在人口层面进行痴呆症初级预防的干预措施:综合证据审查
Sebastian Walsh1, Lindsay Wallace1, Isla Kuhn2
1Cambridge Public Health, University of Cambridge, Cambridge, UK.
Lancet (London, England)
|November 24, 2023
概括
人口层面的干预可以通过解决可修改的因素来降低痴呆风险. 这一审查确定了政策制定者实施的26项有效策略,旨在减少全球痴呆症流行率和健康不平等.
科学领域:
- 公共卫生
- 流行病学
- 老年学
背景情况:
- 痴呆症是一个重大的全球健康挑战.
- 虽然高收入国家 (HIC) 的年龄特异性发病率可能正在下降,但个人层面的干预措施不足以广泛减少患病率.
- 人口层面的战略对于有效降低痴呆风险和缓解健康不平等至关重要.
研究的目的:
- 确定具有最强的证据基础的人口层面干预措施来降低痴呆风险.
- 为预防痴呆症制定政策提供信息.
- 为实施有效的公共卫生战略创造框架.
主要方法:
- 进行了复杂的多阶段证据审查.
- 搜索包括针对12个可修改的痴呆风险因素的干预措施的同行评审和灰色文献.
- 提取有效性和上下文信息的证据,随后进行叙述综合和证据分类.
主要成果:
- 26项人口层面的干预措施在减少9种痴呆风险因素的流行方面表现出有效性.
- 干预使用了财政,营销/广告,可用性和立法杆.
- 与身体活动,教育和环境因素相关的干预措施的证据最强; 没有针对糖尿病,抑郁症或社会隔离的具体干预措施.
结论:
- 一个以证据为基础的,为减少痴呆风险而进行的人口层面干预的框架已经开发出来.
- 这一框架可以指导政策制定者和公共卫生专业人员实施可显著降低痴呆风险和减少健康差距的战略.
- 需要进一步的研究和政策实施,以将发现转化为实践.
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