manasika aarogyam yokka saamaajika nirnayakaalu

manasika aarogyam (esdom) yokka saamaajika nirnayadhikaaraalu manasika aarogyaaniki antaraayam kaliginche, konni samoohaalalo manasika anaaroogyam pramaadaanni penche mariyu manasika anaarogyaalato badhapaduthunna vyaktulaku phalitaalanu marinta digajarche saamaajika samasyalu. aarogyam yokka saamaajika nirnayakaala maadirigaane (ess. dii. oo. hetch), aadaaya sthaayilu, vidya sadhana, gruhaala labhyata mariyu saamaajika cherika vanti aarogya phalitaala sambhaavyata mariyu teevratalo paatra poeshinchae vaidyetara karakalu sdomlo unnaayi. manasika aarogya phalitaallo asamaanatalu anedi vayassu, lingam, jaathi/jaathi mariyu laingika dhorani vanti vyaktigata sthaayilo sthiramaina lakshanaalu mariyu saraina aaharam, gruhanirmaanam mariyu ravaanaaku taginanta praapyata lekapovadam mariyu kaalushyaaniki gurikavadam vanti saamaajika mariyu aardhika asamaanatala nundi utpannamayye paryaavarana kaarakaalato sahaa aneka amsaalu mariyu saamaajika nirnayakaala phalitamgaa untaayi.
nirvachanalu.
manasika aarogyam, sidisi nirvachinchinatlugaa, vyaktula bhavodvega, manasika mariyu saamaajika sreyassunu kaligi untundi, ayithe atyanta saadhaarana manasika rugmatalalo saadhaarana aandolana rugmata, saamaajika aandolana mariyu bhayandolana rugmata; niraasa; mariyu post traumatic stress desorder (ptsd) vanti aandolana-rugmatalu unnaayi.
saamaajika nirnayakaala bhavana jeevita gamana vidhanam nundi udbhavinchindi. idhi aarogya asamaanatalaku daariteese mariyu jeevitamlooni vividha dasalalo maarutuu unde saamaajika, aardhika, paryaavarana mariyu bhouthika namuunaalanu vivarinche siddhaantaala nundi teesukobadindi (udhaa.zii. prasavapurva, prarambha samvatsaraalu, pani vayassu mariyu vruddhaapyam). vyaktigata nirnayakaalato paatu manasika aarogyam yokka saamaajika mariyu nirmaanaatmaka nirnayakaalanu gurtinchadam, vidhana roopakartalaku manasika aarogyaanni prothsahinchadaaniki mariyu tagina jokyaalanu roopondinchadam dwara mariyu aarogya rangaaniki minchi charyalu teesukovadam dwara anaaroogyam pramaadaanni tagginchadaaniki veelu kalpistundi.
manasika aarogyamlo asamaanatalu.
prapanchavyaaptamgaa, prapanchavyaaptamgaa, prati 8 mandiloo okaru (janabhalo 1) manasika rugmatato jeevinchaaru; ayithe, lingam, covid-19 mahammari kaaranamgaa, aaa sankhya natakeeyamgaa 27 saatam perigindi. manasika anaarogyaalu mariyu rugmatalu marinta prabalamgaa unnappatikee, adhyayanalu manasika aarogya phalitaalu konni janabha mariyu samaajaalaku itarulakanna adhvaannamgaa unnayani choopinchaayi. atuvanti asamaanatalo okati linga asamanatah purushula kante streelaku manasika anaaroogyam vachhe avakaasam rendu retlu ekkuva.
sthiramaina lakshanaalu.
sthira lakshanaalu antey janyu mariyu jeevasambandhamainavi mariyu/ledhaa oka vyakti yokka paryaavaranam ledhaa saamaajika jeevana paristhitulachae prabhaavitam kaanivi.
lingam.
lingam prapancha vaikalyam bhaaraaniki rendava pradhana kaaranam ekadhruva maandyam, mariyu purushula kante mahilallo maandyam prabalamgaa unde avakaasam rendu retlu undani parisoedhanalu choopinchaayi. linga-aadhaarita manasika aarogya asamaanatalu lingam anedi asamaana aarogya phalitaalaku daariteese oka karakamga suuchistunnaayi.
