'Teenage suicides double as the future crumbles' with collapse of
the economy in Argentina (Arie
2002). Schizophrenia 'linked to racism', a study reveals among
ethnic minorities in London (Boydell
et al. 2001).
The promotion of emotional well-being focuses on improving
environments (social, physical, economic) that affect emotional
well-being and enhancing the 'coping' capacity of communities as
well as individuals (Wood
& Wise 1997). What improvements in the 'environment' are
required, and how does one 'enhance coping' in order to promote
emotional well-being? What is the role of those working in community
child health in promoting mental health and emotional well-being?
Most of the research on the determinants of the health and
well-being of populations have focused on physical health problems,
particularly mortality and life expectancy (Marmot
& Wilkinson 1999). There is less research on the 'upstream'
(socioeconomic) determinants of mental health problems, and even
less on emotional well-being and enhancing 'coping' or promoting
resilience. Examples of upstream determinants of mental health
problems include good evidence linking the prevalence of mental
health problems of children and young people to income, educational
status and family structure (Sawyer
et al. 2001). Male youth suicide has been linked to such
upstream determinants as relative unemployment rates. Suicide has
increased with increasing ratio of youth to overall unemployment
rates (Morrell
et al. 2001). A significantly higher risk of suicide in
Australia over the past century was shown to be associated with
conservative governments compared with social democratic government
tenures (Page
et al. 2002).
Accepted for publication 31 January
2003
Affiliations
*Central Sydney Area Health Service,
and
Western Sydney Area Health Service,
Sydney, Australia
Correspondence
Garth Alperstein, Central Sydney Area
Health Service, Queen Mary Building, Level 6, Grose St., Camperdown, NSW 2050,
Australia.
E-mail:
alpersteing@email.cs.nsw.gov.au
To cite this article
Alperstein, G. & Raman, S. (2003)
Promoting mental health and emotional
well-being among children and youth: a role for community child health?.
Child: Care, Health and Development
29 (4), 269-274.
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