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. 2024 Oct 10;73(4):87–93. doi: 10.15585/mmwr.su7304a10

TABLE 3. Percentage of feelings of persistent sadness or hopelessness, school connectedness, academic grades, and skipping breakfast among high school students, by sex and race and ethnicity — Youth Risk Behavior Survey, United States, 2023*.

Characteristic Experienced persistent feelings of sadness or 
hopelessness
% (95% CI)
Experienced greater school connectedness
% (95% CI)
Reported receiving mostly As or Bs
% (95% CI)
Skipping breakfast
(Ate breakfast on 0 of the past 7 days)
Overall prevalence
23.2 (21.1–25.4)
15.1 (13.1–17.4)
15.4 (13.7–17.2)
Overall prevalence ratio
1.61 (1.41–1.84)
0.69 (0.59–0.80)
0.64 (0.56–0.73)
Adjusted prevalence ratios (aPR)
aPR (95% CI)
aPR (95% CI)
aPR (95% CI)
Overall§
1.51 (1.32–1.73)
0.73 (0.64–0.84)
0.65 (0.56–0.75)
Sex
Female
1.64 (1.29–2.07)
0.72 (0.61–0.85)
0.67 (0.53–0.85)
Male
1.37 (1.16–1.62)
0.74 (0.63–0.87)
0.63 (0.54–0.72)
Race and ethnicity**,††
American Indian or Alaska Native
3.47 (0.88–13.78)
0.14 (0.05–0.37)
2.09 (0.56–7.85)
Asian
1.53 (1.05–2.24)
0.59 (0.28–1.25)
0.35 (0.19–0.65)
Black or African American
1.37 (1.06–1.79)
0.63 (0.47–0.85)
0.85 (0.65–1.13)
Native Hawaiian or other Pacific Islander§§



White
1.49 (1.22–1.81)
0.77 (0.65–0.93)
0.57 (0.48–0.66)
Hispanic or Latino
1.65 (1.23–2.22)
0.75 (0.53–1.08)
0.76 (0.56–1.03)
Multiracial 1.14 (0.77–1.69) 0.76 (0.45–1.27) 0.51 (0.32–0.84)

* N = 20,103 respondents. The total number of students answering each question varied. Data might be missing because 1) the question did not appear in that student’s questionnaire, 2) the student did not answer the question, or 3) the response was set to missing because of an out-of-range response or logical inconsistency. Percentages in each category are calculated on the known data.

aPRs were considered statistically significant if the 95% CIs did not cross the null value of 1.0.

§ Adjusted for sex, sexual identity, grade, and race and ethnicity.

Adjusted for sexual identity, grade, and race and ethnicity.

** Persons of Hispanic or Latino (Hispanic) origin might be of any race but are categorized as Hispanic; all racial groups are non-Hispanic.

†† Adjusted for sexual identity, grade, and sex.

§§ Values suppressed in cells where N < 30; estimates for Native Hawaiian or other Pacific Islander not shown.