Faculdade de Medicina, Universidade Federal de São João Del-Rei. Av. Sebastião Gonçalves Coelho 400, Sala 209A, Chanadour. 35501-296 Divinópolis MG Brasil.
Programa de Pós-Graduação em Saúde Pública, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG). Belo Horizonte MG Brasil.
Cien Saude Colet. 2023 Apr;28(4):1163-1174. doi: 10.1590/1413-81232023284.14912022. Epub 2022 Sep 25.
This study evaluated the prevalence of positive screening for depression in Brazil and its associated factors. We used data from National Health Survey 2019 (Pesquisa Nacional de Saúde - PNS), a population-based survey with 88,531 adults. The Patient Health Questionnaire (PHQ-9) was used with two scoring methods, the algorithm and the cutoff point≥10. The variables included sociodemographic characteristics. The prevalence ratios and 95% confidence intervals (95%CI) were estimated using Poisson regression. The positive screening for depression was 10.8% (95%CI: 10.4-11.0), at the cutoff point ≥10 and 5.7% (95%CI: 5.4-6.0) for algorithm. Significant differences were found in prevalence in some Brazilian states. Multivariable analyses showed that being female, black, under 70 years of age, having little education, being single, and living in an urban area were independently associated with a depressive symptoms. The highest association was found in the states of Sergipe, Goiás, Piauí, Espírito Santo, São Paulo, Alagoas and lowest in Pará, Mato Grosso and Maranhão. The prevalence of positive screening for depression in Brazil has increased in recent years. More investment in mental health resources is necessary and surveys such as the PNS should be continued.
这项研究评估了巴西抑郁症状筛查阳性的患病率及其相关因素。我们使用了 2019 年全国健康调查（Pesquisa Nacional de Saúde - PNS）的数据，该调查是一项基于人群的研究，共纳入了 88531 名成年人。使用患者健康问卷（PHQ-9）进行评估，采用两种评分方法，即算法和切点≥10。纳入的变量包括社会人口学特征。使用泊松回归估计患病率比和 95%置信区间（95%CI）。采用切点≥10 时，抑郁症状筛查阳性的患病率为 10.8%（95%CI：10.4-11.0），采用算法时为 5.7%（95%CI：5.4-6.0）。在一些巴西州，筛查阳性的患病率存在显著差异。多变量分析显示，女性、黑人、年龄<70 岁、受教育程度低、单身和居住在城市与抑郁症状独立相关。在塞尔希培州、戈亚斯州、皮奥伊州、圣埃斯皮里图州、圣保罗州、阿拉戈斯州，这种相关性最高，而在帕拉州、马托格罗索州和马拉尼昂州，这种相关性最低。近年来，巴西抑郁症状筛查阳性的患病率有所上升。需要加大对精神卫生资源的投入，并且应继续开展类似 PNS 的调查。
