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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

The relationship between neighborhood-level socioeconomic characteristics and individual mental disorders in five cities in Latin America: multilevel models from the World Mental Health Surveys

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Autor(es):
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Sampson, Laura [1] ; Martins, Silvia S. [2] ; Yu, Shui [1] ; Porto Chiavegatto Filho, Alexandre Dias [3] ; Andrade, Laura Helena [4] ; Viana, Maria Carmen [5] ; Elena Medina-Mora, Maria [6] ; Benjet, Corina [6] ; Torres, Yolanda [7] ; Piazza, Marina [8, 9] ; Aguilar-Gaxiola, Sergio [10] ; Cia, Alfredo H. [11] ; Stagnaro, Juan Carlos [12] ; Zaslavsky, Alan M. [13] ; Kessler, Ronald C. [13] ; Galea, Sandro [1, 2]
Número total de Autores: 16
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[1] Boston Univ, Dept Epidemiol, Sch Publ Hlth, 715 Albany St, Boston, MA 02118 - USA
[2] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, 722 West 168th St, New York, NY 10032 - USA
[3] Univ Sao Paulo, Dept Epidemiol, Sch Publ Hlth, 715 Ave Dr Arnaldo, BR-01246904 Sao Paulo - Brazil
[4] Univ Sao Paulo, Nucleo Epidemiol Psiquiatr LIM23, Inst Psiquiatria, Hosp Clin, Fac Med, Rua Dr Ovidio Pires de Campos 785, BR-05403010 Sao Paulo - Brazil
[5] Univ Fed Espirito Santo, Dept Social Med, Postgrad Program Publ Hlth, Ave Mal Campos 1355, BR-29043260 Vitoria, ES - Brazil
[6] Natl Inst Psychiat Ramon de la Fuente Muniz, Dept Epidemiol & Psychosocial Res, Mexico Xochimilco 101, Mexico City 14370, DF - Mexico
[7] CES Univ, Ctr Excellence Mental Hlth Res, Calle 10A 22-04, Medellin 050021 - Colombia
[8] Univ Cayetano Heredia, Lima - Peru
[9] Natl Inst Hlth, Capac Yapanqui 1400, Lima - Peru
[10] Univ Calif Davis, Sch Med, Ctr Reducing Hlth Dispar, 2921 Stockton Blvd, Sacramento, CA 95817 - USA
[11] Anxiety Disorders Clin & Res Ctr, Ave Santa Fe 3946-1A, RA-1425 Buenos Aires, DF - Argentina
[12] Univ Buenos Aires, Dept Psiquiatria & Salud Mental, Fac Med, Buenos Aires, DF - Argentina
[13] Harvard Univ, Sch Med, Dept Hlth Care Policy, 180A Longwood Ave, Boston, MA 02115 - USA
Número total de Afiliações: 13
Tipo de documento: Artigo Científico
Fonte: Social Psychiatry and Psychiatric Epidemiology; v. 54, n. 2, p. 157-170, FEB 2019.
Citações Web of Science: 2
Resumo

Purpose Our understanding of community-level predictors of individual mental disorders in large urban areas of lower income countries is limited. In particular, the proportion of migrant, unemployed, and poorly educated residents in neighborhoods of these urban areas may characterize group contexts and shape residents' health. Methods Cross-sectional household interviews of 7251 adults were completed across 83 neighborhoods of Buenos Aires, Argentina; Medellin, Colombia; Sao Paulo, Brazil; Lima, Peru; and Mexico City, Mexico as part of the World Mental Health Survey Initiative. Past-year internalizing and externalizing mental disorders were assessed, and multilevel models were used. Results Living in neighborhoods with either an above-average or below-average proportion of migrants and highly educated residents was associated with lower odds of any internalizing disorder (for proportion migrants: OR 0.75, 95% CI 0.62-0.91 for the bottom tertile and OR 0.79, 95% CI 0.67-0.94 for the top tertile compared to the middle tertile; for proportion highly educated: OR 0.76, 95% CI 0.64-0.90 for the bottom tertile and OR 0.58, 95% CI 0.37-0.90 for the top tertile compared to the middle tertile). Living in neighborhoods with an above-average proportion of unemployed individuals was associated with higher odds of having any internalizing disorder (OR 1.49, 95% CI 1.14-1.95 for the top tertile compared to the middle tertile). The proportion of highly educated residents was associated with lower odds of externalizing disorder (OR 0.54, 95% CI 0.31-0.93 for the top tertile compared to the middle tertile). Conclusions The associations of neighborhood-level migration, unemployment, and education with individual-level odds of mental disorders highlight the importance of community context for understanding the burden of mental disorders among residents of rapidly urbanizing global settings. (AU)

Processo FAPESP: 16/50307-3 - Saúde mental, migração e São Paulo Megacity – M3SP
Beneficiário:Laura Helena Silveira Guerra de Andrade Burdmann
Linha de fomento: Auxílio à Pesquisa - Regular