Scientific challenges for precision public health.
epidemiology
public health policy
randomised trials
Journal
Journal of epidemiology and community health
ISSN: 1470-2738
Titre abrégé: J Epidemiol Community Health
Pays: England
ID NLM: 7909766
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
30
09
2019
revised:
19
12
2019
accepted:
10
01
2020
pubmed:
25
1
2020
medline:
2
2
2021
entrez:
25
1
2020
Statut:
ppublish
Résumé
The notion of 'precision' public health has been the subject of much debate, with recent articles coming to its defence following the publication of several papers questioning its value.Critics of precision public health raise the following problems and questionable assumptions: the inherent limits of prediction for individuals; the limits of approaches to prevention that rely on individual agency, in particular the potential for these approaches to widen inequalities; the undue emphasis on the supposed new information contained in individuals' molecules and their 'big data' at the expense of their own preferences for a particular intervention strategy and the diversion of resources and attention from the social determinants of health.In order to refocus some of these criticisms of precision public health as scientific questions, this article outlines some of the challenges when defining risk for individuals; the limitations of current theory and study design for precision public health; and the potential for unintended harms.
Identifiants
pubmed: 31974295
pii: jech-2019-213311
doi: 10.1136/jech-2019-213311
pmc: PMC7079187
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
311-314Subventions
Organisme : Medical Research Council
ID : G0802448
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K023241/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/P008577/1
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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