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Did Not Participate in at Least 60 Minutes of Physical Activity on at Least 1 Day

Nationwide, 14.3% of all students; 12.6% of heterosexual students; 25.7% of gay, lesbian, and bisexual students;

and 27.0% of not sure students had not participated in at least 60 minutes of any kind of physical activity that increased their heart rate and made them breathe hard some of the time on at least 1 day during the 7 days before the survey (i.e., did not participate in at least 60 minutes of physical activity on at least 1 day) (Table 105). The prevalence of not having participated in at least 60 minutes of physical activity on at least 1 day was higher among gay, lesbian, and bisexual students (25.7%) and not sure students (27.0%) than heterosexual students (12.6%). Among female students, the prevalence was higher among lesbian and bisexual students (25.5%) and not sure students (25.1%) than heterosexual students (16.0%). Among male students, the prevalence was higher among gay and bisexual students (24.7%) and not sure students (28.2%) than heterosexual students (9.7%). The prevalence also was higher among heterosexual female students (16.0%) than heterosexual male students (9.7%).

Across 25 states, the prevalence of not having participated in at least 60 minutes of physical activity on at least 1 day ranged from 10.7% to 19.2% (median: 14.3%) among heterosexual students; from 15.4% to 30.9% (median: 24.7%) among gay, lesbian, and bisexual students; and from 11.3% to 41.7%

(median: 25.2%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 12.9% to 29.7% (median: 20.6%) among heterosexual students; from 14.8% to 32.1% (median: 24.8%) among gay, lesbian, and bisexual students; and from 14.0% to 43.1% (median: 31.7%) among not sure students.

Nationwide, 12.3% of students who had sexual contact with only the opposite sex, 24.0% of students who had sexual contact with only the same sex or with both sexes, and 13.9% of students who had no sexual contact had not participated in at least 60 minutes of physical activity on at least 1 day. The prevalence of not having participated in at least 60 minutes of physical activity on at least 1 day was higher among students who had sexual contact with only the same sex or with both sexes (24.0%) than students who had sexual contact with only the opposite sex (12.3%) and students who had no sexual contact (13.9%). Among female students, the prevalence was higher among those who had sexual contact with only females or with both sexes (22.4%) than those who had sexual contact with only males (17.3%) and those who had no sexual contact (16.4%). Among male students, the prevalence was higher among those who had sexual contact with only males or with both sexes (28.6%) than those who had sexual contact with only females (8.4%) and those who had no sexual contact (11.2%) and higher among those who had no sexual contact (11.2%) than those who had sexual contact with only females (8.4%). The prevalence also was higher among female students who had sexual contact with only males (17.3%) than male students who had sexual contact with only females (8.4%) and higher among female students who had no sexual contact (16.4%) than male students who had no sexual contact (11.2%).

Across 23 states, the prevalence of not having participated in at least 60 minutes of physical activity on at least 1 day ranged from 9.8% to 19.3% (median: 13.0%) among students who had sexual contact with only the opposite sex, from 16.2%

to 31.0% (median: 22.7%) among students who had sexual contact with only the same sex or with both sexes, and from 11.2% to 22.4% (median: 15.3%) among students who had no sexual contact. Across 18 large urban school districts, the prevalence ranged from 11.0% to 26.1% (median: 18.8%) among students who had sexual contact with only the opposite sex, from 14.4% to 32.5% (median: 23.7%) among students who had sexual contact with only the same sex or with both sexes, and from 13.7% to 32.1% (median: 21.2%) among students who had no sexual contact.

