex selected U.S.
sites, Youth Risk Behavior Survey, 2011
Depo-Provera, Nuva Ring, Implanon, or any IUD use
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Birth control pill, Depo-Provera, Nuva Ring, Implanon, or any IUD use

Total
CI

Female
CI

Male

CI

Total
CI

CI

11.3
16.7
4.8
11.2
9.6
5.2
8.5
3.7

8.2

6.9
10.5
17.5
11.0
7.6

8.9

6.9
7.0
9.2
9.9
6.1
7.0

(7.816.2)
(12.222.5)
(2.98.0)
(7.416.8)
(5.416.5)
(2.410.6)
(5.912.0)
(2.74.9)

(5.412.3)

(5.19.3)
(7.215.2)
(10.927.0)
(7.715.6)
(5.111.2)

(7.410.6)

(4.410.7)
(4.99.8)
(5.914.1)
(7.513.1)
(4.28.7)
(4.211.5)

3.8
5.8
5.2
5.2
3.7
2.9
2.1
1.6

3.9

1.8
3.8
6.9
2.9
1.8

6.5

2.7
2.8
2.1
3.3
2.8
5.1

(2.17.1)
(2.911.6)
(3.18.6)
(2.89.7)
(1.97.3)
(1.55.6)
(1.04.7)
(0.92.7)

(2.07.6)

(0.93.5)
(2.07.0)
(3.712.3)
(1.55.6)
(0.93.6)

(5.18.1)

(1.45.2)
(1.26.3)
(0.85.0)
(2.05.3)
(1.45.6)
(2.410.2)

7.7
11.6
5.0
8.5
6.3
4.1
5.6
2.6

6.6

4.6
7.4
12.4
7.1
5.0

7.8

4.8
5.0
5.4
6.8
4.5
6.0

(5.510.7)
(8.715.3)
(3.57.3)
(6.311.2)
(3.910.0)
(2.46.9)
(4.17.5)
(2.03.3)

(4.210.0)

(3.46.2)
(5.210.3)
(9.016.7)
(5.19.8)
(3.57.3)

(6.79.1)

(3.46.9)
(3.57.0)
(3.58.2)
(5.28.8)
(3.26.4)
(3.99.1)

32.2
37.9
30.2
31.0
38.5
30.0
29.5
22.3

22.7

31.8
38.7
43.7
39.5
34.7

49.6

37.4
32.0
27.4
35.7
32.4
47.8

(27.237.6)
(31.145.3)
(25.735.0)
(23.340.0)
(30.447.3)
(24.735.9)
(24.435.2)
(18.926.1)

(17.528.9)

(25.438.9)
(32.745.1)
(33.354.6)
(31.148.6)
(28.741.3)

(46.852.3)

(31.044.3)
(26.338.3)
(23.132.3)
(31.839.8)
(26.938.5)
(40.655.2)

18.1
21.9
25.5
23.5
21.7
22.5
18.3
11.9

18.0

16.9
29.0
29.2
18.5
15.6

34.0

25.2
19.7
13.4
19.8
19.8
29.9

(13.124.5)
(15.929.4)
(19.033.2)
(17.031.5)
(16.927.3)
(17.628.3)
(14.522.7)
(9.714.5)

(12.824.6)

(13.021.7)
(19.441.1)
(22.137.5)
(14.423.5)
(11.021.8)

(31.037.1)

(20.330.7)
(15.225.0)
(9.219.3)
(16.323.8)
(15.125.6)
(24.236.2)

25.8
30.4
27.7
27.7
29.1
26.4
24.1
16.7

20.9

25.1
34.2
36.8
29.3
26.2

42.3

31.4
26.2
20.2
28.2
26.5
38.4

4.4
12.2
3.7

(2.09.5)
(9.815.1)
(2.16.4)

0.1
4.7
1.2

(0.00.5)
(3.26.7)
(0.53.1)

2.1
8.4
2.5

(1.14.2)
(7.010.1)
(1.53.9)

24.0
28.1
25.1

(16.233.9)
(25.231.2)
(20.430.4)

15.1
17.9
15.7

(9.822.4)
(14.921.4)
(12.519.6)

19.5 (13.926.8)
23.0 (20.625.5)
20.5 (17.523.9)

13.7
7.0
4.5
7.2

(8.421.6)
(2.816.4)
(2.87.2)
(4.411.4)

3.4
4.5
2.7
3.1

(1.67.1)
(2.38.9)
(1.16.3)
(2.04.7)

9.1
5.8
3.6
5.0

(5.913.7)
(2.911.2)
(2.25.8)
(3.37.5)

41.3
33.2
33.9
28.6

(32.850.3)
(24.043.9)
(29.238.9)
(23.734.0)

21.2
18.9
25.4
16.9

(15.029.1)
(14.524.3)
(21.629.7)
(12.622.1)

31.8
26.4
29.7
22.4

(26.038.3)
(20.133.7)
(26.633.0)
(18.626.7)

10.0

(6.814.3)

1.5

(0.63.7)

6.1

(4.48.3)

41.4

(36.446.7)

16.0

(11.422.1)

29.7 (25.734.1)

9.1
6.5

8.2

7.8
8.1
11.3

(6.313.1)
(4.59.1)

(6.210.6)

(5.311.4)
(5.212.5)
(8.215.4)
8.2
3.717.5

3.2
2.1

3.7

3.6
7.3
6.3

(24.235.9)
(16.323.4)

(47.151.7)

(31.043.1)
(33.347.0)
(31.041.6)
33.2
19.649.6

17.3
11.4

33.3

25.4
26.3
24.0

(1.76.0)
(1.33.4)

(2.55.4)

(1.68.0)
(4.910.9)
(3.810.4)
3.3
0.17.3

6.2
4.4

5.9

5.8
7.8
9.0

(4.68.2)
(3.45.6)

(4.57.6)

(4.47.6)
(5.710.5)
(6.911.8)
5.9
2.112.4

29.7
19.6

49.4

36.9
40.0
36.1

(13.921.2)
(8.814.6)

(28.738.2)

(21.329.9)
(21.032.4)
(18.930.1)
19.8
11.434.0

(23.128.7)
(25.635.5)
(23.132.7)
(23.432.4)
(24.034.8)
(22.630.6)
(20.727.8)
(14.818.9)

(16.725.7)

(20.530.3)
(27.741.3)
(30.144.1)
(23.935.4)
(22.031.1)

(40.444.3)

(26.536.7)
(22.130.8)
(16.424.5)
(25.531.0)
(22.730.6)
(33.843.1)

23.5
15.7

41.6

31.3
33.6
30.6

(19.927.5)
(13.418.2)

(38.944.4)

(28.434.3)
(28.838.8)
(27.134.3)
27.7
15.742.3

See table footnotes on page 118.

MMWR/June 8, 2012/Vol. 61/No. 4

117

Surveillance Summaries

TABLE 70. (Continued) Percentage of high school students who used Depo-Provera,* Nuva Ring, Implanon, or any IUD before last sexual
intercourse,** and who used birth control pills, Depo-Provera,* Nuva Ring, Implanon, or any IUD before last sexual intercourse,,** by sex
selected U.S. sites, Youth Risk Behavior Survey, 2011
Depo-Provera, Nuva Ring, Implanon, or any IUD use
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

CI

Male
%

CI

Female

Male

CI

CI

Total
CI

CI

15.1
1.9
8.1

(8.625.2)
(0.65.8)
(4.713.6)

2.3
1.5
2.0

(0.86.1)
(0.45.7)
(0.84.9)

7.7
2.2
5.1

(4.512.8)
(1.04.7)
(3.47.6)

36.0
10.1
24.5

(27.146.0)
(5.817.2)
(17.533.2)

14.9
9.3
10.7

(9.722.2)
(5.116.4)
(7.514.9)

24.0
10.1
18.0

(18.930.1)
(6.415.5)
(14.222.5)

10.4
8.7
10.0
11.1
10.1
6.2
3.8
5.8
1.0

(6.715.8)
(5.413.8)
(6.714.7)
(7.915.5)
(7.213.9)
(3.311.6)
(1.78.4)
(3.49.6)
(0.33.1)

3.2
1.1
1.3
3.4
2.2
2.0
1.3
0.2
1.0

(1.56.9)
(0.33.4)
(0.53.6)
(1.67.4)
(1.24.3)
(0.84.7)
(0.53.4)
(0.01.5)
(0.34.1)

6.8
5.1
5.7
7.1
6.1
4.0
2.5
2.8
1.0

(4.79.6)
(3.28.0)
(3.98.3)
(4.910.2)
(4.58.3)
(2.46.7)
(1.34.7)
(1.74.5)
(0.42.9)

23.2
14.8
20.6
18.8
25.0
13.1
11.1
19.0
9.4

(18.029.3)
(10.021.3)
(15.726.4)
(14.424.1)
(20.729.9)
(9.018.8)
(6.219.1)
(13.626.0)
(5.715.0)

14.1 (10.019.5)
6.8 (3.712.2)
9.7 (5.815.6)
8.7 (5.513.5)
14.3 (11.018.5)
11.3 (7.616.6)
10.8 (6.018.8)
5.0 (2.88.6)
5.0 (2.79.0)

18.6
10.9
15.1
13.5
19.7
12.2
10.9
11.6
7.1

(15.522.2)
(7.914.9)
(11.619.5)
(10.317.5)
(16.823.1)
(9.415.6)
(7.216.2)
(8.715.2)
(4.910.3)

15.7
5.5
4.7
2.5

(11.521.1)
(3.97.8)
(2.39.4)
(1.25.0)

4.8
1.7
1.6
1.2

(2.88.2)
(1.02.8)
(0.55.2)
(0.44.0)

9.9
3.5
3.1
1.9

(7.313.4)
(2.64.8)
(1.66.2)
(1.03.4)

29.1
15.9
17.6
26.1

(23.235.9)
(13.318.9)
(11.026.9)
(21.431.3)

12.7 (9.516.8)
10.1 (8.112.4)
15.5 (11.221.0)
20.2 (15.026.7)

20.4
12.9
16.5
23.2

(16.724.7)
(11.114.9)
(12.521.5)
(19.826.9)

11.5
4.2
3.9
20.5
10.2

(8.016.3)
(2.28.2)
(1.69.2)
(15.127.2)
(5.817.4)
8.1
1.020.5

1.5
3.1
2.7
8.4
7.4

31.0
13.2
28.8
37.7
43.1

(25.337.3)
(9.817.6)
(21.237.8)
(30.445.6)
(33.952.7)
20.6
9.443.1

11.8 (8.017.1)
10.0 (6.814.5)
19.7 (12.829.1)
14.1 (8.722.0)
30.7 (21.342.2)
11.3
5.030.7

21.2
11.4
23.9
26.5
36.3

(0.64.2)
(1.66.0)
(1.16.3)
(4.116.5)
(4.213.0)
2.0
0.28.4

* Or any injectable birth control.


Or any birth control ring.
Or any implant.
Among students who were currently sexually active.
** To prevent pregnancy.
95% confidence interval.
Not available.

118

Birth control pill, Depo-Provera, Nuva Ring, Implanon, or any IUD use

Total

MMWR/June 8, 2012/Vol. 61/No. 4

6.5
3.6
3.2
14.9
8.7

(4.59.2)
(2.35.7)
(1.66.6)
(11.219.6)
(5.713.1)
5.1
1.014.9

(17.525.5)
(8.914.5)
(17.931.2)
(22.131.4)
(29.943.2)
16.5
7.136.3

Surveillance Summaries

TABLE 71. Percentage of high school students who used both a condom during last sexual intercourse* and birth control pills, Depo-Provera,
Nuva Ring, Implanon, or any IUD before last sexual intercourse*,** and who did not use any method to prevent pregnancy during last sexual
intercourse,* by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Condom use and birth control pill, Depo-Provera, Nuva Ring,
Implanon, or any IUD use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Did not use any method to prevent pregnancy

Total

Female

CI

15.9
9.1
6.1

(13.418.9)
(6.312.9)
(4.09.1)

7.8
5.8
4.5

(5.810.4)
(3.88.8)
(2.97.0)

12.1
7.3
5.3

(10.114.5)
(5.59.5)
(4.06.9)

11.7
17.5
22.6

(9.813.8)
(14.421.1)
(18.028.0)

6.9
14.4
12.6
13.4
12.4

(3.612.9)
(10.619.1)
(10.115.5)
(10.516.9)
(10.614.5)

4.4
5.6
7.0
8.3
6.6

(2.77.3)
(3.39.3)
(4.410.9)
(6.011.4)
(5.47.9)

5.6
10.0
9.8
11.0
9.5

(3.78.3)
(7.812.9)
(7.712.3)
(8.913.5)
(8.210.9)

22.3
15.9
12.7
13.3
15.1

(17.328.3)
(12.320.2)
(9.516.7)
(10.516.7)
(13.616.8)

CI

CI

CI

Male
%

Total
CI

CI

8.3
9.9
14.7

(6.410.6)
(7.412.9)
(11.119.2)

10.0
13.3
18.5

(8.511.8)
(11.215.8)
(15.921.3)

13.1
10.7
11.4
8.1
10.6

(9.118.7)
(7.115.8)
(9.613.5)
(6.110.7)
(9.012.3)

17.3
13.3
12.0
10.9
12.9

(13.721.6)
(10.616.6)
(10.314.0)
(8.913.2)
(11.614.2)

* Among the 33.7% of students nationwide who were currently sexually active.
Or any injectable birth control.
Or any birth control ring.
Or any implant.
** To prevent pregnancy.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

119

Surveillance Summaries

TABLE 72. Percentage of high school students who used both a condom during last sexual intercourse* and birth control pills, Depo-Provera,
Nuva Ring, Implanon, or any IUD before last sexual intercourse*,** and who did not use any method to prevent pregnancy during last sexual
intercourse,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Condom use and birth control pill, Depo-Provera, Nuva Ring,
Implanon, or any IUD use
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Female

CI

CI

CI

CI

13.1
13.0
10.6
12.0
21.3
8.5
11.8
8.5

4.8

12.5
20.7
13.9
14.6
13.8

19.6

11.2
10.3
9.9
14.2
16.6
21.0

(9.218.3)
(8.519.3)
(7.415.1)
(8.117.3)
(15.328.8)
(5.313.3)
(8.815.5)
(6.511.0)

(2.49.3)

(8.418.3)
(15.427.2)
(10.218.8)
(9.821.2)
(10.018.7)

(17.621.7)

(7.815.8)
(7.214.3)
(7.313.3)
(11.517.5)
(12.222.3)
(15.827.4)

8.3
5.6
13.3
8.6
11.3
7.7
7.0
4.0

6.5

7.4
14.1
12.7
6.9
4.1

15.5

8.8
8.3
6.5
7.5
10.4
11.9

(4.913.8)
(3.010.2)
(7.821.8)
(5.812.7)
(7.117.7)
(4.612.9)
(5.09.7)
(2.95.5)

(3.312.5)

(4.910.8)
(8.722.0)
(9.117.4)
(4.111.1)
(1.79.7)

(12.918.4)

(6.611.8)
(6.111.1)
(3.910.6)
(5.410.2)
(7.614.1)
(8.316.7)

11.2
9.5
12.0
10.6
15.8
8.1
9.4
6.1

5.5

10.2
17.5
13.5
10.9
9.5

17.5

10.0
9.3
8.0
11.0
13.7
16.2

(8.814.0)
(6.613.4)
(7.718.1)
(8.513.1)
(12.719.5)
(5.811.3)
(7.611.7)
(5.07.5)

(3.58.6)

(7.513.7)
(12.923.5)
(10.517.2)
(8.114.5)
(6.913.1)

(16.119.0)

(7.812.9)
(7.112.1)
(6.310.1)
(9.313.0)
(10.917.0)
(12.520.7)

16.5
13.0
17.8
18.7
8.4
14.4
18.0
14.6

19.3

16.6
12.8
6.1
15.1
17.7

7.8

12.5
13.6
12.9
9.1
17.7
8.2

(13.519.9)
(8.220.0)
(12.225.3)
(14.224.2)
(3.717.9)
(8.523.2)
(14.522.2)
(12.017.7)

(15.523.8)

(13.220.5)
(8.918.1)
(3.610.1)
(10.920.7)
(13.722.6)

(6.49.5)

(9.416.3)
(10.018.2)
(9.816.8)
(6.512.5)
(13.622.9)
(4.813.5)

6.8
9.8
8.9

(2.915.1)
(7.812.2)
(5.913.3)

4.8
7.4
5.4

(2.110.5)
(5.410.1)
(3.68.1)

5.7
8.6
7.2

(2.910.9)
(7.210.2)
(5.39.7)

15.0
18.1
14.1

13.0
13.7
8.9

(6.723.7)
(9.619.1)
(6.012.9)

8.4
10.1
4.3

(4.814.2)
(7.014.5)
(2.28.3)

10.8
11.9
6.5

16.8 (13.920.1)

9.7

(6.214.8)

13.5

10.6 (7.914.1)
6.4 (4.49.3)

19.0 (16.821.5)

13.5 (8.820.2)
15.5 (11.919.9)
11.0 (8.114.7)
12.8
4.821.3

8.1
6.3

13.5

7.2
10.2
11.1

(6.010.9)
(4.29.2)

(10.916.8)

(4.012.6)
(7.314.2)
(7.915.2)
8.2
4.015.5

See table footnotes on page 121.

120

Did not use any method to prevent pregnancy

Total

MMWR/June 8, 2012/Vol. 61/No. 4

Male
%

Total
CI

CI

11.6
9.2
11.4
10.6
6.1
9.6
13.3
9.8

20.4

11.5
13.3
7.4
11.9
14.4

7.5

10.4
14.5
9.3
7.8
9.7
11.5

(6.519.9)
(4.816.9)
(8.015.9)
(7.714.4)
(3.211.5)
(6.414.1)
(10.017.6)
(7.912.2)

(15.925.7)

(8.116.0)
(8.719.9)
(4.212.8)
(8.316.7)
(10.319.6)

(6.19.3)

(7.214.9)
(11.118.6)
(5.914.4)
(5.710.6)
(6.614.3)
(7.218.0)

14.1
11.2
14.7
14.9
7.0
12.1
16.1
12.1

19.8

14.3
13.0
6.7
13.6
16.2

7.8

11.5
14.0
10.9
8.5
14.0
9.9

(11.317.3)
(7.516.3)
(10.919.4)
(12.018.3)
(3.513.5)
(8.217.6)
(13.718.7)
(10.414.0)

(16.922.9)

(11.917.0)
(9.617.5)
(4.310.4)
(10.717.0)
(13.419.4)

(6.89.0)

(8.814.8)
(10.917.8)
(9.013.2)
(6.510.9)
(11.217.2)
(7.014.0)

(9.123.8)
(15.121.5)
(11.417.3)

15.5
11.7
10.8

(10.322.5)
(9.114.9)
(7.515.3)

15.2
15.0
12.6

(10.421.8)
(12.917.4)
(10.315.3)

(6.717.0)
(8.616.2)
(4.59.1)

11.3
10.2
12.5
15.7

(7.816.2)
(6.216.4)
(7.220.7)
(11.820.5)

9.2
10.6
10.9
18.3

(4.916.4)
(6.616.8)
(9.113.0)
(10.729.5)

10.2
10.4
11.6
17.0

(7.713.5)
(8.013.4)
(8.615.6)
(12.622.6)

(10.717.0)

11.1

(6.817.6)

8.5

(5.912.3)

9.9

(8.012.3)

9.3
(7.411.7)
6.4
(4.78.6)

16.5 (14.418.8)

10.5
(7.614.2)
13.0 (10.516.0)
11.0
(8.813.7)
10.5
5.517.5

15.2
24.5

6.0

8.9
6.8
14.2

(11.719.4)
(21.427.8)

(4.67.9)

(5.015.6)
(4.89.7)
(11.317.7)
14.1
6.024.5

11.5
15.2

6.4

6.0
7.9
9.8

(7.517.1)
(11.819.4)

(5.27.9)

(3.69.9)
(5.211.9)
(6.814.0)
10.6
6.020.4

13.3
20.0

6.3

7.5
7.4
12.2

(10.217.1)
(17.622.7)

(5.07.9)

(4.811.7)
(5.49.9)
(9.914.9)
12.2
6.320.0

Surveillance Summaries

TABLE 72. (Continued) Percentage of high school students who used both a condom during last sexual intercourse* and birth control pills,
Depo-Provera, Nuva Ring, Implanon, or any IUD before last sexual intercourse*,** and who did not use any method to prevent pregnancy
during last sexual intercourse,* by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Condom use and birth control pill, Depo-Provera, Nuva Ring,
Implanon, or any IUD use
Female
CI

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male
%

Did not use any method to prevent pregnancy

Total

CI

Female

CI

Male

CI

Total
CI

CI

10.7
3.8
7.0

(6.217.7)
(1.87.8)
(4.211.6)

7.3
3.9
3.9

(3.813.4)
(1.97.7)
(2.36.7)

8.7
3.8
5.5

(5.413.7)
(2.46.0)
(3.68.4)

19.2
14.3
18.7

(12.029.3)
(10.119.8)
(13.225.8)

9.8
7.0
9.8

(5.417.2)
(4.411.0)
(6.813.8)

13.8 (9.120.3)
10.3 (7.713.6)
14.5 (11.318.4)

11.2
2.7
6.7
8.9
8.8
2.8
3.2
9.8
3.6

(7.217.0)
(1.16.4)
(4.410.1)
(5.513.9)
(6.511.9)
(1.36.0)
(1.66.4)
(5.915.9)
(1.97.0)

7.5
1.8
5.0
5.6
6.5
8.5
3.6
2.2
3.5

(4.312.8)
(0.64.9)
(2.111.2)
(3.010.5)
(4.59.4)
(5.213.5)
(1.012.4)
(1.05.0)
(1.67.6)

9.3
2.2
5.8
7.2
7.7
5.7
3.4
5.9
3.5

(6.712.9)
(1.14.5)
(3.88.9)
(4.710.8)
(6.19.6)
(3.88.5)
(1.57.6)
(4.08.7)
(2.06.2)

19.2
32.5
20.7
15.6
16.4
27.8
24.5
16.4
19.6

(14.225.5)
(24.941.2)
(16.825.3)
(10.921.8)
(12.920.7)
(21.635.0)
(15.336.7)
(12.621.0)
(15.324.8)

15.2
16.9
18.1
11.3
14.0
20.6
18.0
9.2
12.5

(9.922.5)
(12.123.1)
(13.623.7)
(7.716.3)
(10.718.1)
(15.426.9)
(11.327.2)
(5.914.0)
(8.618.0)

17.3
25.0
19.4
13.4
15.2
24.0
20.8
12.5
15.9

11.3
6.2
7.9
10.8

(7.816.0)
(4.38.9)
(4.114.8)
(7.914.4)

5.0
3.5
8.4
9.0

(2.98.2)
(2.64.8)
(5.412.8)
(5.813.8)

7.9
4.8
8.2
9.9

(5.810.7)
(3.66.4)
(5.611.8)
(7.812.6)

18.1
14.1
14.7
12.4

(13.923.3)
(11.916.6)
(9.821.4)
(9.116.8)

13.1
14.0
7.7
9.6

(9.218.3)
(11.117.5)
(4.612.6)
(6.214.6)

15.4 (12.618.8)
14.2 (12.416.1)
11.1 (8.115.1)
11.2 (8.714.2)

11.8
2.4
8.6
8.2
18.4

(8.216.8)
(1.05.8)
(4.815.2)
(4.215.3)
(12.326.6)
8.2
2.418.4

5.9
3.8
5.2
2.8
7.5

(3.011.5)
(1.87.8)
(2.99.2)
(1.07.5)
(3.614.9)
5.0
1.89.0

8.9
3.2
6.8
5.6
12.6

(6.112.7)
(1.75.6)
(4.510.1)
(3.29.6)
(9.017.2)
5.9
2.212.6

21.8
26.3
17.8
17.0
14.0

(16.927.8)
(19.434.7)
(12.225.2)
(10.326.8)
(7.424.9)
18.1
12.432.5

20.1
13.3
12.9
16.9
11.2

(15.226.1)
(8.819.6)
(8.319.5)
(10.825.5)
(6.618.3)
13.1
7.020.6

(13.122.5)
(20.430.3)
(16.223.1)
(10.017.6)
(12.718.1)
(20.428.1)
(16.725.8)
(9.815.8)
(12.919.4)

21.2
19.3
15.2
17.2
12.8

(17.325.7)
(14.724.9)
(11.020.5)
(12.523.3)
(8.618.7)
15.2
10.325.0

* Among students who were currently sexually active.


Or any injectable birth control.
Or any birth control ring.
Or any implant.
** To prevent pregnancy.
95% confidence interval.
Not available.

TABLE 73. Percentage of high school students who drank alcohol or used drugs before last sexual intercourse* and who were ever taught in
school about acquired immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV) infection, by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2011
Drank alcohol or used drugs before last sexual intercourse
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Were taught in school about AIDS or HIV infection

Total

Female

Male

Total

CI

CI

18.7
17.0
17.4

(16.321.3)
(13.321.6)
(14.920.1)

28.4
19.0
25.6

(24.932.2)
(15.323.3)
(20.631.3)

23.4
18.1
21.8

(21.026.0)
(15.321.2)
(18.725.2)

85.3
87.9
76.9

(82.088.0)
(85.989.6)
(73.380.1)

86.6
86.2
78.1

(84.388.7)
(83.688.5)
(74.381.4)

86.0
87.1
77.5

(83.588.1)
(85.788.3)
(74.180.6)

19.2
16.8
18.4
17.9
18.1

(15.024.1)
(12.921.5)
(14.922.5)
(14.921.3)
(16.419.9)

23.9
23.8
23.3
31.2
26.0

(18.031.0)
(20.427.6)
(19.227.9)
(27.535.1)
(23.828.3)

21.8
20.3
21.0
24.2
22.1

(17.926.4)
(17.723.0)
(18.224.0)
(21.527.2)
(20.623.6)

80.8
84.8
84.2
85.1
83.6

(77.683.7)
(81.587.6)
(81.087.0)
(81.688.1)
(81.685.5)

81.5
83.9
86.5
86.9
84.4

(77.984.7)
(80.886.6)
(84.488.3)
(84.189.3)
(82.786.1)

81.1
84.3
85.4
86.1
84.0

(78.183.9)
(81.786.6)
(83.187.4)
(83.488.4)
(82.385.6)

CI

CI

CI

CI

* Among the 33.7% of students nationwide who were currently sexually active.
95% confidence interval.
Non-Hispanic.
MMWR/June 8, 2012/Vol. 61/No. 4

121

Surveillance Summaries

TABLE 74. Percentage of high school students who drank alcohol or used drugs before last sexual intercourse* and who were ever taught in
school about acquired immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV) infection, by sex selected U.S. sites,
Youth Risk Behavior Survey, 2011
Drank alcohol or used drugs before last sexual intercourse
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

CI

Female
CI

CI

Male
%

Total
CI

CI

13.5
16.0
18.8
15.7
25.9
18.2
15.9
19.6

20.1

14.4
19.8
14.8
16.9
12.4

13.3

16.7
16.2
12.9
18.2
18.3
18.9

(9.219.3)
(10.224.3)
(15.223.0)
(10.223.3)
(17.736.3)
(13.723.7)
(12.619.9)
(17.022.6)

(16.224.5)

(10.818.9)
(14.326.7)
(9.622.2)
(13.321.2)
(8.917.1)

(11.016.1)

(13.420.6)
(13.319.6)
(9.217.7)
(15.021.9)
(14.023.5)
(14.324.6)

24.2
21.0
25.8
23.3
25.1
19.4
24.7
27.0

22.0

26.0
20.1
21.3
23.2
22.2

21.2

28.9
24.7
23.9
24.4
21.3
25.6

(19.329.9)
(15.028.5)
(22.429.6)
(17.530.3)
(19.531.6)
(14.824.8)
(20.129.9)
(24.030.3)

(16.628.6)

(22.829.4)
(16.025.0)
(16.327.5)
(17.030.9)
(15.231.1)

(19.023.5)

(23.734.6)
(20.329.7)
(18.430.5)
(20.329.0)
(15.428.7)
(19.233.3)

18.6
18.4
22.4
19.1
25.8
18.8
20.0
23.5

20.9

19.6
19.9
18.0
20.0
16.8

17.3

22.7
20.4
18.8
21.1
19.8
22.7

(15.222.6)
(13.324.9)
(20.025.0)
(14.924.2)
(21.231.0)
(15.522.5)
(17.023.5)
(21.425.9)

(17.624.6)

(17.022.6)
(15.824.8)
(13.823.0)
(16.523.9)
(13.420.9)

(15.419.4)

(19.526.4)
(17.623.5)
(14.823.6)
(18.224.4)
(16.223.9)
(18.827.1)

87.6
81.0

85.5
82.6
92.0
87.1
85.3
89.0
83.7
80.9
87.4
90.3
84.9
85.5
86.8
79.3
89.4
85.4
83.5
88.3
78.0
85.2
77.6
88.1

(83.291.0)
(76.784.6)

(80.689.2)
(77.387.0)
(89.194.2)
(84.589.3)
(83.387.1)
(85.691.7)
(81.286.0)
(76.484.8)
(83.590.4)
(87.692.4)
(79.889.0)
(82.388.2)
(82.989.9)
(72.284.9)
(87.790.9)
(79.389.9)
(78.487.6)
(86.190.2)
(73.282.1)
(81.988.1)
(74.080.8)
(84.191.1)

84.3
83.4

79.6
77.8
90.8
84.4
83.7
86.8
83.4
82.7
84.9
89.0
83.0
80.4
81.3
70.2
88.3
81.9
84.7
88.7
75.6
85.6
79.4
85.5

(75.790.3)
(80.186.3)

(74.983.5)
(71.583.0)
(87.793.2)
(80.687.6)
(81.785.6)
(83.689.4)
(80.785.9)
(76.887.3)
(81.887.5)
(87.190.7)
(77.787.2)
(75.384.7)
(77.085.0)
(65.274.7)
(86.689.8)
(74.987.3)
(80.987.9)
(85.591.2)
(71.479.3)
(82.388.3)
(75.982.5)
(81.888.5)

86.0
82.2

82.5
80.2
91.4
85.7
84.5
87.6
83.6
81.9
86.1
89.6
84.0
82.7
83.9
74.9
88.6
83.5
84.0
88.5
76.9
85.4
78.5
86.7

(80.989.9)
(79.484.7)

(78.885.7)
(75.484.3)
(89.093.2)
(83.487.7)
(82.786.1)
(85.089.8)
(81.485.5)
(77.285.8)
(83.088.6)
(87.991.1)
(79.587.6)
(79.385.7)
(80.287.0)
(70.279.0)
(87.290.0)
(77.488.1)
(80.187.4)
(86.590.2)
(73.280.1)
(82.587.9)
(75.581.2)
(83.689.3)

17.8
18.6
18.8
18.6

(13.223.6)
(15.821.8)
(15.722.2)
(14.923.0)

26.4
25.9
25.2
33.1

(18.236.6)
(22.829.3)
(21.629.1)
(28.238.3)

22.2
22.3
21.9
25.3

(17.328.1)
(19.925.0)
(19.524.5)
(22.228.8)

81.8

(78.185.1)

80.3

(76.883.4)

81.1

(77.884.0)

12.5
15.8
15.2
17.6

(8.218.4)
(11.122.0)
(12.318.6)
(10.228.7)

25.6
16.2
26.0
33.8

(19.932.4)
(10.424.4)
(21.231.4)
(27.440.7)

18.5
16.0
20.8
25.9

(14.623.1)
(11.921.1)
(17.724.4)
(20.532.2)

83.7
83.3
82.0

(78.687.7)
(76.988.3)
(77.186.1)

83.0
83.4
80.6

(77.087.7)
(79.286.9)
(76.384.3)

83.3
83.3
81.1

(78.687.1)
(78.387.3)
(77.184.6)

21.3

(16.626.9)

26.7

(21.333.0)

23.9

(20.128.0)

79.5

(72.385.2)

80.0

(73.885.0)

79.7

(73.584.8)

(15.721.8)
(16.420.0)

(13.820.5)

(8.617.3)
(13.322.0)
(16.124.8)
17.4
12.325.9

26.6
30.7

29.8

27.9
22.9
34.5

(22.531.1)
(26.035.8)

(24.435.7)

(22.234.4)
(17.829.0)
(29.439.9)
25.1
16.234.5

22.5
24.2

23.3

19.8
19.9
26.7

(19.925.3)
(21.727.0)

(19.727.4)

(15.924.4)
(16.024.5)
(23.330.3)
20.6
16.026.7

81.9
81.1
86.0

87.8
89.8
89.5
82.1

(77.785.5)
(76.684.9)
(83.088.5)

(83.990.9)
(86.392.5)
(86.791.8)
(78.085.6)
85.2
77.692.0

79.6
81.1
86.8

85.5
86.2
88.6
83.1

18.6
18.1

16.9

12.3
17.2
20.1

See table footnotes on page 123.

