2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN6: Among students who rode a bicycle, the percentage who never or rarely wore a bicycle helmet 70.9 Increased, 2001-2013 Not available§ No change QN7: Among students who used rollerblades or rode a skateboard, the percentage who never or rarely wore a helmet 73.1 81.5 83.8 81.0 77.6 Increased, 2001-2013 Not available No change Decreased, 2001-2013 Not available No change Decreased, 2001-2013 Not available No change 64.4 73.7 77.8 74.4 QN8: Percentage of students who never or rarely wore a seat belt when riding in a car 17.1 11.9 11.4 11.5 10.0 QN9: Percentage of students who ever rode in a car driven by someone who had been drinking alcohol 36.5 32.6 30.8 26.2 23.1 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 1 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Quadratic Change* Change from 2011-2013 † QN10: Percentage of students who ever carried a weapon, such as a gun, knife, or club 41.2 43.8 41.5 39.7 40.6 No linear change Not available§ No change 57.0 57.4 55.0 50.4 Decreased, 2001-2013 Not available Decreased No linear change Not available No change QN11: Percentage of students who have ever been in a physical fight 58.3 QN12: Percentage of students who were ever in a physical fight in which they were hurt and had to be treated by a doctor or nurse 6.8 6.0 6.6 5.9 5.5 QN13: Percentage of students who had ever been bullied on school property 46.6 47.8 52.1 Increased, 2009-2013 Not available Increased 24.9 27.3 No linear change Not available No change QN14: Percentage of students who had ever been electronically bullied * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 2 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 Quadratic Change* Change from 2011-2013 † 2011 2013 20.1 19.7 No linear change Not available§ No change QN15: Percentage of students who ever seriously thought about killing themselves 20.8 17.6 19.9 QN16: Percentage of students who ever made a plan about how they would kill themselves 12.2 12.6 12.9 12.2 14.2 No linear change Not available No change 7.7 6.9 6.7 7.3 No linear change Not available No change QN17: Percentage of students who ever tried to kill themselves 7.9 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 3 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Tobacco Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 Quadratic Change* Change from 2011-2013 † 2011 2013 28.9 24.5 Decreased, 2001-2013 Not available§ No change 7.1 6.6 Decreased, 2007-2013 Not available No change 9.0 6.9 Decreased, 2001-2013 Not available No change 2.5 1.8 Decreased, 2001-2013 Not available No change No linear change Not available No change QN18: Percentage of students who ever tried cigarette smoking, even one or two puffs 46.8 34.8 32.1 QN19: Percentage of students who smoked a whole cigarette for the first time before age 11 years 9.7 9.6 QN20: Percentage of students who smoked cigarettes on one or more of the past 30 days 16.1 11.7 11.3 QNFRCIG: Percentage of students who smoked cigarettes on 20 or more of the past 30 days 5.8 3.9 3.2 QN21: Among students who reported current cigarette use, the percentage who smoked more than 10 cigarettes per day on the days they smoked during the past 30 days 8.4 13.1 11.1 8.4 10.6 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 4 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Tobacco Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN22: Among students who reported current cigarette use, the percentage who usually got their own cigarettes by buying them in a store or gas station during the past 30 days 2.2 3.1 4.5 5.1 0.8 No linear change Not available§ Decreased QN23: Percentage of students who ever smoked cigarettes daily, that is, at least one cigarette every day for 30 days 9.9 7.8 7.4 5.1 4.7 Decreased, 2001-2013 Not available No change QN24: Percentage of students who used chewing tobacco, snuff, or dip on one or more of the past 30 days 8.2 6.5 8.8 7.3 6.5 No linear change Not available No change QN25: Percentage of students who smoked cigars, cigarillos, or little cigars on one or more of the past 30 days 8.8 7.3 6.4 5.4 4.1 Decreased, 2001-2013 Not available No change QNANYTOB: Percentage of students who smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days 21.1 15.1 15.9 13.9 10.7 Decreased, 2001-2013 Not available No change * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 5 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Alcohol and Other Drug Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 36.1 29.6 Quadratic Change* Change from 2011-2013 † Decreased, 2001-2013 Not available§ Decreased No linear change Not available Decreased QN26: Percentage of students who ever had a drink of alcohol, other than a few sips 45.9 39.9 36.9 QN27: Percentage of students