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AJPH First Look, published online ahead of print Jan 2, 2008
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American Journal of Public Health, 10.2105/AJPH.2007.114777

Government, Politics, and Law

The Inequality Paradox: The Population Approach and Vulnerable Populations

Katherine L. Frohlich 1* Louise Potvin 2

1 University of Montreal
2 Université de Montréal

* To whom correspondence should be addressed. E-mail: katherine.frohlich{at}umontreal.ca.


  Abstract

Using the concept of vulnerable populations, we examine how disparities in health may be exacerbated by population-approach interventions.

We show, from an etiologic perspective,how life-course epidemiology, the concentration of risk factors, and the concept of fundamental causes of diseases may explain the differential capacity, throughout the risk-exposure distribution, to transform resources provided through population-approach interventions into health. From an intervention perspective, we argue that population-approach interventions may be compromised by inconsistencies between the social and cultural assumptions of public health practitioners and targeted groups.

We propose some intervention principles to mitigate the health disparities associated with population-approach interventions.

Key Words: Community Health, Health Promotion, Socioeconomic Factors, Tobacco




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