非传染性疾病可以预防吗? 从对人口和个体的研究中吸取的教训
1MRC-HPA, Centre for Environment and Health and Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London W2 1PG, UK. majid.ezzati@imperial.ac.uk
概括
非传染性疾病导致全球三分之二的死亡. 有效的预防策略包括烟草和酒精控制,更健康的饮食和可获得的初级保健,以减少主要的风险因素.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 癌症和心脏病等非传染性疾病 (NCD) 导致全球三分之二的死亡,不成比例地影响低收入和中等收入国家.
- 有必要制定有效的政策和战略,通过解决其主要风险因素来预防非传染性疾病.
研究的目的:
- 概述基于证据的战略,用于大规模预防非传染性疾病.
- 突出针对全球主要NCD风险因素的关键干预措施.
主要方法:
- 对有效的公共卫生干预措施进行审查,以减少NCD风险因素.
- 对政策杆的分析,包括税收,监管,公共教育和初级保健整合.
主要成果:
- 全面的烟草和酒精控制措施 (税收,销售/广告监管) 是有效的.
- 通过监管和教育 (减少盐,不健康的脂肪,糖;增加水果,蔬菜,全谷物) 来改变饮食是至关重要的.
- 整合临床干预措施的普遍初级保健系统对于风险因素和前体感染至关重要.
结论:
- 实施结合政策,教育和医疗保健的多方性方法对于大规模的非传染性疾病预防至关重要.
- 通过改善食品的可用性和可负担性以及临床护理来解决健康的社会经济决定因素是减少非传染性疾病负担的关键.
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