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Total Injury and Violence QN8: Percentage of students who rarely or never wore a seat belt (when riding in a car driven by someone else) 5.6 4.1 4.1 4.7 4.5 5.3 No linear change Decreased, 2007-2011 No change, 2011-2017 QN9: Percentage of students who rode with a driver who had been drinking alcohol (in a car or other vehicle, one or more times during the 30 days before the survey) No change 27.7 25.0 24.0 19.8 19.8 15.5 Decreased, 2007-2017 No quadratic change Decreased QN10: Percentage of students who drove a car or other vehicle when they had been drinking alcohol (one or more times during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey) 7.6 7.4 8.0 No linear change Not available No change Not enough years of data to calculate. 1

Total Injury and Violence QN11: Percentage of students who texted or e-mailed while driving a car or other vehicle (on at least 1 day during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey) 31.8 33.2 29.9 No linear change Not available No change QN13: Percentage of students who carried a weapon on school property (such as a gun, knife, or club, on at least 1 day during the 30 days before the survey) 5.0 4.4 4.5 2.6 3.3 4.1 Decreased, 2007-2017 No quadratic change No change QN15: Percentage of students who did not go to school because they felt unsafe at school or on their way to or from school (on at least 1 day during the 30 days before the survey) 6.2 4.8 6.1 5.7 4.5 5.8 No linear change No quadratic change No change QN16: Percentage of students who were threatened or injured with a weapon on school property (such as a gun, knife, or club, one or more times during the 12 months before the survey) 8.1 7.4 6.7 4.3 4.6 5.3 Decreased, 2007-2017 No quadratic change No change Not enough years of data to calculate. 2

Total Injury and Violence QN18: Percentage of students who were in a physical fight on school property (one or more times during the 12 months before the survey) 14.3 10.8 10.9 5.9 6.8 9.5 Decreased, 2007-2017 Decreased, 2007-2013 Increased, 2013-2017 QN19: Percentage of students who were ever physically forced to have sexual intercourse (when they did not want to) Increased 9.2 7.1 6.9 7.5 7.4 6.8 No linear change No quadratic change No change QN21: Percentage of students who experienced sexual dating violence (being forced by someone they were dating or going out with to do sexual things [counting such things as kissing, touching, or being physically forced to have sexual intercourse] that they did not want to, one or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey) 11.0 10.7 12.6 No linear change Not available No change Not enough years of data to calculate. 3

Total Injury and Violence QN22: Percentage of students who experienced physical dating violence (being physically hurt on purpose by someone they were dating or going out with [counting such things as being hit, slammed into something, or injured with an object or weapon] one or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey) 7.4 7.8 5.2 No linear change Not available Decreased QN23: Percentage of students who were bullied on school property (ever during the 12 months before the survey) 15.6 15.4 16.7 16.0 No linear change Not available No change QN24: Percentage of students who were electronically bullied (counting being bullied through texting, Instagram, Facebook, or other social media, ever during the 12 months before the survey) 12.4 14.4 14.0 12.6 No linear change Not available No change QN25: Percentage of students who felt sad or hopeless (almost every day for >=2 weeks in a row so that they stopped doing some usual activities, ever during the 12 months before the survey) 27.5 25.9 25.6 29.6 29.1 31.6 Increased, 2007-2017 No quadratic change No change Not enough years of data to calculate. 4

Total Injury and Violence QN26: Percentage of students who seriously considered attempting suicide (ever during the 12 months before the survey) 12.7 13.9 13.3 15.5 16.5 16.1 Increased, 2007-2017 No quadratic change No change QN28: Percentage of students who attempted suicide (one or more times during the 12 months before the survey) 7.7 6.0 9.1 8.4 8.9 7.1 No linear change No quadratic change No change QN29: Percentage of students who had a suicide attempt that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse (during the 12 months before the survey) 2.7 1.6 3.0 2.3 1.9 1.5 No linear change No quadratic change No change 5

Total Tobacco Use QN32: Percentage of students who currently smoked cigarettes (on at least 1 day during the 30 days before the survey) 11.0 11.7 14.2 8.9 7.1 4.2 Decreased, 2007-2017 No change, 2007-2011 Decreased, 2011-2017 QNFRCIG: Percentage of students who currently smoked cigarettes frequently (on 20 or more days during the 30 days before the survey) Decreased 2.6 2.8 3.7 1.1 1.3 0.8 Decreased, 2007-2017 No quadratic change No change QNDAYCIG: Percentage of students who currently smoked cigarettes daily (on all 30 days during the 30 days before the survey) 1.8 1.9 1.5 0.5 0.9 0.7 Decreased, 2007-2017 No quadratic change No change QN33: Percentage of students who smoked more than 10 cigarettes per day (on the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes) 7.0 4.7 2.8 3.5 7.2 7.0 No linear change No change, 2007-2011 Increased, 2011-2017 No change 6

Total Tobacco Use QN34: Percentage of students who ever used an electronic vapor product (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, ego, and Halo]) 44.9 38.1 Decreased, 2015-2017 Not available Decreased QN35: Percentage of students who currently used an electronic vapor product (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, ego, and Halo], on at least 1 day during the 30 days before the survey) 21.6 7.7 Decreased, 2015-2017 Not available Decreased Not enough years of data to calculate. 7

