MMWR supplements最新文献

{"title":"Prevalence of Binge Eating Behavior Among High School Students and Associations with Social Media Use, Mental Health, and Suicide Risk - Youth Risk Behavior Survey, United States, 2025.","authors":"Ryan Saelee, Ariel Beccia, Brittany Celebrano, S Bryn Austin, Allison Ivie, Simone C Gray, Emily Young, Eric G Carbone, Carmen Ashley, Emiko Petrosky, Jonetta J Mpofu","doi":"10.15585/mmwr.su7501a5","DOIUrl":"10.15585/mmwr.su7501a5","url":null,"abstract":"<p><p>Disordered eating among adolescents is a public health concern, and binge eating, which is eating an unusually large amount of food while feeling a loss of control, is among the most prevalent forms. In 2025, for the first time, the nationally representative Youth Risk Behavior Survey (YRBS) included an item assessing binge eating among U.S. high school students. Among students with binge eating information available (N = 6,898), this report describes the first national prevalence estimates of binge eating overall and by demographic characteristics and examines associations between binge eating and social media use, mental health, and suicide risk. Pairwise t tests were used to identify demographic differences, and logistic regression models with predicted marginals were used to estimate adjusted prevalence ratios to compare binge eating prevalence by social media use, mental health, and suicide risk, overall and by sex. During 2025, 40.5% of U.S. high school students reported binge eating at least 1 day in the past 30 days, with 17.2% reporting ≥3 days. Prevalence of binge eating on ≥3 days was higher among female (18.6%) than male students (15.9%); higher among Hispanic (20.5%) and Black or African American (18.7%) than White (14.6%) and Middle Eastern or North African (9.9%) students; and higher among multiracial (19.6%) than Middle Eastern or North African students. Overall, students who reported using social media hourly or more, having poor mental health, having persistent sadness or hopelessness, or having seriously considered attempting suicide had a higher prevalence of binge eating on ≥3 days than those who did not report these factors. These associations between binge eating and social media use, mental health, and suicide risk were observed among both female and male students. The findings might guide efforts to expand binge eating surveillance among adolescents and identify correlates that could support surveillance and future intervention research.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"75 1","pages":"44-53"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiovascular Health Among High School Students - Youth Risk Behavior Survey, United States, 2025.","authors":"Izraelle I McKinnon, Ryan Saelee, Kathleen H Krause, Domonique Hargrave, Caitlin Merlo, Shannon L Michael, Philip E Rosenbaum, Ahlia Sekkarie, Christopher J Kissler, Jonetta J Mpofu","doi":"10.15585/mmwr.su7501a3","DOIUrl":"10.15585/mmwr.su7501a3","url":null,"abstract":"<p><p>Monitoring cardiovascular health (CVH) among adolescents can identify opportunities for school and community programs to promote healthy behaviors and reduce cardiovascular disease risk. In this report, data from the nationally representative 2025 Youth Risk Behavior Survey (YRBS) of U.S. high school students were used to calculate scores for five metrics of CVH aligned with the American Heart Association's Life's Essential 8 framework: diet, physical activity, nicotine exposure, sleep health, and body mass index (BMI). Each of the five metrics assessed in this analysis was scored from 0 to 100, with higher scores indicating more favorable levels of the corresponding metric. The five metric scores were averaged to produce an overall CVH score, with higher scores indicating a more favorable overall CVH score. Weighted mean scores and the prevalence of high (80-100), moderate (50-79), and low (0-49) scores were estimated overall and by sex, grade, and race and ethnicity.Among 5,192 students with complete data, the mean overall CVH score was 65.3; 20.7% had high, 61.3% had moderate, and 18.0% had low overall CVH scores. For the CVH metrics, mean scores were highest for BMI (85.4, reflecting lower BMI) and nicotine exposure (80.5, reflecting lower exposure), and lowest for diet (39.3), sleep health (59.1), and physical activity (62.0). The overall CVH score was lower among female (64.2) than male (66.2) students. The overall CVH score was higher for grade 9 students (68.3) than for grade 10 (65.9), 11 (63.7), and 12 (62.7) students. Compared with most other racial and ethnic groups, the overall CVH score was higher among Asian students (70.2) and lower among Black or African American students (60.2). Similar demographic patterns were observed for the prevalence of high overall CVH scores.In 2025, approximately four in five U.S. high school students had a low or moderate overall CVH score, underscoring the importance of promoting healthy adolescent behaviors, such as healthy eating, sleep, and physical activity, to support healthier trajectories into adulthood. These findings highlight opportunities to monitor and improve CVH-related behaviors and indicators among adolescents, including within school and community settings.