Table 1: Middlesex League s High School Responses with Comparisons to Commonwealth and Nation Middlesex League MA U.S.

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Table 1: Middlesex League s High School Responses with Comparisons to Commonwealth and Nation Middlesex League MA U.S. n % % % UNINTENTIONAL INJURY AND VIOLENCE 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) 808 14.0 18.2 20.0 Drove when they had been drinking alcohol (in a car or other vehicle one or more times during the 30 days before the survey, among 186 6.3 9.4 7.8 students who had driven a car or other vehicle during the 30 days before the survey) Drove when they had been using marijuana (in a car or other vehicle one or more times during the 30 days before the survey, among 458 15.7 - - students who had driven a car or other vehicle during the 30 days before the survey) Talked on a cell phone 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 1115 38.8 - - car or other vehicle during the 30 days before the survey) 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 946 32.8 39.3 41.5 car or other vehicle during the 30 days before the survey) Carried a weapon (such as, a gun, knife, or club, on at least 1 day during the 30 days before the survey) 446 7.8 12.6 16.2 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) 127 2.2 3.2 4.1 Carried a gun (1 or more times during the 12 months before the survey) 115 2.0 - - Were threatened or injured with a weapon on school property (such as, a gun, knife, or club, 1 or more times during the 12 months before the survey) 224 3.9 4.1 6.0 Were in a physical fight (one or more times during the 12 months before the survey) 869 15.1 19.2 22.6 Were in a physical fight on school property (one or more times during the 12 months before the survey) 262 4.6 5.6 7.8 Were a member of a gang (during the 12 months before the survey) 301 5.2 - - 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) 254 4.4 4.8 5.6 Were electronically bullied (counting being bullied through e-mail, chat rooms, instant messaging, Web sites, or texting 699 12.1 13.0 15.5 during the 12 months before the survey) Were bullied on school property 717 12.4 15.6 20.2

(during the 12 months before the survey) Were ever physically forced to have sexual intercourse (when they did not want to) Experienced physical dating violence (counting being hit, slammed into something, or injured with an object or weapon on purpose by someone they were dating or going out with 1 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) Experienced sexual violence (counting kissing, touching, or being physically forced to have sexual intercourse when they did not want to 1 or more times during the 12 months before the survey) Experienced sexual dating violence (counting kissing, touching, or being physically forced to have sexual intercourse when they did not want to by someone they were dating or going out with 1 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) MENTAL HEALTH Felt sad or hopeless (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) Did something to purposefully hurt themselves without wanting to die (such as cutting or burning themselves on purpose, 1 or more times during the 12 months before the survey) Seriously considered attempting suicide (during the 12 months before the survey) Made a plan about how they would attempt suicide (during the 12 months before the survey) Attempted suicide (one or more times during the 12 months before the survey) Attempted suicide 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) Are currently taking medicine or receiving treatment for behavioral health, mental health condition, or emotional problem (from a doctor or other health professional) Which of the following do you find causes the most negative stress for you? Busy schedule (school, activities, sports, etc.) Parent/family demands/expectations about academics, grades, etc. Difficulty getting enough sleep 263 4.6 5.5 6.7 160 2.8 - - 439 7.6 - - 251 4.4 - - 1359 23.7 27.4 29.9 757 13.1 - - 697 12.2 14.9 17.7 510 8.9 11.9 14.6 180 3.2 7.0 8.6 54 0.9 2.8 2.8 775 13.5 - - 1547 595 288 27.9 10.7 5.2 - -

Extracurricular activity demands or pressures School demands/expectations such as assignments, homework, etc. Social pressures from friends, peers, etc. Other family or personal issues which cause emotional stress for you Worrying about the future such as college, career, etc. 110 1685 164 478 669 2.0 30.4 3.0 8.6 12.1 Which of the following do you find the most stressful about school? Having to study things you do not understand Teachers expecting too much from you Keeping up with schoolwork Having to concentrate too long during the school day Having to study things you are not interested in Pressure of study Getting up early in the morning to go to school Going to school 871 813 1594 341 706 356 570 285 15.7 14.7 28.8 6.2 12.8 6.4 10.3 5.1 - - TOBACCO Ever tried cigarette smoking (even one or two puffs) 831 14.5 27.8 32.3 Tried cigarette smoking before age 13 years (even one or two puffs, for the first time) 171 3.0 - - Currently smoked cigarettes (on at least 1 day during the 30 days before the survey) 382 6.7 7.7 10.8 Currently smoked cigarettes frequently (on 20 or more days during the 30 days before the survey) 77 1.3 2.3 3.4 Ever used electronic vapor products (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah 1996 34.9 44.8 44.9 pens) Currently used electronic vapor products (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah 1337 23.4 23.7 24.1 pens on at least 1 day during the 30 days before the survey) Currently used smokeless tobacco (chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey) 184 3.2 5.5 7.3 Currently smoked cigars (cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey) 377 6.6 10.4 10.3 ALCOHOL AND DRUGS Ever drank alcohol (at least one drink of alcohol on at least 1 day during their life) 3234 57.8 61.3 63.2 Drank alcohol before age 13 years (for the first time other than a few sips) 414 7.4 12.9 17.2 Currently drank alcohol 1858 32.8 33.9 32.8

(at least one drink of alcohol on at least 1 day during the 30 days before the survey) Currently drank alcohol on school property (at least 1 drink of alcohol on school property on at least 1 day during the 30 days before the survey) Drank 4 or more (for females) or 5 or more (for males) drinks of alcohol in a row (on at least 1 day during the 30 days before the survey) Ever used marijuana (one or more times during their life) Tried marijuana before age 13 years (for the first time) Currently used marijuana (one or more times during the 30 days before the survey) Currently used marijuana or hashish (during the past 30 days) Currently used marijuana on school property (one or more times on school property during the 30 days before the survey) Ever used cocaine (any form of cocaine, such as powder, crack, or freebase, one or more times during their life) Ever used heroin (also called "smack," "junk," or "China white," one or more times during their life) Ever used methamphetamines (also called "speed," "crystal," "crank," or "ice," one or more times during their life) Ever used ecstasy (also called "MDMA," one or more times during their life) 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) Ever taken over-the-counter medication to get high (including cough syrup, at least one time during their life) Sniffed glue, breathed the contents of aerosol spray cans, or inhaled paints or sprays to get high (during the past 30 days) Used prescription drugs not prescribed to them (during the past 30 days) Were offered, sold, or given an illegal drug on school property (during the 12 months before the survey) SEXUAL BEHAVIOR AND HIV/AIDS 156 2.8 - - 1149 20.2 - - 1985 35.1 40.9 38.6 183 3.2 6.3 7.5 1286 22.7 24.5 21.7 1312 23.2 - - 243 4.3 - - 198 3.5 4.5 5.2 92 1.6 1.7 2.1 105 1.9 2.1 3.0 158 2.8 4.3 5.0 240 4.3 7.9 9.2 322 5.7 - - 148 2.6 - - 377 6.7 - - 639 11.3 20.3 21.7 Ever had sexual intercourse 1545 28.0 36.4 41.2

