Titre
Producing change to understand the social determinants of health: the promise of experiments for social epidemiology.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Berkman, L.F.
Auteure/Auteur
Avendano, M.
Auteure/Auteur
Courtin, E.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1476-6256
Statut éditorial
Publié
Date de publication
2022-08-09
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Résumé
In this commentary invited for the 100th anniversary of AJE, we discuss the addition of randomized experiments, along with natural experiments that emulate randomized trials using observational data, as designs in the social epidemiologist's toolbox. These approaches transform the way we define and ask questions about social exposures. They compel us to ask questions about how well-defined interventions change a social exposure that might lead to changes in health. As such, experiments are of unique public health and policy significance. We argue that they are a powerful approach to advance our understanding of how well-defined changes in social exposures impact health, and how credible social policy reforms may be instrumental to address health inequalities. We focus on two research designs. The first is a 'pure' randomized controlled trial (RCT) in which the investigator defines and randomly assigns the intervention. The second one is a natural experiment, which exploits the fact that policies or interventions in the real world often involve an element of random assignment, emulating an RCT. To give the reader our bottom line, while acknowledging their limits, we continue to be very excited about the promise of RCTs and natural experiments to advance social epidemiology.
PID Serval
serval:BIB_088EAA1D445C
PMID
Date de création
2022-10-11T14:08:22.102Z
Date de création dans IRIS
2025-05-20T19:59:09Z
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Nom
Berkman Avendano courtin 2022.pdf
Version du manuscrit
published
Taille
243.73 KB
Format
Adobe PDF
PID Serval
serval:BIB_088EAA1D445C.P001
URN
urn:nbn:ch:serval-BIB_088EAA1D445C1
Somme de contrôle
(MD5):93196b74ff7abd09def826ed796e05bf