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While PE is as an avenue for students to be physically active and learn about health behaviours; PE enrolment is declining. Mixed methodology was used to examine adolescents' health profiles and gain understanding of their perspectives of PE. Part 1 identified relationships over a two year period between: PE Rating, PA, and health variables using data from the NLSCY. Part 2 examined adolescents' perspective of PE through four focus groups. Overall, PE was preferred over other subjects by 78% of participants; and preferring PE predicted higher frequencies of PA, lower BMI, and higher self-esteem. Participation in high school PE was influenced by students' impressions of PE, the environment, gender, course uniqueness, course conflicts, and teacher influence. In summary, the majority of Canadian adolescents prefer PE, it has an influence on health, and is an avenue for PA; therefore efforts need to be made to increase PE enrolment and participation.