A BSTRACT Background: Unhealthy food consumption and physical inactivity in adolescents play a key role in the development of non-communicable diseases (NCDs). Objectives: The study was planned to capture the reasons and solutions for unhealthy food consumption and physical inactivity among school-going adolescents. Methods: A school-based sequential mixed-methods study was conducted in Puducherry for six months. In Phase I, a survey (QUAN) was carried out among 405 representative students from 9 th to 12 th standards to identify the reasons for unhealthy behaviors. Then, Phase II compromised two focus group discussions (FGDs) (QUAL) with 20 purposively selected school staff, parents, and healthcare professionals to explore the solutions for unhealthy behaviors. In Phase III, the key action points were ranked (QUAL) by 60 teachers. Quantitative data was analyzed in Epi_Info 7.1.5.0 software (Centers for Disease Control and Prevention; Atlanta, Georgia, US). Thematic content analysis was done for the qualitative data in Atlas.ti.9 software (Scientific Software Development GmbH, Berlin). Further, mean rank and Kendall’s concordance coefficient (W) were calculated for the ranked data in SPSS 24 software (SPSS Inc; Chicago, Illinois, USA). Results: About 70.1% of students had unhealthy food consumption and 61% of students lacked physical activity. Notably, 59.9% of males preferred unhealthy foods, and 65.2% of females were physically inactive. The leading reasons for unhealthy eating habits were taste (78.9%), increased online food delivery (75.7%), and attractive advertisements (74.3%). Whereas, the prime reasons for sedentary behaviors were increased study load (81.8%), high-density traffic (74.9%), and insufficient recreational facilities (71.7%). Conclusion: The prioritized feasible action points would help in the development of context-specific behavior change communication strategies for future health promotion interventions in resource-poor settings.

Background: Due to the efforts of sanitation promotion interventions in India, majority of the villagers started using toilets. But there is an inconsistency in toilet usage with regard to time and season. Objectives: The objectives were to determine the time and seasonal variations in toilet usage among villagers who use toilets and to identify the reasons for time and seasonal variations in toilet usage. Methodology: A community-based mixed-methods study was executed in the four field practice villages of UHTC, Villupuram. After IEC clearance, 405 individuals who were using an owned toilet were selected by Simple Random Sampling. Qualitative component (free listing) was used for questionnaire development and quantitative component (survey + observation) was used for data collection. Results: Majority, 52% villagers used toilets only in the night and 64% villagers used toilets during rainy season. Fear of darkness and snakes, emergency and large family size were the common reasons for night time toilet usage. While, non-availability of open space, illness on exposure to rain and quick filling of toilet pit contributed to toilet usage in the rainy season. Conclusion: The study findings would help in the development of culturally-sensitive and socially-acceptable key messages for future sanitation promotion interventions.

Background Health hazards faced by bus drivers and conductors due to their stressful working conditions can vary greatly depending on the country and specific circumstances. In some regions, stringent regulations mitigate the risks, while in others, lack of enforcement exacerbates the situation. The common mental health issues faced by bus drivers and conductors are anxiety and depression. Therefore, this study was planned to determine the prevalence of anxiety and depression among bus drivers and conductors and identify the risk factors associated with depression and anxiety. Methodology A cross-sectional study was conducted among the bus drivers and conductors working in government and private transport in Karaikal, Puducherry, South India. After institutional ethics committee clearance, 450 male transport workers with a mean age of 42.6 ± 8.56 (SD) years were interviewed to assess their mental status according to the Hospital Anxiety and Depression Scale. Bivariate and multivariate analyses were employed using SPSS software version 20 (IBM Corp., Armonk, NY, USA) to ascertain the association between dependent (anxiety/depression) and independent variables. Results About 16% and 13% of bus drivers and conductors were suffering from anxiety and depression, respectively. Age, education, marital status, bus route type, years of experience, and depression were significantly associated with anxiety. Whereas type of employment, years of experience, and anxiety were significantly associated with depression (p < 0.05). Conclusions Anxiety and depression in drivers and conductors constitute a major public health problem. Proper job rotation, enabling good ergonomics, and social support are some recommendations to promote mental health among transport workers.