Osypuk Theresa L
University of Minnesota School of Public Health, 1300 Second Street South, West Bank Office Building, Suite 300, Minneapolis, MN, 55454, USA,
Soc Psychiatry Psychiatr Epidemiol. 2015 Feb;50(2):215-7. doi: 10.1007/s00127-014-0998-6. Epub 2014 Dec 20.
The impact of housing and neighborhood context on children's mental health, as addressed by Flouri et al. (Soc Psychiatry Psychiatr Epidemiol, 2014), is an important, understudied topic in social epidemiology. Although the vast majority of this body of research has been descriptive, generating translational research is essential. This article offers guidance on interpreting evidence from observational studies for translation into policy, related to three policy-relevant elements of housing: receipt of affordable housing subsidies, the target population to which results generalize, and operationalization and modeling of neighborhood context. Policy translation is imperative for understanding which levers outside the health sector can be manipulated to change fundamental causes of mental health related to housing and neighborhood. Shifting from policy relevance to policy translation may be challenging, especially for understanding social causation in observational studies, but it is a necessary shift for improving population health.
弗洛里等人（《社会精神病学与精神疾病流行病学》，2014年）所探讨的住房及邻里环境对儿童心理健康的影响，是社会流行病学中一个重要但研究不足的课题。尽管这一研究领域的绝大多数研究都是描述性的，但开展转化研究至关重要。本文就如何解读观察性研究证据以转化为政策提供指导，涉及住房三个与政策相关的要素：获得经济适用房补贴、研究结果可推广的目标人群，以及邻里环境的操作化和建模。政策转化对于理解卫生部门之外哪些杠杆可以被操纵以改变与住房和邻里相关的心理健康根本原因至关重要。从政策相关性转向政策转化可能具有挑战性，尤其是在理解观察性研究中的社会因果关系方面，但这是改善人群健康的必要转变。
