1. Tobacco Use

2. Percentage of High School Students Who Ever Tried Cigarette Smoking,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Even one or two puffs. † M > F; 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

3. Percentage of High School Students Who Ever Tried Cigarette Smoking,* 1991-2013 † *Even one or two puffs. † Decreased 1991-2013, no change 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

4. Range and Median Percentage of High School Students Who Ever Tried Cigarette Smoking,* Across 34 States and 18 Cities, 2013 *Even one or two puffs. State and Local Youth Risk Behavior Surveys, 2013

5. No Data 18.3% - 34.1% 34.2% - 40.3% 40.4% - 45.5% 45.6% - 52.1% Percentage of High School Students Who Ever Tried Cigarette Smoking* *Even one or two puffs. State Youth Risk Behavior Surveys, 2013

6. Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *For the first time. † M > F; 9 > 12, 11 > 12; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

7. Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years,* 1991-2013 † *For the first time. † Decreased 1991-2013, no change 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

8. Range and Median Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years,* Across 39 States and 20 Cities, 2013 *For the first time. State and Local Youth Risk Behavior Surveys, 2013

9. No Data 3.7% - 7.6% 7.7% - 8.8% 8.9% - 10.3% 10.4% - 15.6% Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years* *For the first time. State Youth Risk Behavior Surveys, 2013

10. Percentage of High School Students Who Currently Smoked Cigarettes,* by Sex, Grade, † and Race/Ethnicity, † 2013 *On at least 1 day during the 30 days before the survey. † 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

11. Percentage of High School Students Who Currently Smoked Cigarettes,* 1991-2013 † *On at least 1 day during the 30 days before the survey. † Decreased 1991-2013, increased 1991-1997, decreased 1997-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

12. Range and Median Percentage of High School Students Who Currently Smoked Cigarettes,* Across 41 States and 20 Cities, 2013 *On at least 1 day during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

13. No Data 4.4% - 11.0% 11.1% - 13.7% 13.8% - 15.3% 15.4% - 19.6% Percentage of High School Students Who Currently Smoked Cigarettes* *On at least 1 day during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

14. Percentage of High School Students Who Currently Smoked Cigarettes Frequently,* by Sex, Grade, † and Race/Ethnicity, † 2013 *On 20 or more days during the 30 days before the survey. † 11 > 9, 11 > 10, 12 > 9, 12 > 10; W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

15. Percentage of High School Students Who Currently Smoked Cigarettes Frequently,* 1991-2013 † *On 20 or more days during the 30 days before the survey. † Decreased 1991-2013, increased 1991-1997, decreased 1997-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

16. Range and Median Percentage of High School Students Who Currently Smoked Cigarettes Frequently,* Across 41 States and 20 Cities, 2013 *On 20 or more days during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

17. No Data 1.3% - 3.6% 3.7% - 4.5% 4.6% - 5.4% 5.5% - 8.9% Percentage of High School Students Who Currently Smoked Cigarettes Frequently* *On 20 or more days during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

18. Percentage of High School Students Who Smoked More Than 10 Cigarettes Per Day,* by Sex, † Grade, and Race/Ethnicity, † 2013 *Among the 15.7% of students nationwide who currently smoked cigarettes on the days they smoked during the 30 days before the survey. † M > F; W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

19. Percentage of High School Students Who Smoked More Than 10 Cigarettes Per Day,* 1991-2013 † *Among the 15.7% of students nationwide who currently smoked cigarettes on the days they smoked during the 30 days before the survey. † Decreased 1991-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

20. Range and Median Percentage of High School Students Who Smoked More Than 10 Cigarettes Per Day,* Across 30 States and 10 Cities, 2013 *Among the 15.7% of students nationwide who currently smoked cigarettes on the days they smoked during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

21. No Data 2.4% - 6.2% 6.3% - 9.2% 9.3% - 11.9% 12.0% - 15.7% Percentage of High School Students Who Smoked More Than 10 Cigarettes Per Day* *Among the 15.7% of students nationwide who currently smoked cigarettes on the days they smoked during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

