Work-related depression in primary care teams in Brazil

A.T.C. Da Silva, C. De Souza Lopes, E. Susser and P.R. Menezes

American Journal of Public Health, 2016, vol. 106, issue 11, 1990-1997

Abstract: Objectives. To identify work-related factors associated with depressive symptoms and probable major depression in primary care teams. Methods. Cross-sectional study among primary care teams (community health workers, nursing assistants, nurses, and physicians) in the city of São Paulo, Brazil (2011-2012; n = 2940), to assess depressive symptoms and probable major depression and their associations with job strain and other work-related conditions. Results. Community health workers presented higher prevalence of probable major depression (18%) than other primary care workers. Higher odds ratios for depressive symptoms or probable major depression were associated with longer duration of employment in primary care; having a passive, active, or high-strain job; lack of supervisor feedback regarding performance; and lowsocial support fromcolleagues and supervisors. Conclusions. Observed levels of job-related depression can endanger the sustainability of primary care programs. Public Health implications. Strategies are needed to deliver care to primary care workers with depression, facilitating diagnosis and access to treatment, particularly in low-and middle-income countries. Preventive interventions can include training managers to provide feedback and creating strategies to increase job autonomy and social support at work.

Keywords: adolescent; adult; Brazil; cross-sectional study; depression; Depressive Disorder, Major; female; health auxiliary; health care personnel; human; male; mental stress; middle aged; nurse; nursing assistant; physician; prevalence; primary health care; psychology; social support; statistics and numerical data; workload; workplace; young adult, Adolescent; Adult; Brazil; Community Health Workers; Cross-Sectional Studies; Depression; Depressive Disorder, Major; Female; Health Personnel; Humans; Male; Middle Aged; Nurses; Nurses' Aides; Physicians; Prevalence; Primary Health Care; Social Support; Stress, Psychological; Workload; Workplace; Young Adult (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303342_7

DOI: 10.2105/AJPH.2016.303342

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