Cincinnati Children's Hospital Medical Center/University of Cincinnati College of Medicine, Joint appointment, University of Cincinnati, Educational and Community-Based Action Research, Cincinnati, OH, USA.
Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Yale J Biol Med. 2021 Mar 31;94(1):129-141. eCollection 2021 Mar.
Youth experience adversity that increases their risk for immediate and long-term health consequences. Resilience has traditionally been conceptualized as an internal disposition or trait that supports youth to overcome that risk and avoid the negative impact on their health and wellbeing. However, this model of resilience overemphasizes the role of the individual and their capacity to control their environment, while minimizing the integral role of relational, social, structural, and cultural contexts in which they live. Instead, social ecological resilience (SER) emphasizes the influence of social and environmental factors on individual processes and outcomes and offers different pathways for preventive interventions to promote youth health and wellbeing. Within preventive medicine, it is important for researchers and practitioners to understand the processes that support or impede SER, particularly in youth when adversity can impact health throughout the lifespan. The purpose of this review was to examine the contributions and scope of the SER model in research on youth, with the goal of advancing SER-informed research and interventions within preventive medicine. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach as a guiding framework, we conducted a narrative review of the literature. The review characterizes 37 existing studies across the fields of education, psychology, and social work in terms of topic, focal population, methods, use of SER, and implications. We conclude with recommendations for future applications of SER to promote the health and wellbeing of youth.
青年经历逆境会增加他们即时和长期健康后果的风险。韧性传统上被概念化为一种内在的性格或特质，支持青年克服这种风险，避免对他们的健康和福祉产生负面影响。然而，这种韧性模式过分强调了个体的作用及其控制环境的能力，而最小化了他们生活的关系、社会、结构和文化背景的重要作用。相反，社会生态韧性（SER）强调社会和环境因素对个体过程和结果的影响，并为促进青年健康和福祉的预防干预提供了不同的途径。在预防医学中，研究人员和从业者了解支持或阻碍 SER 的过程非常重要，特别是在青年时期，逆境可能会影响整个生命周期的健康。本综述的目的是考察 SER 模型在青年研究中的贡献和范围，旨在推进预防医学中基于 SER 的研究和干预。我们遵循系统评价和荟萃分析的首选报告项目（PRISMA）方法作为指导框架，对教育、心理学和社会工作领域的 37 项现有研究进行了叙述性综述。该综述从主题、焦点人群、方法、SER 的使用以及意义等方面对这些研究进行了描述。最后，我们提出了将 SER 应用于促进青年健康和福祉的未来建议。
