YOUTH RISK BEHAVIOR SURVEY RESULTS�SFUSD MIDDLE 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 MS YRBS 2023�SAMPLING INFORMATION (N=2,586)

• The SFUSD Middle School (MS) Youth Risk Behavior Survey (YRBS) was completed in the 2022-23 school year by 2, 126 of the 3,980 randomly sampled students across 21 regular and alternative high schools, a survey completion rate of 52%.

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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 6-8.

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STUDENT SAFETY

SFUSD Middle School Trends and Results 2023

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SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of students who were ever in a physical fight on school property �(one or more times)

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SFUSD 2023 YRBS Middle Schools (A Closer Look)� Percentage of students who were ever in a physical fight on school property �(one or more times)

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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 Middle Schools.

[Not Transgender/Transgender (n=45)].

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

SFUSD 2023 YRBS Middle 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 Middle Schools.

[Not Transgender/Transgender (n=46)].

SFUSD YRBS Middle 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 Middle 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 Middle Schools.

[Not Transgender/Transgender (n=46)].

SFUSD STUDENT SAFETY SPOTLIGHTS

HELMET USE

• 35.6% of male students and 28.0% of female students report “rarely” or “never” wearing a helmet while rollerblading or skateboarding.

TEASING & NAME CALLING

• Middle school students report exposure to teasing or name calling because of their gender (10.6%), real or perceived sexual orientation (12.8%), or their race/ethnicity (16.1%).

UNSTABLE HOUSING

• 16.4% of middle school 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 Middle School Trends and Results 2023

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SFUSD YRBS Middle Schools (10-Year Trend)�Ever Drank Alcohol�(at least one drink of alcohol in lifetime (other than a few sips))

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SFUSD 2023 YRBS Middle Schools (A Closer Look)�Ever Drank Alcohol�(at least one drink of alcohol in lifetime (other than a few sips))

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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=46)].

SFUSD YRBS Middle 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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SFUSD 2023 YRBS Middle 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 Middle Schools.

[Not Transgender/Transgender (n=46)].

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

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

SFUSD 2023 YRBS Middle 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 Middle Schools.

[Not Transgender/Transgender (n=44)].

SFUSD STUDENT ALCOHOL AND OTHER DRUG USE SPOTLIGHTS

OTHER DRUG USE

• Reported use of drugs at the middle school level is rare, with 0.2% of students reported using ecstasy (also called “MDMA” or “Molly”), 0.4% report ever using methamphetamines, and 0.6% report ever using cocaine.

OPIOIDS

• Overall, 6.7% of middle school students report ever taking prescription pain medications (such as Oxycontin) without a prescription or differently than how the doctor told them to use it.

DRUGS ON SOCIAL MEDIA

• Fewer than 1% of middle school students report buying drugs through a social media app.

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TOBACCO AND NICOTINE USE

SFUSD Middle School Trends and Results 2023

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

SFUSD 2023 YRBS Middle 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 Middle Schools.

[Not Transgender/Transgender (n=46)].

SFUSD YRBS Middle 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

Note: The decrease between 2015 and 2023 is statistically significant.

SFUSD 2023 YRBS Middle 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 Middle Schools.

[Not Transgender/Transgender (n=45)].

SFUSD TOBACCO/NICOTINE USE SPOTLIGHTS

PREVENTION EDUCATION

• Overall, 36.5% of middle school students report they were taught in their classes about tobacco and its effects on the body.

VAPOR PRODUCT DAILY

• About 0.5% of middle school students report using electronic vapor products daily.
• At the high school level, 1.9% of students report using electronic vapor products daily.

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ASTHMA

• At the middle school level, 15.3% of students report that a doctor or nurse has told them they have asthma.

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SEXUAL BEHAVIORS

SFUSD Middle School Trends and Results 2023

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SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students who ever had Sexual Intercourse�(had sexual intercourse with at least one person in their lifetime)

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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 ever had Sexual Intercourse�(had sexual intercourse with at least one person in their lifetime)

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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 Middle Schools.

[Not Transgender/Transgender (n=44)].

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Student who ever had Sexual Intercourse with Three or More Persons

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

SFUSD 2023 YRBS Middle Schools (A Closer Look)�Percentage of Student who ever had Sexual Intercourse with Three or More Persons

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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=43)].

SFUSD YRBS Middle 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 2017

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

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[Results not available (n/a) for small cell counts (n<=30)].

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students who were ever Taught in School about HIV/AIDS

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

SFUSD 2023 YRBS Middle Schools (A Closer Look)�Percentage of Students who were ever Taught in School about HIV/AIDS

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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 Middle Schools.

[Not Transgender/Transgender (n=45)].

SFUSD SEXUAL BEHAVIOR SPOTLIGHTS

CONDOM ACCESS

• 2% of middle school students report getting condoms at school for themselves or their partner one or more times in the 12 months before the survey.

CONDOM EDUCATION

• Overall, 27.8% of middle school students report ever being taught in school about how to use a condom to prevent pregnancy or sexually transmitted diseases (STDs) (including HIV).

SEXUAL HEALTH SERVICES

• 20.2% of middle 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 Middle School Trends and Results 2023

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SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students Who Seriously Considered Attempting Suicide�(ever in their lifetime)

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

SFUSD 2023 YRBS Middle Schools (A Closer Look)�Percentage of Students who Seriously Considered Attempting Suicide�(ever in their lifetime)

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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 Middle Schools.

[Not Transgender/Transgender (n=46)].

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students who Made a Plan about How They Would Attempt Suicide�(ever in their lifetime)

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

SFUSD 2023 YRBS Middle Schools (A Closer Look)�Percentage of Students who Made a Plan about How They Would Attempt Suicide�(ever in their lifetime)

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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 Middle Schools.

[Not Transgender/Transgender (n=45)].

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students who Attempted Suicide�(ever in their lifetime)

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SFUSD 2023 YRBS Middle Schools (A Closer Look)�Percentage of Students who Attempted Suicide�(ever during their lifetime)

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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 Middle Schools.

[Not Transgender/Transgender (n=45)].

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students who did not Eat Breakfast Daily�(on all 7 days before the survey)

43

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

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students who did not Eat Breakfast Daily�(on all 7 days before the survey)

44

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 Middle Schools.

[Not Transgender/Transgender (n=43)].

SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students Who Ate Fruit Yesterday�(not counting fruit juice, one or more times)

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SFUSD YRBS Middle Schools (10-Year Trend)�Percentage of Students Who Ate Fruit Yesterday�(not counting fruit juice, one or more times)

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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 Middle Schools.

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

SFUSD YRBS Middle 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 increase between 2013 and 2023 is statistically significant.

SFUSD 2023 YRBS Middle 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 Middle Schools.

[Not Transgender/Transgender (n=44)].

SFUSD HEALTH & WELLNESS SPOTLIGHTS

FOOD INSECURITY

• 4.7% of middle school students report going hungry “most of the time” or “always” in the month before the survey because there was not enough food in their home.

HEALTHY DRINKS

• Nearly all middle school students (94.6%) report drinking a bottle or glass of water the day before the survey. More than half of students (57.6%) also report drinking a sugar-sweetened beverage (soda, energy drink), and significantly fewer students (51.3%) report drinking milk.

SLEEP HYGIENE

• In the 6^th grade, 79.5% of students report getting 8 or more hours of sleep on an average school night. Among 8^th-grade students, 48.7% get the recommended amount of sleep. By the 12^th grade, just 23.7% of students get the recommended amount of sleep.

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YOUTH RISK BEHAVIOR SURVEY RESULTS�SFUSD MIDDLE SCHOOL TRENDS & RESULTS (2023)