Were currently sexually active (had sexual intercourse with at least one person during the 3 months before the survey) 1157 20.8 27.7 30.1 Had sexual intercourse before age 13 years (for the first time) 98 1.8 2.9 3.9 Had sexual intercourse with four or more persons (during their life) 330 5.9 7.9 11.5 During your life, with whom have you had sexual contact? I have never had sexual contact Females 3104 1093 57.6 20.3 - - Males Females and males 1018 171 18.9 3.2 Drank alcohol or used drugs before last sexual intercourse (among students who were currently sexually active) 338 20.8 21.8 20.6 Have been pregnant or gotten someone pregnant (at least one time) 118 2.1 - - Did not use a condom (during last sexual intercourse, among students who were currently sexually active) 529 34.4 37.5 43.1 Did not use any method to prevent pregnancy (during last sexual intercourse, among students who were currently sexually active) 122 8.1 8.6 13.8 Ever sent or received sexual messages or nude or semi-nude pictures or videos electronically 2395 42.7 - - Ever been tested for HIV (not counting tests done if donated blood) 370 6.7 - - Ever been tested for sexually transmitted diseases (STDs) (such as genital herpes, chlamydia, syphilis, or genital warts) 455 8.2 - - Ever been taught in school about AIDS or HIV infection 4054 73.0 - - Ever been taught in school about how to use condoms 2456 44.2 - - Ever been taught in school about birth control methods 3388 61.0 - - Talked with family members about sexual health (talked with parents or other adults in their family about sexuality or ways to prevent HIV infection, other sexually transmitted diseases (STDs), or pregnancy at least once during the 2292 41.3 - - 12 months before the survey) Have an adult in their school who can help them find sexual health services (such as HIV, STD and pregnancy testing, access to birth control, or support around their 2230 40.3 - - sexuality) Feel comfortable asking an adult at their school if they needed help finding sexual health services 1405 25.3 - - NUTRITION AND PHYSICAL ACTIVITY

Did not eat fruit or drink 100% fruit juices (during the 7 days before the survey) 224 4.0 5.5 5.2 Did not eat vegetables (green salad, potatoes (excluding French fries, fried potatoes, or potato chips), carrots, or 232 4.2 6.0 6.7 other vegetables, during the 7 days before the survey) Did not drink milk (during the 7 days before the survey) 1378 24.8 21.0 21.5 Drank a can, bottle, or glass of soda or pop (not counting diet soda or diet pop, during the 7 days before the survey) 3186 57.3 67.4 73.8 Did not eat breakfast at all during the week (during the 7 days before the survey) 629 11.3 13.7 13.8 Did not eat breakfast on at least one day during the week (during the 7 days before the survey) 2681 86.0 65.1 63.7 Were not physically active at least 60 minutes per day at all during the week (doing any kind of physical activity that increased their heart rate and made them breathe 584 10.5 15.1 14.3 hard some of the time during the 7 days before the survey) Were not physically active at least 60 minutes per day on 5 or more days during the week (doing any kind of physical activity that increased their heart rate and made them breathe 3928 70.6 54.8 51.4 hard some of the time during the 7 days before the survey) Played video or computer games or used a computer 3 or more hours per day (for something that was not school work on an average school day) 2585 46.3 43.2 41.7 Did not attend physical education classes at all during the week (in an average week when they were in school) 1821 32.7 45.0 48.4 Had a concussion from playing a sport or being physically active (one or more times during the 12 months before the survey) 720 12.9 - - Were obese (>= 95th percentile for body mass index, based on sex- and age-specific reference data from 448 8.2 11.0 13.9 the 2000 CDC growth charts) Were overweight (>= 85th percentile but <95th percentile for body mass index, based on sex- and agespecific 718 13.2 15.3 16.0 reference data from the 2000 CDC growth charts) Described themselves as slightly or very overweight 1491 26.5 31.5 31.5 Were not trying to lose weight 3240 57.6 54.0 54.4 OTHER HEALTH-RELATED TOPICS Have any long-term disabilities (long-term meaning 6 months or more) 594 10.8 - - Have any physical disabilities or long-term health problems (long-term meaning 6 months or more) 484 8.8 - - Have at least one teacher or other adult in their school that they can talk to if they have a 3668 66.6 - -

problem Can talk to at least one parent or other adult family member about things that are important to them Did not have 8 or more hours of sleep (on an average school night) Did not usually sleep in parent/guardian s home (during the 30 days before the survey) Slept outside parent/guardian s home because were kicked out, ran away, or were abandoned (ever during the 30 days before the survey) 4635 84.2 - - 4371 78.8 78.0 72.7 113 2.0 - - 159 2.8 - - Table 2: Middlesex League s High School Responses to Drug Free Communities Questions n % n % n % n % No Risk Slight Risk Moderate Risk Great Risk How much do you think people risk harming themselves physically or in other ways when they have five or more drinks of an alcoholic beverage once or twice a week? How much do you think people risk harming themselves physically or in other ways if they smoke one or more packs of cigarettes per day? How much do you think people risk harming themselves physically or in other ways if they smoke marijuana once or twice a week? How much do you think people risk harming themselves physically or in other ways if they use prescription drugs that are not prescribed to them? How much do you think people risk harming themselves (physically or in other ways) if they take one or two drinks of an alcoholic beverage nearly every day? How wrong do your parents feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day? How wrong do your parents feel it would be for you to smoke tobacco? How wrong do your parents feel it would be for you to smoke marijuana? How wrong do your parents feel it would be for you to use prescription drugs not prescribed to you? 392 6.9 1058 18.6 2169 38.2 2061 36.3 421 7.4 307 5.4 1043 18.2 3955 69.1 1488 26.3 1827 32.3 1422 25.1 928 16.4 210 3.7 354 6.3 1363 24.2 3712 65.8 401 7.1 1121 19.7 1886 33.2 2273 40.0 Not at All Wrong A Little Bit Wrong Wrong Very Wrong 183 3.2 336 5.9 1139 20.1 4018 70.8 138 2.4 224 3.9 1058 18.5 4289 75.1 312 5.5 637 11.3 1346 23.8 3364 59.4 119 2.1 145 2.6 614 10.9 4759 84.4

