02-PopulationPerspective

02-PopulationPerspec - Principles of Epidemiology for Public Health(EPID600 The population perspective Victor J Schoenbach PhD home page Department

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1/18/2011 Population perspective 1 The population perspective Principles of Epidemiology for Public Health (EPID600) Victor J. Schoenbach, PhD home page Department of Epidemiology Gillings School of Global Public Health University of North Carolina at Chapel Hill www.unc.edu/epid600/
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50% x 90% + ? "Half this game is ninety percent mental." – Philadelphia Phillies manager, Danny Ozark
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I California "I love California. I practically grew up in Phoenix." – Dan Quayle
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An honest politician "That lowdown scoundrel deserves to be kicked to death by a jackass, and I'm just the one to do it," – A congressional candidate in Texas.
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1/18/2011 Population perspective 5 Population perspective - outline 1. Epidemiology emphasizes the population perspective 2. Populations are dynamic, diverse, heterogenous - demographic characteristics have major impact on health a. Fertility and mortality, population pyramids b. Sex ratio, place, education, gender, ethnicity
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1/14/2003 Population perspective 6 1. Epidemiology emphasizes the population perspective We see the world through our perspectives. Individual perspective - focus on health, risk factors, exposures, causal mechanisms in people as individuals Population perspective - focus on disorders (“mass disease”), exposures, causal mechanisms in people as a group
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5/26/2009 Population perspective 7 Age-adjusted cancer death rates - US males, 1930-2005 Source: American Cancer Society: www.cancer.org
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1/6/2002 Population perspective 8 (Continuation of notes) (continuation)
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5/26/2009 Population perspective 9 Age-adjusted cancer death rates - US females, 1930-2005 Source: American Cancer Society: www.cancer.org
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1/25/2005 Population perspective 10 (Continuation of notes) (continuation)
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1/27/2002 Population perspective 11 Population perspective vs. the individual perspective on the lung cancer epidemic Individual perspective concerned with what individual exposures cause lung cancer, lead people to smoke, help people quit, smoking cessation clinics Population perspective concerned with the environmental factors (including social, economic, technological, political) that promote smoking
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1/9/2007 Population perspective 12 (Continuation of notes) (continuation)
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8/25/2002 Population perspective 13 HIV pandemic Individual perspective - counseling and testing, know about HIV, know serostatus, attitudes, safe sex, clean syringes with bleach Migrant labor patterns, long distance truck driving, subordination of women, globalization, societal response to sex, homosexuality, and drug use
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1/27/2002 Population perspective 14 Individual vs. population perspectives’ approach to health problems Individual perspective - diagnosis (presenting complaint, history, physical exam, lab tests), treatment derived from biomedical understanding of etiology Population perspective - “community
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This note was uploaded on 02/13/2012 for the course EPID 600 taught by Professor Staff during the Spring '08 term at UNC.

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02-PopulationPerspec - Principles of Epidemiology for Public Health(EPID600 The population perspective Victor J Schoenbach PhD home page Department

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