Banca de DEFESA: ADRYANNA CARDIM DE ALMEIDA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ADRYANNA CARDIM DE ALMEIDA
DATE: 01/08/2023
TIME: 14:00
LOCAL: Auditório do Instituto de Saúde Coletiva
TITLE:

GENERATIONAL DIFFERENCES AND COMMON MENTAL DISORDERS IN PARTICIPANTS OF THE LONG-TERM STUDY OF ADULT HEALTH (ELSA-Brazil).

KEY WORDS:

Common mental disorders; gender and health; generational differences, occupational stress; workplace mental health.

PAGES: 183
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Epidemiologia
SUMMARY:

Mental disorders have become one of the greatest psychosocial phenomena today, increasing their prevalence in low-, middle-, and high-income countries around the world and accounting globally for about a third of mental illnesses. Estimates show that mental disorders such as depression and anxiety represent the main causes of disability worldwide, having caused approximately 40 million years of disability in the age group between 20 and 29 years and impacting not only on health systems, but also on the working lives of these individuals, affecting mainly women. Aiming to collaborate with the field of workers' health in the public service of federal institutions and to identify possible predictors of the scope of work associated with the generation by birth year and the effects on their mental health from a gender perspective, this thesis proposes to present discussions regarding the occurrence of common mental disorders related to occupational stress, so that it is possible to favor a clearer understanding of this theme in a generational perspective, providing new debates, since studies on gender, health, work and generation of birth still remain little present in Brazilian and international literature. This research is part of the Longitudinal Study of Adult Health (ELSABrasil), a multicenter study carried out at universities and research institutions in six Brazilian states (Bahia, Espírito Santo, Minas Gerais, Rio de Janeiro, Rio Grande do Sul and São Paulo). This is a cross-sectional study including 15,105 participants interviewed at the baseline of the ELSA-Brasil, aged between 35 and 74 years. Sociodemographic characteristics, health behaviors, medication use, work domains, which included weekly working hours, time in current activity and social support with repercussions on mental health, were included in the analyzes. Common mental disorders (CMD) were measured by the Clinical Interview Schedule (CIS-R) and occupational stressors by the Swedish scale of the Demand-Control-Social Support Questionnaire (DCSQ). All analyzes were carried out using the Statistics Data Analysis (Stata) software, version 14. As a result of the thesis, three articles were prepared: (1) Generations by birth year, gender and common mental disorders in civil servants participating in the ELSABrasil; (2) Occupational stress and common mental disorders: generational and gender differences in the ELSA-Brasil cohort; (3) Generational and gender differences in the severity of common mental disorders in the ELSA-Brasil cohort: the influence of occupational stress. In Article 01, a cross-sectional study was carried out with 15,105 participants from the baseline of the ELSA-Brasil, where the prevalence of CMD was estimated and description according to race/skin color, education, marital status, alcohol consumption, smoking, use of antidepressants and benzodiazepines. The date of birth characterized generation by birth year. More than 60% of the cohort belong to the Baby Boomer generation. The prevalence of CMD was 26.7% (women=33.8% and men=18.4%). The highest prevalence occurred among Generation X participants (30.4%), with a 95%CI [1.62-2.03]. CMD were more prevalent among females compared to males across all generations. In Article 02, 12,015 active participants were eligible, excluding retired workers. Among active study participants, 26.8% had CMD. However, the prevalence among women reached 35.9% compared to 19.3% among men, with an 86% higher risk (PR=1.86; 95%CI 1.75-1.98). Analyzing the association between occupational stress and CMD after adjusting the model, the positive and statistically significant association between occupational stress and CMD was maintained only among women from the Baby Boomer Generation who had an active job (PR=1.32; 95%CI [1.13-1.54]) and high strain/exhaustion work (PR=1.41; 95%CI [1.14-1.73]) and among women from Generation X who performed 11 active work (PR=1.39; 95%CI [1.09-1.78]). Among men, there was no statistically significant positive association between occupational stress and CMD. In Article 03, the extent to which occupational stress modified the severity of CMD according to gender and generation by birth year among active participants was evaluated. Women had 2.4 times more severe CMD and 1.5 times milder to moderate CMD than men. The presence of interaction between education, occupational stress and CMD severity was observed in women from the Baby Boomer Generation (p value 0.0025). Women with complete secondary education submitted to active work (combined by high demands and high control) when compared to low demand/exhaustion work (low demand and high control) have 53% more occurrence of mild to moderate CMD (PR=1.53; 95%CI [1.09-2.15]) and 42% more severe CMD. When this adjustment is made for weekly working hours, active time at work and social support, the association of interest was little affected. Based on these discoveries, we hope to contribute knowledge to collective health, from the perspective of generations by birth year and gender, suggesting new studies to evaluate the role of public policies in the prevention of common mental disorders. It should be noted that new investigations based on generational cohorts are salutary to analyze the impact of these work demands and domestic tasks on the illness of these workers, seeking alternatives to reduce the current demands in universities, in addition to promoting improvements to minimize gender inequalities.

COMMITTEE MEMBERS:
Externo ao Programa - 1224175 - FERNANDO RIBAS FEIJO - nullExterna à Instituição - MARIA DA CONCEICAO CHAGAS DE ALMEIDA - Fiocruz-Ba
Externa à Instituição - ROSANE HÄRTER GRIEP - Fiocruz - RJ
Presidente - 2548659 - SHEILA MARIA ALVIM DE MATOS
Externa à Instituição - TANIA MARIA DE ARAUJO - UEFS
Interna - 2863971 - YUKARI FIGUEROA MISE