Physically Active at Least 60 Minutes per Day on 5 or More Days

Nationwide, 48.6% of all students; 51.6% of heterosexual students; 29.5% of gay, lesbian, and bisexual students; and 28.9% of not sure students had been physically active doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time for a total of at least 60 minutes per day on 5 or more days during the 7 days before the survey (i.e., physically active at least 60 minutes per

day on 5 or more days) (Table 106). The prevalence of having been physically active at least 60 minutes per day on 5 or more days was higher among heterosexual students (51.6%) than gay, lesbian, or bisexual students (29.5%) and not sure students (28.9%). Among female students, the prevalence was higher among heterosexual students (41.4%) than lesbian or bisexual students (30.5%) and not sure students (27.5%). Among male students, the prevalence was higher among heterosexual students (60.4%) than gay or bisexual students (26.8%) and not sure students (32.0%). The prevalence also was higher among heterosexual male students (60.4%) than heterosexual female students (41.4%).

Across 25 states, the prevalence of having been physically active at least 60 minutes per day on 5 or more days ranged from 39.1% to 56.7% (median: 47.6%) among heterosexual students; from 23.1% to 43.1% (median: 29.4%) among gay, lesbian, and bisexual students; and from 20.8% to 40.2%

(median: 29.9%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 28.9% to 52.5% (median: 38.1%) among heterosexual students; from 18.4% to 39.2% (median: 26.3%) among gay, lesbian, and bisexual students; and from 13.4% to 41.7% (median: 22.8%) among not sure students.

Nationwide, 52.5% of students who had sexual contact with only the opposite sex, 33.7% of students who had sexual contact with only the same sex or with both sexes, and 47.8% of students who had no sexual contact had been physically active at least 60 minutes per day on 5 or more days. The prevalence of having been physically active at least 60 minutes per day on 5 or more days was higher among students who had sexual contact with only the opposite sex (52.5%) than students who had sexual contact with only the same sex or with both sexes (33.7%) and students who had no sexual contact (47.8%).

Among female students, the prevalence was higher among those who had no sexual contact (41.3%) than those who had sexual contact with only females or with both sexes (34.3%). Among male students, the prevalence was higher among those who had sexual contact with only females (63.3%) than those who had sexual contact with only males or with both sexes (32.1%) and those who had no sexual contact (54.6%) and higher among those who had no sexual contact (54.6%) than those who had sexual contact with only males or with both sexes (32.1%). The prevalence also was higher among male students who had sexual contact with only females (63.3%) than female students who had sexual contact with only males (38.6%) and higher among male students who had no sexual contact (54.6%) than female students who had no sexual contact (41.3%)

Across 23 states, the prevalence of having been physically active at least 60 minutes per day on 5 or more days ranged from 38.8% to 58.5% (median: 48.3%) among students who

had sexual contact with only the opposite sex, from 22.0%

to 47.6% (median: 32.1%) among students who had sexual contact with only the same sex or with both sexes, and from 36.3% to 53.3% (median: 44.9%) among students who had no sexual contact. Across 18 large urban school districts, the prevalence ranged from 32.6% to 54.4% (median: 42.0%) among students who had sexual contact with only the opposite sex, from 22.1% to 42.1% (median: 27.5%) among students who had sexual contact with only the same sex or with both sexes, and from 25.5% to 50.1% (median: 35.9%) among students who had no sexual contact.

Physically Active at Least 60 Minutes per Day on All 7 Days

Nationwide, 27.1% of all students; 28.8% of heterosexual students; 15.3% of gay, lesbian, and bisexual students; and 14.1% of not sure students had been physically active doing any kind of physical activity that increased their heart rate and made them breathe hard some of the time for a total of at least 60 minutes per day on each of the 7 days before the survey (i.e., physically active at least 60 minutes per day on all 7 days) (Table 107). The prevalence of having been physically active at least 60 minutes per day on all 7 days was higher among heterosexual students (28.8%) than gay, lesbian, or bisexual students (15.3%) and not sure students (14.1%). Among female students, the prevalence was higher among heterosexual students (18.6%) than not sure students (10.6%). Among male students, the prevalence was higher among heterosexual students (37.6%) than gay or bisexual students (16.6%) and not sure students (19.2%). The prevalence also was higher among heterosexual male students (37.6%) than heterosexual female students (18.6%).

