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Review
. 2022 Aug 8;19(15):9761.
doi: 10.3390/ijerph19159761.

Gaps and Directions in Addressing Non-Communicable and Chronic Diseases in China: A Policy Analysis

Yingying Jiang  1   2 , Haijun Guo  1 , Weiwei Zhang  2 , Connie C R Gan  1 , Fan Mao  2 , Maigeng Zhou  2 , Hai Phung  1 , Dung Phung  3 , Jianqun Dong  2 , Cordia Chu  1
Affiliations
Review

Gaps and Directions in Addressing Non-Communicable and Chronic Diseases in China: A Policy Analysis

Yingying Jiang et al. Int J Environ Res Public Health. .

Abstract

Objective: Non-communicable and chronic diseases (NCDs) have become a public health problem that seriously threatens the population's health, especially in rapidly industrialized countries. Given the complexity of managing NCDs, there is growing evidence that interventions embedding or incorporating health promotion strategies can help reduce the disease burden of NCDs. This review aims to identify and map existing control and prevention policies for NCDs in China and identify gaps or opportunities for policy modifications and development, to transfer evidence-based guidelines into empirical public health intervention practices and research.

Design: A review was conducted to evaluate the policy documents to manage NCDs in China. Keywords "chronic disease", "health", and "policy" were used to search documents published on the Chinese official national websites. Nvivo 12.0 was used to conduct a content analysis of the policy documents.

Results: Fifty-six NCD prevention policies were retrieved from the search, and ten documents that incorporated the health promotion component were analyzed. The Healthy China 2030 Plan and Recommendations on Implementing the Healthy China Action are the core health policies of China's Central Government. These, coupled with three nationwide community-based projects, have provided a foundational transformation platform for health promotion implementation.

Conclusion: This review revealed the Chinese Government's determination and commitment toward the prevention and control of NCDs and the promotion public health. Additional efforts and a focus on accelerating policy transformation and strengthening policy evaluation are required to achieve this commitment.

Keywords: China; health promotion; non-communicable and chronic diseases; policy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of policy documents identification and search.
Figure 2
Figure 2
The number and issued year of NCD prevention policies in China.
See this image and copyright information in PMC

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