Revista Brasileira de Epidemiologia (Jun 2015)

Factors associated with depression: sex differences between residents of Quilombo communities

  • Sabrina Martins Barroso,
  • Ana Paula Melo,
  • Mark Drew Crosland Guimarães

DOI
https://doi.org/10.1590/1980-5497201500020017
Journal volume & issue
Vol. 18, no. 2
pp. 503 – 514

Abstract

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INTRODUCTION: The Quilombola population is subject to numerous sources of social vulnerability, but few studies investigate their physical or mental health conditions.OBJECTIVES: To investigate the factors associated with depression in men and women, separately.METHODOLOGY: Cross-sectional population-based study with 764 randomly selected participants from five quilombo communities in Vitória da Conquista, Bahia, Brazil. The cutoff point for depression was ≥ 10 points, assessed by the Patient Health Questionnaire score (PHQ-9), and the presence of five or more symptoms. We estimated the prevalence ratio with 95% confidence intervals using Poisson regression models with robust estimators stratified by gender.RESULTS: Among men, factors associated with depression were previous diagnosis of chronic illnesses, poor/very poor health self-assessment, and poor access to health services. Among women, the associated factors were previous diagnosis of psychiatric disorders, poor/very poor health self-perception, history of tobacco smoking, and self-declaration of race as not black.CONCLUSION: Factors associated with depression differ between men and women and must be considered in interventions to fight depression within this population.

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