ArticleInternational journal for equity in health2016
Inequities in access to depression treatment: results of the Brazilian National Health Survey - PNS.
Article in International journal for equity in health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors associated with health service utilisation for common mental disorders: a systematic review.BMC psychiatry · 2018Pooled it
- A task-shared, collaborative care psychosocial intervention for improving depressive symptomatology among older adults in a socioeconomically deprived area of Brazil (PROACTIVE): a pragmatic, two-arm, parallel-group, cluster-randomised controlled trial.The lancet. Healthy longevity · 2022Trial
- Development of a Traditional Chinese Medicine Lifestyle Medicine Program for Depression: A Multi-Method Study.Healthcare (Basel, Switzerland) · 2026Article
- Racial Inequality in the Prevalence of Symptom-Based Depression Versus Self-Reported Medical Diagnosis in Brazil.Journal of racial and ethnic health disparities · 2026Article
- Social disadvantage outweighs knowledge in dementia risk.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Forest bathing (Frontiers in public health · 2026Article
- Incorporating the voice of young people in mental health research: reflections from three lived experience advisory panels in Latin America.Research involvement and engagement · 2025Article
- Global trends of depressive disorders among women of reproductive age from 1990 to 2021: a systematic analysis of burden, sociodemographic disparities, and health workforce correlations.BMC psychiatry · 2025Article
- Global educational initiative for managing major depressive disorders in primary care: the MDD minds project.Frontiers in medicine · 2025Article
- Global, regional, and national burden and trends of depressive disorders among women of childbearing age from 1990 to 2021: insights from GBD 2021.Frontiers in psychology · 2025Article
- Bayesian Networks for Prescreening in Depression: Algorithm Development and Validation.JMIR mental health · 2024Article
- Improving patient-centered mental health promotion in primary care in vulnerable communities through mindfulness training in Rio de Janeiro, Brazil.Frontiers in medicine · 2024Article
- Racial inequalities in mental healthcare use and mortality: a cross-sectional analysis of 1.2 million low-income individuals in Rio de Janeiro, Brazil 2010-2016.BMJ global health · 2023Article
- Mental Health in Brazil: challenges for building care policies and monitoring determinants.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2023Article
- Cultural adaptation of the mental health first aid guidelines for depression in Brazil: a Delphi expert consensus study.BMC psychiatry · 2023Article
- Socioeconomic and racial/ethnic inequalities in depression prevalence and the treatment gap in Brazil: A decomposition analysis.SSM - population health · 2022Article
- Determinants of continuing mental health service use among older persons diagnosed with depressive disorders in general hospitals: latent class analysis and GEE.BMC health services research · 2022Article
- Prevalence of self-reported depression in Brazil: National Health Survey 2019 and 2013.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2022Article
- The association between diabetes mellitus and incidence of depressive episodes is different based on sex: insights from ELSA-Brasil.Therapeutic advances in endocrinology and metabolism · 2022Article
- The prevalence of probable depression and probable anxiety, and associations with adverse childhood experiences and socio-demographics: A national survey in South Africa.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite depression being one of the most prevalent mental disorders in the world, access to treatment is still insufficient, especially in low- and middle-income countries. The aim of this study is to investigate differences in access to treatment for depression according to socio-demographic characteristics, geographical area and multi-morbidity in a nationally representative sample of individuals with depression.
methodsThis study analyses data from the National Health Survey (Pesquisa Nacional de Saúde - PNS), a Brazilian household-based nationwide survey, which comprises 60,202 adults (aged 18 years or older). Depression was evaluated through the Patient Health Questionnaire-9 (PHQ-9). Prevalence Ratios and corresponding 95 % confidence intervals (95%CI) were calculated using Poisson regression.
resultsThe general prevalence of depression was 7.9 % (95 % CI 7.5 to 8.3). Among those with depression, 78.8 % did not receive any treatment, and 14.1 % received only pharmacotherapy. Multivariable analyses showed that being female, white, aged between 30 and 69 years, living in regions other than the North, having higher education and having multi-morbidities were independently associated with higher likelihood of access to any treatment.
conclusionsMost Brazilians with clinically relevant depressive symptoms are not receiving any treatment. Access to care is unequal, with the poor and those living in low resource areas having higher difficulties to access mental health care. Understanding these disparities is important for the provision of effective interventions aimed at reducing the prevalence of depression and inequities in access to mental health care.
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