Prevalência de transtornos mentais não-psicóticos e fatores associados em pessoas com hipertensão arterial sistêmica e/ou diabetes mellitus em Unidades de Saúde da Família em Blumenau, Santa Catarina

Abstract

Objective: Evaluate the prevalence of non-psychotic mental disorders (NPMD) and associated factors in people with hypertension and/or diabetes from family health units in Blumenau, Santa Catarina, Brazil. Methods: Cross-sectional study, conducted in Blumenau, with 710 selected users, after probability sampling, and stratified by conglomerates, from family health basic units. Those selected were submitted to a questionnaire at home by trained interviewers and answered questions about socioeconomic, personal characteristics and medicines. The instrument used to screen NPMD was the Self-Report Questionnaire-20 (SRQ-20). The variables were submitted to univariate and multivariate analysis and other statistical tests appropriate to each variable studied. Results: The prevalence of NPMD was 39.44%. Factors associated with NPMD after multivariate analysis were: female (RP=1.50, 1.12-2.01CI 95%, p<0.01), use of psychotropic drugs (RP=1.74, 1.34-2.26 CI 95%, p <0.00 ), hospitalization and/or show the emergency medical services in the last year (RP=1.30, 1.02-1.66CI 95%, p<0.03) and E class of consumption in the Associação Brasileira de Empresas de Pesquisa (ABEP, in English Brazilian Association of Market Research Companies) classification (RP=2.62, 1.09-6.27CI 95%; p<0.03). Conclusions: The high incidence of NPMD, mostly related to women and to people with lower socioeconomic conditions, raises an organized and effective intervention, while the appropriate treatment of base disease and early detection of NPMD mean better use of public health resources.