Wright State University Boonshoft School of Medicine, 3640 Colonel Glenn Highway, Dayton, OH, USA.
Division of Global Health Equity, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
J Epidemiol Glob Health. 2019 Jun;9(2):103-106. doi: 10.2991/jegh.k.181128.001.
Depression is a leading cause of disability worldwide and can be diagnosed and treated in primary care clinics. No studies to date have demonstrated the prevalence of depression in rural, primary care settings in Mexico. The objective of this study is to describe the prevalence of visits for depression in primary care settings in one group of rural communities within Chiapas, Mexico. We performed a cross-sectional, retrospective study of depression prevalence in primary care clinics in the Sierra region of Chiapas, Mexico during the calendar year of 2014. We determined the average depression prevalence is 7.9% (6 community clinics, = 4555). The prevalence of depression in rural Chiapas, Mexico is much higher than the Mexican national average of 4.0-4.5% found in a home-based survey. Further efforts to understand the causes, develop improved mental health services in primary care, and reduce the higher burden of depression in rural communities in Mexico are urgently needed.
抑郁症是全球范围内导致残疾的主要原因，可以在初级保健诊所进行诊断和治疗。迄今为止，尚无研究表明墨西哥农村初级保健环境中抑郁症的患病率。本研究的目的是描述墨西哥恰帕斯州农村地区一组初级保健诊所中抑郁症就诊的患病率。我们对 2014 年恰帕斯州塞拉地区初级保健诊所的抑郁症患病率进行了横断面、回顾性研究。我们确定平均抑郁症患病率为 7.9%（6 个社区诊所， = 4555）。与家庭调查中发现的墨西哥全国平均 4.0-4.5%的患病率相比，墨西哥恰帕斯州农村地区的抑郁症患病率要高得多。迫切需要进一步努力了解原因，在初级保健中发展更好的心理健康服务，并减轻农村社区中更高的抑郁症负担。
