Traditional epidemiology, modern epidemiology, and public health. Export

@article{citeulike:3396402, abstract = {There have been significant developments in epidemiologic methodology during the past century, including changes in basic concepts, methods of data analysis, and methods of exposure measurement. However, the rise of modern epidemiology has been a mixed blessing, and the new paradigm has major shortcomings, both in public health and in scientific terms. The changes in the paradigm have not been neutral but have rather helped change--and have reflected changes in--the way in which epidemiologists think about health and disease. The key issue has been the shift in the level of analysis from the population to the individual. Epidemiology has largely ceased to function as part of a multidisciplinary approach to understanding the causation of disease in populations and has become a set of generic methods for measuring associations of exposure and disease in individuals. This reductionist approach focuses on the individual, blames the victim, and produces interventions that can be harmful. We seem to be using more and more advanced technology to study more and more trivial issues, while the major causes of disease are ignored. Epidemiology must reintegrate itself into public health and must rediscover the population perspective.}, author = {Pearce, N.}, citeulike-article-id = {3396402}, citeulike-linkout-0 = {http://www.ajph.org/cgi/content/abstract/86/5/678}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/8629719}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=8629719}, day = {1}, journal = {Am J Public Health}, keywords = {academic\_uses\_abuses, andrew\_j\_wawrzyniak, data\_analysis, exposure, gareth\_h\_johnson, laura\_l\_kilarski, liz\_vandermeer, methodology, modern\_epidemiology, nhs\_code\_of\_practice, public\_health, traditional\_epidemiology}, month = {May}, number = {5}, pages = {678--683}, posted-at = {2009-10-16 13:26:27}, priority = {2}, title = {Traditional epidemiology, modern epidemiology, and public health.}, url = {http://www.ajph.org/cgi/content/abstract/86/5/678}, volume = {86}, year = {1996} }

TY - JOUR ID - citeulike:3396402 L3 - citeulike-article-id:3396402 N2 - There have been significant developments in epidemiologic methodology during the past century, including changes in basic concepts, methods of data analysis, and methods of exposure measurement. However, the rise of modern epidemiology has been a mixed blessing, and the new paradigm has major shortcomings, both in public health and in scientific terms. The changes in the paradigm have not been neutral but have rather helped change--and have reflected changes in--the way in which epidemiologists think about health and disease. The key issue has been the shift in the level of analysis from the population to the individual. Epidemiology has largely ceased to function as part of a multidisciplinary approach to understanding the causation of disease in populations and has become a set of generic methods for measuring associations of exposure and disease in individuals. This reductionist approach focuses on the individual, blames the victim, and produces interventions that can be harmful. We seem to be using more and more advanced technology to study more and more trivial issues, while the major causes of disease are ignored. Epidemiology must reintegrate itself into public health and must rediscover the population perspective. IS - 5 JF - Am J Public Health EP - 683 TI - Traditional epidemiology, modern epidemiology, and public health. VL - 86 SP - 678 KW - academic_uses_abuses KW - andrew_j_wawrzyniak KW - data_analysis KW - exposure KW - gareth_h_johnson KW - laura_l_kilarski KW - liz_vandermeer KW - methodology KW - modern_epidemiology KW - nhs_code_of_practice KW - public_health KW - traditional_epidemiology AU - Pearce, N PY - 1996/05/01/ UR - http://www.ajph.org/cgi/content/abstract/86/5/678 ER -