Santonja F-J, Morales A, Villanueva R-J, Cortés J-C
Departamento de Estadística e Investigación Operativa, Universitat de Valencia, Spain.
Eval Program Plann. 2012 Feb;35(1):34-9. doi: 10.1016/j.evalprogplan.2011.06.004. Epub 2011 Jul 18.
Excess weight is fast becoming a serious health concern in the developed and developing world. The concern of the public health sector has lead to the development of public health campaigns, focusing on two-fold goals: to inform the public as to the health risks inherent in being overweight, and the benefits of a change in nutritional behaviour. Recent studies indicate that the effects of the average public health campaign on the target community is around 5%. In this study we aim to quantify the effect of different public health campaigns on lifestyle behaviour in the target populations in order to bring about weightloss in a significant number of people over the next few years. This study is based on recent works that consider excess weight as a consequence of the transmission of unhealthy lifestyles from one individual to another. Following this point of view, first a mathematical model is presented. Then, policies based on public health campaigns addressed to stop people gaining weight (prevention; this type of policy acts on individuals in order to maintain their weight and to stop an increase in weight) and, policies addressed to overweight individuals to reduce their weight (treatment; these campaigns act on overweight and/or obese individuals in order to reduce their weight) are simulated in order to evaluate their effectiveness. The study concludes that combination of preventive plus treatment campaigns are more effective than considering them separately.
超重问题在发达国家和发展中国家正迅速成为一个严重的健康问题。公共卫生部门的关注促使了公共卫生运动的开展,其目标主要有两个:告知公众超重所固有的健康风险,以及改变营养行为的益处。近期研究表明,一般的公共卫生运动对目标群体的影响约为5%。在本研究中,我们旨在量化不同公共卫生运动对目标人群生活方式行为的影响,以便在未来几年使大量人群实现减重。本研究基于近期的一些研究成果,这些研究将超重视为不健康生活方式从一个人传递给另一个人的结果。基于这一观点,首先提出一个数学模型。然后,模拟了旨在阻止人们体重增加的公共卫生运动政策(预防;这类政策作用于个体以维持其体重并阻止体重增加)以及针对超重个体减轻体重的政策(治疗;这些运动作用于超重和/或肥胖个体以减轻他们的体重),以评估其有效性。研究得出结论,预防性运动和治疗性运动相结合比单独考虑它们更有效。