scholarly journals Province-level Prevalence of Psychiatric Disorders: Application of Small-Area Methodology to the Iranian Mental Health Survey (IranMHS)

2019 ◽  
Author(s):  
Farhad Moradpour ◽  
Ahmad Hajebi ◽  
Masoud Salehi ◽  
Masoud Solaymani-Dodaran ◽  
Afarin Rahimi-Movaghar ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Health Survey ◽  
Small Area ◽  
Pearson Correlation ◽  
Random Effect ◽  
Random Effect Model ◽  
Diagnostic Interview ◽  
Mental Health Survey ◽  
Province Level

Objective: National surveys revealed a high prevalence of psychiatric disorders in Iran. Province-level estimates are needed to manage the resources and focus on preventive efforts more efficiently. The objective of this study was to provide province-level estimates of psychiatric disorders. Method: In this study, Iranian Mental Health Survey (IranMHS) data (n = 7886) was used to produce province-level prevalence estimates of any psychiatric disorders among 15-64 year old males and females. Psychiatric disorders were diagnosed based on structured diagnostic interview of the Persian version of Composite International Diagnostic Interview (CIDI, version, 2.1). The Hierarchical Bayesian (HB) random effect model was used to calculate the estimates. The mental health status of half of the participants was also measured using a 28-item general health questionnaire (GHQ). Results: A wide variation in the prevalence of psychiatric disorders was found among 31 provinces of Iran. The direct estimates ranged from 3.6% to 62.6%, while the HB estimates ranged from 12.6% to 36.5%. The provincial prevalence among men ranged from 11.9% to 34.5%, while it ranged from 18.4% to 38.8% among women. The Pearson correlation coefficient between HB estimates and GHQ scores was 0.73. Conclusion: The Bayesian small area estimation provides estimation with improved precision at local levels. Detecting high-priority communities with small-area approach could lead to a better distribution of limited facilities and more effective mental health interventions.

scholarly journals São Paulo Megacity Mental Health Survey - a population-based epidemiological study of psychiatric morbidity in the São Paulo metropolitan area: aims, design and field implementation

2009 ◽  
Vol 31 (4) ◽  
pp. 375-386 ◽  
Author(s):  
Maria Carmen Viana ◽  
Marlene Galativicis Teixeira ◽  
Fidel Beraldi ◽  
Indaiá de Santana Bassani ◽  
Laura Helena Andrade
Keyword(s):  
Mental Health ◽  
Health Survey ◽  
Psychiatric Morbidity ◽  
Composite International Diagnostic Interview ◽  
Population Based ◽  
Sao Paulo ◽  
Diagnostic Interview ◽  
São Paulo ◽  
The World ◽  
Mental Health Survey

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.

Twelve-Month and Lifetime Prevalences of Mental Disorders and Treatment Contact Among Pacific People in Te Rau Hinengaro: The New Zealand Mental Health Survey

2006 ◽  
Vol 40 (10) ◽  
pp. 924-934 ◽  
Author(s):  
Siale A. Foliaki ◽  
Jesse Kokaua ◽  
David Schaaf ◽  
Colin Tukuitonga ◽  
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Health Survey ◽  
Diagnostic Interview ◽  
World Health ◽  
Pacific People ◽  
Zealand Population ◽  
Mental Health Survey

Objective: To show the 12 month and lifetime prevalences of mental disorders and 12 month treatment contact of Pacific people in Te Rau Hinengaro: The New Zealand Mental Health Survey. Method: Te Rau Hinengaro: The New Zealand Mental Health Survey, undertaken in 2003 and 2004, was a nationally representative face-to-face household survey of 12 992 New Zealand adults aged 16 years and over including M ori (n = 2457), Pacific people (n = 2236), people of mixed Pacific and M ori ethnicity (n = 138), and ‘Others’ (a composite group of predominantly European descent) (n = 8161). Ethnicity was measured by self-identified ethnicity using the New Zealand 2001 Census of Population and Dwellings question. A fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (CIDI 3.0), was used to measure disorders. The overall response rate was 73.3%. Results: Pacific people have high rates of mental illness: the unadjusted 12 month prevalence for Pacific people was 25.0% compared with 20.7% for the total New Zealand population. There were also higher 12 month prevalences of suicidal ideation (4.5%) and suicide attempts (1.2%). Only 25.0% of Pacific people who had experienced a serious mental disorder had visited any health service for their mental health reason compared with 58.0% of the total New Zealand population. The prevalence of mental disorder was lower among Pacific people born in the Islands than among New Zealand-born Pacific people. Conclusion: Pacific people experience high prevalence of mental disorder and New Zealand-born Pacific people experience significantly higher prevalence than Island-born Pacific people.