lanset saikiyatri" mahilala manasika aarogya shrenilo cherchabadina parisoedhanaa adhyayanalu eee linga asamaanatalu enduku undavachho ardham chesukovadampai drushti pedataayi. quehner thana vyaasamlo "purushula kante mahilallo depression enduku ekkuvagaa untundi?"eee asamaanatalaku dohadapade aneka pramaada kaarakaalanu prastaavinchindi, veetilo mahilala laingika harmonela paatra mariyu ottidiki" "blanted hypotholomic-petutory-adrenal axis pratispandana" "unnaayi". itara karakalalo sariiraanni avamaaninche mariyu pukaarlu mariyu vyaktula madhya ottillaku, alaage baalyamlo laingika vedhimpulaku mahila yokka perigina sambhaavyata unnaayi. inca, linga asamaanata praabalyam mariyu mahilalapai samaajamlo vivaksha kooda oka dohadapade amsam kaavacchu. lii mariyu itarulu. mahilallo laingika harmonelu estradiol mariyu progesterone yokka nelawari mariyu jeevitakaala hecchutaggulu kooda linga antaraanni prabhaavitam cheyavachani kanugonnaru, mukhyamgaa gaayam-sambandhita, ottidi-sambandhita mariyu aandolana rugmatala sandarbhamlo, eee rugmatala abhivruddhiki pramaadaanni penchadam dwara mariyu eee rugmatalaku lakshanaala nirantara sthirathvaanni anumatinchadam dwara.
purushulatho poliste mahilallo linga aadhaarita himsaku perigina sambhaavyata kooda oram mariyu itarulu adhyayanam chesina maroka pramaada karakam. mahilalu gruha mariyu laingika himsaku gurayye pramaadam ekkuvagaa undani, tadwara post traumatic ottidi, aandolana mariyu niraasaku vaari praabalyam perugutundani parisoedhakulu kanugonnaru. stree jananendri vichhedanam, balavantamgaa mariyu mundastu vivaham, maanava akrama ravana mariyu gourava neeraalu kooda linga-aadhaarita gaayam sandarbhamlo pariganinchadaginavi.  
mahilalu nispruha mariyu aandolana sambandhita rugmatala adhika retunu anubhavistunnatlu nivedinchabadinappatiki, mahilala kante purushulu aatmahatya dwara chanipoye avakaasam ekkuvagaa undih united kingdamlo, 45 mariyu anthakante takkuva vayassu unna purushulaku aatmahatya anedi maranaaniki atipedda kaaranam, mariyu aatmahatya dwara chanipoye sambhaavyatalo, russia mariyu argentinalo purushulu naalugu retlu ekkuva, united stateslo moodunnara retlu ekkuva, mariyu australialo moodu retlu ekkuva, mahilala kante, konni deshaalalo. aatmahatyalalo linga bhedaalu saadhaaranamgaa linga paatrala kosam ottidi mariyu purushulalo adhika pramaadaanni teesukune pravartana dwara vivarinchabadataayi.
laingika dhorani.
lesbian, gay, bisexual, transgender, kweer (prasninchadam), intersex, alaingika mariyu agender (elgibiticvia +) community sabhyula madhya manasika aarogya phalitaalanu binna linga samparkulatho polchina adhyayanaalalo, modatidi paelavamaina manasika aarogyam yokka pramaadaalanu choopinchindi. vaastavaaniki, elgibiticia + vyaktulu vaari binna linga sahacharulatho poliste manasika rugmata kaligi undataaniki rendu retlu ekkuva avakaasam undhi, mariyu aandolana, niraasa mariyu maadakadravyaala durviniyogaanni anubhavinchadaaniki rendunnara retlu ekkuva avakaasam undhi.
minority ottidi namuunaa aadhaaramgaa, elgibiticvia + prajalalo eee manasika aarogya asamaanatalu vivaksha mariyu kalankam kaaranamgaa unnaayi. vaastavaaniki, elgibiticia + vyaktulu anubhavagnulaina vivaksha mariyu kalankam kaaranamgaa aarogya samrakshananu pondadamlo ibbandini vyaktam chesaaru, dheeni phalitamgaa vaaru aarogya samrakshananu assalu koraru ledhaa alasyam cheyaru. marinta saamaajika ontaritanam mariyu tiraskarana bhavalu kooda eee samaajamlo manasika rugmatala praabalyaaniki dohadam cheyavachu. grahinchina mariyu anubhavinchina kalamkamtho paatu, elgibitkia + himsaku guraina avakaasam ekkuvagaa untundi. eee karakalu, itarulatoe paatu, binna linga sahacharulatho poliste elgibiticvia + community sabhyulaku manasika aarogya anubhavaalalo vyatyaasaalaku gananeeyamgaa dohadam chestaayi, tadwara laingika dhorani dwara manasika aarogya asamaanatalaku daariteestundi.
