Social Determinants of Mental Health: Where We Are and Where We Need to Go

Alegrı́a, Margarita; NeMoyer, Amanda; Bagué, Irene Falgàs; Wang, Ye; Álvarez, Kiara

doi:10.1007/s11920-018-0969-9

Cited by 443 publications

(227 citation statements)

References 110 publications

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“…Additionally, the study design did not manage to provide a longer intervention period due to the lack of freely available apps for participants to use and did not include a second follow-up period to track maintenance of long-term effects, as is customary in RCTs, or the use of qualitative process evaluation for a critical understanding of impact of the intervention components [ 228 ]. Finally, social, economic and family conditions as well as other issues, which are critical to young people’s psycho-emotional states and sense of identity, were not accounted for in the present study [ 229 , 230 ].…”

Section: Discussionmentioning

confidence: 99%

Mind over Matter: Testing the Efficacy of an Online Randomized Controlled Trial to Reduce Distraction from Smartphone Use

Throuvala

Griffiths

Rennoldson

et al. 2020

IJERPH

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Evidence suggests a growing call for the prevention of excessive smartphone and social media use and the ensuing distraction that arises affecting academic achievement and productivity. A ten-day online randomized controlled trial with the use of smartphone apps, engaging participants in mindfulness exercises, self-monitoring and mood tracking, was implemented amongst UK university students (n = 143). Participants were asked to complete online pre- and post-intervention assessments. Results indicated high effect sizes in reduction of smartphone distraction and improvement scores on a number of self-reported secondary psychological outcomes. The intervention was not effective in reducing habitual behaviours, nomophobia, or time spent on social media. Mediation analyses demonstrated that: (i) emotional self-awareness but not mindful attention mediated the relationship between intervention effects and smartphone distraction, and (ii) online vigilance mediated the relationship between smartphone distraction and problematic social media use. The present study provides preliminary evidence of the efficacy of an intervention for decreased smartphone distraction and highlights psychological processes involved in this emergent phenomenon in the smartphone literature. Online interventions may serve as complementary strategies to reduce distraction levels and promote insight into online engagement. More research is required to elucidate the mechanisms of digital distraction and assess its implications in problematic use.

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Section: Discussionmentioning

confidence: 99%

Mind over Matter: Testing the Efficacy of an Online Randomized Controlled Trial to Reduce Distraction from Smartphone Use

Throuvala

Griffiths

Rennoldson

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…The manifestation of behavioral health varies over the lifespan and across cultures. Similarly, the large number of factors that influence behavioral health must also be acknowledged: genetics, family environment, discrimination, socioeconomic status, traumatic experiences, physical health, loneliness, culture, and a host of others (10). Supporting behavioral health often means addressing social determinants of health through an array of social and community factors (11).…”

Section: The Definition and Application Of Behavioral Healthmentioning

confidence: 99%

“…Similarly, the large number of factors that influence behavioral health must also be acknowledged: genetics, family environment, discrimination, socioeconomic status, traumatic experiences, physical health, loneliness, culture, and a host of others ( 10 ). Supporting behavioral health often means addressing social determinants of health through an array of social and community factors ( 11 ). For instance, when individuals and communities lack economic stability, physical survival alone can be a challenge.…”

Section: The Definition and Application Of Behavioral Healthmentioning

confidence: 99%

The Critical Need for a Population Health Approach: Addressing the Nation’s Behavioral Health During the COVID-19 Pandemic and Beyond

Evans

Bufka

2020

Prev. Chronic Dis.

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What is known about this topic? Behavioral health needs in the United States are not being met by the current health care system, and the COVID-19 pandemic will likely dramatically increase the need for psychological services. What is added by this report? Adopting a population health approach provides opportunities to target interventions to those populations and communities most in need of psychological health care services, with the potential of preventing development of disorders. What are the implications for public health practice? Implementing and evaluating population health strategies to promote overall well-being requires system change that translates to policy decisions and programs to meet the needs of local communities.

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“…The authors each have at least 15 to 20 years of experience in serving immigrant populations and/or conducting research with Latino immigrants (Alegría, Álvarez, & DiMarzio, 2017;Alegría, NeMoyer, Falgas Bague, Wang, & Alvarez, 2018). All authors reviewed the vignette for face validity and accurate representation of clinical issues for Latina immigrants.…”

Section: Composite Vignettementioning

confidence: 99%

Trauma, immigration, and sexual health among Latina women: Implications for maternal–child well‐being and reproductive justice

Fortuna

Noroña

Porche

et al. 2019

Infant Mental Health Journal

Self Cite

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Latina immigrant women are vulnerable to traumatic stress and sexual health disparities. Without autonomy over their reproductive health and related decision‐making, reproductive justice is elusive. We analyzed behavioral health data from 175 Latina immigrant participants (M age = 35; range = 18–64) of the International Latino Research Partnership (ILRP) study. We used descriptive and inferential statistics to compare immigrant mothers of minor children to those without, regarding their psychological and reproductive health, and correlates of past exposure to sexual trauma. Over one third (38%) of ILRP participants had minor children, and 58% had citizenship in their host country. The rate for sexual assault was 30 and 61%, respectively, for physical assault; these rates were similarly high for women with and without minor children. Women who reported sexual assault scored significantly higher for depression, posttraumatic stress disorder, and substance‐abuse screens. Odds of experiencing sexual assault was highest for women who experienced physical assault (odds ratio = 10.74), and for those from the Northern Triangle (odds ratio = 8.41). Subgroups of Latina migrant mothers are vulnerable to traumatic stress and related sexual and mental health risks. Given these findings, we frame the implications in a reproductive justice framework and consider consequences for caregiver–child well‐being.

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Social Determinants of Mental Health: Where We Are and Where We Need to Go

Cited by 443 publications

References 110 publications

Mind over Matter: Testing the Efficacy of an Online Randomized Controlled Trial to Reduce Distraction from Smartphone Use

Mind over Matter: Testing the Efficacy of an Online Randomized Controlled Trial to Reduce Distraction from Smartphone Use

The Critical Need for a Population Health Approach: Addressing the Nation’s Behavioral Health During the COVID-19 Pandemic and Beyond

Trauma, immigration, and sexual health among Latina women: Implications for maternal–child well‐being and reproductive justice

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