AJPH
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

AJPH First Look, published online ahead of print Jan 2, 2008
This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
AJPH.2007.114777v1
98/2/216    most recent
Right arrow Submit a response
Right arrow View responses
Right arrow Purchase Article
Right arrow View Shopping Cart
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via ISI Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Frohlich, K. L.
Right arrow Articles by Potvin, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Frohlich, K. L.
Right arrow Articles by Potvin, L.
Related Collections
Right arrow Community Health
Right arrow Health Promotion
Right arrow Socioeconomic Factors
Right arrow Other Tobacco
February 2008, Vol 98, No. 2 | American Journal of Public Health 216-221
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.114777

GOVERNMENT, POLITICS, AND LAW

Transcending the Known in Public Health Practice: The Inequality Paradox: The Population Approach and Vulnerable Populations

Katherine L. Frohlich, PhD and Louise Potvin, PhD

The authors are with the Lea Roback Centre for Research on Health Inequalities, Department of Social and Preventive Medicine, University of Montreal, and le Groupe de Recherche Interdisciplinaire en Santé, Montreal, Quebec.

Correspondence: Requests for reprints should be sent to Katherine L. Frohlich, PhD, CP 6128 succursale Centre-Ville, Montreal, QC, H3C 3J7, Canada (e-mail: katherine.frohlich{at}umontreal.ca).

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.




This article has been cited by other articles:


Home page
 Arch Intern MedHome page
K. Fiscella and R. M. Epstein
So Much to Do, So Little Time: Care for the Socially Disadvantaged and the 15-Minute Visit
Arch Intern Med, September 22, 2008; 168(17): 1843 - 1852.
[Abstract] [Full Text] [PDF]

Home page
 Occup Med (Lond)Home page
P. Noone
Monitor
Occup. Med., September 1, 2008; 58(6): 449 - 450.
[Full Text] [PDF]

Home page
 Am. J. Public HealthHome page
J. C. Semenza, J. Suk, and D. Manissero
INTERVENING ON HIGH-RISK OR VULNERABLE POPULATIONS?
Am J Public Health, August 1, 2008; 98(8): 1351 - 1352.
[Full Text] [PDF]

Home page
 Am. J. Public HealthHome page
K. L. Frohlich and L. Potvin
FROHLICH AND POTVIN RESPOND
Am J Public Health, August 1, 2008; 98(8): 1352 - 1352.
[Full Text] [PDF]

Home page
 Eur J Public HealthHome page
P. Allebeck
The prevention paradox or the inequality paradox?
Eur J Public Health, June 1, 2008; 18(3): 215 - 215.
[Full Text] [PDF]

eLetters:

Read all eLetters

Increases in relative differences in adverse health outcomes do not necessarily reflect increasing h
James P. Scanlan
AJPH Online, 24 Jan 2008 [Full text]

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2008 by the American Public Health Association