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77 95% CI 0.60-0.98), upper middle (aPR-1.74 95% CI 1.03-2.94) and middle socioeconomic status (aPR-1.80 95% CI 1.11-2.87) were significantly associated with positive mental health. Conclusion Current study found that more than half of the rural adolescents had positive mental health. Maternal education and upper socioeconomic status were found to be significant predictors of positive mental health. Our findings on the burden and risk factors as well as protective factors of mental health can contribute to the mental health strategy in pu