YOUTH RISK BEHAVIOR SURVEY RESULTS�SFUSD HIGH SCHOOL TRENDS & RESULTS (Fall 2022)

FOCUS AREAS

1. Student Safety
2. Alcohol & Other Drug Use
3. Tobacco / Nicotine Use
4. Sexual Behaviors
5. Health & Wellness

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SFUSD HS YRBS 2023�SAMPLING INFORMATION (N=2,586)

• The SFUSD HS YRBS 2023 survey was completed by 2, 586 of the 4,423 randomly sampled students across 20 regular and alternative high schools, a survey completion rate of 58%.

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• All classes in a required subject or all classes meeting during a particular period of the day, depending on the school, were included in the sampling frame. Systematic equal probability sampling with a random start was used to select classes from each school that participated in the survey.

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• The survey results have been statistically weighted and can be used to make important inferences about the priority health risk behaviors of all regular and alternative school students in grades 9-12.

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STUDENT SAFETY

SFUSD High School Trends and Results 2023

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SFUSD YRBS High Schools (10-Year Trend)�Percentage of students who were in a physical fight on school property �(one or more times during the 12 months before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)� Percentage of students who were in a physical fight on school property �(one or more times during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of students who were bullied on school property�(ever during the 12 months before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of students who were bullied on school property�(ever during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD YRBS High Schools (10-Year Trend)�Were Electronically Bullied�(counting being bullied through texting, Instagram, Facebook, or other social media, ever during the 12 months before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Were Electronically Bullied�(counting being bullied through texting, Instagram, Facebook, or other social media, ever during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who experienced Physical Dating Violence�(being physically hurt on purpose (counting such things as being hit, slammed into something, or injured with an object or weapon) by someone they were dating or going out with, 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)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who experienced Physical Dating Violence�(being physically hurt on purpose (counting such things as being hit, slammed into something, or injured with an object or weapon) by someone they were dating or going out with, 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)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, results for Transgender students are not available.

[Not Transgender/Transgender (N<30)].

SFUSD YRBS High Schools (10-Year Trend)�Were ever physically forced to have sexual intercourse�(when they did not want to)

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Not available in 2013

SFUSD 2023 YRBS High Schools (A Closer Look)�Were ever physically forced to have sexual intercourse�(when they did not want to)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of students who experienced sexual violence�(being forced by anyone to do sexual things, [counting things such as kissing, touching, or being physically forced to have sexual intercourse] that they did not want to during the 12 months before the survey)

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Not available 2013-2017

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of students who experienced sexual violence�(being forced by anyone to do sexual things, [counting things such as kissing, touching, or being physically forced to have sexual intercourse] that they did not want to during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD STUDENT SAFETY SPOTLIGHTS

TEXTING WHILE DRIVING

• 25.4% of male students and 33.3% of female students report texting or emailing while driving.
• While 11% of 9th-grade students report texting while driving, the rate increases to 32.4% among 12^th graders.

SAFE ROUTES TO SCHOOL

• Overall, 6.2% of students report they did not go to school because they felt they would be unsafe on their way to or from school. The proportion is higher for Hispanic/Latino students (8.7%), and highest among Latina students (12.2%).

UNSTABLE HOUSING

• 10.7% of students report typically sleeping in a place other than their home or at a friend’s or relative’s home with their parents or guardians.

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ALCOHOL AND OTHER DRUG USE

SFUSD High School Trends and Results 2023

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SFUSD YRBS High Schools (10-Year Trend)�Currently Drank Alcohol�(at least one drink of alcohol, on at least one day in the 30 days before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Currently Drank Alcohol�(at least one drink of alcohol, on at least one day in the 30 days before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, results for Transgender students may not be representative.

[Not Transgender/Transgender (N=55)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students Currently Binge Drinking Alcohol�(had four of more drinks of alcohol in a row if they were female or five or more drinks of alcohol in a row if they were male, within a couple of hours, on at least 1 day in the 30 days before the survey)

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Not available 2013-2015 due to changes in item language.

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students Currently Binge Drinking Alcohol�(had four of more drinks of alcohol in a row if they were female or five or more drinks of alcohol in a row if they were male, within a couple of hours, on at least 1 day in the 30 days before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=52)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who have ever used marijuana�(one or more times during their life)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who have ever used marijuana�(one or more times during their life)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=52)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who were Offered, Sold, or Given an Illegal Drug on School Property�(during the 12 months before the survey)

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Note: The decrease between 2013 and 2023 is statistically significant.

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who were Offered, Sold, or Given an Illegal Drug on School Property�(during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=52)].

SFUSD STUDENT ALCOHOL AND OTHER DRUG USE SPOTLIGHTS

BINGE DRINKING 10+

• Overall, 1.5% of students report that the largest number of alcoholic drinks they had in a row was 10 or more. White students and Hispanic/Latino students report higher rates at 3.4% and 2.5%, respectively.

OTHER DRUG USE

• Overall, 11.1% report ever taking prescription medications without a prescription; 4.5% report ever using inhalants; 3.2% ecstasy; 2.9% cocaine; 1.8% methamphetamines; and 1.3% heroin.

POT USE AT SCHOOL

• 7.8% of students report using marijuana on school property in the 30 days before the survey. Reported rates are higher among Black (17.5%) and White (17.0%) students.

