Prince Martin, Acosta Daisy, Albanese Emiliano, Arizaga Raul, Ferri Cleusa P, Guerra Mariella, Huang Yueqin, Jacob K S, Jimenez-Velazquez Ivonne Z, Rodriguez Juan Llibre, Salas Aquiles, Sosa Ana Luisa, Sousa Renata, Uwakwe Richard, van der Poel Rikus, Williams Joseph, Wortmann Marc
Section of Epidemiology, Health Services Research, King's College London, London, UK.
Int Rev Psychiatry. 2008 Aug;20(4):332-43. doi: 10.1080/09540260802094712.
While two thirds of the 24 million people with dementia worldwide live in low and middle income countries, very little research has been conducted to support policy making in these regions. Among the non-communicable diseases, dementia (in common with other chronic NCDs linked more to long-term disability than to mortality) has been relatively under-prioritized. International agreements, plans and policy guidelines have called for an end to ageist discrimination and a focus upon reducing disadvantage arising from poverty and the consequences of ill health. Social protection, access to good quality age-appropriate healthcare and addressing the problem of disability are all key issues. However, as yet, little progress has been made in addressing these concerns. In this review we outline the current international policy agenda for older individuals, and its specific relevance to those with dementia and other disabling non-communicable diseases. We consider the potential for epidemiological research to raise awareness, refine the policy agenda, and promote action, using the example of the dissemination strategy developed by the 10/66 Dementia Research Group.
全球2400万痴呆症患者中有三分之二生活在低收入和中等收入国家,但针对这些地区政策制定的研究却非常少。在非传染性疾病中,痴呆症(与其他更多与长期残疾而非死亡率相关的慢性非传染性疾病一样)一直相对未得到足够重视。国际协议、计划和政策指南呼吁消除年龄歧视,关注减少贫困和健康不佳造成的不利影响。社会保护、获得优质的适老医疗保健以及解决残疾问题都是关键问题。然而,在解决这些问题方面尚未取得什么进展。在本综述中,我们概述了当前针对老年人的国际政策议程,以及该议程与痴呆症患者和其他致残性非传染性疾病患者的具体相关性。我们以10/66痴呆症研究小组制定的传播策略为例,探讨流行病学研究在提高认识、完善政策议程和促进行动方面的潜力。