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COVID-19 Pandemic Factors and Depressive Symptoms Among Primary Care Workers in São Paulo, Brazil, October and November 2020.

Am J Public Health

May 2022

Andréa Tenório Correia da Silva is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Franco Mascayano, Gonzalo Martínez-Alés, Maria Francesca Moro, and Ezra Susser are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY. Linda Valeri is with the Department of Biostatistics, Mailman School of Public Health, Columbia University. Martim Elviro de Medeiros Jr is with the Primary Care Research Center, Faculty of Medicine Santa Marcelina, São Paulo, Brazil. Morris Pimenta e Souza is with the Department of Public Health, Federal University of São Paulo, São Paulo. Dinarte Ballester is with the Hospital Unversitário, Universidade Federal do Rio Grande, Rio Grande do Sul, Brazil. Maria Tavares Cavalcanti is with the Department of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. Els van der Ven is with the Department of Clinical, Neuro- & Developmental Psychology, Vrije Universiteit, Amsterdam, the Netherlands. Rubén Alvarado is with the School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago.

To investigate associations between COVID-19-related factors and depressive symptoms among primary care workers (PCWs) in São Paulo, Brazil, and to compare the prevalence of probable depression among PCWs before and during the pandemic. In a random sample of primary care clinics, we examined 6 pandemic-related factors among 828 PCWs. We used multivariate Poisson regression with robust variance to estimate prevalence ratios for probable depression.

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