Factors associated with depression: sex differences between residents of Quilombo communities

INTRODUCTION: The Quilombola population is subject to numerous sources of social vulnerability, but few studies investigate their physical or mental health conditions. OBJECTIVES: To investigate the factors associated with depression in men and women, separately. METHODOLOGY: Cross-sectional population-based study with 764 randomly selected participants from five quilombo communities in Vitória da Conquista, Bahia, Brazil. The cutoff point for depression was ≥ 10 points, assessed by the Patient Health Questionnaire score (PHQ-9), and the presence of five or more symptoms. We estimated the prevalence ratio with 95% confidence intervals using Poisson regression models with robust estimators stratified by gender. RESULTS: Among men, factors associated with depression were previous diagnosis of chronic illnesses, poor/very poor health self-assessment, and poor access to health services. Among women, the associated factors were previous diagnosis of psychiatric disorders, poor/very poor health self-perception, history of tobacco smoking, and self-declaration of race as not black. CONCLUSION: Factors associated with depression differ between men and women and must be considered in interventions to fight depression within this population.

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Main Authors: Barroso,Sabrina Martins, Melo,Ana Paula, Guimarães,Mark Drew Crosland
Format: Digital revista
Language:English
Published: Associação Brasileira de Saúde Coletiva 2015
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200503
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spelling oai:scielo:S1415-790X20150002005032015-06-09Factors associated with depression: sex differences between residents of Quilombo communitiesBarroso,Sabrina MartinsMelo,Ana PaulaGuimarães,Mark Drew Crosland Depression Sex factors Association Rural health Diagnosis Public health INTRODUCTION: The Quilombola population is subject to numerous sources of social vulnerability, but few studies investigate their physical or mental health conditions. OBJECTIVES: To investigate the factors associated with depression in men and women, separately. METHODOLOGY: Cross-sectional population-based study with 764 randomly selected participants from five quilombo communities in Vitória da Conquista, Bahia, Brazil. The cutoff point for depression was ≥ 10 points, assessed by the Patient Health Questionnaire score (PHQ-9), and the presence of five or more symptoms. We estimated the prevalence ratio with 95% confidence intervals using Poisson regression models with robust estimators stratified by gender. RESULTS: Among men, factors associated with depression were previous diagnosis of chronic illnesses, poor/very poor health self-assessment, and poor access to health services. Among women, the associated factors were previous diagnosis of psychiatric disorders, poor/very poor health self-perception, history of tobacco smoking, and self-declaration of race as not black. CONCLUSION: Factors associated with depression differ between men and women and must be considered in interventions to fight depression within this population. info:eu-repo/semantics/openAccessAssociação Brasileira de Saúde ColetivaRevista Brasileira de Epidemiologia v.18 n.2 20152015-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200503en10.1590/1980-5497201500020017
institution SCIELO
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Barroso,Sabrina Martins
Melo,Ana Paula
Guimarães,Mark Drew Crosland
spellingShingle Barroso,Sabrina Martins
Melo,Ana Paula
Guimarães,Mark Drew Crosland
Factors associated with depression: sex differences between residents of Quilombo communities
author_facet Barroso,Sabrina Martins
Melo,Ana Paula
Guimarães,Mark Drew Crosland
author_sort Barroso,Sabrina Martins
title Factors associated with depression: sex differences between residents of Quilombo communities
title_short Factors associated with depression: sex differences between residents of Quilombo communities
title_full Factors associated with depression: sex differences between residents of Quilombo communities
title_fullStr Factors associated with depression: sex differences between residents of Quilombo communities
title_full_unstemmed Factors associated with depression: sex differences between residents of Quilombo communities
title_sort factors associated with depression: sex differences between residents of quilombo communities
description INTRODUCTION: The Quilombola population is subject to numerous sources of social vulnerability, but few studies investigate their physical or mental health conditions. OBJECTIVES: To investigate the factors associated with depression in men and women, separately. METHODOLOGY: Cross-sectional population-based study with 764 randomly selected participants from five quilombo communities in Vitória da Conquista, Bahia, Brazil. The cutoff point for depression was ≥ 10 points, assessed by the Patient Health Questionnaire score (PHQ-9), and the presence of five or more symptoms. We estimated the prevalence ratio with 95% confidence intervals using Poisson regression models with robust estimators stratified by gender. RESULTS: Among men, factors associated with depression were previous diagnosis of chronic illnesses, poor/very poor health self-assessment, and poor access to health services. Among women, the associated factors were previous diagnosis of psychiatric disorders, poor/very poor health self-perception, history of tobacco smoking, and self-declaration of race as not black. CONCLUSION: Factors associated with depression differ between men and women and must be considered in interventions to fight depression within this population.
publisher Associação Brasileira de Saúde Coletiva
publishDate 2015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2015000200503
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