Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city
Objective: To assess the prevalence of depression and sociodemographic, behavioral, and health-related risk factors therefor in a southern Brazilian city. Methods: Population-based, cross-sectional study of adults from Rio Grande, state of Rio Grande do Sul, Brazil. Individuals (n=1,295) were selec...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
2019-02-01
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| Series: | Brazilian Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019005002102&lng=en&tlng=en |
| _version_ | 1818826367256494080 |
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| author | Marina X. Carpena Samuel C. Dumith Christian Loret de Mola Lucas Neiva-Silva |
| author_facet | Marina X. Carpena Samuel C. Dumith Christian Loret de Mola Lucas Neiva-Silva |
| author_sort | Marina X. Carpena |
| collection | DOAJ |
| description | Objective: To assess the prevalence of depression and sociodemographic, behavioral, and health-related risk factors therefor in a southern Brazilian city. Methods: Population-based, cross-sectional study of adults from Rio Grande, state of Rio Grande do Sul, Brazil. Individuals (n=1,295) were selected using a multistage sampling procedure. The Patient Health Questionnaire-9 (PHQ-9) was used to screen for major depressive episodes (MDEs). We used a conceptual causal framework to organize and assess risk factors for MDE and calculated prevalence ratios (PR) using regression models. Results: The prevalence of MDE was 8.4% (95%CI 6.0-10.7) for men and 13.4% (95%CI 11.0-15.8) for women. For men, physical inactivity (PR 2.34, 95%CI 1.09-5.00) and perceived stress (PR 20.35, 95%CI 5.92-69.96) were associated with MDE. In women, MDE prevalence was higher among those in the first tertile of economic index (PR 2.61, 95%CI 1.53-4.45), with 0-8 years of schooling (PR 2.25, 95%CI 1.24-4.11), alcohol users (PR 1.91, 95%CI 1.21-3.02), those physically inactive (PR 2.49, 95%CI 1.22-5.09), with the highest perceived stress (PR 9.17, 95%CI 3.47-24.23), with another mental disorder (PR 1.85, 95%CI 1.32-2.59), and with more noncommunicable diseases (PR 1.85, 95%CI 1.06-3.22). Conclusion: Women had a higher prevalence of depression, and socioeconomic disadvantages were important for the occurrence of MDE; however, for men, only physical inactivity and stress were important predictors, suggesting possible different causal pathways for each sex. |
| first_indexed | 2024-12-19T00:26:32Z |
| format | Article |
| id | doaj.art-f290815f487e48a493b607e9953a5a0e |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-12-19T00:26:32Z |
| publishDate | 2019-02-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-f290815f487e48a493b607e9953a5a0e2022-12-21T20:45:14ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2019-02-01010.1590/1516-4446-2018-0135S1516-44462019005002102Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian cityMarina X. CarpenaSamuel C. DumithChristian Loret de MolaLucas Neiva-SilvaObjective: To assess the prevalence of depression and sociodemographic, behavioral, and health-related risk factors therefor in a southern Brazilian city. Methods: Population-based, cross-sectional study of adults from Rio Grande, state of Rio Grande do Sul, Brazil. Individuals (n=1,295) were selected using a multistage sampling procedure. The Patient Health Questionnaire-9 (PHQ-9) was used to screen for major depressive episodes (MDEs). We used a conceptual causal framework to organize and assess risk factors for MDE and calculated prevalence ratios (PR) using regression models. Results: The prevalence of MDE was 8.4% (95%CI 6.0-10.7) for men and 13.4% (95%CI 11.0-15.8) for women. For men, physical inactivity (PR 2.34, 95%CI 1.09-5.00) and perceived stress (PR 20.35, 95%CI 5.92-69.96) were associated with MDE. In women, MDE prevalence was higher among those in the first tertile of economic index (PR 2.61, 95%CI 1.53-4.45), with 0-8 years of schooling (PR 2.25, 95%CI 1.24-4.11), alcohol users (PR 1.91, 95%CI 1.21-3.02), those physically inactive (PR 2.49, 95%CI 1.22-5.09), with the highest perceived stress (PR 9.17, 95%CI 3.47-24.23), with another mental disorder (PR 1.85, 95%CI 1.32-2.59), and with more noncommunicable diseases (PR 1.85, 95%CI 1.06-3.22). Conclusion: Women had a higher prevalence of depression, and socioeconomic disadvantages were important for the occurrence of MDE; however, for men, only physical inactivity and stress were important predictors, suggesting possible different causal pathways for each sex.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019005002102&lng=en&tlng=enDepressionmood disordersepidemiologymental healthsex |
| spellingShingle | Marina X. Carpena Samuel C. Dumith Christian Loret de Mola Lucas Neiva-Silva Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city Brazilian Journal of Psychiatry Depression mood disorders epidemiology mental health sex |
| title | Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city |
| title_full | Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city |
| title_fullStr | Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city |
| title_full_unstemmed | Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city |
| title_short | Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city |
| title_sort | sociodemographic behavioral and health related risk factors for depression among men and women in a southern brazilian city |
| topic | Depression mood disorders epidemiology mental health sex |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462019005002102&lng=en&tlng=en |
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