Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil*

Andrade, Laura Helena; Viana, Maria Carmen; Tófoli, Luís Fernando; Wang, Yuan‐Pang

doi:10.1007/s00127-007-0263-3

Cited by 27 publications

(27 citation statements)

References 44 publications

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“…Even in some developed countries that have health insurance to pay for treatment, a meaningful proportion of the population sometimes lacks this coverage (Mechanic, 2002). In developing countries there is a gap between policy and financing (Saxena et al, 2003) with under provision and inefficiency in use of resources (Andrade et al, 2008; Seedat et al, 2008). In some Latin American countries, where mental health reform has been implemented, community-based services still are insufficient, the integration with primary care is weak, and inpatient beds have been reduced to a level that might be inadequate to meet the needs (Andreoli et al, 2007; Caldas de Almeida & Horvitz-Lennon, 2010; Romero-Gonzalez et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Untreated mental conditions have personal and social consequences and economic loss (Knapp, 2003) and can increase healthcare expenditure through a variety of inter-related mechanisms (Andrade et al , 2008; Prince et al , 2007). Understanding barriers to treatment constitutes an important endeavor for planning mental health services, setting priorities in allocation of resources, and reducing the burden of mental illness (Bebbington, 1990; Mechanic, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Barriers to mental health treatment: results from the WHO World Mental Health surveys

et al. 2013

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Background To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. Methods Data are from the WHO World Mental Health (WMH) Surveys. Representative household samples were interviewed face-to-face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n= 63,678) and analyzed at different levels of clinical severity. Results Among those with a DSM-IV disorder in the past twelve months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. Desire to handle the problem on one’s own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers both to initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment dropout (39.3%) followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). Conclusions Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Barriers to mental health treatment: results from the WHO World Mental Health surveys

et al. 2013

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“…The population of this study was drawn from two boroughs in the catchment area of the University of São Paulo's Medical Center, in order to plan health service delivery (10). At the time of the 1991 Census (11), this region contained 28,169 households with 91,276 inhabitants.…”

Section: Methodsmentioning

confidence: 99%

Clustering of psychiatric and somatic illnesses in the general population: multimorbidity and socioeconomic correlates

Andrade

Viana

Andreoni

et al. 2010

Braz J Med Biol Res

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The distribution of psychiatric disorders and of chronic medical illnesses was studied in a population-based sample to determine whether these conditions co-occur in the same individual. A representative sample (N = 1464) of adults living in households was assessed by the Composite International Diagnostic Interview, version 1.1, as part of the São Paulo Epidemiologic Catchment Area Study. The association of sociodemographic variables and psychological symptoms regarding medical illness multimorbidity (8 lifetime somatic conditions) and psychiatric multimorbidity (15 lifetime psychiatric disorders) was determined by negative binomial regression. A total of 1785 chronic medical conditions and 1163 psychiatric conditions were detected in the population concentrated in 34.1 and 20% of respondents, respectively. Subjects reporting more psychiatric disorders had more medical illnesses. Characteristics such as age range (35-59 years, risk ratio (RR) = 1.3, and more than 60 years, RR = 1.7), being separated (RR = 1.2), being a student (protective effect, RR = 0.7), being of low educational level (RR = 1.2) and being psychologically distressed (RR = 1.1) were determinants of medical conditions. Age (35-59 years, RR = 1.2, and more than 60 years, RR = 0.5), being retired (RR = 2.5), and being psychologically distressed (females, RR = 1.5, and males, RR = 1.4) were determinants of psychiatric disorders. In conclusion, psychological distress and some sociodemographic features such as age, marital status, occupational status, educational level, and gender are associated with psychiatric and medical multimorbidity. The distribution of both types of morbidity suggests the need of integrating mental health into general clinical settings.

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“…Kohn, Vicente, Saldivia, Rioseco, and Torres (2008) talked about psychiatric morbidity among the Chilean geriatric population. Moreover, there is a productive core/ nucleus at the University of Sao Paulo in Brazil (Andrade et al, 2003;Duarte et al, 2003;De Toledo Piza Peluso and Bay, 2004;Andrade, Viana, Tó foli, & Wang, 2008;Mercadante, Evans-Lacko, & Paula, 2009) who carry out multicentric and multinational research and which has maintained its scientific leadership.…”

Section: Epidemiological Research In Latin Americamentioning

confidence: 99%

Historical perspectives of the role of Spain and Portugal in today's status of psychiatry and mental health in Latin America

Baca¹,

Lázaro²,

Hernández-Clemente³

2010

International Review of Psychiatry

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This paper shows how the community of Latin-American and Spanish psychiatry represents a solid platform for the so-called 'continental thought' to meet the analytical Anglo-Saxon thought. It reviews what both Latin America and the Spanish and Portuguese languages represent in the American continent; the relation between Spanish psychiatry and Spanish-speaking psychiatry in America during the twentieth century; the reality of psychiatric research and profession in Latin America; the evolution of Spanish psychiatry in the twentieth century from the post civil war diaspora to the beginning of the twenty-first century, and research on mental health in Spain and the foreseeable future.

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Influence of psychiatric morbidity and sociodemographic determinants on use of service in a catchment area in the city of São Paulo, Brazil*

Cited by 27 publications

References 44 publications

Barriers to mental health treatment: results from the WHO World Mental Health surveys

Barriers to mental health treatment: results from the WHO World Mental Health surveys

Clustering of psychiatric and somatic illnesses in the general population: multimorbidity and socioeconomic correlates

Historical perspectives of the role of Spain and Portugal in today's status of psychiatry and mental health in Latin America

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