伊朗的维生素D缺乏预防政策:回顾性政策分析
Baharak Aghapour1, Sorayya Kheirouri2, Mohammad Alizadeh2
1Department of Community Nutrition, School of Nutrition and Food Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Frontiers in nutrition
|September 8, 2023
概括
伊朗面临着高的维生素D缺乏率 (VDD). 一项政策分析显示,预防VDD有机会,但实施面临诸如治疗重点和经济问题等挑战.
科学领域:
- 公共卫生 公共卫生
- 卫生政策分析 卫生政策分析
- 营养流行病学 营养流行病学
背景情况:
- 与全球平均水平相比,伊朗的维生素D缺乏 (VDD) 患病率更高.
- 了解政策格局对于解决伊朗的VDD至关重要.
研究的目的:
- 分析伊朗的VDD预防政策的议程设定.
- 用多流框架 (MSF) 来进行政策评估.
主要方法:
- 使用Kingdon的MSF模型进行定性分析研究.
- 政策文件审查和与27个利益相关者进行深入访谈.
- 使用MAXQDA版本10进行数据分类的框架分析.
主要成果:
- 问题流强调了伊朗婴儿 (23.3%),青少年 (76%) 和成年人 (59.1%) 的显著VDD患病率.
- 政策流表明重点关注卫生部门内的非传染性疾病预防计划.
- 政治流表明,国家和国际支持可以促进VDD倡议的有利政治气候.
结论:
- 在伊朗,针对VDD预防的政策窗口已经开放.
- 实施挑战包括治疗而不是预防的重点,经济限制以及COVID-19对医疗保健准入的影响.
- 高级政策制定者的支持对于加强和实施VDD预防策略至关重要.
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