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Non-communicable diseases in low- and middle-income countries: context, determinants and health policy

Identifieur interne : 001F08 ( Pmc/Corpus ); précédent : 001F07; suivant : 001F09

Non-communicable diseases in low- and middle-income countries: context, determinants and health policy

Auteurs : J. J. Miranda ; S. Kinra ; J. P. Casas ; G. Davey Smith ; S. Ebrahim

Source :

RBID : PMC:2687091

Abstract

Summary

The rise of non-communicable diseases and their impact in low- and middle-income countries has gained increased attention in recent years. However, the explanation for this rise is mostly an extrapolation from the history of high-income countries whose experience differed from the development processes affecting today’s low- and middle-income countries. This review appraises these differences in context to gain a better understanding of the epidemic of non-communicable diseases in low- and middle-income countries. Theories of developmental and degenerative determinants of non-communicable diseases are discussed to provide strong evidence for a causally informed approach to prevention. Health policies for non-communicable diseases are considered in terms of interventions to reduce population risk and individual susceptibility and the research needs for low- and middle-income countries are discussed. Finally, the need for health system reform to strengthen primary care is highlighted as a major policy to reduce the toll of this rising epidemic.


Url:
DOI: 10.1111/j.1365-3156.2008.02116.x
PubMed: 18937743
PubMed Central: 2687091

Links to Exploration step

PMC:2687091

Le document en format XML

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<p id="P1">The rise of non-communicable diseases and their impact in low- and middle-income countries has gained increased attention in recent years. However, the explanation for this rise is mostly an extrapolation from the history of high-income countries whose experience differed from the development processes affecting today’s low- and middle-income countries. This review appraises these differences in context to gain a better understanding of the epidemic of non-communicable diseases in low- and middle-income countries. Theories of developmental and degenerative determinants of non-communicable diseases are discussed to provide strong evidence for a causally informed approach to prevention. Health policies for non-communicable diseases are considered in terms of interventions to reduce population risk and individual susceptibility and the research needs for low- and middle-income countries are discussed. Finally, the need for health system reform to strengthen primary care is highlighted as a major policy to reduce the toll of this rising epidemic.</p>
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Non-communicable Disease Epidemiology Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK</aff>
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Department of Social Medicine, University of Bristol, Bristol, UK</aff>
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<bold>Corresponding Author</bold>
Shah Ebrahim, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel St., London WC1E 7HT, UK. Tel.: +44 20 7927 2215; Fax: +44 20 7927 2282; E-mail:
<email>shah.ebrahim@lshtm.ac.uk</email>
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<abstract>
<title>Summary</title>
<p id="P1">The rise of non-communicable diseases and their impact in low- and middle-income countries has gained increased attention in recent years. However, the explanation for this rise is mostly an extrapolation from the history of high-income countries whose experience differed from the development processes affecting today’s low- and middle-income countries. This review appraises these differences in context to gain a better understanding of the epidemic of non-communicable diseases in low- and middle-income countries. Theories of developmental and degenerative determinants of non-communicable diseases are discussed to provide strong evidence for a causally informed approach to prevention. Health policies for non-communicable diseases are considered in terms of interventions to reduce population risk and individual susceptibility and the research needs for low- and middle-income countries are discussed. Finally, the need for health system reform to strengthen primary care is highlighted as a major policy to reduce the toll of this rising epidemic.</p>
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