Banca de QUALIFICAÇÃO: HELLYDA DE SOUZA BEZERRA

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
STUDENT : HELLYDA DE SOUZA BEZERRA
DATE: 26/10/2021
TIME: 08:00
LOCAL: REMOTO
TITLE:

FACTORS ASSOCIATED WITH MENTAL DISORDERS AND ACCESS TO MENTAL HEALTH SERVICES

 

KEY WORDS:

Mental Health, Mental Health Services, Health Services Accessibility, Gender Analysis.

PAGES: 194
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: mental disorders are a serious public health problem, with high prevalence in Brazil and worldwide. Common mental disorders are the most prevalent mental illnesses and involve depression and anxiety disorders, mainly affecting women. Timely access to mental health services is the main form of early diagnosis and effective treatment, minimizing complications and reducing the number of mental illnesses. Objective: To identify factors associated with mental disorders and access to mental health services in Brazil and worldwide. Method: This is a study of different methods. 1) Cross-sectional study with data from the 2013 National Health Survey of Brazil, with individuals over 18 years of age, which analyzed the prevalence of symptoms of mental distress in the Brazilian population and the association between individual characteristics and social context, in a multilevel analysis.2) a systematic review of observational studies on the prevalence of and factors associated with common mental disorders in women was developed, with searches in the PubMed, Web of Science, Science Direct, Scopus, Cinahl databases; 3) a systematic review of observational studies on the difference in access to mental health services by women and men was developed, with searches in the PubMed, Web of Science, Science Direct, Scopus, Cinahl databases; 4) Cross-sectional study with data from the 2019 National Health Survey, including individuals aged 15 years or more to analyze factors associated with poor access to health services for the treatment of depression in Brazil. Results: In the first cross-sectional study, depressive thinking was associated with young and middle-aged female adults, with a low level of education, without a partner, smokers or former smokers and who do not have a private health plan were the categories of greater risk; belonging to classes D-E and living in states with lower expectations of years of schooling proved to be a protective factor. Similar results were found for the second outcome. In the systematic review on the prevalence and factors associated with common mental disorders in women, 19 studies were included, the main associated factors reported were unemployment, debt, low economic income, being a housewife, smoking, lower educational level, low self-rated health, be single, divorced or widowed. In the second systematic review, on differences in access between men and women, 11 studies were included. The prevalence of access to mental health services among women ranged from 5.2% to 56.5%; among men it was 2.9% to 47%. Men had a higher prevalence of access only to services for the treatment of alcohol and drug use. In the cross-sectional study on poor access in the treatment of depression, the prevalence of poor access to health services for the treatment of depression was 14.9% (95%CI 13.6-16.2), and was associated with individuals aged 15 -29 years (RP=1.52) and 30-59 years (RP=1.22), without education (RP=1.43), who rate their health as regular⁄poor⁄very bad (RP=1.26 ), who have some limitation in their usual activities because of depression (RP=2.71), who had the last consultation of 6 months less than 2 years (RP=2.63) and for more than 2 years (RP= 2.25) and who do not undergo psychotherapy (RP=4.28). Conclusion: it is necessary to strengthen and redirect public mental health policies, in order to meet the individual needs of the most vulnerable people with risk factors, offering timely access to health services and reducing mental suffering and the number of mental disorders in Brazil and in the world.

BANKING MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Interno - 3926907 - DYEGO LEANDRO BEZERRA DE SOUZA
Externo à Instituição - DULCIAN MEDEIROS DE AZEVEDO - UERN