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The Social Determinants of Mental Health
Abstract
It is well known that social factors affect risk for mental illnesses and substance use disorders, as well as health outcomes of persons with these disorders. Social and environmental factors, in addition to their independent and combined effects, can influence genetic determinants of health and illness through gene-by-environment interactions and epigenetic mechanisms. Such social and environmental factors clearly have an effect at the individual level and should encounter intervention in the clinical setting. However, the social determinants of health and the social determinants of mental health exert their effects more broadly at the societal level and thus can be most effectively addressed through changes in public policies and social norms. Specifically, the social determinants of mental health—exemplified here by income inequality and poor education—are understood as being underpinned by unequal distribution of opportunity and, more deeply, by public policies (e.g., legislation that may not specifically pertain to health but ultimately has far-reaching effects on health) and social norms (e.g., cultural opinions and biases that set the stage for poorer health among disadvantaged groups). The greatest population-based impact for improving mental health and reducing risk of mental illnesses and substance use disorders will be achieved by optimizing public policies to make them more health promoting, and by altering social norms so that the health of all members of society is a priority.
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“Climate change is a social determinant for mental health (150).”
From The Impact of Climate Change on Mental Health: A Systematic Descriptive Review (2020) · cites this paper as [150]
In the citing paper
“this inequality in resources has translated to inequality in mental health outcomes [483].”
From Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature (2021) · cites this paper as [483]
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“People with mental illness treated in the public sector are disproportionately and negatively impacted by the social determinants of health (Compton & Shim, 2015), and tend to live in lowincome urban areas (Gruebner et al., 2017).”
BackgroundSocial Determinants of Health in People Living with Psychiatric Disorders: The Role of Pharmacists
Cobb, C. D., Allen, S. N., Cusimano, J. M., Ding, M. X., Eloma-Ata, A., Ott, C. A., & Tallian, K. B. (2023) · Health Equity · doi:10.1089/heq.2022.0189 · Cited by 3
“In contrast, higher educational attainment is associated with better social outcomes, lower morbidity, and later mortality.(17) However, an individual’s current state of MH and educational attainment can be bidirectional where possessing mental wellbeing is predictive of college success.”
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“The mental health of young people has significant consequences for social, economic and cultural progress (Compton & Shim, 2015; Degney, 2012).”
BackgroundYu, Y., Cui, T., Barnhart, W. R., Liu, Y., Wang, Q., & He, J. (2024) · Journal of Child and Family Studies · doi:10.1007/s10826-024-02859-2 · Cited by 4
“…complex and vary between individuals, including biological (Brandon & Sawa, 2011; Isgut et al., 2017; Uher, 2014), psychological (Oliver et al., 2019; Turner, 2016), environmental (Grubaugh et al., 2011; Prochaska et al., 2017; Uher, 2014), and social factors (Compton & Shim, 2015; Layte, 2012).”
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“These factors are also referred to as social determinants of health (Braveman & Gottlieb, 2014; Compton & Shim, 2015).”
BackgroundImplementation of the mental health care act in psychiatric hospitals
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Metadata
- Authors
- Compton, M. T., & Shim, R. S.
- Affiliations
- Hofstra University (US)
- Venue
- Focus
- Published
- 2015-10
- Volume
- 13
- Issue
- 4
- Pages
- 419-425
- ISSN
- 1541-4094 (ISSN-L)
- 1541-4108
- OpenAlex
- W2099594539
- Cited by
- 564
- References
- 46
- Citations by year
- 2026: 50 · 2025: 76 · 2024: 86 · 2023: 90 · 2022: 65 · 2021: 88 · 2020: 38 · 2019: 28 · 2018: 18 · 2017: 9 · 2016: 9 · 2015: 4
- FWCI
- 16.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- FOCUS The Journal of Lifelong Learning in Psychiatry (publishedVersion)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Health › Public Health and Social Inequalities
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- social determinants of mental health, mental illness, substance use disorders, income inequality, gene-environment interaction, epigenetics, public policy, social norms, health promotion, health disparities
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