Global NCDs, RTI International, Seattle, Washington State, United States of America.
Department of Global Health, University of Washington, Seattle, Washington State, United States of America.
PLoS One. 2020 Feb 6;15(2):e0228564. doi: 10.1371/journal.pone.0228564. eCollection 2020.
Noncommunicable diseases (NCDs), such as heart disease, cancer, diabetes, and chronic respiratory disease, are responsible for seven out of every 10 deaths worldwide. While NCDs are associated with aging in high-income countries, this representation is often misleading. Over one-third of the 41 million annual deaths from NCDs occur prematurely, defined as under 70 years of age. Most of those deaths occur in low- and middle-income countries (LMICs) where surveillance, treatment, and care of NCDs are often inadequate. In addition to high health and social costs, the economic costs imposed by such high numbers of excess early deaths impede economic development and contribute to global and national inequity. In higher-income countries, NCDs and their risks continue to push health care costs higher. The burden of NCDs is strongly intertwined with economic conditions for good and for harm. Understanding the multiple ways they are connected-through risk factor exposures, access to quality health care, and financial protection among others-will determine which countries are able to improve the healthy longevity of their populations and slow growth in health expenditure particularly in the face of aging populations. The aim of this Special Collection is to provide new evidence to spur those actions.
非传染性疾病(NCDs),如心脏病、癌症、糖尿病和慢性呼吸道疾病,导致了全球每 10 人死亡中的 7 人。虽然 NCDs 与高收入国家的老龄化有关,但这种说法往往具有误导性。每年有超过 4100 万人死于 NCDs,其中超过三分之一是过早死亡,即年龄在 70 岁以下。这些死亡大多发生在中低收入国家(LMICs),这些国家对 NCDs 的监测、治疗和护理往往不足。除了高昂的健康和社会成本外,如此多的过早死亡带来的经济成本也阻碍了经济发展,并导致了全球和国家的不平等。在高收入国家,NCDs 及其风险继续推高医疗保健成本。NCDs 的负担与经济状况密切相关,既有好的方面,也有不利的方面。了解它们通过风险因素暴露、获得高质量医疗保健以及财务保护等多种方式相互关联,将决定哪些国家能够提高其人口的健康长寿水平,并减缓医疗支出的增长,尤其是在人口老龄化的情况下。本特刊的目的是提供新的证据,以推动这些行动。