How wrong do your friends feel it would be for you to have one or two drinks of an alcoholic beverage nearly every day? How wrong do your friends feel it would be for you to smoke tobacco? How wrong do your friends feel it would be for you to smoke marijuana? How wrong do your friends feel it would be for you to use prescription drugs not prescribed to you? How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day? 603 10.6 1133 20.0 1877 33.1 2056 36.3 579 10.1 1216 21.3 1904 33.4 2007 35.2 2185 38.6 1268 22.4 1051 18.6 1154 20.4 237 4.2 507 9.0 1590 28.2 3300 58.6 Neither Approve nor Disapprove Somewhat Disapprove Strongly Disapprove Don t Know or Can t Say 120 13.1 267 29.1 478 52.1 52 5.7 Table 3: Middlesex League s High School Responses by Grade Level for Males Freshmen Sophomores Juniors Seniors All Males n % n % n % n % n % UNINTENTIONAL INJURY AND VIOLENCE 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 87 11.3 99 14.3 74 10.5 87 15.1 347 12.6 survey) Drove when they had been drinking alcohol (in a car or other vehicle one or more times during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 11 6.6 22 6.9 45 8.9 34 7.8 112 7.8 days before the survey) Drove when they had been using marijuana (on at least 1 day during the 30 days before the survey, among students who 15 9.2 40 12.9 94 18.6 118 27.4 267 18.9 had driven a car or other vehicle during the 30 days before the survey) Talked on a cell phone while driving a car or other vehicle (on at least 1 day during the 30 days before the survey, among students who 20 13.5 47 15.5 211 41.8 250 57.1 528 37.9 had driven a car or other vehicle during the 30 days before the survey) 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 14 9.0 41 13.5 179 35.6 211 48.7 445 31.9 had driven a car or other vehicle during the 30 days before the survey) Carried a weapon (such as, a gun, knife, or club, on at least 1 day during the 30 days before the 85 11.1 91 13.2 81 11.5 78 13.7 335 12.3 survey) Carried a weapon on school property 15 2.0 21 3.1 29 4.1 22 3.9 87 3.2

(such as, a gun, knife, or club, on at least 1 day during the 30 days before the survey) Carried a gun (1 or more times during the 12 months before the survey) 17 2.2 24 3.5 26 3.7 21 3.7 88 3.2 Were threatened or injured with a weapon on school property (such as, a gun, knife, or club, 1 or more times during the 12 months before 47 6.1 39 5.6 33 4.7 24 4.2 143 5.2 the survey) Were in a physical fight (one or more times during the 12 months before the survey) 178 23.2 150 21.7 137 19.5 124 21.6 589 21.5 Were in a physical fight on school property (one or more times during the 12 months before the survey) 64 8.4 48 7.0 47 6.7 32 5.6 191 7.0 Were a member of a gang (during the 12 months before the survey) 45 5.9 45 6.5 52 7.4 50 8.7 192 7.0 Did not go to school because they felt unsafe at school or on their way to or from school 31 4.0 19 2.8 24 3.4 29 5.1 103 3.8 (on at least 1 day during the 30 days before the survey) Were electronically bullied (counting being bullied through e-mail, chat rooms, instant messaging, Web 84 10.9 60 8.7 46 6.5 48 8.4 238 8.7 sites, or texting during the 12 months before the survey) Were bullied on school property (during the 12 months before the survey) 116 15.1 80 11.6 54 7.7 55 9.6 305 11.1 Were ever physically forced to have sexual intercourse (when they did not want to) 13 1.7 19 2.7 21 3.0 18 3.2 71 2.6 Experienced physical dating violence (counting being hit, slammed into something, or injured with an object or weapon on purpose by someone they were dating or going out with 1 or 13 1.7 18 2.6 25 3.5 16 2.8 72 2.6 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) Experienced sexual violence (counting kissing, touching, or being physically forced to have sexual intercourse when they did not want to 1 or more times during the 12 months 19 2.5 26 3.8 26 3.7 35 6.1 106 3.9 before the survey) Experienced sexual dating violence (counting kissing, touching, or being physically forced to have sexual intercourse when they did not want to by someone they were dating or going out with 1 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) 13 1.7 20 2.9 24 3.4 17 3.0 74 2.7 MENTAL HEALTH

