A framework for public health action: the health impact pyramid.

Abstract:

:A 5-tier pyramid best describes the impact of different types of public health interventions and provides a framework to improve health. At the base of this pyramid, indicating interventions with the greatest potential impact, are efforts to address socioeconomic determinants of health. In ascending order are interventions that change the context to make individuals' default decisions healthy, clinical interventions that require limited contact but confer long-term protection, ongoing direct clinical care, and health education and counseling. Interventions focusing on lower levels of the pyramid tend to be more effective because they reach broader segments of society and require less individual effort. Implementing interventions at each of the levels can achieve the maximum possible sustained public health benefit.

journal_name

Am J Public Health

authors

Frieden TR

doi

10.2105/AJPH.2009.185652

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

590-5

issue

4

eissn

0090-0036

issn

1541-0048

pii

AJPH.2009.185652

journal_volume

100

pub_type

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