The impact of poverty reduction and development interventions on non-communicable diseases and their behavioural risk factors in low and lower-middle income countries: A systematic review

PloS One
Jessie PullarKremlin Wickramasinghe

Abstract

Non-communicable diseases (NCDs) disproportionately affect low- and lower-middle income countries (LLMICs) where 80% of global NCD related deaths occur. LLMICs are the primary focus of interventions to address development and poverty indicators. We aimed to synthesise the evidence of these interventions' impact on the four primary NCDs (cardiovascular disease, diabetes, chronic respiratory disease and cancer) and their common behavioural risk factors (unhealthy diets, physical inactivity, tobacco and alcohol use). We systematically searched four online databases (Medline, Embase, Web of Science and Global Health) for primary research conducted in LLMICS, published between January 1st 1990 and February 15th 2016. Studies involved development or poverty interventions which reported on outcomes relating to NCDs. We extracted summary level data on study design, population, health outcomes and potential confounders. From 6383 search results, 29 studies from 24 LLMICs published between 1999 and 2015 met our inclusion criteria. The quality of included studies was limited and heterogeneity of outcome measures required narrative synthesis. One study measured impact on NCD prevalence, one physical activity and 27 dietary components. The ...Continue Reading

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Citations

Sep 7, 2018·Breathe·Nicolino Ambrosino, Enrica Bertella
Dec 21, 2019·Revista brasileira de psiquiatria : orgão oficial da Associação Brasileira de Psiquiatria, Asociación Psiquiátrica de la América Latina·André O WerneckDanilo R Silva
Oct 10, 2019·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Célia Landmann SzwarcwaldLuiz Gastão Rosenfeld
Dec 12, 2019·Nutrición hospitalaria·Hilda Patricia Núñez-RivasNatalia Campos-Saborío
Jul 30, 2020·The Cochrane Database of Systematic Reviews·Solange DuraoAnel Schoonees
Aug 8, 2020·The Cochrane Database of Systematic Reviews·Solange DuraoAnel Schoonees
Dec 17, 2020·Frontiers in Public Health·Aida BudreviciuteRimantas Kodzius
Jun 11, 2021·Bulletin of the World Health Organization·Eleanor Turner-MossUNKNOWN Global Diet and Activity Research Group and Network

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