Reimagining Perinatal Mental Health: An Expansive Vision For Structural Change.

Reimagining Perinatal Mental Health: An Expansive Vision For Structural Change.
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DOI:
10.1377/hlthaff.2021.00805
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发表时间:
2021-10
期刊:
影响因子:
9.7
通讯作者:
Jackson, Fleda Mask
Jackson, Fleda Mask
中科院分区:
医学1区
文献类型:
--
作者:
Foster, Vu-An;Harrison, Jessica M.;Williams, Caitlin R.;V. Asiodu, Ifeyinwa;Ayala, Sequoia;Getrouw-Moore, Jasmine;Davis, Nastassia K.;Davis, Wendy;Mahdi, Inas K.;Nedhari, Aza;Niles, P. Mimi;Peprah, Sayida;Perritt, Jamila B.;McLemore, Monica R.;Jackson, Fleda Mask

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抑郁症、焦虑症或其他精神疾病的诊断只是围产期心理社会因素的一个方面。围产期损失;创伤;不稳定、不安全或不人道的工作环境;医疗保健和社会中的结构性种族主义和性别压迫;以及缺乏社会安全网,威胁着分娩人员、他们的家庭和社区的整体福祉。因此,制定围产期心理健康的相关政策需要注意种族主义、贫困、缺乏育儿、产后支持不足和其他结构性暴力对健康的交叉影响。为了充分理解和解决这一问题,我们使用人权框架阐明政策制定者必须如何以及为什么必须采取渐进行动来实现这一目标。这篇评论由一个跨学科和跨世代的团队撰写,利用个人和专业知识来颠覆关于围产期经历的心理社会方面的潜在假设,并重新设想一种促进围产期健康的新方法。
Diagnoses of depression, anxiety, or other mental illness capture but one aspect of the psychosocial elements of the perinatal period. Perinatal loss; trauma; unstable, unsafe, or inhumane work environments; structural racism and gendered oppression in health care and society; and the lack of a social safety net threaten the overall wellbeing of birthing people, their families, and communities. Developing relevant policies for perinatal mental health thus requires attending to the intersecting effects of racism, poverty, lack of childcare, inadequate postpartum support, and other structural violence on health. To fully understand and address this issue, we use a human rights framework to articulate how and why policymakers must take progressive action toward this goal. This commentary, written by an interdisciplinary and intergenerational team, employs personal and professional expertise to disrupt underlying assumptions about psychosocial aspects of the perinatal experience and reimagines a new way forward to facilitate wellbeing in the perinatal period.
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