22. Percentage of High School Students Who Tried to Quit Smoking Cigarettes,* by Sex, † Grade, and Race/Ethnicity, † 2013 *Among the 15.7% of students nationwide who currently smoked cigarettes during the 12 months before the survey. † F > M; B > H, B > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

23. Percentage of High School Students Who Tried to Quit Smoking Cigarettes,* 2001-2013 † *Among the 15.7% of students nationwide who currently smoked cigarettes during the 12 months before the survey. † Decreased 2001-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2001-2013

24. Range and Median Percentage of High School Students Who Tried to Quit Smoking Cigarettes,* Across 29 States and 11 Cities, 2013 *Among the 15.7% of students nationwide who currently smoked cigarettes during the 12 months before the survey. State and Local Youth Risk Behavior Surveys, 2013

25. No Data 44.8% - 49.7% 49.8% - 51.8% 51.9% - 53.9% 54.0% - 67.1% Percentage of High School Students Who Tried to Quit Smoking Cigarettes* *Among the 15.7% of students nationwide who currently smoked cigarettes during the 12 months before the survey. State Youth Risk Behavior Surveys, 2013

26. Percentage of High School Students Who Smoked Cigarettes on School Property,* by Sex, Grade, † and Race/Ethnicity, † 2013 *On at least 1 day during the 30 days before the survey. † 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

27. Percentage of High School Students Who Smoked Cigarettes on School Property,* 1993-2013 † *On at least 1 day during the 30 days before the survey. † Decreased 1993-2013, no change 1993-1997, decreased 1997-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1993-2013

28. Range and Median Percentage of High School Students Who Smoked Cigarettes on School Property,* Across 29 States and 17 Cities, 2013 *On at least 1 day during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

29. No Data 1.4% - 2.7% 2.8% - 3.3% 3.4% - 3.5% 3.6% - 5.6% Percentage of High School Students Who Smoked Cigarettes on School Property* *On at least 1 day during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

30. Percentage of High School Students Who Usually Obtained Their Own Cigarettes by Buying Them in a Store or Gas Station,* by Sex, † Grade, † and Race/Ethnicity, 2013 *During the 30 days before the survey among the 12.4% of students nationwide who currently smoked cigarettes and who were aged <18 years. † M > F; 11 > 9, 11 > 10, 12 > 9 (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

31. Percentage of High School Students Who Usually Obtained Their Own Cigarettes by Buying Them in a Store or Gas Station,* 2001- 2013 † *During the 30 days before the survey among the 12.4% of students nationwide who currently smoked cigarettes and who were aged <18 years. † Decreased 2001-2013, decreased 2001-2009, no change 2009-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2001-2013

32. Range and Median Percentage of High School Students Who Usually Obtained Their Own Cigarettes by Buying Them in a Store or Gas Station,* Across 28 States and 5 Cities, 2013 *During the 30 days before the survey among the 12.4% of students nationwide who currently smoked cigarettes and who were aged <18 years. State and Local Youth Risk Behavior Surveys, 2013

33. No Data 4.5% - 9.3% 9.4% - 12.8% 12.9% - 15.0% 15.1% - 28.7% Percentage of High School Students Who Usually Obtained Their Own Cigarettes by Buying Them in a Store or Gas Station* *During the 30 days before the survey among the 12.4% of students nationwide who currently smoked cigarettes and who were aged <18 years. State Youth Risk Behavior Surveys, 2013

34. Percentage of High School Students Who Ever Smoked at Least One Cigarette Every Day for 30 Days, by Sex, Grade,* and Race/Ethnicity,* 2013 * 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

35. Percentage of High School Students Who Ever Smoked at Least One Cigarette Every Day for 30 Days, 2001-2013 * * Decreased 2001-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2001-2013

