Percentage of Middle School Students Who Rarely or

Percentage of Middle School Students Who Rarely or Never Wore a Bicycle Helmet, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 80 Percent 68. 1 73. 5 71. 5 64. 6 64. 3 Female 6 th 68. 2 67. 7 60 40 20 0 Total Male 7 th 8 th Black Hispanic White *Among students who had ridden a bicycle † M > F; 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 6

Percentage of Middle School Students Who Rarely or Never Wore a Bicycle Helmet, * 2001 -2017† 100 80 73. 7 77. 8 74. 4 70. 9 73. 2 68. 1 64. 4 Percent 60 40 2001 2003 2005 2007 2009 2011 2013 2015 2017 *Among students who had ridden a bicycle † Increased, 2001 -2009, decreased, 2009 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 6

Percentage of Middle School Students Who Rarely or Never Wore a Helmet When Rollerblading or Skateboarding, * by Sex, Grade, † and Race/Ethnicity, 2017 100 86. 3 80. 0 80. 2 79. 9 79. 7 Percent 80 80. 1 75. 8 60 40 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *Among students who used rollerblades or rode a skateboard † 8 th > 7 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 7

Percentage of Middle School Students Who Rarely or Never Wore a Helmet When Rollerblading or Skateboarding, * 2001 -2017† 100 81. 5 80 83. 8 81. 0 73. 1 77. 6 80. 0 74. 9 Percent 60 40 2001 2003 2005 2007 2009 2011 2013 2015 2017 *Among students who used rollerblades or rode a skateboard † Increased 2001 -2017, increased 2001 -2009, decreased 2009 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 7

Percentage of Middle School Students Who Rarely or Never Wore a Seat Belt, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 10. 3 4. 7 5. 5 3. 8 3. 5 4. 2 Total Male Female 6 th 7 th 6. 3 5. 8 8 th Black 4. 2 0 Hispanic White *When riding in a car † 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 8

Percentage of Middle School Students Who Rarely or Never Wore a Seat Belt, * 2001 -2017† 100 80 Percent 60 40 20 17. 1 11. 9 11. 4 11. 5 10. 0 6. 9 4. 7 0 2001 2003 2005 2007 2009 2011 2013 2015 2017 *When riding in a car † Decreased 2001 -2017, decreased 2001 -2013, decreased 2013 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 8

Percentage of Middle School Students Who Ever Rode with a Driver Who Had Been Drinking Alcohol, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 14. 7 14. 8 16. 0 14. 7 19. 5 20. 7 16. 2 15. 0 9. 0 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *In a car † 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 9

Percentage of Middle School Students Who Ever Rode with a Driver Who Had Been Drinking Alcohol, * 2001 -2017† 100 80 Percent 60 40 36. 5 32. 6 30. 8 26. 2 23. 1 21. 4 14. 7 20 0 2001 2003 2005 2007 2009 2011 2013 2015 2017 *In a car † Decreased 2001 -2017, decreased 2001 -2009, decreased 2009 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 9

Percentage of Middle School Students Who Ever Carried a Weapon, * by Sex, † Grade, and Race/Ethnicity, † 2017 100 Percent 80 56. 4 60 40. 4 38. 3 40 40. 0 43. 0 42. 3 40. 2 31. 0 23. 5 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *Such as a gun, knife, or club † M > F; W > B (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 10

Percentage of Middle School Students Who Ever Carried a Weapon, * 2001 -2017† 100 80 Percent 60 43. 8 41. 2 46. 1 41. 5 39. 7 40. 6 2009 2011 2013 40. 4 40 2001 2003 2005 2007 2015 2017 *Such as a gun, knife, or club † No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 10

Percentage of Middle School Students Who Were Ever in a Physical Fight, by Sex, * Grade, * and Race/Ethnicity, * 2017 100 80 Percent 60 55. 0 52. 1 43. 5 42. 3 45. 7 48. 0 42. 1 37. 5 40 28. 8 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White M > F; 8 th > 6 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 11

Percentage of Middle School Students Who Were Ever in a Physical Fight, 2001 -2017* 100 80 Percent 60 58. 3 57. 0 57. 4 55. 0 50. 4 46. 4 42. 3 40 2001 2003 2005 2007 2009 2011 2013 2015 2017 Decreased 2001 -2017, no change 2001 -2011, decreased 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 11

