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Proactive prevention: Act now to disrupt the impending non-communicable disease crisis in low-burden populations.
Njuguna, Benson; Fletcher, Sara L; Akwanalo, Constantine; Asante, Kwaku Poku; Baumann, Ana; Brown, Angela; Davila-Roman, Victor G; Dickhaus, Julia; Fort, Meredith; Iwelunmor, Juliet; Irazola, Vilma; Mohan, Sailesh; Mutabazi, Vincent; Newsome, Brad; Ogedegbe, Olugbenga; Pastakia, Sonak D; Peprah, Emmanuel K; Plange-Rhule, Jacob; Roth, Gregory; Shrestha, Archana; Watkins, David A; Vedanthan, Rajesh.
Afiliação
  • Njuguna B; Department of Pharmacy, Moi Teaching & Referral Hospital, Eldoret, Kenya.
  • Fletcher SL; Department of Cardiology, Moi Teaching & Referral Hospital, Eldoret, Kenya.
  • Akwanalo C; Oregon State University College of Pharmacy, Corvallis, OR, United States of America.
  • Asante KP; Department of Cardiology, Moi Teaching & Referral Hospital, Eldoret, Kenya.
  • Baumann A; Kintampo Health Research Centre, Kintampo, Brong Ahafo Region, Ghana.
  • Brown A; Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, United States of America.
  • Davila-Roman VG; Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, United States of America.
  • Dickhaus J; Cardiovascular Division, Washington University School of Medicine, St. Louis, MO, United States of America.
  • Fort M; Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States of America.
  • Iwelunmor J; Colorado School of Public Health, Aurora, CO, United States of America.
  • Irazola V; Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, St. Louis, MO, United States of America.
  • Mohan S; Department of Research in Chronic Diseases, Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina.
  • Mutabazi V; Public Health Foundation of India (PHFI), Gurgaon, Haryana, India.
  • Newsome B; Centre for Chronic Disease Control (CCDC), Gurgaon, Haryana, India.
  • Ogedegbe O; Regional Alliance for Sustainable Development-Rwanda, Kigali, Rwanda.
  • Pastakia SD; Center for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, United States of America.
  • Peprah EK; Department of Population Health, New York University Grossman School of Medicine, New York, NY, United States of America.
  • Plange-Rhule J; Purdue University College of Pharmacy, Center for Health Equity and Innovation, West Lafayette, IN, United States of America.
  • Roth G; Department of Pharmacology, Moi University School of Medicine, Eldoret, Kenya.
  • Shrestha A; Indiana Institute for Global Health, Indianapolis, IN, United States of America.
  • Watkins DA; Department of Social and Behavioral Sciences, Global Health Program, NYU School of Global Public Health, New York, NY, United States of America.
  • Vedanthan R; Ghana College of Physicians and Surgeons, Accra, Ghana.
PLoS One ; 15(12): e0243004, 2020.
Article em En | MEDLINE | ID: mdl-33259517
Non-communicable disease (NCD) prevention efforts have traditionally targeted high-risk and high-burden populations. We propose an alteration in prevention efforts to also include emphasis and focus on low-risk populations, predominantly younger individuals and low-prevalence populations. We refer to this approach as "proactive prevention." This emphasis is based on the priority to put in place policies, programs, and infrastructure that can disrupt the epidemiological transition to develop NCDs among these groups, thereby averting future NCD crises. Proactive prevention strategies can be classified, and their implementation prioritized, based on a 2-dimensional assessment: impact and feasibility. Thus, potential interventions can be categorized into a 2-by-2 matrix: high impact/high feasibility, high impact/low feasibility, low impact/high feasibility, and low impact/low feasibility. We propose that high impact/high feasibility interventions are ready to be implemented (act), while high impact/low feasibility interventions require efforts to foster buy-in first. Low impact/high feasibility interventions need to be changed to improve their impact while low impact/low feasibility might be best re-designed in the context of limited resources. Using this framework, policy makers, public health experts, and other stakeholders can more effectively prioritize and leverage limited resources in an effort to slow or prevent the evolving global NCD crisis.
Assuntos

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Efeitos Psicossociais da Doença / Doenças não Transmissíveis Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Quênia

Texto completo: 1 Temas: ECOS / Aspectos_gerais Bases de dados: MEDLINE Assunto principal: Efeitos Psicossociais da Doença / Doenças não Transmissíveis Tipo de estudo: Etiology_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: PLoS One Assunto da revista: CIENCIA / MEDICINA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Quênia