36. Range and Median Percentage of High School Students Who Ever Smoked at Least One Cigarette Every Day for 30 Days, Across 26 States and 18 Cities, 2013 State and Local Youth Risk Behavior Surveys, 2013

37. No Data 2.6% - 7.0% 7.1% - 8.2% 8.3% - 9.4% 9.5% - 13.9% Percentage of High School Students Who Ever Smoked at Least One Cigarette Every Day for 30 Days State Youth Risk Behavior Surveys, 2013

38. Percentage of High School Students Who Smoked Cigarettes on All 30 Days,* by Sex, Grade, † and Race/Ethnicity, † 2013 *During the 30 days before the survey. † 11 > 9, 11 > 10, 12 > 9, 12 > 10; W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

39. Percentage of High School Students Who Smoked Cigarettes on All 30 Days,* 1991-2013 † *During the 30 days before the survey. † Decreased 1991-2013, increased 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

40. Range and Median Percentage of High School Students Who Smoked Cigarettes on All 30 Days,* Across 41 States and 20 Cities, 2013 *During the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

41. No Data 0.9% - 2.5% 2.6% - 3.3% 3.4% - 3.9% 4.0% - 6.7% Percentage of High School Students Who Smoked Cigarettes on All 30 Days* *During the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

42. Percentage of High School Students Who Currently Used Smokeless Tobacco,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey. † M > F; 11 > 9; H > B, W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

43. Percentage of High School Students Who Currently Used Smokeless Tobacco,* 1995-2013 † *Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey. † Decreased, 1995-1999, no change, 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1995-2013

44. Range and Median Percentage of High School Students Who Currently Used Smokeless Tobacco,* Across 38 States and 20 Cities, 2013 *Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

45. No Data 2.6% - 7.2% 7.3% - 8.3% 8.4% - 12.0% 12.1% - 15.9% Percentage of High School Students Who Currently Used Smokeless Tobacco* *Chewing tobacco, snuff, or dip on at least 1 day during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

46. Percentage of High School Students Who Currently Used Cigars,* by Sex, † Grade, † and Race/Ethnicity, 2013 *Cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey. † M > F; 11 > 9, 11 > 10, 12 > 9, 12 > 10 (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

47. Percentage of High School Students Who Currently Used Cigars,* 1997-2013 † *Cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey. † Decreased 1997-2013, decreased 1997-2001, decreased 2001-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1997-2013

48. Range and Median Percentage of High School Students Who Currently Used Cigars,* Across 36 States and 19 Cities, 2013 *Cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

49. No Data 4.1% - 10.7% 10.8% - 12.3% 12.4% - 13.9% 14.0% - 17.1% Percentage of High School Students Who Currently Used Cigars* *Cigars, cigarillos, or little cigars on at least 1 day during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

50. Percentage of High School Students Who Currently Used Tobacco,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Current cigarette use, current smokeless tobacco use, or current cigar use. † M > F; 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; W > B, W > H (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

51. Percentage of High School Students Who Currently Used Tobacco,* 1997-2013 † *Current cigarette use, current smokeless tobacco use, or current cigar use. † Decreased 1997-2013, decreased 1997-2003, decreased 2003-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1997-2013

52. Range and Median Percentage of High School Students Who Currently Used Tobacco,* Across 35 States and 18 Cities, 2013 *Current cigarette use, current smokeless tobacco use, or current cigar use. State and Local Youth Risk Behavior Surveys, 2013

53. No Data 5.6% - 17.0% 17.1% - 19.5% 19.6% - 24.6% 24.7% - 29.7% Percentage of High School Students Who Currently Used Tobacco* *Current cigarette use, current smokeless tobacco use, or current cigar use. State Youth Risk Behavior Surveys, 2013

54. Alcohol and Other Drug Use

55. Percentage of High School Students Who Ever Had at Least One Drink of Alcohol,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *On at least 1 day during their life. † F > M; 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10, 12 > 11; H > B, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