Felt sad or hopeless (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) Did something to purposefully hurt themselves without wanting to die (such as cutting or burning themselves on purpose, 1 or more times during the 12 months before the survey) Seriously considered attempting suicide (during the 12 months before the survey) Made a plan about how they would attempt suicide (during the 12 months before the survey) Attempted suicide (one or more times during the 12 months before the survey) Attempted suicide 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) Are currently taking medicine or receiving treatment for behavioral health, mental health condition, or emotional problem (from a doctor or other health professional) Which of the following do you find causes the most negative stress for you? Busy schedule (school, activities, sports, etc.) Parent/family demands/expectations about academics, grades, etc. Difficulty getting enough sleep Extracurricular activity demands or pressures School demands/expectations such as assignments, homework, etc. Social pressures from friends, peers, etc. Other family or personal issues which cause emotional stress for you Worrying about the future such as college, career, etc. Which of the following do you find the most stressful about school? Having to study things you do not understand Teachers expecting too much from you Keeping up with schoolwork Having to concentrate too long during the school day Having to study things you are not interested in Pressure of study Getting up early in the morning to go to school Going to school Ever tried cigarette smoking (even one or two puffs) 107 14.0 107 15.5 106 15.2 102 17.9 422 15.5 63 8.2 53 7.7 46 6.5 39 6.8 201 7.4 45 5.9 50 7.3 59 8.5 60 10.5 214 7.9 42 5.5 39 5.7 42 6.0 42 7.4 165 6.1 16 2.1 13 1.9 11 1.6 14 2.4 54 2.0 4 0.5 4 0.6 4 0.6 6 1.1 18 0.7 66 8.6 65 9.4 68 9.7 54 9.4 253 9.3 217 87 41 18 240 24 43 64 105 98 228 57 89 47 85 24 TOBACCO 29.6 11.9 5.6 2.5 32.7 3.3 5.9 8.7 14.3 13.4 31.1 7.8 12.1 6.4 11.6 3.3 193 87 41 14 176 20 43 80 86 70 207 53 92 46 74 28 29.5 13.3 6.3 2.1 26.9 3.1 6.6 12.2 13.1 10.7 31.6 8.1 14.0 7.0 11.3 4.3 196 64 34 13 212 17 35 105 95 71 214 37 120 42 71 21 29.0 9.5 5.0 1.9 31.4 2.5 5.2 15.5 14.2 10.6 31.9 5.5 17.9 6.3 10.6 3.1 159 55 45 17 138 15 39 77 64 69 159 27 102 23 70 30 29.2 10.1 8.3 3.1 25.3 2.8 7.2 14.1 11.8 12.7 29.2 5.0 18.8 4.2 12.9 5.5 765 293 161 62 766 76 160 326 350 308 808 174 403 158 300 103 29.3 11.2 6.2 2.4 29.4 2.9 6.1 12.5 13.4 11.8 31.0 6.7 15.5 6.1 11.5 4.0 53 7.0 116 16.8 120 17.2 164 28.8 453 16.7

Tried cigarette smoking before age 13 years (even one or two puffs, for the first time) 17 2.3 26 3.8 24 3.5 34 6.1 101 3.8 Currently smoked cigarettes (on at least 1 day during the 30 days before the survey) 23 3.0 57 8.4 51 7.3 86 15.2 217 8.0 Currently smoked cigarettes frequently (on 20 or more days during the 30 days before the survey) 5 0.7 12 1.8 8 1.1 23 4.0 48 1.8 Ever used electronic vapor products (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, 195 25.7 256 37.5 266 38.1 264 46.6 981 36.2 and hookah pens) Currently used electronic vapor products (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, 141 18.6 183 26.7 178 25.5 185 32.7 687 25.4 and hookah pens on at least 1 day during the 30 days before the survey) Currently used smokeless tobacco (chewing tobacco, snuff, or dip on at least 1 day during the 30 days before 15 2.0 30 4.4 41 5.9 46 8.2 132 4.9 the survey) Currently smoked cigars (cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey) 29 3.8 71 10.4 63 9.0 117 20.5 280 10.3 ALCOHOL AND DRUGS Ever drank alcohol (at least one drink of alcohol on at least 1 day during their life) 296 40.0 359 54.3 406 59.0 399 71.9 1460 55.2 Drank alcohol before age 13 years (for the first time other than a few sips) 64 8.6 54 8.1 53 7.7 52 9.3 223 8.4 Currently drank alcohol (at least one drink of alcohol on at least 1 day during the 30 days before the 116 15.4 189 28.0 244 35.3 261 46.9 810 30.3 survey) Currently drank alcohol on school property (at least 1 drink of alcohol on school property on at least 1 day during the 30 9 1.2 16 2.4 23 3.4 28 5.0 76 2.9 days before the survey) Drank 4 or more (for females) or 5 or more (for males) drinks of alcohol in a row 56 7.4 111 16.3 167 24.2 198 35.3 532 19.8 (on at least 1 day during the 30 days before the survey) Ever used marijuana (one or more times during their life) 146 19.3 223 32.9 287 41.7 308 54.9 964 35.9 Tried marijuana before age 13 years (for the first time) 18 2.4 30 4.5 27 3.9 39 7.0 114 4.3 Currently used marijuana (one or more times during the 30 days before the survey) 94 12.4 147 21.7 182 26.4 213 38.0 636 23.7 Currently used marijuana or hashish 100 13.2 156 23.1 183 26.5 219 39.1 658 24.5

(during the past 30 days) Currently used marijuana on school property (one or more times on school property during the 30 days before the survey) 25 3.3 34 5.0 44 6.4 47 8.5 150 5.6 Ever used cocaine (any form of cocaine, such as powder, crack, or freebase, one or more times 11 1.5 29 4.3 35 5.1 49 8.8 124 4.6 during their life) Ever used heroin (also called "smack," "junk," or "China white," one or more times during their 5 0.7 20 3.0 19 2.8 15 2.7 59 2.2 life) Ever used methamphetamines (also called "speed," "crystal," "crank," or "ice," one or more times during 7 0.9 20 3.0 20 2.9 21 3.8 68 2.6 their life) Ever used ecstasy (also called "MDMA," one or more times during their life) 12 1.6 27 4.0 24 3.5 36 6.5 99 3.7 Ever used synthetic marijuana (also called "K2", "Spice", "fake weed", "King Kong", "Yucatan Fire", "Skunk", 15 2.0 41 6.1 37 5.4 39 7.0 132 4.9 or "Moon Rocks", one or more times during their life) Ever taken over-the-counter medication to get high (including cough syrup, at least one time during their life) 36 4.8 44 6.5 42 6.1 56 10.0 178 6.7 Sniffed glue, breathed the contents of aerosol spray cans, or inhaled paints or sprays to get high 19 2.5 20 2.9 29 4.2 19 3.4 87 3.2 (during the past 30 days) Used prescription drugs not prescribed to them (during the past 30 days) 47 6.3 52 7.7 41 6.0 46 8.3 186 7.0 Were offered, sold, or given an illegal drug on school property (during the 12 months before the survey) 94 12.5 100 14.7 77 11.3 85 15.2 356 13.3 SEXUAL BEHAVIOR AND HIV/AIDS Ever had sexual intercourse 98 13.3 155 23.6 251 37.6 284 52.7 788 30.3 Were currently sexually active (had sexual intercourse with at least one person during the 3 months before 61 8.2 100 15.1 182 27.2 213 38.8 556 21.2 the survey) Had sexual intercourse before age 13 years (for the first time) 16 2.1 15 2.3 21 3.1 14 2.5 66 2.5 Had sexual intercourse with four or more persons 31 4.2 29 4.4 58 8.6 74 13.7 192 7.3 (during their life) During your life, with whom have you had sexual contact? I have never had sexual contact Females Males 507 183 6 71.9 26.0 0.9 374 250 8 58.3 38.9 1.2 320 300 9 49.4 46.3 1.4 202 307 13 37.5 57.1 2.4 1403 1040 36 55.4 41.1 1.4

