Making cities mental health friendly for adolescents and young adults

• 成果类型: Article
• 署名作者: Collins, Pamela Y.; Sinha, Moitreyee; Concepcion, Tessa; Patton, George; Way, Thaisa; McCay, Layla; Mensa-Kwao, Augustina; Herrman, Helen; de Leeuw, Evelyne; Anand, Nalini; Atwoli, Lukoye; Bardikoff, Nicole; Booysen, Chantelle; Bustamante, Ines; Chen, Yajun; Davis, Kelly; Dua, Tarun; Foote, Nathaniel; Hughsam, Matthew; Juma, Damian; Khanal, Shisir; Kumar, Manasi; Lefkowitz, Bina; McDermott, Peter; Moitra, Modhurima; Ochieng, Yvonne; Omigbodun, Olayinka; Queen, Emily; Unuetzer, Juergen; Uribe-Restrepo, Jose Miguel; Wolpert, Miranda; Zeitz, Lian
• 署名单位: Johns Hopkins University; Johns Hopkins Bloomberg School of Public Health; University of Washington; University of Washington Seattle; University of Melbourne; Harvard University; Orygen, The National Centre of Excellence in Youth Mental Health; University of Melbourne; Universite de Montreal; National Institutes of Health (NIH) - USA; NIH Fogarty International Center (FIC); Aga Khan University; Universidad Peruana Cayetano Heredia; Sun Yat Sen University; World Health Organization; New York University; University of Nairobi; Duke University; University of Ibadan; Pontificia Universidad Javeriana
• 刊物名称: Nature
• ISSN/ISSBN: 0028-5841
• DOI: 10.1038/s41586-023-07005-4
• 发表日期: 2024-03-07
• 页码: 137-+
• 关键词: lancet commission; green spaces; DISCRIMINATION; racism; xenophobia; psychosis; CHILDREN; outcomes

摘要

Urban life shapes the mental health of city dwellers, and although cities provide access to health, education and economic gain, urban environments are often detrimental to mental health(1,2). Increasing urbanization over the next three decades will be accompanied by a growing population of children and adolescents living in cities(3). Shaping the aspects of urban life that influence youth mental health could have an enormous impact on adolescent well-being and adult trajectories(4). We invited a multidisciplinary, global group of researchers, practitioners, advocates and young people to complete sequential surveys to identify and prioritize the characteristics of a mental health-friendly city for young people. Here we show a set of ranked characteristic statements, grouped by personal, interpersonal, community, organizational, policy and environmental domains of intervention. Life skills for personal development, valuing and accepting young people's ideas and choices, providing safe public space for social connection, employment and job security, centring youth input in urban planning and design, and addressing adverse social determinants were priorities by domain. We report the adversities that COVID-19 generated and link relevant actions to these data. Our findings highlight the need for intersectoral, multilevel intervention and for inclusive, equitable, participatory design of cities that support youth mental health.