巴西的孤独:对公共健康的无声威胁。
Loneliness in Brazil: a silent threat to Public Health.
作者信息
Passarelli-Araújo Hisrael
机构信息
Centro de Desenvolvimento e Planejamento Regional, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
出版信息
Cad Saude Publica. 2025 Jul 25;41(7):e00229524. doi: 10.1590/0102-311XEN229524. eCollection 2025.
Loneliness has emerged as a significant Public Health issue, yet its impact in developing countries remains understudied. This study examines the growing concern regarding loneliness in Brazil and how aging, urbanization, and changes in family structure may erode traditional social supports and deepen loneliness across various groups. The study also assesses the challenges of measuring loneliness, given its subjective nature, and critically evaluates how well the Brazilian Unified National Health System (SUS) is equipped to address loneliness via community-based interventions and integrated healthcare strategies. The study suggests that loneliness is intensifying due to demographic changes as the population ages, becomes more urbanized, and experiences shifts in family structure. Although SUS employs community-focused health strategies and extensive care models to combat loneliness, it struggles with challenges like insufficient funding, high patient-to-professional ratios, and a fragmented healthcare system. This study emphasizes that loneliness cannot be resolved medically, such as with vaccine, but with strengthened social connections and community support. We advocate for a comprehensive approach that includes healthcare and cross-sector collaboration with the education, housing, and social services branches to tackle both the symptoms and root causes of loneliness, positioning it as a pressing Public Health priority.
孤独已成为一个重大的公共卫生问题,但其在发展中国家的影响仍未得到充分研究。本研究探讨了巴西对孤独问题日益增长的关注,以及老龄化、城市化和家庭结构变化如何可能削弱传统社会支持并加深不同群体的孤独感。鉴于孤独的主观性,本研究还评估了衡量孤独感的挑战,并批判性地评估了巴西统一国家卫生系统(SUS)通过基于社区的干预措施和综合医疗保健策略应对孤独问题的能力。研究表明,随着人口老龄化、城市化程度提高以及家庭结构发生变化,人口结构的改变导致孤独感加剧。尽管SUS采用以社区为重点的健康策略和广泛的护理模式来对抗孤独,但它仍面临资金不足、医患比例高以及医疗保健系统碎片化等挑战。本研究强调,孤独无法通过医学手段解决,比如接种疫苗,而是需要加强社会联系和社区支持。我们倡导一种综合方法,包括医疗保健以及与教育、住房和社会服务部门的跨部门合作,以解决孤独的症状和根源,将其定位为紧迫的公共卫生优先事项。
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本文引用的文献
Soc Sci Med. 2023-10
Int J Qual Stud Health Well-being. 2023-12
Int J Public Health. 2022