The Capability Approach in Epidemiological Studies

Author:

Skoog Ingmar,Falk Erhag Hanna,Kern Silke,Rydberg Sterner Therese,Samuelsson Jessica,Zettergren Anna

Abstract

AbstractPopulation epidemiology is the science that deals with disorders and certain conditions at the population level, i.e. at the macro-level. In contrast to experimental studies, the scientist in epidemiology cannot manipulate conditions to make studies of associations as pure as possible. The science of epidemiological studies examines the occurrence of diseases, risk and protective factors for diseases, and the prognosis of different disorders and conditions in different populations. The capability approach is an ideal framework for epidemiological studies because it captures the dynamic and multiple processes involved in these types of studies, in relation to both time and space, as well as socioeconomic, psychological and biological factors. Determinants for common disorders and conditions include complex interactions among a multitude of factors acting between and within macro-, meso- and micro-levels during the life-course of an individual. In this chapter, we will discuss how the capability approach can be used in epidemiology in general, and in old age in particular, giving examples from specific conditions, such as cognitive function and dementia, depression, multimorbidity and functional ability, and non-modifiable and modifiable risk factors, such as genetics and nutrition. We conclude that the capability approach is a valuable tool in epidemiological studies. In these types of studies, capability is the final outcome of the dynamic interactions between a multitude of factors at the micro-, meso- and macro-levels leading to disorders and other conditions, which leads to restrictions in the individual’s ability to perform actions in order to reach goals he or she has reason to value.

Publisher

Springer International Publishing

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