The Ohrid Declaration: Mapping Brain Health Determinants in Southeastern Europe.

Eliza Georgiou, Petya Grigorova, Aleksandra Angelova, Yavuz Ayhan, Silva Banović, Afrim Blyta, Marina Boban, Sevinc Elif Sen, Svetlana Iloski, Marija Kušan Jukić, Triantafyllia Kalantzakou, Everina Katirtzoglou, Magdalini Krommyda, Elli Lemonidou, Mercedes Lovrečič, Shima Mehrabyan, Murat Anıl Mercan, Andona Milovanovic, Ninoslav Mimica, Vladimir Nakov, Gabriela Novotni, Zvezdan Pirtošek, Antonios Politis, Melihate Pushka, Raluca Sfetcu, Osman Sinanović, Ivana Sotirovic, Iva Stankovic, Drozdstoy Stoyanov, Catalina Tudose, Latchezar Traykov, Panagiotis Alexopoulos, Iracema Leroi, Gda Beyin Sağlığı Görev Gücü Adına
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Abstract

Objective: Brain health is essential for overall well-being, yet its determinants vary across regions due to geopolitical, cultural, and socioeconomic factors. Southeastern Europe (SEE) faces unique challenges that influence brain health outcomes. Addressing brain health in this region requires tailored approaches that consider the complexity and diversity of these factors. This paper reports on a region-specific framework for addressing brain health challenges in SEE by identifying key determinants through expert collaboration and evidence-based analysis.

Methods: In 2023, a Brain Health Task Force convened in Ohrid, North Macedonia, gathering input from brain health experts across 13 SEE countries and individuals with lived dementia experience. The Task Force focused on the World Health Organization (WHO) brain health determinants, integrating expert feedback with a literature review and a SWOT (strengths, weaknesses, opportunities, and threats) analysis. A scoring system was developed, and the results were visualized through thematic maps, highlighting brain health performance variations across the region.

Results: The initial findings reveal significant disparities in SWOT across 25 WHO subdomains of brain health determinants among the 13 SEE countries. Kosovo and Bosnia & Herzegovina scored overall lower (greater weaknesses and threats), while Slovenia and Serbia exhibited stronger outcomes (greater strengths and opportunities). The thematic maps provide a visual representation of these differences, underscoring the diverse challenges and opportunities for brain health across the SEE region.

Conclusions: These findings provide a foundation for further examination of brain health in SEE, guiding policy and strategic interventions, addressing stigma, and fostering cross-sectoral, crossborder, and interregional collaboration.

奥赫里德宣言:绘制东南欧脑健康决定因素图。
目的:大脑健康对整体福祉至关重要,但由于地缘政治、文化和社会经济因素,其决定因素因地区而异。东南欧(SEE)面临着影响大脑健康结果的独特挑战。解决这一地区的大脑健康问题需要考虑这些因素的复杂性和多样性的量身定制的方法。本文报告了通过专家合作和循证分析确定关键决定因素来解决SEE脑健康挑战的区域特定框架。方法:2023年,一个脑健康工作组在北马其顿的奥赫里德召开会议,收集了来自13个SEE国家的脑健康专家和有痴呆症生活经历的个人的意见。工作队重点关注世界卫生组织(世卫组织)的脑健康决定因素,将专家反馈与文献综述和SWOT(优势、劣势、机会和威胁)分析相结合。研究人员开发了一个评分系统,并通过主题地图将结果可视化,突出显示了该地区大脑健康表现的差异。结果:初步调查结果显示,在13个SEE国家中,SWOT在25个世卫组织脑健康决定因素子领域中存在显著差异。科索沃和波斯尼亚和黑塞哥维那总体得分较低(弱点和威胁更大),而斯洛文尼亚和塞尔维亚表现出更强的结果(优势和机会更多)。专题地图直观地展示了这些差异,强调了整个东南欧地区大脑健康面临的各种挑战和机遇。结论:这些发现为进一步检查SEE患者的大脑健康、指导政策和战略干预、解决耻辱感以及促进跨部门、跨境和区域间合作提供了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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