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Association of Concurrent Clusters of Physical Inactivity and Unhealthy Lifestyle Habits with Common Mental Disorders among Primary Healthcare Workers: Insights from a large sample cross-sectional analysis in Brazil

2025-12Artigo científico Acesso aberto
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dc.contributor.authorLopes, Fernanda Queiroz Rego de Sousa
dc.contributor.authorRocha, Saulo Vasconcelos
dc.contributor.authorSantos, Clarice Alves dos
dc.contributor.authorTeixeira, Jules Ramon Brito
dc.contributor.authorPatrão, Ana Luisa
dc.contributor.authorBrito-Costa, Sónia
dc.contributor.authorRodrigues, Rafael N.
dc.contributor.authorCampos, Francisco
dc.contributor.authorFurtado, Guilherme Eustáquio
dc.contributor.authorAraújo, Tânia Maria de
dc.date.accessioned2026-05-21T09:10:19Z
dc.date.available2026-05-21T09:10:19Z
dc.date.issued2025-12
dc.description.abstractBackground Common mental disorders (CMDs) are highly prevalent worldwide. Leisure time physical inactivity (LTPI) is a key modifiable behavior increasingly recognized for its contribution to CMD risk, alongside tobacco use, alcohol consumption, and nonparticipation in social activities (NPSA). Despite this, most studies examine these lifestyle factors individually rather than investigating their concurrent clustering and combined impact on mental health. Objective To examine the association between clusters of unhealthy lifestyle habits centered on LTPI and CMDs among primary healthcare workers (PHCWs) in the state of Bahia, Brazil. Methods A cross-sectional analysis of 3,343 PHCWs was conducted. CMDs were screened with the Self-Report Questionnaire-20. Unhealthy behaviors (LTPI, tobacco use, alcohol use, and NPSA) were analyzed individually and as clusters (observed/expected ratios). Associations with CMDs were estimated via logistic regression. Results Participants were predominantly female (78.9%); 57.1% were ≤40 years. Prevalences were as follows: LTPI: 56.6%, tobacco: 6.2%, alcohol: 37.3%, NPSA: 61.3%; and CMDs: 22.6%. LTPI [odds ratio (OR) = 1.56; 95% confidence interval (CI): 1.23–1.99], and NPSA (OR = 1.60; 95% CI: 1.27–2.03) were independently associated with CMDs. The LTPI + NPSA cluster showed higher odds of CMDs (OR = 1.73; 95% CI: 1.29–2.31). Clustering patterns also revealed combinations involving LTPI and tobacco use. Conclusion CMDs among PHCWs are linked not only to single behaviors but to clusters centered on LTPI, particularly when combined with social isolation. Mental health strategies in primary care settings should prioritize increasing leisure time physical activity and social engagement alongside broader lifestyle risk reduction.eng
dc.identifier.doi10.1016/j.shaw.2025.09.002
dc.identifier.issn2093-7911
dc.identifier.urihttp://hdl.handle.net/10400.26/63232
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier BV
dc.relationCEECINST/00077/2021
dc.relationUID/6185/2023
dc.relation.ispartofSafety and Health at Work
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAnxiety
dc.subjectDepression
dc.subjectHealth personnel
dc.subjectSedentary behavior
dc.subjectWorkplace physical activity
dc.titleAssociation of Concurrent Clusters of Physical Inactivity and Unhealthy Lifestyle Habits with Common Mental Disorders among Primary Healthcare Workers: Insights from a large sample cross-sectional analysis in Brazileng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage506
oaire.citation.issue4
oaire.citation.startPage500
oaire.citation.titleSafety and Health at Work
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameCampos
person.givenNameFrancisco
person.identifier.ciencia-id8410-124A-C9F4
person.identifier.orcid0000-0003-1990-0589
relation.isAuthorOfPublication907dc4fe-3bfa-455d-82db-55d6b488316b
relation.isAuthorOfPublication.latestForDiscovery907dc4fe-3bfa-455d-82db-55d6b488316b

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