Titre :
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McKeown and the idea that social conditions are fundamental causes of disease. (2002)
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Auteurs :
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Bruce-G LINK ;
Jo-C PHELAN
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 92, n° 5, 2002)
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Pagination :
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730-732
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Langues:
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Anglais
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Mots-clés :
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Homme
;
Etat santé
;
Epidémiologie
;
Historique
;
Facteur socioéconomique
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Résumé :
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[BDSP. Notice produite par INIST-CNRS zR0xC0uP. Diffusion soumise à autorisation]. In an accompanying commentary, Colgrove indicates that McKeown's thesis that dramatic reductions in mortality over the past 2 centuries were due to improved socioeconomic conditions rather than to medical or public health interventions has been "overturned" and his theory "discredited." McKeown sought to explain a very prominent trend in population health and did so with a strong emphasis on the importance of basic social and economic conditions. If Colgrove is right about the McKeown thesis, social epidemiology is left with a gaping hole in its explanatory repertoire and a challenge to a cherished principle about the importance of social factors in health. We return to the trend McKeown focused upon post-McKeown and post-Colgrove to indicate how and why social conditions must continue to be seen as fundamental causes of disease.
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