122

Were taught in school about AIDS or HIV infection

Total

MMWR/June 8, 2012/Vol. 61/No. 4

(76.582.4)
(76.984.7)
(82.390.3)

(80.789.3)
(82.089.6)
(85.591.1)
(80.185.8)
83.4
70.290.8

80.6 (77.683.3)
81.0 (76.984.6)
86.3 (83.089.0)

86.6 (82.789.7)
88.0 (84.890.6)
89.1 (86.691.1)
82.6 (79.885.2)
83.7
74.991.4

Surveillance Summaries

TABLE 74. (Continued) Percentage of high school students who drank alcohol or used drugs before last sexual intercourse* and who were ever
taught in school about acquired immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV) infection, by sex selected
U.S. sites, Youth Risk Behavior Survey, 2011
Drank alcohol or used drugs before last sexual intercourse
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Were taught in school about AIDS or HIV infection

Total

Female

Male

Total

CI

17.7
18.7
25.8

(10.927.4)
(14.324.0)
(20.931.5)

29.3
25.7
25.5

(19.841.0)
(20.731.4)
(20.431.3)

24.3
22.4
26.0

(17.033.4)
(18.626.8)
(22.130.4)

73.4
88.1
85.9

(68.278.1)
(84.491.0)
(82.488.9)

73.2
86.7
82.9

(67.778.0)
(84.088.9)
(78.686.4)

73.3
87.3
84.3

(69.376.9)
(84.889.4)
(81.287.0)

16.5
12.3
9.2
19.7
19.1
10.5
13.1
9.7
15.6

(12.920.9)
(7.918.8)
(5.914.0)
(14.226.8)
(15.523.3)
(7.414.7)
(8.020.6)
(6.913.7)
(12.119.8)

25.8
21.7
23.0
25.8
27.7
26.1
22.0
18.9
30.0

(20.332.3)
(15.729.3)
(16.631.0)
(20.931.4)
(23.032.9)
(20.532.5)
(13.234.5)
(15.023.5)
(24.136.6)

21.3
16.9
16.2
22.9
23.5
18.5
18.1
14.6
22.9

(17.325.9)
(12.322.8)
(12.420.8)
(19.027.2)
(20.327.0)
(15.122.6)
(12.126.2)
(12.217.5)
(19.426.9)

75.0
82.2
82.7
85.6
82.4
75.9
84.2
78.6
79.3

(70.279.2)
(77.985.8)
(79.385.7)
(82.188.5)
(80.284.5)
(72.678.9)
(80.187.6)
(75.281.7)
(76.482.0)

71.0
79.7
79.0
82.6
80.3
73.2
79.9
75.7
76.3

(66.774.9)
(75.183.6)
(75.782.0)
(77.586.8)
(77.782.6)
(69.876.3)
(74.684.4)
(72.279.0)
(72.280.0)

72.9
80.9
80.8
83.8
81.3
74.6
82.0
77.2
77.9

(69.176.4)
(77.683.9)
(78.283.1)
(80.686.6)
(79.483.1)
(72.077.0)
(77.885.5)
(74.779.5)
(75.280.4)

16.7
15.2
23.7
23.4

(12.521.9)
(12.917.8)
(18.130.5)
(18.928.7)

24.9
23.2
27.3
31.0

(19.531.2)
(19.926.7)
(20.834.9)
(25.537.1)

20.9
19.2
25.6
27.0

(17.424.9)
(17.021.7)
(21.230.5)
(23.630.7)

83.8

88.3
87.5

(80.486.6)

(85.290.8)
(84.889.8)

79.9

85.1
83.8

(76.682.9)

(80.788.6)
(80.786.4)

81.7

86.6
85.5

(79.084.0)

(84.488.6)
(83.287.4)

(11.319.6)
(8.623.0)
(10.722.6)
(10.121.3)

15.6
9.225.8

21.0
26.5
27.4
27.4

(15.627.6)
(19.834.4)
(21.134.8)
(20.735.2)

25.8
18.931.0

18.2
21.0
21.9
21.0

(14.622.4)
(16.326.6)
(17.427.2)
(16.426.4)

21.1
14.627.0

83.0
80.5
87.0
84.4
87.5

(79.086.4)
(76.584.0)
(82.990.3)
(80.887.5)
(84.490.1)
83.4
73.488.3

80.5
79.1
85.4
78.0
85.3

(76.783.9)
(74.483.1)
(81.488.6)
(74.081.6)
(81.988.2)
79.9
71.086.7

81.8
79.8
86.1
81.1
86.2

15.0
14.3
15.7
14.8

CI

CI

CI

CI

CI

(78.984.5)
(76.283.0)
(83.088.7)
(78.083.8)
(83.788.4)
81.5
72.987.3

* Among students who were currently sexually active.


95% confidence interval.
Not available.

TABLE 75. Percentage of high school students who were tested for human immunodeficiency virus (HIV),* by sex, race/ethnicity, and grade
United States, Youth Risk Behavior Survey, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

Total
CI

CI

12.6
24.2
14.0

(10.714.8)
(19.229.9)
(12.016.2)

8.7
23.7
11.0

(7.310.4)
(17.032.0)
(8.813.7)

10.6
24.0
12.5

(9.212.1)
(18.929.9)
(11.014.1)

10.2
13.1
16.9
19.1
14.6

(8.112.7)
(10.616.0)
(13.720.7)
(16.222.5)
(12.916.6)

10.3
9.7
10.3
14.6
11.2

(8.412.7)
(7.113.2)
(8.312.7)
(12.117.5)
(9.513.3)

10.3
11.3
13.5
16.9
12.9

(8.712.0)
(9.114.0)
(11.316.1)
(14.519.5)
(11.314.7)

* Does not include tests conducted when donating blood.


95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

123

Surveillance Summaries

TABLE 76. 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, 2011
Did not eat fruit or drink 100% fruit juices
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

Female

Male

Total

CI

CI

CI

3.8
6.3
4.0

(3.14.7)
(4.78.5)
(3.25.0)

5.2
6.7
4.9

(4.36.4)
(4.99.0)
(3.76.4)

4.5
6.5
4.5

(3.85.4)
(5.47.8)
(3.75.4)

63.5
60.2
60.3

(60.666.3)
(56.763.5)
(57.163.4)

64.8
67.1
68.9

(62.067.6)
(62.971.0)
(66.171.5)

64.2
63.6
64.7

(61.866.5)
(60.666.5)
(62.666.8)

4.6
4.2
3.8
4.2
4.3

(3.46.1)
(3.55.1)
(2.95.1)
(3.05.9)
(3.74.9)

6.0
6.0
4.5
4.7
5.3

(4.77.7)
(4.38.3)
(3.45.9)
(3.66.0)
(4.66.2)

5.3
5.2
4.2
4.4
4.8

(4.36.5)
(4.16.4)
(3.45.1)
(3.75.3)
(4.35.4)

60.3
63.1
62.6
61.0
61.6

(56.963.6)
(59.866.3)
(59.066.0)
(57.264.6)
(59.663.6)

66.2
68.7
66.1
63.1
66.1

(62.969.4)
(64.572.6)
(63.169.0)
(60.165.9)
(64.068.1)

63.3
66.0
64.4
62.1
64.0

(60.666.0)
(62.869.0)
(62.466.4)
(60.064.2)
(62.265.7)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

124

Ate fruit or drank 100% fruit juices one or more times/day

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

Surveillance Summaries

TABLE 77. 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, 2011
Did not eat fruit or drink 100% fruit juices
Female
Site

CI

State surveys
Alabama
7.8 (5.810.5)
Alaska
2.8 (1.74.6)
Arizona

Arkansas
8.1 (6.310.4)
Colorado

Connecticut
2.9 (2.04.2)
Delaware
5.9 (4.57.7)
Florida
5.6 (4.76.6)
Georgia
6.4 (5.08.1)
Hawaii
5.4 (4.07.3)
Idaho
2.5 (1.54.3)
Illinois
4.3 (3.35.5)
Indiana
5.4 (4.17.1)
Iowa
2.8 (1.84.3)
Kansas
4.3 (3.16.1)
Kentucky
7.0 (5.19.5)
Louisiana
6.3 (4.58.9)
Maine
4.2 (3.65.0)
Maryland
4.9 (3.66.6)
Massachusetts

Michigan
4.2 (3.35.3)
Mississippi
7.5 (5.110.8)
Montana
2.9 (2.14.0)
Nebraska
4.0 (3.15.1)
New
3.1 (1.95.0)
Hampshire
New Jersey
3.5 (2.54.8)
New Mexico
6.3 (5.47.4)
New York
4.9 (3.56.8)
North
7.4 (5.79.5)
Carolina
North
2.3 (1.53.5)
Dakota
Ohio
5.8 (3.69.3)
Oklahoma
8.8 (6.212.3)
Rhode Island
4.0 (3.05.3)
South
10.0 (7.014.0)
Carolina
South
3.6 (2.16.0)
Dakota
Tennessee
7.8 (6.29.8)
Texas
5.6 (4.57.1)
Utah
2.7 (1.84.2)
Vermont
2.5 (1.83.4)
Virginia
5.9 (4.08.7)
West Virginia
5.7 (4.27.8)
Wisconsin
3.1 (2.34.2)
Wyoming
5.6 (4.37.4)
Median
5.1
Range
2.310.0

Male
%

Ate fruit or drank 100% fruit juices one or more times/day

Total
CI

Female

CI

CI

Male
%

Total
CI

CI

9.9
6.5

9.9

5.7
9.3
6.6
6.7
6.8
3.0
6.3
7.6
6.5
6.2
12.4
10.3
7.1
5.9

6.6
7.8
5.0
5.3
7.2

(7.613.0)
(4.59.5)

(7.213.5)

(4.27.7)
(7.311.6)
(5.77.6)
(5.18.7)
(5.58.3)
(2.24.2)
(5.08.0)
(5.210.9)
(4.39.7)
(4.48.6)
(9.616.0)
(6.915.1)
(6.38.0)
(4.38.0)

(5.48.0)
(5.510.8)
(4.06.1)
(4.36.6)
(5.39.7)

8.9
4.8

9.0

4.4
7.6
6.1
6.6
6.1
2.8
5.3
6.5
4.7
5.3
9.7
8.5
5.7
5.4

5.5
7.6
4.0
4.7
5.2

(7.111.1)
(3.66.3)

(7.311.1)

(3.45.5)
(6.58.8)
(5.56.9)
(5.57.9)
(5.07.3)
(2.33.4)
(4.56.2)
(5.08.4)
(3.46.4)
(3.97.0)
(8.011.6)
(6.111.6)
(5.16.4)
(4.36.9)

(4.56.6)
(6.09.6)
(3.24.9)
(4.05.6)
(3.96.9)

52.5
61.4

48.0

65.1
50.7
60.5
53.7
52.9
65.7
60.6
53.6
62.4
60.3
49.1
49.9
64.3
60.4

61.6
56.8
62.1
57.1
64.9

(47.257.8)
(57.365.3)

(44.351.8)

(59.970.0)
(47.054.4)
(58.362.7)
(49.058.3)
(49.356.5)
(61.869.5)
(57.164.0)
(50.057.2)
(57.067.5)
(55.465.1)
(44.453.9)
(42.357.5)
(61.567.1)
(56.564.1)

(58.564.6)
(51.062.5)
(58.665.6)
(54.659.5)
(61.168.4)

58.4
60.6

53.1

65.8
57.2
65.1
60.5
57.1
66.6
61.9
56.8
65.5
59.0
51.3
55.0
60.7
62.3

62.9
63.5
61.0
60.8
61.7

(52.464.2)
(55.965.1)

(47.158.9)

(63.068.4)
(53.860.6)
(63.466.7)
(56.764.1)
(54.559.6)
(61.971.0)
(58.565.3)
(52.261.2)
(62.068.8)
(54.763.1)
(47.255.3)
(48.561.3)
(57.663.6)
(57.966.4)

(59.366.4)
(59.167.7)
(58.563.5)
(58.263.4)
(57.166.1)

55.6
60.9

50.6

65.4
54.0
62.8
57.1
54.9
66.1
61.3
55.3
63.9
59.6
50.3
52.2
62.5
61.3

62.2
60.2
61.6
59.0
63.2

(51.159.9)
(57.464.2)

(47.154.1)

(62.068.6)
(51.356.7)
(61.164.4)
(54.160.1)
(52.457.4)
(62.869.3)
(58.364.2)
(52.258.3)
(61.266.5)
(55.863.3)
(46.753.9)
(46.857.6)
(59.865.1)
(58.464.0)

(59.564.8)
(55.964.4)
(59.164.0)
(57.360.6)
(60.166.1)

3.9
7.5
8.3
8.0

(2.65.9)
(6.48.9)
(6.710.1)
(6.210.2)

3.7
6.9
6.6
7.7

(2.94.8)
(6.27.8)
(5.48.1)
(6.49.3)

60.2
56.2
65.1
54.1

(56.463.8)
(53.958.5)
(62.467.7)
(49.458.8)

61.5
62.1
65.5
56.8

(57.765.1)
(59.964.3)
(63.068.0)
(53.160.4)

60.9
59.2
65.3
55.5

(58.463.3)
(57.361.2)
(63.667.0)
(52.058.9)

3.3

(2.34.7)

2.8

(2.23.6)

65.3

(61.868.5)

61.7

(56.766.6)

63.6

(60.366.8)

6.8
9.7
6.0
10.7

(4.310.8)
(6.713.9)
(5.07.2)
(7.515.1)

6.4
9.2
5.0
10.3

(4.29.6)
(6.712.6)
(4.55.6)
(8.013.2)

55.5
53.8
62.9
49.0

(50.960.1)
(48.359.2)
(58.966.7)
(44.553.5)

59.5
57.5
64.0
49.6

(54.464.5)
(50.863.9)
(61.166.8)
(45.353.8)

57.6
55.7
63.5
49.4

(53.561.6)
(51.060.4)
(60.266.6)
(46.352.6)

5.1

(3.47.7)

4.4

(3.16.2)

60.0

(53.066.7)

57.4

(51.862.9)

58.8

(54.762.7)

(49.755.9)
(54.058.7)
(63.872.1)
(65.373.2)
(51.563.2)
(54.563.9)
(61.468.2)
(56.962.9)
59.9
48.069.4

57.3
59.2
67.2
69.3
62.7
64.8
66.8
64.3

(53.161.4)
(56.961.5)
(63.670.7)
(66.372.2)
(58.566.7)
(59.469.9)
(63.170.4)
(61.467.1)
61.3
49.669.3

55.1
57.9
67.5
69.3
60.2
62.2
65.9
62.1

10.7
6.8
3.1
5.2
6.6
8.1
4.1
7.3

(8.113.9)
(5.78.0)
(2.14.6)
(4.56.1)
(4.79.2)
(6.010.8)
(2.95.7)
(6.08.9)
6.7
3.012.4

9.3
6.2
3.1
3.9
6.2
6.9
3.6
6.6

(7.511.4)
(5.37.3)
(2.34.2)
(3.34.6)
(4.58.6)
(5.58.7)
(2.84.6)
(5.57.9)
6.1
2.810.3

52.8
56.4
68.1
69.4
57.5
59.3
64.9
59.9

(51.758.3)
(56.159.6)
(64.570.5)
(65.872.5)
(56.563.8)
(57.966.2)
(63.168.5)
(60.064.2)
60.5
49.469.3

See table footnotes on page 126.

MMWR/June 8, 2012/Vol. 61/No. 4

125

Surveillance Summaries

TABLE 77. (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, 2011
Did not eat fruit or drink 100% fruit juices
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

Female

Male

Total

CI

CI

6.1
6.9
7.1

(4.28.7)
(5.29.1)
(5.39.3)

6.5
6.4
7.1

(4.29.9)
(4.78.6)
(5.68.9)

6.3
6.7
7.1

(4.68.4)
(5.48.4)
(5.88.6)

51.4
61.4
58.7

(47.255.6)
(57.864.8)
(54.263.0)

62.1
67.2
65.8

(55.568.2)
(63.570.7)
(62.369.1)

56.4
64.4
62.3

(52.560.3)
(61.966.8)
(59.564.9)

6.2
5.0
7.0
6.8
8.3
6.2
4.3
5.8
6.5

(4.87.9)
(3.27.8)
(5.58.8)
(4.89.6)
(7.09.9)
(4.78.0)
(2.67.0)
(4.27.8)
(5.18.3)

8.4
5.2
8.2
7.4
11.1
7.6
5.4
6.8
7.1

(6.411.0)
(3.67.6)
(6.011.0)
(5.410.1)
(9.113.5)
(6.09.7)
(3.38.6)
(5.09.2)
(5.59.2)

7.2
5.1
7.5
7.2
9.7
6.9
4.8
6.3
6.9

(5.98.7)
(3.76.9)
(6.29.0)
(5.89.0)
(8.411.1)
(5.78.3)
(3.56.7)
(5.17.7)
(5.68.4)

57.9
61.5
47.8
60.7
53.6
57.4
65.1
62.5
57.6

(53.762.0)
(56.666.1)
(43.052.6)
(56.165.1)
(50.756.5)
(54.260.6)
(57.272.3)
(58.566.4)
(53.961.2)

62.4
61.6
46.1
61.9
54.1
61.2
66.5
65.3
66.2

(58.766.0)
(56.366.7)
(41.650.7)
(57.666.0)
(50.957.2)
(58.464.0)
(62.170.7)
(61.369.1)
(62.769.6)

60.1
61.6
47.1
60.9
53.9
59.3
66.0
63.9
61.8

(57.163.0)
(58.065.0)
(43.550.8)
(57.664.0)
(51.656.1)
(57.261.4)
(60.870.8)
(60.966.8)
(59.364.2)

6.0
5.0
5.6
5.7

(4.58.0)
(4.35.9)
(4.07.7)
(4.47.3)

6.4
8.4
8.0
7.6

(4.78.7)
(7.29.9)
(5.611.4)
(5.610.2)

6.2
6.7
6.9
6.6

(5.07.6)
(6.07.4)
(5.48.8)
(5.38.2)

60.6
57.8
57.1
62.7

(57.064.0)
(55.859.7)
(52.661.5)
(59.166.1)

63.7
60.4
66.0
66.3

(60.466.9)
(57.862.8)
(61.670.0)
(63.069.4)

62.1
59.0
61.4
64.5

(59.664.6)
(57.260.8)
(58.664.2)
(62.266.8)

6.2
3.3
4.0
4.4
3.9

(4.68.3)
(2.05.5)
(2.85.9)
(3.06.4)
(2.65.7)
6.0
3.38.3

7.8
4.0
6.0
7.3
4.8

(5.610.6)
(2.56.6)
(4.08.8)
(5.79.4)
(3.17.3)
7.1
4.011.1

7.0
3.8
5.1
5.8
4.4

(5.49.0)
(2.85.3)
(3.96.6)
(4.77.3)
(3.45.8)
6.7
3.89.7

53.4
65.3
61.6
63.5
69.2

(49.557.3)
(62.168.4)
(57.165.8)
(59.767.2)
(65.372.9)
60.6
47.869.2

56.4
71.8
65.0
61.7
67.9

(51.061.7)
(68.275.2)
(61.468.5)
(58.065.2)
(63.671.8)
63.7
46.171.8

54.9
68.4
63.3
62.6
68.4

Site

Ate fruit or drank 100% fruit juices one or more times/day

CI

CI

CI

CI

(51.458.2)
(65.970.9)
(60.266.2)
(60.364.9)
(65.471.3)
61.8
47.168.4

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 78. Percentage of high school students who ate fruit or drank 100% fruit juices, by sex, race/ethnicity, and grade United States, Youth
Risk Behavior Survey, 2011
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

Female

Male

Total

CI

CI

30.6
34.5
30.9

(28.133.2)
(31.337.8)
(28.533.5)

34.8
40.0
40.0

(31.038.8)
(36.743.5)
(37.742.4)

32.8
37.2
35.6

(30.235.4)
(34.739.8)
(33.937.3)

17.4
25.6
21.8

(15.819.0)
(22.828.6)
(19.524.3)

22.3
30.3
27.6

(19.225.8)
(27.133.7)
(25.829.6)

20.0
27.9
24.8

(18.022.0)
(25.530.5)
(23.526.3)

30.7
33.3
31.2
29.3
31.2

(28.333.3)
(30.935.9)
(28.434.2)
(26.532.3)
(29.532.8)

39.3
37.4
34.0
34.9
36.5

(35.443.5)
(33.441.5)
(30.737.4)
(32.337.6)
(34.238.9)

35.1
35.4
32.6
32.2
34.0

(32.437.9)
(32.938.1)
(30.634.8)
(30.334.2)
(32.335.6)

19.4
22.0
19.5
18.1
19.8

(17.121.9)
(19.524.7)
(17.321.8)
(16.020.4)
(18.521.1)

27.2
26.3
21.7
23.2
24.8

(23.830.9)
(22.530.4)
(19.024.8)
(20.426.2)
(22.826.9)

23.4
24.2
20.7
20.7
22.4

(20.926.0)
(21.926.7)
(19.022.5)
(18.822.7)
(21.023.8)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

126

Ate fruit or drank 100% fruit juices three or more times/day*

Total

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

Surveillance Summaries

TABLE 79. Percentage of high school students who ate fruit or drank 100% fruit juices, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ate fruit or drank 100% fruit juices two or more times/day*
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Ate fruit or drank 100% fruit juices three or more times/day*

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

25.1
31.0

23.3

34.1
28.1
30.8
27.7
23.6
29.9
30.0
22.5
29.1
24.9
21.5
22.5
30.5
32.8

30.6
27.6
25.9
25.8
33.3

(21.129.5)
(27.335.1)

(19.128.0)

(30.737.6)
(25.430.9)
(28.833.0)
(23.932.0)
(21.326.0)
(27.332.7)
(26.633.6)
(20.424.8)
(23.135.8)
(21.328.8)
(18.525.0)
(15.731.2)
(28.233.0)
(30.035.9)

(26.535.0)
(22.733.1)
(23.728.2)
(23.727.9)
(30.036.9)

33.1
32.9

28.5

36.4
32.4
38.9
33.8
27.3
27.9
32.8
26.6
32.6
27.4
24.4
25.3
30.8
36.5

31.9
36.9
27.8
28.2
34.4

(27.039.9)
(28.038.1)

(24.632.7)

(33.339.6)
(29.235.8)
(36.841.1)
(30.237.6)
(24.630.2)
(24.431.7)
(30.035.8)
(23.529.9)
(30.135.2)
(24.330.7)
(21.327.9)
(21.229.9)
(28.633.2)
(33.139.9)

(28.535.5)
(32.841.2)
(25.630.0)
(25.930.7)
(30.638.4)

29.2
32.0

25.8

35.2
30.3
34.8
30.8
25.5
28.8
31.5
24.6
30.9
26.1
23.0
23.8
30.8
34.7

31.2
32.3
26.9
26.9
33.9

(25.333.5)
(28.435.7)

(22.429.7)

(32.737.8)
(28.332.4)
(33.436.3)
(28.133.7)
(23.527.6)
(26.231.5)
(28.634.5)
(22.726.5)
(27.134.9)
(23.728.8)
(20.625.6)
(19.728.4)
(28.732.9)
(32.237.3)

(27.834.8)
(28.336.5)
(25.328.5)
(25.428.6)
(31.336.6)

16.9
18.8

16.9

20.8
18.0
20.7
19.0
14.9
16.4
18.2
11.6
16.0
14.0
12.6
16.8
18.5
19.9

19.5
18.7
13.4
14.2
18.5

(14.220.0)
(15.422.6)

(13.421.0)

(18.523.4)
(15.620.6)
(19.022.5)
(16.022.5)
(13.316.7)
(13.420.0)
(15.821.0)
(9.913.5)
(12.720.0)
(11.217.5)
(11.114.3)
(11.823.5)
(16.920.2)
(17.822.1)

(15.424.4)
(13.924.6)
(11.914.9)
(12.516.0)
(16.221.1)

23.8
23.6

19.7

22.6
21.1
26.8
24.0
18.4
17.6
20.6
17.3
22.6
16.9
16.7
19.8
20.0
24.6

19.0
27.0
17.6
17.1
22.2

(18.630.0)
(19.128.9)

(16.523.5)

(20.225.2)
(18.224.3)
(25.028.7)
(20.428.1)
(16.420.6)
(15.320.1)
(18.722.7)
(14.720.3)
(20.424.9)
(14.619.6)
(13.920.0)
(16.723.3)
(18.321.7)
(21.228.3)

(16.621.6)
(22.831.6)
(15.919.5)
(15.219.1)
(18.826.0)

20.5
21.3

18.3

21.6
19.7
23.7
21.6
16.7
17.0
19.5
14.5
19.3
15.5
14.6
18.2
19.3
22.3

19.2
22.8
15.6
15.6
20.3

(17.024.5)
(18.124.9)

(15.321.7)

(20.023.4)
(17.721.8)
(22.624.8)
(19.024.5)
(15.318.3)
(15.119.1)
(17.621.5)
(13.016.1)
(16.922.0)
(13.517.7)
(12.816.7)
(15.521.3)
(18.020.7)
(20.024.7)

(16.422.4)
(18.927.3)
(14.316.9)
(14.317.0)
(18.122.6)

30.5
27.1
37.2
29.1

(26.235.2)
(25.029.2)
(34.440.0)
(24.833.9)

30.6
35.0
36.5
31.0

(26.734.7)
(33.336.8)
(33.839.3)
(27.434.8)

30.6
31.2
36.8
30.1

(27.534.0)
(29.732.7)
(34.738.9)
(27.432.9)

17.8
17.0
24.5
18.5

(14.022.4)
(15.418.7)
(22.726.3)
(15.222.3)

20.5
24.5
26.7
21.0

(17.324.2)
(22.726.4)
(23.929.7)
(18.823.5)

19.2
20.9
25.6
19.8

(16.522.3)
(19.622.3)
(23.927.3)
(18.121.6)

28.5

(25.831.3)

28.5

(24.932.5)

28.7

(26.531.0)

14.2

(11.617.2)

18.0

(14.921.6)

16.2

(14.118.6)

23.3
22.8
33.1
24.1

(20.126.9)
(19.626.2)
(30.236.1)
(19.629.3)

30.2
33.5
35.0
26.6

(25.635.1)
(28.838.6)
(32.337.9)
(22.631.0)

26.7
28.2
34.1
25.6

(23.330.3)
(25.031.6)
(31.436.8)
(22.129.4)

14.5
13.9
19.9
16.9

(12.416.9)
(11.516.6)
(17.922.1)
(13.820.5)

19.5
21.9
23.7
19.6

(16.223.2)
(18.825.3)
(20.926.8)
(15.824.0)

16.9
17.9
21.9
18.5

(14.819.3)
(15.820.1)
(19.624.3)
(15.621.6)

25.4

(22.229.0)

26.5

(23.729.5)

25.9

(23.628.4)

12.1

(9.914.6)

15.4

(12.718.5)

13.7

(12.115.5)

(23.129.9)
(24.328.8)
(26.935.8)
(31.638.9)
(23.531.9)
(25.437.4)
(27.934.2)
(24.429.6)
27.9
21.537.2

30.9
33.3
32.2
37.2
32.5
34.9
34.8
32.6

(27.035.2)
(30.935.8)
(29.635.0)
(35.039.3)
(27.837.7)
(30.040.1)
(31.737.9)
(29.735.6)
32.4
24.438.9

28.7
29.9
31.7
36.1
30.2
33.0
32.9
29.8

(25.931.7)
(28.031.9)
(29.034.5)
(33.438.8)
(27.333.2)
(28.438.1)
(30.635.3)
(27.931.7)
30.2
23.036.8

17.1
17.3
17.1
20.5
16.7
18.8
18.5
16.6

(15.019.5)
(15.619.1)
(13.721.1)
(18.722.3)
(13.820.2)
(15.522.7)
(16.620.6)
(14.618.9)
17.1
11.624.5

22.1
22.8
20.3
23.7
19.2
22.4
22.2
19.5

(18.726.0)
(20.425.3)
(18.022.8)
(22.125.4)
(16.622.2)
(19.026.3)
(18.826.2)
(17.122.3)
20.8
15.427.0

19.7
20.1
18.7
22.1
18.2
20.6
20.4
18.1

26.4
26.5
31.2
35.2
27.5
31.1
31.0
26.9

(17.322.3)
(18.222.0)
(16.621.1)
(20.823.4)
(16.020.5)
(17.923.7)
(18.222.8)
(16.419.9)
19.3
13.725.6

See table footnotes on page 128.

