Résumé :
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[BDSP. Notice produite par INIST WnR0x4vO. Diffusion soumise à autorisation]. No one can question the remarkable contribution of US public health to understanding the causes and consequences of Illness, disability, and death. However, some commentators question the agenda : the endless pursuit of Individual risk factors and the cursory attention to social determinants of disease. We attempt to Illustrate some limitations of US public health by focusing on type-2 diabetes (aduit-onset non-insulin-dependent diabetes) - an Increasingly prevalent but still poorly understood medical condition with devastating complications and implications for quality of life. A more theoretically based multilevel approach to diabetes, outlined for the 21st century, has an almost exclusive downstream curative focus, that ranges from midstream preventive programmes to upstream healthy public policy.
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