| Refocusing the lens: epidemiologic transition theory, mortality differentials, and the AIDS pandemic. | |
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MedLine Citation:
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PMID: 9032829 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The epidemiologic transition theory presented first by Omran [Omram. A. R. (1971) The epidemiologic transition: a theory of the epidemiology of population change, Mildbank Quarterly 49(4), 509-538] was designed to explain global trends in the dynamic relationship between epidemiological phenomena and demographic change. This paper argues that universalizing this theory only partially serves to explain mortality declines over the last century and eclipses key epidemiologic differences between population subgroups based on socioeconomic status, race, and sex. This paper examines morbidity and mortality differentials between population subgroups and demonstrates important inconsistencies with the optimistic trends implied by the epidemiologic transition theory, an argument further developed using the HIV/AIDS pandemic as a case study. The paper argues that these differences should be brought from margins to center to present a more complex and comprehensive picture of how population subgroups experience epidemiologic transitions differently. |
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Authors:
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D S Gaylin; J Kates |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Social science & medicine (1982) Volume: 44 ISSN: 0277-9536 ISO Abbreviation: Soc Sci Med Publication Date: 1997 Mar |
Date Detail:
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Created Date: 1997-05-07 Completed Date: 1997-05-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 609-21 Citation Subset: IM; X |
Affiliation:
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Lewin Group, Fairfax, VA 22031, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Immunodeficiency Syndrome
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epidemiology* Disease Outbreaks* Epidemiology* Humans Models, Theoretical Mortality / trends* Risk Factors United States / epidemiology World Health |
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