Busca avançada
Ano de início
Entree
(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.)

Does income inequality get under the skin? A multilevel analysis of depression, anxiety and mental disorders in Sao Paulo, Brazil

Texto completo
Autor(es):
Porto Chiavegatto Filho, Alexandre Dias [1, 2] ; Kawachi, Ichiro [2] ; Wang, Yuan Pang [3] ; Viana, Maria Carmen [3] ; Silveira Guerra Andrade, Laura Helena [3]
Número total de Autores: 5
Afiliação do(s) autor(es):
[1] Univ Sao Paulo, Dept Epidemiol, Sch Publ Hlth, BR-01246904 Sao Paulo - Brazil
[2] Harvard Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02115 - USA
[3] Univ Sao Paulo, Inst Psychiat, Sch Med, BR-01246904 Sao Paulo - Brazil
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH; v. 67, n. 11, p. 966-972, NOV 2013.
Citações Web of Science: 21
Resumo

Objective Test the original income inequality theory, by analysing its association with depression, anxiety and any mental disorders. Methods We analysed a sample of 3542 individuals aged 18years and older selected through a stratified, multistage area probability sample of households from the SAo Paulo Metropolitan Area. Mental disorder symptoms were assessed using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria. Bayesian multilevel logistic models were performed. Results Living in areas with medium and high-income inequality was statistically associated with increased risk of depression, relative to low-inequality areas (OR 1.76; 95% CI 1.21 to 2.55, and 1.53; 95% CI 1.07 to 2.19, respectively). The same was not true for anxiety (OR 1.25; 95% CI 0.90 to 1.73, and OR 1.07; 95% CI 0.79 to 1.46). In the case of any mental disorder, results were mixed. Conclusions In general, our findings were consistent with the income inequality theory, that is, people living in places with higher income inequality had an overall higher odd of mental disorders, albeit not always statistically significant. The fact that depression, but not anxiety, was statistically significant could indicate a pathway by which inequality influences health. (AU)

Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
Beneficiário:Laura Helena Silveira Guerra de Andrade Burdmann
Linha de fomento: Auxílio à Pesquisa - Temático
Processo FAPESP: 12/09717-2 - Desigualdade de renda e saúde dos idosos: análise longitudinal multinível de uma amostra do Município de São Paulo
Beneficiário:Alexandre Dias Porto Chiavegatto Filho
Linha de fomento: Bolsas no Brasil - Pós-Doutorado