Non-communicable diseases in low- and middle-income countries: context, determinants and health policy
Identifieur interne : 001F08 ( Pmc/Corpus ); précédent : 001F07; suivant : 001F09Non-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. EbrahimSource :
- Tropical medicine & international health : TM & IH [ 1360-2276 ] ; 2008.
Abstract
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:2687091Le document en format XML
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<front><div type="abstract" xml:lang="en"><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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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9610576</journal-id>
<journal-id journal-id-type="pubmed-jr-id">20323</journal-id>
<journal-id journal-id-type="nlm-ta">Trop Med Int Health</journal-id>
<journal-id journal-id-type="iso-abbrev">Trop. Med. Int. Health</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Non-communicable diseases in low- and middle-income countries: context, determinants and health policy</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Miranda</surname>
<given-names>J. J.</given-names>
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<contrib contrib-type="author"><name><surname>Kinra</surname>
<given-names>S.</given-names>
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<contrib contrib-type="author"><name><surname>Casas</surname>
<given-names>J. P.</given-names>
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<contrib contrib-type="author"><name><surname>Smith</surname>
<given-names>G. Davey</given-names>
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<contrib contrib-type="author"><name><surname>Ebrahim</surname>
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<aff id="A1"><label>1</label>
Non-communicable Disease Epidemiology Unit, Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK</aff>
<aff id="A2"><label>2</label>
Department of Social Medicine, University of Bristol, Bristol, UK</aff>
<author-notes><corresp id="CR1"><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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<pub-date pub-type="nihms-submitted"><day>18</day>
<month>5</month>
<year>2009</year>
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<pub-date pub-type="ppub"><month>10</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>27</day>
<month>5</month>
<year>2009</year>
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<volume>13</volume>
<issue>10</issue>
<fpage>1225</fpage>
<lpage>1234</lpage>
<permissions><copyright-statement>© 2008 Blackwell Publishing Ltd</copyright-statement>
<copyright-year>2008</copyright-year>
</permissions>
<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>
</abstract>
<kwd-group><kwd>chronic diseases</kwd>
<kwd>developing countries</kwd>
<kwd>epidemiology</kwd>
<kwd>health transition</kwd>
<kwd>non-communicable diseases</kwd>
<kwd>population</kwd>
<kwd>public health</kwd>
<kwd>risk factors</kwd>
<kwd>urbanisation</kwd>
<kwd>world health</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United Kingdom">Wellcome Trust : </funding-source>
<award-id>074833 || WT</award-id>
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