56. Percentage of High School Students Who Ever Had at Least One Drink of Alcohol,* 1991-2013 † *On at least 1 day during their life. † Decreased 1991-2013, no change 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

57. Range and Median Percentage of High School Students Who Ever Had at Least One Drink of Alcohol,* Across 31 States and 19 Cities, 2013 *On at least 1 day during their life. State and Local Youth Risk Behavior Surveys, 2013

58. No Data 30.7% - 59.4% 59.5% - 63.1% 63.2% - 67.2% 67.3% - 70.5% Percentage of High School Students Who Ever Had at Least One Drink of Alcohol* *On at least 1 day during their life. State Youth Risk Behavior Surveys, 2013

59. Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *For the first time other than a few sips. † M > F; 9 > 11, 9 > 12, 10 > 12; B > W, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

60. Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* 1991-2013 † *For the first time other than a few sips. † Decreased 1991-2013, no change 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

61. Range and Median Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* Across 40 States and 20 Cities, 2013 *For the first time other than a few sips. State and Local Youth Risk Behavior Surveys, 2013

62. No Data 8.8% - 14.5% 14.6% - 18.0% 18.1% - 19.7% 19.8% - 25.6% Percentage of High School Students Who Drank Alcohol Before Age 13 Years* *For the first time other than a few sips. State Youth Risk Behavior Surveys, 2013

63. Percentage of High School Students Who Currently Drank Alcohol,* by Sex, Grade, † and Race/Ethnicity, † 2013 *At least one drink of alcohol on at least 1 day during the 30 days before the survey. † 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10, 12 > 11; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

64. Percentage of High School Students Who Currently Drank Alcohol,* 1991-2013 † *At least one drink of alcohol on at least 1 day during the 30 days before the survey. † Decreased 1991-2013, no change 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

65. Range and Median Percentage of High School Students Who Currently Drank Alcohol,* Across 41 States and 21 Cities, 2013 *At least one drink of alcohol on at least 1 day during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

66. No Data 11.0% - 28.3% 28.4% - 32.6% 32.7% - 35.5% 35.6% - 39.3% Percentage of High School Students Who Currently Drank Alcohol* *At least one drink of alcohol on at least 1 day during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

67. Percentage of High School Students Who Usually Obtained the Alcohol They Drank by Someone Giving It to Them,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Among the 34.9% of students nationwide who currently drank alcohol. † F > M; 9 > 12, 11 > 12; W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

68. Percentage of High School Students Who Usually Obtained the Alcohol They Drank by Someone Giving It to Them,* 2007-2013 † *Among the 34.9% of students nationwide who currently drank alcohol. † No change 2007-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2007-2013

69. Range and Median Percentage of High School Students Who Usually Obtained the Alcohol They Drank by Someone Giving It to Them,* Across 36 States and 19 Cities, 2013 *Among the 34.9% of students nationwide who currently drank alcohol. State and Local Youth Risk Behavior Surveys, 2013

70. No Data 28.6% - 34.3% 34.4% - 38.3% 38.4% - 40.9% 41.0% - 44.1% Percentage of High School Students Who Usually Obtained the Alcohol They Drank by Someone Giving It to Them* *Among the 34.9% of students nationwide who currently drank alcohol. State Youth Risk Behavior Surveys, 2013

71. Percentage of High School Students Who Had Five or More Drinks of Alcohol in a Row,* by Sex, Grade, † and Race/Ethnicity, † 2013 *Within a couple of hours on at least 1 day during the 30 days before the survey. † 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10, 12 > 11; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

72. Percentage of High School Students Who Had Five or More Drinks of Alcohol in a Row,* 1991-2013 † *Within a couple of hours on at least 1 day during the 30 days before the survey. † Decreased 1991-2013, increased 1991-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

73. Range and Median Percentage of High School Students Who Had Five or More Drinks of Alcohol in a Row,* Across 42 States and 21 Cities, 2013 *Within a couple of hours on at least 1 day during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

