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Revista médica de Chile · Oct 2021
[Factors associated with depression in Chilean adults. Results of the 2016-2017 National Health Survey].
- Gabriela Nazar, Mariela Gatica-Saavedra, Alvaro Provoste, Ana Maria Leiva, Miquel Martorell, Natalia Ulloa, Fanny Petermann-Rocha, Claudia Troncoso-Pantoja, Carlos Celis-Morales, and Consorcio de Investigación ELHOC-Chile.
- Departamento de Psicología, Facultad de Ciencias Sociales, Universidad de Concepción, Concepción, Chile.
- Rev Med Chil. 2021 Oct 1; 149 (10): 1430-1439.
BackgroundDepression is a highly prevalent disease in Chilean adults.AimTo identify sociodemographic, biomedical, and psychosocial factors related with depression in a representative sample of the Chilean adult population.Material And MethodsAnalysis of data from the National Health Survey 2016-2017 which included 5,291 participants aged > 15 years. Depression was assessed using the Composite International Diagnostic Interview (CIDI-SF). Association between sociodemographic data, health and psychosocial variables and depression was analyzed using Poisson regression with robust error.ResultsThe probability of depression was higher in women than in men (prevalence ratio (PR) = 2.13 [95% confidence intervals (CI): 1.65, 2.75]). In both genders, the probability was higher in people with frailty (women: PR = 10.0 [95% CI: 1.86, 18.1] and men: PR = 3.38 [95% CI: 2.72; 4.20]), severe chronic pain (women: PR = 2.84 [95% CI: 1.93, 4.18 and men: PR = 6.41 [95% CI: 3.59, 9.40]), presence of two or more diseases (women: PR = 4.15 [95% CI: 2.78, 6.20 and men: PR = 2.60 [95% CI: 1.39, 3.81]), perception of permanent stress (women: PR = 11.0 [95% CI: 6.13, 16.0], men: PR = 21.0 [95% CI: 10.2, 31.7]), financial stress (women: PR = 2.57 [95% CI: 1.87, 3.27] men: PR = 4.27 [95% CI: 2.48, 6.06] and poor or very poor perception of health (women: PR = 5.02 [95% CI: 1.92, 8.12], men: 2.09 [95% CI: 0.49, 3.69]). In men, the probability of depression was higher for widowers than married man (PR = 5.58 [95% CI: 2.5, 8.25]), presence of goiter (PR = 4.03 [95% CI: 1.99, 6.07]) and low social support (PR = 1.95 [95% CI: 1.18; 2.72]).ConclusionsThe factors associated with a higher probability of depression are diverse in nature. Among these being women, frailty, chronic pain, multimorbidity and high perception of stress are important factors.
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