Vanessa Gomes Lima, Marcus Tolentino Silva, Gustavo Magno Baldin Tiguman, Taís Freire Galvão
{"title":"居住在玛瑙斯的成年人中严重焦虑和抑郁症状患病率的变化及其相关因素：2015年和2019年进行的两项横断面研究的比较。","authors":"Vanessa Gomes Lima, Marcus Tolentino Silva, Gustavo Magno Baldin Tiguman, Taís Freire Galvão","doi":"10.1590/1516-3180.2023.0424.R1.03072024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Emotional distress increases, also affected by the setting.</p><p><strong>Objective: </strong>To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors.</p><p><strong>Design and setting: </strong>This cross-sectional study included adults living in Manaus selected through a three-stage probability sampling in 2015 and 2019.</p><p><strong>Methods: </strong>This is an analysis of two surveys conducted. The outcomes were assessed by Generalized Anxiety Disorder 7-item (≥ 15 points) and Patient Health Questionnaire 9-item (≥ 20), and changes were tested by chi-square goodness-of-fit. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated by Poisson regression.</p><p><strong>Results: </strong>Severe anxiety symptoms increased from 3.3% (95%CI = 2.7-3.9) in 2015 (n = 3,479) to 8.7% (95%CI = 7.5-9.8) in 2019 (n = 2,321); severe depressive symptoms changed from 2.5% (95%CI = 2.0-3.0) to 8.5% (95%CI = 7.3-9.6). Variations were more pronounced in social vulnerability (P < 0.05). Outcomes were higher in women (anxiety: PR = 1.27; 95%CI = 1.20-1.34, depression: PR = 1.35; 95%CI = 1.27-1.44), low-income individuals (anxiety: PR = 1.90; 95%CI = 1.20-3.00, depression: PR = 1.98; 95%CI = 1.22-3.19), less educated individuals (anxiety: PR = 2.20; 95%CI = 1.16-4.18, depression: PR = 2.37; 95%CI = 1.23-4.60), and individuals with poor health status (anxiety: PR = 9.06; 95%CI = 6.72-12.21, depression: PR = 8.99; 95%CI = 6.67-12.12).</p><p><strong>Conclusion: </strong>Severe anxiety and depression tripled in Manaus, potentially reflecting Brazilian socioeconomic crises.</p>","PeriodicalId":49574,"journal":{"name":"Sao Paulo Medical Journal","volume":"143 1","pages":"e2023424"},"PeriodicalIF":1.3000,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655034/pdf/","citationCount":"0","resultStr":"{\"title\":\"Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019.\",\"authors\":\"Vanessa Gomes Lima, Marcus Tolentino Silva, Gustavo Magno Baldin Tiguman, Taís Freire Galvão\",\"doi\":\"10.1590/1516-3180.2023.0424.R1.03072024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Emotional distress increases, also affected by the setting.</p><p><strong>Objective: </strong>To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors.</p><p><strong>Design and setting: </strong>This cross-sectional study included adults living in Manaus selected through a three-stage probability sampling in 2015 and 2019.</p><p><strong>Methods: </strong>This is an analysis of two surveys conducted. The outcomes were assessed by Generalized Anxiety Disorder 7-item (≥ 15 points) and Patient Health Questionnaire 9-item (≥ 20), and changes were tested by chi-square goodness-of-fit. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated by Poisson regression.</p><p><strong>Results: </strong>Severe anxiety symptoms increased from 3.3% (95%CI = 2.7-3.9) in 2015 (n = 3,479) to 8.7% (95%CI = 7.5-9.8) in 2019 (n = 2,321); severe depressive symptoms changed from 2.5% (95%CI = 2.0-3.0) to 8.5% (95%CI = 7.3-9.6). Variations were more pronounced in social vulnerability (P < 0.05). Outcomes were higher in women (anxiety: PR = 1.27; 95%CI = 1.20-1.34, depression: PR = 1.35; 95%CI = 1.27-1.44), low-income individuals (anxiety: PR = 1.90; 95%CI = 1.20-3.00, depression: PR = 1.98; 95%CI = 1.22-3.19), less educated individuals (anxiety: PR = 2.20; 95%CI = 1.16-4.18, depression: PR = 2.37; 95%CI = 1.23-4.60), and individuals with poor health status (anxiety: PR = 9.06; 95%CI = 6.72-12.21, depression: PR = 8.99; 95%CI = 6.67-12.12).</p><p><strong>Conclusion: </strong>Severe anxiety and depression tripled in Manaus, potentially reflecting Brazilian socioeconomic crises.</p>\",\"PeriodicalId\":49574,\"journal\":{\"name\":\"Sao Paulo Medical Journal\",\"volume\":\"143 1\",\"pages\":\"e2023424\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-12-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655034/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sao Paulo Medical Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1516-3180.2023.0424.R1.03072024\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sao Paulo Medical Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1516-3180.2023.0424.R1.03072024","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019.
Background: Emotional distress increases, also affected by the setting.
Objective: To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors.
Design and setting: This cross-sectional study included adults living in Manaus selected through a three-stage probability sampling in 2015 and 2019.
Methods: This is an analysis of two surveys conducted. The outcomes were assessed by Generalized Anxiety Disorder 7-item (≥ 15 points) and Patient Health Questionnaire 9-item (≥ 20), and changes were tested by chi-square goodness-of-fit. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated by Poisson regression.
Results: Severe anxiety symptoms increased from 3.3% (95%CI = 2.7-3.9) in 2015 (n = 3,479) to 8.7% (95%CI = 7.5-9.8) in 2019 (n = 2,321); severe depressive symptoms changed from 2.5% (95%CI = 2.0-3.0) to 8.5% (95%CI = 7.3-9.6). Variations were more pronounced in social vulnerability (P < 0.05). Outcomes were higher in women (anxiety: PR = 1.27; 95%CI = 1.20-1.34, depression: PR = 1.35; 95%CI = 1.27-1.44), low-income individuals (anxiety: PR = 1.90; 95%CI = 1.20-3.00, depression: PR = 1.98; 95%CI = 1.22-3.19), less educated individuals (anxiety: PR = 2.20; 95%CI = 1.16-4.18, depression: PR = 2.37; 95%CI = 1.23-4.60), and individuals with poor health status (anxiety: PR = 9.06; 95%CI = 6.72-12.21, depression: PR = 8.99; 95%CI = 6.67-12.12).
Conclusion: Severe anxiety and depression tripled in Manaus, potentially reflecting Brazilian socioeconomic crises.
期刊介绍：
Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.
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