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. 2022 Jul 8;31(spe1):e2021384.
doi: 10.1590/SS2237-9622202200006.especial. eCollection 2022.

Prevalence of self-reported depression in Brazil: National Health Survey 2019 and 2013

[Article in English, Portuguese]
Affiliations

Prevalence of self-reported depression in Brazil: National Health Survey 2019 and 2013

[Article in English, Portuguese]
Valéria Cristina de Albuquerque Brito et al. Epidemiol Serv Saude. .

Abstract

Objective: To describe the prevalence of self-reported depression among Brazilian adults in the 2019 National Health Survey (PNS) and compare to the 2013 PNS.

Methods: Cross-sectional study of Brazilian adults using data from the 2019 and 2013 PNS. Prevalence and 95% confidence intervals (95%CI) of self-reported depression were estimated by region and demographic characteristics. Bivariate analyses were conducted using chi-squared tests.

Results: There were 90,846 participants aged ≥ 18 years in 2019, and 60,202 in 2013. Between 2013 and 2019, prevalence of self-reported depression increased from 7.6% (95%CI 7.2;8.1) to 10.2% (95%CI 9.9;10.6) and of individuals who sought healthcare, from 46.4% (95%CI 43.8;49.1) to 52.8% (95%CI 50.7;55.0). Private clinics were the main source of healthcare.

Conclusion: Depression is highly prevalent in Brazil. Prevalence of diagnosis of depression and use of health services increased in the studied period. The predominance of care in private clinics suggests inequalities in the improvement of mental healthcare coverage.

Objetivo: Descrever a prevalência de depressão autorreferida na população brasileira adulta a partir da Pesquisa Nacional de Saúde (PNS) 2019, e comparar com a PNS 2013.

Métodos: Estudo transversal descritivo no qual se calcularam prevalências de diagnóstico autorreferido de depressão, segundo localidade e variáveis demográficas, e intervalos de confiança de 95% (IC95%). Análises bivariadas foram realizadas com teste qui-quadrado.

Resultados: Participaram 90.846 indivíduos com idade ≥ 18 anos, na PNS 2019, e 60.202, na PNS 2013. Entre 2013 e 2019, as prevalências de depressão autorreferida aumentaram de 7,6% (IC95% 7,2;8,1) para 10,2% (IC95% 9,9;10,6), e de busca por atendimento nos últimos 12 meses anteriores à entrevista, de 46,4% (IC95% 43,75;49,1) para 52,8% (IC95% 50,7;55,0). Consultórios privados foram o principal local de assistência.

Conclusão: A depressão é um transtorno altamente prevalente. O diagnóstico de depressão e a busca por atendimento aumentaram no período. Entretanto, o predomínio de atendimentos em consultórios privados sugere desigualdades na melhoria da cobertura assistencial.

Objetivo: Describir la prevalencia de depresión autoinformada en la población adulta brasileña en la Encuesta Nacional de Salud (PNS) 2019 y compararla con la PNS 2013.

Métodos: Estudio descriptivo donde se calcularon prevalencias del diagnóstico autoinformado de depresión e intervalos de confianza del 95% (IC95%) según localización y variables demográficas. Análisis bivariados se realizaron mediante la prueba chi-cuadrado.

Resultados: Participaron 90.846 individuos en edad ≥ 18 años en la PNS 2019, y 60.202 en 2013. Entre 2013 y 2019, la prevalencia de diagnóstico autoinformado de depresión aumentó de 7,6% (IC95% 7,2;8,1) a 10,2% (IC95% 9,9;10,6) y búsqueda de atención del 46,4% (IC95% 43,75;49,1) a 52,8% (IC95% 50,7;55,0). Oficinas privadas fueron el principal lugar de asistencia.

Conclusión: La depresión es un trastorno altamente prevalente. La prevalencia de diagnóstico de depresión y búsqueda de atención aumentaron en el período. El predominio de la atención en oficinas privadas sugiere desigualdades en la mejora de la cobertura de atención.

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Conflict of interest statement

CONFLICTS OF INTEREST: The authors declared that they have no conflicts of interest.

Figures

Figure 1
Figure 1. Prevalence (%)a and 95% confidence interval of adults (≥ 18 years of age) with self-reported depression, according to sociodemographic characteristics, Brazil, National Health Survey, 2013 and 2019
Figure 2
Figure 2. Prevalence (%)a and 95% confidence interval of adults (≥ 18 years of age) with self-reported depression, who received medical care to depression (in the 12 months prior to the interview), according to sociodemographic characteristics, Brazil, National Health Survey, 2013 and 2019
Figure 3
Figure 3. Proportional distributions (%)a of sources of medical care due to depression (in the 12 months prior to the interview) among adults (≥ 18 years old) with self-reported depression, Brazil, National Health Survey, 2013 and 2019

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