By Nancy Krieger
"Epidemiology is frequently known as the technology of public well-being. even though, not like different significant sciences, its theoretical foundations are not often articulated. whereas the assumption 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 existence and demise. it's approximately biology and society. it really is approximately ecology and the economic system. it truly is approximately how myriad elements of people's lives--involving paintings, dignity, wish, love, play, clash, discrimination, and injustice--become actually integrated biologically into bodies and take place in our overall healthiness prestige, separately and jointly. And it's approximately crucial wisdom serious for bettering the people's health and wellbeing and minimizing inequitable burdens of illness, incapacity, and dying. Woven from an unlimited array of faculties of suggestion, together with these within the typical, social, and biomedical sciences, epidemiologic conception is a wealthy tapestry whose time for research is lengthy late. through tracing its background and lines from old societies on throughout the improvement of--and debates within--contemporary epidemiology all over the world, Nancy Krieger exhibits how epidemiologic conception has lengthy formed epidemiologic perform, wisdom, and the politics of public future health. Outlining an ecosocial concept of affliction distribution that situates either inhabitants well-being and epidemiologic idea in societal and ecologic context, she deals a extra holistic photograph of the way we embrace the human experience"--Provided by way of writer. learn more... Does epidemiologic conception exist?: on technology, facts, and explaining affliction distribution -- overall healthiness within the stability: early theories approximately styles of affliction prevalence -- Epidemiology emerges: early theories and debating determinants of ailment distribution : poison, dust, classification & race (1600-1900) -- Epidemiology expands: germs, genes, and the (social) setting (1900-1950) -- modern mainstream epidemiologic idea: biomedical & way of life -- Social epidemiologic choices: sociopolitical and psychosocial frameworks -- Ecosocial concept of affliction distribution: embodying societal & ecologic context -- Epidemiologic thought counts: damage, wisdom, motion and the people's future health
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Additional info for Epidemiology and the People's Health: Theory and Context
What ideas are built into these ﬁgures? 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.
Stains) and likewise need to learn to “see,” to decipher what is “signal” and what is “noise” (based on theory-laden ideas about what is being observed) (Fleck, 1929; Daston, 2008); the same holds for when we look at epidemiologic data. These statements do not mean that when we do science, we can “see” just anything we please. What counts as scientiﬁc evidence is not idiosyncratic; it is instead bound to the assumption of a shared biophysical world and the replicable, contestable, and debatable work of scientists, conducted in the public domain and collectively interpreted and argued.
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. A fourth is that independent humans (in solo and in groups) can independently formulate and test their ideas about “how the world works” and collectively compare ideas, methods, and results.
Epidemiology and the People's Health: Theory and Context by Nancy Krieger