Public Health Agency of Canada, Ottawa, Ontario, Canada.
Project Management, Evaluation and Planning, Toronto, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2018 Oct;38(10):380-384. doi: 10.24095/hpcdp.38.10.04.
In Canada, it is challenging to find examples of positive population mental health interventions that meet scientific standards of evidence. It is even more difficult to identify effective interventions that address health equity. The discrepancy between standards of evidence in the health sciences, and the evidence that can be gleaned from social experiments, is not new. Efforts to reconcile these differences show a general tendency toward controlled interventions in public health. However, it is possible to extract findings from quasi-experimental interventions that meet scientific standards while also showing promise of positive impacts on mental health equity. This article describes work undertaken in 2015 to begin to address this evidence gap.
在加拿大,很难找到符合科学证据标准的积极人口心理健康干预措施的例子。更难确定解决健康公平问题的有效干预措施。健康科学中的证据标准与社会实验中可以获得的证据之间的差距并不是什么新鲜事。协调这些差异的努力显示出在公共卫生领域进行有控制的干预的一般趋势。然而,有可能从符合科学标准的准实验干预中提取发现,同时也显示出对心理健康公平产生积极影响的希望。本文描述了 2015 年为解决这一证据差距而开展的工作。