Brazilian multicentre study of common mental disorders in primary care: rates and related social and demographic factors

Cadernos de Saúde Pública

Daniel Almeida Gonçalves¹  Jair De Jesus Mari¹  Peter Bower¹  Linda Gask¹  Christopher Dowrick¹  Luis Fernando Tófoli¹  Monica Campos¹  Flávia Batista Portugal¹  Dinarte Ballester¹  Sandra Fortes¹ 

关键词: Mental Disorders;    Mental Health;    Primary Health Care;    Transtornos Mentais;    Saúde Mental;    Atenção Primária à Saúde;    Trastornos Mentales;    Salud Mental;    Atención Primaria de Salud;   

DOI  :  10.1590/0102-311X00158412

来源: SciELO

【 摘 要 】

Mental health problems are common in primary health care, particularly anxiety and depression. This study aims to estimate the prevalence of common mental disorders and their associations with socio-demographic characteristics in primary care in Brazil (Family Health Strategy). It involved a multicenter cross-sectional study with patients from Rio de Janeiro, São Paulo, Fortaleza (Ceará State) and Porto Alegre (Rio Grande do Sul State), assessed using the General Health Questionnaire (GHQ-12) and the Hospital Anxiety and Depression Scale (HAD). The rate of mental disorders in patients from Rio de Janeiro, São Paulo, Fortaleza and Porto Alegre were found to be, respectively, 51.9%, 53.3%, 64.3% and 57.7% with significant differences between Porto Alegre and Fortaleza compared to Rio de Janeiro after adjusting for confounders. Prevalence proportions of mental problems were especially common for females, the unemployed, those with less education and those with lower incomes. In the context of the Brazilian government's moves towards developing primary health care and reorganizing mental health policies it is relevant to consider common mental disorders as a priority alongside other chronic health conditions.

【 授权许可】

CC BY   
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