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International Journal of Population Studies

                                       RESEARCH ARTICLE

                                       Race, sex and depression-free life
                                       expectancy in Brazil, 1998–2013




                                                            1*
                                       Luciana Correia Alves  and Claudia Cristina Pereira 2
                                       1  Department of Demography. Population Studies Center Elza Berquó – NEPO.
                                       University of Campinas – UNICAMP, Brazil
                                       2  National School of Public Health (ENSP), Fundação Oswaldo Cruz (Fiocruz), Rio de
                                       Janeiro, Brazil


                                       Abstract: Depression brings a great burden of disease to Brazil. This study investigates
                                       depression-free life expectancy (DFLE) between 1998 and 2013 in the country. We
                                       used data from Brazilian National Household Survey, National Health Survey and Life
                                       Tables provided by the Brazilian Institute of Geography and Statistics considering
                                       individuals 30 years and older. DFLE by race and sex was calculated using the Sullivan
               ARTICLE INFO
               Received: August 26, 2017   method. We observed improvements in DFLE over time, for all race/color groups. In
               Accepted: October 19, 2017   general, men had a smaller share of years lived with depression when compared to
               Published Online: October
               25, 2017                women within the same race groups. Compared to whites, blacks/ browns and people of
                                       other races/colors had the highest DFLE for both men and women. White women had
              *CORRESPONDING AUTHOR    the lowest percentage of DFLE. Blacks displayed better estimates of DFLE and lower
              Luciana Correia Alves, Núcleo  number of years living with depression than whites, despite the evidence of worse
              de Estudos de População “Elza
              Berquó”, Universidade Estadual  health outcomes depicted in the literature. Further research is needed to understand the
              de Campinas, Unicamp,    lower depression prevalence found for blacks that reflects directly into a higher DFLE.
              Cidade Universitária Zeferino
              Vaz, Av. Albert Einstein, 1300 –
              Sala 24, 13081-970, Campinas  Keywords: race; health inequalities; healthy life expectancy; depression-free life
              – SP, Brazil; luciana@nepo.  expectancy; Brazil
              unicamp.br

              CITATION                 1. Introduction
              Alves LC and Pereira CC
              (2018). Race, sex and
              depression-free life expectancy   Brazil has witnessed a rapid and accentuated process of demographic transition.
              in Brazil, 1998–2013.    Mortality in Brazil declined significantly since 1940. This reduction in mortality levels
              International Journal of   was much more rapid than that experienced by developed countries. In Brazil, life
              Population Studies, 4(1):1-9.
              doi: 10.18063/ijps.v4i1.412  expectancy has increased by 30 years between 1940 and 2000 (Carvalho and Garcia,
                                       2003). Brazilian Demographic Census in 2010 indicated that life expectancy reached
              Copyright: © 2018 Alves LC   73.8 years (IBGE, 2010).
              and Pereira CC. This is an   Simultaneously, a process of epidemiological transition was also verified,
              Open Access article distributed   characterized by the increase in the contribution of chronic and degenerative illnesses
              under the  terms  of  the
              Creative Commons Attribution-  to the total number of deaths, which to a certain extent, substituted the contribution
              NonCommercial 4.0        of infectious diseases. This new situation resulted in important changes in the profile
              International License (http://
              creativecommons.org/     of the Brazilian population, characterized by a greater prevalence and incidence of
              licenses/by-nc/4.0/), permitting   chronic-degenerative diseases.
              all noncommercial use,     Race plays a key role in determining health. Race as a social definition that captures
              distribution, and reproduction
              in any medium, provided the   the reflexes of historical and cultural processes that ultimately translate themselves
              original work is properly cited.  into different aspects of people’s health and even in health disparities observed



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