Precarity and mental health: What role can mutual aid play in mitigating social determinants of health in left-behind communities?

生活在不稳定的经济状况下与心理和身体健康状况不佳有关（Marmot等人，2010;Marmot 2022）。我们的危机时代，包括2007/08年的全球金融危机、随后的紧缩政策、2019冠状病毒病大流行、气候危机、国际冲突和生活成本危机，从根本上加剧了不稳定和不平等（Marmot et al. 2020）。越来越多的证据支持心理健康状况不佳与财政紧缩的影响之间存在联系（Mattheys等人，2017）；专业人士寻求通过社区层面的手段来减轻这种影响（Izlar, 2019; Malloch, 2021）。从广义上讲，社区环境中的互助包括支助小组、网络和合作社；通过提供自愿和互补的支持、资源和/或服务交换（Shepard, 2014; Izlar, 2019）。

Living in a precarious financial situation is associated with poor outcomes in mental and physical health (Marmot et al. 2010; Marmot 2022). Our age of crisis, including the Global Financial Crisis of 2007/08, subsequent austerity policies, the COVID-19 pandemic, the climate crisis, international conflict and the cost-of-living crisis, has radically exacerbated precarity and inequality (Marmot et al. 2020). A growing body of evidence supports a link between poor mental health and impacts of austerity (Mattheys et al., 2017); with professionals seeking to mitigate this effect looking towards community level means (Izlar, 2019; Malloch, 2021). In broad terms, mutual aid in a community setting includes support groups, networks and cooperatives; by offering a voluntary and complementary exchange of support, resources and/or services ( Shepard, 2014; Izlar, 2019).