US public health and the 21st century: diabetes mellitus
US public health and the 21st century: diabetes mellitus
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DOI：
10.1016/s0140-6736(00)02641-6
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发表时间：
2000-08-26
期刊：
影响因子：
168.9
通讯作者：
Marceau, L
中科院分区：
文献类型：
--
作者：
McKinlay, J;Marceau, L
No one can question the remarkable contribution of US public health to understanding the causes and consequences of illness, disability, and death. However, some commentators question the agenda: the endless pursuit of individual risk factors and the cursory attention to social determinants of disease. We attempt to illustrate some limitations of US public health by focusing on type-2 diabetes (adult-onset non-insulin-dependent diabetes)-an increasingly prevalent but still poorly understood medical condition with devastating complications and implications for quality of life. A more theoretically based multilevel approach to diabetes, outlined for the 21st century, has an almost exclusive downstream curative focus, that ranges from midstream preventive programmes to upstream healthy public policy.
