Department of Community Health and Primary Care, University of Lagos, Nigeria.
Department of Medical Social Sciences, Northwestern, Chicago, IL.
Transl Behav Med. 2021 Jun 17;11(6):1286-1288. doi: 10.1093/tbm/ibaa128.
Non-communicable diseases (NCDs) are the leading cause of death and disability in the world with the majority of deaths occurring in low- and middle-income countries (LMICs). The financial implications of disease and disability due to NCDs, combined with the costs of long-term management, are major causes of impoverishment and serve as barriers to socio-economic development. The transition from infectious diseases to NCDs as leading causes of mortality in LMICs is driven by several factors, primarily increasing globalization, urbanization, ageing of populations and economic development. Responding to these challenges will require local and comprehensive primary and secondary prevention efforts. The World Health Organization's Global Action Plan provides a road map and an array of policy options to achieve nine voluntary global targets by 2025. The primary responsibility of governments in responding to the challenge of NCDs includes international scientific cooperation to support national and local efforts. The implementation of such efforts to prioritize the prevention of NCDs will create an environment in which the rising trend of the NCD burden could be potentially halted and reversed. When developing NCD policies, stakeholders should consider evidence-based strategies which can be implemented by multidisciplinary teams that are led or have the participation of behavioral medicine scientists. Behavioral medicine strategies should be incorporated into the policy and intervention framework developed to target NCDs in LMICs.
非传染性疾病(NCDs)是世界范围内导致死亡和残疾的主要原因,其中大多数死亡发生在中低收入国家(LMICs)。NCD 导致的疾病和残疾的财务影响,加上长期管理的成本,是贫困的主要原因,并成为社会经济发展的障碍。中低收入国家从传染病向 NCD 转变为主要死因,是由多种因素驱动的,主要包括全球化、城市化、人口老龄化和经济发展的加速。应对这些挑战需要采取地方和全面的初级和二级预防措施。世界卫生组织的全球行动计划提供了路线图和一系列政策选择,以实现到 2025 年的九个自愿全球目标。政府应对 NCD 挑战的主要责任包括国际科学合作,以支持国家和地方的努力。实施这些优先预防 NCD 的努力将创造一个环境,使 NCD 负担的上升趋势有可能得到遏制和扭转。在制定 NCD 政策时,利益相关者应考虑基于证据的策略,这些策略可以由多学科团队实施,这些团队由行为医学科学家领导或参与。应将行为医学策略纳入为中低收入国家的 NCD 制定的政策和干预框架中。