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Advances in knowledge about health determinants at population level


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Length: 32'00"

By Dr. Cesar G. Victora,
Epidemiology Graduate Program - School of Medicine
Federal University of Pelotas

Advisory Committee on Health Research (ACHR) Member

Presentation at:
    Science, Health and Development: Achievements and Challenges in One Hundred Years of PAHO.
    XXXVII Meeting of the Advisory Committee on Health Research
    Washington, D.C., 12-14 June 2002

    Document No 37/2002.6


  • A brief historic review of theories regarding determinants of disease, with emphasis on the area of child health
  • A discussion of how current knowledge may contribute to integrate distal (political, social, economic), intermediate (behavioral, environmental) and proximate (microbiological, chemical, immunological, etc) determinants in hierarchical models of causality
  • A discussion of inequities in child health and how these may be mediated trough intermediate and proximate factors
  • A discussion of the life-course approach to determinants of health, with some counter-intuitive examples of how risk factors for child health may represent protective factors in adulthood

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