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U.S. Chronic Disease Prevention Approaches and Recommendations
Amy R. Beaudreault*, Julie Shlisky and Mireille McleanThe Sackler Institute for Nutrition Science at the New York Academy of Sciences, New York, USA
- *Corresponding Author:
- Amy R. Beaudreault
The Sackler Institute for Nutrition Science at the New York Academy of Sciences
New York, USA
Tel: 614-397-5859
Email: abeaudreault@mac.com
Received date: November 14, 2015; Accepted date: November 26, 2015; Published date: December 3, 2015
Citation: Beaudreault AR, Shlisky J, Mclean M (2015) U.S. Chronic Disease Prevention Approaches and Recommendations. J Community Med Health Educ 5:382. doi: 10.4172/2161-0711.1000382
Copyright: © 2015 Beaudreault AR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Abstract
Chronic disease (CD) and disability account for nearly half of the U.S. burden of disease. CD-associated risk factors respond to behavior change interventions; yet, evidenced-based approaches in CD prevention are limited. This study describes perceived effective approaches and recommendations for CD prevention in the United States, focusing on seven risk factors: poor diet and adiposity, physical inactivity, tobacco use, mental illness, poor medication adherence, high alcohol consumption, and excess salt intake. Utilizing a step-wise qualitative methodology consisting of one-on-one interviews (n=74) and a consensus building workshop of CD experts (N=24), the following five CD prevention approaches were identified: increase of government policy and regulations, change in the built environment, installment and improvement in workplace wellness programs, higher-value in community-based health initiatives, and use of technology in behavior change adoption. The most actionable and consensual strategies to prevent CDs in the United States were changes in the built environment and a higher-value in community-based health initiatives.
