ImportanceThe field of public mental health is evolving to tackle the profound impact of global challenges such as climate change, migration, and health crises. These issues accentuate health and social inequities, necessitating a focus on how to achieve interventions that are equitable and enhance mental health across all societal strata.ObservationsPopulation-based interventions can inadvertently exacerbate mental health inequities if they are primarily assessed by, and beneficial to, the most advantaged. Dimensional approaches such as the Hierarchical Taxonomy of Psychopathology offer a more nuanced understanding of mental health, capturing the whole spectrum of symptom severity in a culturally sensitive and less stigmatizing way. In addition, adopting intersectional, participatory, and settings-based approaches can help tailor interventions to the unique needs of marginalized groups.Conclusions and RelevanceIn moving toward more equitable interventions in public mental health, it is imperative to adopt an approach that integrates multiple frameworks to address the complexity of mental health inequities. At the core of this integrated approach is the recognition that mental health exists on a continuum. Intersectionality theory can help to identify the root (fundamental) causes of mental health while participatory and settings-based approaches ensure that interventions are relevant, culturally sensitive, and accessible to all. By adopting these approaches, interventions that are not only effective in “shifting the curve” toward better mental health, but are also equitable in their reach and impact, can be developed.

中文翻译：

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迈向公共心理健康的公平干预


重要性公共心理健康领域正在不断发展，以应对气候变化、移民和健康危机等全球挑战的深远影响。这些问题加剧了健康和社会不平等，因此需要关注如何实现公平的干预措施并增强所有社会阶层的心理健康。观察基于人群的干预措施如果主要由最有利的群体进行评估并对其有益，则可能会无意中加剧心理健康不平等。精神病理学分层分类法等维度方法提供了对心理健康的更细致入微的理解，以文化敏感且污名化较少的方式捕捉症状严重程度的整个范围。此外，采用交叉、参与式和基于环境的方法可以帮助根据边缘化群体的独特需求定制干预措施。结论和相关性在朝着更公平的公共心理健康干预措施迈进时，必须采用一种整合多个框架的方法来解决心理健康不平等的复杂性。这种综合方法的核心是认识到心理健康存在于一个连续体中。交叉性理论可以帮助确定心理健康的根本原因（根本原因），而参与式和基于环境的方法可确保干预措施具有相关性、文化敏感性并且所有人都可以使用。通过采用这些方法，不仅可以有效地“改变曲线”，改善心理健康，而且其覆盖范围和影响也是公平的。