2022 Knox County High School Youth Risk Behavior Survey

A joint effort of
Knox County Health Department
Knox County Schools
With support from the Metro Drug Coalition

Report compiled by J. Mark Prather, Ph.D., epidemiologist

Knox County Health Department

1
TABLE OF CONTENTS

INTRODUCTION ............................................................................................................................................ 2
METHODOLOGY............................................................................................................................................ 3
SAMPLE CHARACTERISTICS .......................................................................................................................... 5
KEY RESULTS ................................................................................................................................................. 5
TABLES ................................................................................................................................................... 10-84

Introduction

This report presents the findings of the 2022 Knox County Youth Risk Behavior Survey, a local
version of the national and state Youth Risk Behavior Survey (YRBS). The YRBS aims to identify
behaviors associated with higher risks of obesity, heart disease, and diabetes, as well as
unintentional injuries; tobacco, alcohol or illicit drug dependence; and/or premature mortality such
as suicide ideation, or driving under the influence of alcohol.
The results of this survey were compared with YRBS results from previous years, as well as national
and state YRBS results. 1 Comparisons to applicable Healthy People 2020 (HP 2020) and Healthy
People 2030 (HP 2030) objectives for high school-aged youth were also made 2 and results from
questions about health behaviors during the COVID-19 pandemic were compared to results from the
2021 Adolescent Behaviors and Experiences Survey (ABES) which was distributed nationally by the
Centers for Disease Control and Prevention (CDC) 3
Knox County, Tennessee, is one of a small number of entities across the country that conducts a
county-level YRBS on a regular basis. Previous YRBS efforts were completed in 2005, 2007, 2009,
2011, 2013, 2017, and 2019 among Knox County Schools (KCS) high school students. 4

1 The 2019 national and state YRBS results were the most recently published results at the time this report

was released.
2 Objectives and Data - Healthy People 2030 | health.gov
3 https://www.cdc.gov/healthyyouth/data/abes.htm
4 A 2015 Knox County YRBS was attempted in 2015 but not published due to low response.

2
METHODOLOGY

The Knox County Health Department, in partnership with the Knox County Schools (KCS), and
support from Metro Drug Coalition (MDC), has been producing county-level Youth Risk Behavior
Surveys (YRBS) on odd number years since 2005. 5 Most of the questions from this 2022 survey
were drawn from the 2021 Tennessee Youth Risk Behavior Survey although a few questions on
lifetime substance use were modified to 30 days-use and added to the survey to augment local data
on certain substances. 6 In addition, five questions on health behaviors during the COVID-19
pandemic were added from the CDC’s Adolescent Behaviors and Experiences Survey (ABES), which
was distributed nationally in 2021 by the Centers for Disease Control and Prevention (CDC). The
questions were added to better understand health behaviors and effects of COVID-19, school
closings and social distancing protocols as well as other restrictions during the pandemic. 7
The 2022 Knox County YRBS focused on the following five health topics:

• Unintentional injury, violence, mental health, and suicide;

• Tobacco, vapor product, alcohol, and other drug use;
• Weight control and physical activity;
• Health and social behaviors during the COVID-19 pandemic; and
• Miscellaneous other health topics.

In a sample design that mirrors state and national YRBS protocols 8, 47 second period classes from
12 of the 15 public high schools were randomly selected to be included in the sample (approximately
1,200 possible respondents). Responses were collected on paper surveys administered by the
classroom teachers on March 7-9, 2022, following just-in-time training on the morning of the survey.
Prior to the survey, passive permission forms were sent home with students in the classroom giving
guardians an opportunity to excuse their children from the survey. Students were also told they could
opt out of the survey on their own. To ensure the participants’ privacy, no information was collected
on the identity of the respondents, their course name, name of the classroom teacher, or high
school.
Data was post-stratified based on 2021-2022 enrollment data for gender (male, female);
race/ethnicity non-Hispanic white, non-Hispanic African American, other races/ethnicities including
Hispanic of any race; and school grades (9-12) and analyzed using CDC-provided guidelines. 9
Confidence intervals (p < .05) were generated to make within-group comparisons (for example
comparing males and females on a given survey variable).
If there were fewer than 20 “yes” responses to any question; further results were omitted and
replaced with an asterisk in the tables to ensure reliability. Relative Standard Error (RSE) estimates

5 Due to restrictions of face-to-face school attendance during the COVID-19 response in 2021, this Knox
County YRBS was delayed until the Spring of 2022 instead of administered in 2021 as originally planned.
6
Thirty-day substance use questions were requested by Metro Drug Coalition
7 The added questions on the COVID-19 pandemic were from the 2021 Adolescent Behaviors and Experiences

survey (ABES), conducted by the CDC from January to June. The 2021 ABES focused on the effects the COVID-
19 restrictions had on adolescents: https://www.cdc.gov/mmwr/volumes/71/su/pdfs/su7103a1-a5-h.pdf
8 A Guide to Conducting Your Own Youth Risk Behavior Survey (cdc.gov).
9 2019 National YRBS Data Users Guide (cdc.gov)

3
were also calculated to help ensure reliability. Any RSE estimates of 30 and above were considered
unreliable and not reported. 10
The responses to the following fifteen Knox County YRBS questions were excluded from this analysis
due to limited responses (less than 20 “yes” responses): 11
1. During the past 30 days, how many times did you drive a car or other vehicle when you had been
drinking alcohol?
2. During the past 30 days, on how many days did you carry a weapon such as a gun, knife, or club on
school property?
3. During the past 12 months, on how many days did you carry a gun on school property?
4. If you attempted suicide during the past 12 months, did any attempt result in an injury, poisoning, or
overdose that had to be treated by a doctor or nurse?
5. During the past 30 days, on the days you smoked, how many cigarettes did you smoke per day?
6. During the past 30 days, on how many days did you smoke cigars, cigarillos, or little cigars?
7. During your life, how many times have you used any form of cocaine, including powder, crack, or
freebase?
8. During the past 30 days, how many times have you used any form of cocaine, including powder, crack,
or freebase?
9. During your life, how many times have you used heroin (also called smack, junk, or China White)?
10. During the past 30 days, how many times have you used heroin (also called smack, junk, or China
White)?
11. During your life, how many times have you used methamphetamines (also called speed, crystal meth,
crank, ice, or meth)?
12. During the past 30 days, how many times have you used methamphetamines (also called speed,
crystal meth, crank, ice, or meth)?
13. During your life, how many times have you used ecstasy (also called MDMA or Molly)?
14. During your life, how many times have you used a needle to inject any illegal drugs into your body?
15. During the COVID-19 pandemic, how often did you go hungry because there was not enough food in
your home?

10 Klein, R., Proctor, W. Boundrealut, M & Turczyn, K. (2002, July). Healthy People 2010 criteria for data
suppression. Healthy People 2010, 24, Department of Health and Human Services. The RSE estimates from
this survey for all variables are available from the Epidemiology Program of the Knox County Health
Department upon request.
11 The frequencies of some of these excluded questions were included in calculated variables such as total

tobacco use or total illegal drug use in keeping with CDC protocols. 2019 National YRBS Data Users Guide
(cdc.gov)

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SAMPLE CHARACTERISTICS

A total of 589 Knox County Schools high school students completed the survey out of a potential
1,200 students in the sample, approximately a 49% response rate.

Total: n = 589
Male: n = 261 (44.3%)
Female: n = 296 (50.3%)
Prefer not to answer n = 30 (5.1%)
Missing: n = 2 (0.3%)

Non-Hispanic white n = 375 (63.7%)

Hispanic of any race n = 85 (14.4%)
Non-Hispanic African American n = 52 (8.8%)
Other races or ethnicities including two or more races: n = 47 (8.0%)
Missing: n = 30 (5.1%)

14 years or younger n = 94 (16.0%)

15 years n = 221 (37.5%)
16 years n = 173 (29.4%)
17 years n = 68 (11.5%)
18 years or older n = 33 (5.6%)

9th grade n = 214 (36.3%)

10th grade n = 226 (38.4%)
11th grade n = 92 (15.6%)
12th grade n = 52 (8.8%)
Missing n = 5 (0.9%)

KEY RESULTS
This section highlights some of the results from the 2022 Knox County Youth Risk Behavior Survey.
Detailed survey results are available in the tables following this section. Comparisons with Healthy
People 2020 (HP 2020) and Healthy People 2030 (HP 2030) objectives were made whenever
possible. 12 In addition to the Healthy People objectives, results from the national 2021 Adolescent
Behavior and Experiences Survey (ABES) on the impact of the COVID-19 epidemic on adolescents
are presented where applicable.
Section 1: Unintentional Injury, Violence, Mental Illness, and Self Harm/Suicide
Unintentional injury

• 5.3% of the students “rarely” or “never” wore a seatbelt when riding in a car or other vehicle
driven by someone else (Table 1). This met Healthy People 2020 Objective IVP-15 which
calls for no more than 8% of high school students reporting this behavior (Figure 1).

12
Healthy People 2020 and Healthy People 2030 are extensive documents put forth by the Department of
Health and Human Services that contains a broad collection of evidence-based targets geared to improve the
health of communities in the U.S. by 2020 or 2030, respectively.

5
 • 16.8%, were passengers in a motor vehicle driven by someone who had been drinking
alcohol during the past 30 days (Table 2). This met Healthy People 2020 Objective SA-1
which calls for no more than 25.5% of adolescents reporting this behavior (Figure 2).
• 33.4% used the internet or apps on their cell phones while driving a motor vehicle, excluding
apps for navigation during the past 30 days.
• 26.9% text messaged or emailed while driving a motor vehicle during the past 30 days
(Table 4).

Violence

• 3.2% of the students carried a gun (not used for hunting or target shooting) during the past
12 months (Table 5). This meets Healthy People 2030 Objective IVP-12 which calls for no
more than 3.7% of high school-aged adolescents reporting this behavior (Figure 5).
• 5.1% were threatened or injured by someone who had a weapon (gun, knife, or club) on
school property during the past 12 months (Table 7).
• 15.4% were in a physical fight during the past 12 months (Table 8). This meets Healthy
People 2030 Objective IVP-11 which calls for no more than 20.9% of high school adolescents
reporting this behavior (Figure 8). It also met Healthy People 2020 Objective IVP-11 which
calls for no more than 28.4% of high school students reporting this behavior (Figure 8).
• 22.3% saw someone physically attacked, beaten, stabbed, or shot, in their neighborhood
(Table 9).
• 7.9% were physically harmed (being hit, slammed into a wall, injured with an object or
weapon) during the past 12 months (Table 10).
• 16.6% were bullied on school property during the past 12 months (Table 11). This met
Healthy People 2020 Objective IVP-35 which called for no more than 17.9% of students
being bullied on school property (Figure 11).
• 15.6% had been bullied electronically (texting, Instagram, Facebook, or other social media)
during the past 12 months (Table 12). More female students (21.3%) reported being bullied
in this fashion compared to male students (9.8%).
Mental health, suicide, self-harm

• 24.4% of the students reported their mental health had not been good either “most of the
time” or “always” during the past 30 days (Table 65). Female students (31.9%) were more
likely to report poor mental health (“most of the time” or “always”) during the past 30 days
than male students (16.4%).
• 39.4% felt so sad or hopeless that they stopped doing normal activities for two or more
weeks in a row during the past year (Table 13). Female students (49.6%) were more likely to
report this behavior than male students (28.0%). This did not meet Healthy People 2020
Objective MHMD-4.1 which called for no more than 7.5% of adolescents reporting this
behavior (Figure 13).
• 9% reported they attempted suicide during the past 12 months (Table 16). Healthy People
2020 Objective MHMD-02 which called for no more than 1.7% of high school-aged
adolescents attempting suicide in the past 12 months was not met (Figure 16). Healthy
People 2030 Objective MHMD-02 which calls for no more than 1.8% of high school-aged
adolescents attempting suicide in the past 12 months has yet to be met.

6
 • 5% asked for help from a doctor, counselor, or hotline before they attempted suicide during
the past 12 months (Table 17).
• 22.9% deliberately hurt themselves such as cutting or burning themselves without meaning
to end their lives during the past 12 months (Table 18).

