Acting on non-communicable diseases in low- and middle-income tropical countries

Review

关键词: BODY-MASS INDEX;    RISK-FACTORS;    CARDIOVASCULAR-DISEASE;    EPIDEMIOLOGIC TRANSITION;    SYSTEMATIC ANALYSIS;    CHILD UNDERNUTRITION;    TUBERCULOSIS-CONTROL;    CONTROL-PRIORITIES;    DIABETES-MELLITUS;    CANCER-MORTALITY;   

DOI  :  10.1038/s41586-018-0306-9

来源: SCIE

【 摘 要 】

The classical portrayal of poor health in tropical countries is one of infections and parasites, contrasting with wealthy Western countries, where unhealthy diet and behaviours cause non-communicable diseases (NCDs) such as heart disease and cancer. Using international mortality data, we show that most NCDs cause more deaths at every age in low-and middle-income tropical countries than in high-income Western countries. Causes of NCDs in low- and middle-income countries include poor nutrition and living environment, infections, insufficient taxation and regulation of tobacco and alcohol, and under-resourced and inaccessible healthcare. We identify a comprehensive set of actions across health, social, economic and environmental sectors that could confront NCDs in low- and middle-income tropical countries and reduce global health inequalities.

【 授权许可】

Free