Prevalência de depressão e fatores associados em usuários da atenção primária à saúde

Abstract

Depression in adults and the elderly is a serious public health problem. Objective: to verify the prevalence and factors associated with depression in Primary Health Care (PHC) users. Method: The design was cross-sectional and data collection occurred through the application of questionnaires to adults and elderly people assisted in the urban network of PHC in Passo Fundo, Rio Grande do Sul, from May to August 2019. The prevalence of PHC was calculated. outcome, with a 95% confidence interval (CI95) and crude and adjusted Prevalence Ratios (PR) to identify associated factors. Results: 1,443 participants were included in the sample, of which 27% (CI95 25-29) had depression, with greater probability among women (PR=2.34; CI95 1.66-3.30), elderly (PR=1, 45; IC95 1.26-1.68), individuals without a spouse (PR=1.35; IC95 1.10-1.66), with negative self-perception of health (PR=1.41; IC95 1.12-1 .79), using continuous medication (PR=2.01; IC95 1.53-2.64), undergoing psychological treatment (PR=2.10; IC95 1.80-2.45), with insomnia (PR =1.66; IC95 1.39-1.98), history of attempted suicide (PR=1.61; IC95 1.32-1.97) and smokers (PR=1.25; IC95 1.04- 1.50). It was also observed that the higher the level of education, the lower the prevalence of depression. Conclusion: Thus, it is concluded that depression is prevalent in the population assisted in PHC and, in view of this, it is suggested that health teams increasingly seek to improve strategies for investigating this problem in susceptible groups in order to identify patients and offer the more adequate care.