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International Journal of Epidemiology 2002;31:40-45
© International Epidemiological Association 2002


Celebration

From Susser's causal paradigms to social justice in Australia?

Fiona Stanley

TVW Telethon Institute for Child Health Research, Centre for Child Health Research, Faculty of Medicine and Dentistry, The University of Western Australia, PO Box 855, West Perth, WA 6872, Australia.

There are significant implications for epidemiology, public health and social justice from the recent critiques of modern risk factor epidemiology by Susser and others. The need to move away from a focus at the proximal end of causal pathways and from single risk factors in individuals to looking at populations and the social and environmental contexts in which risk factors arise, points us more towards the social antecedents of diseases and other poor outcomes. In this paper I argue that we must pursue this broader agenda if we are to address the increasing burden of social morbidity in our communities, particularly amongst children and youth.

Susser's Critique of Modern Epidemiology

The need for a new era
‘The present era of epidemiology is coming to a close. The focus on risk factors at the individual level—the hallmark of this era—will no longer serve. We need to be concerned equally with causal pathways at the societal level and with pathogenesis and causality at . . . [Full Text of this Article]

Developmental Health and Well-being in Australia

Changes in Australian Society— ‘The Great Disruption’25

Implications of Susser's New Paradigms for Epidemiology and Public Health Response to the Challenges of Modern Society

A New Research and Policy Paradigm—Towards Social Justice?

References


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