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"75 1","pages":"25-34"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overview and Methods for the Youth Risk Behavior Surveillance System - United States, 2025.","authors":"Jonetta J Mpofu, Izraelle I McKinnon, Argelia Figueroa, Zachary Myles, Shari Shanklin, Emiko Petrosky, Simone C Gray, Ryan Saelee, Sandra J Kiplagat, David Chyen, Jelonia T Rumph, Malaika Washington, Cecily Mbaka, Cyprian Wejnert, Joana Lively, Barbara Queen, Alice Roberts","doi":"10.15585/mmwr.su7501a1","DOIUrl":"10.15585/mmwr.su7501a1","url":null,"abstract":"<p><p>The Youth Risk Behavior Surveillance System (YRBSS) is the largest and most comprehensive source of data on adolescent health behaviors and experiences in the United States. Established in 1991, YRBSS includes a nationally representative Youth Risk Behavior Survey (YRBS) and separate site-level YRBSs conducted by states, tribal governments, territories, and local school districts. This overview report describes 2025 YRBSS survey methodology, including sampling, data collection, response rates, data processing, weighting, and analytic methods. The 2025 national survey response rates and student demographic characteristics are also included, along with the site-level participation map. During 2025, in addition to the national YRBS, 64 sites across the United States (including 40 states, one tribal government, one territory, and 22 local school districts) administered site-level YRBSs to high school students in their jurisdictions. YRBSS continues to capitalize on technological advances to make survey administration and data collection more efficient. The 2025 national YRBS was administered electronically using tablets for the second consecutive cycle. For the first time, approximately two thirds of participating sites also administered surveys electronically, representing a major milestone in the system's transition toward electronic data collection. The increase in the number of sites opting to conduct electronic data collection opens new pathways for data modernization at the local level, including reducing the amount of work required for survey administration and time for data processing, enabling real-time logic checks, and allowing sites to more easily tailor questionnaires to jurisdictional needs. Although low participation and declining response rates remain challenging, the flexibility, reach, and adaptability of YRBSS support its continued role as a primary source of data on adolescent health. Continued participation in and promotion of the YRBSS by state, local, community, and school- and youth-focused professional organizations are essential to sustaining YRBSS participation and surveillance capacity.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"75 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urban-Rural and Demographic Differences in Substance Use Among High School Students - Youth Risk Behavior Survey, United States, 2025.","authors":"Sanjana Pampati, Izraelle I McKinnon, Joohyun Park, Catherine N Rasberry, Macarena C García, Nicolas A Suarez, Emiko Petrosky, Loren F Thomas, Marci Hertz","doi":"10.15585/mmwr.su7501a6","DOIUrl":"10.15585/mmwr.su7501a6","url":null,"abstract":"<p><p>Adolescent substance use remains a critical public health concern. Understanding patterns of substance use might guide prevention strategies and identify populations in need of focused, tailored interventions. This report links nationally representative 2025 Youth Risk Behavior Survey data with school characteristics data to describe substance use behaviors and differences by demographic characteristics and among students in public schools for whom locale information was available, by urban-rural classification. Current (i.e., past 30-day) measures included prescription opioid misuse and use of cigarettes, cigars, smokeless tobacco, electronic vapor products, alcohol, and marijuana. Lifetime measures included prescription opioid misuse and use of electronic vapor products, marijuana, cocaine, inhalants, heroin, methamphetamines, ecstasy, hallucinogenic drugs, a composite of selected illicit drugs, and injection of an illegal drug. Differences by sex, race and ethnicity, grade, and school urban-rural classification were analyzed. Adjusted prevalence ratios were used to assess urban-rural differences after controlling for sex, race and ethnicity, and grade. The most commonly reported substance use behaviors were lifetime use of electronic vapor products (30.2%), followed by marijuana (25.5%) and current use of alcohol (20.3%) and electronic vapor products (16.0%). Substance use varied by sex and race and ethnicity, with differences observed in patterns across behaviors. Most observed grade-related differences reflected higher prevalence among students in higher grade levels. After adjustment, students in rural public schools had a higher prevalence of current smokeless tobacco and electronic vapor product use, as well as lifetime electronic vapor product use, than students in city and suburb or town public schools. In addition, students in rural public schools had a higher prevalence of current cigarette and cigar use than students in suburb or town public schools. These descriptive findings might guide comprehensive and multicomponent youth substance use prevention programs that engage schools, families, and communities, including tobacco and nicotine prevention strategies tailored to rural schools and communities.