Aarhus University.
J Health Polit Policy Law. 2012 Apr;37(2):227-52. doi: 10.1215/03616878-1538611. Epub 2011 Dec 5.
Since the 1970s public health policy has attempted to counter the rise of chronic diseases by getting individuals to make healthy choices about smoking, alcohol, diet, and physical exercise. Inspired by the so-called new perspective of the 1974 Lalonde report, this shift from disease treatment to prevention has been a key focus of public health policy to this day. Every generation of public health reports presents prevention as the answer to past failures, but the continuous experience of failure is strangely coexistent with a fundamental belief in the ability of lifestyle prevention to produce large health improvements. The article tracks the genealogy of lifestyle prevention as policy idea across three generations of U.S. and Danish public health reports and finds a systematic interpretation of lifestyle prevention as being more successful and promising than acute medical treatment.
自 20 世纪 70 年代以来，公共卫生政策一直试图通过让个人就吸烟、饮酒、饮食和体育锻炼做出健康选择来应对慢性病的上升。受 1974 年 Lalonde 报告所谓的新视角的启发，这种从疾病治疗到预防的转变一直是公共卫生政策的一个关键重点。每一代公共卫生报告都将预防作为对过去失败的回应，但持续的失败经验却与对生活方式预防能够带来巨大健康改善的能力的根本信念奇怪地并存。本文通过对美国和丹麦三代公共卫生报告中生活方式预防作为政策理念的谱系进行追踪，发现了一种系统的解释，即生活方式预防比急性医疗治疗更成功、更有希望。