Percentage of Middle School Students Who Were Ever Bullied on School Property, by Sex, * Grade, and Race/Ethnicity, 2017 100 80 Percent 60 51. 5 45. 4 45. 3 45. 9 45. 0 44. 9 45. 8 6 th 7 th 8 th Black Hispanic White 39. 5 40 20 0 Total Male Female F > M (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 12

Percentage of Middle School Students Who Were Ever Bullied on School Property, 2009 -2017* 100 80 Percent 60 46. 6 47. 8 2009 2011 52. 4 45. 4 40 2013 2015 2017 No change 2009 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. * West Virginia - YRBS, 2009 -2017 - QN 12

Percentage of Middle School Students Who Were Ever Electronically Bullied, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 36. 2 40 27. 0 31. 0 7 th 8 th 28. 5 30. 0 Black Hispanic 27. 7 19. 7 18. 5 20 30. 7 0 Total Male Female 6 th White *Counting being bullied through texting, Instagram, Facebook, or other social media † F > M; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 13

Percentage of Middle School Students Who Were Ever Electronically Bullied, * 2011 -2017† 100 80 Percent 60 40 24. 9 27. 3 28. 8 27. 0 2013 2015 2017 20 0 2011 *Counting being bullied through texting, Instagram, Facebook, or other social media † No change 2011 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2011 -2017 - QN 13

Percentage of Middle School Students Who Ever Seriously Thought About Killing Themselves, by Sex, * Grade, * and Race/Ethnicity, 2017 100 80 Percent 60 40 29. 5 26. 4 20. 7 20 23. 8 22. 4 24. 1 7 th 8 th Black 20. 0 15. 7 15. 0 0 Total Male Female 6 th Hispanic White F > M; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 14

Percentage of Middle School Students Who Ever Seriously Thought About Killing Themselves, 2001 -2017* 100 80 Percent 60 40 20. 8 17. 6 20 19. 9 20. 1 19. 7 21. 1 20. 7 2009 2011 2013 2015 2017 0 2001 2003 2005 2007 No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 14

Percentage of Middle School Students Who Ever Made a Plan About How They Would Kill Themselves, by Sex, * Grade, * and Race/Ethnicity, 2017 100 80 Percent 60 40 20 13. 9 16. 5 11. 2 15. 1 16. 8 17. 9 7 th 8 th Black 19. 3 13. 2 10. 0 0 Total Male Female 6 th Hispanic White F > M; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 15

Percentage of Middle School Students Who Ever Made a Plan About How They Would Kill Themselves, 2001 -2017* 100 80 Percent 60 40 20 12. 2 12. 6 12. 9 12. 2 2007 2009 2011 14. 2 15. 5 13. 9 2013 2015 2017 0 2001 2003 2005 No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 15

Percentage of Middle School Students Who Ever Tried to Kill Themselves, by Sex, * Grade, * and Race/Ethnicity, * 2017 100 80 Percent 60 40 17. 5 20 8. 8 10. 7 6. 3 9. 7 10. 2 11. 4 7 th 8 th Black 8. 3 0 Total Male Female 6 th Hispanic White F > M; 7 th > 6 th, 8 th > 6 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 16

Percentage of Middle School Students Who Ever Tried to Kill Themselves, 2001 -2017* 100 80 Percent 60 40 20 7. 9 7. 7 6. 9 6. 7 7. 3 7. 2 8. 8 2007 2009 2011 2013 2015 2017 0 2001 2003 2005 No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 16

Percentage of Middle School Students Who Ever Tried Cigarette Smoking, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 14. 6 16. 5 18. 4 19. 4 7 th 8 th 15. 2 12. 3 17. 4 14. 7 5. 8 0 Total Male Female 6 th Black Hispanic White *Even one or two puffs † M > F; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 17

Percentage of Middle School Students Who Ever Tried Cigarette Smoking, * 2001 -2017† 100 80 Percent 60 46. 8 34. 8 40 32. 1 28. 9 24. 5 20. 4 14. 6 20 0 2001 2003 2005 2007 2009 2011 2013 2015 2017 *Even one or two puffs † Decreased 2001 -2017, decreased 2001 -2013, decreased 2013 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 17

Percentage of Middle School Students Who Tried Cigarette Smoking for the First Time Before Age 11 Years, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 10. 6 5. 5 5. 7 5. 3 Total Male Female 2. 9 6. 6 7 th 8 th 5. 5 0 6 th Black Hispanic White *Even one or two puffs † 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 18