Total Alcohol and Other Drug Use QN40: Percentage of students who ever drank alcohol (at least one drink of alcohol, on at least 1 day during their life) 72.0 69.4 65.1 61.3 56.8 56.9 Decreased, 2007-2017 No quadratic change No change QN41: Percentage of students who had their first drink of alcohol before age 13 years (other than a few sips) 24.9 22.7 21.7 15.8 14.8 14.2 Decreased, 2007-2017 No quadratic change No change QN42: Percentage of students who currently drank alcohol (at least one drink of alcohol, on at least 1 day during the 30 days before the survey) 36.7 36.2 33.0 28.7 24.8 24.9 Decreased, 2007-2017 No quadratic change No change QN46: Percentage of students who ever used marijuana (one or more times during their life) 34.6 37.3 40.1 40.5 35.9 36.1 No linear change No change, 2007-2011 No change, 2011-2017 QN47: Percentage of students who tried marijuana for the first time before age 13 years No change 10.7 9.2 10.6 8.5 7.5 6.9 Decreased, 2007-2017 No quadratic change No change 8

Total Alcohol and Other Drug Use QN48: Percentage of students who currently used marijuana (one or more times during the 30 days before the survey) 16.6 18.9 24.0 21.9 18.0 20.2 No linear change Increased, 2007-2011 Decreased, 2011-2017 QN49: Percentage of students who ever used cocaine (any form of cocaine, including powder, crack, or freebase, one or more times during their life) No change 8.6 7.6 8.4 6.9 5.3 4.4 Decreased, 2007-2017 No quadratic change No change QN50: Percentage of students who ever used inhalants (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) 10.7 10.7 11.0 8.0 6.5 4.6 Decreased, 2007-2017 No change, 2007-2011 Decreased, 2011-2017 QN51: Percentage of students who ever used heroin (also called "smack," "junk," or "China White," one or more times during their life) Decreased 2.5 1.6 No linear change Not available No change Not enough years of data to calculate. 9

Total Alcohol and Other Drug Use QN52: Percentage of students who ever used methamphetamines (also called "speed," "crystal," "crank," or "ice," one or more times during their life) 6.4 3.8 4.9 2.9 3.6 2.0 Decreased, 2007-2017 No quadratic change Decreased QN53: Percentage of students who ever used ecstasy (also called "MDMA," one or more times during their life) 9.0 10.2 16.1 10.7 6.9 4.4 Decreased, 2007-2017 Increased, 2007-2011 Decreased, 2011-2017 Decreased QN54: Percentage of students who ever used synthetic marijuana (also called "K2," "Spice," "fake weed," "King Kong," "Yucatan Fire," "Skunk," or "Moon Rocks," one or more times during their life) 8.3 6.2 Decreased, 2015-2017 Not available Decreased QN55: Percentage of students who ever took steroids without a doctor's prescription (pills or shots, one or more times during their life) 3.8 2.7 2.9 2.0 2.7 3.0 No linear change Decreased, 2007-2013 No change, 2013-2017 No change Not enough years of data to calculate. 10

Total Alcohol and Other Drug Use QN57: Percentage of students who ever injected any illegal drug (used a needle to inject any illegal drug into their body, one or more times during their life) 3.0 1.8 2.9 2.1 2.1 1.4 Decreased, 2007-2017 No quadratic change No change QN58: Percentage of students who were offered, sold, or given an illegal drug on school property (during the 12 months before the survey) 30.1 28.7 32.0 30.1 27.6 27.3 No linear change No quadratic change No change 11

Total Sexual Behaviors QN59: Percentage of students who ever had sexual intercourse 38.8 39.2 42.5 36.6 32.0 31.0 Decreased, 2007-2017 No change, 2007-2011 Decreased, 2011-2017 QN60: Percentage of students who had sexual intercourse for the first time before age 13 years No change 7.2 4.8 6.1 4.4 3.5 2.7 Decreased, 2007-2017 No quadratic change No change QN61: Percentage of students who had sexual intercourse with four or more persons during their life 10.1 11.2 11.9 8.2 6.8 5.9 Decreased, 2007-2017 No quadratic change No change QN62: Percentage of students who were currently sexually active (had sexual intercourse with at least one person, during the 3 months before the survey) 28.0 27.7 27.8 24.3 22.3 20.3 Decreased, 2007-2017 No quadratic change No change 12

Total Sexual Behaviors QN63: Percentage of students who drank alcohol or used drugs before last sexual intercourse (among students who were currently sexually active) 20.9 21.4 21.9 18.4 19.8 20.0 No linear change No quadratic change No change QN64: Percentage of students who used a condom during last sexual intercourse (among students who were currently sexually active) 57.0 65.5 58.6 56.6 59.0 55.8 No linear change No quadratic change No change QN85: Percentage of students who were ever tested for human immunodeficiency virus (HIV) (not counting tests done if they donated blood) QN65: Percentage of students who used birth control pills before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 13.9 11.9 10.2 Decreased, 2013-2017 Not available No change 16.9 17.7 20.7 22.4 17.3 23.1 No linear change No quadratic change No change Not enough years of data to calculate. 13

