# Presentation: 669879

## The Youth Risk Behavior Surveillance System (YRBSS):2007

- National, State, and Local Data

**Notes:**
This slide set contains information about and data from the Youth Risk Behavior Surveillance System or YRBSS.  It includes national, state, and local data from the 2007 surveys.

## Purposes of the YRBSS

- Focus the nation on behaviors among youth causing the most important health problems
- Assess how risk behaviors change over time
- Provide comparable data

**Notes:**
The purposes of the YRBSS are to focus the nation on behaviors among youth causing the most important health problems, to assess how risk behaviors change over time, and to provide comparable data.

## Behaviors That Contribute to the Leading Causes of Morbidity and Mortality

- Unintentional injuries and violence
- Tobacco use
- Alcohol and other drug use
- Sexual behaviors
- Unhealthy dietary behaviors
- Inadequate physical activity

**Notes:**
The YRBSS measures behaviors that contribute to the leading causes of morbidity and mortality among youth and adults.  These are behaviors that contribute to: 
Unintentional injuries and violence;
Tobacco use;
Alcohol and other drug use;
Sexual behaviors;
Unhealthy dietary behaviors; and,
Inadequate physical activity.

## Leading Causes of Death Among Persons Aged 10 – 24 Years in the United States, 2005

**Notes:**
This pie graph represents the leading causes of death among persons aged 10-24 years in the United States in 2005.  In that year, motor vehicle crashes accounted for 30% of deaths, homicide for 15%, suicide for 12% of deaths, other unintentional injuries for 15%, and 28% of deaths were the result of other causes.

## Leading Causes of Death Among Persons Aged 25 Years and Older in the United States, 2005

**Notes:**
This pie graph represents the leading causes of death among persons aged 25 years and older in the United States in 2005.  In that year, 36% of deaths were the result of cardiovascular disease, 23% were the result of cancer, and 41% of deaths were due to other causes.

## Impact of Sexual Behaviors

- 757,000 pregnancies occur each year among women aged 15 – 19 years
- 9.1 million cases of sexually transmitted diseases occur each year among persons aged 15 – 24 years
- An estimated 5,089 cases of HIV/AIDS occur each year among persons aged 15 – 24 years

**Notes:**
Substantial morbidity and social problems also result from the approximately
757,000 pregnancies that occur each year among women aged 15 – 19 years;
9.1 million cases of sexually transmitted diseases that occur each year among persons aged 15 – 24 years; and,
An estimated 5,089 cases of HIV/AIDS that occur each year among persons aged 15 – 24 years.

## Characteristics of the National, State, and Local School-Based YRBS

- 9th – 12th grade students
- Probability samples of schools and students
- Anonymous
- Self-administered, computer-scannable questionnaire or answer sheet
- Completed in one class period (45 minutes)
- Conducted biennially usually during the spring

**Notes:**
The national, state, and local Youth Risk Behavior Surveys are administered to 9th through 12th grade students drawn from probability samples of schools and students.  The questionnaire is anonymous and self-administered.  The questionnaire booklet or answer sheet is computer-scannable.  The surveys are completed in one 45-minute class period, and are conducted biennially usually during the spring.

## 2007 National YRBS

- National probability sample of public and private schools
- Total sample size = 14,041
- School-level response rate = 81%
- Student-level response rate = 84%
- Overall response rate = 68%

**Notes:**
The 2007 National YRBS survey was administered to a national probability sample of public and private schools.  The sample size is 14,041 students.  The school-level response rate is 81% and the student-level response rate is 84%.  The school response rate multiplied by the student response rate produces an overall response rate of 68%.

## Response Rates and Sample Sizes National YRBS, 1991 – 2007

| Year | School Response Rate | Student Response Rate | Overall Response Rate | Sample Size |
| --- | --- | --- | --- | --- |
| 1991 | 75% | 90% | 68% | 12,272 |
| 1993 | 78% | 90% | 70% | 16,296 |
| 1995 | 70% | 86% | 60% | 10,904 |
| 1997 | 79% | 87% | 69% | 16,262 |
| 1999 | 77% | 86% | 66% | 15,349 |
| 2001 | 75% | 83% | 63% | 13,601 |
| 2003 | 81% | 83% | 67% | 15,214 |
| 2005 | 78% | 86% | 67% | 13,917 |
| 2007 | 81% | 84% | 68% | 14,041 |

**Notes:**
This table shows the response rates and sample sizes for the national YRBS for the years 1991 through 2007.  During this time, the school response rate has varied from a low of 70% in 1995 to a high of 81% in 2003 and 2007.  The student response rate ranged from 83% in 2001 and 2003 to 90% in 1991 and 1993.  The overall response rate in 2007 was 68%.  Sample size varied from a high of 16,296 in 1993 to a low of 10,904 in 1995.  Sample size for the 2007 YRBS is 14,041.