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TOBACCO AND NICOTINE USE

SFUSD High School Trends and Results 2023

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SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Currently Smoked Cigarettes�(one at least 1 day in the 30 days before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Currently Smoked Cigarettes�(one at least 1 day in the 30 days before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=53)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Currently used an Electronic Vapor Product�(including e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods [such as�JUUL, SMOK, Suorin, Vuse, and blu], on at least 1 day during the 30 days before the survey)

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Not available 2013

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Currently used an Electronic Vapor Product�(including e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods [such as�JUUL, SMOK, Suorin, Vuse, and blu], on at least 1 day during the 30 days before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD TOBACCO/NICOTINE USE SPOTLIGHTS

PREVENTION EDUCATION

• Overall, 36.6% of high school students report they were taught in their classes about tobacco and its effects on the body.

VAPOR PRODUCT DAILY

• At the high school level, 1.9% of all students report using electronic vapor products daily, ranging from 0.7% reported use among Asian students to 9.9% for Black or African American students.

ASTHMA

• 17.3% of high school students report that a doctor or nurse has told them they have asthma.

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SEXUAL BEHAVIORS

SFUSD High School Trends and Results 2023

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SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who were Currently Sexually Active�(had sexual intercourse with at least one person during the 90 days before the survey)

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Not available 2013

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who were Currently Sexually Active�(had sexual intercourse with at least one person during the 90 days before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=49)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Drank Alcohol or Used Drugs before last Sexual Intercourse�(among students who were currently sexually active)

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Not available 2013

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Drank Alcohol or Used Drugs before last Sexual Intercourse�(among students who were currently sexually active)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, results for Transgender students are not available.

[Not Transgender/Transgender (N<30)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Did Not Use a Condom During last Sexual Intercourse�(among students who were currently sexually active)

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Not available 2013

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Did Not Use a Condom During last Sexual Intercourse�(among students who were currently sexually active)

40

NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, results for Transgender students are not available.

[Not Transgender/Transgender (N<30)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who were ever Tested for HIV�(not counting tests done if they were donating blood)

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NOTE: The decrease between 2013 and 2023 is statistically significant.

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who were ever Tested for HIV�(not counting tests done if they were donating blood)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD SEXUAL BEHAVIOR SPOTLIGHTS

CONDOM ACCESS

• 12.1% of students report getting condoms at school for themselves or their partner one or more times in the 12 months before the survey.

HIV PREVENTION

• Overall, 63.7% of students report ever being taught about AIDS or HIV infection in school, down significantly from 81.4% in 2015.

SEXUAL HEALTH SERVICES

• 70.1% of students report ever being taught in school about where they could get sexual health services (such as birth control, condoms, or HIV or other sexually transmitted disease (STD) testing or treatment).

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STUDENT HEALTH & WELLNESS

SFUSD High School Trends and Results 2023

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SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Felt Sad or Hopeless�(almost every day for 2 or more weeks in a row so that they stopped doing some usual activities,� during the 12 months before the survey)

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Note: The increase between 2013 and 2023 is statistically significant.

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Felt Sad or Hopeless�(almost every day for 2 or more weeks in a row so that they stopped doing some usual activities,� during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=52)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Seriously Considered Attempting Suicide�(during the 12 months before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Seriously Considered Attempting Suicide�(during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=52)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Made a Plan about How They Would Attempt Suicide�(during the 12 months before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Made a Plan about How They Would Attempt Suicide�(during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=50)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who Attempted Suicide�(one or more times during the 12 months before the survey)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who Attempted Suicide�(one or more times during the 12 months before the survey)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=50)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who did not Eat Breakfast�(during the 7 days before the survey)

53

Note: The increase between 2013 and 2023 is statistically significant.

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who did not Eat Breakfast�(during the 7 days before the survey)

54

NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who had Obesity�(students who were >= 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts)

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SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who had Obesity�(students who were >= 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=42)].

SFUSD YRBS High Schools (10-Year Trend)�Percentage of Students who were Not Physically Active for �At Least 60 Minutes a Day On 5 Or More Days a Week�(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)

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Note: The decrease between 2013 and 2023 is statistically significant.

SFUSD 2023 YRBS High Schools (A Closer Look)�Percentage of Students who were Not Physically Active for �At Least 60 Minutes a Day On 5 Or More Days a Week�(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)

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NOTE: Red Borders and Arrows represent statistically significant differences between groups.

NOTE: Due to the small sample size, the results for transgender students may or may not be representative of the experiences of all transgender students in SFUSD High Schools.

[Not Transgender/Transgender (N=55)].

SFUSD HEALTH & WELLNESS SPOTLIGHTS

WELLNESS CENTERS

• 39.2% of students report going to the Wellness Center at their school one or more times in the year before the survey. At 32.6%, Asian students report significantly less utilization than Black students (49.8%), White students (48%), and Hispanic/Latino (42.4%) students.

CONNECTEDNESS

• Overall, 58.3% of students strongly agree or agree that they feel close to people at their school. The reported proportion for Black male students is significantly lower at 36.7% and is highest among White female students at 78%.

SLEEP HYGIENE

• Just 31.1% of students report getting 8 or more hours of sleep on an average school night. Among 12^th graders, the rate is significantly lower at 23.7%.

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YOUTH RISK BEHAVIOR SURVEY RESULTS�SFUSD HIGH SCHOOL TRENDS & RESULTS (Fall 2022)