who had their first drink of alcohol other than a few sips before age 11 years 16.5 16.0 16.2 12.7 QN28: Percentage of students who ever used marijuana 15.7 11.5 12.0 11.7 12.2 No linear change Not available No change 3.1 3.1 No linear change Not available No change Decreased, 2001-2013 Not available No change QN29: Percentage of students who tried marijuana for the first time before age 11 years 2.9 3.6 QN30: Percentage of students who ever used any form of cocaine, including powder, crack, or freebase 4.6 5.1 6.2 4.0 2.8 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 6 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Alcohol and Other Drug Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Decreased, 2011-2013 Not available§ No change No linear change Not available No change Decreased, 2011-2013 Not available Decreased 2013 QN31: Percentage of students who ever sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high 12.8 10.1 QN32: Percentage of students who ever took steroid pills or shots without a doctor's prescription 2.2 2.0 QN33: Percentage of students who ever took a prescription drug (such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription 7.1 4.9 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 7 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Sexual Behaviors Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Not available§ No change 2013 QN49: Percentage of students who had ever been taught in school about AIDS or HIV infection 79.9 69.4 62.8 58.6 56.1 Decreased, 2001-2013 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 8 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Weight Management and Dietary Behaviors Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Quadratic Change* Change from 2011-2013 † QN38: Percentage of students who described themselves as slightly or very overweight 27.6 26.4 28.9 27.4 No linear change Not available§ No change 51.3 47.6 48.1 50.6 No linear change Not available No change QN40: Percentage of students who had ever gone without eating for 24 hours or more to lose weight or to keep from gaining weight 21.9 20.6 20.8 20.1 19.8 No linear change Not available No change QN41: Percentage of students who had ever taken diet pills, powders, or liquids without a doctor's advice to lose weight or to keep from gaining weight 8.7 7.2 6.3 6.0 5.2 Decreased, 2001-2013 Not available No change QN42: Percentage of students who had ever vomited or taken laxatives to lose weight or to keep from gaining weight 7.2 6.6 6.8 5.0 5.9 No linear change Not available No change 29.6 QN39: Percentage of students who were trying to lose weight 47.6 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 9 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Physical Activity Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN44: Percentage of students who were physically active for a total of at least 60 minutes per day on five or more of the past seven days 65.1 57.6 56.2 64.0 No linear change Not available§ Increased QNPA0DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 0 of the past seven days 8.4 10.4 10.5 8.6 No linear change Not available No change QNPA7DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 7 of the past seven days 45.0 37.0 35.5 38.6 Decreased, 2007-2013 Not available No change 34.8 Decreased, 2001-2013 Not available No change QN46: Percentage of students who played video or computer games or used a computer for something that was not school work three or more hours per day on an average school day 25.9 28.0 32.3 43.1 Increased, 2007-2013 Not available Increased QN45: Percentage of students who watched three or more hours per day of TV on an average school day 41.5 34.6 35.1 33.7 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 10 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Physical Activity Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN47: Percentage of students who attended physical education (PE) classes one or more days in an average week when they were in school 67.1 72.4 74.0 71.3 73.8 No linear change Not available§ No change QNDLYPE: Percentage of students who attended physical education (PE) classes daily in an average week when they were in school 41.1 52.6 48.6 46.9 56.0 Increased, 2001-2013 Not available No change No linear change Not available No change QN48: Percentage of students who played on one or more sports teams during the past 12 months 64.2 62.3 61.8 64.3 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 11 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Total Other Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Not available§ No change 2013 QN50: Percentage of students who had ever been told by a doctor or nurse that they had asthma 20.8 21.2 22.9 21.1 No linear change * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 12 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN6: Among students who rode a bicycle, the percentage who never or rarely wore a bicycle helmet 74.6 No linear change Not available§ No change QN7: Among students who used rollerblades or rode a skateboard, the percentage who never or rarely wore a helmet 75.2 82.6 84.8 81.4 79.1 No linear change Not available No change Decreased, 2001-2013 Not available No change 70.5 78.3 80.4 76.0 QN8: Percentage of students who never or rarely wore a seat belt when riding in a car 22.0 13.9 13.5 13.5 10.9 QN9: Percentage of students who ever rode in a car driven by someone who had been drinking alcohol 38.8 33.3 30.1 26.6 21.7 Decreased, 2001-2013 Not available Decreased 56.4 56.3 No linear change Not available No change QN10: Percentage of students who ever carried a weapon, such as a gun, knife, or club 60.7 59.8 59.1 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 13 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 69.9 70.0 69.5 63.9 Quadratic Change* Change from 2011-2013 † Decreased, 2001-2013 Not available§ Decreased No linear change Not available No change QN11: Percentage of students who have ever been in a physical fight 76.4 QN12: Percentage of students who were ever in a physical fight in which they were hurt and had to be treated by a doctor or nurse 8.8 7.3 7.9 7.1 6.1 QN13: Percentage of students who had ever been bullied on school property 45.9 46.5 49.4 No linear change Not available No change 16.3 16.4 No linear change Not available No change 16.8 13.1 No linear change Not available No change QN14: Percentage of students who had ever been electronically bullied QN15: Percentage of students who ever seriously thought about killing themselves 15.9 12.3 16.0 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 14 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN16: Percentage of students who ever made a plan about how they would kill themselves 9.6 9.1 10.8 10.5 10.1 No linear change Not available§ No change 4.9 5.8 6.3 4.7 No linear change Not available No change QN17: Percentage of students who ever tried to kill themselves 5.9 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 15 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Tobacco Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 Quadratic Change* Change from 2011-2013 † 2011 2013 29.4 24.3 Decreased, 2001-2013 Not available§ Decreased 8.2 7.1 Decreased, 2007-2013 Not available No change 8.0 6.8 Decreased, 2001-2013 Not available No change 2.6 1.9 Decreased, 2001-2013 Not available No change QN23: Percentage of students who ever smoked cigarettes daily, that is, at least one cigarette every day for 30 days 8.4 7.3 6.7 4.7 4.8 Decreased, 2001-2013 Not available No change QN18: Percentage of students who ever tried cigarette smoking, even one or two puffs 49.9 34.1 32.1 QN19: Percentage of students who smoked a whole cigarette for the first time before age 11 years 9.7 9.6 QN20: Percentage of students who smoked cigarettes on one or more of the past 30 days 15.5 11.4 10.5 QNFRCIG: Percentage of students who smoked cigarettes on 20 or more of the past 30 days 5.9 4.3 3.0 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 16 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Tobacco Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN24: Percentage of students who used chewing tobacco, snuff, or dip on one or more of the past 30 days 14.8 9.6 13.5 10.8 9.9 No linear change Not available§ No change QN25: Percentage of students who smoked cigars, cigarillos, or little cigars on one or more of the past 30 days 12.4 8.8 7.8 6.2 4.6 Decreased, 2001-2013 Not available No change QNANYTOB: Percentage of students who smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days 23.9 16.4 17.8 15.4 12.7 Decreased, 2001-2013 Not available No change * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 17 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Alcohol and Other Drug Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 36.9 30.5 Quadratic Change* Change from 2011-2013 † Decreased, 2001-2013 Not available§ No change No linear change Not available No change QN26: Percentage of students who ever had a drink of alcohol, other than a few sips 51.8 43.4 39.2 QN27: Percentage of students who had their first drink of alcohol other than a few sips before age 11 years 19.8 17.6 19.7 15.0 QN28: Percentage of students who ever used marijuana 17.2 11.1 12.5 12.7 12.1 No linear change Not available No change 4.5 3.3 No linear change Not available No change No linear change Not available Decreased QN29: Percentage of students who tried marijuana for the first time before age 11 years 2.6 3.6 QN30: Percentage of students who ever used any form of cocaine, including