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Introduction to the Subject
Pages 3-7

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From page 3...
... Berkman, "today we are building on the same kind of technological advancements and real achievements in the social sciences, and we are at a similar kind of crossroads." The reports note the importance of a new concept, "population health," developed initially by leffrey Rose in 1992. He said that it was critical not only to ask why some individual patients get sick but also why this population has its own distribution of risk.
From page 4...
... But as black men enter the 21st century they have a life expectancy less than what white men enjoyed 46 years earlier. Black women do only a little better their rates look like those of white women 36 years earlier.
From page 5...
... FIGURE B Obesity rates of children in the United States, 1963-1994. 1 988-94 Almost all the data suggest that the lower socioeconomic status of African Americans accounts for much, but not all, of this gradient, said Dr.
From page 6...
... Social and economic policies at the upper levels, on down through institutions, neighborhoods, living conditions, social relationships, individual risk factors, genetic/constitutional factors, and pathophysiologic pathways, all contribute to individual and population health. A third pervasive theme relates to life course and development; issues of cumulative disadvantage, latency, precursors of later resiliency, or disease risk are now central themes in many of these reports.
From page 7...
... The first is that theories of disease causation that focus primarily on the individual should be complemented by the systematic patterning of risk across social contexts. Second, we have new outcomes.


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