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ERIC Number: ED534806
Record Type: Non-Journal
Publication Date: 2012-Jul-24
Pages: 5
Abstractor: ERIC
Reference Count: 8
Trends in HIV-Related Risk Behaviors among High School Students--United States, 1991-2011. Morbidity and Mortality Weekly Report. Early Release. Volume 61
Kann, Laura; Lowry, Richard; Eaton, Danice; Wechsler, Howell
Centers for Disease Control and Prevention
One of the three primary goals of the "National HIV/AIDS Strategy for the United States" is to reduce the number of persons who become infected with human immunodeficiency virus (HIV). In 2009, persons aged 15-29 years comprised 21% of the U.S. population but accounted for 39% of all new HIV infections. To describe trends in the prevalence of HIV-related risk behaviors among high school students, CDC (Centers for Disease Control and Prevention) analyzed data from the biennial national Youth Risk Behavior Survey (YRBS) for the period 1991-2011. The national YRBS, a component of CDC's Youth Risk Behavior Surveillance System, used independent, three-stage cluster samples for the 1991-2011 biennial surveys to obtain cross-sectional data representative of public and private school students in grades 9-12 in all 50 states and the District of Columbia. Sample sizes in the surveys ranged from 10,904 to 16,410. School response rates ranged from 70% to 81%, student response rates ranged from 83% to 90%, and overall response rates ranged from 60% to 71%. The findings in this report suggest that previously reported progress in reducing some HIV-related risk behaviors among students stalled overall and among certain populations of students. Most concerning are the decrease in condom use among black students since 1999 and the lack of any significant decrease since 1991 in the percentage of Hispanic students who have had sexual intercourse, four or more sex partners, and current sexual activity. The findings in this report are subject to at least two limitations. First, these data apply only to youths who attend school and therefore are not representative of all persons in this age group. Nationwide, in 2009, of persons aged 16-17 years, approximately 4% were not enrolled in a high school program and had not completed high school. Second, the extent of underreporting or overreporting of self-reported behaviors cannot be determined, although the survey questions demonstrate good test-retest reliability. To achieve the "National HIV/AIDS Strategy for the United States" goal of reducing the number of persons who become infected with HIV, further improvements in the prevalence of behaviors that contribute to HIV infection among young persons are needed. Renewed educational efforts that reach all students before risk behaviors are initiated and that seek to delay the onset of sexual activity, increase condom use among students who are sexually active, and decrease injection drug use are warranted. (Contains 1 table and 2 figures.)
Centers for Disease Control and Prevention. 1600 Clifton Road, Atlanta, GA 30333. Tel: 800-311-3435; Tel: 404-639-3311; Web site:
Publication Type: Numerical/Quantitative Data; Reports - Research
Education Level: High Schools
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: Centers for Disease Control and Prevention (DHHS/PHS)
Identifiers - Assessments and Surveys: Youth Risk Behavior Survey