Echoepidemiology:the possible future ofepidemiology

Authors

  • Elsa Ariza V Universidad de Antioquia
  • Claudia López señora
  • Octavio Martínez señor
  • Samuel Arias V

DOI:

https://doi.org/10.17533/udea.rfnsp.724

Keywords:

Epidemiology, echo-epidemiology, social epidemiology, causality

Abstract

Currently, the dominant paradigm in epidemiology, that of “the black box”, has overrated the individual risk,
neglecting the role of the macro and micro-contexts in the causal explanations of health and illness. The proposal of echo-epidemiology is to integrate to the explanation of illness the effects of determinants of different levels (from the ecological, populational and social levels to the celular and molecular ones), using the metaphor of the “Chinese boxes”. This concept is shared by contemporary social epidemiology and the political economy of health that seek to integrate complex models that can explain the multi level process of health and illness. Furthermore, this proposal demands the use of new methodologies besides the traditional ones utilized in epidemiology.
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Author Biography

Elsa Ariza V, Universidad de Antioquia

Profesor Facultad Nacional de Salud Pública

References

(1). Colditz GA. Epidemiology —future directions.Int J Epidemiol 1997;26(4):693-697. DOI: https://doi.org/10.1093/ije/26.4.693

(2). Savitz DA, Poole C, Miller WC. Reassessing therole of epidemiology in public health. Am J Pu-blic Health 1999;89(8):1158-1161. DOI: https://doi.org/10.2105/AJPH.89.8.1158

(3). Thacker SB, Buffington J. Applied epidemiolo-gy for the 21st Century. Int J Epidemiol2001;30(2):320-325. DOI: https://doi.org/10.1093/ije/30.2.320

(4). Koopman JS, Lynch JW. Individual causal mo-dels and population system models in epidemio-logy. Am J Public Health 1999;89(8):1170-1174. DOI: https://doi.org/10.2105/AJPH.89.8.1170

(5). Susser M. Does risk factor epidemiology putepidemiology at risk? Peering into the future. JEpidemiol Community Health 1998;52(10):608-611. DOI: https://doi.org/10.1136/jech.52.10.608

(6). Susser M, Susser E. Choosing a future for epi-demiology: II. From black box to Chinese boxesand eco-epidemiology. Am J Public Health1996;86(5):674-677. DOI: https://doi.org/10.2105/AJPH.86.5.674

(7). Susser M, Susser E. Choosing a future for epi-demiology: I. Eras and paradigms. Am J PublicHealth 1996;86(5):668-673. DOI: https://doi.org/10.2105/AJPH.86.5.668

(8). Diez-Roux AV. Bringing context back into epide-miology: variables and fallacies in multilevelanalysis. Am J Public Health 1998;88(2):216-222. DOI: https://doi.org/10.2105/AJPH.88.2.216

(9). Weed DL. Beyond black box epidemiology. AmJ Public Health 1998;88(1):12-14. DOI: https://doi.org/10.2105/AJPH.88.1.12

(10). Schwartz S, Susser E, Susser M. A future forepidemiology? Annu Rev Public Health 1999;20:15-33. DOI: https://doi.org/10.1146/annurev.publhealth.20.1.15

(11). Krieger N. A glossary for social epidemiology.Epidemiol Bull 2002;23(1):7-11. DOI: https://doi.org/10.1017/S019594170007867X

(12). Krieger N. Theories for social epidemiology inthe 21st century: an ecosocial perspective. Int JEpidemiol 2001;30(4):668-677. DOI: https://doi.org/10.1093/ije/30.4.668

(13). Martikainen P, Bartley M, Lahelma E. Psychoso-cial determinants of health in social epidemiolo-gy. Int J Epidemiol 2002;31(6):1091-1093. DOI: https://doi.org/10.1093/ije/31.6.1091

(14). Kasl SV, Jones BA. Social epidemiology: towardsa better understanding of the field. Int J Epide-miol 2002;31(6):1094-1097. DOI: https://doi.org/10.1093/ije/31.6.1094

(15). Breilh J. Epidemiología: economía, medicina ypolítica. 3ª ed. México: Distribuciones Fontama-ra; 1989.

