Queiroz Patrícia de Sousa Fernandes, Rodrigues Neto João Felício, Miranda Leonardo de Paula, Oliveira Pâmela Scarlatt Durães, Silveira Marise Fagundes, Neiva Ricardo Jardim
Universidade Estadual de Montes Claros. Av. Rui Braga s/n, Vila Mauricéia. 39401-089 Montes Claros MG Brasil.
Cien Saude Colet. 2023 Jun;28(6):1831-1841. doi: 10.1590/1413-81232023286.15022022. Epub 2022 Nov 6.
The scope of this article is to assess the prevalence and factors associated with Common Mental Disorders (CMD) in "quilombolas" (Afro-Brazilian residents of quilombo settlements) in rural communities located in the North of Minas Gerais, Brazil. It is a cross-sectional study of 2019 based on structured interviews and application of a Self-Reporting Questionnaire (SRQ-20). Binary logistic regression was conducted. The prevalence of CMD was 38.7%. There was a higher preponderance of CMD among female quilombolas (OR: 2.69; 95%CI 2.00-3.62), with 1 to 8 years of schooling (OR: 1.70; 95%CI 1.15-2,51), family income of 1 to 1,5 minimum wages (OR: 2.51; 95%CI 1.60-3.94); who suffered discrimination in health services (OR: 2.44; 95%CI 1.44-4.13); with self-reported lung disease (OR: 2.10; 95%CI 1.25-3.54), heart disease (OR: 1.58; 95%CI 1.01-2.50) chronic renal failure (OR: 1.97; 95%CI 1.08-3.94), and negative self-perception of health (OR: 3.07; 95%CI 2.31-4.07). The high prevalence of CMD revealed in this study demonstrates the need for mental health care policies aimed at vulnerable populations, such as quilombola communities, in order to mitigate mental suffering and promote professional contextualized care for the idiosyncrasies of health and living conditions of this population group.
本文的范围是评估巴西米纳斯吉拉斯州北部农村社区“基隆波拉人”(居住在基隆波定居点的非裔巴西居民)中常见精神障碍(CMD)的患病率及相关因素。这是一项基于结构化访谈和自填问卷(SRQ - 20)应用的2019年横断面研究。进行了二元逻辑回归分析。CMD的患病率为38.7%。在女性基隆波拉人(比值比:2.69;95%置信区间2.00 - 3.62)、接受1至8年教育(比值比:1.70;95%置信区间1.15 - 2.51)、家庭收入为1至1.5个最低工资(比值比:2.51;95%置信区间1.60 - 3.94)、在医疗服务中遭受歧视(比值比:2.44;95%置信区间1.44 - 4.13)、自我报告患有肺部疾病(比值比:2.10;95%置信区间1.25 - 3.54)、心脏病(比值比:1.58;95%置信区间1.01 - 2.50)、慢性肾衰竭(比值比:1.97;95%置信区间1.08 - 3.94)以及对健康有负面自我认知(比值比:3.07;95%置信区间2.31 - 4.07)的人群中,CMD的占比更高。本研究揭示的CMD高患病率表明,需要针对弱势群体(如基隆波拉社区)制定精神卫生保健政策,以减轻精神痛苦,并针对该人群健康和生活状况的特点提供专业的情境化护理。