RESUMO Comportamentos de risco na adolescência impactam a saúde de curto e longo prazo. A análise de dados de saúde dos países do Mercado Comum do Sul (Mercosul) pode fortalecer a vigilância e apoiar políticas públicas. Objetivou-se comparar as prevalências de indicadores em saúde de adolescentes nos países do Mercosul. Estudo descritivo, com dados do ‘Global School-based Student Health Survey’ na Argentina (2018), no Paraguai (2017) e no Uruguai (2019), e da ‘Pesquisa Nacional de Saúde do Escolar’ no Brasil (2015 e 2019). Analisaram-se as prevalências e os intervalos de confiança de 95% de indicadores para a população total de adolescentes e segundo o gênero. A experimentação do álcool antes dos 14 anos foi maior na Argentina enquanto a embriaguez foi maior no Brasil. O consumo atual de cigarro e o uso de qualquer produto do tabaco foram mais elevados na Argentina. A prática regular de atividade física foi menor no Brasil, já o comportamento sedentário foi maior no Uruguai. O Brasil teve o menor uso de preservativo na última relação sexual. Houve diferenças dos comportamentos de risco para saúde entre os adolescentes dos países estudados. Os resultados podem auxiliar entidades governamentais desses países a promoverem intercâmbio de boas práticas.

ABSTRACT Risk behaviours in adolescence have a short- and long-term impact on health. Analysing health data from the Southern Common Market (Mercosur) countries can strengthen surveillance and support public policies. To compare the prevalence of health indicators among adolescents in Mercosur countries. A descriptive study was conducted using data from the Global School-based Student Health Survey in Argentina (2018), Paraguay (2017), and Uruguay (2019), as well as from the National Survey of School Health in Brazil (2015 and 2019). Prevalence and 95% confidence intervals of indicators were analysed for the total adolescent population and by gender. Alcohol experimentation before the age of 14 was higher in Argentina, while drunkenness was higher in Brazil. Current cigarette smoking and any tobacco product use were higher in Argentina. Regular physical activity was lower in Brazil. Sedentary behaviour was higher in Uruguay. Brazil had the lowest condom use at last sexual intercourse. There were differences in health risk behaviours among adolescents in the studied countries. These results can assist governmental entities in these countries in promoting the exchange of best practices.

ABSTRACT Risk behaviours in adolescence have a short- and long-term impact on health. Analysing health data from the Southern Common Market (Mercosur) countries can strengthen surveillance and support public policies. To compare the prevalence of health indicators among adolescents in Mercosur countries. A descriptive study was conducted using data from the Global School-based Student Health Survey in Argentina (2018), Paraguay (2017), and Uruguay (2019), as well as from the National Survey of School Health in Brazil (2015 and 2019). Prevalence and 95% confidence intervals of indicators were analysed for the total adolescent population and by gender. Alcohol experimentation before the age of 14 was higher in Argentina, while drunkenness was higher in Brazil. Current cigarette smoking and any tobacco product use were higher in Argentina. Regular physical activity was lower in Brazil. Sedentary behaviour was higher in Uruguay. Brazil had the lowest condom use at last sexual intercourse. There were differences in health risk behaviours among adolescents in the studied countries. These results can assist governmental entities in these countries in promoting the exchange of best practices. short longterm long term (Mercosur policies Schoolbased based 2018, 2018 , (2018) 2017, 2017 (2017) 2019, 2019 (2019) 2015 (201 2019. . 2019) 95 gender 1 intercourse practices 201 (2018 (2017 (2019 (20 9 20 (2 2 (

RESUMO Comportamentos de risco na adolescência impactam a saúde de curto e longo prazo. A análise de dados de saúde dos países do Mercado Comum do Sul (Mercosul) pode fortalecer a vigilância e apoiar políticas públicas. Objetivou-se comparar as prevalências de indicadores em saúde de adolescentes nos países do Mercosul. Estudo descritivo, com dados do ‘Global School-based Student Health Survey’ na Argentina (2018), no Paraguai (2017) e no Uruguai (2019), e da ‘Pesquisa Nacional de Saúde do Escolar’ no Brasil (2015 e 2019). Analisaram-se as prevalências e os intervalos de confiança de 95% de indicadores para a população total de adolescentes e segundo o gênero. A experimentação do álcool antes dos 14 anos foi maior na Argentina enquanto a embriaguez foi maior no Brasil. O consumo atual de cigarro e o uso de qualquer produto do tabaco foram mais elevados na Argentina. A prática regular de atividade física foi menor no Brasil, já o comportamento sedentário foi maior no Uruguai. O Brasil teve o menor uso de preservativo na última relação sexual. Houve diferenças dos comportamentos de risco para saúde entre os adolescentes dos países estudados. Os resultados podem auxiliar entidades governamentais desses países a promoverem intercâmbio de boas práticas. prazo Mercosul (Mercosul públicas Objetivouse Objetivou se descritivo Global Schoolbased School based Survey 2018, 2018 , (2018) 2017 (2017 2019, 2019 (2019) Pesquisa Escolar 2015 (201 2019. . 2019) Analisaramse Analisaram 95 gênero 1 sexual estudados práticas 201 (2018 (2019 (20 9 20 (2 2 (

