Abstract:
:Numerous commentaries plea for the use of methods that take into account complexity when evaluating health programmes. These commentaries provide compelling arguments on why evaluations of health programmes should not rely exclusively on methods that were designed for making universal claims about whether and to what extent a policy is effective. However, there exist only few concrete examples showing how to take this complexity into account during the evaluation of health programmes. One increasingly popular approach to do so is the realist approach. In this paper, we explain the realist approach for taking into account complexity, discuss how we applied this approach to study the impact of smoke-free school policies and reflect on the practical value of the resultant insights. We hope this case study may inspire fellow scholars to use the realist approach for evaluating health programmes.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Schreuders M,Stronks K,Kunst AEdoi
10.1136/jech-2020-214027subject
Has Abstractpub_date
2021-01-01 00:00:00pages
51-55issue
1eissn
0143-005Xissn
1470-2738pii
jech-2020-214027journal_volume
75pub_type
杂志文章abstract:STUDY OBJECTIVE:To test the validity of proxy measures of household wealth and income that can be readily implemented in health surveys in rural Africa. DESIGN:Data are drawn from four different integrated household surveys. The assumptions underlying the choice of wealth proxy are described, and correlations with the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.5.381
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:It has been hypothesised that dehydration in infancy could permanently increase sodium retention, raising blood pressure in later life. In this study, the association between gastrointestinal tract infection in infancy, a clinically relevant exposure often accompanied by dehydration, and raised blood pressur...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech.2009.090894
更新日期:2010-12-01 00:00:00
abstract::The aim of this study is to present risk assessments for the combined effect of alcohol and tobacco in cancer of the larynx. The case control study included all newly diagnosed laryngeal cancer patients under the age of 75 in Denmark during the years 1980-2. Four age and sex matched controls were selected using the mu...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.39.2.165
更新日期:1985-06-01 00:00:00
abstract:BACKGROUND:Blood pressure is positively associated with ischaemic heart disease (IHD) mortality, but the strength of the association declines with age, and may differ between lean and obese people. OBJECTIVE:To study the association of blood pressure with IHD mortality stratified by attained age (<65 and ≥65 years) an...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.094110
更新日期:2011-09-01 00:00:00
abstract:BACKGROUND:A highly sensitive and simple screening procedure is required for early detection of low birthweight and small for gestational age, especially in developing countries. METHODS:A meta-analysis was performed to evaluate use of symphysis-fundal height for prediction of low birthweight and small for gestational...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,meta分析
doi:10.1136/jech-2012-202141
更新日期:2013-12-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to assess the relationship between social deprivation, as measured by the Jarman under-privileged area score (UPA score), and psychiatric admission rates and length of stay within an inner London borough. DESIGN:The study was a retrospective survey of psychiatric admission rates for elector...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.3.245
更新日期:1992-06-01 00:00:00
abstract:OBJECTIVES:To report on the development of computer assisted methods for linking medical records and record abstracts. DESIGN:The methods include file blocking, to put records in an order which makes searching efficient; matching, which is the process of comparing records to determine whether they do or do not relate ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.4.316
更新日期:1993-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to quantify the difference in precision of risk estimates in epidemiology between the situations where misclassification of exposure is corrected for by external validation and where it is corrected for by internal repeat measurement. Precision was measured in terms of the expected width of ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.6.620
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:This study investigates social inequalities in self-rated health dynamics for working-aged adults in four nations, representing distinct welfare regime types. The aims are to describe average national trajectories of self-rated health over a 7-year period, identify social determinants of cross-sectional and ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.091199
更新日期:2011-02-01 00:00:00
abstract::The use of mortality data in the form of standardised mortality ratios (SMRs) to measure the need for health care resources in the Resource Allocation Working Party (RAWP) formula in England has been criticised for underestimating the wider effects of adverse socioeconomic conditions on need, particularly in inner cit...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.43.2.191
更新日期:1989-06-01 00:00:00
abstract:BACKGROUND:We estimated the contribution of smoking to educational differences in mortality and life expectancy between 1971 and 2010 in Finland. METHODS:Eight prospective datasets with baseline in 1970, 1975, 1980, 1985, 1990, 1995, 2000 and 2005 and each linked to a 5-year mortality follow-up were used. We calculate...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201266
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Limited research has shown a possible association between exposure to physical or sexual abuse prior to age 18 and the risk of developing hypertension as an adult. The factors mediating this relationship are unknown. METHODS:Questionnaire data from 68 505 female participants in the Nurses' Health Study II w...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.095109
更新日期:2010-05-01 00:00:00
abstract:STUDY OBJECTIVE:The aim of the study was to investigate the influence of consanguinity on children's health. DESIGN:The study is a prospective survey from birth to five years of a cohort of babies born in a multiracial community. This report details the initial findings on consanguinity. SETTING:Participating familie...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.2.130
