TY - JOUR
T1 - Contextual risk factors of depression and suicidal thoughts in brazilian adults
T2 - A multilevel analysis
AU - Carpena, Marina X.
AU - Martins-Silva, Thais
AU - Costa, Francine S.
AU - Darley, Rodrigo
AU - de Mola, Christian Loret
N1 - Publisher Copyright:
© 2019, Associacao Brasileira de Psiquiatria. All rights reserved.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Objective: To evaluate the association between social and health contextual variables, and between major depressive episodes (MDE) and suicidal thoughts in Brazilian adults. Methods: This population-based cross-sectional study used data from the 2013 National Health Survey (Pesquisa Nacional de Saúde). The Patient Health Questionnaire was used to evaluate the presence of MDE and suicidal thoughts. We used number of Family Health Strategy teams (FHS) per 20,000 state population, number of Psychosocial Care Centers (Centros de Atenc¸ão Psicossocial [CAPS]) per 1,000 state population, gross domestic product (GDP), and Gini index for each Brazilian state as contextual variables. Multilevel logistic regression models were used to calculate OR and the intraclass correlation coefficient (ICC). Results: Prevalence of MDE and suicidal thoughts was 4.1% (95%CI 3.8-4.4) and 3.8% (95%CI 3.5-4.1), respectively. Multilevel regression models showed an ICC of 1.1% for MDE (95%CI 0.5-2.3) and 1.3% for suicidal thoughts (95%CI 0.6-2.6). Neither GDP, Gini, FHS, or CAPS showed evidence of association with the outcomes. Conclusions: In general, contextual variables, within each Brazilian state, do not seem to affect the prevalence of MDE and suicidal thoughts.
AB - Objective: To evaluate the association between social and health contextual variables, and between major depressive episodes (MDE) and suicidal thoughts in Brazilian adults. Methods: This population-based cross-sectional study used data from the 2013 National Health Survey (Pesquisa Nacional de Saúde). The Patient Health Questionnaire was used to evaluate the presence of MDE and suicidal thoughts. We used number of Family Health Strategy teams (FHS) per 20,000 state population, number of Psychosocial Care Centers (Centros de Atenc¸ão Psicossocial [CAPS]) per 1,000 state population, gross domestic product (GDP), and Gini index for each Brazilian state as contextual variables. Multilevel logistic regression models were used to calculate OR and the intraclass correlation coefficient (ICC). Results: Prevalence of MDE and suicidal thoughts was 4.1% (95%CI 3.8-4.4) and 3.8% (95%CI 3.5-4.1), respectively. Multilevel regression models showed an ICC of 1.1% for MDE (95%CI 0.5-2.3) and 1.3% for suicidal thoughts (95%CI 0.6-2.6). Neither GDP, Gini, FHS, or CAPS showed evidence of association with the outcomes. Conclusions: In general, contextual variables, within each Brazilian state, do not seem to affect the prevalence of MDE and suicidal thoughts.
KW - Depression
KW - Economic index
KW - Health service
KW - Multilevel analysis
KW - Suicide
UR - http://www.scopus.com/inward/record.url?scp=85073699346&partnerID=8YFLogxK
U2 - 10.1590/1516-4446-2018-0315
DO - 10.1590/1516-4446-2018-0315
M3 - Artículo
AN - SCOPUS:85073699346
SN - 1516-4446
VL - 41
SP - 433
EP - 436
JO - Brazilian Journal of Psychiatry
JF - Brazilian Journal of Psychiatry
IS - 5
ER -