0382/2019 - Problemas emocionais e uso de medicamentos psicotrópicos: Uma abordagem da desigualdade racial. Emotional problems and psychotropic drug use: An approach to racial inequality
O objetivo do estudo foi investigar a existência de desigualdades raciais na prevalência de problemas emocionais, na busca por serviços de saúde e no uso de psicotrópicos. Trata-se de um estudo transversal de base populacional que utilizou dados do inquérito de saúde de Campinas (ISACamp) em 2014/15. Analisou-se 1953 indivíduos com 20 anos ou mais de idade. Foram estimadas prevalências de transtorno mental comum (TMC), de relato de problemas emocionais, de insônia, de busca e uso de serviço de saúde e de uso de psicotrópicos segundo cor da pele autorreferida, tendo como categorias: brancos e pretos/pardos. Razões de prevalência foram estimadas com uso de regressão múltipla de Poisson. A prevalência de TMC foi mais elevada nos pretos/pardos em comparação aos brancos, mas não houve diferença entre eles quanto ao relato de problemas emocionais e de insônia. Verificou-se que os brancos procuraram mais os serviços de saúde por causa do problema emocional. O uso de psicotrópicos também foi superior nos brancos. Os resultados revelaram a presença de desigualdades raciais na presença de TMC, na procura de serviços de saúde e no uso de psicotrópicos, ressaltando a necessidade de ações que identifiquem e superem as barreiras que dificultam o acesso aos cuidados de saúde mental pelos diferentes segmentos raciais.
Palavras-chave:
Raça e saúde; Transtornos mentais; Desigualdade social.
Abstract:
The aim of the study was to investigate the existence of racial inequalities in the prevalence of emotional problems, in the search for health services and in the use of psychotropic drugs. This is a cross-sectional population-based study that used datathe Campinas Health Survey (ISACamp) in 2014/15. Sample of 1953 individuals aged 20 years or older was analyzed. Were estimated prevalences of common mental disorder (CMD), reporting of emotional problems, insomnia, search and the use of health services and use of psychotropic drugs according to self-reported skin color, with as categories: white and black/brown people. Prevalence ratios were estimated using Poisson multiple regression. The prevalence of CMD was higher in blacks/brown compared to whites, but there was no difference between them regarding the reporting of emotional problems and insomnia. It was found that whites sought more health services because of emotional problem. The use of psychotropic drugs was also higher in the whites. The results revealed the presence of racial inequalities in the presence of CMD, in the search for health services and in the use of psychotropics drugs, highlighting the need for actions that identify and overcome the barriers that hinder access to mental health care by different racial segments.
Keywords:
Race and health; Mental disorders; Social inequality.
Emotional problems and psychotropic drug use: An approach to racial inequality
Resumo (abstract):
The aim of the study was to investigate the existence of racial inequalities in the prevalence of emotional problems, in the search for health services and in the use of psychotropic drugs. This is a cross-sectional population-based study that used datathe Campinas Health Survey (ISACamp) in 2014/15. Sample of 1953 individuals aged 20 years or older was analyzed. Were estimated prevalences of common mental disorder (CMD), reporting of emotional problems, insomnia, search and the use of health services and use of psychotropic drugs according to self-reported skin color, with as categories: white and black/brown people. Prevalence ratios were estimated using Poisson multiple regression. The prevalence of CMD was higher in blacks/brown compared to whites, but there was no difference between them regarding the reporting of emotional problems and insomnia. It was found that whites sought more health services because of emotional problem. The use of psychotropic drugs was also higher in the whites. The results revealed the presence of racial inequalities in the presence of CMD, in the search for health services and in the use of psychotropics drugs, highlighting the need for actions that identify and overcome the barriers that hinder access to mental health care by different racial segments.
Palavras-chave (keywords):
Race and health; Mental disorders; Social inequality.
Fernandes, C.S.E, Lima, M.G, Barros, M.B.A. Problemas emocionais e uso de medicamentos psicotrópicos: Uma abordagem da desigualdade racial.. Cien Saude Colet [periódico na internet] (2019/Dez). [Citado em 07/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/problemas-emocionais-e-uso-de-medicamentos-psicotropicos-uma-abordagem-da-desigualdade-racial/17456?id=17456
