Abstract:
:This paper illustrates the basis of, expectations for and evaluation of prevention from an epidemiological perspective. Specifically, the extent to which epidemiologists could and should be involved in designing and evaluating public health interventions is addressed. Changes in the view on disease causation and epidemiology's role for the future of public health are discussed. Examples from cardiovascular epidemiology are used to illustrate the ever more complex, but still incomplete, knowledge on which prevention is based. A few current examples illustrate paradoxes where health information must balance academic discord. Methodological problems in the evaluation of intervention studies often fail to live up to the expectations of prevention. Outcome indicators of preventive projects must be developed and traditional appraisals of effects be supplemented with process analyses using both quantitative and qualitative methods. Social conditions for prevention are discussed and areas for further research are suggested.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Wall Sdoi
10.1093/ije/24.4.655subject
Has Abstractpub_date
1995-08-01 00:00:00pages
655-64issue
4eissn
0300-5771issn
1464-3685journal_volume
24pub_type
杂志文章,评审abstract::Mortalities from selected causes from 1973 to 1982 among Koreans, Chinese, and Americans residing in Japan were compared with those of Japanese. In the Korean population, besides the well-documented excess in mortalities from liver cancer, lung cancer, liver cirrhosis and male tuberculosis, a rather prominent elevatio...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/16.3.415
更新日期:1987-09-01 00:00:00
abstract:BACKGROUND:An ideological climate has persisted in Korea that has discouraged public discussion of social inequalities. Thus studies on inequalities in mortality remain undeveloped. This study is to examine age- and cause-specific socioeconomic mortality differentials for both men and women representative of the Korean...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyg244
更新日期:2004-04-01 00:00:00
abstract::Biological interference among viral agents might have significant implications for disease prevention and therapy. Field data for influenza yield conflicting evidence concerning the independence of infection rates, or disease severity, for two co-circulating viruses. To examine the effects of several assumed modes of ...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/19.2.444
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND:The wide use of highly active antiretroviral therapy has led to an impressive improvement in AIDS survival after the mid-1990s in cities and countries with a high access to these medications. Notwithstanding its beneficial overall effect, antiretroviral therapy was also reported as a factor for the increase ...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyi022
更新日期:2005-06-01 00:00:00
abstract::This paper describes a means of analysing the effects that the benefit of early treatment, lead time and length-biased sampling (and other forms of prognostic selection bias) have on the mortality rate of cases detected in screening programmes. Both benefit and lead time reduce the mortality rate of screen-detected ca...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/11.3.261
更新日期:1982-09-01 00:00:00
abstract:BACKGROUND:The long-term effects of infant vitamin D supplementation and status are unclear since there have been few controlled intervention trials and these have been small and contradictory. The Delhi Infant Vitamin D Supplementation (DIVIDS) trial found that supplementation of low-birthweight term infants with one ...
journal_title:International journal of epidemiology
pub_type: 杂志文章,随机对照试验
doi:10.1093/ije/dyv116
更新日期:2015-06-01 00:00:00
abstract::The reliability of casual blood pressures for reflecting blood pressure status and predicting cardiovascular sequelae of hypertension was examined in the Framingham cohort of 5209 men and women followed for 18 years. Blood pressures were more variable in persons with higher levels. After controlling for pressure level...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/5.4.327
更新日期:1976-12-01 00:00:00
abstract::In this study, we derive national estimates of the prevalence of children's exposure to parental smoking in West Germany. The estimates are based on a national health survey conducted in 1987 and refer to those parents living in the same household as the child. Estimated prevalences of maternal smoking range from 18.9...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/22.5.818
更新日期:1993-10-01 00:00:00
abstract:BACKGROUND:We analyse the NHANES III sample to assess the suitability of measured stature and sitting height to estimate leg length (tibia + femur) and predict fatness. High rates of overweight in the United States population may lead to greater gluteo-femoral fat mass which will increase sitting height and artificiall...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dym254
更新日期:2008-02-01 00:00:00
abstract::Coronary heart disease (CHD) is regarded as a disease of developed 'western' societies. Within developed societies, however, CHD is typically a disease of the less affluent socioeconomic classes. This has not always been the case. Forty years ago. CHD was reported to be more common among the upper social classes. In N...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/20.2.393
更新日期:1991-06-01 00:00:00
abstract::John Snow was a genius in epidemiology. His achievement was to evolve an elegant, internally and externally consistent theory which concerned the mechanisms and processes involved in every aspect of the subject he had chosen to study. In order to do this he did not restrict himself to any method. He used all skills av...