powder, crack, or freebase 4.4 4.3 6.6 4.5 2.6 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 18 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Alcohol and Other Drug Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † No linear change Not available§ No change No linear change Not available No change Decreased, 2011-2013 Not available Decreased 2013 QN31: Percentage of students who ever sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high 12.2 9.7 QN32: Percentage of students who ever took steroid pills or shots without a doctor's prescription 2.5 2.0 QN33: Percentage of students who ever took a prescription drug (such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription 7.7 4.4 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 19 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Sexual Behaviors Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Not available§ No change 2013 QN49: Percentage of students who had ever been taught in school about AIDS or HIV infection 79.4 67.9 65.1 60.1 57.7 Decreased, 2001-2013 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 20 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Weight Management and Dietary Behaviors Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Quadratic Change* Change from 2011-2013 † QN38: Percentage of students who described themselves as slightly or very overweight 25.8 25.4 26.6 24.4 No linear change Not available§ No change 40.1 38.1 40.1 41.5 Increased, 2001-2013 Not available No change QN40: Percentage of students who had ever gone without eating for 24 hours or more to lose weight or to keep from gaining weight 12.9 14.5 16.0 13.6 12.9 No linear change Not available No change QN41: Percentage of students who had ever taken diet pills, powders, or liquids without a doctor's advice to lose weight or to keep from gaining weight 5.0 4.5 3.6 4.5 3.5 No linear change Not available No change QN42: Percentage of students who had ever vomited or taken laxatives to lose weight or to keep from gaining weight 3.5 2.6 4.5 3.4 2.7 No linear change Not available No change 24.4 QN39: Percentage of students who were trying to lose weight 33.0 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 21 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Physical Activity Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN44: Percentage of students who were physically active for a total of at least 60 minutes per day on five or more of the past seven days 68.7 63.0 63.3 67.7 No linear change Not available§ Increased QNPA0DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 0 of the past seven days 9.9 9.3 9.7 9.2 No linear change Not available No change QNPA7DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 7 of the past seven days 50.7 44.4 43.4 45.9 No linear change Not available No change 34.2 Decreased, 2001-2013 Not available No change QN46: Percentage of students who played video or computer games or used a computer for something that was not school work three or more hours per day on an average school day 29.5 31.2 34.9 43.0 Increased, 2007-2013 Not available Increased QN45: Percentage of students who watched three or more hours per day of TV on an average school day 43.2 36.5 37.0 34.0 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 22 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Physical Activity Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN47: Percentage of students who attended physical education (PE) classes one or more days in an average week when they were in school 67.1 70.9 75.1 73.5 73.2 No linear change Not available§ No change QNDLYPE: Percentage of students who attended physical education (PE) classes daily in an average week when they were in school 41.9 49.7 47.8 49.2 57.9 Increased, 2001-2013 Not available No change No linear change Not available No change QN48: Percentage of students who played on one or more sports teams during the past 12 months 65.7 63.9 64.7 64.4 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 23 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Male Other Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Not available§ No change 2013 QN50: Percentage of students who had ever been told by a doctor or nurse that they had asthma 22.9 22.1 22.6 21.3 No linear change * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 24 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN6: Among students who rode a bicycle, the percentage who never or rarely wore a bicycle helmet 66.9 Increased, 2001-2013 Not available§ No change QN7: Among students who used rollerblades or rode a skateboard, the percentage who never or rarely wore a helmet 70.9 80.1 82.5 80.6 76.1 Increased, 2001-2013 Not available No change Decreased, 2001-2013 Not available No change 57.3 68.5 74.7 72.6 QN8: Percentage of students who never or rarely wore a seat belt when riding in a car 12.0 9.7 8.9 9.4 9.0 QN9: Percentage of students who ever rode in a car driven by someone who had been drinking alcohol 34.1 31.8 31.7 25.8 24.5 Decreased, 2001-2013 Not available No change 22.0 24.2 No linear change Not available No change QN10: Percentage of students who ever carried a weapon, such as a gun, knife, or club 20.4 26.8 22.6 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 25 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 Quadratic Change* Change from 2011-2013 † 2007 2009 2011 2013 43.3 44.2 39.9 36.4 No linear change Not available§ No change QN12: Percentage of students who were ever in a physical fight in which they were hurt and had to be treated by a doctor or nurse 4.6 4.6 5.2 4.5 4.9 No linear change Not available No change QN11: Percentage of students who have ever been in a physical fight 39.1 QN13: Percentage of students who had ever been bullied on school property 47.3 49.1 54.9 Increased, 2009-2013 Not available Increased 33.9 38.7 Increased, 2011-2013 Not available Increased 23.6 26.5 No linear change Not available No change QN14: Percentage of students who had ever been electronically bullied QN15: Percentage of students who ever seriously thought about killing themselves 26.0 23.3 24.0 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 26 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Injury and Violence Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN16: Percentage of students who ever made a plan about how they would kill themselves 15.0 16.4 15.1 14.1 18.5 No linear change Not available§ Increased 10.7 8.1 7.2 10.0 No linear change Not available No change QN17: Percentage of students who ever tried to kill themselves 10.1 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 27 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Tobacco Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 Quadratic Change* Change from 2011-2013 † 2011 2013 28.5 24.6 Decreased, 2001-2013 Not available§ No change 5.9 6.0 Decreased, 2007-2013 Not available No change 9.9 7.1 Decreased, 2001-2013 Not available No change 2.4 1.6 Decreased, 2001-2013 Not available No change QN23: Percentage of students who ever smoked cigarettes daily, that is, at least one cigarette every day for 30 days 11.5 8.4 8.1 5.6 4.6 Decreased, 2001-2013 Not available No change QN18: Percentage of students who ever tried cigarette smoking, even one or two puffs 43.5 35.6 32.0 QN19: Percentage of students who smoked a whole cigarette for the first time before age 11 years 9.8 9.5 QN20: Percentage of students who smoked cigarettes on one or more of the past 30 days 16.8 12.0 12.1 QNFRCIG: Percentage of students who smoked cigarettes on 20 or more of the past 30 days 5.7 3.5 3.3 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 28 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Tobacco Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN24: Percentage of students who used chewing tobacco, snuff, or dip on one or more of the past 30 days 1.3 3.2 3.7 3.4 3.0 Increased, 2001-2013 Not available§ No change QN25: Percentage of students who smoked cigars, cigarillos, or little cigars on one or more of the past 30 days 4.9 5.7 4.6 4.5 3.5 No linear change Not available No change QNANYTOB: Percentage of students who smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days 18.2 13.8 13.9 12.1 8.7 Decreased, 2001-2013 Not available No change * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 29 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Alcohol and Other Drug Use Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 35.4 28.7 Quadratic Change* Change from 2011-2013 † Decreased, 2001-2013 Not available§ Decreased No linear change Not available No change QN26: Percentage of students who ever had a drink of alcohol, other than a few sips 39.7 36.3 34.5 QN27: Percentage of students who had their first drink of alcohol other than a few sips before age 11 years 13.0 13.9 12.3 10.4 QN28: Percentage of students who ever used marijuana 14.0 12.0 11.3 10.7 12.4 No linear change Not available No change 1.6 2.8 No linear change Not available No change Decreased, 2001-2013 Not available No change QN29: Percentage of students who tried marijuana for the first time before age 11 years 3.2 3.5 QN30: Percentage of students who ever used any form of cocaine, including powder, crack, or freebase 4.9 5.9 5.5 3.6 3.0 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 30 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Alcohol and Other Drug Use Linear Change* Quadratic Change* Change from 2011-2013 † No linear change Not available§ No change 2.1 No linear change Not available No change QN33: Percentage of students who ever took a prescription drug (such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription 6.3 5.5 No linear change Not available No change Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 QN31: Percentage of students who ever sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high 13.4 10.5 QN32: Percentage of students who ever took steroid pills or shots without a doctor's prescription 1.8 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 31 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Sexual Behaviors Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Not available§ No change 2013 QN49: Percentage of students who had ever been taught in school about AIDS or HIV infection 80.3 71.1 60.3 57.1 54.6 Decreased, 2001-2013 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 32 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Weight Management and Dietary Behaviors Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Quadratic Change* Change from 2011-2013 † QN38: Percentage of students who described themselves as slightly or very overweight 29.5 27.5 31.4 30.6 No linear change Not available§ No change 63.1 57.6 56.5 60.2 No linear change Not available No change QN40: Percentage of students who had ever gone without eating for 24 hours or more to lose weight or to keep from gaining weight 31.2 26.9 25.6 27.1 27.0 No linear change Not available No change QN41: Percentage of students who had ever taken diet pills, powders, or liquids without a doctor's advice to lose weight or to keep from gaining weight 12.5 10.0 9.1 7.6 7.0 Decreased, 2001-2013 Not available No change QN42: Percentage of students who had ever vomited or taken laxatives to lose weight or to keep from gaining weight 11.0 10.7 9.3 6.7 9.2 No linear change Not available No change 35.0 QN39: Percentage of students who were trying to lose weight 63.1 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 33 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Physical Activity Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN44: Percentage of students who were physically active for a total of at least 60 minutes per day on five or more of the past seven days 61.4 52.1 48.8 60.1 No linear change Not available§ Increased QNPA0DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 0 of the past seven days 6.8 11.6 11.2 8.0 No linear change Not available No change QNPA7DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 7 of the past seven days 39.1 29.3 27.3 31.1 Decreased, 2007-2013 Not available No change No linear change Not available No change Increased, 2007-2013 Not available Increased QN45: Percentage of students who watched three or more hours per day of TV on an average school day 39.8 32.7 33.1 33.5 35.5 QN46: Percentage of students who played video or computer games or used a computer for something that was not school work three or more hours per day on an average school day 22.2 24.7 29.6 43.1 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 34 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Physical Activity Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † 2013 QN47: Percentage of students who attended physical education (PE) classes one or more days in an average week when they were in school 67.0 74.1 73.0 69.0 74.3 No linear change Not available§ No change QNDLYPE: Percentage of students who attended physical education (PE) classes daily in an average week when they were in school 40.3 55.6 49.4 44.6 54.0 No linear change Not available No change No linear change Not available No change QN48: Percentage of students who played on one or more sports teams during the past 12 months 62.5 60.4 58.9 64.2 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 35 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report Female Other Linear Change* Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change* Change from 2011-2013 † Not available§ No change 2013 QN50: Percentage of students who had ever been told by a doctor or nurse that they had asthma 18.5 20.3 23.2 20.9 Increased, 2007-2013 * Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. Based on t-test analysis, p < 0.05. § Not enough years of data to calculate. † 36 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Injury and Violence Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § 2013 QN6: Among students who rode a bicycle, the percentage who never or rarely wore a bicycle helmet 70.4 Increased, 2001-2013 Not available¶ No change QN7: Among students who used rollerblades or rode a skateboard, the percentage who never or rarely wore a helmet 72.4 81.4 83.8 81.5 77.4 Increased, 2001-2013 Not available No change Decreased, 2001-2013 Not available No change 63.8 72.9 76.8 74.2 QN8: Percentage of students who never or rarely wore a seat belt when riding in a car 16.0 10.8 10.3 11.4 9.5 