Section 2: Tobacco, Electronic Vapor Products, Alcohol, and other Drug Use
Tobacco

• 3.6% of the students smoked cigarettes on one or more days during the past 30 days (Table
20). Healthy People 2020 Objective TU-2.2 which calls for no more than 16.0% of
adolescents smoking was met. Healthy People 2030 Objective TU-06 which calls for no more
than 3.4% of adolescents (grades 6-12) reporting they smoked cigarettes in the past 30 days
has yet to be met in 2022 (Figure 20). Cigarette smoking among KCS high school students
has been declining since 2005 (Figure 20).
• 20.3% used some form of tobacco, including electronic vapor products, cigarettes, cigars,
chewing tobacco, or smokeless tobacco products during the past 30 days (Table 28). This did
not meet Healthy People 2020 Objective TU-2.3 which calls for no more than 6.9% of high
school students currently using tobacco products. It has yet to meet Healthy People 2030
Objective TU-04 which calls for no more than 11.3% of high school students using some form
of tobacco.
Electronic vapor products

• 18% of the students used an electronic vapor product (including e-cigarettes, vapes, vape
pens, e-cigars, e-hookahs, hookah pens, and mods) during the past 30 days (Table 22). This
has yet to meet Healthy People 2030 target Objective TU-05 which calls for no more than
10.5% of current e-cigarette use by adolescents by 2030.
• 9% used an electronic vapor product on school property during the 30 days prior to the
survey (Table 23).
• 13.7% used an electronic vapor product to vape marijuana, including THC, 13 THC
concentrates, hash oil or waxes during the past 30 days (Table 26).
Alcohol

• 18.7% of the students drank alcohol on one or more days during the past 30 days in 2022
(Table 29). This did not meet Healthy People 2020 Objective SA-13.1 which called for no
more than 12.8% of high school students currently drinking alcohol (Figure 29). In addition,
this has not yet met Healthy People 2030 Objective SU-04 which calls for no more than 6.3%
of adolescents (ages 12-17) drinking alcohol in the past month (Figure 29).
• Binge drinking is defined by the CDC as four or more drinks in a row (if female) or five or
more drinks in a row (if male) within a couple of hours. 14 8.7% reported binge drinking in the
past 30 days (Table 30). This did not meet Healthy People 2020 Objective SU-09 which
called for no more than 5.2% of high school-aged adolescents binge drinking. At 8.7% in

13 THC = Tetrahydrocannabinol: the psychoactive component of marijuana or hashish. THC may also be
produced synthetically. Frequently Asked Questions | Electronic Cigarettes | Smoking & Tobacco Use | CDC
14 Alcohol Questions and Answers | CDC

7
 2022, this has not yet met Healthy People 2030 Objective SU-09 which calls for no more
than 8.4% of individuals younger than 21 binge drinking (Figure 30).
Other drug use

• 15.3% of the students used marijuana during the past 30 days in 2022 (Table 34). This has
yet to meet Healthy People 2030 Objective SU-06 which calls for no more than 5.8% of
adolescents 12-17 years of age reporting this behavior (Figure 34).
• 27.3% were offered, sold, or given illegal drugs on school property during the past 12 months
(Table 38).
• 9% have used a prescription drug, such as Oxycontin, Percocet, codeine, Adderall, Ritalin, or
Xanax without a doctor’s prescription one or more times during their lifetimes (Table 39).
• 2.9% used a prescription pain medication without a doctor’s prescription during the past 30
days (Table 40). This meets Healthy People 2030 Objective SU-12 which calls for no more of
16.9% used some form of illicit drug (excluding alcohol or tobacco) during the past 30 days
(Table 41). 15 This has not yet met Healthy People Objective 2030 SU-05 which calls for no
more than 5.5% of illicit drug use among adolescents, 12 to 17 years (Figure 41).

Section 3: Weight Control and Physical Activity

Weight control

• 33.8% of the students described themselves as either slightly overweight or overweight

(Table 42).
• 46.9% reported they were trying to lose weight (Table 43); more female students (59.1%)
reported this behavior than male students (36.9%).

Physical activity

• 20.7% of the students reported they were physically active for at least sixty minutes during
the last seven days (Table 44). This did not meet HP 2020 Objective PA-3.1 which calls for
31.6% of adolescents meeting this exercise goal (Figure 44). In addition, this has not yet met
Healthy People 2030 Objective PA-06 which calls for 30.6% adolescents in grades 9-12
meeting this goal 16 (Figure 44). More male students (27.3%) reported this behavior than
female students (20.7%) (Table 44).
• 14.9% did not participate in any physical activity lasting at least 60 minutes during the past
week (Table 45).
• 80.2% spent 3 or more hours per day on average school days in front of a TV, computer,
smart phone, or other electronic device watching shows, playing games or videos, or
accessing the internet for non-school-related reasons (Table 47). 49.5% estimated their
screen time at five or more hours per average school day (Table 46).

15 Illicit drugs used in the past 30 days included marijuana, THC vapor products, cocaine and cocaine products,
heroin, methamphetamines, and taking prescription pain medication (such as Oxycontin, Percocet or codeine)
without a prescription. It did not include tobacco products, alcohol use or inhalants.
16 Youth Physical Activity Guidelines | Physical Activity | Healthy Schools | CDC

8
Section 4: Health Behaviors during the COVID-19 Pandemic

• 21% of the students reported that an adult in their home lost their job during the COVID-19
pandemic (Table 51).
• 11.4% agreed or strongly agreed that they drank more alcohol during the COVID-19
pandemic than before it (Table 54).
• 13.2% agreed or strongly agreed that they used drugs (marijuana, synthetic marijuana,
cocaine, prescription drug medications without a doctor’s prescription, and other illegal
drugs) more during the pandemic than before the pandemic (Table 56).
• 27.9% received health care from doctors or nurses through telemedicine technologies such
as computers, phones, or other devices during the COVID-19 pandemic (Table 57).
• 16.4% received mental health care through telemedicine technologies such as computers,
phones, or other devices during the COVID-19 pandemic (Table 58).

Section 5: Additional health topics

• 12.9% of the students suffered from one or more concussions while engaged in physical
activities or sports during the past 12 months (Table 48).
• 75.3% had been to a dentist for a checkup or other dental work within the past 12 months
(Table 63). This meets Healthy People 2030 Objective OH-08 which calls for 45.0% of
individuals using the dental system within the past year (Figure 63).
• 11.5% reported there is rarely or never an adult in their household who tries hard to make
sure their basic needs were met (Table 69).
• 35.1% have lived with someone with an alcohol or drug problem (Table 70).
• 38.6% had lived with someone who is depressed, mentally ill, or suicidal (Table 71).
• 18.7% had been separated from a parent or guardian because they went to jail, prison, or a
detention center (Table 72).
• 6.4% had been treated badly or unfairly in school “most of the time” or “always” due to their
race or ethnicity (Table 74).

9
TABLES

10
Table 1: Percent of Knox County Schools high school students who “rarely” or “never” wear a
seatbelt when riding in a motor vehicle driven by someone else, 2022
(total responses = 565)
Weighted Yes 95% Conf.
Yes Responses Responses Percent Intervals
Total 32 1,012 5.3 (3.5-8.0)
Male 15 * * *
Female 13 * * *
Preferred not to answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 15 * * *
Black (non-Hispanic) 7 * * *
Hispanic (any race) 7 * * *
Other race/ethnicity 3 * * *

School Grade
9th grade 15 * * *
10th grade 12 * * *
11th grade 1 * * *
12th grade 4 * * *

*Too unreliable to report

Figure 1: Percent of high school students who “rarely” or “never” wear a seatbelt when riding in a
motor vehicle driven by someone else, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009,
2011, 2013, 2017, 2019; Knox County Schools 2022; Healthy People 2020 Objective IVP-15

15
13.2

11.9
11.2
11.1

10.5
10.2

9.7
9.5

8.9
8.9

10
8.7

8.5

8.0
7.9

7.8
7.7

7.6

7.0
6.7

6.5
6.2
5.9

5.3

0
2005 2007 2009 2011 2013 2017 2019 HP: 2020 2022

Knox County Schools Tennessee U.S. Healthy People 2020

11
Table 2: Percent of Knox County Schools high school students who had been a passenger in a car
driven by someone who had been drinking alcohol during the past 30 days, 2022
(total responses = 566)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 99 3,211 16.8 (13.4-20.8)
Male 50 1,606 16.4 (12.3-21.7)
Female 45 1,583 16.9 (11.9-23.4)
Prefer not to answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 65 2,093 15.9 (12.2-20.4)
Black (non-Hispanic) 12 * * *
Hispanic (any race) 16 * * *
Other race/ethnicity 6 * * *

School Grade
9th grade 35 920 18.6 (13.4-25.1)
10th grade 43 1,048 21.3 (15.8-28.1)
11th grade 15 * * *
12th grade 6 * * *

*Too unreliable to report

Figure 2. Percent of high school students who had been a passenger in a car driven by someone who
had been drinking alcohol during the past 30 days, Knox County Schools, Tennessee, U.S., 2005,
2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022; Healthy People 2020 Objective
SA-1
40
29.1
28.5

28.3

25.5

30
25.1

24.2

24.1
22.7

22.2
21.9

21.9
21.5

20.7
20.3

19.8
18.4

17.1

16.8
16.7
16.5

15.6

20
14.9
14.0

10

0
2005 2007 2009 2011 2013 2017 2019 HP 2020 2022

Knox County Schools Tennessee U.S. Healthy People 2020

12
Table 3: Percent of Knox County Schools high school students who used the internet or apps on their
cell phone (such as YouTube, Instagram, or Facebook) while driving a car or other vehicle during the
past 30 days (excludes navigation or map apps), 2022
(total responses = 560)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 162 6,331 33.4 (28.5-38.7)
Male 82 3,227 33.3 (26.4-41.0)
Female 75 2,845 33.0 (26.0-41.0)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 116 5,677 35.5 (29.5-42.0)
Black (non-Hispanic) 12 * * *
Hispanic (any race) 22 526 31.1 (20.8-43.7)
Other race/ethnicity 12 * * *

School Grade
9th grade 31 852 17.4 (12.4-24.0)
10th grade 74 1,752 35.9 (29.3-43.0)
11th grade 34 1,823 39.8 (29.6-51.0)
12th grade 23 1,932 41.9 (27.9-57.4)

*Too unreliable to report

Figure 3: Percent of Knox County Schools high school students who used the internet or apps on
their cell phone (such as YouTube, Instagram, or Facebook) while driving a car or other vehicle during
the past 30 days (excludes navigation or map apps), 2019, 2022
38.5

40
33.4

30

20

10

0
2019 2022

13
Table 4: Percent of Knox County Schools high school students who text messaged or emailed while
they drove a motor vehicle during the past 30 days, 2022
(total responses = 560)
Yes Weighted Yes 95% conf.
Responses Responses Percent intervals
Total 113 5,110 26.9 (22.2-32.3)
Male 57 2,636 27.2 (20.5-35.1)
Female 51 2,288 25.8 (19.2-33.7)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 87 4,081 31.1 (25.1-37.8)
Black (non-Hispanic) 6 * * *
Hispanic (any race) 11 * * *
Other race/ethnicity 9 * * *

School Grade
9th grade 7 * * *
10th grade 53 1,271 26.0 (20.2-32.9)
11th grade 31 1,575 34.8 (25.2-45.8)
12th grade 22 2,074 45.0 (30.5-60.4)

*Too unreliable to report

Figure 4: Percent of high school students who text messaged or emailed while they drove a motor
vehicle during the past 30 days, Knox County Schools, 2011; Knox County Schools, Tennessee, U.S.,
2013, 2017, 2019; Knox County Schools, 2022

60
49.0
41.4

41.3
41.1
40.4

39.2

39.0

40
31.3

28.5

26.9
25.0

20

0
2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

14
Table 5: Percent of Knox County Schools high school students who carried a gun during the past 12
months (excluding guns used for hunting or target shooting), 2022
(total responses = 565)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Interval
Total 20 617 3.2 (2.0-5.3)
Male 12 * * *
Female 5 * * *
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 12 * * *
Black (non-Hispanic) 2 * * *
Hispanic (any race) 4 * * *
Other race/ethnicity 2 * * *

School Grade
9th grade 6 * * *
10th grade 9 * * *
11th grade 3 * * *
12th grade 2 * * *

*Too unreliable to report

Figure 5: Percent of high school students who carried a gun during the past 12 months (excluding
guns used for hunting or target shooting), Knox County Schools, Tennessee, U.S., 2005, 2007,
2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022; Healthy People 2030 IVP-12
10
8.1
7.7

7.5
7.3

8
7.0
6.5

6.5

6.4
5.9

5.9
5.7
5.7

5.5
5.4

6
5.1
5.0

4.9
4.8
4.7

4.4
4.1

3.7

4
3.2

0
2005 2007 2009 2011 2013 2017 2019 2022 Healthy
People
2030

Knox County Schools Tennessee U.S. Healthy People 2030

15
Table 6: Percent of Knox County Schools high school students who did not go to school for one or
more days during the past 30 days because they felt too unsafe at school, or going to or from school,
2022
(total responses = 565)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 43 1,830 9.6 (6.5-13.8)
Male 12 * * *
Female 25 1,082 12.4 (7.5-19.7)
Prefer not to answer 6 * * *