Females and males 9 1.3 10 1.6 19 2.9 16 3.0 54 2.1 Drank alcohol or used drugs before last sexual intercourse (among students who were currently sexually active) 21 18.3 38 22.4 51 19.3 80 27.8 190 22.7 Have been pregnant or gotten someone pregnant (at least one time) 11 1.5 21 3.2 24 3.6 24 4.4 80 3.0 Did not use a condom (during last sexual intercourse, among students who were currently sexually 35 34.3 41 25.9 84 33.7 87 31.1 247 31.3 active) Did not use any method to prevent pregnancy (during last sexual intercourse, among students who were currently sexually 13 14.1 12 7.9 18 7.3 19 6.9 62 8.1 active) Ever sent or received sexual messages or nude or semi-nude pictures or videos electronically 269 35.7 296 44.1 310 45.9 296 53.3 1171 44.1 Ever been tested for HIV (not counting tests done if donated blood) 29 3.9 45 6.8 50 7.4 58 10.6 182 7.0 Ever been tested for sexually transmitted diseases (STDs) (such as genital herpes, chlamydia, syphilis, or genital warts) 31 4.2 53 8.1 63 9.3 63 11.5 210 8.0 Ever been taught in school about AIDS or HIV infection 501 67.8 514 78.0 518 77.0 423 76.8 1956 74.6 Ever been taught in school about how to use condoms 275 37.3 337 51.5 345 51.0 290 52.7 1247 47.6 Ever been taught in school about birth control methods 369 49.9 455 69.1 462 68.5 394 71.8 1680 64.1 Talked with family members about sexual health (talked with parents or other adults in their family about sexuality or ways to prevent HIV infection, other sexually transmitted diseases (STDs), or 281 38.2 265 40.3 253 37.4 216 39.6 1015 38.8 pregnancy at least once during the 12 months before the survey) Have an adult in their school who can help them find sexual health services (such as HIV, STD and pregnancy testing, access to birth control, or support 244 33.2 294 44.7 265 39.2 275 50.2 1078 41.2 around their sexuality) Feel comfortable asking an adult at their school if they needed help finding sexual health services 156 21.1 202 30.7 175 26.0 211 38.6 744 28.5 NUTRITION AND PHYSICAL ACTIVITY Did not eat fruit or drink 100% fruit juices (during the 7 days before the survey) 36 4.9 32 4.8 38 5.6 27 5.0 133 5.1 Did not eat vegetables (green salad, potatoes (excluding French fries, fried potatoes, or potato 38 5.3 44 6.8 27 4.1 29 5.4 138 5.4 chips), carrots, or other vegetables, during the 7 days before the survey) Did not drink milk (during the 7 days before the survey) 90 12.2 122 18.5 95 14.1 94 17.2 401 15.3 Drank a can, bottle, or glass of soda or pop 500 67.4 443 67.3 453 67.3 356 65.3 1752 66.9

(not counting diet soda or diet pop, during the 7 days before the survey) Did not eat breakfast any day during the week (during the 7 days before the survey) 67 9.0 77 11.6 78 11.5 73 13.3 295 11.2 Did not eat breakfast at least one day during the week (during the 7 days before the survey) 297 84.9 310 84.9 307 84.3 294 86.7 1208 85.2 Were not physically active at least 60 minutes per day on any day during the week (doing any kind of physical activity that increased their heart rate and made 46 6.2 56 8.4 64 9.5 57 10.4 223 8.5 them breathe hard some of the time during the 7 days before the survey) Were not physically active at least 60 minutes per day on 5 or more days during the week (doing any kind of physical activity that increased their heart rate and made 449 60.7 419 63.2 417 61.9 366 66.5 1651 62.8 them breathe hard some of the time during the 7 days before the survey) Played video or computer games or used a computer 3 or more hours per day 324 43.8 306 45.9 290 42.9 246 44.6 1166 44.3 (for something that was not school work on an average school day) Did not attend physical education classes any day during the week (in an average week when they were in school) 112 15.1 98 14.8 309 45.7 295 53.5 814 31.0 Had a concussion from playing a sport or being physically active (one or more times during the 12 months before the survey) 113 15.2 112 16.8 98 14.5 80 14.5 403 15.3 Were obese (>= 95th percentile for body mass index, based on sex- and age-specific 81 11.3 74 11.3 69 10.4 56 10.3 280 10.9 reference data from the 2000 CDC growth charts) Were overweight (>= 85th percentile but <95th percentile for body mass index, based on sex- 93 12.9 96 14.7 111 16.7 83 15.3 383 14.9 and age-specific reference data from the 2000 CDC growth charts) Described themselves as slightly or very overweight 163 21.7 145 21.6 160 23.4 127 22.8 595 22.4 Were not trying to lose weight 558 74.6 503 74.6 520 76.1 408 73.2 1989 74.7 OTHER HEALTH-RELATED TOPICS Have any long-term disabilities (long-term meaning 6 months or more) 67 9.2 83 12.8 66 9.8 65 11.8 281 10.8 Have any physical disabilities or long-term health problems (long-term meaning 6 months or more) 63 8.6 44 6.8 44 6.5 51 9.4 202 7.8 Have at least one teacher or other adult in their school that they can talk to if they have a problem 479 65.8 442 68.2 450 66.8 389 71.1 1760 67.8 Can talk to at least one parent or other adult family member about things that are important to them 617 85.0 564 86.4 565 84.1 451 83.1 2197 84.7 Did not have 8 or more hours of sleep (on an average school night) 495 67.3 480 73.1 538 79.7 453 82.4 1966 75.1

