An epidemiological study of childhood development in an urban setting in Brazil
Objective: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4- to 5-year old children in Brazil, the prevalence of...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Associação Brasileira de Psiquiatria (ABP)
2020-08-01
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| Series: | Brazilian Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462021000100009&tlng=en |
| _version_ | 1818891619877781504 |
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| author | Sheila C. Caetano Marcos V.V. Ribeiro Melanie S. Askari Zila M. Sanchez Maria C. do Rosário Jacy Perissinoto Rosa Resegue Erika Felix Marília Mariano Thiago M. Fidalgo Michelle Caetano Jair J. Mari Pamela J. Surkan Silvia S. Martins |
| author_facet | Sheila C. Caetano Marcos V.V. Ribeiro Melanie S. Askari Zila M. Sanchez Maria C. do Rosário Jacy Perissinoto Rosa Resegue Erika Felix Marília Mariano Thiago M. Fidalgo Michelle Caetano Jair J. Mari Pamela J. Surkan Silvia S. Martins |
| author_sort | Sheila C. Caetano |
| collection | DOAJ |
| description | Objective: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4- to 5-year old children in Brazil, the prevalence of internalizing and externalizing disorders and socioemotional development delays; and 2) to identify modifiable risk factors associated with mental, behavioral, or developmental disorders (MBDD), such as microsystem (i.e., parent-child relationship), mesosystem (social support), and macrosystem contextual factors (neighborhood disadvantage). Methods: A random sample of public preschool children was recruited in the city of Embu das Artes (São Paulo metropolitan area) (n=1,292 from 30 public preschools). Six-month prevalence of MBDD was measured using the Child Behavior Checklist (CBCL) and the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). Results: Six-month prevalence estimates were 25.4% for internalizing disorders, 12.1% for externalizing disorders, and 30.3% for socioemotional development delays. MBDD prevalence estimates were higher in families with stressful relationships and parental depression or anxiety, and in families with lower social capital. Conclusion: At least 25% of preschool children living in an urban area in Brazil presented a mental health disorder. These mental disorder were associated with modifiable factors such as stressful family relationships and lower social capital. Prevention and intervention measures such as family therapy are needed to decrease such high prevalence. |
| first_indexed | 2024-12-19T17:43:42Z |
| format | Article |
| id | doaj.art-a3e5b819212244d4946a76bd5c67c2b6 |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-12-19T17:43:42Z |
| publishDate | 2020-08-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-a3e5b819212244d4946a76bd5c67c2b62022-12-21T20:12:09ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2020-08-01431435410.1590/1516-4446-2020-0934An epidemiological study of childhood development in an urban setting in BrazilSheila C. Caetanohttps://orcid.org/0000-0001-8403-7078Marcos V.V. Ribeirohttps://orcid.org/0000-0002-2702-9618Melanie S. AskariZila M. Sanchezhttps://orcid.org/0000-0002-7427-7956Maria C. do RosárioJacy PerissinotoRosa ResegueErika FelixMarília Marianohttps://orcid.org/0000-0003-4142-1445Thiago M. Fidalgohttps://orcid.org/0000-0003-3555-5228Michelle CaetanoJair J. Marihttps://orcid.org/0000-0002-5403-0112Pamela J. Surkanhttps://orcid.org/0000-0002-0334-5931Silvia S. Martinshttps://orcid.org/0000-0003-3059-9993Objective: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4- to 5-year old children in Brazil, the prevalence of internalizing and externalizing disorders and socioemotional development delays; and 2) to identify modifiable risk factors associated with mental, behavioral, or developmental disorders (MBDD), such as microsystem (i.e., parent-child relationship), mesosystem (social support), and macrosystem contextual factors (neighborhood disadvantage). Methods: A random sample of public preschool children was recruited in the city of Embu das Artes (São Paulo metropolitan area) (n=1,292 from 30 public preschools). Six-month prevalence of MBDD was measured using the Child Behavior Checklist (CBCL) and the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). Results: Six-month prevalence estimates were 25.4% for internalizing disorders, 12.1% for externalizing disorders, and 30.3% for socioemotional development delays. MBDD prevalence estimates were higher in families with stressful relationships and parental depression or anxiety, and in families with lower social capital. Conclusion: At least 25% of preschool children living in an urban area in Brazil presented a mental health disorder. These mental disorder were associated with modifiable factors such as stressful family relationships and lower social capital. Prevention and intervention measures such as family therapy are needed to decrease such high prevalence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462021000100009&tlng=enChildrenepidemiologyinternalizing and externalizing disordersfamily |
| spellingShingle | Sheila C. Caetano Marcos V.V. Ribeiro Melanie S. Askari Zila M. Sanchez Maria C. do Rosário Jacy Perissinoto Rosa Resegue Erika Felix Marília Mariano Thiago M. Fidalgo Michelle Caetano Jair J. Mari Pamela J. Surkan Silvia S. Martins An epidemiological study of childhood development in an urban setting in Brazil Brazilian Journal of Psychiatry Children epidemiology internalizing and externalizing disorders family |
| title | An epidemiological study of childhood development in an urban setting in Brazil |
| title_full | An epidemiological study of childhood development in an urban setting in Brazil |
| title_fullStr | An epidemiological study of childhood development in an urban setting in Brazil |
| title_full_unstemmed | An epidemiological study of childhood development in an urban setting in Brazil |
| title_short | An epidemiological study of childhood development in an urban setting in Brazil |
| title_sort | epidemiological study of childhood development in an urban setting in brazil |
| topic | Children epidemiology internalizing and externalizing disorders family |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462021000100009&tlng=en |
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