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IJE Advance Access originally published online on January 13, 2005
International Journal of Epidemiology 2005 34(1):3-4; doi:10.1093/ije/dyh391
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IJE vol.34 no.1 © International Epidemiological Association 2005; all rights reserved.

Editorial

A maternalistic approach to prevention

Karin B Michels

Obstetrics and Gynecology Epidemiology Center, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Avenue, MA 02115, USA and Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA. E-mail: kmichels@rics.bwh.harvard.edu

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One of the fundamental goals of public health is the prevention of disease to reduce human suffering. Identifying risk factors for diseases is an important milestone towards prevention, but influencing global health often requires converting such findings into behavioural modifications. We are painfully aware how difficult behavioural changes are, and consequently many insights into disease causation remain scientific discoveries that do not translate into substantial reductions of the global burden of disease. Can we more effectively convert our knowledge into successful prevention using a population strategy of prevention that circumvents the individual's choice? Or does our society favour the freedom of the individual's choice even at the expense of a conscious . . . [Full Text of this Article]


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