{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T03:22:34Z","timestamp":1793157754422,"version":"4.5.0"},"reference-count":41,"publisher":"Centers for Disease Control MMWR Office","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMWR Surveill. Summ."],"DOI":"10.15585\/mmwr.ss6708a1","type":"journal-article","created":{"date-parts":[[2018,6,14]],"date-time":"2018-06-14T11:00:01Z","timestamp":1528974001000},"page":"1-114","source":"Crossref","is-referenced-by-count":1678,"title":["Youth Risk Behavior Surveillance \u2014 United States, 2017"],"prefix":"10.15585","volume":"67","author":[{"given":"Laura","family":"Kann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"McManus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A.","family":"Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shari L.","family":"Shanklin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine H.","family":"Flint","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Queen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Lowry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Chyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Whittle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jemekia","family":"Thornton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Bradford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshimi","family":"Yamakawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Leon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Brener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen A.","family":"Ethier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6224","published-online":{"date-parts":[[2018,6,15]]},"reference":[{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R1","unstructured":"CDC WONDER Online Database. Underlying cause of death, 1999\u20132016. Multiple cause of death files, 1999\u20132016. Hyattsville, MD: National Center for Health Statistics, CDC, US Department of Health and Human Services; 2017. https:\/\/wonder.cdc.gov\/ucd-icd10.html"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R2","first-page":"1","article-title":"Births: final data for 2016.","volume":"67","author":"Martin","year":"2018","journal-title":"Natl Vital Stat Rep"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R3","unstructured":"CDC. Sexually transmitted disease surveillance 2016. Atlanta, GA: US Department of Health and Human Services, CDC; 2017. https:\/\/www.cdc.gov\/std\/stats16\/CDC_2016_STDS_Report-for508WebSep21_2017_1644.pdf"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R4","unstructured":"CDC. HIV surveillance report, 2016 (vol 28). Atlanta, GA: US Department of Health and Human Services, CDC; 2017. https:\/\/www.cdc.gov\/hiv\/pdf\/library\/reports\/surveillance\/cdc-hiv-surveillance-report-2016-vol-28.pdf"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R5","unstructured":"Institute of Medicine. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: The National Academies Press; 2011. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK64806"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R6","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1146\/annurev.publhealth.012809.103636","article-title":"The health and health care of lesbian, gay, and bisexual adolescents.","volume":"31","author":"Coker","year":"2010","journal-title":"Annu Rev Public Health"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R7","doi-asserted-by":"publisher","first-page":"989","DOI":"10.2105\/AJPH.2007.127811","article-title":"Sexual and gender minority health: what we know and what needs to be done.","volume":"98","author":"Mayer","year":"2008","journal-title":"Am J Public Health"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R8","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1001\/archpedi.156.4.349","article-title":"Associations between health risk behaviors and opposite-, same-, and both-sex sexual partners in representative samples of Vermont and Massachusetts high school students.","volume":"156","author":"Robin","year":"2002","journal-title":"Arch Pediatr Adolesc Med"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R9","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1542\/peds.2010-0396","article-title":"Sexual behaviors and sexual violence: adolescents with opposite-, same-, or both-sex partners.","volume":"126","author":"Pathela","year":"2010","journal-title":"Pediatrics"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R10","doi-asserted-by":"publisher","first-page":"345.e1","DOI":"10.1016\/j.jadohealth.2004.06.002","article-title":"Measuring sexual orientation in adolescent health surveys: evaluation of eight school-based surveys.","volume":"35","author":"Saewyc","year":"2004","journal-title":"J Adolesc Health"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R11","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1006\/jado.2000.0369","article-title":"A critique