SciELO - Scientific Electronic Library Online

 
vol.16 issue1Operationalizing the categories access and decentralization in health systems analysisLiterature and medicine: the shared territory author indexsubject indexarticles search
Home Page  

Cadernos de Saúde Pública

Print version ISSN 0102-311X

Abstract

CHOR, Dóra  and  FAERSTEIN, Eduardo. An epidemiological approach to health promotion: the ideas of Geoffrey Rose. Cad. Saúde Pública [online]. 2000, vol.16, n.1, pp. 241-244. ISSN 0102-311X.  http://dx.doi.org/10.1590/S0102-311X2000000100025.

In this paper, we discuss some of the ideas developed by Geoffrey Rose, which are seldom explicitly expressed in the contemporary debate on health promotion. The following notions are emphasized: many health exposures and outcomes are expressed in a continuum, and do not follow the dichotomy exposed/non-exposed or diseased/ non-diseased; there is a linear relationship between certain exposures and their effects along the range of exposure levels; thus, many individuals exposed to low risk may generate more cases of a disease than few individuals exposed to high risk. In addition, there is a strong relationship between average behaviors and the occurrence of deviance, as a result of the balance between biological and social forces favoring diversity or uniformity. Thus, risk differences between defined populations involve differences in the population distributions as a whole, rather than in the proportion of individuals with high risk. Overall, these concepts favor emphasis on strategies aiming the general population, and not only the individuals considered to be at high risk of disease.

Keywords : Health Promotion; Preventive Medicine; Epidemiology.

        · abstract in Portuguese     · text in Portuguese     · pdf in Portuguese