MMWR/June 8, 2012/Vol. 61/No. 4

127

Surveillance Summaries

TABLE 79. (Continued) Percentage of high school students who ate fruit or drank 100% fruit juices, by sex selected U.S. sites, Youth Risk
Behavior Survey, 2011
Ate fruit or drank 100% fruit juices two or more times/day*
Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Ate fruit or drank 100% fruit juices three or more times/day*

Total
CI

Female
CI

Male

CI

Total
CI

CI

25.2
33.6
34.0

(21.928.8)
(30.337.2)
(31.236.9)

36.1
41.6
39.0

(31.041.6)
(38.345.0)
(35.442.7)

30.4
37.7
36.5

(27.433.6)
(35.240.2)
(34.438.7)

18.5
22.0
23.6

(15.522.0)
(18.925.5)
(20.926.4)

29.9
31.1
26.5

(25.035.4)
(27.834.7)
(23.329.9)

24.0
26.5
25.0

(20.927.4)
(24.129.1)
(23.027.2)

30.8
31.4
26.1
34.6
25.7
28.2
35.4
34.6
32.3

(27.834.0)
(28.134.9)
(23.129.2)
(30.439.0)
(23.328.3)
(25.531.1)
(30.340.8)
(30.938.4)
(28.936.0)

34.8
33.1
27.1
35.1
29.8
34.1
38.6
43.9
41.4

(30.539.3)
(27.539.1)
(23.830.6)
(30.639.9)
(27.232.6)
(30.837.6)
(34.542.9)
(39.648.3)
(38.044.9)

32.5
32.3
26.6
34.7
27.7
31.2
37.2
39.2
36.8

(29.535.7)
(28.835.9)
(24.429.0)
(31.537.9)
(25.929.6)
(28.833.6)
(33.640.9)
(36.142.4)
(34.439.2)

23.0
21.0
18.4
25.3
18.4
19.0
24.9
23.7
22.2

(20.425.7)
(18.224.2)
(16.220.9)
(21.829.2)
(16.320.7)
(16.322.0)
(21.328.9)
(20.427.3)
(19.125.5)

26.3
24.1
20.7
26.8
21.4
24.7
26.7
32.5
31.8

(22.031.1)
(19.829.1)
(17.624.1)
(22.232.0)
(19.124.0)
(21.727.9)
(22.931.0)
(29.036.3)
(28.835.0)

24.4
22.6
19.6
25.9
19.9
21.8
25.9
28.0
26.9

(21.627.4)
(20.025.4)
(17.621.7)
(22.729.3)
(18.321.5)
(19.724.2)
(22.829.4)
(25.231.0)
(24.829.2)

32.7
32.8
30.8
35.4

(29.236.3)
(30.934.7)
(27.334.6)
(32.838.0)

37.5
35.3
38.5
37.7

(34.740.5)
(33.437.4)
(34.742.3)
(34.241.2)

35.2
33.9
34.6
36.6

(33.137.3)
(32.535.4)
(31.737.6)
(34.438.9)

25.1
21.9
20.3
25.7

(21.828.6)
(20.523.4)
(17.323.6)
(23.528.1)

29.1
26.3
29.0
26.2

(26.532.0)
(24.328.4)
(25.233.1)
(23.229.4)

27.1
24.0
24.5
26.0

(25.329.1)
(22.625.4)
(21.927.3)
(24.128.1)

(22.129.9)
(34.341.9)
(27.736.1)
(31.138.5)
(30.937.9)
32.7
25.238.0

30.4
40.7
36.5
33.9
33.8

(26.434.9)
(36.545.1)
(32.141.1)
(30.837.2)
(29.738.1)
36.1
27.143.9

28.0
39.2
34.1
34.3
34.1

(24.931.3)
(36.442.2)
(30.637.8)
(32.136.5)
(31.237.0)
34.3
26.639.2

19.2
28.0
19.8
20.0
19.8

(15.922.9)
(24.432.0)
(16.823.3)
(17.023.2)
(17.222.7)
21.9
18.428.0

22.5
31.3
23.3
22.2
23.0

(18.826.6)
(27.535.3)
(19.527.6)
(19.425.2)
(19.726.6)
26.3
20.732.5

20.6
29.6
21.6
21.2
21.3

25.8
38.0
31.7
34.7
34.3

(18.223.3)
(26.832.5)
(18.824.7)
(19.323.1)
(19.123.7)
24.4
19.629.6

* During the 7 days before the survey.


95% confidence interval.
Not available.

TABLE 80. 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, 2011
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

Total

2.4
8.6
8.1

(1.93.0)
(6.910.7)
(6.410.2)

5.5
11.1
8.2

(4.76.5)
(8.714.2)
(6.510.4)

4.0
9.9
8.2

(3.54.6)
(8.211.9)
(6.79.9)

66.1
52.7
53.8

(63.268.9)
(49.456.0)
(50.656.9)

65.3
55.9
58.9

(63.067.6)
(51.060.7)
(55.861.9)

65.7
54.3
56.4

(63.467.9)
(51.357.2)
(53.959.0)

5.0
3.7
4.6
4.4
4.5

(3.86.6)
(2.94.7)
(3.65.7)
(3.55.7)
(3.95.2)

8.1
5.9
8.2
5.2
6.9

(6.89.7)
(4.47.9)
(6.79.9)
(4.26.4)
(6.17.7)

6.6
4.9
6.4
4.8
5.7

(5.48.0)
(3.96.1)
(5.47.5)
(4.15.6)
(5.16.4)

59.8
62.2
62.3
62.7
61.6

(56.663.0)
(58.865.4)
(59.265.4)
(59.465.9)
(59.563.7)

61.6
64.1
60.8
64.7
62.8

(58.664.5)
(61.566.5)
(58.263.3)
(60.868.4)
(61.164.5)

60.8
63.1
61.6
63.7
62.3

(58.363.2)
(60.765.5)
(59.263.9)
(60.666.7)
(60.564.0)

CI

CI

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.

128

Male

CI

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

Surveillance Summaries

TABLE 81. 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, 2011
Did not eat vegetables
Female
Site

CI

State surveys
Alabama
9.8
(7.312.9)
Alaska
4.2
(2.76.5)
Arizona

Arkansas
9.1
(7.211.5)
Colorado

Connecticut
2.8
(1.94.1)
Delaware

Florida
7.0
(6.18.0)
Georgia
7.5
(5.610.1)
Hawaii
5.7
(4.37.4)
Idaho
2.9
(1.84.6)
Illinois
5.1
(3.96.7)
Indiana
4.3
(3.35.6)
Iowa
2.7
(1.64.7)
Kansas
4.7
(3.66.2)
Kentucky
5.2
(3.77.4)
Louisiana
10.6
(6.517.0)
Maine

Maryland
5.6
(4.07.9)
Massachusetts

Michigan
4.2
(3.25.6)
Mississippi
7.8
(6.09.9)
Montana
2.3
(1.73.1)
Nebraska
3.6
(2.94.6)
New
3.2
(1.95.3)
Hampshire
New Jersey
3.5
(2.55.0)
New Mexico
5.2
(4.16.4)
New York

North
7.1
(5.68.9)
Carolina
North
2.9
(2.14.0)
Dakota
Ohio
4.8
(2.98.1)
Oklahoma
5.6
(3.58.8)
Rhode Island
3.7
(2.65.2)
South
7.6
(5.610.1)
Carolina
South
3.1
(1.95.2)
Dakota
Tennessee
7.0
(5.49.2)
Texas
7.8
(6.59.3)
Utah
2.9
(1.84.9)
Vermont
1.9
(1.42.6)
Virginia
4.8
(3.07.7)
West Virginia
4.7
(3.17.0)
Wisconsin
3.0
(2.24.3)
Wyoming
4.2
(3.15.5)
Median
4.7
Range
1.910.6

Ate vegetables one or more times/day

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

10.8
7.4

11.6

5.7

9.1
9.0
7.7
4.7
8.5
7.9
6.4
6.8
8.7
14.0

9.0

6.9
11.2
4.5
5.5
4.4

(8.513.5)
(5.210.3)

(9.613.9)

(4.37.6)

(7.910.6)
(7.411.0)
(5.99.9)
(3.46.5)
(6.910.4)
(6.29.9)
(4.49.2)
(4.89.6)
(7.010.9)
(10.318.8)

(7.011.4)

(5.19.3)
(9.014.0)
(3.55.7)
(4.46.8)
(3.06.4)

10.3
5.8

10.3

4.3

8.1
8.3
6.6
3.8
6.8
6.1
4.6
5.8
7.0
12.2

7.3

5.6
9.5
3.5
4.5
3.8

(8.512.3)
(4.37.8)

(8.812.1)

(3.45.4)

(7.29.0)
(6.910.0)
(5.38.3)
(2.85.3)
(5.78.0)
(5.07.4)
(3.26.6)
(4.67.3)
(5.88.3)
(9.715.3)

(5.89.2)

(4.56.9)
(7.911.2)
(2.74.4)
(3.85.4)
(2.75.2)

50.0
66.7

56.0

67.9

58.1
56.6
59.3
68.1
56.2
58.6
63.0
64.1
55.2
49.1

59.9

64.3
53.5
66.9
61.9
72.3

(43.756.2)
(62.670.6)

(50.061.7)

(62.972.5)

(55.960.2)
(53.160.0)
(56.362.2)
(64.171.9)
(51.760.7)
(55.761.4)
(59.966.0)
(59.968.0)
(50.559.8)
(43.654.7)

(54.065.5)

(60.268.2)
(49.857.2)
(63.470.2)
(59.564.3)
(67.576.6)

58.3
65.2

57.6

61.4

57.7
57.1
58.9
67.5
59.1
57.6
66.5
64.5
58.4
50.5

62.4

62.1
61.6
66.1
62.2
64.2

(54.861.8)
(61.169.0)

(52.162.9)

(57.165.6)

(55.759.7)
(53.960.3)
(55.062.6)
(63.870.9)
(55.662.5)
(54.660.5)
(61.571.1)
(59.868.9)
(54.362.3)
(40.760.2)

(58.865.8)

(59.165.1)
(56.666.3)
(63.568.7)
(59.364.9)
(59.968.2)

54.3
65.9

56.8

64.7

57.9
56.9
59.2
67.8
57.7
58.0
64.9
64.3
56.8
49.9

61.1

63.2
57.6
66.5
62.0
68.2

(50.158.4)
(62.968.8)

(53.660.1)

(60.868.4)

(56.459.4)
(54.159.7)
(56.661.7)
(64.670.8)
(54.560.9)
(56.160.0)
(61.368.4)
(60.368.1)
(53.460.2)
(45.154.7)

(57.664.5)

(60.266.0)
(54.760.4)
(63.969.0)
(60.263.8)
(65.271.1)

3.7
7.3

8.9

(2.45.8)
(6.38.5)

(6.611.8)

3.6
6.3

7.9

(2.74.9)
(5.47.3)

(6.210.1)

65.0
61.9

59.4

(61.168.7)
(59.464.3)

(55.463.3)

65.1
63.7

61.2

(60.269.7)
(61.066.3)

(56.166.1)

65.1
62.9

60.4

(62.268.0)
(60.765.0)

(56.664.1)

4.6

(3.46.3)

3.8

(3.04.8)

63.3

(59.766.9)

57.7

(53.661.8)

60.6

(57.663.5)

6.5
5.8
6.8
12.8

(3.811.0)
(3.98.5)
(5.58.4)
(10.315.9)

5.7
5.7
5.3
10.2

(3.78.5)
(4.08.0)
(4.26.5)
(8.112.8)

58.9
57.6
66.1
52.8

(55.562.2)
(54.061.2)
(60.471.3)
(47.258.3)

56.4
61.5
63.3
51.2

(53.559.3)
(56.965.9)
(59.467.0)
(47.555.0)

57.8
59.6
64.7
52.2

(56.259.3)
(57.062.1)
(60.169.1)
(48.356.2)

3.4

(2.25.3)

3.3

(2.25.0)

63.1

(57.168.7)

59.5

(56.162.9)

61.2

(57.464.8)

(55.062.9)
(49.254.9)
(64.973.3)
(72.578.0)
(54.263.4)
(61.270.8)
(61.467.5)
(65.371.2)
61.9
49.175.3

58.3
52.8
67.2
72.1
57.5
64.0
64.1
69.2

(54.661.8)
(50.055.5)
(63.670.6)
(69.474.7)
(51.163.6)
(58.868.9)
(60.167.9)
(66.472.0)
61.5
50.572.1

58.6
52.5
68.2
73.6
58.3
65.1
64.3
68.6

7.9
10.3
3.0
4.4
8.0
6.5
4.0
5.8

(5.910.4)
(8.412.4)
(1.94.8)
(3.55.7)
(6.010.6)
(5.08.4)
(2.95.4)
(4.57.6)
6.9
3.014.0

7.5
9.0
3.0
3.2
6.4
5.6
3.5
5.1

(6.29.2)
(7.810.4)
(2.24.1)
(2.63.9)
(4.88.4)
(4.27.4)
(2.94.2)
(4.26.3)
5.8
3.012.2

59.0
52.1
69.3
75.3
58.9
66.1
64.5
68.3

(55.861.4)
(50.254.8)
(65.171.0)
(71.176.0)
(53.762.7)
(60.669.4)
(61.167.4)
(66.670.7)
61.1
49.973.6

See table footnotes on page 130.

MMWR/June 8, 2012/Vol. 61/No. 4

129

Surveillance Summaries

TABLE 81. (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, 2011
Did not eat vegetables
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Ate vegetables one or more times/day

Male

Total

Female

CI

9.3
10.1
6.6

(6.313.7)
(7.812.9)
(4.79.2)

11.3
10.2
7.7

(7.416.9)
(8.012.9)
(6.09.9)

10.3
10.2
7.1

(7.713.5)
(8.412.3)
(5.88.8)

11.2
9.6
7.5
6.2
7.2
9.8
7.1
12.2
9.3

(9.213.6)
(7.013.1)
(6.09.4)
(4.29.1)
(5.88.8)
(8.211.7)
(5.29.7)
(9.915.0)
(7.411.7)

14.0
10.2
8.9
10.7
10.5
13.8
8.1
12.9
13.4

(12.016.3)
(7.913.1)
(6.811.4)
(7.814.4)
(8.912.5)
(12.215.6)
(6.010.8)
(10.216.1)
(11.315.8)

12.4
9.9
8.2
8.5
8.8
11.8
7.6
12.5
11.3

(10.914.1)
(8.211.9)
(6.99.7)
(6.610.7)
(7.810.0)
(10.613.2)
(6.09.5)
(10.714.5)
(9.613.3)

7.8
7.4

(5.211.5)
(5.89.5)

9.3
10.1

(7.012.2)
(7.813.0)

8.6
8.8

(6.710.9)
(7.210.6)

7.9
9.6
5.5
4.8
4.0

(6.010.4)
(7.112.8)
(3.87.8)
(3.37.0)
(2.66.3)
7.8
4.012.2

10.0
9.4
10.2
6.8
5.4

(7.612.9)
(6.812.9)
(7.813.2)
(5.28.9)
(4.17.2)
10.2
5.414.0

8.8
9.6
7.9
5.8
4.9

CI

CI

(7.210.8)
(7.911.6)
(6.59.6)
(4.87.1)
(3.96.2)
8.8
4.912.5

Male

CI

Total
CI

CI

44.8 (39.450.4)
57.4 (53.361.3)
59.3 (55.762.7)

47.1
59.5
60.9

(40.753.6)
(56.462.6)
(56.665.0)

45.9
58.6
60.3

(42.549.4)
(55.861.4)
(57.563.1)

48.3
48.0
58.7
54.5
54.7
51.1
49.8
47.0
50.7

(44.252.4)
(43.552.6)
(55.262.2)
(50.858.2)
(51.857.6)
(47.554.7)
(41.957.7)
(43.151.0)
(46.954.5)

49.1
48.9
60.7
55.7
57.5
52.3
55.9
49.8
55.0

(46.352.0)
(43.754.1)
(56.564.8)
(51.260.1)
(54.560.5)
(48.855.8)
(52.059.6)
(45.953.7)
(51.658.3)

48.9
48.4
59.8
55.1
56.2
51.8
53.2
48.4
52.7

(46.151.7)
(44.752.2)
(56.862.8)
(52.158.0)
(53.958.4)
(49.054.6)
(48.258.0)
(45.950.9)
(50.255.2)

58.5 (54.062.9)
60.3 (57.463.1)

60.8
59.7

(56.764.8)
(56.263.1)

59.6
60.0

(56.462.7)
(57.762.3)

49.6
52.9
57.4
69.0
67.0

48.1
57.2
58.7
68.9
68.9

(44.152.2)
(52.961.3)
(55.561.9)
(64.972.5)
(64.373.2)
57.2
47.168.9

49.1
55.0
58.1
69.1
67.8

(45.553.7)
(48.956.9)
(53.661.2)
(65.072.7)
(63.570.4)
54.5
44.869.0

(46.152.2)
(52.058.0)
(55.560.5)
(66.471.7)
(64.870.7)
55.1
45.969.1

* 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 82. Percentage of high school students who ate vegetables, by sex, race/ethnicity, and grade United States, Youth Risk Behavior
Survey, 2011
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

Female

Total

CI

27.2
23.2
23.8

(25.529.0)
(20.026.7)
(21.226.6)

30.9
26.7
29.7

(28.633.2)
(22.930.9)
(26.832.7)

29.1
24.9
26.8

(27.530.8)
(22.227.9)
(24.629.2)

13.3
14.2
13.7

(12.114.6)
(11.417.6)
(11.915.6)

15.5
17.3
18.1

(13.617.6)
(14.220.9)
(16.020.4)

14.4
15.8
16.0

(13.215.7)
(13.318.5)
(14.617.5)

26.5
25.3
28.4
24.3
26.1

(23.829.4)
(22.628.1)
(25.831.1)
(21.527.4)
(24.627.7)

30.6
30.0
28.1
31.4
30.2

(28.133.2)
(26.733.6)
(25.530.9)
(28.734.1)
(28.631.9)

28.6
27.7
28.3
27.9
28.3

(26.630.8)
(25.430.2)
(26.330.4)
(25.630.4)
(26.929.7)

14.1
13.8
14.2
13.3
13.9

(12.615.8)
(11.915.9)
(11.916.8)
(10.916.1)
(12.914.8)

18.3
15.5
15.3
16.7
16.6

(15.521.5)
(13.417.9)
(13.317.5)
(14.519.3)
(15.218.1)

16.3
14.7
14.7
15.1
15.3

(14.518.2)
(13.216.3)
(13.016.6)
(13.317.1)
(14.316.4)

CI

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.

130

Male

CI

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

Surveillance Summaries

TABLE 83. Percentage of high school students who ate vegetables, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ate vegetables two or more times/day*,
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Ate vegetables three or more times/day*,


Total

CI

Female
CI

CI

Male
%

Total
CI

CI

19.8
28.9

21.5

30.3

25.3
22.9
24.8
27.1
23.0
20.7
26.4
28.0
24.5
18.4

26.9

26.6
23.1
26.9
25.3
32.2

(16.323.9)
(24.633.6)

(18.624.8)

(27.333.5)

(23.527.2)
(19.926.1)
(22.227.5)
(24.430.1)
(18.927.7)
(18.523.1)
(22.630.5)
(24.332.0)
(20.429.1)
(14.622.9)

(24.029.9)

(23.430.0)
(19.926.6)
(23.930.2)
(23.327.5)
(28.036.7)

26.7
30.9

26.5

26.3

28.1
26.7
29.1
31.3
23.9
22.9
28.9
27.7
26.3
19.1

31.6

26.6
33.9
30.0
27.5
29.7

(23.630.1)
(26.535.6)

(21.831.8)

(22.930.1)

(26.429.8)
(23.530.2)
(25.233.3)
(27.235.6)
(21.826.1)
(19.526.8)
(25.632.4)
(24.331.3)
(23.129.8)
(14.824.4)

(28.934.4)

(24.229.2)
(30.237.9)
(27.632.6)
(25.329.8)
(26.333.4)

23.4
29.9

24.1

28.3

26.7
24.8
27.1
29.2
23.5
21.8
27.7
28.0
25.4
19.0

29.4

26.6
28.5
28.5
26.5
31.0

(21.325.7)
(26.433.7)

(21.427.0)

(25.831.0)

(25.627.9)
(22.427.4)
(24.429.9)
(26.432.2)
(20.726.5)
(20.223.6)
(24.730.9)
(25.031.2)
(22.129.0)
(16.222.0)

(27.531.3)

(24.329.0)
(26.630.6)
(26.230.9)
(24.928.1)
(28.333.7)

9.8
14.7

11.2

10.9

13.2
11.5
11.9
12.6
10.7
7.8
10.8
11.6
11.9
11.6

13.8

11.8
12.0
9.8
11.7
14.4

(7.412.8)
(11.818.1)

(8.215.2)

(8.713.5)

(12.114.5)
(9.214.2)
(9.814.3)
(9.916.0)
(8.812.8)
(6.69.3)
(8.114.2)
(9.813.7)
(8.316.6)
(8.415.9)

(11.516.6)

(10.014.0)
(9.814.5)
(8.511.3)
(10.213.4)
(11.118.5)

18.2
15.5

13.4

11.3

16.5
14.9
15.9
14.4
11.9
10.2
15.6
13.1
12.8
11.4

16.6

13.3
21.2
13.8
12.4
16.4

(14.922.0)
(12.818.6)

(10.516.8)

(8.814.4)

(15.118.0)
(12.417.9)
(13.418.6)
(11.617.8)
(9.914.2)
(8.312.4)
(12.818.9)
(11.015.5)
(10.415.7)
(8.814.7)

(14.019.6)

(11.515.4)
(17.725.2)
(12.315.5)
(10.714.3)
(13.619.6)

14.2
15.1

12.4

11.1

14.9
13.3
13.9
13.5
11.4
9.0
13.2
12.4
12.3
11.7

15.3

12.6
16.6
11.9
12.2
15.5

(12.216.4)
(12.917.7)

(10.514.5)

(9.213.4)

(14.215.7)
(11.615.2)
(12.315.8)
(11.216.2)
(9.813.2)
(7.910.3)
(11.015.8)
(10.814.1)
(9.715.5)
(10.013.7)

(13.717.1)

(11.014.4)
(15.118.3)
(10.713.1)
(11.013.4)
(13.417.9)

28.0
28.6

22.7

(24.731.5)
(26.430.9)

(19.526.4)

27.6
33.6

28.6

(23.432.2)
(30.636.8)

(24.832.8)

28.0
31.2

25.7

(25.131.0)
(28.933.6)

(22.928.8)

12.6
15.6

10.5

(10.415.1)
(14.017.3)

(8.612.8)

13.4
20.6

16.0

(10.317.1)
(18.622.7)

(13.119.4)

13.1
18.1

13.3

(11.215.3)
(16.719.7)

(11.415.4)

22.7

(19.526.1)

22.7

(19.925.7)

22.8

(20.625.2)

10.1

(7.413.5)

11.3

(9.213.9)

10.8

(8.913.2)

21.4
22.7
30.6
21.8

(18.325.0)
(18.627.5)
(26.235.4)
(19.224.6)

25.2
30.8
28.5
21.9

(21.429.4)
(26.935.0)
(26.530.7)
(18.925.2)

23.4
26.6
29.6
22.1

(20.726.3)
(23.729.8)
(26.832.6)
(20.024.3)

10.6
10.0
14.5
11.8

(8.313.3)
(6.914.2)
(12.317.1)
(9.714.3)

11.9
18.5
13.7
11.1

(9.315.1)
(15.521.8)
(12.515.0)
(8.814.0)

11.2
14.1
14.1
11.7

(9.213.4)
(11.816.9)
(12.815.5)
(9.913.9)

25.8

(22.229.7)

23.0

(20.126.2)

24.3

(21.727.1)

9.7

(7.712.2)

12.9

(10.615.6)

11.3

(9.813.1)

(20.125.8)
(17.822.2)
(24.933.4)
(34.341.3)
(21.029.1)
(23.939.3)
(22.227.7)
(28.634.6)
25.3
18.437.8

27.1
22.6
30.1
36.0
24.8
34.7
27.8
36.4

(23.930.5)
(20.724.6)
(26.434.0)
(33.438.6)
(19.231.5)
(29.640.2)
(24.431.4)
(33.939.1)
27.7
19.136.4

25.0
21.4
29.6
36.8
24.8
33.0
26.4
33.9

(22.927.3)
(20.022.8)
(26.333.0)
(34.139.6)
(20.829.4)
(27.139.6)
(23.829.1)
(32.235.8)
26.6
19.036.8

10.7
9.3
14.3
15.9
11.4
17.8
11.0
14.4

(9.312.3)
(7.811.0)
(11.118.1)
(14.117.9)
(9.313.8)
(12.125.4)
(8.913.4)
(12.516.5)
11.6
7.817.8

15.6
11.8
16.2
17.6
12.5
19.6
14.4
20.5

(13.817.6)
(10.113.8)
(13.119.9)
(16.219.1)
(8.917.3)
(15.624.3)
(12.216.9)
(18.123.1)
14.4
10.221.2

13.2
10.7
15.3
16.9
12.0
18.7
12.7
17.5

22.8
19.9
29.0
37.8
24.9
31.1
24.8
31.5

(12.014.6)
(9.312.2)
(12.918.1)
(15.917.9)
(9.614.9)
(14.224.3)
(11.014.7)
(15.919.1)
13.2
9.018.7

See table footnotes on page 132.

