With some evidence emerging of NCD onset at earlier ages in LMICs compared to HICs, and some evidence about possible shifts in SES gradients in both NCDs and NCD risk factor profiles - are these coalescing into transitions in the traditional SES gradients/patterns for these conditions and risks in both lower and higher income countries?
See for example, Global Health Watch 4: An Alternative World Health Report. or Remais, et al., IJE 2012. https://academic.oup.com/ije/article-lookup/doi/10.1093/ije/dys135
Hi Paul,
Do you have some references about the fact that NCDs occurs earlier in LMIC than in HIC?
Best,
Sophie.
Hi Sophie, I included two references in the original question - plus these below - but I suspect colleagues on researchgate.net would have more evidence to share. https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-24
http://jech.bmj.com/content/69/3/218
http://www.heart-resources.org/wp-content/uploads/2015/09/The-Political-Economy-of-NCDs-low-middle-income-countries.pdf
The evidence for a shift or transition in the age risk of NCDs in LMICs need careful examination. A big international team solicitored by the WHO could be very helpful. Impressions are growing that NCDs risk is increasing with "extension" not necessary shift towards younger age group. The main determinant is this contesxt is likely to be the massive change in lifestyle behaviour. However, aretificial cause of such rise and shift or extension should not be ignored. All countries including LMICs ones are witnessing development in their health care systems with more chances to earlier diagnosis, better treatment and improved recording of events. These last factors could explain part of the apparent risk and extension. True rise remains, however, a real contributor and this needs extensive work to support, quantify and explain.
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