Geopolitical factors and mental health I
Geopolitical factors and mental health I
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地缘政治因素与心理健康 I
DOI：
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发表时间：
2018
影响因子：
7.5
通讯作者：
D. Bhugra
中科院分区：
文献类型：
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作者：
A. Persaud;G. Day;Susham Gupta;A. Ventriglio;Roxanna Ruiz;E. Chumakov;G. Desai;J. Castaldelli;J. Torales;Edgardo Juan Tolentino;K. Bhui;D. Bhugra
自然灾害和人为灾害带来了沉重的负担，而且往往把重点放在立即生存和控制由此产生的传染病上。灾害对受灾者的福祉和心理健康的直接和间接影响往往被忽视。原因往往是耻辱和缺乏对心理健康后果的关注。此外，重点往往是防止传染病的传播，如水媒或空气传播的疾病。由于援助机构在提供援助时往往侧重于传染病，而不是人口的心理健康，这一情况更加复杂。这种关注可能很容易反映出与精神疾病相比的结果，因为全球疾病负担可能在未来几十年内增加。迫切需要在社会和保健政策中适用社会正义原则，这将导致消除污名。在本文中，我们建议在任何救援计划和实施中都需要认真对待灾难造成的精神疾病的影响。心理健康很可能因灾害而受到直接和间接的影响，也可能受到住房条件差、过度拥挤和其他社会决定因素等持续因素的影响。除了在身体和精神疾病之间实现平等外，还需要适当和充足的资源，以便能够以明确的成果满足可确定的需求。
Natural and man-made disasters carry with them major burden and very often the focus is on immediate survival and management of resulting infectious diseases. The impact of disasters directly and indirectly on the well-being and mental health of those affected often gets ignored. The reasons are often stigma and lack of attention to mental health consequences. In addition, often the focus is on preventing the spread of infectious diseases such as waterborne or airborne diseases. This is further complicated by the fact that often aid agencies in offering aid tend to focus on communicable diseases and not on mental health of populations. This focus may reflect easily to measure outcomes in comparison with mental illnesses as the global burden of disease is likely to increase in the next few decades. There is an urgent need to apply the principles of social justice on social and health care policies, which will lead to elimination of stigma. In this article, we propose that the impact of mental illness as a result of disasters needs to be taken seriously in any planning and delivery of relief. Mental health is likely to be affected both directly and indirectly as a result of disasters and also likely to be influenced by ongoing factors such as poor housing, overcrowding and other social determinants. In addition to deliver equity between physical and mental illnesses, appropriate and adequate resources are needed so that identifiable needs can be met with clear outcomes.
影响因子：
25.8
作者：
Walker, Elizabeth Reisinger;McGee, Robin E.;Druss, Benjamin G.
通讯作者：
Druss, Benjamin G.