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June, 2000 U.S. Department of Health &
Human Services
Centers for Disease
Control and Prevention (CDC)
Atlanta, GA
Youth Risk Behavior
Surveillance -
United States, 1999
Introduction
In the United States, 72% of all deaths among youth and young
adults aged 1024 years
result from only 4 causes motor-vehicle crashes (31%), other
unintentional injuries (11%),
homicide (18%), and suicide (12%) ( 1). Substantial morbidity and
social problems also result
from the approximately 1 million pregnancies that occur each year among females aged 1519 years (
2) and the estimated 3 million cases of sexually transmitted
diseases (STDs) that occur each year among persons aged 1019
years ( 3). Among adults aged
25 years and older, two thirds of all deaths in the United States
result from cardiovascular
disease (42%) and cancer (24%) ( 1). Leading causes of mortality
and morbidity among all age
groups in the United States are related to the following six categories of health behavior:
behaviors that contribute to unintentional and intentional injuries;
tobacco use; alcohol and other drug use; sexual behaviors that
contribute to unintended
pregnancy and STDs, including human immunodeficiency virus (HIV)
infection; unhealthy dietary
behaviors; and physical inactivity. These behaviors are frequently
interrelated and often are
established during youth and extend into adulthood.
To monitor priority health-risk behaviors in each of these
categories among youth and
young adults, CDC developed the Youth Risk Behavior Surveillance
System (YRBSS) ( 4). The
YRBSS includes national, state, territorial, and local
school-based surveys of high
school students. National surveys were conducted in 1990, 1991,
1993, 1995, 1997, and 1999.*
Comparable state and local surveys were conducted as follows:
| Year of
Survey |
Number
of States |
Number
of Territories |
Number
of Large Cities |
| 1990 |
23 |
0 |
9 |
| 1991 |
26 |
2 |
11 |
| 1993 |
40 |
2 |
14 |
| 1995 |
40 |
4 |
17 |
| 1997 |
38 |
4 |
17 |
| 1999 |
41 |
4 |
17 |
* School-based components of YRBSS were implemented in 1990 and
1991 and biennially during
odd-numbered years thereafter.
This report summarizes results from the 1999 national
school-based survey and trends during
19911999 in selected risk behaviors. Data from 33 state and 16
local school-based surveys
conducted during 1999 are included also.  |