Office of Disease Prevention, NIH, Bethesda, Md. (Alvidrez); Office for Disparities Research and Workforce Diversity, NIMH, Bethesda, Md. (Barksdale); National Institute on Minority Health and Health Disparities, NIH, Bethesda, Md. (Barksdale).
Am J Psychiatry. 2022 Jun;179(6):417-421. doi: 10.1176/appi.ajp.21100969.
Racial, ethnic, and other mental health disparities have been documented for several decades. However, progress in reducing or eliminating these disparities has been slow. In this review, the authors argue that understanding and addressing mental health disparities requires using a multidimensional lens that encompasses a wide array of social determinants of health at individual, interpersonal, organizational, community, and societal levels. However, much of the current research on mental health disparities, including research funded by the National Institutes of Health, is characterized by a narrower focus on a small number of determinants. The authors offer a research framework, adapted from the National Institute on Minority Health and Health Disparities Research Framework, that provides examples of determinants that may cause or sustain mental health disparities and that can serve as intervention targets to reduce those disparities. They also discuss different types of mental health disparities research to highlight the need for more research testing and implementing interventions that directly modify social determinants of health and promote mental health equity.
几十年来，人们已经记录了种族、民族和其他心理健康方面的差异。然而，在减少或消除这些差异方面进展缓慢。在这篇综述中，作者认为，要理解和解决心理健康差异问题，需要使用一个多维视角，涵盖个人、人际、组织、社区和社会各个层面的广泛健康决定因素。然而，包括美国国立卫生研究院资助的研究在内，目前心理健康差异方面的大部分研究都侧重于少数几个决定因素，范围较窄。作者提供了一个研究框架，该框架改编自国家少数民族健康和健康差异研究所研究框架，提供了可能导致或维持心理健康差异的决定因素的示例，这些因素可以作为减少这些差异的干预目标。他们还讨论了不同类型的心理健康差异研究，强调需要进行更多的研究，以测试和实施直接改变健康决定因素和促进心理健康公平的干预措施。
