Almeida-Filho N
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Brazil.
Cult Med Psychiatry. 1998 Sep;22(3):285-316. doi: 10.1023/a:1005321431115.
This paper takes a critical standpoint, both theoretical and methodological, to revisit Inkeles and Smith's hypothesis on the association between modernization and mental health. First it is proposed a critical evaluation of the premises of the conceptual treatment of the relationships between social change and mental health prevailing during the past two decades. Secondly, results from epidemiologic research on the psychological outcomes of social development in Latin America are reviewed, emphasizing the methodological improvements which occurred during the past two decades. Selected findings of an epidemiological survey recently conducted in urban Brazil are then presented, focusing on a case-control analysis of the socio-economic correlates of individual mental health. Finally, some of the implications of the new evidence concerning the social change and mental health hypothesis are discussed, as an attempt to interpret these findings in the light of recent developments of theories on social change and health in the contemporary world.
本文从理论和方法两个关键角度出发，重新审视英克尔斯和史密斯关于现代化与心理健康之间关联的假说。首先，对过去二十年来盛行的社会变革与心理健康关系概念化处理的前提进行批判性评估。其次，回顾拉丁美洲社会发展心理结果的流行病学研究成果，强调过去二十年中出现的方法改进。接着展示最近在巴西城市进行的一项流行病学调查的部分选定结果，重点是对个体心理健康社会经济相关因素的病例对照分析。最后，讨论有关社会变革与心理健康假说新证据的一些影响，试图根据当代世界社会变革与健康理论的最新发展来解读这些发现。
