scholarly journals Equity on Health Services Access of People with Common Mental Disorders in Sao Paulo City

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Gustavo de Brito Venancio dos Santos
2017 ◽  
Vol 33 (9) ◽  
Author(s):  
Mariane Henriques França ◽  
Sandhi Maria Barreto ◽  
Flavia Garcia Pereira ◽  
Laura Helena Silveira Guerra de Andrade ◽  
Maria Cristina Alochio de Paiva ◽  
...  

Abstract: 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.


Author(s):  
Gustavo de Brito Venâncio dos Santos ◽  
Moisés Goldbaum ◽  
Chester Luiz Galvão César ◽  
Reinaldo José Gianini

Maturitas ◽  
2019 ◽  
Vol 124 ◽  
pp. 173
Author(s):  
Joao Valentini Neto ◽  
Regina Mara Fisberg ◽  
Ligia A. Martini ◽  
Sandra Maria Ribeiro

2012 ◽  
Vol 28 (10) ◽  
pp. 1903-1914 ◽  
Author(s):  
Caroline Senicato ◽  
Marilisa Berti de Azevedo Barros

The aim of this was study was to assess social inequalities in health status and use of health services according to level of schooling in women. This was a cross-sectional population-based study with a sample of 508 women from 20 to 59 years of age living in Campinas, São Paulo State, Brazil (ISA-Camp 2008). Women with less schooling showed higher prevalence of hypertension, circulatory problems, headache, dizziness, obesity, common mental disorders, worse self-rated health, use of dental prosthesis, and visual impairment, but lower prevalence for use of eyeglasses. There were no differences between the two schooling strata in prevalence of medical visits in the previous two weeks, use of medicines in the three previous days, Pap smear, breast self-examination, clinical breast examination, hospitalizations and surgeries in the previous year, and rubella vaccination any time in life. The only significant differences were in use of dental services and mammograms. The results show social inequalities in various health indicators and equity in access to various components of the health services.


2010 ◽  
Vol 33 (2) ◽  
pp. 157-164 ◽  
Author(s):  
Alexandre Augusto Macêdo Corrêa ◽  
Alexander Moreira-Almeida ◽  
Paulo R. Meneze ◽  
Homero Vallada ◽  
Marcia Scazufca

OBJECTIVE: Religiosity has been associated with mental health, especially in the elderly. There is a shortage of studies on the factors that mediate this association, including social support. The aim of this study was to assess the association between the various dimensions of religiosity and the prevalence of common mental disorders among the elderly, and to verify whether social support can work as a mechanism that explains such mediation. METHOD: The sample consisted of an elderly population living in a low income region of the city of São Paulo (N = 1,980). Data on the socio-demographic profile of this population and on the prevalence of common mental disorders were collected, and indicators of religiosity and social support were identified. RESULTS: 90.7% of the sample considered themselves to be religious. In terms of denomination, 66.6% were Catholic. Forty-one per cent attended some kind of religious activity at least once or more times a week. The presence of common mental disorders was not associated with religious affiliation or subjective religiosity. The prevalence of common mental disorders in followers attending religious services was approximately half (OR between 0.43 and 0.55, p < 0.001) compared to those who never attend a religious service. Attending religious services was associated with higher levels of social support. The association between a higher attendance frequency and fewer common mental disorders did not change after the inclusion of relevant of social support variables. CONCLUSION: The study showed that subjects presented high levels of religiosity and that there is a strong association between religious attendance and the prevalence of common mental disorders, which could not be explained by social support.


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