TY - JOUR
T1 - Prevalence and early determinants of common mental disorders in the 1982 birth cohort, Pelotas, Southern Brazil
AU - Anselmi, Luciana
AU - Barros, Fernando C.
AU - Minten, Gicele C.
AU - Gigante, Denise P.
AU - Horta, Bernardo L.
AU - Victora, Cesar G.
PY - 2008
Y1 - 2008
N2 - OBJECTIVE: To estimate the prevalence of common mental disorders and assess its association with risk factors in a cohort of young adults. METHODS: Cross-sectional study nested in a 1982 birth cohort study conducted in Pelotas, Southern Brazil. In 2004-5, 4,297 subjects were interviewed during home visits. Common mental disorders were assessed using the Self-Report Questionnaire. Risk factors included socioeconomic, demographic, perinatal, and environmental variables. The analysis was stratifi ed by gender and crude and adjusted prevalence ratios were estimated by Poisson regression. RESULTS: The overall prevalence of common mental disorders was 28.0%; 32.8% and 23.5% in women and men, respectively. Men and women who were poor in 2004-5, regardless of their poor status in 1982, had nearly 1.5-fold increased risk for common mental disorders (p≤0.001) when compared to those who have never been poor. Among women, being poor during childhood (p=0.001) and black/mixed skin color (p≤0.002) increased the risk for mental disorders. Low birth weight and duration of breastfeeding were not associated to the risk of these disorders. CONCLUSIONS: Higher prevalence of common mental disorders among low-income groups and race-ethnic minorities suggests that social inequalities present at birth have a major impact on mental health, especially common mental disorders.
AB - OBJECTIVE: To estimate the prevalence of common mental disorders and assess its association with risk factors in a cohort of young adults. METHODS: Cross-sectional study nested in a 1982 birth cohort study conducted in Pelotas, Southern Brazil. In 2004-5, 4,297 subjects were interviewed during home visits. Common mental disorders were assessed using the Self-Report Questionnaire. Risk factors included socioeconomic, demographic, perinatal, and environmental variables. The analysis was stratifi ed by gender and crude and adjusted prevalence ratios were estimated by Poisson regression. RESULTS: The overall prevalence of common mental disorders was 28.0%; 32.8% and 23.5% in women and men, respectively. Men and women who were poor in 2004-5, regardless of their poor status in 1982, had nearly 1.5-fold increased risk for common mental disorders (p≤0.001) when compared to those who have never been poor. Among women, being poor during childhood (p=0.001) and black/mixed skin color (p≤0.002) increased the risk for mental disorders. Low birth weight and duration of breastfeeding were not associated to the risk of these disorders. CONCLUSIONS: Higher prevalence of common mental disorders among low-income groups and race-ethnic minorities suggests that social inequalities present at birth have a major impact on mental health, especially common mental disorders.
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U2 - 10.1590/S0034-89102008000100004
DO - 10.1590/S0034-89102008000100004
M3 - Article
C2 - 19142342
AN - SCOPUS:67650639297
SN - 0034-8910
VL - 42
SP - 26
EP - 33
JO - Revista de Saude Publica
JF - Revista de Saude Publica
IS - SUPPL.2
ER -