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Introduction

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Rethinking Social Epidemiology

Abstract

Social epidemiology is now widely accepted as a legitimate area of inquiry, with a vast number of practicing social epidemiologists in universities, ­public health departments and other venues throughout the world. Social epidemiologists have focused on demonstrating the impact of growing social and health inequalities worldwide and have repeatedly demonstrated that health status is not distributed equally in society. Yet an almost exclusive focus on the existence and growth of gaps in income or health alone will not inform effective solutions. Social epidemiology risks exclusion from contributing to the formulation of solutions if our field continues to simply emphasize empirical studies demonstrating the existence of a variety of different health inequalities. We seek to challenge social epidemiology to “rethink its current practice” and adopt a greater focus on generating evidence required to “take action” to alleviate conditions of marginalization and poverty (i.e., solution-focused research). We review a number of challenges facing the field that prevent social epidemiologists from participating in the formulation of solutions to these growing social problems and health inequities. We provide an overview of the topics of the chapters in this volume intended to provide a vision of social epidemiology as a science of change.

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Abbreviations

CIHR:

Canadian Institutes of Health Research

TANF:

Temporary Assistance for Needy Families

WHO:

World Health Organization

References

  • Acevedo-Garcia D, Lochner KA, Osypuk TL et al (2003) Future directions in residential segregation and health research: a multilevel approach. Am J Public Health 93:215–221

    Article  PubMed  Google Scholar 

  • Altevogt BM, Hanson S, Leshner A (2008) Autism and the environment: challenges and ­opportunities for research. Pediatrics 121:1225–1229

    Article  PubMed  Google Scholar 

  • Asthana S, Halliday J (2006) Inequalities in the health behaviour of children and youth: policy and practice. In: Asthana S, Halliday J (eds) What works in tackling health inequalities? Pathways, policies and practice through the lifecourse. The Policy Press, Bristol

    Google Scholar 

  • Atkins D, Moy E (2005) Left behind: the legacy of hurricane Katrina. BMJ 331:916–918

    Article  PubMed  Google Scholar 

  • Bambra C (2011) Work, worklessness and the political economy of health inequalities. J Epidemiol Community Health;jech.2009.102103Published Online First: 30 January 2011

    Google Scholar 

  • Berkman LF (2004) Seeing the forest and the trees: new visions in social epidemiology. Am J Epidemiol 160:1–2

    Article  PubMed  Google Scholar 

  • Berkman LF, Kawachi I (2000) Social epidemiology. Oxford University Press, New York

    Google Scholar 

  • Bernstein K, Galea S, Ahern J et al (2007) The built environment and alcohol consumption in urban neighborhoods. Drug Alcohol Depend 91:244–252

    Article  PubMed  Google Scholar 

  • Bhopal R (1997) Which book? A comparative review of 25 introductory epidemiology textbooks. J Epidemiol Community Health 51:612–622

    Article  PubMed  CAS  Google Scholar 

  • Bonneux L (2007) From evidence based bioethics to evidence based social policies. Eur J Epidemiol 22:483–485

    Article  PubMed  Google Scholar 

  • Borrell C, Marí-Dell’Olmo M, Rodríguez-Sanz M et al (2006) Socioeconomic position and excess mortality during the heat wave of 2003 in Barcelona. Eur J Epidemiol 21:633–640

    Article  PubMed  Google Scholar 

  • Boulton ML, Lemmings J, Beck AJ (2009) Assessment of epidemiology capacity in state health departments, 2001–2006. J Public Health Manag Pract 15:328–336

    PubMed  Google Scholar 

  • Braveman PA (2006) Health disparities and health equity: concepts and measurement. Annu Rev Public Health 27:167–194

    Article  PubMed  Google Scholar 

  • Braveman PA (2007) We also need bold experiments: a response to Starfield’s “Commentary: pathways of influence on equity in health”. Soc Sci Med 64:1363–1366

    Article  PubMed  Google Scholar 

  • Braveman PA, Egerter SA, Mockenhaupt RE (2011) Broadening the focus: the need to address the social determinants of health. Am J Prev Med 40:S4–18