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"75 1","pages":"54-66"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dietary and Physical Activity Behaviors Among High School Students - Youth Risk Behavior Survey, United States, 2025.","authors":"Caitlin Merlo, Ryan Saelee, Shannon L Michael, Ann Goding Sauer, Sandra J Kiplagat, Ellen Wenders, Carmen Ashley, Catherine N Rasberry","doi":"10.15585/mmwr.su7501a2","DOIUrl":"10.15585/mmwr.su7501a2","url":null,"abstract":"<p><p>Adolescence is a critical period for establishing healthy dietary and physical activity behaviors, which support growth, development, and chronic disease prevention. However, most adolescents do not meet national guidelines for healthy eating and daily physical activity, and previous data indicated declines in these behaviors. This report uses nationally representative data from the 2025 Youth Risk Behavior Survey to update estimates of dietary and physical activity behaviors among U.S. high school students overall and by sex, race and ethnicity, and grade. In addition, 2-year comparisons (2023 versus 2025) of these behaviors were examined. In 2025, during the 7 days before the survey was administered, 39% of high school students ate fruit ≥1 time per day, 63% ate vegetables ≥1 time per day, 27% ate breakfast daily, 30% had not drunk sugar-sweetened soda or pop, 51% had not drunk sports drinks, and 58% drank ≥3 glasses per day of plain water. In addition, approximately 25% of students met aerobic guidelines (were physically active for ≥60 minutes per day on all 7 days), 51% met muscle-strengthening guidelines (exercised to strengthen muscles on ≥3 days per week), 16% met both aerobic and muscle-strengthening guidelines, 20% attended physical education classes on all 5 school days, and 58% played on at least one sports team during the 12 months before the survey. From 2023 to 2025, overall increases were observed for eating fruit ≥1 time per day, eating vegetables ≥1 time per day, and drinking ≥3 glasses per day of plain water. Sports team participation also increased; however, students attending physical education class on all 5 school days decreased. Despite certain improvements since 2023, the 2025 prevalence of most healthy dietary behaviors and physical activity behaviors remained low. Understanding the current data can guide actions to create environments that support healthy behaviors in schools, communities, and at home and might help adolescents meet national recommendations for healthy eating and physical activity.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"75 1","pages":"12-24"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet Need for Mental Health Services Among High School Students Experiencing Persistent Feelings of Sadness or Hopelessness - Youth Risk Behavior Survey, United States, 2025.","authors":"Sandra J Kiplagat, Jorge V Verlenden, Emiko Petrosky, Simone C Gray, Adriane King, Jelonia T Rumph, Marci F Hertz, J Michael Underwood","doi":"10.15585/mmwr.su7501a4","DOIUrl":"https://doi.org/10.15585/mmwr.su7501a4","url":null,"abstract":"<p><p>For the first time, in 2025, CDC's nationally representative Youth Risk Behavior Survey (YRBS) included an item assessing U.S. high school students' use of mental health services. Data from this survey were used to examine the prevalence of persistent feelings of sadness or hopelessness among U.S. high school students and their receipt of counseling or therapy. Overall, 33.3% of students reported persistent feelings of sadness or hopelessness, with a higher prevalence among female than male students (43.4% versus 23.9%). Among students reporting persistent feelings of sadness or hopelessness, 29.6% reported receiving counseling or therapy, 28.8% reported an unmet need for counseling or therapy, and 41.5% reported no perceived need for counseling or therapy. A higher prevalence of female students than male students reported receiving counseling or therapy (33.2% versus 23.3%) and an unmet need for counseling or therapy (31.7% versus 23.8%) among those reporting persistent feelings of sadness or hopelessness. Conversely, a higher prevalence of male students than female students reported no perceived need for counseling or therapy (52.9% versus 35.1%). Asian and Black or African American students had both the lowest prevalence of receiving counseling or therapy (15.7% and 15.4%, respectively) and the highest prevalence of an unmet need for counseling or therapy (38.4% and 33.9%, respectively). After controlling for sex, grade, and race and ethnicity, students with persistent feelings of sadness or hopelessness were approximately twice as likely to report receiving counseling or therapy and three times as likely to report an unmet need compared with students who did not report these feelings. These findings highlight potential opportunities for tailored interventions to support adolescent use of mental health services, particularly approaches that address the unmet need for mental health services among female students and the low perceived need for services among male students. Strategies that might improve access to care include school-based mental health services and culturally appropriate family and community engagement.