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  11. Overview And Methods For The Youth Risk Behavior Surveillance System - United States, 2023

Overview and Methods for the Youth Risk Behavior Surveillance System - United States, 2023

Nancy D Brener, Jonetta J Mpofu, Kathleen H Krause

    MMWR Supplements
    |October 8, 2024

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    View abstract on PubMed

    Summary
    This summary is machine-generated.

    The Youth Risk Behavior Surveillance System (YRBSS) updated its 2023 survey methods for high school students, including a new sample for American Indian/Alaska Native youth and electronic data collection. This enhances tracking of critical health behaviors and experiences.

    Area of Science:

    • Public Health
    • Epidemiology
    • Adolescent Health

    Background:

    • The Youth Risk Behavior Surveillance System (YRBSS) monitors health-risk behaviors among high school students nationwide.
    • Previous YRBSS iterations provided essential data but required methodological updates to address emerging health concerns and improve data precision for specific populations.

    Purpose of the Study:

    • To detail the methodological changes implemented in the 2023 national Youth Risk Behavior Survey (YRBS).
    • To outline enhancements in sampling, data collection, and questionnaire content for the 2023 YRBS.
    • To inform public health practitioners and researchers on utilizing updated YRBSS data for trend analysis and intervention development.

    Main Methods:

    • Introduction of a supplemental sample for American Indian/Alaska Native (AI/AN) high school students.

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  • Transition from paper-based to tablet-based electronic data collection to expedite processing.
  • Addition of new questionnaire items focusing on social media use, racism, adverse childhood experiences, transgender identity, consent, and school discipline.

    • Main Results:

    • The 2023 YRBS incorporated a stratified sampling design for enhanced AI/AN representation.
    • Electronic data collection facilitated more efficient data processing and reduced turnaround time.
    • New survey modules captured crucial data on contemporary adolescent health issues.

    Conclusions:

    • The methodological updates to the 2023 YRBS improve the precision of national health behavior estimates, particularly for AI/AN youth.
    • The adoption of electronic surveys and expanded questionnaire content allow for more timely and comprehensive monitoring of adolescent health.
    • YRBSS data remains a vital resource for public health surveillance, guiding targeted interventions to improve youth well-being.