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社区卫生工作者:通向儿童心理健康公平的桥梁。

Community Health Workers: Bridge to Pediatric Mental Health Equity.

作者信息

Nelson Eve-Lynn, Punt Stephanie, Stiles Robert, Cain Sharon E

机构信息

University of Kansas Medical Center, Kansas City, Kansas.

University of California, Los Angeles, California.

出版信息

J Am Acad Child Adolesc Psychiatry. 2025 May;64(5):541-546. doi: 10.1016/j.jaac.2024.07.917. Epub 2024 Aug 2.

Abstract

We currently face a national crisis in youth mental health and well-being and significant child behavioral health inequities. There is a growing recognition among health care institutions, policymakers, researchers, and communities that major health problems of our time, including this crisis, must be confronted by addressing the underlying "causes of the causes," or social determinants of health. Social determinants of health are defined by the US Centers for Disease Control and Prevention as the conditions in which people live, learn, work, play, worship, and age and highlight the role that power and privilege occupy in shaping societal access to these resources. Social determinants of mental health (SDoMH) encompass the same conditions of social determinants of health, with the addition of the stigma often associated with mental health and substance use disorders. SDoMH focus on the social/environmental factors that place certain groups at increased risk for mental health concerns and worsening outcomes for individuals who already have mental health concerns. Addressing SDoMH is a key strategy to toward Healthy People 2030 goals and "the attainment of the highest level of health for all people.".

摘要

我们目前在青少年心理健康和幸福以及儿童行为健康方面存在重大不平等问题,面临着一场全国性危机。医疗保健机构、政策制定者、研究人员和社区越来越认识到,我们这个时代的主要健康问题,包括这场危机,必须通过解决潜在的“病因之因”,即健康的社会决定因素来应对。美国疾病控制与预防中心将健康的社会决定因素定义为人们生活、学习、工作、娱乐、礼拜和衰老的环境,并强调了权力和特权在塑造社会获取这些资源的机会方面所起的作用。心理健康的社会决定因素(SDoMH)涵盖了与健康的社会决定因素相同的条件,此外还包括通常与心理健康和物质使用障碍相关的耻辱感。SDoMH关注那些使某些群体心理健康问题风险增加以及使已有心理健康问题的个体病情恶化的社会/环境因素。解决SDoMH是实现《健康人民2030》目标以及“让所有人都能达到最高健康水平”的关键策略。

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