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An epidemiological study of childhood development in an urban setting in Brazil

OBJECTIVE: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4- to 5-year old children in Brazil, the prevalence of...

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Autores principales: Caetano, Sheila C., Ribeiro, Marcos V.V., Askari, Melanie S., Sanchez, Zila M., do Rosário, Maria C., Perissinoto, Jacy, Resegue, Rosa, Felix, Erika, Mariano, Marília, Fidalgo, Thiago M., Caetano, Michelle, Mari, Jair J., Surkan, Pamela J., Martins, Silvia S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Psiquiatria 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861175/
https://www.ncbi.nlm.nih.gov/pubmed/32813777
http://dx.doi.org/10.1590/1516-4446-2020-0934
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author Caetano, Sheila C.
Ribeiro, Marcos V.V.
Askari, Melanie S.
Sanchez, Zila M.
do Rosário, Maria C.
Perissinoto, Jacy
Resegue, Rosa
Felix, Erika
Mariano, Marília
Fidalgo, Thiago M.
Caetano, Michelle
Mari, Jair J.
Surkan, Pamela J.
Martins, Silvia S.
author_facet Caetano, Sheila C.
Ribeiro, Marcos V.V.
Askari, Melanie S.
Sanchez, Zila M.
do Rosário, Maria C.
Perissinoto, Jacy
Resegue, Rosa
Felix, Erika
Mariano, Marília
Fidalgo, Thiago M.
Caetano, Michelle
Mari, Jair J.
Surkan, Pamela J.
Martins, Silvia S.
author_sort Caetano, Sheila C.
collection PubMed
description OBJECTIVE: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4- to 5-year old children in Brazil, the prevalence of internalizing and externalizing disorders and socioemotional development delays; and 2) to identify modifiable risk factors associated with mental, behavioral, or developmental disorders (MBDD), such as microsystem (i.e., parent-child relationship), mesosystem (social support), and macrosystem contextual factors (neighborhood disadvantage). METHODS: A random sample of public preschool children was recruited in the city of Embu das Artes (São Paulo metropolitan area) (n=1,292 from 30 public preschools). Six-month prevalence of MBDD was measured using the Child Behavior Checklist (CBCL) and the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). RESULTS: Six-month prevalence estimates were 25.4% for internalizing disorders, 12.1% for externalizing disorders, and 30.3% for socioemotional development delays. MBDD prevalence estimates were higher in families with stressful relationships and parental depression or anxiety, and in families with lower social capital. CONCLUSION: At least 25% of preschool children living in an urban area in Brazil presented a mental health disorder. These mental disorder were associated with modifiable factors such as stressful family relationships and lower social capital. Prevention and intervention measures such as family therapy are needed to decrease such high prevalence.
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spelling pubmed-78611752021-02-05 An epidemiological study of childhood development in an urban setting in Brazil Caetano, Sheila C. Ribeiro, Marcos V.V. Askari, Melanie S. Sanchez, Zila M. do Rosário, Maria C. Perissinoto, Jacy Resegue, Rosa Felix, Erika Mariano, Marília Fidalgo, Thiago M. Caetano, Michelle Mari, Jair J. Surkan, Pamela J. Martins, Silvia S. Braz J Psychiatry Original Article OBJECTIVE: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4- to 5-year old children in Brazil, the prevalence of internalizing and externalizing disorders and socioemotional development delays; and 2) to identify modifiable risk factors associated with mental, behavioral, or developmental disorders (MBDD), such as microsystem (i.e., parent-child relationship), mesosystem (social support), and macrosystem contextual factors (neighborhood disadvantage). METHODS: A random sample of public preschool children was recruited in the city of Embu das Artes (São Paulo metropolitan area) (n=1,292 from 30 public preschools). Six-month prevalence of MBDD was measured using the Child Behavior Checklist (CBCL) and the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). RESULTS: Six-month prevalence estimates were 25.4% for internalizing disorders, 12.1% for externalizing disorders, and 30.3% for socioemotional development delays. MBDD prevalence estimates were higher in families with stressful relationships and parental depression or anxiety, and in families with lower social capital. CONCLUSION: At least 25% of preschool children living in an urban area in Brazil presented a mental health disorder. These mental disorder were associated with modifiable factors such as stressful family relationships and lower social capital. Prevention and intervention measures such as family therapy are needed to decrease such high prevalence. Associação Brasileira de Psiquiatria 2020-08-14 /pmc/articles/PMC7861175/ /pubmed/32813777 http://dx.doi.org/10.1590/1516-4446-2020-0934 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 Original Article
Caetano, Sheila C.
Ribeiro, Marcos V.V.
Askari, Melanie S.
Sanchez, Zila M.
do Rosário, Maria C.
Perissinoto, Jacy
Resegue, Rosa
Felix, Erika
Mariano, Marília
Fidalgo, Thiago M.
Caetano, Michelle
Mari, Jair J.
Surkan, Pamela J.
Martins, Silvia S.
An epidemiological study of childhood development in an urban setting in Brazil
title An epidemiological study of childhood development in an urban setting in Brazil
title_full An epidemiological study of childhood development in an urban setting in Brazil
title_fullStr An epidemiological study of childhood development in an urban setting in Brazil
title_full_unstemmed An epidemiological study of childhood development in an urban setting in Brazil
title_short An epidemiological study of childhood development in an urban setting in Brazil
title_sort epidemiological study of childhood development in an urban setting in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861175/
https://www.ncbi.nlm.nih.gov/pubmed/32813777
http://dx.doi.org/10.1590/1516-4446-2020-0934
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