Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot269610.32687/0869-866X-2026-34-3-735-740Научная статьяTHE HEALTH AND BEHAVIOR RISK FACTORS OF THE PRE-LEVY YOUTH OF THE BUKHARA OBLAST OF THE REPUBLIC OF UZBEKISTAN: RESULTS OF SOCIOLOGICAL SURVEYAmlaevK. R.AtoevaM. A.KabilovaG. A.The Bukhara State Medical Institute named after Abu Ali ibn Sino of the Ministry of Health of Uzbekistan, 200118, Bukhara, Uzbekistan0707202634373574007072026Copyright © 2026,2026The purpose of the study is to comprehensively assess health status of the pre-levy youth aged 15–18, behavioral risk factors, attitudes toward military service and level of health literacy in the context of the pre-levy training system in the Republic of Uzbekistan. The cross-sectional study was carried out in September and December 2024 among 386 youth of pre-levy age (15–18 years) studying in institutions of general education of Bukhara. The adapted version of the WHO European Office Health Behavior of Schoolchildren (HBSC) questionnaire was applied with additional sections on pre-levy training that included 65 questions. The Statistical processing was performed using methods of descriptive statistics, Pearsons χ² test, Fishers exact test and Spearmans correlation analysis. The high prevalence of alcohol use was established for 89.1% of pre-levy conscripts, tobacco smoking for 42.5% (including those who tried it), and marijuana smoking in 15.5%. Among respondents, 21.2% of youths rated their health as “rather poor” or “poor”. The statistically significant associations are found between tobacco smoking and the number of smoking friends (χ²=28.76, plt;0.001; OSH=4.21), alcohol consumption and age (χ²=9.21, p=0.027), marijuana use and religious affiliation (χ²=7.95, p=0.019). The counter-indications to service were found in 21.8% of draftees. The most common pathologies were scoliosis and other musculo-skeletal disorders (35.2%) and impairments of vision (32.1%). Less than half of draftees (42.5%) received full course of vaccination before service. The pre-levy youth of Bukhara region are characterized by high prevalence of behavioral risk factors, especially alcohol consumption. The “peer effect” is dominant factor in development of tobacco smoking. The systemic gaps in medical support of pre-levy training were identified. The obtained data require development of targeted prevention programs focusing on group behavior of adolescents and enhancement intersectoral cooperation in pre-levy training system.pre-levy trainingadolescent healthbehavioral risk factorssmokingalcoholBukharaUzbekistanдопризывная подготовказдоровье подростковповеденческие факторы рискакурениеалкогольБухара1.Амлаев К. Р., Марков Р. A. Самооценка личного здоровья юношей Ставропольского края. Кубанский научный медицинский вестник. 2016;3(158):10—5.2.Марков Р. A., Амлаев К. Р. Состояние здоровья юношей допризывного возраста. Астраханский медицинский журнал. 2016;11(3):44—53.3.Положение о медицинском освидетельствовании в Вооруженных Силах Республики Узбекистан в мирное и военное время: Постановление Кабинета Министров РУз от 21.02.2003 №95 (с изм. и доп. в 2024 г.). Режим доступа: https://nrm.uz/contentf?doc=36397 (дата обращения 17.02.2026).4.Currie C., Nic Gabhainn S., Godeau E., et al. (eds). Inequalities in young people’s health: HBSC international report from the 2005/2006 survey. Copenhagen: WHO Regional Office for Europe; 2008. 224 p. (Health Policy for Children and Adolescents, No. 5).5.Ibragimova Z. A. Medical and social characteristics of young men recognized as partially fit for military service due to health conditions in the Republic of Uzbekistan (2020–2023). Public Health and Healthcare. 2024;(1):34—41.6.Lwanga S. K., Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: World Health Organization; 1991. 48 p. Режим доступа: https://apps.who.int/iris/handle/10665/40525