tennessee youth risk behavior survey results 2019

We will set all students on a path to success.

Tennessee Youth Risk Behavior Survey Results

2019

W H O L E C H I L D

TENNESSEE PUBLIC SCHOOLS WILL BE EQUIPPED TO SERVE THE ACADEMIC AND NON-ACADEMIC

NEEDS OF ALL STUDENTS

A C A D E M I C S

ALL TENNESSEE STUDENTS WILL HAVE ACCESS TO A HIGH-QUALITY EDUCATION, NO MATTER WHERE

THEY LIVE

E D U C A T O R S

TENNESSEE WILL SET A NEW PATH FOR THE EDUCATION PROFESSION

AND BE THE TOP STATE TO BECOME AND REMAIN A TEACHER

AND LEADER

We will set all students on a path to success.

• Behaviors that contribute to unintentional injuries and violence

• Sexual behaviors related to unintended pregnancy and sexually transmitted diseases, including HIV infection

• Alcohol and other drug use

• Tobacco use

• Unhealthy dietary behaviors

• Inadequate physical activity

• In addition, the YRBS monitors the prevalence of obesity and asthma and other health-related behaviors

The YRBS was designed to:

• Determine the prevalence of health behaviors.

• Assess whether health behaviors increase, decrease, or stay the same over time.

• Examine the co-occurrence of health behaviors.

• Provide comparable national, state, territorial, tribal, and local data.

• Provide comparable data among subpopulations of youth.

• Monitor progress toward achieving the Healthy People objectives and other program indicators.

State, territorial, tribal government, and local agencies and nongovernmental organizations use YRBS data to set and track progress toward meeting school health and health promotion program goals, support modification of school health curricula or other programs, support new legislation and policies that promote health, and seek funding and other support for new initiatives.

7.8 9.16.5 7.3 5.6

10.17.5

10.5 11.76.4

0

20

40

60

80

100

Total Male Female 9th 10th 11th 12th Black Hispanic White

Pe

rcen

t

*When riding in a car driven by someone else†11th > 10th; H > W (Based on t-test analysis, p < 0.05.)

All Hispanic students are included in the Hispanic category. All other races are non-Hispanic.

This graph contains weighted results.

Percentage of High School Students Who Rarely or Never Wore a Seat Belt,* by Sex, Grade,†

and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QN8

Percentage of High School Students Who Rarely or Never Wore a Seat Belt,* 1993-2019†

*When riding in a car driven by someone else†Decreased 1993-2019, decreased 1993-2007, decreased 2007-2019 [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).]

Data not available for 1995, 1997, 1999, 2001.


31.0

14.4 13.2 11.2 9.6 10.5 11.97.3 8.9 7.8

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 1993-2019 - QN8

15.6 16.614.1

17.1 14.9 16.413.4

20.1 19.8

13.1

0

20

40

60

80

100


Pe

rcen

t

*In a car or other vehicle, one or more times during the 30 days before the survey†B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Rode with a Driver Who Had Been Drinking

Alcohol,* by Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Rode with a Driver Who Had Been Drinking Alcohol,*

1993-2019†

*In a car or other vehicle, one or more times during the 30 days before the survey†Decreased 1993-2019 [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).]



35.9

26.6 25.1 24.2 22.2 20.3 19.816.3 14.9 15.6

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


41.338.5

43.8

17.8

28.9

44.0

58.7

38.042.5 42.9

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey†10th > 9th, 11th > 9th, 11th > 10th, 12th > 9th, 12th > 10th, 12th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Texted or E-Mailed While Driving a Car or Other

Vehicle,* by Sex, Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Texted or E-Mailed While Driving a Car or Other

Vehicle,* 2013-2019†

*On at least 1 day during the 30 days before the survey, among students who had driven a car or other vehicle during the 30 days before the survey†No change 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


41.135.4

49.0

41.3

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t


19.7

28.6

10.3

20.9 19.814.5

22.7

13.117.3

22.4

0

20

40

60

80

100


Pe

rcen

t

*Such as a gun, knife, or club, on at least 1 day during the 30 days before the survey†M > F; 10th > 11th, 12th > 11th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Carried a Weapon,* by Sex,† Grade,† and

Race/Ethnicity,† 2019


Percentage of High School Students Who Carried a Weapon,* 2017-2019†

*Such as a gun, knife, or club, on at least 1 day during the 30 days before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


18.5 19.7

0

20

40

60

80

100

2017 2019

Pe

rcen

t


8.112.4

3.56.7 8.5

5.910.9 9.6

12.2

6.5

0

20

40

60

80

100


Pe

rcen

t

*Not counting the days when they carried a gun only for hunting or for a sport such as target shooting, on at least 1 day during the 12 months before the survey†M > F; 12th > 11th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Carried a Gun,* by Sex,† Grade,† and



Percentage of High School Students Who Carried a Gun,* 2017-2019†

*Not counting the days when they carried a gun only for hunting or for a sport such as target shooting, on at least 1 day during the 12 months before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


7.5 8.1

0

20

40

60

80

100

2017 2019

Pe

rcen

t


10.6 9.8 11.3 11.1 9.2 9.512.6 10.9

14.59.9

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Go to School Because They Felt Unsafe at

School or on Their Way to or from School,* by Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Did Not Go to School Because They Felt Unsafe at

School or on Their Way to or from School,* 1993-2019†

*On at least 1 day during the 30 days before the survey†Increased 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




4.3 5.9 5.7 7.3 5.6 5.08.0 9.3 8.1

10.6

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


8.6 10.66.5 7.3 8.6 9.7 8.3

11.114.3

6.6

0

20

40

60

80

100


Pe

rcen

t

*Such as a gun, knife, or club, one or more times during the 12 months before the survey†M > F; B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Threatened or Injured with a Weapon on

School Property,* by Sex,† Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Were Threatened or Injured with a Weapon on School

Property,* 1993-2019†

*Such as a gun, knife, or club, one or more times during the 12 months before the survey†No change 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




8.7 8.4 7.4 7.3 7.0 5.89.3 10.2

6.5 8.6

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


22.927.9

17.5

24.8 26.622.1

16.3

27.8 28.1

20.1

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 12 months before the survey†M > F; 9th > 12th, 10th > 12th, 11th > 12th; B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were in a Physical Fight,* by Sex,† Grade,† and



Percentage of High School Students Who Were in a Physical Fight,* 2017-2019†

*One or more times during the 12 months before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


22.4 22.9

0

20

40

60

80

100

2017 2019

Pe

rcen

t


7.7 9.85.5

8.9 9.3 7.63.8

11.0 11.2

5.5

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 12 months before the survey†M > F; 9th > 12th, 10th > 12th, 11th > 12th; B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were in a Physical Fight on School Property,* by

Sex,† Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Were in a Physical Fight on School Property,* 1993-

2019†

*One or more times during the 12 months before the survey†Decreased 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




15.412.2 10.9 12.4 11.3 10.5 10.4 10.8

7.3 7.7

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


13.810.6

17.2

10.115.5

17.8

10.515.4 15.0 13.2

0

20

40

60

80

100


Pe

rcen

t

*Being physically hurt on purpose by someone they were dating or going out with [counting such things as being hit, slammed into something, or injured with an object or

weapon] one or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey†F > M; 11th > 9th, 11th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Experienced Physical Dating Violence,* by Sex,†

Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Experienced Physical Dating Violence,* 2013-2019†

*Being physically hurt on purpose by someone they were dating or going out with [counting such things as being hit, slammed into something, or injured with an object or

weapon] one or more times during the 12 months before the survey, among students who dated or went out with someone during the 12 months before the survey†Increased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


