Murphy Lauren E, Jack Helen E, Concepcion Tessa L, Collins Pamela Y
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.
Department of Internal Medicine, University of Washington, Seattle, WA, United States.
Front Psychiatry. 2020 Feb 20;11:44. doi: 10.3389/fpsyt.2020.00044. eCollection 2020.
The majority (55%) of the world's population lives in urban environments. Of relevance to global mental health, the rapid growth in urban populations around the world and the attendant risks coincide with the presence of the largest population of adolescents the global community has seen to date. Recent reviews on the effects of the urban environment on mental health report a greater risk of depression, anxiety, and some psychotic disorders among urban dwellers. Increased risk for mental disorders is associated with concentrated poverty, low social capital, social segregation, and other social and environmental adversities that occur more frequently in cities. To address these problems, urban adolescent mental health requires attention from decision makers as well as advocates who seek to establish sustainable cities. We examine opportunities to increase the prominence of urban adolescent mental health on the global health and development agenda using Shiffman and Smith's framework for policy priorities, and we explore approaches to increasing its relevance for urban health and development policy communities. We conclude with suggestions for expanding the community of actors who guide the field and bridging the fields of mental health and urban development to meet urban adolescent mental health needs.
世界上大多数人口（55%）生活在城市环境中。与全球心理健康相关的是，世界各地城市人口的快速增长以及随之而来的风险，与全球社会迄今为止所见到的最大青少年群体的存在相吻合。最近关于城市环境对心理健康影响的综述报告称，城市居民患抑郁症、焦虑症和某些精神障碍的风险更高。精神障碍风险增加与集中贫困、低社会资本、社会隔离以及城市中更频繁出现的其他社会和环境逆境有关。为解决这些问题，城市青少年心理健康需要决策者以及寻求建设可持续城市的倡导者予以关注。我们使用希夫曼和史密斯的政策优先事项框架，研究增加城市青少年心理健康在全球卫生与发展议程上突出地位的机会，并探索提高其与城市卫生和发展政策社区相关性的方法。我们最后提出建议，以扩大指导该领域的行为体群体，并弥合心理健康与城市发展领域之间的差距，以满足城市青少年的心理健康需求。