74. No Data 5.9% - 16.0% 16.1% - 18.2% 18.3% - 20.9% 21.0% - 24.4% Percentage of High School Students Who Had Five or More Drinks of Alcohol in a Row* *Within a couple of hours on at least 1 day during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

75. Percentage of High School Students Who Reported That Their Largest Number of Drinks in a Row Was 10 or More,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Within a couple of hours during the 30 days before the survey. † M > F; 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

76. Range and Median Percentage of High School Students Who Reported That Their Largest Number of Drinks in a Row Was 10 or More,* Across 27 States and 15 Cities, 2013 *Within a couple of hours during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

77. No Data 1.2% - 3.7% 3.8% - 4.2% 4.3% - 6.2% 6.3% - 9.0% Percentage of High School Students Who Reported That Their Largest Number of Drinks in a Row Was 10 or More* *Within a couple of hours during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

78. Percentage of High School Students Who Ever Used Marijuana,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *One or more times during their life. † M > F; 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; B > W, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

79. Percentage of High School Students Who Ever Used Marijuana,* 1991-2013 † *One or more times during their life. † Increased, 1991-1997, decreased, 1997-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

80. Range and Median Percentage of High School Students Who Ever Used Marijuana,* Across 35 States and 19 Cities, 2013 *One or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

81. No Data 16.8% - 32.9% 33.0% - 36.5% 36.6% - 39.8% 39.9% - 43.3% Percentage of High School Students Who Ever Used Marijuana* *One or more times during their life. State Youth Risk Behavior Surveys, 2013

82. Percentage of High School Students Who Tried Marijuana Before Age 13 Years,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *For the first time. † M > F; 9 > 12, 10 > 12, 11 > 12; B > W, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

83. Percentage of High School Students Who Tried Marijuana Before Age 13 Years,* 1991-2013 † *For the first time. † Increased, 1991-1999, decreased, 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

84. Range and Median Percentage of High School Students Who Tried Marijuana Before Age 13 Years,* Across 41 States and 21 Cities, 2013 *For the first time. State and Local Youth Risk Behavior Surveys, 2013

85. No Data 3.7% - 6.5% 6.6% - 8.0% 8.1% - 9.0% 9.1% - 17.3% Percentage of High School Students Who Tried Marijuana Before Age 13 Years* *For the first time. State Youth Risk Behavior Surveys, 2013

86. Percentage of High School Students Who Currently Used Marijuana,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *One or more times during the 30 days before the survey. † M > F; 10 > 9, 11 > 9, 12 > 9, 12 > 10; B > W, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

87. Percentage of High School Students Who Currently Used Marijuana,* 1991-2013 † *One or more times during the 30 days before the survey. † Increased 1991-2013, increased 1991-1995, decreased 1995-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

88. Range and Median Percentage of High School Students Who Currently Used Marijuana,* Across 42 States and 21 Cities, 2013 *One or more times during the 30 days before the survey. State and Local Youth Risk Behavior Surveys, 2013

89. No Data 7.6% - 17.6% 17.7% - 19.7% 19.8% - 21.9% 22.0% - 27.8% Percentage of High School Students Who Currently Used Marijuana* *One or more times during the 30 days before the survey. State Youth Risk Behavior Surveys, 2013

90. Percentage of High School Students Who Ever Used Cocaine,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Any form of cocaine, such as powder, crack, or freebase, one or more times during their life. † M > F; 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, H > W, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

91. Percentage of High School Students Who Ever Used Cocaine,* 1991-2013 † *Any form of cocaine, such as powder, crack, or freebase, one or more times during their life. † Increased, 1991-1999, decreased, 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

92. Range and Median Percentage of High School Students Who Ever Used Cocaine,* Across 37 States and 20 Cities, 2013 *Any form of cocaine, such as powder, crack, or freebase, one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