MMWR/June 8, 2012/Vol. 61/No. 4

131

Surveillance Summaries

TABLE 83. (Continued) Percentage of high school students who ate vegetables, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Ate vegetables two or more times/day*,
Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Ate vegetables three or more times/day*,

Total
CI

Female
CI

Male

CI

Total
CI

CI

16.1
25.9
25.1

(13.119.6)
(22.729.4)
(22.028.4)

24.6
31.5
27.7

(19.830.1)
(28.534.8)
(24.630.9)

20.1
29.0
26.5

(17.423.0)
(26.631.5)
(24.328.9)

7.8
13.7
13.5

(5.111.6)
(11.216.6)
(10.916.6)

16.0
17.1
12.8

(12.220.7)
(14.719.7)
(10.715.2)

11.6
15.5
13.4

(9.514.2)
(13.717.4)
(11.615.3)

21.3
19.0
19.1
25.4
22.2
23.6
21.4
19.6
25.2

(17.825.3)
(16.322.0)
(15.922.7)
(22.129.0)
(20.024.7)
(20.626.9)
(17.026.5)
(16.323.5)
(21.729.1)

23.2
19.7
30.7
28.8
26.6
25.6
24.1
27.7
28.3

(20.226.5)
(16.223.8)
(26.435.5)
(24.333.8)
(23.829.6)
(22.229.3)
(19.529.4)
(24.531.3)
(25.631.1)

22.2
19.3
24.6
27.0
24.4
24.8
22.9
23.7
26.8

(19.425.3)
(16.822.0)
(21.827.7)
(23.930.2)
(22.626.4)
(22.427.3)
(18.727.7)
(21.326.3)
(24.729.0)

13.1
9.9
8.1
15.9
11.3
12.0
12.0
10.7
16.1

(10.516.3)
(7.912.4)
(6.210.5)
(13.119.2)
(9.813.1)
(10.114.1)
(9.315.5)
(8.313.8)
(13.319.3)

14.9
10.6
10.2
15.8
14.3
14.9
13.4
18.2
18.3

(12.517.7)
(8.013.8)
(8.112.7)
(12.919.2)
(12.216.7)
(12.517.7)
(10.417.1)
(15.521.3)
(16.120.8)

14.1
10.2
9.1
15.8
12.9
13.5
12.9
14.5
17.3

(11.916.5)
(8.512.2)
(7.710.8)
(13.818.1)
(11.514.4)
(12.115.2)
(10.515.8)
(12.516.8)
(15.619.2)

23.7
31.4

(20.527.2)
(28.434.6)

29.2
29.3

(25.033.8)
(26.432.3)

26.5
30.5

(23.829.4)
(28.332.8)

12.9
17.9

(10.515.7)
(15.420.7)

18.5
18.9

(14.723.0)
(16.122.1)

15.8
18.5

(13.518.5)
(16.520.7)

21.8
26.8
26.3
34.5
32.1

(18.425.6)
(22.931.1)
(22.330.8)
(31.437.8)
(28.735.8)
23.7
16.134.5

19.1
30.6
24.9
34.8
35.6

(15.623.3)
(26.934.5)
(21.628.6)
(31.538.2)
(32.139.3)
27.7
19.135.6

20.8
28.6
25.6
34.9
34.1

(18.123.8)
(25.731.7)
(23.028.4)
(32.637.2)
(31.536.8)
25.6
19.334.9

13.5
14.4
13.5
18.1
14.1

(11.216.2)
(11.917.2)
(10.916.7)
(15.620.9)
(11.916.6)
13.5
7.818.1

10.6
18.7
12.6
17.9
16.7

(7.914.0)
(15.422.4)
(10.015.7)
(15.221.0)
(14.219.6)
15.8
10.218.9

12.3
16.5
13.0
18.4
15.6

(10.414.4)
(14.319.0)
(11.215.2)
(16.720.4)
(13.817.6)
14.1
9.118.5

* 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 84. 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, 2011
Did not drink milk
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Total

Female

Male

Total

CI

CI

19.6
38.6
21.9

(17.322.2)
(35.541.8)
(18.825.3)

9.7
21.8
12.3

(8.311.4)
(17.726.4)
(10.414.6)

14.5
30.4
16.9

(12.916.4)
(27.433.7)
(14.819.3)

39.0
20.0
33.6

(36.042.1)
(16.424.3)
(29.937.5)

58.1
38.5
47.3

(55.860.4)
(34.942.3)
(43.750.9)

48.8
29.0
40.7

(46.551.2)
(25.832.4)
(37.444.0)

20.3
21.2
24.4
26.9
23.0

(17.823.0)
(18.024.8)
(21.527.6)
(23.131.0)
(21.125.1)

10.6
11.3
13.4
12.0
11.8

(8.413.3)
(8.914.2)
(11.914.9)
(10.014.4)
(10.413.5)

15.4
16.1
18.8
19.3
17.3

(13.517.5)
(13.618.9)
(16.920.8)
(16.921.9)
(15.719.0)

36.5
39.0
32.3
30.8
34.8

(33.339.9)
(35.442.8)
(29.335.4)
(26.935.1)
(32.437.3)

56.9
54.5
52.4
49.0
53.4

(54.459.4)
(50.858.3)
(49.055.8)
(45.252.9)
(51.155.6)

46.8
47.1
42.5
40.2
44.4

(44.349.4)
(43.750.5)
(40.045.1)
(36.943.5)
(42.146.7)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

132

Drank one or more glasses/day of milk

Male

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

Surveillance Summaries

TABLE 85. Percentage of high school students who drank milk, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey,
2011
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

24.5
10.4
20.9

(21.627.7)
(8.512.6)
(17.624.6)

42.2
25.5
32.6

(39.844.7)
(22.329.0)
(29.535.7)

24.6
24.5
18.8
17.8
21.6

(21.827.6)
(20.828.5)
(16.221.8)
(14.621.6)
(19.424.0)

41.1
39.5
35.7
33.4
37.6

(37.844.5)
(36.043.1)
(32.838.8)
(29.837.2)
(35.340.0)

Female
CI

Male
%

Total

CI

CI

CI

33.6
17.7
27.0

(31.236.2)
(15.520.2)
(24.230.0)

9.9
6.3
9.9

(8.311.8)
(4.68.5)
(8.112.0)

22.9
13.0
16.6

(20.125.9)
(10.915.4)
(13.819.8)

16.6
9.5
13.4

(14.718.6)
(8.311.0)
(11.315.7)

32.9
32.3
27.4
25.8
29.9

(30.035.9)
(29.035.7)
(25.229.8)
(22.929.0)
(27.732.3)

11.8
11.0
7.4
6.5
9.3

(9.614.5)
(9.313.0)
(5.89.4)
(4.68.9)
(8.210.6)

22.5
21.0
17.2
18.4
20.0

(19.425.9)
(17.824.5)
(15.419.2)
(15.122.2)
(18.022.1)

17.2
16.2
12.4
12.6
14.9

(14.819.9)
(14.418.2)
(11.113.8)
(10.515.0)
(13.416.5)

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

TABLE 86. Percentage of high school students who did not drink soda or pop*, and who drank soda or pop one or more times/day,*, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
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

Female

Male

Total

CI

CI

25.9
18.5
20.8

(22.829.3)
(15.122.5)
(18.423.5)

17.6
19.0
18.3

(15.919.4)
(16.621.6)
(15.521.4)

21.6
18.8
19.5

(19.823.6)
(16.721.0)
(17.521.7)

23.2
25.6
26.0

(19.727.1)
(21.030.8)
(23.029.2)

34.0
30.4
28.0

(30.937.2)
(26.934.2)
(24.331.9)

28.8
28.0
27.0

(25.732.0)
(24.731.5)
(24.230.0)

19.3
22.9
26.9
26.2
23.6

(16.522.4)
(19.426.8)
(23.031.3)
(23.828.8)
(21.326.0)

16.0
17.9
20.0
20.5
18.4

(13.918.3)
(16.119.8)
(17.922.3)
(18.123.2)
(17.119.9)

17.6
20.3
23.4
23.3
20.9

(15.619.8)
(18.322.5)
(21.026.0)
(21.525.3)
(19.522.4)

26.4
24.7
21.2
22.7
24.0

(22.630.6)
(20.929.0)
(18.224.6)
(19.326.4)
(21.426.7)

32.8
29.6
31.7
31.2
31.4

(29.436.4)
(26.233.2)
(28.235.4)
(28.034.6)
(29.133.8)

29.7
27.3
26.6
27.0
27.8

(26.732.9)
(24.330.5)
(23.829.6)
(24.229.9)
(25.630.1)

CI

CI

CI

CI

* A can, bottle, or glass of soda or pop, not counting diet soda or diet pop.
During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

133

Surveillance Summaries

TABLE 87. Percentage of high school students who did not drink soda or pop*, and who drank soda or pop one or more times/day,*, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2011
Did not drink soda or pop
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

Female

Male

Total

CI

CI

15.1
28.7
28.7
16.6
27.2

21.9
24.3
18.1
27.1
32.5
24.5
23.0
22.2
27.2
17.8
13.0

23.3
30.6
26.6
13.9
23.9
21.4

(10.521.3)
(24.633.2)
(24.733.1)
(13.420.4)
(22.432.7)

(19.324.8)
(22.126.6)
(15.221.5)
(23.730.7)
(28.836.4)
(20.728.8)
(19.826.4)
(18.426.6)
(23.731.0)
(14.122.1)
(9.617.4)

(19.927.1)
(26.435.2)
(24.229.1)
(10.917.5)
(21.925.9)
(19.323.7)

15.4
21.0
19.4
19.2
21.8

20.7
20.5
18.0
19.1
22.4
19.1
20.3
17.2
22.0
17.5
16.6

22.4
19.3
18.4
14.6
14.9
16.1

(12.319.1)
(17.325.2)
(16.223.1)
(16.322.4)
(17.327.0)

(17.824.0)
(19.122.0)
(15.121.2)
(16.621.8)
(19.325.9)
(16.721.7)
(17.523.4)
(14.320.5)
(19.325.1)
(15.419.9)
(11.922.8)

(18.327.0)
(17.321.5)
(16.620.4)
(11.218.9)
(12.917.2)
(14.218.2)

15.2
24.7
24.2
17.9
24.2

21.6
22.4
18.1
23.1
27.3
21.8
21.6
19.7
24.6
17.6
14.7

22.8
24.9
22.4
14.3
19.3
18.7

(12.318.8)
(21.528.4)
(20.927.9)
(16.219.8)
(20.428.3)

(19.523.8)
(20.923.9)
(16.120.4)
(20.725.8)
(24.230.5)
(19.124.8)
(18.924.5)
(17.122.5)
(22.427.0)
(15.520.0)
(11.718.4)

(19.626.4)
(22.427.7)
(20.824.1)
(12.016.9)
(17.820.8)
(17.220.3)

39.0
11.9
17.6
34.6
17.9

22.5
22.6
24.9
14.1
12.0
22.5
23.7
21.2
19.6
35.7
43.1

22.5
13.5
18.9
37.8
16.7
22.5

(33.345.1)
(9.215.3)
(15.120.3)
(29.739.8)
(14.522.0)

(19.625.7)
(20.624.7)
(21.628.5)
(11.916.6)
(9.615.0)
(18.726.8)
(20.127.8)
(17.325.7)
(16.623.1)
(29.442.6)
(31.955.1)

(18.027.8)
(11.615.8)
(16.721.3)
(34.641.1)
(14.519.1)
(20.224.9)

42.5
23.0
30.9
34.9
26.8

29.8
29.3
31.6
21.1
23.4
29.6
32.9
34.8
26.5
37.1
37.1

27.1
23.1
28.1
43.4
29.7
29.7

(36.948.3)
(19.327.2)
(27.234.8)
(30.239.8)
(22.731.4)

(26.832.9)
(27.531.2)
(27.536.0)
(18.723.6)
(19.727.5)
(26.532.9)
(27.538.8)
(30.539.4)
(23.529.7)
(33.041.4)
(30.444.2)

(23.830.8)
(19.926.5)
(25.031.5)
(39.147.9)
(27.232.3)
(27.532.0)

40.9
17.6
24.1
34.7
23.0

26.1
26.0
28.2
17.5
17.9
26.1
28.5
28.1
23.1
36.4
40.1

24.9
18.3
23.6
40.5
23.4
26.2

(35.946.1)
(15.020.6)
(21.327.0)
(31.837.8)
(20.026.3)

(23.728.5)
(24.427.7)
(26.030.6)
(15.619.6)
(15.121.0)
(23.528.8)
(24.832.4)
(24.731.8)
(20.526.0)
(32.240.8)
(32.048.8)

(21.728.4)
(16.020.9)
(21.226.2)
(37.943.2)
(21.625.3)
(24.627.9)

31.4
20.9
29.9
23.4

(27.735.3)
(19.122.8)
(26.333.7)
(18.828.7)

25.3
17.4
24.2
18.7

(20.131.3)
(15.919.0)
(21.427.2)
(16.121.6)

28.2
19.1
27.0
21.1

(24.332.5)
(18.020.3)
(24.329.8)
(18.224.3)

15.1
23.6
19.1
26.3

(12.018.7)
(21.525.7)
(16.821.8)
(21.831.3)

21.6
32.1
23.5
34.5

(18.225.4)
(29.834.4)
(21.525.6)
(30.039.3)

18.5
27.9
21.4
30.4

(16.321.0)
(26.729.1)
(19.723.1)
(27.134.0)

27.3

(24.130.7)

13.9

(11.516.7)

20.4

(18.522.5)

19.3

(16.023.2)

34.0

(30.138.1)

26.8

(24.229.6)

24.8
15.0
28.8
17.1

(20.829.4)
(11.818.8)
(24.133.9)
(13.920.9)

20.6
14.0
17.9
17.7

(16.924.8)
(10.917.8)
(14.821.5)
(14.921.0)

22.7
14.5
23.4
17.5

(19.825.8)
(12.117.3)
(20.426.6)
(15.020.3)

21.9
31.7
15.3
30.9

(16.828.2)
(27.036.7)
(13.017.9)
(26.036.2)

28.3
39.7
25.2
35.0

(24.132.9)
(35.644.0)
(22.627.9)
(30.939.3)

25.2
35.7
20.2
33.0

(21.629.2)
(32.139.4)
(18.521.9)
(29.137.1)

22.7

(18.827.1)

14.9

(12.218.0)

18.7

(16.121.6)

20.1

(16.024.9)

36.5

(31.641.7)

28.4

(24.332.9)

(12.718.7)
(19.122.7)
(34.744.1)
(31.641.6)
(18.128.3)
(17.727.6)
(22.829.6)
(21.727.6)
23.6
13.039.3

16.6
17.9
26.7
21.9
18.6
17.5
17.6
18.5

(14.119.3)
(15.820.2)
(24.029.6)
(19.524.5)
(15.022.9)
(14.021.8)
(15.519.9)
(16.121.2)
18.5
13.926.7

16.0
19.3
32.9
29.0
20.6
19.8
21.8
21.6

(14.118.2)
(17.920.9)
(30.135.8)
(25.432.8)
(17.024.7)
(17.023.0)
(19.424.3)
(19.623.6)
21.6
14.332.9

37.5
25.5
10.6
10.0
22.9
35.6
17.1
20.9

(33.641.6)
(22.528.7)
(8.612.9)
(8.012.5)
(17.829.0)
(30.041.6)
(14.320.3)
(17.924.2)
22.2
10.043.1

42.8
32.3
17.9
21.8
25.8
42.6
28.7
31.0

(38.946.8)
(28.836.0)
(15.420.8)
(17.926.4)
(22.030.0)
(37.348.0)
(25.831.8)
(27.934.2)
29.7
17.943.4

40.2
29.0
14.3
16.1
24.3
39.1
23.1
25.9

15.4
20.9
39.3
36.4
22.8
22.3
26.1
24.5

See table footnotes on page 135.

134

Drank soda or pop one or more times/day

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

(37.043.5)
(26.431.7)
(12.416.4)
(13.219.6)
(20.328.8)
(34.544.0)
(20.825.4)
(23.428.5)
26.0
14.340.9

Surveillance Summaries

TABLE 87. (Continued) Percentage of high school students who did not drink soda or pop*, and who drank soda or pop one or more times/
day,*, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Did not drink soda or pop
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Drank soda or pop one or more times/day

Total
CI

Female
CI

Male

CI

Total
CI

CI

19.4
26.3

(14.625.3)
(23.329.5)

17.6
22.0

(13.522.6)
(18.725.7)

18.6
24.2

(15.422.2)
(22.126.5)

19.7
23.1

(15.325.0)
(20.026.4)

28.6
25.6

(23.234.7)
(22.628.9)

24.0
24.4

(20.028.6)
(22.126.8)

14.9
17.4
21.3
25.3
20.2
20.2
25.7
12.8
24.6

(12.218.1)
(13.821.7)
(18.124.9)
(21.629.4)
(18.022.7)
(17.023.8)
(22.429.3)
(10.615.3)
(21.228.3)

20.7
14.4
18.9
20.8
21.7
20.0
18.9
13.9
21.4

(18.023.6)
(11.617.8)
(15.622.7)
(17.424.7)
(19.224.3)
(17.023.5)
(15.422.9)
(11.416.9)
(18.724.4)

17.9
16.0
20.1
23.5
20.9
20.1
22.1
13.4
23.3

(15.720.3)
(13.818.6)
(17.722.8)
(20.826.5)
(19.222.8)
(17.722.6)
(19.425.0)
(11.515.4)
(20.826.0)

28.8
22.3
19.7
24.2
24.4
25.3
17.3
37.0
23.1

(26.031.8)
(18.526.6)
(16.723.1)
(21.027.6)
(21.727.2)
(21.928.9)
(14.520.6)
(33.540.8)
(20.126.4)

30.1
31.9
23.3
23.8
27.8
28.0
24.8
40.8
29.9

(25.734.9)
(26.138.2)
(19.427.7)
(19.728.3)
(25.530.3)
(25.231.0)
(20.729.5)
(36.745.1)
(26.433.6)

29.4
27.0
21.4
23.9
26.1
26.6
21.3
38.9
26.4

(26.932.0)
(23.431.0)
(18.724.4)
(21.326.7)
(24.228.1)
(24.628.7)
(18.324.7)
(36.141.9)
(24.028.9)

21.4
26.7
26.0
24.2

(18.724.5)
(23.829.8)
(22.829.4)
(21.726.9)

20.2
25.4
17.4
22.8

(16.824.1)
(23.028.0)
(14.221.2)
(19.726.3)

20.8
26.1
21.8
23.5

(18.423.5)
(23.928.6)
(19.224.7)
(21.625.6)

27.7
18.5
19.2
22.2

(24.331.5)
(16.720.6)
(15.923.1)
(19.425.2)

26.5
23.5
26.5
26.9

(23.529.7)
(20.926.3)
(23.529.8)
(24.029.9)

27.1
20.9
22.8
24.6

(24.929.5)
(19.023.1)
(20.625.3)
(22.327.1)

20.9
20.8
24.6

37.1

(17.924.3)
(17.624.5)
(21.927.4)

(33.540.9)
21.4
12.837.1

19.6
15.0
19.8

27.4

(16.223.7)
(12.018.6)
(17.122.9)

(24.530.4)
20.0
13.927.4

20.2
17.9
22.2

32.2

(18.022.7)
(15.820.2)
(20.124.6)

(29.934.6)
20.9
13.432.2

23.7
26.7
14.0

9.4

(20.727.0)
(23.330.3)
(11.517.1)

(7.511.8)
23.1
9.437.0

26.3
35.0
22.0

15.5

(22.031.0)
(30.339.9)
(18.326.3)

(13.018.3)
26.5
15.540.8

25.0
30.8
18.1

12.7

(22.327.9)
(27.634.1)
(15.421.2)

(11.114.4)
24.6
12.738.9

* A can, bottle, or glass of soda or pop, not counting diet soda or diet pop.
During the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 88. Percentage of high school students who drank soda or pop, by sex, race/ethnicity, and grade United States, Youth Risk Behavior
Survey, 2011
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

Female

CI

14.8
21.1
16.8

(11.818.5)
(17.125.8)
(14.719.2)

22.9 (19.626.7)
23.4 (20.526.6)
19.0 (16.321.9)

19.0
22.2
18.0

(16.122.3)
(19.425.3)
(15.920.2)

8.1
13.0
9.3

(6.310.5)
(10.116.6)
(7.911.0)

17.8
17.6
13.4
14.9
16.1

(14.921.2)
(14.321.4)
(11.016.2)
(12.517.8)
(13.918.6)

22.6
19.7
22.1
22.5
21.8

20.3
18.7
17.8
18.8
19.0

(17.723.2)
(15.821.9)
(15.420.5)
(16.521.3)
(16.921.3)

10.7
10.3
7.5
8.1
9.3

(8.513.2)
(8.212.8)
(5.99.5)
(6.510.0)
(7.910.9)

CI

(19.526.2)
(16.423.6)
(19.025.7)
(19.525.9)
(19.424.4)

CI

CI

Male
%

Total
CI

CI

13.2
16.2
11.8

(10.716.2)
(13.619.2)
(9.913.9)

10.7
14.6
10.6

(8.713.2)
(12.417.1)
(9.412.0)

14.2
12.4
13.1
12.9
13.2

(11.517.5)
(10.015.4)
(11.315.0)
(10.615.4)
(11.515.2)

12.5
11.4
10.3
10.5
11.3

(10.414.9)
(9.413.7)
(8.911.9)
(9.012.2)
(9.912.9)

* A can, bottle, or glass of soda or pop, not counting diet soda or diet pop.
During the 7 days before the survey.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

135

Surveillance Summaries

TABLE 89. Percentage of high school students who drank soda or pop, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Drank soda or pop two or more times/day*,
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI
(16.323.3)
(4.27.2)
(6.610.3)
(12.016.9)
(5.88.8)

(10.514.0)
(9.111.1)
(11.114.1)
(4.97.4)
(3.36.0)
(8.111.3)
(9.012.5)
(6.69.6)
(5.99.7)
(13.518.6)
(12.927.3)

(8.612.1)
(5.58.4)
(7.310.6)
(17.921.2)
(5.97.9)
(7.810.1)

29.0
6.9
11.2
23.9
8.6

15.2
14.3
16.9
8.8
6.7
13.6
13.9
12.4
11.9
24.7
32.0

15.2
9.0
11.9
28.0
9.5
13.6

(23.435.2)
(5.09.4)
(9.213.5)
(19.329.2)
(6.711.0)

(12.518.3)
(12.816.0)
(13.920.4)
(7.210.7)
(5.18.7)
(11.216.4)
(11.416.8)
(10.015.4)
(9.315.2)
(19.131.3)
(22.243.6)

(11.420.1)
(7.411.1)
(9.814.5)
(25.430.7)
(7.611.7)
(11.815.6)

33.9
13.8
20.8
25.7
17.0

23.3
20.8
23.9
13.5
13.8
21.4
24.2
23.6
17.0
28.0
29.7

18.9
15.9
18.2
35.6
19.3
20.1

(29.039.1)
(10.917.4)
(17.524.5)
(22.928.8)
(14.020.4)

(20.526.4)
(19.122.7)
(20.128.2)
(11.316.1)
(10.917.3)
(18.125.1)
(20.328.6)
(20.726.9)
(13.820.8)
(24.432.0)
(24.535.5)

(16.221.9)
(13.418.9)
(15.421.3)
(32.139.4)
(17.321.5)
(18.122.2)

31.6
10.4
15.9
24.8
13.3

19.1
17.7
20.4
11.1
10.4
17.5
19.2
18.2
14.6
26.3
30.8

17.2
12.5
15.1
31.7
14.6
17.0

(26.836.8)
(8.512.8)
(13.318.8)
(22.327.5)
(11.315.5)

(17.021.3)
(16.319.1)
(18.023.1)
(9.812.7)
(8.412.8)
(15.419.8)
(17.021.6)
(15.820.8)
(12.217.3)
(22.530.6)
(23.838.8)

(14.420.4)
(10.614.7)
(12.917.6)
(29.534.1)
(12.916.4)
(15.618.5)

14.8
2.9
6.3
12.2
3.6

10.5
7.9
10.1
4.1
2.7
6.4
6.7
3.8
5.2
13.8
18.5

8.6
5.0
6.7
17.1
4.6
7.2

(11.119.5)
(1.84.7)
(5.17.9)
(9.116.1)
(2.45.5)

(8.313.2)
(7.09.0)
(8.112.4)
(2.85.9)
(1.64.5)
(5.08.3)
(4.99.2)
(2.46.1)
(3.47.8)
(10.917.2)
(11.129.2)

(6.411.5)
(4.16.1)
(5.28.6)
(15.119.2)
(3.46.1)
(5.98.8)

23.8
8.0
10.3
16.3
9.7

14.1
12.1
14.9
8.0
6.2
12.7
14.4
11.9
9.8
17.9
19.8

11.7
8.6
10.9
22.2
8.9
10.4

(20.028.1)
(5.711.0)
(7.613.8)
(13.120.0)
(7.312.9)

(11.916.7)
(10.613.7)
(12.417.8)
(6.210.3)
(4.58.6)
(10.215.6)
(11.617.6)
(9.914.3)
(7.612.6)
(15.121.2)
(14.626.4)

(9.614.2)
(6.810.9)
(8.913.2)
(19.525.1)
(7.610.4)
(8.812.3)

19.5
5.5
8.3
14.3
7.1

12.2
10.1
12.5
6.0
4.5
9.6
10.7
8.0
7.6
15.9
19.1

10.2
6.8
8.8
19.5
6.9
8.9

11.0
13.5
12.8
19.1

(8.015.0)
(12.015.2)
(10.915.0)
(14.824.4)

12.8
22.0
15.8
25.5

(9.916.3)
(20.223.9)
(14.117.5)
(21.130.5)

11.9
17.8
14.3
22.3

(9.914.2)
(16.719.0)
(12.815.9)
(18.726.4)

5.5
6.9
8.9
10.9

(3.68.3)
(6.07.9)
(7.011.1)
(7.815.2)

6.4
11.8
8.9
17.1

(4.59.1)
(10.413.4)
(7.510.6)
(13.521.3)

5.9 (4.57.9)
9.4 (8.510.3)
8.9 (7.510.5)
14.0 (11.217.4)

12.3

(9.415.9)

22.5

(19.026.4)

17.5

(15.220.1)

6.1

(4.38.6)

11.3

(8.914.2)

15.0
21.2
10.2
22.4

(11.220.0)
(16.926.3)
(7.813.3)
(17.128.8)

21.4
29.5
17.5
26.2

(17.326.2)
(25.833.5)
(15.320.0)
(22.330.6)

18.3
25.3
13.8
24.4

(14.922.2)
(21.629.4)
(12.015.9)
(20.129.1)

9.2
11.0
6.3
13.9

(6.413.1)
(8.114.8)
(4.88.2)
(9.520.1)

13.4
18.5
9.8
16.6

(9.718.1)
(15.322.1)
(7.812.4)
(13.720.0)

13.3

(10.217.3)

24.7

(19.331.0)

19.1

(15.223.7)

5.3

(3.97.2)

11.2

(8.814.2)

29.3
16.7
5.6
6.3
16.5
25.2
10.7
12.6

(25.933.0)
(14.219.6)
(4.07.9)
(4.78.2)
(13.320.2)
(20.031.2)
(8.313.5)
(10.315.2)
13.5
5.632.0

31.5
22.9
11.2
13.9
17.5
31.1
20.0
20.6

(27.435.8)
(20.125.9)
(9.313.4)
(11.017.5)
(14.021.7)
(26.036.7)
(17.323.1)
(18.223.4)
21.1
11.235.6

30.4
19.9
8.4
10.3
16.9
28.2
15.5
16.6

(27.233.7)
(17.722.3)
(7.010.1)
(8.113.0)
(13.820.6)
(23.733.1)
(13.417.8)
(14.818.5)
17.5
8.431.7

17.2
9.2
3.1
3.6
10.2
13.5
5.4
4.5

20.3
11.1
6.0
7.7
9.3
17.7
10.4
11.2

(16.624.6)
(9.313.2)
(4.77.6)
(6.19.7)
(6.612.9)
(13.922.4)
(8.313.1)
(9.313.3)
11.2
6.023.8

See table footnotes on page 137.

136

Drank soda or pop three or more times/day*,

MMWR/June 8, 2012/Vol. 61/No. 4

(14.220.5)
(7.012.1)
(1.95.1)
(2.65.0)
(7.613.6)
(10.317.5)
(3.87.7)
(3.26.2)
6.8
2.718.5

8.8

(7.210.8)

11.4 (8.614.9)
14.7 (12.317.6)
8.1 (6.69.8)
15.4 (12.119.3)
8.3

(6.710.2)

18.8 (16.022.0)
10.2 (8.512.2)
4.6 (3.65.8)
5.8 (4.57.5)
9.7 (7.212.9)
15.6 (12.419.5)
8.0 (6.310.1)
7.8 (6.59.3)
9.1
4.519.5

Surveillance Summaries

TABLE 89. (Continued) Percentage of high school students who drank soda or pop, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Drank soda or pop two or more times/day*,
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

CI

Male
%

Drank soda or pop three or more times/day*,

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

15.8
15.9

(12.020.6)
(13.218.9)

20.2
18.5

(17.023.8)
(16.021.2)

17.9
17.2

(15.320.9)
(15.219.4)

9.5
9.3

(6.613.3)
(7.012.2)

14.8
11.2

(12.018.0)
(9.113.6)

12.1
10.3

(9.714.8)
(8.612.2)

23.5
14.0
16.1
18.5
17.3
16.5
11.7
29.6
18.3

(20.826.4)
(10.817.8)
(13.419.2)
(15.522.0)
(15.219.7)
(13.619.8)
(8.715.5)
(25.933.5)
(15.621.4)

22.4
19.6
17.5
18.7
20.3
19.5
14.8
33.5
21.7

(18.726.6)
(15.224.8)
(14.421.0)
(15.122.9)
(18.222.7)
(17.222.0)
(10.620.2)
(29.737.5)
(18.525.2)

22.9
16.8
16.6
18.6
18.8
18.0
13.3
31.5
19.9

(20.825.2)
(13.720.4)
(14.419.0)
(16.221.2)
(17.220.6)
(16.319.8)
(10.317.1)
(28.634.5)
(18.022.0)

13.9
7.8
9.5
12.3
10.6
9.4
5.5
18.8
10.8

(11.416.9)
(5.810.4)
(7.711.8)
(10.115.0)
(9.012.5)
(7.112.5)
(4.27.2)
(15.722.4)
(8.613.5)

14.1
7.8
10.8
11.2
13.6
9.8
8.9
22.1
15.0

(11.017.8)
(4.912.3)
(8.713.3)
(8.614.5)
(11.615.8)
(8.111.9)
(6.112.8)
(19.025.5)
(12.318.2)

14.0
7.9
10.0
11.8
12.0
9.6
7.3
20.4
12.9

(11.916.4)
(6.010.2)
(8.611.7)
(9.914.0)
(10.813.5)
(8.111.4)
(5.79.4)
(18.022.9)
(11.114.8)

23.1
13.4
13.7
15.9

(19.926.6)
(11.915.0)
(10.717.4)
(13.418.7)

20.1
16.3
19.6
18.3

(17.323.3)
(14.218.6)
(16.722.8)
(15.721.2)

21.6
14.8
16.6
17.2

(19.424.0)
(13.116.6)
(14.518.9)
(15.119.5)

14.9
8.7
8.2
9.3

(12.018.3)
(7.510.1)
(6.110.9)
(7.611.3)

13.5
9.4
14.0
9.8

(11.016.4)
(8.210.7)
(11.317.2)
(8.011.9)

14.2 (12.016.6)
9.0 (8.010.1)
11.0 (9.313.1)
9.7 (8.311.3)

16.7
19.0
9.0

5.5

(13.720.2)
(16.022.4)
(6.711.9)

(4.17.5)
16.1
5.529.6

19.4
25.7
14.7

10.2

(15.523.9)
(21.930.0)
(11.518.6)

(8.012.8)
19.5
10.233.5

18.0
22.3
11.9

8.1

(15.420.8)
(19.525.4)
(9.714.5)

(6.89.7)
17.9
8.131.5

10.2
11.0
5.1

3.0

(8.112.8)
(8.913.6)
(3.77.1)

(1.94.7)
9.5
3.018.8

11.9
16.7
7.9

5.9

(9.514.9)
(13.420.7)
(5.710.8)

(4.57.8)
11.2
5.922.1

11.0 (9.312.8)
13.9 (11.616.5)
6.5 (5.18.4)

4.7 (3.76.0)
11.0
4.720.4

* A can, bottle, or glass of soda or pop, not counting diet soda or diet pop.
During the 7 days before the survey.
95% confidence interval.
Not available.

MMWR/June 8, 2012/Vol. 61/No. 4

137

Surveillance Summaries

TABLE 90. Percentage of high school students who ate breakfast, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Ate breakfast on 0 days*
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Ate breakfast on all 7 days*

Male

Total

Female

Male

Total

CI

CI

12.8
19.0
14.6

(11.514.2)
(16.521.8)
(12.517.0)

11.2
12.9
14.1

(10.012.6)
(10.915.3)
(12.615.8)

12.0
16.1
14.4

(10.913.2)
(14.218.2)
(13.115.8)

37.1
26.9
31.4

(34.140.1)
(23.630.4)
(26.736.5)

42.1
35.7
42.5

(39.045.2)
(31.340.4)
(38.946.2)

39.7
31.2
37.1

(37.242.2)
(27.834.7)
(33.341.1)

14.7 (12.517.2)
14.5 (12.417.0)
12.1
(9.715.2)
14.1 (11.717.0)
13.9 (12.815.0)

11.3
11.4
14.3
12.0
12.3

(9.513.4)
(9.413.9)
(12.216.7)
(10.613.6)
(11.213.4)

13.0
12.9
13.2
13.0
13.1

(11.414.8)
(11.314.8)
(11.515.1)
(11.514.7)
(12.214.1)

32.6
33.3
37.9
33.4
34.3

(28.836.6)
(29.737.2)
(34.541.4)
(30.436.5)
(31.836.8)

47.1
43.2
37.9
35.0
41.0

(43.350.8)
(39.846.6)
(34.541.5)
(31.338.7)
(38.743.4)

39.9
38.4
37.9
34.2
37.7

(36.843.2)
(35.441.5)
(35.240.6)
(31.936.5)
(35.739.8)

CI

CI

CI

CI

* During the 7 days before the survey.


