Affiliation:
1. Universidade Federal de São João Del-Rei, Brazil; Universidade Federal de Minas Gerais (UFMG), Brazil
2. Prefeitura Municipal de Nova Lima, Brazil
3. Universidade Federal de Minas Gerais (UFMG), Brazil
4. Universidade Federal de Minas Gerais (UFMG), Brazil; UFMG, Brazil
Abstract
Abstract This study evaluated the prevalence of positive screening for depression in Brazil and its associated factors. We used data from National Health Survey 2019 (Pesquisa Nacional de Saúde - PNS), a population-based survey with 88,531 adults. The Patient Health Questionnaire (PHQ-9) was used with two scoring methods, the algorithm and the cutoff point≥10. The variables included sociodemographic characteristics. The prevalence ratios and 95% confidence intervals (95%CI) were estimated using Poisson regression. The positive screening for depression was 10.8% (95%CI: 10.4-11.0), at the cutoff point ≥10 and 5.7% (95%CI: 5.4-6.0) for algorithm. Significant differences were found in prevalence in some Brazilian states. Multivariable analyses showed that being female, black, under 70 years of age, having little education, being single, and living in an urban area were independently associated with a depressive symptoms. The highest association was found in the states of Sergipe, Goiás, Piauí, Espírito Santo, São Paulo, Alagoas and lowest in Pará, Mato Grosso and Maranhão. The prevalence of positive screening for depression in Brazil has increased in recent years. More investment in mental health resources is necessary and surveys such as the PNS should be continued.
Subject
Public Health, Environmental and Occupational Health,Health Policy
Reference46 articles.
1. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017;Lancet,2018
2. Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017;Bonadiman CSC;Popul Health Metrics,2020
3. Global variation in the prevalence and incidence of major depressive disorder a systematic review of the epidemiological literature;Ferrari AJ;Psychol Med,2013
4. Prevalence of depression morbidity among Brazilian adults a systematic review and meta-analysis;Silva MT;Rev Bras Psiquiatr,2014
5. A nationwide population-based study of depression in Brazil;Munhoz TN;J Affect Disord,2016