TY - JOUR
T1 - An epidemiological study of childhood development in an urban setting in Brazil
AU - Caetano, Sheila C.
AU - Ribeiro, Marcos V.V.
AU - Askari, Melanie S.
AU - Sanchez, Zila M.
AU - Do Rosário, Maria C.
AU - Perissinoto, Jacy
AU - Resegue, Rosa
AU - Felix, Erika
AU - Mariano, Marília
AU - Fidalgo, Thiago M.
AU - Caetano, Michelle
AU - Mari, Jair J.
AU - Surkan, Pamela J.
AU - Martins, Silvia S.
N1 - Funding Information:
This work was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) (grant 466688/2014-8) to conduct the baseline epidemiological study, and by Fundac¸ão de Amparo à Pesquisa do Estado de São Paulo (FAPESP) (grant 2016/10120-1) to conduct the school evaluation (PI SCC). The project was also partially funded by the Columbia President’s Global Innovation Fund (grant UR008509; PI SSM) and by FAPESP (grant 2016/11202-1; Co-I JP). EF received a scholarship from Coordenac¸ão de Aperfeic¸oamento de Pessoal de Nível Superior (CAPES); MM received a scholarship from FAPESP.
Publisher Copyright:
© 2021, Associacao Brasileira de Psiquiatria. All rights reserved.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Objective: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4-to 5-year old children in Brazil, the prevalence of internalizing and externalizing disorders and socioemotional development delays; and 2) to identify modifiable risk factors associated with mental, behavioral, or developmental disorders (MBDD), such as microsystem (i.e., parent-child relationship), mesosystem (social support), and macrosystem contextual factors (neighborhood disadvantage). Methods: A random sample of public preschool children was recruited in the city of Embu das Artes (São Paulo metropolitan area) (n=1,292 from 30 public preschools). Six-month prevalence of MBDD was measured using the Child Behavior Checklist (CBCL) and the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). Results: Six-month prevalence estimates were 25.4% for internalizing disorders, 12.1% for externalizing disorders, and 30.3% for socioemotional development delays. MBDD prevalence estimates were higher in families with stressful relationships and parental depression or anxiety, and in families with lower social capital. Conclusion: At least 25% of preschool children living in an urban area in Brazil presented a mental health disorder. These mental disorder were associated with modifiable factors such as stressful family relationships and lower social capital. Prevention and intervention measures such as family therapy are needed to decrease such high prevalence.
AB - Objective: Mental illness is an important public health concern, often starting early in life and particularly impacting children from low-and middle-income countries. Our aims were to 1) determine, in a representative sample of public preschool 4-to 5-year old children in Brazil, the prevalence of internalizing and externalizing disorders and socioemotional development delays; and 2) to identify modifiable risk factors associated with mental, behavioral, or developmental disorders (MBDD), such as microsystem (i.e., parent-child relationship), mesosystem (social support), and macrosystem contextual factors (neighborhood disadvantage). Methods: A random sample of public preschool children was recruited in the city of Embu das Artes (São Paulo metropolitan area) (n=1,292 from 30 public preschools). Six-month prevalence of MBDD was measured using the Child Behavior Checklist (CBCL) and the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). Results: Six-month prevalence estimates were 25.4% for internalizing disorders, 12.1% for externalizing disorders, and 30.3% for socioemotional development delays. MBDD prevalence estimates were higher in families with stressful relationships and parental depression or anxiety, and in families with lower social capital. Conclusion: At least 25% of preschool children living in an urban area in Brazil presented a mental health disorder. These mental disorder were associated with modifiable factors such as stressful family relationships and lower social capital. Prevention and intervention measures such as family therapy are needed to decrease such high prevalence.
KW - Children
KW - Epidemiology
KW - Family
KW - Internalizing and externalizing disorders
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U2 - 10.1590/1516-4446-2020-0934
DO - 10.1590/1516-4446-2020-0934
M3 - Article
C2 - 32813777
AN - SCOPUS:85087012868
SN - 1516-4446
VL - 43
SP - 43
EP - 54
JO - Revista Brasileira de Psiquiatria
JF - Revista Brasileira de Psiquiatria
IS - 1
ER -