QN9: Percentage of students who ever rode in a car driven by someone who had been drinking alcohol 36.7 31.8 30.4 26.8 23.5 Decreased, 2001-2013 Not available No change 40.0 41.9 No linear change Not available No change QN10: Percentage of students who ever carried a weapon, such as a gun, knife, or club 41.4 43.8 41.2 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 37 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Injury and Violence Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 55.3 56.6 53.6 49.8 Quadratic Change† Change from 2011-2013 § Decreased, 2001-2013 Not available¶ No change No linear change Not available No change QN11: Percentage of students who have ever been in a physical fight 57.6 QN12: Percentage of students who were ever in a physical fight in which they were hurt and had to be treated by a doctor or nurse 6.8 5.9 6.2 6.0 5.4 QN13: Percentage of students who had ever been bullied on school property 47.4 48.3 53.2 Increased, 2009-2013 Not available Increased 25.3 28.3 No linear change Not available No change 20.5 20.2 No linear change Not available No change QN14: Percentage of students who had ever been electronically bullied QN15: Percentage of students who ever seriously thought about killing themselves 20.7 16.9 19.4 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 38 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Injury and Violence Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § 2013 QN16: Percentage of students who ever made a plan about how they would kill themselves 12.0 12.6 12.2 12.6 15.0 No linear change Not available¶ No change 7.1 6.6 6.8 7.4 No linear change Not available No change QN17: Percentage of students who ever tried to kill themselves 7.5 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 39 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Tobacco Use Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 Quadratic Change† Change from 2011-2013 § 2011 2013 29.4 24.5 Decreased, 2001-2013 Not available¶ No change 7.4 6.7 Decreased, 2007-2013 Not available No change 9.2 7.1 Decreased, 2001-2013 Not available No change 2.6 1.6 Decreased, 2001-2013 Not available No change No linear change Not available No change QN18: Percentage of students who ever tried cigarette smoking, even one or two puffs 45.8 34.4 31.4 QN19: Percentage of students who smoked a whole cigarette for the first time before age 11 years 9.5 9.5 QN20: Percentage of students who smoked cigarettes on one or more of the past 30 days 15.8 11.9 11.0 QNFRCIG: Percentage of students who smoked cigarettes on 20 or more of the past 30 days 5.8 4.0 3.1 QN21: Among students who reported current cigarette use, the percentage who smoked more than 10 cigarettes per day on the days they smoked during the past 30 days 8.6 12.6 12.1 9.0 9.5 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 40 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Tobacco Use Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § 2013 QN22: Among students who reported current cigarette use, the percentage who usually got their own cigarettes by buying them in a store or gas station during the past 30 days 2.3 3.1 4.9 5.4 0.9 No linear change Not available¶ Decreased QN23: Percentage of students who ever smoked cigarettes daily, that is, at least one cigarette every day for 30 days 9.6 8.0 7.1 5.1 4.6 Decreased, 2001-2013 Not available No change QN24: Percentage of students who used chewing tobacco, snuff, or dip on one or more of the past 30 days 8.6 6.5 8.7 7.7 6.4 No linear change Not available No change QN25: Percentage of students who smoked cigars, cigarillos, or little cigars on one or more of the past 30 days 8.2 7.0 6.1 5.5 3.7 Decreased, 2001-2013 Not available No change QNANYTOB: Percentage of students who smoked cigarettes or cigars or used chewing tobacco, snuff, or dip on one or more of the past 30 days 20.6 15.2 15.6 14.4 10.9 Decreased, 2001-2013 Not available No change * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 41 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Alcohol and Other Drug Use Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 36.8 30.0 Quadratic Change† Change from 2011-2013 § Decreased, 2001-2013 Not available¶ Decreased No linear change Not available Decreased QN26: Percentage of students who ever had a drink of alcohol, other than a few sips 45.5 39.1 36.3 QN27: Percentage of students who had their first drink of alcohol other than a few sips before age 11 years 15.8 15.4 16.3 12.9 QN28: Percentage of students who ever used marijuana 15.3 11.0 11.1 12.0 11.9 No linear change Not available No change 3.0 3.0 No linear change Not available No change No linear change Not available Decreased QN29: Percentage of students who tried marijuana for the first time before age 11 years 