MMWR Suppl. 2022 Apr 1;71(3):1-7. doi: 10.15585/mmwr.su7103a1.
Many U.S. schools closed nationwide in March 2020 to prevent the spread of COVID-19. School closures and online-only instruction have negatively affected certain students, with studies showing adverse effects of the pandemic on mental health. However, little is known about other experiences such as economic and food insecurity and abuse by a parent, as well as risk behaviors such as alcohol and drug use among youths across the United States during the pandemic. To address this gap, CDC developed the one-time, online Adolescent Behaviors and Experiences Survey (ABES), which was conducted during January-June 2021 to assess student behaviors and experiences during the COVID-19 pandemic among high school students, including unintentional injury, violence, tobacco product use, sexual behaviors, and dietary behaviors. This overview report of the ABES MMWR Supplement describes the ABES methodology, including the student questionnaire and administration, sampling, data collection, weighting, and analysis. ABES used a stratified, three-stage cluster probability-based sampling approach to obtain a nationally representative sample of students in grades 9-12 attending public and private schools. Teachers of selected classes provided students with access to the anonymous online survey while following local consent procedures. Data were collected using a 110-item questionnaire during January-June 2021 in 128 schools. A total of 7,998 students submitted surveys, and 7,705 of these surveys had valid data (i.e., ≥20 questions answered). The school response rate was 38%, the student response rate was 48%, and the overall response rate was 18%. Information on mode of instruction and school-provided equipment was also collected from all sampled schools. This overview report provides student- and school-level characteristics obtained from descriptive analyses, and the other reports in the ABES MMWR Supplement include information on substance use, mental health and suicidality, perceived racism, and disruptions to student life among high school students. Findings from ABES during the COVID-19 pandemic can help guide parents, teachers, school administrators, community leaders, clinicians, and public health officials in decision-making for student support and school health programs.
2020 年 3 月，为防止 COVID-19 传播，美国许多学校关闭。学校关闭和仅在线教学对某些学生产生了负面影响，研究表明大流行对心理健康产生了不利影响。然而，人们对其他方面的情况知之甚少，例如经济和粮食不安全以及父母的虐待，以及全美青少年在大流行期间的危险行为，如饮酒和吸毒。为了解决这一差距，CDC 开发了一次性在线青少年行为和体验调查（ABES），该调查于 2021 年 1 月至 6 月进行，以评估高中生在 COVID-19 大流行期间的学生行为和体验，包括意外伤害、暴力、烟草制品使用、性行为和饮食行为。本 ABES MMWR 增刊概述报告介绍了 ABES 方法，包括学生问卷和管理、抽样、数据收集、加权和分析。ABES 使用分层、三阶段基于概率的集群抽样方法，从公立和私立学校的 9-12 年级学生中获得全国代表性样本。选定班级的教师在遵循当地同意程序的同时，为学生提供访问匿名在线调查的机会。2021 年 1 月至 6 月期间，使用 110 项问题的问卷收集数据，在 128 所学校进行。共有 7998 名学生提交了调查，其中 7705 份调查有有效数据（即回答了≥20 个问题）。学校回应率为 38%，学生回应率为 48%，总体回应率为 18%。还从所有抽样学校收集了教学模式和学校提供设备的信息。本概述报告提供了从描述性分析中获得的学生和学校特征，ABES MMWR 增刊中的其他报告包括高中生药物使用、心理健康和自杀意念、感知种族主义以及学生生活中断方面的信息。ABES 在 COVID-19 大流行期间的调查结果有助于指导家长、教师、学校管理人员、社区领袖、临床医生和公共卫生官员做出支持学生和学校健康计划的决策。
