Behavioral risk factors for noncommunicable diseases associated with depression and suicide risk in adolescence

• Published in: Cadernos de saúde pública Vol. 38; no. 2; p. e00055621
• Main Authors: Barbosa, Janaina Maiana Abreu, Ribeiro, Cecilia Claudia Costa, Batista, Rosangela Fernandes Lucena, Brondani, Mario Augusto, Simões, Vanda Maria Ferreira, Bettiol, Heloisa, Barbieri, Marco Antônio, Coelho, Sâmia Jamile Damous Duailibe de Aguiar Carneiro, Silva, Antonio Augusto Moura da
• Format: Journal Article
• Language: English
• Published: Brazil Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz 01.01.2022; Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
• Subjects: Adolescent; Adult; Brazil - epidemiology; Depression; Diet; Female; Humans; Noncommunicable Diseases; Noncommunicable Diseases - epidemiology; PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH; Risk Factors; Suicide; Brazil; Dieta; Depressão; Enfermedades No Transmisibles; Risk Factors; Depression; Suicide; Fatores de Risco; Factores de Riesgo; Noncommunicable Diseases; Diet; Suicidio; Doenças Não Transmissíveis; Depresión; Suicídio
• ISSN: 0102-311X; 1678-4464; 1678-4464
• DOI: 10.1590/0102-311X00055621

Noncommunicable diseases (NCDs) and mental disorders cooccur in adulthood, which is why their determinants and common risk factors should be addressed at an early age. Therefore, we estimated the association of the major risk factors for NCDs with depression and suicide risk by structural equation modeling considering pathways triggered by social vulnerability or mediated by obesity. This population-based study included 2,515 Brazilian adolescents. The following exposures were the major risk factors for NCDs: substance use behaviors (variable deduced from alcohol, tobacco, and drug use), physical inactivity, and components of unhealthy eating markers (added sugar and saturated fat). Obesity was assessed using the fat mass index. The outcomes were depression and suicide risk. Depression was associated with substance use behaviors (SC = 0.304; p < 0.001), added sugar (SC = 0.094; p = 0.005), and females (SC = 0.310; p < 0.001). Suicide risk was also associated with substance use behaviors (SC = 0.356; p < 0.001), added sugar (SC = 0.100; p = 0.012), and females (SC = 0.207; p < 0.001). In adolescents, these associations may help explain the cluster of NCDs and mental disorders in adulthood.