9.6 11.2 10.813.8

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t


21.516.1

27.1

20.123.8

20.6 21.216.7

21.2 23.2

0

20

40

60

80

100


Pe

rcen

t

*Ever during the 12 months before the survey†F > M; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Bullied on School Property,* by Sex,† Grade,



Percentage of High School Students Who Were Bullied on School Property,* 2009-2019†

*Ever during the 12 months before the survey†Increased 2009-2019, increased 2009-2015, no change 2015-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,




17.3 17.521.1

24.120.3 21.5

0

20

40

60

80

100

2009 2011 2013 2015 2017 2019

Pe

rcen

t


14.910.7

19.213.8 15.3 16.2

13.99.3

17.3 16.6

0

20

40

60

80

100


Pe

rcen

t

*Counting being bullied through texting, Instagram, Facebook, or other social media, ever during the 12 months before the survey†F > M; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Electronically Bullied,* by Sex,† Grade, and



Percentage of High School Students Who Were Electronically Bullied,* 2011-2019†

*Counting being bullied through texting, Instagram, Facebook, or other social media, ever during the 12 months before the survey†No change 2011-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


13.9 15.5 15.3 15.6 14.9

0

20

40

60

80

100

2011 2013 2015 2017 2019

Pe

rcen

t


37.5

27.9

47.1

32.9

42.138.3

36.0

30.4

40.6 39.3

0

20

40

60

80

100


Pe

rcen

t

*Almost every day for >=2 weeks in a row so that they stopped doing some usual activities, ever during the 12 months before the survey†F > M; 10th > 9th, 11th > 9th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Felt Sad or Hopeless,* by Sex,† Grade,† and



Percentage of High School Students Who Felt Sad or Hopeless,* 2003-2019†

*Almost every day for >=2 weeks in a row so that they stopped doing some usual activities, ever during the 12 months before the survey†Increased 2003-2019, no change 2003-2015, increased 2015-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,




28.331.0

26.8 27.6 25.928.3 28.0

31.1

37.5

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


19.213.7

24.4

18.822.3

18.2 16.2 15.418.0

20.5

0

20

40

60

80

100


Pe

rcen

t

*Ever during the 12 months before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Seriously Considered Attempting Suicide,* by

Sex,† Grade, and Race/Ethnicity, 2019


Percentage of High School Students Who Seriously Considered Attempting Suicide,* 1993-2019†

*Ever during the 12 months before the survey†Decreased 1993-2019, decreased 1993-2011, increased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,





24.5

17.5 18.914.1 13.6 14.7 15.2 16.0 16.5

19.2

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


15.411.7

18.915.3

18.9

12.8 13.3 13.0

18.915.6

0

20

40

60

80

100


Pe

rcen

t

*During the 12 months before the survey†F > M; 10th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Made a Plan About How They Would Attempt

Suicide,* by Sex,† Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Made a Plan About How They Would Attempt Suicide,*

1993-2019†

*During the 12 months before the survey†Decreased 1993-2019, decreased 1993-2009, increased 2009-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,





18.514.1 14.0

10.2 11.7 11.113.5 14.2 13.0

15.4

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


10.6 9.211.8 12.1 10.4 9.7 8.9

14.0 15.8

9.1

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 12 months before the survey†B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Attempted Suicide,* by Sex, Grade, and



Percentage of High School Students Who Attempted Suicide,* 1993-2019†

*One or more times during the 12 months before the survey†Decreased, 1993-2011, increased, 2011-2019 [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).]



8.6 8.9 9.4 7.4 7.1 6.29.0 9.9 8.3 10.6

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


3.9 3.8 3.8 2.8 4.1 4.6 4.07.5 6.4

2.7

0

20

40

60

80

100


Pe

rcen

t

*During the 12 months before the survey†B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Had a Suicide Attempt That Resulted in an Injury,

Poisoning, or Overdose That Had to Be Treated by a Doctor or Nurse,* by Sex, Grade, and



Percentage of High School Students Who Had a Suicide Attempt That Resulted in an Injury,

Poisoning, or Overdose That Had to Be Treated by a Doctor or Nurse,* 1993-2019†

*During the 12 months before the survey†No change 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




2.7 3.1 2.4 2.2 2.2 2.2 4.4 3.8 2.9 3.9

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


29.2 30.0 28.225.4

32.0

22.6

35.7

16.3

28.1

33.7

0

20

40

60

80

100


Pe

rcen

t

*Even one or two puffs†12th > 9th, 12th > 11th; H > B, W > B, W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Tried Cigarette Smoking,* by Sex, Grade,†



Percentage of High School Students Who Ever Tried Cigarette Smoking,* 1993-2019†

*Even one or two puffs†Decreased 1993-2019, decreased 1993-2011, decreased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,





74.9

61.8 61.7

54.650.7

48.243.6

36.131.6

29.2

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


11.5 12.610.3 12.2 11.0 9.4

12.17.6

13.6 12.3

0

20

40

60

80

100


Pe

rcen

t

*Even one or two puffs†H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who First Tried Cigarette Smoking Before Age 13

Years,* by Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who First Tried Cigarette Smoking Before Age 13 Years,*

2017-2019†

*Even one or two puffs†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


12.3 11.5

0

20

40

60

80

100

2017 2019

Pe

rcen

t


7.1 8.1 6.0 5.7 7.9 5.98.9

2.67.1 8.8

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†12th > 11th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigarettes,* by Sex, Grade,†



Percentage of High School Students Who Currently Smoked Cigarettes,* 1993-2019†

*On at least 1 day during the 30 days before the survey†Decreased 1993-2019, decreased 1993-2011, decreased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,





35.3

27.6 26.3 25.520.9 21.6

15.411.5 9.4 7.1

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


1.9 2.1 1.6 0.6 2.8 1.9 2.1 0.02.8 2.5

0

20

40

60

80

100


Pe

rcen

t

*On 20 or more days during the 30 days before the survey†10th > 9th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigarettes Frequently,* by Sex,

Grade,† and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNFRCIG

Percentage of High School Students Who Currently Smoked Cigarettes Frequently,* 1993-2019†

*On 20 or more days during the 30 days before the survey†Decreased 1993-2019, decreased 1993-2011, decreased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,





19.414.7 13.7 12.1 9.9 9.5

6.2 3.9 2.8 1.9

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 1993-2019 - QNFRCIG

1.5 1.6 1.2 0.6 1.9 1.6 1.5 0.02.3 1.9

0

20

40

60

80

100


Pe

rcen

t

*On all 30 days during the 30 days before the survey†W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigarettes Daily,* by Sex,

Grade, and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNDAYCIG

Percentage of High School Students Who Currently Smoked Cigarettes Daily,* 1993-2019†

*On all 30 days during the 30 days before the survey†Decreased 1993-2019, decreased 1993-2007, decreased 2007-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,





14.711.3 10.5 10.3

7.1 6.8 4.7 2.8 2.0 1.5

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 1993-2019 - QNDAYCIG

9.5

0

20

40

60

80

100


Pe

rcen

t

*On the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes


Missing bar indicates fewer than 100 students in the subgroup.


