Common mental disorders and socioeconomic status in adolescents of ERICA

Abstract

INTRODUCTION: Adolescence is a stage of great social, family and emotional demands, and the literature has related common mental disorder (CMD) with poor living conditions. OBJECTIVE: To investigate the relationship between CMD and socioeconomic status in Brazilian adolescents aged 12 to 17 years. METHOD: This is a cross-sectional study with data from the Study of Cardiovascular Risk in Adolescents (ERICA – Estudo de Riscos Cardiovasculares em Adolescentes). The outcome was CMD and the exposure was socioeconomic status assessed by race/skin color, maternal schooling, resident/room relationship, type of school, existence of maid and bathroom at home, and work activity. For the calculation of prevalence, the survey mode was used and, in the multivariate analysis, logistic regression with p < 5%, as well as the 95% confidence interval. RESULTS: The prevalence of CMD in girls was 23.3%, and in boys, 11.1%. The variables associated with CMD in girls were age between 15 and 17 years (OR = 1.34; 1.17–1.51), studying in private school (OR = 1.13; 1.01–1.27), having a housemaid (OR = 1.15; 1.00–1.34) and, as a protective factor, unpaid work (OR = 0.64; 0.55–0.75). Boys also had a higher chance of CMD in the highest age group (OR = 1.42; 1.18–1.71) and when they had a housemaid (OR = 1.26; 1.02–1.57), whereas unpaid work decreased this chance (OR = 0.79; 0.67–0.95). CONCLUSION: Socioeconomic variables that were associated with CMD were suggestive of higher economic class, whereas unpaid work favored the mental health of adolescents, results contrary to the literature on socioeconomic status and CMD.

Factors associated with common mental disorder in school teenagers

“…The survey showed a prevalence of 30% of CMD, and a higher proportion among girls (2) . Similarly, another national survey, developed with 102,327 adolescents (12-17 years old), points to a prevalence of CMD of 23% and 11% for girls and boys, respectively (12) .…”

Food Consumption Patterns, Breakfast, Meals with Family and Associations with Common Mental Disorders in Adolescents: A School-Based Cross-Sectional Study

“…To establish the socioeconomic status of adolescents was decided to calculate a Pattern of Socioeconomic Indicators (PSI) (Supplementary Material) with the variables associated with CMD in the report by Ribeiro et al (2020) [23] and Erwling and Barros (2017) [24], which were "number of residents per room", "employees in the residence", "number of bathrooms" and "number of refrigerators". The pattern was characterized by the presence of employees, lower number of residents per room, higher number of bathrooms and higher number of refrigerators (Supplementary Material).…”

Psychological Distress in Men during the COVID-19 Pandemic in Brazil: The Role of the Sociodemographic Variables, Uncertainty, and Social Support

“…In addition, there is evidence that CMDs are associated with social inequalities, as individuals in unfavorable socioeconomic conditions (e.g., black individuals, low income, and low level of education) are in a situation of greater vulnerability due to the constant experience of the feeling of insecurity, hopelessness, and risk of violence [ 29 , 30 , 31 ]. These sensations were possibly exacerbated by the COVID-19 pandemic, which supports the need to verify this association in men in Brazil, a country known to be marked by social inequalities and inequities.…”