Disparities Research Unit, Department of Medicine, Massachusetts General Hospital, 50 Staniford Street, Suite 830, Boston, MA, 02114, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Curr Psychiatry Rep. 2018 Sep 17;20(11):95. doi: 10.1007/s11920-018-0969-9.
The present review synthesizes recent literature on social determinants and mental health outcomes and provides recommendations for how to advance the field. We summarize current studies related to changes in the conceptualization of social determinants, how social determinants impact mental health, what we have learned from social determinant interventions, and new methods to collect, use, and analyze social determinant data.
Recent research has increasingly focused on interactions between multiple social determinants, interventions to address upstream causes of mental health challenges, and use of simulation models to represent complex systems. However, methodological challenges and inconsistent findings prevent a definitive understanding of which social determinants should be addressed to improve mental health, and within what populations these interventions may be most effective. Recent advances in strategies to collect, evaluate, and analyze social determinants suggest the potential to better appraise their impact and to implement relevant interventions.
本综述综合了近期有关社会决定因素与心理健康结果的文献,并就如何推动该领域的发展提出了建议。我们总结了与社会决定因素概念变化、社会决定因素如何影响心理健康、我们从社会决定因素干预中了解到的内容以及收集、使用和分析社会决定因素数据的新方法相关的现有研究。
发现:最近的研究越来越关注多个社会决定因素之间的相互作用、解决心理健康挑战的上游原因的干预措施以及使用模拟模型来表示复杂系统。然而,方法学上的挑战和不一致的发现使得我们无法明确了解哪些社会决定因素需要解决才能改善心理健康,以及这些干预措施在哪些人群中可能最有效。最近在收集、评估和分析社会决定因素的策略方面的进展表明,有可能更好地评估其影响并实施相关干预措施。