The science of epidemiology and the methods needed for public health assessments: a review of epidemiology textbooks.

Abstract:

OBJECTIVES:Epidemiology is often described as 'the science of public health'. Here we aim to assess the extent that epidemiological methods, as covered in contemporary standard textbooks, provide tools that can assess the relative magnitude of public health problems and can be used to help rank and assess public health priorities. STUDY DESIGN:Narrative literature review. METHODS:Thirty textbooks were grouped into three categories; pure, extended or applied epidemiology, were reviewed with attention to the ways the discipline is characterised and the nature of the analytical methods described. RESULTS:Pure texts tend to present a strict hierarchy of methods with those metrics deemed to best serve aetiological inquiry at the top. Extended and applied texts employ broader definitions of epidemiology but in most cases, the metrics described are also those used in aetiological inquiry and may not be optimal for capturing the consequences and social importance of injuries and disease onsets. CONCLUSIONS:The primary scientific purpose of epidemiology, even amongst 'applied' textbooks, is aetiological inquiry. Authors do not readily extend to methods suitable for assessing public health problems and priorities.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Gouda HN,Powles JW

doi

10.1186/1471-2458-14-139

subject

Has Abstract

pub_date

2014-02-10 00:00:00

pages

139

issn

1471-2458

pii

1471-2458-14-139

journal_volume

14

pub_type

信件,评审
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