Prevalence and early determinants of common mental disorders in the 1982 birth cohort, Pelotas, Southern Brazil

Luciana Anselmi, Fernando C. Barros, Gicele C. Minten, Denise P. Gigante, Bernardo L. Horta, Cesar G. Victora

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Abstract

OBJECTIVE: To estimate the prevalence of common mental disorders and assess its association with risk factors in a cohort of young adults. METHODS: Cross-sectional study nested in a 1982 birth cohort study conducted in Pelotas, Southern Brazil. In 2004-5, 4,297 subjects were interviewed during home visits. Common mental disorders were assessed using the Self-Report Questionnaire. Risk factors included socioeconomic, demographic, perinatal, and environmental variables. The analysis was stratifi ed by gender and crude and adjusted prevalence ratios were estimated by Poisson regression. RESULTS: The overall prevalence of common mental disorders was 28.0%; 32.8% and 23.5% in women and men, respectively. Men and women who were poor in 2004-5, regardless of their poor status in 1982, had nearly 1.5-fold increased risk for common mental disorders (p≤0.001) when compared to those who have never been poor. Among women, being poor during childhood (p=0.001) and black/mixed skin color (p≤0.002) increased the risk for mental disorders. Low birth weight and duration of breastfeeding were not associated to the risk of these disorders. CONCLUSIONS: Higher prevalence of common mental disorders among low-income groups and race-ethnic minorities suggests that social inequalities present at birth have a major impact on mental health, especially common mental disorders.

Original languageEnglish (US)
Pages (from-to)26-33
Number of pages8
JournalRevista de Saude Publica
Volume42
Issue numberSUPPL.2
DOIs
Publication statusPublished - 2008
Externally publishedYes

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Medicine(all)

Cite this

Anselmi, L., Barros, F. C., Minten, G. C., Gigante, D. P., Horta, B. L., & Victora, C. G. (2008). Prevalence and early determinants of common mental disorders in the 1982 birth cohort, Pelotas, Southern Brazil. Revista de Saude Publica, 42(SUPPL.2), 26-33. https://doi.org/10.1590/S0034-89102008000100004