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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSAMPSON, Laura
dc.contributor.authorMARTINS, Silvia S.
dc.contributor.authorYU, Shui
dc.contributor.authorCHIAVEGATTO FILHO, Alexandre Dias Porto
dc.contributor.authorANDRADE, Laura Helena
dc.contributor.authorVIANA, Maria Carmen
dc.contributor.authorMEDINA-MORA, Maria Elena
dc.contributor.authorBENJET, Corina
dc.contributor.authorTORRES, Yolanda
dc.contributor.authorPIAZZA, Marina
dc.contributor.authorAGUILAR-GAXIOLA, Sergio
dc.contributor.authorCIA, Alfredo H.
dc.contributor.authorSTAGNARO, Juan Carlos
dc.contributor.authorZASLAVSKY, Alan M.
dc.contributor.authorKESSLER, Ronald C.
dc.contributor.authorGALEA, Sandro
dc.identifier.citationSOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, v.54, n.2, p.157-170, 2019
dc.description.abstractPurpose Our understanding of community-level predictors of individual mental disorders in large urban areas of lower income countries is limited. In particular, the proportion of migrant, unemployed, and poorly educated residents in neighborhoods of these urban areas may characterize group contexts and shape residents' health. Methods Cross-sectional household interviews of 7251 adults were completed across 83 neighborhoods of Buenos Aires, Argentina; Medellin, Colombia; Sao Paulo, Brazil; Lima, Peru; and Mexico City, Mexico as part of the World Mental Health Survey Initiative. Past-year internalizing and externalizing mental disorders were assessed, and multilevel models were used. Results Living in neighborhoods with either an above-average or below-average proportion of migrants and highly educated residents was associated with lower odds of any internalizing disorder (for proportion migrants: OR 0.75, 95% CI 0.62-0.91 for the bottom tertile and OR 0.79, 95% CI 0.67-0.94 for the top tertile compared to the middle tertile; for proportion highly educated: OR 0.76, 95% CI 0.64-0.90 for the bottom tertile and OR 0.58, 95% CI 0.37-0.90 for the top tertile compared to the middle tertile). Living in neighborhoods with an above-average proportion of unemployed individuals was associated with higher odds of having any internalizing disorder (OR 1.49, 95% CI 1.14-1.95 for the top tertile compared to the middle tertile). The proportion of highly educated residents was associated with lower odds of externalizing disorder (OR 0.54, 95% CI 0.31-0.93 for the top tertile compared to the middle tertile). Conclusions The associations of neighborhood-level migration, unemployment, and education with individual-level odds of mental disorders highlight the importance of community context for understanding the burden of mental disorders among residents of rapidly urbanizing global settings.eng
dc.description.sponsorshipNational Institute of Mental Health (NIMH) [R01 MH070884]
dc.description.sponsorshipJohn D. and Catherine T. MacArthur Foundation
dc.description.sponsorshipPfizer Foundation
dc.description.sponsorshipUS Public Health Service [R13-MH066849, R01-MH069864, R01 DA016558]
dc.description.sponsorshipFogarty International Center [FIRCA R03-TW006481]
dc.description.sponsorshipPan American Health Organization
dc.description.sponsorshipEli Lilly and Company
dc.description.sponsorshipOrtho-McNeil Pharmaceutical
dc.description.sponsorshipBristol-Myers Squibb
dc.description.sponsorshipArgentinian Ministry of Health (Ministerio de Salud de la Nacion)
dc.description.sponsorshipState of Sao Paulo Research Foundation (FAPESP) Thematic Project [03/00204-]
dc.description.sponsorshipCenter for Excellence on Research in Mental Health (CES University)
dc.description.sponsorshipNational Institute of Psychiatry Ramon de la Fuente Muniz [INPRFM/DIES 4280]
dc.description.sponsorshipNational Council on Science and Technology [CONACyT-G30544-H]
dc.description.sponsorshipNational Institute of Health of the Ministry of Health of Peru
dc.description.sponsorshipBrazilian Council for Scientific and Technological Development (CNPq) [307784/2016-9]
dc.description.sponsorshipState of Sao Paulo Research Foundation (FAPESP
dc.description.sponsorshipProject Saude mental, migracao e Sao Paulo Megacity-M3SP) [16/50307-3]
dc.relation.ispartofSocial Psychiatry and Psychiatric Epidemiology
dc.subjectUrban healtheng
dc.subjectNeighborhood effectseng
dc.subjectInternalizing disorderseng
dc.subjectExternalizing disorderseng
dc.subjectLatin Americaeng
dc.subject.otherethnic densityeng
dc.titleThe relationship between neighborhood-level socioeconomic characteristics and individual mental disorders in five cities in Latin America: multilevel models from the World Mental Health Surveyseng
dc.rights.holderCopyright SPRINGER HEIDELBERGeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Laura:Boston Univ, Dept Epidemiol, Sch Publ Hlth, 715 Albany St, Boston, MA 02118 USA, Silvia S.:Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, 722 West 168th St, New York, NY 10032 USA, Shui:Boston Univ, Dept Epidemiol, Sch Publ Hlth, 715 Albany St, Boston, MA 02118 USA FILHO, Alexandre Dias Porto:Univ Sao Paulo, Dept Epidemiol, Sch Publ Hlth, 715 Ave Dr Arnaldo, BR-01246904 Sao Paulo, Brazil, Maria Carmen:Univ Fed Espirito Santo, Dept Social Med, Postgrad Program Publ Hlth, Ave Mal Campos 1355, BR-29043260 Vitoria, ES, Brazil, Maria Elena:Natl Inst Psychiat Ramon de la Fuente Muniz, Dept Epidemiol & Psychosocial Res, Mexico Xochimilco 101, Mexico City 14370, DF, Mexico, Corina:Natl Inst Psychiat Ramon de la Fuente Muniz, Dept Epidemiol & Psychosocial Res, Mexico Xochimilco 101, Mexico City 14370, DF, Mexico, Yolanda:CES Univ, Ctr Excellence Mental Hlth Res, Calle 10A 22-04, Medellin 050021, Colombia, Marina:Univ Cayetano Heredia, Lima, Peru; Natl Inst Hlth, Capac Yapanqui 1400, Lima, Peru, Sergio:Univ Calif Davis, Sch Med, Ctr Reducing Hlth Dispar, 2921 Stockton Blvd, Sacramento, CA 95817 USA, Alfredo H.:Anxiety Disorders Clin & Res Ctr, Ave Santa Fe 3946-1A, RA-1425 Buenos Aires, DF, Argentina, Juan Carlos:Univ Buenos Aires, Dept Psiquiatria & Salud Mental, Fac Med, Buenos Aires, DF, Argentina, Alan M.:Harvard Univ, Sch Med, Dept Hlth Care Policy, 180A Longwood Ave, Boston, MA 02115 USA, Ronald C.:Harvard Univ, Sch Med, Dept Hlth Care Policy, 180A Longwood Ave, Boston, MA 02115 USA, Sandro:Boston Univ, Dept Epidemiol, Sch Publ Hlth, 715 Albany St, Boston, MA 02118 USA; Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, 722 West 168th St, New York, NY 10032 USA
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Instituto de Psiquiatria - HC/IPq

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LIM/23 - Laboratório de Psicopatologia e Terapêutica Psiquiátrica

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