In Support of a Broad Model of Public Health: Disparities, Social Epidemiology, and Public Health Causation

Public Health Ethics, 2009

Posted: 9 Nov 2008

See all articles by Daniel Goldberg

Daniel Goldberg

East Carolina University - School of Medicine

Date Written: November 8, 2008

Abstract

This article defends a broad model of public health, one that specifically addresses the social epidemiologic research suggesting that social conditions are primary determinants of health. The article proceeds by critiquing one of the strongest arguments in favor of a narrow model, advanced by Mark Rothstein. The critique sets up the argument that a model of public health that does not address what actually causes health and disease is unlikely to improve public health. Assessing the substantial evidence regarding the social determinants of health, the article engages the policy paradox that precludes utopian prescriptions but demands more than mere expedience.

Keywords: public health, ethics, social determinants of health, policy, causation, epidemiology

Suggested Citation

Goldberg, Daniel, In Support of a Broad Model of Public Health: Disparities, Social Epidemiology, and Public Health Causation (November 8, 2008). Public Health Ethics, 2009, Available at SSRN: https://ssrn.com/abstract=1298064

Daniel Goldberg (Contact Author)

East Carolina University - School of Medicine ( email )

600 Moye Boulevard
Greenville, NC 27858
United States

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