Percentage of Middle School Students Who Currently Smoked Cigarettes, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 3. 5 4. 1 2. 6 1. 1 Total Male Female 6 th 4. 6 4. 7 3. 9 3. 7 3. 6 7 th 8 th Black Hispanic White 0 *On at least 1 day during the 30 days before the survey † 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 19

Percentage of Middle School Students Who Currently Smoked Cigarettes, * 2001 -2017† 100 80 Percent 60 40 20 16. 1 11. 7 11. 3 9. 0 6. 9 5. 5 2013 2015 3. 5 0 2001 2003 2005 2007 2009 2011 2017 *On at least 1 day during the 30 days before the survey † Decreased 2001 -2017, decreased 2001 -2011, decreased 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 19

Percentage of Middle School Students Who Currently Smoked Cigarettes Frequently, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 0. 8 0. 9 0. 5 0. 4 0. 7 1. 1 0. 7 2. 4 0. 7 Total Male Female 6 th 7 th 8 th Black Hispanic White 0 *On 20 or more days during the 30 days before the survey All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNFRCIG

Percentage of Middle School Students Who Currently Smoked Cigarettes Frequently, * 2001 -2017† 100 80 Percent 60 40 20 5. 8 3. 9 3. 2 2. 5 1. 8 1. 7 0. 8 2007 2009 2011 2013 2015 2017 0 2001 2003 2005 *On 20 or more days during the 30 days before the survey † Decreased 2001 -2017, decreased 2001 -2011, decreased 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QNFRCIG

Percentage of Middle School Students Who Currently Smoked Cigarettes Daily, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 0. 6 0. 4 0. 1 1. 0 0. 7 2. 4 Total Male Female 6 th 7 th 8 th Black Hispanic 0. 5 0 White *On all 30 days during the 30 days before the survey † 8 th > 7 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNDAYCIG

Percentage of Middle School Students Who Currently Smoked Cigarettes Daily, * 2001 -2017† 100 80 Percent 60 40 20 4. 3 2. 6 2. 3 1. 7 1. 4 1. 3 0. 6 2007 2009 2011 2013 2015 2017 0 2001 2003 2005 *On all 30 days during the 30 days before the survey † Decreased 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QNDAYCIG

Percentage of Middle School Students Who Smoked More Than 10 Cigarettes Per Day, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *On the days they smoked during the 30 days before the survey, among students who currently smoked cigarettes All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 20

Percentage of Middle School Students Who Ever Used an Electronic Vapor Product, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 18. 5 21. 8 20. 8 14. 8 23. 3 24. 2 21. 8 17. 9 11. 3 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, Mark. Ten, Logic, Vapin Plus, e. Go, and Halo] † M > F; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 21

Percentage of Middle School Students Who Ever Used an Electronic Vapor Product, * 2015 -2017† 100 80 Percent 60 40 24. 9 18. 5 20 0 2015 2017 *Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, Mark. Ten, Logic, Vapin Plus, e. Go, and Halo] † Decreased 2015 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2015 -2017 - QN 21

Percentage of Middle School Students Who Currently Used an Electronic Vapor Product, * by Sex, Grade, † and Race/Ethnicity, † 2017 100 Percent 80 60 40 16. 0 20 5. 9 6. 4 Total Male 5. 2 2. 4 6. 3 8. 8 5. 3 0 Female 6 th 7 th 8 th Black Hispanic White *Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, Mark. Ten, Logic, Vapin Plus, e. Go, and Halo], on at least 1 day during the 30 days before the survey † 7 th > 6 th, 8 th > 6 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 22

Percentage of Middle School Students Who Currently Used an Electronic Vapor Product, * 2015 -2017† 100 80 Percent 60 40 20 11. 0 5. 9 0 2015 2017 *Including e-cigarettes, e-cigars, e-pipes, vape pipes, vaping pens, e-hookahs, and hookah pens [such as blu, NJOY, Vuse, Mark. Ten, Logic, Vapin Plus, e. Go, and Halo], on at least 1 day during the 30 days before the survey † Decreased 2015 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2015 -2017 - QN 22

Percentage of Middle School Students Who Usually Got Their Own Electronic Vapor Products by Buying Them in a Store, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 5. 1 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *Such as a convenience store, supermarket, discount store, gas station, or vape store, during the 30 days before the survey, among students who currently used electronic vapor products All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 23

