Shifting from policy relevance to policy translation: do housing and neighborhoods affect children's mental health?

Shifting from policy relevance to policy translation: do housing and neighborhoods affect children's mental health?
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从政策相关性转向政策转化:住房和社区会影响儿童的心理健康吗?

DOI:
10.1007/s00127-014-0998-6
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发表时间:
2015
影响因子:
4.4
通讯作者:
Osypuk,TheresaL
Osypuk,TheresaL
中科院分区:
医学2区
文献类型:
--
作者:
Osypuk,TheresaL

文献摘要

相似文献

Flouri 等人讨论了住房和社区环境对儿童心理健康的影响。 (Soc Psychiatry Psychiatr Epidemiol,2014)是社会流行病学中一个重要的、尚未得到充分研究的话题。尽管绝大多数研究都是描述性的,但转化研究至关重要。本文提供了解释观察性研究证据以转化为政策的指导,涉及住房的三个政策相关要素:获得经济适用住房补贴、结果推广的目标人群以及邻里环境的操作化和建模。政策转化对于了解可以操纵卫生部门之外的哪些杠杆来改变与住房和邻里相关的心理健康的根本原因至关重要。从政策相关性转向政策转化可能具有挑战性,特别是对于理解观察性研究中的社会因果关系而言,但这是改善人口健康的必要转变。
The impact of housing and neighborhood context on children’s mental health, as addressed by Flouri et al. (Soc Psychiatry Psychiatr Epidemiol, 2014), is an important, understudied topic in social epidemiology. Although the vast majority of this body of research has been descriptive, generating translational research is essential. This article offers guidance on interpreting evidence from observational studies for translation into policy, related to three policy-relevant elements of housing: receipt of affordable housing subsidies, the target population to which results generalize, and operationalization and modeling of neighborhood context. Policy translation is imperative for understanding which levers outside the health sector can be manipulated to change fundamental causes of mental health related to housing and neighborhood. Shifting from policy relevance to policy translation may be challenging, especially for understanding social causation in observational studies, but it is a necessary shift for improving population health.