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Hospitalization for mental and behavioral disorders in adolescents in Brazil, 2008-2017

Abstract

Background

Hospitalizations for mental and behavioral disorders are not rare occurrences in adolescents. It is estimated that approximately 30% of Brazilian adolescents are affected by mental disorders.

Objective

To analyze the evolution of hospitalizations for mental and behavioral disorders in Brazilian adolescents from 2008 to 2017.

Method

Ecological study of time series using data from the hospital information system collected of the Unified Health System (SUS) and IBGE was carried out. The variables used were regions of residence, gender, age group, and groups of diagnoses. The trend of the hospitalization coefficient was analyzed using the Prais-Winsten regression, by Stata 14.0.

Results

There were 152,465 hospitalizations in the period; the hospitalization coefficient decreased in the Northeast region from 27.75 to 23.16 per 100 thousand inhabitants (Coef. = -0.0070; -1.6%), increased from 13.70 to 21.61 per 100 thousand inhabitants in the North (Coef. = 0.0192; 4.5%) and in the South, Southeast and Midwest regions, had a stable trend. There was an increasing trend of hospitalizations among women (Coef. = 0.0136; 3.2%) and concerning affective mood disorders (0.0266; 6.33%), besides other mental and behavioral disorders (0.00295; 7.0 3%).

Conclusion

Epidemiological studies such as this service provide useful information for planning primary, secondary and tertiary prevention, and treatment services aimed at mental health, especially among children and adolescents.

Keywords:
time series studies; adolescent; mental disorders; hospitalization

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