Percentage of Middle School Students Who Currently Used Smokeless Tobacco, * by Sex, † Grade, † and Race/Ethnicity, † 2017 100 Percent 80 60 40 20 14. 7 4. 2 6. 7 1. 5 2. 0 Female 6 th 4. 6 5. 7 4. 5 7 th 8 th Black 3. 9 0 Total Male Hispanic White *Chewing tobacco, snuff, dip, snus, or dissolvable tobacco products [such as Redman, Levi Garrett, Beechnut, Skoal Bandits, Copenhagen, Camel Snus, Marlboro Snus, General Snus, Ariva, Stonewall, or Camel Orbs], not counting any electronic vapor products, on at least 1 day during the 30 days before the survey † M > F; 7 th > 6 th, 8 th > 6 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 24

Percentage of Middle School Students Who Currently Smoked Cigars, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 9. 6 3. 0 3. 9 Total Male 1. 9 1. 3 Female 6 th 3. 3 4. 3 3. 7 7 th 8 th Black 2. 7 0 Hispanic White *Cigars, cigarillos, or little cigars, on at least 1 day during the 30 days before the survey † M > F; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 25

Percentage of Middle School Students Who Currently Smoked Cigars, * 2001 -2017† 100 80 Percent 60 40 20 8. 8 7. 3 6. 4 5. 4 4. 1 4. 4 3. 0 2007 2009 2011 2013 2015 2017 0 2001 2003 2005 *Cigars, cigarillos, or little cigars, on at least 1 day during the 30 days before the survey † Decreased 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 25

Percentage of Middle School Students Who Currently Smoked Cigarettes or Cigars, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 5. 0 6. 3 Total Male 3. 4 2. 0 Female 6 th 5. 9 6. 8 6. 9 7 th 8 th Black 10. 1 4. 7 0 Hispanic White *On at least 1 day during the 30 days before the survey † M > F; 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNTB 2

Percentage of Middle School Students Who Currently Smoked Cigarettes or Cigars or Used Smokeless Tobacco, * by Sex, † Grade, † and Race/Ethnicity, † 2017 100 Percent 80 60 40 16. 7 20 7. 4 10. 1 4. 2 3. 2 Female 6 th 8. 5 10. 1 9. 2 7 th 8 th Black 6. 9 0 Total Male Hispanic White *On at least 1 day during the 30 days before the survey † M > F; 7 th > 6 th, 8 th > 6 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNTB 3

Percentage of Middle School Students Who Currently Smoked Cigarettes or Cigars or Used Smokeless Tobacco or Electronic Vapor Products, * by Sex, † Grade, † and Race/Ethnicity, † 2017 100 Percent 80 60 40 22. 5 20 10. 7 13. 2 12. 0 7. 7 15. 0 10. 0 4. 9 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *On at least 1 day during the 30 days before the survey † M > F; 7 th > 6 th, 8 th > 6 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNTB 4

Percentage of Middle School Students Who Ever Drank Alcohol, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 31. 9 23. 4 24. 6 25. 7 21. 9 20 27. 7 31. 5 23. 2 13. 3 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *Other than a few sips † 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 26

Percentage of Middle School Students Who Ever Drank Alcohol, * 20012017† 100 80 Percent 60 45. 9 39. 9 40 36. 9 36. 1 29. 6 25. 7 23. 4 20 0 2001 2003 2005 2007 2009 2011 2013 2015 2017 *Other than a few sips † Decreased 2001 -2017, decreased 2001 -2011, decreased 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 26

Percentage of Middle School Students Who Drank Alcohol for the First Time Before Age 11 Years, * by Sex, † Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 17. 2 20 9. 5 10. 9 Total Male 7. 5 7. 0 Female 6 th 10. 3 10. 5 7 th 8 th 9. 0 0 Black Hispanic White *Other than a few sips † M > F (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 27

Percentage of Middle School Students Who Drank Alcohol for the First Time Before Age 11 Years, * 2007 -2017† 100 80 Percent 60 40 20 16. 5 16. 0 16. 2 12. 7 10. 6 9. 5 2017 0 2007 2009 2011 2013 *Other than a few sips † Decreased 2007 -2017, no change 2007 -2011, decreased 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Note: This graph contains weighted results. West Virginia - YRBS, 2007 -2017 - QN 27

