Division of Population Health, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.
Am J Public Health. 2012 Aug;102(8):1498-507. doi: 10.2105/AJPH.2011.300570. Epub 2012 Jun 14.
Life expectancy at birth has increased from 74 years in 1980 to 78 years in 2006. Older adults (aged 65 years and older) are living longer with cardiovascular conditions, which are leading causes of death and disability and thus an important public health concern. We describe several major issues, including the impact of comorbidities, the role of cognitive health, prevention and intervention approaches, and opportunities for collaboration to strengthen the public health system. Prevention can be effective at any age, including for older adults. Public health models focusing on policy, systems, and environmental change approaches have the goal of providing social and physical environments and promoting healthy choices.
人们的预期寿命从 1980 年的 74 岁增加到 2006 年的 78 岁。随着人口老龄化,患有心血管疾病的老年人寿命更长,而心血管疾病是导致死亡和残疾的主要原因,也是一个重要的公共卫生问题。我们描述了几个主要问题,包括合并症的影响、认知健康的作用、预防和干预方法,以及加强公共卫生系统的合作机会。预防在任何年龄段都很有效,包括老年人。以政策、系统和环境改变方法为重点的公共卫生模式旨在提供社会和物理环境,并促进健康选择。