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dc.contributor.author
Daray, Federico Manuel
dc.contributor.author
Rubinstein, Adolfo Luis
dc.contributor.author
Gutierrez, L.
dc.contributor.author
Lanas, F.
dc.contributor.author
Mores, N.
dc.contributor.author
Calandrelli, M.
dc.contributor.author
Poggio, Rosana
dc.contributor.author
Ponzo, J.
dc.contributor.author
Irazola, Vilma
dc.date.available
2018-03-27T20:16:39Z
dc.date.issued
2017-10
dc.identifier.citation
Daray, Federico Manuel; Rubinstein, Adolfo Luis; Gutierrez, L.; Lanas, F.; Mores, N.; et al.; Determinants and geographical variation in the distribution of depression in the Southern cone of Latin America: A population-based survey in four cities in Argentina, Chile and Uruguay; Elsevier Science; Journal of Affective Disorders; 220; 10-2017; 15-23
dc.identifier.issn
0165-0327
dc.identifier.uri
http://hdl.handle.net/11336/40237
dc.description.abstract
Background Depression is one of the major contributors to the global burden of diseases; however, population-based data in South America are limited. Methods We conducted a population-based cross sectional study with 7524 participants, aged 35–74 years old, recruited between February 2010 and December 2011 from randomly selected samples in 4 cities (Bariloche and Marcos Paz, Argentina; Temuco, Chile; and Pando-Barros Blancos, Uruguay). Major Depressive Episode (MDE) was assessed using the Patient Health Questionnaire (PHQ) – 9. Results The overall prevalence of MDE was 14.6% (95% CI: 13.6, 15.6). However, there was a geographical variability of up to 3.7 folds between different cities being 5.6% (95% CI: 4.6, 6.7) in Marcos Paz, Argentina; 9.5% (95% CI: 8.2, 10.9) in Bariloche, Argentina; 18.1% (95% CI: 16.3, 20.0) in Temuco, Chile, and 18.2 (95% CI: 16.3, 20.2) in Pando-Barros Blancos, Uruguay. The multivariate model showed that, adjusted by location, being female, being between 35 and 44 years old, having experienced at least one stressful life event, currently smoking, and having a history of chronic medical diseases were independently associated with an increased risk of MDE, while having higher education and being married or living with a partner reduced the risk of MDE. Limitations These results are representative of the selected cities included in the study. As such extrapolation to the general populations of Argentina, Chile, and Uruguay should be done with caution Conclusions This study showed a high prevalence and variability of MDE in the Southern Cone of Latin America.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Elsevier Science
dc.rights
info:eu-repo/semantics/restrictedAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Depression
dc.subject
Latin America
dc.subject
Prevalence
dc.subject
Risk Factors
dc.subject
Stressful Life Events
dc.subject.classification
Epidemiología
dc.subject.classification
Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Determinants and geographical variation in the distribution of depression in the Southern cone of Latin America: A population-based survey in four cities in Argentina, Chile and Uruguay
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-03-27T15:18:38Z
dc.journal.volume
220
dc.journal.pagination
15-23
dc.journal.pais
Países Bajos
dc.journal.ciudad
Amsterdam
dc.description.fil
Fil: Daray, Federico Manuel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Odontología; Argentina
dc.description.fil
Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Gutierrez, L.. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Lanas, F.. Universidad de La Frontera; Chile
dc.description.fil
Fil: Mores, N.. Provincia de Buenos Aires. Municipalidad de Marcos Paz; Argentina
dc.description.fil
Fil: Calandrelli, M.. Sanatorio San Carlos; Argentina
dc.description.fil
Fil: Poggio, Rosana. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Ponzo, J.. Universidad de la República; Uruguay
dc.description.fil
Fil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.journal.title
Journal of Affective Disorders
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1016/j.jad.2017.05.031
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://www.jad-journal.com/article/S0165-0327(17)30652-3/fulltext
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