The strategy of preventive medicine
著者
書誌事項
The strategy of preventive medicine
Oxford University Press, 1992
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注記
Includes bibliographical references (p. [130]-135) and index
内容説明・目次
内容説明
Common diseases have their roots in life-style, social factors and the environment, and successful health promotion depends upon a population-based strategy of prevention. This is the central theme of Professor Rose's book, in which he presents his ideas drawn from many years of work on preventive medicine strategies. He explores the options for prevention, considering them from various viewpoints - theoretical and scientific, sociological and political, practical and ethical. He contrasts the individual ("high-risk") and population-based strategies of prevention, and offers the concept of health as an issue for populations and not just for invidivuals. The application of his ideas he illustrates by a variety of examples ranging from heart disease to alcoholism and road accidents. This text has been written to appeal to a range of readers, including clinicians, epidemiologists, public health workers, health service managers, and anyone who is concerned with the wider public issues of health.
目次
- Part 1 The Objectives of Preventive Medicine: The scope for prevention. Why seek to prevent?: the economic and humanitarian arguments. Priorities: a matter of choice
- Part 2 What needs to be prevented?: Sick individuals: a continuum of disease severity
- case definitions. A continuum of risk: the prevention paradox
- mass and individual measures. A unified approach
- Part 3 The Relation of Risk to Exposure: The dose-effect relationship. The limitations of research methods. Small but widespread risks: a public health disaster? Part 4 Prevention for Individuals and the "High-risk" Strategy
- Prevention and clinical care
- The high-risk strategy. Identifying risk-screening. Strengths and weaknesses of the high-risk strategy
- Part 5 Individuals and Populations: Individual variation: genetic, social and behavioural determinants of diversity. Variation between populations. Sick and healthy populations
- Part 6 Some Implications of Population change: Effects of the population average on the occurrence of deviance
- examples from mental health. Health implications for the population as a whole: cardiovascular disease
- body weight
- birth weight
- early development and adult health
- Down's Syndrome
- alcohol
- osteoporosis and fractures
- occupational and environmental health
- other fields of application. Safety
- Part 7 The Population Strategy of Prevention: Principles: the sociological, moral and medical arguments
- scope
- proximal and underlying causes. Strengths. Limitations and problems
- 8. In Search of Health: How do populations change?: the alcohol example. Scientific justification for change. Social engineering versus individual freedom. Freedom of choice. Role of governments. Who takes the decisions? The largest threat to public health: war. Social and economic deprivation. Responsibility for health.
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