Percentage of Middle School Students Who Ever Used Marijuana, by Sex, * Grade, * and Race/Ethnicity, * 2017 100 80 Percent 60 40 18. 7 20 8. 3 10. 0 6. 2 10. 0 12. 6 12. 5 7. 7 2. 4 0 Total Male Female 6 th 7 th 8 th Black Hispanic White M > F; 7 th > 6 th, 8 th > 6 th; B > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 28

Percentage of Middle School Students Who Ever Used Marijuana, 20012017* 100 80 Percent 60 40 20 15. 7 11. 5 12. 0 11. 7 12. 2 2007 2009 2011 2013 10. 2 8. 3 0 2001 2003 2005 2017 Decreased 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 28

Percentage of Middle School Students Who Tried Marijuana for the First Time Before Age 11 Years, by Sex, Grade, and Race/Ethnicity, * 2017 100 80 Percent 60 40 20 6. 4 2. 3 2. 6 1. 9 1. 6 2. 7 2. 4 Total Male Female 6 th 7 th 8 th 5. 4 1. 8 0 Black Hispanic White B > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 29

Percentage of Middle School Students Who Tried Marijuana for the First Time Before Age 11 Years, 2007 -2017* 100 80 Percent 60 40 20 2. 9 3. 6 3. 1 3. 4 2. 3 2007 2009 2011 2013 2015 2017 0 No change 2007 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Note: This graph contains weighted results. * West Virginia - YRBS, 2007 -2017 - QN 29

Percentage of Middle School Students Who Ever Used Cocaine, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 2. 2 2. 1 1. 5 1. 8 2. 9 3. 1 Total Male Female 6 th 7 th 8 th Black 6. 5 2. 0 0 Hispanic White *Any form of cocaine, including powder, crack, or freebase All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 30

Percentage of Middle School Students Who Ever Used Cocaine, * 20012017† 100 80 Percent 60 40 20 4. 6 5. 1 6. 2 2007 2009 4. 0 2. 8 2. 7 2. 2 2011 2013 2015 2017 0 2001 2003 2005 *Any form of cocaine, including powder, crack, or freebase † Decreased 2001 -2017, no change 2001 -2009, decreased 2009 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. West Virginia - YRBS, 2001 -2017 - QN 30

Percentage of Middle School Students Who Ever Used Inhalants, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 12. 7 6. 6 6. 5 6. 6 5. 2 Total Male Female 6 th 7. 0 8. 4 7 th 8 th Black 6. 4 0 Hispanic White *Sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 31

Percentage of Middle School Students Who Ever Used Inhalants, * 20112017† 100 80 Percent 60 40 20 12. 8 10. 1 7. 0 6. 6 2015 2017 0 2011 2013 *Sniffed glue, breathed the contents of spray cans, or inhaled any paints or sprays to get high † Decreased 2011 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2011 -2017 - QN 31

Percentage of Middle School Students Who Ever Took Steroids Without a Doctor's Prescription, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 1. 6 1. 9 1. 2 1. 5 1. 2 1. 7 2. 5 Total Male Female 6 th 7 th 8 th Black 4. 6 1. 5 0 Hispanic White *Pills or shots All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 32

Percentage of Middle School Students Who Ever Took Steroids Without a Doctor's Prescription, * 2011 -2017† 100 80 Percent 60 40 20 2. 2 2. 0 1. 4 1. 6 2011 2013 2015 2017 0 *Pills or shots † No change 2011 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2011 -2017 - QN 32

Percentage of Middle School Students Who Ever Took Prescription Pain Medicine Without a Doctor's Prescription or Differently Than How a Doctor Told Them to Use It, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 3. 6 3. 8 3. 5 Total Male Female 1. 5 3. 4 5. 8 6. 5 7. 8 8 th Black Hispanic 3. 5 0 6 th 7 th White *Counting drugs such as codeine, Vicodin, Oxycontin, hydrocodone, and Percocet † 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 33

Percentage of Middle School Students Who Described Themselves As Slightly or Very Overweight, by Sex, * Grade, * and Race/Ethnicity, 2017 100 80 Percent 60 40 28. 1 30. 5 25. 9 24. 3 28. 2 31. 8 33. 5 28. 9 28. 2 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White F > M; 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 38

Percentage of Middle School Students Who Described Themselves As Slightly or Very Overweight, 2001 -2017* 100 80 Percent 60 40 29. 6 27. 6 26. 4 2007 2009 28. 9 27. 4 2011 2013 25. 5 28. 1 20 0 2001 2003 2005 2017 No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 38