Race/Ethnicity
White (non-Hispanic) 26 1,135 8.6 (5.3-13.8)
Black (non-Hispanic) 7 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 17 * * *
10th grade 14 * * *
11th grade 4 * * *
12th grade 7 * * *

*Too unreliable to report

Figure 6: Percent of high school students who did not go to school for one or more days during the
past 30 days because they felt too unsafe at school, or going to or from school, Knox County
Schools, Tennessee, U.S., 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022

20
15.2

15
10.6

9.6
8.7

10
8.1
8.0

7.6
7.1

6.7
5.9

5.9
5.6
5.5

5.0

5.1
5.0

0
2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

16
Table 7: Percent of Knox County Schools high school students who were threatened or injured by
someone with a gun, knife, or club on school property during the past 12 months, 2022
(total responses = 561)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 34 977 5.1 (3.4-7.7)
Male 14 * * *
Female 15 * * *
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 23 736 5.6 (3.4-9.1)
Black (non-Hispanic) 1 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 10 * * *
10th grade 18 * * *
11th grade 2 * * *
12th grade 4 * * *

*Too unreliable to report

Figure 7: Percent of high school students who were threatened or injured by someone with a gun,
knife, or club on school property during the past 12 months, Knox County Schools, Tennessee, U.S.,
2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022

12
10.2
9.3

10
8.6
7.9

7.8

7.7
7.6

7.5
7.4

7.4

7.4
7.3

7.1

8
7.0

6.9
6.8
6.7

6.5
6.0
5.9

5.8

5.1

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

17
Table 8: Percent of Knox County Schools high school students who were in a physical fight during the
past 12 months, 2022
(total responses = 563)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 98 2,934 15.4 (12.3-19.2)
Male 55 1,891 19.5 (14.5-25.7)
Female 39 969 11.1 (7.7-15.8)
Prefer not to answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 70 2,151 16.3 (12.5-21.0)
Black (non-Hispanic) 9 * * *
Hispanic (any race) 9 * * *
Other race/ethnicity 10 * * *

School Grade
9th grade 38 907 18.3 (13.4-24.5)
10th grade 46 1,155 23.6 (17.8-30.5)
11th grade 12 * * *
12th grade 2 * * *

*Too unreliable to report

Figure 8: Percent of high school students who were in a physical fight during the past 12 months,
Knox County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County
Schools, 2022; Healthy People 2020 Objective IVP-34; Healthy People 2030 Objective IVP-11
35.9

35.5

40
32.8
32.3
31.8

31.5
30.9

30.8
29.7

29.3

28.4
27.8
25.7

25.7

30
25.4

24.7

23.6

22.9
22.8
22.4
22.2
21.1

20.9

20
15.4

10

0
2005 2007 2009 2011 2013 2017 2019 HP 2020 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

18
Table 9: Percent of Knox County Schools high school students who have seen someone physically
attacked, beaten, stabbed, or shot in their neighborhood, 2022
(total responses = 564)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 123 5,257 22.3 (18.2-27.1)
Male 57 2,324 23.9 (17.8-31.3)
Female 61 1,731 19.9 (14.7-26.3)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 63 2,482 18.9 (14.1-24.8)
Black (non-Hispanic) 21 1,017 33.2 (20.7-48.7)
Hispanic (any race) 27 560 32.0 (22.0-43.9)
Other race/ethnicity 12 * * *

School Grade
9th grade 44 1,114 22.6 (17.0-29.4)
10th grade 51 1,177 24.0 (18.3-30.9)
11th grade 17 * * *
12th grade 9 * * *

*Too unreliable to report

Figure 9: Percent of Knox County School high school students who have seen someone physically
attacked, beaten, stabbed, or shot in their neighborhood by gender and race/ethnicity, 2022

40.0

33.2
32.0
30.0
23.9
22.3
19.9 18.9
20.0

10.0

0.0
Total Male Female White (non- Black (non- Hispanic
Hispanic) Hispanic)

19
Table 10: Percent of Knox County Schools high school students who had been physically hurt on
purpose (being hit, slammed into something, or injured with an object or weapon) by someone they
had been dating during the past 12 months, 2022
(total responses = 560)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 45 1,504 7.9 (5.6-11.0)
Male 17 * * *
Female 25 714 8.2 (5.3-12.6)
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 34 1,223 9.3 (6.3-13.5)
Black (non-Hispanic) 2 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 3 * * *

School Grade
9th grade 9 * * *
10th grade 19 * * *
11th grade 13 * * *
12th grade 4 * * *

*Too unreliable to report

Figure 10: Percent of high school students who had been physically hurt on purpose (being hit,
slammed into something, or injured with an object or weapon) by someone they had been dating
during the past 12 months, Knox County Schools, Tennessee, U.S., 2013, 2017, 2019; Knox County
Schools, 2022
20
15.3

13.8

15
10.8
10.3

10.3
9.6

10
8.4

8.2
8.0

7.9

0
2013 2017 2019 2022

Knox County Schools Tennessee U.S.

20
Table 11: Percent of Knox County Schools high school students who had been bullied on school
property during the past 12 months, 2022
(total responses = 564)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 96 3,172 16.6 (13.1-20.9)
Male 30 1,067 11.0 (7.2-16.3)
Female 58 1,878 21.6 (15.8-28.6)
Prefer not to answer 8 * * *

Race/Ethnicity
White (non-Hispanic) 73 2,408 18.3 (14.1-23.6)
Black (non-Hispanic) 7 * * *
Hispanic (any race) 11 * * *
Other race/ethnicity 5 * * *

School Grade
9th grade 34 719 14.5 (10.3-19.0)
10th grade 39 852 17.5 (12.9-23.3)
11th grade 13 * * *
12th grade 10 * * *

*Too unreliable to report

Figure 11: Percent of high school students who had been bullied on school property during the past
12 months, Knox County Schools, Tennessee, U.S., 2009, 2011, 2013, 2017, 2019; Knox County
Schools, 2022; Healthy People 2020 Objective IVP-35
22.6

25
21.5
21.1

20.3
20.1
19.9

19.6

19.6

19.5
19.3

19.0
18.6

17.9
17.5
17.3

17.3

20
16.6

15

10

0
2009 2011 2013 2017 2019 HP 2020 2022

Knox County Schools Tennessee U.S. Healthy People 2020

21
Table 12: Percent of Knox County Schools high school students who had been bullied electronically
(texting, Instagram, Facebook, or other social media) during the past 12 months, 2022
(total responses = 564)
Yes Weighted Yes 95% Conf
Responses Responses Percent Intervals
Total 99 2,978 15.6 (12.2-19.7)
Male 26 955 9.8 (6.0-15.6)
Female 65 1,852 21.3 (15.9-27.8)
Prefer not to answer 8 * * *

Race/Ethnicity
White (non-Hispanic) 71 2,313 17.6 (13.3-22.9)
Black (non-Hispanic) 6 * * *
Hispanic (any race) 11 * * *
Other race/ethnicity 11 * * *

School Grade
9th grade 31 673 13.6 (9.5-19.1)
10th grade 49 1,008 20.6 (15.4-26.6)
11th grade 9 * * *
12th grade 10 * * *

*Too unreliable to report

Figure 12: Percent of high school students who had been bullied electronically (texting, Instagram,
Facebook, or other social media) during the past 12 months, Knox County, Tennessee, U.S., 2011,
2013, 2017, 2019; Knox County Schools, 2022

25
18.7
17.6

20
16.9
16.2

15.7

15.7
15.6

15.6
15.5
15.3

14.9

14.9
13.9

15

10

0
2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

22
Table 13: Percent of Knox County Schools high school students who felt so sad or hopeless they
stopped doing usual activities for two or more weeks in a row during the past 12 months, 2022
(total responses = 563)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 214 7,508 39.4 (34.3-44.7)
Male 63 2,718 28.0 (21.3-35.8)
Female 134 4,320 49.6 (42.2-57.0)
Prefer not to answer 17 * * *

Race/Ethnicity
White (non-Hispanic) 140 5,200 39.6 (33.4-46.1)
Black (non-Hispanic) 20 1,232 40.2 (25.7-56.7)
Hispanic (any race) 31 642 37.1 (26.3-49.3)
Other race/ethnicity 23 433 38.9 (26.2-53.3)

School Grade
9th grade 69 1,561 31.5 (25.2-38.5)
10th grade 86 1,827 37.5 (31.0-44.6)
11th grade 34 1,871 40.5 (30.3-51.7)
12th grade 25 2,250 48.5 (33.6-63.7)

*Too unreliable to report

Figure 13: Percent of high school students who felt so sad or hopeless they stopped doing usual
activities for two or more weeks in a row during the past 12 months, Knox County Schools,
Tennessee, U.S., 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022; Healthy People
2020 Objective MHMD-4.1

50
39.7

39.4
37.5
36.7
35.9

40
31.5
31.1
29.9
28.5

28.3
28.0
27.7
27.6
26.1

25.9

25.4

30

20
7.5

10

0
2009 2011 2013 2017 2019 HP 2020 2022

Knox County Schools Tennessee U.S. Healthy People 2020

23
Table 14: Percent of Knox County Schools high school students who seriously considered suicide in
the past 12 months, 2022
(total responses = 560)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 112 4,121 21.7 (17.5-26.6)
Male 32 1,412 14.6 (9.6-21.4)
Female 67 2,300 26.6 (20.2-34.2)
Prefer not to answer 13 * * *

Race/Ethnicity
White (non-Hispanic) 74 2,993 22.9 (17.7-29.2)
Black (non-Hispanic) 8 * * *
Hispanic (any race) 14 * * *
Other race/ethnicity 16 * * *

School Grade
9th grade 35 815 15.5 (10.9-21.7)
10th grade 42 798 16.5 (12.2-22.0)
11th grade 15 * * *
12th grade 20 1,716 37.0 (23.9-52.4)

*Too unreliable to report

Figure 14: Percent of high school students who seriously considered suicide in the past 12 months,
Knox County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County
Schools, 2022
30
23.4

21.7
21.3

19.2
18.9

18.8
17.3

17.2
17.0
16.9

20
16.5
15.8

15.2
14.7
14.6
14.5

14.5
14.1

13.8
13.6

13.3
11.8

10

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

24
Table 15: Percent of Knox County Schools high school students who made a plan to commit suicide
during the past 12 months, 2022
(total responses = 559)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 93 3,117 16.4 (12.8-20.7)
Male 31 1,412 14.6 (9.6-21.4)
Female 51 1,507 16.2 (11.7-22.1)
Prefer not to answer 11 * * *

Race/Ethnicity
White (non-Hispanic) 58 2,071 15.8 (11.6-21.2)
Black (non-Hispanic) 9 * * *
Hispanic (any race) 12 * * *
Other race/ethnicity 14 * * *

School Grade
9th grade 32 801 16.3 (11.5-22.7)
10th grade 36 708 14.6 (10.3-20.2)
11th grade 15 * * *
12th grade 10 * * *

*Too unreliable to report

Figure 15: Percent of high school students who made a plan to commit suicide during the past 12
months, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox
County Schools, 2022
25
20.0

19.1

20
16.4
15.4
14.5
14.0

13.6
13.5

13.0
12.8

12.8
13.0

15
11.9
11.7
11.3

11.3
11.1
10.7
10.9
10.2

9.4
8.9

10

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

25
Table 16: Percent of Knox County Schools high school students who attempted suicide during the
past 12 months, 2022
(total responses = 559)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 48 1,700 9.0 (6.3-12.7)
Male 13 * * *
Female 29 911 10.6 (3.0-12.0)
Prefer not to answer 6 * * *

Race/Ethnicity
White (non-Hispanic) 31 1,176 9.0 (5.8-13.8)
Black (non-Hispanic) 5 * * *
Hispanic (any race) 8 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 15 * * *
10th grade 20 * * *
11th grade 6 * * *
12th grade 7 * * *

*Too unreliable to report

Figure 16: Percent of high school students who attempted suicide during the past 12 months, Knox
County Schools, 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022; Healthy
People 2020 Objective MHMD-02 Healthy People 2030 Objective MHMD-02
18.0

20
14.5

15
11.0

10.6
9.4

9.0

9.0
8.9
8.7
8.7

10
8.4

8.3
8.0
7.8
7.4

7.4
7.1
6.9

6.3

6.2
4.7

4.7

5
1.8
1.7

0
2005 2007 2009 2011 2013 2017 2019 HP 2020 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