Total Sexual Behaviors QNIUDIMP: Percentage of students who used an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 1.0 1.8 4.8 Increased, 2013-2017 Not available Increased QNSHPARG: Percentage of students who used a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active)) 2.7 4.5 2.8 No linear change Not available No change QNOTHHPL: Percentage of students who used birth control pills; an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon); or a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 26.1 23.7 30.7 No linear change Not available Increased Not enough years of data to calculate. 14

Total Sexual Behaviors QNDUALBC: Percentage of students who used both a condom during last sexual intercourse and birth control pills; an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon); or a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 7.2 5.5 10.7 No linear change Not available Increased QNBCNONE: Percentage of students who did not use any method to prevent pregnancy during last sexual intercourse (among students who were currently sexually active) 16.5 13.5 15.2 16.7 12.4 15.6 No linear change No quadratic change No change Not enough years of data to calculate. 15

Total Weight Management and Dietary Behaviors QNOWT: Percentage of students who were overweight (>= 85th percentile but <95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts) 15.0 13.8 16.0 16.4 16.6 14.9 No linear change No quadratic change No change QNOBESE: Percentage of students who had obesity (>= 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts) 12.2 11.3 11.4 11.4 11.5 12.9 No linear change No quadratic change No change QN68: Percentage of students who described themselves as slightly or very overweight 31.0 26.4 27.9 30.8 32.4 33.3 Increased, 2007-2017 No change, 2007-2011 Increased, 2011-2017 QN69: Percentage of students who were trying to lose weight No change 46.8 45.4 48.3 46.9 47.5 49.8 No linear change No quadratic change No change QN70: Percentage of students who did not drink fruit juice (100% fruit juices one or more times during the 7 days before the survey) 21.8 20.3 21.2 22.9 25.3 32.5 Increased, 2007-2017 No change, 2007-2011 Increased, 2011-2017 Increased Overweight and obese prevalence estimates for 1999 differ slightly from previously published results because different BMI cut points were used in 1999 than in subsequent years. To make these prevalence estimates comparable, the 1999 prevalence estimates were recalculated using the updated BMI cut points. In addition, beginning in 2017, new, slightly different ranges were used to calculate biologically implausible responses to height and weight questions. 16

Total Weight Management and Dietary Behaviors QN71: Percentage of students who did not eat fruit (one or more times during the 7 days before the survey) 13.7 9.0 9.8 10.0 8.0 8.3 Decreased, 2007-2017 No quadratic change No change QNFR0: Percentage of students who did not eat fruit or drink 100% fruit juices (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 5.8 4.6 5.1 4.8 3.8 4.6 No linear change No quadratic change No change QNFR1: Percentage of students who ate fruit or drank 100% fruit juices one or more times per day (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 61.7 66.2 63.3 63.5 65.6 60.6 No linear change No change, 2007-2013 No change, 2013-2017 Decreased QNFR2: Percentage of students who ate fruit or drank 100% fruit juices two or more times per day (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 33.7 34.7 34.1 33.9 33.4 30.4 No linear change No quadratic change No change 17

Total Weight Management and Dietary Behaviors QNFR3: Percentage of students who ate fruit or drank 100% fruit juices three or more times per day (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 21.9 22.7 21.6 21.2 20.6 17.0 Decreased, 2007-2017 No quadratic change Decreased QN72: Percentage of students who did not eat green salad (one or more times during the 7 days before the survey) 37.6 36.9 39.5 35.5 34.0 40.2 No linear change No quadratic change Increased QN73: Percentage of students who did not eat potatoes (one or more times during the 7 days before the survey) 42.5 39.2 38.5 43.2 41.2 43.3 No linear change No quadratic change No change QN74: Percentage of students who did not eat carrots (one or more times during the 7 days before the survey) 46.7 45.0 48.9 46.7 44.6 47.6 No linear change No quadratic change No change 18

Total Weight Management and Dietary Behaviors QN75: Percentage of students who did not eat other vegetables (one or more times during the 7 days before the survey) 21.1 18.3 18.6 17.7 17.4 17.4 Decreased, 2007-2017 No quadratic change No change QNVEG0: Percentage of students who did not eat vegetables (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 8.1 7.2 7.9 6.5 5.6 7.1 No linear change No quadratic change Increased QNVEG1: Percentage of students who ate vegetables one or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 56.4 61.2 58.1 59.1 61.1 58.2 No linear change No quadratic change No change QNVEG2: Percentage of students who ate vegetables two or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 23.7 28.5 25.6 26.9 27.2 25.9 No linear change No quadratic change No change 19

Total Weight Management and Dietary Behaviors QNVEG3: Percentage of students who ate vegetables three or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 12.6 13.6 13.0 14.1 13.3 12.8 No linear change No quadratic change No change QN76: Percentage of students who did not drink a can, bottle, or glass of soda or pop (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 25.5 23.3 22.2 32.1 35.0 36.1 Increased, 2007-2017 No change, 2007-2011 Increased, 2011-2017 No change QNSODA1: Percentage of students who drank a can, bottle, or glass of soda or pop one or more times per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 19.8 18.2 18.1 13.7 9.6 9.4 Decreased, 2007-2017 No quadratic change No change QNSODA2: Percentage of students who drank a can, bottle, or glass of soda or pop two or more times per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 12.5 11.2 11.9 8.6 6.0 4.8 Decreased, 2007-2017 No change, 2007-2011 Decreased, 2011-2017 No change 20

