Neighborhood physical disorder and common mental disorders in adolescence
- PDF / 697,095 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 7 Downloads / 224 Views
ORIGINAL ARTICLE
Neighborhood physical disorder and common mental disorders in adolescence Mayara Monteiro Auler1 · Claudia de Souza Lopes1 · Taísa Rodrigues Cortes1 · Katia Vergetti Bloch2 · Washington Leite Junger1 Received: 26 May 2020 / Accepted: 10 November 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objective The aim of this study is to estimate the association between observed indicators of neighborhood physical disorder and common mental disorders in adolescents. Methods The study population included 2506 adolescents from three Brazilian state capitals (Rio de Janeiro, Porto Alegre, and Fortaleza) who participated in the Cardiovascular Risk Study in Adolescents (ERICA), a cross-sectional school-based study conducted in 2013–2014. Common mental disorders were assessed using the 12-item General Health Questionnaire. Measures of neighborhood physical disorder were based on the 2010 Brazilian census data and were derived using principal component analysis. Results Although associations were found between some exposure components and CMD, there were no clear or consistent trends across exposure quartiles. Conclusion Overall, there was no evidence of an association between observed indicators of neighborhood physical disorder and common mental disorders. Future studies should explore alternative tools for measuring neighborhood physical disorder to minimize the likelihood of exposure misclassification. Keywords Common mental disorders · Neighborhood disorder · Environmental health · Mental health · Adolescent health
Introduction Mental disorders are highly prevalent worldwide, where about 20% of adolescents have a mental disorder within a year (Steel et al. 2014). Common mental disorders (CMD) account for 90% of all mental disorders (WHO 2003) and may manifest at any stage in life. A school-based study conducted in Brazil between 2013 and 2014 reported a 30% prevalence of CMD among adolescents, with no differences among regions (Lopes et al. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00420-020-01611-9) contains supplementary material, which is available to authorized users. * Taísa Rodrigues Cortes [email protected] 1
Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil
Institute for Studies in Collective Health, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
2
2016). Adolescent CMD is often associated with more severe psychiatric disorders in adulthood. Moreover, about 75% of young adults with mental disorders report the onset of symptoms during adolescence (Kim-Cohen et al. 2003). Previous studies have shown that the neighborhood environment may affect population health (Diez Roux 2002; Diez Roux and Mair 2010). In particular, residents of neighborhoods with more significant disorder have more health problems and worse self-reported health (Ross and Mirowsky 2001). Exposure to neighborhood physical disorder may lead to a greater predisposition to
Data Loading...