26
Table 17: Percent of Knox County Schools high school students who asked for help from a doctor,
counselor, or hotline before they attempted suicide during the past 12 months, 2022
(total responses = 555)
Weighted Yes 95% Conf.
Yes Responses Responses Percent Intervals
Total 22 944 5.0 (2.8-7.9)
Male 8 * * *
Female 12 * * *
Prefer not to ask 2 * * *

Race/Ethnicity
White (non-Hispanic) 15 * * *
Black (non-Hispanic) 4 * * *
Hispanic (any race) 2 * * *
Other race/ethnicity 1 * * *

School Grade
9th grade 7 * * *
10th grade 9 * * *
11th grade 1 * * *
12th grade 5 * * *

*Too unreliable to report

Figure 17: Percent of Knox County Schools high school students who asked for help from a doctor,
counselor, or hotline before they attempted suicide during the past 12 months, Knox County
Schools, 2022

6
5.0

0
Total

27
Table 18: Percent of Knox County Schools high school students who did something to purposefully
hurt themselves without wanting to die, such as cutting or burning themselves during the past 12
months, 2022
(total responses = 555)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 130 4,294 22.9 (18.6-27.7)
Male 32 1,519 15.9 (10.4-23.6)
Female 84 2,595 28.2 (22.0-35.3)
Prefer not to answer 14 * * *

Race/Ethnicity
White (non-Hispanic) 93 3,345 26.0 (20.6-32.2)
Black (non-Hispanic) 5 * * *
Hispanic (any race) 18 * * *
Other race/ethnicity 14 * * *

School Grade
9th grade 47 1,064 21.8 (16.5-28.3)
10th grade 52 985 20.5 (15.7-26.4)
11th grade 17 * * *
12th grade 14 * * *

*Too unreliable to report

Figure 18: Percent of Knox County Schools high school students who did something to purposefully
hurt themselves without wanting to die, such as cutting or burning themselves during the past 12
months by gender, 2022
28.2

30
22.9

20
15.9

10

0
Total Male Female

28
Table 19: Percent of Knox County Schools high school students who have ever tried smoking
cigarettes, even one or two puffs, 2022
(total responses = 562)
Yes Weighted Yes 95% Conf.
Responses Responses Percent Intervals
Total 94 2,888 15.2 (11.9-19.1)
Male 43 1,468 15.1 (10.8-20.8)
Female 46 1,420 15.2 (10.7-21.1)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 64 2,167 16.5 (12.5-21.4)
Black (non-Hispanic) 5 * * *
Hispanic (any race) 15 * * *
Other race/ethnicity 10 * * *

School Grade
9th grade 29 683 13.8 (9.6-19.5)
10th grade 43 907 18.6 (13.9-24.4)
11th grade 14 * * *
12th grade 8 * * *

*Too unreliable to report

Figure 19: Percent of high school students who have ever tried smoking cigarettes, even one or two
puffs, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox
County Schools, 2022
70
61.7

54.6
54.3

60
50.7
50.3
50.2

48.2
46.3
46.1

44.7
44.6

43.7

43.6

50
41.1
39.2

40
31.6

29.2
28.9

26.3
26.1

24.1

30
15.2

20

10

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

29
Table 20: Percent of Knox County Schools high school students who smoked cigarettes on one or
more days during the past 30 days (current cigarette smokers), 2022
(total responses = 558)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 23 675 3.6 (1.8-5.7)
Male 8 * * *
Female 12 * * *
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 19 * * *
Black (non-Hispanic) 0 * * *
Hispanic (any race) 3 * * *
Other race/ethnicity 1 * * *

School Grade
9th grade 7 * * *
10th grade 12 * * *
11th grade 2 * * *
12th grade 2 * * *

*Too unreliable to report

Figure 20: Percent of high school students who smoked cigarettes on one or more days during the
past 30 days (current cigarette smokers), Knox County Schools, Tennessee, U.S., 2005, 2007, 2009,
2011, 2013, 2017, 2019; Knox County Schools, 2022; Healthy People 2020 Objective TU-2.2;
Healthy People 2030 Objective TU-06
30
26.3

25.5
24.4
23.0

21.6

25
20.9
20.4
20.0

19.5
18.9

18.2

18.2
18.1

20
16.0
15.7
15.4

15
10.5
9.4
8.9
8.8

10
7.1
6.0

3.6

3.4

0
2005 2007 2009 2011 2013 2017 2019 HP 2020 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

30
Table 21: Percent of Knox County Schools high school students who have ever used an electronic
vapor product (includes such products as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs,
hookah pens, and mods), 2022
(total responses = 559)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 174 5,908 31.2 (26.5-36.2)
Male 66 2,391 24.9 (19.0-31.8)
Female 102 3,267 37.6 (30.6-45.0)
Prefer not to answer 6 * * *

Race/Ethnicity
White (non-Hispanic) 113 4,225 32.4 (26.7-38.6)
Black (non-Hispanic) 16 * * *
Hispanic (any race) 27 489 28.2 (19.0-39.7)
Other race/ethnicity 18 * * *

School Grade
9th grade 44 1,109 22.7 (16.9-29.6)
10th grade 82 1,772 36.4 (29.8-43.5)
11th grade 34 1,819 39.8 (29.3-50.7)
12th grade 14 * * *

*Too unreliable to report

Figure 21: Percent of high school students who have ever used an electronic vapor product (includes
such products as e-cigarettes, vapes, vape pens, e-cigars, e-hookahs, hookah pens, and mods), Knox
County Schools, Tennessee, U.S., 2019; Knox County Schools, 2022
60
50.6

50.1
49.6

50

40
31.2

30

20

10

0
2019 2022

Knox County Schools Tennessee U.S.

31
Table 22: Percent of Knox County Schools high school students who used an electronic vapor
product during the past 30 days (current vapor product user), 2022
(total responses = 559)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 99 3,287 18.0 (14.3-22.3)
Male 37 1,386 14.4 (10.0-20.4)
Female 57 1,898 20.7 (15.3-27.4)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 66 2,494 19.0 (14.5-24.5)
Black (non-Hispanic) 8 * * *
Hispanic (any race) 15 * * *
Other race/ethnicity 10 * * *

School Grade
9th grade 26 639 13.0 (8.7-18.9)
10th grade 44 942 19.4 (14.4-25.6)
11th grade 19 * * *
12th grade 10 * * *

*Too unreliable to report

Figure 22: Percent of high school students who used an electronic vapor product during the past 30
days (current vapor product user), Knox County Schools, Tennessee, U.S., 2017, 2019; Knox County
Schools, 2022; Healthy People 2030 Objective TU-05
40
32.7
28.7

30
22.1

18.0

20
14.9

13.2
11.5

10.5

10

0
2017 2019 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2030

32
Table 23: Percent of Knox County Schools high school students who used an electronic vapor
product on school property during the past 30 days, 2022
(total responses = 557)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 54 1,703 9.0 (6.6-12.1)
Male 20 753 7.9 (4.9-12.4)
Female 30 827 9.5 (6.2-14.4)
Prefer not to answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 37 1,192 9.1 (6.3-13.1)
Black (non-Hispanic) 3 * * *
Hispanic (any race) 10 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 14 * * *
10th grade 23 501 10.3 (6.7-15.7)
11th grade 12 * * *
12th grade 5 * * *

*Too unreliable to report

Figure 23: Percent of Knox County Schools high school students who used an electronic vapor
product on school property during the past 30 days, 2019, 2022
20
14.8

15
9.0

10

0
2019 2022

33
Table 24: Among Knox County Schools high school students who currently use electronic vapor
products, the usual way the electronic vapor products were obtained during the past 30 days in
2022: Percentages
(total responses = 99)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Got them from friend/family member or someone else 60 1,780 56.1 (44.1-68.2)
Bought them in a vape store or tobacco shop 6 * * *
Bought them in a convenience store, supermarket,
discount store or gas station 9 * * *
Bought them at a mall, shopping center kiosk or stand 0 * * *
Bought them on the internet 1 * * *
Took them from a store or other person 3 * * *
Got them some other way 20 660 20.8 (11.0-30.6)

*Too unreliable to report

Figure 24: Among Knox County Schools high school students who currently use electronic vapor
products, the usual way the electronic vapor products were obtained during the past 30 days in
2022: Percentages

Got them from friend/family member or someone else 56.1

All other methods of obtaining electronic vapor products 43.9

0 10 20 30 40 50 60

34
Table 25: Among Knox County Schools high school students who currently use electronic vapor
products, the main reason they use the products in 2022: Percentages
(total responses = 151)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Friend or family member used them 27 836 15.7 (9.1-22.3)
To get a high or buzz from nicotine 22 867 16.3 (8.9-23.7
Feeling anxious, stressed, or depressed 38 1,166 21.9 (13.9-29.9)
Curious about them 55 1,825 34.3 (25.1-43.4)
Less harmful than other tobacco products 0 * * *
Available in flavors (mint, candy, fruit, or
chocolate) 1 * * *
Used them for other reason 12 * * *

*Too unreliable to report

Figure 25: Among Knox County Schools high school students who currently use electronic vapor
products, the top four reasons they use the products in 2022: Percentages

Curious about them 34.3

Feeling anxious, stressed, or depressed 21.9

To get a high or a buzz from nicotine 16.3

Friend or family member used them 15.7

0 10 20 30 40

35
Table 26: Percent of Knox County Schools high school students who used an electronic vapor
product to vape marijuana, including THC, THC concentrates, hash oil, or waxes within the past 30
days, 2022
(Total responses = 552)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 69 2,564 13.7 (10.4-17.8)
Male 34 1,355 14.2 (9.7-20.3)
Female 32 1,118 12.2 (8.0-18.3)
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 46 1,850 14.2 (10.2-19.5)
Black (non-Hispanic) 5 * * *
Hispanic (any race) 12 * * *
Other race/ethnicity 6 * * *

School Grade
9th grade 13 * * *
10th grade 30 705 14.5 (9.9-20.7)
11th grade 17 * * *
12th grade 9 * * *

*Too unreliable to report

Figure 26: Percent of Knox County Schools high school students who used an electronic vapor
product to vape marijuana, including THC, THC concentrates, hash oil, or waxes within the past 30
days by gender, 2022
15 14.2
13.7

12.2

10

0
Total Male Female

36
Table 27: Among Knox County Schools high school students who use tobacco products, those who
tried to quit using all tobacco products during the past 12 months in 2022: Percentages
(total responses = 112)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 64 2,109 55.0 (43.4-66.0)
Male 20 835 50.8 (33.0-68.3)
Female 41 1,181 57.4 (41.8-71.7)
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 49 1,794 62.4 (49.3-73.9)
Black (non-Hispanic) 2 * * *
Hispanic (any race) 10 * * *
Other race/ethnicity 3 * * *

School Grade
9th grade 17 * * *
10th grade 29 600 42.8 (24.9-62.7)
11th grade 12 * * *
12th grade 6 * * *

*Too unreliable to report

Figure 27: Among high school students who use tobacco products, those who tried to quit using all
tobacco products during the past 12 months in 2022: Percentages, Knox County Schools,
Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022

80
67.1
60.2

55.6

55.0
54.4
54.6

51.4

51.4
51.0

60
50.4

50.8

49.0
49.7

48.0

47.6
47.6
50.1
47.0

46.0
41.4
36.4
34.2

40

20

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

37
Table 28: Percent of Knox County Schools high school students who used some form of tobacco
products including electronic vapor products, cigarettes, cigars, little cigars, cigarillos, or smokeless
tobacco during the past 30 days, 2022
(total responses = 566)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 120 3,888 20.3 (16.6-24.7)
Male 48 1,676 17.2 (12.5-23.2)
Female 65 1,952 22.4 (16.8-29.0)
Prefer not to answer 7 * * *

Race/Ethnicity
White (non-Hispanic) 78 2,792 21.2 (16.5-26.7)
Black (non-Hispanic) 8 * * *
Hispanic (any race) 20 397 22.7 (14.3-34.0)
Other race/ethnicity 14 * * *

School Grade
9th grade 35 836 16.9 (11.9-23.1)
10th grade 52 1,089 22.2 (16.8-28.6)
11th grade 21 1,123 24.8 (16.6-35.4)
12th grade 12 * * *

*Too unreliable to report

Figure 28: Percent of high school students who used some form of tobacco products including
electronic vapor products, cigarettes, cigars, little cigars, cigarillos, or smokeless tobacco during the
past 30 days, Knox County Schools, Tennessee, U.S., 2017, 2019; Knox County Schools, 2022;
Healthy People 2020: Objective TU-2.3; Healthy People 2030 Objective: TU-04
36.5

40
34.6
27.9

30
24.5
20.3

20.3
19.5

20
11.3
6.9

10

0
2017 2019 HP 2020 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

38
Table 29: Percent of Knox County Schools high school students who drank alcohol during the past
30 days, 2022
(total responses = 560)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 103 3,543 18.7 (15.0-23.1)
Male 40 1,437 14.8 (10.4-20.6)
Female 54 1,872 21.7 (15.9-28.7)
Prefer not to answer 9 * * *

