Epidemiology is often referred to as the science of public health.
However, unlike other major sciences, its theoretical foundations
are rarely articulated. While the idea of epidemiologic theory may
seem dry and arcane, it is at its core about explaining the
people's health. It is about life and death. It is about biology
and society. It is about ecology and the economy. It is about how
myriad aspects of people's lives - involving work, dignity, desire,
love, play, conflict, discrimination, and injustice - become
literally incorporated into our bodies and manifest in our health
status, individually and collectively. And it is about essential
knowledge critical for improving the people's health and minimizing
inequitable burdens of disease, disability, and death. Woven from a
vast array of schools of thought, including those in the natural,
social, and biomedical sciences, epidemiologic theory is a rich
tapestry whose time for analysis is long overdue. By tracing its
history and contours from ancient societies on through the
development of - and debates within - contemporary epidemiology
worldwide, Dr. Krieger shows how epidemiologic theory has long
shaped epidemiologic practice, knowledge, and the politics of
public health. Outlining an ecosocial theory of disease
distribution that situates both population health and epidemiologic
theory in societal and ecologic context, she offers a more holistic
picture of how we embody the human experience. This concise,
conceptually rich, and accessible book is a rallying cry for a
return to the study and discussion of epidemiologic theory: what it
is, why it matters, how it has changed over time, and its
implications for improving population health and promoting health
equity. It should be required reading for all epidemiologists, or
anyone involved in the study of human health and well-being.
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