Percentage of High School Students Who Smoked More Than 10 Cigarettes Per Day,* by

Sex, Grade, and Race/Ethnicity, 2019


Percentage of High School Students Who Smoked More Than 10 Cigarettes Per Day,* 1993-2019†

*On the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes†Decreased 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




21.218.2

13.917.8

11.4 11.5 9.7 10.8 9.6 9.5

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


50.6 49.8 51.4

44.8

56.0

45.0

56.9

40.6

53.2 53.9

0

20

40

60

80

100


Pe

rcen

t

*Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo]†10th > 9th, 10th > 11th, 12th > 9th, 12th > 11th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used an Electronic Vapor Product,* by Sex,



Percentage of High School Students Who Ever Used an Electronic Vapor Product,* 2015-2019†

*Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo]†Increased 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


41.6 40.3

50.6

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t


22.1 22.4 21.718.0

20.7 21.4

28.9

12.4

21.225.7

0

20

40

60

80

100


Pe

rcen

t

*Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo], on at

least 1 day during the 30 days before the survey†12th > 9th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Used an Electronic Vapor Product,* by

Sex, Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Currently Used an Electronic Vapor Product,* 2015-

2019†

*Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, MarkTen, Logic, Vapin Plus, eGo, and Halo], on

at least 1 day during the 30 days before the survey†No change 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


21.7

11.5

22.1

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t


7.4 7.5 7.24.5 4.8 5.4

14.8

4.6 5.29.0

0

20

40

60

80

100


Pe

rcen

t

*On 20 or more days during the 30 days before the survey†12th > 9th, 12th > 10th, 12th > 11th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Used Electronic Vapor Products

Frequently,* by Sex, Grade,† and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNFREVP

Percentage of High School Students Who Currently Used Electronic Vapor Products Frequently,*

2015-2019†

*On 20 or more days during the 30 days before the survey†Increased 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


3.2 2.57.4

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2015-2019 - QNFREVP

5.5 6.1 4.92.4 3.5 3.8

12.5

4.3 3.76.5

0

20

40

60

80

100


Pe

rcen

t

*On all 30 days during the 30 days before the survey†12th > 9th, 12th > 10th, 12th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Used Electronic Vapor Products Daily,*

by Sex, Grade,† and Race/Ethnicity, 2019

Tennessee - YRBS, 2019 - QNDAYEVP

Percentage of High School Students Who Currently Used Electronic Vapor Products Daily,* 2015-

2019†

*On all 30 days during the 30 days before the survey†Increased 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


2.2 1.55.5

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2015-2019 - QNDAYEVP

9.1 9.4 8.8

2.6

9.5

0

20

40

60

80

100


Pe

rcen

t

*Such as a convenience store, supermarket, discount store, gas station, or vape store, during the 30 days before the survey, among students who currently used electronic vapor

products and who were aged <18 years




Percentage of High School Students Who Usually Got Their Own Electronic Vapor Products

by Buying Them in a Store,* by Sex, Grade, and Race/Ethnicity, 2019


Percentage of High School Students Who Usually Got Their Own Electronic Vapor Products by

Buying Them in a Store,* 2017-2019†

*Such as a convenience store, supermarket, discount store, gas station, or vape store, during the 30 days before the survey, among students who currently used electronic

vapor products and who were aged <18 years†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


7.7 9.1

0

20

40

60

80

100

2017 2019

Pe

rcen

t


8.213.5

2.7

8.86.1 7.0

10.1

3.76.9

9.2

0

20

40

60

80

100


Pe

rcen

t

*Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products [such as Copenhagen, Grizzly, Skoal, or Camel Snus], not counting any electronic vapor products, on at

least 1 day during the 30 days before the survey†M > F; 12th > 10th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Used Smokeless Tobacco,* by Sex,†



Percentage of High School Students Who Currently Used Smokeless Tobacco,* 2017-2019†

*Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products [such as Copenhagen, Grizzly, Skoal, or Camel Snus], not counting any electronic vapor products, on at

least 1 day during the 30 days before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


7.3 8.2

0

20

40

60

80

100

2017 2019

Pe

rcen

t


9.1 11.36.7 7.7 7.7 8.9

12.19.4 7.9 9.3

0

20

40

60

80

100


Pe

rcen

t

*Cigars, cigarillos, or little cigars, on at least 1 day during the 30 days before the survey†M > F (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigars,* by Sex,† Grade, and

Race/Ethnicity, 2019


Percentage of High School Students Who Currently Smoked Cigars,* 2003-2019†

*Cigars, cigarillos, or little cigars, on at least 1 day during the 30 days before the survey†Decreased 2003-2019, no change 2003-2011, decreased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,




16.6 16.5 16.4 17.0 15.5 15.311.0 9.6 9.1

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


12.2 14.49.8 10.0 11.7 11.0

16.1

10.0 10.313.1

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†M > F (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigarettes or Cigars,* by Sex,†

Grade, and Race/Ethnicity, 2019

Tennessee - YRBS, 2019 - QNTB2

Percentage of High School Students Who Currently Smoked Cigarettes or Cigars,* 2003-2019†

*On at least 1 day during the 30 days before the survey†Decreased 2003-2019, decreased 2003-2011, decreased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,




33.0 31.4 30.327.0 26.6

23.3

17.014.0 12.2

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2003-2019 - QNTB2

15.820.6

10.814.7 14.2 13.2

20.6

11.4 13.117.0

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†M > F; 12th > 10th, 12th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigarettes or Cigars or Used

Smokeless Tobacco,* by Sex,† Grade,† and Race/Ethnicity, 2019



Smokeless Tobacco,* 2017-2019†

*On at least 1 day during the 30 days before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


16.7 15.8

0

20

40

60

80

100

2017 2019

Pe

rcen

t


27.930.7

24.8 24.4 26.1 25.8

35.1

17.9

26.531.2

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†M > F; 12th > 11th; W > B (Based on t-test analysis, p < 0.05.)




Smokeless Tobacco or Electronic Vapor Products,* by Sex,† Grade,† and Race/Ethnicity,†

2019



Smokeless Tobacco or Electronic Vapor Products,* 2017-2019†

*On at least 1 day during the 30 days before the survey†Increased 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


20.3

27.9

0

20

40

60

80

100

2017 2019

Pe

rcen

t


23.9 24.5 23.219.6

22.7 23.4

30.5

13.0

24.027.7

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†12th > 9th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Smoked Cigarettes or Used Electronic

Vapor Products,* by Sex, Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Currently Smoked Cigarettes or Used Electronic Vapor

Products,* 2015-2019†

*On at least 1 day during the 30 days before the survey†No change 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


26.2

16.0

23.9

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t


47.6

41.6

54.9 55.851.5

41.2 43.0

49.9

0

20

40

60

80

100


Pe

rcen

t

*Including cigarettes, cigars, smokeless tobacco, shisha or hookah tobacco, and electronic vapor products, ever during the 12 months before the survey, among students who

used any tobacco products during the 12 months before the survey†F > M; 9th > 11th, 9th > 12th (Based on t-test analysis, p < 0.05.)




Percentage of High School Students Who Tried to Quit Using All Tobacco Products,* by

Sex,† Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Tried to Quit Using All Tobacco Products,* 2017-2019†

*Including cigarettes, cigars, smokeless tobacco, shisha or hookah tobacco, and electronic vapor products, ever during the 12 months before the survey, among students

who used any tobacco products during the 12 months before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


46.0 47.6

0

20

40

60

80

100

2017 2019

Pe

rcen

t


16.819.3

14.0

20.1 17.913.7 14.9 14.7

26.8

15.6

0

20

40

60

80

100


Pe

rcen

t

*Other than a few sips†M > F; 9th > 11th, 9th > 12th; H > B, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Had Their First Drink of Alcohol Before Age 13

Years,* by Sex,† Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Had Their First Drink of Alcohol Before Age 13 Years,*

2017-2019†

*Other than a few sips†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


15.9 16.8

0

20

40

60

80

100

2017 2019

Pe

rcen

t


21.6 20.322.7

15.8

23.017.6

30.4

14.8

23.5 24.1

0

20

40

60

80

100


Pe

rcen

t

*At least one drink of alcohol, on at least 1 day during the 30 days before the survey†10th > 9th, 12th > 9th, 12th > 11th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Drank Alcohol,* by Sex, Grade,† and



Percentage of High School Students Who Currently Drank Alcohol,* 2017-2019†

*At least one drink of alcohol, on at least 1 day during the 30 days before the survey†Decreased 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


