Ockene Judith K, Edgerton Elizabeth A, Teutsch Steven M, Marion Lucy N, Miller Therese, Genevro Janice L, Loveland-Cherry Carol J, Fielding Jonathan E, Briss Peter A
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA.
Am J Prev Med. 2007 Mar;32(3):244-52. doi: 10.1016/j.amepre.2006.11.007.
Multiple and diverse preventive strategies in clinical and community settings are necessary to improve health. This paper (1) introduces evidence-based recommendations from the U.S. Preventive Services Task Force sponsored by the Agency for Healthcare Research and Quality and the Community Task Force sponsored by the Centers for Disease Control and Prevention, (2) examines, using a social-ecologic model, the evidence-based strategies for use in clinical and community settings to address preventable health-related problems such as tobacco use and obesity, and (3) advocates for prioritization and integration of clinical and community preventive strategies in the planning of programs and policy development, calling for additional research to develop the strategies and systems needed to integrate them.
为改善健康状况,临床和社区环境中需要多种不同的预防策略。本文(1)介绍了由医疗保健研究与质量局赞助的美国预防服务工作组以及由疾病控制与预防中心赞助的社区工作组基于证据的建议,(2)使用社会生态模型研究在临床和社区环境中用于解决诸如烟草使用和肥胖等可预防的健康相关问题的基于证据的策略,并且(3)主张在项目规划和政策制定中对临床和社区预防策略进行优先排序和整合,呼吁开展更多研究以开发整合这些策略所需的策略和系统。