    Article  PubMed  Google Scholar 

  • Broom A, Willis E (2007) Competing paradigms and health research. In: Saks M, Allsop J (eds) Researching health: qualitative, quantitative and mixed methods. Sage, London

    Google Scholar 

  • Brown P (1987) Popular epidemiology: community response to toxic waste-induced disease in Woburn, Massachusetts. Sci Technol Hum Values 12:78–85

    Google Scholar 

  • Brown P (1992) Popular epidemiology and toxic waste contamination: lay and professional ways of knowing. J Health Soc Behav 33:267–281

    Article  PubMed  CAS  Google Scholar 

  • Brownson RC, Chriqui JF, Stamatakis KA (2009a) Understanding evidence-based public health policy. Am J Public Health 99:1576–1583

    Article  PubMed  Google Scholar 

  • Brownson RC, Fielding JE, Maylahn CM (2009b) Evidence-based public health: a fundamental concept for public health practice. Annu Rev Public Health 30:175–201

    Article  PubMed  Google Scholar 

  • Burawoy M (2004) Public sociologies: contradictions, dilemmas, and possibilities. Soc Forces 82:1603–1618

    Article  Google Scholar 

  • Carpiano RM, Daley DM (2006) A guide and glossary on postpositivist theory building for ­population health. J Epidemiol Community Health 60:564–570

    Article  PubMed  CAS  Google Scholar 

  • Centre for Research on the Epidemiology of Disasters (CRED) (2011) 2010 disasters in numbers. http://www.preventionweb.net/files/17615_confpress2010.pdf. Accessed 25 Apr 2011

  • Chou YJ, Huang N, Lee CH et al (2004) Who is at risk of death in an earthquake. Am J Epidemiol 160:688–695

    Article  PubMed  Google Scholar 

  • Commission on Social Determinants of Health (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the Commission on Social Determinants of Health. World Health Organization, Geneva

    Google Scholar 

  • Crone J (2011) How can we solve our social problems? 2nd edn. Pine Forge Press, Thousand Oaks

    Google Scholar 

  • Cwikel J (2006) Social epidemiology: strategies for public health activism. Columbia University Press, New York

    Google Scholar 

  • Dahlgren G, Whitehead M (1991) Policies and strategies to promote social equity in health. Institute for Futures Studies, Stockholm

    Google Scholar 

  • Diez-Roux AV (1998) Bringing context back into epidemiology: variables and fallacies in ­multilevel analysis. Am J Public Health 88:216–222

    Article  PubMed  CAS  Google Scholar 

  • Dunn JR (2006) Speaking theoretically about population health. J Epidemiol Community Health 60:572–573

    Article  PubMed  Google Scholar 

  • Edwards KL, Clarke GP, Ransley JK et al (2010) The neighbourhood matters: studying exposures relevant to childhood obesity and the policy implications in Leeds, UK. J Epidemiol Community Health 64:194–201

    Article  PubMed  CAS  Google Scholar 

  • Elliott JR, Pais J (2006) Race, class and Hurricane Katrina: social differences in human responses to disaster. Soc Sci Res 35:295–321

    Article  Google Scholar 

  • Ellwood W (2006) The no-nonsense guide to globalization, 2nd edn. New Internationalist Publications, Oxford

    Google Scholar 

  • Epstein RA (2003) Let the shoemaker stick to his last: a defense of the “old” public health. Perspect Biol Med 46:S138–159

    PubMed  Google Scholar 

  • Fothergill A, Maestas EG, Darlington JD (1999) Race, ethnicity and disasters in the United States: a review of the literature. Disasters 23:156–173

    Article  PubMed  CAS  Google Scholar 

  • Fuchs M (1996) Woburn’s burden of proof: corporate social responsibility and public health. J Undergrad Sci 3:165–170

    Google Scholar 

  • Galea S, Hall C, Kaplan GA (2009) Social epidemiology and complex system dynamic modelling as applied to health behaviour and drug use research. Int J Drug Policy 20:209–216

