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      Qualidade de vida e saúde física e mental de médicos: uma autoavaliação por egressos da Faculdade de Medicina de Botucatu - UNESP Translated title: Quality of life, physical and mental health of physicians: a self-evaluation by graduates from the Botucatu Medical School - UNESP

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          Abstract

          OBJETIVO: O presente artigo teve como objetivo analisar resultados de autoavaliações em termos de qualidade de vida (QV), saúde física (SF) e saúde mental (SM) realizadas por ex-alunos do curso de medicina de uma universidade pública brasileira, associando-se tais indicadores a dados demográficos e diversas dimensões da atuação profissional. MÉTODOS: estudo de corte transversal que teve como população-alvo todos os egressos da Faculdade de Medicina de Botucatu (UNESP) no período de 1968 a 2005, utilizando-se um questionário autoaplicável, respondido por correio ou internet. RESULTADOS: Dos 2.864 questionários enviados, 1.224 (45%) foram respondidos. Tanto a QV como SF e SM foram avaliadas como boa ou muito boa por 67,8%, 78,8% e 84,5% dos participantes, respectivamente. Nos modelos finais de regressão logística, associaram-se a avaliação favorável de QV: ter boa SF e SM, frequentar congressos regulamente, ter tempo suficiente de lazer e estar satisfeito com a profissão. SF boa ou muito boa associou-se independentemente com QV e SM positivas, faixa de renda mais alta, prática regular de atividades físicas e nunca ter fumado. SM favorável permaneceu associada com satisfação profissional, tempo para lazer, e boa avaliação da QV e da SF. CONCLUSÕES: Entre os médicos egressos da UNESP, SF e SM foram aspectos indissociáveis e também relacionados à QV. Bons hábitos, como praticar atividades físicas, ter tempo para lazer e não fumar foram associados à melhor avaliação da saúde em geral e devem ser incentivados. A satisfação profissional teve um peso importante no bem-estar emocional relatado pelos participantes.

          Translated abstract

          OBJECTIVE: This paper aimed to analyze self-evaluations in terms of quality of life (QoL), physical health (PH) and mental health (MH) of ex-medical students from a Brazilian public university, correlating these outcomes with demographic data and several professional aspects. METHODS: a cross-sectional study with a target population of all students graduated from the Botucatu School of Medicine (UNIFESP - São Paulo State University) between 1968 and 2005. A self-administered questionnaire, which could be answered by regular mail or internet, was used. RESULTS: From the 2,864 questionnaires that were sent by mail, 1,224 (45%) were answered and sent back. Good or very good QoL, PH and MH were reported by 67.8%, 78.8% and 84.5% of participants, respectively. In the final logistic regression model, positive QoL was associated with good PH and MH, regular attendance to scientific meetings, enough leisure time, and professional satisfaction. Good or very good PH was independently associated with positive QoL and MH, higher income level, regular physical activities, and never having smoked. Positive MH remained associated with professional satisfaction, enough leisure time, and positive evaluation of both QoL and PH. CONCLUSIONS: Among medical doctors graduated from São Paulo State University, PH and MH were inseparable aspects, which were also related to the self-evaluation of QoL. Good habits, such as regular practice of physical exercise, enough leisure time, and not smoking were associated with positive health in general and should be encouraged. Professional satisfaction had an important impact on the emotional well-being of participants.

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          No health without mental health.

          About 14% of the global burden of disease has been attributed to neuropsychiatric disorders, mostly due to the chronically disabling nature of depression and other common mental disorders, alcohol-use and substance-use disorders, and psychoses. Such estimates have drawn attention to the importance of mental disorders for public health. However, because they stress the separate contributions of mental and physical disorders to disability and mortality, they might have entrenched the alienation of mental health from mainstream efforts to improve health and reduce poverty. The burden of mental disorders is likely to have been underestimated because of inadequate appreciation of the connectedness between mental illness and other health conditions. Because these interactions are protean, there can be no health without mental health. Mental disorders increase risk for communicable and non-communicable diseases, and contribute to unintentional and intentional injury. Conversely, many health conditions increase the risk for mental disorder, and comorbidity complicates help-seeking, diagnosis, and treatment, and influences prognosis. Health services are not provided equitably to people with mental disorders, and the quality of care for both mental and physical health conditions for these people could be improved. We need to develop and evaluate psychosocial interventions that can be integrated into management of communicable and non-communicable diseases. Health-care systems should be strengthened to improve delivery of mental health care, by focusing on existing programmes and activities, such as those which address the prevention and treatment of HIV, tuberculosis, and malaria; gender-based violence; antenatal care; integrated management of childhood illnesses and child nutrition; and innovative management of chronic disease. An explicit mental health budget might need to be allocated for such activities. Mental health affects progress towards the achievement of several Millennium Development Goals, such as promotion of gender equality and empowerment of women, reduction of child mortality, improvement of maternal health, and reversal of the spread of HIV/AIDS. Mental health awareness needs to be integrated into all aspects of health and social policy, health-system planning, and delivery of primary and secondary general health care.
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            Women, poverty and common mental disorders in four restructuring societies

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              Launching a new movement for mental health.

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                Author and article information

                Journal
                rbepid
                Revista Brasileira de Epidemiologia
                Rev. bras. epidemiol.
                Associação Brasileira de Saúde Coletiva (Rio de Janeiro, RJ, Brazil )
                1415-790X
                1980-5497
                June 2011
                : 14
                : 2
                : 264-275
                Affiliations
                [03] orgnameUNESP orgdiv1Faculdade de Medicina de Botucatu orgdiv2Departamento Cirurgia e Ortopedia
                [01] orgnameUNESP orgdiv1Faculdade de Medicina de Botucatu orgdiv2Departamento de Neurologia, Psicologia e Psiquiatria
                [02] orgnameUNESP orgdiv1Faculdade de Medicina de Botucatu orgdiv2Departamento de Saúde Pública
                Article
                S1415-790X2011000200008 S1415-790X(11)01400208
                2e89e3c4-2dcf-4385-a8fe-28d8faebe106

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 21 October 2010
                : 04 May 2010
                : 16 November 2010
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 31, Pages: 12
                Categories
                Artigos Originais

                Health,Mental health,Self-evaluation,Physicians,Qualidade de vida,Saúde,Quality of life,Médicos,Autoavaliação,Saúde mental

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