jaathi/jaathi.
united stateslo nirvahinchina adhyayanalu minoritylu tama majority sahacharula maadirigaane manasika aarogya rugmatalaku samaanamaina ledhaa takkuva praabalyam kaligi unnaarani suuchimchaayi. nallajaateeyulu (24.6%) mariyu hysponics (19.6%) united stateslo vaari tella sahacharula (34.7%) kante takkuva maandyam retlanu kaligi unnaaru. jaathi/jaathi minority samuuhaalu oke vidhamaina praabalyam retlanu kaligi unnappatikee, manasika anaaroogyam kaaranamgaa parinaamaalu marinta sudeerghamgaa untaayi-manasika aarogya chikitsalaku takkuva praapyata raetlu kaaranamgaa idhi paakshikamgaa vivarinchabadavacchu.  vivarinchabadavacchu, manasika anaaroogyam unna saadhaarana US janabhalo 56.7% chikitsa koraledu, 69.4% mariyu 67.1% nallajaateeyulu mariyu hispaniclu samrakshana pondaledu. inca, schizophrenia vanti konni manasika anaarogyaala sandarbhaallo, united stateslo nallajaateeyulu vaari tellati pratyardhulatho poliste adhika raetlu kaligi unnatlu nivedinchabadindi, ayithe, vaidyulu mariyu manasika rugmatalu vanti itara anaarogyaala kosam takkuva roganirdhaarana kaaranamgaa idhi undavacchani parisoedhanalu suuchistunnaayi, dheeni kosam nallajaateeyulu pedda niraasaku takkuva praabalyam kaligi unnaarani nivedinchaaru. aarogya samrakshana pradaatala saamskrutika avagahana lekapovadam valla eee tappudu roganirdhaarana sandarbhaalu undavacchu...roogi mariyu provider madhya bhasha thedaalu, minority samoohaalalo manasika anaaroogyam yokka kalankam mariyu lakshanaala saamskrutika pradarsana.
paryaavarana karakalu.
sthiramaina lakshanaalatoo paatu, aaharam, gruhanirmaanam mariyu aarogyaaniki taginanta praapyata mariyu kaalushyaaniki gurikavadam vanti paryaavarana karakalu, oka vyakti yokka manasika aarogya phalitaala sambhaavyata mariyu teevratanu prabhaavitam chestaayi. eee karakalu manasika aarogyam yokka saamaajika nirnayaadhikaarula yokka vyakti yokka sthira lakshanaalanu neerugaa marchalenappatiki, avi oka vyakti enthavaraku prabhaavitamavutaayo prabhaavitam cheyavachu.
saraina aaharam dorakakapovadam.
ottidi mariyu balaheenamaina samaajaaniki chendina sambandhita kaarakaala kaaranamgaa aahara abhadrata unnavaarilo manasika anaarogyaalu sarvasaadhaaranam. aahara bhadrata anedi aarogyakaramaina mariyu churukaina jeevitaanni konasaaginchadaaniki taginanta mariyu pooshakamaina aaharaalu andubaatulo unna sthithini suuchistumdi, mariyu dheeni nundi vairudhyaalu aahara abhadrataku daariteestaayi. aardhika suuchikagaa pariganinchinappatikii, aahara abhadrata ottidi dwara manasika anaarogyaala pramaadaanni penchutundi, idhi vyaktulanu adhvaannamaina manasika aarogya phalitaalaku marinta haani kaligistundi.
aahara abhadrata mariyu manasika anaarogyaala madhya eee anubandhaanni vivarinchagala maroka dohadapade amsam saamaajika ontaritanam. udaaharanaku, kenadaaloni aahara abhadrata kaligina vyaktulalo ekkuva mandiki saamaajika aahara karyakramalu ledhaa aahara byaankulu andubaatulo levani parisoedhanalu chuupistunnaayi, eee prajalaku saamaajika vanarulu chaalaa takkuvagaa ledhaa andubaatulo levani suuchistunnaayi. eee amsam oka vyakti yokka maddatu ledhaa vaari samaajamlo unna bhavananu prabhaavitam chestundi, tadwara manasika anaarogyaalaku vaari durbalatvaanni penchutundi.
