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History of Epidemiological Methods and Concepts

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Handbook of Epidemiology

Abstract

Epidemiology emerged as a scientific discipline in the seventeenth century when the conditions became ripe for collecting, analyzing, and interpreting population data. Population comparative studies were performed in the eighteenth century. Since then, a body of methods and concepts needed to perform population studies has been developed, refined, and theorized. It constitutes the genuine core of the scientific discipline known today as epidemiology. I identify four phases in the evolution of these epidemiological methods and concepts. During the preformal phase (seventeenth to nineteenth century), there was no theory guiding the implementation of population studies. During the early phase (1900–1945), study designs were segregated, ways of dealing with non-comparability were developed and applied, epidemiology became an academic discipline, and epidemiological textbooks were published. In the third phase, classic epidemiology (1945–1980), study designs were refined, and the measurement of effects, confounding effects, interactions, and biases were formalized. The latest phase, modern epidemiology (since 1980), has been characterized by an integration of methods and concepts into a theoretical corpus that comprises study designs, measures of event occurrences and effects, confounding effects, interactions, biases, and causal inferences. There are indications that a new phase is dawning, characterized by refinements in conceptual domains such as the assessment of confounding effects, biases, and of complex interactions.

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Morabia, A. (2014). History of Epidemiological Methods and Concepts. In: Ahrens, W., Pigeot, I. (eds) Handbook of Epidemiology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09834-0_52

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