{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T15:00:18Z","timestamp":1767193218265,"version":"3.48.0"},"reference-count":50,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T00:00:00Z","timestamp":1755993600000},"content-version":"unspecified","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Centre for Public Health, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India."}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,7,30]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Youths represent a significant portion of the population in Karnataka, India. However, a closer look at their health paints a worrying picture. To gain a deeper understanding of this issue, researchers conducted a study in the Kolar district to assess the prevalence of health-impacting behaviours among this age group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional population-based survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Kolar district in the state of Karnataka, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>5072 participants aged 15\u201330 years from the Kolar district.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Various health-impacting behaviours among the participants, including low intake of fruits and vegetables, widespread physical inactivity, tobacco use, risky alcohol consumption and poor practices related to road safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The survey unveiled a concerning pattern of unhealthy behaviours prevalent among Kolar\u2019s youth. A significant proportion of participants reported low fruit and vegetable intake (ranging from 7)9.7% (CI 77.4 to 81.8) to 87.5% (CI 85.7 to 89.2)). Physical inactivity emerged as another major concern, with prevalence rates varying between 6.2% (CI 5.0 to 7.3) and 27.2% (CI 24.8 to 29.7) depending on gender. Additionally, tobacco use was found to be high, with figures ranging from 9.4% (CI 7.9 to 11.1) to 10.7% (CI 9.1 to 12.3) for different tobacco products. Binge drinking, a risky behaviour, was reported by nearly 40% (CI 30.4 to 43.8) of male participants. The study also revealed concerning trends in risky sexual behaviour, with a prevalence of 2.3% (CI 1.0 to 3.0).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The authors strongly advocate for the implementation of comprehensive interventions that target these priority areas. By addressing these behaviours effectively, we can pave the way for a healthier future for Kolar\u2019s youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-092085","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T01:45:24Z","timestamp":1756086324000},"page":"e092085","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Health-impacting behaviour among youth in Kolar district, India: a population-based cross-sectional survey"],"prefix":"10.1136","volume":"15","author":[{"given":"Arvind Anniappan","family":"Banavaram","sequence":"first","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pradeep","family":"Banandur","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8294-005X","authenticated-orcid":false,"given":"Gautham Melur","family":"Sukumar","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gopalkrishna","family":"Gururaj","sequence":"additional","affiliation":[{"name":"Biostatistics, National Institute of Mental Health and Neuro Science (NIMHANS), Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Girish N","family":"Rao","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8361-9623","authenticated-orcid":false,"given":"Senthil","family":"Amudhan","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3056-941X","authenticated-orcid":false,"given":"Binukumar","family":"Bhaskarapillai","sequence":"additional","affiliation":[{"name":"Biostatistics, National Institute of Mental Health and Neuro Science (NIMHANS), Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aarushi","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meenakshi","family":"Jayabalan","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5742-8508","authenticated-orcid":false,"given":"Sunhitha","family":"Velamala","sequence":"additional","affiliation":[{"name":"Epidemiology, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,24]]},"reference":[{"key":"2025123106473714000_15.8.e092085.1","unstructured":"Karnataka Health Department . 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