93. No Data 3.2% - 4.4% 4.5% - 5.3% 5.4% - 6.5% 6.6% - 10.3% Percentage of High School Students Who Ever Used Cocaine* *Any form of cocaine, such as powder, crack, or freebase, one or more times during their life. State Youth Risk Behavior Surveys, 2013

94. Percentage of High School Students Who Ever Used Hallucinogenic Drugs,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Such as LSD, acid, PCP, angel dust, mescaline, or mushrooms, one or more times during their life. † M > F; 11 > 9, 12 > 9, 12 > 10; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

95. Percentage of High School Students Who Ever Used Hallucinogenic Drugs,* 2001-2013 † *Such as LSD, acid, PCP, angel dust, mescaline, or mushrooms, one or more times during their life. † Decreased 2001-2013, decreased 2001-2005, no change 2005-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2001-2013

96. Percentage of High School Students Who Ever Used Inhalants,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life. † F > M; 9 > 12, 11 > 12; H > B, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

97. Percentage of High School Students Who Ever Used Inhalants,* 1995-2013 † *Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life. † Decreased 1995-2013, decreased 1995-1999, decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1995-2013

98. Range and Median Percentage of High School Students Who Ever Used Inhalants,* Across 36 States and 17 Cities, 2013 *Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

99. No Data 5.9% - 7.9% 8.0% - 9.1% 9.2% - 10.5% 10.6% - 14.5% Percentage of High School Students Who Ever Used Inhalants* *Sniffed glue, breathed the contents of aerosol spray cans, or inhaled any paints or sprays to get high one or more times during their life. State Youth Risk Behavior Surveys, 2013

100. Percentage of High School Students Who Ever Used Ecstasy,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *Also called "MDMA," one or more times during their life. † M > F; 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

101. Percentage of High School Students Who Ever Used Ecstasy,* 2001-2013 † *Also called "MDMA," one or more times during their life. † Decreased 2001-2013, decreased 2001-2005, no change 2005-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2001-2013

102. Range and Median Percentage of High School Students Who Ever Used Ecstasy,* Across 30 States and 18 Cities, 2013 *Also called "MDMA," one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

103. No Data 3.2% - 5.2% 5.3% - 6.8% 6.9% - 8.2% 8.3% - 11.2% Percentage of High School Students Who Ever Used Ecstasy* *Also called "MDMA," one or more times during their life. State Youth Risk Behavior Surveys, 2013

104. Percentage of High School Students Who Ever Used Heroin,* by Sex, † Grade, and Race/Ethnicity, † 2013 *Also called "smack,"junk," or "China White," one or more times during their life. † M > F; H > B, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

105. Percentage of High School Students Who Ever Used Heroin,* 1999-2013 † *Also called "smack,"junk," or "China White," one or more times during their life. † No change 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1999-2013

106. Range and Median Percentage of High School Students Who Ever Used Heroin,* Across 29 States and 18 Cities, 2013 *Also called "smack,"junk," or "China White," one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

107. No Data 1.1% - 2.3% 2.4% - 3.2% 3.3% - 3.9% 4.0% - 7.8% Percentage of High School Students Who Ever Used Heroin* *Also called "smack,"junk," or "China White," one or more times during their life. State Youth Risk Behavior Surveys, 2013

108. Percentage of High School Students Who Ever Used Methamphetamines,* by Sex, Grade, † and Race/Ethnicity, † 2013 *Also called "speed," "crystal," "crank," or "ice," one or more times during their life. † 11 > 9; H > B, H > W, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

109. Percentage of High School Students Who Ever Used Methamphetamines,* 1999-2013 † *Also called "speed," "crystal," "crank," or "ice," one or more times during their life. † Decreased 1999-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1999-2013

110. Range and Median Percentage of High School Students Who Ever Used Methamphetamines,* Across 35 States and 19 Cities, 2013 *Also called "speed," "crystal," "crank," or "ice," one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

111. No Data 1.6% - 2.8% 2.9% - 3.6% 3.7% - 4.6% 4.7% - 8.9% Percentage of High School Students Who Ever Used Methamphetamines* *Also called "speed," "crystal," "crank," or "ice," one or more times during their life. State Youth Risk Behavior Surveys, 2013

