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Use of Data to Understand the Social Determinants of Depression in Two Middle-Income Countries: the 3-D Commission
Indexado
WoS WOS:000686028400001
Scopus SCOPUS_ID:85112842267
DOI 10.1007/S11524-021-00559-6
Año 2021
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Depression accounts for a large share of the global disease burden, with an estimated 264 million people globally suffering from depression. Despite being one of the most common kinds of mental health (MH) disorders, much about depression remains unknown. There are limited data about depression, in terms of its occurrence, distribution, and wider social determinants. This work examined the use of novel data sources for assessing the scope and social determinants of depression, with a view to informing the reduction of the global burden of depression. This study focused on new and traditional sources of data on depression and its social determinants in two middle-income countries (LMICs), namely, Brazil and India. We identified data sources using a combination of a targeted PubMed search, Google search, expert consultations, and snowball sampling of the relevant literature published between October 2010 and September 2020. Our search focused on data sources on the following HEALTHY subset of determinants: healthcare (H), education (E), access to healthy choices (A), labor/employment (L), transportation (T), housing (H), and income (Y). Despite the emergence of a variety of data sources, their use in the study of depression and its HEALTHY determinants in India and Brazil are still limited. Survey-based data are still the most widely used source. In instances where new data sources are used, the most commonly used data sources include social media (twitter data in particular), geographic information systems/global positioning systems (GIS/GPS), mobile phone, and satellite imagery. Often, the new data sources are used in conjunction with traditional sources of data. In Brazil, the limited use of new data sources to study depression and its HEALTHY determinants may be linked to (a) the government's outsized role in coordinating healthcare delivery and controlling the data system, thus limiting innovation that may be expected from the private sector; (b) the government routinely collecting data on depression and other MH disorders (and therefore, does not see the need for other data sources); and (c) insufficient prioritization of MH as a whole. In India, the limited use of new data sources to study depression and its HEALTHY determinants could be a function of (a) the lack of appropriate regulation and incentives to encourage data sharing by and within the private sector, (b) absence of purposeful data collection at subnational levels, and (c) inadequate prioritization of MH. There is a continuing gap in the collection and analysis of data on depression, possibly reflecting the limited priority accorded to mental health as a whole. The relatively limited use of data to inform our understanding of the HEALTHY determinants of depression suggests a substantial need for support of independent research using new data sources. Finally, there is a need to revisit the universal health coverage (UHC) frameworks, as these frameworks currently do not include depression and other mental health-related indicators so as to enable tracking of progress (or lack thereof) on such indicators.

Métricas Externas



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Disciplinas de Investigación



WOS
Medicine, General & Internal
Public, Environmental & Occupational Health
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Thapa, Bishnu - Brown Univ - Estados Unidos
BOSTON UNIV - Estados Unidos
Brown University - Estados Unidos
Boston University - Estados Unidos
2 Torres, Irene Mujer BOSTON UNIV - Estados Unidos
Fdn Octaedro - Ecuador
Boston University - Estados Unidos
Fundacion Octaedro - Ecuador
3 Koya, Shaffi Fazaludeen - BOSTON UNIV - Estados Unidos
Boston University - Estados Unidos
School of Public Health - Estados Unidos
4 Robbins, Grace Mujer BOSTON UNIV - Estados Unidos
Boston University - Estados Unidos
School of Public Health - Estados Unidos
5 Abdalla, Salma M. Mujer BOSTON UNIV - Estados Unidos
Boston University - Estados Unidos
School of Public Health - Estados Unidos
6 Arah, Onyebuchi A. - BOSTON UNIV - Estados Unidos
UCLA - Estados Unidos
Boston University - Estados Unidos
UCLA Fielding School of Public Health - Estados Unidos
7 Weeks, William B. Hombre BOSTON UNIV - Estados Unidos
Microsoft Res - Estados Unidos
Boston University - Estados Unidos
Microsoft Research - Estados Unidos
8 Zhang, Luxia - BOSTON UNIV - Estados Unidos
Peking Univ - China
Boston University - Estados Unidos
Peking University - China
9 Asma, Samira Mujer BOSTON UNIV - Estados Unidos
WHO - Suiza
Boston University - Estados Unidos
Organisation Mondiale de la Santé - Suiza
10 VEGA-MORALES, JEANETTE Mujer BOSTON UNIV - Estados Unidos
Natl Res & Dev Agcy ANID Chile - Chile
Boston University - Estados Unidos
National Research and Development Agency (ANID Chile) - Chile
11 Galea, S. Hombre BOSTON UNIV - Estados Unidos
Boston University - Estados Unidos
School of Public Health - Estados Unidos
12 Rhee, Kyu - BOSTON UNIV - Estados Unidos
CVS Hlth - Estados Unidos
Boston University - Estados Unidos
CVS - Estados Unidos
CVS Health - Estados Unidos
13 Larson, Heidi J. - BOSTON UNIV - Estados Unidos
UNIV WASHINGTON - Estados Unidos
London Sch Hyg Trop Med - Reino Unido
Boston University - Estados Unidos
University of Washington - Estados Unidos
London School of Hygiene & Tropical Medicine - Reino Unido

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Financiamiento



Fuente
Rockefeller Foundation
Boston University 3‐D Commission

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Agradecimientos



Agradecimiento
We thank Leona Ofei for her support with formatting and Zahra Zenalie for reading earlier iterations of this manuscript. The Rockefeller Foundation-Boston University 3-D Commission (Grant number: 2019 HTH 024).
We thank Leona Ofei for her support with formatting and Zahra Zenalie for reading earlier iterations of this manuscript. The Rockefeller Foundation–Boston University 3‐D Commission (Grant number: 2019 HTH 024).

Muestra la fuente de financiamiento declarada en la publicación.