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[巴西的慢性非传染性疾病:疾病管理与研究的优先事项]

[Chronic non-communicable diseases in Brazil: priorities for disease management and research].

作者信息

Duncan Bruce Bartholow, Chor Dóra, Aquino Estela M L, Bensenor Isabela M, Mill José Geraldo, Schmidt Maria Inês, Lotufo Paulo Andrade, Vigo Alvaro, Barreto Sandhi Maria

机构信息

Programa de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil.

出版信息

Rev Saude Publica. 2012 Dec;46 Suppl 1:126-34. doi: 10.1590/s0034-89102012000700017.

Abstract

Chronic Non-Communicable Diseases are the main source of disease burden in Brazil. In 2011, the Brazilian Ministry of Health launched the Strategic Plan of Action for Management of Chronic Non-Communicable Diseases focusing on population-based interventions to manage cardiovascular diseases, diabetes, cancer, and chronic respiratory diseases mainly through fighting tobacco use, unhealthy diets, physical inactivity and the harmful use of alcohol. Although a significant number of scientific studies on chronic diseases and their risk factors have been undertaken in Brazil, few are of cohort design. In this context, the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a cohort study of 15,105 Brazilian public servants reflects the reality of high prevalences of diabetes, hypertension and the main chronic diseases risk factors. The diversity of information that the Study will produce can provide important input to better understand the causes of chronic diseases and to support public policies for fighting them.

摘要

慢性非传染性疾病是巴西疾病负担的主要来源。2011年,巴西卫生部发起了慢性非传染性疾病管理战略行动计划,重点是基于人群的干预措施,主要通过打击烟草使用、不健康饮食、身体活动不足和有害使用酒精来管理心血管疾病、糖尿病、癌症和慢性呼吸道疾病。尽管巴西已经开展了大量关于慢性病及其危险因素的科学研究,但队列设计的研究很少。在这种背景下,巴西成人健康纵向研究(ELSA-Brasil)是一项对15105名巴西公务员进行的队列研究,反映了糖尿病、高血压和主要慢性病危险因素的高患病率这一现实情况。该研究将产生的信息多样性可为更好地理解慢性病病因和支持抗击慢性病的公共政策提供重要依据。

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