在巴西,缺乏治疗抑郁症的医疗服务
Héllyda de Souza Bezerra1, Isabelle Ribeiro Barbosa2
1Universidade Federal do Rio Grande do Norte. Programa de Pós-Graduação em Saúde Coletiva. Natal, RN, Brazil.
Revista de saude publica
|August 16, 2023
概括
在巴西,缺乏抑郁症治疗的机会影响了14.9%的个人,特别是年轻人和健康不佳或活动限制的人. 关键的障碍包括距离,交通和缺乏心理治疗的机会.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康研究 心理健康研究
背景情况:
- 获得医疗保健对于管理抑郁症至关重要.
- 获得心理健康服务的障碍对某些人群的影响不成比例.
- 了解这些障碍对于改善巴西治疗结果至关重要.
研究的目的:
- 确定导致人们无法获得抑郁症治疗的因素.
- 分析巴西抑郁症医疗保健获取的社会人口统计学和健康相关决定因素.
主要方法:
- 利用了2019-2020年巴西国家健康调查的数据.
- 包括8332名自我报告抑郁症诊断的个人.
- 对于双变量和多变量分析,使用波桑回归.
主要成果:
- 14.9%的个人缺乏获得抑郁症治疗的机会.
- 年龄较小的年龄组 (15-29岁,30-59岁),缺乏教育和自我评价的健康状况不佳与缺乏机会有关.
- 活动限制,不频繁的咨询和缺乏心理治疗显著增加了不良接入的可能性.
结论:
- 难以获得抑郁症治疗与个人特征和健康状况有关.
- 解决距离,交通和心理治疗可用性等障碍至关重要.
- 调查结果强调了需要有针对性的干预措施,以改善巴西的精神卫生保健服务的可访问性.
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