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Learn the key signs your child may be bullied at school, including emotional, behavioral, and physical changes, plus how parents can respond early confidently.
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<p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <span style="background-color:transparent;font-size:11pt;white-space-collapse:preserve"> Bullying in schools is a serious issue that affects not only students’ academic performance but also their emotional well-being. While schools are implementing anti-bullying initiatives, many cases still go unnoticed by teachers and even parents. Understanding the behavioral and emotional signs of bullying is key to early intervention. </span> </p> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Introduction </span> </h2> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Bullying is more than a discipline issue—it can shape a child’s sense of safety, identity, and ability to learn. Because many children do not report bullying directly, adults must recognize warning signs early and respond with care. </span> </p> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Understanding the Scope of School Bullying </span> </h2> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <span style="font-size:11pt;background-color:transparent;vertical-align:baseline;white-space-collapse:preserve"> Bullying continues to affect a significant portion of the student population across the United States. A 2022 report from the National Center for Education Statistics (NCES) found that 19.2% of students aged 12–18 reported being bullied at school (NCES, 2022). This included behaviors such as being made fun of, threatened, physically harmed, or socially excluded. </span> </p> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <span style="font-size:11pt;background-color:transparent;vertical-align:baseline;white-space-collapse:preserve"> The same study revealed that bullying was more prevalent in middle schools than in high schools, with over 26% of middle school students reporting victimization (NCES, 2022). Furthermore, female students were more likely than male students to experience verbal and relational bullying (StopBullying.gov, 2023). </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Key Statistics </span> </h3> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Figure 1 — Student reports of bullying (NCES, 2022) </span> </h4> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <img src="/uploads/blog/2025/11/14/3ac684ca594c4cf29c44bad64ef62218.PNG" style="width:646.992px;display:block;margin-top:0pt!important;margin-bottom:0pt!important"> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Figure 2 — Bullying by school level/type (NCES, 2022) </span> </h4> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <img src="/uploads/blog/2025/11/14/0efb5962e201444a8b5a5fdcc21b2630.PNG" style="width:676.984px;display:block;margin-top:0pt!important;margin-bottom:0pt!important"> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Cyberbullying </span> </h3> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Bullying doesn’t always end in the classroom. The rise of digital technology has enabled cyberbullying, with 15% of students saying they were bullied online or via text in 2021 (Centers for Disease Control and Prevention, 2023). </span> </p> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Signs That a Child May Be Experiencing Bullying </span> </h2> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Children who are bullied often do not speak up directly. Instead, they display changes in mood, habits, or physical well-being. Recognizing these early indicators is essential. </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 1. Behavioral Changes </span> </h3> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Avoidance of School </span> </h4> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Children may show a sudden reluctance to attend school, ask to stay home, or even fake illness. Chronic absenteeism is a documented effect of school bullying (StopBullying.gov, 2023). </span> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Loss of Interest in Activities </span> </h4> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> A child may stop participating in extracurricular activities they once enjoyed or avoid social events with peers. </span> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Figure 3 — Behavioral warning signs </span> </h4> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <img src="/uploads/blog/2025/11/14/b67c49db0fb141a4bf6afa4111bc2dbd.PNG" style="width:615px;display:block;margin-top:0pt!important;margin-bottom:0pt!important"> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 2. Emotional Symptoms </span> </h3> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Depression or Anxiety </span> </h4> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Victims of bullying often display increased levels of sadness, irritability, or nervousness. A longitudinal study published in the journal <span style="font-style:italic">Pediatrics</span> found that bullied children are significantly more likely to suffer from depression and anxiety disorders in later life (Wolke et al., 2013). </span> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Low Self-Esteem </span> </h4> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Negative self-talk, feeling unworthy, or expressing hopelessness may point to sustained emotional abuse by peers. </span> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Figure 4 — Emotional indicators </span> </h4> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <img src="/uploads/blog/2025/11/14/e7ca4f19b4e04194a422607c23be42bc.PNG" style="width:583.008px;display:block;margin-top:0pt!important;margin-bottom:0pt!important"> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 3. Physical Signs </span> </h3> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Unexplained Injuries </span> </h4> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Frequent bruises, cuts, or scrapes may result from physical bullying. </span> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Frequent Somatic Complaints </span> </h4> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Headaches, stomachaches, or fatigue that are not linked to a medical condition can be psychosomatic responses to stress (CDC, 2023). </span> </p> <h4 dir="ltr" style="line-height:1.2!important;margin-top:0pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:12pt;color:#666666;background-color:transparent;font-weight:700;vertical-align:baseline"> Figure 5 — Physical/somatic signs </span> </h4> <p style="margin-top:0pt!important;margin-bottom:8pt!important;line-height:1.38!important;padding:0!important"> <img src="/uploads/blog/2025/11/14/50d8e1e4898c4a9385f028ca6b188e95.PNG" style="width:619.008px;display:block;margin-top:0pt!important;margin-bottom:0pt!important"> </p> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Research-Based Evidence on the Effects of Bullying </span> </h2> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> The