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 infections (STIs), including HIV infection; 5) unhealthy dietary behaviors; and 6) physical inactivity.
These behaviors frequently are interrelated and are established during childhood and adolescence and extend into adulthood.
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).
Data from five states and one large urban school district survey with unweighted data are not included.
Among those with weighted data for 2013, one state and two large urban school district surveys were conducted during fall 2012; the national survey, 38 states, and 18 large urban school district surveys were conducted during spring 2013; and three states and one large urban school district survey were conducted during fall 2013.
During the 30 days before the survey, 15.7% of high school students had smoked cigarettes and 8.8% had used smokeless tobacco.Results: Results from the 2013 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 10–24 years in the United States.During the 30 days before the survey, 41.4% of high school students nationwide among the 64.7% who drove a car or other vehicle during the 30 days before the survey had texted or e-mailed while driving, 34.9% had drunk alcohol, and 23.4% had used marijuana.During the 7 days before the survey, 5.0% of high school students had not eaten fruit or drunk 100% fruit juices and 6.6% had not eaten vegetables.More than one-third (41.3%) had played video or computer games or used a computer for something that was not school work for 3 or more hours per day on an average school day.