Chronic diseases 4 - Preventing chronic diseases in China
Chronic diseases 4 - Preventing chronic diseases in China
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DOI：
10.1016/s0140-6736(05)67344-8
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发表时间：
2005-11-19
期刊：
影响因子：
168.9
通讯作者：
Burton, R
中科院分区：
文献类型：
--
作者：
Wang, LD;Kong, LZ;Burton, R
据估计，慢性病现在占中国死亡人数的80%，占残疾调整生命年损失的70%。心血管疾病和癌症是造成死亡和疾病负担的主要原因，而且面临的风险因素很高：3亿多男子吸烟，1.6亿成年人患有高血压，其中大多数人没有得到治疗。肥胖症的流行迫在眉睫，大城市中超过20%的7-17岁儿童现在超重或肥胖。中华人民共和国政府必须面对这些重大挑战。《国家癌症防治规划（2004- 2010年）》正在实施，《国家慢性病防治规划》将于今年完成。在一些领域取得了令人鼓舞的进展，目前男性吸烟率在十年内每年下降约1%，在大型示范项目中取得了更好的结果。还有许多工作要做，资源和可持续性是主要问题。然而，考虑到过去二十年的经验教训，减轻慢性病日益加重的负担所需的监测和干预机制正在迅速发展。
Chronic diseases now account for an estimated 80% of deaths and 70% of disability-adjusted life-years lost in China. Cardiovascular diseases and cancer are the leading causes of both death and the burden of disease, and exposure to risk factors is high: more than 300 million men smoke cigarettes and 160 million adults are hypertensive, most of whom are not being treated. An obesity epidemic is imminent, with more than 20% of children aged 7-17 years in big cities now overweight or obese. The government of the People's Republic of China must confront these major challenges. The national cancer prevention and control plan (2004-10) is being implemented, and a national chronic disease prevention and control plan is due to be completed this year. Encouraging progress has been made in some areas, with current smoking prevalence in men declining at about 1% per year for a decade, and even better results in large demonstration programmes. Much remains to be done, and resources and sustainability are major issues. However, the surveillance and intervention mechanisms needed to ameliorate the increasing burden of chronic diseases are developing rapidly, taking account of the lessons learned over the past two decades.