Management of NCD in Low- and Middle-Income Countries

被引：93

作者：

Checkley, William ^{[1
,2
,3
]}

Ghannem, Hassen ^{[4
]}

Irazola, Vilma ^{[5
]}

Kimaiyo, Sylvester ^{[6
,7
]}

Levitt, Naomi S. ^{[8
,9
]}

Miranda, J. Jaime ^{[3
,10
]}

Niessen, Louis ^{[11
,12
,13
]}

Prabhakaran, Dorairaj ^{[14
,15
]}

Rabadan-Diehl, Cristina ^{[16
,17
]}

Ramirez-Zea, Manuel ^{[18
]}

Rubinstein, Adolfo ^{[5
]}

Sigamani, Alben ^{[19
]}

Smith, Richard ^{[20
]}

Tandon, Nikhil ^{[21
]}

Wu, Yangfeng ^{[22
,23
,24
]}

Xavier, Denis ^{[19
]}

Yan, Lijing L. ^{[22
,25
,26
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Div Pulm & Crit Care, Baltimore, MD 21218 USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Program Global Dis Epidemiol & Control, Baltimore, MD 21205 USA

[3] Univ Peruana Cayetano Heredia, CRON Ctr Excellence Chron Dis, Lima, Peru

[4] Univ Hosp Farhat, Chron Dis Prevent Res Ctr, Dept Epidemiol, Sousse, Tunisia

[5] Inst Clin Effectiveness & Hlth Policy IECS, CESCAS, Buenos Aires, DF, Argentina

[6] Moi Univ, Sch Med, AMPATH, Eldoret, Kenya

[7] Moi Teaching & Referral Hosp, Eldoret, Kenya

[8] CDIA, Cape Town, South Africa

[9] Univ Cape Town, Fac Hlth Sci, Dept Med, Div Diabet Med & Endocrinol, Cape Town, South Africa

[10] Univ Peruana Cayetano Heredia, Sch Med, Dept Med, Lima, Peru

[11] Int Ctr Diarrheal Dis Res, CCCD, Dhaka, Bangladesh

[12] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD 21205 USA

[13] Univ Liverpool Liverpool Sch Trop Med, Ctr Appl Hlth Res & Delivery, Liverpool, Merseyside, England

[14] Ctr Chron Dis Control, New Delhi, India

[15] Publ Hlth Fdn India, Ctr Excellence Cardio Metab Risk Reduct South Asi, New Delhi, India

[16] NIH, Natl Heart Lung & Blood Inst, Off Global Hlth, Bethesda, MD 20892 USA

[17] US Dept Hlth & Human Serv, Off Global Affairs, Washington, DC 20416 USA

[18] INCAP, INCAP Res Ctr Prevent Chron Dis CIIPEC, Guatemala City, Guatemala

[19] St Johns Med Coll & Res Inst, Bangalore, Karnataka, India

[20] UnitedHlth Grp, Chron Dis Initiat, London, England

[21] All India Inst Med Sci, Dept Endocrinol, New Delhi, India

[22] Peking Univ, Hlth Sci Ctr, George Inst Global Hlth, Beijing, Peoples R China

[23] Peking Univ, Sch Publ Hlth, Beijing, Peoples R China

[24] Peking Univ, Clin Res Inst, Beijing, Peoples R China

[25] Duke Kunshan Univ, Duke Global Hlth Inst, Kunshan, Peoples R China

[26] Duke Kunshan Univ, Global Heath Res Ctr, Kunshan, Peoples R China

来源：

GLOBAL HEART | 2014年 / 9卷 / 04期

关键词：

D O I：

10.1016/j.gheart.2014.11.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Noncommunicable disease (NCD), comprising cardiovascular disease, stroke, diabetes, and chronic obstructive pulmonary disease, are increasing in incidence rapidly in low- and middle-income countries (LMICs). Some patients have access to the same treatments available in high-income countries, but most do not, and different strategies are needed. Most research on noncommunicable diseases has been conducted in high-income countries, but the need for research in LMICs has been recognized. LMICs can learn from high-income countries, but they need to devise their own systems that emphasize primary care, the use of community health workers, and sometimes the use of mobile technology. The World Health Organization has identified "best buys" it advocates as interventions in LMICs. Non-laboratory-based risk scores can be used to identify those at high risk. Targeting interventions to those at high risk for developing diabetes has been shown to work in LMICs. Indoor cooking with biomass fuels is an important cause of chronic obstructive pulmonary disease in LMICs, and improved cookstoves with chimneys may be effective in the prevention of chronic diseases.

引用

页码：431 / 443

页数：13

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