Titre du document / Document title
Epidemiology and the web of causation : has anyone seen the spider ?
Auteur(s) / Author(s)
KRIEGER N. ;
Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)
Kaiser foundation res. inst., div. res., Oakland CA 94611, ETATS-UNIS
Résumé / Abstract
Multiple causation' is the canon of contemporary epidemiology, and its metaphor and model is the «web of causation.» First articulated in a 1960 U.S. epidemiology textbook, the «web» remains a widely accepted but poorly elaborated model, reflecting in part the contemporary stress on epidemiologic methods over epidemiologic theories of disease causation. This essay discusses the origins, features, and problems of the'web,'including its hidden reliance upon the framework of biomedical individualism to guide the choice of factors incorporated in the «web.» Posing the question of the whereabouts of the putative «spider,» the author examines several contemporary approaches to epidemiologic theory, including those which stress biological evolution and adaptation and those which emphasize the social production of disease
Revue / Journal Title
Social science & medicine
ISSN
0277-9536
CODEN SSMDEP
Source / Source
1994, vol. 39, n
o7, pp. 887-903 (158 ref.)
Langue / Language
Anglais
Editeur / Publisher
Elsevier, Kidlington, ROYAUME-UNI
(1982)
(Revue)
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Localisation / Location
INIST-CNRS, Cote INIST : 13689, 35400004075678.0020
Nº notice refdoc (ud4) : 4203962