Suchergebnisse

Alkohol und Krankheitslast in der Schweiz – alkoholpolitische Implikationen <span class="fett">Fragestellung:</span> Schätzung der alkoholbedingten Krankheitslast in der Schweiz und Aufzeigen daraus resultierender alkoholpolitischer Schlussfolgerungen. </p><p> <span class="fett">Methodik:</span> Basierend auf Prävalenzdaten zu Alkoholkonsum und relativen Risiken wurde der alkoholbedingte Anteil an der Krankheitslast der Schweiz für das Jahr 2002 in krankheitsadjustierten Lebensjahren geschätzt. </p><p> <span class="fett">Ergebnisse:</span> Hoher Alkoholkonsum führte zu einem auch im internationalen Vergleich hohen Anteil an alkoholbedingter Krankheitslast, speziell unter Frauen und Jugendlichen. </p><p> <span class="fett">Schlussfolgerungen:</span> Angesichts hoher alkoholbedingter Krankheitslast und gleichzeitiger Verfügbarkeit evidenzbasierter und kosteneffektiver Intervention scheinen Gegenmaßnahmen zur Reduktion dieser Krankheitslast überfällig.

Justice policy is typically based more on political considerations than on research results. One way to break down barriers between researchers and policy-makers is to encourage partnerships. AUTO21, a member of the Networks of Centres of Excellence program, is designed to facilitate partnerships. The Antisocial Behaviour and the Automobile project focuses on auto theft, driving under the influence of alcohol and cannabis, and road rage/driver aggression. The research areas that have had the greatest policy impact benefited from strong partnerships with organizations that have the visibility, authority, and resources to implement significant changes in program funding and social policy. These areas also have an extensive body of prior research.

Justice policy is typically based more on political considerations than on research results. One way to break down barriers between researchers and policy-makers is to encourage partnerships. AUTO21, a member of the Networks of Centres of Excellence program, is designed to facilitate partnerships. The Antisocial Behaviour and the Automobile project focuses on auto theft, driving under the influence of alcohol and cannabis, and road rage/driver aggression. The research areas that have had the greatest policy impact benefited from strong partnerships with organizations that have the visibility, authority, and resources to implement significant changes in program funding and social policy. These areas also have an extensive body of prior research.

BACKGROUND: Hazardous and harmful alcohol use and high blood pressure are central risk factors related to premature non-communicable disease (NCD) mortality worldwide. A reduction in the prevalence of both risk factors has been suggested as a route to reach the global NCD targets. This study aims to highlight that screening and interventions for hypertension and hazardous and harmful alcohol use in primary healthcare can contribute substantially to achieving the NCD targets. METHODS: A consensus conference based on systematic reviews, meta-analyses, clinical guidelines, experimental studies, and statistical modelling which had been presented and discussed in five preparatory meetings, was undertaken. Specifically, we modelled changes in blood pressure distributions and potential lives saved for the five largest European countries if screening and appropriate intervention rates in primary healthcare settings were increased. Recommendations to handle alcohol-induced hypertension in primary healthcare settings were derived at the conference, and their degree of evidence was graded. RESULTS: Screening and appropriate interventions for hazardous alcohol use and use disorders could lower blood pressure levels, but there is a lack in implementing these measures in European primary healthcare. Recommendations included (1) an increase in screening for hypertension (evidence grade: high), (2) an increase in screening and brief advice on hazardous and harmful drinking for people with newly detected hypertension by physicians, nurses, and other healthcare professionals (evidence grade: high), (3) the conduct of clinical management of less severe alcohol use disorders for incident people with hypertension in primary healthcare (evidence grade: moderate), and (4) screening for alcohol use in hypertension that is not well controlled (evidence grade: moderate). The first three measures were estimated to result in a decreased hypertension prevalence and hundreds of saved lives annually in the examined countries. CONCLUSIONS: The implementation of the outlined recommendations could contribute to reducing the burden associated with hypertension and hazardous and harmful alcohol use and thus to achievement of the NCD targets. Implementation should be conducted in controlled settings with evaluation, including, but not limited to, economic evaluation.

Background: Hazardous and harmful alcohol use and high blood pressure are central risk factors related to premature non-communicable disease (NCD) mortality worldwide. A reduction in the prevalence of both risk factors has been suggested as a route to reach the global NCD targets. This study aims to highlight that screening and interventions for hypertension and hazardous and harmful alcohol use in primary healthcare can contribute substantially to achieving the NCD targets. Methods: A consensus conference based on systematic reviews, meta-analyses, clinical guidelines, experimental studies, and statisticalmodelling which had been presented and discussed in five preparatory meetings, was undertaken. Specifically, we modelled changes in blood pressure distributions and potential lives saved for the five largest European countries if screening and appropriate intervention rates in primary healthcare settings were increased. Recommendations to handle alcohol-induced hypertension in primary healthcare settings were derived at the conference, and their degree of evidence was graded. Results: Screening and appropriate interventions for hazardous alcohol use and use disorders could lower blood pressure levels, but there is a lack in implementing these measures in European primary healthcare. Recommendations included (1) an increase in screening for hypertension (evidence grade: high), (2) an increase in screening and brief advice on hazardous and harmful drinking for people with newly detected hypertension by physicians, nurses, and other healthcare professionals (evidence grade: high), (3) the conduct of clinical management of less severe alcohol use disorders for incident people with hypertension in primary healthcare (evidence grade: moderate), and (4) screening for alcohol use in hypertension that is not well controlled (evidence grade: moderate). The first three measures were estimated to result in a decreased hypertension prevalence and hundreds of saved lives annually in the examined countries. Conclusions: The ...

Background: Hazardous and harmful alcohol use and high blood pressure are central risk factors related to premature non-communicable disease (NCD) mortality worldwide. A reduction in the prevalence of both risk factors has been suggested as a route to reach the global NCD targets. This study aims to highlight that screening and interventions for hypertension and hazardous and harmful alcohol use in primary healthcare can contribute substantially to achieving the NCD targets. Methods: A consensus conference based on systematic reviews, meta-analyses, clinical guidelines, experimental studies, and statisticalmodelling which had been presented and discussed in five preparatory meetings, was undertaken. Specifically, we modelled changes in blood pressure distributions and potential lives saved for the five largest European countries if screening and appropriate intervention rates in primary healthcare settings were increased. Recommendations to handle alcohol-induced hypertension in primary healthcare settings were derived at the conference, and their degree of evidence was graded. Results: Screening and appropriate interventions for hazardous alcohol use and use disorders could lower blood pressure levels, but there is a lack in implementing these measures in European primary healthcare. Recommendations included (1) an increase in screening for hypertension (evidence grade: high), (2) an increase in screening and brief advice on hazardous and harmful drinking for people with newly detected hypertension by physicians, nurses, and other healthcare professionals (evidence grade: high), (3) the conduct of clinical management of less severe alcohol use disorders for incident people with hypertension in primary healthcare (evidence grade: moderate), and (4) screening for alcohol use in hypertension that is not well controlled (evidence grade: moderate). The first three measures were estimated to result in a decreased hypertension prevalence and hundreds of saved lives annually in the examined countries. Conclusions: The implementation of the outlined recommendations could contribute to reducing the burden associated with hypertension and hazardous and harmful alcohol use and thus to achievement of the NCD targets. Implementation should be conducted in controlled settings with evaluation, including, but not limited to, economic evaluation. ; Peer reviewed