Abstract：
BACKGROUND: There are no trend studies on various health risk behaviours among adolescents in Uruguay. Therefore, this study looked at trends in a number of health-risky behaviours among adolescents in Uruguay from three separate surveys.
METHODS: Data from 9272 adolescents (age range: 11-16 years), who took part in three cross-sectional national in-school surveys in Uruguay in 2006, 2012 and 2019 were analysed. A self-administered survey was used to evaluate 24 health risk behaviours. By using logistic regression analyses to treat the study year as a categorical variable and adjusting food insecurity and age, linear trends were examined.
RESULTS: We found a significant increase in the prevalence of being overweight, having obesity, inadequate fruit intake, sedentary behaviour in leisure-time, physical inactivity, bullying victimisation, loneliness, suicidal ideation, and sexual activity. We found a significant decrease in current cigarette use, physical fighting and current alcohol use. Among males, a significant increase of non-condom use, and a decrease in current other tobacco use (other than cigarettes), being physically attacked and the number of sexual partners. Among females, we found an increase in food insecurity, trouble from alcohol use, multiple sexual partners, and sleep problems.
CONCLUSIONS: Overall, from 2006 to 2019, there was a decrease in seven health risk behaviours among boys and/or girls. Among boys, there was an increase in 10 health risk behaviours and among girls, 15 health risk behaviours increased, highlighting adolescent girls\' greater vulnerability, thereby perpetuating further gendered health inequalities. In Uruguay, school health programmes for adolescents are recommended.
METHODS: Data from 9272 adolescents (age range: 11-16 years), who took part in three cross-sectional national in-school surveys in Uruguay in 2006, 2012 and 2019 were analysed. A self-administered survey was used to evaluate 24 health risk behaviours. By using logistic regression analyses to treat the study year as a categorical variable and adjusting food insecurity and age, linear trends were examined.
RESULTS: We found a significant increase in the prevalence of being overweight, having obesity, inadequate fruit intake, sedentary behaviour in leisure-time, physical inactivity, bullying victimisation, loneliness, suicidal ideation, and sexual activity. We found a significant decrease in current cigarette use, physical fighting and current alcohol use. Among males, a significant increase of non-condom use, and a decrease in current other tobacco use (other than cigarettes), being physically attacked and the number of sexual partners. Among females, we found an increase in food insecurity, trouble from alcohol use, multiple sexual partners, and sleep problems.
CONCLUSIONS: Overall, from 2006 to 2019, there was a decrease in seven health risk behaviours among boys and/or girls. Among boys, there was an increase in 10 health risk behaviours and among girls, 15 health risk behaviours increased, highlighting adolescent girls\' greater vulnerability, thereby perpetuating further gendered health inequalities. In Uruguay, school health programmes for adolescents are recommended.
摘要：
背景：没有关于乌拉圭青少年各种健康风险行为的趋势研究。因此,这项研究从三项独立调查中观察了乌拉圭青少年中一些健康危险行为的趋势.
方法：数据来自9272名青少年（年龄范围：11-16岁），谁参加了2006年，2012年和2019年在乌拉圭进行的三项横断面全国校内调查。一项自我管理的调查用于评估24种健康风险行为。通过使用逻辑回归分析将研究年份视为分类变量，并调整粮食不安全和年龄，线性趋势进行了检查。
结果：我们发现超重的患病率显著增加，患有肥胖症，水果摄入量不足，休闲时间的久坐行为，缺乏身体活动，欺凌受害，孤独,自杀意念,性活动。我们发现目前的香烟使用量显着下降，体力战斗和目前的酒精使用。在男性中，非安全套使用率显著增加，以及目前其他烟草使用(香烟除外)的减少，受到身体攻击和性伴侣的数量。在女性中,我们发现粮食不安全状况增加了，酒精使用带来的麻烦，多个性伴侣,和睡眠问题。
结论：总体而言，从2006年到2019年,男孩和/或女孩的7种健康风险行为有所减少.在男孩中，有10种健康风险行为增加，女孩中，15种健康风险行为增加，强调青春期女孩更脆弱，从而延续进一步的性别健康不平等。在乌拉圭,建议为青少年提供学校健康计划。
方法：数据来自9272名青少年（年龄范围：11-16岁），谁参加了2006年，2012年和2019年在乌拉圭进行的三项横断面全国校内调查。一项自我管理的调查用于评估24种健康风险行为。通过使用逻辑回归分析将研究年份视为分类变量，并调整粮食不安全和年龄，线性趋势进行了检查。
结果：我们发现超重的患病率显著增加，患有肥胖症，水果摄入量不足，休闲时间的久坐行为，缺乏身体活动，欺凌受害，孤独,自杀意念,性活动。我们发现目前的香烟使用量显着下降，体力战斗和目前的酒精使用。在男性中，非安全套使用率显著增加，以及目前其他烟草使用(香烟除外)的减少，受到身体攻击和性伴侣的数量。在女性中,我们发现粮食不安全状况增加了，酒精使用带来的麻烦，多个性伴侣,和睡眠问题。
结论：总体而言，从2006年到2019年,男孩和/或女孩的7种健康风险行为有所减少.在男孩中，有10种健康风险行为增加，女孩中，15种健康风险行为增加，强调青春期女孩更脆弱，从而延续进一步的性别健康不平等。在乌拉圭,建议为青少年提供学校健康计划。
