The burden of mental disorders in Mexico, 1990-2019: Mental and neurological disorders, substance use, suicides, and related somatic disorders

0 PSYCHIATRY
José Ángel García-Pacheco , María de Lourdes Torres Ortega , Guilherme Borges
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Abstract

Introduction

Mental, neurological, substance use, suicide, and related somatic disorders (MNSS, for the Spanish acronym) have a negative impact on the quality-of-life of people and the Mexican economy, but updated information is lacking. The objective of this work is to analyze the disability adjusted life years (DALYs) of the MNSS in Mexico by sex, age, state, and degree of marginalization between 1990 and 2019.

Methods

The data and methodology of the «Global Burden of Disease Group» (GBD) are used. The GBD calculates DALYs as the sum of two components: years of life lost due to premature mortality (YLL) and years lived with disability (YLD). Likewise, the data on the degree of marginalization from the National Population Council in Mexico are used.

Results

MNSS represented 16.3% of the disease burden in the Mexican population in 2019. The trend of the age-standardized rates of DALYs of the MNSS has increased little from 1990 to 2019. The highest increase has been for women. Mental (depression) and neurological (headache) disorders contribute the most to the disease burden among MNSS. In the interior of the country, Baja California Sur presented the highest increase in the period.

Discussion

The results show a complex panorama of the MNSS and its subtypes by sex, age groups and territory. More resources are needed to improve mental health care.

1990-2019 年墨西哥精神疾病负担:精神和神经疾病、药物使用、自杀及相关躯体疾病。
导言:精神、神经、药物使用、自杀和相关躯体疾病(TMNS,西班牙语缩写)对人们的生活质量和墨西哥经济造成了负面影响,但缺乏最新信息。这项工作的目的是按性别、年龄、州和边缘化程度分析 1990 年至 2019 年期间墨西哥 TMNS 的残疾调整生命年(DALYs):方法:采用 "全球疾病负担组"(GBD)的数据和方法。GBD 将残疾调整寿命年数计算为两个部分的总和:因过早死亡而损失的寿命年数(YLL)和残疾寿命年数(YLD)。同样,还使用了墨西哥国家人口委员会提供的边缘化程度数据:结果:2019 年,TMNS 占墨西哥人口疾病负担的 16.3%。从 1990 年到 2019 年,TMNS 的残疾调整寿命年数年龄标准化比率的趋势增长不大。女性的增幅最大。精神(抑郁)和神经(头痛)疾病对 TMNS 疾病负担的影响最大。在国家内陆地区,南下加利福尼亚州在此期间的增幅最大:讨论:研究结果显示了 TMNS 及其亚型的复杂全景,并按性别、年龄组和地区进行了分类。需要更多的资源来改善精神卫生保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
9.50
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