Depression, gender, and the treatment gap in Mexico

作者: Claudia Rafful , María Elena Medina-Mora , Guilherme Borges , Corina Benjet , Ricardo Orozco

DOI: 10.1016/J.JAD.2011.12.040

关键词: GerontologyMoodCohortRetrospective cohort studyCohort studyNational Comorbidity SurveyRecall biasMajor depressive episodeFirst episodeMedicine

摘要: Abstract Background Gender is associated to lifetime risk of mood disorders, women having the highest and 12-month prevalence. In Mexico one out five individuals with any disorder receives treatment during first year. We evaluate ages at which men are more vulnerable for onset a major depressive episode, longest duration greatest number episodes, areas daily functioning most affected, variables predict whether or not person kind treatment. Methods The Mexican National Comorbidity Survey, as part World Mental Health Surveys Initiative, based on stratified, multistage area probability urban household sample aged 18 65 (n = 5782). Wald X 2 tests were performed gender cohort differences; logistic regression models predictors. Results group 45–54 year-old women. Once episode occurs, there no sex differences in terms length episodes. There gap service use, especially among 18–29 year-old women; oldest impaired. Limitations Individuals from rural communities represented may have been recall bias due retrospective design. Conclusions Efforts should focus factors related early programs reduce subsequent Research health resources attend group, youngest women, who reproductive age largest gap.

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