Background. There is an increasing trend of risk behaviour in adolescents w
orldwide but very little literature is available in India on this important
subject. We surveyed an urban male adolescent population and a comparable
rural population to determine the difference in their risk behaviour.
Methods. A comparative cross-sectional study was conducted among 199 and 15
2 male adolescents from an urban village of south Delhi and a rural village
in Uttar Pradesh, A pretested semi-structured interview schedule with 36 i
tems was applied on all subjects by trained interviewers.
Results. Consuming alcohol, smoking, pre-marital sexual intercourse and con
suming bhang (cannabis) were present in 32.2%, 25.1%, 12.5% and 11.5% of th
e urban village adolescents and in 1.3%, 48.7%, 11.2%, and 16.5% of those r
esiding in the rural village, respectively. About 66.8% of urban and 51.3%
of rural adolescents had indulged in physical fights and 12.5% of urban and
6.6%, of rural adolescents were in possession of assault weapons such as i
ron rods, chains or knives sometime in the 30 days prior to the interview.
Conclusion. The results of our study indicate that there is a high prevalen
ce of risk behaviour in both urban and rural adolescents. However, except f
or smoking which was more common amongst rural adolescents all the other ri
sk behaviours were more in those residing in urban areas. The reasons for t
his need to be ascertained, taking the geographical and socio-cultural fact
ors into account, prior to considering the introduction of behaviour modifi
cation programmes.