Global prevention and control of NCDs: Limitations of the standard approach

被引：29

作者：

Pearce, Neil ^{[1
,2
]}

Ebrahim, Shah ^{[1
]}

McKee, Martin ^{[4
]}

Lamptey, Peter ^{[1
]}

Barreto, Mauricio L. ^{[5
]}

Matheson, Don ^{[3
]}

Walls, Helen ^{[1
,6
,7
]}

Foliaki, Sunia ^{[2
]}

Jaime Miranda, J. ^{[8
]}

Chimeddamba, Oyun ^{[9
]}

Garcia-Marcos, Luis ^{[10
,11
,12
]}

Haines, Andy ^{[13
]}

Vineis, Paolo ^{[14
]}

机构：

[1] Univ London London Sch Hyg & Trop Med, Ctr Global NCDs, Keppel St, London WC1E 7HT, England

[2] Massey Univ, Ctr Publ Hlth Res, Wellington, New Zealand

[3] Massey Univ, Ctr Publ Hlth Res, Publ Hlth, Wellington, New Zealand

[4] Univ London London Sch Hyg & Trop Med, European Ctr Hlth Soc Transit ECOHOST, London WC1E 7HT, England

[5] Univ Fed Bahia, Inst Saude Colet, BR-41170290 Salvador, BA, Brazil

[6] Leverhulme Ctr Integrat Res Agr & Hlth, London, England

[7] Australian Natl Univ, Canberra, ACT, Australia

[8] Univ Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Lima, Peru

[9] Monash Univ, SPHPM, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia

[10] Univ Murcia, Arrixaca Univ Childrens Hosp, Resp Unit, E-30001 Murcia, Spain

[11] Univ Murcia, Arrixaca Univ Childrens Hosp, Allergy Unit, E-30001 Murcia, Spain

[12] IMIB Arrixaca Res Inst, Murcia, Spain

[13] Univ London London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London WC1E 7HT, England

[14] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, MRC PHE Ctr Environm & Hlth, London, England

来源：

JOURNAL OF PUBLIC HEALTH POLICY | 2015年 / 36卷 / 04期

基金：

英国惠康基金; 美国国家卫生研究院;

关键词：

non-communicable diseases (NCDs); risk factors for NCDS; mortality; SYSTEMATIC ANALYSIS; PUBLIC-HEALTH; NONCOMMUNICABLE DISEASES; CARDIOVASCULAR RISK; GLUCOSE-TOLERANCE; EXPORTING FAILURE; PHYSICAL-ACTIVITY; LOW-INCOME; 21; REGIONS; TOBACCO;

D O I：

10.1057/jphp.2015.29

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The five-target '25x25' strategy for tackling the emerging global epidemic of non-communicable diseases (NCDs) focuses on four diseases (CVD, diabetes, cancer, and chronic respiratory disease), four risk factors (tobacco, diet and physical activity, dietary salt, and alcohol), and one cardiovascular preventive drug treatment. The goal is to decrease mortality from NCDs by 25 per cent by the year 2025. The 'standard approach' to the '25x25' strategy has the benefit of simplicity, but also has major weaknesses. These include lack of recognition of: (i) the fundamental drivers of the NCD epidemic; (ii) the 'missing NCDs', which are major causes of morbidity; (iii) the 'missing causes' and the 'causes of the causes'; and (iv) the role of health care and the need for integration of interventions.

引用

页码：408 / 425

页数：18

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