    Article  PubMed  Google Scholar 

  • Goldberg M, Melchoir M, Leclerc A et al (2002) Social factors in health: recent contributions from social epidemiology and the social sciences of health. Sci Soc Sante 20:75–128

    Google Scholar 

  • Gómez-Olmedo M, Delgado-Rodriguez M, Bueno-Cavanillas A et al (1996) Prenatal care and prevention of preterm birth. A case-control study in southern Spain. Eur J Epidemiol 12:37–44

    Article  PubMed  Google Scholar 

  • Hacker J, Pierson P (2010) Winner-take-all politics: public policy, political organization and the precipitous rise of top incomes in the United States. Polit Soc 38:152–204

    Article  Google Scholar 

  • House JS (2002) Understanding social factors and inequalities in health: 20th century progress and 21st century prospects. J Health Soc Behav 43:125–142

    Article  PubMed  Google Scholar 

  • James SA (2009) Epidemiologic research on health disparities: some thoughts on history and ­current developments. Epidemiol Rev 31:1–6

    Article  PubMed  Google Scholar 

  • Kaplan GA (2004) What’s wrong with social epidemiology, and how can we make it better? Epidemiol Rev 26:124–135

    Article  PubMed  Google Scholar 

  • Kasl SV, Jones BA (2002) Social epidemiology: towards a better understanding of the field. Int J Epidemiol 31:1094–1097

    Article  PubMed  Google Scholar 

  • Krieger N (1999) Questioning epidemiology: objectivity, advocacy, and socially responsible ­science. Am J Public Health 89:1151–1153

    Article  PubMed  CAS  Google Scholar 

  • Krieger N (2008) Proximal, distal, and the politics of causation: what’s level got to do with it? Am J Public Health 98:221–230

    Article  PubMed  Google Scholar 

  • Krieger N (2011) Epidemiology and the people’s health: theory and context. Oxford University Press, New York

    Book  Google Scholar 

  • Kruk M, Prescott M, de Pinho H et al (2011) Equity and the child health Millennium Development Goal: the role of pro-poor health policies. J Epidemiol Community Health 65:327–333

    Article  PubMed  Google Scholar 

  • Leung MW, Yen IH, Minkler M (2004) Community based participatory research: a promising approach for increasing epidemiology’s relevance in the 21st century. Int J Epidemiol 33:499–506

    Article  PubMed  Google Scholar 

  • Macinko JA, Shi L, Starfield B et al (2003) Income inequality and health: a critical review of the literature. Med Care Res Rev 60:407–452

    Article  PubMed  Google Scholar 

  • Mackenbach JP (2009) Politics is nothing but medicine at a larger scale: reflections on public health’s biggest idea. J Epidemiol Community Health 63:181–184

    Article  PubMed  CAS  Google Scholar 

  • Matheson FI, Moineddin R, Glazier RH (2008) The weight of place: a multilevel analysis of ­gender, neighborhood material deprivation, and body mass index among Canadian adults. Soc Sci Med 66:675–690

    Article  PubMed  Google Scholar 

  • Minkler M (2005) Community-based research partnerships: challenges and opportunities. J Urban Health 82:ii3–12

    Article  PubMed  Google Scholar 

  • Morabia A (2009) Is epidemiology nothing but politics at a different level? J Epidemiol Community Health 63:188–190

    Article  PubMed  Google Scholar 

  • Morgan G (2005) Highlighting the importance of “popular epidemiology”. J Epidemiol Community Health 59:254

    Article  PubMed  Google Scholar 

  • Muntaner C, Chung H (2008) Macrosocial determinants, epidemiology, and health policy: should politics and economics be banned from social determinants of health research? J Public Health Policy 29:299–306

    Article  PubMed  Google Scholar 

  • Muntaner C, Sridharan S, Chung H et al (2010) The solution space: developing research and policy agendas to eliminate employment-related health inequalities. Int J Health Serv 40:309–314