Objective: To estimate the prevalence of high cardiovascular risk (CVR) and the proportion of people with high CVR who receive treatment and counseling, to investigate the sociodemographic factors associated with this outcome, in Brazil. Methods: Cross-sectional study, using subsample data from the National Health Survey, collected by biochemical tests, in 2014-2015. Poisson regression was used. Results: The proportion of high CVR in men was 11.2% (95%CI 9.6;12.9), and in women 10.4% (95%CI 9.2;11.8%). In the group with high CVR, 68.8% (95%CI 63.7;73.4%) received counseling, 59.3% (95%CI 54.2;64.3%) medication, and 55.6% (95%CI 50.4;60.7%) both. In the multivariate analysis, receiving treatment and counseling was associated with age 50 years and over, and poor/very poor health self-assessment (PR=1.26 – 95%CI 1.06;1.51). Conclusion: The proportion of people with elevated CVR who received treatment and counseling was over 50%.

Objetivo: Estimar a prevalência de risco cardiovascular (RCV) elevado, a proporção de pessoas com RCV elevado que recebem tratamento e aconselhamento, e investigar os fatores sociodemográficos associados ao desfecho, no Brasil. Métodos: Estudo transversal, com dados de subamostra da Pesquisa Nacional de Saúde, coletados por exames bioquímicos, em 2014-2015. Empregou-se regressão de Poisson. Resultados: A proporção de RCV elevado em homens foi de 11,2% (IC95% 9,6;12,9) e em mulheres de 10,4% (IC95% 9,2;11,8%). No grupo com RCV elevado, 68,8% (IC95% 63,7;73,4%) receberam aconselhamento, 59,3% (IC95% 54,2;64,3%) medicamento e 55,6% (IC95% 50,4;60,7%) ambos. Na análise multivariável, receber tratamento e aconselhamento mostrou associação com a idade de 50 anos e mais, e com autoavaliação de saúde ruim/muito ruim (RP=1,26 – IC95% 1,06;1,51). Conclusão: A proporção de pessoas com RCV elevada que receberam tratamento e aconselhamento foi superior a 50%. 

Resumo Objetivo: Estimar a prevalência de risco cardiovascular (RCV) elevado, a proporção de pessoas com RCV elevado que recebem tratamento e aconselhamento, e investigar os fatores sociodemográficos associados ao desfecho, no Brasil. Métodos: Estudo transversal, com dados de subamostra da Pesquisa Nacional de Saúde, coletados por exames bioquímicos, em 2014-2015. Empregou-se regressão de Poisson. Resultados: A proporção de RCV elevado em homens foi de 11,2% (IC95% 9,6;12,9), e em mulheres, de 10,4% (IC95% 9,2;11,8%). No grupo com RCV elevado, 68,8% (IC95% 63,7;73,4%) receberam aconselhamento; 59,3% (IC95% 54,2;64,3%), medicamento; e 55,6% (IC95% 50,4;60,7%), ambos. Na análise multivariável, receber tratamento e aconselhamento mostrou associação com a idade de 50 anos e mais, e com autoavaliação de saúde ruim/muito ruim (RP=1,26 - IC95% 1,06;1,51). Conclusão: A proporção de pessoas com RCV elevado que receberam tratamento e aconselhamento foi superior a 50%.

Abstract Objective: To estimate the prevalence of high cardiovascular risk (CVR), the proportion of people with high CVR who receive treatment and counseling, and to investigate the sociodemographic factors associated with this outcome, in Brazil. Methods: This was a cross-sectional study, using subsample data from the National Health Survey, collected via biochemical tests, in 2014-2015. Poisson regression was used. Results: The proportion of high CVR in men was 11.2% (95%CI 9.6;12.9), and 10.4% (95%CI 9.2;11.8%) in women. In the group with high CVR, 68.8% (95%CI 63.7;73.4%) received counseling, 59.3% (95%CI 54.2;64.3%) received medication, and 55.6% (95%CI 50.4;60.7%) received both. In the multivariate analysis, receiving treatment and counseling was associated with being aged 50 years and over, and poor/very poor self-rated health (PR=1.26 - 95%CI 1.06;1.51). Conclusion: The proportion of people with high CVR who had received treatment and counseling was over 50%.

