Carvalho Amanda Ferreira de, Guaranha Daniela Dal Forno Kinalski, Marmett Bruna, Reis Júlia Mathias, Rosa Bruna Silveira da, Souza Carmem Lisiane Escouto de, Dalcin Tiago Chagas, Amantéa Sérgio Luís, Machado Frederico Viana
Ministério da Saúde, Programa de Desenvolvimento Institucional do Sistema Único de Saúde Porto Alegre, RS, Brazil.
Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Saúde Coletiva Porto Alegre, RS, Brazil.
Epidemiol Serv Saude. 2025 Sep 8;34:e20240226. doi: 10.1590/S2237-96222025v34e20240226.en. eCollection 2025.
To analyze the mental health of Brazilian adolescent mothers who use the Unified Health System (Sistema Único de Saúde, SUS).
This is a multicenter study conducted with 583 adolescent mothers (10-19 years old). The participants responded to a questionnaire on sociodemographic variables, mental health and family support. The results were presented as absolute and relative frequencies. The association between outcome and variables was investigated using Poisson regression.
Some level of depression (61.9%) and anxiety (63.8%) was present in the adolescents. These symptoms were associated with a lack of family support (p-value<0.001), the loss of school friends (p-value<0.001), the diagnosis of postpartum depression (p-value<0.001), and the diagnosis of depression or anxiety before or during pregnancy (p-value<0.001). 15.9% of the adolescents diagnosed with mental health conditions were being treated. The main barriers identified were difficulties in access to psychological support, lack of interest and lack of encouragement.
The study revealed worrying rates of depression and anxiety among teenage girls. The importance of family support was emphasized, the absence of which is linked to increased symptoms of mental distress. The impact of the loss of social ties and a history of mental health problems, such as postpartum depression, is highlighted. 15% of the adolescents had psychological monitoring, which makes evident the barriers to access to mental health. The results underline an urgent need for interventions and public policies to improve access to psychological support and to promote the mental health of this population.
分析使用统一卫生系统（Sistema Único de Saúde, SUS）的巴西青少年母亲的心理健康状况。
这是一项针对583名青少年母亲（10 - 19岁）开展的多中心研究。参与者回答了一份关于社会人口学变量、心理健康和家庭支持的问卷。结果以绝对频率和相对频率呈现。使用泊松回归研究结果与变量之间的关联。
青少年中存在一定程度的抑郁（61.9%）和焦虑（63.8%）。这些症状与缺乏家庭支持（p值<0.001）、失去学校朋友（p值<0.001）、产后抑郁症诊断（p值<0.001）以及怀孕前或怀孕期间的抑郁或焦虑诊断（p值<0.001）相关。被诊断患有心理健康问题的青少年中有15.9%正在接受治疗。确定的主要障碍是获得心理支持困难、缺乏兴趣和缺乏鼓励。
该研究揭示了少女中令人担忧的抑郁和焦虑发生率。强调了家庭支持的重要性，家庭支持的缺失与精神痛苦症状增加有关。突出了社会关系丧失以及产后抑郁症等心理健康问题史的影响。15%的青少年接受了心理监测，这凸显了获得心理健康服务的障碍。结果强调迫切需要采取干预措施和制定公共政策，以改善获得心理支持的机会并促进这一人群的心理健康。