consequences of bullying are well-documented in academic and governmental research: </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Documented Consequences </span> </h3> <ul style="margin-top:0pt!important;margin-bottom:8pt!important;padding-inline-start:48px"> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> A study by the Centers for Disease Control and Prevention linked bullying to increased risks of poor academic achievement, substance use, and mental health disorders (CDC, 2023). </span> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> The Youth Risk Behavior Surveillance System (YRBSS) reported that students who were bullied were more likely to experience suicidal ideation and attempts (CDC/YRBSS, 2021). </span> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:0pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Research in the <span style="font-style:italic">Journal of School Psychology</span> shows that bullying victims have higher dropout rates and decreased long-term educational outcomes (Beran & Li, 2007). </span> </p> </li> </ul> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> What Parents Can Do If They Suspect Bullying </span> </h2> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> If you suspect your child is being bullied, taking calm, structured, and compassionate steps can make a critical difference: </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 1. Open the Lines of Communication </span> </h3> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Create a safe and nonjudgmental space for your child to talk. Use open-ended questions like, “Can you tell me about a difficult moment you had at school today?” (StopBullying.gov, 2023). </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 2. Document the Evidence </span> </h3> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Maintain a log of incidents including dates, descriptions, and any correspondence with the school. This documentation is essential if escalation is needed. </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 3. Contact the School </span> </h3> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Meet with your child’s teacher, school counselor, or principal. Ask about their bullying prevention policies and request that your child’s safety be monitored discreetly. </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 4. Involve Mental Health Professionals </span> </h3> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Therapists or school psychologists can help your child process emotional trauma and develop coping mechanisms. <span style="font-style:italic">You can also explore evidence-based resources and educational tools from platforms like</span> </span> <a href="https://edumento.com" style="text-decoration:none;border-left-width:0px"> <span style="font-size:11pt;color:#1155cc;background-color:transparent;font-weight:400;font-style:italic;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline"> Edumento </span> </a> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;font-style:italic;vertical-align:baseline"> to support your child’s emotional development at home. </span> </p> <h3 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:13pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> 5. Empower Your Child </span> </h3> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Work with your child to build resilience and assertiveness. Role-play different scenarios and practice safe ways to seek help. </span> </p> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> Conclusion </span> </h2> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Bullying is more than a phase, it’s a harmful experience with potential long-term effects on a child’s emotional and academic life. By recognizing the signs early, consulting evidence-based sources, and taking informed action, parents can help their children reclaim safety and confidence at school. Supportive resources like </span> <a href="https://edumento.com" style="text-decoration:none;border-left-width:0px"> <span style="font-size:11pt;color:#1155cc;background-color:transparent;font-weight:400;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline"> Edumento </span> </a> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> can play a key role in this journey. </span> </p> <hr style="margin-top:8pt!important;margin-bottom:8pt!important"> <h2 dir="ltr" style="line-height:1.2!important;margin-top:8pt!important;margin-bottom:4pt!important;padding:0!important"> <span style="font-size:17pt;color:#000000;background-color:transparent;font-weight:700;text-decoration:none;vertical-align:baseline"> References </span> </h2> <ul style="margin-top:0pt!important;margin-bottom:8pt!important;padding-inline-start:48px"> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> National Center for Education Statistics (NCES). (2022). “Student Reports of Gangs at School.” https://nces.ed.gov </span> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> StopBullying.gov. (2023). “Facts About Bullying.” https://www.stopbullying.gov/resources/facts </span> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Centers for Disease Control and Prevention (CDC). (2023). “Preventing Bullying.” </span> <a href="https://www.cdc.gov/violenceprevention/youthviolence/bullyingresearch/index.html" style="text-decoration:none;border-left-width:0px"> <span style="font-size:11pt;color:#1155cc;background-color:transparent;font-weight:400;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline"> https://www.cdc.gov/violenceprevention/youthviolence/bullyingresearch/index.html </span> </a> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Wolke, D., Copeland, W., Angold, A., & Costello, E. (2013). “Impact of Bullying in Childhood on Adult Health, Wealth, Crime, and Social Outcomes.” <span style="font-style:italic">Pediatrics</span>, 132(6), 1053-1060. </span> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:8pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> Beran, T., & Li, Q. (2007). “The Relationship Between School Bullying and Academic Achievement.” <span style="font-style:italic">Journal of School Psychology</span>, 45(4), 355-377. </span> </p> </li> <li dir="ltr" style="list-style-type:disc;font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline" aria-level="1"> <p dir="ltr" style="line-height:1.38!important;margin-top:0pt!important;margin-bottom:0pt!important;padding:0!important" role="presentation"> <span style="font-size:11pt;color:#000000;background-color:transparent;font-weight:400;vertical-align:baseline"> CDC Youth Risk Behavior Surveillance System (YRBSS). (2021). “Youth Risk Behavior Survey Data.” </span> <a href="https://www.cdc.gov/healthyyouth/data/yrbs/index.htm" style="text-decoration:none;border-left-width:0px"> <span style="font-size:11pt;color:#1155cc;background-color:transparent;font-weight:400;text-decoration:underline;-webkit-text-decoration-skip:none;text-decoration-skip-ink:none;vertical-align:baseline"> https://www.cdc.gov/healthyyouth/data/yrbs/index.htm </span> </a> </p> </li> </ul>
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