Resumen Objetivo: Estimar la prevalência de riesgo cardiovascular (RCV) elevado, la proporción de personas con RCV elevado que reciben tratamiento y asesoramiento, e investigar los factores sociodemográficos asociados al resultado, en Brasil. Métodos: Estudio transversal, con datos de la submuestra de la Investigación Nacional de Salud, recolectados por exámenes bioquímicos, en 2014-2015. Se usó la regresión de Poisson. Resultados: La proporción de RCV elevado en hombres fue del 11,2% (IC95% 9,6; 12,9) y en mujeres del 10,4% (IC95% 9,2;11,8%). En el grupo con RCV elevado, 68,8% (IC95% 63,7; 73,4%) recibió asesoramiento, 59,3% (IC95% 54,2;64,3%) medicamento y 55,6% (IC95% 50,4;60,7%) ambos. En el análisis multivariable, recebir tratamiento y asesoramiento se mostró asociado a la edad de 50 años y más, y a autoevaluación de salud mala/muy mala (RP=1,26 - IC95% 1,06;1,51). Conclusión: La proporción de personas con RCV elevado que recibió tratamiento y asesoramiento fue superior a 50%.

Resumo Objetivo: Estimar a prevalência de risco cardiovascular (RCV) elevado, a proporção de pessoas com RCV elevado que recebem tratamento e aconselhamento, e investigar os fatores sociodemográficos associados ao desfecho, no Brasil. Métodos: Estudo transversal, com dados de subamostra da Pesquisa Nacional de Saúde, coletados por exames bioquímicos, em 2014-2015. Empregou-se regressão de Poisson. Resultados: A proporção de RCV elevado em homens foi de 11,2% (IC95% 9,6;12,9), e em mulheres, de 10,4% (IC95% 9,2;11,8%). No grupo com RCV elevado, 68,8% (IC95% 63,7;73,4%) receberam aconselhamento; 59,3% (IC95% 54,2;64,3%), medicamento; e 55,6% (IC95% 50,4;60,7%), ambos. Na análise multivariável, receber tratamento e aconselhamento mostrou associação com a idade de 50 anos e mais, e com autoavaliação de saúde ruim/muito ruim (RP=1,26 - IC95% 1,06;1,51). Conclusão: A proporção de pessoas com RCV elevado que receberam tratamento e aconselhamento foi superior a 50%.

Resumen Objetivo: Estimar la prevalência de riesgo cardiovascular (RCV) elevado, la proporción de personas con RCV elevado que reciben tratamiento y asesoramiento, e investigar los factores sociodemográficos asociados al resultado, en Brasil. Métodos: Estudio transversal, con datos de la submuestra de la Investigación Nacional de Salud, recolectados por exámenes bioquímicos, en 2014-2015. Se usó la regresión de Poisson. Resultados: La proporción de RCV elevado en hombres fue del 11,2% (IC95% 9,6; 12,9) y en mujeres del 10,4% (IC95% 9,2;11,8%). En el grupo con RCV elevado, 68,8% (IC95% 63,7; 73,4%) recibió asesoramiento, 59,3% (IC95% 54,2;64,3%) medicamento y 55,6% (IC95% 50,4;60,7%) ambos. En el análisis multivariable, recebir tratamiento y asesoramiento se mostró asociado a la edad de 50 años y más, y a autoevaluación de salud mala/muy mala (RP=1,26 - IC95% 1,06;1,51). Conclusión: La proporción de personas con RCV elevado que recibió tratamiento y asesoramiento fue superior a 50%.

Abstract Objective: To estimate the prevalence of high cardiovascular risk (CVR), the proportion of people with high CVR who receive treatment and counseling, and to investigate the sociodemographic factors associated with this outcome, in Brazil. Methods: This was a cross-sectional study, using subsample data from the National Health Survey, collected via biochemical tests, in 2014-2015. Poisson regression was used. Results: The proportion of high CVR in men was 11.2% (95%CI 9.6;12.9), and 10.4% (95%CI 9.2;11.8%) in women. In the group with high CVR, 68.8% (95%CI 63.7;73.4%) received counseling, 59.3% (95%CI 54.2;64.3%) received medication, and 55.6% (95%CI 50.4;60.7%) received both. In the multivariate analysis, receiving treatment and counseling was associated with being aged 50 years and over, and poor/very poor self-rated health (PR=1.26 - 95%CI 1.06;1.51). Conclusion: The proportion of people with high CVR who had received treatment and counseling was over 50%.

