Tobacco Use - YRBS

The questions provided by this tool come from the Youth Risk Behavior Survey (YRBS) which is part of the Youth Risk Behavior Surveillance System (YRBSS). With versions available for middle school and high school, this survey is designed to assess priority health-risk behaviors in youth and young adults.  Behaviors examined are those that are leading contributors to death, disability, and social problems in this young population, and include tobacco use, unhealthy dietary behaviors, inadequate physical activity, alcohol and other drug use, sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases (including HIV), and behaviors that contribute to unintentional injuries and violence. This tool is free and publicly available. English only.

Questions 3, 10, and 11 assess recent use, and, for this reason, data from these questions may be most useful when tracking cigarette use at regular intervals. 

Tool

Population
Administration Method
Number of Questions
11
Creator(s) of Tool
Complete measurement tool reference:
Centers for Disease Control and Prevention (2004). Methodology of the Youth Risk Behavior Surveillance System. MMWR, 53 (No. RR-12).

Complete measurement tool hyperlink: http://www.cdc.gov/healthyyouth/yrbs/pdf/questionnaire/2011_hs_questionnaire.pdf
Scoring / Benchmarking
Scoring:
Before analyzing the data, code answer options as follows:
0=no
1=yes

To create a summary score, count the total number of people who answered “yes” to any of the questions and divide by the total number of respondents.

Benchmarks:
According to YRBS data from 2009, 8.9 percent of high school youth have used chewing tobacco, snuff, or dip during the 30 days before the administration of the survey. Data from 2009 also suggest that there are gender differences among adolescents- with adolescent males being more likely to have used chewing tobacco, snuff, or dip during the 30 days before the administration of the survey than adolescent females (15 vs. 2.2 percent). In addition, differences on adolescent smokeless tobacco use also exist among different racial and ethnic groups. According to the YRBS 2009 data, American Indian/Alaskan Native adolescents reported having the highest percentage to have used chewing tobacco, snuff, or dip during the 30 days before the administration of the survey (16.8 percent), followed by white adolescents (11.9 percent). Asian and black adolescents were among the least likely to have used chewing tobacco, snuff, or dip during the 30 days before the administration of the survey (3.3 and 3.3 percent, respectively). Among 9th graders, the prevalence of using chewing tobacco, snuff, or dip during the 30 days before the administration of the survey was lower (7.2 percent).

These prevalence rates may inform the benchmarks you decide to set for your program. For example, a program serving white males in high school with a baseline prevalence rate of 12 percent of using chewing tobacco, snuff, or dip may seek to set a performance benchmark of 7.5 percent (or 92.5 percent not using smokeless tobacco), whereas a program with a baseline prevalence rate of 17 percent among American Indian/Alaskan Native adolescent males may seek to set a performance benchmark of 10 percent (or 90 percent not using smokeless tobacco).
Background / Quality
n/a
Is there a cost associated with this tool?
No
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