Dataset Information

Major anxiety disorders in Iran: prevalence, sociodemographic correlates and service utilization.

ABSTRACT: BACKGROUND:It has been shown in the past two decades that anxiety disorders are the most common mental disorders in general population across the world. This study sought to assess the prevalence of major anxiety disorders, their sociodemographic correlates and mental health service utilization as part of the Iranian Mental Health Survey (IranMHS). METHODS:A national household face-to-face survey was carried out on a representative sample of Iranian adults from January to June 2011 using Composite International Diagnostic Interview (CIDI 2.1). A total of 7886 subjects between 15 and 64 years who can understand Persian language were included. The 12-month prevalence of anxiety disorders according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), their socio-demographic correlates, health service use and days out of role were measured in this study. RESULTS:The 12-month prevalence of anxiety disorders (not including specific phobias) was 15.6%. The prevalence was 12.0% in males and 19.4% in females. The three most prevalent anxiety disorders were generalized anxiety disorder (5.2%), obsessive-compulsive disorder (5.1%) and social phobia (3.2%), respectively. Factors found to be significantly associated with anxiety disorders were: female gender (OR?=?1.16, 95% CI: 1.09-1.23), middle (OR?=?1.23, 95%CI: 1.01-1.50) or low (OR?=?1.66, 95%CI: 1.31-2.10) socioeconomic status, unemployment (OR?=?1.98, 95%CI: 1.49-2.62), and urban residence (OR?=?1.31, 95%CI: 1.10-1.57). Comorbidity with non-anxiety disorders significantly increased service utilization. In all subgroups, service utilization was higher among females while the number of days out of role was higher among males. CONCLUSIONS:Anxiety disorders are common conditions with a higher prevalence among the female gender, unemployed individuals, and people with low socioeconomic conditions living in urban areas. Comorbidity of anxiety disorders with other psychological disorders aggravates the disability and significantly increases the number of days out of role.

SUBMITTER: Hajebi A

PROVIDER: S-EPMC6102821 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Major anxiety disorders in Iran: prevalence, sociodemographic correlates and service utilization.

Hajebi Ahmad A Motevalian Seyed Abbas SA Rahimi-Movaghar Afarin A Sharifi Vandad V Amin-Esmaeili Masoumeh M Radgoodarzi Reza R Hefazi Mitra M

BMC psychiatry 20180820 1

<h4>Background</h4>It has been shown in the past two decades that anxiety disorders are the most common mental disorders in general population across the world. This study sought to assess the prevalence of major anxiety disorders, their sociodemographic correlates and mental health service utilization as part of the Iranian Mental Health Survey (IranMHS).<h4>Methods</h4>A national household face-to-face survey was carried out on a representative sample of Iranian adults from January to June 201 ...[more]

PMID: 30126386

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Project description:ImportanceAll of Us is a landmark initiative for population-scale research into a variety of health conditions, including psychiatric disorders.ObjectiveTo analyze the prevalence, comorbidity, and sociodemographic covariates of psychiatric disorders in the All of Us biobank.Design, setting, and participantsWe estimated prevalence, overlap, and sociodemographic correlates for psychiatric disorders as reported in electronic health records for All of Us release 5 (N = 331 380).ExposuresSocial and demographic covariates.Main outcomes and measuresPsychiatric disorders derived from International Statistical Classification of Diseases, Tenth Revision, Clinical Modification, codes across 6 broad domains: mood disorders, anxiety disorders, substance use disorders, stress-related disorders, schizophrenia, and personality disorders.ResultsThe analytic sample (N = 329 038) was 60.7% female (mean [SD] age, 50.9 [16.8] years). The prevalence of disorders ranged from 11.00% (95% CI, 10.68% to 11.32%) for any mood disorder to less than 1% (eg, obsessive-compulsive disorder, 0.18%; 95% CI, -0.16% to 0.52%), with mood disorders being the most common and personality disorders being the least. There was substantial overlap among disorders, with the majority of participants with a disorder (30 113/58 806, approximately 51%) having 2 or more registered diagnoses and tetrachoric correlations ranging from 0.43 to 0.74. Comparisons of prevalence across demographic categories revealed that non-Hispanic White people, individuals with low socioeconomic status, women and individuals assigned female at birth, and sexual minority individuals are at greatest risk for most disorders.Conclusions and relevanceAlthough rates of disorders among the All of Us cohort are lower than in the general population, considerable variation, comorbidity, and disparities exist across social groups. To improve the practice of equitable precision medicine, researchers can use comprehensive health data from large-scale resources such as All of Us.

Dataset Information

Major anxiety disorders in Iran: prevalence, sociodemographic correlates and service utilization.

Publications

Major anxiety disorders in Iran: prevalence, sociodemographic correlates and service utilization.

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