Health risk behaviour among adolescent students in higher secondary school of Kathmandu metropolitan city, Nepal

Sanjaya Kumar Shah, Shree Laxmi Duwal, Richa Shah, Ramesh Bhatta, Rajesh Karki, Anil Chaudhary


Background: Health-risk behaviours are those activities that contribute to the leading causes of mortality, morbidity, disability, and social problems among youth and adults, often are established during childhood and adolescence, extend into adulthood, and are interrelated. The objective of the study was to assess health risk behaviours and their influencing factors among adolescent students in higher secondary school of Kathmandu metropolitan city.

Methods: The study was a school based cross-sectional quantitative type. The study was conducted in three government schools of Kathmandu metropolitan city, Nepal. The purposive sampling technique was applied to select total 250 respondents from grade 11 and 12. The self-administered questionnaire was used for the data collection.

Results: Study shows that majority of respondents were between aged 17-20 years, 62.4% were female and 76.8% from Hindu religion. Out of the total respondents, 6.4% smoked cigarettes, 18.4% drank alcohol and 6.8% used drugs. Regarding Initiation risk behaviour, 25% first smoked, 32.6% first drank alcohol and 11.76% first used drug at age <14 years (pre-adolescence). The major influencing factor for involving health risk behaviours are peer pressure (70.58%) followed by their curiosity (29.42). Likewise, this study revealed highly association between risk behaviours of respondents and peer pressure.

Conclusions: Despite the widespread of knowledge about negative effect of health risk behaviours, the prevalence is of smoking, drinking alcohol and drug use is higher. There is urge need of initiation and activities regarding health risk behaviour targeting to preadolescents and adolescents’ students.


Health risk behaviours, Adolescent students, Influencing factors

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U. S. Department of Health and Human Services. Health-risk behaviors and academic achievement. centers for disease control and prevention national center for chronic disease prevention and health promotion division of adolescent and school health. 2009.

Malak MJ. Patterns of health-risk behaviors among Jordanian adolescent students. Health. 2014;7(1):58-70.

Das N, Chattopadhyay D, Chakraborty S, Dasgupta A, Akbar F. A study on health risk behavior of mid-adolescent school students in a rural and an urban area of West Bengal, India. Med Health Sci. 2015;3(2):203-8.

Seedhom AE. Health risk behaviors among school adolescents; types, frequency and predictors. SM J Public Health Epidemiol. 2017;3(1):1036.

Huang JH, Jacobs DF, Derevensky JL, Gupta R, Paskus TS. Gambling and health risk behaviors among us college student-athletes: findings from a national study. J Adohealth. 2007;40(10):390-7.

Barbosa FN, Casotti CA, Nery AA. Health risk behavior of adolescent scholars in Brasil. Texto Contexto Enferm. 2016;25:4.

Chen Y, Lei X, Yi J, Yao S. Increasing High-Risk Sexual Behavior among Adolescents in 10 Cities of China. Ann Psy Mental Health. 2017;5(3):1100-02.

Kariwal P, Srivastav S, Singh AK. Mathur BP. A Study of health risk behavior amongst 14-19-year adolescents in urban areas of district Jhansi. Indian J Comm Health. 2010;22:1.

Thapa N, Chaulagain K. Sexual health behavior of adolescents: A school-based study conducted in Kathmandu District of Nepal. Glob J Med Pub Health. 2015;4:1.

Nepal S, Rai S. Prevalence and Factor Influencing Tobacco Smoking Behavior among Adult Women in Urban Squatter Settlement of Kathmandu. Int J Health Sci Res. 2017;7(5):211-7.

Dahal S, Subedi RK, Maharjan S, Maharjan J. Smoking behaviour of adolescents and their view towards government's ban on smoking in public places in Kathmandu. Nepal J Med Sci. 2014;3(2):94-100.

Sychareun V, Thomsen S, Faxelid E. Concurrent multiple health risk behaviors among adolescents in Luangnamtha province, Lao PDR. BMC Public Health. 2011;11:36.

Paudel D. Tobacco use among adolescent’s students in secondary schools of Pokhara sub-Metropolitan City of Nepal. Department of Community and Family Health. Maharajgunj Campus. Institute Med Tribhuvan University Kathmandu. 2003;1-47.

Bhaskar RK, Sah MN, Gaurav K, Chaudhary Bhaskar S, Singh R, Yadav MK et al. Prevalence and correlates of tobacco use among adolescents in the schools of Kalaiya, Nepal: a cross-sectional questionnaire-based study. Department Comm Med Public Health, National Med College, Birgunj, Nepal. 2016;14:11.