Martin L, Rider GN, Johnston-Goodstar K, et al. - Given that youth who trade sex for something of value experience enduring harm and risk of being trafficked, researchers in this investigation provide empirically-based prevalence estimates to guide policy and practice. This secondary analysis of 2019 population-level surveillance data from Minnesota high school students (N = 71,007) utilises descriptive statistics and chi-square tests to evaluate demographics, relevant experiences, and health indicators for self-reports of trading sex. Among high school students in Minnesota, the prevalence of trading sex was 1.4%. According to findings, trading sex is a public health problem which affects students in high school. The findings indicate differential rates of trading sex based on race/ethnicity and gender, with high rates of youth participating in other risky behaviors and other adverse experiences encountered.