Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services

Abstract: Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment...

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Main Authors: Mariane Henriques França, Sandhi Maria Barreto, Flavia Garcia Pereira, Laura Helena Silveira Guerra de Andrade, Maria Cristina Alochio de Paiva, Maria Carmen Viana
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2017-10-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017001205014&lng=en&tlng=en
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author Mariane Henriques França
Sandhi Maria Barreto
Flavia Garcia Pereira
Laura Helena Silveira Guerra de Andrade
Maria Cristina Alochio de Paiva
Maria Carmen Viana
author_facet Mariane Henriques França
Sandhi Maria Barreto
Flavia Garcia Pereira
Laura Helena Silveira Guerra de Andrade
Maria Cristina Alochio de Paiva
Maria Carmen Viana
author_sort Mariane Henriques França
collection DOAJ
description Abstract: Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.
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spelling doaj.art-95f58dba7778459fb2e57e77a84db6fa2022-12-21T20:33:11ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642017-10-0133910.1590/0102-311x00154116S0102-311X2017001205014Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health servicesMariane Henriques FrançaSandhi Maria BarretoFlavia Garcia PereiraLaura Helena Silveira Guerra de AndradeMaria Cristina Alochio de PaivaMaria Carmen VianaAbstract: Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017001205014&lng=en&tlng=enTranstornos MentaisEmpregoServiços de Saúde
spellingShingle Mariane Henriques França
Sandhi Maria Barreto
Flavia Garcia Pereira
Laura Helena Silveira Guerra de Andrade
Maria Cristina Alochio de Paiva
Maria Carmen Viana
Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
Cadernos de Saúde Pública
Transtornos Mentais
Emprego
Serviços de Saúde
title Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_full Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_fullStr Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_full_unstemmed Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_short Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_sort mental disorders and employment status in the sao paulo metropolitan area brazil gender differences and use of health services
topic Transtornos Mentais
Emprego
Serviços de Saúde
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017001205014&lng=en&tlng=en
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