Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services

Detalhes bibliográficos
Autor(a) principal: Mariane Henriques França
Data de Publicação: 2017
Outros Autores: Sandhi Maria Barreto, Flavia Garcia Pereira, Laura Helena Silveira Guerra de Andrade, Maria Cristina Alochio de Paiva, Maria Carmen Viana
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329
Resumo: Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.
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spelling Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health servicesMental DisordersEmploymentHealth ServicesMental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.Los trastornos mentales están asociados a la situación laboral, como predictores significativos por las consecuencias que provocan el desempleo y la jubilación precoz. Este estudio estima las tasas de prevalencia de trastornos mentales en 12 meses, de acuerdo con el DSM-IV, además del uso de servicios de salud y las asociaciones existentes con la situación laboral, de acuerdo con el género en el área metropolitana de São Paulo, Brasil. Se analizaron los datos del São Paulo Megacity Mental Health Survey (n = 5.037), un estudio poblacional que evalúa la prevalencia y determinantes de los trastornos mentales entre adultos, usando la Composite International Diagnostic Interview. Las asociaciones se estimaron con razones de prevalencia, obtenidas por la regresión logística binomial y multinomial. El estudio muestra que los trastornos mentales, especialmente los trastornos de humor, están asociados a la inactividad o al desempleo en hombres y a la inactividad en mujeres, pero que sólo el trastorno de consumo de sustancias está asociado al desempleo en mujeres. Entre los portadores de trastornos mentales, la búsqueda de servicios de salud es menos frecuente entre los desempleados.Os transtornos mentais estão associados à situação laboral enquanto preditores significativos e consequências do desemprego e da aposentadoria precoce. Este estudo estima as taxas de prevalência de transtornos mentais nos últimos 12 meses de acordo com o DSM-IV, além do uso de serviços de saúde e as associações com situação laboral de acordo com gênero na Região Metropolitana de São Paulo, Brasil. Foram analisados dados do São Paulo Megacity Mental Health Survey (n = 5.037), um estudo populacional que avalia a prevalência e determinantes dos transtornos mentais entre adultos, usando a Composite International Diagnostic Interview. As associações foram estimadas através de razões de prevalência, obtidas por regressão logística binomial e multinomial. O estudo mostra que os transtornos mentais, especialmente transtornos de humor estão associados à inatividade ou ao desemprego entre os homens e à inatividade entre as mulheres, com exceção aos transtornos devido ao uso de substâncias psicoativas que também estão associados ao desemprego em as mulheres. Entre os portadores de transtornos mentais, a busca de serviços de saúde é menos frequente entre os desempregados.Reports in Public HealthCadernos de Saúde Pública2017-10-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329Reports in Public Health; Vol. 33 No. 9 (2017): SeptemberCadernos de Saúde Pública; v. 33 n. 9 (2017): Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329/13476https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329/13477Mariane Henriques FrançaSandhi Maria BarretoFlavia Garcia PereiraLaura Helena Silveira Guerra de AndradeMaria Cristina Alochio de PaivaMaria Carmen Vianainfo:eu-repo/semantics/openAccess2024-03-06T15:29:15Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6329Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:14.312980Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
spellingShingle Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
Mariane Henriques França
Mental Disorders
Employment
Health Services
title_short Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_full Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_fullStr Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_full_unstemmed Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
title_sort Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
author Mariane Henriques França
author_facet Mariane Henriques França
Sandhi Maria Barreto
Flavia Garcia Pereira
Laura Helena Silveira Guerra de Andrade
Maria Cristina Alochio de Paiva
Maria Carmen Viana
author_role author
author2 Sandhi Maria Barreto
Flavia Garcia Pereira
Laura Helena Silveira Guerra de Andrade
Maria Cristina Alochio de Paiva
Maria Carmen Viana
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Mariane Henriques França
Sandhi Maria Barreto
Flavia Garcia Pereira
Laura Helena Silveira Guerra de Andrade
Maria Cristina Alochio de Paiva
Maria Carmen Viana
dc.subject.por.fl_str_mv Mental Disorders
Employment
Health Services
topic Mental Disorders
Employment
Health Services
description Mental disorders are associated with employment status as significant predictors and as consequences of unemployment and early retirement. This study describes the estimates and associations of 12-month DSM-IV prevalence rates of mental disorders and use of health services with employment status by gender in the São Paulo Metropolitan Area, Brazil. Data from the São Paulo Megacity Mental Health Survey was analyzed (n = 5,037). This is a population-based study assessing the prevalence and determinants of mental disorders among adults, using the Composite International Diagnostic Interview. The associations were estimated by odds ratios obtained through binomial and multinomial logistic regression. This study demonstrates that having mental disorders, especially mood disorders, is associated with being inactive or unemployed among men and inactive among women, but only having a substance use disorder is associated with being unemployed among women. Among those with mental disorders, seeking health care services is less frequent within unemployed.
publishDate 2017
dc.date.none.fl_str_mv 2017-10-09
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329/13476
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6329/13477
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 33 No. 9 (2017): September
Cadernos de Saúde Pública; v. 33 n. 9 (2017): Setembro
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
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institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
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