Abstract: Objective: To examine the impact of adolescent anxiety on risky e-bike riding behaviors and the moderating effects of demographic characteristics and lifestyle habits. Methods: A questionnaire survey was conducted among 2,329 adolescent e-bike riders. Descriptive statistics and correlation analysis were used for preliminary variable exploration, followed by stratified regression analysis to test moderating effects. Results: Anxiety levels significantly and positively predicted risky driving behaviors (β=0.306, P＜0.001). The positive influence of anxiety on risky driving was stronger among male riders (ΔR²=0.018), those with lower education levels (ΔR²= 0.008), riders who consumed alcohol (ΔR² =0.003), shorter electronic device usage time (ΔR² =0.012), and medium travel distance (ΔR² =0.006). Conclusion: Anxiety is associated with risky driving behavior, and gender, educational attainment, history of alcohol consumption, electronic device usage time, and riding distance significantly moderate the relationship between anxiety and risky driving behavior.