en <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Aims: </span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif>This study aimed to assess the knowledge and attitudes of teenagers towards certain health risk factors to determine the need for more comprehensive health education among this group</span></span><span lang=BG style=font-size:10.0pt><span style=font-family:Cambria,serif>.</span></span><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd></span></span></span></b></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Materials & Methods: </span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif>In February 2023, a survey was conducted using a direct group approach among 71 children aged 11-13, at two primary schools in the municipality of Pleven, Bulgaria. The children were interviewed after obtaining written informed consent from their parents. An originally developed questionnaire, containing 29 questions adapted to the children's ages, was utilized. Survey data were processed with IBM SPSS Statistics 25 and Excel for Windows statistical software packages. The results are presented through graphs and numerical indicators such as structure, frequency, averages, correlation coefficients, etc. Both the χ² and Fisher's exact test were applied for statistical analysis.</span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Findings: </span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif>The results of this study highlight a significant concern that the 11-13 age group is particularly vulnerable to behavioral health risk factors.<b><span style=color:#4f81bd></span></b></span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Conclusion: </span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif>Given the findings regarding the risky behaviors of Bulgarian adolescents and their level of health awareness, as derived from the literature review and this study, the urgent introduction of mandatory health and educational measures for adolescents in Bulgaria is recommended.</span></span></span></span></span><br> Risk Factors,Adolescent,Health Culture, 105 110 http://hehp.modares.ac.ir/browse.php?a_code=A-10-79752-1&slc_lang=en&sid=4 G. Markova 1003194753284600322977 0000000283285501 Yes Department of Nursing Surgical Care, Faculty of Health Care, Medical University of Pleven, Pleven, Bulgaria