95% confidence interval.
Non-Hispanic.

TABLE 91. Percentage of high school students who did not participate in at least 60 minutes of physical activity on any day* and 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, 2011
Did not participate in at least 60 minutes
of physical activity on any 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

Female

Male

Total

CI

13.7
26.7
21.3

(12.115.5)
(22.930.7)
(18.424.5)

8.5
12.3
10.7

(7.29.9)
(9.915.2)
(9.312.3)

11.0
19.6
15.9

(9.812.4)
(17.421.9)
(14.217.7)

42.6
31.9
33.0

(39.346.0)
(27.936.1)
(28.637.7)

62.1
57.1
57.1

(59.364.7)
(52.561.6)
(54.459.7)

52.7
44.4
45.4

(50.055.3)
(40.848.0)
(42.748.1)

13.9
17.9
19.0
20.6
17.7

(12.116.0)
(15.320.8)
(17.021.2)
(17.623.8)
(16.519.0)

8.7
10.0
10.5
10.8
10.0

(7.210.5)
(7.912.6)
(9.211.9)
(9.212.6)
(9.011.1)

11.2
13.8
14.7
15.6
13.8

(9.912.8)
(11.716.2)
(13.416.1)
(14.017.4)
(12.814.8)

44.5
40.3
35.7
32.0
38.5

(40.248.9)
(37.143.6)
(32.239.4)
(29.235.0)
(35.941.1)

61.0
62.3
58.5
57.3
59.9

(57.064.8)
(58.665.9)
(55.861.1)
(53.960.6)
(57.861.9)

52.9
51.8
47.3
44.8
49.5

(49.556.3)
(48.754.9)
(45.049.7)
(42.447.3)
(47.451.5)

CI

CI

CI

CI

CI

* 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/day on 0 days during the 7 days before the survey.
During the 7 days before the survey.
Were physically active doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time.
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
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 national YRBS questionnaire, only the 60 minutes of aerobic
physical activity question was included.

138

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 92. Percentage of high school students who did not participate in at least 60 minutes of physical activity on any day*, and were physically
active at least 60 minutes/day on 5 or more days,, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Did not participate in at least 60 minutes
of physical activity on any day
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Physically active at least 60 minutes/day on 5 or more days


Total

Female

Male

Total

CI

23.0
14.3
17.5
23.1
12.0
13.2
21.5
22.8

(19.127.4)
(11.917.2)
(14.021.7)
(19.527.0)
(9.115.6)
(10.616.4)
(19.024.3)
(20.525.2)
(17.024.5)
(20.025.8)
(10.716.5)
(11.917.0)
(16.424.2)
(8.712.6)
(12.117.6)
(20.128.2)
(16.629.2)
(13.116.6)
(14.721.6)
(16.420.3)
(14.520.6)
(20.827.0)
(9.613.2)
(10.514.7)

11.7
10.8
13.2
17.3
9.0
10.0
14.5
12.3
13.2
14.0
9.4
11.5
11.8
7.4
8.8
17.2
15.6
12.0
13.4
11.7
12.4
12.5
8.8
8.5

(8.216.3)
(7.914.5)
(10.616.2)
(13.521.8)
(7.011.4)
(7.613.1)
(12.416.8)
(11.013.7)
(10.916.0)
(11.916.5)
(7.312.1)
(9.513.8)
(9.314.9)
(4.811.2)
(6.811.5)
(13.222.0)
(9.325.1)
(10.813.2)
(10.417.0)
(9.713.9)
(9.915.6)
(9.616.1)
(7.410.4)
(7.210.1)

17.3
12.6
15.4
20.2
10.6
11.5
18.0
17.5
16.9
18.5
11.4
12.9
15.9
9.0
11.6
20.6
19.1
13.5
15.6
14.9
14.8
18.1
10.0
10.4

(14.420.6)
(10.614.9)
(13.417.6)
(17.123.6)
(8.912.6)
(9.414.1)
(16.220.0)
(16.019.1)
(14.719.3)
(16.420.8)
(9.413.7)
(11.214.8)
(13.218.9)
(7.510.9)
(9.813.7)
(17.524.2)
(14.025.4)
(12.214.9)
(13.318.2)
(13.516.5)
(12.317.8)
(15.720.6)
(8.711.4)
(9.211.8)

31.2
38.2
38.8
29.1
44.5
41.1
35.1
32.0
31.2
27.4
43.8
42.2
34.1
41.9
39.8
29.0
26.4
38.3
32.3
33.6
40.8
28.9
47.5
45.9

(26.935.9)
(34.342.1)
(35.542.1)
(25.632.8)
(38.650.6)
(36.545.9)
(31.638.8)
(29.934.2)
(27.934.7)
(25.129.8)
(38.549.3)
(38.945.6)
(30.837.5)
(37.646.3)
(36.543.2)
(25.632.8)
(21.332.2)
(36.140.6)
(27.437.7)
(30.437.0)
(34.547.4)
(25.532.6)
(45.249.8)
(42.849.1)

59.3
52.3
56.2
52.4
61.3
57.9
52.1
55.4
53.2
49.0
61.4
54.7
52.7
60.6
61.2
49.5
50.4
49.1
50.1
53.1
57.9
55.6
61.4
61.3

(53.664.7)
(47.657.1)
(52.859.6)
(47.057.7)
(55.766.7)
(52.962.7)
(48.755.6)
(52.957.9)
(47.259.2)
(46.251.8)
(56.566.0)
(51.258.2)
(47.757.6)
(57.264.0)
(57.864.4)
(44.854.2)
(46.454.4)
(46.451.8)
(45.954.3)
(48.757.4)
(54.361.4)
(50.161.0)
(58.464.2)
(58.963.6)

45.3
45.3
47.4
40.8
53.1
49.5
43.5
43.6
42.2
37.9
52.9
48.5
43.5
51.5
50.7
39.3
37.9
43.7
41.2
43.3
49.4
42.3
54.7
53.7

(40.949.7)
(41.948.9)
(44.850.0)
(37.044.8)
(49.556.8)
(45.653.4)
(40.746.3)
(41.645.6)
(38.046.4)
(36.239.7)
(48.657.1)
(45.951.0)
(40.146.9)
(47.555.4)
(47.753.7)
(36.442.3)
(33.142.8)
(41.446.0)
(37.644.8)
(40.046.8)
(44.754.1)
(38.945.7)
(52.556.8)
(51.555.9)

13.2 (9.917.5)
16.8 (14.619.1)
14.5 (12.317.0)
18.4 (14.523.1)

9.5
10.4
12.2
12.5

(7.112.5)
(9.411.5)
(9.815.1)
(10.215.3)

11.3
13.5
13.3
15.5

(9.613.3)
(12.314.9)
(11.415.6)
(13.018.3)

39.6
40.1
35.6
39.1

(35.643.9)
(37.143.2)
(33.038.3)
(35.143.2)

59.9
56.6
55.4
56.0

(54.265.4)
(53.859.3)
(52.458.3)
(51.960.1)

49.8
48.5
45.5
47.6

(45.953.8)
(45.851.1)
(43.048.0)
(44.351.0)

15.7 (13.218.5)

9.2

(7.411.3)

12.4

(10.814.1)

37.8

(34.441.4)

52.9

(49.056.7)

45.7

(42.848.6)

(16.026.9)
(13.922.0)
(10.817.4)
(18.929.4)

11.9
5.9
10.5
11.4

(9.315.2)
(4.38.2)
(8.412.9)
(8.814.7)

16.4
11.7
12.1
17.6

(13.419.8)
(9.814.0)
(9.714.9)
(14.721.0)

33.9
36.1
38.6
31.4

(29.438.6)
(30.941.7)
(33.544.0)
(25.438.1)

56.1
65.6
55.1
55.6

(50.062.0)
(58.771.9)
(50.659.5)
(50.560.5)

44.9
50.8
46.7
43.4

(40.050.0)
(45.955.6)
(42.051.5)
(38.848.2)

14.4 (10.020.3)

8.2

(6.710.2)

11.3

(8.914.3)

36.9

(33.240.8)

59.7

(55.963.5)

48.6

(45.651.6)

11.1
12.3
7.7
9.6
10.6
10.2
10.0
11.1

(9.013.6)
(10.114.8)
(5.710.3)
(8.610.7)
(8.712.9)
(8.212.7)
(6.614.8)
(9.512.9)
11.2
5.917.3

14.2
16.4
9.1
12.4
15.6
13.3
11.8
14.0

(12.516.1)
(14.318.8)
(7.710.8)
(11.213.8)
(13.318.2)
(11.215.7)
(9.015.4)
(12.515.6)
13.8
9.020.6

34.3
35.1
40.7
39.9
35.3
41.4
44.9
41.4

(30.738.1)
(30.939.5)
(36.145.4)
(37.542.3)
(30.840.1)
(36.746.2)
(39.850.1)
(37.945.0)
38.0
26.447.5

59.7
53.6
55.6
55.3
55.8
63.0
58.1
58.7

(55.863.5)
(50.356.9)
(51.060.2)
(53.956.7)
(50.161.4)
(59.366.7)
(52.563.4)
(55.561.8)
55.7
49.065.6

47.2
44.5
48.3
47.8
45.6
52.4
51.6
50.1

20.5

22.8
13.4
14.3
20.0
10.5
14.6
23.9
22.3
14.8
17.9
18.3
17.3
23.8
11.3
12.5
**

21.0
17.6
13.8
23.7

17.4
20.5
10.6
15.3
20.3
16.5
13.8
16.7

(15.120.0)
(17.823.5)
(9.012.5)
(13.517.3)
(17.323.7)
(13.420.3)
(11.216.9)
(14.419.3)
17.0
10.523.9

CI

CI

CI

CI

CI

(44.050.5)
(41.048.0)
(44.352.3)
(46.349.3)
(40.850.5)
(48.856.1)
(46.956.3)
(47.552.6)
46.9
37.954.7

See table footnotes on page 140.

MMWR/June 8, 2012/Vol. 61/No. 4

139

Surveillance Summaries

TABLE 92. (Continued) Percentage of high school students who did not participate in at least 60 minutes of physical activity on any day*, and
were physically active at least 60 minutes/day on 5 or more days,, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Did not participate in at least 60 minutes
of physical activity on any day
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

CI

Male
%

Physically active at least 60 minutes/day on 5 or more days

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

27.9
26.2
26.0

(23.532.7)
(22.530.4)
(22.230.3)

21.2
14.3
12.4

(17.225.8)
(11.817.2)
(9.815.4)

24.7
20.2
19.1

(21.428.2)
(17.623.1)
(16.522.0)

19.3
28.9
28.2

(15.423.8)
(25.432.6)
(25.131.5)

39.2
54.3
51.9

(34.843.8)
(50.957.6)
(47.056.8)

29.1
41.9
39.9

(26.032.4)
(39.244.7)
(36.743.2)

21.5
20.2
23.2
30.6
27.9
25.7
21.8
26.1
24.0

(17.825.7)
(16.824.2)
(20.326.3)
(26.435.3)
(25.630.4)
(23.128.6)
(17.127.4)
(22.630.0)
(20.927.5)

19.9
11.8
18.2
22.8
20.0
18.5
13.9
18.9
13.2

(16.823.3)
(9.015.2)
(15.221.7)
(18.927.1)
(17.722.5)
(15.621.8)
(10.118.9)
(16.122.2)
(10.916.0)

20.6
16.0
20.9
27.1
23.9
22.1
17.7
22.5
18.8

(18.023.6)
(13.818.4)
(18.823.2)
(24.130.3)
(22.225.8)
(19.924.4)
(14.221.9)
(20.125.0)
(16.521.4)

30.0
27.7
23.7
24.2
23.9
21.8
31.4
27.0
27.0

(23.737.1)
(22.933.0)
(20.227.6)
(20.728.1)
(21.826.2)
(18.925.0)
(26.936.2)
(23.530.8)
(23.530.8)

39.5
46.6
30.2
33.3
38.0
38.6
46.5
47.7
47.3

(34.944.3)
(42.251.2)
(26.234.5)
(28.338.6)
(34.941.1)
(35.242.1)
(42.750.4)
(44.151.3)
(43.251.5)

34.2
37.0
26.7
28.4
30.7
30.3
39.2
37.3
37.0

(29.539.3)
(33.640.6)
(23.829.9)
(25.131.8)
(28.732.8)
(27.832.9)
(36.042.5)
(34.739.9)
(34.339.8)

28.3
20.1
26.1
24.0

(24.932.0)
(18.022.3)
(22.330.3)
(21.227.0)

20.3
16.6
13.8
14.7

(17.024.1)
(15.318.0)
(11.017.0)
(12.018.0)

24.4
18.4
20.0
19.4

(21.727.3)
(17.019.9)
(17.322.9)
(17.521.4)

23.6
33.0
29.1
27.6

(20.527.0)
(30.835.3)
(25.732.7)
(24.630.8)

37.7
45.8
53.0
53.5

(33.741.8)
(43.947.8)
(49.356.6)
(49.757.2)

30.6
39.0
40.9
40.6

(27.833.4)
(37.440.6)
(38.443.5)
(38.143.1)

24.1
18.9
21.3
27.6
20.7

(21.127.5)
(16.122.0)
(18.025.0)
(24.031.5)
(17.624.2)
24.1
18.930.6

15.3
12.3
13.0
21.6
14.6

(12.818.2)
(9.116.3)
(10.915.3)
(18.125.5)
(11.818.0)
15.3
11.822.8

20.0
15.5
17.0
24.6
18.0

(17.922.3)
(13.118.1)
(14.719.6)
(22.027.3)
(15.920.2)
20.0
15.527.1

32.3
34.8
36.8
27.0
34.0

(28.636.3)
(30.639.2)
(30.943.1)
(23.131.3)
(30.138.2)
27.7
19.336.8

42.9
51.8
54.3
38.6
43.8

(38.147.8)
(47.056.6)
(50.358.2)
(34.343.0)
(39.548.2)
45.8
30.254.3

37.1
43.4
45.7
32.7
38.8

(33.940.5)
(39.847.0)
(41.450.1)
(29.336.2)
(35.941.9)
37.1
26.745.7

* 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/day on 0 days during the 7 days before the survey.
During the 7 days before the survey.

Were physically active doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time.
95% confidence interval.
** Not available.

140

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

TABLE 93. 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, 2011
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 on 3 or more days

Total

Female

Male

Total

CI

19.7
16.9
16.9

(17.522.0)
(14.519.6)
(14.319.9)

40.4
35.2
35.6

(37.843.0)
(31.139.5)
(33.637.7)

30.4
26.0
26.5

(28.332.6)
(23.828.3)
(24.828.3)

45.3
37.3
44.7

(42.348.4)
(31.743.2)
(39.250.3)

65.5
71.5
67.6

(62.768.3)
(67.075.5)
(64.670.4)

55.7
54.0
56.6

(53.258.3)
(49.658.3)
(53.060.1)

22.2
18.1
18.0
14.9
18.5

(19.225.6)
(15.421.1)
(15.920.3)
(12.917.1)
(16.820.3)

38.8
42.6
36.2
34.9
38.3

(35.542.3)
(38.347.0)
(33.339.1)
(32.437.6)
(36.340.4)

30.7
30.8
27.3
25.1
28.7

(28.533.0)
(27.834.1)
(25.429.3)
(23.227.0)
(27.130.3)

49.8
43.3
41.3
39.8
43.8

(45.554.0)
(39.547.2)
(37.545.3)
(35.744.1)
(41.346.3)

68.6
68.8
64.9
63.8
66.7

(65.071.9)
(66.071.4)
(61.568.3)
(60.067.4)
(64.868.5)

59.3
56.5
53.4
52.2
55.6

(56.362.2)
(53.359.6)
(50.156.7)
(48.955.4)
(53.657.5)

CI

CI

CI

CI

CI

* 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/day on 7 of the 7 days before the survey.
For example, 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
are not comparable to those reported in 2009 or earlier. On the 2005 2009 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 national YRBS questionnaire, only the 60 minutes of aerobic
physical activity question was included.

MMWR/June 8, 2012/Vol. 61/No. 4

141

Surveillance Summaries

TABLE 94. 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, 2011
Physically active at least 60 minutes/day on all 7 days
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male
CI

CI

CI

15.0
14.3
18.1
14.2
21.3
17.0
17.6
15.6
14.2
13.6
14.5
15.8
15.8
19.9
19.5
13.3
13.9
17.1
14.7
14.2
18.8
14.6
20.9
19.8

18.4
18.5
16.2
18.4
13.3
15.4
18.3
18.2
15.8
17.1
18.2
18.7
14.0
16.1
17.1
19.2
21.3
17.2

(11.319.5)
(11.417.8)
(15.720.7)
(12.815.7)
(18.923.9)
(14.120.3)
(15.320.2)
(14.516.8)
(12.116.7)
(11.515.9)
(11.618.0)
(13.618.2)
(13.019.0)
(16.823.4)
(16.922.3)
(11.016.0)
(10.817.6)
(15.718.7)
(11.718.4)
(12.016.8)
(15.822.1)
(12.017.7)
(18.723.3)
(17.921.9)

(15.621.6)
(16.820.4)
(14.318.2)
(16.120.9)
(11.315.7)
(12.219.4)
(15.022.1)
(14.322.7)
(12.419.8)
(14.220.4)
(15.421.4)
(16.421.1)
(11.217.4)
(14.118.4)
(14.220.4)
(16.322.5)
(17.925.3)
(15.019.5)

41.7
28.0
31.9
39.0
36.4
34.8
32.4
36.1
36.1
28.8
36.8
30.5
32.3
37.7
40.5
30.4
35.4
30.3
28.0
30.6
35.1
37.4
36.1
35.8

37.4
33.8
33.9
33.6
29.4
35.3
47.9
35.4
36.1
37.3
41.8
35.4
27.1
32.2
31.1
38.4
33.9
34.3

(36.846.7)
(24.132.2)
(28.535.5)
(33.544.8)
(31.741.4)
(30.439.5)
(29.035.9)
(34.238.1)
(31.241.2)
(25.132.7)
(32.241.6)
(26.834.6)
(28.935.9)
(33.142.5)
(37.044.1)
(26.734.3)
(30.940.2)
(27.733.0)
(24.132.2)
(26.734.9)
(32.637.7)
(32.742.3)
(33.638.6)
(33.438.3)

(32.342.7)
(31.836.0)
(30.837.2)
(30.037.3)
(26.232.9)
(29.641.4)
(42.153.8)
(30.940.0)
(32.739.6)
(32.542.3)
(38.145.6)
(31.839.1)
(23.531.1)
(30.733.7)
(25.737.1)
(33.843.1)
(29.638.5)
(31.337.5)

28.4
21.3
25.0
26.7
29.2
26.0
24.9
25.8
25.2
21.0
25.9
23.2
24.2
29.1
30.2
21.9
24.2
23.7
21.4
22.4
27.0
25.9
28.7
28.0

28.0
26.3
25.1
26.0
21.8
25.4
33.1
26.7
25.8
27.3
30.2
27.1
20.8
24.4
24.1
29.0
27.7
25.8

(24.332.8)
(18.624.2)
(23.027.0)
(23.630.1)
(26.532.1)
(23.029.2)
(22.927.0)
(24.527.2)
(22.328.3)
(18.923.4)
(22.729.4)
(21.025.5)
(21.626.9)
(25.932.5)
(27.732.7)
(19.624.5)
(20.927.9)
(22.125.5)
(18.824.3)
(20.025.1)
(24.429.7)
(23.028.9)
(26.930.6)
(26.329.8)

(25.330.8)
(24.827.9)
(22.827.5)
(23.628.4)
(20.023.7)
(22.129.0)
(29.237.3)
(22.930.8)
(23.128.8)
(24.030.9)
(27.533.0)
(24.529.9)
(18.323.5)
(22.826.0)
(20.428.3)
(25.932.2)
(24.331.5)
(23.828.0)

17.0
13.321.3

See table footnotes on page 143.

142

Total

MMWR/June 8, 2012/Vol. 61/No. 4

35.2
27.147.9

25.8
20.833.1

Surveillance Summaries

TABLE 94. (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, 2011
Physically active at least 60 minutes/day on all 7 days
Female
Site
Large urban school district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

9.4
14.2
16.2
14.7
15.1
13.0
13.0
12.7
9.4
13.3
14.6
13.7
12.7
15.0
14.8
13.7
17.6
17.9
16.7
9.4
13.3

(6.912.6)
(11.617.3)
(14.018.7)
(11.418.8)
(11.919.0)
(10.615.8)
(10.615.9)
(10.914.8)
(7.611.6)
(11.016.0)
(12.317.4)
(11.716.2)
(10.515.4)
(13.516.6)
(12.217.9)
(11.716.1)
(14.321.4)
(14.721.7)
(13.221.0)
(7.212.1)
(10.916.1)

21.2
34.1
30.9
22.4
24.3
17.4
21.0
23.4
21.8
26.0
34.3
30.2
22.9
26.4
35.0
33.7
25.5
33.7
32.5
17.8
24.0

(17.325.7)
(30.937.4)
(27.434.6)
(19.825.2)
(20.528.6)
(14.321.0)
(17.425.2)
(20.826.3)
(19.124.8)
(22.529.8)
(30.538.2)
(26.734.0)
(20.225.9)
(24.528.3)
(31.039.2)
(30.637.0)
(21.829.7)
(29.438.3)
(28.337.1)
(15.220.7)
(20.727.6)

15.2
24.1
23.4
18.2
19.7
15.1
16.8
17.9
15.6
19.9
24.4
21.9
17.8
20.3
24.9
23.8
21.2
25.9
24.8
13.4
18.6

13.7
9.417.9

CI
(13.017.8)
(22.126.2)
(21.125.8)
(15.820.8)
(17.322.4)
(12.917.7)
(14.619.1)
(16.219.8)
(13.717.8)
(17.822.1)
(21.927.0)
(19.924.0)
(16.119.6)
(19.121.6)
(22.427.6)
(21.726.1)
(18.624.1)
(23.029.0)
(21.528.4)
(11.715.4)
(16.520.9)
19.9
13.425.9

25.5
17.435.0

* 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/day on 7 of the 7 days before the survey.
95% confidence interval.
Not available.

TABLE 95. 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, 2011
Used computers 3 or more hours/day
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

CI

Watched television 3 or more hours/day


Total

CI

Female
CI

CI

Male
%

Total
CI

CI

22.6
35.2
28.3

(20.125.3)
(31.139.6)
(25.231.6)

33.3
41.1
36.3

(30.636.0)
(37.245.1)
(33.639.2)

28.1
38.1
32.4

(25.930.4)
(35.041.4)
(30.134.8)

23.9
54.9
37.2

(22.225.7)
(49.760.0)
(34.140.3)

27.3
54.4
38.4

(24.829.9)
(51.057.7)
(36.040.8)

25.6
54.6
37.8

(23.827.5)
(51.158.0)
(35.440.2)

29.5
26.7
24.6
25.0
26.6

(26.432.8)
(24.029.6)
(21.627.8)
(22.128.2)
(24.628.7)

35.5
36.1
36.7
32.4
35.3

(32.338.8)
(32.839.5)
(33.639.9)
(29.535.5)
(33.237.4)

32.5
31.6
30.7
28.8
31.1

(29.935.3)
(29.333.9)
(28.433.1)
(26.531.2)
(29.332.9)

33.8
31.7
30.4
29.9
31.6

(31.236.4)
(29.234.3)
(26.934.2)
(26.733.3)
(29.933.2)

33.9
35.3
32.3
30.9
33.3

(30.837.2)
(31.539.4)
(29.235.6)
(28.633.3)
(31.435.2)

33.9
33.6
31.4
30.4
32.4

(31.636.2)
(30.936.3)
(28.534.4)
(28.132.9)
(30.934.0)

* For something that was not school work.


On an average school day.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

143

Surveillance Summaries

TABLE 96. 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 selected U.S. sites, Youth Risk Behavior Survey, 2011
Used computers 3 or more hours/day
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

26.4
24.8
23.2
21.2
18.0
28.0
30.7
31.3
24.6
36.5
16.9
24.7
20.3
18.0
20.1
25.6
35.0
27.7
33.5
31.0
23.0
25.9
14.3
16.7

(20.832.8)
(20.929.1)
(19.427.6)
(18.124.7)
(15.620.8)
(24.331.9)
(27.534.0)
(29.333.3)
(20.928.8)
(33.839.3)
(14.020.4)
(21.628.1)
(16.824.2)
(15.121.2)
(16.524.3)
(22.628.7)
(27.143.8)
(25.529.9)
(31.335.6)
(28.333.9)
(20.226.0)
(22.829.4)
(12.516.2)
(15.118.4)

33.8
34.8
32.3
25.2
29.4
32.9
38.7
39.3
30.7
36.8
26.6
33.5
37.3
31.7
29.0
36.8
34.3
33.8
35.7
32.9
30.9
31.6
26.4
25.3

(28.739.2)
(30.639.2)
(29.035.8)
(21.229.6)
(25.333.9)
(28.937.0)
(35.242.2)
(37.241.4)
(28.133.5)
(33.340.4)
(22.631.1)
(30.436.8)
(31.943.1)
(27.436.3)
(24.933.5)
(32.041.8)
(28.440.7)
(32.335.4)
(32.239.4)
(29.236.8)
(27.434.6)
(27.635.8)
(24.228.8)
(22.828.0)

30.2
29.8
27.7
23.2
24.1
30.5
34.4
35.3
27.8
36.6
21.9
29.1
29.0
25.0
24.6
31.2
34.5
30.8
34.5
32.0
27.0
28.8
20.6
21.1

(25.435.6)
(26.733.1)
(25.629.8)
(20.226.5)
(21.327.2)
(27.733.5)
(32.037.0)
(33.836.9)
(25.829.9)
(34.838.4)
(19.025.1)
(27.630.6)
(26.231.9)
(22.028.2)
(21.128.5)
(28.034.7)
(28.840.7)
(29.232.4)
(32.336.8)
(29.534.5)
(24.729.5)
(25.931.9)
(19.022.2)
(19.522.7)

40.2
21.9
26.6
35.8
19.2
26.7
36.3
35.5
39.1
28.7
19.4
27.6
27.1
22.5
23.3
31.0
44.6
22.1
33.8
28.2
28.5
43.7
19.4
23.6

(33.347.5)
(18.126.2)
(22.930.6)
(31.140.8)
(16.022.9)
(23.030.8)
(33.039.6)
(32.938.2)
(32.146.5)
(25.931.6)
(16.422.9)
(23.032.8)
(24.230.1)
(20.025.3)
(20.526.4)
(26.735.6)
(36.652.8)
(20.523.6)
(31.336.4)
(24.532.2)
(24.133.4)
(38.449.1)
(17.521.5)
(21.525.7)

40.8
25.6
30.9
27.7
22.4
27.5
38.3
38.6
34.2
34.8
23.8
30.7
26.9
24.4
26.8
33.0
37.7
25.8
35.0
28.5
30.4
42.4
24.6
26.8

(34.547.4)
(22.529.0)
(27.734.2)
(23.432.4)
(19.425.7)
(23.431.9)
(35.341.5)
(36.340.9)
(29.738.9)
(31.738.0)
(20.627.2)
(27.633.9)
(23.131.2)
(22.326.7)
(23.530.4)
(28.038.3)
(29.946.2)
(23.728.1)
(30.340.0)
(25.232.1)
(26.434.8)
(37.247.8)
(22.826.6)
(24.529.2)

40.6
23.8
28.6
31.8
21.2
27.1
37.3
37.1
36.6
31.7
21.7
29.1
27.0
23.5
25.1
32.0
41.1
24.1
34.2
28.4
29.5
42.9
22.1
25.2

(35.046.5)
(21.226.5)
(26.530.9)
(28.835.0)
(18.723.9)
(23.930.5)
(34.939.7)
(35.039.2)
(31.542.0)
(29.633.9)
(19.024.6)
(26.032.4)
(24.229.9)
(22.025.1)
(23.027.3)
(28.136.3)
(34.348.1)
(22.625.6)
(31.237.4)
(25.331.7)
(25.733.6)
(38.547.5)
(20.623.8)
(23.626.9)

34.3
21.2
31.9
24.2

(29.739.2)
(19.622.8)
(29.134.9)
(20.428.5)

40.2
29.5
35.0
31.5

(35.545.1)
(27.032.0)
(32.038.1)
(27.036.3)

37.3
25.4
33.5
27.8

(33.641.2)
(23.826.9)
(31.036.0)
(24.231.8)

33.6
28.3
30.0
33.8

(27.939.7)
(25.731.1)
(26.633.5)
(29.738.3)

32.3
30.5
31.3
35.7

(26.239.1)
(27.234.0)
(28.734.0)
(30.940.7)

32.9
29.4
30.6
34.7

(27.638.8)
(26.832.2)
(28.133.3)
(31.338.3)

20.3

(17.223.7)

29.5

(26.233.0)

25.1

(22.927.4)

25.8

(22.529.3)

24.1

(21.127.4)

24.8

(22.627.2)

19.5
22.4
26.4
28.7

(16.722.7)
(19.325.9)
(22.131.1)
(24.733.0)

35.0
31.5
30.6
29.5

(30.240.1)
(25.538.2)
(28.932.3)
(25.633.8)

27.4
27.0
28.4
28.9

(24.330.7)
(23.630.7)
(25.831.2)
(25.932.2)

29.6
30.4
28.2
41.6

(26.033.4)
(24.237.3)
(24.032.9)
(35.148.3)

32.5
29.4
27.7
36.8

(28.536.8)
(23.735.8)
(24.031.8)
(31.842.0)

30.9
29.9
28.0
39.2

(28.233.7)
(24.735.7)
(24.331.9)
(34.943.8)

17.3

(14.919.9)

28.9

(24.134.2)

23.3

(20.426.5)

22.0

(18.026.7)

25.6

(23.028.4)

23.8

(21.026.9)

(22.930.3)
(26.532.5)
(9.815.0)

(24.333.3)
(26.733.9)
(13.919.7)
(12.817.9)
24.7
12.136.5

34.1
35.1
24.8

30.2
34.2
29.7
25.5

(30.438.0)
(31.638.7)
(21.628.4)

(25.935.0)
(30.238.5)
(26.333.2)
(22.828.2)
31.7
24.840.2

30.3
32.2
18.7

29.4
32.2
23.3
20.4

(27.633.1)
(29.734.9)
(16.421.1)

(26.033.1)
(28.835.7)
(20.826.0)
(18.722.3)
28.8
18.737.3

34.2
37.7
18.7

32.7
28.3
23.7
19.7

(29.838.8)
(33.542.2)
(15.322.7)

(27.938.0)
(23.433.8)
(20.527.2)
(17.322.3)
28.3
18.744.6

36.1
36.7
19.8

29.6
34.1
24.3
21.4

(31.840.6)
(33.140.4)
(16.323.8)

(25.933.6)
(29.638.9)
(21.627.2)
(18.924.1)
30.4
19.842.4

35.1
37.2
19.3

31.1
31.2
24.0
20.6

26.4
29.4
12.1

28.6
30.1
16.6
15.2

See table footnotes on page 145.

