Non-communicable diseases in the Arab world
Non-communicable diseases in the Arab world
复制标题
DOI：
10.1016/s0140-6736(13)62383-1
复制
发表时间：
2014-01-25
期刊：
影响因子：
168.9
通讯作者：
Husseini, Abdullatif
中科院分区：
文献类型：
--
作者：
Rahim, Hanan F. Abdul;Sibai, Abla;Husseini, Abdullatif
根据2010年全球疾病负担研究的结果，阿拉伯世界的非传染性疾病（心血管疾病、癌症、慢性肺病和糖尿病）负担有所增加，不同收入水平的国家之间存在差异。行为风险因素，包括吸烟、不健康饮食和缺乏体育活动，普遍存在，成人和儿童的肥胖已达到令人震惊的程度。尽管有流行病学证据，但对非传染性疾病的政策反应一直很弱。到目前为止，阿拉伯各国政府尚未充分优先重视解决非传染性疾病的高流行率问题，各国之间的政策各不相同，总体执行不力。已经确定了具有成本效益和循证的预防和治疗干预措施。这些干预措施的实施，首先是立即采取行动减少盐量和更严格地执行烟草控制措施，将解决主要风险因素的上升问题。要有效应对非传染性疾病危机，就必须作出政治承诺，采取多部门行动，加强卫生系统，并不断监测和评估进展情况。阿拉伯各国政府应该对他们在联合国解决危机的承诺负责。参与全球非传染性疾病监测框架应促进对有效行动的问责。人力和经济负担使我们没有不采取行动的余地。
According to the results of the Global Burden of Disease Study 2010, the burden of non-communicable diseases (cardiovascular disease, cancer, chronic lung diseases, and diabetes) in the Arab world has increased, with variations between countries of different income levels. Behavioural risk factors, including tobacco use, unhealthy diets, and physical inactivity are prevalent, and obesity in adults and children has reached an alarming level. Despite epidemiological evidence, the policy response to non-communicable diseases has been weak. So far, Arab governments have not placed a sufficiently high priority on addressing the high prevalence of non-communicable diseases, with variations in policies between countries and overall weak implementation. Cost-effective and evidence-based prevention and treatment interventions have already been identified. The implementation of these interventions, beginning with immediate action on salt reduction and stricter implementation of tobacco control measures, will address the rise in major risk factors. Implementation of an effective response to the non-communicable-disease crisis will need political commitment, multisectoral action, strengthened health systems, and continuous monitoring and assessment of progress. Arab governments should be held accountable for their UN commitments to address the crisis. Engagement in the global monitoring framework for non-communicable diseases should promote accountability for effective action. The human and economic burden leaves no room for inaction.