Recent Advances on Social Determinants of Mental Health: Looking Fast Forward
The fields of psychiatry and mental health are increasingly recognizing the importance of social determinants of health (SDOH) and their impact on mental health outcomes. In this overview, the authors discuss the recent research, from the past 5 years, on advances made in SDOH work. SDOH frameworks...
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| Vydáno v: | The American journal of psychiatry Ročník 180; číslo 7; s. 473 |
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| Hlavní autoři: | , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
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United States
01.07.2023
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| ISSN: | 1535-7228, 1535-7228 |
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| Abstract | The fields of psychiatry and mental health are increasingly recognizing the importance of social determinants of health (SDOH) and their impact on mental health outcomes. In this overview, the authors discuss the recent research, from the past 5 years, on advances made in SDOH work. SDOH frameworks and theories have expanded to include more social conditions, from traumas associated with immigration to psychosocial and community strengths, that impact mental health and well-being. Research has consistently shown the pervasive deleterious impacts of inequitable social conditions (e.g., food insecurity, housing instability) on minoritized populations' physical and mental health. Social systems of oppression (e.g., racism, minoritization) have also been shown to confer higher risk for psychiatric and mental disorders. The COVID-19 pandemic illuminated the inequitable impact of the social determinants of health outcomes. More efforts have been made in recent years to intervene on the social determinants through interventions at the individual, community, and policy levels, which have shown promise in improving mental health outcomes in marginalized populations. However, major gaps remain. Attention should be paid to developing guiding frameworks that incorporate equity and antiracism when designing SDOH interventions and improving methodological approaches for evaluating these interventions. In addition, structural-level and policy-level SDOH efforts are critical for making long-lasting and impactful advances toward mental health equity. |
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| AbstractList | The fields of psychiatry and mental health are increasingly recognizing the importance of social determinants of health (SDOH) and their impact on mental health outcomes. In this overview, the authors discuss the recent research, from the past 5 years, on advances made in SDOH work. SDOH frameworks and theories have expanded to include more social conditions, from traumas associated with immigration to psychosocial and community strengths, that impact mental health and well-being. Research has consistently shown the pervasive deleterious impacts of inequitable social conditions (e.g., food insecurity, housing instability) on minoritized populations' physical and mental health. Social systems of oppression (e.g., racism, minoritization) have also been shown to confer higher risk for psychiatric and mental disorders. The COVID-19 pandemic illuminated the inequitable impact of the social determinants of health outcomes. More efforts have been made in recent years to intervene on the social determinants through interventions at the individual, community, and policy levels, which have shown promise in improving mental health outcomes in marginalized populations. However, major gaps remain. Attention should be paid to developing guiding frameworks that incorporate equity and antiracism when designing SDOH interventions and improving methodological approaches for evaluating these interventions. In addition, structural-level and policy-level SDOH efforts are critical for making long-lasting and impactful advances toward mental health equity.The fields of psychiatry and mental health are increasingly recognizing the importance of social determinants of health (SDOH) and their impact on mental health outcomes. In this overview, the authors discuss the recent research, from the past 5 years, on advances made in SDOH work. SDOH frameworks and theories have expanded to include more social conditions, from traumas associated with immigration to psychosocial and community strengths, that impact mental health and well-being. Research has consistently shown the pervasive deleterious impacts of inequitable social conditions (e.g., food insecurity, housing instability) on minoritized populations' physical and mental health. Social systems of oppression (e.g., racism, minoritization) have also been shown to confer higher risk for psychiatric and mental disorders. The COVID-19 pandemic illuminated the inequitable impact of the social determinants of health outcomes. More efforts have been made in recent years to intervene on the social determinants through interventions at the individual, community, and policy levels, which have shown promise in improving mental health outcomes in marginalized populations. However, major gaps remain. Attention should be paid to developing guiding frameworks that incorporate equity and antiracism when designing SDOH interventions and improving methodological approaches for evaluating these interventions. In addition, structural-level and policy-level SDOH efforts are critical for making long-lasting and impactful advances toward mental health equity. The fields of psychiatry and mental health are increasingly recognizing the importance of social determinants of health (SDOH) and their impact on mental health outcomes. In this overview, the authors discuss the recent research, from the past 5 years, on advances made in SDOH work. SDOH frameworks and theories have expanded to include more social conditions, from traumas associated with immigration to psychosocial and community strengths, that impact mental health and well-being. Research has consistently shown the pervasive deleterious impacts of inequitable social conditions (e.g., food insecurity, housing instability) on minoritized populations' physical and mental health. Social systems of oppression (e.g., racism, minoritization) have also been shown to confer higher risk for psychiatric and mental disorders. The COVID-19 pandemic illuminated the inequitable impact of the social determinants of health outcomes. More efforts have been made in recent years to intervene on the social determinants through interventions at the individual, community, and policy levels, which have shown promise in improving mental health outcomes in marginalized populations. However, major gaps remain. Attention should be paid to developing guiding frameworks that incorporate equity and antiracism when designing SDOH interventions and improving methodological approaches for evaluating these interventions. In addition, structural-level and policy-level SDOH efforts are critical for making long-lasting and impactful advances toward mental health equity. |
| Author | Falgas-Bague, Irene Alegría, Margarita Alvarez, Kiara Cheng, Michelle |
| Author_xml | – sequence: 1 givenname: Margarita surname: Alegría fullname: Alegría, Margarita organization: Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and the Mongan Institute, Boston (Alegría, Cheng, Falgas-Bague); Department of Medicine (Alegría, Falgas-Bague) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Alvarez); Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Allschwil, Basel, Switzerland (Falgas-Bague) – sequence: 2 givenname: Kiara surname: Alvarez fullname: Alvarez, Kiara organization: Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and the Mongan Institute, Boston (Alegría, Cheng, Falgas-Bague); Department of Medicine (Alegría, Falgas-Bague) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Alvarez); Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Allschwil, Basel, Switzerland (Falgas-Bague) – sequence: 3 givenname: Michelle surname: Cheng fullname: Cheng, Michelle organization: Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and the Mongan Institute, Boston (Alegría, Cheng, Falgas-Bague); Department of Medicine (Alegría, Falgas-Bague) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Alvarez); Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Allschwil, Basel, Switzerland (Falgas-Bague) – sequence: 4 givenname: Irene surname: Falgas-Bague fullname: Falgas-Bague, Irene organization: Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and the Mongan Institute, Boston (Alegría, Cheng, Falgas-Bague); Department of Medicine (Alegría, Falgas-Bague) and Department of Psychiatry (Alegría), Harvard Medical School, Boston; Bloomberg School of Public Health, Johns Hopkins University, Baltimore (Alvarez); Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute and University of Basel, Allschwil, Basel, Switzerland (Falgas-Bague) |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37392038$$D View this record in MEDLINE/PubMed |
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| Title | Recent Advances on Social Determinants of Mental Health: Looking Fast Forward |
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