scholarly journals Individual and contextual effects on mental health status in São Paulo, Brazil

2000 ◽  
Vol 22 (3) ◽  
pp. 116-123 ◽  
Author(s):  
Ilona Blue

Objectives: There is evidence that mental health status is partly determined by socioeconomic status. Recent research in the U.K. has highlighted the importance of place or context as a health determinant. This study aimed to analyze both individual socioeconomic variables and area of residence as potential risk factors for mental ill health. The objectives were to determine whether the effects of key explanatory variables on mental health status varies by area of residence and whether area of residence has an independent effect on mental health status once other key variables have been controlled for. Methods: The study used data collected as part of the Brazilian Multicentric Study of Psychiatric Morbidity. Data from a cross-sectional survey carried out in three socioeconomically contrasting sub-districts in São Paulo, Brazil, was used. The main outcome measure was mental health status as measured by the Questionário de Morbidade Psiquiátrica de Adultos (QMPA). Results: The results demonstrate that, even after key individual socioeconomic variables were controlled for, area of residence had a statistically significant effect on mental health status. Discussion: A possible explanation for the effect of area of residence relates to the social and physical features of places and their subsequent impact on health. Conclusions: It is important for mental health research to acknowledge the potential importance of the effect of area of residence on health, particularly in relation to developing new mental health promotion initiatives.

2020 ◽  
Author(s):  
Taha Husain ◽  
Mohammad Main Uddin ◽  
Saber Ahmed Chowdhury ◽  
Nazmul Ahsan Kalimullah

AbstractObjectivesTo identify the level of Mental Health Status of Adolescents During the COVID-19 Pandemic among the Bangladeshi Graduate Student at DhakaMethodA cross-sectional survey was conducted with 330 students from different public and Private Universities in Dhaka, Bangladesh between April 01, 2020 and July 31, 2020 amid the COVID-19 lockdown period in Bangladesh. A standard, self-administered online questionnaire consisting of questions on socio-demographic variables, mental health status, as well as stress management sent to the respondents through social networking platforms. Data were analyzed using descriptive statistics, t-test, one-way ANOVA and correlation tests.ResultsThe mean score of mental health status was 2.08 based on four points scale. They felt problem in decision making (3.04), in doing the things well (2.92), in enjoying normal day to day life (2.88), in playing a useful part in life (2.85), in doing their task (2.75), living in perfectly well and in good health (2.70). The respondents also developed a suicidal tendency (2.55), felt nervous in strung-up (2.24), took longer time to do things (2.14), felt tightness and pressure in head (2.12), and found themselves pressurized by various stuff (2.05). This study also found a significant positive relationship between mental health status and age, living with parents, and parents’ attitude. Finally, this study revealed that the respondents managed their stress by chatting with their friends, parents and siblings, and by sleeping.ConclusionMental health status of adolescents was found moderate in this study. This study suggests further large-scale study including different socio-economic settings in order to figure out the real scenario of adolescents’ mental health status of the country during the pandemic.


1997 ◽  
Vol 171 (6) ◽  
pp. 524-529 ◽  
Author(s):  
Naomar Almeida-Filho ◽  
Jair De Jesus Mari ◽  
Evandro Coutinho ◽  
Josimar Farias França ◽  
Jefferson Fernandes ◽  
...  

BackgroundPsychiatric morbidity studies in developing countries have used diagnostic procedures of low reliability, without a clinical definition of caseness, producing descriptive data with limited application for mental health planning.MethodA two-stage cross-sectional design (with a sample size of 6476) was conducted to estimate the prevalence of DSM–III psychiatric diagnoses in three metropolitan areas of Brazil (Brasília, São Paulo and Porto Alegre). All subjects were screened for the presence of psychopathology with a 44-item instrument (the QMPA) and a subsample was selected for a psychiatric interview.ResultsAge-adjusted prevalence of cases potentially in need of care ranged from 19% (São Paulo) to 34% (Brasília and Porto Alegre). Anxiety disorders comprised the highest prevalences (up to 18%). Alcoholism yielded the most consistent prevalence levels, around 8% in all sites. Depression showed great variation between areas: from less than 3% (São Paulo and Brasília) to 10% (Porto Alegre)ConclusionsOverall prevalences were high in comparison with previous studies conducted in Brazil. A female excess of non-psychotic disorders (anxiety, phobias, somatisation and depression) and a male excess for alcoholism were consistently found.


