全美心理健康状况不佳和健康不平等的交叉趋势

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2024-09-03 DOI:10.1016/j.ssmmh.2024.100349
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引用次数: 0

摘要

尽管精神痛苦对人口健康构成了巨大且日益严重的威胁,但我们对其社会分布如何随时间推移而发生变化以及这些变化对精神健康公平的影响的了解却很有限。为了解决这个问题,我们利用行为风险因素监测系统的数据,以非参数的方式描述了 1993 年至 2019 年期间,在美国,根据民族、种族、性别、教育程度和家庭贫困状况界定的交叉社会群体中,频繁精神痛苦(FMD)的年龄标准化流行率和 FMD 的社会不平等是如何变化的。我们发现,几乎所有社会群体的年龄标准化 FMD 患病率都有所上升,特权较多群体与特权较少群体之间的健康不平等在绝对值上大多有所扩大,但相对有所缩小,而且仅仅依靠共同群体的 FMD 总结掩盖了跨部门亚群体之间的实质性异质性。我们的研究结果表明,亟需解决精神痛苦的社会政治决定因素,优先制定政策,解决弱势群体所承受的日益加重的不公平负担。
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Intersectional trends in poor mental health and health inequities across the US

Though mental distress poses a large and growing threat to population health, our understanding of how its social distribution has changed over time and what these changes imply for mental health equity is limited. To address this, we use data from the Behavioral Risk Factor Surveillance System to non-parametrically describe how age-standardized prevalence of frequent mental distress (FMD) and social inequities in FMD have changed in the United States between 1993 and 2019 for intersectional social groups defined by ethnicity, race, sex, educational attainment, and household poverty status. We find that age-standardized FMD prevalence has increased for almost all social groups, that health inequities between more and less privileged groups have mostly widened in absolute terms but narrowed relatively, and that relying solely on common group FMD summaries masks substantial heterogeneity across intersectional subgroups. Our findings show an urgent need to address the sociopolitical determinants of mental distress, prioritizing policies which would address the growing inequitable burden experienced by those less privileged.

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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
118 days
期刊最新文献
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