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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...

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Autores principales: Carpena, Marina X., Martins-Silva, Thais, Costa, Francine S., Darley, Rodrigo, de Mola, Christian Loret
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Psiquiatria 2019
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.
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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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