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如何,何时,以及为什么社会阶级与心理健康和福祉有关? 一个系统的元综述
Isla Dougall1, Milica Vasiljevic1, Jack D Wright1
1Department of Psychology, Durham University, South Rd, Durham, DH1 3LE, UK.
Social science & medicine (1982)
|January 30, 2024
概括
社会阶级显著影响心理健康和福祉,较低的社会经济地位增加了抑郁风险. 像主观社会地位和压力这样的机制调解了这种关系,尽管高质量的证据有限.
科学领域:
- 社会流行病学 社会流行病学
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 现有的关于社会阶级和心理健康的元评价是有限的,专注于特定的方面,而不是全面的机制.
- 需要综合社会阶级与心理健康和福祉之间的广泛关系,包括调解因素.
研究的目的:
- 评估社会阶级与心理健康和福祉之间的整体关系.
- 确定这种关系背后的机制.
- 评估现有证据的强度.
主要方法:
- 在2022年9月对12个数据库进行系统搜索,从38,257个记录中确定了149个符合条件的评论.
- 使用JBI证据水平评估的证据质量和使用ROBIS工具评估的偏见风险.
- 协议可能在PROSPERO注册 (CRD42021214731). 在PROSPERO注册.
主要成果:
- 大量的低质量的证据基础表明心理健康的阶级不平等,较低的社会地位与抑郁症风险增加有关.
- 贫困,社会经济地位,收入和主观社会地位显示出与心理健康的最强的联系.
- 对于教育,职业,财富和社会资本,高质量的证据是有限的;大多数研究都使用了个人层面的措施.
结论:
- 未来的研究应该利用实验或准实验设计来加强证据.
- 具有较低偏差风险的系统审查对于促进理解至关重要.
- 需要进一步的研究才能充分阐明社会阶级和心理健康之间的复杂关系.
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