Conflict and health - War and mental health: a brief overview

Conflict and health - War and mental health: a brief overview
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DOI:
10.1136/bmj.321.7255.232
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发表时间:
2000-07-22
影响因子:
--
通讯作者:
Summerfield, D
Summerfield, D
中科院分区:
医学1区
文献类型:
--
作者:
Summerfield, D

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目前约有40起暴力冲突正在发生,世界上近1%的人是难民或流离失所者。超过80%的难民在发展中国家,尽管过去十年有400万人在西欧申请庇护。许多战争都是在维持生计的经济领域进行的;大多数冲突都涉及政权与其社会各阶层-一般是穷人和特定的族裔群体,如科索沃的阿尔巴尼亚族人-交战。暴行法外处决、酷刑、失踪和性侵犯产生恐怖,最大限度地控制整个人口,故意破坏社会、经济和文化生活的结构也是如此。社区领袖、卫生工作者和设施、学校、学术界、礼拜场所以及任何为人权和正义大声疾呼的人往往成为目标。在许多地区,这种战争是整个社会日常生活和决策的一个因素。
About 40 violent conflicts are currently active and nearly 1% of the people in the world are refugees or displaced persons. Over 80% of all refugees are in developing countries, although 4 million have claimed asylum in western Europe in the past decade. Many wars are being played out on the terrain of subsistence economies; most conflict involves regimes at war with sectors of their own society—generally the poor and particular ethnic groups, such as the ethnic Albanians in Kosovo. Atrocity—extrajudicial execution, torture, disappearances, and sexual violation—generates terror, which maximises control over whole populations, as does the intentional destruction of the fabric of social, economic, and cultural life. Community leaders, health workers and facilities, schools, academics, places of worship, and anyone who speaks out for human rights and justice are often targets. In many regions such war is a factor in the daily lives and decision making of a whole society.