[Debating disease: the risk factor concept in political economic and scientific consideration, 1968 to 1986].

Jeannette Madarász
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Abstract

The risk factor concept was developed in American epidemiological studies ongoing since the 1940s researching the causes of chronic cardiovascular diseases. By looking at the depiction of this model in a variety of media in Germany between 1968 and 1986 we can put its close interaction with contemporary socio-political debates under scrutiny. Thereby, a strong connection between the various agents' political and economic interests on the one hand and the incorporation of the risk factor concept into their specific agendas will become apparent. The risk factor concept was not fundamentally changed in the process but it was adapted to contemporary conditions and political constellations. Thereby, so it will be argued, the medical uses of the model, especially regarding the prevention of chronic cardiovascular disease, were forced into the background of public debates.

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[辩论疾病:1968年至1986年政治、经济和科学考虑中的风险因素概念]。
危险因素的概念是在美国流行病学研究中发展起来的,自20世纪40年代开始研究慢性心血管疾病的原因。通过观察1968年至1986年间德国各种媒体对这一模式的描述,我们可以将其与当代社会政治辩论的密切互动置于审视之下。因此,一方面,各种行动者的政治和经济利益与将风险因素概念纳入其具体议程之间的密切联系将变得明显。在这一过程中,风险因素的概念并没有从根本上改变,但它适应了当代的条件和政治格局。因此,有人会说,这种模式的医疗用途,特别是在预防慢性心血管疾病方面的用途,被迫成为公众辩论的背景。
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