Work-Related Depression in Primary Care Teams in Brazil

Author(s)

Correia da Silva, Andrea Tenorio ; Lopes, Claudia de Souza ; Susser, Ezra ; Menezes, Paulo Rossi

• Document type: Journal article
• Source: American Journal of Public Health; v. 106, n. 11, p. 1990-1997, NOV 2016.
• Web of Science Citations: 2

Abstract

Objectives. To identify work-related factors associated with depressive symptoms and probable major depression in primary care teams. Methods. Cross-sectional study among primary care teams (community health workers, nursing assistants, nurses, and physicians) in the city of Sao Paulo, Brazil (20112012; n = 2940), to assess depressive symptoms and probable major depression and their associations with job strain and other work-related conditions. Results. Community health workers presented higher prevalence of probable major depression (18%) than other primary care workers. Higher odds ratios for depressive symptoms or probable major depression were associated with longer duration of employment in primary care; having a passive, active, or high-strain job; lack of supervisor feedback regarding performance; and low social support from colleagues and supervisors. Conclusions. Observed levels of job-related depression can endanger the sustainability of primary care programs. Public Health implications. Strategies are needed to deliver care to primary care workers with depression, facilitating diagnosis and access to treatment, particularly in low-and middle-income countries. Preventive interventions can include training managers to provide feedback and creating strategies to increase job autonomy and social support at work. (AU)

• FAPESP's process: 10/07180-6 - Burnout and depression among health professionals from the family health strategy in the city of São Paulo
• Grantee: Paulo Rossi Menezes
• Support Opportunities: Regular Research Grants