Hoell A, Salize H J
Arbeitsgruppe Versorgungsforschung, Klinik für Psychiatrie und Psychotherapie, Zentralinstitut für Seelische Gesundheit, Medizinische Fakultät Mannheim/Universität Heidelberg, 68159, Mannheim, Deutschland.
Nervenarzt. 2019 Nov;90(11):1187-1200. doi: 10.1007/s00115-019-00820-z.
Social inequality refers to the inequitable distribution of social prosperity including the resource of health. The relationship between social inequality and mental health can be established by means of indicators of social inequality throughout all age groups in Germany. There are social gradients of mental health on the population level, i.e. the linear relationship between social classes or status and state of health. Fundamental determinants of health disparity are cultural, social, political, and geographical conditions, which interact with the genetic make-up and epigenetic processes. These determinants also influence the management of developmental tasks during the life course and are of utmost importance for the development of mental disorders. The maladaptation to chronic stress is at the core of health disparity. Interventions at the individual behavioral level should comprise the development of stress management and coping strategies.
社会不平等指的是包括健康资源在内的社会繁荣的不公平分配。社会不平等与心理健康之间的关系可以通过德国所有年龄组的社会不平等指标来确立。在人口层面存在心理健康的社会梯度，即社会阶层或地位与健康状况之间的线性关系。健康差距的根本决定因素是文化、社会、政治和地理条件，这些因素与基因构成和表观遗传过程相互作用。这些决定因素还影响人生历程中发展任务的处理，对精神障碍的发展至关重要。对慢性压力的适应不良是健康差距的核心。个体行为层面的干预应包括压力管理和应对策略的制定。
