Common mental disorders in Brazilian adolescents: association with school characteristics, consumption of ultra-processed foods and waist-to-height ratio

Half of all mental health problems diagnosed in adulthood have their onset before or during adolescence, especially common mental disorders (CMD). Thus, it is relevant to study the factors associated with these disorders. This study aimed to investigate the association of school characteristics, con...

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Bibliographic Details
Published in:Cadernos de saúde pública 2024, Vol.40 (4), p.e00068423-e00068423
Main Authors: Gratão, Lucia Helena Almeida, Silva, Thales Philipe Rodrigues da, Rocha, Luana Lara, Jardim, Mariana Zogbi, Oliveira, Tatiana Resende Prado Rangel de, Cunha, Cristiane de Freitas, Mendes, Larissa Loures
Format: Article
Language:English
Subjects:
Adolescent
Adolescent Health
Brazil - epidemiology
Child
Cross-Sectional Studies
Fast Foods - statistics & numerical data
Feeding Behavior
Female
Food and Beverages
Food, Processed
Humans
Male
Mental Disorders - epidemiology
Mental Health
Prevalence
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Risk Factors
Schools
Socioeconomic Factors
Waist-Height Ratio
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Summary:Half of all mental health problems diagnosed in adulthood have their onset before or during adolescence, especially common mental disorders (CMD). Thus, it is relevant to study the factors associated with these disorders. This study aimed to investigate the association of school characteristics, consumption of ultra-processed foods, and waist-to-height ratio with the presence of CMD in Brazilian adolescents. This is a school-based, cross-sectional study that analyzed data from 71,553 Brazilian adolescents aged 12-17 years. The prevalence of CMD in these adolescents was 17.1% (cut-off point 5 for the General Health Questionnaire-12). Associations were estimated using multilevel logistic models, with the presence of CMD as the dependent variable. The final model, adjusted for non-modifiable individual variables, modifiable individual variables and family characteristics, identified a positive association between private-funded schools (OR = 1.10; 95%CI: 1.07-1.14), advertisements for ultra-processed foods (OR = 1.13; 95%CI: 1.09-1.17), the second to fourth quartiles of ultra-processed food intake and waist-to-height ratio (OR = 2.26; 95%CI: 2.03-2.52). This study demonstrated that the private-funded schools , the presence of ultra-processed food advertisements, the consumption of ultra-processed food, and an increased waist-to-height ratio are risk factors for CMD in Brazilian adolescents.
ISSN:0102-311X
1678-4464
1678-4464
DOI:10.1590/0102-311XEN068423