National or population level interventions addressing the social determinants of mental health – an umbrella review

Abstract Background Social circumstances in which people live and work impact the population’s mental health. We aimed to synthesise evidence identifying effective interventions and policies that influence the social determinants of mental health at national or scaled population level. We searched f...

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Autores principales:	Neha Shah, Ian F. Walker, Yannish Naik, Selina Rajan, Kate O’Hagan, Michelle Black, Christopher Cartwright, Taavi Tillmann, Nicola Pearce-Smith, Jude Stansfield
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Mental health Public health Public mental health Health policy Social determinants Intervention Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/746dd54dad0f43b1b7f26f5f7232901c
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spelling	oai:doaj.org-article:746dd54dad0f43b1b7f26f5f7232901c2021-11-21T12:10:55ZNational or population level interventions addressing the social determinants of mental health – an umbrella review10.1186/s12889-021-12145-11471-2458https://doaj.org/article/746dd54dad0f43b1b7f26f5f7232901c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12145-1https://doaj.org/toc/1471-2458Abstract Background Social circumstances in which people live and work impact the population’s mental health. We aimed to synthesise evidence identifying effective interventions and policies that influence the social determinants of mental health at national or scaled population level. We searched five databases (Cochrane Library, Global Health, MEDLINE, EMBASE and PsycINFO) between Jan 1st 2000 and July 23rd 2019 to identify systematic reviews of population-level interventions or policies addressing a recognised social determinant of mental health and collected mental health outcomes. There were no restrictions on country, sub-population or age. A narrative overview of results is provided. Quality assessment was conducted using Assessment of Multiple Systematic Reviews (AMSTAR 2). This study was registered on PROSPERO (CRD42019140198). Results We identified 20 reviews for inclusion. Most reviews were of low or critically low quality. Primary studies were mostly observational and from higher income settings. Higher quality evidence indicates more generous welfare benefits may reduce socioeconomic inequalities in mental health outcomes. Lower quality evidence suggests unemployment insurance, warm housing interventions, neighbourhood renewal, paid parental leave, gender equality policies, community-based parenting programmes, and less restrictive migration policies are associated with improved mental health outcomes. Low quality evidence suggests restriction of access to lethal means and multi-component suicide prevention programmes are associated with reduced suicide risk. Conclusion This umbrella review has identified a small and overall low-quality evidence base for population level interventions addressing the social determinants of mental health. There are significant gaps in the evidence base for key policy areas, which limit ability of national policymakers to understand how to effectively improve population mental health.Neha ShahIan F. WalkerYannish NaikSelina RajanKate O’HaganMichelle BlackChristopher CartwrightTaavi TillmannNicola Pearce-SmithJude StansfieldBMCarticleMental healthPublic healthPublic mental healthHealth policySocial determinantsInterventionPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mental health Public health Public mental health Health policy Social determinants Intervention Public aspects of medicine RA1-1270
spellingShingle	Mental health Public health Public mental health Health policy Social determinants Intervention Public aspects of medicine RA1-1270 Neha Shah Ian F. Walker Yannish Naik Selina Rajan Kate O’Hagan Michelle Black Christopher Cartwright Taavi Tillmann Nicola Pearce-Smith Jude Stansfield National or population level interventions addressing the social determinants of mental health – an umbrella review
description	Abstract Background Social circumstances in which people live and work impact the population’s mental health. We aimed to synthesise evidence identifying effective interventions and policies that influence the social determinants of mental health at national or scaled population level. We searched five databases (Cochrane Library, Global Health, MEDLINE, EMBASE and PsycINFO) between Jan 1st 2000 and July 23rd 2019 to identify systematic reviews of population-level interventions or policies addressing a recognised social determinant of mental health and collected mental health outcomes. There were no restrictions on country, sub-population or age. A narrative overview of results is provided. Quality assessment was conducted using Assessment of Multiple Systematic Reviews (AMSTAR 2). This study was registered on PROSPERO (CRD42019140198). Results We identified 20 reviews for inclusion. Most reviews were of low or critically low quality. Primary studies were mostly observational and from higher income settings. Higher quality evidence indicates more generous welfare benefits may reduce socioeconomic inequalities in mental health outcomes. Lower quality evidence suggests unemployment insurance, warm housing interventions, neighbourhood renewal, paid parental leave, gender equality policies, community-based parenting programmes, and less restrictive migration policies are associated with improved mental health outcomes. Low quality evidence suggests restriction of access to lethal means and multi-component suicide prevention programmes are associated with reduced suicide risk. Conclusion This umbrella review has identified a small and overall low-quality evidence base for population level interventions addressing the social determinants of mental health. There are significant gaps in the evidence base for key policy areas, which limit ability of national policymakers to understand how to effectively improve population mental health.
format	article
author	Neha Shah Ian F. Walker Yannish Naik Selina Rajan Kate O’Hagan Michelle Black Christopher Cartwright Taavi Tillmann Nicola Pearce-Smith Jude Stansfield
author_facet	Neha Shah Ian F. Walker Yannish Naik Selina Rajan Kate O’Hagan Michelle Black Christopher Cartwright Taavi Tillmann Nicola Pearce-Smith Jude Stansfield
author_sort	Neha Shah
title	National or population level interventions addressing the social determinants of mental health – an umbrella review
title_short	National or population level interventions addressing the social determinants of mental health – an umbrella review
title_full	National or population level interventions addressing the social determinants of mental health – an umbrella review
title_fullStr	National or population level interventions addressing the social determinants of mental health – an umbrella review
title_full_unstemmed	National or population level interventions addressing the social determinants of mental health – an umbrella review
title_sort	national or population level interventions addressing the social determinants of mental health – an umbrella review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/746dd54dad0f43b1b7f26f5f7232901c
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National or population level interventions addressing the social determinants of mental health – an umbrella review

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