of research on sexual-minority youths.","volume":"24","author":"Savin-Williams","year":"2001","journal-title":"J Adolesc"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R12","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6509a1","article-title":"Sexual identity, sex of sexual contacts, and health-related behaviors among students in grades 9\u201312\u2014United States and selected sites, 2015.","volume":"65","author":"Kann","year":"2016","journal-title":"MMWR Surveill Summ"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R13","article-title":"Methodology of the youth risk behavior surveillance system\u20142013.","volume":"62","author":"Brener","year":"2013","journal-title":"MMWR Recomm Rep"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R14","article-title":"Sexual identity, sex of sexual contacts, and health-risk behaviors among students in grades 9-12\u2014youth risk behavior surveillance, selected sites, United States, 2001\u20132009.","volume":"60","author":"Kann","year":"2011","journal-title":"MMWR Surveill Summ"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R15","doi-asserted-by":"crossref","DOI":"10.15585\/mmwr.ss6506a1","article-title":"Youth risk behavior surveillance\u2014United States, 2015.","volume":"65","author":"Kann","year":"2016","journal-title":"MMWR Surveill Summ"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R16","unstructured":"Market Data Retrieval. National education database master extract. Shelton, CT: Market Data Retrieval; 2016. http:\/\/www.mdrorders.com\/scripts\/cgiip.exe\/WService=mdr\/startlist.r"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R17","unstructured":"US Department of Education, National Center for Education Statistics. Common core of data public elementary\/secondary school universe survey: school year 2013\u201314. Washington, DC: US Department of Education, National Center for Education Statistics. https:\/\/nces.ed.gov\/ccd"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R18","doi-asserted-by":"publisher","first-page":"336","DOI":"10.1016\/S1054-139X(02)00339-7","article-title":"Reliability of the 1999 youth risk behavior survey questionnaire.","volume":"31","author":"Brener","year":"2002","journal-title":"J Adolesc Health"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R19","doi-asserted-by":"publisher","first-page":"281","DOI":"10.1016\/S1054-139X(02)00708-5","article-title":"Reliability and validity of self-reported height and weight among high school students.","volume":"32","author":"Brener","year":"2003","journal-title":"J Adolesc Health"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R20","unstructured":"Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, CDC growth charts: United States. Advance Data. Vital Health Stat, No. 314. Hyattsville, MD: National Center for Health Statistics, CDC; 2000. https:\/\/www.cdc.gov\/nchs\/data\/ad\/ad314.pdf"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R21","unstructured":"SAS Institute, Inc. SAS, version 9.3 [software and documentation]. Cary, NC: SAS Institute; 2010."},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R22","unstructured":"Research Triangle Institute. SUDAAN, version 11.0.1 [software and documentation]. Research Triangle Park, NC: Research Triangle Institute; 2013. https:\/\/www.rti.org\/impact\/sudaan-statistical-software-analyzing-correlated-data"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R23","unstructured":"Hinkle DE, Wiersma W, Jurs SG. Applied statistics for the behavioral sciences. 5th ed. Boston, MA: Houghton Mifflin Co; 2003."},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R24","unstructured":"National Cancer Institute. Joinpoint trend analysis software, version 3.5 [software and documentation]. Bethesda, MD: National Cancer Institute; 2013. http:\/\/surveillance.cancer.gov\/joinpoint"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R25","unstructured":"Snyder TD, de Brey C, Dillow SA. Digest of education statistics, 2015. Pub No. 2016\u2013014. National Center for Education Statistics, Institute of Education Sciences, US Department of Education: Washington, DC; 2016. https:\/\/nces.ed.gov\/pubsearch\/pubsinfo.asp?pubid=2016014"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R26","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.2105\/AJPH.2017.303927","article-title":"LGBT data collection amid social and demographic shifts of the U.S. LGBT community.","volume":"107","author":"Gates","year":"2017","journal-title":"Am J Public Health"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R27","doi-asserted-by":"publisher","first-page":"1998","DOI":"10.2337\/dc11-0792","article-title":"Household income and cardiovascular disease risks in U.S. children and young adults: analyses from NHANES 1999\u20132008.","volume":"34","author":"Ali","year":"2011","journal-title":"Diabetes Care"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R28","unstructured":"US