Race/Ethnicity
White (non-Hispanic) 71 2,706 20.7 (16.0-26.4)
Black (non-Hispanic) 5 * * *
Hispanic (any race) 17 * * *
Other race/ethnicity 10 * * *

School Grade
9th grade 16 * * *
10th grade 53 1,158 23.6 (18.2-30.1)
11th grade 24 1,186 26.0 (17.8-36.3)
12th grade 9 * * *

*Too unreliable to report

Figure 29: Percent of high school students who drank alcohol during the past 30 days, Knox County
Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools
2022; Healthy People 2030 Objective SU-04
44.7

50
43.3
41.8

40.8

39.5
36.7

36.3

34.9

40
34.4

33.5

33.3
31.5

30.5
29.8

29.8
29.7

29.2
28.4

25.8
25.2

30
21.6

18.7

20
12.8

6.3

10

0
2005 2007 2009 2011 2013 2017 2019 HP 2020 2022 HP2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

39
Table 30: Percent of Knox County Schools high school students who binge drank alcohol (4 or more
drinks in a row if female, or 5 or more drinks in a row if male, all within a couple of hours) during the
past 30 days, 2022
(total responses = 555)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 57 1,628 8.7 (6.4-11.7)
Male 22 635 6.6 (4.2-10.2)
Female 30 915 10.1 (6.5-15.5)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 34 1,103 8.4 (5.7-12.3)
Black (non-Hispanic) 4 * * *
Hispanic (any race) 12 * * *
Other race/ethnicity 7 * * *

School Grade
9th grade 12 * * *
10th grade 34 743 15.3 (10.8-21.1)
11th grade 6 * * *
12th grade 5 * * *

*Too unreliable to report

Figure 30: Percent of high school students who binge drank alcohol (4 or more drinks in a row if
female, or 5 or more drinks in a row if male, all within a couple of hours) during the past 30 days,
Knox County Schools, Tennessee, U.S., 2017, 2019; Knox County Schools, 2022; Healthy People
2020 Objective SA-14; Healthy People 2030 Objective SU-09
25
20.1

20
13.7
13.5

13.5

15
11.0

8.8

8.7

8.4

10
5.2

0
2017 2019 HP 2020 2022 HP2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

40
Table 31: Among Knox County Schools high school students who currently drink alcohol, the method
they usually obtained the alcohol they drank during the past 30 days in 2022: Percentages
(total responses = 107)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Bought it in a store 9 * * *
Bought it a restaurant, bar, or club 2 * * *
Bought it at a public event 0 * * *
Gave someone else money to buy it 8 * * *
Someone gave it to them 39 1,413 39.1 (27.4-50.7)
Took it from store or family member 21 616 17.0 (8.7-25.4)
Got it some other way 28 951 26.3 (27.4-50.7)

*Too unreliable to report

Figure 31: Among Knox County Schools high school students who currently drink alcohol, the top
three methods they usually obtained the alcohol they drank during the past 30 days in 2022:
Percentages

Took it from a store or family member 17.0

Got it some other way 26.3

Someone gave it to them 39.1

0 5 10 15 20 25 30 35 40 45

41
Table 32: Percent of Knox County Schools high school students who have ever used marijuana,
2022
(total responses = 561)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 129 4,624 24.4 (20.0-29.3)
Male 52 2,169 22.4 (16.3-39.8)
Female 70 2,188 25.3 (19.3-32.4)
Prefer not to answer 7 * * *

Race/Ethnicity
White (non-Hispanic) 85 3,308 25.3 (20.1-31.4)
Black (non-Hispanic) 12 * * *
Hispanic (any race) 20 349 24.1 (12.5-41.3)
Other race/ethnicity 12 * * *

School Grade
9th grade 25 569 11.6 (7.6-17.2)
10th grade 65 1,438 29.3 (23.3-36.4)
11th grade 25 1,315 28.8 (19.4-38.9)
12th grade 14 * * *

*Too unreliable to report

Figure 32: Percent of high school students who have ever used marijuana, Knox County Schools,
Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022

50
41.9

41.0
40.7
39.9
38.4

38.0
38.4

38.1

38.1

37.8
37.5

37.4
36.9

36.8
36.8

35.6

35.1

40
33.8
33.1
32.9

32.9

24.4

30

20

10

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

42
Table 33: Percent of Knox County Schools high school students who used marijuana before the age
of 13 years, 2022
(total responses = 558)
Yes Weighted Yes 95% Conf,
Responses Responses Percentage Intervals
Total 32 82 5.2 (3.4-7.7)
Male 11 * * *
Female 18 * * *
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 21 643 4.9 (3.0-8.0)
Black (non-Hispanic) 3 * * *
Hispanic (any race) 2 * * *
Other race/ethnicity 6 * * *

School Grade
9th grade 10 * * *
10th grade 16 * * *
11th grade 5 * * *
12th grade 1 * * *

*Too unreliable to report

Figure 33: Percent of high school students who used marijuana before the age of 13 years, Knox
County Schools, Tennessee, U.S., 2019, Knox County Schools, 2022

10
7.4

8
6.7

5.6

6
5.2

0
2019 2022

Knox County Schools Tennessee U.S.

43
Table 34: Percent of Knox County Schools high school students who used marijuana during the past
30 days, 2022
(total responses = 556)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 74 2,891 15.3 (11.7-19.9)
Male 34 1,490 15.5 (10.3-22.6)
Female 36 1,224 14.2 (9.7-20.5)
No answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 50 2,026 15.5 (11.4-20.9)
Black (non-Hispanic) 6 * * *
Hispanic (any race) 13 * * *
Other race/ethnicity 5 * * *

School Grade
9th grade 12 * * *
10th grade 34 761 15.6 (11.1-21.5)
11th grade 19 * * *
12th grade 9 * * *

*Too unreliable to report

Figure 34: Percent of high school students who used marijuana during the past 30 days, Knox
County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County
Schools, 2022; Healthy People 2030 Objective SU-06
23.3

23.1

23.3
23.4

22.5
22.2

25
21.8

21.4

21.2
20.8

20.7
20.6
20.2

20.1

19.8
19.7
19.5

19.4
19.3

18.3
18.1

20
15.3

15

10
5.8

0
2005 2007 2009 2011 2013 2017 2019 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2030

44
Table 35: Percent of Knox County Schools high school students who have used synthetic marijuana
(Spice, fake weed, K-2, or Black Mamba), 2022
(total responses = 554)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 38 1,277 6.8 (4.6-9.9)
Male 12 * * *
Female 24 707 8.3 (5.1-13.1)
Prefer not to answer 2

Race/Ethnicity
White (non-Hispanic) 29 1,051 8.1 (5.2-12.4)
Black (non-Hispanic) 2 * * *
Hispanic (any race) 7 * * *
Other race/ethnicity 0 * * *

School Grade
9th grade 9 * * *
10th grade 17 * * *
11th grade 7 * * *
12th grade 5 * * *

*Too unreliable to report

Figure 35: Percent of high school students who have used synthetic marijuana (Spice, fake weed, K-
2, or Black Mamba), Knox County Schools, Tennessee, U.S., 2017, 2019; Knox County Schools,
2022
15
10.5

10
7.3

7.3
7.2

7.1

6.9

6.8

0
2017 2019 2022

Knox County Schools Tennessee U.S.

45
Table 36: Percent of Knox County Schools high school students who have sniffed glue, breathed the
contents of aerosols, or inhaled paints and sprays to get high, 2022
(total responses = 557)
Yes Weighted Yes 95% Conf,
Responses Responses Percentage Intervals
Total 43 1,384 7.3 (5.1-10.5)
Male 21 823 8.5 (5.1-13.8)
Female 15 * * *
Prefer to not answer 7 * * *

Race/Ethnicity
White (non-Hispanic) 27 997 7.7 (4.9-11.8)
Black (non-Hispanic) 3 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 7 * * *

School Grade
9th grade 14 * * *
10th grade 18 * * *
11th grade 7 * * *
12th grade 4 * * *

*Too unreliable to report

Figure 36: Percent of high school students who have sniffed glue, breathed the contents of aerosols,
or inhaled paints and sprays to get high, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009,
2011, 2013, 2017, 2019; Knox County Schools, 2022
14.0

13.7

15
13.3
12.4
12.2

12.2
11.7

11.6

11.4

11.4
10.9
10.5

10.3

8.9

10
8.4

8.3

7.3
6.8

6.4
6.2

6.2
5.3

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

46
Table 37: Percent of Knox County Schools high school students reporting they had taken steroid
shots or pills without a doctor’s prescription, 2022
(total responses = 554)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 20 673 3.6 (2.0-6.2)
Male 9 * * *
Female 9 * * *
Prefer not to answer 2 * * *

Race/Ethnicity
White (non-Hispanic) 9 * * *
Black (non-Hispanic) 1 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 7 * * *
10th grade 7 * * *
11th grade 3 * * *
12th grade 3 * * *

*Too unreliable to report

Figure 37: Percent of high school students reporting they had taken steroid shots or pills without a
doctor’s prescription, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013;
Tennessee, U.S., 2017; Knox County Schools, Tennessee, U.S., 2019; Knox County Schools, 2022
8

6.1
6
5.0
4.7
4.6

4.6
4.2
3.9

3.9 3.9
3.6

3.6

4
3.3

3.3

3.4 3.4
3.2

3.2

3.1
2.9

2.6

1.9

0
2005 2007 2009 2011 2013 2017* 2019 2022

Knox County Schools Tennessee U.S.

*Too unreliable to report for Knox County Schools in 2017

47
Table 38: Percent of Knox County Schools high school students who were offered, sold, or given
illegal drugs on school property during the past 12 months, 2022
(total responses = 549)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 152 4,964 27.3 (22.8-32.2)
Male 61 2,335 24.3 (18.4-31.4)
Female 80 2,473 29.3 (22.8-36.8)
Prefer not to answer 11 * * *

Race/Ethnicity
White (non-Hispanic) 95 3,382 26.1 (20.8-32.1)
Black (non-Hispanic) 15 * * *
Hispanic (any race) 23 496 29.5 (19.6-41.9)
Other race/ethnicity 19 * * *

School Grade
9th grade 53 1,275 27.0 (20.9-34.1)
10th grade 60 1,322 27.7 (21.7-34.6)
11th grade 24 1,259 27.6 (18.8-38.5)
12th grade 15 * * *

*Too unreliable to report

Figure 38: Percent of high school students who were offered, sold, or given illegal drugs on school
property during the past 12 months, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009,
2011, 2013, 2017, 2019; Knox County Schools, 2022
40
31.7

29.0

28.6

21.8 28.1

27.3
26.6

25.6

30
25.4

24.8

23.7
23.0
22.7

22.5
22.3

22.1
20.7
19.6

19.8
18.8
16.9

16.5

20

10

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

48
Table 39: Percent of Knox County Schools high school students reporting they have taken a
prescription drug (Oxycontin, Percocet, codeine, Adderall, Ritalin, or Xanax) without a doctor’s
prescription, 2022
(total responses = 550)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 58 1,676 9.0 (6.6-12.0)
Male 19 * * *
Female 32 815 9.6 (6.3-14.4)
Prefer not to answer 7 * * *

Race/Ethnicity
White (non-Hispanic) 41 1,229 9.5 (6.7-13.2)
Black (non-Hispanic) 3 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 8 * * *

School Grade
9th grade 13 * * *
10th grade 33 670 14.0 (10.0-19.4)
11th grade 10 * * *
12th grade 2 * * *

* Too unreliable to report

Figure 39: Percent of high school students reporting they have taken a prescription drug (Oxycontin,
Percocet, codeine, Adderall, Ritalin, or Xanax) without a doctor’s prescription, Knox County Schools,
Tennessee, U.S., 2017, 2019; Knox County Schools, 2022
20
16.0

14.3
14.0

13.9
13.2
13.0

15
9.0

10

0
2017 2019 2022

Knox County Schools Tennessee U.S.

