Mental disorders and employment status in the São Paulo Metropolitan Area, Brazil: gender differences and use of health services
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
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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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) |
instacron_str |
FIOCRUZ |
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 |
_version_ |
1798943383230611456 |