“…The YRBS utilized a three-stage cluster sample design to create a nationally representative sample of high school students. Detailed information about the YRBS, including the objectives, methodology, and sampling procedure, are available in ( Brener et al, 2013 ; Centers for Disease Control and Prevention, 2020 ; Kann et al, 2018 , Underwood et al, 2020 ) and in other publications by the authors ( Baiden et al, 2020 , Baiden, Graaf, Zaami, Acolatse, & Adeku, 2019 , Baiden, LaBrenz, Asiedua-Baiden, & Muehlenkamp, 2020 , Baiden, Mengo, Boateng, & Small, 2019 , Baiden & Tadeo, 2019 , Baiden & Tadeo, 2020 , Baiden, Tadeo, Tonui, Seastrunk, & Boateng, 2020 ). The study protocol for conducting the YRBS was approved by the CDC's Institutional Review Board (IRB) and is publicly available.…”