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巴西青年人群中抑郁症状的流行率:2013 年和 2019 年全国健康调查的结果。

Prevalence of depressive symptoms among young adults in Brazil: Results of the 2013 and 2019 editions of the National Health Survey.

机构信息

Universidade Federal do Maranhão - São Luís (MA), Brazil.

Empresa Brasileira de Serviços Hospitalares - São Luís (MA), Brazil.

出版信息

Rev Bras Epidemiol. 2024 Sep 27;27:e240045. doi: 10.1590/1980-549720240045. eCollection 2024.

DOI:10.1590/1980-549720240045
PMID:39356894
Abstract

OBJECTIVE

To estimate the prevalence of depressive symptoms in the population aged 18 to 24, according to socioeconomic and demographic aspects in Brazil, comparing its evolution between 2013 and 2019.

METHODS

Cross-sectional study carried out with secondary data obtained from National Health Survey 2013 and 2019. It were included 7,823 young adulthood (aged 18 to 24) from 2013 and 8,047 from 2019. The instrument used to assess depression was the Patient Health Questionnaire-9 (PHQ-9). All estimates included population weights and complex sampling.

RESULTS

The prevalence of depression almost doubled: 10.9% (95%CI 9.6-12.2) in 2019, compared to 5.6% (95%CI 4.8-6.4) in 2013, an absolute difference of 5.3% (4.5-6.0) greater. Women were the most affected in both surveys, with an increase between 2013 (8.3%; 95%CI 6.9-9.6) and 2019 (15.6%; 95%CI 13.5-17.6) higher than that of men (2013: 2.9%; 95%CI 2.0-3.8 and 2019: 6.2%; 95%CI 4.7-7.7). In both sexes, the pattern of increase was greater for the groups aged 18 to 20, not participating in religious activities, who were at the lowest levels of education and income, who lived with two or three or more people, who lived in the Northeast, Southeast, capitals and metropolitan areas of the country.

CONCLUSION

There was a significant increase in the prevalence of depressive symptoms over the six years between the two surveys. However, this increase did not occur homogeneously among the characteristics analyzed, indicating population groups and locations in Brazil where the presence of these symptoms increased most in the period.

摘要

目的

根据巴西的社会经济和人口统计学方面,估计 18 至 24 岁人群的抑郁症状患病率,并比较 2013 年至 2019 年期间的变化。

方法

这是一项使用 2013 年和 2019 年全国健康调查的二次数据进行的横断面研究。共纳入了 2013 年的 7823 名青年成年人(18 至 24 岁)和 2019 年的 8047 名青年成年人。用于评估抑郁的工具是患者健康问卷-9(PHQ-9)。所有估计均包括人口权重和复杂抽样。

结果

抑郁的患病率几乎翻了一番:2019 年为 10.9%(95%CI 9.6-12.2),而 2013 年为 5.6%(95%CI 4.8-6.4),绝对差值为 5.3%(4.5-6.0)更大。在这两项调查中,女性都是受影响最严重的,2013 年(8.3%;95%CI 6.9-9.6)和 2019 年(15.6%;95%CI 13.5-17.6)的增幅均高于男性(2013 年:2.9%;95%CI 2.0-3.8;2019 年:6.2%;95%CI 4.7-7.7)。在两性中,18 至 20 岁、不参加宗教活动、受教育程度和收入最低、与两人或三人或更多人一起居住、居住在东北部、东南部、首府和大都市区的人群的增幅模式更大。

结论

在两次调查之间的六年中,抑郁症状的患病率显著增加。然而,这种增加在分析的特征中并非均匀发生,表明巴西存在这些症状的人群和地点在这期间增加最多。

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