2.4 3.1 QN30: Percentage of students who ever used any form of cocaine, including powder, crack, or freebase 4.7 4.8 5.5 4.1 2.4 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 42 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Alcohol and Other Drug Use Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § No linear change Not available¶ No change No linear change Not available No change Decreased, 2011-2013 Not available Decreased 2013 QN31: Percentage of students who ever sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high 12.6 10.0 QN32: Percentage of students who ever took steroid pills or shots without a doctor's prescription 2.0 2.1 QN33: Percentage of students who ever took a prescription drug (such as OxyContin, Percocet, Vicodin, codeine, Adderall, Ritalin, or Xanax) without a doctor's prescription 7.1 4.8 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 43 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Sexual Behaviors Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § Not available¶ No change 2013 QN49: Percentage of students who had ever been taught in school about AIDS or HIV infection 79.5 69.7 62.2 58.7 57.7 Decreased, 2001-2013 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 44 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Weight Management and Dietary Behaviors Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 2013 Quadratic Change† Change from 2011-2013 § QN38: Percentage of students who described themselves as slightly or very overweight 27.8 26.7 29.7 28.0 No linear change Not available¶ No change 51.6 47.8 48.1 51.3 No linear change Not available No change QN40: Percentage of students who had ever gone without eating for 24 hours or more to lose weight or to keep from gaining weight 22.3 20.6 20.5 20.0 20.0 No linear change Not available No change QN41: Percentage of students who had ever taken diet pills, powders, or liquids without a doctor's advice to lose weight or to keep from gaining weight 8.6 7.3 6.2 6.1 5.1 Decreased, 2001-2013 Not available No change QN42: Percentage of students who had ever vomited or taken laxatives to lose weight or to keep from gaining weight 7.0 6.6 6.5 4.9 6.0 No linear change Not available No change 30.1 QN39: Percentage of students who were trying to lose weight 48.1 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 45 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Physical Activity Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § 2013 QN44: Percentage of students who were physically active for a total of at least 60 minutes per day on five or more of the past seven days 65.1 57.2 55.6 63.9 No linear change Not available¶ Increased QNPA0DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 0 of the past seven days 8.0 10.2 9.9 8.6 No linear change Not available No change QNPA7DAY: Percentage of students who were physically active for a total of at least 60 minutes per day on 7 of the past seven days 44.9 36.6 34.9 38.5 Decreased, 2007-2013 Not available No change 34.4 Decreased, 2001-2013 Not available No change QN46: Percentage of students who played video or computer games or used a computer for something that was not school work three or more hours per day on an average school day 25.9 28.1 32.6 43.9 Increased, 2007-2013 Not available Increased QN45: Percentage of students who watched three or more hours per day of TV on an average school day 40.6 33.6 34.5 34.0 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 46 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Physical Activity Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § 2013 QN47: Percentage of students who attended physical education (PE) classes one or more days in an average week when they were in school 67.0 72.1 74.1 70.7 73.4 No linear change Not available¶ No change QNDLYPE: Percentage of students who attended physical education (PE) classes daily in an average week when they were in school 41.0 52.7 47.9 47.0 55.9 Increased, 2001-2013 Not available No change No linear change Not available No change QN48: Percentage of students who played on one or more sports teams during the past 12 months 63.6 62.3 61.1 64.2 * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 47 2013 YOUTH RISK BEHAVIOR SURVEY RESULTS West Virginia Middle School Survey Trend Analysis Report White* Other Linear Change† Health Risk Behavior and Percentages 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011 Quadratic Change† Change from 2011-2013 § Not available¶ No change 2013 QN50: Percentage of students who had ever been told by a doctor or nurse that they had asthma 20.7 20.2 23.4 20.7 No linear change * Non-Hispanic. Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05. § Based on t-test analysis, p < 0.05. ¶ Not enough years of data to calculate. † 48