nivaasam.
adhyayanalu niraasrayulu mariyu manasika anaarogyaala madhya saha-sanghatananu kanugonnayi. kenadaalo "housing fust" jokyam-intlo/chez soyi adhyayanam-idhi vyaktulaku shaashwata gruhanni andinchadam lakshyamgaa pettukundi, adhyayana samuuhaaniki, aatmahatya aalochanalu kalakramena taggayani nivedinchindi. kenadaaloni niraasrayulaina yuvata aarogyaanni vargeekarinche lakshyamtho chesina maroka adhyayanam, indulo palgonna vaarilo 85 saatam mandhi adhika sthaayi manasika badhanu kaligi unnaarani, 42 saatam mandhi kaneesam okasari aatmahatyaku prayatninchaarani nivedinchindi.
manasika anaarogyaalato baadhapadatamtho paatu, niraasrayulaina vyaktulu kooda samrakshana pondadamlo ibbandi edurkontunnaruh udaaharanaku, newyork nagara aasrayamlo niraasrayulaina purushulalo 50 saatam mandhi maanasikamgaa anaarogyamtho unnatlu nivedinchaaru, mariyu dadapuga 20-35% maanasikamgaa anaarogyamtho unna niraasrayulaina vyaktulaku manasika sevalu avasaram. niraasrayula aasrayaalanu okappudu taatkaalika soukaryaalagaa pariganinchinappatikii, eee aasrayaalanu aakraminchina pedda sankhyalo maanasikamgaa anaarogyamtho unna niraasrayula samrakshananu andinche paatranu chepattadaaniki vaaru bhaaram paddaru. ayithe, united kingdamlo nirvahinchina oka sarvelo niraasrayulaina aasrayaalalo kevalam 27.1% matrame tama manasika aarogya sevalu adhyayanamlo survey chesina niraasrayulaina yuvata avasaralanu teerchadaaniki saripothayani nammarani kanugonnaru.
kalushyam.
saareeraka aarogya phalitaalapai vaayu kalushyam prabhaavampai vistaaramaina saahityam unnappatikee, vaayu kalushyam yokka manasika aarogya prabhavalapai parisoedhanalu parimitam. chaina kutumba panel adhyayanala nundi vacchina dayta vaayu kalushyam mariyu manasika anaarogyaala madhya saanukuula sambandhaanni kanugondi, ikkada sagatu 18.04 micro graa/m3 perugudala teevramaina manasika anaarogyamtho sambandhita skorunu kaligi undataaniki sambhaavyatalo 6.67% perugudalanu kaligi untundi, idhi manasika anaaroogyam mariyu chikitsaku sambandhinchina aarogya kharchulalo sumaru $22.88 billionla kharchunu anchanaa vestundi.
kotta aadharalu, ippatikee nischayaatmakamainavi kaanappatikee, vaayu kalushya karakalu, bhaarii lohaalu mariyu paryaavarana vipattulatoe sahaa vividha manasika aarogya rugmatalu mariyu pradhana paryaavarana kalushya kaarakaala madhya anubandhaanni suuchistaayi mariyu eee vyadhikaaraka kaarakaalaku medadupai pratyaksha mariyu paroksha paatra undani kanugonnayi. udaaharanaku, shabda kalushyam syrcadian layalu, shabda chiraaku mariyu shabda sunnitatvamlo aatamkaala phalitamgaa sreyassu mariyu jeevana naanhyatanu prabhaavitam chestundi.
vaataavaranam.