Total Weight Management and Dietary Behaviors QNSODA3: Percentage of students who drank a can, bottle, or glass of soda or pop three or more times per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 7.2 5.2 6.5 4.6 3.6 2.2 Decreased, 2007-2017 No quadratic change Decreased QN77: Percentage of students who did not drink milk (during the 7 days before the survey) 22.7 21.8 25.6 No linear change Not available Increased QNMILK1: Percentage of students who drank one or more glasses per day of milk (counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the 31.9 31.3 28.8 No linear change Not available No change QNMILK2: Percentage of students who drank two or more glasses per day of milk (counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the 16.5 18.1 16.0 No linear change Not available No change Not enough years of data to calculate. 21

Total Weight Management and Dietary Behaviors QNMILK3: Percentage of students who drank three or more glasses per day of milk (counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the survey) 6.8 8.1 6.5 No linear change Not available No change QN78: Percentage of students who did not eat breakfast (during the 7 days before the survey) QNBK7DAY: Percentage of students who ate breakfast on all 7 days (during the 7 days before the survey) 13.9 12.8 14.3 No linear change Not available No change 35.7 37.1 35.1 No linear change Not available No change Not enough years of data to calculate. 22

Total Physical Activity QN79: Percentage of students who were physically active at least 60 minutes per day on 5 or more days (in any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) 45.7 49.3 51.1 47.6 No linear change Not available No change QNPA0DAY: Percentage of students who did not participate in at least 60 minutes of physical activity on at least 1 day (in any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) 17.0 15.9 13.2 14.3 Decreased, 2011-2017 Not available No change QNPA7DAY: Percentage of students who were physically active at least 60 minutes per day on all 7 days (in any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) 24.8 26.9 27.0 23.0 No linear change Not available No change QN80: Percentage of students who watched television 3 or more hours per day (on an average school day) 37.9 30.7 33.0 27.9 19.7 19.2 Decreased, 2007-2017 No quadratic change No change Not enough years of data to calculate. 23

Total Physical Activity QN81: Percentage of students who played video or computer games or used a computer 3 or more hours per day (counting time spent on things such as Xbox, PlayStation, an ipad or other tablet, a smartphone, texting, YouTube, Instagram, Facebook, or other social media, for something that was not school work, on an average school day) 27.2 28.7 31.7 40.2 44.8 43.0 Increased, 2007-2017 No quadratic change No change QN82: Percentage of students who attended physical education (PE) classes on 1 or more days (in an average week when they were in school) 59.2 55.6 58.3 55.3 58.8 56.5 No linear change No quadratic change No change QNDLYPE: Percentage of students who attended physical education (PE) classes on all 5 days (in an average week when they were in school) 41.3 37.8 40.5 40.1 42.7 34.9 No linear change No quadratic change No change QN83: Percentage of students who played on at least one sports team (counting any teams run by their school or community groups, during the 12 months before the survey) 54.5 56.8 50.5 52.9 55.6 54.7 No linear change No quadratic change No change 24

Total Other QN86: Percentage of students who saw a dentist (for a check-up, exam, teeth cleaning, or other dental work, during the 12 months before the survey) QNNODNT: Percentage of students who never saw a dentist (for a check-up, exam, teeth cleaning, or other dental work) QN87: Percentage of students who had ever been told by a doctor or nurse that they had asthma 70.5 74.2 Increased, 2015-2017 Not available Increased 2.3 1.6 Decreased, 2015-2017 Not available No change 21.6 20.9 21.8 18.3 19.2 21.3 No linear change No quadratic change No change QN88: Percentage of students who got 8 or more hours of sleep (on an average school night) 28.1 27.2 No linear change Not available No change Not enough years of data to calculate. 25

Total Other QN89: Percentage of students who described their grades in school as mostly A's or B's (during the 12 months before the survey) 74.7 74.1 No linear change Not available No change Not enough years of data to calculate. 26

Total Site-Added QN91: Percentage of students who think other people at school would describe them as equally feminine and masculine QN94: Percentage of students who have been harassed because someone thought they were gay, lesbian, or bisexual (one or more times during the 12 months before the survey) 10.4 11.6 12.8 No linear change Not available No change 11.3 10.8 9.5 11.6 14.5 Increased, 2009-2017 Not available Increased QN95: Percentage of students who had texted, e-mailed, or posted electronically a revealing or sexual photo of themselves (during the 30 days before the survey) 13.9 15.3 No linear change Not available No change QN96: Percentage of students who reported a revealing or sexual photo of them had been texted, e-mailed, or posted electronically without their permission (during the 30 days before the survey) 2.7 3.1 No linear change Not available No change Not enough years of data to calculate. 27

