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貧困と精神障害:低所得国と中所得国のサイクルを断ち切る
Crick Lund1, Mary De Silva, Sophie Plagerson
1Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, South Africa. crick.lund@uct.ac.za
Lancet (London, England)
|October 20, 2011
まとめ
貧困緩和の介入は,低所得国において,不明確な精神的健康への影響を及ぼしたが,精神的健康プログラムは,経済的地位を向上させた. メンタルヘルスケアを拡大することは,開発の優先事項です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 健康経済学 医療経済学
- メンタルヘルス研究 メンタルヘルス研究
背景:
- 貧困と精神疾患は,低・中所得国 (LMICs) で有害なサイクルを形成しています.
- このサイクルを乱すための介入は,さらなる調査を必要とします.
研究 の 目的:
- LMICにおける精神的,神経学的および薬物乱用障害に対する貧困緩和介入の影響を体系的に検討する.
- LMICにおけるメンタルヘルス介入の経済的効果を評価する.
主な方法:
- 2つのシステマティックレビューが実施されました.
- 研究は,貧困緩和とメンタルヘルス介入とそのそれぞれの成果を調査するLMICに焦点を当てました.
主要な成果:
- 貧困緩和の介入は,精神的健康に決定的な効果を示さなかったが,一部のプログラムは利益をもたらした.
- メンタルヘルス介入は,経済的な成果の改善を一貫して示しましたが,必ずしも統計的に有意ではありません.
結論:
- メンタルヘルス介入は,LMICsの経済的改善の約束を示しています.
- 更に質の高い研究と精神保健医療の拡大は,公衆衛生,人権,開発にとって極めて重要です.
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