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Sociodemographic, behavioral, and health-related risk factors for depression among men and women in a southern Brazilian city
Carpena, Marina X; Dumith, Samuel C; Loret de Mola, Christian; Neiva-Silva, Lucas.
  • Carpena, Marina X; Universidade Federal do Rio Grande (FURG). Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina. Rio Grande. BR
  • Dumith, Samuel C; Universidade Federal do Rio Grande (FURG). Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina. Rio Grande. BR
  • Loret de Mola, Christian; Universidade Federal de Pelotas (UFPel). Faculdade de Medicina. Programa de Pós-Graduação em Epidemiologia. Pelotas. BR
  • Neiva-Silva, Lucas; Universidade Federal do Rio Grande (FURG). Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina. Rio Grande. BR
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 41(5): 396-402, Sept.-Oct. 2019. tab
Article in English | LILACS | ID: biblio-1039105
ABSTRACT

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.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Depressive Disorder, Major Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Journal subject: Psychiatry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de Pelotas (UFPel)/BR / Universidade Federal do Rio Grande (FURG)/BR

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Full text: Available Index: LILACS (Americas) Main subject: Depressive Disorder, Major Type of study: Etiology study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Journal subject: Psychiatry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Federal de Pelotas (UFPel)/BR / Universidade Federal do Rio Grande (FURG)/BR