144

Watched television 3 or more hours/day

MMWR/June 8, 2012/Vol. 61/No. 4

(31.638.9)
(33.740.8)
(17.221.6)

(27.534.9)
(27.135.6)
(21.426.8)
(18.822.6)
29.5
19.342.9

Surveillance Summaries

TABLE 96. (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 or more hours/day of television, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Used computers 3 or more hours/day
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Watched television 3 or more hours/day


Total

CI

Female
CI

Male

CI

Total
CI

CI

38.5
36.3
32.0

(33.344.0)
(32.440.3)
(28.036.3)

37.6
39.7
35.0

(31.743.9)
(36.343.2)
(31.338.9)

38.1
38.2
33.5

(33.343.2)
(35.740.7)
(30.836.4)

42.2
39.4
37.7

(35.749.0)
(35.543.4)
(33.841.7)

41.6
41.8
35.6

(36.247.2)
(38.145.7)
(31.539.9)

42.0
40.6
36.6

(36.847.3)
(37.843.5)
(33.739.6)

31.4
33.4
25.5
35.2
30.8
33.5
29.9
38.4
35.5

(28.134.8)
(29.537.4)
(22.329.0)
(31.039.7)
(28.533.3)
(30.836.3)
(24.535.8)
(34.642.3)
(32.438.7)

35.9
35.7
32.3
36.5
37.9
35.5
35.6
44.1
39.6

(31.640.3)
(30.741.0)
(27.937.0)
(31.641.6)
(35.240.8)
(32.338.8)
(31.539.8)
(40.048.3)
(36.343.0)

33.3
34.5
28.8
35.6
34.3
34.5
32.9
41.2
37.5

(30.835.9)
(31.637.5)
(25.732.0)
(32.039.4)
(32.436.2)
(32.236.9)
(29.136.9)
(38.544.0)
(35.339.8)

41.5
45.9
39.8
40.5
42.5
44.3
38.0
55.4
37.7

(37.046.3)
(41.650.3)
(36.043.8)
(36.644.5)
(39.245.8)
(40.148.6)
(32.543.8)
(50.959.9)
(33.941.7)

40.6
39.9
49.5
36.1
39.9
37.4
34.9
57.5
38.9

(35.845.5)
(35.344.7)
(44.654.4)
(31.541.0)
(37.142.8)
(33.641.3)
(30.739.4)
(53.061.9)
(35.442.6)

40.8
43.1
44.4
38.3
41.1
40.9
36.4
56.4
38.4

(37.544.2)
(40.345.9)
(41.247.6)
(35.041.7)
(38.843.5)
(37.943.9)
(33.039.8)
(53.059.8)
(35.940.9)

27.4
43.8
33.8
33.4

(24.230.8)
(41.346.3)
(30.137.7)
(30.236.8)

36.3
44.2
39.5
38.0

(32.640.3)
(42.246.1)
(35.244.1)
(34.142.1)

32.1
43.9
36.6
35.8

(29.634.6)
(42.245.6)
(33.639.6)
(33.038.7)

46.0
39.5
31.0
36.3

(42.249.8)
(35.443.7)
(27.434.9)
(33.139.5)

40.0
36.4
35.3
39.3

(36.343.8)
(32.940.1)
(31.339.6)
(35.843.0)

42.8
38.0
33.0
37.9

(40.045.6)
(34.541.6)
(30.136.1)
(35.340.5)

(31.740.3)
(25.432.7)
(24.733.0)
(37.345.7)
(20.426.4)
33.4
23.243.8

45.8
40.1
34.5
45.6
32.8

(41.550.2)
(36.543.8)
(30.538.8)
(42.149.1)
(29.236.7)
37.6
32.345.8

40.4
34.6
31.7
43.5
28.2

(37.143.8)
(32.037.2)
(28.235.4)
(40.546.5)
(25.730.8)
34.6
28.243.9

44.4
44.5
31.2
29.1
21.0

(40.148.8)
(39.949.3)
(27.035.7)
(26.332.1)
(17.824.6)
39.8
21.055.4

47.4
46.3
34.8
23.8
24.3

(42.952.0)
(41.950.8)
(30.239.7)
(20.727.3)
(20.328.8)
39.3
23.857.5

45.8
45.4
33.0
26.5
22.7

35.9
28.9
28.7
41.5
23.2

(42.748.9)
(42.248.8)
(29.436.8)
(24.328.9)
(19.925.7)
40.6
22.756.4

* For something that was not school work.


On an average school day.
95% confidence interval.
Not available.

TABLE 97. Percentage of high school students who attended physical education (PE) classes, by sex, race/ethnicity, and grade United States,
Youth Risk Behavior Survey, 2011
Attended PE classes daily

Attended PE classes*
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

Female

Male

Total

CI

47.4
40.7
48.6

(37.757.3)
(34.647.0)
(41.555.7)

56.3
58.0
58.1

(49.063.4)
(52.863.1)
(51.664.3)

51.9
49.3
53.5

(43.760.1)
(44.254.5)
(48.058.9)

28.8
22.1
25.7

(20.738.4)
(15.031.2)
(20.232.0)

37.0
33.2
34.1

(30.644.0)
(26.640.5)
(29.339.3)

33.0
27.6
30.0

(25.941.0)
(20.935.5)
(25.435.1)

65.3
49.8
36.3
32.1
46.7

(56.473.3)
(42.057.5)
(27.845.7)
(24.940.3)
(39.953.7)

70.8
59.2
49.2
44.7
56.7

(64.376.6)
(53.264.9)
(43.055.5)
(37.052.6)
(51.362.0)

68.1
54.6
42.9
38.5
51.8

(60.974.6)
(48.360.8)
(35.750.3)
(31.645.9)
(46.057.6)

38.6
29.3
18.4
20.4
27.2

(30.946.9)
(22.137.7)
(12.226.8)
(14.627.7)
(21.134.3)

44.0
36.7
31.6
27.9
35.5

(37.650.6)
(30.743.2)
(25.838.2)
(21.835.0)
(30.540.8)

41.3
33.1
25.1
24.2
31.5

(34.748.3)
(26.840.2)
(19.232.2)
(18.630.8)
(26.137.4)

CI

CI

CI

CI

CI

* On 1 or more days in an average week when they were in school.


5 days in an average week when they were in school.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

145

Surveillance Summaries

TABLE 98. Percentage of high school students who attended physical education (PE) classes, by sex selected U.S. sites, Youth Risk Behavior
Survey, 2011
Attended PE classes daily

Attended PE classes*
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total

Male

Total

CI

35.5
37.8
34.4
30.2

39.8
34.6
36.7
35.1
34.9
83.4
25.3
69.3
41.0
26.5
51.9
34.7
31.1
53.9
24.5
38.6
51.0
40.4

(28.643.2)
(30.445.9)
(26.643.2)
(25.135.8)

(34.145.7)
(31.737.5)
(30.843.0)
(31.938.4)
(29.540.7)
(76.088.8)
(18.933.0)
(60.876.7)
(33.349.3)
(22.331.2)
(40.563.2)
(31.538.0)
(24.738.4)
(46.760.9)
(20.129.5)
(32.145.5)
(46.755.3)
(36.943.9)

57.1
55.3
49.0
38.2

45.9
52.5
55.6
48.5
56.4
82.2
44.1
72.2
60.4
43.9
64.5
40.8
44.4
57.5
42.8
55.2
60.8
55.3

(51.562.6)
(47.862.5)
(41.556.6)
(34.042.6)

(40.751.1)
(49.355.8)
(49.661.5)
(43.253.8)
(50.762.0)
(75.387.5)
(36.951.6)
(64.478.8)
(53.666.7)
(38.649.4)
(57.271.1)
(37.744.0)
(38.850.1)
(50.963.7)
(36.549.3)
(49.460.8)
(56.864.6)
(51.858.7)

46.3
46.8
41.7
34.2

42.7
43.5
46.2
41.6
46.1
82.8
34.9
70.8
50.9
35.4
58.1
37.8
37.8
55.7
33.9
46.8
56.0
48.1

(41.151.6)
(39.953.8)
(35.348.3)
(30.238.5)

(38.147.4)
(40.946.3)
(41.051.6)
(37.745.6)
(40.951.3)
(76.088.0)
(28.741.7)
(63.677.1)
(44.257.6)
(31.439.5)
(49.266.5)
(34.940.8)
(32.943.0)
(49.262.0)
(29.139.0)
(41.152.6)
(52.259.8)
(45.251.0)

25.7
12.8
23.2
20.4

23.3
16.2
21.9
4.0
16.8
71.2
16.6
20.9
18.9
15.3
39.0
5.6
14.5
16.6
18.7
23.6
29.1
27.9

(21.530.5)
(9.417.3)
(18.428.8)
(15.526.2)

(18.728.6)
(14.018.7)
(16.528.3)
(3.15.2)
(12.522.4)
(61.179.5)
(10.724.8)
(12.433.0)
(13.925.2)
(11.619.9)
(28.350.9)
(3.88.2)
(10.319.9)
(11.623.2)
(14.923.2)
(18.329.8)
(24.733.8)
(24.931.2)

44.7
21.8
36.3
28.0

27.4
29.3
37.7
9.9
33.6
71.3
22.6
24.2
33.4
24.8
46.5
7.0
24.2
18.4
34.5
34.9
37.0
38.7

(38.351.3)
(17.726.6)
(28.644.7)
(23.133.4)

(23.231.9)
(25.733.2)
(32.743.0)
(7.313.3)
(25.443.0)
(63.877.8)
(16.230.7)
(14.537.7)
(25.941.8)
(20.529.6)
(37.755.6)
(4.99.9)
(20.029.1)
(14.023.9)
(29.240.2)
(29.440.7)
(32.541.8)
(35.342.1)

35.2
17.4
29.6
24.2

25.3
22.7
29.7
6.9
25.6
71.2
19.7
22.6
26.2
20.0
42.5
6.3
19.3
17.6
26.7
29.2
33.1
33.5

(30.739.9)
(14.121.4)
(24.235.7)
(20.028.9)

(21.629.3)
(20.025.6)
(25.834.0)
(5.58.6)
(19.532.7)
(63.378.1)
(13.927.0)
(13.734.9)
(20.233.4)
(16.623.9)
(32.952.7)
(4.48.9)
(15.623.5)
(13.123.3)
(22.531.3)
(24.534.4)
(28.937.6)
(30.936.2)

85.6
44.8
92.6

(79.690.0)
(39.250.6)
(90.294.4)

87.7
59.5
90.1

(83.091.3)
(56.662.3)
(86.992.5)

86.7
52.2
91.3

(81.990.4)
(48.456.1)
(88.993.2)

54.5
22.9
17.4

(40.867.5)
(18.128.6)
(14.421.0)

56.0
33.7
19.7

(44.766.7)
(27.840.2)
(16.323.6)

55.2
28.4
18.5

(43.566.4)
(23.234.2)
(15.721.7)

30.0
26.9
79.5
32.1

(23.437.6)
(22.032.4)
(71.485.7)
(24.241.1)

40.9
46.7
77.1
49.9

(34.747.3)
(39.554.1)
(70.782.5)
(41.857.9)

35.7
36.8
78.3
41.0

(31.140.6)
(31.642.3)
(71.583.9)
(34.248.2)

20.0
20.6
23.1
17.7

(15.126.0)
(15.926.3)
(13.836.1)
(10.727.8)

26.7
41.1
23.4
30.8

(20.534.0)
(34.148.5)
(15.034.6)
(23.339.4)

23.3
30.9
23.2
24.2

(18.928.5)
(26.136.1)
(14.534.9)
(17.532.5)

29.0

(20.838.9)

36.3

(27.246.5)

32.8

(24.941.8)

18.4

(11.029.2)

22.7

(15.232.6)

20.6

(13.729.7)

(31.842.3)
(42.251.0)
(45.755.9)
(31.238.3)
(36.053.1)
(21.436.5)
(42.654.8)
(44.153.4)
37.3
24.592.6

44.4
54.8
58.6
41.2
55.8
42.8
54.4
63.6

(38.150.9)
(50.259.3)
(53.463.6)
(36.745.9)
(47.264.0)
(35.050.9)
(47.161.4)
(58.768.2)
55.0
36.390.1

40.7
50.8
55.0
38.0
50.1
35.7
51.6
56.3

(35.546.1)
(46.655.0)
(50.459.5)
(34.142.0)
(42.457.9)
(29.342.7)
(45.457.7)
(52.060.4)
46.2
32.891.3

20.6
33.3
14.3
11.2
14.0
23.1
36.2
16.4

(14.927.6)
(28.738.3)
(10.319.7)
(7.217.1)
(9.520.1)
(15.932.4)
(30.142.8)
(13.020.6)
20.2
4.071.2

25.9
38.7
16.9
15.4
21.3
32.0
39.0
26.8

(20.232.6)
(34.942.7)
(12.822.0)
(10.222.5)
(14.929.5)
(23.941.3)
(31.646.9)
(22.631.3)
28.6
7.071.3

23.2
36.0
15.7
13.4
17.7
27.7
37.6
21.7

36.9
46.6
50.8
34.7
44.4
28.3
48.7
48.7

See table footnotes on page 147.

146

Female

CI

MMWR/June 8, 2012/Vol. 61/No. 4

CI

CI

CI

CI

(17.929.7)
(32.140.2)
(11.820.5)
(8.819.8)
(12.823.9)
(20.436.3)
(31.344.4)
(18.425.5)
24.2
6.371.2

Surveillance Summaries

TABLE 98. (Continued) Percentage of high school students who attended physical education (PE) classes, by sex selected U.S. sites, Youth
Risk Behavior Survey, 2011
Attended PE classes daily

Attended PE classes*
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

29.3
33.4
28.4

(20.739.7)
(28.538.8)
(22.735.0)

34.3
46.1
42.8

(25.244.6)
(41.650.7)
(36.949.0)

31.7
40.0
35.7

(23.840.8)
(36.044.1)
(30.940.9)

7.8
15.8
15.2

(4.912.4)
(13.119.1)
(10.321.8)

10.3
24.4
19.9

(6.615.9)
(21.327.8)
(14.926.1)

9.0 (6.312.9)
20.4 (18.122.9)
17.5 (13.622.3)

59.8
49.7
52.8
32.9
38.1
57.6
63.6
37.3
37.8

(51.867.2)
(42.856.7)
(48.557.1)
(26.739.7)
(33.942.6)
(52.063.0)
(52.073.8)
(31.743.2)
(32.044.0)

61.9
53.5
58.1
35.9
51.4
60.4
63.2
56.9
54.5

(55.567.9)
(46.959.9)
(53.462.7)
(30.241.9)
(47.655.1)
(56.164.6)
(51.673.5)
(50.762.8)
(49.259.7)

60.5
51.8
55.5
34.2
44.8
59.1
63.4
47.0
46.0

(54.166.5)
(46.057.5)
(51.959.1)
(29.239.5)
(41.248.3)
(54.863.2)
(52.173.4)
(41.852.4)
(41.151.0)

43.3
11.8
18.1
12.3
6.5
23.4
35.5
22.8
7.1

(33.054.2)
(8.715.8)
(15.021.7)
(9.415.8)
(5.18.2)
(19.727.5)
(26.545.7)
(18.128.4)
(4.710.6)

41.9
11.9
19.2
11.6
11.6
22.6
32.5
35.5
12.4

(35.049.3)
(9.015.8)
(15.223.9)
(8.715.3)
(9.713.8)
(19.126.6)
(25.740.1)
(30.441.0)
(10.215.0)

42.5
11.9
18.5
11.9
9.0
23.0
33.8
29.1
9.8

(34.451.1)
(9.514.9)
(15.522.0)
(9.614.7)
(7.710.5)
(20.126.1)
(26.342.3)
(24.933.8)
(7.812.2)

38.0
82.3
36.2
37.2

(34.042.2)
(77.186.5)
(30.542.4)
(31.143.7)

44.5
76.3
51.3
52.0

(39.649.5)
(70.581.3)
(45.457.3)
(46.357.7)

41.4
79.5
43.8
44.7

(37.445.4)
(74.383.8)
(38.449.3)
(39.350.3)

22.9
42.7
18.8
13.8

(19.526.8)
(35.450.2)
(15.023.2)
(10.118.4)

24.4
40.1
31.5
23.4

(20.828.4)
(33.646.9)
(26.936.6)
(19.827.5)

23.6
41.3
25.1
18.7

(20.527.0)
(34.948.2)
(21.629.1)
(15.522.3)

(42.053.6)
(50.366.0)
(46.865.1)
(41.958.8)
(24.935.7)
38.1
28.482.3

50.7
61.4
60.2
53.3
40.2

(44.656.7)
(52.369.8)
(52.667.4)
(45.161.2)
(34.046.6)
53.3
34.376.3

49.1
59.9
58.3
51.6
35.2

(44.054.3)
(51.867.4)
(50.265.9)
(44.059.2)
(30.040.7)
47.0
31.779.5

31.8
48.8
39.1
22.8
14.4

(25.738.5)
(41.156.4)
(31.647.2)
(17.429.2)
(11.118.6)
18.8
6.548.8

30.4
52.2
42.0
24.9
20.6

(23.837.9)
(43.760.7)
(36.048.2)
(19.531.2)
(16.825.1)
24.4
10.352.2

31.0
50.5
40.5
23.7
17.5

47.8
58.3
56.2
50.4
30.0

(25.237.5)
(43.058.0)
(34.247.3)
(18.929.2)
(14.421.1)
23.0
9.050.5

* On 1 or more days in an average week when they were in school.


5 days in an average week when they were in school.
95% confidence interval.
Not available.

TABLE 99. 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, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male
CI

Total
CI

CI

57.1
46.9
44.6

(53.460.7)
(43.050.9)
(41.847.5)

64.7
67.3
63.0

(61.367.9)
(63.471.0)
(60.065.9)

60.9
57.0
54.1

(57.764.1)
(54.159.9)
(52.355.8)

57.1
56.1
51.3
44.5
52.6

(52.961.2)
(52.759.5)
(46.855.7)
(40.948.3)
(50.055.1)

65.6
68.2
60.9
60.2
64.0

(61.869.2)
(63.372.6)
(57.664.1)
(56.763.6)
(61.466.4)

61.4
62.3
56.2
52.5
58.4

(58.164.6)
(58.865.8)
(52.759.5)
(49.555.5)
(56.060.7)

* Run by their school or community groups during the 12 months before the survey.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

147

Surveillance Summaries

TABLE 100. Percentage of high school students who played on at least one sports team,* by sex selected U.S. sites, Youth Risk Behavior
Survey, 2011
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

%
46.3
62.7
46.2
51.0
61.0

50.8
45.7
46.9
51.0
54.0
53.5
52.1
60.0
53.5
44.6
44.0

45.9
54.1

48.6
61.6
59.5

54.1

53.5
49.7
53.4
45.8

48.3
51.6
54.5

52.3
54.5

59.3

Male
CI

(41.950.8)
(58.067.1)
(41.451.1)
(46.655.3)
(53.967.7)

(47.154.5)
(43.248.2)
(42.451.4)
(48.353.6)
(49.358.7)
(48.758.2)
(47.556.8)
(56.563.5)
(48.858.1)
(39.150.2)
(39.348.8)

(40.251.8)
(50.457.7)

(44.752.4)
(59.363.9)
(56.662.4)

(49.358.9)

(47.459.6)
(43.555.9)
(47.459.4)
(40.351.3)

(43.752.8)
(47.755.6)
(50.258.8)

(45.559.0)
(50.658.4)

(56.062.5)
52.2
44.062.7

See table footnotes on page 149.

148

MMWR/June 8, 2012/Vol. 61/No. 4

Total

CI

62.8
63.1
54.8
60.4
65.5

60.3
57.3
57.9
58.8
64.3
63.9
58.7
68.1
65.6
47.9
59.1

59.7
65.2

63.9
64.7
66.1

61.2

57.7
61.5
56.8
60.2

59.1
63.4
64.4

62.9
59.2

66.0

(58.267.3)
(58.867.2)
(50.259.4)
(55.665.0)
(59.271.2)

(56.464.0)
(54.659.9)
(52.762.9)
(55.062.4)
(60.168.3)
(59.767.9)
(53.663.7)
(64.971.2)
(61.969.0)
(42.953.0)
(54.363.6)

(55.264.1)
(61.868.5)

(60.866.9)
(61.967.4)
(63.668.5)

(57.564.8)

(50.764.4)
(55.167.6)
(52.660.9)
(55.464.8)

(54.963.2)
(60.266.6)
(60.867.9)

(56.868.6)
(54.064.3)

(62.269.6)

54.7
62.9
50.4
55.7
63.4

55.3
51.4
52.4
54.8
59.3
58.7
55.4
64.1
59.7
46.3
51.3

52.8
59.6

56.2
63.2
62.9

57.7

55.8
55.7
55.1
52.9

53.8
57.6
59.6

57.7
56.9

62.7

61.3
47.968.1

CI
(51.258.1)
(59.666.1)
(46.854.1)
(53.258.1)
(57.668.8)

(52.258.3)
(49.353.6)
(48.955.9)
(52.656.9)
(55.862.7)
(55.162.2)
(51.159.7)
(61.766.5)
(57.162.3)
(42.350.3)
(47.455.2)

(48.656.9)
(56.862.3)

(53.359.2)
(61.265.2)
(60.864.9)

(54.361.1)

(50.361.1)
(50.760.5)
(50.759.5)
(48.857.0)

(49.957.7)
(54.560.7)
(56.262.9)

(52.462.9)
(53.360.4)

(59.965.4)
56.0
46.364.1

Surveillance Summaries

TABLE 100. (Continued) Percentage of high school students who played on at least one sports team,* by sex selected U.S. sites, Youth Risk
Behavior Survey, 2011
Female
Site
Large urban school district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

36.8
42.6
39.9
48.0
44.0

48.2
42.7
39.4
41.8
44.4
38.0

36.6
46.0
45.0
37.0
47.3
44.0

54.5

(31.442.5)
(38.846.4)
(35.444.5)
(42.054.0)
(38.849.3)

(42.753.8)
(39.945.4)
(35.743.3)
(36.946.8)
(39.649.3)
(34.441.7)

(33.839.5)
(42.849.2)
(42.347.8)
(33.241.0)
(42.652.0)
(38.050.0)

(50.658.4)

Total

%
56.0
55.1
59.1
61.1
52.0

58.6
52.6
49.7
53.3
62.4
52.8

49.4
58.8
57.2
56.3
59.0
56.6

59.8

43.3
36.654.5

CI

CI

(50.961.0)
(51.358.8)
(55.462.8)
(57.664.4)
(46.857.1)

(54.462.6)
(49.355.9)
(45.553.9)
(48.558.1)
(58.366.3)
(48.856.8)

(46.951.9)
(54.263.2)
(53.660.7)
(51.860.7)
(54.463.5)
(53.060.2)

(55.364.1)

46.2
48.7
49.3
53.9
47.9

53.0
47.5
44.6
47.7
53.3
45.2

42.8
52.4
51.2
46.3
53.1
50.5

57.3

(42.649.9)
(46.151.4)
(46.052.7)
(49.957.8)
(44.451.4)

(49.156.9)
(45.449.7)
(41.348.0)
(44.650.8)
(50.656.0)
(42.548.0)

(40.545.0)
(49.854.9)
(48.853.5)
(43.249.5)
(49.556.7)
(46.554.5)

(54.759.8)
49.0
42.857.3

56.4
49.462.4

* Run by their school or community groups during the 12 months before the survey.
95% confidence interval.
Not available.

TABLE 101. Percentage of high school students who were obese* and who were overweight, by sex, race/ethnicity, and grade United States,
Youth Risk Behavior Survey, 2011
Obese
Female
Category

Race/Ethnicity
White
7.7
Black
18.6
Hispanic
8.6
Grade
9
11.4
10
9.8
11
8.0
12
9.8
Total
9.8

Overweight

Male

Total

Female

Male

Total

CI

CI

(6.19.8)
(15.422.2)
(7.010.6)

15.0
17.7
19.2

(12.617.9)
(15.420.3)
(17.321.2)

11.5
18.2
14.1

(9.713.5)
(16.420.1)
(12.515.8)

13.8
19.6
18.0

(12.115.7)
(16.722.8)
(15.520.8)

14.7
12.8
16.9

(13.216.3)
(10.815.0)
(15.418.5)

14.2
16.2
17.4

(12.915.6)
(14.717.7)
(15.719.3)

(9.313.8)
(8.012.0)
(6.69.6)
(7.712.5)
(8.511.2)

15.8
15.5
17.7
15.1
16.1

(13.518.4)
(12.619.0)
(14.820.9)
(12.617.9)
(14.417.9)

13.6
12.8
12.9
12.5
13.0

(11.915.6)
(10.915.0)
(11.114.8)
(10.714.5)
(11.714.4)

16.3
14.5
15.2
15.4
15.4

(13.819.1)
(12.816.4)
(13.317.4)
(13.417.6)
(14.216.7)

18.2
14.3
13.4
14.0
15.1

(15.820.9)
(12.016.9)
(11.615.6)
(12.016.2)
(14.116.2)

17.3
14.4
14.3
14.7
15.2

(15.319.5)
(12.816.0)
(12.915.9)
(13.416.0)
(14.416.2)

CI

CI

CI

CI

* 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.

