Mendis Shanthi
Geneva Learning Foundation, Geneva, Switzerland.
Cardiovasc Diagn Ther. 2017 Apr;7(Suppl 1):S32-S38. doi: 10.21037/cdt.2017.03.06.
Although there is measurable global progress in prevention of cardiovascular disease (CVD), it has been highly uneven and inadequate, particularly in low- and middle-income countries. Voluntary global targets have helped to galvanize attention, resources and accountability on tobacco use, harmful use of alcohol, unhealthy diet and physical inactivity which are the major behavioural drivers of CVD. Many obstacles and challenges continue to impede the progress of cardiovascular prevention. The inclusion of noncommunicable diseases (NCDs) in the sustainable development agenda as a specific target, offers an unprecedented opportunity to further advance the global progress of cardiovascular prevention. In order to seize this opportunity, a paradigm shift is required in the way key challenges to cardiovascular prevention are addressed. Such an approach must provide leadership for intersectoral policy coherence, identify effective means of tackling commercial determinants of behavioural risk factors, use rights based arguments, enhance public engagement and ensure accountability.
尽管在预防心血管疾病（CVD）方面全球取得了可衡量的进展，但进展极不均衡且不充分，在低收入和中等收入国家尤其如此。自愿性全球目标有助于激发对烟草使用、有害使用酒精、不健康饮食和身体活动不足的关注、资源投入和问责制，而这些是心血管疾病的主要行为驱动因素。许多障碍和挑战继续阻碍心血管疾病预防工作的进展。将非传染性疾病（NCDs）纳入可持续发展议程作为一项具体目标，为进一步推动全球心血管疾病预防工作的进展提供了前所未有的机遇。为抓住这一机遇，应对心血管疾病预防关键挑战的方式需要进行范式转变。这种方法必须为部门间政策协调提供领导，确定应对行为风险因素商业决定因素的有效手段，运用基于权利的论据，加强公众参与并确保问责制。