    Article  PubMed  Google Scholar 

  • Naughton MP, Henderson A, Mirabelli MC et al (2002) Heath-related mortality during 1999 heat wave in Chicago. Am J Prev Med 22:221–227

    Article  PubMed  Google Scholar 

  • Navarro V (2009) What we mean by social determinants of health. Glob Health Promot 16:5–16

    Article  PubMed  Google Scholar 

  • O’Campo P, Rojas-Smith L (1998) Welfare reform and women’s health: review of the literature and implications for state policy. J Public Health Policy 19:420–446

    Article  PubMed  Google Scholar 

  • O’Campo P, Gielen AC, Faden RR et al (1995) Violence by male partners against women during the childbearing year: a contextual analysis. Am J Public Health 85:1092–1097

    Article  PubMed  Google Scholar 

  • O’Campo P, Xue X, Wang MC et al (1997) Neighborhood risk factors for low birthweight in Baltimore: a multilevel analysis. Am J Public Health 87:1113–1118

    Article  PubMed  Google Scholar 

  • O’Campo P, Kirst M, Schaefer-McDaniel N et al (2009) Community-based services for homeless adults experiencing concurrent mental health and substance use disorders: a realist approach to synthesizing evidence. J Urban Health 86:985–989

    Google Scholar 

  • O’Campo P, Kirst M, Tsamis C et al (2011) Implementing successful intimate partner violence screening programs in health care settings: evidence generated from a realist-informed systematic review. Soc Sci Med 72:855–866

    Article  PubMed  Google Scholar 

  • O’Connor A (2001) Poverty knowledge: social science, social policy, and the poor in twentieth century U.S. history. Princeton University Press, Princeton

    Google Scholar 

  • Oakes JM (2005) An analysis of American Journal of Epidemiology citations with special ­reference to statistics and social science. Am J Epidemiol 161:494–500

    PubMed  Google Scholar 

  • Oakes JM, Kaufman J (2006) Methods in social epidemiology. Josey-Bass, San Francisco

    Google Scholar 

  • Phelan JC, Link BG, Diez-Roux AV et al (2004) “Fundamental causes” of social inequalities in mortality: a test of the theory. J Health Social Behav 45:265–285

    Article  Google Scholar 

  • Putnam S, Galea S (2008) Epidemiology and the macrosocial determinants of health. J Public Health Policy 29:275–289

    Article  PubMed  Google Scholar 

  • Rothman KJ, Adami HO, Ttichopoulos D (1998) Should the mission of epidemiology include the eradication of poverty? Lancet 352:810–813

    Article  PubMed  CAS  Google Scholar 

  • Roy A (2010) Poverty capital: microfinance and the making of development. Routledge, New York

    Google Scholar 

  • Ruffin J (2010) The science of eliminating health disparities: embracing a new paradigm. Am J Public Health 100:S8–9

    Article  PubMed  Google Scholar 

  • Rychetnik L, Frommer M, Hawe P et al (2002) Criteria for evaluating evidence on public health interventions. J Epidemiol Community Health 56:119–127

    Article  PubMed  CAS  Google Scholar 

  • San Sebastián M, Hurtig AK (2005) Oil development and health in the Amazon basin of Ecuador: the popular epidemiology process. Soc Sci Med 60:799–807

    Article  PubMed  Google Scholar 

  • Sanson-Fisher RW, Bonevski B, Green LW et al (2007) Limitations of the RCT in evaluating population-based health interventions. Am J Prev Med 33:155–161

    Article  PubMed  Google Scholar 

  • Savitz DA, Poole C, Miller WC (1999) Reassessing the role of epidemiology in public health. Am J Public Health 89:1158–1161

    Article  PubMed  CAS  Google Scholar 

  • Schnarch B (2004) Ownership, Control, Access, and Possession (OCAP) or self-determination applied to research: a critical analysis of contemporary First Nations research and some options for First Nations communities. First Nations Centre, National Aboriginal Health Organization, Ottawa