MMWR/June 8, 2012/Vol. 61/No. 4

149

Surveillance Summaries

TABLE 102. Percentage of high school students who were obese* and who were overweight, by sex selected U.S. sites, Youth Risk Behavior
Survey, 2011
Obese
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male

Total

CI

Female
CI

CI

Male
%

Total
CI

CI

14.3
8.8
6.9
10.3
2.6
8.4
9.5
7.7
11.7
8.7
6.9
7.1
11.5
10.1
8.0
12.1
13.8
7.7
10.5
6.2
8.1
13.5
5.4
8.0
9.4

(10.419.3)
(6.711.5)
(5.48.7)
(7.913.3)
(1.25.5)
(6.211.3)
(7.711.7)
(6.69.0)
(9.314.5)
(6.212.0)
(4.99.6)
(5.68.9)
(9.513.8)
(7.713.3)
(6.210.3)
(9.814.9)
(9.020.5)
(6.49.2)
(8.113.5)
(4.68.3)
(6.69.8)
(11.016.4)
(4.56.4)
(6.79.4)
(7.012.4)

19.7
14.0
14.6
19.8
11.7
16.5
14.9
15.2
18.2
17.7
11.4
15.9
17.8
16.2
12.3
20.6
18.6
15.0
13.4
13.5
15.8
18.2
11.4
15.0
14.6

(15.624.6)
(11.017.6)
(11.917.8)
(16.523.7)
(8.815.5)
(13.619.9)
(12.817.3)
(13.716.9)
(15.421.3)
(15.420.1)
(9.214.0)
(13.418.8)
(14.721.4)
(12.121.3)
(10.214.8)
(17.324.5)
(14.423.8)
(13.416.8)
(11.515.5)
(11.415.9)
(13.718.2)
(15.221.5)
(9.713.3)
(13.316.8)
(12.117.6)

17.0
11.5
10.9
15.2
7.3
12.5
12.2
11.5
15.0
13.2
9.2
11.6
14.7
13.2
10.2
16.5
16.1
11.5
12.0
9.9
12.1
15.8
8.5
11.6
12.1

(13.521.2)
(9.613.6)
(9.112.9)
(13.217.4)
(5.310.1)
(10.115.5)
(10.813.8)
(10.412.7)
(12.817.4)
(11.015.7)
(7.810.9)
(10.013.3)
(13.116.6)
(10.416.7)
(8.811.8)
(14.119.1)
(13.718.9)
(10.213.0)
(10.413.7)
(8.311.8)
(10.613.8)
(13.718.1)
(7.59.6)
(10.512.8)
(10.513.9)

16.3
14.7
12.6
16.3
8.2
11.7
19.7
13.4
14.9
13.2
12.4
15.7
18.5
14.5
12.8
16.6
22.1
13.0
15.3
14.0
15.4
18.1
11.6
13.6
14.4

(12.321.2)
(11.818.1)
(10.515.0)
(13.319.8)
(5.212.9)
(9.813.9)
(17.122.6)
(11.915.1)
(11.818.7)
(11.415.3)
(10.314.9)
(13.318.5)
(16.021.4)
(11.917.6)
(10.715.3)
(14.918.5)
(16.429.0)
(11.514.7)
(12.518.6)
(11.916.3)
(12.618.7)
(15.920.5)
(10.013.5)
(12.115.4)
(11.218.2)

15.3
14.1
15.1
14.4
13.0
16.5
14.1
13.8
16.6
13.6
14.3
13.2
12.5
14.5
14.9
14.3
16.8
15.0
15.5
15.1
15.2
14.9
14.0
13.5
13.8

(12.518.7)
(11.617.0)
(13.017.5)
(11.518.0)
(10.316.4)
(14.319.0)
(11.816.8)
(12.515.3)
(13.919.7)
(11.516.1)
(11.817.3)
(11.615.1)
(10.115.6)
(11.518.1)
(12.517.5)
(11.917.1)
(12.622.0)
(13.816.3)
(13.917.3)
(12.917.6)
(13.117.7)
(11.918.4)
(12.415.8)
(11.715.4)
(11.217.0)

15.8
14.4
13.9
15.4
10.7
14.1
16.9
13.6
15.8
13.4
13.4
14.5
15.5
14.5
13.9
15.4
19.5
14.0
15.4
14.6
15.3
16.5
12.9
13.6
14.1

(13.019.0)
(12.416.6)
(12.215.7)
(13.417.6)
(8.513.4)
(12.416.1)
(14.919.0)
(12.614.7)
(13.718.1)
(11.915.1)
(11.715.3)
(12.816.2)
(13.517.6)
(12.616.6)
(12.215.7)
(13.917.1)
(15.424.4)
(13.015.2)
(13.617.5)
(13.216.0)
(13.117.8)
(14.718.6)
(11.614.3)
(12.314.9)
(12.016.4)

7.4
7.8
8.0
10.9

(5.69.6)
(6.89.0)
(6.79.6)
(7.914.8)

14.7
17.5
13.9
14.8

(11.318.8)
(14.521.0)
(12.415.7)
(11.618.6)

11.0
12.8
11.0
12.9

(9.213.2)
(10.915.1)
(9.812.3)
(10.116.4)

15.1
14.1
14.9
16.4

(12.518.2)
(12.416.0)
(12.917.3)
(13.719.5)

15.3
14.7
14.6
15.5

(12.119.1)
(13.416.2)
(13.315.9)
(13.218.1)

15.2
14.4
14.7
15.9

(13.417.1)
(13.315.7)
(13.815.8)
(14.018.0)

7.4

(5.410.0)

14.4

(11.717.4)

11.0

(9.412.8)

15.1

(12.618.0)

13.9

(11.217.2)

14.5 (12.616.7)

11.8
15.5
8.4
8.4

(9.015.4)
(12.319.5)
(6.311.1)
(5.812.0)

17.4
17.9
13.2
18.1

(13.622.0)
(13.822.9)
(10.117.2)
(14.522.2)

14.7
16.7
10.8
13.3

(11.918.0)
(13.919.9)
(8.813.3)
(10.616.5)

13.3
15.2
14.9
18.4

(10.117.1)
(12.618.2)
(12.317.9)
(14.722.8)

17.2
17.5
14.9
14.3

(13.521.6)
(13.822.0)
(12.717.3)
(12.116.8)

15.3
16.3
14.9
16.3

7.5

(5.210.7)

12.0

(9.914.6)

9.8

(8.011.9)

14.3

(11.717.4)

13.9

(11.516.7)

14.1 (12.815.5)

(10.314.8)
(9.914.2)
(3.27.0)
(4.68.6)
(8.114.1)
(7.112.6)
(5.68.4)
(5.58.8)
8.4
2.615.5

17.9
19.0
12.2
13.2
11.4
19.5
13.9
14.9

(15.520.5)
(16.421.9)
(10.314.4)
(11.215.6)
(8.914.5)
(16.323.1)
(11.716.4)
(13.017.0)
15.0
11.420.6

15.2
15.6
8.6
9.9
11.1
14.6
10.4
11.1

(13.716.9)
(13.717.6)
(7.110.4)
(8.112.0)
(8.813.8)
(12.417.2)
(9.012.1)
(9.812.5)
12.0
7.317.0

17.5
18.3
10.7
11.4
16.5
15.3
15.0
12.6

(15.020.4)
(16.120.7)
(7.914.3)
(9.513.7)
(12.721.1)
(12.718.3)
(12.617.9)
(10.614.9)
14.9
8.222.1

17.1
13.8
13.6
14.5
18.0
16.1
14.9
11.5

12.4
11.9
4.8
6.4
10.7
9.5
6.8
7.0

See table footnotes on page 151.

150

Overweight

MMWR/June 8, 2012/Vol. 61/No. 4

(14.919.6)
(12.315.6)
(11.615.8)
(13.116.1)
(15.620.5)
(12.920.0)
(13.116.9)
(9.713.6)
14.6
11.518.0

17.3
16.0
12.2
13.0
17.2
15.7
15.0
12.0

(13.117.7)
(13.719.3)
(12.917.1)
(13.919.1)

(15.519.3)
(14.717.4)
(10.314.3)
(11.414.8)
(14.720.1)
(13.518.3)
(13.516.5)
(10.513.7)
14.7
10.719.5

Surveillance Summaries

TABLE 102. (Continued) Percentage of high school students who were obese* and who were overweight, by sex selected U.S. sites, Youth
Risk Behavior Survey, 2011
Obese
Female
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Site

Overweight

Total

CI

Female

CI

Male

CI

Total
CI

CI

14.2
6.7
11.9

(11.018.3)
(4.89.2)
(9.614.7)

14.4
12.1
13.6

(11.418.0)
(10.014.6)
(11.016.8)

14.3 (11.917.1)
9.5 (7.811.4)
12.8 (10.915.0)

17.0 (13.820.8)
12.9 (10.615.7)
15.2 (12.917.9)

18.9
14.5
14.6

(14.823.9)
(12.017.4)
(12.217.4)

18.0
13.7
14.9

(14.821.7)
(11.915.7)
(13.216.8)

11.8
13.0
19.0
15.5
9.1
11.4
6.3
18.4
9.6

(9.814.1)
(10.116.4)
(16.621.7)
(12.918.7)
(7.710.8)
(9.413.9)
(5.07.9)
(15.421.8)
(7.811.8)

19.5
17.6
18.7
13.4
14.7
15.7
19.8
18.5
16.0

(16.922.5)
(14.421.4)
(16.121.7)
(10.517.0)
(12.716.9)
(13.518.2)
(16.723.2)
(15.521.9)
(13.618.7)

15.5
15.3
18.9
14.5
11.9
13.6
13.3
18.4
12.7

21.9
19.9
24.8
19.5
17.1
19.1
18.0
19.7
15.2

(18.525.7)
(15.924.5)
(22.227.6)
(16.323.1)
(15.219.2)
(16.422.2)
(14.921.6)
(17.022.8)
(13.017.8)

14.2
21.0
20.4
16.4
13.5
16.6
15.9
13.7
14.8

(11.617.3)
(17.425.1)
(17.323.8)
(13.719.6)
(11.715.5)
(14.219.3)
(13.019.2)
(11.116.8)
(12.517.5)

18.2
20.4
22.7
18.0
15.3
17.8
16.9
16.8
15.0

(15.920.8)
(17.623.5)
(20.824.8)
(15.720.5)
(14.016.7)
(16.119.7)
(14.819.2)
(14.819.0)
(13.416.8)

15.0
9.1
7.4
6.8

(12.917.3)
(7.810.6)
(5.410.2)
(5.38.6)

18.9
14.1
12.6
11.8

(16.721.4)
(12.715.6)
(9.915.8)
(9.614.5)

17.0 (15.418.7)
11.6 (10.612.8)
10.0 (8.212.1)
9.3 (8.010.9)

23.5 (20.127.3)
16.4 (15.117.9)
11.7 (9.314.6)
13.0 (11.214.9)

13.4
14.6
12.3
14.5

(10.916.4)
(13.315.9)
(10.314.7)
(12.317.1)

18.4
15.5
12.0
13.8

(16.320.7)
(14.516.5)
(10.413.8)
(12.315.4)

15.0
12.4
6.9
6.1
6.2

(12.418.0)
(10.015.3)
(5.39.0)
(4.18.9)
(4.68.3)
11.4
6.119.0

19.7
18.0
15.5
8.8
9.5

(16.323.7)
(15.121.3)
(12.918.6)
(6.911.2)
(7.511.9)
15.5
8.819.8

17.3 (15.119.8)
15.2 (13.217.4)
11.4 (9.613.4)
7.4 (5.89.4)
7.9 (6.69.5)
13.3
7.418.9

21.6
19.2
13.4
10.4
13.2

13.8
17.3
18.5
12.7
13.6

(11.516.4)
(14.520.4)
(15.521.9)
(10.415.5)
(11.316.1)
14.6
12.321.0

17.7
18.2
16.0
11.6
13.4

(13.817.4)
(12.917.9)
(17.020.9)
(12.417.0)
(10.613.3)
(12.115.4)
(11.415.3)
(16.420.6)
(11.214.4)

(19.024.4)
(16.322.4)
(10.916.4)
(8.213.1)
(10.716.1)
17.1
10.424.8

(15.919.6)
(16.120.6)
(13.818.6)
(9.913.5)
(11.815.1)
16.8
11.622.7

* 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 103. 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, 2011
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

Female
CI

CI

Male
%

Total

CI*

CI

CI

33.7
35.4
36.3

(31.236.4)
(31.539.5)
(33.439.3)

23.7
18.2
27.4

(21.625.9)
(16.220.5)
(25.329.6)

28.5
26.8
31.7

(26.430.7)
(24.828.9)
(29.833.7)

61.4
55.2
66.4

(58.863.9)
(50.859.4)
(63.069.7)

29.2
26.6
39.6

(26.731.7)
(23.430.2)
(37.841.5)

44.8
40.9
52.6

(42.447.2)
(38.343.5)
(50.354.9)

33.4
34.3
35.3
36.4
34.8

(30.436.5)
(31.337.5)
(32.538.2)
(33.139.7)
(33.036.7)

23.5
23.0
23.6
25.4
23.9

(21.226.1)
(20.725.5)
(20.926.6)
(23.027.9)
(22.525.4)

28.3
28.4
29.3
30.7
29.2

(26.130.7)
(26.230.7)
(27.031.7)
(28.533.1)
(27.730.6)

59.2
61.6
61.6
63.0
61.2

(55.862.5)
(58.165.1)
(58.864.4)
(59.066.9)
(59.463.1)

33.3
30.4
30.7
31.2
31.6

(30.136.7)
(27.533.5)
(27.933.7)
(28.434.1)
(29.933.3)

45.9
45.4
45.9
46.8
46.0

(43.248.7)
(42.548.2)
(43.748.2)
(44.049.6)
(44.347.7)

* 95% confidence interval.


Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

151

Surveillance Summaries

TABLE 104. 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, 2011
Described themselves as overweight
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male

Total
%

CI

Total

CI

37.6
35.7
33.8
35.3
28.7
31.0
33.6
30.1
34.3
35.2
37.3
33.1
37.3
36.1
34.2
36.7
36.8

30.8
31.9
31.3
31.7
31.5
33.1

(32.343.3)
(31.540.3)
(30.837.0)
(31.339.5)
(23.934.1)
(28.234.0)
(30.337.1)
(28.132.2)
(30.538.4)
(32.538.1)
(32.642.2)
(29.836.4)
(34.739.9)
(32.340.0)
(30.638.1)
(33.140.5)
(30.343.7)

(27.134.7)
(29.334.6)
(29.233.6)
(28.934.7)
(29.333.7)
(31.135.1)

22.9
22.3
25.3
23.2
19.3
26.2
21.7
23.2
23.3
28.5
20.4
24.3
26.6
25.7
20.0
23.2
23.6

21.8
23.4
25.2
18.4
21.6
24.2

(19.027.3)
(19.126.0)
(22.628.2)
(19.427.5)
(17.321.6)
(23.629.1)
(19.124.6)
(21.325.2)
(19.727.4)
(25.931.2)
(17.324.0)
(21.127.7)
(21.832.0)
(22.029.7)
(17.023.3)
(20.825.7)
(18.329.9)

(19.824.1)
(21.225.7)
(22.428.3)
(15.821.2)
(19.823.5)
(22.126.5)

30.2
28.9
29.4
29.1
24.1
28.7
27.8
26.6
28.7
31.9
28.6
28.6
31.8
30.7
26.9
30.0
30.4

26.3
27.6
28.2
25.0
26.3
28.5

(26.933.6)
(26.531.4)
(27.031.8)
(25.832.7)
(21.327.2)
(26.530.9)
(25.730.0)
(24.928.4)
(26.331.4)
(29.734.1)
(25.432.1)
(26.131.3)
(28.934.8)
(28.133.6)
(24.429.6)
(27.632.5)
(25.036.5)

(24.128.7)
(25.729.6)
(26.330.2)
(22.627.6)
(24.927.8)
(27.030.0)

58.3
59.9
62.1
59.2
53.8
59.8
60.8
57.7
55.8
62.6
61.0
61.5
63.2
60.1
59.4
60.3
56.4

58.0
59.6
59.0
58.3
55.3
55.5

(53.163.4)
(55.763.9)
(58.665.5)
(55.362.9)
(49.258.3)
(55.663.9)
(57.863.7)
(55.859.5)
(52.459.1)
(60.165.0)
(57.064.9)
(57.965.0)
(58.767.6)
(56.763.4)
(55.563.1)
(57.163.4)
(51.061.6)

(54.161.8)
(56.462.7)
(55.562.4)
(54.462.2)
(52.857.9)
(53.058.1)

29.9
32.6
31.5
31.7
26.1
34.7
30.2
29.6
33.1
35.9
27.0
35.1
35.7
30.4
29.9
33.5
34.5

31.0
31.5
32.0
28.4
25.8
31.2

(25.135.2)
(28.637.0)
(27.335.9)
(27.536.2)
(22.629.9)
(30.439.3)
(27.533.2)
(27.631.7)
(29.736.8)
(32.739.2)
(24.130.1)
(32.238.2)
(31.140.5)
(26.135.0)
(26.733.2)
(30.836.4)
(31.138.1)

(27.135.1)
(28.534.6)
(28.935.1)
(25.331.7)
(23.528.2)
(28.833.7)

43.9
45.8
46.6
45.2
39.6
47.1
45.7
43.4
44.4
49.3
43.5
48.3
49.2
44.9
44.3
46.9
45.4

44.2
45.3
45.2
43.5
40.1
43.0

(40.647.3)
(43.148.6)
(43.250.1)
(42.148.4)
(36.742.4)
(43.950.3)
(43.548.1)
(41.745.2)
(42.046.8)
(47.351.4)
(40.446.7)
(44.951.7)
(45.652.8)
(41.248.6)
(41.547.1)
(44.549.3)
(41.249.7)

(40.847.7)
(42.947.8)
(42.647.8)
(41.146.0)
(38.242.0)
(41.444.7)

34.3

32.3
33.4

(30.338.6)

(29.934.7)
(30.236.7)

24.8

23.5
20.9

(21.828.1)

(20.826.3)
(18.124.1)

29.4

27.8
27.1

(26.732.3)

(26.029.7)
(24.829.5)

61.5

59.3
60.1

(57.665.3)

(55.662.9)
(56.663.5)

33.8

32.2
30.1

(30.037.7)

(28.935.8)
(26.134.4)

47.4

45.6
44.8

(44.750.2)

(43.048.3)
(41.847.9)

33.3

(29.937.0)

24.2

(21.227.6)

28.6

(26.131.3)

58.9

(55.162.5)

28.9

(25.932.2)

43.4

(40.746.1)

31.8
37.5
33.7
28.8

(28.535.3)
(31.643.8)
(31.436.1)
(26.331.3)

28.3
23.8
23.1
21.0

(22.135.6)
(19.329.0)
(19.127.7)
(18.224.1)

30.2
30.6
28.3
24.8

(26.733.9)
(27.134.4)
(25.731.1)
(22.727.1)

59.5
59.6
59.3
56.5

(56.162.9)
(55.863.3)
(57.061.5)
(51.661.3)

34.8
31.1
32.9
30.8

(30.339.6)
(26.536.0)
(29.037.1)
(26.635.3)

47.1
45.5
46.0
43.7

(44.449.9)
(42.348.8)
(43.248.7)
(39.747.7)

38.7

(33.244.5)

24.0

(21.127.1)

31.2

(27.335.3)

63.2

(59.167.2)

26.3

(23.229.7)

44.4

(41.347.5)

(31.639.3)
(33.639.5)
(25.132.8)
(28.636.6)
(31.638.6)
(35.941.0)

(29.335.6)
33.7
28.738.7

21.6
24.5
21.1
23.6
21.4
27.1

22.5

(19.324.0)
(21.927.3)
(18.723.8)
(22.624.6)
(18.624.5)
(23.531.0)

(20.125.1)
23.3
18.428.5

28.3
30.3
24.9
27.9
28.1
32.7

27.3

(26.130.7)
(28.232.5)
(22.527.5)
(25.730.2)
(25.131.3)
(30.634.8)

(25.229.5)
28.6
24.132.7

58.1
61.5
57.5
57.0
57.4
63.5
59.6
56.3

(52.663.5)
(58.364.7)
(53.861.3)
(54.060.0)
(53.661.0)
(59.567.3)
(56.462.7)
(53.659.0)
59.3
53.863.5

32.2
33.0
25.4
28.8
30.8
30.9
29.8
27.8

(28.735.8)
(30.136.0)
(22.228.8)
(26.930.8)
(26.735.3)
(26.735.4)
(27.132.7)
(25.330.4)
31.0
25.435.9

44.9
47.0
41.1
42.6
43.8
46.8
44.4
41.8

MMWR/June 8, 2012/Vol. 61/No. 4

CI

Male

CI*

35.3
36.5
28.8
32.5
35.0
38.4

32.4

Female

See table footnotes on page 153.

152

Were trying to lose weight


CI

CI

(41.748.2)
(44.449.5)
(37.844.5)
(40.844.5)
(40.547.2)
(44.049.7)
(41.946.8)
(39.743.9)
44.9
39.649.3

Surveillance Summaries

TABLE 104. (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, 2011
Described themselves as overweight
Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI*

Were trying to lose weight


Total

CI

Female
CI

Male

CI

Total
CI

CI

31.3
29.9
31.4

(27.135.8)
(26.233.9)
(28.534.5)

24.8
22.3
20.5

(19.930.4)
(19.725.1)
(17.024.4)

28.0
26.0
25.9

(25.131.1)
(23.828.3)
(23.328.8)

57.7
53.6
56.2

(53.162.2)
(50.256.9)
(51.760.6)

32.8
27.6
28.6

(27.738.3)
(24.630.8)
(24.633.0)

45.2
40.4
42.4

(41.349.2)
(38.043.0)
(39.045.9)

27.7
36.3
24.0
30.1
28.6
32.4
33.8
33.7
33.2

(24.431.4)
(33.039.8)
(21.127.1)
(25.834.8)
(26.231.2)
(29.435.4)
(31.136.7)
(29.937.8)
(30.036.5)

23.4
30.9
13.5
16.7
20.0
23.4
28.3
16.7
20.5

(20.626.5)
(26.136.3)
(10.916.6)
(13.720.3)
(17.722.5)
(20.826.3)
(24.632.5)
(14.319.3)
(18.123.2)

25.7
33.8
19.0
23.6
24.4
27.9
31.1
25.4
26.9

(23.328.2)
(30.637.1)
(17.021.3)
(20.626.8)
(22.726.2)
(25.830.1)
(29.632.6)
(22.828.1)
(24.729.3)

53.1
60.2
41.6
49.6
51.6
57.5
61.3
54.5
56.8

(49.356.8)
(55.864.5)
(37.745.7)
(45.653.6)
(49.054.3)
(54.160.8)
(56.965.5)
(50.358.7)
(53.260.4)

37.8
37.0
24.9
28.5
28.1
38.8
40.4
27.5
34.2

(34.141.7)
(31.742.6)
(21.029.3)
(23.733.7)
(25.530.9)
(35.842.0)
(37.143.9)
(24.430.8)
(31.237.4)

45.9
48.9
33.7
39.6
40.0
48.1
50.4
41.2
45.5

(43.648.1)
(45.652.1)
(30.736.8)
(36.542.8)
(37.842.2)
(45.950.3)
(47.753.1)
(38.743.8)
(43.048.1)

31.7
29.0
28.2

(29.733.8)
(25.033.3)
(25.331.3)

24.2
18.1
20.5

(22.426.1)
(14.921.9)
(17.823.4)

28.1
23.5
24.4

(26.529.8)
(20.726.6)
(22.426.5)

52.3
53.6
52.4
54.0

(48.456.3)
(51.555.7)
(47.757.0)
(51.057.0)

34.6
35.9
24.6
25.6

(31.438.0)
(33.338.5)
(21.028.6)
(22.429.1)

43.5
45.0
38.4
39.7

(40.646.4)
(43.246.9)
(35.441.5)
(37.542.0)

31.2
32.5
29.2
34.4
26.8

(27.734.9)
(28.636.6)
(26.132.5)
(31.637.3)
(23.330.6)
31.2
24.036.3

20.8
24.2
26.8
25.9
17.7

(17.824.1)
(21.227.5)
(23.630.2)
(23.328.7)
(15.320.4)
21.5
13.530.9

26.0
28.4
27.9
30.2
22.0

(23.728.4)
(25.831.1)
(25.630.3)
(28.432.1)
(19.824.4)
26.0
19.033.8

54.0
64.6
59.7
54.2
47.7

(50.857.2)
(60.368.7)
(55.963.5)
(50.457.9)
(43.851.6)
54.0
41.664.6

29.7
39.9
37.2
33.1
26.9

(26.333.3)
(35.744.2)
(33.840.8)
(30.336.0)
(23.930.1)
32.8
24.640.4

42.2
52.1
48.3
43.5
37.1

(39.644.8)
(48.555.7)
(45.551.1)
(41.145.9)
(34.539.7)
43.5
33.752.1

* 95% confidence interval.


Not available.

TABLE 105. Percentage of high school students who did not eat for 24 or more hours* and who took diet pills, powders, or liquids,*, by sex,
race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Did not eat for 24 or more hours to lose weight or
to keep from gaining weight
Female
Category

Race/Ethnicity
White
17.5
Black
15.1
Hispanic
18.8
Grade
9
18.8
10
17.4
11
17.3
12
15.6
Total
17.4

CI

Male
%

Took diet pills, powders, or liquids to lose weight or


to keep from gaining weight

Total
CI

Female
CI

Male

CI

Total
CI

CI

(15.519.7)
(12.418.4)
(16.421.5)

6.7
8.0
7.8

(5.77.8)
(6.310.0)
(6.69.3)

11.9
11.6
13.2

(10.713.2)
(10.313.1)
(11.814.8)

5.8
4.1
7.8

(4.87.1)
(2.86.0)
(6.49.3)

3.7
4.3
5.0

(2.84.7)
(3.15.9)
(3.86.6)

4.7
4.2
6.4

(4.05.6)
(3.35.2)
(5.37.7)

(16.521.3)
(15.120.0)
(14.920.0)
(14.117.2)
(16.218.6)

6.3
6.8
8.6
7.1
7.2

(5.07.8)
(5.58.5)
(7.110.5)
(5.78.9)
(6.48.2)

12.4
11.9
12.9
11.3
12.2

(11.213.7)
(10.313.8)
(11.314.6)
(10.212.4)
(11.313.1)

5.5
4.5
6.8
6.8
5.9

(4.56.6)
(3.65.7)
(5.68.2)
(5.48.6)
(5.26.7)

3.6
4.2
5.1
4.0
4.2

(2.75.0)
(3.15.5)
(4.06.6)
(3.05.3)
(3.65.0)

4.6
4.3
5.9
5.4
5.1

(3.85.4)
(3.55.3)
(5.07.0)
(4.66.3)
(4.55.6)

* To lose weight or to keep from gaining weight during the 30 days before the survey.
Without a doctors advice.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

153

Surveillance Summaries

TABLE 106. Percentage of high school students who did not eat for 24 or more hours* and who took diet pills, powders, or liquids*, by sex
selected U.S. sites, Youth Risk Behavior Survey, 2011
Did not eat for 24 or more hours to lose weight
or to keep from gaining weight
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

17.5

20.6
16.7

11.6
12.9
13.4
19.9
16.3
13.8
17.8
17.0
17.9
13.8
17.7
22.0

20.9
13.0
14.9
15.6
15.6
14.8

(14.321.2)

(18.522.9)
(13.520.4)

(9.613.9)
(10.415.8)
(12.014.9)
(17.822.2)
(12.920.4)
(11.316.6)
(15.520.5)
(13.920.7)
(14.821.5)
(11.416.5)
(14.920.9)
(18.026.6)

(18.024.1)
(11.015.2)
(13.216.8)
(13.118.5)
(14.117.1)
(13.216.6)

9.4

8.2
10.7

6.2
6.9
5.8
9.5
9.7
5.1
7.5
9.3
10.1
8.0
11.6
13.2

9.4
6.2
8.9
9.8
9.5
7.7

(6.214.0)

(5.911.1)
(7.714.6)

(4.88.0)
(5.39.0)
(4.96.8)
(7.811.5)
(8.111.5)
(3.67.0)
(5.79.7)
(7.411.7)
(7.912.9)
(6.010.6)
(8.515.7)
(8.021.2)

(7.511.7)
(4.58.5)
(7.910.1)
(7.612.6)
(8.011.3)
(6.29.4)

13.4

14.4
13.6

8.9
10.0
9.6
14.8
13.1
9.3
12.6
13.1
13.9
10.9
14.6
17.7

15.2
9.6
11.9
12.9
12.5
11.2

(11.116.1)

(12.716.3)
(11.316.3)

(7.510.6)
(8.511.8)
(8.710.5)
(13.216.6)
(11.115.3)
(7.910.9)
(11.214.2)
(11.115.4)
(11.916.3)
(9.113.0)
(12.117.5)
(13.922.4)

(13.117.6)
(8.311.2)
(10.713.3)
(11.214.8)
(11.313.8)
(10.012.5)

6.8

8.5
7.3

5.5
5.9
8.1
6.2
5.4
6.3
7.4
6.5
5.6
7.1
10.4

6.3
4.6
5.1
6.2
5.5
4.5

(4.69.9)

(7.110.0)
(5.310.0)

(4.07.5)
(5.26.6)
(6.310.3)
(4.58.6)
(4.27.0)
(5.17.9)
(6.18.9)
(4.78.8)
(4.17.5)
(5.19.9)
(4.521.9)

(4.78.4)
(3.66.0)
(4.26.2)
(4.97.9)
(4.56.6)
(3.65.6)

4.8

7.2
7.3

3.4
4.6
5.7
6.7
4.1
4.1
5.3
4.1
4.6
7.9
8.7

6.0
3.4
5.0
4.2
4.6
4.8

(2.88.2)

(5.59.4)
(4.711.0)

(2.44.8)
(4.05.3)
(4.17.9)
(5.48.2)
(2.66.2)
(3.15.4)
(4.16.9)
(2.56.7)
(3.16.8)
(5.910.5)
(5.713.2)

(4.48.2)
(2.44.7)
(3.76.8)
(3.15.7)
(3.75.6)
(3.85.9)

5.8

7.8
7.3

4.7
5.3
6.9
6.5
4.7
5.2
6.3
5.3
5.1
7.6
9.6

6.3
4.0
5.1
5.2
5.0
4.7

(4.08.4)

(6.89.1)
(5.89.1)

(3.85.8)
(4.95.7)
(5.88.3)
(5.47.8)
(3.76.0)
(4.36.2)
(5.37.6)
(4.36.5)
(4.06.5)
(6.09.6)
(5.815.3)

(5.07.9)
(3.34.9)
(4.36.1)
(4.26.3)
(4.35.8)
(4.05.5)

5.8

(4.77.2)

6.4

(4.59.1)

6.1

(4.97.7)

13.6

(11.016.6)

7.3

(5.59.8)

10.3

(8.612.5)

6.3

(4.78.3)

3.8

(2.45.9)

5.0

(4.06.2)

18.1
20.5
16.6
18.2

(14.422.5)
(17.124.3)
(14.918.4)
(14.822.3)

8.3
8.7
7.3
11.6

(5.512.2)
(6.411.8)
(5.89.1)
(9.014.7)

13.1
14.8
12.0
15.0

(10.316.5)
(12.816.9)
(10.813.2)
(12.817.6)

7.5
8.2
5.5
7.1

(4.911.1)
(5.911.3)
(4.46.8)
(4.810.4)

5.2
3.2
5.5
6.3

(3.57.5)
(1.66.2)
(4.17.2)
(4.68.5)

6.3
5.7
5.6
6.8

(4.78.2)
(3.98.2)
(4.66.7)
(5.68.2)

12.7

(10.415.4)

4.1

(2.95.8)

8.4

(7.19.9)

6.0

(4.28.5)

4.7

(3.46.5)

5.4

(4.27.0)

(16.921.4)
(15.618.9)
(11.616.7)

(15.721.2)
(16.123.2)

(13.918.3)
16.7
11.622.0

7.7
8.4
7.4

8.2
8.0

10.2

3.7
6.2
3.8

3.7
4.9

6.9

(2.75.2)
(4.97.9)
(2.85.2)

(2.55.5)
(3.66.6)

(5.58.7)
4.8
3.28.7

5.2
7.2
4.7

5.4
6.8

8.1

19.0
17.2
13.9

18.3
19.4

16.0

(5.910.1)
(6.910.3)
(5.89.4)

(6.011.3)
(5.910.8)

(8.312.4)
8.3
4.113.2

See table footnotes on page 155.

