Is uncertainty in complex disease epidemiology resolvable?

被引：8
作者：
Maziak W. [1 ]
机构：
[1] Department of Epidemiology, Florida International University, 11200 SW 8th St, Miami, 33139, FL
来源：
Emerging Themes in Epidemiology | / 12卷 / 1期
关键词：
Chronic disease; Complex disease; Complexity; Epidemiology; Measurement; Small risk; Uncertainty;
D O I：
10.1186/s12982-015-0028-5
中图分类号：
学科分类号：
摘要：
The imposed limitations on what we can know about nature have been long recognized. Yet in the field of epidemiology a futile search for lifestyle-related risk factors for common chronic diseases continues unabated. This has led to the production of a growing body of evidence about potential lifestyle risk factors that tend to be marginal, contradictory, irreproducible, or hard to interpret. While epidemiologists are calling for a more refined methodology, I argue that our limitation in studying complex diseases is insurmountable. This is because the study of lifestyle-related small risks requires accurate measurement of multiple behaviors-exposures over a long period of time. It is also because in complex systems such as population's health, the effect of rich interactions between its parts cannot be predicted based on traditional causal models of epidemiology. Within complex systems, understanding the interactions between system components can be more important than the contribution of each to disease risk. © 2015 Maziak; licensee BioMed Central.
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