Total Site-Added QN97: Percentage of students who did something to purposely hurt themselves without wanting to die (such as cutting or burning themselves on purpose one or more times during the 12 months before the survey) 16.2 16.7 17.6 18.7 16.8 No linear change Not available No change QN98: Percentage of students who responded that a drug sniffing dog on their campus would make them feel quite a bit or somewhat safer 40.9 40.8 No linear change Not available No change QN99: Percentage of students who reported their partners were three or more years older than themselves the first time they had sexual intercourse (among students who have had sexual intercourse) 17.0 16.9 14.2 14.7 No linear change Not available No change QN100: Percentage of students who have been pregnant or gotten someone pregnant (one or more times) 5.2 4.1 5.7 2.8 2.7 2.2 Decreased, 2007-2017 No quadratic change No change Not enough years of data to calculate. 28

Total Site-Added QN101: Percentage of students who have ever participated in oral sex 37.2 36.6 38.2 37.3 35.7 33.8 Decreased, 2007-2017 No quadratic change No change QN106: Percentage of students who disagree or strongly disagree that their school has clear consequences for students who bully or harass other students 20.0 20.1 No linear change Not available No change Not enough years of data to calculate. 29

Male Injury and Violence QN8: Percentage of students who rarely or never wore a seat belt (when riding in a car driven by someone else) 6.7 4.1 4.9 5.9 6.3 5.8 No linear change No quadratic change No change QN9: Percentage of students who rode with a driver who had been drinking alcohol (in a car or other vehicle, one or more times during the 30 days before the survey) 27.6 25.1 23.8 19.2 18.8 14.8 Decreased, 2007-2017 No quadratic change Decreased QN10: Percentage of students who drove a car or other vehicle when they had been drinking alcohol (one or more times during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey) 10.0 10.3 8.8 No linear change Not available No change QN11: Percentage of students who texted or e-mailed while driving a car or other vehicle (on at least 1 day during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey) 32.4 33.8 26.4 No linear change Not available No change Not enough years of data to calculate. 30

Male Injury and Violence QN13: Percentage of students who carried a weapon on school property (such as a gun, knife, or club, on at least 1 day during the 30 days before the survey) 7.2 5.5 6.5 4.2 4.8 6.2 No linear change No quadratic change No change QN15: Percentage of students who did not go to school because they felt unsafe at school or on their way to or from school (on at least 1 day during the 30 days before the survey) 6.5 4.5 5.4 4.4 4.1 4.9 No linear change No quadratic change No change QN16: Percentage of students who were threatened or injured with a weapon on school property (such as a gun, knife, or club, one or more times during the 12 months before the survey) 11.0 9.1 8.5 6.2 6.1 7.0 Decreased, 2007-2017 No quadratic change No change QN18: Percentage of students who were in a physical fight on school property (one or more times during the 12 months before the survey) 20.9 13.7 13.3 8.8 10.6 12.4 Decreased, 2007-2017 Decreased, 2007-2013 Increased, 2013-2017 No change 31

Male Injury and Violence QN19: Percentage of students who were ever physically forced to have sexual intercourse (when they did not want to) 8.8 4.7 5.9 6.0 5.9 4.9 Decreased, 2007-2017 No quadratic change No change QN21: Percentage of students who experienced sexual dating violence (being forced by someone they were dating or going out with to do sexual things [counting such things as kissing, touching, or being physically forced to have sexual intercourse] that they did not want to, one or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey) 6.4 5.9 7.4 No linear change Not available No change QN22: Percentage of students who experienced physical dating violence (being physically hurt on purpose by someone they were dating or going out with [counting such things as being hit, slammed into something, or injured with an object or weapon] one or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey) 6.5 6.4 4.9 No linear change Not available No change Not enough years of data to calculate. 32

Male Injury and Violence QN23: Percentage of students who were bullied on school property (ever during the 12 months before the survey) 13.8 13.3 14.3 13.1 No linear change Not available No change QN24: Percentage of students who were electronically bullied (counting being bullied through texting, Instagram, Facebook, or other social media, ever during the 12 months before the survey) 8.6 10.3 10.7 9.2 No linear change Not available No change QN25: Percentage of students who felt sad or hopeless (almost every day for >=2 weeks in a row so that they stopped doing some usual activities, ever during the 12 months before the survey) 21.1 18.3 18.5 19.3 19.9 21.2 No linear change No quadratic change No change QN26: Percentage of students who seriously considered attempting suicide (ever during the 12 months before the survey) 9.0 9.9 10.4 11.2 12.1 11.3 Increased, 2007-2017 No quadratic change No change Not enough years of data to calculate. 33

Male Injury and Violence QN28: Percentage of students who attempted suicide (one or more times during the 12 months before the survey) 5.9 4.1 6.9 6.5 6.9 4.7 No linear change No quadratic change No change QN29: Percentage of students who had a suicide attempt that resulted in an injury, poisoning, or overdose that had to be treated by a doctor or nurse (during the 12 months before the survey) 2.9 1.3 2.7 2.0 1.7 0.9 No linear change No quadratic change No change 34

