Use of mental health services by community-resident adults with DSM-IV anxiety and mood disorders in a violence-prone area: São Paulo, Brazil

Fillenbaum, Gerda G.; Blay, Sérgio Luís; Quintana, Maria Inês; Mari, Jair J.; Bressan, Rodrigo; Andreoli, Sérgio Baxter

doi:10.1016/j.jad.2019.03.010

Cited by 6 publications

(6 citation statements)

References 49 publications

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“…normalisation of traumatic experiences), and service-level (e.g. health professionals preferring to work in safer areas) factors [23]. Lack of treatment could potentially partially explain why we found experience of violence was associated with markers of severer depression.…”

Section: Discussionmentioning

confidence: 85%

“…The number of inpatient psychiatric beds has continually been below government targets (0.12 beds per 1,000 people in 2016 vs. a target of 0.45), however, there has been large upscaling of community mental healthcare, with the number of Centres of Psychosocial Care multiplying by over sevenfold, between 2004 and 2018 [22]. Studies show however that utilisation of mental healthcare in Brazil, is still affected by socioeconomic inequality, with higher use in those with greater education, and lower use in areas with higher homicide rates [23,24]. This study assesses responses to the 2019 Pesquisa Nacional de Saúde (PNS) (National Health Survey), a nationally representative survey conducted in association with the Brazilian Ministry of Health.…”

Section: Introductionmentioning

confidence: 99%

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Interpersonal violence and depression in Brazil: A cross-sectional analysis of the 2019 National Health Survey

Harding

Pitcairn

Machado³

et al. 2022

PLOS Glob Public Health

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Depression and interpersonal violence are issues of increasing public health concern globally, especially in low-and-middle income countries. Despite the known relationship between interpersonal violence and an increased risk of depression, there is a need to further characterise the experience of depression in those who have experienced violence, to better develop screening and treatment interventions. A cross-sectional analysis was conducted on responses from the 2019 Brazilian National Health Survey. The prevalence of depression (both clinician-diagnosed, and Patient Health Questionnaire (PHQ-9) screened) were estimated by type of violence experienced in the preceding 12 months (none, physical violence, sexual violence, physical and sexual violence, or threat of violence). Logistic regression models assessed the associations between violence and depression after adjusting for socioeconomic and demographic factors. Of 88,531 respondents, 8.1% experienced any type of violence. Compared to those not experiencing violence, those who experienced any type of violence had a higher prevalence of clinician-diagnosed or PHQ-9-screened depression (e.g. the prevalence of clinician-diagnosed depression was 18.8% for those experiencing sexual violence compared to 9.5% for those not experiencing violence). Both undiagnosed and untreated depression were also more prevalent in those experiencing any type of violence. In logistic regression models, any experience of violence was associated with a higher odds of depression (e.g. aOR = 3.75 (95% CI: 3.06–4.59) for PHQ-9-detected depression). Experiencing violence was also associated with a higher likelihood of having depression which was undiagnosed (e.g. in those who experienced sexual violence: aOR of 3.20, 95% CI 1.81–5.67) or untreated (e.g. in those who experienced physical and sexual violence: aOR = 8.06, 95% CI 3.44–18.9). These findings highlight the need to consider screening for depression in those affected by violence, and to prioritise mental healthcare in communities affected by violence.

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Interpersonal violence and depression in Brazil: A cross-sectional analysis of the 2019 National Health Survey

Harding

Pitcairn

Machado³

et al. 2022

PLOS Glob Public Health

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“…Another component is concerns, which occurs when a stimulus or event threatens our physical, mental, or social health. Thus, concerns and fear have an external source as a common emotion to increase energy to preserve life [32,33]. The fear and concern about the recurrence of the disease persist even after treatment.…”

Section: Resultsmentioning

confidence: 99%

The Typology of Knowledge, Attitude, Practices, and Concerns toward COVID-19 Vaccine and its Association with Vaccine Injection in Medical Sciences Students

