社会决定因素对心理健康的影响：作为 COVID-19 大流行对心理健康影响的中介和调节因素。
Social Determinants of Mental Health As Mediators and Moderators of the Mental Health Impacts of the COVID-19 Pandemic.
机构信息
Department of Mental Health, Psychiatric Diagnosis and Care Service (SPDC) Pordenone, Azienda Sanitaria Friuli Occidentale, Pordenone, Italy (Bernardini); Planetary Health Lab, University of Edinburgh, Edinburgh (Bernardini, Attademo); Department of Mental Health, SPDC Potenza, ASP Basilicata, Potenza, Italy (Attademo); Albert Einstein College of Medicine, New York City (Rotter); New York State Psychiatric Institute, New York City (Compton). Ruth S. Shim, M.D., M.P.H., and Michael T. Compton, M.D., M.P.H., are editors of this column.
出版信息
Psychiatr Serv. 2021 May 1;72(5):598-601. doi: 10.1176/appi.ps.202000393. Epub 2021 Feb 17.
Contracting COVID-19, being exposed to it, or being affected by societal containment measures can have consequences that are themselves social determinants of health. Preexisting social determinants of health also drive the disproportionately high prevalence of COVID-19 infection and deaths among minority, marginalized, and other vulnerable populations. Thus, the social determinants of mental health act as both mediators and moderators of the pandemic's impacts, and like all social determinants, the effects of the pandemic are underpinned by public policies and social norms. The major economic impacts of containment measures have had cascading effects that will affect mental health for years to come.
感染 COVID-19、接触它或受到社会遏制措施的影响，可能会产生自身成为健康社会决定因素的后果。先前存在的健康社会决定因素也导致少数族裔、边缘群体和其他弱势群体中 COVID-19 感染和死亡的比例过高。因此，精神健康的社会决定因素既是大流行影响的调解因素，也是调节因素，与所有社会决定因素一样，大流行的影响是由公共政策和社会规范支撑的。遏制措施的主要经济影响产生了连锁效应，这些效应将在未来几年影响心理健康。
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