49
Table 40: Percent of Knox County Schools high school students who have taken a prescription drug
(Oxycontin, Percocet, codeine, Adderall, Ritalin, or Xanax) without a doctor’s prescription during the
past 30 days, 2022
(total responses = 548)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 22 545 2.9 (1.8-4.6)
Male 8 * * *
Female 11 * * *
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 12 * * *
Black (non-Hispanic) 1 * * *
Hispanic (any race) 2 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 5 * * *
10th grade 12 * * *
11th grade 2 * * *
12th grade 0 * * *

*Too unreliable to report

Figure 40: Percent of high school students who have taken a prescription drug (Oxycontin, Percocet,
codeine, Adderall, Ritalin, or Xanax) without a doctor’s prescription during the past 30 days, Knox
County Schools, U.S., 2019; Knox County Schools, 2022; Healthy People 2030 Objective SU-12

10
7.5

7.2

5
3.6
2.9

0
2019 2022 HP 2030

Knox County Schools U.S. Healthy People 2030

50
Table 41: Percent of Knox County Schools high school students who used any form of illicit drug
including THC vapor products, marijuana, cocaine, heroin, methamphetamines, or took prescription
pain medication without a prescription, during the past 30 days, 2022
(total responses = 566)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 87 3,235 16.9 (14.2-21.4)
Male 40 1,701 17.4 (12.1-24.5)
Female 42 1,338 15.3 (10.6-21.5)
Prefer not to answer 5 * * *

Race/Ethnicity
White (non-Hispanic) 56 2,160 16.4 (12.2-21.7)
Black (non-Hispanic) 8 * * *
Hispanic (any race) 16 * * *
Other race/ethnicity 7 * * *

School Grade
9th grade 18 * * *
10th grade 38 873 17.7 (12.8-24.0)
11th grade 20 1,063 23.0 (15.2-33.4)
12th grade 11 * * *

*Too unreliable to report

Figure 41: Percent of Knox County Schools high school students who used any form of illicit drug
including THC vapor products, marijuana, cocaine, heroin, methamphetamines, or took prescription
pain medication without a prescription, during the past 30 days, 2022; Healthy People 2030
Objective SU-05
20
16.9

15

10
5.5

0
2022 HP 2030

Knox County Healthy People 2030

51
Table 42: Percent of Knox County Schools high school students who describe themselves as slightly
overweight or overweight, 2022
(total responses = 546)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 191 6,306 33.8 (29.0-39.0)
Male 87 3,195 33.4 (26.6-41.0)
Female 94 2,896 34.2 (27.3-41.6)
Prefer not to answer 10 * * *

Race/Ethnicity
White (non-Hispanic) 117 4,114 31.9 (26.2-38.1)
Black (non-Hispanic) 17 * * *
Hispanic (any race) 35 812 48.0 (35.9-60.4)
Other race/ethnicity 22 420 40.0 (26.7-55.0)

School Grade
9th grade 69 1,693 36.0 (29.2-43.5)
10th grade 74 1,634 34.3 (27.8-41.4)
11th grade 30 1,512 33.1 (23.8-44.1)
12th grade 18 * * *

*Too unreliable to report

Figure 42: Percent of high school students who describe themselves as slightly overweight or
overweight, Knox County Schools, Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019;
Knox County Schools, 2022
37.1

40
34.7

33.8
32.9

32.4
31.9

31.5
31.1
31.5

30.2

30.1
29.3

29.2
28.3
28.3
28.1

28.1
27.7
27.2

27.2

27.9

30
23.0

20

10

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

52
Table 43: Percent of Knox County Schools high school students who are trying to lose weight, 2022
(total responses = 547)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 264 8,778 46.9 (41.6-52.3)
Male 89 3,543 36.9 (29.6-44.9)
Female 166 5,371 59.1 (51.5-66.2)
Prefer not to answer 9 * * *

Race/Ethnicity
White (non-Hispanic) 167 5,775 44.5 (38.3-51.0)
Black (non-Hispanic) 25 1,482 49.7 (33.5-65.9)
Hispanic (any race) 44 941 55.6 (43.1-67.5)
Other race/ethnicity 28 578 55.9 (41.3-69.6)

School Grade
9th grade 97 2,402 49.4 (42.0-56.7)
10th grade 101 2,064 43.1 (36.3-50.3)
11th grade 42 2,127 46.6 (36.0-57.6)
12th grade 24 2,261 48.8 (33.8-63.9)

*Too unreliable to report

Figure 43: Percent of high school students who are trying to lose weight, Knox County Schools,
Tennessee, U.S., 2005, 2007, 2009, 2011, 2013, 2017, 2019; Knox County Schools, 2022
56.2
54.0

60
52.3

50.8
49.6

48.3
47.8

47.6

47.6
47.5

46.9
46.6

46.2

45.2

44.7
44.9
45.6

43.6

43.9
44.4
43.6
43.2

40

20

0
2005 2007 2009 2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

53
Table 44: Percent of Knox County Schools high school students who were physically active for at
least 60 minutes every day for the past seven days, 2022
(total responses = 549)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 115 3,863 20.7 (16.6-25.3)
Male 65 2,599 27.3 (20.7-34.9)
Female 46 1,166 13.7 (9.8-18.9)
Prefer not to answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 81 2,579 19.9 (15.5-25.1)
Black (non-Hispanic) 13 * * *
Hispanic (any race) 12 * * *
Other race/ethnicity 9 * * *

School Grade
9th grade 41 999 21.0 (15.6-27.7)
10th grade 53 1,345 28.1 (21.9-35.3)
11th grade 16 * * *
12th grade 5 * * *

*Too unreliable to report

Figure 44: Percent of high school students who were physically active for at least 60 minutes every
day for the past seven days, Knox County Schools, Tennessee, U.S., 2013, 2017, 2019; Knox County
Schools, 2022; Healthy People 2020 Objective: PA-3.1; Healthy People 2030 Objective PA-06

40
31.6

30.6
27.1

26.1
25.6

30
25.4
25.1

23.2
21.8

20.7
20.4
19.2

20

10

0
2013 2017 2019 HP 2020 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2020 Healthy People 2030

54
Table 45: Percent of Knox County Schools high school students who did not participate in physical
activity lasting at least 60 minutes during the past seven days, 2022
(total responses = 549)
Weighted Yes 95% Conf.
Yes Responses Responses Percentage Intervals
Total 78 2,784 14.9 (11.4-19.2)
Male 29 1,158 12.1 (7.9-18.3)
Female 46 1,568 18.4 (13.0-25.4)
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 44 1,716 13.3 (9.3-18.5)
Black (non-Hispanic) 11 * * *
Hispanic (any race) 13 * * *
Other race/ethnicity 10 * * *

School Grade
9th grade 27 690 14.5 (9.9-20.8)
10th grade 28 597 12.5 (8.4-18.1)
11th grade 16 * * *
12th grade 7 * * *

*Too unreliable to report

Figure 45: Percent of high school students who did not participate in physical activity lasting at least
60 minutes during the past seven days, Knox County Schools, Tennessee, U.S., 2011, 2013, 2017,
2019; Knox County Schools, 2022
25
19.6

19.1

20
17.0
16.8
16.7

16.0
15.4
15.2

14.9
14.2

13.8
13.8
12.5

15

10

0
2011 2013 2017 2019 2022

Knox County Schools Tennessee U.S.

55
Table 46: Estimated number of hours in front of screens such as TVs, computers, smart phones, or
other electronic devices to watch shows, play games, or access the internet or social media on an
average school day (excluding time spent in schoolwork) reported by Knox County Schools high
school students in 2022: Percentages.
(total responses = 549)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Less than 1 hour per day 21 543 2.9 (1.6-4.4)
1 hour per day 22 680 3.6 (1.7-5.6)
2 hours per day 76 2,479 13.3 (9.6-16.9)
3 hours per day 117 3,917 21.0 (16.6-25.3)
4 hours per day 96 3,497 18.7 (14.4-23.0)
5 or more hours per day 217 7,574 49.5 (35.2-45.8)

Figure 46: Estimated number of hours in front of screens such as TVs, computers, smart phones, or
other electronic devices to watch shows, play games or access the internet or social media on an
average school day (excluding time spent in schoolwork) reported by Knox County Schools high
school students in 2022: Percentages.

5 or more hours per day 49.5

4 hours per day 18.7

3 hours per day 21.0

2 hours per day 13.3

1 hour per day 3.6

Less than 1 hour per day 2.9

0 10 20 30 40 50 60

56
Table 47: Percent of Knox County Schools high school students who reported they spend three or
more hours in front of screens such as TVs, computers, smart phones, or other electronic devices to
watch shows, play games, or access the internet or social media on an average school day (excluding
time spent in schoolwork), 2022
(total responses = 549)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 430 14,989 80.2 (75.7-84.0)
Male 185 7,269 76.3 (68.9-82.4)
Female 226 7,231 84.8 (79.8-88.9)
Prefer not to answer 19 * * *

Race/Ethnicity
White (non-Hispanic) 288 10,575 81.8 (76.8-86.0)
Black (non-Hispanic) 39 2,335 78.3 (60.8-89.3)
Hispanic (any race) 57 1,245 73.4 (60.9-83.0)
Other race/ethnicity 45 810 76.1 (60.8-86.8)

School Grade
9th grade 143 3,474 73.4 (66.5-79.3)
10th grade 172 3,770 78.8 (72.1-84.3)
11th grade 72 444 83.5 (74.2-89.9)
12th grade 43 3,936 85.4 (69.6-93.7)

*Too unreliable to report

Figure 47: Percent of Knox County Schools high school students who reported they spend three or
more hours in front of screens such as TVs, computers, smart phones, or other electronic devices to
watch shows, play games, or access the internet or social media on an average school day (excluding
time spent in schoolwork) by gender, 2022
100
84.8
80.2

76.3

80

60

40

20

0
Total Male Female

57
Table 48. Percent of Knox County Schools high school students who suffered one or more
concussions from physical activity/sports during the past 12 months, 2022
(total responses = 546)
Weighted Yes 95% Conf.
Yes Responses Responses Percentage Intervals
Total 78 2,394 12.9 (9.9-16.7)
Male 35 1,411 14.8 (10.0-21.3)
Female 39 900 10.6 (7.3-15.0)
Prefer not to answer 4 * * *

Race/Ethnicity
White (non-Hispanic) 59 1,789 13.9 (10.2-18.7)
Black (non-Hispanic) 6 * * *
Hispanic (any race) 5 * * *
Other race/ethnicity 8 * * *

School Grade
9th grade 28 601 12.8 (8.8-18.2)
10th grade 38 950 19.8 (14.6-26.3)
11th grade 6 * * *
12th grade 6 * * *

*Too unreliable to report

Figure 48: Percent of high school students who suffered one or more concussions from physical
activity/sports during the past 12 months, Knox County Schools, Tennessee, U.S., 2017, 2019; Knox
County Schools, 2022
20
16.8

15.8
15.6
15.3

15.1

15.1

12.9

15

10

0
2017 2019 2022

Knox County Schools Tennessee U.S.

58
Table 49: Responses to the question “During the COVID-19 pandemic, how often was your mental
health not good (poor mental health includes stress, anxiety, and depression)” among Knox County
Schools high school students in 2022: Percentages
(total responses = 549)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Never 127 4,335 23.2 (18.7-27.8)
Rarely 93 3,087 16.5 (12.6-20.5)
Sometimes 151 5,242 28.1 (23.2-33.0)
Most of the time 125 4,468 23.9 (19.2-28.7)
Always 53 1,539 8.2 (5.6-10.9)

Figure 49: Responses to the question “During the COVID-19 pandemic, how often was your mental
health not good (poor mental health includes stress, anxiety, and depression)” among Knox County
Schools high school students in 2022: Percentages

Always 8.2

Most of the time 23.9

Sometimes 28.1

Rarely 16.5

Never 23.2

0 5 10 15 20 25 30

59
Table 50: Percent of Knox County Schools high school students who responded their mental health
was not good “most of the time” or “always” during the COVID-19 pandemic, 2022
(total responses = 549)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 178 6,007 32.2 (26.7-36.9)
Male 45 2,104 22.1 (15.9-29.9)
Female 117 3,543 41.7 (31.4-77.2)
Prefer not to answer 16 * * *

Race/Ethnicity
White (non-Hispanic) 126 4,508 35.0 (29.1-41.5)
Black (non-Hispanic) 12 * * *
Hispanic (any race) 19 * * *
Other race/ethnicity 21 379 35.1 (22.7-49.8)

School Grade
9th grade 54 1,215 25.6 (19.8-32.4)
10th grade 72 1,411 29.4 (23.6-36.0)
11th grade 36 1,872 41.5 (31.2-52.6)
12th grade 16 * * *

*Too unreliable to report

Figure 50: Percent of high school students who responded their mental health was not good “most of
the time” or “always” during the COVID-19 pandemic, Knox County Schools, 2022; ABES, 2021
37.1

40
32.2

30

20

10

0
Knox County Schools ABES (National) 2021
2022

60
Table 51: Percent of Knox County Schools high school students who responded a parent or other
adult in their home lost their job (even for a short time) during the COVID-19 pandemic, 2022
(total responses = 547)
Weighted Yes 95% Conf.
Yes Responses Responses Percentage Intervals
Total 116 3,911 21.0 (17.0-25.7)
Male 52 1,912 20.2 (14.7-27.1)
Female 56 1,806 21.2 (15.5-28.3)
Prefer to not answer 8 * * *

Race/Ethnicity
White (non-Hispanic) 73 2,731 21.2 (16.3-27.2)
Black (non-Hispanic) 16 * * *
Hispanic (any race) 19 * * *
Other race/ethnicity 8 * * *

School Grade
9th grade 40 989 20.9 (15.5-27.6)
10th grade 53 1,247 26.1 (20.2-33.1)
11th grade 12 * * *
12th grade 11 * * *

*Too unreliable to report

Figure 51: Percent of high school students who responded a parent or other adult in their home lost
their job (even for a short time) during the COVID-19 pandemic, Knox County Schools, 2022; ABES,
2021

40
28.5

30
21.0

20

10

0
Knox County Schools ABES (National) 2021
2022

61
Table 52: Responses to the question, “During the COVID-19 pandemic, how often did you go hungry
because there was not enough food in your home?” among Knox County Schools high school
students in 2022: Percentages
(total responses = 524)

Yes Weighted Yes 95% Conf.

