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美国儿童和青少年心理健康与福祉指标中的混杂信号:呼吁改善人口健康监测。

Mixed Signals in Child and Adolescent Mental Health and Well-Being Indicators in the United States: A Call for Improvements to Population Health Monitoring.

机构信息

University of California Los Angeles Jonathan and Karin Fielding School of Public.

University of California Los Angeles David Geffen School of Medicine.

出版信息

Milbank Q. 2023 Jun;101(2):259-286. doi: 10.1111/1468-0009.12634. Epub 2023 Apr 13.

Abstract

Policy Points Social indicators of young peoples' conditions and circumstances, such as high school graduation, food insecurity, and smoking, are improving even as subjective indicators of mental health and well-being have been worsening. This divergence suggests policies targeting the social indicators may not have improved overall mental health and well-being. There are several plausible reasons for this seeming contradiction. Available data suggest the culpability of one or several common exposures poorly captured by existing social indicators. Resolving this disconnect requires significant investments in population-level data systems to support a more holistic, child-centric, and up-to-date understanding of young people's lives.

摘要

政策要点 尽管年轻人的状况和环境的社会指标(如高中毕业率、食品无保障和吸烟)正在改善,但心理健康和幸福感的主观指标却在恶化。这种分歧表明,针对社会指标的政策可能并没有改善整体心理健康和幸福感。造成这种看似矛盾的情况有几个合理的原因。现有数据表明,现有社会指标未能很好地捕捉到一种或多种常见暴露因素的责任。要解决这种脱节问题,需要在人口水平数据系统上投入大量资金,以支持对年轻人生活有更全面、以儿童为中心和最新的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4926/10262392/fbf543123e2f/MILQ-101-259-g002.jpg

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