2009 ◽  
Vol 31 (4) ◽  
pp. 375-386 ◽  
Author(s):  
Maria Carmen Viana ◽  
Marlene Galativicis Teixeira ◽  
Fidel Beraldi ◽  
Indaiá de Santana Bassani ◽  
Laura Helena Andrade

The São Paulo Megacity Mental Health Survey is a population-based cross-sectional survey of psychiatric morbidity, assessing a probabilistic sample of household residents in the São Paulo Metropolitan Area, aged 18 years and over. Respondents were selected from a stratified multistage clustered area probability sample of households, covering all 39 municipalities, without replacement. Respondents were assessed using the World Mental Health Survey version of the World Health Organization Composite International Diagnostic Interview (WMH-CIDI), which was translated and adapted into the Brazilian-Portuguese language. Data was collected between May 2005 and April 2007 by trained lay interviewers. The World Mental Health Survey version of the Composite International Diagnostic Interview comprises clinical and non-clinical sections, arranged as Part I and Part II, producing diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition, and the International Classification of Diseases - 10th Revision. Mood, anxiety, impulse-control and substance use disorders, and suicide-related behavior, considered core disorders, as well as socio-demographic information, were assessed in all respondents. Non-clinical modules and non-core clinical sections (obsessive-compulsive disorder, post-traumatic stress disorder, gambling, eating disorders, neurasthenia, pre-menstrual disorders, psychotic symptoms and personality traits) were assessed in a sub-sample (2,942 respondents), composed by all respondents with at least one core disorder and a 25% random sample of those who were non-cases. A total of 5,037 individuals were interviewed, with a global response rate of 81.3%. Saliva samples were collected from 1,801 respondents, with DNA extracted stored pending further investigations.


Author(s):  
Marwah Ahmed Behisi ◽  
Hussain M. Altaweel ◽  
Reham F. Gassas ◽  
Mansour Aldehaiman ◽  
Abdulmajeed A. Alkhamees

Background: The COVID-19 pandemic is a global health crisis associated with unprecedented levels of morbidity and mortality worldwide. The COVID-19 pandemic has been suggested to contribute to a great burden on global mental health. We assumed that individuals in quarantine outside their home country would be more vulnerable to developing mental health disorders during the current pandemic and might face difficulties in accessing mental health services. Aim: To explore the degree of association between the COVID-19 pandemic and mental health status of Saudi citizens living abroad. Objectives: (1) To measure the prevalence and risk factors of mental health problems among Saudi citizens studying and living abroad during the COVID-19 pandemic; (2) to assess the correlation between the COVID-19 pandemic and mental health status of Saudi citizens living abroad; and (3) to explore the level of anxiety/depression during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted from August 2020 to September 2020 using a self-administrated questionnaire composed of sociodemographic, (GAD-7) and (PHQ-9) scales. Results: A total of 64% of participants experienced psychiatric symptoms during the pandemic, and 34% and 30% met the diagnostic criteria for symptoms of depression and anxiety, respectively. The risk of psychological symptoms was more likely experienced by females, young, single, or divorced, or those who were living alone. In addition, those who lived in the UK and Ireland were more likely to develop depressive and anxiety symptoms. More than 80% appreciated the response of the Saudi government and embassy to meet the MH needs of students undergoing quarantine abroad and in Saudi Arabia. Conclusions: The COVID-19 pandemic represents an unprecedented threat to global mental health. Two-thirds of study participants who were in foreign countries during the COVID-19 pandemic reported anxiety or depressive symptoms. Living away from family and friends was significantly associated with increased loneliness and psychological distress. These and other findings highlight the need to remove barriers preventing easily accessible online mental health services, social and family support, and timely provision of resources.