Responses Responses Percentage Intervals
Never 429 14,567 78.1 (74.8-83.7)
Rarely 78 2,681 14.4 (10.4-18.1)
Sometimes 24 844 4.2 (1.9-6.2)
Most of the time 12 * * *
Always 5 * * *

*Too unreliable to report

Figure 52: Responses to the question, “During the COVID-19 pandemic, how often did you go hungry
because there was not enough food in your home?” among Knox County Schools high school
students in 2022: Percentages

Always*

Most of the time*

Sometimes 4.2

Rarely 14.4

Never 78.1

0 20 40 60 80 100

*Too unreliable to report

62
Table 53: Responses to the question, “Do you agree or disagree that you drank more alcohol during
the COVID-19 pandemic than before it started?” among Knox County Schools high school students in
2022: Percentages
(total responses = 545)
Yes Weighted Yes
Responses Responses Percentage 95% Conf. Intervals
Strongly agree 40 1,108 6.0 (3.8-8.1)
Agree 27 1,008 5.4 (3.1-7.7)
Not Sure 50 1,559 8.4 (5.8-11.0)
Disagree 51 1,876 10.1 (6.7-13.5)
Strongly disagree 377 13,015 70.1 (65.3-74.9)

Figure 53: Responses to the question, “Do you agree or disagree that you drank more alcohol during
the COVID-19 pandemic than before it started?” among Knox County Schools high school students in
2022: Percentages

Strongly disagree 70.1

Disagree 10.1

Not Sure 8.4

Agree 5.4

Strongly agree 6.0

0 10 20 30 40 50 60 70 80

63
Table 54: Percent of Knox County Schools high school students who responded they “agree” or
“strongly agree” they drank more alcohol during the COVID-19 pandemic than before it started, 2022
(total responses = 545)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 67 2,115 11.4 (8.7-14.8)
Male 30 1,017 10.8 (7.3-15.6)
Female 34 1,006 11.9 (7.9-17.5)
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 50 1,564 12.1 (8.9-16.4)
Black (non-Hispanic) 7 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 21 546 11.5 (7.4-17.6)
10th grade 32 751 13.2 (7.3-22.5)
11th grade 10 * * *
12th grade 4 * * *

*Too unreliable to report

Figure 54: Percent of high school students who reported they “agree” or “strongly agree” they drank
more alcohol during the COVID-19 pandemic than before it started, Knox County Schools, 2022;
ABES, 2021

20.
14.7

15.
11.4

10.

5.

0.
Knox County Schools ABES (National) 2021

64
Table 55: Responses to the question, “Do you agree or disagree that you used drugs more during the
COVID-19 pandemic than before it started? (Count using marijuana, synthetic marijuana, cocaine,
prescription pain medication without a doctor’s prescription, and other illegal drugs)” among Knox
County Schools high school students in 2022: Percentages
(total responses = 541)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Strongly agree 37 1,255 6.8 (4.1-9.6)
Agree 33 1,170 6.4 (3.8-8.9)
Not Sure 39 1,492 8.1 (5.4-10.7)
Disagree 42 1,445 7.8 (4.8-10.9)
Strongly disagree 383 13,071 79.9 (66.1-75.8)

Figure 55: Responses to the question, “Do you agree or disagree that you used drugs more during
the COVID-19 pandemic than before it started? (Count using marijuana, synthetic marijuana,
cocaine, prescription pain medication without a doctor’s prescription, and other illegal drugs)”
among Knox County Schools high school students in 2022: Percentages

Knox County Schools

Strongly disagree 79.9

Disagree 7.8

Not Sure 8.1

Agree 6.4

Strongly agree 6.8

0 10 20 30 40 50 60 70 80 90

65
Table 56: Percent of Knox County Schools high school students who responded they “agree” or
“strongly agree” that they used drugs (marijuana, synthetic marijuana, cocaine, prescription drug
medication without a doctor’s prescription, and other illegal drugs) more during the COVID-19
pandemic than before it started, 2022
(total responses = 551)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 70 2,425 13.2 (10.0-17.2)
Male 34 1,334 14.1 (9.5-20.5)
Female 36 1,092 13.0 (8.8-18.8)
Prefer not to answer 0 * * *

Race/Ethnicity
White (non-Hispanic) 48 1,794 14.0 (10.0-19.2)
Black (non-Hispanic) 7 * * *
Hispanic (any race) 8 * * *
Other race/ethnicity 7 * * *

School Grade
9th grade 20 506 10.9 (6.9-16.7)
10th grade 31 711 14.4 (8.2-23.9)
11th grade 12 * * *
12th grade 7 * * *

*Too unreliable to report

Figure 56: Percent of high school students who reported they “agree” or “strongly agree” that they
used drugs (marijuana, synthetic marijuana, cocaine, prescription drug medication without a doctor’s
prescription, and other illegal drugs) more during the COVID-19 pandemic than before it started,
Knox County Schools, 2022; ABES, 2021
13.2

15
12.1

10

0
Knox County Schools ABES (National) 2021
2022

66
Table 57: Percent of Knox County Schools high school students who received medical care from a
doctor or nurse by using a computer, phone, or other device (also called telemedicine) during the
COVID-19 pandemic, 2022
(total responses = 542)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 135 5,132 27.9 (23.2-33.1)
Male 51 2,165 22.9 (16.8-30.3)
Female 78 2,711 32.7 (25.7-40.5)
Prefer not to answer 6 * * *

Race/Ethnicity
White (non-Hispanic) 106 4,190 32.9 (27.0-39.5)
Black (non-Hispanic) 8 * * *
Hispanic (any race) 13 * * *
Other race/ethnicity 8 * * *

School Grade
9th grade 45 1,093 23.6 (17.8-30.5)
10th grade 46 1,052 22.1 (16.7-27.6)
11th grade 27 1,369 30.2 (21.3-41.2)
12th grade 17 * * *

*Too unreliable to report

Figure 57: Percent of high school students who received medical care from a doctor or nurse by
using a computer, phone, or other device (also called telemedicine) during the COVID-19 pandemic,
Knox County Schools, 2022; ABES, 2021
27.9

30
25.8

25

20

15

10

0
Knox County Schools 2022 ABES (National) 2021

67
Table 58: Percent of Knox County Schools high school students who received mental health
treatment, including treatment for alcohol or drugs, using a computer, phone, or other device (also
called telemedicine) during the COVID-19 pandemic, 2022
(total responses = 541)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 74 3,007 16.4 (12.5-21.1)
Male 24 1,149 12.1 (7.5-19.0)
Female 44 1,608 19.5 (13.8-26.7)
Prefer not to answer 6 * * *

Race/Ethnicity
White (non-Hispanic) 52 2,315 18.2 (13.3-24.4)
Black (non-Hispanic) 6 * * *
Hispanic (any race) 9 * * *
Other race/ethnicity 7 * * *

School Grade
9th grade 25 582 12.5 (8.4-18.3)
10th grade 22 500 10.6 (6.8-16.1)
11th grade 13 * * *
12th grade 14 * * *

*Too unreliable to report

Figure 58: Percent of high school students who received mental health treatment, including
treatment for alcohol or drugs, using a computer, phone, or other device (also called telemedicine),
Knox County Schools, 2022; ABES, 2021

20
16.4

15
8.5

10

0
Knox County Schools ABES (National) 2021
2022

68
Table 59: Responses to the question, “During the COVID-19 pandemic, how often were you able to
spend more time with family, friends, or other groups, such as clubs, or religious groups, by using a
computer, phone, or other device? (Do not count attending school online.)” among Knox County
Schools high school students in 2022: Percentages
(total responses = 538)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Never 62 2,023 11.1 (7.6-14.5)
Rarely 92 3,409 18.6 (14.3-23.0)
Sometimes 171 5,658 30.9 (25.9-35.9)
Most of the time 146 4,800 26.2 (21.7-30.8)
Always 67 2,409 13.2 (9.2-17.1)

Figure 59: Responses to the question, “During the COVID-19 pandemic, how often were you able to
spend more time with family, friends, or other groups, such as clubs, or religious groups, by using a
computer, phone, or other device? (Do not count attending school online.)” among Knox County
Schools high school students in 2022: Percentages

Always 13.2

Most of the time 26.2

Sometimes 30.9

Rarely 18.6

Never 11.1

0 5 10 15 20 25 30 35

69
Table 60: Percent of Knox County Schools high school students who responded they were “rarely” or
“never’ able to spend more time with family, friends, or other groups such as clubs or religious
groups, by using a computer, phone, or other device (excluding attending school online) during the
pandemic, 2022
(total responses = 538)
Yes Weighted Yes 95% Confidence
Responses Responses Percentage Intervals
Total 154 5,431 29.7 (24.9-35.0)
Male 75 3,044 32.3 (25.3-40.3)
Female 67 2,017 24.5 (18.4-31.8)
No answer 12 * * *

Race/Ethnicity
White (non-Hispanic) 99 3,787 29.9 (25.0-36.4)
Black (non-Hispanic) 12 * * *
Hispanic (any race) 27 587 34.9 (24.2-47.5)
Other race/ethnicity 16 * * *

School Grade
9th grade 52 1,224 27.1 (21.1-34.2)
10th grade 61 1,360 28.6 (22.5-35.5)
11th grade 23 1,267 28.1 (19.0-39.4)
12th grade 18 * * *

*Too unreliable to report

Figure 60: Percent of high school students who responded they were “rarely” or “never” able to
spend more time with family, friends, or other groups such as clubs or religious groups, by using a
computer, phone, or other device (excluding attending school online) during the pandemic, Knox
County Schools, 2021; ABES, 2021
40

29.7
30 28.1

20

10

0
Knox County Schools ABES (National) 2021
2022

70
Table 61: Percent of Knox County Schools high school students who have been tested for HIV, the
virus that causes AIDS, 2022
(total responses = 546)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 36 1,347 7.3 (4.8-10.8)
Male 22 883 9.3 (5.5-15.3)
Female 12 * * *
Prefer not to answer 2 * * *

Race/Ethnicity
White (non-Hispanic) 20 946 7.4 (4.3-12.4)
Black (non-Hispanic) 4 * * *
Hispanic (any race) 6 * * *
Other race/ethnicity 6 * * *

School Grade
9th grade 16 * * *
10th grade 11 * * *
11th grade 5 * * *
12th grade 4 * * *

*Too unreliable to report

Figure 61: Percent of high school students who have been tested for HIV, the virus that causes AIDS,
Knox County Schools, Tennessee, U.S., 2017, 2019; Knox County Schools, 2022
13.6

15
12.0

11.3
10.9

9.4
9.3

10
7.3

0
2017 2019 2022

Knox County Schools Tennessee U.S.

