Announcement

Collapse
No announcement yet.

What criteria should we use for interpreting epidemiology?

Collapse
This topic is closed.
X
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • What criteria should we use for interpreting epidemiology?

    Dear all,

    Lately in my professional reading I have noticed that the standards of
    evidence varies greatly between different fields. For instance, the
    mode of establishing causality used in science (which was devised by
    Jakob Henle and Robert Koch for research in bacteriology) requires that
    in every single instance the effect follows the cause. By contrast
    epidemiology uses a system of causal inference that is based on the
    philosophies of David Hume and John Stuart Mill (Morabia, 2005). The
    question of identifying causes in epidemiology has always been a subject
    of controversy. For instance, the controversy over the
    interpretation of the statistical relationship between smoking and lung
    cancer caused a landmark debate in that field in the second half of the
    twentieth century. It led Bradford Hill to formulate the "pragmatics" of
    risk factor epidemiology in 1965 (Berlivet, 2005). His model for
    establishing causation ("The Hill causation model") is well known in the
    public health field and widely used. For example Hill's nine proposed
    "criteria" for determining causation were used was used to classify
    Chrysotile asbestos as a cause of mesothelioma (Lemen, 2004); it met all
    nine of them. However, "multiple causation" is the canon of contemporary
    epidemiology and its "web of causation" is widely accepted though it is
    a very poorly elaborated model (Krieger, 1994). Sadly public heath
    debates these days are often based on evidence that use it in
    questionable ways and this topic clearly deserves further debate. Has
    anyone found a good review of criteria currently in use for interpreting
    causation?

    Regards,

    David McFarlane MAppSc (Ergonomics)
    Ergonomist, WorkCover NSW

    Disclaimer

    Any recommendation concerning the use or representation of a particular
    brand of product in this document or any mention of them whatsoever
    (whether this appears in the text, illustrations, photographs or in any
    other form) is not to be taken to imply that WorkCover NSW approves or
    endorses the product or the brand.

    ************************************************** ************************************************** ************************************

    This message, including any attached files, is intended solely for the addressee named and may contain confidential
    information. If you are not the intended recipient, please delete it and notify the sender. Any views expressed in this
    message are those of the individual sender and are not necessarily the views of WorkCover NSW. Please consider the environment
    before printing this E-mail.

    ************************************************** ************************************************** ************************************
Working...
X