Department of Health and Human Services. Healthy people 2020. Washington, DC. US Department of Health and Human Services. https:\/\/www.healthypeople.gov"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R29","article-title":"Youth risk behavior surveillance\u2014United States, 2013.","volume":"63","author":"Kann","year":"2014","journal-title":"MMWR Surveill Summ"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R30","unstructured":"CDC. Registries of programs effective in reducing youth risk behaviors. Atlanta, GA: US Department of Health and Human Services, CDC. https:\/\/www.cdc.gov\/healthyyouth\/adolescenthealth\/registries.htm"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R31","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1080\/02796015.2008.12087894","article-title":"Homophobic teasing, psychological outcomes, and sexual orientation among high school students: What influence do parents and schools have?","volume":"37","author":"Espelage","year":"2008","journal-title":"School Psych Rev"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R32","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1002\/pits.20173","article-title":"School support groups, other school factors, and the safety of sexual minority adolescents.","volume":"43","author":"Goodenow","year":"2006","journal-title":"Psychol Sch"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R33","doi-asserted-by":"publisher","first-page":"89","DOI":"10.18357\/ijcyfs.saewyce.512014","article-title":"School-based strategies to reduce suicidal ideation, suicide attempts, and discrimination among sexual minority and heterosexual adolescents in Western Canada.","volume":"5","author":"Saewyc","year":"2014","journal-title":"Int J Child Youth Fam Stud"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R34","unstructured":"CDC. State health profiles. Atlanta, GA: US Department of Health and Human Services, CDC. https:\/\/www.cdc.gov\/nchhstp\/stateprofiles\/default.htm"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R35","article-title":"Indicators for chronic disease surveillance\u2014United States, 2013.","volume":"64","author":"Holt","year":"2015","journal-title":"MMWR Recomm Rep"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R36","unstructured":"Federal Interagency Forum on Child and Family Statistics. America\u2019s children: key national indicators of well-being. Washington, DC: US Government Printing Office; 2017. https:\/\/www.childstats.gov\/pdf\/ac2017\/ac_17.pdf"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R37","unstructured":"CDC. Prevention status reports. Atlanta, GA: US Department of Health and Human Services, CDC. https:\/\/www.cdc.gov\/psr\/index.html"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R38","unstructured":"Musu-Gillette L, Zhang A, Wang K, Zhang J, Oudekerk BA. Indicators of school crime and safety: 2016. Pub Nos. NCES 2017\u2013064 and NCJ 250650. Washington, DC: National Center for Education Statistics, US Department of Education, and Bureau of Justice Statistics, Office of Justice Programs, US Department of Justice; 2017. https:\/\/nces.ed.gov\/pubs2017\/2017064.pdf"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R39","unstructured":"CDC. Nutrition, physical activity, and obesity: data, trends, and maps. Atlanta, GA: US Department of Health and Human Services, CDC. https:\/\/www.cdc.gov\/nccdphp\/dnpao\/data-trends-maps\/index.html"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R40","unstructured":"McFarland J, Stark P, Cui J. Trends in high school dropout and completion rates in the United States: 2013. Pub. No. NCES 2016\u2013117). Washington, DC: US Department of Education, National Center for Education Statistics; 2016. https:\/\/nces.ed.gov\/pubs2016\/2016117rev.pdf"},{"key":"key-10.15585\/mmwr.ss6708a1-201806141059-R41","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.jsp.2013.12.001","article-title":"School absenteeism and mental health among sexual minority youth and heterosexual youth.","volume":"52","author":"Burton","year":"2014","journal-title":"J Sch Psychol"}],"container-title":["MMWR. Surveillance Summaries"],"original-title":[],"deposited":{"date-parts":[[2020,11,3]],"date-time":"2020-11-03T10:44:36Z","timestamp":1604400276000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.cdc.gov\/mmwr\/volumes\/67\/ss\/ss6708a1.htm?s_cid=ss6708a1_w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,15]]},"references-count":41,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2018,6,15]]}},"URL":"https:\/\/doi.org\/10.15585\/mmwr.ss6708a1","relation":{"has-review":[{"id-type":"doi","id":"10.3410\/f.733451115.793566220","asserted-by":"object"}]},"ISSN":["1546-0738","1545-8636"],"issn-type":[{"value":"1546-0738","type":"print"},{"value":"1545-8636","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2018,6,15]]},"published":{"date-parts":[[2018,6,15]]}}}