Did not usually sleep in parent/guardian s home (during the 30 days before the survey) Slept outside parent/guardian s home because were kicked out, ran away, or were abandoned (ever during the 30 days before the survey) 13 1.7 11 1.6 14 2.0 25 4.3 63 2.3 16 2.1 17 2.5 17 2.4 28 4.9 78 2.8 Table 4: Middlesex League s High School Responses by Grade Level for Females Freshmen Sophomores Juniors Seniors All Females n % n % n % n % n % UNINTENTIONAL INJURY AND VIOLENCE 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 138 16.3 105 12.9 82 11.8 117 19.5 442 15.0 survey) Drove when they had been drinking alcohol (in a car or other vehicle one or more times during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 6 3.8 6 1.6 19 3.8 32 6.9 63 4.2 days before the survey) Drove when they had been using marijuana (on at least 1 day during the 30 days before the survey, among students who 7 4.9 19 5.2 70 14.3 82 17.6 178 12.2 had driven a car or other vehicle during the 30 days before the survey) Talked on a cell phone while driving a car or other vehicle (on at least 1 day during the 30 days before the survey, among students who 7 5.6 38 10.7 209 42.5 309 66.7 563 39.2 had driven a car or other vehicle during the 30 days before the survey) 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 6 4.7 32 9.0 179 35.9 261 56.7 478 33.2 had driven a car or other vehicle during the 30 days before the survey) Carried a weapon (such as, a gun, knife, or club, on at least 1 day during the 30 days before the 20 2.4 24 2.9 26 3.7 27 4.5 97 3.3 survey) Carried a weapon on school property (such as, a gun, knife, or club, on at least 1 day during the 30 days before the 2 0.2 9 1.1 9 1.3 8 1.3 28 0.9 survey) Carried a gun (1 or more times during the 12 months before the survey) 3 0.4 3 0.4 4 0.6 6 1.0 16 0.5 Were threatened or injured with a weapon on school property (such as, a gun, knife, or club, 1 or more times during the 12 months before the survey) 28 3.3 15 1.8 16 2.3 8 1.3 67 2.3

Were in a physical fight (one or more times during the 12 months before the survey) 87 10.3 65 8.0 47 6.8 55 9.1 254 8.6 Were in a physical fight on school property (one or more times during the 12 months before the survey) 23 2.7 20 2.5 8 1.2 6 1.0 57 1.9 Were a member of a gang (during the 12 months before the survey) 16 1.9 22 2.7 23 3.3 33 5.5 94 3.2 Did not go to school because they felt unsafe at school or on their way to or from school 39 4.6 37 4.5 27 3.9 31 5.1 134 4.5 (on at least 1 day during the 30 days before the survey) Were electronically bullied (counting being bullied through e-mail, chat rooms, instant messaging, Web 144 17.0 124 15.1 100 14.4 76 12.6 444 15.0 sites, or texting during the 12 months before the survey) Were bullied on school property (during the 12 months before the survey) 131 15.4 111 13.6 88 12.7 64 10.6 394 13.3 Were ever physically forced to have sexual intercourse (when they did not want to) 29 3.4 49 6.0 46 6.7 57 9.5 181 6.1 Experienced physical dating violence (counting being hit, slammed into something, or injured with an object or weapon on purpose by someone they were dating or going out with 1 or 13 1.5 21 2.6 21 3.0 20 3.3 75 2.5 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) Experienced sexual violence (counting kissing, touching, or being physically forced to have sexual intercourse when they did not want to 1 or more times during the 12 months 77 9.1 85 10.5 84 12.2 75 12.5 321 10.9 before the survey) Experienced sexual dating violence (counting kissing, touching, or being physically forced to have sexual intercourse when they did not want to by someone they were dating or going out with 1 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) 33 3.9 46 5.6 42 6.1 43 7.2 164 5.6 MENTAL HEALTH Felt sad or hopeless (almost every day for 2 or more weeks in a row so that they stopped doing 222 26.4 248 30.5 239 34.7 205 34.4 914 31.1 some usual activities during the 12 months before the survey) Did something to purposefully hurt themselves without wanting to die (such as cutting or burning themselves on purpose, 1 or more times during 168 19.8 152 18.6 120 17.3 97 16.1 537 18.1 the 12 months before the survey) Seriously considered attempting suicide 126 15.0 145 17.9 102 14.9 96 16.2 469 16.0

(during the 12 months before the survey) Made a plan about how they would attempt suicide (during the 12 months before the survey) Attempted suicide (one or more times during the 12 months before the survey) Attempted suicide 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) Are currently taking medicine or receiving treatment for behavioral health, mental health condition, or emotional problem (from a doctor or other health professional) Which of the following do you find causes the most negative stress for you? Busy schedule (school, activities, sports, etc.) Parent/family demands/expectations about academics, grades, etc. Difficulty getting enough sleep Extracurricular activity demands or pressures School demands/expectations such as assignments, homework, etc. Social pressures from friends, peers, etc. Other family or personal issues which cause emotional stress for you Worrying about the future such as college, career, etc. Which of the following do you find the most stressful about school? Having to study things you do not understand Teachers expecting too much from you Keeping up with schoolwork Having to concentrate too long during the school day Having to study things you are not interested in Pressure of study Getting up early in the morning to go to school Going to school 91 10.8 113 13.9 67 9.8 60 10.0 331 11.3 33 3.9 37 4.6 21 3.1 24 4.0 115 3.9 8 1.0 10 1.2 6 0.9 7 1.2 31 1.1 111 13.2 147 18.0 128 18.7 119 19.9 505 17.2 TOBACCO Ever tried cigarette smoking (even one or two puffs) 59 7.0 75 9.2 88 12.8 132 22.1 354 12.0 Tried cigarette smoking before age 13 years (even one or two puffs, for the first time) 8 1.0 13 1.6 17 2.5 20 3.4 58 2.0 Currently smoked cigarettes (on at least 1 day during the 30 days before the survey) 20 2.4 31 3.8 41 6.0 57 9.5 149 5.1 Currently smoked cigarettes frequently (on 20 or more days during the 30 days before the survey) 4 0.5 5 0.6 5 0.7 6 1.0 20 0.7 Ever used electronic vapor products 197 23.4 262 32.2 256 37.3 263 44.1 978 33.3 204 104 34 14 265 31 84 76 163 136 206 41 81 56 94 36 25.1 12.8 4.2 1.7 32.6 3.8 10.3 9.4 20.0 16.7 25.3 5.0 10.0 6.9 11.6 4.4 215 71 33 17 275 26 77 75 154 154 212 47 74 48 60 42 27.2 9.0 4.2 2.2 34.9 3.3 9.8 9.5 19.5 19.5 26.8 5.9 9.4 6.1 7.6 5.3 183 65 30 10 206 15 75 93 113 116 199 46 63 54 49 37 27.0 9.6 4.4 1.5 30.4 2.2 11.1 13.7 16.7 17.1 29.4 6.8 9.3 8.0 7.2 5.5 157 57 23 7 163 14 73 89 82 89 152 29 74 35 61 62 26.9 9.8 3.9 1.2 28.0 2.4 12.5 15.3 14.0 15.2 26.0 5.0 12.7 6.0 10.4 10.6 759 297 120 48 909 86 309 333 512 495 769 163 292 193 264 177 26.5 10.4 4.2 1.7 31.8 3.0 10.8 11.6 17.9 17.3 26.8 5.7 10.2 6.7 9.2 6.2