154

Took diet pills, powders, or liquids to lose weight or


to keep from gaining weight

MMWR/June 8, 2012/Vol. 61/No. 4

13.3
12.8
10.8

13.2
13.6

13.1

(11.515.2)
(11.514.2)
(9.312.5)

(11.115.5)
(11.615.9)

(11.714.7)
13.1
8.417.7

6.6
8.1
5.4

7.1
8.8

9.0

(5.38.2)
(6.99.5)
(4.17.1)

(4.511.0)
(6.312.3)

(7.111.4)
6.3
4.510.4

(4.36.2)
(6.18.5)
(3.85.7)

(3.77.8)
(5.38.7)

(6.89.6)
5.6
4.09.6

Surveillance Summaries

TABLE 106. (Continued) Percentage of high school students who did not eat for 24 or more hours* and who took diet pills, powders, or liquids* ,
by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Did not eat for 24 or more hours to lose weight
or to keep from gaining weight
Female
Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Took diet pills, powders, or liquids to lose


weight or to keep from gaining weight

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

15.0
14.5
13.8

(11.918.8)
(12.217.2)
(11.316.9)

8.4
7.9
6.5

(5.412.7)
(6.39.8)
(4.69.1)

11.7
11.3
10.3

(9.514.4)
(9.912.7)
(8.612.3)

6.5
6.8
6.1

(4.49.4)
(5.19.0)
(4.78.0)

2.8
5.0
6.2

(1.55.0)
(3.76.7)
(4.39.0)

4.6
5.9
6.3

(3.46.3)
(4.87.2)
(4.98.2)

20.6
13.5
18.1
14.9
15.0
17.4
12.4
17.7
16.0

(17.923.5)
(10.716.9)
(15.920.6)
(12.218.1)
(13.217.0)
(14.620.6)
(8.917.0)
(14.821.0)
(13.818.4)

13.8
9.0
14.1
14.4
9.5
13.0
7.7
9.1
10.3

(11.416.5)
(6.512.2)
(11.417.3)
(11.318.2)
(7.811.6)
(10.715.7)
(5.810.2)
(7.111.5)
(8.612.4)

17.5
11.4
16.6
14.7
12.5
15.2
10.0
13.4
13.2

(15.719.4)
(9.613.5)
(14.818.6)
(12.517.3)
(11.114.0)
(13.317.3)
(7.713.0)
(11.615.5)
(11.814.8)

7.8
7.2
4.0
3.8
6.5
6.0
6.1
4.3
6.9

(5.810.4)
(5.210.0)
(2.95.5)
(2.26.4)
(5.37.9)
(4.67.9)
(4.18.9)
(2.96.2)
(5.68.5)

7.8
3.8
6.6
6.5
6.9
8.1
6.2
2.4
4.8

(6.010.3)
(2.55.8)
(4.98.9)
(4.39.8)
(5.58.7)
(6.510.1)
(4.97.9)
(1.44.0)
(3.76.3)

7.9
5.6
5.3
5.0
6.8
7.2
6.3
3.4
5.8

(6.39.8)
(4.37.2)
(4.36.6)
(3.57.2)
(5.77.9)
(6.08.5)
(5.08.0)
(2.64.5)
(4.97.0)

18.6
14.9

(15.422.2)
(12.617.4)

8.0
7.8

(5.711.1)
(6.010.1)

13.2
11.4

(11.315.5)
(9.913.1)

5.8
6.7

(4.37.9)
(5.18.9)

2.9
5.1

(1.74.8)
(3.86.6)

4.3
6.0

(3.25.7)
(4.97.3)

17.0
18.4
13.3

9.4

(13.720.9)
(15.421.8)
(10.616.7)

(7.611.7)
15.0
9.420.6

11.6
10.9
7.6

8.0

(8.715.3)
(8.413.9)
(5.710.2)

(6.110.5)
9.0
6.514.4

14.5
14.5
10.5

9.0

(12.217.1)
(12.716.7)
(8.812.5)

(7.510.8)
12.8
9.017.5

6.9
7.1
6.8
4.1
4.4

(5.39.0)
(5.59.2)
(5.28.7)
(2.85.9)
(3.26.2)

4.1
5.0
4.6
6.2
5.0

(2.76.2)
(3.67.1)
(2.97.3)
(4.78.2)
(3.57.0)
5.0
2.48.1

5.7
6.0
5.6
5.3
5.1

6.5
3.87.8

(4.57.1)
(4.97.4)
(4.47.2)
(4.16.7)
(4.16.3)
5.7
3.47.9

* To lose weight or to keep from gaining weight during the 30 days before the survey.
Without a doctors advice.
95% confidence interval.
Not available.

TABLE 107. Percentage of high school students who vomited or took laxatives to lose weight or to keep from gaining weight,* by sex, race/
ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

Total

CI

6.5
2.9
7.2

(5.57.6)
(2.23.9)
(5.98.7)

1.8
3.0
3.3

(1.42.4)
(2.04.5)
(2.44.4)

4.1
3.0
5.2

(3.64.7)
(2.33.8)
(4.36.2)

5.9
5.9
5.8
6.4
6.0

(4.77.3)
(4.97.2)
(4.77.2)
(4.98.3)
(5.36.8)

2.4
2.3
2.9
2.5
2.5

(1.73.4)
(1.63.3)
(2.04.1)
(1.93.2)
(2.13.1)

4.1
4.1
4.3
4.4
4.3

(3.54.8)
(3.35.0)
(3.55.3)
(3.65.4)
(3.84.7)

CI

CI

* During the 30 days before the survey.


95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

155

Surveillance Summaries

TABLE 108. Percentage of high school students who vomited or took laxatives to lose weight or to keep from gaining weight,* by sex selected
U.S. sites, Youth Risk Behavior Survey, 2011
Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

Male
CI

%
4.9

8.5
4.5

4.9
5.5
9.6
6.7
7.6
7.5
8.1
4.9
4.4
7.2
10.1

6.7
6.8
5.7
4.4
6.0
4.7

9.2
5.9
5.9
5.9
7.2
4.0
6.3
6.4
6.5
5.9
8.3
5.8

7.2
6.6

8.1

(3.37.0)

(7.110.3)
(3.16.5)

(3.76.4)
(4.86.2)
(7.512.3)
(5.38.4)
(5.99.6)
(6.19.2)
(5.811.3)
(3.56.8)
(3.26.2)
(5.49.6)
(6.415.5)

(5.18.6)
(5.68.3)
(4.77.1)
(3.35.9)
(4.87.4)
(3.75.9)

(8.310.3)
(4.97.1)
(4.67.5)
(4.57.7)
(4.411.7)
(2.56.6)
(5.37.4)
(4.58.9)
(4.79.0)
(4.67.7)
(7.29.4)
(4.37.8)

(4.211.9)
(4.89.0)

(6.310.2)
6.4
4.010.1

See table footnotes on page 157.

156

MMWR/June 8, 2012/Vol. 61/No. 4

Total
CI

3.3

3.7
5.5

2.5
2.5
4.8
4.3
1.5
3.2
5.3
2.6
3.7
5.1
6.7

4.6
2.7
3.4
3.3
3.5
3.2

5.5
3.9
5.0
2.3
5.1
1.7
4.5
5.3
3.6
2.2
4.2
2.8

3.9
2.7

5.6

(1.85.9)

(2.35.9)
(3.87.7)

(1.64.0)
(2.13.1)
(3.46.8)
(3.35.5)
(0.82.8)
(2.44.2)
(3.18.9)
(1.64.1)
(2.55.5)
(3.18.1)
(3.811.6)

(3.16.9)
(1.74.3)
(2.54.6)
(1.95.7)
(2.74.6)
(2.44.2)

(4.36.8)
(2.65.8)
(3.37.6)
(1.43.6)
(3.18.2)
(0.93.3)
(3.46.0)
(3.67.8)
(2.55.1)
(1.23.8)
(3.45.2)
(1.94.1)

(2.65.8)
(1.74.2)

(4.47.2)
3.7
1.56.7

CI

4.0

6.1
5.0

3.8
4.1
7.3
5.5
4.4
5.3
6.7
3.8
4.1
6.2
8.4

5.8
4.8
4.6
3.9
4.8
3.9

7.3
4.9
5.5
4.1
6.2
2.9
5.5
5.9
5.1
4.1
6.3
4.4

5.6
4.6

6.9

(2.95.7)

(5.07.4)
(4.06.3)

(2.94.8)
(3.74.5)
(6.08.9)
(4.66.6)
(3.65.4)
(4.46.5)
(4.59.7)
(3.14.5)
(3.25.4)
(4.78.1)
(6.211.3)

(4.77.2)
(4.15.6)
(4.05.3)
(3.05.2)
(4.15.5)
(3.34.6)

(6.68.2)
(4.25.8)
(4.27.1)
(3.25.1)
(4.09.5)
(2.04.1)
(4.76.4)
(4.57.9)
(3.96.5)
(3.25.2)
(5.67.1)
(3.45.6)

(3.78.2)
(3.75.7)

(5.88.3)
5.0
2.98.4

Surveillance Summaries

TABLE 108. (Continued) Percentage of high school students who vomited or took laxatives to lose weight or to keep from gaining weight,* by
sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Female
Site
Large urban school district surveys
Boston, MA
Broward County, FL
Charlotte-Mecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

Total

CI

CI

4.0
5.4
5.7
5.8
4.6
4.4
5.6
6.2
7.0
6.4
3.7
6.1

5.3
6.6
6.0
6.1
5.1
5.7
4.5
4.7

(2.46.6)
(4.07.2)
(4.08.0)
(4.18.1)
(3.36.4)
(3.35.9)
(4.07.9)
(5.07.6)
(5.58.9)
(4.49.3)
(2.55.5)
(4.97.5)

(4.46.4)
(4.98.8)
(4.97.3)
(4.68.1)
(3.57.4)
(4.18.1)
(3.36.2)
(3.36.6)

2.5
3.5
5.5
7.2
3.9
6.1
5.1
6.4
5.4
5.2
2.2
4.2

4.5
3.1
4.2
3.6
2.3
3.9
5.4
4.4

(1.34.7)
(2.35.2)
(3.68.3)
(5.39.9)
(2.56.0)
(4.28.7)
(3.28.2)
(4.98.4)
(4.17.0)
(3.37.9)
(1.24.1)
(2.96.0)

(3.85.5)
(1.95.0)
(3.05.9)
(2.16.0)
(1.33.9)
(2.85.4)
(4.17.2)
(3.06.3)

3.3
4.6
5.8
6.5
4.3
5.5
5.7
6.5
6.2
5.8
3.0
5.2

5.0
4.8
5.1
4.9
3.7
4.8
5.2
4.7

5.6
3.77.0

CI
(2.15.1)
(3.75.8)
(4.28.0)
(5.18.1)
(3.25.7)
(4.36.9)
(4.08.0)
(5.47.7)
(5.17.5)
(4.47.6)
(2.14.3)
(4.26.3)

(4.45.7)
(3.86.2)
(4.26.2)
(3.86.4)
(2.74.9)
(3.76.1)
(4.26.4)
(3.66.1)
5.0
3.06.5

4.3
2.27.2

* During the 30 days before the survey.


95% confidence interval.
Not available.

TABLE 109. Percentage of high school students who had asthma, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Current asthma

Ever had asthma*


Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

CI

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

22.8
23.5
19.8

(20.924.9)
(20.227.2)
(16.523.6)

22.8
29.9
20.8

(20.725.1)
(26.833.3)
(18.423.4)

22.8
26.8
20.3

(21.224.5)
(24.129.6)
(17.923.0)

14.5
13.2
9.8

(12.716.4)
(10.716.1)
(7.712.5)

10.5
13.9
8.4

(9.212.0)
(12.016.1)
(6.610.5)

12.4
13.5
9.1

(11.213.8)
(11.715.6)
(7.411.1)

21.9
24.4
22.0
22.8
22.8

(18.425.8)
(22.027.1)
(20.024.1)
(20.824.9)
(21.224.5)

25.1
22.2
22.7
22.3
23.2

(22.527.9)
(19.924.7)
(20.525.1)
(19.525.4)
(21.824.6)

23.5
23.3
22.3
22.6
23.0

(21.226.0)
(21.425.3)
(20.824.0)
(20.724.6)
(21.724.3)

13.2
13.7
13.9
13.4
13.5

(10.816.0)
(11.516.3)
(11.916.0)
(11.615.5)
(12.115.1)

11.2
11.2
9.3
9.6
10.4

(9.313.3)
(9.812.8)
(7.511.3)
(7.911.7)
(9.411.4)

12.2
12.4
11.5
11.5
11.9

(10.514.0)
(11.014.0)
(10.113.1)
(10.113.1)
(10.912.9)

* Ever told by a doctor or nurse that they had asthma.


Ever told by a doctor or nurse that they had asthma and still have asthma.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

157

Surveillance Summaries

TABLE 110. Percentage of high school students who had asthma, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current asthma

Ever had asthma*


Female
Site
State surveys
Alabama
Alaska
Arizona
Arkansas
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Mississippi
Montana
Nebraska
New
Hampshire
New Jersey
New Mexico
New York
North
Carolina
North
Dakota
Ohio
Oklahoma
Rhode Island
South
Carolina
South
Dakota
Tennessee
Texas
Utah
Vermont
Virginia
West Virginia
Wisconsin
Wyoming
Median
Range

CI

Male
%

Total
CI

CI

Male

CI

Total

CI

CI

27.3

24.4
19.8
20.3
19.1
25.8

(15.923.0)
(17.926.1)
(16.724.2)
(16.924.3)

(18.421.7)
(23.032.1)

(17.522.9)
(18.023.1)
(20.328.3)
(11.621.3)
(20.826.7)
(20.628.7)
(14.728.3)
(23.827.6)
(23.631.3)

(22.027.1)
(17.122.8)
(18.722.0)
(16.721.8)
(22.629.3)

21.0
22.4
23.0
26.3

23.4
26.0

19.2
20.9
23.4
16.3
21.6
28.9
27.3
26.3
29.7

24.7
20.0
20.3
19.2
26.4

(17.125.4)
(18.926.4)
(20.226.0)
(22.730.3)

(22.024.8)
(23.129.2)

(16.122.8)
(18.723.3)
(20.326.8)
(12.920.4)
(17.925.9)
(25.832.2)
(20.934.9)
(24.528.2)
(26.333.3)

(22.327.3)
(17.023.5)
(18.322.3)
(17.021.6)
(23.229.9)

20.2
22.1
21.7
23.4

21.7
26.8

19.7
20.7
23.7
16.0
22.6
26.7
23.9
26.0
28.7

24.6
20.0
20.3
19.2
26.1

(17.822.9)
(19.325.2)
(19.324.3)
(21.125.8)

(20.522.9)
(24.129.7)

(17.621.9)
(19.022.4)
(21.026.7)
(13.419.0)
(20.125.3)
(24.029.5)
(17.931.0)
(24.727.4)
(26.131.4)

(22.726.5)
(18.222.0)
(19.121.5)
(17.620.9)
(23.828.6)

11.7
10.7
9.9
10.1

10.8
15.4

10.2
14.0
9.1
12.9
12.0
6.6
14.3
15.2

14.2
13.4
12.0
11.5
15.8

(9.714.1)
(8.213.8)
(7.213.3)
(8.112.6)

(9.911.9)
(12.618.8)

(8.712.0)
(11.816.5)
(6.312.9)
(10.615.4)
(9.415.1)
(3.811.1)
(13.015.8)
(11.919.2)

(12.216.5)
(11.315.7)
(10.813.2)
(9.813.4)
(13.118.9)

8.7
9.9
9.9
7.6

9.7
9.8

9.4
8.7
7.6
9.4
9.9
8.6
11.2
11.9

11.1
8.9
9.0
7.6
13.2

(6.711.2)
(7.712.7)
(7.812.5)
(5.510.3)

(8.710.9)
(7.912.1)

(7.711.4)
(6.611.5)
(5.710.0)
(7.212.3)
(7.812.5)
(5.213.8)
(10.112.4)
(10.114.1)

(9.712.7)
(7.111.1)
(7.910.2)
(6.29.3)
(11.015.9)

10.2
10.3
9.8
8.9

10.2
12.6

9.8
11.3
8.3
11.1
10.9
7.5
12.8
13.6

12.6
11.2
10.4
9.6
14.4

(8.811.7)
(8.512.4)
(8.112.0)
(7.610.3)

(9.511.0)
(10.615.0)

(8.711.0)
(9.912.9)
(6.410.7)
(9.512.9)
(9.512.5)
(4.911.4)
(11.913.8)
(11.715.7)

(11.413.9)
(9.712.9)
(9.711.2)
(8.510.8)
(12.616.3)

25.0
21.2
22.9

(23.027.0)
(19.223.4)
(20.325.7)

24.9
21.5
22.7

(22.527.4)
(19.923.1)
(19.626.2)

24.9
21.3
22.8

(23.226.7)
(20.422.4)
(21.124.5)

13.1

13.4

(11.415.0)

(11.216.0)

10.6

9.9

(9.112.4)

(7.812.5)

11.8

11.6

(10.413.4)

(10.213.1)

21.2
23.5
21.1

(18.024.8)
(21.625.6)
(18.524.1)

22.8
27.0
25.9

(18.627.6)
(24.729.5)
(22.030.2)

22.1
25.3
23.5

(20.024.4)
(23.627.1)
(20.826.4)

14.1
14.2
11.8

(10.818.2)
(12.616.1)
(9.614.5)

8.8
13.6
10.7

(6.112.5)
(11.416.0)
(8.114.0)

11.4
13.9
11.2

(9.313.9)
(12.515.5)
(9.213.7)

19.2
21.7
20.2
20.4

20.0
27.3

20.0
20.4
24.1
15.8
23.6
24.4
20.7
25.6

20.8
20.3
21.5

24.1
23.2

25.5

(18.623.3)
(17.523.4)
(18.524.8)

(19.429.5)
(19.826.9)

(23.128.0)
21.3
15.827.3

20.6
22.4
20.1

19.9
22.3

24.9

(18.123.4)
(20.224.8)
(17.622.9)

(16.324.2)
(18.826.3)

(22.327.8)
22.7
16.329.7

See table footnotes on page 159.

158

Female

MMWR/June 8, 2012/Vol. 61/No. 4

20.7
21.4
20.7

22.0
22.7

25.3

(18.722.8)
(19.323.6)
(19.022.6)

(18.625.8)
(20.125.5)

(23.527.1)
22.3
16.028.7

10.9
10.3
11.1

14.2
13.3

13.7

(9.512.5)
(8.213.0)
(9.413.1)

(10.119.7)
(10.616.5)

(12.015.6)
12.4
6.615.8

9.1
9.1
10.2

8.1
9.7

11.1

(7.211.4)
(7.610.8)
(8.112.7)

(5.811.1)
(7.312.7)

(9.413.1)
9.7
7.613.6

10.0
9.7
10.6

11.1
11.5

12.4

(8.711.4)
(8.011.6)
(9.312.1)

(8.115.0)
(9.613.6)

(11.113.8)
11.1
7.514.4

Surveillance Summaries

TABLE 110. (Continued) Percentage of high school students who had asthma, by sex selected U.S. sites, Youth Risk Behavior Survey, 2011
Current asthma

Ever had asthma*


Female
%

Site
Large urban school
district surveys
Boston, MA
Broward County, FL
CharlotteMecklenburg, NC
Chicago, IL
Dallas, TX
Detroit, MI
District of Columbia
Duval County, FL
Houston, TX
Los Angeles, CA
Memphis, TN
Miami-Dade
County, FL
Milwaukee, WI
New York City, NY
Orange County, FL
Palm Beach
County, FL
Philadelphia, PA
San Bernardino, CA
San Diego, CA
San Francisco, CA
Seattle, WA
Median
Range

Male

CI

Total
CI

Female
CI

Male

CI

Total
CI

CI

28.2
18.6
23.6

(24.132.6)
(15.422.3)
(19.827.9)

28.7
20.2
25.3

(23.934.0)
(17.822.8)
(21.529.6)

28.3
19.3
24.4

(25.231.7)
(17.421.3)
(21.527.5)

17.2
8.1
11.9

(13.421.8)
(6.110.6)
(9.015.6)

13.4 (10.117.6)
8.5 (6.710.7)
10.8 (8.613.4)

15.4 (12.618.6)
8.3 (7.09.8)
11.3 (9.413.6)

21.1
17.8
22.6
26.1
20.8
16.8
14.3
19.8
19.5

(17.824.9)
(14.321.8)
(19.825.8)
(23.129.3)
(18.822.9)
(14.219.7)
(12.216.6)
(16.923.1)
(16.822.5)

22.2
20.5
23.3
33.1
27.5
21.9
18.0
22.2
21.7

(19.425.4)
(17.424.0)
(19.827.2)
(28.637.9)
(25.030.2)
(18.925.4)
(15.321.0)
(19.225.6)
(18.924.7)

21.6
19.0
22.9
29.5
24.1
19.3
16.4
20.9
20.6

(19.723.7)
(16.721.6)
(20.825.1)
(26.732.4)
(22.425.9)
(17.121.7)
(14.718.3)
(18.723.4)
(18.422.9)

11.3
7.4
13.0

9.7
6.7
6.8
14.1
8.5

(8.514.9)
(5.410.1)
(11.015.4)

(8.211.4)
(4.99.1)
(5.38.7)
(11.816.6)
(6.910.6)

7.3
7.0
9.5

10.5
6.1
6.0
12.0
8.1

(5.89.1)
(5.39.1)
(7.412.1)

(8.712.5)
(4.68.0)
(4.38.4)
(9.515.1)
(6.110.7)

9.4 (7.611.6)
7.2 (5.79.0)
11.5 (10.013.1)

10.1 (8.911.4)
6.4 (5.27.8)
6.5 (5.38.1)
13.0 (11.215.1)
8.3 (6.810.0)

25.5
20.9
20.5
18.4

(22.328.9)
(19.422.5)
(17.723.7)
(16.220.8)

29.1
25.3
20.9
20.5

(25.932.5)
(23.427.3)
(17.724.4)
(17.923.4)

27.3
23.0
20.7
19.4

(25.229.5)
(21.724.3)
(18.523.0)
(17.621.4)

9.1
9.5

(7.211.5)
(7.711.5)

8.1
8.2

(6.310.4)
(6.610.1)

(25.032.1)
(16.922.8)
(20.125.5)
(14.420.1)
(18.624.5)
20.8
14.328.4

29.3
19.0
20.9
22.7
21.6

(25.333.6)
(15.922.5)
(17.724.4)
(19.925.8)
(18.924.7)
22.2
18.033.1

29.1
19.4
21.8
20.3
21.5

(26.132.2)
(17.321.7)
(19.724.1)
(18.022.7)
(19.423.7)
21.5
16.429.5

16.5
11.2
8.9
6.5
10.3

28.4
19.7
22.7
17.1
21.4

(13.519.9)
(9.013.7)
(6.512.0)
(4.78.9)
(8.312.8)
9.6
6.517.2

16.1 (13.519.1)
8.5 (6.012.1)
7.9 (6.110.2)
7.9 (6.210.1)
9.0 (6.811.8)
8.3
6.016.1

8.7
8.8

(7.310.3)
(7.610.3)

16.3 (14.218.7)
9.9 (8.212.0)
8.4 (7.010.0)
7.4 (6.19.0)
9.6 (8.011.5)
9.1
6.416.3

* Ever told by a doctor or nurse that they had asthma.


Ever told by a doctor or nurse that they had asthma and still have asthma.
95% confidence interval.
Not available.

TABLE 111. Percentage of high school students who most of the time or always wore sunscreen with an SPF of 15 or higher* and who used an
indoor tanning device, by sex, race/ethnicity, and grade United States, Youth Risk Behavior Survey, 2011
Routine sunscreen use
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

CI

Indoor tanning device use

Male
%

Total
CI

Female
CI

CI

Male
%

Total
CI

CI

17.4
6.3
9.2

(15.719.2)
(4.58.7)
(7.411.4)

8.8
3.2
4.4

(7.110.8)
(2.15.0)
(3.35.8)

13.0
4.8
6.7

(11.414.6)
(3.66.2)
(5.58.1)

29.3
3.3
9.6

(25.133.9)
(2.05.3)
(7.112.8)

6.2
4.5
5.7

(4.48.8)
(2.87.1)
(4.27.7)

17.4 (14.520.6)
3.9 (2.65.7)
7.6 (6.19.6)

14.6
13.4
13.7
15.9
14.4

(12.516.9)
(10.916.4)
(12.115.4)
(13.618.6)
(13.115.9)

7.8
7.5
7.4
6.1
7.3

(6.19.9)
(5.410.4)
(6.19.0)
(4.38.6)
(6.28.6)

11.1
10.3
10.5
10.9
10.8

(9.612.8)
(8.412.7)
(9.311.8)
(9.113.0)
(9.712.0)

11.7
15.7
26.5
31.8
20.9

(9.115.1)
(11.720.7)
(21.432.2)
(26.737.4)
(17.624.7)

4.5
4.9
6.8
8.5
6.2

(3.46.0)
(3.47.0)
(4.410.2)
(6.011.9)
(4.87.8)

8.1 (6.59.9)
10.1 (7.713.0)
16.4 (12.920.6)
19.7 (16.723.1)
13.3 (11.215.7)

* When they were outside for more than 1 hour on a sunny day.
Such as a sunlamp, sunbed, or tanning booth one or more times during the 12 months before the survey. Does not include getting a spray-on tan.
95% confidence interval.
Non-Hispanic.

MMWR/June 8, 2012/Vol. 61/No. 4

159

Surveillance Summaries

TABLE 112. 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, 2011
Female
Category
Race/Ethnicity
White
Black
Hispanic
Grade
9
10
11
12
Total

Male

CI

30.2
28.0
27.7

(28.032.5)
(24.132.2)
(24.631.1)

35.0
27.9
33.7

(32.537.7)
(24.332.0)
(30.836.7)

32.7
27.9
30.8

(31.034.4)
(25.130.9)
(28.533.1)

36.8
30.8
24.5
22.8
29.1

(33.340.4)
(28.533.1)
(22.127.2)
(20.025.7)
(27.530.8)

43.1
35.9
28.7
24.8
33.6

(40.146.0)
(32.939.0)
(25.731.8)
(21.927.9)
(31.835.4)

40.0
33.4
26.7
23.8
31.4

(37.842.2)
(31.235.7)
(24.728.7)
(21.726.0)
(30.132.7)

* On an average school night.


95% confidence interval.
Non-Hispanic.

160

Total

CI

MMWR/June 8, 2012/Vol. 61/No. 4

CI

Surveillance Summaries

TABLE 113. National health objectives and leading health indicators from Healthy People 2020 (HP2020),* measured by the National Youth Risk
Behavior Survey (YRBS), 2011
% students in
grades 912
Topic area

Objective
number*

Objective

Cancer

C-20.3

Cancer

C-20.5

Injury and Violence


Prevention
Injury and Violence
Prevention
Injury and Violence
Prevention
Mental Health and
Mental Disorders
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

Physical Activity

PA-3.1

Increase the proportion of adolescents who meet


current Federal physical activity guidelines for
aerobic physical activity

Physical Activity

PA-3.2

Physical Activity

PA-3.3

Increase the proportion of adolescents who meet


current Federal physical activity guidelines for
muscle-strengthening activity
Increase the proportion of adolescents who
meet current Federal physical activity guidelines
for aerobic physical activity and for musclestrengthening activity

Physical Activity

PA-5

Physical Activity

PA-8.2.3

Physical Activity

PA-8.3.3

Sleep Health

SH-3

Substance Abuse

SA-1

Tobacco Use

TU-2.1

Tobacco Use

TU-2.2

Tobacco Use

TU-2.3

Tobacco Use

TU-2.4

Tobacco Use

TU-7

Behavior description

HP2020
target

2011
YRBS

Used an indoor tanning device, such as a


sunlamp, sunbed, or tanning booth

14.0

13.3

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
In a physical fight

11.2

10.8

IVP-34

Reduce the proportion of adolescents in grades 9


through 12 who report using artificial sources of
ultraviolet light for tanning
Increase the proportion of adolescents in grades
9 through 12 who follow protective measures
that may reduce the risk of skin cancer
Reduce physical fighting among adolescents

28.4

32.8

IVP-35

Reduce bullying among adolescents

Bullied on school property

17.9

20.1

IVP-36

Reduce weapon carrying by adolescents on


school property
Reduce suicide attempts by adolescents

Carried a weapon (e.g., a gun, knife, or club) on


school property
Made a suicide attempt that resulted in an injury,
poisoning, or overdoes that had to be treated by
a doctor or nurse
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**
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
Participated in muscle strengthening activities,
such as push-ups, sit-ups or weight lifting on 3 or
more days
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 and who
participated in muscle strengthening activities,
such as push-ups, sit-ups or weight lifting on 3 or
more days
Went to physical education classes 5 days in an
average week when they are in school
Watched television for no more than 2 hours per
day

4.6

5.4

1.7

2.4

12.9

16.3

20.2***

28.7

None
set

55.6

None
set

21.9

36.6

31.5

73.9

67.6

Played video or computer games or used a


computer for something that was not school
work for no more than 2 hours per day

82.6

68.9

Had 8 or more hours of sleep

33.2

31.4

Rode in a car or other vehicle driven by someone


who had been drinking alcohol

25.5

24.1

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

21.0

23.4

Reduce the proportion of adolescents who use


cigarettes (past 30 days)
Reduce the proportion of adolescents who use
smokeless tobacco products (past 30 days)
Reduce the proportion of adolescents who use
cigars (past 30 days)
Increase smoking cessation attempts by
adolescent smokers

Smoked cigarettes

16.0

18.1

Used chewing tobacco, snuff, or dip

6.9

7.7

Smoked cigars, cigarillos, or little cigars

8.0

13.1

64.0

58.6

MHMD-2

Increase the proportion of adolescents who


participate in daily school physical education
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
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
Increase the proportion of students in grades 9
through 12 who get sufficient sleep
Reduce the proportion of adolescents who report
that they rode, during the previous 30 days, with
a driver who had been drinking alcohol

Tried to quit smoking cigarettes, among students


who ever smoked cigarettes daily

See table footnotes on page 162.


MMWR/June 8, 2012/Vol. 61/No. 4

161

Surveillance Summaries

TABLE 113. (Continued) National health objectives and leading health indicators from Healthy People 2020 (HP2020),* measured by the National
Youth Risk Behavior Survey (YRBS), 2011
* Source: Adapted from US Department of Health and Human Services. Healthy People 2020. Available: http://www.healthypeople.gov/2020/default.aspx. Accessed
November 23, 2011.
One or more times during the 12 months before the survey.
During the 12 months before the survey.
On at least 1 day during the 30 days before the survey.
** During the 30 days before the survey.
On each of the 7 days before the survey.
During the 7 days before the survey.
On an average school day.
*** The target setting method for this objective was a 10% improvement from the baseline; the baseline data 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 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 national YRBS questionnaire, only the 60 minutes
of aerobic physical activity question was included.
On an average school night.
One or more times during the 30 days before the survey.
Leading Health Indicator.

162

MMWR/June 8, 2012/Vol. 61/No. 4

Surveillance Summaries

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U.S. Government Printing Office: 2012-523-218/73480 Region IV ISSN: 1546-0738

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