Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil,
Cien Saude Colet. 2020 May;25(5):1677-1688. doi: 10.1590/1413-81232020255.33362019. Epub 2020 May 8.
The aim of the present study was to investigate the existence of racial inequalities in the prevalence of emotional problems, the search for healthcare services and the use of psychotropic drugs. A population-based, cross-sectional study was conducted with data from the 2014/15 Campinas Health Survey. Sample of 1953 individuals aged 20 years or older was analyzed. We estimated the prevalence of common mental disorders (CMDs), the reporting of emotional problems, insomnia, the search for and the use of healthcare services and the use of psychotropic drugs according to self-reported skin color (white and black/brown). Prevalence ratios were estimated using "Poisson" multiple regression. The prevalence of CMDs was higher among blacks/brown compared to whites but no difference was found regarding the reporting of emotional problems and insomnia. Whites sought healthcare services more due to emotional problems. The use of psychotropic drugs was also higher among whites. The results revealed racial inequalities in the presence of CMDs, the search for healthcare services and the use of psychotropics drugs, highlighting the need for actions to identify and overcome barriers that hinder access to mental health care by different racial segments of the population.
本研究旨在探讨情绪问题的普遍存在、寻求医疗保健服务和使用精神药物方面是否存在种族不平等现象。本研究采用基于人群的横断面研究方法，利用 2014/15 年坎皮纳斯健康调查的数据进行分析。对 1953 名 20 岁或以上的个体进行了样本分析。我们根据自我报告的肤色（白种人和黑/棕色）估计了常见精神障碍（CMD）的患病率、情绪问题、失眠的报告、寻求和使用医疗保健服务以及使用精神药物的情况。使用“泊松”多重回归估计了患病率比。与白人相比，黑人/棕色人种的 CMD 患病率较高，但在情绪问题和失眠的报告方面没有差异。白人因情绪问题更愿意寻求医疗保健服务。白人使用精神药物的比例也更高。研究结果显示，在 CMD 存在、寻求医疗保健服务和使用精神药物方面存在种族不平等现象，这凸显了采取行动识别和克服阻碍不同种族人群获得心理健康服务的障碍的必要性。