2021 ◽  
Author(s):  
Yong Tian ◽  
Tingyong Feng ◽  
Zhen Wen ◽  
Yipeng Yang ◽  
Jingting Huang

Abstract Background A global public health emergency triggered by the Coronavirus Disease 2019 (COVID-19) epidemic may have a remarkable psychological impact on the population. There is still limited psychological research on police officers, especially on prison police. The present study aims to identify prevalence and influencing factors on mental health status among frontline prison police in China during the prevention and control of the COVID-19 epidemic. Methods A cross-sectional survey with a sample of 981 frontline prison police was conducted by using snowball sampling approach. The self-administered questionnaire consisted of 4 parts: (i) informed consent form; (ii) socio-demographic section; (iii) work and life situations during the prevention and control of the COVID-19 epidemic; (iv) the Chinese version of the 12-item General Health Questionnaire (GHQ-12). Univariate analysis and multivariable logistic regression were performed to identify factors influencing mental health status. Results The prevalence of being prone to mental health problems (GHQ-12 score ≥ 4) was 33.43% among frontline prison police. The results of GHQ-12 factors analysis that the prison police suffered from psychological issues related to anxiety and depression, which main symptoms were unhappy and depressed, lost sleep over worry and constantly under strain. Multivariate logistic regression analysis revealed that male (OR = 1.573, 95% CI: 1.385–1.853), work in closed jail (OR = 2.203, 95% CI: 2.139–2.297), more night shifts (OR = 2.163, 95% CI: 2.031–2.317 ; OR = 2.749, 95% CI: 2.194–2.901), more smoking (OR = 1.100, 95% CI: 1.037–2.168), poor physical condition (OR = 1.947, 95% CI: 1.478–2.250), chronic or serious illness history (OR = 1.870, 95% CI: 1.314–2.660; OR = 2.214, 95% CI: 1.460–2.812) were risk factor for mental health among frontline prison police, while regular diet (OR = 0.779, 95% CI: 0.539–0.928), more physical exercise (OR = 0.702, 95% CI: 0.548–0.899; OR = 0.641, 95% CI: 0.316–0.887), more communication with family members (OR = 0.437, 95% CI: 0.295–0.616) were protective factor. Conclusion The frontline prison police exhibited a high tendency toward mental health problems during the prevention and control of this epidemic. Therefore, continued surveillance of psychological problems and targeted mental health care for frontline prison police were urgently.


2021 ◽  
Vol 40 ◽  
Author(s):  
Ghassen Kharroubi ◽  
Ines Cherif ◽  
Sina Haj Amor ◽  
Mariem Zribi ◽  
Wejdene Ben Atigue ◽  
...  

Author(s):  
B. L. Edirisinghe ◽  
W. M. S. S. K. Kulathunga

Mental and behavioral disorders are the 13% of the global burden of diseases. Mental health problems are common among children and young people estimated 13.4% affected by any metal disorders.(3) Today mental health problems are emerging more strongly as a public health problems presenting increase of the prevalence of substance and alcohol abuse and the world‘s highest suicide rates. Objective of this survey is study was to identify the mental health status of the newly recruited Ayurvedic medical Practitioners. Descriptive cross sectional survey study was carried out among total population of newly recruited Ayurvedic Practitioners by using self-administered questionnaire. Study conducted at the Institute of Indigenous Medicine. Data collection was carried out by the principal investigator during the period of their training. The response rate was 85.7% (107). The female doctors represented the majority of the participants measured 70.15 (75). Age ranged from 25-45years with mean of 33.1 (SD 2.30). Findings from the study revealed 100 (93.5%) of the respondents are within age range 31-40 yrs. The marital status of the respondents were 82.2% (88) of them are married, unmarried 15.9% (17) and widower 1.9%(2). 95.3% (102) of the respondents are Buddhists and 4.7% (5) are Christians. Also study indicates those 46.7% (50) respondents from semi urban, 42.1% (45) from urban and 11.2% (12) from rural. Nutritional status of the respondents, 56.1% (60) of them are with normal weight, 5.6%(6) of them were underweight and 38.3% (41) overweight. The majority of the respondents 90.7% (97) are with Normal mental health. But 9.3% of the respondents were presented with mild impairment.


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