Estimating depression-free life expectancy in the hearing-impaired population in Brazil

Autores

DOI:

https://doi.org/10.20947/S0102-3098a0292%20

Palavras-chave:

Depressão, Esperança de Vida, Perda Auditiva, Língua de Sinais, Pessoas com Deficiência Auditiva

Resumo

Individuals with hearing impairments are more vulnerable to depression. According to the 2010 Brazilian Demographic Census, around 10 million people have some degree of hearing impairment. Brazil also ranks highest in depression among middle-income countries. The prevalence of mental health conditions in the Brazilian hearing-impaired population remains an understudied topic. This study aims to quantify the impact of depression on the life expectancy of the Brazilian population with hearing impairment. We used data from the 2019 edition of the National Health Survey and from the 2010 Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística, IBGE) Census to apply the Sullivan method (1971). Our results show that young women with severe hearing impairment are the population group that requires special attention due to the strong effect of depression on life expectancy. It is also possible that men have an underestimated prevalence of depression, which may obscure their years lived without depression. Targeted public policies are recommended to reduce communication barriers between patients, physicians, and other health professionals by promoting fluency in Brazilian Sign Language and knowledge of Deaf culture and their specific needs.

Downloads

Não há dados estatísticos.

Biografia do Autor

Rafael Rodrigues de Moraes, University of Campinas

Rafael Rodrigues de Moraes is a PhD candidate in Demography at the Institute of Philosophy and Human Sciences (IFCH) at the University of Campinas (UNICAMP). He holds a Master's and Bachelor's degree in Statistics from the Institute of Mathematics, Statistics and Scientific Computing (IMECC) at the same university.

João Victor Antunes Lopes, Universidade Estadual de Campinas and Autonomous University of Barcelona

João Victor Antunes Lopes is a Master's student in Demography at the Autonomous University of Barcelona (UAB) as part of the European Doctoral School of Demography (EDSD), cohort 2024/2025. He holds a Master's degree in Demography from the Institute of Philosophy and Human Sciences (IFCH) of the University of Campinas (UNICAMP) and a Bachelor's degree in Public Administration from the Faculty of Applied Sciences (FCA) of the same university.

Luciana Correia Alves, University of Campinas

Luciana Correia Alves is an Associate Professor in the Demography Department and Researcher at the Elza Berquó Population Studies Center (NEPO) at the University of Campinas (UNICAMP). She holds a PhD in Public Health from the Sergio Arouca National School of Public Health (ENSP) of the Oswaldo Cruz Foundation (FIOCRUZ), a Master's Degree in Demography from the Center for Development and Regional Planning (CEDEPLAR) of the Federal University of Minas Gerais (UFMG) and a Bachelor's Degree in Physiotherapy from the School of Physical Education, Physiotherapy and Occupational Therapy (EEFFTO) of the same university.

Referências

ABDIN, E. et al. Impact of mental disorders and chronic physical conditions on quality-adjusted life years in Singapore. Scientific Reports, v. 10, n. 1, 2020. https://doi.org/10.1038/s41598-020-59604-0

ALBERT, P. R. Why is depression more prevalent in women? Journal of Psychiatry and Neuroscience, v. 40, n. 4, p. 219-221, 2015. https://doi.org/10.1503/jpn.150205

ALVES, L. C.; PEREIRA, C. C. Race, sex and depression-free life expectancy in Brazil, 1998-2013. International Journal of Population Studies, v. 4, n. 1, p. 1-9, 2018. https://doi.org/10.18063/ijps.v4i1.412

ALVES, L. C.; ARRUDA, N. M. Socioeconomic differentials and disease-free life expectancy of the elderly in Brazil. International Journal of Population Studies, v. 3, n. 1, p. 64-78, 2017. https://doi.org/10.18063/ijps.2017.01.001

ANDRADE, F. C. D. et al. Life expectancy without depression increases among Brazilian older adults. Revista de Saúde Pública, v. 50, 2016. https://doi.org/10.1590/S1518-8787.2016050005900

BAXTER, A. J. et al. Challenging the myth of an “epidemic” of common mental disorders: trends in the global prevalence of anxiety and depression between 1990 and 2010. Depression and Anxiety, v. 31, n. 6, p. 506-516, 2014. https://doi.org/10.1002/da.22230

BELO, L. D. O. et al. Expectativa de vida com perda auditiva: estimativas para o Brasil. Audiology - Communication Research, v. 28, e2677, 2023. https://doi.org/10.1590/2317-6431-2022-2677pt

» https://doi.org/10.1590/2317-6431-2022-2677pt

BHUGRA, D.; MASTROGIANNI, A. Globalisation and mental disorders: overview with relation to depression. The British Journal of Psychiatry, v. 184, n. 1, p. 10-20, 2004. https://doi.org/10.1192/bjp.184.1.10

BRAMAJO, O. Estimação da expectativa de vida remanescente livre de ansiedade/depressão na Argentina: tendências e decomposição da mudança demográfica, 2005-2018. Revista Brasileira de Estudos de População, v. 39, p. 1-21, 2022. https://doi.org/10.20947/S0102-3098a0199