71
Table 62: Responses to the question, “When was the last time you saw a dentist for a check-up,
exam, teeth cleaning, or other dental work?” among Knox County Schools high school students,
2022
(total responses = 548)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
During the past 12 months 409 13,975 75.3 (70.7-79.8)
Between 12 months and 24 months 47 1,594 8.6 (5.7-11.5)
More than two years ago 28 966 5.2 (2.8-7.6)
Never saw a dentist 10 * * *
Not sure 54 1,534 8.3 (5.6-10.9)

*Too unreliable to report

Figure 62: Responses to the question, “When was the last time you saw a dentist for a check-up,
exam, teeth cleaning, or other dental work?” among Knox County Schools high school students,
2022

Not sure 8.3

Never saw a dentist*

More than 24 months 5.2

Between 12 months and 24 months 8.6

During the past 12 months 75.2

0 20 40 60 80
*Too unreliable to report

72
Table 63: Percent of Knox County Schools high school students who visited a dentist for a dental
checkup, exam, teeth cleaning, or other dental work in past 12 months, 2022
(total responses = 548)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 409 13,975 75.3 (70.4-79.5)
Male 181 7,343 77.1 (70.3-82.7)
Female 216 6,304 75.1 (67.6-81.3)
Prefer not to answer 12 * * *

Race/Ethnicity
White (non-Hispanic) 287 10,124 79.0 (73.3-83.6)
Black (non-Hispanic) 34 2,063 69.2 (52.5-92.0)
Hispanic (any race) 43 917 54.0 (41.6-66.0)
Other race/ethnicity 45 872 83.3 (71.4-90.9)

School Grade
9th grade 154 3,752 79.0 (72.6-84.2)
10th grade 156 3,439 71.9 (64.8-78.1)
11th grade 66 3,313 73.2 (61.7-82.2)
12th grade 33 3,470 77.0 (62.6-87.0)

*Too unreliable to report

Figure 63: Percent of Knox County Schools high school students who visited a dentist for a dental
checkup, exam, teeth cleaning, or other dental work in past 12 months, Knox County Schools,
Tennessee, U.S., 2017, 2019; Knox County Schools, 2022, Healthy People 2030 Objective OH-08

100
80.6
80.2

75.9
75.7

75.3
74.3

70.6

80

60
45.0

40

20

0
2017 2019 2022 HP 2030

Knox County Schools Tennessee U.S. Healthy People 2030

73
Table 64: Responses to the question, “During the past 30 days, how often was your mental health
not good? (Poor mental health includes stress, anxiety, and depression)” among Knox County
Schools high school students, 2022
(total responses = 544)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Never 123 4,351 23.6 (18.9-28.3)
Rarely 121 3,867 21.0 (16.9-25.1)
Sometimes 157 5,703 31.0 (25.7-36.2)
Most of the time 100 3,365 18.3 (14.1-22.4)
Always 43 1,138 6.2 (4.0-8.3)

Figure 64: Responses to the question, “During the past 30 days, how often was your mental health
not good? (Poor mental health includes stress, anxiety, and depression)” among Knox County
Schools high school students, 2022

Always 6.2

Most of the time 18.3

Sometimes 31.0

Rarely 21.0

Never 23.6

0 5 10 15 20 25 30 35

74
Table 65: Percent of Knox County Schools high school students who reported they experienced
mental health problems (stress, anxiety, or depression) either most of the time or always during the
past 30 days, 2022
(total responses = 544)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 143 4,503 24.4 (20.2-29.2)
Male 38 1,555 16.4 (11.4-23.1)
Female 91 2,650 31.9 (25.2-39.2)
Prefer not to answer 14 * * *

Race/Ethnicity
White (non-Hispanic) 97 3,306 26.1 (20.9-32.0)
Black (non-Hispanic) 10 * * *
Hispanic (any race) 19 * * *
Other race/ethnicity 17 * * *

School Grade
9th grade 43 937 19.8 (14.7-26.1)
10th grade 62 1,212 25.5 (20.0-31.9)
11th grade 27 1,412 31.7 (22.4-42.6)
12th grade 11 * * *

*Too unreliable to report

Figure 65: Percent of Knox County Schools high school students who reported they experienced
mental health problems (stress, anxiety, or depression) either most of the time or always during the
past 30 days by gender, 2022
31.9

35

30
24.4

25

20
16.4

15

10

0
Total Males Females

75
Table 66: Responses to the question, “During the past 30 days, how often did you go hungry
because there was not enough food in the house?” among Knox County Schools high school
students, 2022
(total responses = 545)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Never 453 15,402 83.3 (79.2-87.3)
Rarely 60 2,060 11.1 (7.7-14.6)
Sometimes 24 733 4.0 (2.0-5.9)
Most of the time 8 * * *
Always 0 * * *

*Too unreliable to report

Figure 66: Responses to the question, “During the past 30 days, how often did you go hungry
because there was not enough food in the house?” among Knox County Schools high school
students, 2022

Always*

Most of the time*

Sometimes 4.0

Rarely 11.1

Never 83.3

0 10 20 30 40 50 60 70 80 90 100

*Too unreliable to report

76
Table 67: Percent of Knox County Schools high school students who have felt that people assume
they are less intelligent because of their race or ethnicity, 2022
(total responses = 545)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 37 1,487 8.0 (5.3-12.0)
Male 19 * * *
Female 17 * * *
Prefer not to answer 1 * * *

Race/Ethnicity
White (non-Hispanic) 11 * * *
Black (non-Hispanic) 12 * * *
Hispanic (any race) 13 * * *
Other race/ethnicity 1 * * *

School Grade
9th grade 8 * * *
10th grade 18 * * *
11th grade 4 * * *
12th grade 7 * * *

*Too unreliable to report

Figure 67: Percent of Knox County Schools high school students who have felt that people assume
they are less intelligent because of their race or ethnicity, 2022

10
8.0

0
Knox County Schools

77
Table 68: Responses to the question, “During your life, how often has there been an adult in your
household who tried hard to make sure your basic needs were met, such as looking after your safety
and making sure you had clean clothes and enough to eat?” among Knox County Schools high
school students in 2022: Percentages
(total responses = 542)
Yes Weighted Yes
Responses Responses Percentage 95% Conf. Intervals
Never 49 1,698 9.3 (6.4-12.1)
Rarely 14 * * *
Sometimes 22 662 3.6 (1.8-5.4)
Most of the time 57 2003 10.9 (7.5-14.4)
Always 400 13,567 74.0 (69.4-78.6)

*Too unreliable to report

Figure 68: Responses to the question, “During your life, how often has there been an adult in your
household who tried hard to make sure your basic needs were met, such as looking after your safety
and making sure you had clean clothes and enough to eat?” among Knox County Schools high
school students in 2022: Percentages

Always 74.0

Most of the time 10.9

Sometimes 3.6

Rarely*

Never 9.3

0 20 40 60 80

*Too unreliable to report

78
Table 69: Percent of Knox County Schools high school students who responded there is “rarely” or
“never” an adult in their household who tries hard to make sure their basic needs are met, such as
looking after their safety, ensuring they had clean clothes and enough to eat, 2022
(total responses = 542)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 63 2,103 11.5 (8.7-15.0)
Male 34 1,217 12.8 (8.9-18.0)
Female 26 808 9.8 (6.0-15.6)
Prefer not to answer 3 * * *

Race/Ethnicity
White (non-Hispanic) 40 1,274 10.0 (7.1-13.9)
Black (non-Hispanic) 11 * * *
Hispanic (any race) 8 * * *
Other race/ethnicity 4 * * *

School Grade
9th grade 24 615 13.3 (8.9-19.4)
10th grade 25 659 13.7 (9.2-20.1)
11th grade 12 * * *
12th grade 2 * * *

*Too unreliable to report

Figure 69: Percent of Knox County Schools high school students who responded there is “rarely” or
“never” an adult in their household who tries hard to make sure their basic needs are met, such as
looking after their safety, ensuring they had clean clothes and enough to eat by gender, 2022

15
12.8
11.5

9.8

10

0
Total Male Female

79
Table 70: Percent of Knox County Schools high school students who have lived with someone who
had an alcohol or drug problem, 2022
(total responses = 542)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 181 6,434 35.1 (30.1-40.5)
Male 69 2,982 30.6 (23.7-38.5)
Female 100 3,199 38.9 (31.7-46.6)
Prefer not to answer 12 * * *

Race/Ethnicity
White (non-Hispanic) 133 4,891 38.5 (32.3-45.0)
Black (non-Hispanic) 17 * * *
Hispanic (any race) 16 * * *
Other race/ethnicity 15 * * *

School Grade
9th grade 64 1,537 35.1 (30.1-40.5)
10th grade 70 1,578 33.5 (27.0-40.6)
11th grade 32 1,650 36.2 (26.5-47.1)
12th grade 15 * * *

*Too unreliable to report

Figure 70: Percent of Knox County Schools high school students who have lived with someone who
had an alcohol or drug problem by gender, 2022

50
38.9
35.1

40

30
20.6

20

10

0
Total Male Female

80
Table 71: Percent of Knox County Schools high school students who have lived with someone who
was depressed, mentally ill, or suicidal, 2022
(total responses = 543)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 217 7,076 38.6 (33.5-43.9)
Male 74 2,867 30.2 (23.6-37.8)
Female 130 3,848 46.7 (39.3-54.3)
Prefer not to answer 13 * * *

Race/Ethnicity
White (non-Hispanic) 159 5,479 43.1 (36.8-49.6)
Black (non-Hispanic) 15 * * *
Hispanic (any race) 21 431 26.1 (16.8-38.2)
Other race/ethnicity 22 402 37.1 (24.5-51.8)

School Grade
9th grade 77 1,816 38.8 (31.9-46.2)
10th grade 88 1,856 38.7 (32.1-45.8)
11th grade 32 1,682 37.3 (27.4-48.3)
12th grade 20 1,721 39.6 (25.5-55.6)

*Too unreliable to report

Figure 71: Percent of Knox County Schools high school students who have lived with someone who
was depressed, mentally ill, or suicidal by gender and race/ethnicity, 2022
46.7

50
43.1
38.6

37.1
40
30.2

26.1

30

20

10

0
Total Male Female Non-Hispanic *Non- Hispanic (any Other
white Hispanic race) race/ethnicity
African
American

*Too unreliable to report

81
Table 72: Percent of Knox County Schools high school students who had been separated from a
parent or guardian because they went to jail, prison, or a detention center, 2022
(total responses = 539)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 102 3,408 18.7 (15.3-24.0)
Male 41 1,816 19.2 (13.4-26.8)
Female 60 1,581 19.3 (14.4-25.4)
Prefer not to answer 1 * * *

Race/Ethnicity
White (non-Hispanic) 61 2,015 15.9 (11.9-21.0)
Black (non-Hispanic) 15 * * *
Hispanic (any race) 16 * * *
Other race/ethnicity 10 * * *

School Grade
9th grade 41 971 18.7 (14.8-23.3)
10th grade 36 785 16.4 (11.8-22.5)
11th grade 18 * * *
12th grade 7 * * *

*Too unreliable to report

Figure 72: Percent of Knox County Schools high school students who had been separated from a
parent or guardian because they went to jail, prison, or a detention center by gender, 2022

25
19.3
19.2
18.7

20

15

10

0
Total Male Female

82
Table 73: Responses to the question, “During your life, how often have you felt that you were treated
badly or unfairly in school because of your race or ethnicity?” among Knox County Schools high
school students, 2022
(total responses = 532)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Never 368 12,563 70.0 (65.0-75.0)
Rarely 77 2,307 12.9 (9.5-16.3)
Sometimes 61 1,928 10.7 (7.5-14.0)
Most of the time 15 * * *
Always 11 * * *

*Too unreliable to report

Figure 73: Responses to the question, “During your life, how often have you felt that you were
treated badly or unfairly in school because of your race or ethnicity?” among Knox County Schools
high school students, 2022

Knox County Schools

*Always

*Most of the time

Sometimes 10.7

Rarely 12.9

Never 70.0

0 20 40 60 80

*Too unreliable to report

83
Table 74: Percent of Knox County Schools high school students who had been treated badly or
unfairly in their school due to their race or ethnicity either “most of the time” or “always,” 2022
(total responses = 532)
Yes Weighted Yes 95% Conf.
Responses Responses Percentage Intervals
Total 26 1,147 6.4 (3.9-10.3)
Male 8 * * *
Female 17 * * *
Prefer not to answer 1 * * *

Race/Ethnicity
White (non-Hispanic) 8 * * *
Black (non-Hispanic) 11 * * *
Hispanic (any race) 4 * * *
Other race/ethnicity 3 * * *

School Grade
9th grade 3 * * *
10th grade 4 * * *
11th grade 13 * * *
12th grade 6 * * *

*Too unreliable to report

Figure 74: Percent of Knox County Schools high school students who had been treated badly or
unfairly in their school due to their race or ethnicity either “most of the time” or “always,” 2022

6.4

0
Knox County Schools

84
This report may be downloaded at:

Reports and Data - Epidemiology - Health Department - Knox County Tennessee Government

For more information on this report, please contact:

Knox County Health Department

Epidemiology Program
140 Dameron Avenue
Knoxville, TN 37917
Phone: 865-215-5185
Email: [email protected]

Recommended citation:
This report is in the public domain and may be used and reprinted without special permission. The following citation would
be appreciated:
Epidemiology Program (2022). 2022 Knox County Youth Risk Behavior Survey. Knoxville, Tennessee: Knox
County Health Department.

85