Male Tobacco Use QN32: Percentage of students who currently smoked cigarettes (on at least 1 day during the 30 days before the survey) 12.9 14.0 15.9 9.1 8.3 4.4 Decreased, 2007-2017 No change, 2007-2011 Decreased, 2011-2017 QNFRCIG: Percentage of students who currently smoked cigarettes frequently (on 20 or more days during the 30 days before the survey) Decreased 3.4 3.6 4.4 1.8 2.2 1.2 Decreased, 2007-2017 No quadratic change No change QNDAYCIG: Percentage of students who currently smoked cigarettes daily (on all 30 days during the 30 days before the survey) 2.3 2.7 1.9 0.7 1.5 1.0 Decreased, 2007-2017 No quadratic change No change QN34: Percentage of students who ever used an electronic vapor product (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, ego, and Halo]) 47.8 37.3 Decreased, 2015-2017 Not available Decreased Not enough years of data to calculate. 35

Male Tobacco Use QN35: Percentage of students who currently used an electronic vapor product (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, ego, and Halo], on at least 1 day during the 30 days before the survey) 25.4 8.5 Decreased, 2015-2017 Not available Decreased Not enough years of data to calculate. 36

Male Alcohol and Other Drug Use QN40: Percentage of students who ever drank alcohol (at least one drink of alcohol, on at least 1 day during their life) 68.9 68.5 62.2 59.2 52.8 53.2 Decreased, 2007-2017 No quadratic change No change QN41: Percentage of students who had their first drink of alcohol before age 13 years (other than a few sips) 27.3 25.2 22.8 17.2 16.9 15.4 Decreased, 2007-2017 No quadratic change No change QN42: Percentage of students who currently drank alcohol (at least one drink of alcohol, on at least 1 day during the 30 days before the survey) 35.2 35.9 33.6 27.6 23.6 20.8 Decreased, 2007-2017 No quadratic change No change QN46: Percentage of students who ever used marijuana (one or more times during their life) 36.8 42.0 41.2 40.3 37.7 35.1 No linear change No quadratic change No change QN47: Percentage of students who tried marijuana for the first time before age 13 years 13.0 12.1 12.5 10.6 11.1 8.4 Decreased, 2007-2017 No quadratic change No change 37

Male Alcohol and Other Drug Use QN48: Percentage of students who currently used marijuana (one or more times during the 30 days before the survey) 18.7 22.2 26.4 22.3 20.6 18.2 No linear change Increased, 2007-2011 Decreased, 2011-2017 QN49: Percentage of students who ever used cocaine (any form of cocaine, including powder, crack, or freebase, one or more times during their life) 9.0 9.0 9.8 9.1 7.8 4.6 Decreased, 2007-2017 No change, 2007-2013 Decreased, 2013-2017 No change Decreased QN50: Percentage of students who ever used inhalants (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) 11.7 9.3 9.8 8.4 7.1 5.3 Decreased, 2007-2017 No quadratic change No change QN51: Percentage of students who ever used heroin (also called "smack," "junk," or "China White," one or more times during their life) 4.1 2.4 No linear change Not available No change Not enough years of data to calculate. 38

Male Alcohol and Other Drug Use QN52: Percentage of students who ever used methamphetamines (also called "speed," "crystal," "crank," or "ice," one or more times during their life) 6.7 4.4 6.4 4.5 5.2 2.5 Decreased, 2007-2017 No quadratic change Decreased QN53: Percentage of students who ever used ecstasy (also called "MDMA," one or more times during their life) 11.2 10.8 15.4 10.6 8.2 5.4 Decreased, 2007-2017 Increased, 2007-2011 Decreased, 2011-2017 Decreased QN54: Percentage of students who ever used synthetic marijuana (also called "K2," "Spice," "fake weed," "King Kong," "Yucatan Fire," "Skunk," or "Moon Rocks," one or more times during their life) 9.8 6.0 Decreased, 2015-2017 Not available Decreased QN55: Percentage of students who ever took steroids without a doctor's prescription (pills or shots, one or more times during their life) 5.0 2.8 3.3 2.7 3.6 3.1 No linear change No quadratic change No change Not enough years of data to calculate. 39

Male Alcohol and Other Drug Use QN57: Percentage of students who ever injected any illegal drug (used a needle to inject any illegal drug into their body, one or more times during their life) 3.9 2.1 4.1 3.0 3.4 2.0 No linear change No quadratic change No change QN58: Percentage of students who were offered, sold, or given an illegal drug on school property (during the 12 months before the survey) 33.3 28.3 37.0 30.5 29.7 28.2 No linear change No quadratic change No change 40

Male Sexual Behaviors QN59: Percentage of students who ever had sexual intercourse 42.1 44.2 46.0 38.1 36.0 33.4 Decreased, 2007-2017 No quadratic change No change QN60: Percentage of students who had sexual intercourse for the first time before age 13 years 10.0 6.8 9.3 6.7 5.6 3.9 Decreased, 2007-2017 No quadratic change No change QN61: Percentage of students who had sexual intercourse with four or more persons during their life 14.5 14.9 14.9 11.2 10.5 8.2 Decreased, 2007-2017 No quadratic change No change QN62: Percentage of students who were currently sexually active (had sexual intercourse with at least one person, during the 3 months before the survey) 28.3 30.3 29.4 24.3 24.4 19.9 Decreased, 2007-2017 No quadratic change No change 41

