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June, 2000

U.S. Department of Health & Human Services
Centers for Disease Control and Prevention (CDC)
Atlanta, GA

ShareYouth 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.

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