## State and Local YRBS Participation1991 – 2007

| Year | Number of states          (excluding DC) | Number of territories | Number of cities  (including DC) | Total number of sites | Number and percent of  weighted sites |
| --- | --- | --- | --- | --- | --- |
| 1991 | 26 | 2 | 11 | 39 | N=17
44% |
| 1993 | 40 | 2 | 14 | 56 | N=33
59% |
| 1995 | 39 | 5 | 17 | 61 | N=37
61% |
| 1997 | 38 | 5 | 17 | 60 | N=43
72% |
| 1999 | 41 | 4 | 17 | 62 | N=38
61% |
| 2001 | 37 | 7 | 19 | 63 | N=38
60% |
| 2003 | 43 | 5 | 22 | 70 | N=56
80% |
| 2005 | 44 | 4 | 23 | 71 | N=64
90% |
| 2007 | 44 | 5 | 22 | 71 | N=66
93% |

**Notes:**
This table reflects state and local participation in the YRBS for the years 1991 through 2007.  Since its inception in 1991, participation has grown from 26 states to 44 states in 2007.  In the same time frame, the number of territories participating has increased from 2 in 1991 to 5 in 2007, and the number of cities from 11 to 22.  The total number of state and local sites participating in the 2007 YRBS is 71.  Of these sites, 93% were able to return weighted data.

## Policy and Program Applications 

- Describe risk behaviors
- Create awareness
- Set program goals
- Develop programs and policies
- Support health-related legislation
- Seek funding

**Notes:**
YRBS data are used at the national, state, and local levels in a variety of policy and program applications.  YRBS data can be used to do the following:
Describe risk behaviors;
Create awareness;
Set program goals;
Develop programs and policies;
Support health-related legislation; and
Seek funding.

## Describe Risk Behaviors

- Overall and among subgroups of youth
- How risk behaviors are interrelated

**Notes:**
The YRBSS describes risk behaviors that affect youth, including select subgroups of youth that may be of interest.  YRBS data also are used to demonstrate how risk behaviors are interrelated.

## Create Awareness

**Among:**
- Legislators, boards of education, and school administrators
- Parents
- Community members
- School staff
- Students
- Media

**Notes:**
YRBS data are useful for creating awareness about health risk behaviors practiced by youth among such varied audiences as:
Legislators, boards of education, and school administrators;
Parents;
Community members;
School staff;
Students; and
Media.

## Set Program Goals

- Strategic plans for school health programs
*Healthy People 2010* objectives
- CDC’s Performance Plan

**Notes:**
YRBS data also are used to set program goals.  Examples of how YRBS data have been used are to establish and monitor strategic plans for school health programs, to monitor progress toward national Healthy People 2010 objectives, and to evaluate components of CDC’s Performance Plan.

## Develop Programs and Policies

- School health programs and policies
- Programs and policies for youth in high risk situations
- Instructional guides and materials
- Professional development programs for teachers

**Notes:**
YRBS data have proven useful to help develop programs and policies, including school health programs and policies, programs and policies for youth in high risk situations, instructional guides and materials, and professional development programs for teachers.

## Support Health-Related Legislation

- School health program requirements
- School health council requirements
- Drug-free or weapon-free school zone laws
- Minors’ access laws
- Drinking and driving laws
- Bans on billboards and other advertising
- Competitive food policies

**Notes:**
Data from the YRBS also are cited often to support health-related legislation such as:
School health program requirements;
School health council requirements;
Drug-free or weapon-free school zone laws;
Minors’ access laws;
Drinking and driving laws;
Bans on billboards and other advertising; and,
Competitive food policies.

## Seek Funding

- Support funding requests to federal, state, and private agencies and foundations

**Notes:**
YRBS data are a valuable resource to support funding requests to federal, state, and private agencies and foundations.

## YRBSS Information

- _[www.cdc.gov/yrbs](http://www.cdc.gov/yrbss)_
- 2007 questionnaire and item rationale
*Morbidity and Mortality Weekly Report* Surveillance Summaries
- Youth Online
- Data and codebooks for the national surveys
- Publications, journal articles, and fact sheets

**Notes:**
Comprehensive information about the YRBSS can be found on CDC’s Web site at www.cdc.gov/yrbs.  The site includes information such as a copy of the 2007 questionnaire and item rationale; links to the Morbidity and Mortality Weekly Report Surveillance Summaries that highlight YRBS data; Youth Online, which provides detailed results by location and health topic; the data and codebooks for the national YRBS; and related publications, journal articles, and fact sheets.

## The Youth Risk Behavior Surveillance System (YRBSS):2007

- National, State, and Local Data

**Notes:**
This slide set contains information about and data from the Youth Risk Behavior Surveillance System or YRBSS.  It includes national, state, and local data from the 2007 surveys.