Objective: To investigate associations between the percentage and severity of mental disorders (MD) and three different primary health care (PHC) strategies in Brazil: traditional care (TC), the Family Health Strategy (FHS), and FHS with shared mental health care (FHS+SC). Methods: Random samples were selected from three different areas of a Brazilian city. Each area was served by a different PHC strategy (TC, FHS, or FHS+SC). Five mental health professionals, blinded to the type of PHC strategy delivered in each area, conducted interviews using the Mini International Neuropsychiatric Interview (MINI) and other specific instruments to assess the prevalence and severity of MD. Results: 530 subjects were interviewed. The TC strategy was significantly associated with a higher percentage of MD when compared to FHS and FHS+SC. These results were not affected by adjustment for sociodemographic variables. The difference in prevalence of MD between the two FHS areas (with and without SC) was not statistically significant. No significant differences in MD severity were observed across the three PHC strategies. Conclusion: Areas covered by FHS showed a lower percentage of MD than those covered by TC. Presence of SC did not influence the prevalence of MD, suggesting that mental-health training of FHS teams may have minimized the influence of SC.

中文翻译：

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初级卫生保健策略与精神障碍结局之间的关联

目的：调查巴西精神障碍 (MD) 的百分比和严重程度与三种不同初级卫生保健 (PHC) 策略之间的关联：传统保健 (TC)、家庭健康战略 (FHS) 和具有共享精神卫生保健的 FHS (FHS+SC)。方法：从巴西城市的三个不同区域随机抽取样本。每个区域都采用不同的 PHC 策略（TC、FHS 或 FHS+SC）。五名精神卫生专业人员对每个领域提供的 PHC 策略类型一无所知，他们使用 Mini International Neuropsychiatric Interview (MINI) 和其他特定工具进行了访谈，以评估 MD 的患病率和严重程度。结果：采访了 530 名受试者。与 FHS 和 FHS+SC 相比，TC 策略与更高百分比的 MD 显着相关。这些结果不受社会人口统计学变量调整的影响。两个 FHS 区域（有和没有 SC）之间的 MD 患病率差异无统计学意义。在三种 PHC 策略中未观察到 MD 严重程度的显着差异。结论：FHS 覆盖的区域显示的 MD 百分比低于 TC 覆盖的区域。SC 的存在不影响 MD 的患病率，这表明 FHS 团队的心理健康培训可能已将 SC 的影响降至最低。FHS 覆盖的区域显示的 MD 百分比低于 TC 覆盖的区域。SC 的存在不影响 MD 的患病率，这表明 FHS 团队的心理健康培训可能已将 SC 的影响降至最低。FHS 覆盖的区域显示的 MD 百分比低于 TC 覆盖的区域。SC 的存在不影响 MD 的患病率，这表明 FHS 团队的心理健康培训可能已将 SC 的影响降至最低。