25.821.6

0

20

40

60

80

100

2017 2019

Pe

rcen

t


8.8 10.27.3 6.7 8.2 6.0

14.7

3.38.5

11.2

0

20

40

60

80

100


Pe

rcen

t

*Had four or more drinks of alcohol in a row for female students or five or more drinks of alcohol in a row for male students, within a couple of hours, on at least 1 day during the

30 days before the survey†12th > 9th, 12th > 10th, 12th > 11th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Were Binge Drinking,* by Sex, Grade,†



Percentage of High School Students Who Currently Were Binge Drinking,* 2017-2019†

*Had four or more drinks of alcohol in a row for female students or five or more drinks of alcohol in a row for male students, within a couple of hours, on at least 1 day during

the 30 days before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


11.0 8.8

0

20

40

60

80

100

2017 2019

Pe

rcen

t


2.3 3.60.9 1.1 2.3 1.4

4.31.5

4.82.4

0

20

40

60

80

100


Pe

rcen

t

*Within a couple of hours, during the 30 days before the survey†M > F (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Reported That the Largest Number of Drinks They

Had in a Row Was 10 or More,* by Sex,† Grade, and Race/Ethnicity, 2019


39.5

29.9

47.9

39.9

49.4

30.9

41.8

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey, among students who currently drank alcohol†F > M; 10th > 12th (Based on t-test analysis, p < 0.05.)




Percentage of High School Students Who Usually Got the Alcohol They Drank by Someone

Giving It to Them,* by Sex,† Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Usually Got the Alcohol They Drank by Someone Giving

It to Them,* 2017-2019†

*During the 30 days before the survey, among students who currently drank alcohol†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


35.839.5

0

20

40

60

80

100

2017 2019

Pe

rcen

t


32.9 32.7 32.9

24.3

32.9 34.7

40.9 39.133.8

30.6

0

20

40

60

80

100


Pe

rcen

t

*One or more times during their life†10th > 9th, 11th > 9th, 12th > 9th, 12th > 10th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used Marijuana,* by Sex, Grade,† and



Percentage of High School Students Who Ever Used Marijuana,* 2017-2019†

*One or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


33.8 32.9

0

20

40

60

80

100

2017 2019

Pe

rcen

t


7.49.7

4.89.0

6.6 6.2 7.39.8 10.0

5.8

0

20

40

60

80

100


Pe

rcen

t

*M > F; B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Tried Marijuana for the First Time Before Age 13

Years, by Sex,* Grade, and Race/Ethnicity,* 2019


Percentage of High School Students Who Tried Marijuana for the First Time Before Age 13 Years,

2017-2019*

*No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


7.1 7.4

0

20

40

60

80

100

2017 2019

Pe

rcen

t


17.5 18.3 16.4 14.818.6 18.8 17.9

23.6

17.914.9

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 30 days before the survey†B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Used Marijuana,* by Sex, Grade, and



Percentage of High School Students Who Currently Used Marijuana,* 2017-2019†

*One or more times during the 30 days before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


18.1 17.5

0

20

40

60

80

100

2017 2019

Pe

rcen

t


7.3 7.3 7.0 7.0 6.1 7.4 9.0 8.012.1

6.5

0

20

40

60

80

100


Pe

rcen

t

*One or more times during their life



Percentage of High School Students Who Ever Used Synthetic Marijuana,* by Sex, Grade,

and Race/Ethnicity, 2019


Percentage of High School Students Who Ever Used Synthetic Marijuana,* 2017-2019†

*One or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


7.1 7.3

0

20

40

60

80

100

2017 2019

Pe

rcen

t


13.7 12.7 14.5 12.6 13.7 13.2 14.9 14.0 15.612.7

0

20

40

60

80

100


Pe

rcen

t

*Counting drugs such as codeine, Vicodin, OxyContin, Hydrocodone, and Percocet, one or more times during their life



Percentage of High School Students Who Ever Took Prescription Pain Medicine Without a

Doctor's Prescription or Differently Than How a Doctor Told Them to Use It,* by Sex, Grade,



Percentage of High School Students Who Ever Took Prescription Pain Medicine Without a

Doctor's Prescription or Differently Than How a Doctor Told Them to Use It,* 2017-2019†

*Counting drugs such as codeine, Vicodin, OxyContin, Hydrocodone, and Percocet, one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


13.2 13.7

0

20

40

60

80

100

2017 2019

Pe

rcen

t


4.8 6.03.4 2.0 3.6 5.3

7.94.6

7.84.1

0

20

40

60

80

100


Pe

rcen

t

*Any form of cocaine, including powder, crack, or freebase, one or more times during their life†M > F; 12th > 9th, 12th > 10th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used Cocaine,* by Sex,† Grade,† and



Percentage of High School Students Who Ever Used Cocaine,* 2017-2019†

*Any form of cocaine, including powder, crack, or freebase, one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


4.1 4.8

0

20

40

60

80

100

2017 2019

Pe

rcen

t


8.1 6.79.3 8.4 10.2 8.7

4.59.2 8.2 7.4

0

20

40

60

80

100


Pe

rcen

t

*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†9th > 12th, 10th > 12th, 11th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used Inhalants,* by Sex, Grade,† and



Percentage of High School Students Who Ever Used Inhalants,* 2017-2019†

*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†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


6.8 8.1

0

20

40

60

80

100

2017 2019

Pe

rcen

t


2.7 2.8 2.4 1.5 2.5 2.5 4.0 3.66.1

1.8

0

20

40

60

80

100


Pe

rcen

t

*Also called "smack," "junk," or "China White," one or more times during their life†H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used Heroin,* by Sex, Grade, and



Percentage of High School Students Who Ever Used Heroin,* 2017-2019†

*Also called "smack," "junk," or "China White," one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


2.5 2.7

0

20

40

60

80

100

2017 2019

Pe

rcen

t


3.2 3.8 2.6 1.7 2.3 4.3 4.5 5.7 3.7 2.0

0

20

40

60

80

100


Pe

rcen

t

*Also called "speed," "crystal meth," "crank," "ice," or "meth," one or more times during their life†B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used Methamphetamines,* by Sex, Grade,



Percentage of High School Students Who Ever Used Methamphetamines,* 2017-2019†

*Also called "speed," "crystal meth," "crank," "ice," or "meth," one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


2.7 3.2

0

20

40

60

80

100

2017 2019

Pe

rcen

t


4.2 5.32.8 2.3 3.2 4.9 6.1 5.0 5.8

3.5

0

20

40

60

80

100


Pe

rcen

t

*Also called "MDMA," one or more times during their life†M > F; 12th > 9th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Used Ecstasy,* by Sex,† Grade,† and



Percentage of High School Students Who Ever Used Ecstasy,* 2017-2019†

*Also called "MDMA," one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


3.9 4.2

0

20

40

60

80

100

2017 2019

Pe

rcen

t


3.9 4.5 3.0 3.7 3.6 5.0 2.9 4.6 6.22.7

0

20

40

60

80

100


Pe

rcen

t

*Pills or shots, one or more times during their life†H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Took Steroids Without a Doctor's

Prescription,* by Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Ever Took Steroids Without a Doctor's Prescription,*

2017-2019†

*Pills or shots, one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


3.1 3.9

0

20

40

60

80

100

2017 2019

Pe

rcen

t


2.5 2.5 2.3 1.7 2.3 2.2 3.3 3.5 5.21.6

0

20

40

60

80

100


Pe

rcen

t

*Used a needle to inject any illegal drug into their body, one or more times during their life†B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Injected Any Illegal Drug,* by Sex, Grade, and



Percentage of High School Students Who Ever Injected Any Illegal Drug,* 2017-2019†

*Used a needle to inject any illegal drug into their body, one or more times during their life†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