Across 25 states, the prevalence of having been physically active at least 60 minutes per day on all 7 days ranged from 21.1% to 34.7% (median: 26.2%) among heterosexual students; from 8.0% to 26.8% (median: 15.4%) among gay, lesbian, and bisexual students; and from 7.1% to 23.6%

(median: 14.7%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 15.8% to 27.8% (median: 21.6%) among heterosexual students; from 9.3% to 22.6% (median: 12.3%) among gay, lesbian, and bisexual students; and from 8.6% to 20.0% (median: 13.2%) among not sure students.

Nationwide, 31.2% of students who had sexual contact with only the opposite sex, 19.5% of students who had sexual contact with only the same sex or with both sexes, and 23.9% of students who had no sexual contact had been physically active at least 60 minutes per day on all 7 days. The prevalence of having been physically active at least 60 minutes per day on all 7 days was higher among students who had sexual contact with

only the opposite sex (31.2%) than students who had sexual contact with only the same sex or with both sexes (19.5%) and students who had no sexual contact (23.9%). Among male students, the prevalence was higher among those who had sexual contact with only females (41.5%) than those who had sexual contact with only males or with both sexes (20.2%) and those who had no sexual contact (30.7%) and higher among those who had no sexual contact (30.7%) than those who had sexual contact with only males or with both sexes (20.2%).

The prevalence also was higher among male students who had sexual contact with only females (41.5%) than female students who had sexual contact with only males (17.9%) and higher among male students who had no sexual contact (30.7%) than female students who had no sexual contact (17.5%).

Across 23 states, the prevalence of having been physically active at least 60 minutes per day on all 7 days ranged from 22.5% to 37.4% (median: 29.3%) among students who had sexual contact with only the opposite sex, from 10.7% to 31.4% (median: 17.8%) among students who had sexual contact with only the same sex or with both sexes, and from 17.9% to 30.0% (median: 23.1%) among students who had no sexual contact. Across 18 large urban school districts, the prevalence ranged from 18.5% to 30.0% (median: 23.8%) among students who had sexual contact with only the opposite sex, from 11.6% to 27.1% (median: 15.0%) among students who had sexual contact with only the same sex or with both sexes, and from 12.9% to 25.6% (median: 18.0%) among students who had no sexual contact.

Participated in Muscle Strengthening Activities Nationwide, 53.4% of all students; 56.2% of heterosexual students; 33.9% of gay, lesbian, and bisexual students; and 35.8% of not sure students had participated in muscle strengthening exercises (e.g., push-ups, sit-ups, or weight lifting) on 3 or more days during the 7 days before the survey (Table 108). The prevalence of having participated in muscle strengthening exercises on 3 or more days was higher among heterosexual students (56.2%) than gay, lesbian, and bisexual students (33.9%) and not sure students (35.8%). Among female students, the prevalence was higher among heterosexual students (45.0%) than lesbian and bisexual students (32.7%) and not sure students (30.4%). Among male students, the prevalence was higher among heterosexual students (65.8%) than gay and bisexual students (38.6%) and not sure students (42.7%). The prevalence also was higher among male students who had sexual contact with only females (65.8%) than female students who had sexual contact with only males (45.0%).

Nationwide, 58.8% of students who had sexual contact with only the opposite sex, 39.0% of students who had sexual contact with only the same sex or with both sexes, and 51.1% of

students who had no sexual contact had participated in muscle strengthening exercises on 3 or more days. The prevalence of having participated in muscle strengthening exercises on 3 or more days was higher among students who had sexual contact with only the opposite sex (58.8%) than students who had sexual contact with only the same sex or with both sexes (39.0%) and students who had no sexual contact (51.1%).

