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Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis
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 Saúd...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação Brasileira de Psiquiatria
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796826/ https://www.ncbi.nlm.nih.gov/pubmed/30994857 http://dx.doi.org/10.1590/1516-4446-2018-0315 |
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author | Carpena, Marina X. Martins-Silva, Thais Costa, Francine S. Darley, Rodrigo de Mola, Christian Loret |
author_facet | Carpena, Marina X. Martins-Silva, Thais Costa, Francine S. Darley, Rodrigo de Mola, Christian Loret |
author_sort | Carpena, Marina X. |
collection | PubMed |
description | 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 Atenção 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. |
format | Online Article Text |
id | pubmed-6796826 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Associação Brasileira de Psiquiatria |
record_format | MEDLINE/PubMed |
spelling | pubmed-67968262019-10-25 Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis Carpena, Marina X. Martins-Silva, Thais Costa, Francine S. Darley, Rodrigo de Mola, Christian Loret Braz J Psychiatry Brief Communication 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 Atenção 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. Associação Brasileira de Psiquiatria 2019-04-15 /pmc/articles/PMC6796826/ /pubmed/30994857 http://dx.doi.org/10.1590/1516-4446-2018-0315 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Brief Communication Carpena, Marina X. Martins-Silva, Thais Costa, Francine S. Darley, Rodrigo de Mola, Christian Loret Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis |
title | Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis |
title_full | Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis |
title_fullStr | Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis |
title_full_unstemmed | Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis |
title_short | Contextual risk factors of depression and suicidal thoughts in Brazilian adults: a multilevel analysis |
title_sort | contextual risk factors of depression and suicidal thoughts in brazilian adults: a multilevel analysis |
topic | Brief Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796826/ https://www.ncbi.nlm.nih.gov/pubmed/30994857 http://dx.doi.org/10.1590/1516-4446-2018-0315 |
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