Percentage of Middle School Students Who Were Trying to Lose Weight, by Sex, * Grade, and Race/Ethnicity, 2017 100 80 Percent 60 54. 6 47. 2 46. 8 47. 8 48. 6 46. 9 48. 0 6 th 7 th 8 th Black Hispanic White 40. 3 40 20 0 Total Male Female F > M (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 39

Percentage of Middle School Students Who Were Trying to Lose Weight, 2001 -2017* 100 80 Percent 60 51. 3 47. 6 48. 1 2009 2011 50. 6 45. 1 47. 2 40 2001 2003 2005 2007 2013 2015 2017 No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. Note: This graph contains weighted results. * West Virginia - YRBS, 2001 -2017 - QN 39

Percentage of Middle School Students Who Did Not Eat Breakfast, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 40 20 9. 0 7. 4 Total Male 10. 5 6. 7 10. 1 10. 4 7 th 8 th 12. 2 7. 2 9. 0 0 Female 6 th Black Hispanic White *During the 7 days before the survey † F > M; 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 40

Percentage of Middle School Students Who Did Not Eat Breakfast, * 20132017† 100 80 Percent 60 40 20 11. 3 9. 4 9. 0 2015 2017 0 2013 *During the 7 days before the survey † Decreased 2013 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2013 -2017 - QN 40

Percentage of Middle School Students Who Ate Breakfast on All 7 Days, * by Sex, † Grade, † and Race/Ethnicity, † 2017 100 80 Percent 61. 8 60 57. 2 55. 3 53. 8 48. 3 43. 6 48. 3 42. 7 40 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *During the 7 days before the survey † M > F; 6 th > 7 th, 6 th > 8 th; H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNBK 7 DAY

Percentage of Middle School Students Who Ate Breakfast on All 7 Days, * 2013 -2017† 100 80 Percent 60 48. 6 48. 8 2015 2017 42. 9 40 2013 *During the 7 days before the survey † Increased 2013 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] Note: This graph contains weighted results. West Virginia - YRBS, 2013 -2017 - QNBK 7 DAY

Percentage of Middle School Students Who Were Physically Active at Least 60 Minutes Per Day on 5 or More Days, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 80 71. 1 68. 5 64. 4 60. 3 Percent 67. 3 63. 9 58. 0 57. 6 60 64. 0 40 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey † M > F; 6 th > 8 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 41

Percentage of Middle School Students Who Were Physically Active at Least 60 Minutes Per Day on 5 or More Days, * 2007 -2017† 100 80 65. 1 Percent 60 64. 0 57. 6 56. 2 2009 2011 67. 8 64. 4 40 2007 2013 2015 2017 *In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey † Increased 2007 -2017, decreased 2007 -2011, increased 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Note: This graph contains weighted results. West Virginia - YRBS, 2007 -2017 - QN 41

Percentage of Middle School Students Who Did Not Participate in at Least 60 Minutes of Physical Activity on at Least 1 Day, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60 40 20 9. 9 10. 3 9. 5 9. 6 10. 3 10. 1 Total Male Female 6 th 7 th 8 th 12. 0 14. 1 9. 7 0 Black Hispanic White *In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNPA 0 DAY

Percentage of Middle School Students Who Did Not Participate in at Least 60 Minutes of Physical Activity on at Least 1 Day, * 2007 -2017† 100 80 Percent 60 40 20 8. 4 10. 5 8. 6 7. 0 2009 2011 2013 2015 9. 9 0 2007 2017 *In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey † No change 2007 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Note: This graph contains weighted results. West Virginia - YRBS, 2007 -2017 - QNPA 0 DAY

Percentage of Middle School Students Who Were Physically Active at Least 60 Minutes Per Day on All 7 Days, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 50. 9 50. 1 43. 8 45. 6 42. 9 40 42. 3 43. 2 Hispanic White 37. 3 37. 2 20 0 Total Male Female 6 th 7 th 8 th Black *In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey † M > F; 6 th > 8 th, 7 th > 8 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNPA 7 DAY

Percentage of Middle School Students Who Were Physically Active at Least 60 Minutes Per Day on All 7 Days, * 2007 -2017† 100 80 Percent 60 45. 0 40 37. 0 35. 5 2009 2011 38. 6 42. 7 43. 8 2015 2017 20 0 2007 2013 *In any kind of physical activity that increased their heart rate and made them breathe hard some of the time during the 7 days before the survey † Decreased, 2007 -2011, increased, 2011 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Note: This graph contains weighted results. West Virginia - YRBS, 2007 -2017 - QNPA 7 DAY

