Depression, gender, and the treatment gap in Mexico

Journal of Affective Disorders
Claudia RaffulRicardo Orozco

Abstract

Gender is associated to lifetime risk of mood disorders, women having the highest lifetime and 12-month prevalence. In Mexico one out of five individuals with any mood disorder receives treatment during the first year. We evaluate the ages at which women and men are more vulnerable for the first onset of a major depressive episode, the longest duration and greatest number of episodes, the areas of daily functioning most affected, and which variables predict whether or not a person receives any kind of treatment. The Mexican National Comorbidity Survey, as part of the World Mental Health Surveys Initiative, is based on a stratified, multistage area probability Mexican urban household sample aged 18 to 65 (n=5782). Wald X(2) tests were performed to evaluate gender and cohort differences; logistic regression models were performed to evaluate gender and cohort as treatment predictors. The most vulnerable group is the cohort of 45-54 year-old women. Once a first episode occurs, there are no sex differences in terms of number or length of episodes. There is a gap in service use, especially among 18-29 year-old women; the oldest women are the most impaired. Individuals from rural communities are not represented and there may have been...Continue Reading

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Citations

Dec 20, 2014·International Journal of Methods in Psychiatric Research·Itziar FamiliarMartin Lajous
Jul 5, 2013·International Journal of Psychiatry in Clinical Practice·Neriman ArasMustafa Gulec
Jul 12, 2014·Journal of Affective Disorders·Margarita GiliMiquel Roca
Jun 4, 2016·Hispanic Health Care International : the Official Journal of the National Association of Hispanic Nurses·Esteban Picazzo-Palencia
Jun 7, 2018·Biomédica : revista del Instituto Nacional de Salud·Karen Lizbeth Franco-DíazClaudia Iveth Astudillo-García
Nov 21, 2018·Journal of Mental Health·Paul AnandAdrián Villaseñor
Nov 5, 2019·Global Health Action·Peter Lloyd-SherlockNadia Minicuci
Jun 12, 2017·Archives of Women's Mental Health·Filipa de CastroEdward A Frongillo
Dec 31, 2020·International Journal of Environmental Research and Public Health·Janeth Juarez PadillaMa Asunción Lara
Dec 1, 2019·Gaceta sanitaria·Cecilia Guzmán-RodríguezLuz M Reynales-Shigematsu
May 20, 2021·BMC Public Health·Lucio Flores-PayanTonatiuh González-Heredia
Jun 12, 2021·Journal of Epidemiology and Community Health·Lucio EspositoRowena Jacobs

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