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"75 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Report of Unfair Discipline at School and Associations with Health Risk Behaviors and Experiences - Youth Risk Behavior Survey, United States, 2023.","authors":"Kathleen H Krause, Charles Bell, Bajha Jordan, Michelle Carman-McClanahan, Carmen Ashley, Izraelle I McKinnon, Desmond Banks, Jorge V Verlenden, Ari Fodeman, Loredona Arrey, Connie Lim, Sherry Everett Jones, Jonetta J Mpofu","doi":"10.15585/mmwr.su7304a8","DOIUrl":"10.15585/mmwr.su7304a8","url":null,"abstract":"<p><p>Relatively little is known about the association between school discipline and student health and well-being. Using CDC's 2023 Youth Risk Behavior Survey, CDC analyzed the prevalence of report of unfair discipline at school and associations with experiences at school, mental health, suicidal thoughts and behaviors, and health risk behaviors among high school students overall and stratified by race and ethnicity. Prevalence estimates, prevalence differences, and prevalence ratios adjusted for race (in overall models), grade, and sex were calculated. Overall, 19.3% of students reported receiving unfair discipline during the previous 12 months; Black or African American students had a higher prevalence (23.1%) compared with Hispanic or Latino students (18.4%) and White students (18.1%). Unfair discipline was reported among a majority of students who describe their sexual identity in some other way (besides gay, heterosexual, lesbian, bisexual, or questioning) for American Indian or Alaska Native (81.7%) and multiracial (57.1%) subgroups. Overall, report of unfair discipline was associated with every health risk behavior and experience examined, including being bullied at school or electronically, skipping school due to feeling unsafe, carrying a weapon at school, prescription opioid misuse, poor mental health, persistent feelings of sadness or hopelessness, seriously considered attempting suicide, and attempted suicide. This pattern of association was similar among most student groups in models stratified by race and ethnicity. This analysis is the first to demonstrate, among a nationally representative sample of high school students, that reports of unfair discipline are associated with various health risk behaviors and experiences. With these findings, public health and education practitioners can create interventions that equitably promote safe, supportive, and inclusive school environments for student health.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"73 4","pages":"69-78"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skipping Breakfast and Academic Grades, Persistent Feelings of Sadness or Hopelessness, and School Connectedness Among High School Students - Youth Risk Behavior Survey, United States, 2023.","authors":"Sarah A Sliwa, Caitlin L Merlo, Izraelle I McKinnon, Julie L Self, Christopher J Kissler, Ryan Saelee, Catherine N Rasberry","doi":"10.15585/mmwr.su7304a10","DOIUrl":"10.15585/mmwr.su7304a10","url":null,"abstract":"<p><p>Breakfast consumption is positively associated with academic achievement and diet quality among students, whereas skipping breakfast has been linked with poor mental health. Data from CDC's 2023 nationally representative Youth Risk Behavior Survey were used to describe how often high school students ate breakfast in the past 7 days and the associations between skipping breakfast every day (ate breakfast on 0 of the past 7 days), experiencing persistent feelings of sadness or hopelessness, school connectedness, and self-reported grades. Prevalence estimates and corresponding 95% CIs were calculated, and t-tests were used to identify differences within demographic groups (e.g., sex, race and ethnicity, and sexual identity). Logistic regression analyses were conducted to calculate prevalence ratios describing breakfast skipping, adjusting for demographics, and stratified by sex and race and ethnicity. Most students missed breakfast ≥1 time in the past 7 days (72.6%), and 17.9% of students skipped breakfast every day, with differences by sex, sexual identity, and race and ethnicity. Overall, and among both males and females, students who experienced persistent feelings of sadness or hopelessness were more likely to skip breakfast every day. The association between feelings of sadness and hopelessness and skipping breakfast was generally consistent across racial and ethnic groups. In contrast, greater levels of school connectedness and earning mostly As or Bs were inversely associated with skipping breakfast. Students who had higher school connectedness were approximately 30% less likely to skip breakfast on all 7 days. Skipping breakfast and poor mental health co-occur among many adolescents and might impede students' readiness to learn. School efforts to make breakfast accessible and appealing to high school students might yield multiple benefits and help reinforce school administrators' efforts to recover student learning losses that occurred during the COVID-19 pandemic. Parents, school decision-makers, and organizations that partner with schools and families can use these findings to guide efforts to promote breakfast consumption.