Prevalence of depressive symptoms and association with sociodemographic factors, self-perceived health, alcohol use and violence: A cross-sectional study in Primary Health Care, Municipality of Belo Horizonte, State of Minas Gerais, Brazil
DOI:
https://doi.org/10.33448/rsd-v13i4.45632Keywords:
Depression; Depressive disorder; Depressive symptoms; Prevalence; Measures of association; Violence; Primary health care.Abstract
Background: Depression represents an important health problem and has a prevalence of 9.7% in Brazil. As for the Burden of Disease, depression ranks as the 3rd cause of Years Lived with Disability (YLD) in the world and the 4th cause in Brazil. Objective: to analyze the association between depressive symptoms and sociodemographic factors, self-perceived health, alcohol use, and violence in a sample of Primary Health Care (PHC) users, Municipality of Belo Horizonte, State of Minas Gerais, Brazil. Methods: A total of 1,125 PHC patients from Belo Horizonte participated in the study (16 years or older). A filter was applied to 1,105 patients over 18 years of age. Depressive symptoms (based on DSM IV) and sociodemographic factors, self-perceived health, alcohol use, and exposure to violence were evaluated. Results: The prevalence of depressive syndrome was 31.4%. The associated factors identified were female, OR 3.3 (1.7-6.5); low income, OR 2.6 (1.1-6.3); not working in a paid activity, OR 1.9 (1.1-3.7); negative self-perceived health, OR 2.3 (1.2-4.2); positive CAGE, OR 3.3 (1.5-7.1); binge drinking, OR 2.2 (1.2-4.3); alcoholic amnesia, OR 2.2 (1.0-4.9) and murdered family member, OR 2.2 (1.1-4.2). Conclusion: The prevalence of depressive symptoms is similar to that of other studies, and the factors associated with females, low income, not working in a paid activity, negative self-perceived health, alcohol abuse, and a murdered family member were identified.
References
Almeida-Filho, N., Lessa, I., Magalhães, L., Araújo, M. J., Aquino, E., James, S. A., & Kawachi, I. (2004). Social inequality and depressive disorders in Bahia, Brazil: interactions of gender, ethnicity, and social class. Social Science & Medicine, 59(7), 1339–1353. https://doi.org/10.1016/j.socscimed.2003.11.037
Andrade, L. H., Wang, Y.-P., Andreoni, S., Silveira, C. M., Alexandrino-Silva, C., Siu, E. R., Nishimura, R., Anthony, J. C., Gattaz, W. F., Kessler, R. C., & Viana, M. C. (2012). Mental Disorders in Megacities: Findings from the São Paulo Megacity Mental Health Survey, Brazil. PLoS ONE, 7(2), e31879. https://doi.org/10.1371/journal.pone.0031879
Andrade, L., Walters, E. E., Gentil, V., & Laurenti, R. (2002). Prevalence of ICD-10 mental disorders in a catchment area in the city of São Paulo, Brazil. Social Psychiatry and Psychiatric Epidemiology, 37(7), 316–325. https://doi.org/10.1007/s00127-002-0551-x
Araya, R. (2003). Education and income: which is more important for mental health? Journal of Epidemiology & Community Health, 57(7), 501–505. https://doi.org/10.1136/jech.57.7.501
Arroll, B., Goodyear-Smith, F., Crengle, S., Gunn, J., Kerse, N., Fishman, T., Falloon, K., & Hatcher, S. (2010). Validation of PHQ-2 and PHQ-9 to Screen for Major Depression in the Primary Care Population. The Annals of Family Medicine, 8(4), 348–353. https://doi.org/10.1370/afm.1139
Barros, M. B. de A., Lima, M. G., Azevedo, R. C. S. de, Medina, L. B. de P., Lopes, C. de S., Menezes, P. R., & Malta, D. C. (2017). Depression and health behaviors in Brazilian adults – PNS 2013. Revista de Saúde Pública, 51(suppl 1), 1s-8s. https://doi.org/10.1590/s1518-8787.2017051000084
BELO HORIZONTE. (2018). Plano Municipal de Saúde 2018 a 2021. https://prefeitura.pbh.gov.br/sites/default/files/estrutura-de-governo/saude/PMS 2018-2021 aprovado.pdf
Blay, S. L., Fillenbaum, G. G., Mello, M. F., Quintana, M. I., Mari, J. J., Bressan, R. A., & Andreoli, S. B. (2018). 12-month prevalence and concomitants of DSM-IV depression and anxiety disorders in two violence-prone cities in Brazil. Journal of Affective Disorders, 232, 204–211. https://doi.org/10.1016/j.jad.2018.02.023
Bonadiman, C. S. C., Malta, D. C., de Azeredo Passos, V. M., Naghavi, M., & Melo, A. P. S. (2020). Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017. Population Health Metrics, 18(S1), 6. https://doi.org/10.1186/s12963-020-00204-5
Bonita, R., Beaglehole, R., & Kjellstrom, T. (2010). Epidemiologia Básica (2a). Editora Santos.
Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., de Girolamo, G., de Graaf, R., Demyttenaere, K., Hu, C., Iwata, N., Karam, A. N., Kaur, J., Kostyuchenko, S., Lépine, J.-P., Levinson, D., Matschinger, H., Mora, M. E. M., Browne, M. O., Posada-Villa, J., … Kessler, R. C. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, 9(1), 90. https://doi.org/10.1186/1741-7015-9-90
Cunha, R. V. da, Bastos, G. A. N., & Duca, G. F. Del. (2012). Prevalência de depressão e fatores associados em comunidade de baixa renda de Porto Alegre, Rio Grande do Sul. Revista Brasileira de Epidemiologia, 15(2), 346–354. https://doi.org/10.1590/S1415-790X2012000200012
Eaton, W. W., Shao, H., Nestadt, G., Lee, B. H., Bienvenu, O. J., & Zandi, P. (2008). Population-Based Study of First Onset and Chronicity in Major Depressive Disorder. Archives of General Psychiatry, 65(5), 513. https://doi.org/10.1001/archpsyc.65.5.513
Fernández-Niño, J. A., Bonilla-Tinoco, L. J., Astudillo-García, C. I., Manrique-Hernández, E. F., & Giraldo-Gartner, V. (2018). Association between the employment status and the presence of depressive symptoms in men and women in Mexico. Cadernos de Saúde Pública, 34(9), 1–14. https://doi.org/10.1590/0102-311x00219617
Ferrari, A. J., Somerville, A. J., Baxter, A. J., Norman, R., Patten, S. B., Vos, T., & Whiteford, H. A. (2013). Global variation in the prevalence and incidence of major depressive disorder: a systematic review of the epidemiological literature. Psychological Medicine, 43(3), 471–481. https://doi.org/10.1017/S0033291712001511
Gilbody, S. M. (2003). Improving the detection and management of depression in primary care. Quality and Safety in Health Care, 12(2), 149–155. https://doi.org/10.1136/qhc.12.2.149
Gonçalves, D. A., Mari, J. de J., Bower, P., Gask, L., Dowrick, C., Tófoli, L. F., Campos, M., Portugal, F. B., Ballester, D., & Fortes, S. (2014). Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors. Cadernos de Saúde Pública, 30(3), 623–632. https://doi.org/10.1590/0102-311X00158412
Gonçalves, R. W., Vieira, F. S., & Delgado, P. G. G. (2014). Comparative Perspectives on Environmental Policies and Issues. In R. A. Dibie (Ed.), Rev Saúde Pública (Vol. 46, Issue 1). Routledge. https://doi.org/10.4324/9780203067819
Hawton, K., Casañas i Comabella, C., Haw, C., & Saunders, K. (2013). Risk factors for suicide in individuals with depression: A systematic review. Journal of Affective Disorders, 147(1–3), 17–28. https://doi.org/10.1016/j.jad.2013.01.004
Hosmer, D. W., & Lemesbow, S. (1980). Goodness of fit tests for the multiple logistic regression model. Communications in Statistics - Theory and Methods, 9(10), 1043–1069. https://doi.org/10.1080/03610928008827941
James, S. L., Abate, D., Abate, K. H., & Abay, S. M. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789–1858. https://doi.org/10.1016/S0140-6736(18)32279-7
Lemeshow, S., & Hosmer, D. W. (1982). A review of goodness of fit statistics for use in the development of logistic regression models1. American Journal of Epidemiology, 115(1), 92–106. https://doi.org/10.1093/oxfordjournals.aje.a113284
Li, J., Wang, H., Li, M., Shen, Q., Li, X., Zhang, Y., Peng, J., Rong, X., & Peng, Y. (2020). Effect of alcohol use disorders and alcohol intake on the risk of subsequent depressive symptoms: a systematic review and meta‐analysis of cohort studies. Addiction, 115(7), 1224–1243. https://doi.org/10.1111/add.14935
Lopes, C. S., Hellwig, N., e Silva, G. de A., & Menezes, P. R. (2016). Inequities in access to depression treatment: results of the Brazilian National Health Survey – PNS. International Journal for Equity in Health, 15(1), 154. https://doi.org/10.1186/s12939-016-0446-1
Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006). Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. The Lancet, 367(9524), 1747–1757. https://doi.org/10.1016/S0140-6736(06)68770-9
