Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/2922 |
Resumo: | Objective: To analyze the association of major depressive disorder (MDD) with the presence of chronic non-communicable diseases (CNCD) and multimorbidity in Brazilian adults, stratified by sex, and to examine the interaction between sex and CNCD in association with TDM. Methods: Based on a sample of 65,803 adults from the National Health Survey of 2019, the prevalence of MDD (≥ 10 points of the PHQ-9 instrument) was estimated according to the presence of CNCD and multimrbity (≥ 2 chronic diseases). The prevalence ratios and respective confidence intervals were estimated using Poisson regression and the terms of multiplicative interaction were used to assess the role of sex in associations. Results: The prevalence of MDD among Brazilian adults (18-59 years) was estimated at 10.9%, with a statistically significant difference between men (6.0%) and women (15.4%) (p <0.001). Among individuals with any CNCD and multimorbidity, higher prevalence of MDD was observed, both in the general population and in both sexes. However, the association between TDM and NCDs tended to be stronger among men. The data also showed an interaction between male gender and multimorbidity or specific diseases such as arthritis or rheumatism, heart disease and chronic renal failure in association with MDD. Conclusion: The results show a significant association between TDM and NCD, in both sexes, and raise the hypothesis that the effect of multimorbidity and specific diseases may be greater on the mental health of men. |
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Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013Associação do transtorno depressivo maior com doenças crônicas e multimorbidade em adultos brasileiros, estratificada por sexo: Pesquisa Nacional de Saúde 2019Transtorno DepressivoDoença crônicaMultimorbidadeInquéritos epidemiológicosDepressive DisorderChronic DiseaseMultimorbidityHealth SurveysObjective: To analyze the association of major depressive disorder (MDD) with the presence of chronic non-communicable diseases (CNCD) and multimorbidity in Brazilian adults, stratified by sex, and to examine the interaction between sex and CNCD in association with TDM. Methods: Based on a sample of 65,803 adults from the National Health Survey of 2019, the prevalence of MDD (≥ 10 points of the PHQ-9 instrument) was estimated according to the presence of CNCD and multimrbity (≥ 2 chronic diseases). The prevalence ratios and respective confidence intervals were estimated using Poisson regression and the terms of multiplicative interaction were used to assess the role of sex in associations. Results: The prevalence of MDD among Brazilian adults (18-59 years) was estimated at 10.9%, with a statistically significant difference between men (6.0%) and women (15.4%) (p <0.001). Among individuals with any CNCD and multimorbidity, higher prevalence of MDD was observed, both in the general population and in both sexes. However, the association between TDM and NCDs tended to be stronger among men. The data also showed an interaction between male gender and multimorbidity or specific diseases such as arthritis or rheumatism, heart disease and chronic renal failure in association with MDD. Conclusion: The results show a significant association between TDM and NCD, in both sexes, and raise the hypothesis that the effect of multimorbidity and specific diseases may be greater on the mental health of men.Objetivo: Analisar a associação do transtorno depressivo maior (TDM) com a presença de doenças crônicas não transmissíveis (DCNT) e multimorbidade em adultos brasileiros, estratificada por sexo, e examinar a interação entre sexo e DCNT na associação com o TDM. Métodos: Com base em amostra de 65.803 adultos da Pesquisa Nacional de Saúde de 2019 foram estimadas as prevalências de TDM (≥ 10 pontos do instrumento PHQ-9) segundo a presença de DCNT e multimrbidade (≥ 2 doenças crônicas). As razões de prevalência e respectivos intervalos de confiança foram estimados por meio da regressão de Poisson e os termos de interação multiplicativa foram utilizados para avaliar o papel do sexo nas associações. Resultados: A prevalência de TDM entre adultos brasileiros (18-59 anos) foi estimada em 10,9%, com diferença estatisticamente significante entre homens (6,0%) e mulheres (15,4%) (p<0,001). Entre os indivíduos com qualquer DCNT e multimorbidade foram observadas prevalências mais elevadas de TDM, tanto na população geral, como em ambos os sexos. Entretanto, a associação do TDM com as DCNT tendeu a ser mais forte entre os homens. Os dados também mostraram uma interação entre sexo masculino e multimorbidade ou doenças específicas como artrite ou reumatismo, doença cardíaca e insuficiência renal crônica na associação com o TDM. Conclusão: Os resultados revelam expressiva