2.3 2.5

0

20

40

60

80

100

2017 2019

Pe

rcen

t


28.1 29.626.4

29.4 29.4 28.524.3 25.1

35.9

27.8

0

20

40

60

80

100


Pe

rcen

t

*During the 12 months before the survey†H > B, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on

School Property,* by Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Were Offered, Sold, or Given an Illegal Drug on School

Property,* 2017-2019†

*During the 12 months before the survey†Increased 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


23.728.1

0

20

40

60

80

100

2017 2019

Pe

rcen

t


20.924.3

17.3 18.420.9

17.7

27.023.6 23.8

19.9

0

20

40

60

80

100


Pe

rcen

t

* ≥ 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts. In 2017, new, slightly different ranges were used to

calculate biologically implausible responses to height and weight questions.†M > F; 12th > 9th, 12th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Had Obesity,* by Sex,† Grade,† and Race/Ethnicity,

2019

Tennessee - YRBS, 2019 - QNOBESE

Percentage of High School Students Who Had Obesity,* 2003-2019†

* ≥ 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts. In 2017, new, slightly different ranges were used

to calculate biologically implausible responses to height and weight questions.†Increased 2003-2019, no change 2003-2011, increased 2011-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,




15.1 14.416.8 15.7 15.2 16.9 18.6 20.5 20.9

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2003-2019 - QNOBESE

18.3 17.119.6

17.221.8

17.4 16.919.4 19.5 17.7

0

20

40

60

80

100


Pe

rcen

t

* ≥ 85th percentile but <95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts. In 2017, new, slightly different

ranges were used to calculate biologically implausible responses to height and weight questions.



Percentage of High School Students Who Were Overweight,* by Sex, Grade, and


Tennessee - YRBS, 2019 - QNOWT

Percentage of High School Students Who Were Overweight,* 2003-2019†

* ≥ 85th percentile but <95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts. In 2017, new, slightly

different ranges were used to calculate biologically implausible responses to height and weight questions.†No change 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



14.717.4 18.1 16.0 17.3 15.4 17.1 17.5 18.3

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2003-2019 - QNOWT

34.729.8

39.7

31.234.6

31.5

42.5

29.834.8 37.0

0

20

40

60

80

100


Pe

rcen

t

*F > M; 12th > 9th, 12th > 10th, 12th > 11th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Described Themselves As Slightly or Very

Overweight, by Sex,* Grade,* and Race/Ethnicity,* 2019


Percentage of High School Students Who Described Themselves As Slightly or Very Overweight,

1993-2019*

*Decreased, 1993-2013, increased, 2013-2019 [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).]



36.031.1 31.9 30.2 28.1 28.3 28.1

30.532.9 34.7

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


49.2

38.1

60.9

45.8

51.549.2 50.4

45.6

54.749.9

0

20

40

60

80

100


Pe

rcen

t

*F > M; H > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Trying to Lose Weight, by Sex,* Grade, and

Race/Ethnicity,* 2019


Percentage of High School Students Who Were Trying to Lose Weight, 1993-2019*

*Increased 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




42.4 43.547.8

43.6 45.2 44.9 43.8 43.447.6 49.2

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


36.1 36.1 36.333.9

37.234.8

38.6

26.1

33.0

40.2

0

20

40

60

80

100


Pe

rcen

t

*100% fruit juices one or more times during the 7 days before the survey†W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Drink Fruit Juice,* by Sex, Grade, and



Percentage of High School Students Who Did Not Drink Fruit Juice,* 2003-2019†

*100% fruit juices one or more times during the 7 days before the survey†Increased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



20.7 22.725.5 24.6 25.8

28.7 29.7 29.7

36.1

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


19.4 21.417.3 15.4

18.4 19.0

24.720.6

16.919.7

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 7 days before the survey†12th > 9th, 12th > 10th, 12th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Fruit,* by Sex, Grade,† and



Percentage of High School Students Who Did Not Eat Fruit,* 2003-2019†

*One or more times during the 7 days before the survey†No change 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



19.1 18.5 19.0 19.4 18.9 17.6 19.315.7

19.4

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


11.1 13.29.0 8.4

11.5 9.914.7

10.8 8.811.7

0

20

40

60

80

100


Pe

rcen

t

*Such as orange juice, apple juice, or grape juice, during the 7 days before the survey†M > F; 12th > 9th, 12th > 10th, 12th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Fruit or Drink 100% Fruit Juices,* by


Tennessee - YRBS, 2019 - QNFR0

Percentage of High School Students Who Did Not Eat Fruit or Drink 100% Fruit Juices,* 2003-

2019†

*Such as orange juice, apple juice, or grape juice, during the 7 days before the survey†Increased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



7.8 8.0 9.6 9.1 9.3 9.9 9.8 8.511.1

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2003-2019 - QNFR0

48.9 50.147.5

53.2

46.351.1

45.1

52.154.4

46.4

0

20

40

60

80

100


Pe

rcen

t

*Such as orange juice, apple juice, or grape juice, during the 7 days before the survey†9th > 10th, 9th > 12th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate Fruit or Drank 100% Fruit Juices One or More

Times Per Day,* by Sex, Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Ate Fruit or Drank 100% Fruit Juices One or More Times

Per Day,* 2003-2019†

*Such as orange juice, apple juice, or grape juice, during the 7 days before the survey†Decreased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



54.1 53.7 53.3 53.0 55.1 54.6 52.4 53.048.9

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


22.7 21.9 23.4 24.4 22.6 23.120.3

27.330.5

20.4

0

20

40

60

80

100


Pe

rcen

t

*Such as orange juice, apple juice, or grape juice, during the 7 days before the survey†B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate Fruit or Drank 100% Fruit Juices Two or More

Times Per Day,* by Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Ate Fruit or Drank 100% Fruit Juices Two or More Times

Per Day,* 2003-2019†

*Such as orange juice, apple juice, or grape juice, during the 7 days before the survey†Decreased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



27.5 27.4 26.4 27.4 28.7 27.523.1

26.122.7

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


50.155.0

45.0

51.648.7 49.2 50.4 52.4

47.9 49.6

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 7 days before the survey†M > F (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Green Salad,* by Sex,† Grade, and



Percentage of High School Students Who Did Not Eat Green Salad,* 2003-2019†

*One or more times during the 7 days before the survey†Increased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



38.441.3 41.3

46.6 45.0 47.2

54.1

47.650.1

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


41.6 41.5 41.8 42.7 43.138.0

42.647.8 47.0

39.0

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 7 days before the survey



Percentage of High School Students Who Did Not Eat Potatoes,* by Sex, Grade, and



Percentage of High School Students Who Did Not Eat Potatoes,* 2003-2019†




24.628.1 29.8 31.7

29.233.5 35.8

38.841.6

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


62.8 62.7 62.9 62.7 64.6 62.4 61.4

71.9

60.6 60.2

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 7 days before the survey†B > H, B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Carrots,* by Sex, Grade, and



Percentage of High School Students Who Did Not Eat Carrots,* 2003-2019†




59.4 60.5 62.5 63.6 62.6 64.1 64.461.7 62.8

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


26.931.0

22.6 22.0

27.724.9

33.0 33.4 32.0

24.2

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 7 days before the survey†M > F; 10th > 9th, 12th > 9th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Other Vegetables,* by Sex,† Grade,†



Percentage of High School Students Who Did Not Eat Other Vegetables,* 2003-2019†




16.7 17.9 19.2 20.4 19.224.4 25.3 23.3

26.9

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


11.0 13.09.0 9.7 9.5 10.5

14.1 14.118.1

9.3

0

20

40

60

80

100


Pe

rcen

t

*Green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey†M > F; 12th > 9th, 12th > 10th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Vegetables,* by Sex,† Grade,† and