journal_title:International journal of epidemiology
pub_type: 传,历史文章,杂志文章
doi:10.1093/ije/12.4.393
更新日期:1983-12-01 00:00:00
abstract::This paper argues that the perspective of economics is valuable in assessing the desirability, purpose and effectiveness of public intervention to reduce occupational accidents and diseases and suggests that the concept of efficiency provides one (although not the only) important criterion by which to judge policy in ...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/12.1.77
更新日期:1983-03-01 00:00:00
abstract::The effect of behaviour on health is a major area of contemporary epidemiological enquiry. Most epidemiological studies of the effect of behaviour on health assume that the levels of the behaviour-related variables are determined by factors other than those under study. However, in many instances, obvious examples are...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/19.1.147
更新日期:1990-03-01 00:00:00
abstract::Several epidemiological studies in California have yielded data on percentage methaemoglobin in healthy individuals. The population groups represented include infants, elementary and high school children, and adults. The distributions of values in each group are described, as well as the differences between groups. Fa...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/4.3.207
更新日期:1975-09-01 00:00:00
abstract:BACKGROUND:Epidemiology's role as the 'diagnostic' arm of public health has submitted epidemiological reasoning and practice to the crossfire of oppositional social values and demands. In Latin America, the visible signs of extreme social and political authoritarianism and inequity, as well as the growing unfairness of...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyn135
更新日期:2008-08-01 00:00:00
abstract::A prediction of the end-stage renal disease (ESRD) population in Japan from 1980 to 2000 was made using a system dynamics model based on previously published estimates. It is estimated that the ESRD population will be 145,750 (1111 per million population (pmp)) by the year 2000, if renal transplantation gradually incr...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/20.4.1032
更新日期:1991-12-01 00:00:00
abstract:Background:In administrative database research, misclassification bias can result from diagnostic codes that imperfectly represent the condition being studied. It is unclear how to correct for this bias. Methods:Severe renal failure and Colles' fracture status were determined in two distinct cohorts using gold standar...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyx253
更新日期:2018-04-01 00:00:00
abstract::The association between social ties and survival was assessed using a stratified sample of 1060 elderly aged 60-89 years in the city of Tampere, Finland. During the 6.5-year follow-up, 240 men and 153 women died. Compared with married men, the death rate ratio among unmarried men was 1.7 and among widowers 1.2. The re...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/18.1.158
更新日期:1989-03-01 00:00:00
abstract::Occupation and industry classifications are used in epidemiological studies to classify study subjects according to their job and subsequently to study risk by job, to infer social class indicators, or to infer exposure to specific agents through job-exposure matrices. However, documentation on methodological aspects ...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyg080
更新日期:2003-06-01 00:00:00
abstract::Using routinely collected maternity discharge data from 250,000 women in Scotland, we examined the risks of late spontaneous abortion and preterm delivery during the period 20 up to 36 weeks of gestation. Gestational age is treated as a fetal survival time and the risks of delivery associated with a history of spontan...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/20.2.456
更新日期:1991-06-01 00:00:00
abstract::In both seasonal and inter-town variation, the mortality from ischaemic heart disease in England and Wales in 1969-71 is very highly correlated with temperature. Also in the inter-town variation, IHD mortality is highly correlated with rainfall and with socio-economic index. It is postulated that the same mechanism of...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/5.2.195
更新日期:1976-06-01 00:00:00
abstract:BACKGROUND:Mobile phone use and exposure to radiofrequency electromagnetic fields (RF-EMF) from it have been associated with symptoms in some studies, but the studies have shortcomings and their findings are inconsistent. We conducted a prospective cohort study to assess the association between amount of mobile phone u...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyz127
更新日期:2019-10-01 00:00:00
abstract::Mortality rates for cancers of 13 sites in 34 countries were analysed using two data reduction techniques, factor and cluster analysis. Factor analysis identified two independent underlying factors which appear to influence cancer mortality patterns. The first factor, which appears to be related to affluence, may repr...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/16.4.501
更新日期:1987-12-01 00:00:00
abstract::Analyses were made of the relation between maternal alcohol consumption before and in early pregnancy and five infant outcome variables: birthweight, crown-heel length, occipitofrontal circumference and the Apgar scores at 1 and 5 minutes. The data were analysed for all centres combined and separately. From tabulation...
journal_title:International journal of epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1093/ije/21.supplement_1.s45
更新日期:1992-01-01 00:00:00
abstract:Background:In order to support health service organizations in arranging a system for prevention of road traffic collisions (RTC), it is important to study the usefulness of sleep assessment tools. A cohort study was used to evaluate the effectiveness of subjective and objective sleep assessment tools to assess for the...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyw141
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:We examined secular changes in resting heart rate (RHR) and their relationship with changes in other cardiovascular risk factors in adult men and women over a 22-year period. METHODS:A single-centre population-based longitudinal study comprised 30,699 men and women aged 30-89 years who participated in at le...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyv061
更新日期:2015-06-01 00:00:00
abstract:BACKGOUND:The term 'joint modelling' is used in the statistical literature to refer to methods for simultaneously analysing longitudinal measurement outcomes, also called repeated measurement data, and time-to-event outcomes, also called survival data. A typical example from nephrology is a study in which the data from...
journal_title:International journal of epidemiology
pub_type: 杂志文章,评审
doi:10.1093/ije/dyu262
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Preliminary research suggests an association between depression and subsequent increased risk of infections, yet little is known on this topic. This study investigated the association between depression and risk of various types of infections, including temporal and dose-response relationships. METHODS:A pr...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/dyv333
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Mortality from smoking-related diseases in women is increasing worldwide. Studies comparing hazards associated with smoking in women and men based on a sufficient number of heavy smokers of both genders are lacking. METHODS:We used pooled data from three prospective population studies conducted in Copenhage...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/27.1.27
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:Melioidosis, or infection with Pseudomonas pseudomallei is an important cause of morbidity and mortality in South East Asia and Northern Australia. The epidemiology of melioidosis in Ubon Ratchatani, Northeast Thailand was studied over a 5-year period from 1987 to 1991. METHODS:Rates and, when possible, the...
journal_title:International journal of epidemiology
pub_type: 杂志文章
doi:10.1093/ije/23.5.1082
更新日期:1994-10-01 00:00:00