Montana is proud to have completed over three decades of participation in the Youth Risk Behavior Survey (YRBS). These results are valuable to educators, school boards, and communities, including parents and students, in understanding the health risks of Montana students, enabling districts to design local health and physical education curriculum to address local needs. In addition, these results drive state collaboration as well as program and policy decisions. The Montana Office of Public Instruction uses these results to establish benchmarks for reducing adolescent risk behaviors and increasing pro-social behaviors, designing state priorities for health programs, and evaluating the effectiveness of many health-related programs across the health and education systems. This Gender Comparison Report shows statistics in the six health-risk areas of the YRBS: (1) Unintentional injuries and violence; (2) Tobacco use; (3) Alcohol & other drug abuse; (4) Sexual behaviors related to unintended pregnancy and sexually transmitted infections (STIs); (5) Unhealthy dietary behaviors; and (6) Physical inactivity. [This report was produced by Montana Office of Public Instruction's Coordinated School Health Unit.]