Research Support Unit, Leônidas and Maria Deane Institut, Oswaldo Cruz Foundation, Manaus, Brazil.
Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
Front Public Health. 2022 Jun 9;10:821881. doi: 10.3389/fpubh.2022.821881. eCollection 2022.
Robbery is one of the most common urban crimes, but little is known about its relationship with mental disorders in young adults. This study aimed to assess the relationship between robbery victimization and Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD) and comorbidity between MDD and GAD at 30 years of age. A birth cohort study has followed all children born in the city of Pelotas, southern Brazil, since 1982. At ages 23 and 30 years, participants were interviewed and asked about lifetime and recent experiences of robbery. Covariates were measured in interviews between birth and age 30 years. MDD and GAD were measured using the MINI-International Neuropsychiatric Interview. Adjusted prevalence ratio (aPR) and corresponding 95% confidence interval (CI) for associations between robbery and mental disorders were calculated using Poisson regression with robust standard error. Of 3,701 cohort members interviewed at age 30 years, 42% reported robbery victimization during their lifetime. Victimization across three periods (lifetime, past 10 years, past 12 months) was associated with increased occurrence of MDD, GAD, as well as the MDD and GAD comorbidity. The strongest associations were found to robbery occurring in the previous 12 months with the MDD and GAD comorbidity, both for burglary at home (aPR 2.52; 95% CI 1.52-4.22) or community family victimization (aPR 2.10; 95% CI 1.34-3.27). These findings highlight the importance of community violence for mental health in young adulthood, and the need for public policies to prevent violence as well as support services for victims to mitigate its adverse health consequences.
抢劫是最常见的城市犯罪之一，但人们对其与年轻人精神障碍的关系知之甚少。本研究旨在评估抢劫受害与重度抑郁障碍（MDD）、广泛性焦虑障碍（GAD）以及 MDD 和 GAD 共病在 30 岁时的关系。一项出生队列研究自 1982 年以来一直跟踪巴西南部佩洛塔斯市所有出生的儿童。在 23 岁和 30 岁时，参与者接受了访谈，并被问及一生中及最近的抢劫经历。在出生至 30 岁期间的访谈中测量了协变量。使用 MINI-国际神经精神访谈（MINI-International Neuropsychiatric Interview）测量 MDD 和 GAD。使用泊松回归和稳健标准误差计算抢劫与精神障碍之间关联的调整患病率比（aPR）和相应的 95%置信区间（CI）。在接受 30 岁访谈的 3701 名队列成员中，42%报告一生中曾遭受过抢劫。一生中、过去 10 年和过去 12 个月三个时期的受害与 MDD、GAD 的发生率增加以及 MDD 和 GAD 共病有关。最强烈的关联是在过去 12 个月内发生的抢劫与 MDD 和 GAD 共病，无论是在家中（aPR 2.52；95%CI 1.52-4.22）还是社区家庭受害（aPR 2.10；95%CI 1.34-3.27）。这些发现强调了社区暴力对年轻人心理健康的重要性，以及需要制定公共政策来预防暴力以及为受害者提供支持服务，以减轻其对健康的不利影响。
