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社会决定因素与健康:种族主义对儿童早期心理健康的影响。

Social Determinants of Health: the Impact of Racism on Early Childhood Mental Health.

机构信息

Department of Child Psychiatry, New York University, New York, NY, USA.

Office of Behavioral Health, New York Health + Hospital, New York, NY, USA.

出版信息

Curr Psychiatry Rep. 2021 Mar 12;23(5):23. doi: 10.1007/s11920-021-01240-0.

Abstract

PURPOSE OF REVIEW

Despite increased literature on the impact of racism in the past decades, relatively few studies have focused on the effects of racism on younger children. This article reviews research from the past 5 years focusing on the impact of racism on infant and early childhood mental health and socioemotional development.

RECENT FINDINGS

Longitudinal studies provide evidence that very young children are highly influenced by exposure to multiple and interconnecting levels of racism and discrimination. These forms of exposure (structural and personally mediated, which can be further divided into direct and indirect exposure) are particularly nefarious to young children's socioemotional development and have implications for adolescent and adult mental health with lasting sequelae. Furthermore, the effects of racism on parenting practices and maternal/caregiver mental health appear to indicate mechanisms through which racism affects young children. Although more studies are needed in this area, recent literature indicates that racism is a social determinant of health that adversely impacts infant and early childhood socioemotional, and behavioral development. Future studies should focus on understanding the mechanisms through which racism impacts early childhood development and health, and interventions to prevent and mitigate the effects of racism.

摘要

目的综述:尽管过去几十年来有关种族主义影响的文献不断增加,但很少有研究关注种族主义对幼儿的影响。本文回顾了过去 5 年中有关种族主义对婴儿和幼儿心理健康及社会情感发展影响的研究。

最新发现:纵向研究提供的证据表明,幼儿极易受到多种相互关联的种族主义和歧视水平的影响。这些形式的暴露(结构和个人介导的,可进一步分为直接和间接暴露)对幼儿的社会情感发展特别有害,并对青少年和成年的心理健康产生影响,造成持久的后果。此外,种族主义对养育方式和母婴/照顾者心理健康的影响似乎表明了种族主义影响幼儿的机制。尽管这一领域还需要更多的研究,但最近的文献表明,种族主义是影响婴儿和幼儿社会情感和行为发展的健康的社会决定因素。未来的研究应侧重于了解种族主义影响儿童早期发展和健康的机制,以及预防和减轻种族主义影响的干预措施。

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