PDF(Pubmed)
Abstract：
Mental ill-health and suicide represent a significant proportion of the burden of global disease among men. Connell\'s relational theory of masculinities provides a useful framework to explore how mental health literacy, mental health stigma, and delayed help-seeking and help-offering behaviors are associated with mental ill-health among men, particularly within male-dominated industries. To address the high incidences of mental ill-health in male-dominated industries, several workplace interventions targeting these outcomes have been implemented. No review to date has examined the current state of evidence for these interventions or identified the behavior change techniques used. This review was restricted to empirical, quantitative research reporting on psychosocial interventions targeting mental health literacy, stigma, and help-seeking and help-offering behaviors in male-dominated industries. Quality appraisal was completed using the Effective Public Health Practice Project and a narrative synthesis was conducted. Twelve articles were included for review which reported on four distinct interventions. The methodological quality of two articles was strong, three moderate and seven weak. The strongest evidence of intervention effects related to mental health literacy and help-seeking intentions. There was less evidence relating to help-offering and help-seeking behaviors and mental health stigma. Sixteen behavior change techniques were identified across interventions that are discussed in relation to the wider men\'s health literature. The evidence on psychosocial interventions in male-dominated industries is limited due to methodological and conceptual issues. Recommendations for future research include standardized reporting of intervention descriptions, the use of theory to guide intervention development, and utilizing validated and reliable outcome measures.
摘要：
精神疾病和自杀在男性全球疾病负担中占很大比例。康奈尔的男性关系理论为探索心理健康素养提供了一个有用的框架，心理健康耻辱，延迟寻求帮助和提供帮助的行为与男性的精神疾病有关，尤其是在男性主导的行业中。为了解决男性主导行业中精神疾病的高发病率，针对这些结局实施了几项工作场所干预措施.迄今为止，尚无审查审查了这些干预措施的当前证据状态或确定了所使用的行为改变技术。这篇评论仅限于实证，针对心理健康素养的社会心理干预措施的定量研究报告，污名,以及男性主导的行业中寻求帮助和提供帮助的行为。使用有效的公共卫生实践项目完成了质量评估，并进行了叙述性综合。纳入了12篇文章进行审查，其中报道了四种不同的干预措施。两篇文章的方法论质量较强，三个温和和七个弱。干预效果的最有力证据与心理健康素养和寻求帮助的意图有关。与提供帮助和寻求帮助的行为以及心理健康污名有关的证据较少。在与更广泛的男性健康文献相关的干预措施中，确定了16种行为改变技术。由于方法和概念问题，在男性主导的行业中进行社会心理干预的证据有限。未来研究的建议包括干预描述的标准化报告，用理论指导干预发展，并利用经过验证和可靠的结果衡量标准。
