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Previous issue date: 2016-10-26 / Introdu??o: A depress?o ? um problema de sa?de p?blica e afeta pacientes, familiares e cuidadores, estando entre as dez principais causas de incapacidade no mundo. As mulheres s?o duas vezes mais acometidas por depress?o que os homens. Objetivos:1) Avaliar a preval?ncia e fatores associados ? depress?o em mulheres brasileiras em idade reprodutiva; 2) Avaliar a ocorr?ncia de tratamento fisioterap?utico, no manejo da depress?o em mulheres no contexto brasileiro. Metodologia: Trata-se de um estudo transversal de base populacional, realizado a partir da Pesquisa Nacional de Sa?de ? PNS 2013 (PNS) que abrangeu todo o territ?rio nacional da qual foram retirados 22.621registros de mulheres com idade entre 18 a 49 anos. A vari?vel desfecho prim?rio, foi ter diagn?stico de depress?o, e a vari?vel desfecho secund?rio foi a ocorr?ncia de tratamento fisioterap?utico, as vari?veis independentes foram itens sociodemogr?ficos, h?bitos de vida, hist?rico reprodutivo e doen?as cr?nicas. Foi realizada an?lise descritiva e an?lise bivariada para estimar a magnitude da associa??o entre as vari?veis de exposi??o e os desfechos prim?rio e secund?rio, expressa em OR (odds ratio) e respectivos intervalos de confian?a de 95% (IC95%) pelo m?todo de Mantel-Haenszel. Resultados: observou-se uma preval?ncia de 8.26% de diagn?stico de depress?o, fatores s?cio-demogr?ficos e h?bitos de vida estiveram associados ? diagn?stico de depress?o. Mulheres que tiveram rela??o sexual nos ?ltimos 12 meses (OR=0.78; IC95% 0.69-0.87), usavam m?todos contraceptivos (OR=0.78; IC95% 0.71-0.86) e estavam gestantes (OR=0,43; IC95% 0,30-0.63), apresentaram menor probabilidade de ter depress?o. Em contrapartida, mulheres com autorrelato de sa?de prec?ria (OR=4.24; IC95% 3.64-4.94), v?timas de viol?ncia de pessoa conhecida (OR=2.79; IC95% 2.35-3.31) ou desconhecida (OR=1.86; IC95% 1.52-2.28), com menarca antes dos doze anos (OR=1.10; IC95% 1.01-1.21), com pelo menos um parto (OR=1.70; IC95% 1.52-1.92), submetidas a parto ces?reo (OR=1.33; IC95% 1.19-1.48), com filho com baixo peso (OR=1.36; IC95% 1.18-1.56) ou pr?-termo (OR=1.69; IC95% 1.49-1.93) tiveram mais chances de ter depress?o. Todas as condi??es cr?nicas analisadas aumentaram as chances para desfecho depressivo na amostra. Observou-se que mulheres que autorreferiram sua sa?de como prec?ria (OR=0.36; IC95%: 0.14-0.96), que relataram problemas de sono (OR=0.57; IC95%: 0.36-0.90) e sensa??o de cansa?o ou indisposi??o (OR=0.52; IC95%: 0.33-0.83), tiveram menor probabilidade de fazer tratamento fisioterap?utico. Conclus?o: este estudo demonstrou consider?vel preval?ncia de depress?o entre as mulheres avaliadas, assim como, sua associa??o a fatores sociodemogr?ficos, hist?rico ginecol?gico e reprodutivo e condi??es de sa?de avaliados e que o tratamento fisioterap?utico para depress?o, ainda n?o ? uma realidade entre as mulheres brasileiras, uma vez que, pequena parcela realizou esse tipo de tratamento. / Depression is a public health problem and affects patients, families and caregivers, and it is among the ten leading causes of disability in the world. Women are twice as affected by depression than men. Aim: This study evaluated prevalence and factors associated to depression in Brazilian women at reproductive age. Methods: 22,621 women aged 18-49 years were analyzed from the National Health Survey 2013. The outcomes were depression diagnosis and physical therapy as an adjunct treatment in the management of depression, independent variables were sociodemographic items, lifestyle, reproductive history and chronic diseases. Descriptive and bivariate data analysis were conducted. Results: there was a prevalence of 8.26% of depression diagnosis, socio-demographic factors and lifestyle habits were associated to depression diagnosis. Women who have had sexual intercourse (OR=0.78; CI95% 0.69-0.87), who used contraception (OR=0.78; CI95% 0.71-0.86) and were pregnant (OR=0.43; CI95% 0.30-0.63) were less likely to have depression. In contrast, women with self-reported poor health (OR=4.24; CI95% 3.64-4.94), victims of violence from a known person (OR=2.79; CI95% 2.35-3.31) or unknown person (OR=1.86; CI95% 1.52-2.28 ), with menarche before twelve years (OR=1.10; CI95% 1.01-1.21), with at least one delivery (OR=1.70; CI95% 1.52-1.92), submitted to cesarean section (OR=1.33; CI95% 1.19- 1.48), with low birth weight child (OR=1.36; CI95% 1.18-1.56) or preterm (OR=1.69; CI95% 1.49-1.93) were more likely to have depression. Chronic conditions increased chances for depressive outcome. It was observed that women who self-reported their health as poor (OR=0.36; CI95%: 0.14-0.96), who reported sleep problems (OR=0:57; CI95%: 0.36-0.90) and feeling fatigue or indisposition (OR=0.52; CI95%: 0.33-0.83) were less likely to be under physical therapy treatment. Conclusions: This study showed considerable prevalence of depression among the women studied, as well as its association to sociodemographic factors, gynecological and reproductive history and health conditions and It was observed that physical therapy treatment for depression is still not usual among Brazilian women, since only a small portion performed this type of treatment.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22229 |
| Date | 26 October 2016 |
| Creators | Magalh?es, Adriana Gomes |
| Contributors | 35887044420, http://lattes.cnpq.br/2081849934383112, Souza, Dami?o Ernane de, 79881122449, http://lattes.cnpq.br/1932273466740095, Costa, Karla Veruska Marques Cavalcante da, 02706590483, http://lattes.cnpq.br/1142023017602694, Micussi, Maria Thereza Albuquerque Barbosa Cabral, 04566613445, http://lattes.cnpq.br/2360845979410206, Barros, Wanessa Cristina Tomaz dos Santos, 03064615440, http://lattes.cnpq.br/1499146101830829, Viana, Elizabel de Souza Ramalho |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM FISIOTERAPIA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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