BRASIL. Ministério da Saúde. Na América Latina, Brasil é o país com maior prevalência de depressão. Brasília, DF, 2022. Available in: https://www.gov.br/saude/pt-br/assuntos/noticias/2022/setembro/na-america-latina-brasil-e-o-pais-com-maior-prevalencia-de-depressao

BROMET, E. et al. Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, v. 9, art. 90, 2011. https://doi.org/10.1186/1741-7015-9-90

ČERNELIČ BIZJAK, M. Understanding emotional health and psychological adjustment in students with or without a specific hearing deficiency. Journal of Developmental and Physical Disabilities, v. 21, n. 3, p. 213-224, 2009. https://doi.org/10.1007/s10882-009-9136-x

CHANG, C.-K. et al. Life expectancy at birth for people with serious mental illness and other major disorders from a secondary mental health care case register in London. PLoS One, v. 6, n. 5, e19590, 2011. https://doi.org/10.1371/journal.pone.0019590

COUTO, M. T. et al. Men in primary healthcare: discussing (in)visibility based on gender perspectives. Interface - Comunicação, Saúde, Educação, v. 14, n. 33, 2010.

COSH, S. et al. The relationship between hearing loss in older adults and depression over 12 years: findings from the Three-City prospective cohort study. Journal of the American Geriatrics Society, v. 67, n. 6, p. 1248-1254, 2019. https://doi.org/10.1002/gps.4968

ERLANGSEN, A. et al. Cause-specific life-years lost in people with mental disorders: a nationwide, register-based cohort study. The Lancet Psychiatry, v. 4, n. 12, p. 937-945, 2017. https://doi.org/10.1016/S2215-0366(17)30429-7

ESPONDA, G. M. et al. Barriers and facilitators of mental health programmes in primary care in low-income and middle-income countries. The Lancet Psychiatry, v. 7, n. 1, p. 78-92, 2020. https://doi.org/10.1016/S2215-0366(19)30125-7

FELLINGER, J.; HOLZINGER, D.; POLLARD, R. Mental health of deaf people. The Lancet, v. 379, n. 9820, p. 1037-1044, 2012. https://doi.org/10.1016/S0140-6736(11)61143-4

FIELDS, A. J.; COCHRAN, S. V. Men and depression: current perspectives for health care professionals. American Journal of Lifestyle Medicine, v. 5, n. 1, p. 92-100, 2011. https://doi.org/10.1177/1559827610378347

GARCIA, V. G.; MAIA, A. G. Características da participação das pessoas com deficiência e/ou limitação funcional no mercado de trabalho brasileiro. Revista Brasileira de Estudos de População, v. 31, n. 2, p. 331-354, 2014. https://doi.org/10.1590/S0102-30982014000200008

GOLDMAN, L. S. et al. Awareness, diagnosis, and treatment of depression. Journal of General Internal Medicine, v. 14, n. 9, p. 569-580, 1999. https://doi.org/10.1046/j.1525-1497.1999.03478.x

IBGE - Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde 2019: ciclos de vida, coordenação de trabalho e rendimento. Rio de Janeiro, RJ, 2021.

IBGE - Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2010. Rio de Janeiro, RJ, 2010. Available in: https://biblioteca.ibge.gov.br/pt/biblioteca-catalogo?view=detalhes&id=794

IBGE - Instituto Brasileiro de Geografia e Estatística. Releitura dos dados de pessoas com deficiência no Censo Demográfico 2010 à luz das recomendações do Grupo de Washington. Nota Técnica 01/2018. Rio de Janeiro, RJ, 2018. Available in: https://biblioteca.ibge.gov.br/.

ISHINE, M.; OKUMIYA, K.; MATSUBAYASHI, K. A close association between hearing impairment and activities of daily living, depression, and quality of life in community-dwelling older people in Japan. Journal of the American Geriatrics Society, v. 55, n. 2, p. 316-317, 2007. https://doi.org/10.1111/j.1532-5415.2007.01067.x

JAGGER, C.; HAUET, E.; BROUARD, N. Health expectancy calculation by the sullivan method. Paris: Institut National d’Etudes Démographiques, 2001.

JAGGER, C. et al. Health expectancy calculation by the Sullivan method: a practical guide. Nihon University Population Research Institute (NUPRI), 2015. (Research Paper Series, v. 68).

