Pacific Islands Health Officers Association, Honolulu, HI, United States of America.
Tennessee Department of Health, Nashville, TN, United States of America.
Western Pac Surveill Response J. 2022 Feb 18;13(1):1-10. doi: 10.5365/wpsar.2022.13.1.843. eCollection 2022 Jan-Mar.
To determine the effectiveness of the response to the 2010 declared regional noncommunicable diseases (NCDs) emergency in nine US-affiliated Pacific Island jurisdictions.
Vital statistics and risk prevalence surveys were retrospectively reviewed using 14 standardized NCD risk, prevalence and death rate indicators to measure changes in health status over time. NCD risk and prevalence change scores were derived from subsets of these indicators, and NCD composite death rates were examined. An NCD strength-of-intervention score derived from a standardized regional monitoring tool provided measures for assessing responses aimed at curbing risk factors, prevalence and death rates. Associations between the strength-of-intervention score and changes in health status were examined.
Pairs of values were available for 97 of 126 individual comparisons for 14 core indicators in nine jurisdictions. The composite mean prevalence of all risk factors across the jurisdictions between baseline and follow-up (26.7% versus 24.3%, = 0.34) and the composite mean diabetes and hypertension prevalence (28.3% versus 28.2%, = 0.98) were unchanged, while NCD death rates increased (483.0 versus 521.9 per 100 000 per year, < 0.01). The composite strength-of-intervention score for the region was 37.2%. Higher strength-of-intervention scores were associated with improvements in health indicators.
Despite some improvements in selected NCD indicators at the jurisdiction level, there was no significant overall change in the prevalence of risk factors, diabetes and hypertension, and death rates have continued to increase since the NCD emergency declaration. However, the adoption of public sector NCD interventions was associated with improvements in health indicators.
确定美国 9 个太平洋属地司法管辖区对 2010 年宣布的区域非传染性疾病（NCD）紧急情况的应对效果。
使用 14 项标准化的 NCD 风险、流行率和死亡率指标，回顾性审查生命统计和风险流行率调查，以衡量随着时间的推移健康状况的变化。NCD 风险和流行率变化得分源自这些指标的子集，并且检查了 NCD 综合死亡率。从标准化区域监测工具中得出的 NCD 干预力度得分提供了衡量旨在遏制危险因素、流行率和死亡率的干预措施的措施。检查了干预力度得分与健康状况变化之间的关联。
在 9 个司法管辖区的 14 项核心指标中，有 97 对 126 个个体比较提供了成对值。所有风险因素的综合流行率在基线和随访期间在司法管辖区之间保持不变（26.7%对 24.3%， = 0.34），糖尿病和高血压的综合流行率（28.3%对 28.2%， = 0.98）也保持不变，而 NCD 死亡率增加（每年每 10 万人 483.0 对 521.9， < 0.01）。该地区的综合干预力度得分为 37.2%。更高的干预力度得分与健康指标的改善相关。
尽管在管辖层面上某些 NCD 指标有所改善，但风险因素、糖尿病和高血压的流行率没有显著总体变化，自 NCD 紧急情况宣布以来，死亡率仍在继续上升。然而，公共部门 NCD 干预措施的采用与健康指标的改善相关。
