On the Relative Priority of Genetic vs. Social Causes of Disease for Population Health and Inequities

Daniel S. Goldberg (East Carolina University) has a new article out in Eä: Journal of Medical Humanities & Social Studies of Science and Technology 3, no. 1 (2011).  The article is entitled Population Health & Genetic vs. Social Causes of Disease: Matters of Relative Priority, and like all material in Eä, is available full-text open-access.  Here is the Abstract:

This article critiques the effort to disentangle genetic from social causes of disease, but also argues that rough assessments of the relative effect each set of factors makes in shaping patterns of disease and inequities is both possible and is ethically recommended. The essay is divided into two main sections. The first provides the theoretical critique of the genetic-social causal dichotomy as to disease. The second offers the empirical critique of the same dichotomy, and moves on to consider the implications of this empirical evidence for priority-setting in public health policy. Ultimately, because theoretical and empirical considerations suggest that social causes are of much greater significance than genetic causes in causing disease and inequities in populations, even where measures intended to address both sets of causes should be supported, greater resources and attention should be directed to influencing social causes than genetic causes.

As always, comments and feedback are most welcome.

 

Comments

[Arno Görgen]

Dear Daniel, maybe the following article could be interesting in this field, too: http://www.palgrave-journals.com/biosoc/journal/v6/n3/abs/biosoc20114a.html

[Daniel S. Goldberg]

Thanks, Arno!

Epigenetics is in fact quite relevant to my article -- I actually mention it as one of the ways in which the biological recurs to the social, and vice-versa.