Dear Dr Hajime,
Greetings from Brazil, Rio de Janeiro.
Your question has the answer right straight at the target!
Unemployed households mean poverty and all the diversity and lack of survival needs for children and adolescents.
Including the very first one: abandonment and lack of affection bonds by "stressed" parents or one-parent household.
What are the "social Support" measures in Japan, the families are followed by any Health or social sector? They receive any kind of socio-economic stipend or support?
I would suggest the basics Reading and "model" WHO-UN social determinants of Health Brazil has "social pockets" of slums in the major cities and capitals Where all the violence and adolescent post-traumatic events occur suicide rate is higher, "stray bullets", drop-off schools, and so on and on...! Nowadays with the digital time and violence contents on videogames and social networks, all elements are there and just increased!
I visited Japan, KOBE and many years ago where we worked for a collaborative and multicentered WHO project on "street Youth and drugs" > later called > "Urban Youth" > take a look at the WHO publication (2005) "Substance Use Among Young People in Urban Environments" (Obot & Saxena orgs)
I will be glad to share more of my professional expertise into Pediatrics and Adolescent medicine, and primary health care in poor and diverse environments.
Once again,
Brazilian Regards,
Evelyn Eisenstein, MD
HIFA/CHIFA profile:
Evelyn Eisenstein é médica pediatra/clínica de adolescentes e atualmente é professora associada de pediatria na Universidade do Estado do Rio de Janeiro. Coordena a Telemedicina e o Grupo de Interesse Especial (SIG) de Saúde & Medicina de Crianças e Adolescentes da Rede Universitária de Telemedicina. Trabalha ainda como Diretora da Clínica de Adolescentes e do CEIIAS (Centro de Estudos Integrados, Infância, Adolescência e Saúde). Seus interesses profissionais são: educação em saúde e programas de prevenção de situações de risco para adolescentes, crescimento, desenvolvimento e nutrição de crianças/adolescentes, programas de prevenção da violência/abusos e a questões envolvendo direitos e ética de saúde em relação a crianças e adolescentes.
evelynbrasil AT hotmail.com
Brazil