| Full text | |
| Author(s): |
Viana, Maria Carmen
[1, 2, 3, 4]
;
Andrade, Laura Helena
[1]
Total Authors: 2
|
| Affiliation: | [1] Univ Sao Paulo, Fac Med, Dept & Inst Psychiat, Sect Psychiat Epidemiol LIM 23, Sao Paulo - Brazil
[2] Univ Fed Espirito Santo, Ctr Ciencias Saude, Dept Social Med, BR-29043900 Vitoria, ES - Brazil
[3] Univ Fed Espirito Santo, Ctr Ciencias Saude, Postgrad Program Publ Hlth, BR-29043900 Vitoria, ES - Brazil
[4] Univ Fed Espirito Santo, Hlth Sci Ctr CCS Portuguese, BR-29043900 Vitoria, ES - Brazil
Total Affiliations: 4
|
| Document type: | Journal article |
| Source: | Revista Brasileira de Psiquiatria; v. 34, n. 3, p. 249-260, OCT 2012. |
| Web of Science Citations: | 54 |
| Abstract | |
OBJECTIVES: To estimate prevalence, age-of-onset, gender distribution and identify correlates of lifetime psychiatric disorders in the São Paulo Metropolitan Area (SPMA). METHODS: The São Paulo Megacity Mental Health Survey assessed psychiatric disorders on a probabilistic sample of 5,037 adult residents in the SPMA, using the World Mental Health Survey Version of the Composite International Diagnostic Interview. Response rate was 81.3%. RESULTS: Lifetime prevalence for any disorder was 44.8%; estimated risk at age 75 was 57.7%; comorbidity was frequent. Major depression, specific phobias and alcohol abuse were the most prevalent across disorders; anxiety disorders were the most frequent class. Early age-of-onset for phobic and impulse-control disorders and later age-of-onset for mood disorders were observed. Women were more likely to have anxiety and mood disorders, whereas men, substance use disorders. Apart from conduct disorders, more frequent in men, there were no gender differences in impulse-control disorders. There was a consistent trend of higher prevalence in the youngest cohorts. Low education level was associated to substance use disorders. CONCLUSIONS: Psychiatric disorders are highly prevalent among the general adult population in the SPMA, with frequent comorbidity, early age-of-onset for most disorders, and younger cohorts presenting higher rates of morbidity. Such scenario calls for vigorous public health action. (AU) | |
| FAPESP's process: | 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden |
| Grantee: | Laura Helena Silveira Guerra de Andrade |
| Support Opportunities: | Research Projects - Thematic Grants |