Globalisation and the prevention and control of non-communicable disease: the neglected chronic diseases of adults

Globalisation and the prevention and control of non-communicable disease: the neglected chronic diseases of adults
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DOI:
10.1016/s0140-6736(03)14335-8
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发表时间:
2003-09-13
期刊:
影响因子:
168.9
通讯作者:
Yach, D
Yach, D
中科院分区:
医学1区
文献类型:
--
作者:
Beaglehole, R;Yach, D

文献摘要

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决策者、主要多边和双边援助捐助方以及学术界忽视了穷国和贫困人口日益加重的全球非传染性疾病负担。尽管有强有力的证据表明这一负担的严重性,其原因的可预防性,以及它对已经紧张的卫生保健系统构成的威胁,但国家和全球行动仍然不足。全球化是非传染性疾病流行的一个重要决定因素,因为它对人口的风险有直接影响,对国家经济和卫生系统有间接影响。烟草和酒精工业的生产和营销活动的全球化是决策者和公共卫生从业人员面临的挑战的一个例子。政府和非政府机构必须作出全面的政策反应;不幸的是,这方面的能力和资源不足,各国政府需要作出适当的反应。在控制烟草业方面取得的进展是乐观的适度理由。
The growing global burden of non-communicable diseases in poor countries and poor populations has been neglected by policy makers, major multilateral and bilateral aid donors, and academics. Despite strong evidence for the magnitude of this burden, the preventability of its causes, and the threat it poses to already strained health care systems, national and global actions have been inadequate. Globalisation is an important determinant of non-communicable disease epidemics since it has direct effects on risks to populations and indirect effects on national economies and health systems. The globalisation of the production and marketing campaigns of the tobacco and alcohol industries exemplify the challenges to policy makers and public health practitioners. A full range of policy responses is required from government and non-governmental agencies; unfortunately the capacity and resources for this response are insufficient, and governments need to respond appropriately. The progress made in controlling the tobacco industry is a modest cause for optimism.