Trend in the prevalence of depressive symptoms in Brazil: results from the Brazilian National Health Survey 2013 and 2019
Trend in the prevalence of depressive symptoms in Brazil: results from the Brazilian National Health Survey 2013 and 2019
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DOI：
10.1590/0102-311x00123421
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发表时间：
2022-01-01
期刊：
影响因子：
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通讯作者：
Menezes, Paulo Rossi
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文献类型：
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作者：
Lopes, Claudia de Souza;Gomes, Nayara Lopes;Menezes, Paulo Rossi
该研究旨在评估2013年至2019年巴西不同社会人口群体，健康行为和宏观区域的抑郁症患病率的国家差异。数据来自两项巴西全国性调查-2013年和2019年巴西国家健康调查。包括18岁或以上的参与者，2013年共有60，202人，2019年为88，531人。抑郁症的评估与患者健康问卷-9（PHQ-9）。所有估计均考虑了总体权重和复杂抽样。调查结果显示，在两次调查之间的六年内，巴西的抑郁症患病率增加了36.7%，从2013年的7.9%增加到2019年的10.8%，而且这种增加在18至24岁的失业年轻人中更高，随着抑郁症患病率的增加，几乎翻了三倍（2013年为3.7，2019年为10.3），增长了178.4%。与农村地区居民（20.2%）相比，居住在城市地区的人在六年期间抑郁症患病率（39.8%）的增幅更大。从2013年到2019年，研究中包括的男性和女性三种健康行为中最糟糕的类别的抑郁症患病率有所增加：大量饮酒，吸烟和不进行推荐的身体活动水平。我们的结果显示，在两次调查之间的六年里，抑郁症的患病率显著增加，主要是在年轻人和失业男性中。该国在此期间的经济衰退可以解释这些调查结果。
This study aims to evaluate national variation in depression prevalence and in different sociodemographic groups, health behaviors, and macroregions of Brazil from 2013 to 2019. Data were obtained from two nationwide Brazilian surveys - Brazilian National Health Survey 2013 and 2019. Participants aged 18 years or older were included, totaling 60,202 individuals in 2013 and 88,531 in 2019. Depression was evaluated with the Patient Health Questionnaire-9 (PHQ-9). All estimations accounted for the population weights and the complex sampling. The findings showed that during the six years between the two surveys, the prevalence of depression in Brazil increased by 36.7%, going from 7.9% in 2013 to 10.8% in 2019, and this increase is higher among unemployed young adults, aged 18 to 24 years, with the increase in the prevalence of depression almost tripled (3.7 in 2013 and 10.3 in 2019), an increase of 178.4%. Those dwelling in urban areas had a higher increase in the prevalence of depression in the six-year period (39.8%) when compared to residents in rural areas (20.2%). There was an increase in the prevalence of depression from 2013 to 2019 for the worst categories of the three health behaviors included in the study for both men and women: heavy drinking, smoking, and not exercising the recommended level of physical activity. Our results show a significant increase in the prevalence of depression over the six years between the two surveys, mainly among the younger and unemployed men. The country's economic recession during this period may explain these findings.