Prevention and Control of Cardiovascular Disease in the Rapidly Changing Economy of China.
Prevention and Control of Cardiovascular Disease in the Rapidly Changing Economy of China.
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DOI：
10.1161/circulationaha.115.008728
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发表时间：
2016-06-14
期刊：
影响因子：
37.8
通讯作者：
MacMahon S
中科院分区：
文献类型：
--
作者：
Wu Y;Benjamin EJ;MacMahon S
拥有世界五分之一人口的中国对心血管疾病的预防和控制可能会影响全球实现可持续减少心血管疾病的努力的成功。要了解中国目前的心血管疫情，需要了解过去几十年的经济发展。快速的经济转型(工业化、市场化、城市化、全球化和信息化)导致了人口老龄化、不健康的生活方式和环境变化。后者易于增加心血管危险因素和心血管疾病大流行。不断上升的心血管疾病发病率对经济产生了重大影响，对医疗保健系统和整个社会构成了挑战。在认识到健康的重要性后，已经采取了初步的政治步骤和国家行动来应对心血管疾病的流行。展望未来，我们建议采取四个优先事项：推行针对心血管疾病根本原因的多部门政府和非政府战略(“全政府和全社会”政策)；优先预防；改革卫生保健体系以适应非传染性疾病的性质；开展循证、低成本、简单、可持续和可扩展的干预措施研究。通过四个优先事项的推进，将扭转心血管疾病等主要非传染性疾病在中国的流行趋势，实现全球可持续发展目标。
With one fifth of the world’s total population, China’s prevention and control of cardiovascular disease (CVD) may affect the success of worldwide efforts to achieve sustainable CVD reduction. To understand China’s current cardiovascular epidemic, requires awareness of the economic development in the past decades. The rapid economic transformations (industrialization, marketization, urbanization, globalization, and informationalization) contributed to the aging demography, unhealthy lifestyles, and environmental changes. The later have predisposed to increasing cardiovascular risk factors and the CVD pandemic. Rising CVD rates have had a major economic impact, which has challenged the health care system and the whole society. With recognition of the importance of health, initial political steps and national actions have been taken to address the CVD epidemic. Looking to the future, we recommend that four priorities should be taken: pursue multi-sectorial government and non-government strategies targeting the underlying causes of CVD (the “whole-of-government and whole-of-society” policy); give priority to prevention; reform the health care system to fit the nature of noncommunicable diseases; and conduct research for evidence-based, low-cost, simple, sustainable, and scalable interventions. By pursuing the four priorities, the pandemic of CVD and other major NCDs in China will be reversed and the global sustainable development goal achieved.