Tobacco Use

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

Percentage of High School Students Who Ever Tried Cigarette Smoking,* † *Even one or two puffs. † Decreased , no change , decreased [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,

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

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

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

Percentage of High School Students Who Smoked a Whole Cigarette Before Age 13 Years,* † *For the first time. † Decreased , no change , decreased [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,

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

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

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

Percentage of High School Students Who Currently Smoked Cigarettes,* † *On at least 1 day during the 30 days before the survey. † Decreased , increased , decreased [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,

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

No Data 4.4% % 11.1% % 13.8% % 15.4% % 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

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

Percentage of High School Students Who Currently Smoked Cigarettes Frequently,* † *On 20 or more days during the 30 days before the survey. † Decreased , increased , decreased [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,

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

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

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

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. † Decreased [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,

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

No Data 2.4% - 6.2% 6.3% - 9.2% 9.3% % 12.0% % 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

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

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. † Decreased [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,

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

No Data 44.8% % 49.8% % 51.9% % 54.0% % 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

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

Percentage of High School Students Who Smoked Cigarettes on School Property,* † *On at least 1 day during the 30 days before the survey. † Decreased , no change , decreased [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,

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

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

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

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. † Decreased , decreased , no change [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,

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

No Data 4.5% - 9.3% 9.4% % 12.9% % 15.1% % 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

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

Percentage of High School Students Who Ever Smoked at Least One Cigarette Every Day for 30 Days, * * Decreased [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,

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

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

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

Percentage of High School Students Who Smoked Cigarettes on All 30 Days,* † *During the 30 days before the survey. † Decreased , increased , decreased [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,

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

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

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

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. † Decreased, , no change, [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,

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

No Data 2.6% - 7.2% 7.3% - 8.3% 8.4% % 12.1% % 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

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

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. † Decreased , decreased , decreased [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,

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

No Data 4.1% % 10.8% % 12.4% % 14.0% % 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

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

Percentage of High School Students Who Currently Used Tobacco,* † *Current cigarette use, current smokeless tobacco use, or current cigar use. † Decreased , decreased , decreased [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,

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

No Data 5.6% % 17.1% % 19.6% % 24.7% % 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

Alcohol and Other Drug Use

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

Percentage of High School Students Who Ever Had at Least One Drink of Alcohol,* † *On at least 1 day during their life. † Decreased , no change , decreased [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,

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

No Data 30.7% % 59.5% % 63.2% % 67.3% % 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

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

Percentage of High School Students Who Drank Alcohol Before Age 13 Years,* † *For the first time other than a few sips. † Decreased , no change , decreased [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,

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

No Data 8.8% % 14.6% % 18.1% % 19.8% % 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

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

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. † Decreased , no change , decreased [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,

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

No Data 11.0% % 28.4% % 32.7% % 35.6% % 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

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

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. † No change [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,

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

No Data 28.6% % 34.4% % 38.4% % 41.0% % 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

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

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. † Decreased , increased , decreased [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,

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

No Data 5.9% % 16.1% % 18.3% % 21.0% % 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

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

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

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

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

Percentage of High School Students Who Ever Used Marijuana,* † *One or more times during their life. † Increased, , decreased, [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,

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

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

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

Percentage of High School Students Who Tried Marijuana Before Age 13 Years,* † *For the first time. † Increased, , decreased, [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,

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

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

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

Percentage of High School Students Who Currently Used Marijuana,* † *One or more times during the 30 days before the survey. † Increased , increased , decreased [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,

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

No Data 7.6% % 17.7% % 19.8% % 22.0% % 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

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

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. † Increased, , decreased, [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,

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

No Data 3.2% - 4.4% 4.5% - 5.3% 5.4% - 6.5% 6.6% % 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

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

Percentage of High School Students Who Ever Used Hallucinogenic Drugs,* † *Such as LSD, acid, PCP, angel dust, mescaline, or mushrooms, one or more times during their life. † Decreased , decreased , no change [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,

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

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. † Decreased , decreased , decreased [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,

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

No Data 5.9% - 7.9% 8.0% - 9.1% 9.2% % 10.6% % 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

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

Percentage of High School Students Who Ever Used Ecstasy,* † *Also called "MDMA," one or more times during their life. † Decreased , decreased , no change [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,

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

No Data 3.2% - 5.2% 5.3% - 6.8% 6.9% - 8.2% 8.3% % 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

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

Percentage of High School Students Who Ever Used Heroin,* † *Also called "smack,"junk," or "China White," one or more times during their life. † No change [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,

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

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

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

Percentage of High School Students Who Ever Used Methamphetamines,* † *Also called "speed," "crystal," "crank," or "ice," one or more times during their life. † Decreased [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,

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

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

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

Percentage of High School Students Who Ever Took Steroids Without a Doctor's Prescription,* † *Pills or shots, one or more times during their life. † Increased , increased , decreased [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,

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

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

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

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. † Decreased [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,

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

No Data 8.7% % 13.5% % 16.3% % 18.0% % 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

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

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. † No change [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,

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

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

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

Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School Property,* † *During the 12 months before the survey. † Decreased , increased , decreased [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,

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

No Data 12.1% % 19.3% % 22.7% % 26.8% % 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