Prevention (medical)

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For Secondary Prevention of Coronary Artery Disease click here.

In medicine, prevention is any activity which reduces the burden of mortality or morbidity from disease. This takes place at primary, secondary and tertiary prevention levels.

  1. Primary prevention avoids the development of a disease. Most population-based health promotion activities are primary preventive measures.
  2. Secondary prevention activities are aimed at early disease detection, thereby increasing opportunities for interventions to prevent progression of the disease and emergence of symptoms.
  3. Tertiary prevention reduces the negative impact of an already established disease by restoring function and reducing disease-related complications.

Prevention of substance use

In the area of substance-related harms, a number of prevention typologies have been proposed.

Gordon (1987) in the area of disease prevention, and later Kumpfer and Baxley (1997) in the area of substance use proposed a three-tiered preventive intervention classification system: universal, selective and indicated prevention. Amongst others, this typology has gained favour and is used by a.o. the US Institute of Medicine, the NIDA and the European Monitoring Centre for Drugs and Drug Addiction.

  1. Universal prevention addresses the entire population (national, local community, school, district) and aim to prevent or delay the abuse of alcohol, tobacco, and other drugs. All individuals, without screening, are provided with information and skills necessary to prevent the problem.
  2. Selective prevention focuses on groups whose risk of developing problems of alcohol abuse or dependence is above average. The subgroups may be distinguished by characteristics such as age, gender, family history, or economic status. For example, drug campaigns in recreational settings.
  3. Indicated prevention involves a screening process, and aims to identify individuals who exhibit early signs of substance abuse and other problem behaviours. Identifiers may include falling grades among students, known problem consumption or conduct disorders, alienation from parents, school, and positive peer groups etc.

Outside the scope of this three-tier model is Environmental prevention. Environmental prevention approaches are typically managed at the regulatory or community level, and focus on interventions to deter drug consumption. Prohibition and bans (e.g. smoking workplace bans, alcohol advertising bans) may be viewed as the ultimate environmental restriction. However, in practice environmental preventions programmes embrace various initiatives at the macro and micro level, from government monopolies for alcohol sales, through roadside sobriety or drug tests, worker/pupil/student drug testing, increased policing in sensitive settings (near schools, at rock festivals), and legislative guidelines aimed at precipitating punishments (warnings, penalties, fines).

References

  • Gordon, R. (1987), ‘An operational classification of disease prevention’, in Steinberg, J. A. and Silverman, M. M. (eds.), Preventing Mental Disorders, Rockville, MD: U.S. Department of Health and Human Services, 1987.
  • Kumpfer, K. L., and Baxley, G. B. (1997), 'Drug abuse prevention: What works?', National Institute on Drug Abuse, Rockville.

See also


Cost Effectiveness of Prevention (medical)

| group5 = Clinical Trials Involving Prevention (medical) | list5 = Ongoing Trials on Prevention (medical) at Clinical Trials.govTrial results on Prevention (medical)Clinical Trials on Prevention (medical) at Google


| group6 = Guidelines / Policies / Government Resources (FDA/CDC) Regarding Prevention (medical) | list6 = US National Guidelines Clearinghouse on Prevention (medical)NICE Guidance on Prevention (medical)NHS PRODIGY GuidanceFDA on Prevention (medical)CDC on Prevention (medical)


| group7 = Textbook Information on Prevention (medical) | list7 = Books and Textbook Information on Prevention (medical)


| group8 = Pharmacology Resources on Prevention (medical) | list8 = AND (Dose)}} Dosing of Prevention (medical)AND (drug interactions)}} Drug interactions with Prevention (medical)AND (side effects)}} Side effects of Prevention (medical)AND (Allergy)}} Allergic reactions to Prevention (medical)AND (overdose)}} Overdose information on Prevention (medical)AND (carcinogenicity)}} Carcinogenicity information on Prevention (medical)AND (pregnancy)}} Prevention (medical) in pregnancyAND (pharmacokinetics)}} Pharmacokinetics of Prevention (medical)


| group9 = Genetics, Pharmacogenomics, and Proteinomics of Prevention (medical) | list9 = AND (pharmacogenomics)}} Genetics of Prevention (medical)AND (pharmacogenomics)}} Pharmacogenomics of Prevention (medical)AND (proteomics)}} Proteomics of Prevention (medical)


| group10 = Newstories on Prevention (medical) | list10 = Prevention (medical) in the newsBe alerted to news on Prevention (medical)News trends on Prevention (medical)


| group11 = Commentary on Prevention (medical) | list11 = Blogs on Prevention (medical)

| group12 = Patient Resources on Prevention (medical) | list12 = Patient resources on Prevention (medical)Discussion groups on Prevention (medical)Patient Handouts on Prevention (medical)Directions to Hospitals Treating Prevention (medical)Risk calculators and risk factors for Prevention (medical)


| group13 = Healthcare Provider Resources on Prevention (medical) | list13 = Symptoms of Prevention (medical)Causes & Risk Factors for Prevention (medical)Diagnostic studies for Prevention (medical)Treatment of Prevention (medical)

| group14 = Continuing Medical Education (CME) Programs on Prevention (medical) | list14 = CME Programs on Prevention (medical)

| group15 = International Resources on Prevention (medical) | list15 = Prevention (medical) en EspanolPrevention (medical) en Francais

| group16 = Business Resources on Prevention (medical) | list16 = Prevention (medical) in the MarketplacePatents on Prevention (medical)

| group17 = Informatics Resources on Prevention (medical) | list17 = List of terms related to Prevention (medical)


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