manasika aarogyampai vyadhikaaraka mariyu kalushya kaarakaala bahirgata paathratho paatu, pratikuula paryaavarana mariyu vaataavarana maarpulu vaataavarana sambandhita valasalu mariyu sthaanabhramsamku daariteestaayi, idhi prabhaavita vyaktulapai manasika aarogya nashtanni kaligistundi. vaari sthaanika samajalalo saamaajika sambandhaalu mariyu maddatu vyavasthalaku antaraayam kaliginchadam nundi aardhika mariyu bhavodvega ottidi (tarachugaa vaataavarana valasadaarulaku ekikrutam cheyadam kashtataram chese kalankam kaaranamgaa) varaku, vaataavarana valasadaarulu pratikuula manasika aarogya phalitaalanu anubhavistaaru. aatitheyulatho poliste balavantamgaa valasa vachinavaaru, post traumatic stress desorder, aandolana, majer depression, psychosis mariyu vaaru anubhavinche ottilla kaaranamgaa aatmahatya vanti saadhaarana manasika aarogya rugmatalanu anubhavistaaru.
vaataavaranamloo maarpulu praantaalalo aahara bhadrata, aahara dharalu mariyu gruha jeevanopaadhini kooda prabhaavitam chestaayi, tadwara nivaasitula manasika aarogyaanni prabhaavitam chestaayi. australian namoonaalo, karuvu aahara labhyatanu prabhaavitam chestundani nivedinchabadindi, phalitamgaa vyaktulu bhojanam maanesaaru; sagatu kante takkuva aahara sthaayilanu tine vyaktulu sagatu kante ekkuva sthaayilo tine vaaritho poliste adhika sthaayi badhanu vyaktam chesaaru.
saamaajika karakalu.
manasika aarogyaanni nirnayinche saamaajika karakalu konni minority vargalalo manasika aarogya rugmatala sambhaavyatanu penche vivaksha mariyu kalankam vanti saamaajika prabhaavaala paatranu pariseelistaayi.
vivaksha.
vistrutamaina saahityam manasika aarogyam mariyu vyaktula adhvaannamaina manasika sreyassu meeda vivaksha yokka balamaina anubandhaanni suuchimchimdi-konni adhyayanalu saareeraka aarogya phalitaala kante manasika aarogyampai vivaksha yokka paatra ekkuvagaa undani kooda suuchistunnaayi. saareeraka aarogyam' paridhiloo, aarogya samrakshana pampinheelo vivaksha jaathi minority communityla samrakshana pramaanaalanu prabhaavitam chestundani adhyayanalu kanugonnayi udaaharanaku, african americanlu mariyu laatinolu vaari tella sahacharula kante podavaina emuka pagulu ledhaa moothrapindaallo raallaku taginanta noppi mandulanu pondhe avakaasam takkuvagaa undhi.
manasika aarogyampai pratyaekamgaa drushti saarinchinappatikii, jaathi/jaathi vivaksha vanti vivaksha, perigina niraasa, aandolana mariyu manasika baadha dwara adhvaannamaina manasika aarogya phalitaalato mudipadi undani samajam mariyu prayogasaala adhyayanalu kanugonnayi. vruttiparamaina vivaksha-pani samsthalalo vivaksha-kooda idhe dhoranini suuchistumdi, dheenilo jaatito sambandham lekunda, vivaksha chuupabaddaarani angeekarinche vaaru manasika aarogya phalitaalanu marinta digajaarchaaru. vivaksha, rakamainappatikee, manasika aarogyaaniki hanikaramani saahityam suuchistumdi.  
parisoedhakulu manasika aarogya pramaadampai bahula rakaala vivaksha paatranu kooda adhyayanam chesaaru mariyu rendu pramaada namuunaalanu suuchimchaaru-modatidi, vivakshanu anubhavinche samuuhaalu adhvaannamaina manasika aarogyaaniki ekkuva pramaadaanni kaligi unna pramaada namuunaa mariyu rendavadi, sthitisthaapakata namuunaa, dheenilo eee samuuhaalu vividha rakaala vivakshalaku marinta sthithisthaapakamgaa marutayi. ippatike unna adhyayanaalapai vistrutamaina saahitya sameekshalo kanugonna vishayalu saadhaaranamgaa sthitisthaapakata namuunaaku viruddhamgaa pramaada namuunaatoe samalekhanam cheyabadi unnayani kanugonnaru. mukhyamgaa, jatyahankaram, bhinnamaina laingikatatoe sahaa vividha rakaala vivakshanu anubhavinchina samoohaalalo niraasa lakshanaalaku ekkuva pramaadam undhi. aandolana, post traumatic stress desorder, maadakadravyaala vadakam vanti itara manasika aarogya samasyalapai bahula rakaala vivaksha paatra takkuvagaa untundi mariyu phalitaalu mishramamgaa untaayi.  
