Perspectives on a psychiatric outpatient service for immigrants and refugees in Sao Paulo, Brazil over a 15-year period
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Citações na Scopus
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Tipo de produção
article
Data de publicação
2022
Título da Revista
ISSN da Revista
Título do Volume
Editora
SAGE PUBLICATIONS LTD
Autores
SANTANA, Carmen Lucia Albuquerque de
Citação
INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY, v.68, n.7, p.1418-1427, 2022
Resumo
Background: Immigrants and refugees have specific mental health needs. Studies of immigrant/refugee psychiatric patients in Latin America are scarce. Aims: Present the profile of patients from an outpatient psychiatric service in Sao Paulo (Brazil) to better inform mental health service planning for immigrants and refugees in the Global South. Methods: Exploratory study to characterize the sociodemographic and mental health profile of refugees and immigrants attending outpatient psychiatric service from 2003 to 2018. Chi-square tests and logistic regressions were used to examine the association of demographic variables, exposure to violence, and immigrant status with psychiatric diagnosis. Cluster analysis was used to identify subgroups within the sample. Results: A total of 162 immigrants and refugees referred to the service obtained treatment. Of these patients, 57.4% were men, 59.8% were refugees/asylum seekers, 51.9% were Black, 48.8% were single, 64.2% had 10 years of education, and 57.4% were unemployed; the mean age of the sample was 35.9. Half of the sample (52.5%) was exposed to violence. The most common diagnosis was depression (54.2%), followed by PTSD (16.6%). Approximately 34% of the participants sought psychiatric care within 6 months of arrival. Logistic regressions showed that men had lower odds of presenting with depression (OR = 0.34). Patients with PTSD were more likely to be refugees (OR = 3.9) and not have a university degree (OR = 3.1). In the cluster analysis, a cluster of patients with PTSD included almost all Black refugee men exposed to violence. Most patients diagnosed with psychotic disorders were also Black refugee men. Conclusion: Immigrants and refugees represent a vulnerable group. The majority of the sample was Black, refugee men, who were also more likely to present with PTSD. Future studies are needed to better understand issues in treatment adherence in relation to socioeconomic characteristics.
Palavras-chave
Refugees, immigrants, mental health, psychiatric disorder, Brazil
Referências
- [Anonymous], NUCLEO ESTUDOS POPUL
- Blight KJ, 2006, SOC SCI MED, V62, P1697, DOI 10.1016/j.socscimed.2005.08.019
- Bottche M, 2016, BUNDESGESUNDHEITSBLA, V59, P621, DOI 10.1007/s00103-016-2337-4
- Branco Pereira Alexandre, 2018, REMHU, Rev. Interdiscip. Mobil. Hum., V26, P79, DOI 10.1590/1980-85852503880005306
- Cantor-Graae E, 2005, AM J PSYCHIAT, V162, P12, DOI 10.1176/appi.ajp.162.1.12
- Carta Mauro Giovanni, 2005, Clin Pract Epidemiol Ment Health, V1, P13, DOI 10.1186/1745-0179-1-13
- Castro MC, 2019, LANCET, V394, P345, DOI 10.1016/S0140-6736(19)31243-7
- Fazel M, 2005, LANCET, V365, P1309, DOI 10.1016/S0140-6736(05)61027-6
- Freedman J, 2016, REPROD HEALTH MATTER, V24, P18, DOI 10.1016/j.rhm.2016.05.003
- Hapke U, 2006, EUR ARCH PSY CLIN N, V256, P299, DOI 10.1007/s00406-006-0654-6
- Haydu M., 2017, THESIS U FEDERAL SAO
- Hollander AC, 2013, GLOBAL HEALTH ACTION, V6, P1, DOI 10.3402/gha.v6i0.21059
- Hollander AC, 2011, BMC PUBLIC HEALTH, V11, DOI 10.1186/1471-2458-11-180
- Hvidtfeldt C, 2020, INT J EPIDEMIOL, V49, P400, DOI 10.1093/ije/dyz091
- Instituto Brasileiro de Geografia e EstatYstica, 2020, CENS DEM 1940 2010
- International Organization for Migration, 2015, GLOB MIGR TRENDS FAC
- Kirkbride J. B., 2011, Migration and mental health, P15
- Kirkbride JB, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0031660
- Kirmayer LJ, 2011, CAN MED ASSOC J, V183, pE959, DOI 10.1503/cmaj.090292
- Lehavot K, 2019, PSYCHOL SEX ORIENTAT, V6, P347, DOI 10.1037/sgd0000333
- Morgan C, 2019, WORLD PSYCHIATRY, V18, P247, DOI 10.1002/wps.20655
- Nickerson A, 2019, EUR J PSYCHOTRAUMATO, V10, DOI 10.1080/20008198.2019.1688129
- Observatrio das Migrathoes Internacionais (OBMigra), 2015, SIST NAC CAD REG EST
- Pfortmueller CA, 2012, WIEN KLIN WOCHENSCHR, V124, P647, DOI 10.1007/s00508-012-0227-9
- Piccinelli M, 2000, BRIT J PSYCHIAT, V177, P486, DOI 10.1192/bjp.177.6.486
- Porter M, 2005, JAMA-J AM MED ASSOC, V294, P602, DOI 10.1001/jama.294.5.602
- Rojas G, 2011, REV MED CHILE, V139, P1298, DOI [/S0034-98872011001000008, 10.4067/S0034-98872011001000008]
- Ryan L, 2006, BRIT J PSYCHIAT, V188, P560, DOI 10.1192/bjp.188.6.560
- Santana C.L.A., 2004, PSICOLOGIA E IMIGRAC, P165
- Santana C.L.A., 2016, INTERNATIONAL JOURNA, V11, P265, DOI 10.1688/IJAR-2015-03-santana
- Secretaria Nacional de Justitha MinistUrio da Justitha e Segurantha Pblica, 2019, REF NUM 4A ED 2019
- Secretaria Nacional de Justitha MinistUrio da Justitha e Segurantha Pblica, 2016, REF NUM 2016
- Shawyer F, 2017, BMC PSYCHIATRY, V17, DOI 10.1186/s12888-017-1239-9
- Silove D, 1998, ACTA PSYCHIAT SCAND, V97, P175, DOI 10.1111/j.1600-0447.1998.tb09984.x
- Soegaard EGI, 2020, NORD J PSYCHIAT, V74, P390, DOI 10.1080/08039488.2020.1714724
- Steel Z, 2009, JAMA-J AM MED ASSOC, V302, P537, DOI 10.1001/jama.2009.1132
- Turrini G, 2017, INT J MENT HEALTH SY, V11, DOI 10.1186/s13033-017-0156-0
- United Nations High Commissioner for Refugees, 2014, NOV PERF REF BRAS NO
- United Nations High Commissioner for Refugees, 2018, GLOB TRENDS FORC DIS