(including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens) Currently used electronic vapor products (including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, 149 17.7 187 22.9 154 22.4 131 21.9 621 21.1 and hookah pens on at least 1 day during the 30 days before the survey) Currently used smokeless tobacco (chewing tobacco, snuff, or dip on at least 1 day during the 30 days before 11 1.3 6 0.7 11 1.6 8 1.3 36 1.2 the survey) Currently smoked cigars (cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey) 15 1.8 19 2.3 22 3.2 24 4.0 80 2.7 ALCOHOL AND DRUGS Ever drank alcohol (at least one drink of alcohol on at least 1 day during their life) 364 44.0 461 58.0 456 67.3 445 76.2 1726 59.8 Drank alcohol before age 13 years (for the first time other than a few sips) 58 7.0 44 5.5 32 4.7 43 7.3 177 6.1 Currently drank alcohol (at least one drink of alcohol on at least 1 day during the 30 days before the 177 21.2 249 30.9 272 39.8 319 54.2 1017 34.9 survey) Currently drank alcohol on school property (at least 1 drink of alcohol on school property on at least 1 day during the 30 14 1.7 10 1.2 11 1.6 32 5.5 67 2.3 days before the survey) Drank 4 or more (for females) or 5 or more (for males) drinks of alcohol in a row 83 9.9 138 17.1 161 23.5 214 36.3 596 20.4 (on at least 1 day during the 30 days before the survey) Ever used marijuana (one or more times during their life) 132 15.9 238 29.7 290 42.6 317 53.7 977 33.7 Tried marijuana before age 13 years (for the first time) 12 1.4 12 1.5 10 1.5 21 3.6 55 1.9 Currently used marijuana (one or more times during the 30 days before the survey) 94 11.3 154 19.2 176 25.8 196 33.2 620 21.3 Currently used marijuana or hashish (during the past 30 days) 107 12.8 157 19.5 171 25.1 190 32.1 625 21.5 Currently used marijuana on school property (one or more times on school property during the 30 days before the survey) 14 1.7 13 1.6 31 4.6 24 4.1 82 2.8 Ever used cocaine (any form of cocaine, such as powder, crack, or freebase, one or more times 8 1.0 8 1.0 18 2.6 26 4.4 60 2.1 during their life) Ever used heroin 4 0.5 0 0.0 5 0.7 10 1.7 19 0.7

(also called "smack," "junk," or "China white," one or more times during their life) Ever used methamphetamines (also called "speed," "crystal," "crank," or "ice," one or more times during 4 0.5 2 0.2 5 0.7 14 2.4 25 0.9 their life) Ever used ecstasy (also called "MDMA," one or more times during their life) 6 0.7 7 0.9 14 2.1 19 3.2 46 1.6 Ever used synthetic marijuana (also called "K2", "Spice", "fake weed", "King Kong", "Yucatan Fire", "Skunk", 16 1.9 25 3.1 28 4.1 26 4.4 95 3.3 or "Moon Rocks", one or more times during their life) Ever taken over-the-counter medication to get high (including cough syrup, at least one time during their life) 32 3.9 33 4.1 34 5.0 30 5.1 129 4.5 Sniffed glue, breathed the contents of aerosol spray cans, or inhaled paints or sprays to get high 16 1.9 9 1.1 8 1.2 14 2.4 47 1.6 (during the past 30 days) Used prescription drugs not prescribed to them (during the past 30 days) 33 4.0 36 4.5 49 7.2 60 10.2 178 6.2 Were offered, sold, or given an illegal drug on school property (during the 12 months before the survey) 77 9.3 75 9.4 52 7.6 63 10.6 267 9.2 SEXUAL BEHAVIOR AND HIV/AIDS Ever had sexual intercourse 61 7.4 169 21.3 212 31.7 282 49.1 724 25.3 Were currently sexually active (had sexual intercourse with at least one person during the 3 months before 47 5.7 132 16.6 176 26.2 219 38.0 574 20.0 the survey) Had sexual intercourse before age 13 years (for the first time) 4 0.5 8 1.0 4 0.6 7 1.2 23 0.8 Had sexual intercourse with four or more persons (during their life) 6 0.7 23 2.9 34 5.0 63 10.9 126 4.4 During your life, with whom have you had sexual contact? I have never had sexual contact Females Males Females and males Drank alcohol or used drugs before last sexual intercourse (among students who were currently sexually active) Have been pregnant or gotten someone pregnant (at least one time) Did not use a condom (during last sexual intercourse, among students who were currently sexually 651 6 120 17 82.0 0.8 15.1 2.1 485 10 248 21 63.5 1.3 32.5 2.7 331 9 283 35 50.3 1.4 43.0 5.3 203 12 317 36 35.7 2.1 55.8 6.3 1670 37 968 109 60.0 1.3 34.8 3.9 12 18.2 21 11.9 44 19.2 58 20.3 135 17.8 4 0.5 5 0.6 8 1.2 10 1.7 27 0.9 17 30.4 61 36.5 75 34.9 114 40.6 267 37.1

