After 1970 the preexisting gap in population health between democratic Europe and communist countries became even more prominent. While in the democratic Europe there was a progressive rise in life expectancy associated with the decline in ischaemic heart disease (IHD), the trend on the other side of the iron curtain was exactly reverse. After the fall of communism in 1989 population health in the post-communist central Europe (CE) rapidly signalled a favourable recovery. This biphasic trend in post-communist countries is very remarkable. Most remarkably the decline in IHD mortality started soon after the demise of totality, even before the modernization of health care (new more effective medications and diagnostic technology), public campaign against smoking and improved supply of protective nutrients got chance to attain an important role. The decades-long psychosocial depression of communism was rapidly replaced with a promise of a better future. It is generally accepted that psychosocial factors are powerfool tools in the pathogenesis of IHD.

译文

在1970之后,民主欧洲和共产主义国家之间在人口健康方面存在的差距变得更加突出。虽然在民主的欧洲,与缺血性心脏病 (IHD) 下降相关的预期寿命逐渐增加,但铁幕另一端的趋势恰恰相反。共产主义垮台后,后共产主义中欧 (CE) 的1989年人口健康迅速预示着良好的复苏。后共产主义国家的这种双相趋势非常显著。最明显的是,IHD死亡率的下降在总体消亡后不久就开始了,甚至在医疗保健现代化 (新的更有效的药物和诊断技术) 之前,公众反对吸烟和改善保护性营养素的供应就有机会发挥重要作用。长达数十年的共产主义心理社会萧条迅速被对美好未来的承诺所取代。人们普遍认为,社会心理因素是IHD发病机理中的重要工具。

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