Tennessee - YRBS, 2019 - QNVEG0

Percentage of High School Students Who Did Not Eat Vegetables,* 2003-2019†

*Green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey†Increased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



5.0 6.7 8.0 8.0 7.5 9.0 9.7 10.0 11.0

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2003-2019 - QNVEG0

48.545.7

51.2 49.846.5

50.647.4

42.7

48.3 50.5

0

20

40

60

80

100


Pe

rcen

t

*Green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate Vegetables One or More Times Per Day,* by

Sex,† Grade, and Race/Ethnicity, 2019


Percentage of High School Students Who Ate Vegetables One or More Times Per Day,* 2003-2019†

*Green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey†Decreased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



62.0 59.9 58.656.1

58.654.1 51.9 52.9

48.5

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


18.3 17.4 19.1 17.5 16.419.3 19.7

16.822.3

17.7

0

20

40

60

80

100


Pe

rcen

t

*Green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey



Percentage of High School Students Who Ate Vegetables Two or More Times Per Day,* by



Percentage of High School Students Who Ate Vegetables Two or More Times Per Day,* 2003-2019†




25.7 24.2 24.3 23.2 25.0 22.8 21.1 21.318.3

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


9.2 8.7 9.8 9.5 7.710.4 9.1 9.1

14.1

8.3

0

20

40

60

80

100


Pe

rcen

t

*Green salad, potatoes [excluding French fries, fried potatoes, or potato chips], carrots, or other vegetables, during the 7 days before the survey†H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate Vegetables Three or More Times Per Day,* by

Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Ate Vegetables Three or More Times Per Day,* 2003-

2019†




13.2 11.7 12.1 12.1 13.2 12.39.7 10.2 9.2

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


23.920.8

26.721.2

24.7 24.9 24.221.4

28.523.7

0

20

40

60

80

100


Pe

rcen

t

*Such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Drink a Can, Bottle, or Glass of Soda or

Pop,* by Sex,† Grade, and Race/Ethnicity, 2019


Percentage of High School Students Who Did Not Drink a Can, Bottle, or Glass of Soda or Pop,*

2007-2019†

*Such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey†Increased 2007-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



13.4 14.8 16.0 18.221.7 23.7 23.9

0

20

40

60

80

100

2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


25.0 26.723.5 25.5 23.4 21.5

29.6

22.318.8

27.1

0

20

40

60

80

100


Pe

rcen

t

*Such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey†W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank a Can, Bottle, or Glass of Soda or Pop One

or More Times Per Day,* by Sex, Grade, and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNSODA1

Percentage of High School Students Who Drank a Can, Bottle, or Glass of Soda or Pop One or

More Times Per Day,* 2007-2019†

*Such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey†Decreased 2007-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



46.441.3 40.2

32.829.0

26.0 25.0

0

20

40

60

80

100

2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2007-2019 - QNSODA1

16.6 18.215.0 15.7 16.1

12.8

21.716.5

9.7

17.9

0

20

40

60

80

100


Pe

rcen

t

*Such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey†12th > 11th; W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank a Can, Bottle, or Glass of Soda or Pop Two

or More Times Per Day,* by Sex, Grade,† and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNSODA2

Percentage of High School Students Who Drank a Can, Bottle, or Glass of Soda or Pop Two or

More Times Per Day,* 2007-2019†

*Such as Coke, Pepsi, or Sprite, not counting diet soda or diet pop, during the 7 days before the survey†Decreased 2007-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



35.931.3 30.4

23.819.7 18.4 16.6

0

20

40

60

80

100

2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2007-2019 - QNSODA2

33.6

24.8

42.9

26.632.1

37.7 38.7 39.9

31.4 31.5

0

20

40

60

80

100


Pe

rcen

t

*During the 7 days before the survey†F > M; 10th > 9th, 11th > 9th, 11th > 10th, 12th > 9th, 12th > 10th; B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Drink Milk,* by Sex,† Grade,† and



Percentage of High School Students Who Did Not Drink Milk,* 2013-2019†

*During the 7 days before the survey†Increased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


28.5 26.630.2

33.6

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t


22.3

29.3

15.1

27.9

22.3 21.616.8

14.2

24.2 24.6

0

20

40

60

80

100


Pe

rcen

t

*Counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the

survey†M > F; 9th > 10th, 9th > 11th, 9th > 12th, 10th > 12th, 11th > 12th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank One or More Glasses Per Day of Milk,* by


Tennessee - YRBS, 2019 - QNMILK1

Percentage of High School Students Who Drank One or More Glasses Per Day of Milk,* 2013-2019†

*Counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days

before the survey†Decreased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


32.029.3

26.422.3

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2013-2019 - QNMILK1

5.7 7.43.8

8.45.6 5.0 3.6 3.4 5.3 6.5

0

20

40

60

80

100


Pe

rcen

t

*Counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days before the

survey†M > F; 9th > 12th; W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank Three or More Glasses Per Day of Milk,* by


Tennessee - YRBS, 2019 - QNMILK3

Percentage of High School Students Who Drank Three or More Glasses Per Day of Milk,* 2013-

2019†

*Counting the milk they drank in a glass or cup, from a carton, or with cereal and counting the half pint of milk served at school as equal to one glass, during the 7 days

before the survey†Decreased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


9.7 8.1 7.3 5.7

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2013-2019 - QNMILK3

16.9 15.818.1

13.9 15.9 17.519.8 20.7 21.7

15.1

0

20

40

60

80

100


Pe

rcen

t

*During the 7 days before the survey†12th > 9th; B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Eat Breakfast,* by Sex, Grade,† and



Percentage of High School Students Who Did Not Eat Breakfast,* 2013-2019†

*During the 7 days before the survey†No change 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


17.314.6 15.2 16.9

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t


30.534.8

26.3

38.533.1

24.1 25.821.9

29.033.6

0

20

40

60

80

100


Pe

rcen

t

*During the 7 days before the survey†M > F; 9th > 11th, 9th > 12th, 10th > 11th, 10th > 12th; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate Breakfast on All 7 Days,* by Sex,† Grade,† and


Tennessee - YRBS, 2019 - QNBK7DAY

Percentage of High School Students Who Ate Breakfast on All 7 Days,* 2013-2019†

*During the 7 days before the survey†Decreased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


34.1 35.4 35.030.5

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2013-2019 - QNBK7DAY

39.9

47.7

32.0

49.6

41.6

32.9 34.637.7 36.7

40.6

0

20

40

60

80

100


Pe

rcen

t

*In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey†M > F; 9th > 10th, 9th > 11th, 9th > 12th, 10th > 11th, 10th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Physically Active at Least 60 Minutes Per

Day on 5 or More Days,* by Sex,† Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Were Physically Active at Least 60 Minutes Per Day on 5

or More Days,* 2011-2019†

*In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey†Decreased 2011-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


47.2

41.4 42.7 44.139.9

0

20

40

60

80

100

2011 2013 2015 2017 2019

Pe

rcen

t


19.116.2

22.2

13.816.3

20.3

26.222.0

24.3

17.0

0

20

40

60

80

100


Pe

rcen

t

*In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey†F > M; 11th > 9th, 12th > 9th, 12th > 10th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Participate in at Least 60 Minutes of

Physical Activity on at Least 1 Day,* by Sex,† Grade,† and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNPA0DAY

Percentage of High School Students Who Did Not Participate in at Least 60 Minutes of Physical

Activity on at Least 1 Day,* 2011-2019†

*In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey†Increased 2011-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


