A nationwide population-based study of depression in Brazil.

Introduction: The state of mental health of the population is considered to be an important and essential component of public health. Depression is the mental disorder with greatest prevalence in several countries around the world.Methods: This was a nationwide Brazilian survey with household-based...

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Publicado en:Journal of Affective Disorders Vol. 192; pp. 226 - 234
Autores principales: Munhoz, Tiago N., Nunes, Bruno P., Wehrmeister, Fernando C., Santos, Iná S., Matijasevich, Alicia
Formato: research Journal Article
Publicado: Elsevier B.V. Mar2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2016
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      pub: Elsevier B.V.
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        atl: A nationwide population-based study of depression in Brazil.
      aug:
        au:
          Munhoz, Tiago N.
          Nunes, Bruno P.
          Wehrmeister, Fernando C.
          Santos, Iná S.
          Matijasevich, Alicia
        affil: Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil
      sug:
        subj:
          Surveys
          Depression Epidemiology
          Aged
          Aged, 80 and Over
          Middle Age
          Adolescence
          Female
          Family Characteristics
          Sex Factors
          Algorithms
          Adult
          Male
          Educational Status
          Young Adult
          Risk Factors
          Depression Etiology
          Age Factors
          Prevalence
          Mental Health
          Brazil
          Questionnaires
          Human
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
          Male
      ab: Introduction: The state of mental health of the population is considered to be an important and essential component of public health. Depression is the mental disorder with greatest prevalence in several countries around the world.Methods: This was a nationwide Brazilian survey with household-based interviews. The sampling process was at random and cluster-based, and performed in three stages: census tracts, households and individuals. One inhabitant aged ≥18 years was selected per household. Individuals at greater risk of depression were identified through the Patient Health Questionnaire-9 (PHQ-9) algorithm, which uses internationally accepted diagnostic criteria. All analyses took into account sample weights.Results: A total of 60,202 individuals were evaluated and the prevalence of positive screening for depression was 4.1% (95% CI: 3.8-4.4%). After adjustments for potential confounding factors, depression was found to be greater among women, individuals aged either 40-59 years or 80 years or over, individuals living in urban areas, those with lower educational level, smokers, and among individuals with arterial hypertension, diabetes and heart disorders. Skin colour, marital status and alcohol abuse were not associated with depression.Limitations: Characteristics of respondents and non-respondents in the sample could not be compared because data about non-respondents was not available.Conclusions: The prevalence of positive screening for depression in Brazil was similar to other studies conducted worldwide. In Brazil, this proportion reflects a considerable absolute number of people with greater risk of depression (≈5.5 million) that may require adequate management through the health system and services.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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