Percentage of Middle School Students Who Watched Television 3 or More Hours Per Day, * by Sex, † Grade, and Race/Ethnicity, 2017 100 Percent 80 60 38. 1 40 26. 2 29. 1 27. 7 27. 4 6 th 7 th 23. 5 29. 3 24. 0 25. 9 20 0 Total Male Female 8 th Black Hispanic White *On an average school day † F > M (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 42

Percentage of Middle School Students Who Watched Television 3 or More Hours Per Day, * 2001 -2017† 100 80 Percent 60 41. 5 34. 6 40 35. 1 33. 7 34. 8 28. 4 26. 2 20 0 2001 2003 2005 2007 2009 2011 2013 2015 2017 *On an average school day † Decreased 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. West Virginia - YRBS, 2001 -2017 - QN 42

Percentage of Middle School Students Who Played Video or Computer Games or Used a Computer 3 or More Hours Per Day, * by Sex, Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 47. 8 47. 1 48. 6 Male Female 49. 9 50. 9 7 th 8 th 47. 8 49. 0 48. 9 Black Hispanic White 43. 4 40 20 0 Total 6 th *Counting time spent on things such as Xbox, Play. Station, an i. Pad or other tablet, a smartphone, texting, You. Tube, Instagram, Facebook, or other social media, for something that was not school work, on an average school day † 7 th > 6 th, 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 43

Percentage of Middle School Students Who Played Video or Computer Games or Used a Computer 3 or More Hours Per Day, * 2007 -2017† 100 80 Percent 60 43. 1 40 25. 9 28. 0 46. 6 47. 8 2015 2017 32. 3 20 0 2007 2009 2011 2013 *Counting time spent on things such as Xbox, Play. Station, an i. Pad or other tablet, a smartphone, texting, You. Tube, Instagram, Facebook, or other social media, for something that was not school work, on an average school day † Increased 2007 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] West Virginia - YRBS, 2007 -2017 - QN 43

Percentage of Middle School Students Who Attended Physical Education Classes (PE) on 1 or More Days, * by Sex, Grade, and Race/Ethnicity, † 2017 100 80. 7 Percent 80 71. 3 70. 8 72. 2 Total Male Female 74. 1 69. 9 73. 2 68. 4 70. 5 60 40 20 0 6 th 7 th 8 th Black Hispanic White *In an average week when they were in school † B > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 44

Percentage of Middle School Students Who Attended Physical Education Classes (PE) on 1 or More Days, * 2001 -2017† 100 80 72. 4 74. 0 2007 2009 67. 1 71. 3 73. 8 73. 1 71. 3 2015 2017 Percent 60 40 2001 2003 2005 2011 *In an average week when they were in school † No change 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. West Virginia - YRBS, 2001 -2017 - QN 44

Percentage of Middle School Students Who Attended Physical Education Classes on All 5 Days, * by Sex, Grade, and Race/Ethnicity, † 2017 100 80 Percent 65. 2 60 53. 2 52. 6 54. 1 Total Male Female 57. 5 55. 9 54. 5 50. 2 53. 0 40 20 0 6 th 7 th 8 th Black Hispanic White *In an average week when they were in school † B > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QNDLYPE

Percentage of Middle School Students Who Attended Physical Education Classes on All 5 Days, * 2001 -2017† 100 80 Percent 60 52. 6 56. 0 48. 6 46. 9 2009 2011 53. 2 48. 5 41. 1 40 2001 2003 2005 2007 2013 2015 2017 *In an average week when they were in school † Increased 2001 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] Data not available for 2003, 2005. West Virginia - YRBS, 2001 -2017 - QNDLYPE

Percentage of Middle School Students Who Played on at Least One Sports Team, * by Sex, Grade, and Race/Ethnicity, 2017 100 Percent 80 60. 5 60. 7 60. 6 61. 8 Total Male Female 6 th 59. 9 59. 4 7 th 8 th 60 61. 6 60. 4 Hispanic White 40 20 0 Black *Counting any teams run by their school or community groups, during the past 12 months before the survey All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 45

