By Nancy Krieger
"Epidemiology is usually often called the technology of public future health. besides the fact that, not like different significant sciences, its theoretical foundations are hardly ever articulated. whereas the belief of epidemiologic conception could seem dry and arcane, it truly is at its center approximately explaining the people's wellbeing and fitness. it's approximately lifestyles and loss of life. it's approximately biology and society. it really is approximately ecology and the economic system. it really is approximately how myriad points of people's lives--involving paintings, dignity, wish, love, play, clash, discrimination, and injustice--become actually included biologically into bodies and show up in our overall healthiness prestige, separately and jointly. And it's approximately crucial wisdom severe for making improvements to the people's wellbeing and fitness and minimizing inequitable burdens of sickness, incapacity, and loss of life. Woven from an unlimited array of colleges of notion, together with these within the usual, social, and biomedical sciences, epidemiologic thought is a wealthy tapestry whose time for research is lengthy late. by means of tracing its background and features from historic societies on during the improvement of--and debates within--contemporary epidemiology around the world, Nancy Krieger exhibits how epidemiologic idea has lengthy formed epidemiologic perform, wisdom, and the politics of public wellbeing and fitness. Outlining an ecosocial concept of illness distribution that situates either inhabitants overall healthiness and epidemiologic concept in societal and ecologic context, she bargains a extra holistic photograph of the way we include the human experience"--Provided through writer. learn more... Does epidemiologic idea exist?: on technology, information, and explaining affliction distribution -- future health within the stability: early theories approximately styles of sickness incidence -- Epidemiology emerges: early theories and debating determinants of affliction distribution : poison, dirt, category & race (1600-1900) -- Epidemiology expands: germs, genes, and the (social) atmosphere (1900-1950) -- modern mainstream epidemiologic idea: biomedical & way of life -- Social epidemiologic possible choices: sociopolitical and psychosocial frameworks -- Ecosocial idea of illness distribution: embodying societal & ecologic context -- Epidemiologic conception counts: damage, wisdom, motion and the people's overall healthiness
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Additional resources for Epidemiology and the People's Health: Theory and Context
A corollary is that if the types, rates, or distributions of diseases and causes of death change over time, it would follow that epidemiologic theories would need account for these changes in their explanations of the population patterning of health. Third: that epidemiologic theory would necessarily employ domain-speciﬁc substantive concepts and explanatory concepts relevant to describing and analyzing extant and changing population distributions of health, disease, and well-being (see Textbox 1–2).
1998; Ziman, 2000; Collins, 2001; Gould, 2002; Grene & Depew, 2004; Daston & Gallison, 2007; Sober, 2008). One such assumption is that we humans live in a commonly shared biophysical (including social) world—and, more broadly, universe—which provides the referent for what we term reality. Another is that this commonly shared biophysical world encompasses diverse processes, structures, and events that are in principal knowable by humans and amenable to scientiﬁc investigation. A third is that the existence of this commonly shared knowable biophysical world can be investigated by—and is independent of—any particular human individual.
To start: population rates of disease— a phrase that requires understanding population, rate, and disease. Other ideas at play include: changing incidence rates over time; geographic variation in disease occurrence; and differences in disease rates by social group. None of these ideas are intuitively obvious. They make sense only if one already has a theoretical orientation that ﬁnds it compelling and reasonable to think abstractly about populations, about individuals in numerators and denominators, about averages and distributions, about disease occurrence in space and time, and about disease as a deﬁnable entity apart from (as opposed to uniquely residing in) the individual persons in whom it is experienced—and hence diseased persons as countable cases.
Epidemiology and the People's Health: Theory and Context by Nancy Krieger