流行病学的转变及其解释

A. Vishnevsky
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引用次数: 1

摘要

对A. Omran的流行病学转变理论及其各种解释的批判性分析。对Omran提出的ET分期提出质疑,并与M. Terris对两次“流行病学革命”的区分进行比较。报告指出,外星人作为人口结构整体转变的一个触发因素和组成部分具有重大的世界历史意义,并证实了对外星人作为“卫生过渡”组成部分的解释存在分歧。“心血管革命”的概念备受争议。提出了一种用图形表示ET的方法,并讨论了其完成标准。对“第一次”、新石器时代和即将到来的“第三次”外星人以及“反向”外星人的观点提出了不同意见的理由。对发展中国家“追赶”外星人的问题进行了考虑。
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The epidemiological transition and its interpretations
A critical analysis of A. Omran's theory of epidemiological transition (ET) and its various interpretations. The periodization of ET proposed by Omran is questioned, and the differentiation of the two "epidemiological revolutions" by M. Terris is compared with it. The great world historical significance of ET as a trigger and an integral part of the demographic transition as a whole is noted, and disagreement with the interpretation of ET as an integral part of the “sanitary transition” is substantiated. The concept of the "cardiovascular revolution" is contested. A method of graphical representation of ET is proposed and criteria for its completion are discussed. Grounds are given for disagreement with ideas about the "first", Neolithic, and coming "third" ET, as well as about a "reverse" ET. The problems of “catching-up” ET in developing countries are considered.
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