Common Mental Disorders and rural living conditions: analysis of vulnerabilities in farmers and fishermen.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2024-01-20 DOI:10.1590/1413-81232025303.20762022
Luis Lopes Sombra Neto, Roberto Wagner Júnior Freire de Freitas, Magda Moura de Almeida, Fernando Ferreira Carneiro, Vanira Matos Pessoa
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引用次数: 0

Abstract

This study relates the living conditions with common mental disorders (CMD) in farmers and fishermen in rural territory. Data were collected in rural municipality through cross-sectional study design with 152 family farmers and/or artisanal fishermen who responded form about their living conditions: demographic, housing, environment, production mode, income, education, leisure, transportation and nourishment, in addition to application of the Self-Reporting Questionnaire (SRQ-20) to screen for CMD. A association was found between CMD and demografic and nourishment variables: "sex" [X2(1) = 9.786; p = 0.002], "concern about food ending up at home" [X2(1) = 5.466; p = 0.019] and "limitation of favorite food due to lack of production/money" [X2(1) = 8.953; p = 0.003]. In the adjusted analysis of regression, there was association between females sex [PR = 2.20; 95%CI = 1.13-4.261; p = 0.019] with outcome of CMD. The women were predominantly responsible for domestic work concomitantly with work in agriculture and/or fishing (82.6% n = 57; p < 0,01) in this group. This relationship between CMD and living conditions, mainly related to the female sex, need to be focus of rural health care actions.

本研究将农村地区农民和渔民的生活条件与常见精神障碍(CMD)联系起来。研究采用横断面研究设计,在农村地区收集了 152 名家庭农民和/或手工渔民的数据,他们对自己的生活条件进行了问卷调查:人口、住房、环境、生产方式、收入、教育、休闲、交通和营养,此外还采用了自我报告问卷(SRQ-20)来筛查慢性精神障碍。研究发现,慢性阻塞性肺病与人口和营养变量之间存在关联:"性别"[X2(1) = 9.786; p = 0.002]、"担心食物会被丢弃在家中"[X2(1) = 5.466; p = 0.019]和 "由于缺乏生产/资金而无法获得喜爱的食物"[X2(1) = 8.953; p = 0.003]。在调整后的回归分析中,女性性别[PR = 2.20; 95%CI = 1.13-4.261; p = 0.019]与慢性阻塞性肺病的结果存在关联。在该群体中,妇女主要负责家务劳动,同时从事农业和/或渔业工作(82.6% n = 57;p < 0.01)。慢性阻塞性肺病与主要与女性有关的生活条件之间的关系需要成为农村医疗保健行动的重点。
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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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