Abstract
This work discusses the relationship between hypertension, diabetes, anxiety, depression, and social support in primary health care. This research aimed to identify the association between physical disease, mental disease, support network and perceived social support in the research sample. This is a cross-sectional study inserted in a larger research project funded by the Pan American Health Organization and carried out in 2002 in Petrópolis, RJ. The sample consisted of 714 patients with ages ranging from 18 to 65 years old. Results showed association between variables from support network either with evidence of hypertension or diabetes, or with the existence of common mental disorders, but with different patterns. Associations with the perceived support were positive in patients with hypertension and diabetes; Common Mental Disorder patients showed negative associations, inversely associated to the level of mental disease.
Highlights
Noncommunicable diseases (NCD) are highly prevalent and have a high social cost and great impact on the morbimortality of the Brazilian and world population[1], causing, irreversible complications and diseases such as neuropathy, nephropathy, retinopathy, myocardial infarction, cerebrovascular accidents and infections[2,3,4,5] in the long term
Associations with the perceived support were positive in patients with hypertension and diabetes; Common Mental Disorder patients showed negative associations, inversely associated to the level of mental disease
Hypertension and diabetes are among the main risk factors for cardiovascular diseases, which are the first cause of morbimortality in the Brazilian population[6]
Summary
Noncommunicable diseases (NCD) are highly prevalent and have a high social cost and great impact on the morbimortality of the Brazilian and world population[1], causing, irreversible complications and diseases such as neuropathy, nephropathy, retinopathy, myocardial infarction, cerebrovascular accidents and infections[2,3,4,5] in the long term. Hypertension and diabetes are among the main risk factors for cardiovascular diseases, which are the first cause of morbimortality in the Brazilian population[6]. A significant portion of users of primary healthcare, a reference service for the follow-up of patients with CNCDs in the SUS, is in a state of social vulnerability, with poor housing, unemployment, poor diet and lack of physical activity and leisure[8]. They are groups or individuals weakened in the promotion, protection or guarantee of their fundamental citizenship rights[9,10]. This shortcoming is relevant in determining the sickness process of the population[11]
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