112. Percentage of High School Students Who Ever Took Steroids Without a Doctor's Prescription,* by Sex, † Grade, and Race/Ethnicity, † 2013 *Pills or shots, one or more times during their life. † M > F; H > B, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

113. Percentage of High School Students Who Ever Took Steroids Without a Doctor's Prescription,* 1991-2013 † *Pills or shots, one or more times during their life. † Increased 1991-2013, increased 1991-2001, decreased 2001-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1991-2013

114. Range and Median Percentage of High School Students Who Ever Took Steroids Without a Doctor's Prescription,* Across 26 States and 16 Cities, 2013 *Pills or shots, one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

115. No Data 1.5% - 2.6% 2.7% - 3.5% 3.6% - 4.5% 4.6% - 8.8% Percentage of High School Students Who Ever Took Steroids Without a Doctor's Prescription* *Pills or shots, one or more times during their life. State Youth Risk Behavior Surveys, 2013

116. Percentage of High School Students Who Ever Took Prescription Drugs Without a Doctor's Prescription,* by Sex, Grade, † and Race/Ethnicity, † 2013 *Such as Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life. † 10 > 9, 11 > 9, 11 > 10, 12 > 9, 12 > 10; H > B, W > B (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

117. Percentage of High School Students Who Ever Took Prescription Drugs Without a Doctor's Prescription,* 2011-2013 † *Such as Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life. † Decreased 2011-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 2011-2013

118. Range and Median Percentage of High School Students Who Ever Took Prescription Drugs Without a Doctor's Prescription,* Across 34 States and 18 Cities, 2013 *Such as Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

119. No Data 8.7% - 13.4% 13.5% - 16.2% 16.3% - 17.9% 18.0% - 21.5% Percentage of High School Students Who Ever Took Prescription Drugs Without a Doctor's Prescription* *Such as Oxycontin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life. State Youth Risk Behavior Surveys, 2013

120. Percentage of High School Students Who Ever Injected Any Illegal Drug,* by Sex, † Grade, and Race/Ethnicity, 2013 *Used a needle to inject any illegal drug into their body one or more times during their life. † M > F (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

121. Percentage of High School Students Who Ever Injected Any Illegal Drug,* 1995-2013 † *Used a needle to inject any illegal drug into their body one or more times during their life. † No change 1995-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1995-2013

122. Range and Median Percentage of High School Students Who Ever Injected Any Illegal Drug,* Across 29 States and 16 Cities, 2013 *Used a needle to inject any illegal drug into their body one or more times during their life. State and Local Youth Risk Behavior Surveys, 2013

123. No Data 1.0% - 2.0% 2.1% - 2.4% 2.5% - 3.1% 3.2% - 4.7% Percentage of High School Students Who Ever Injected Any Illegal Drug* *Used a needle to inject any illegal drug into their body one or more times during their life. State Youth Risk Behavior Surveys, 2013

124. Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* by Sex, † Grade, † and Race/Ethnicity, † 2013 *During the 12 months before the survey. † M > F; 9 > 12, 10 > 12, 11 > 12; H > B, H > W (Based on t-test analysis, p < 0.05.) Black and White races are non-Hispanic. National Youth Risk Behavior Survey, 2013

125. Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* 1993-2013 † *During the 12 months before the survey. † Decreased 1993-2013, increased 1993-1997, decreased 1997-2013 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present).] National Youth Risk Behavior Surveys, 1993-2013

126. Range and Median Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* Across 36 States and 19 Cities, 2013 *During the 12 months before the survey. State and Local Youth Risk Behavior Surveys, 2013

127. No Data 12.1% - 19.2% 19.3% - 22.6% 22.7% - 26.7% 26.8% - 32.8% Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property* *During the 12 months before the survey. State Youth Risk Behavior Surveys, 2013