Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.
Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia; The Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC, Australia.
Lancet Public Health. 2022 Aug;7(8):e721-e724. doi: 10.1016/S2468-2667(22)00156-6.
Stroke can be prevented through effective management of risk factors. However, current primary stroke prevention approaches are insufficient and often fragmented. Primary stroke prevention strategies are predominantly targeted at behavioural (eg, smoking cessation and lifestyle modifications) and pharmacological interventions (ie, prevention medications). There is also a need to consider interrelating structural factors that support, or hinder, prevention actions and behaviours of individuals. Without addressing these structural factors, it is impossible to maximise the benefits of behavioural and pharmacological interventions at the population level. We propose a tripartite approach to primary stroke prevention, comprising behavioural, pharmacological, and structural interventions, which is superimposed on the socioecological model. This approach could minimise the current fragmentation and inefficiency of primary stroke prevention.
中风可以通过有效管理风险因素来预防。然而，目前的主要中风预防方法还不够充分，且往往比较分散。主要的中风预防策略主要针对行为（例如，戒烟和生活方式的改变）和药物干预（即预防药物）。还需要考虑相互关联的结构因素，这些因素支持或阻碍个人的预防行为和行为。如果不解决这些结构性因素，就不可能最大限度地提高行为和药物干预在人群中的效益。我们提出了一种三方主要中风预防方法，包括行为、药理和结构干预，该方法叠加在社会生态模型上。这种方法可以最大限度地减少当前中风预防的分散和低效问题。
