Mensah George A
National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA
Health Educ Behav. 2016 Apr;43(1 Suppl):7S-13S. doi: 10.1177/1090198116633454.
Noncommunicable disease (NCD), principally cardiovascular diseases, cancer, chronic lung disease, and diabetes, constitutes the major cause of death worldwide. Evidence of a continuing increase in the global burden of these diseases has generated recent urgent calls for global action to tackle and reduce related death and disability. Because the majority of NCD deaths occur in low- and middle-income countries, increased attention has been focused on this group of countries. However, in sub-Saharan Africa, where all countries are members of the low- and middle-income grouping, NCDs are not the leading causes of death or potential life years lost. Thus, strategies to tackle NCDs in sub-Saharan Africa are best conceived and executed in alignment with existing strategies for the prevention, treatment, and control of the actual leading causes of death in this region. This commentary addresses caveats to be considered as strategies are developed to tackle NCDs in sub-Saharan Africa as part of the global effort to prevent, treat, and control NCDs.
非传染性疾病（NCD），主要是心血管疾病、癌症、慢性肺病和糖尿病，是全球主要死因。这些疾病的全球负担持续增加的证据，引发了近期对全球行动以应对和减少相关死亡及残疾的迫切呼吁。由于大多数非传染性疾病死亡发生在低收入和中等收入国家，因此更多关注集中在了这组国家。然而，在撒哈拉以南非洲，所有国家均属于低收入和中等收入国家类别，非传染性疾病并非主要死因或潜在生命年损失的主要原因。因此，应对撒哈拉以南非洲非传染性疾病的策略，最好在与该地区实际主要死因的预防、治疗和控制现有策略保持一致的情况下构思和实施。本评论阐述了在作为全球预防、治疗和控制非传染性疾病努力的一部分，制定应对撒哈拉以南非洲非传染性疾病策略时需考虑的注意事项。
