Interpersonal violence and depression in Brazil: A cross-sectional analysis of the 2019 National Health Survey
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Published version
Author(s)
Harding, Daniel
Pitcairn, Charlie FM
Machado, Daiane Borges
De Araujo, Luis Fernando Silva Castro
Millett, Christopher
Type
Journal Article
Abstract
Depression and interpersonal violence are issues of increasing public health concern globally, especially in low-and-middle income countries. Despite the known relationship between interpersonal violence and an increased risk of depression, there is a need to further characterise the experience of depression in those who have experienced violence, to better develop screening and treatment interventions. A cross-sectional analysis was conducted on responses from the 2019 Brazilian National Health Survey. The prevalence of depression (both clinician-diagnosed, and Patient Health Questionnaire (PHQ-9) screened) were estimated by type of violence experienced in the preceding 12 months (none, physical violence, sexual violence, physical and sexual violence, or threat of violence). Logistic regression models assessed the associations between violence and depression after adjusting for socioeconomic and demographic factors. Of 88,531 respondents, 8.1% experienced any type of violence. Compared to those not experiencing violence, those who experienced any type of violence had a higher prevalence of clinician-diagnosed or PHQ-9-screened depression (e.g. the prevalence of clinician-diagnosed depression was 18.8% for those experiencing sexual violence compared to 9.5% for those not experiencing violence). Both undiagnosed and untreated depression were also more prevalent in those experiencing any type of violence. In logistic regression models, any experience of violence was associated with a higher odds of depression (e.g. aOR = 3.75 (95% CI: 3.06–4.59) for PHQ-9-detected depression). Experiencing violence was also associated with a higher likelihood of having depression which was undiagnosed (e.g. in those who experienced sexual violence: aOR of 3.20, 95% CI 1.81–5.67) or untreated (e.g. in those who experienced physical and sexual violence: aOR = 8.06, 95% CI 3.44–18.9). These findings highlight the need to consider screening for depression in those affected by violence, and to prioritise mental healthcare in communities affected by violence.
Date Issued
2022-12-02
Date Acceptance
2022-11-15
Citation
PLOS Global Public Health, 2022, 2 (12), pp.1-16
ISSN
2767-3375
Publisher
Public Library of Science
Start Page
1
End Page
16
Journal / Book Title
PLOS Global Public Health
Volume
2
Issue
12
Copyright Statement
Copyright: © 2022 Harding et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
License URL
Identifier
https://journals.plos.org/globalpublichealth/article?id=10.1371/journal.pgph.0001207
Publication Status
Published
Date Publish Online
2022-12-02