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Open Access Addressing the Determinants of Child Mental Health: Intersectionality as a Guide to Primary Health Care Renewal Les déterminants influant sur la santé mentale des enfants : l'intersectionnalité comme cadre pour le renouvellement des soins de santé primaires

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Abstract:

Primary health care (PHC) renewal was designed explicitly to attend to the multidimensional factors impacting on health, including the social determinants of health. These determinants are central considerations in the development of integrated, cross-sectoral, and multi-jurisdictional policies such as those that inform models of shared mental health care for children. However, there are complex theoretical challenges in translating these multidimensional issues into policy. One of these is the rarely discussed interrelationships among the social determinants of health and identities such as race, gender, age, sexuality, and social class within the added confluence of geographic contexts. An intersectionality lens is used to examine the complex interrelationships among the factors affecting child mental health and the associated policy challenges surrounding PHC renewal. The authors argue that an understanding of the intersections of social determinants of health, identity, and geography is pivotal in guiding policy-makers as they address child mental health inequities using a PHC renewal agenda.

French
La notion de renouvellement des soins de santé primaires (SSP) a été explicitement conçue pour traiter de la question des facteurs multidimensionnels ayant un impact sur la santé, notamment les déterminants sociaux. Ces déterminants sont d'importance capitale en matière d'élaboration de politiques intégrées, intersectorielles et intergouvernementales, comme c'est le cas pour les déterminants qui alimentent les modèles de soins de santé mentale partagés pour enfants. Toutefois, l'intégration de ces questions multidimensionnelles dans la conception de politiques comporte des défis théoriques complexes. La relation qui existe entre les déterminants sociaux de la santé et les éléments d'identité, tels la race, le sexe biologique, l'âge, la sexualité et l'appartenance à une classe sociale, lesquels s'inscrivent dans un contexte géographique donné, est un sujet rarement abordé et figure parmi ces questions. Cette étude met à contribution l'analyse intersectionnelle dans l'examen des liens complexes qui existent entre les facteurs influant sur la santé mentale des enfants et les défis inhérents au renouvellement des SSP dans la sphère des politiques. Selon les auteures, les décideurs doivent s'appuyer sur une solide compréhension des liens entre les déterminants sociaux de la santé, l'identité et la géographie, dans le cadre de leur démarche de renouvellement des SSP, entre autres dans leurs efforts pour s'attaquer aux inégalités en santé mentale infantile.

Keywords: CHILD HEALTH; DETERMINANTS OF HEALTH; HEALTH DISPARITIES; HEALTH POLICY; MENTAL HEALTH/PSYCHOSOCIAL; PRIMARY HEALTH CARE

Document Type: Research Article

Publication date: September 1, 2010

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