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  1. Ethics, epidemiology and the thrifty gene : Biological determinism as a health hazard : The ethics of epidemiology.

    Article - En anglais

    This paper briefly describes the rise of the thrifty genotype hypothesis as an explanation for the late twentieth century epidemic of diabetes, particularly in post-colonial indigenous societies.

    It looks at some of the ethical consequences of the biological deterministic paradigm, particularly the popular confusion of « genes'with » race'and boss this paradigm served to exclude consideration of social determinants of disease in epidemiological thinking.

    Some alternative hypotheses to the thrifty gene theory are explored, together with the consequences of acceptance of these other theories in terms of public health action.

    Finally, there is a need for epidemiology to be continually conscious, critical and transparent with respect to the general disease (and wellness) theory under which it operates if it is to be truly a science rather than a collection of methodologies.

    Mots-clés Pascal : Déterminisme génétique, Diabète non insulinodépendant, Epidémiologie, Ethique, Facteur risque, Prévalence, Homme, Ethnie, Génétique, Endocrinopathie

    Mots-clés Pascal anglais : Genetic determinism, Non insulin dependent diabetes, Epidemiology, Ethics, Risk factor, Prevalence, Human, Ethnic group, Genetics, Endocrinopathy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0478199

    Code Inist : 002B30A09. Création : 19/02/1999.