Trauma is a public health issue.
Trauma is a public health issue.
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DOI：
10.1080/20008198.2017.1375338
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发表时间：
2017
影响因子：
5
通讯作者：
Elmore Borbon DL
中科院分区：
文献类型：
--
作者：
Magruder KM;McLaughlin KA;Elmore Borbon DL
创伤在世界各地的社会中普遍存在，并给个人和社会带来巨大的代价，使其成为一个重大的全球公共卫生问题。我们提出的证据表明，创伤作为一个公共卫生问题，通过突出的作用，在多个层面的影响-个人，关系，社区和社会-作为解释因素，在创伤的发生及其后遗症的特点。在这一多层次框架内，我们强调预防创伤及其下游后果的目标，并提供公共卫生预防方法取得成功的例子。最后，我们描述了公共卫生政策在解决创伤作为一个全球公共卫生问题，包括全球精神卫生的主要挑战和制定和实施创伤知情的公共卫生政策议程的下一步措施的重要作用。公共卫生框架对于理解创伤及其后果的风险和保护因素至关重要，它在多个层面上发挥影响，并创造预防机会。
Exposure to trauma is pervasive in societies worldwide and is associated with substantial costs to the individual and society, making it a significant global public health concern. We present evidence for trauma as a public health issue by highlighting the role of characteristics operating at multiple levels of influence – individual, relationship, community, and society – as explanatory factors in both the occurrence of trauma and its sequelae. Within the context of this multi-level framework, we highlight targets for prevention of trauma and its downstream consequences and provide examples of where public health approaches to prevention have met with success. Finally, we describe the essential role of public health policies in addressing trauma as a global public health issue, including key challenges for global mental health and next steps for developing and implementing a trauma-informed public health policy agenda. A public health framework is critical for understanding risk and protective factors for trauma and its aftermath operating at multiple levels of influence and generating opportunities for prevention.
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影响因子：
6.3
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