Veliah Geetha K, Venkatsubramanian Padma
School of Public Health, SRM Institute of Science and Technology, Kattankulathur, India (GV).
School of Health Sciences and Technology, UPES, Dehradun, India (PV).
Am J Lifestyle Med. 2024 Mar 19;18(4):608-611. doi: 10.1177/15598276241240414. eCollection 2024 Jul-Aug.
The global scenario of a contracted economy over 4% and distraught healthcare systems due to the 2019 pandemic behooves us to redesign our strategies to move towards holistic approaches that allow health and wellbeing to be uniquely viewed within their contexts, promising sustainability. World-over, communities are more aware of the connectedness with nature and the role of positive behaviors. Disproportionate investments go into secondary and tertiary cure in healthcare systems and there is a minimal uptake of primary prevention. Investments in primordial prevention (PP) that can help achieve sustainable health are inadequate. PP is defined as an approach that prevents the risk factors for disease conditions from manifesting through maintenance of good health by embracing healthy environment, diet, and lifestyle behaviors, to function optimally. We propose integration of wellness as a primordial prevention strategy for sustainable public health using the 3 Ps: People, Places, and Policies/Programs. Wellness is holistic and multi-dimensional and is a primordial prevention concept as it focuses on people thriving based on a positive approach to health. The authors point out that the stumbling block in public health is due to unsustainable behavior as a result of misplaced priorities.
2019年大流行导致全球经济萎缩超过4%，医疗系统陷入困境，这促使我们重新设计战略，转向整体方法，以便在其背景下独特地看待健康和福祉，实现可持续性。在世界范围内，社区更加意识到与自然的联系以及积极行为的作用。医疗系统在二级和三级治疗方面投入过多，而一级预防的采用率极低。对有助于实现可持续健康的初级预防（PP）的投资不足。PP被定义为一种方法，即通过营造健康的环境、饮食和生活方式行为来维持良好的健康状态，从而防止疾病状况的风险因素显现，以实现最佳功能。我们建议将健康作为一种初级预防策略，通过人、场所和政策/项目这三个“P”来实现可持续的公共卫生。健康是全面和多维度的，是一个初级预防概念，因为它关注的是人们基于对健康的积极态度而蓬勃发展。作者指出，公共卫生的绊脚石在于由于优先事项错位导致的不可持续行为。