Male Sexual Behaviors QN63: Percentage of students who drank alcohol or used drugs before last sexual intercourse (among students who were currently sexually active) 27.5 23.7 27.4 24.4 23.1 20.5 No linear change No quadratic change No change QN64: Percentage of students who used a condom during last sexual intercourse (among students who were currently sexually active) 63.4 68.6 65.9 57.7 58.9 61.9 No linear change No quadratic change No change QN85: Percentage of students who were ever tested for human immunodeficiency virus (HIV) (not counting tests done if they donated blood) QN65: Percentage of students who used birth control pills before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 14.9 11.9 9.8 Decreased, 2013-2017 Not available No change 15.3 16.0 17.1 19.8 16.1 19.9 No linear change No quadratic change No change Not enough years of data to calculate. 42

Male Sexual Behaviors QNIUDIMP: Percentage of students who used an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 0.0 1.4 0.8 Not available Not available No change QNSHPARG: Percentage of students who used a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active)) 1.8 3.2 1.8 No linear change Not available No change QNOTHHPL: Percentage of students who used birth control pills; an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon); or a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 21.7 20.6 22.5 No linear change Not available No change Not enough years of data to calculate. 43

Male Sexual Behaviors QNDUALBC: Percentage of students who used both a condom during last sexual intercourse and birth control pills; an IUD (such as Mirena or ParaGard) or implant (such as Implanon or Nexplanon); or a shot (such as Depo-Provera), patch (such as OrthoEvra), or birth control ring (such as NuvaRing) before last sexual intercourse (to prevent pregnancy, among students who were currently sexually active) 3.3 2.9 9.8 Increased, 2013-2017 Not available Increased QNBCNONE: Percentage of students who did not use any method to prevent pregnancy during last sexual intercourse (among students who were currently sexually active) 13.3 13.4 12.9 14.5 13.1 16.9 No linear change No quadratic change No change Not enough years of data to calculate. 44

Male Weight Management and Dietary Behaviors QNOWT: Percentage of students who were overweight (>= 85th percentile but <95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts) 14.1 13.6 18.5 15.5 15.3 15.6 No linear change No quadratic change No change QNOBESE: Percentage of students who had obesity (>= 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts) 17.5 14.8 15.5 15.9 15.3 17.0 No linear change No quadratic change No change QN68: Percentage of students who described themselves as slightly or very overweight 26.6 22.6 26.8 24.3 27.2 27.5 No linear change No quadratic change No change QN69: Percentage of students who were trying to lose weight 34.3 32.2 37.2 30.0 34.9 37.1 No linear change No quadratic change No change QN70: Percentage of students who did not drink fruit juice (100% fruit juices one or more times during the 7 days before the survey) 20.0 18.1 21.2 22.4 21.2 29.4 Increased, 2007-2017 No change, 2007-2013 Increased, 2013-2017 Increased Overweight and obese prevalence estimates for 1999 differ slightly from previously published results because different BMI cut points were used in 1999 than in subsequent years. To make these prevalence estimates comparable, the 1999 prevalence estimates were recalculated using the updated BMI cut points. In addition, beginning in 2017, new, slightly different ranges were used to calculate biologically implausible responses to height and weight questions. 45

Male Weight Management and Dietary Behaviors QN71: Percentage of students who did not eat fruit (one or more times during the 7 days before the survey) 16.3 10.2 11.2 10.8 9.3 10.0 Decreased, 2007-2017 No quadratic change No change QNFR0: Percentage of students who did not eat fruit or drink 100% fruit juices (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 7.4 5.4 6.0 5.6 4.1 5.8 No linear change No quadratic change No change QNFR1: Percentage of students who ate fruit or drank 100% fruit juices one or more times per day (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 61.8 66.2 65.0 63.5 68.0 62.0 No linear change No quadratic change Decreased QNFR2: Percentage of students who ate fruit or drank 100% fruit juices two or more times per day (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 32.6 34.4 36.5 34.7 35.5 31.0 No linear change No quadratic change No change 46

Male Weight Management and Dietary Behaviors QNFR3: Percentage of students who ate fruit or drank 100% fruit juices three or more times per day (such as orange juice, apple juice, or grape juice, during the 7 days before the survey) 23.2 23.8 23.3 22.2 22.4 18.2 Decreased, 2007-2017 No quadratic change Decreased QN72: Percentage of students who did not eat green salad (one or more times during the 7 days before the survey) 43.0 41.2 42.8 40.4 37.3 44.5 No linear change No quadratic change Increased QN73: Percentage of students who did not eat potatoes (one or more times during the 7 days before the survey) 39.9 36.3 38.7 39.8 37.7 41.6 No linear change No quadratic change No change QN74: Percentage of students who did not eat carrots (one or more times during the 7 days before the survey) 47.9 45.8 50.0 50.0 44.8 46.7 No linear change No quadratic change No change 47

