Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017

Abstract Background Depression is one of the major causes of disability worldwide. The objective of this study was to analyze the results of the Global Burden of Disease Study 2017 (GBD-2017) for depressive disorders in Brazil and its Federated Units (FUs) in 1990 and 2017. Methods We used GBD-2017...

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Main Authors: Cecília Silva Costa Bonadiman, Deborah Carvalho Malta, Valéria Maria de Azeredo Passos, Mohsen Naghavi, Ana Paula Souto Melo
Format: Article
Language:English
Published: BMC 2020-09-01
Series:Population Health Metrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12963-020-00204-5
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spelling doaj-d2432a891ff247218b15f95e2e3c8af02020-11-25T03:57:42ZengBMCPopulation Health Metrics1478-79542020-09-0118S111310.1186/s12963-020-00204-5Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017Cecília Silva Costa Bonadiman0Deborah Carvalho Malta1Valéria Maria de Azeredo Passos2Mohsen Naghavi3Ana Paula Souto Melo4Faculdade de Medicina, Programa de Pós- Graduação em Saúde Pública, Universidade Federal de Minas GeraisDepartamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas GeraisDepartamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas GeraisInstitute for Health Metrics and EvaluationFaculdade de Medicina, Programa de Pós- Graduação em Saúde Pública, Universidade Federal de Minas GeraisAbstract Background Depression is one of the major causes of disability worldwide. The objective of this study was to analyze the results of the Global Burden of Disease Study 2017 (GBD-2017) for depressive disorders in Brazil and its Federated Units (FUs) in 1990 and 2017. Methods We used GBD-2017 study methodology to evaluate the prevalence estimates, the disability-adjusted life-year (DALY), and the years lived with disability (YLDs) for depressive disorders, which include major depressive disorder and dysthymia. The YLD estimates and the position of these disorders in the DALY and YLD rankings were compared to those of seven other countries. The observed versus expected YLD, based on the sociodemographic index (SDI), were compared. Results In GBD-2017, the prevalence of depressive disorders in Brazil was 3.30% (95% uncertainty interval [UI]: 3.08 to 3.57), ranging from 3.79% (3.53 to 4.09) in Santa Catarina to 2.78% in Pará (2.56 to 3.03), with significant differences between the Federated Units. From 1990 to 2017, there was an increase in number of YLD (55.19%, 49.57 to 60.73), but a decrease in the age-standardized rates (− 9.01%, − 11.66 to − 6.31). The highest proportion of YLD was observed in the age range of 15–64 years and among females. These disorders rank 4th and 13th as leading causes of YLD and DALY, respectively, in Brazil. In the other countries evaluated, the ranking of these disorders in the YLD classification was close to Brazil’s, while in the DALY classification, there was higher variability. All countries had YLD rates similar to the overall rate. The observed/expected YLD ratio ranged from 0.81 in Pará to 1.16 in Santa Catarina. Morbidity of depressive disorders was not associated with SDI. Conclusions Depressive disorders have been responsible for a high disability burden since 1990, especially in adult women living in the Southern region of the country. The number of people affected by these disorders in the country tends to increase, requiring more investment in mental health aimed at advancements and quality of services. The epidemiological studies of these disorders throughout the national territory can contribute to this planning and to making the Brazilian health system more equitable.http://link.springer.com/article/10.1186/s12963-020-00204-5Mental healthMental disordersDepressive disordersDisability-adjusted life yearsDescriptive epidemiology
collection DOAJ
language English
format Article
sources DOAJ
author Cecília Silva Costa Bonadiman
Deborah Carvalho Malta
Valéria Maria de Azeredo Passos
Mohsen Naghavi
Ana Paula Souto Melo
spellingShingle Cecília Silva Costa Bonadiman
Deborah Carvalho Malta
Valéria Maria de Azeredo Passos
Mohsen Naghavi
Ana Paula Souto Melo
Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
Population Health Metrics
Mental health
Mental disorders
Depressive disorders
Disability-adjusted life years
Descriptive epidemiology
author_facet Cecília Silva Costa Bonadiman
Deborah Carvalho Malta
Valéria Maria de Azeredo Passos
Mohsen Naghavi
Ana Paula Souto Melo
author_sort Cecília Silva Costa Bonadiman
title Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
title_short Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
title_full Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
title_fullStr Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
title_full_unstemmed Depressive disorders in Brazil: results from the Global Burden of Disease Study 2017
title_sort depressive disorders in brazil: results from the global burden of disease study 2017
publisher BMC
series Population Health Metrics
issn 1478-7954
publishDate 2020-09-01
description Abstract Background Depression is one of the major causes of disability worldwide. The objective of this study was to analyze the results of the Global Burden of Disease Study 2017 (GBD-2017) for depressive disorders in Brazil and its Federated Units (FUs) in 1990 and 2017. Methods We used GBD-2017 study methodology to evaluate the prevalence estimates, the disability-adjusted life-year (DALY), and the years lived with disability (YLDs) for depressive disorders, which include major depressive disorder and dysthymia. The YLD estimates and the position of these disorders in the DALY and YLD rankings were compared to those of seven other countries. The observed versus expected YLD, based on the sociodemographic index (SDI), were compared. Results In GBD-2017, the prevalence of depressive disorders in Brazil was 3.30% (95% uncertainty interval [UI]: 3.08 to 3.57), ranging from 3.79% (3.53 to 4.09) in Santa Catarina to 2.78% in Pará (2.56 to 3.03), with significant differences between the Federated Units. From 1990 to 2017, there was an increase in number of YLD (55.19%, 49.57 to 60.73), but a decrease in the age-standardized rates (− 9.01%, − 11.66 to − 6.31). The highest proportion of YLD was observed in the age range of 15–64 years and among females. These disorders rank 4th and 13th as leading causes of YLD and DALY, respectively, in Brazil. In the other countries evaluated, the ranking of these disorders in the YLD classification was close to Brazil’s, while in the DALY classification, there was higher variability. All countries had YLD rates similar to the overall rate. The observed/expected YLD ratio ranged from 0.81 in Pará to 1.16 in Santa Catarina. Morbidity of depressive disorders was not associated with SDI. Conclusions Depressive disorders have been responsible for a high disability burden since 1990, especially in adult women living in the Southern region of the country. The number of people affected by these disorders in the country tends to increase, requiring more investment in mental health aimed at advancements and quality of services. The epidemiological studies of these disorders throughout the national territory can contribute to this planning and to making the Brazilian health system more equitable.
topic Mental health
Mental disorders
Depressive disorders
Disability-adjusted life years
Descriptive epidemiology
url http://link.springer.com/article/10.1186/s12963-020-00204-5
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