Articles published by Latin-MH members

Prevalence of Depression and Depression Care for Populations Registered in Primary Care in Two Remote Cities in the Brazilian Amazon

Edinilza Ribeiro dos SantosHsiang HuangPaulo Rossi Menezesand Marcia Scazufca.

PLoS One. 2016; 11(3): e0150046.
Published online 2016 Mar 1. doi:  10.1371/journal.pone.0150046



The prevalence of depression has been widely studied in high-income countries and in large cities of low-income countries; however, little is known about the prevalence and treatment gap of depression in remote areas of the Amazonian region in Brazil.


The objectives of this study are to estimate the prevalence of depression in adults registered with the Family Health Strategy in two remote cities in the Brazilian Amazon and to investigate the proportion of individuals with depression that received mental health care.


This is a cross-sectional study of an adult population registered with primary care clinics in the cities of Coari and Tefé, State of Amazon, Brazil. Depression was defined as a score of ≥10 on the Patient Health Questionnaire-9. Depression care was evaluated by asking participants with depression if they received antidepressants and/or had been seen by a health professional at a community mental health center in the three months prior to the interview. Poisson regression was used to examine the unadjusted and adjusted associations between depression and exposure variables.


The overall prevalence of depression was 19.1% (95% CI: 17.2–21.1), with 22.2% (95% CI: 19.3–25.0) among women and 16.0% (95% CI: 13.4–18.5) among men. The prevalence of depression in Coari and Tefé were 18.3% (CI 95% 15.7–21.0) and 19.9% (95% CI:17.2–22.7), respectively. Being a woman, lacking social support, increasing exposure to stressful life events and having a higher number medical comorbidities were consistently associated with depression. Lower educational attainment and income, tobacco use, and risky alcohol use were also associated with depression in the unadjusted analyses. Only 11.5% of those with depression were receiving antidepressants and/or visited the mental health care facility during the three months prior to the interview.


Approximately one in five adults in our sample had depression. A high proportion of participants presented indicators of social disadvantage and other risk factors previously associated with depression worldwide. There was a large treatment gap for depression in the Amazonian region, which demonstrates the need for innovative models of depression care in primary care settings in Brazil

Coming up

Tenth Latin-MH Study Group

It's going to be held at August 22nd, 10am EST, our 10th Latin-MH Study Group with the theme "Digital Technology for Preventing Early Mortality Among People Living with Serious Mental Illnesses". This webinar will be presented by Dr. John A. Naslund, PhD from Dartmouth College, and will be held in English, online, via Adobe Connect. Come join and build capacity with us!

Read more ...

Latest events

Ninth Latin-MH Study Group

It was held on May 29th our 9th Latin-MH Study Group with the theme "New Technologies for Mental Health Assistance". This theme, our study group was tutored by Dr. Ines Hungerbühler, PhD from University of São Paulo. The webinar was held via Adobe Connect, and this edition was in English. Watch it right now!

Read more ...

Eighth Latin-MH Study Group

It was held on March 30th our 8th Latin-MH Study Group with the theme "IntelliCare - Mobile Apps for Depression and Anxiety". This time, the speaker was Dr. Kenneth Weingardt, PhD from Northwestern University. The webinar was held online via Adobe Connect, and this edition was in English. Watch the video right now! 

Read more ...

Seventh Study Group Reunion Latin-MH

Our 7th Study Group consisted in the debate "Primary-Care Professionals Mental Health: work-related factors" with Dr. Andréa Tenório, and it was held on February 31st. In this meeting we discussed the findings of The PANDORA-SP Study. This webinar was broadcasted online via Adobe Connect and it happened in two sessions: one in portuguese and one in english. The link to the videos may be found below!

Read more ...

Mailing List Registration

To receive newsletters and information about the activities to Latin MH, please send us your


Restricted Acess


Copyright © 2014-2022. LatinMH.