Solimani

Mahmoodi

Rezapour

et al. 2022

Preprint

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Background: Knowledge, Attitude, Practices, and Concerns (KAPC) are important components for Covid19 vaccine. The study pursues are 1- Classification of students based on KAPC about COVID-19 vaccine. 2- Determining the relationship between these patterns. Methods: A cross-sectional study design was used. For analyzing data, we conducted a latent Profile analysis to identify subgroups of COVID-19 Vaccine KAPC patterns, then the association between typology of KAPC and vaccine injection was measured by logistic regression analysis. In addition, the scores of KAPC were compared by ANOVA and Bonferroni post hoc tests. Results: The results showed three patterns of COVID-19 Vaccine KAPC, including "Moderate to up for KAPC" (pro-file1: 70.5%), “High Knowledge, Attitude, Practices & Low Concerns" (profile2: 25.4%), “Moderate Knowledge & Low Attitude, Practices & High Concerns" (profile3: 4.1%). Students in the three profiles differed significantly in their KAPC factors. The individuals with membership in profile 2 and profile 3 relative to profile 1 have 73% and 99% less odds to vaccine inject. Conclusions: Patterns have various distribution in vaccine injection. It seems that governmental authorities should take measures to improve the knowledge, attitude, and practice of the people appropriate to each profile as well as identify any obstacles to their promotion.

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“…For instance, there is an important communication gap between mental health policies and the population, in relation to the awareness of mental health symptoms and the availability of treatment. One study [17] has shown that these services were used by 10% of people suffering from anxiety disorders, 22% of people with depression and 34% with both disorders. Service use was associated with white people older than 30, with low resilience and living in low homicide rate regions.…”

Section: Residential Servicementioning

confidence: 99%

Community-based mental health services in Brazil

Razzouk

Caparroce

Sousa

2020

Consortium Psychiatricum

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Introduction. The shift from the hospital-based model of care to community-based mental health services began three decades ago and is still an ongoing process in Brazil.Objectives. To update data on the development of the community mental health services network in Brazil in relation to service availability and structure, manpower, pattern of service use, financing, epidemiological studies and the burden of mental disorders, research and national mental health policy.Methods. Searches were constructed to collect data on indexed databases (Medline, Scielo), as well as governmental, NGOs and medical council sources, reports and the grey literature up until 30th March, 2019.Results. Community mental health services are unevenly distributed in the country. Brazil leads the world in terms of the prevalence of anxiety disorders, ranking fifth for depression prevalence. Violence and suicide rates are two growing factors which exacerbate the prevalence of mental disorders prevalence. An increased reduction of the number of psychiatric beds in the country, in addition to the unbalanced growth of services in the community, has resulted in treatment gaps and the underutilization of services and barriers to treating people with the most severe psychosis. Investment in mental healthcare is still scarce. However, mental health funding is not addressed according to the population´s needs and scientific evidence, resulting in a waste of resources and inefficiency. Programmes and service interruptions are common according to each government mandate. Conclusion.Successive changes in ideological perspectives have led to the introduction of policies which have caused fragmentation in the mental health system and services. A lack of evaluation and transparency of services and costs are the main barriers to integrating multiple services and planning long-term developmental phases. АННОТАЦИЯВведение. Процесс перехода от стационарной модели психиатрической помощи к амбулаторной начался в Бразилии тридцать лет назад и продолжается в настоящее время.Цели. Предоставить новые данные о развитии сети амбулаторной психиатрической службы в Бразилии, и осветить вопросы касающиеся доступности и структуры службы, персонала, особенностей использования службы, финансирования, результатов эпидемиологических исследований и оценки бремени психических расстройств, исследовательской работы и национальной политики в сфере психического здоровья.

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Use of mental health services by community-resident adults with DSM-IV anxiety and mood disorders in a violence-prone area: São Paulo, Brazil

Cited by 6 publications

References 49 publications

Interpersonal violence and depression in Brazil: A cross-sectional analysis of the 2019 National Health Survey

Interpersonal violence and depression in Brazil: A cross-sectional analysis of the 2019 National Health Survey

The Typology of Knowledge, Attitude, Practices, and Concerns toward COVID-19 Vaccine and its Association with Vaccine Injection in Medical Sciences Students

Community-based mental health services in Brazil

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