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Sexual identity and sex of sexual contacts can change throughout the life span.
Significant health disparities exist between sexual minority and nonsexual minority youth (7,8).
YRBSS includes school-based national, state, and large urban school district Youth Risk Behavior Surveys (YRBS) conducted among representative samples of students in grades 9–12.
Across the 13 tobacco use-related risk behaviors, the prevalence of 11 was higher among gay, lesbian, and bisexual students than heterosexual students and the prevalence of 10 was higher among students who had sexual contact with only the same sex or with both sexes than students who had sexual contact with only the opposite sex. Special tabulations of data from Daniels K, Daugherty J, Jones J and Mosher W, Current contraceptive use and variation by selected characteristics among women aged 15–44: United States, 2011–2013, National Health Statistics Reports, 2015, Number 86. Lindberg L, Santelli J and Desai S, Understanding the decline in adolescent fertility in the United States, 2007–2012, , 2008, 77(1):10–21. Guttmacher Institute, Testimony of Guttmacher Institute: submitted to the Committee on Preventive Services for Women, Institute of Medicine, 2011, Sonfield A et al., Princeton, NJ: Princeton University, 2013, Daniels K, Jones J and Abma J, Use of emergency contraception among women aged 15–44: United States, 2006–2010, , New York: Guttmacher Institute, 2016, Frost, JJ, et al., Return on investment: a fuller assessment of the benefits and cost savings of the US publicly funded family planning program, , 2016, https://