A review of protective factors and causal mechanisms that enhance the mental health of Indigenous Circumpolar youth.
A review of protective factors and causal mechanisms that enhance the mental health of Indigenous Circumpolar youth.
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DOI：
10.3402/ijch.v72i0.21775
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发表时间：
2013-12-09
影响因子：
1.3
通讯作者：
Ross NA
中科院分区：
文献类型：
--
作者：
MacDonald JP;Ford JD;Willox AC;Ross NA
审查促进和加强北极圈土著青年心理健康的保护因素和因果机制。同行评议的英语语言研究进行了系统的文献综述，系统地研究保护因素和因果机制，促进和加强土著青年心理健康在北极圈。本综述遵循系统性综述和荟萃分析的首选报告项目（PRISMA）指南，具有现实主义综述的要素。在3个数据库的初始检索中识别出的160条记录中，15条符合纳入标准，并保留进行全面审查。数据是使用一个编码本提取的，以组织和综合文章中的相关信息。在个人、家庭和社区层面，有40多个保护因素被确定为增强土著青年心理健康的因素。这些因素包括实践和掌握传统知识和技能、希望自己有用并为社区作出有意义的贡献、树立积极的榜样以及相信自己。从广义上讲，家庭和社区层面的保护性因素被确定为积极创造和影响一个人的社会环境，与个人层面的因素相互作用，以提高复原力。强调文化和土地活动的作用，历史和语言，以及社会和家庭支持的重要性，也出现在整个文学。在个人、家庭和社区层面，有40多个保护因素被确定为增强土著青年心理健康的因素。这些因素包括实践和掌握传统知识和技能、希望自己有用并为社区作出有意义的贡献、树立积极的榜样以及相信自己。从广义上讲，家庭和社区层面的保护性因素被确定为积极创造和影响一个人的社会环境，与个人层面的因素相互作用，以提高复原力。强调文化和土地活动的作用，历史和语言，以及社会和家庭支持的重要性，也出现在整个文学。健康的社区和家庭培养和支持青年人适应心理健康挑战，并能够适应和科普多种压力，无论是社会，经济还是环境。创造机会和环境，使青年能够成功应对挑战，增强他们的复原力，这反过来又有助于培养健康的环极社区。审视新的社交媒体在青年沟通和互动方式中的作用，是理解如何创造这种机会的一种方式。青年对心理健康方案的看法对于发展适当的心理健康支持至关重要，青年的有意义参与可以为当地适当和文化相关的心理健康资源、方案和社区复原力战略提供信息。
To review the protective factors and causal mechanisms which promote and enhance Indigenous youth mental health in the Circumpolar North. A systematic literature review of peer-reviewed English-language research was conducted to systematically examine the protective factors and causal mechanisms which promote and enhance Indigenous youth mental health in the Circumpolar North. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, with elements of a realist review. From 160 records identified in the initial search of 3 databases, 15 met the inclusion criteria and were retained for full review. Data were extracted using a codebook to organize and synthesize relevant information from the articles. More than 40 protective factors at the individual, family, and community levels were identified as enhancing Indigenous youth mental health. These included practicing and holding traditional knowledge and skills, the desire to be useful and to contribute meaningfully to one's community, having positive role models, and believing in one's self. Broadly, protective factors at the family and community levels were identified as positively creating and impacting one's social environment, which interacts with factors at the individual level to enhance resilience. An emphasis on the roles of cultural and land-based activities, history, and language, as well as on the importance of social and family supports, also emerged throughout the literature. More than 40 protective factors at the individual, family, and community levels were identified as enhancing Indigenous youth mental health. These included practicing and holding traditional knowledge and skills, the desire to be useful and to contribute meaningfully to one's community, having positive role models, and believing in one's self. Broadly, protective factors at the family and community levels were identified as positively creating and impacting one's social environment, which interacts with factors at the individual level to enhance resilience. An emphasis on the roles of cultural and land-based activities, history, and language, as well as on the importance of social and family supports, also emerged throughout the literature. Healthy communities and families foster and support youth who are resilient to mental health challenges and able to adapt and cope with multiple stressors, be they social, economic, or environmental. Creating opportunities and environments where youth can successfully navigate challenges and enhance their resilience can in turn contribute to fostering healthy Circumpolar communities. Looking at the role of new social media in the way youth communicate and interact is one way of understanding how to create such opportunities. Youth perspectives of mental health programmes are crucial to developing appropriate mental health support and meaningful engagement of youth can inform locally appropriate and culturally relevant mental health resources, programmes and community resilience strategies.