title: Poverty, psychological disorder and disability in primary care attenders in Goa, India.
abstract: BACKGROUND
  This study examined the association of common mental disorders in primary health clinic attenders with indicators of poverty and disability in Goa, India.
  
  
  METHODS
  Adult attenders (n = 303) in two primary health clinics were recruited.
  
  
  RESULTS
  There were 141 (46.5%) cases of common mental disorder. The following were associated with common mental disorder: female gender; inability to buy food due to lack of money; and being in debt. Cases scored significantly higher on all measures of disability. Primary health clinic staff recognised a third of the morbidity but used multiple oral drugs, injectable vitamins and benzodiazepines to treat common mental disorders.
  
  
  CONCLUSIONS
  Poverty is closely associated with common mental disorder which in turn is associated with deprivation and despair. Primary mental health care priorities in low-income countries need to shift from psychotic disorders which often need specialist care to common mental disorders. Health policy and development agencies need to acknowledge the intimate association of female gender and poverty with these disorders.
authors.affiliation: Institute of Psychiatry and Human Behaviour, Goa, India.
authors.forename: V
authors.initials: V
authors.lastname: Patel
authors.forename: J
authors.initials: J
authors.lastname: Pereira
authors.forename: L
authors.initials: L
authors.lastname: Coutinho
authors.forename: R
authors.initials: R
authors.lastname: Fernandes
authors.forename: J
authors.initials: J
authors.lastname: Fernandes
authors.forename: A
authors.initials: A
authors.lastname: Mann
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D006233:Persons with Disabilities; D005260:Female; D006291:Health Policy; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D011203:Poverty; D012737:Sex Factors; D012959:Socioeconomic Factors