Mueller, T. I., Leon, A. C., Keller, M. B., Solomon, D. A., Endicott, J., Coryell, W., Warshaw, M., & Maser, J. D. (1999). Recurrence After Recovery From Major Depressive Disorder During 15 Years of Observational Follow-Up. American Journal of Psychiatry, 156(7), 1000–1006. https://doi.org/10.1176/ajp.156.7.1000
Munhoz, T. N., Nunes, B. P., Wehrmeister, F. C., Santos, I. S., & Matijasevich, A. (2016). A nationwide population-based study of depression in Brazil. Journal of Affective Disorders, 192, 226–233. https://doi.org/10.1016/j.jad.2015.12.038
Nogueira, E. L., Rubin, L. L., Giacobbo, S. de S., Gomes, I., & Cataldo Neto, A. (2014). Screening for depressive symptoms in older adults in the Family Health Strategy, Porto Alegre, Brazil. Revista de Saúde Pública, 48(3), 368–377. https://doi.org/10.1590/S0034-8910.2014048004660
Patel, V., Araya, R., Chatterjee, S., Chisholm, D., Cohen, A., De Silva, M., Hosman, C., McGuire, H., Rojas, G., & van Ommeren, M. (2007). Treatment and prevention of mental disorders in low-income and middle-income countries. The Lancet, 370(9591), 991–1005. https://doi.org/10.1016/S0140-6736(07)61240-9
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica (Universidade Federal de Santa Maria (ed.); 1a). https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1
Silva, M. T., Galvao, T. F., Martins, S. S., & Pereira, M. G. (2014). Prevalence of depression morbidity among Brazilian adults: a systematic review and meta-analysis. Revista Brasileira de Psiquiatria, 36(3), 262–270. https://doi.org/10.1590/1516-4446-2013-1294
Simon, G. E., Chisholm, D., Treglia, M., & Bushnell, D. (2002). Course of depression, health services costs, and work productivity in an international primary care study. General Hospital Psychiatry, 24(5), 328–335. https://doi.org/10.1016/S0163-8343(02)00201-3
Simon, G. E., Fleck, M., Lucas, R., & Bushnell, D. M. (2004). Prevalence and Predictors of Depression Treatment in an International Primary Care Study. American Journal of Psychiatry, 161(9), 1626–1634. https://doi.org/10.1176/appi.ajp.161.9.1626
Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., García, F. A. R., Gillman, M., Herzstein, J., Kemper, A. R., Krist, A. H., Kurth, A. E., Owens, D. K., Phillips, W. R., Phipps, M. G., & Pignone, M. P. (2016). Screening for Depression in Adults. JAMA, 315(4), 380. https://doi.org/10.1001/jama.2015.18392
Smolen, J. R., & Araújo, E. M. de. (2017). Raça/cor da pele e transtornos mentais no Brasil: uma revisão sistemática. Ciência & Saúde Coletiva, 22(12), 4021–4030. https://doi.org/10.1590/1413-812320172212.19782016
SPSS Inc. (2008). SPSS Statistics for Windows (Version 17.0). SPSS Inc. https://www.ibm.com/br-pt/spss?lnk=flatitem
van Gool, C. H., Kempen, G. I. J. M., Bosma, H., van Boxtel, M. P. J., Jolles, J., & van Eijk, J. T. M. (2007). Associations Between Lifestyle and Depressed Mood: Longitudinal Results From the Maastricht Aging Study. American Journal of Public Health, 97(5), 887–894. https://doi.org/10.2105/AJPH.2004.053199
Vilagut, G., Forero, C. G., Barbaglia, G., & Alonso, J. (2016). Screening for Depression in the General Population with the Center for Epidemiologic Studies Depression (CES-D): A Systematic Review with Meta-Analysis. PLOS ONE, 11(5), e0155431. https://doi.org/10.1371/journal.pone.0155431
World Health Organization. (2010). Equity, social determinants and public health programmes (E. Blas & A. S. Kurup (eds.)). World Health Organization. https://www.who.int/publications/i/item/9789241563970
Zimmermann, I. R., Silva, M. T., Galvao, T. F., & Pereira, M. G. (2016). Health-related quality of life and self-reported long-term conditions: a population-based survey. Revista Brasileira de Psiquiatria, 39(1), 62–68. https://doi.org/10.1590/1516-4446-2015-1853
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Rafael Ferreira Simões; Helian Nunes de Oliveira; Carla Jorge Machado; Ricardo Tavares; Elza Machado de Melo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.