Skip Navigation


IJE Advance Access originally published online on July 15, 2004
International Journal of Epidemiology 2005 34(1):44-45; doi:10.1093/ije/dyh273
This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow All Versions of this Article:
34/1/44    most recent
dyh273v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (1)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Rockhill, B
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rockhill, B
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

IJE vol.34 no.1 © International Epidemiological Association 2004; all rights reserved.

Commentary

Commentary: The message is rarely simple: the J-curve and beyond

B Rockhill

University of North Carolina, Department of Epidemiology, Chapel Hill, NC 27599, USA. E-mail: beverly_rockhill@unc.edu

The first 150 words of the full text of this article appear below.

In their article in this issue of the International Journal of Epidemiology, Adams and White1 take on the important topic of population-based prevention strategies. Their central thesis is that when the relation between exposure and average risk of an outcome is J-shaped, a population-based prevention strategy has the obvious potential to harm a group of individuals by pushing them into a higher risk level through a reduction in exposure. In their paper, the authors focus mainly on the outcome of all-cause morbidity/mortality.

In their first paragraph, the authors invoke the name and work of Geoffrey Rose, and note that his reasoning has been so persuasive that the population approach has been described2 as one of the ‘absolute truths’ of preventive medicine. In this era of market individualism3 and consumer-driven medicine, I believe this description of Rose's impact is, unfortunately, highly debatable in the US, but this is not the . . . [Full Text of this Article]


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 AJPHHome page
W. Maziak and K. D. Ward
From Health as a Rational Choice to Health as an Affordable Choice
Am J Public Health, December 1, 2009; 99(12): 2134 - 2139.
[Abstract] [Full Text] [PDF]

Home page
 Int J EpidemiolHome page
K. B Michels
A maternalistic approach to prevention
Int. J. Epidemiol., February 1, 2005; 34(1): 3 - 4.
[Full Text] [PDF]