Violence at work and depressive symptoms in primary health care teams: a cross-sectional study in Brazil

Social Psychiatry and Psychiatric Epidemiology
Andréa Tenório Correia da SilvaPaulo Rossi Menezes

Abstract

Implementation of primary care has long been a priority in low- and middle-income countries. Violence at work may hamper progress in this field. Hence, we examined the associations between violence at work and depressive symptoms/major depression in primary care teams (physicians, nurses, nursing assistants, and community health workers). A cross-sectional study was undertaken in the city of Sao Paulo, Brazil. We assessed a random sample of Family Health Program teams. We investigated depressive symptoms and major depression using the nine-item Patient Health Questionnaire (PHQ-9), and exposure to violence at work in the previous 12 months using a standardized questionnaire. Associations between exposure to violence and depressive symptoms/major depression were analyzed using multinomial logistic regression. Of 3141 eligible workers, 2940 (93 %) completed the interview. Of these, 36.3 % (95 % CI 34.6-38.1) presented intermediate depressive symptoms, and 16 % (95 % CI 14.6-17.2), probable major depression. The frequencies of exposure to the different types of violence at work were: insults (44.9 %), threats (24.8 %), physical aggression (2.3 %), and witnessing violence (29.5 %). These exposures were strongly and progressively as...Continue Reading

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Citations

Sep 16, 2016·American Journal of Public Health·Andréa Tenório Correia da SilvaPaulo Rossi Menezes
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Jun 1, 2021·International Archives of Occupational and Environmental Health·Andréa Tenório Correia da SilvaPaulo Rossi Menezes

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