Social Determinants of Mental Health as Mediators and Moderators of the Mental Health Impacts of the COVID-19 Pandemic
Social Determinants of Mental Health as Mediators and Moderators of the Mental Health Impacts of the COVID-19 Pandemic
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DOI：
10.1176/appi.ps.202000393
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发表时间：
2021-05-01
影响因子：
3.8
通讯作者：
Compton, Michael T.
中科院分区：
文献类型：
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作者：
Bernardini, Francesco;Attademo, Luigi;Compton, Michael T.
感染COVID-19、暴露于COVID-19或受到社会遏制措施的影响可能会产生后果，这些后果本身就是健康的社会决定因素。先前存在的健康社会决定因素也导致COVID-19感染和死亡在少数群体、边缘化群体和其他弱势群体中的发病率不成比例地高。因此，心理健康的社会决定因素既是这一大流行病影响的中介者，也是调节者，而且与所有社会决定因素一样，这一大流行病的影响得到公共政策和社会规范的支持。遏制措施的主要经济影响产生了连锁反应，将在未来几年影响心理健康。
Contracting COVID-19, being exposed to it, or being affected by societal containment measures can have consequences that are themselves social determinants of health. Preexisting social determinants of health also drive the disproportionately high prevalence of COVID-19 infection and deaths among minority, marginalized, and other vulnerable populations. Thus, the social determinants of mental health act as both mediators andmoderators of the pandemic's impacts, and like all social determinants, the effects of the pandemic are underpinned by public policies and social norms. The major economic impacts of containment measures have had cascading effects that will affect mental health for years to come.