Higgins Stephen T
Vermont Center on Behavior and Health, Departments of Psychiatry and Psychological Science, University of Vermont, United States.
Prev Med. 2016 Nov;92:1-5. doi: 10.1016/j.ypmed.2016.09.029. Epub 2016 Sep 28.
This Special Issue of Preventive Medicine (PM) is the 3rd that we have organized on behavior change, health, and health disparities. This is a topic of critical importance to improving U.S. population health. There is broad scientific consensus that personal behaviors such as cigarette smoking, other substance abuse, and physical inactivity/obesity are among the most important modifiable causes of chronic disease and its adverse impacts on population health. Hence, effectively promoting health-related behavior change needs to be a key component of health care research and policy. There is also broad recognition that while these problems extend throughout the population, they disproportionately impact economically disadvantaged populations and other vulnerable populations and represent a major contributor to health disparities. Thus, behavior change represents an essential step in curtailing health disparities, which receives special attention in this 3rd Special Issue. We also devote considerable space to the longstanding challenges of reducing cigarette smoking and use of other tobacco and nicotine delivery products in vulnerable populations, obesity, and for the first time food insecurity. Across each of these topics we include contributions from highly accomplished policymakers and scientists to acquaint readers with recent accomplishments as well as remaining knowledge gaps and challenges.
《预防医学》(PM)的这一特刊是我们组织的关于行为改变、健康和健康差距的第三期特刊。这是一个对于改善美国人口健康至关重要的主题。科学界已形成广泛共识,即诸如吸烟、其他物质滥用以及缺乏身体活动/肥胖等个人行为是慢性病及其对人口健康产生不利影响的最重要的可改变原因。因此,有效促进与健康相关的行为改变应成为医疗保健研究和政策的关键组成部分。人们也普遍认识到,虽然这些问题在整个人口中都存在,但它们对经济弱势人群和其他弱势群体的影响尤为严重,是导致健康差距的主要因素。因此,行为改变是减少健康差距的关键一步,在这第三期特刊中受到特别关注。我们还为减少弱势群体吸烟以及使用其他烟草和尼古丁输送产品、肥胖问题以及首次涉及的粮食不安全等长期挑战留出了大量篇幅。在这些主题中,我们都收录了杰出政策制定者和科学家的文章,以使读者了解近期的成果以及尚存的知识空白和挑战。