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Depression and health behaviors in Brazilian adults – PNS 2013

Marilisa Berti de Azevedo Barros · Margareth Guimarães Lima · Renata Cruz Soares de Azevedo · Lhaís de Paula Barbosa Medina · Cláudia de Souza Lopes · Paulo Rossi Menezes +1 more

98 citations0/0 files storedRevista de Saúde Pública

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Mental Health Treatment and Access Physical Activity and Health Health and Lifestyle Studies

Abstract

OBJECTIVE: To evaluate the prevalence of health-related behaviors according to presence and type of depression in Brazilian adults. METHODS: Based on a sample of 49,025 adults (18 to 59 years) from the National Survey on Health 2013 (PNS 2013), we estimated the prevalence of health-related behaviors (smoking; passive smoking; frequent or risky alcohol consumption; leisure time physical activity; time watching TV; and eating pattern indicators), according to the presence of depression (minor and major), evaluated by the Patient Health Questionnaire - 9 (PHQ-9), and the report of depressive mood (in up to seven days or more than seven days) over a two-week period. Prevalence ratios were estimated by Poisson regression. RESULTS: Evaluated by the PHQ-9 scale, 9.7% of the Brazilian adults had depression and 3.9% presented major depression. About 21.0% reported depressive mood and, in 34.9% of them, that feeling has been present for more than seven days. In individuals with major depression (PHQ-9), higher prevalence was found in almost all unhealthy behaviors analyzed, in particular, smoking (PR = 1.65), passive smoking (PR = 1.55), risk alcohol consumption (PR = 1.72), TV for ≥ 5 hours/day (PR = 2.13), consumption of fat meat (PR = 1.43) and soft drink (PR = 1.42). The prevalence ratios tended to be lower in those with minor depression. Similar results were observed in adults with depressive mood. CONCLUSIONS: This study detected relevant association between depression and health behaviors, in particular for smoking and physical activity. The associations found with the PHQ were similar to those observed with the application of a single question about depressive mood. Our results indicate the importance of assessing the presence of depression and the frequency and severity of symptoms when implementing actions for the promotion of healthy behaviors.

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References

2013Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010 2014A diagnostic meta-analysis of the Patient Health Questionnaire-9 (PHQ-9) algorithm scoring method as a screen for depression 2000Social Determinants of Health 2013Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral 2012Mental Disorders in Megacities: Findings from the São Paulo Megacity Mental Health Survey, Brazil 2013Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral 2013Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral 2013The Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in Sao Paulo and Rio de Janeiro, Brazil

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