França Mariane Henriques, Barreto Sandhi Maria, Pereira Flavia Garcia, Andrade Laura Helena Silveira Guerra de, Paiva Maria Cristina Alochio de, Viana Maria Carmen
Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Espírito Santo, Vitória, Brasil.
Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2017 Oct 9;33(9):e00154116. doi: 10.1590/0102-311X00154116.
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.
精神障碍与就业状况相关，既是重要的预测因素，也是失业和提前退休的后果。本研究描述了巴西圣保罗大都市区按性别划分的精神障碍12个月DSM-IV患病率及卫生服务利用情况与就业状况的估计值和关联。分析了圣保罗大城市心理健康调查的数据（n = 5,037）。这是一项基于人群的研究，使用综合国际诊断访谈评估成年人精神障碍的患病率和决定因素。通过二项式和多项逻辑回归获得的优势比来估计关联。本研究表明，患有精神障碍，尤其是情绪障碍，与男性不活动或失业以及女性不活动相关，但只有物质使用障碍与女性失业相关。在患有精神障碍的人群中，失业者寻求医疗服务的频率较低。