Te Rau Hinengaro: The New Zealand Mental Health Survey: Overview of Methods and Findings

2006 ◽  
Vol 40 (10) ◽  
pp. 835-844 ◽  
Author(s):  
J. Elisabeth Wells ◽  
Mark A. Oakley Browne ◽  
Kate M. Scott ◽  
Magnus A. Mcgee ◽  
Joanne Baxter ◽  
...  
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Mental Disorder ◽  
Health Survey ◽  
Mental Health Problems ◽  
Diagnostic Interview ◽  
World Health ◽  
Pacific People ◽  
The Past ◽  
Mental Health Survey

Objective: To estimate the prevalence and severity of anxiety, mood, substance and eating disorders in New Zealand, and associated disability and treatment. Method: A nationwide face-to-face household survey of residents aged 16 years and over was undertaken between 2003 and 2004. Lay interviewers administered a computerized fully structured diagnostic interview, the World Health Organization World Mental Health Survey Initiative version of the Composite International Diagnostic Interview. Oversampling doubled the number of Māori and quadrupled the number of Pacific people. The outcomes reported are demographics, period prevalences, 12 month severity and correlates of disorder, and contact with the health sector, within the past 12 months. Results: The response rate was 73.3%. There were 12 992 participants (2595 Māori and 2236 Pacific people). Period prevalences were as follows: 39.5% had met criteria for a DSM-IV mental disorder at any time in their life before interview, 20.7% had experienced disorder within the past 12 months and 11.6% within the past month. In the past 12 months, 4.7% of the population experienced serious disorder, 9.4% moderate disorder and 6.6% mild disorder. A visit for mental health problems was made to the health-care sector in the past 12 months by 58.0% of those with serious disorder, 36.5% with moderate disorder, 18.5% with mild disorder and 5.7% of those not diagnosed with a disorder. The prevalence of disorder and of serious disorder was higher for younger people and people with less education or lower household income. In contrast, these correlates had little relationship to treatment contact, after adjustment for severity. Compared with the composite Others group, Māori and Pacific people had higher prevalences of disorder, unadjusted for sociodemographic correlates, and were less likely to make treatment contact, in relation to need. Conclusions: Mental disorder is common in New Zealand. Many people with current disorder are not receiving treatment, even among those with serious disorder.

scholarly journals Same-Sex Sexuality and Psychiatric Disorders in the Second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2)

LGBT Health ◽  
2014 ◽  
Vol 1 (4) ◽  
pp. 292-301 ◽  
Author(s):  
Theo G. M. Sandfort ◽  
Ron de Graaf ◽  
Margreet ten Have ◽  
Yusuf Ransome ◽  
Paul Schnabel
Keyword(s):  
Mental Health ◽  
Psychiatric Disorders ◽  
Incidence Study ◽  
Health Survey ◽  
Same Sex ◽  
Mental Health Survey

scholarly journals Patterns and predictors of health service use among people with mental disorders in São Paulo metropolitan area, Brazil

2016 ◽  
Vol 26 (1) ◽  
pp. 89-101 ◽  
Author(s):  
Y.-P. Wang ◽  
A. D. P. Chiavegatto Filho ◽  
A. M. Campanha ◽  
A. M. Malik ◽  
M. A. Mogadouro ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Survey ◽  
Metropolitan Area ◽  
Sao Paulo ◽  
Diagnostic Interview ◽  
São Paulo ◽  
Mental Health Survey ◽  
Treatment Adequacy ◽  
Complementary And Alternative

Aims.Important transformations in psychiatric healthcare (HC) delivery have been implemented in Latin America during the beginning of 21st century. However, information on current service uses patterns is scant, obstructing the estimates and proper planning of service needs for general population. The current investigation aims to describe patterns and estimates predictors of 12-month HC use by individuals with mental disorders in São Paulo metropolitan area, Brazil.Method.Data are from São Paulo Mental Health Survey, a cross-sectional multistage representative study. Participants were face-to-face interviewed in their household, using a structured diagnostic interview, the World Mental Health Survey Initiative version of the Composite International Diagnostic Interview. A total of 5037 respondents, non-institutionalised, aged 18 years and older were interviewed. The response rate was 81.3%. We determined the percentages of individuals with 12-month DSM-IV anxiety, mood and substance disorders that received treatment in the 12 months prior to assessment in main service sectors (specialty mental health, general medicine, human services (HS), and complementary and alternative medicine). The number of visits and percentage of individuals who received treatment at minimally adequacy also was estimated. Multilevel regression controlled contextual variables that influenced the use of service and treatment adequacy.Results.Only 10.1% of respondents used some HC service in the 12 months prior to assessment for their psychiatric problems, including 3.9% of them being treated either by a psychiatrist, 3.5% by a non-psychiatrist mental health specialist, 3.3% by a general medical (GM) provider, 1.5% by a HS provider and 1.4% by a complementary and alternative medical provider. In general, those participants who received service in the mental health specialty sector reported more visits than those in the GM sector (median 3.9 v. 1.5 visits). The cases seen in specialty sector outnumber those visiting GM treatment in terms of minimally adequate treatment (54.6 v. 23.2%). The likelihood of receiving treatment was significantly greater among individuals diagnosed with any anxiety and mood disorder, presenting more severe disorders, and with possession of HC insurance.Conclusions.The great majority of individuals with an active mental disorder in São Paulo were either untreated or insufficiently treated. Awareness and training programmes to GM professionals are advocated to improve recognition, care take and referral to specialty care when needed. Proper integration among HC sectors is recommended.

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