active) Did not use any method to prevent pregnancy (during last sexual intercourse, among students who were currently sexually 5 9.4 14 8.4 18 8.6 15 5.4 52 7.3 active) Ever sent or received sexual messages or nude or semi-nude pictures or videos electronically 291 35.2 298 37.6 297 43.9 299 51.2 1185 41.1 Ever been tested for HIV (not counting tests done if donated blood) 29 3.6 35 4.4 51 7.5 62 10.7 177 6.2 Ever been tested for sexually transmitted diseases (STDs) (such as genital herpes, chlamydia, syphilis, or genital warts) 22 2.7 42 5.3 66 9.8 102 17.4 232 8.1 Ever been taught in school about AIDS or HIV infection 473 58.0 620 78.5 497 73.8 466 79.7 2056 71.8 Ever been taught in school about how to use condoms 259 31.7 348 43.9 305 45.2 274 46.8 1186 41.3 Ever been taught in school about birth control methods 332 40.7 501 63.3 442 65.6 400 68.4 1675 58.4 Talked with family members about sexual health (talked with parents or other adults in their family about sexuality or ways to prevent HIV infection, other sexually transmitted diseases (STDs), or 372 45.7 357 45.0 284 42.0 238 41.0 1251 43.7 pregnancy at least once during the 12 months before the survey) Have an adult in their school who can help them find sexual health services (such as HIV, STD and pregnancy testing, access to birth control, or support 261 32.1 329 41.6 280 41.7 262 44.9 1132 39.6 around their sexuality) Feel comfortable asking an adult at their school if they needed help finding sexual health services 126 15.4 188 23.7 154 22.8 177 30.3 645 22.5 NUTRITION AND PHYSICAL ACTIVITY Did not eat fruit or drink 100% fruit juices (during the 7 days before the survey) 20 2.4 26 3.3 22 3.2 18 3.1 86 3.0 Did not eat vegetables (green salad, potatoes (excluding French fries, fried potatoes, or potato 24 2.9 24 3.1 20 3.0 22 3.8 90 3.2 chips), carrots, or other vegetables, during the 7 days before the survey) Did not drink milk (during the 7 days before the survey) 239 29.1 249 31.4 229 33.9 240 41.0 957 33.3 Drank a can, bottle, or glass of soda or pop (not counting diet soda or diet pop, during the 7 days before the survey) 420 51.0 391 49.2 317 46.9 269 45.9 1397 48.5 Did not eat breakfast any day during the week (during the 7 days before the survey) 95 11.5 84 10.6 70 10.3 70 12.0 319 11.1 Did not eat breakfast at least one day during the week (during the 7 days before the survey) 407 87.2 375 86.0 343 87.1 312 86.7 1437 86.7 Were not physically active at least 60 minutes per day on any day during the week 62 7.6 83 10.5 105 15.5 100 17.2 350 12.2

(doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey) Were not physically active at least 60 minutes per day on 5 or more days during the week (doing any kind of physical activity that increased their heart rate and made 596 72.6 590 74.4 555 82.0 498 85.4 2239 77.9 them breathe hard some of the time during the 7 days before the survey) Played video or computer games or used a computer 3 or more hours per day 377 45.8 424 53.4 309 45.6 280 47.9 1390 48.3 (for something that was not school work on an average school day) Did not attend physical education classes any day during the week (in an average week when they were in school) 120 14.6 134 17.0 345 50.8 382 65.5 981 34.2 Had a concussion from playing a sport or being physically active (one or more times during the 12 months before the survey) 88 10.7 79 9.9 81 12.0 51 8.7 299 10.4 Were obese (>= 95th percentile for body mass index, based on sex- and age-specific 39 4.9 43 5.6 37 5.6 41 7.0 160 5.7 reference data from the 2000 CDC growth charts) Were overweight (>= 85th percentile but <95th percentile for body mass index, based on sex- 108 13.5 92 11.9 56 8.5 71 12.1 327 11.6 and age-specific reference data from the 2000 CDC growth charts) Described themselves as slightly or very overweight 249 30.1 241 30.1 180 26.8 204 34.8 874 30.3 Were not trying to lose weight 368 44.4 345 43.1 294 43.5 199 33.9 1206 41.7 OTHER HEALTH-RELATED TOPICS Have any long-term disabilities (long-term meaning 6 months or more) 69 8.6 90 11.4 80 11.9 59 10.1 298 10.5 Have any physical disabilities or long-term health problems (long-term meaning 6 months or more) 77 9.5 77 9.8 59 8.8 55 9.5 268 9.4 Have at least one teacher or other adult in their school that they can talk to if they have a problem 489 60.4 505 64.2 460 68.8 414 71.3 1868 65.6 Can talk to at least one parent or other adult family member about things that are important to them 679 84.5 665 84.4 574 85.5 472 81.1 2390 84.0 Did not have 8 or more hours of sleep (on an average school night) 618 76.1 664 83.7 567 83.9 500 85.9 2349 82.0 Did not usually sleep in parent/guardian s home (during the 30 days before the survey) 5 0.6 6 0.7 11 1.6 12 2.0 34 1.1 Slept outside parent/guardian s home because were kicked out, ran away, or were abandoned (ever during the 30 days before the survey) 14 1.6 14 1.7 16 2.3 22 3.7 66 2.2

Table 5: Middlesex League s Middle School Responses Middlesex League n % UNINTENTIONAL INJURY AND VIOLENCE Never or rarely wore a helmet when riding a bicycle (among those who rode a bicycle) 1230 38.3 Never or rarely wore a helmet when rollerblading or riding a skateboard (among those who rollerbladed or rode a skateboard) 903 54.6 Never or rarely wore a seatbelt when riding in a car 98 2.6 Rode in a car driven by someone who had been drinking alcohol 606 16.2 Carried a weapon (such as, a gun, knife, or club) 684 18.3 Were in a physical fight 1144 30.6 Were electronically bullied (counting being bullied through texting, Instagram, Facebook, or other social media) 756 20.2 Were bullied on school property 1130 30.2 MENTAL HEALTH Seriously thought about attempting suicide 503 13.5 Made a plan about how they would attempt suicide 336 9.0 Attempted suicide 124 3.3 Are currently taking medicine or receiving treatment for behavioral health, mental health condition, or emotional problem 328 8.8 (from a doctor or other health professional) Which of the following do you find causes the most negative stress for you? Busy schedule (school, activities, sports, etc.) Parent/family demands/expectations about academics, grades, etc. Difficulty getting enough sleep Extracurricular activity demands or pressures School demands/expectations such as assignments, homework, etc. Social pressures from friends, peers, etc. Other family or personal issues which cause emotional stress for you Worrying about the future such as college, career, etc. 789 467 224 53 1302 161 324 278 21.9 13.0 6.2 1.5 36.2 4.5 9.0 7.7 Which of the following do you find the most stressful about school? Having to study things you do not understand Teachers expecting too much from you 569 487 15.8 13.5