Understanding Health Promotion, Prevention, and the Treatment of Diabetes and Cardiovascular Disease in Kerala, India

在印度喀拉拉邦，心脏病和糖尿病是导致死亡、发病和残疾的主要原因。在发展中国家，生活方式疾病的负担影响到年轻人和中年人，因此限制了生计、长期健康和经济发展。到目前为止，私营部门一直在带头应对慢性病。然而，方法侧重于治疗，而不是对确诊疾病的有效预防和管理，从而增加了生活方式疾病的社会和经济负担。这项研究将研究卫生保健市场的结构背景、疾病管理的临床背景以及当地的健康信念和行为如何塑造对健康促进和慢性病管理的态度和行为。这是印度第一项关于慢性病的医学和文化背景的研究，通过出版和更广泛的传播战略，这项研究将有助于为卫生政策提供信息，使其了解制定文化和经济上适当的应对措施，以减少慢性病发病率和促进健康的生活方式。因此，这项研究将解决世界卫生大会行动计划2008-2013年--“预防和控制非传染性疾病全球战略”中提出的这一主要公共卫生优先事项。

Heart disease and diabetes are leading causes of death, morbidity, and disability in Kerala, India. In developing countries, the burden of lifestyle disease affects young and middle-aged adults, therefore constraining livelihoods, long-term health, and economic development. Thus far the private sector has led responses to chronic illness. However approaches have focused on treatment rather than effective prevention and management of diagnosed conditions, thus increasing the social and economic burden of lifestyle diseases. This study will examine how the structural context of health care markets, clinical contexts of disease management, and local health beliefs and behaviours are shaping attitudes and behaviours towards health promotion and the management of chronic illness. This is the first study in India to address the medical and cultural context of chronic illness that through publication and wider dissemination strategies this research will help to inform health policy on the development of culturally and economically appropriate responses to reduce chronic morbidity and to promote healthy lifestyles. The research will therefore address this leading public health priority set out in the World Health Assembly, Action Plan 2008-2013 - ‘Global Strategy for the Prevention and Control of Non-Communicable Diseases.‘