The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1371/journal.pone.0063545 http://repositorio.unifesp.br/handle/11600/36337 |
Resumo: | Background: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers. |
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The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, BrazilBackground: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers.Universidade Federal de São Paulo, Dept Psiquiatria, São Paulo, BrazilKings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat, London WC2R 2LS, EnglandFundacao Oswaldo Cruz, Escola Nacl Saude Publ, Rio de Janeiro, BrazilUniv Fed Rio de Janeiro, Inst Psiquiatria, Rio de Janeiro, BrazilUniversidade Federal de São Paulo, Dept Psiquiatria, São Paulo, BrazilWeb of ScienceFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)FAPESP: 2004/15039-0CNPq: 420122/2005-2CNPq: 141467/2007-0CAPES: Proc.4516/07-9Public Library ScienceUniversidade Federal de São Paulo (UNIFESP)Kings Coll LondonFundacao Oswaldo CruzUniversidade Federal do Rio de Janeiro (UFRJ)Ribeiro, Wagner Silva [UNIFESP]Mari, Jair de Jesus [UNIFESP]Quintana, Maria Ines [UNIFESP]Dewey, Michael E.Evans-Lacko, SaraPereira Vilete, Liliane MariaFigueira, IvanBressan, Rodrigo Affonseca [UNIFESP]Mello, Marcelo Feijo de [UNIFESP]Prince, MartinFerri, Cleusa P.Freire Coutinho, Evandro SilvaAndreoli, Sergio Baxter [UNIFESP]2016-01-24T14:31:46Z2016-01-24T14:31:46Z2013-05-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion13application/pdfhttp://dx.doi.org/10.1371/journal.pone.0063545Plos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013.10.1371/journal.pone.0063545WOS000319055600063.pdf1932-6203http://repositorio.unifesp.br/handle/11600/36337WOS:000319055600063engPlos Oneinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-07-31T07:56:44Zoai:repositorio.unifesp.br/:11600/36337Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-07-31T07:56:44Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
title |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
spellingShingle |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil Ribeiro, Wagner Silva [UNIFESP] |
title_short |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
title_full |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
title_fullStr |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
title_full_unstemmed |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
title_sort |
The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazil |
author |
Ribeiro, Wagner Silva [UNIFESP] |
author_facet |
Ribeiro, Wagner Silva [UNIFESP] Mari, Jair de Jesus [UNIFESP] Quintana, Maria Ines [UNIFESP] Dewey, Michael E. Evans-Lacko, Sara Pereira Vilete, Liliane Maria Figueira, Ivan Bressan, Rodrigo Affonseca [UNIFESP] Mello, Marcelo Feijo de [UNIFESP] Prince, Martin Ferri, Cleusa P. Freire Coutinho, Evandro Silva Andreoli, Sergio Baxter [UNIFESP] |
author_role |
author |
author2 |
Mari, Jair de Jesus [UNIFESP] Quintana, Maria Ines [UNIFESP] Dewey, Michael E. Evans-Lacko, Sara Pereira Vilete, Liliane Maria Figueira, Ivan Bressan, Rodrigo Affonseca [UNIFESP] Mello, Marcelo Feijo de [UNIFESP] Prince, Martin Ferri, Cleusa P. Freire Coutinho, Evandro Silva Andreoli, Sergio Baxter [UNIFESP] |
author2_role |
author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Kings Coll London Fundacao Oswaldo Cruz Universidade Federal do Rio de Janeiro (UFRJ) |
dc.contributor.author.fl_str_mv |
Ribeiro, Wagner Silva [UNIFESP] Mari, Jair de Jesus [UNIFESP] Quintana, Maria Ines [UNIFESP] Dewey, Michael E. Evans-Lacko, Sara Pereira Vilete, Liliane Maria Figueira, Ivan Bressan, Rodrigo Affonseca [UNIFESP] Mello, Marcelo Feijo de [UNIFESP] Prince, Martin Ferri, Cleusa P. Freire Coutinho, Evandro Silva Andreoli, Sergio Baxter [UNIFESP] |
description |
Background: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-05-08 2016-01-24T14:31:46Z 2016-01-24T14:31:46Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1371/journal.pone.0063545 Plos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013. 10.1371/journal.pone.0063545 WOS000319055600063.pdf 1932-6203 http://repositorio.unifesp.br/handle/11600/36337 WOS:000319055600063 |
url |
http://dx.doi.org/10.1371/journal.pone.0063545 http://repositorio.unifesp.br/handle/11600/36337 |
identifier_str_mv |
Plos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013. 10.1371/journal.pone.0063545 WOS000319055600063.pdf 1932-6203 WOS:000319055600063 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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Plos One |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
13 application/pdf |
dc.publisher.none.fl_str_mv |
Public Library Science |
publisher.none.fl_str_mv |
Public Library Science |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268445403906048 |