Fatores de risco para doenças crônicas não transmissíveis em mulheres com transtornos mentais

Abstract

Public policies related to comprehensive health care for women have advanced a lot in the last two decades, but there is still a pressing need to overcome difficulties and challenges, especially when addressing the interface between women health and mental health. In this way, this study analyzed the association between mental disorders and risk factors for chronic noncommunicable diseases (CNCD) in women. This was a cross-sectional case-control study conducted in the municipality of Maringá, at Psychosocial Care Centers I and II. In the case group, the sample consisted of 208 randomly selected women with a diagnosis of mental disorder followed-up during the last 12 months, aged between &#8805;35 and &#8805; 59 years, and in the control group, women who were users of Primary Health Care, randomly selected, aged 42-52 years. For data collection, a standardized questionnaire was applied, containing the variables for Socioeconomic data; Obstetric history; Physical Activity; Tracking; Anthropometric evaluation, reproductive and clinical characteristics of the women and search for women's health services. For statistical analysis, raw data were analyzed by odds ratio (OR) and chi-square using the Epi Info 3.5.1 software. Subsequently, we selected the variables whose significance value of the test was less than 0.20, using the logistic regression multivariate analysis, testing the independent variables in relation to the presence of CNCD, with the aid of the Statistica 7.1 software, adopting the significance level of 5% (p-value <0.05). After multivariate analysis, in the group of women with mental disorders, there was a significant association between changes in the thyroid, with cancer and dyslipidemia. It was also found that the perception of reasonable/poor health, having only one child, post-menopausal, family history of breast cancer. It was also associated with the use of medication (non-psychotropic) and the use of a greater number of drugs every day. Regarding the search for care in women health services, it was observed that women with mental disorders are more likely to not seek these services spontaneously. In conclusion, it is effective the association between mental disorder in women with other chronic conditions. It is the responsibility of health professionals and managers to give greater emphasis and elaborate public policies that provide effective integration between mental health and women health, so that they can be cared for in their totality, addressing their social, economic, reproductive, cultural, family and psychological characteristics.