Table 1.
Preventive measure | Public health issue | |||||
---|---|---|---|---|---|---|
All cancers | Lung cancer | Cervical cancer | Cardiovascular disease | Type 2 diabetes | Obesity | |
Not sufficiently prioritised lifestyle interventions | ||||||
Smoking avoidance | ✓ | ✓ | ✓ | ✓ | ✓ | |
Alcohol avoidance | ✓ | |||||
Eat less | ✓ | ✓ | ✓ | ✓ | ||
Weight control | ✓ | ✓ | ✓ | ✓ | ||
Low energy density diets | ✓ | ✓ | ||||
Mediterranean-type diet | ✓ | ✓ | ✓ | ✓ | ||
↑Fruits and vegetables | ✓ | ✓ | ✓ | ✓ | ✓ | |
↑Cis-unsaturated fats | ✓ | |||||
↑Cis-unsaturated fish | ✓ | |||||
↓Added sugars | ✓ | ✓ | ✓ | |||
↓Trans fats | ✓ | ✓ | ✓ | |||
↓Red meats | ✓ | ✓ | ✓ | ✓ | ||
↓Refined cereals | ✓ | ✓ | ||||
Physically active lifestyle | ✓ | ✓ | ✓ | ✓ | ✓ | |
Pap-screening | ✓ | |||||
Reduction of sexual partners | ✓ | |||||
Delayed sexual debut | ✓ | |||||
Character education* | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Not sufficiently prioritised structural approaches | ||||||
Smoke-free spaces | ✓ | ✓ | ✓ | ✓ | ✓ | |
Raise tobacco prices | ✓ | ✓ | ✓ | ✓ | ✓ | |
Air pollution control | ✓ | ✓ | ✓ | |||
Healthy food affordability | ✓ | ✓ | ✓ | ✓ | ✓ | |
Trans-fats banning | ✓ | ✓ | ✓ | |||
Walking and cycle ways | ✓ | ✓ | ✓ | ✓ | ✓ | |
Healthy school meals | ✓ | ✓ | ✓ | |||
↓Serving size in restaurants | ✓ | ✓ | ✓ | ✓ | ||
↓Added sugars | ✓ | ✓ | ✓ | |||
Sexual attitudes and beliefs | ✓ | |||||
Cultural change (social norms) | ✓ | ✓ | ✓ | ✓ | ✓ | |
Expensive and dubious technological ‘solutions’ | Genetic testing | Screening (low-dose CT) | HPV vaccine | Statins | Metformin, thiazolidindiones | Antiobesity drugs |
A mark (✓) indicates an appropriate evidence-based preventive intervention.
*Learning process that enables to understand, care about and act, on core values such as respect, justice, civic virtue and citizenship, and responsibility for self and others, which are the hallmark of safe, healthy and informed communities that serve as the foundation of our society.
CT, computed tomography; HPV, human papillomavirus.