0211/2022 - Prevalência de uso de psicotrópicos e antidepressivos em uma cidade da Amazônia brasileira: análise de dois estudos transversais
Prevalence of psychotropic and antidepressant use in a Brazilian Amazon city: analysis of two cross-sectional studies
Author:
• Gustavo Magno Baldin Tiguman - Tiguman, G.M.B - <gustavo.tiguman@gmail.com>ORCID: https://orcid.org/0000-0001-9518-7194
Co-author(s):
• Marcus Tolentino Silva - Silva, M.T - <marcusts@gmail.com>ORCID: https://orcid.org/0000-0002-7186-9075
• Taís Freire Galvão - Galvão, T.F - <taisgalvao@gmail.com>
ORCID: https://orcid.org/0000-0003-2072-4834
Abstract:
OBJECTIVE: To assess the prevalence of psychotropic and antidepressant use and associated factors in a Brazilian Amazon city.METHODS: Two cross-sectional studies conducted in Manaus in 2015 and 2019 with adults selected by probabilistic sampling. Prevalence ratios (PR) and 95% confidence intervals (95%CI) were calculated by Poisson regression with robust variance.
RESULTS: 3,479 participants were included in 2015 and 2,321 in 2019; 2.0% used psychotropics in 2015 and 2.7% in 2019. Antidepressants were used by 0.4% (2015) and 1.4% (2019). Psychotropic use was lower in younger (PR=0.41; 95%CI0.19-0.90), partnerless (PR=0.64; 95%CI0.44-0.93), and informal workers (PR=0.47; 95%CI0.25-0.86), but higher in people with poor health (PR=2.86; 95%CI1.71-4.80), multimorbidity (PR=3.24; 95%CI1.87-5.60), and who visited doctors (PR=3.04; 95%CI1.45-6.38) or dentists (PR=1.50; 95%CI 1.08-2.10). Antidepressant use was higher in 2019 (PR=2.90; 95%CI1.52-5.54), people with poor health (PR=2.77; 95%CI1.16-6.62), and multimorbidity (PR=8.72; 95%CI2.71-28.00), while lower in informal workers (PR=0.33; 95%CI0.12-0.87) and unemployed (PR=0.26; 95%CI0.08-0.81). CONCLUSION: Use of psychotropics remained stable in Manaus from 2015 to 2019, while antidepressant use more than tripled, which was marked by social inequalities.