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"73 4","pages":"87-93"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frequent Social Media Use and Experiences with Bullying Victimization, Persistent Feelings of Sadness or Hopelessness, and Suicide Risk Among High School Students - Youth Risk Behavior Survey, United States, 2023.","authors":"Emily Young, Jessica L McCain, Melissa C Mercado, Michael F Ballesteros, Shamia Moore, Laima Licitis, Joi Stinson, Sherry Everett Jones, Natalie J Wilkins","doi":"10.15585/mmwr.su7304a3","DOIUrl":"10.15585/mmwr.su7304a3","url":null,"abstract":"<p><p>Social media has become a pervasive presence in everyday life, including among youths. In 2023, for the first time, CDC's nationally representative Youth Risk Behavior Survey included an item assessing U.S. high school students' frequency of social media use. Data from this survey were used to estimate the prevalence of frequent social media use (i.e., used social media at least several times a day) among high school students and associations between frequent social media use and experiences with bullying victimization, persistent feelings of sadness or hopelessness, and suicide risk. All prevalence estimates and measures of association used Taylor series linearization. Prevalence ratios were calculated using logistic regression with predicted marginals. Overall, 77.0% of students reported frequent social media use, with observed differences by sex, sexual identity, and racial and ethnic identity. Frequent social media use was associated with a higher prevalence of bullying victimization at school and electronically, persistent feelings of sadness or hopelessness, and some suicide risk among students (considering attempting suicide and having made a suicide plan), both overall and in stratified models. This analysis characterizes the potential harms of frequent social media use for adolescent health among a nationally representative sample of U.S. high school students. Findings might support multisectoral efforts to create safer digital environments for youths, including decision-making about social media policies, practices, and protections.</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"73 4","pages":"23-30"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Overview and Methods for the Youth Risk Behavior Surveillance System - United States, 2023.","authors":"Nancy D Brener, Jonetta J Mpofu, Kathleen H Krause, Sherry Everett Jones, Jemekia E Thornton, Zachary Myles, William A Harris, David Chyen, Connie Lim, Loredona Arrey, Cecily K Mbaka, Lindsay Trujillo, Shari L Shanklin, Jennifer Smith-Grant, Lisa Whittle, Izraelle I McKinnon, Malaika Washington, Barbara E Queen, Alice M Roberts","doi":"10.15585/mmwr.su7304a1","DOIUrl":"10.15585/mmwr.su7304a1","url":null,"abstract":"<p><p>The Youth Risk Behavior Surveillance System (YRBSS) is a set of surveys that tracks a broad range of behaviors, experiences, and conditions that can lead to poor health among high school students. The system includes a nationally representative Youth Risk Behavior Survey (YRBS) and separate school-based YRBSs conducted by states, tribes, territories, and local school districts. For the 2023 national YRBS, CDC made changes to the sampling method, survey administration mode, and questionnaire. Specifically, the sampling design added an American Indian or Alaska Native (AI/AN) supplemental sample so that separate, precise estimates could be made for AI/AN high school students, in addition to the usual sample designed to provide nationally representative data for the population of students in grades 9-12. To decrease the time needed to collect and process data, CDC changed the survey administration mode from paper-and-pencil scannable booklets to a tablet-based electronic survey. To provide national data on topics of emerging interest, CDC added new questions to the questionnaire. These new questions assessed social media use, experiences of racism at school, adverse childhood experiences, transgender identity, consent for sexual contact, and unfair discipline at school. Public health practitioners and researchers can use YRBSS data to examine the prevalence of youth health behaviors, experiences, and conditions; monitor trends; and guide interventions. This overview report describes 2023 YRBSS survey methodology, including sampling, data collection, data processing, weighting, and data analyses. The 2023 YRBS participation map, survey response rates, and a detailed examination of student demographic characteristics are included in this report. During 2023, in addition to the national YRBS, 68 site-level surveys were administered to high school students in 39 states, three tribal governments, five territories, and 21 local school districts. These site-level surveys use site-specific questionnaires that are similar to the national YRBS questionnaire but are modified to meet sites' needs. This overview and methods report is one of 11 featured in this MMWR supplement, which reports results from the 2023 national YRBS but does not include data from the 68 site-level surveys. Each report is based on data collected using methods presented in this overview report. A full description of YRBSS results and downloadable data are available (https://www.cdc.gov/yrbs/index.html).</p>","PeriodicalId":37858,"journal":{"name":"MMWR supplements","volume":"73 4","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}