Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019
ABSTRACT BACKGROUND: Emotional distress increases, also affected by the setting. OBJECTIVE: To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors. DESIGN AND SETTING: This cross-sectional study included adults living in Manaus selected through a three-...
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Associação Paulista de Medicina
2024-12-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802025000100203&lng=en&tlng=en |
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| author | Vanessa Gomes Lima Marcus Tolentino Silva Gustavo Magno Baldin Tiguman Taís Freire Galvão |
| author_facet | Vanessa Gomes Lima Marcus Tolentino Silva Gustavo Magno Baldin Tiguman Taís Freire Galvão |
| author_sort | Vanessa Gomes Lima |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Emotional distress increases, also affected by the setting. OBJECTIVE: To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors. DESIGN AND SETTING: This cross-sectional study included adults living in Manaus selected through a three-stage probability sampling in 2015 and 2019. METHODS: This is an analysis of two surveys conducted. The outcomes were assessed by Generalized Anxiety Disorder 7-item (≥ 15 points) and Patient Health Questionnaire 9-item (≥ 20), and changes were tested by chi-square goodness-of-fit. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated by Poisson regression. RESULTS: Severe anxiety symptoms increased from 3.3% (95%CI = 2.7–3.9) in 2015 (n = 3,479) to 8.7% (95%CI = 7.5–9.8) in 2019 (n = 2,321); severe depressive symptoms changed from 2.5% (95%CI = 2.0–3.0) to 8.5% (95%CI = 7.3–9.6). Variations were more pronounced in social vulnerability (P < 0.05). Outcomes were higher in women (anxiety: PR = 1.27; 95%CI = 1.20–1.34, depression: PR = 1.35; 95%CI = 1.27–1.44), low-income individuals (anxiety: PR = 1.90; 95%CI = 1.20–3.00, depression: PR = 1.98; 95%CI = 1.22–3.19), less educated individuals (anxiety: PR = 2.20; 95%CI = 1.16–4.18, depression: PR = 2.37; 95%CI = 1.23–4.60), and individuals with poor health status (anxiety: PR = 9.06; 95%CI = 6.72–12.21, depression: PR = 8.99; 95%CI = 6.67–12.12). CONCLUSION: Severe anxiety and depression tripled in Manaus, potentially reflecting Brazilian socioeconomic crises. |
| format | Article |
| id | doaj-art-6d8659de20aa43418295a0c8413414b0 |
| institution | Kabale University |
| issn | 1806-9460 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj-art-6d8659de20aa43418295a0c8413414b02025-01-07T07:37:10ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602024-12-01143110.1590/1516-3180.2023.0424.r1.03072024Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019Vanessa Gomes Limahttps://orcid.org/0000-0001-5671-5505Marcus Tolentino Silvahttps://orcid.org/0000-0002-7186-9075Gustavo Magno Baldin Tigumanhttps://orcid.org/0000-0001-9518-7194Taís Freire Galvãohttps://orcid.org/0000-0003-2072-4834ABSTRACT BACKGROUND: Emotional distress increases, also affected by the setting. OBJECTIVE: To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors. DESIGN AND SETTING: This cross-sectional study included adults living in Manaus selected through a three-stage probability sampling in 2015 and 2019. METHODS: This is an analysis of two surveys conducted. The outcomes were assessed by Generalized Anxiety Disorder 7-item (≥ 15 points) and Patient Health Questionnaire 9-item (≥ 20), and changes were tested by chi-square goodness-of-fit. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated by Poisson regression. RESULTS: Severe anxiety symptoms increased from 3.3% (95%CI = 2.7–3.9) in 2015 (n = 3,479) to 8.7% (95%CI = 7.5–9.8) in 2019 (n = 2,321); severe depressive symptoms changed from 2.5% (95%CI = 2.0–3.0) to 8.5% (95%CI = 7.3–9.6). Variations were more pronounced in social vulnerability (P < 0.05). Outcomes were higher in women (anxiety: PR = 1.27; 95%CI = 1.20–1.34, depression: PR = 1.35; 95%CI = 1.27–1.44), low-income individuals (anxiety: PR = 1.90; 95%CI = 1.20–3.00, depression: PR = 1.98; 95%CI = 1.22–3.19), less educated individuals (anxiety: PR = 2.20; 95%CI = 1.16–4.18, depression: PR = 2.37; 95%CI = 1.23–4.60), and individuals with poor health status (anxiety: PR = 9.06; 95%CI = 6.72–12.21, depression: PR = 8.99; 95%CI = 6.67–12.12). CONCLUSION: Severe anxiety and depression tripled in Manaus, potentially reflecting Brazilian socioeconomic crises.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802025000100203&lng=en&tlng=enAnxiety.Depression.Prevalence.Socioeconomic factors.Cross-sectional studies.Mental health.Mental suffering.Austerity.Survey.Amazonas.Brazil. |
| spellingShingle | Vanessa Gomes Lima Marcus Tolentino Silva Gustavo Magno Baldin Tiguman Taís Freire Galvão Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 São Paulo Medical Journal Anxiety. Depression. Prevalence. Socioeconomic factors. Cross-sectional studies. Mental health. Mental suffering. Austerity. Survey. Amazonas. Brazil. |
| title | Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 |
| title_full | Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 |
| title_fullStr | Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 |
| title_full_unstemmed | Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 |
| title_short | Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 |
| title_sort | changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in manaus a comparison of two cross sectional studies conducted in 2015 and 2019 |
| topic | Anxiety. Depression. Prevalence. Socioeconomic factors. Cross-sectional studies. Mental health. Mental suffering. Austerity. Survey. Amazonas. Brazil. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802025000100203&lng=en&tlng=en |
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