Among male students, the prevalence was higher among those who had sexual contact with only females (70.4%) than those who had sexual contact with only males or with both sexes (40.9%) and those who had no sexual contact (59.5%) and higher among those who had no sexual contact (59.5%) than those who had sexual contact with only males or with both sexes (40.9%). The prevalence also was higher among male students who had sexual contact with only females (70.4%) than female students who had sexual contact with only males (44.0%) and higher among male students who had no sexual contact (59.5%) than female students who had no sexual contact (42.9%).

The question this variable is based on was not included in the standard questionnaire used in the state and large urban school district surveys in 2015. Consequently, the range and median prevalence estimates across states and large urban school districts for the prevalence of having participated in muscle strengthening exercises on 3 or more days by sexual minority subgroups are not available.

Used Computers 3 or More Hours per Day

Nationwide, 41.7% of all students; 40.2% of heterosexual students; 52.2% of gay, lesbian, and bisexual students; and 53.3% of not sure students played video or computer games or used a computer for something that was not school work for 3 or more hours per day on an average school day (i.e., used computers 3 or more hours per day) (Table 109). The prevalence of having used computers 3 or more hours per day was higher among gay, lesbian, and bisexual students (52.2%) and not sure students (53.3%) than heterosexual students (40.2%). Among female students the prevalence was higher among lesbian and bisexual students (53.5%) than heterosexual students (40.9%). Among male students, the prevalence was higher among gay and bisexual students (48.8%) and not sure students (59.1%) than heterosexual students (39.6%).

Across 24 states, the prevalence of having used computers 3 or more hours per day ranged from 28.7% to 44.7%

(median: 38.3%) among heterosexual students; from 38.6%

to 62.7% (median: 50.5%) among gay, lesbian, and bisexual students; and from 34.4% to 58.3% (median: 47.3%) among not sure students. Across 18 large urban school districts, the prevalence ranged from 34.1% to 47.6% (median: 41.1%) among heterosexual students; from 29.2% to 57.4% (median: 45.6%)

among gay, lesbian, and bisexual students; and from 28.3% to 59.2% (median: 39.8%) among not sure students.

Nationwide, 40.1% of students who had sexual contact with only the opposite sex, 52.0% of students who had sexual contact with only the same sex or with both sexes, and 42.7% of students who had no sexual contact had used computers 3 or more hours per day.

The prevalence of having used computers 3 or more hours per day was higher among students who had sexual contact with only the same sex or with both sexes (52.0%) than students who had sexual contact with only the opposite sex (40.1%) and students who had no sexual contact (42.7%) and higher among students who had no sexual contact (42.7%) than students who had sexual contact with only the opposite sex (40.1%). Among female students, the prevalence was higher among those who had sexual contact with only females or with both sexes (51.2%) than those who had sexual contact with only males (42.4%) and those who had no sexual contact (42.1%). Among male students, the prevalence was higher among those who had sexual contact with only males or with both sexes (54.3%) than those who had sexual contact with only females (38.4%) and those who had no sexual contact (43.4%) and higher among those who had no sexual contact (43.4%) than those who had sexual contact with only females (38.4%).

Across 22 states, the prevalence of having used computers 3 or more hours per day ranged from 27.7% to 43.6%

(median: 37.9%) among students who had sexual contact with only the opposite sex, from 36.7% to 65.9% (median: 45.2%) among students who had sexual contact with only the same sex or with both sexes, and from 31.4% to 45.6% (median: 42.3%) among students who had no sexual contact. Across 18 large urban school districts, the prevalence ranged from 34.9%

to 47.3% (median: 41.6%) among students who had sexual contact with only the opposite sex, from 29.1% to 56.9%

(median: 42.6%) among students who had sexual contact with only the same sex or with both sexes, and from 36.3% to 52.4%

(median: 42.6%) among students who had no sexual contact.

Watched Television 3 or More Hours per Day Nationwide, 24.7% of all students; 24.4% of heterosexual students; 24.6% of gay, lesbian, and bisexual students; and 30.7% of not sure students watched television 3 or more hours per day on an average school day (Table 110). The prevalence of having watched television 3 or more hours per day was higher among not sure students (30.7%) than heterosexual students (24.4%).

