Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/30657
Title: Gender and minor psychiatric morbidity: results of a case-control study in a developing country
Authors: Coutinho, Evandro da Silva Freire
Almeida Filho, Naomar de
Mari, Jair de Jesus
Rodrigues, Laura C.
Affilliation: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil
Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil
Universidade Federal de São Paulo. São Paulo, SP, Brasil
London School of Hygiene and Tropical Medicine. United Kingdom
Abstract: Women suffer from minor psychiatric disorders (MPM) more frequently than men. Most of the studies were conducted in England and in the United States and some reported the higher occurrence of MPM among women to be modified by marital status and others by sociodemographic variables. The present study intends to address this question in a developing country. Method: A population based case-control study was conducted in three important urban centers in Brazil. Two hundred seventy-six individuals diagnosed as new cases of MPM and 261 controls were selected to investigate the role of a set of sociodemographic variables in the association between gender and MPM using logistic regression models. Results: Univariate analysis showed that women were more likely than men to suffer from MPM (OR = 3.34; 2.27–4.91). After controlling for other sociodemographic variables, female gender was still positively associated with MPM, but not in a homogeneous way. A multiplicative interaction of gender with age group was found (LRT = 6.01; 2 df; p = 0.05) suggesting an increment in the magnitude of the association among those older than thirty years. Odds-ratios were 2.33 (1.19–4.55), 6.85 (2.86–16.41), and 7.47 (2.90–19.22) for age groups of fourteen to twenty-nine; thirty to forty-four; forty-five or more, respectively. There was no evidence of interaction of gender with marital status or other sociodemographic variables. Conclusions: The findings are consistent with the modification of the association between gender and MPM being mediated by social factors.
Keywords: Anxiety Disorders
Case-Control Study
Dysthymic Disorder
Phobic Disorders
Risk Factors
Sex
Somatoform Disorders
DeCS: Anxiety Disorders
Case-Control Studies
Dysthymic Disorder
Phobic Disorders
Risk Factors
Sex
Somatoform Disorders
Issue Date: 1999
Publisher: SAGE Journals
Citation: COUTINHO, Evandro da Silva Freire; ALMEIDA FILHO, Naomar de; MARI, Jair de Jesus; Rodrigues, Laura C. Gender and minor psychiatric morbidity: results of a case-control study in a developing country. Int. J. Psychiatry in Medicine, v.29, n.2, p.197-208, 1999
DOI: https://doi.org/10.2190/VDHK-N34Q-CQX7-B0PY
ISSN: 0091-2174
Copyright: open access
Appears in Collections:ENSP - Artigos de Periódicos

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