Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective
Abstract Objective To analyze the sociostructural determinants associated with mental health problems during the lockdown period among populations residing in Brazil, Chile, Ecuador, Mexico, Peru, and Spain who lived with minors or dependents, approached from a gender perspective. Methods A cross-se...
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2025-01-01
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| Series: | Archives of Public Health |
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| Online Access: | https://doi.org/10.1186/s13690-024-01480-5 |
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| author | Natalia López-Contreras Tomás López-Jiménez Laura Medina-Perucha Brenda Biaani León-Gómez Alessandra Queiroga Gonçalves Olivia Janett Horna-Campos Maria Sol Anigstein Jakeline Ribeiro Barbosa Mariana Pastorello Verotti Olga Bardales-Mendoza Karen M. Arteaga-Contreras Anna Berenguera Andrés Peralta Constanza Jacques-Aviñó |
| author_facet | Natalia López-Contreras Tomás López-Jiménez Laura Medina-Perucha Brenda Biaani León-Gómez Alessandra Queiroga Gonçalves Olivia Janett Horna-Campos Maria Sol Anigstein Jakeline Ribeiro Barbosa Mariana Pastorello Verotti Olga Bardales-Mendoza Karen M. Arteaga-Contreras Anna Berenguera Andrés Peralta Constanza Jacques-Aviñó |
| author_sort | Natalia López-Contreras |
| collection | DOAJ |
| description | Abstract Objective To analyze the sociostructural determinants associated with mental health problems during the lockdown period among populations residing in Brazil, Chile, Ecuador, Mexico, Peru, and Spain who lived with minors or dependents, approached from a gender perspective. Methods A cross-sectional study was conducted in six participating countries via an adapted, self-managed online survey. People living with minors and/or dependents were selected. Multivariate logistic regression models were estimated to assess the associations between sociostructural variables and mental health problems (anxiety (GAD-7) and/or depression (PHQ-9)). The analyses were stratified by sex and country. Results Out of a total of 39,006 people, 18,040 reported living with minors and/or dependents (73% women). In all countries, women reported worse mental health, with Spain having a lower prevalence. The risks of mental health problems in women in most countries are associated with poor housing conditions and performing care work. University education was associated with a protective factor. For men, risks were related to being younger, worsening working conditions and concerns about living together at home. Conclusions Women in Latin America who lived with dependents had worse outcomes than those in Spain did. It is necessary to develop intersectoral and social determinants strategies to prevent, protect and support the mental health of those who live with dependents and minors. |
| format | Article |
| id | doaj-art-1462439e5c5b492eb598d36d7150908a |
| institution | Kabale University |
| issn | 2049-3258 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj-art-1462439e5c5b492eb598d36d7150908a2025-01-26T12:16:24ZengBMCArchives of Public Health2049-32582025-01-0183111710.1186/s13690-024-01480-5Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspectiveNatalia López-Contreras0Tomás López-Jiménez1Laura Medina-Perucha2Brenda Biaani León-Gómez3Alessandra Queiroga Gonçalves4Olivia Janett Horna-Campos5Maria Sol Anigstein6Jakeline Ribeiro Barbosa7Mariana Pastorello Verotti8Olga Bardales-Mendoza9Karen M. Arteaga-Contreras10Anna Berenguera11Andrés Peralta12Constanza Jacques-Aviñó13Vicerrectoría Investigación y Postgrado, Universidad de La FronteraFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol)Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol)Unitat de Suport a la Recerca Metropolitana Nord, Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol)Red de Investigación en Cronicidad, Atención Primaria y Promoción de la Salud (RICAPPS)Escuela de Salud Pública “Salvador Allende”, Facultad de Medicina, Universidad de ChileEscuela de Salud Pública “Salvador Allende”, Facultad de Medicina, Universidad de ChileCenter for Epidemiology and Health Surveillance, Oswaldo Cruz FoundationCenter for Epidemiology and Health Surveillance, Oswaldo Cruz FoundationUniversidad Peruana Cayetano HerediaHospital Psiquiátrico Fray Bernardino Álvarez de los Servicios de Atención PsiquiátricaFundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol)Public Health Institute, Pontificia Universidad Católica del Ecuador (PUCE)Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol)Abstract Objective To analyze the sociostructural determinants associated with mental health problems during the lockdown period among populations residing in Brazil, Chile, Ecuador, Mexico, Peru, and Spain who lived with minors or dependents, approached from a gender perspective. Methods A cross-sectional study was conducted in six participating countries via an adapted, self-managed online survey. People living with minors and/or dependents were selected. Multivariate logistic regression models were estimated to assess the associations between sociostructural variables and mental health problems (anxiety (GAD-7) and/or depression (PHQ-9)). The analyses were stratified by sex and country. Results Out of a total of 39,006 people, 18,040 reported living with minors and/or dependents (73% women). In all countries, women reported worse mental health, with Spain having a lower prevalence. The risks of mental health problems in women in most countries are associated with poor housing conditions and performing care work. University education was associated with a protective factor. For men, risks were related to being younger, worsening working conditions and concerns about living together at home. Conclusions Women in Latin America who lived with dependents had worse outcomes than those in Spain did. It is necessary to develop intersectoral and social determinants strategies to prevent, protect and support the mental health of those who live with dependents and minors.https://doi.org/10.1186/s13690-024-01480-5LockdownMental healthHealth inequitiesCOVID-19Gender perspective |
| spellingShingle | Natalia López-Contreras Tomás López-Jiménez Laura Medina-Perucha Brenda Biaani León-Gómez Alessandra Queiroga Gonçalves Olivia Janett Horna-Campos Maria Sol Anigstein Jakeline Ribeiro Barbosa Mariana Pastorello Verotti Olga Bardales-Mendoza Karen M. Arteaga-Contreras Anna Berenguera Andrés Peralta Constanza Jacques-Aviñó Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective Archives of Public Health Lockdown Mental health Health inequities COVID-19 Gender perspective |
| title | Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective |
| title_full | Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective |
| title_fullStr | Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective |
| title_full_unstemmed | Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective |
| title_short | Syndemic, mental health and living with dependent persons in Latin America and Spain: a study with a gender perspective |
| title_sort | syndemic mental health and living with dependent persons in latin america and spain a study with a gender perspective |
| topic | Lockdown Mental health Health inequities COVID-19 Gender perspective |
| url | https://doi.org/10.1186/s13690-024-01480-5 |
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