14.219.6 18.2 16.8 19.1

0

20

40

60

80

100

2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2011-2019 - QNPA0DAY

21.6

29.3

13.6

29.2

22.218.5

16.0

22.018.2

21.4

0

20

40

60

80

100


Pe

rcen

t

*In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey†M > F; 9th > 10th, 9th > 11th, 9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Physically Active at Least 60 Minutes Per

Day on All 7 Days,* by Sex,† Grade,† and Race/Ethnicity, 2019

Tennessee - YRBS, 2019 - QNPA7DAY

Percentage of High School Students Who Were Physically Active at Least 60 Minutes Per Day on

All 7 Days,* 2011-2019†

*In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey†Decreased 2011-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


30.225.4 25.9 25.6

21.6

0

20

40

60

80

100

2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2011-2019 - QNPA7DAY

23.5 23.0 24.026.3

20.422.8 24.1

29.6

23.821.4

0

20

40

60

80

100


Pe

rcen

t

*On an average school day†B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Watched Television 3 or More Hours Per Day,* by

Sex, Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Watched Television 3 or More Hours Per Day,* 2003-

2019†

*On an average school day†Decreased 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



44.341.4

38.3 37.735.1 34.1

29.223.7 23.5

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


44.5 46.442.7

50.346.4

41.0 40.043.6

37.0

45.9

0

20

40

60

80

100


Pe

rcen

t

*Counting time spent on things such as Xbox, PlayStation, an iPad or other tablet, a smartphone, texting, YouTube, Instagram, Facebook, or other social media, for something

that was not school work, on an average school day†9th > 11th, 9th > 12th; W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Played Video or Computer Games or Used a

Computer 3 or More Hours Per Day,* by Sex, Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Played Video or Computer Games or Used a Computer

3 or More Hours Per Day,* 2007-2019†

*Counting time spent on things such as Xbox, PlayStation, an iPad or other tablet, a smartphone, texting, YouTube, Instagram, Facebook, or other social media, for

something that was not school work, on an average school day†Increased 2007-2019, increased 2007-2015, no change 2015-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex,




23.126.0

30.3

36.2

43.4 44.4 44.5

0

20

40

60

80

100

2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


41.846.0

37.2

70.1

35.9

29.8 30.3

46.0

38.7 40.2

0

20

40

60

80

100


Pe

rcen

t

*In an average week when they were in school†M > F; 9th > 10th, 9th > 11th, 9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Attended Physical Education (PE) Classes on 1 or

More Days,* by Sex,† Grade,† and Race/Ethnicity, 2019


Percentage of High School Students Who Attended Physical Education (PE) Classes on 1 or More

Days,* 1993-2019†

*In an average week when they were in school†Increased 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




31.1

38.9 37.2 39.2

33.4

40.7 40.1 41.338.2

41.8

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


20.223.2

17.1

38.5

19.1

10.4 12.1

18.914.8

21.2

0

20

40

60

80

100


Pe

rcen

t

*In an average week when they were in school†M > F; 9th > 10th, 9th > 11th, 9th > 12th, 10th > 11th; W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Attended Physical Education Classes on All 5

Days,* by Sex,† Grade,† and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNDLYPE

Percentage of High School Students Who Attended Physical Education Classes on All 5 Days,*

1993-2019†

*In an average week when they were in school†Decreased 1993-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant




28.1 28.7 29.7 30.4

22.9 23.2 22.325.3 26.2

20.2

0

20

40

60

80

100

1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 1993-2019 - QNDLYPE

48.153.2

42.9

55.4

48.044.4 44.5

53.3

43.346.6

0

20

40

60

80

100


Pe

rcen

t

*Counting any teams run by their school or community groups, during the 12 months before the survey†M > F; 9th > 11th, 9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Played on at Least One Sports Team,* by Sex,†



Percentage of High School Students Who Played on at Least One Sports Team,* 2003-2019†

*Counting any teams run by their school or community groups, during the 12 months before the survey†No change 2003-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



50.7 50.8 51.9 50.153.8 53.5

50.2 49.2 48.1

0

20

40

60

80

100

2003 2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


15.819.7

11.715.4 16.2 15.9 15.6

18.6 19.014.5

0

20

40

60

80

100


Pe

rcen

t

*One or more times during the 12 months before the survey†M > F; B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Had a Concussion from Playing a Sport or Being

Physically Active,* by Sex,† Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Had a Concussion from Playing a Sport or Being

Physically Active,* 2017-2019†

*One or more times during the 12 months before the survey†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


15.6 15.8

0

20

40

60

80

100

2017 2019

Pe

rcen

t


13.6 14.0 13.110.2 10.2

16.2 18.3 19.2 19.4

10.8

0

20

40

60

80

100


Pe

rcen

t

*Not counting tests done if they donated blood†11th > 9th, 11th > 10th, 12th > 9th, 12th > 10th; B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Were Ever Tested for Human Immunodeficiency

Virus (HIV),* by Sex, Grade,† and Race/Ethnicity,† 2019


Percentage of High School Students Who Were Ever Tested for Human Immunodeficiency Virus

(HIV),* 2017-2019†

*Not counting tests done if they donated blood†No change 2017-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


12.0 13.6

0

20

40

60

80

100

2017 2019

Pe

rcen

t


70.6 69.571.8 73.7 72.0

68.3 68.965.2

57.0

74.4

0

20

40

60

80

100


Pe

rcen

t

*For a check-up, exam, teeth cleaning, or other dental work, during the 12 months before the survey†W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Saw a Dentist,* by Sex, Grade, and



Percentage of High School Students Who Saw a Dentist,* 2015-2019†

*For a check-up, exam, teeth cleaning, or other dental work, during the 12 months before the survey†No change 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


68.5

74.370.6

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t


1.8 1.4 2.3 1.8 1.7 2.5 1.1 3.2 4.51.0

0

20

40

60

80

100


Pe

rcen

t

*For a check-up, exam, teeth cleaning, or other dental work†B > W, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Never Saw a Dentist,* by Sex, Grade, and


Tennessee - YRBS, 2019 - QNNODNT

Percentage of High School Students Who Never Saw a Dentist,* 2015-2019†

*For a check-up, exam, teeth cleaning, or other dental work†No change 2015-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


2.4 1.9 1.8

0

20

40

60

80

100

2015 2017 2019

Pe

rcen

t

Tennessee - YRBS, 2015-2019 - QNNODNT

23.4 24.622.1 21.3 22.4

26.123.6

31.6

24.920.9

0

20

40

60

80

100


Pe

rcen

t

*B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Had Ever Been Told by a Doctor or Nurse That

They Had Asthma, by Sex, Grade, and Race/Ethnicity,* 2019


Percentage of High School Students Who Had Ever Been Told by a Doctor or Nurse That They

Had Asthma, 2005-2019*

*Increased 2005-2019 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05). Significant



18.9 20.2 17.920.7 22.6 21.8

24.8 23.4

0

20

40

60

80

100

2005 2007 2009 2011 2013 2015 2017 2019

Pe

rcen

t


18.5 19.4 17.7

24.6

18.315.9 15.0

17.4 15.319.7

0

20

40

60

80

100


Pe

rcen

t

*On an average school night†9th > 10th, 9th > 11th, 9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Got 8 or More Hours of Sleep,* by Sex, Grade,†



Percentage of High School Students Who Got 8 or More Hours of Sleep,* 2013-2019†

*On an average school night†Decreased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]


26.229.4

22.718.5

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t


78.6

72.4

85.179.8

75.9 76.982.1

70.374.7

82.1

0

20

40

60

80

100


Pe

rcen

t

*During the 12 months before the survey†F > M; W > B, W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Described Their Grades in School As Mostly A's

or B's,* by Sex,† Grade, and Race/Ethnicity,† 2019


Percentage of High School Students Who Described Their Grades in School As Mostly A's or B's,*

2013-2019†

*During the 12 months before the survey†Increased 2013-2019 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0.05).]

