The challenges of addressing primary prevention of diabetes: a response to recommendations from the chronic disease directors' project.
The challenges of addressing primary prevention of diabetes: a response to recommendations from the chronic disease directors' project.
复制标题
解决糖尿病一级预防的挑战：对慢性病主任项目建议的回应。
DOI：
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发表时间：
2008
影响因子：
3.3
通讯作者：
P. Nanavati
中科院分区：
文献类型：
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作者：
Apophia Namageyo;P. Nanavati
美国糖尿病的负担日益加重，导致公共卫生机构重新考虑预防和控制糖尿病的工作重点。特别是，它们正在努力将初级预防纳入其议程。许多项目报告和项目，特别是慢性病主任项目，推荐预防糖尿病的有效方法。科学支持对糖尿病进行一级预防的必要性，但实施慢性病主任项目建议的最有效方法仍不清楚。本评论的目的是审查一个联邦糖尿病公共卫生实体，糖尿病翻译司所面临的方案挑战。这些问题包括资金有限，疾病导向计划之间的初级预防工作协调不足，有效干预措施的研究有限，以及大量人口面临糖尿病风险。我们讨论这些挑战与糖尿病的一级预防有关，但它们对不同的公共卫生实体（联邦，州和非政府组织）有更广泛的影响，因为他们试图对其他疾病实施类似的一级预防建议。
The growing burden of diabetes in the United States is leading public health entities to reconsider the focus of their efforts to prevent and control the disease. In particular, they are striving to include primary prevention in their agendas. Many program reports and projects, specifically the chronic disease directors project, recommend effective ways to prevent diabetes. Science supports the need for primary prevention of diabetes, but the most effective ways to implement the chronic disease directors project's recommendations remain unclear. The purpose of this commentary is to review the programmatic challenges faced by a federal diabetes public health entity, the Division of Diabetes Translation. These include limited funding, little coordination of primary prevention efforts among disease-oriented programs, limited research on effective interventions, and the large population at risk for developing diabetes. We discuss these challenges with reference to the primary prevention of diabetes, but they have broader implications for the different public health entities (federal, state, and nongovernmental organizations) with a vested interest in diabetes because they attempt to implement similar primary prevention recommendations for other diseases.