Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings.
Understanding the relevance of biological and social factors to sex differences in the prevalence and detection of depressive and anxiety disorders has been impaired by the lack of standardized research methods across cultures.
Prevalence rates of depressive and anxiety disorders were assessed using a 2-stage design from 26 969 patients attending for primary care in 15 centers from 4 continents.
Logistic regression analysis was used to examine sex differences in prevalence and detection across centers.
Odds ratios for women compared with men of current depression (1.60 ; 95% confidence interval [CI], 1.37-1.86) and agoraphobia or panic (1.63 ; 95% Cl, 1.18-2.20) were consistent across centers.
The odds ratio for generalized anxiety varied among centers : 3 groups of centers were identified with odds ratios of 0.46 (95% CI, 0.27-0.78), 1.34 (95% Cl, 1.08-1.66), and 3.09 (95% Cl, 1.60-5.89).
There was no sex difference in the detection of depressive and anxiety disorders by physicians across centers.
The absence of a sex-by-center effect for current depression and agoraphobia or panic disorder is consistent with biological and psychosocial factors, either interacting or working alone, that have a similar final effect across cultures.
It does not support the idea that sex differences in prevalence are caused by local psychosocial factors that vary from country to country. (...)
Mots-clés Pascal : Etat dépressif, Trouble anxieux, Dépistage, Prévalence, Soin santé primaire, Sex ratio, Sexe, Epidémiologie, OMS, Santé mentale, Personnel sanitaire, Homme, Trouble humeur
Mots-clés Pascal anglais : Depression, Anxiety disorder, Medical screening, Prevalence, Primary health care, Sex ratio, Sex, Epidemiology, WHO, Mental health, Health staff, Human, Mood disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0340716
Code Inist : 002B18C07A. Création : 27/11/1998.