The Role of Social Determinants in Racial and Ethnic Mental Health Disparities: Getting It Right.

IF 2.5 4区医学 Q2 PSYCHIATRY

Harvard Review of Psychiatry Pub Date : 2025-03-01 DOI:10.1097/HRP.0000000000000421

Margarita Alegría, Mara Xiong, Mayra L Sánchez González

引用次数: 0

Abstract

Abstract: Despite increased research on and attention to mental health, significant racial and ethnic disparities in this area persist. We propose that racial and ethnic disparities in mental health should be examined through the lens of social determinants of mental health (SDoMH). In this perspective article, we review current definitions and frameworks of SDoMH, discuss their strengths and shortcomings, and provide recommendations for a framework to better capture the causal pathways of mental health for racially and ethnically minoritized populations. We also discuss efforts to address SDoMH, focusing on policy-level SDoMH interventions, and review progress and challenges in integrating SDoMH approaches into mental health care.

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社会决定因素在种族和民族心理健康差异中的作用：正确处理。

摘要：尽管对心理健康的研究和关注有所增加，但这一领域的种族和民族差异仍然存在。我们建议应该通过心理健康的社会决定因素（SDoMH）来检查心理健康方面的种族和民族差异。在这篇前瞻性文章中，我们回顾了当前的SDoMH定义和框架，讨论了它们的优点和缺点，并为框架提供建议，以更好地捕捉种族和少数民族人群心理健康的因果途径。我们还讨论了解决性健康健康问题的努力，重点是政策层面的性健康健康干预措施，并回顾了将性健康健康方法纳入精神卫生保健的进展和挑战。

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

Harvard Review of Psychiatry PSYCHIATRY-

CiteScore

7.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on important topics in psychiatry. Founded by the Harvard Medical School''s Department of Psychiatry, the Harvard Review of Psychiatry features review papers that summarize and synthesize the key literature in a scholarly and clinically relevant manner. Topics covered include: Schizophrenia and related disorders; Mood disorders; Personality disorders; Substance use disorders; Anxiety; Neuroscience; Psychosocial aspects of psychiatry; Ethics; Psychiatric education; and much more. In addition, a Clinical Challenges section presents a case with discussion from a panel of experts. Brief reviews are presented in topic-specific columns that include Cross-Cultural Psychiatry, History of Psychiatry, Ethics, and others.