associação entre TDM e DCNT, em ambos os sexos, e levantam a hipótese de que o efeito da multimorbidade e de certas doenças pode ser maior na saúde mental dos homens.SciELO PreprintsSciELO PreprintsSciELO Preprints2021-09-13info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/292210.1590/1980-549720210015.supl.2porhttps://preprints.scielo.org/index.php/scielo/article/view/2922/5195Copyright (c) 2021 Neuciani Ferreira da Silva Sousa , Marilisa Berti de Azevedo Barros, Lhais de Paula Barbosa Medina, Deborah Carvalho Malta, Celia Landmann Szwarcwaldhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSousa, Neuciani Ferreira da SilvaBarros, Marilisa Berti de AzevedoMedina, Lhais de Paula BarbosaMalta, Deborah CarvalhoSzwarcwald, Celia Landmannreponame:SciELO Preprintsinstname:SciELOinstacron:SCI2021-09-10T20:27:49Zoai:ops.preprints.scielo.org:preprint/2922Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2021-09-10T20:27:49SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 Associação do transtorno depressivo maior com doenças crônicas e multimorbidade em adultos brasileiros, estratificada por sexo: Pesquisa Nacional de Saúde 2019 |
title |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 |
spellingShingle |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 Sousa, Neuciani Ferreira da Silva Transtorno Depressivo Doença crônica Multimorbidade Inquéritos epidemiológicos Depressive Disorder Chronic Disease Multimorbidity Health Surveys |
title_short |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 |
title_full |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 |
title_fullStr |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 |
title_full_unstemmed |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 |
title_sort |
Association of major depressive disorder with chronic diseases and multimorbidity in Brazilian adults, stratified by sex: National Health Survey, 2013 |
author |
Sousa, Neuciani Ferreira da Silva |
author_facet |
Sousa, Neuciani Ferreira da Silva Barros, Marilisa Berti de Azevedo Medina, Lhais de Paula Barbosa Malta, Deborah Carvalho Szwarcwald, Celia Landmann |
author_role |
author |
author2 |
Barros, Marilisa Berti de Azevedo Medina, Lhais de Paula Barbosa Malta, Deborah Carvalho Szwarcwald, Celia Landmann |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Sousa, Neuciani Ferreira da Silva Barros, Marilisa Berti de Azevedo Medina, Lhais de Paula Barbosa Malta, Deborah Carvalho Szwarcwald, Celia Landmann |
dc.subject.por.fl_str_mv |
Transtorno Depressivo Doença crônica Multimorbidade Inquéritos epidemiológicos Depressive Disorder Chronic Disease Multimorbidity Health Surveys |
topic |
Transtorno Depressivo Doença crônica Multimorbidade Inquéritos epidemiológicos Depressive Disorder Chronic Disease Multimorbidity Health Surveys |
description |
Objective: To analyze the association of major depressive disorder (MDD) with the presence of chronic non-communicable diseases (CNCD) and multimorbidity in Brazilian adults, stratified by sex, and to examine the interaction between sex and CNCD in association with TDM. Methods: Based on a sample of 65,803 adults from the National Health Survey of 2019, the prevalence of MDD (≥ 10 points of the PHQ-9 instrument) was estimated according to the presence of CNCD and multimrbity (≥ 2 chronic diseases). The prevalence ratios and respective confidence intervals were estimated using Poisson regression and the terms of multiplicative interaction were used to assess the role of sex in associations. Results: The prevalence of MDD among Brazilian adults (18-59 years) was estimated at 10.9%, with a statistically significant difference between men (6.0%) and women (15.4%) (p <0.001). Among individuals with any CNCD and multimorbidity, higher prevalence of MDD was observed, both in the general population and in both sexes. However, the association between TDM and NCDs tended to be stronger among men. The data also showed an interaction between male gender and multimorbidity or specific diseases such as arthritis or rheumatism, heart disease and chronic renal failure in association with MDD. Conclusion: The results show a significant association between TDM and NCD, in both sexes, and raise the hypothesis that the effect of multimorbidity and specific diseases may be greater on the mental health of men. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-13 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
format |
preprint |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/2922 10.1590/1980-549720210015.supl.2 |
url |
https://preprints.scielo.org/index.php/scielo/preprint/view/2922 |
identifier_str_mv |
10.1590/1980-549720210015.supl.2 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/article/view/2922/5195 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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