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND:Existing research points towards physical and mental health gains from housing improvements, but findings are inconsistent and often not statistically significant. The detailed characteristics and variability of housing improvement works are problematic and studies are often small, not experimental, with sho...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204064
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Acute myocardial infarction (AMI; ICD9-CM 410*) is a leading cause of morbidity and mortality all over the world, and its community surveillance is essential to monitor variation in the occurrence of the disease. Between the late 1990s and the early 2000s more sensitive and specific biomarkers of myocardial ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.110908
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:There is wide evidence that women present longer duration of sickness absence (SA) than men. Musculoskeletal disorders are influenced by gender due to the sexual division of work. METHODS:354 432 episodes of non-work-related SA due to musculoskeletal disorders, which were registered in Catalonia between 200...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204331
更新日期:2016-11-01 00:00:00
abstract:STUDY OBJECTIVE:To review the incidence of leukaemia and non-Hodgkin's lymphoma in children and young adults in the area less than 25 km from the Dounreay nuclear installation and the remainder of the Kirkwall postcode area in the full time period for which data are now available (1968-91), and to determine whether the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.48.3.232
更新日期:1994-06-01 00:00:00
abstract:BACKGROUND:Out-of-hospital cardiac arrest (OHCA) remains a major public health issue. Several studies have found that an increased level of ambient particulate matter (PM) smaller than 2.5 microns (PM2.5) is associated with an increased risk of OHCA. We investigated the relationship between air pollution levels and the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202955
更新日期:2014-01-01 00:00:00
abstract:STUDY OBJECTIVE:To examine the association between neighbourhood income inequality and depression, both overall and among those with different levels of income, in the post-disaster context. DESIGN:A representative cross sectional random digit dial telephone survey was conducted. SETTING:New York City (NYC) six month...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2006.042069
更新日期:2006-09-01 00:00:00
abstract::In a house-to-house study of 994 urban Zulus the prevalence of hypertension according to WHO criteria was 25% (23% men, 27% women). In a rural Zulu study of 987 the prevalence age corrected to the urban distribution was 9.4% (8.7% men, 10% women). Thus there was a pronounced difference between the prevalence of hypert...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.36.4.256
更新日期:1982-12-01 00:00:00
abstract:BACKGROUND:Two main theoretical models have been used to assess the impact of psychosocial work factors on blood pressure (BP): the demand-control (DC) model and the effort-reward imbalance (ERI) model. Previous studies have mostly used a single time point exposure to examine this association. OBJECTIVE:To examine the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-204914
更新日期:2016-04-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.9.558
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:The authors assessed whether socioeconomic inequalities in asthma symptoms were already present in preschool children and to what extent prenatal, perinatal and postnatal risk factors for asthma symptoms mediate the effect of socioeconomic status (SES). METHODS:The study included 3136 Dutch children partici...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2011-200333
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Inconsistent results have been found on the association between air pollution and stroke mortality. Additionally, evidence on people who are potentially sensitive to air pollution-associated stroke mortality is limited. METHODS:Daily stroke mortality of adults aged over 65 between 2003 and 2008 in Shanghai,...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201096
更新日期:2013-08-01 00:00:00
abstract::A recent study by Knox concludes that cases and "clusters" of two or more cases of childhood leukaemia and non-Hodgkin's lymphoma occur closer to many kinds of industrial installation than to supposedly comparable control locations. It is argued that these findings could be largely or entirely artefactual, the apparen...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.4.437
更新日期:1995-08-01 00:00:00
abstract:BACKGROUND:Both adverse childhood experiences (ACEs) and adverse childhood socioeconomic conditions (SECs) in early life are associated with poor outcomes across the life course. However, the complex interrelationships between childhood SECs and ACEs are unclear, as are the consequences for health outcomes beyond child...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-213817
更新日期:2020-11-01 00:00:00
abstract:BACKGROUND:828 elderly subjects residing in nursing homes were followed up during 4 months to ascertain incidence of symptoms associated with Pontiac fever (PF) in a non-epidemic setting. METHODS:The exposure situation was inhalation of Legionella bacteria while showering. An audit of the hot water system in all insti...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2007.063784
更新日期:2008-10-01 00:00:00
abstract::Data from the Glasgow Register of Congenital Malformations were used to investigate the extent of the recent decline in the prevalence of anencephaly and spina bifida, and the contribution of antenatal screening to it. Over the period 1974-85 inclusive, 303 pregnancies with an anencephalic foetus were diagnosed, repre...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.3.271
更新日期:1988-09-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to test a large set of childhood leukaemia and lymphoma registrations for the presence of short radius spacial clusters. DESIGN:The study was a geographical cluster analysis. SETTING:England, Wales and Scotland. PATIENTS:All registrations for leukaemia and lymphoma between 1966 and 1983 i...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.6.573
更新日期:1992-12-01 00:00:00
abstract:BACKGROUND:Cross-cohort comparison is an established method for improving causal inference. This study compared 2 cohorts, 1 from a high-income country and another from a middle-income country, to (1) establish whether birth exposures may play a causal role in the development of childhood attention problems; and (2) id...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-206222
更新日期:2016-07-01 00:00:00