    Google Scholar 

  • Schwartz S, Carpenter KM (1999) The right answer for the wrong question: consequences of Type III error for public health research. Am J Public Health 89:1175–1180

    Article  PubMed  CAS  Google Scholar 

  • Schwartz S, Susser E, Susser M (1999) A future for epidemiology. Ann Rev Public Health 20:15–33

    Article  CAS  Google Scholar 

  • Seabrook J (2007) The no-nonsense guide to world poverty, 2nd edn. New Internationalist Publications, Oxford

    Google Scholar 

  • Smedslund G, Hagen KB, Steiro A, Johme T, Dalsbø TK, Rud MG (2006) Work programmes for welfare recipients. Rapport fra Kunnskapssenteret nr 20 - 2006. ISBN 82-8121-120-2 ISSN 1503-9544

    Google Scholar 

  • Solar O, Irwin A (2007) A conceptual framework for action on the social determinants of health. Discussion paper for the Commission on Social Determinants of Health. World Health Organization, Geneva

    Google Scholar 

  • Sorensen G, Barbeau E, Hunt MK et al (2004) Reducing social disparities in tobacco use: a social-contextual model for reducing tobacco use among blue-collar workers. Am J Public Health 94:230–239

    Article  PubMed  Google Scholar 

  • Starfield B (2007) Pathways of influence on equity in health: a rejoinder to Braveman and Wilkinson. Soc Sci Med 64:1371–1372

    Article  Google Scholar 

  • Stuckler D (2008) Population causes and consequences of leading chronic diseases: a comparative analysis of prevailing explanations. Milbank Q 86:273–326

    Article  PubMed  Google Scholar 

  • Syme SL (2008) Reducing racial and social-class inequalities in health: the need for a new approach. Health Aff (Milwood) 27:456–459

    Article  Google Scholar 

  • Thacker SB, Buffington J (2001) Applied epidemiology for the 21st century. Int J Epidemiol 30:320–325

    Article  PubMed  CAS  Google Scholar 

  • Venkatapuram S, Marmot M (2009) Epidemiology and social justice in light of social determinants of health research. Bioethics 23:79–89

    Article  PubMed  Google Scholar 

  • Walke HT, Simone PM (2009) Building capacity in field epidemiology: lessons learned from the experience in Europe. Euro Surveill 14:Pii = 19376

    PubMed  Google Scholar 

  • Wallace B (2008) Toward equity in health: a new global approach to health disparities. Springer, New York

    Google Scholar 

  • Wallerstein N, Duran B (2010) Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am J Public Health 100:S40–46

    Article  PubMed  Google Scholar 

  • Welsh BC, Farrington DP (2008) Effects of closed circuit television surveillance on crime. Campbell Systematic Reviews 17 http://www.campbellcollaboration.org/

  • Westley F, Zimmerman B, Patton MQ (2006) Getting to maybe: how the world is changed. Vintage Canada, Toronto

    Google Scholar 

  • Whitehead M (2007) A typology of actions to tackle social inequalities in health. J Epidemiol Community Health 61:473–478

    Article  PubMed  Google Scholar 

  • Wilkinson R (2007) The challenge of prevention: a response to Starfield’s “Commentary: ­pathways of influence on equity in health”. Soc Sci Med 64:1367–1370

    Article  PubMed  Google Scholar 

  • Williams GH (2003) The determinants of health: structure, context and agency. Sociol Health Illn 25:131–154

    Article  PubMed  Google Scholar 

  • Woodcock J, Aldred R (2008) Cars, corporations, and commodities: consequences for the social determinants of health. Emerg Themes Epidemiol 5:4

    Article  PubMed  Google Scholar 

  • Yen IH (2005) Historical perspective: S. Leonard Syme’s influence on the development of social epidemiology and where we go from there. Epidemiol Perspect Innov 2:3

    Article  PubMed  Google Scholar 

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O’Campo, P., Dunn, J.R. (2012). Introduction. In: O’Campo, P., Dunn, J. (eds) Rethinking Social Epidemiology. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-2138-8_1

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