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低收入和中等收入热带国家的非传染性疾病
Majid Ezzati1,2,3, Jonathan Pearson-Stuttard4,5, James E Bennett4,5
1Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK. majid.ezzati@imperial.ac.uk.
Nature
|July 27, 2018
概括
在热带国家,非传染性疾病的死亡人数比西方国家高. 应对非传染性疾病需要跨多个部门采取全面行动,以减少全球健康差异.
科学领域:
- 全球健康
- 流行病学
- 公共卫生政策
背景情况:
- 传统上,热带国家与传染病有关,而西方国家则面临诸如心脏病和癌症之类的非传染性疾病.
- 这项研究通过对不同收入水平和地理区域的非传染性疾病死亡率进行检查,
研究的目的:
- 将低收入和中等收入热带国家与高收入西方国家的非传染性疾病负担进行比较.
- 确定导致热带地区非传染性疾病的多方面的原因.
- 为热带地区的非传染性疾病预防和管理提出综合战略.
主要方法:
- 国际死亡数据的分析.
- 不同年龄组和国家的非传染性疾病相关死亡人数的比较.
- 确定影响非传染性疾病的社会经济,环境和医疗因素.
主要成果:
- 与高收入西方国家相比,非传染性疾病在低收入和中等收入热带国家造成的死亡人数更多.
- 热带地区非传染性疾病的主要驱动因素包括营养不良,环境因素,感染,烟草/酒精控制不足以及医疗保健的有限.
结论:
- 在热带国家,非传染性疾病的负担越来越严重,超越了传统的疾病分类.
- 综合卫生,社会,经济和环境干预的多部门方法对于解决非传染性疾病至关重要.
- 应对热带地区的非传染性疾病对于减少全球健康不平等至关重要.
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