Resumen: Objetivo: Describir las características de la población que refiere haber acudido a los puntos de venta (PV) de tabaco en relación con la percepción de la publicidad en Argentina. Material y métodos: Se analizaron datos de la Encuesta Nacional de Factores de Riesgo de 2013. Resultados: Se incluyeron 31 167 encuestados que acudieron a comercios donde venden cigarrillos en los últimos 30 días. De éstos, 54.1% dijo haber visto publicidad de cigarrillos. Los varones (RM=1.2) y los fumadores actuales (RM=1.9 vs. no fumador) tuvieron más posibilidad de percibirla. Aquéllos que refirieron estar expuestos al humo de tabaco en bares y restaurantes (RM= 1.2) tuvieron más posibilidad de ver publicidad de tabaco en los puntos de venta. Hubo un gradiente en relación con la edad: los jóvenes de 18 a 24 fueron más susceptibles a referir exposición (RM=2.8 vs >65 años). Entre los fumadores, aquéllos que percibieron publicidad refirieron con mayor frecuencia haber intentado dejar de fumar en el último año. Conclusiones: Es importante que la regulación de la publicidad en los PV sea más estricta para limitar la exposición a la publicidad, particularmente en los jóvenes.

Abstract: Objective: To describe the population that reports to have visited tobacco points of sale (POS) in Argentina and their perception of tobacco advertising. Materials and methods: We used data from the 2013 National Risk Factor Survey. Results: We included 31 167 respondents (96% of the total) who attended a store that sells cigarettes in the previous 30 days. Overall, 54.1% (67.3% of current smokers, 55.1% of former smokers and 49% of non smokers) referred having seen tobacco advertising at the POS. Males (OR=1.2) and current smokers (OR=1.9 vs. non smokers) were more likely to report having seen tobacco advertising at the POS. Those who were exposed to second hand smoke in bars and restaurants (OR=1.2) were also more likely to have seen advertising. We found that younger people (age 18 - 24) were more likely to be exposed (OR=2.8 vs older than 65). Among smokers, those who referred to have seen the advertising were more likely to have tried to quit smoking during the previous year. Conclusions: It is important to regulate advertising at the POS to limit exposure, particularly among young people.

Resumen: Objetivo: Describir las características de la población que refiere haber acudido a los puntos de venta (PV) de tabaco en relación con la percepción de la publicidad en Argentina. Material y métodos: Se analizaron datos de la Encuesta Nacional de Factores de Riesgo de 2013. Resultados: Se incluyeron 31 167 encuestados que acudieron a comercios donde venden cigarrillos en los últimos 30 días. De éstos, 54.1% dijo haber visto publicidad de cigarrillos. Los varones (RM=1.2) y los fumadores actuales (RM=1.9 vs. no fumador) tuvieron más posibilidad de percibirla. Aquéllos que refirieron estar expuestos al humo de tabaco en bares y restaurantes (RM= 1.2) tuvieron más posibilidad de ver publicidad de tabaco en los puntos de venta. Hubo un gradiente en relación con la edad: los jóvenes de 18 a 24 fueron más susceptibles a referir exposición (RM=2.8 vs >65 años). Entre los fumadores, aquéllos que percibieron publicidad refirieron con mayor frecuencia haber intentado dejar de fumar en el último año. Conclusiones: Es importante que la regulación de la publicidad en los PV sea más estricta para limitar la exposición a la publicidad, particularmente en los jóvenes.

Abstract: Objective: To describe the population that reports to have visited tobacco points of sale (POS) in Argentina and their perception of tobacco advertising. Materials and methods: We used data from the 2013 National Risk Factor Survey. Results: We included 31 167 respondents (96% of the total) who attended a store that sells cigarettes in the previous 30 days. Overall, 54.1% (67.3% of current smokers, 55.1% of former smokers and 49% of non smokers) referred having seen tobacco advertising at the POS. Males (OR=1.2) and current smokers (OR=1.9 vs. non smokers) were more likely to report having seen tobacco advertising at the POS. Those who were exposed to second hand smoke in bars and restaurants (OR=1.2) were also more likely to have seen advertising. We found that younger people (age 18 - 24) were more likely to be exposed (OR=2.8 vs older than 65). Among smokers, those who referred to have seen the advertising were more likely to have tried to quit smoking during the previous year. Conclusions: It is important to regulate advertising at the POS to limit exposure, particularly among young people.