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文化、宗教、法律、そして心血管疾患:グローバルな視点」の英語長文問題

以下の英文を読み、設問に答えなさい。

Cardiovascular disease (CVD) remains a leading cause of death globally, yet its prevalence and manifestation vary significantly across different populations. While genetic predisposition plays a role, numerous sociocultural factors contribute to this disparity. This essay will explore the complex interplay between cultural practices, religious beliefs, legal frameworks, and national identity, highlighting their influence on CVD risk and outcomes. Cultural practices related to diet and physical activity are paramount. In some cultures, high-fat diets rich in processed foods are prevalent, increasing the risk of obesity and hypertension, major CVD risk factors. Conversely, cultures emphasizing plant-based diets and regular physical activity often exhibit lower rates of CVD. For example, the Mediterranean diet, characterized by its emphasis on fruits, vegetables, and olive oil, has been linked to reduced CVD risk. Religious beliefs can also significantly impact health behaviors. Certain religions may promote fasting, which, if done improperly, can exacerbate existing CVD conditions or contribute to new ones. Other religious doctrines may encourage community support and social cohesion, potentially mitigating the negative effects of stress, a known CVD risk factor. The influence of religion on healthcare access and utilization also warrants consideration. Legal frameworks, including healthcare policies and food regulations, play a vital role in shaping CVD risk. Countries with robust public health initiatives, such as widespread access to healthcare, preventative screenings, and health education campaigns, tend to exhibit lower CVD mortality rates. Conversely, nations with inadequate healthcare infrastructure or lax food safety regulations may face a greater CVD burden. Access to healthy and affordable foods is also significantly influenced by legislation. National identity and its associated socio-economic factors further complicate the picture. Levels of income inequality, access to education, and overall societal well-being are strongly correlated with CVD prevalence. In nations with high levels of social inequality, marginalized groups often experience poorer health outcomes, including higher CVD rates. Furthermore, cultural attitudes toward health and seeking medical attention can vary substantially across nations, impacting the effectiveness of preventive measures. Understanding the interplay between these multifaceted factors is crucial for developing targeted interventions to reduce the global burden of CVD. A holistic approach considering cultural sensitivities, religious beliefs, and national contexts is essential for creating effective and sustainable strategies to combat this pervasive health challenge.

1. According to the passage, which of the following factors does NOT directly contribute to the varying prevalence of cardiovascular disease across different populations?

2. The passage suggests that the Mediterranean diet is associated with:

3. What role do legal frameworks play in influencing cardiovascular disease prevalence, as discussed in the passage?

4. The passage highlights the importance of a holistic approach to addressing CVD. What does this approach entail?