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那些权利被剥夺者的心理健康:论原住民在面对 2019 年冠状病毒(2019-nCoV)爆发时的心理健康。

The mental health of those whose rights have been taken away: An essay on the mental health of indigenous peoples in the face of the 2019 Coronavirus (2019-nCoV) outbreak.

机构信息

Department of Internal Medicine, Santa casa de Misericórdia de Fortaleza, Fortaleza, Ceará, Brazil.

School of Medicine, Universidade Federal do Cariri (UFCA), Barbalha, Ceará, Brazil.

出版信息

Psychiatry Res. 2020 Jul;289:113094. doi: 10.1016/j.psychres.2020.113094. Epub 2020 May 13.

Abstract

BACKGROUND

: In Latin America there are about 45 million indigenous people in 826 communities that represent 8.3% of the population. An estimated 798,365 Aboriginal and Torres Strait Islander were in Australia, 5,2 million indigenous people living in America and 2,13 million in Canada. Racial/ethnic disparities in mental health service use have increased especially in the context of the new coronavirus pandemic. Thus, we aimed to describe the mental health situation of the indigenous population in the context of the COVID-19 pandemic.

METHOD

: The studies were identified in well-known international journals found in three electronic databases: PubMed, Scopus, and MEDLINE. The data were cross-checked with information from the main international newspapers.

RESULTS

: According to the literature, due to the COVID-19 pandemic there is a lack of specialized mental health services and professionals, a restricted access to quality information and a lack of access to inputs, causing negative feelings and it can exacerbate pre-existing mental problems (eg: depression, suicidal ideation, smoking and binge drink). The cultural differences are a risk factor to worsen the mental health of this already vulnerable population.

CONCLUSION

: providing psychological first aid is an essential care component for indigenous populations that have been victims COVID-19 pandemic.

摘要

背景

在拉丁美洲,有 826 个社区约有 4500 万土著人民,占总人口的 8.3%。据估计,澳大利亚有 798365 名原住民和托雷斯海峡岛民,美洲有 520 万土著人民,加拿大有 213 万土著人民。在新冠疫情大流行背景下,精神卫生服务利用方面的种族/族裔差异有所增加。因此,我们旨在描述 COVID-19 大流行背景下土著人民的精神卫生状况。

方法

在三个电子数据库(PubMed、Scopus 和 MEDLINE)中查找知名国际期刊上的研究。通过与主要国际报纸上的信息交叉核对数据。

结果

根据文献,由于 COVID-19 大流行,缺乏专门的精神卫生服务和专业人员,获取高质量信息的机会有限,缺乏投入,导致负面情绪,可能加剧先前存在的精神问题(例如:抑郁、自杀意念、吸烟和狂饮)。文化差异是使这一已经脆弱的人群精神健康恶化的一个风险因素。

结论

为受 COVID-19 大流行影响的土著人群提供心理急救是至关重要的护理组成部分。

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