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Rose's population strategy of prevention need not increase social inequalities in health.

Abstract：

:Geoffrey Rose's 1985 paper, Sick individuals and sick populations, continues to spark debate and discussion. Since this original publication, there have been two notable challenges to Rose's population strategy of prevention. First, identification of high-risk individuals has improved considerably in accuracy, which some believe obviates the need for population-wide prevention strategies. Secondly, and more recently, it has been suggested that population strategies of prevention may inadvertently worsen social inequalities in health. We argue that population prevention will not necessarily worsen social inequalities in health, and the likelihood of it doing so will depend on whether the prevention strategy is more structural (targets conditions in which behaviours occur) or agentic (targets behaviour change among individuals) in nature. Also, there are potential drawbacks of approaches that focus on discrete populations (i.e. high risk or vulnerable) that need to be considered when selecting a strategy. Although Rose's ideas need to be continually scrutinized, his population strategy of prevention still holds considerable merit for improving population health and narrowing social inequalities in health.

journal_name

Int J Epidemiol

journal_title

International journal of epidemiology

authors

McLaren L,McIntyre L,Kirkpatrick S

doi

10.1093/ije/dyp315

subject

Has Abstract

pub_date

2010-04-01 00:00:00

pages

372-7

issue

2

eissn

0300-5771

issn

1464-3685

pii

dyp315

journal_volume

39

pub_type

杂志文章

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