Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
- PDF / 1,289,161 Bytes
- 13 Pages / 595.276 x 790.866 pts Page_size
- 1 Downloads / 175 Views
RESEARCH
Open Access
Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017 Cecília Silva Costa Bonadiman1, Deborah Carvalho Malta2, Valéria Maria de Azeredo Passos2,3, Mohsen Naghavi4 and Ana Paula Souto Melo1,5*
Abstract Background: Depression is one of the major causes of disability worldwide. The objective of this study was to analyze the results of the Global Burden of Disease Study 2017 (GBD-2017) for depressive disorders in Brazil and its Federated Units (FUs) in 1990 and 2017. Methods: We used GBD-2017 study methodology to evaluate the prevalence estimates, the disability-adjusted lifeyear (DALY), and the years lived with disability (YLDs) for depressive disorders, which include major depressive disorder and dysthymia. The YLD estimates and the position of these disorders in the DALY and YLD rankings were compared to those of seven other countries. The observed versus expected YLD, based on the sociodemographic index (SDI), were compared. Results: In GBD-2017, the prevalence of depressive disorders in Brazil was 3.30% (95% uncertainty interval [UI]: 3.08 to 3.57), ranging from 3.79% (3.53 to 4.09) in Santa Catarina to 2.78% in Pará (2.56 to 3.03), with significant differences between the Federated Units. From 1990 to 2017, there was an increase in number of YLD (55.19%, 49.57 to 60.73), but a decrease in the age-standardized rates (− 9.01%, − 11.66 to − 6.31). The highest proportion of YLD was observed in the age range of 15–64 years and among females. These disorders rank 4th and 13th as leading causes of YLD and DALY, respectively, in Brazil. In the other countries evaluated, the ranking of these disorders in the YLD classification was close to Brazil’s, while in the DALY classification, there was higher variability. All countries had YLD rates similar to the overall rate. The observed/expected YLD ratio ranged from 0.81 in Pará to 1.16 in Santa Catarina. Morbidity of depressive disorders was not associated with SDI. Conclusions: Depressive disorders have been responsible for a high disability burden since 1990, especially in adult women living in the Southern region of the country. The number of people affected by these disorders in the country tends to increase, requiring more investment in mental health aimed at advancements and quality of services. The epidemiological studies of these disorders throughout the national territory can contribute to this planning and to making the Brazilian health system more equitable. Keywords: Mental health, Mental disorders, Depressive disorders, Disability-adjusted life years, Descriptive epidemiology
* Correspondence: [email protected] 1 Faculdade de Medicina, Programa de Pós- Graduação em Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil 5 Faculdade de Medicina, Universidade Federal de São João Del Rei, Divinópolis, MG 35501-296, Brazil Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons
Data Loading...