Percentage of Middle School Students Who Played on at Least One Sports Team, * 2007 -2017† 100 80 64. 2 62. 3 61. 8 2009 2011 64. 3 62. 3 60. 5 2017 Percent 60 40 2007 2013 *Counting any teams run by their school or community groups, during the past 12 months before the survey † No change 2007 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] West Virginia - YRBS, 2007 -2017 - QN 45

Percentage of Middle School Students Who Had a Concussion from Playing a Sport or Being Physically Active, * by Sex, Grade, and Race/Ethnicity, † 2017 100 Percent 80 60 40 29. 2 20 17. 1 18. 6 Total Male 14. 9 17. 0 16. 9 16. 5 6 th 7 th 8 th Black 16. 1 0 Female Hispanic White *One or more times during the 12 months before the survey † H > B, H > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 46

Percentage of Middle School Students Who Had Ever Been Told by a Doctor or Nurse That They Had Asthma, by Sex, Grade, and Race/Ethnicity, * 2017 100 80 Percent 60 40 28. 5 19. 9 20. 5 19. 1 17. 8 Total Male Female 6 th 20 20. 3 21. 3 7 th 8 th 22. 9 19. 5 0 Black Hispanic White B > W (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. * West Virginia - YRBS, 2017 - QN 47

Percentage of Middle School Students Who Had Ever Been Told by a Doctor or Nurse That They Had Asthma, 2007 -2017* 100 80 Percent 60 40 20. 8 21. 2 22. 9 21. 1 20. 7 19. 9 2007 2009 2011 2013 2015 2017 20 0 No change 2007 -2017 [Based on linear and quadratic trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). Significant linear trends (if present) across all available years are described first followed by linear changes in each segment of significant quadratic trends (if present). ] * West Virginia - YRBS, 2007 -2017 - QN 47

Percentage of Middle School Students Who Got 8 or More Hours of Sleep, * by Sex, † Grade, † and Race/Ethnicity, 2017 100 Percent 80 60 57. 4 55. 0 51. 0 52. 0 50. 1 46. 7 48. 9 50. 4 Hispanic White 44. 3 40 20 0 Total Male Female 6 th 7 th 8 th Black *On an average school night † M > F; 6 th > 7 th, 6 th > 8 th, 7 th > 8 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 48

Percentage of Middle School Students Who Got 8 or More Hours of Sleep, * 2015 -2017† 100 80 Percent 60 47. 1 51. 0 40 2015 2017 *On an average school night † No change 2015 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] West Virginia - YRBS, 2015 -2017 - QN 48

Percentage of Middle School Students Who Described Their Grades in School As Mostly A's or B's, * by Sex, † Grade, † and Race/Ethnicity, † 2017 100 83. 3 80 79. 3 84. 6 81. 0 80. 1 75. 8 73. 7 Percent 61. 6 60 40 20 0 Total Male Female 6 th 7 th 8 th Black Hispanic White *During the 12 months before the survey † F > M; 6 th > 7 th; W > H (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Missing bar indicates fewer than 100 students in this subgroup. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 49

Percentage of Middle School Students Who Described Their Grades in School As Mostly A's or B's, * 2015 -2017† 100 79. 3 80 71. 8 Percent 60 40 2015 2017 *During the 12 months before the survey † Increased 2015 -2017 [Based on linear trend analyses using logistic regression models controlling for sex, race/ethnicity, and grade (p < 0. 05). ] West Virginia - YRBS, 2015 -2017 - QN 49

Percentage of Middle School Students Who Saw a Doctor or Nurse, * by Sex, Grade, † and Race/Ethnicity, 2017 100 80 Percent 60. 1 60 63. 1 57. 4 61. 5 64. 1 56. 2 58. 9 60. 5 Black Hispanic White 40 20 0 Total Male Female 6 th 7 th 8 th *For a check-up or physical exam when they were not sick or injured during the 12 months before the survey † 8 th > 6 th (Based on t-test analysis, p < 0. 05. ) All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 50

Percentage of Middle School Students Who Would Feel Comfortable Seeking Help from One or More Adults Besides Their Parents If They Had an Important Question Affecting Their Life, by Sex, Grade, and Race/Ethnicity, 2017 100 82. 6 81. 4 82. 5 Female 6 th 81. 2 82. 6 7 th 80. 5 Percent 80 77. 9 81. 8 60 40 20 0 Total Male Black Hispanic White All Hispanic students are included in the Hispanic category. All other races are non-Hispanic. Note: This graph contains weighted results. West Virginia - YRBS, 2017 - QN 51