Across 23 states, the prevalence of having watched television 3 or more hours per day ranged from 18.1% to 31.3%

(median: 23.7%) among heterosexual students; from 19.6%

to 39.5% (median: 25.5%) among gay, lesbian, and bisexual students; and from 17.7% to 41.9% (median: 27.9%) among not sure students. Across 18 large urban school districts, the

prevalence ranged from 20.2% to 37.6% (median: 29.9%) among heterosexual students; from 15.3% to 36.1% (median: 29.4%) among gay, lesbian, and bisexual students; and from 13.4% to 41.5% (median: 24.3%) among not sure students.

Nationwide, 24.7% of students who had sexual contact with only the opposite sex, 29.8% of students who had sexual contact with only the same sex or with both sexes, and 24.2%

of students who had no sexual contact watched television 3 or more hours per day. The prevalence of having watched television 3 or more hours per day was higher among students who had sexual contact with only the same sex or with both sexes (29.8%) than students who had sexual contact with only the opposite sex (24.7%) and students who had no sexual contact (24.2%).

Across 21 states, the prevalence of having watched television 3 or more hours per day ranged from 20.6% to 31.1%

(median: 23.9%) among students who had sexual contact with only the opposite sex, from 18.4% to 36.4% (median: 26.1%) among students who had sexual contact with only the same sex or with both sexes, and from 18.4% to 36.4% (median: 26.1%) among students who had no sexual contact. Across 18 large urban school districts, the prevalence ranged from 19.4%

to 38.6% (median: 31.0%) among students who had sexual contact with only the opposite sex, from 20.4% to 40.9%

(median: 31.3%) among students who had sexual contact with only the same sex or with both sexes, and from 20.3% to 41.4%

(median: 28.1%) among students who had no sexual contact.

Attended Physical Education Classes

Nationwide, 51.6% of all students; 52.2% of heterosexual students; 50.2% of gay, lesbian, and bisexual students; and 50.7% of not sure students went to physical education (PE) classes on 1 or more days in an average week when they were in school (i.e., attended PE classes) (Table 111). Among male students, the prevalence of having attended PE classes was higher among heterosexual students (56.2%) than gay or bisexual students (44.7%). The prevalence also was higher among heterosexual male students (56.2%) than heterosexual female students (47.6%).

Across 24 states, the prevalence of having attended PE classes ranged from 31.1% to 88.6% (median: 42.4%) among heterosexual students; from 33.6% to 84.2% (median: 39.0%) among gay, lesbian, and bisexual students; and from 27.8% to 83.6% (median: 41.9%) among not sure students. Across 14 large urban school districts, the prevalence ranged from 31.3%

to 84.3% (median: 44.4%) among heterosexual students; from 33.5% to 83.2% (median: 43.0%) among gay, lesbian, and bisexual students; and from 29.3% to 84.2% (median: 45.8%) among not sure students.

Nationwide, 50.0% of students who had sexual contact with only the opposite sex, 47.7% of students who had sexual contact with only the same sex or with both sexes, and 54.9%

of students who had no sexual contact had attended PE classes.

The prevalence of having attended PE classes was higher among students who had no sexual contact (54.9%) than students who had sexual contact with only the opposite sex (50.0%) and students who had sexual contact with only the same sex or with both sexes (47.7%). Among female students, the prevalence was higher among those who had no sexual contact (53.5%) than those who had sexual contact with only males (42.1%). The prevalence also was higher among heterosexual male students

The prevalence of having attended PE classes was higher among students who had no sexual contact (54.9%) than students who had sexual contact with only the opposite sex (50.0%) and students who had sexual contact with only the same sex or with both sexes (47.7%). Among female students, the prevalence was higher among those who had no sexual contact (53.5%) than those who had sexual contact with only males (42.1%). The prevalence also was higher among heterosexual male students