This study evaluated stages of health behavior change and the prevalence of physical inactivity, unhealthy eating, poor stress management, alcohol consumption, and smoking in Inner Mongolian secondary school students. The relationship between engaging in health risk behaviors and demographic characteristics was also explored. In total, 2,794 students, largely in the contemplation and preparation stages, were enrolled. The prevalence of physical inactivity, unhealthy eating, poor stress management, alcohol consumption, and smoking were 31%, 33%, 46.8%, 18.6%, and 8.4%, respectively. Logistic regression analysis identified differences according to school grade, sex, ethnicity, residence areas, and school. Poor stress management in students is a serious health concern in Inner Mongolia.
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