TABLE 4. Prevalence of select health risk behaviors, by housing stability status among high school students — Youth Risk Behavior Survey, United States, 2021.
| Behavior | Unstable % (95% CI)* |
Stable % (95% CI)* |
PR (95% CI)† | aPR (95% CI)†,§ |
|---|---|---|---|---|
|
Substance use
| ||||
| Ever misused prescription opioids |
36.4 (30.3–43.0) |
11.7 (10.8–12.6) |
3.1 (2.6–3.7)¶ |
2.9 (2.4–3.4)¶ |
| Ever used illicit drugs |
41.7 (35.9–47.7) |
12.7 (11.5–13.9) |
3.3 (2.7–4.0)¶ |
3.0 (2.4–3.7)¶ |
| Ever injected any illegal drug |
22.5 (16.6–29.7) |
0.9 (0.6–1.3) |
25.9 (14.7–45.8)¶ |
19.0 (9.9–36.5)¶ |
|
Sexual health
| ||||
| Currently sexually active |
48.2 (41.7–54.8) |
20.0 (18.7–21.3) |
2.4 (2.1–2.8)¶ |
2.0 (1.6–2.6)¶ |
| Used alcohol or drugs at last sexual intercourse |
41.0 (28.2–55.2) |
19.7 (17.5–22.2) |
2.1 (1.5–3.0)¶ |
2.1 (1.5–3.1)¶ |
| Did not use a condom during last sexual intercourse |
60.2 (49.8–69.7) |
47.6 (44.9–50.3) |
1.3 (1.1–1.5)¶ |
1.2 (1.0–1.4) |
| Not tested for any STD (other than HIV) in the past 12 months |
81.2 (76.7–85.0) |
95.2 (94.5–95.9) |
0.9 (0.8–0.9)¶ |
0.9 (0.8–1.0)¶ |
| Not ever tested for HIV |
81.4 (78.1–84.3) |
94.7 (94.0–95.3) |
0.9 (0.8–0.9)¶ |
0.9 (0.9–0.9)¶ |
|
Violence victimization
| ||||
| Experienced sexual dating violence in the past 12 months |
28.5 (18.6–41.0) |
9.3 (8.2–10.5) |
3.1 (2.2–4.3)¶ |
3.0 (2.1–4.5)¶ |
| Experienced physical dating violence in the past 12 months |
31.9 (25.6–39.0) |
7.7 (6.6–8.8) |
4.2 (3.2–5.4)¶ |
3.7 (2.9–4.8)¶ |
| Experienced sexual violence by anyone in the past 12 months |
27.6 (23.0–32.6) |
10.6 (9.6–11.6) |
2.6 (2.1–3.2)¶ |
2.6 (2.0–3.4)¶ |
|
Mental health and suicide
| ||||
| Poor mental health in the past 30 days |
35.5 (29.3–42.3) |
29.0 (27.4–30.7) |
1.2 (1.0–1.5) |
1.1 (0.8–1.5) |
| Experienced persistent feelings of sadness or hopelessness in the past 12 months |
56.8 (50.4–63.0) |
42.6 (41.3–44.0) |
1.3 (1.2–1.5)¶ |
1.3 (1.1–1.5)¶ |
| Seriously considered suicide in the past 12 months |
44.9 (40.1–49.9) |
21.8 (20.7–22.9) |
2.1 (1.8–2.4)¶ |
1.9 (1.6–2.3)¶ |
| Made a suicide plan in the past 12 months |
38.0 (30.9–45.6) |
17.3 (16.0–18.7) |
2.2 (1.7–2.8)¶ |
2.0 (1.5–2.6)¶ |
| Attempted suicide in the past 12 months | 38.2 (31.7–45.2) | 9.4 (8.6–10.2) | 4.1 (3.3–5.0)¶ | 3.3 (2.5–4.2)¶ |
Abbreviations: aPR = adjusted prevalence ratio; PR = prevalence ratio; STD = sexually transmitted disease.
* N = 17,232 respondents. Because the state and local questionnaires differ by jurisdiction, students in these schools were not asked all national YRBS questions. Therefore, the total number (N) of students answering each question varied. Percentages in each category are calculated on the known data.
† Comparing the health behavior prevalence among students experiencing unstable housing versus stable housing.
§ Adjusted for sex, grade, race and ethnicity, and sexual identity.
¶ A significant difference in prevalence of a health behavior by housing stability status was observed. Differences were considered significant if the 95% CI did not cross the null value of 1.0.