attadugu vargalalo manasika aarogya samrakshana pampinheelo kooda vivaksha undhi. provider vivaksha jaathi minoritylalo manasika aarogya chikitsanu prabhaavitam chestundi, udaaharanakuh united stateslo, minority samuuhaalu vaari tella sahacharulatho poliste manasika rugmatala yokka saaruupya ledhaa takkuva praabalyam retlanu kaligi unnaayi, ayithe nallajaateeyulu swethajaatheeyula kante sagam matrame chikitsa pondhe avakaasam undhi.
kalankam.
manasika aarogya samasyalatho mudipadi unna kalankam samrakshana korukovadanni mariyu palgonadanni prabhaavitam chestundani adhyayanalu kanugonnayi. samrakshana korukune sambhaavyatanu tagginche kaaranaalalo manasika aarogya anaarogyaalato badhapaduthunna vyaktulapai pakshapaatam, alaage chikitsa korukune vaari patla pakshapaatam mariyu vivakshanu aasinchadam vantivi unnaayi. inca, manasika anaarogyaala gurinchi ghnaanam lekapovadam mariyu chikitsanu elaa pondaalo kooda samrakshana korukune pravartanalanu prabhaavitam chestundi; manasika aarogya samasyala chuttoo unna anubandha kalankam eee ghnaana antaraaniki dohadam chestundi. corigan mariyu itarulu. 2014 moodu sthaayila kalankaanni vivaristundi-label egavetha phalitamgaa vachhe praja kalankam, sweeya-siggu phalitamgaa vachhe sweeya-kalankam mariyu nirmaanaatmaka kalankam. eee vividha rakaala kalanka nirmaanaalu mariyu vaaritho oka vyakti yokka vibhina paraspara charyalanu batti, samrakshana kosam vetakadam mariyu palgone pravartanalanu nivaarinchadam chaalaa bhinnamgaa undavacchu. manasika anaarogyaalu mariyu vivaksha yokka kalamkampai prapancha sameekshalo "manasika anaaroogyam unna vyaktulu (samajam dwara nirdhaarana ledhaa gurtinchabadina) manasika anaaroogyam laeni vyaktula vale samaana viluvanu kaligi unnatlu ledhaa aamodayogyamgaa pariganinchabade desham, samajam ledhaa samskruti edhee teliyadu" anie kanugonnaru.
itara karakalu.
jeevasambandhamaina karakalu.
jeevasambandhamaina karakalu vyaktulalo konni manasika anaarogyaala sambhaavyatanu kooda prabhaavitam chestaayi. udaaharanaku, pradhana maandyaanni parigananaloki teesukunnappudu, united statesloni utahloni rogulalo hetch. tii. tii − − zii janyuroopam gananeeyamgaa mudipadi unnatlu kanugonabadindi. inca, functional bdnf bdnf polymorphism kooda depressionku sambhaavya janyu pramaada karakamga kanugonabadindi, endukante idhi hippocompus parimaanaanni prabhaavitam chestundi, mariyu ottidi-prerita hippocompal ksheenata anedi prabhaavita rugmatala yokka muulam mariyu abhivruddhitho mudipadi undhi. neurosines mariyu psychology rangaalalo vistrutamaina parisoedhana mariyu saahityam-mariyu vaati kalayika-eee janyu mariyu shareera nirmaana pramaada kaarakaalanu gurtinchadam lakshyamgaa pettukundi.
jokyalu.
manasika aarogyam yokka eee saamaajika nirnayakaalanu mariyu manasika aarogya phalitaalalo avi poeshinchae paatralanu parigananaloki teesukune manasika aarogya chikitsalu mariyu jokyaalanu pariseelinchadaaniki parisoedhanalu nirvahinchabaddaayi. udaaharanaku, poeshakaahaara manorogachikitsa anedi abhivruddhi chendutunna adhyayana rangam, idhi aaharam mariyu aaharam dwara vyaktula manasika aarogyaanni meruguparachadam lakshyamgaa pettukundihi adhan mariyu itarulu. aaharam mariyu jeevanasaili manasika aarogya chikitsa mariyu nivaarananu prabhaavitam cheyagalavani jokya adhyayanalu kanugonnayani 2019 highlight chestundi.

