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Coronary Heart Disease EpidemiologyFrom aetiology to public health$
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Michael Marmot and Paul Elliott

Print publication date: 2005

Print ISBN-13: 9780198525738

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780198525738.001.0001

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Strategies of prevention: the individual and the population

Strategies of prevention: the individual and the population

(reprinted from first edition)*

(p.631) Chapter 36 Strategies of prevention: the individual and the population
Coronary Heart Disease Epidemiology

G. Rose

Oxford University Press

This chapter reviews two strategies for preventing coronary heart disease. The individual or clinical approach seeks to identify and help those in whom an amalgam of genetic susceptibility and unhealthy lifestyle indicates unusual risk, but the public health approach seeks changes in those features of the population's behaviour or environment which are held responsible for the overall incidence rate. Thus, the individual strategy is a rescue operation for individuals in need, whereas the population strategy is a radical attempt to deal with the underlying causes.

Keywords:   aetiology, coronary heart disease, cardiovascular disease prevention, individual approach, clinical approach

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