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Social inequalities in mental disorders and substance misuse in young adults:a birth cohort study in Southern Brazil
- Source :
- Barros, F C, Matijasevich, A, Santos, I S, Horta, B L, da Silva, B G C, Munhoz, T N, Fazel, S, Stein, A, Pearson, R M, Anselmi, L & Rohde, L A 2018, ' Social inequalities in mental disorders and substance misuse in young adults : a birth cohort study in Southern Brazil ', Social Psychiatry and Psychiatric Epidemiology, vol. 53, no. 7, pp. 717-726 . https://doi.org/10.1007/s00127-018-1526-x, Repositório Institucional da UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), instacron:UFRGS, Social Psychiatry and Psychiatric Epidemiology
- Publication Year :
- 2018
-
Abstract
- Purpose To investigate the association between mental disorders and substance misuse at 30 years of age with gender, socioeconomic position at birth, and family income trajectories. Methods The 1982 Pelotas Birth Cohort was used; all 5914 children born alive at hospital were originally enrolled (99.2% of all city births). In 2012, 3701 subjects were located and interviewed (68% retention rate). Mental disorders and substance misuse were assessed, and their prevalence analysed according to gender, socioeconomic status at birth, and four different income trajectories: always poor, never poor, poor at birth/non-poor at age 30, and non-poor at birth/poor at age 30. Results While women presented higher prevalence of mental disorders, substance misuse was much more frequent among men. Individuals in the lowest income quintile at birth presented 2–5 times more mental disorders and substance misuse than those in the highest quintile. Young adults who were always poor or were not poor at birth but were poor at 30 years of age had a higher prevalence of mental disorders than the other groups. Conclusions The high rates of mental disorders and lifetime suicide attempts in young adults, especially those who were always poor or became poor after childhood, suggest that recent socioeconomic-related stressful situations may have a higher impact on the current mental health than events earlier in life. However, we could not identify at what specific ages socioeconomic changes were more important. Electronic supplementary material The online version of this article (10.1007/s00127-018-1526-x) contains supplementary material, which is available to authorized users.
- Subjects :
- Male
Health (social science)
Young adulthood
Adulto jovem
Epidemiology
Determinantes sociais da saúde
Life course epidemiology
Suicide, Attempted
Mental disorders
Cohort Studies
Social determinants of health
0302 clinical medicine
Medicine
030212 general & internal medicine
Young adult
Alcoolismo
Mental Disorders
Transtornos mentais
3. Good health
Psychiatry and Mental health
Classe social
Socioeconomic status
Income
Female
Birth cohort
Brazil
Adult
Transtornos relacionados ao uso de substâncias
Social Psychology
Substance-Related Disorders
Alcohol abuse
Family income
03 medical and health sciences
Prevalence of mental disorders
Substance misuse disorders
Humans
Social inequality
Poverty
Original Paper
business.industry
Brasil
Health Status Disparities
Retention rate
Mental health
030227 psychiatry
Social Class
Socioeconomic Factors
business
Demography
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Barros, F C, Matijasevich, A, Santos, I S, Horta, B L, da Silva, B G C, Munhoz, T N, Fazel, S, Stein, A, Pearson, R M, Anselmi, L & Rohde, L A 2018, ' Social inequalities in mental disorders and substance misuse in young adults : a birth cohort study in Southern Brazil ', Social Psychiatry and Psychiatric Epidemiology, vol. 53, no. 7, pp. 717-726 . https://doi.org/10.1007/s00127-018-1526-x, Repositório Institucional da UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), instacron:UFRGS, Social Psychiatry and Psychiatric Epidemiology
- Accession number :
- edsair.doi.dedup.....27750da5a0ed2a863c2b2c2c8d494f33