70.075.6 74.6

78.6

0

20

40

60

80

100

2013 2015 2017 2019

Pe

rcen

t


52.4 54.550.2

38.9

45.2

56.3

62.264.5

51.7 49.9

0

20

40

60

80

100


Pe

rcen

t

*Not counting using their cell phone to get driving instructions or to determine their location, on at least 1 day during the 30 days before the survey, among students who drove a

car or other vehicle†11th > 9th, 11th > 10th, 12th > 9th, 12th > 10th; B > H, B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Used the Internet or Apps on Their Cell Phone

While Driving,* by Sex, Grade,† and Race/Ethnicity,† 2019


1.7 2.5 0.4 0.8 1.1 1.9 2.7 1.53.8

1.3

0

20

40

60

80

100


Pe

rcen

t

*On at least 1 day during the 30 days before the survey†M > F; 12th > 10th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Carried a Gun on School Property,* by Sex,†



15.4 17.413.3 13.8

16.3 14.317.3

14.3

20.314.9

0

20

40

60

80

100


Pe

rcen

t

*M > F (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Currently Used an Electronic Vapor Product on

School Property, by Sex,* Grade, and Race/Ethnicity, 2019


15.012.4

17.514.6 15.3

17.813.2

15.9

9.1

15.3

0

20

40

60

80

100


Pe

rcen

t

*F > M; B > H, W > H (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Used Electronic-Vapor Products Mainly Because a

Friend or Family Member Used Them, by Sex,* Grade, and Race/Ethnicity,* 2019


12.0 13.010.5 9.7

14.3 13.410.7 10.2

16.411.6

0

20

40

60

80

100


Pe

rcen

t

*Such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during their life†H > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ever Took Prescription Drugs Without a Doctor's

Prescription,* by Sex, Grade, and Race/Ethnicity,† 2019


4.3 4.4 4.2 5.5 4.2 4.5 2.9 3.87.3

3.8

0

20

40

60

80

100


Pe

rcen

t

*Such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax, one or more times during the 30 days before the survey



Percentage of High School Students Who Currently Took a Prescription Drug Without a

Doctor's Prescription,* by Sex, Grade, and Race/Ethnicity, 2019


61.857.9

65.8 67.063.6

60.356.0

59.5

65.861.6

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Exercised to Lose Weight or to Keep from Gaining

Weight,* by Sex, Grade,† and Race/Ethnicity, 2019


47.1

39.8

54.2

46.049.0 49.5

45.2 47.2

59.2

45.2

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†F > M; H > B, H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate More Fruits and Vegetables to Lose Weight or

to Keep from Gaining Weight,* by Sex,† Grade, and Race/Ethnicity,† 2019


57.0

49.7

64.1

54.7

63.7

55.1 54.456.8

63.6

56.2

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†F > M; 10th > 9th, 10th > 11th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank More Water to Lose Weight or to Keep from

Gaining Weight,* by Sex,† Grade,† and Race/Ethnicity, 2019


43.0

32.8

53.0

41.1 43.2 42.045.8

39.644.1 43.4

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Ate Less Food, Fewer Calories, or Foods Low in

Fat to Lose Weight or to Keep from Gaining Weight,* by Sex,† Grade, and Race/Ethnicity,

2019


16.913.7

19.916.0 18.2 18.5

15.1 14.6

20.716.6

0

20

40

60

80

100


Pe

rcen

t

*Also called fasting, during the 30 days before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Went Without Eating for 24 Hours or More to Lose

Weight or to Keep from Gaining Weight,* by Sex,† Grade, and Race/Ethnicity, 2019


6.7 7.1 6.43.5

8.1 6.7 8.8 7.0

13.9

5.9

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†10th > 9th, 12th > 9th; H > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Took Some Diet Pills, Powders, or Liquids Without

a Doctor's Advice to Lose Weight or to Keep from Gaining Weight,* by Sex, Grade,† and



7.1 6.5 7.5 5.68.2 7.4 7.1 5.4

11.86.8

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey



Percentage of High School Students Who Vomited or Took Laxatives to Lose Weight or to

Keep from Gaining Weight,* by Sex, Grade, and Race/Ethnicity, 2019


25.8 25.1 26.3 27.7

20.225.2

30.125.9 27.3 25.8

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†9th > 10th, 12th > 10th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Smoked Cigarettes to Lose Weight or to Keep

from Gaining Weight,* by Sex, Grade,† and Race/Ethnicity, 2019


30.0

20.5

39.2

30.3 31.828.1 29.8

24.530.0 31.3

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Skipped Meals to Lose Weight or to Keep from

Gaining Weight,* by Sex,† Grade, and Race/Ethnicity, 2019


8.6 10.56.7 7.2 5.8

11.1 10.7 10.8 10.68.0

0

20

40

60

80

100


Pe

rcen

t

*Counting tap, bottled, and unflavored sparkling water, during the 7 days before the survey†M > F; 11th > 10th, 12th > 10th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Not Drink a Bottle or Glass of Plain Water,* by



42.2

51.1

33.6

51.0

41.7 41.0

33.8

44.848.0

41.2

0

20

40

60

80

100


Pe

rcen

t

*Such as push-ups, sit-ups, or weight lifting, during the 7 days before the survey†M > F; 9th > 10th, 9th > 11th, 9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Did Exercises to Strengthen or Tone Their

Muscles on Three or More Days,* by Sex,† Grade,† and Race/Ethnicity, 2019


35.437.8

33.1

43.7

32.4 31.8 31.2

42.1

32.134.6

0

20

40

60

80

100


Pe

rcen

t

*Not counting their physical education teacher†9th > 12th (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Reported Some of Their Classroom Teachers

Encourage Them to Be Physically Active,* by Sex, Grade,† and Race/Ethnicity, 2019


23.7

16.2

31.0

24.421.3

26.823.1 24.6

27.623.0

0

20

40

60

80

100


Pe

rcen

t

*Such as cheerleading, dance team, flag team, or dance classes, counting any activities run by their school or community groups, during the 12 months before the survey†F > M (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Participated in Any Organized Dance Activities,*

by Sex,† Grade, and Race/Ethnicity, 2019


3.6 4.2 2.9 2.14.6 3.0 4.5 6.5 5.2

2.9

0

20

40

60

80

100


Pe

rcen

t

*During the 30 days before the survey†10th > 9th; B > W (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Most of the Time or Always Went Hungry Because

There Was Not Enough Food in Their Home,* by Sex, Grade,† and Race/Ethnicity,† 2019


64.360.0

68.463.7 64.6 66.2

62.4

53.3

68.265.7

0

20

40

60

80

100


Pe

rcen

t

*During the 7 days before the survey†F > M; H > B, W > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank One or More Glasses Per Day of Water,* by

Sex,† Grade, and Race/Ethnicity,† 2019

Tennessee - YRBS, 2019 - QNWATER1

54.751.9

57.452.4

55.3 57.354.1

49.1

60.154.9

0

20

40

60

80

100


Pe

rcen

t

*During the 7 days before the survey



Percentage of High School Students Who Drank Two or More Glasses Per Day of Water,* by



39.4 37.741.0

38.0 40.1 41.837.8

35.3

47.1

39.2

0

20

40

60

80

100


Pe

rcen

t

*During the 7 days before the survey†H > B (Based on t-test analysis, p < 0.05.)



Percentage of High School Students Who Drank Three or More Glasses Per Day of Water,*

by Sex, Grade, and Race/Ethnicity,† 2019


Melisa Fuhrmeister, Data & Fiscal Coordinator

Whole Child

[email protected]

mailto:[email protected]

tennessee youth risk behavior survey results 2019

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