title: [Determinants of poor mental health in people aged 16 to 64 residing in a large city].
abstract: BACKGROUND
  Know what factors determine the poor mental health in the city of Madrid.
  
  
  METHODS
  Cross-sectional study Health Survey of the City of Madrid (ESCM'05), analyzed 5746, persons aged 16 to 64 years, in the years 2004-2005. Dependent variable was obtained from the General Health Questionnaire (GHQ-12), was considered score above 2. Independent variables included sociodemographic factors, lifestyle, health and environmental issues. The quality of life related to health (HRQOL) was measured with the questionnaire COOP / WONCA.
  
  
  RESULTS
  The overall prevalence of poor mental health was 19.2%, p <0.05 for gender, age group 16 to 24 years and lower social classes. The predictors most strongly associated with poor mental health in the multiple regression are: women OR=1.48 (1.23-1.78), minors OR=3.21 (2.40-4.29), immigrant economic OR=1.33 (1.06-1.68), smoking or drinking alcohol OR=1.22 (1.02 -1.49) and 1.31 (1.09 -1.57), chronic disease OR=1.47 (1.21 -1.79), sleeping less 8 hours OR=1.41 (1.17 -1.68), having fair or poor health status perception OR=1.65 (1.22-2.22), self-perceived poor quality of life HRQOL OR=1.18 (1.15-1.22), and limited social activities OR=1.34 (1.07 -1.69) .
  
  
  CONCLUSIONS
  The mental health problems are highly prevalent in this city. Being woman, young, economic migrant, worse lifestyles, poor quality of life refered or limited social activities are the factors that force to explain the association with poor mental health.
authors.affiliation: Unidad de Formación e Investigación Madrid Salud, Ayuntamiento de Madrid, Spain. estebanpm@madrid.es
authors.forename: M M
authors.initials: MM
authors.lastname: Esteban
authors.forename: M l
authors.initials: Ml
authors.lastname: Puerto
authors.forename: X
authors.initials: X
authors.lastname: Fernández Cordero
authors.forename: R
authors.initials: R
authors.lastname: Jiménez García
authors.forename: A
authors.initials: A
authors.lastname: Gil de Miguel
authors.forename: V
authors.initials: V
authors.lastname: Hernández Barrera
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D013030:Spain / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014504:Urban Health; D055815:Young Adult