Male Weight Management and Dietary Behaviors QN75: Percentage of students who did not eat other vegetables (one or more times during the 7 days before the survey) 23.2 21.2 20.2 20.9 18.5 19.1 Decreased, 2007-2017 No quadratic change No change QNVEG0: Percentage of students who did not eat vegetables (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 9.6 8.3 10.2 8.2 7.1 8.4 No linear change No quadratic change No change QNVEG1: Percentage of students who ate vegetables one or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 56.5 59.9 58.7 58.4 60.4 59.3 No linear change No quadratic change No change QNVEG2: Percentage of students who ate vegetables two or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 23.8 28.5 24.9 27.4 28.1 28.2 No linear change No quadratic change No change 48

Male Weight Management and Dietary Behaviors QNVEG3: Percentage of students who ate vegetables three or more times per day (green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey) 12.2 14.2 12.6 15.2 14.0 14.6 No linear change No quadratic change No change QN76: Percentage of students who did not drink a can, bottle, or glass of soda or pop (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 20.4 17.2 19.8 29.0 28.8 33.6 Increased, 2007-2017 No quadratic change Increased QNSODA1: Percentage of students who drank a can, bottle, or glass of soda or pop one or more times per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 25.1 22.3 22.0 18.7 13.0 11.0 Decreased, 2007-2017 No quadratic change No change QNSODA2: Percentage of students who drank a can, bottle, or glass of soda or pop two or more times per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 16.1 13.5 14.7 12.7 8.4 5.8 Decreased, 2007-2017 No quadratic change Decreased 49

Male Weight Management and Dietary Behaviors QNSODA3: Percentage of students who drank a can, bottle, or glass of soda or pop three or more times per day (such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey) 9.3 5.7 7.9 6.5 5.4 2.7 Decreased, 2007-2017 No quadratic change Decreased QN77: Percentage of students who did not drink milk (during the 7 days before the survey) 17.4 16.6 18.3 No linear change Not available No change QNMILK1: Percentage of students who drank one or more glasses per day of milk (counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the 40.9 39.8 38.1 No linear change Not available No change QNMILK2: Percentage of students who drank two or more glasses per day of milk (counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the 22.9 26.6 22.3 No linear change Not available Decreased Not enough years of data to calculate. 50

Male Weight Management and Dietary Behaviors QNMILK3: Percentage of students who drank three or more glasses per day of milk (counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the survey) 9.8 12.0 10.4 No linear change Not available No change QN78: Percentage of students who did not eat breakfast (during the 7 days before the survey) QNBK7DAY: Percentage of students who ate breakfast on all 7 days (during the 7 days before the survey) 14.9 14.1 15.3 No linear change Not available No change 37.1 39.2 37.2 No linear change Not available No change Not enough years of data to calculate. 51

Male Physical Activity QN79: Percentage of students who were physically active at least 60 minutes per day on 5 or more days (in any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) 54.3 55.7 59.0 54.4 No linear change Not available No change QNPA0DAY: Percentage of students who did not participate in at least 60 minutes of physical activity on at least 1 day (in any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) 13.0 12.7 10.9 12.4 No linear change Not available No change QNPA7DAY: Percentage of students who were physically active at least 60 minutes per day on all 7 days (in any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) 32.5 33.2 35.5 31.2 No linear change Not available No change QN80: Percentage of students who watched television 3 or more hours per day (on an average school day) 39.1 33.3 34.8 28.0 19.9 18.2 Decreased, 2007-2017 No quadratic change No change Not enough years of data to calculate. 52

Male Physical Activity QN81: Percentage of students who played video or computer games or used a computer 3 or more hours per day (counting time spent on things such as Xbox, PlayStation, an ipad or other tablet, a smartphone, texting, YouTube, Instagram, Facebook, or other social media, for something that was not school work, on an average school day) 32.5 32.2 34.5 38.6 43.3 42.6 Increased, 2007-2017 No quadratic change No change QN82: Percentage of students who attended physical education (PE) classes on 1 or more days (in an average week when they were in school) 61.1 60.2 60.2 58.2 60.4 58.9 No linear change No quadratic change No change QNDLYPE: Percentage of students who attended physical education (PE) classes on all 5 days (in an average week when they were in school) 42.9 41.6 42.0 43.5 45.2 37.0 No linear change No quadratic change No change QN83: Percentage of students who played on at least one sports team (counting any teams run by their school or community groups, during the 12 months before the survey) 58.6 61.1 56.6 57.2 62.1 58.1 No linear change No quadratic change No change 53

Male Other QN86: Percentage of students who saw a dentist (for a check-up, exam, teeth cleaning, or other dental work, during the 12 months before the survey) QNNODNT: Percentage of students who never saw a dentist (for a check-up, exam, teeth cleaning, or other dental work) QN87: Percentage of students who had ever been told by a doctor or nurse that they had asthma 68.6 72.3 Increased, 2015-2017 Not available No change 3.4 2.2 Decreased, 2015-2017 Not available No change 22.1 21.1 20.9 20.3 20.5 20.8 No linear change No quadratic change No change QN88: Percentage of students who got 8 or more hours of sleep (on an average school night) 32.3 31.2 No linear change Not available No change Not enough years of data to calculate. 54