Banca de DEFESA: HELLYDA DE SOUZA BEZERRA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : HELLYDA DE SOUZA BEZERRA
DATE: 14/12/2021
TIME: 14:00
LOCAL: REMOTO
TITLE:

PREVALENCE AND FACTORS ASSOCIATED WITH MENTAL DISORDERS AND ACCESS TO MENTAL HEALTH SERVICES

 

KEY WORDS:

Mental Health; Systematic Review; Health Services Accessibility; Gender Analysis in Health; Cross-Sectional Studies.

PAGES: 190
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, affecting mainly 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) systematic review of cross-sectional studies on the prevalence and factors associated with common mental disorders in women, with searches in PubMed, Web of Science, Science Direct, Scopus, Cinahl databases; 2) systematic review of cross-sectional studies on the difference in the prevalence of access to mental health services between women and men, with searches in the PubMed, Web of Science, Science Direct, Scopus, Cinahl databases; 3) Cross-sectional study with data from the 2013 National Health Survey of Brazil, aged 18 years or older, which analyzed the prevalence of symptoms of mental distress in the Brazilian population and the association between individual characteristics and social context, in an analysis multilevel; 4) Cross-sectional study with data from the 2019 National Health Survey, including 15 years or more to analyze factors associated with poor access to health services for the treatment of depression in Brazil. Results: In the systematic review on the prevalence and factors associated with common mental disorders in women, 19 studies were included, the main associated factors were unemployment, debt, low economic income, being a housewife, smoking, lower educational level, low self-assessment in health, being single, divorced or widowed. The risk of bias of the studies was classified as low and moderate. 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 first cross-sectional study, depressive thinking was associated with young and middle-aged female adults, with a low level of education, without a partner, previous or ex-persistent, and who do not have a private health plan. greater risk; belonging to classes D-E and living in states with lower expectations of years of education if disclosed as a protective factor. Results found were found for the second outcome In the cross-sectional study on poor access to depression treatment, 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 owners aged 15-29 years (PR = 1.52) and 30-59 years (PR= 1.22), without education (PR = 1.43), who rate their health as regular⁄poor⁄ very bad (PR = 1.26), who have some limitation in their usual activities because of depression (PR = 2.71), who have had the last appointment of 6 months less than 2 years (PR = 2.63) and for more than 2 years (PR = 2.25) and who do not undergo psychotherapy (PR = 4.28). Conclusion: it is necessary to strengthen and redirect public mental health policies, not aiming to meet the needs of the most vulnerable people with risk factors, offering timely access to health services and reducing mental suffering, as well as the numbers of mental disorders in Brazil and worldwide.

BANKING MEMBERS:
Presidente - 2305247 - ISABELLE RIBEIRO BARBOSA MIRABAL
Externa ao Programa - 1231563 - ANA KALLINY DE SOUSA SEVERO
Externo ao Programa - 3050428 - DIEGO BONFADA
Externa à Instituição - KELLY GRAZIANI GIACCHERO VEDANA - USP
Externa à Instituição - JAEL MARIA DE AQUINO - UPE