(16). Greenland S. Principles of multilevel modelling.Int J Epidemiol 2000;29(1):158-167. DOI: https://doi.org/10.1093/ije/29.1.158

(17). Greenland S. A review of multilevel theory forecologic analyses. Stat Med 2002;21(3):389-395. DOI: https://doi.org/10.1002/sim.1024

(18). Diez Roux AV. A glossary for multilevel analysis.J Epidemiol Community Health 2002;56 (8):588-594. DOI: https://doi.org/10.1136/jech.56.8.588

(19). Diez-Roux AV. On genes, individuals, society,and epidemiology. Am J Epidemiol 1998;148(11):1027-1032. DOI: https://doi.org/10.1093/oxfordjournals.aje.a009578

(20). Diez-Roux AV. Multilevel analysis in publichealth research. Annu Rev Public Health 2000;21:171-192. DOI: https://doi.org/10.1146/annurev.publhealth.21.1.171

(21). Bhopal R. Paradigms in epidemiology textbooks:in the footsteps of Thomas Kuhn. Am J PublicHealth 1999;89(8):1162-1165. DOI: https://doi.org/10.2105/AJPH.89.8.1162

(22). Savitz DA. The alternative to epidemiologictheory: whatever works. Epidemiology 1997;8(2): 210-212.

(23). Greaves D. Reflections on a new medicalcosmology. J Med Ethics 2002;28(2):81-5 DOI: https://doi.org/10.1136/jme.28.2.81

(24). Mackenbach JP. Multilevel ecoepidemiology andparsimony. J Epidemiol Community Health1998;52(10):614-615. DOI: https://doi.org/10.1136/jech.52.10.614

(25). Kogevinas M. The loss of the populationapproach puts epidemiology at risk. J EpidemiolCommunity Health 1998;52(10):615-616. DOI: https://doi.org/10.1136/jech.52.10.615

(26). Victora CG, Huttly SR, Fuchs SC, Olinto MT. Therole of conceptual frameworks in epidemiologicalanalysis: a hierarchical approach. Int J Epidemiol1997;26(1):224-227. DOI: https://doi.org/10.1093/ije/26.1.224

(27). van der Maesen LJ, Nijhuis HG. Continuing thedebate on the philosophy of modern publichealth: social quality as a point of reference. JEpidemiol Community Health 2000;54(2):134-142. DOI: https://doi.org/10.1136/jech.54.2.134

(28). Pearce N. The ecological fallacy strikes back. JEpidemiol Community Health 2000;54(5):326-327. DOI: https://doi.org/10.1136/jech.54.5.326

(29). Wilson T, Holt T, Greenhalgh T. Complexityscience: complexity and clinical care. BMJ2001;323 (7314):685-688. DOI: https://doi.org/10.1136/bmj.323.7314.685

(30). Plsek PE, Greenhalgh T. Complexity science: Thechallenge of complexity in health care. BMJ2001;323(7313):625-628. DOI: https://doi.org/10.1136/bmj.323.7313.625

(31). Martínez O. Aproximación a lo normal en medici-na desde la lógica borrosa. Acta Med Colombia-na 2002;27:41-48.

(32). Shy CM. The failure of academic epidemiology:witness for the prosecution. Am J Epidemiol1997;145(6):479-484; discussion 485-487. DOI: https://doi.org/10.1093/oxfordjournals.aje.a009133

Published

2009-02-13

How to Cite

1.
Ariza V E, López C, Martínez O, Arias V S. Echoepidemiology:the possible future ofepidemiology. Rev. Fac. Nac. Salud Pública [Internet]. 2009 Feb. 13 [cited 2025 Dec. 6];22(1). Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/724

Issue

Section

Opinión