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dc.contributor.authorRibeiro, Wagner Silva [UNIFESP]
dc.contributor.authorMari, Jair de Jesus [UNIFESP]
dc.contributor.authorQuintana, Maria Ines [UNIFESP]
dc.contributor.authorDewey, Michael E.
dc.contributor.authorEvans-Lacko, Sara
dc.contributor.authorPereira Vilete, Liliane Maria
dc.contributor.authorFigueira, Ivan
dc.contributor.authorBressan, Rodrigo Affonseca [UNIFESP]
dc.contributor.authorMello, Marcelo Feijo de [UNIFESP]
dc.contributor.authorPrince, Martin
dc.contributor.authorFerri, Cleusa P.
dc.contributor.authorFreire Coutinho, Evandro Silva
dc.contributor.authorAndreoli, Sergio Baxter [UNIFESP]
dc.identifier.citationPlos One. San Francisco: Public Library Science, v. 8, n. 5, 13 p., 2013.
dc.description.abstractBackground: Violence and other traumatic events, as well as psychiatric disorders are frequent in developing countries, but there are few population studies to show the actual impact of traumatic events in the psychiatric morbidity in low and middle-income countries (LMIC).Aims: To study the relationship between traumatic events and prevalence of mental disorders in São Paulo and Rio de Janeiro, Brazil.Methods: Cross-sectional survey carried out in 2007-2008 with a probabilistic representative sample of 15- to 75-year-old residents in São Paulo and Rio de Janeiro, Brazil, using the Composite International Diagnostic Interview.Results: the sample comprised 3744 interviews. Nearly 90% of participants faced lifetime traumatic events. Lifetime prevalence of any disorders was 44% in São Paulo and 42.1% in Rio de Janeiro. One-year estimates were 32.5% and 31.2%. One-year prevalence of traumatic events was higher in Rio de Janeiro than São Paulo (35.1 vs. 21.7; p<0.001). Participants from Rio de Janeiro were less likely to have alcohol dependence (OR = 0.55; p = 0.027), depression (OR = 0.6; p = 0.006) generalized anxiety (OR = 0.59; p = 0.021) and post-traumatic stress disorder (OR = 0.62; p = 0.027). Traumatic events correlated with all diagnoses -e.g. assaultive violence with alcohol dependence (OR = 5.7; p<0.001) and with depression (OR = 1.7; p = 0.001).Conclusion: Our findings show that psychiatric disorders and traumatic events, especially violence, are extremely common in São Paulo and Rio de Janeiro, supporting the idea that neuropsychiatric disorders and external causes have become a major public health priority, as they are amongst the leading causes of burden of disease in low and middle-income countries. the comparison between the two cities regarding patterns of violence and psychiatric morbidity suggests that environmental factors may buffer the negative impacts of traumatic events. Identifying such factors might guide the implementation of interventions to improve mental health and quality of life in LMIC urban centers.en
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.publisherPublic Library Science
dc.relation.ispartofPlos One
dc.rightsAcesso aberto
dc.titleThe Impact of Epidemic Violence on the Prevalence of Psychiatric Disorders in São Paulo and Rio de Janeiro, Brazilen
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionKings Coll London
dc.contributor.institutionFundacao Oswaldo Cruz
dc.contributor.institutionUniversidade Federal do Rio de Janeiro (UFRJ)
dc.description.affiliationUniversidade Federal de São Paulo, Dept Psiquiatria, São Paulo, Brazil
dc.description.affiliationKings Coll London, Hlth Serv & Populat Res Dept, Inst Psychiat, London WC2R 2LS, England
dc.description.affiliationFundacao Oswaldo Cruz, Escola Nacl Saude Publ, Rio de Janeiro, Brazil
dc.description.affiliationUniv Fed Rio de Janeiro, Inst Psiquiatria, Rio de Janeiro, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Psiquiatria, São Paulo, Brazil
dc.description.sponsorshipIDFAPESP: 2004/15039-0
dc.description.sponsorshipIDCNPq: 420122/2005-2
dc.description.sponsorshipIDCNPq: 141467/2007-0
dc.description.sponsorshipIDCAPES: Proc.4516/07-9
dc.description.sourceWeb of Science
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