KESSLER, R. C. Epidemiology of women and depression. Journal of Affective Disorders, v. 74, n. 1, p. 5-13, 2003. https://doi.org/10.1016/S0165-0327(02)00426-3

KUEHNER, C. Why is depression more common among women than among men? The Lancet Psychiatry, v. 4, n. 2, p. 146-158, 2017. https://doi.org/10.1016/S2215-0366(16)30263-2

KUSHALNAGAR, P. et al. Health information national trends survey in American sign language (HINTS-ASL): protocol for the cultural adaptation and linguistic validation of a national survey. JMIR Research Protocols, v. 6, n. 9, e172, 2017. https://doi.org/10.2196/resprot.8067

KVAM, M. H.; LOEB, M.; TAMBS, K. Mental health in deaf adults: symptoms of anxiety and depression among hearing and deaf individuals. The Journal of Deaf Studies and Deaf Education, v. 12, n. 1, p. 1-7, 2007. https://doi.org/10.1093/deafed/enl015

LI, C. M.; ZHANG, X.; HOFFMAN, H. J.; COTCH, M. F.; THEMANN, C. L.; WILSON, M. R. Hearing impairment associated with depression in US adults, National Health and Nutrition Examination Survey 2005-2010. JAMA Otolaryngology-Head & Neck Surgery, v. 140, n. 4, p. 293-302, 2014. https://doi.org/10.1001/jamaoto.2014.42

LIEU, C. C. et al. Communication strategies for nurses interacting with patients who are deaf. Dermatology Nursing, v. 16, n. 4, p. 239-245, 2007.

LUMLEY, T. Complex surveys: a guide to analysis using R. John Wiley & Sons, 2010.

MACKENZIE, I.; SMITH, A. Deafness - the neglected and hidden disability. Annals of Tropical Medicine & Parasitology, v. 103, n. 7, p. 565-571, 2009. https://doi.org/10.1179/000349809X12459740922372

PAIVA, K. M. et al. Autopercepção negativa da audição e depressão em idosos: um estudo de base populacional. Revista de Saúde Pública, v. 57, 2023. https://doi.org/10.11606/s1518-8787.2023057004675

PALMER, C. G. S. et al. Deaf genetic testing and psychological well-being in deaf adults. Journal of Genetic Counseling, v. 22, n. 4, p. 492-507, 2013. https://doi.org/10.1007/s10897-013-9573-7

PAN, Y.-J. et al. Excess mortality and shortened life expectancy in people with major mental illnesses in Taiwan. Epidemiology and Psychiatric Sciences, v. 29, e156, 2020. https://doi.org/10.1017/S2045796020000694

PLANA-RIPOLL, O. et al. Nature and prevalence of combinations of mental disorders and their association with excess mortality in a population-based cohort study. World Psychiatry, v. 19, n. 3, p. 339-349, 2020. https://doi.org/10.1002/wps.20802

SCHMIDT, J. G. Depressão e perda auditiva em adultos no Brasil: dados da Pesquisa Nacional de Saúde, 2013. 2018. 80 f. Dissertação (Mestrado em Epidemiologia) - Universidade Federal do Rio Grande do Sul, Porto Alegre, 2018.

SILVA, R. P.; MELO, E. A. Masculinidades e sofrimento mental: do cuidado singular ao enfrentamento do machismo? Ciência & Saúde Coletiva, v. 26, n. 10, p. 4613-4622, 2021. https://doi.org/10.1590/1413-812320212610.10612021

STOPA, S. R. et al. Prevalence of self-reported depression in Brazil: 2013 National Health Survey results. Revista Brasileira de Epidemiologia, v. 18, (Supl. 2), p. 170-180, 2015. https://doi.org/10.1590/1980-5497201500060015

SULLIVAN, D. F. A single index of mortality and morbidity. HSMHA Health Reports, v. 86, n. 4, p. 347-354, 1971. https://doi.org/10.2307/4594169

UNITED NATIONS. The invisibility of disability. New York, NY, 2016. Available in: https://www.un.org/disabilities/documents/sdgs/infographic statistics 2016.pdf

UNITED NATIONS. Convention on the rights of persons with disabilities. New York, NY, 2006. (Sixty-first session of the General Assembly by resolution A/RES/61/106).

WASHINGTON GROUP ON DISABILITY STATISTICS. An introduction to the Washington Group on Disability Statistics question sets. 2020. Available in: https://www.washingtongroupdisability.com/fileadmin/uploads/wg/Documents/primer.pdf

WHO - World Health Organization. Depression. Genebra, 2021. Available in: https://www.who.int/news-room/fact-sheets/detail/depression

WHO - World Health Organization. Hearing loss. Available in: https://www.who.int/health-topics/hearing-loss#tab=tab_1

Downloads

Publicado

2025-06-06

Como Citar

Rodrigues de Moraes, R., Antunes Lopes, J. V., & Correia Alves, L. (2025). Estimating depression-free life expectancy in the hearing-impaired population in Brazil. Revista Brasileira De Estudos De População, 42. https://doi.org/10.20947/S0102-3098a0292

Edição

v. 42 (2025)

Seção

Artigos originais

Licença

Copyright (c) 2025 Revista Brasileira de Estudos de População

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Os artigos publicados na Rebep são originais e protegidos sob a licença Creative Commons do tipo atribuição (CC-BY). Essa licença permite reutilizar as publicações na íntegra ou parcialmente para qualquer propósito, de forma gratuita, mesmo para fins comerciais. Qualquer pessoa ou instituição pode copiar, distribuir ou reutilizar o conteúdo, desde que o autor e a fonte original sejam propriamente mencionados.