Social inequalities in youth mental health in Canada, 2007-2022: a population-based repeated cross-sectional study.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-01-17 DOI:10.1007/s00127-025-02813-7

Britt McKinnon, Rabina Jahan, Julia Mazza

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引用次数: 0

Abstract

Purpose: Rising concern surrounds youth mental health in Canada, with growing disparities between females and males. However, less is known about recent trends by other sociodemographic factors, including sexual orientation, ethnocultural background, and socioeconomic status.

Methods: This study analyzed data from 96 683 youths aged 15-24 who participated in the nationally representative Canadian Community Health Survey (CCHS) between 2007 and 2022. Trends in absolute and relative inequalities in poor/fair self-rated mental health (SRMH) by sex, sexual orientation, racialized and Indigenous identity, and socioeconomic conditions were assessed.

Results: The percent of youths reporting poor/fair SRMH quadrupled from 4.3% in 2007-08 to 20.1% in 2021-22. During the same period, absolute inequalities in SRMH increased by 9.9% points (95% CI: 6.6, 12.9) for females compared to males, 11.4% points (95% CI: 4.6, 18.2) for Indigenous versus non-racialized youth, and 15.4% points (95% CI: 5.7, 25.1) for youth (aged 18-24) identifying as lesbian, gay, or bisexual (LGB) compared to heterosexual.

Conclusion: The sustained deterioration in youth SRMH over the past decade and a half has been accompanied by widening inequalities across several dimensions important for health equity in Canada. Action is needed to identify and implement effective programs and policies to support youth mental health and address disparities.

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2007-2022年加拿大青年心理健康方面的社会不平等：一项基于人口的重复横断面研究。

目的：加拿大青年心理健康问题日益受到关注，男女之间的差距越来越大。然而，对其他社会人口因素的近期趋势知之甚少，包括性取向、民族文化背景和社会经济地位。方法：本研究分析了2007年至2022年间参加具有全国代表性的加拿大社区卫生调查（CCHS）的96683名15-24岁青年的数据。评估了按性别、性取向、种族化和土著认同以及社会经济条件划分的不良/公平自评心理健康（SRMH）方面的绝对和相对不平等趋势。结果：报告不良/公平的年轻人的比例从2007-08年的4.3%增加到2021-22年的20.1%，翻了两番。在同一时期，与男性相比，女性的性别性别不平等增加了9.9% (95% CI: 6.6, 12.9)，土著青年与非种族青年的性别性别不平等增加了11.4% (95% CI: 4.6, 18.2)， 18-24岁的男女同性恋或双性恋（LGB）青年与异性恋相比，性别性别不平等增加了15.4% （95% CI: 5.7, 25.1）。结论：在过去的15年里，青年生殖健康健康状况持续恶化，与此同时，在加拿大卫生公平的几个重要方面，不平等现象也在扩大。需要采取行动，确定并实施有效的规划和政策，以支持青年心理健康并解决差距问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.