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dc.contributor.authorBarros, Fernando Celso Lopes Fernandes dept_BR
dc.contributor.authorMatijasevich, Aliciapt_BR
dc.contributor.authorSantos, Iná S.pt_BR
dc.contributor.authorHorta, Bernardo Lessapt_BR
dc.contributor.authorSilva, Bruna Gonçalves Cordeiro dapt_BR
dc.contributor.authorMunhoz, Tiago Neuenfeldpt_BR
dc.contributor.authorFazel, Seenapt_BR
dc.contributor.authorStein, Alanpt_BR
dc.contributor.authorPearson, Rebecca M.pt_BR
dc.contributor.authorAnselmi, Lucianapt_BR
dc.contributor.authorRohde, Luis Augusto Paimpt_BR
dc.date.accessioned2019-11-08T03:43:34Zpt_BR
dc.date.issued2018pt_BR
dc.identifier.issn0933-7954pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/201445pt_BR
dc.description.abstractPurpose To investigate the association between mental disorders and substance misuse at 30 years of age with gender, socioeconomic position at birth, and family income trajectories. Methods The 1982 Pelotas Birth Cohort was used; all 5914 children born alive at hospital were originally enrolled (99.2% of all city births). In 2012, 3701 subjects were located and interviewed (68% retention rate). Mental disorders and substance misuse were assessed, and their prevalence analysed according to gender, socioeconomic status at birth, and four different income trajectories: always poor, never poor, poor at birth/non-poor at age 30, and non-poor at birth/poor at age 30. Results While women presented higher prevalence of mental disorders, substance misuse was much more frequent among men. Individuals in the lowest income quintile at birth presented 2–5 times more mental disorders and substance misuse than those in the highest quintile. Young adults who were always poor or were not poor at birth but were poor at 30 years of age had a higher prevalence of mental disorders than the other groups. Conclusions The high rates of mental disorders and lifetime suicide attempts in young adults, especially those who were always poor or became poor after childhood, suggest that recent socioeconomic-related stressful situations may have a higher impact on the current mental health than events earlier in life. However, we could not identify at what specific ages socioeconomic changes were more important.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofSocial psychiatry and psychiatric epidemiology. Berlin. Vol. 53, no. 7 (July 2018), p. 717-726pt_BR
dc.rightsOpen Accessen
dc.subjectTranstornos mentaispt_BR
dc.subjectClasse socialpt_BR
dc.subjectAlcoolismopt_BR
dc.subjectDeterminantes sociais da saúdept_BR
dc.subjectTranstornos relacionados ao uso de substânciaspt_BR
dc.subjectAdulto jovempt_BR
dc.subjectBrasilpt_BR
dc.titleSocial inequalities in mental disorders and substance misuse in young adults : a birth cohort study in Southern Brazilpt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001074655pt_BR
dc.type.originEstrangeiropt_BR


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