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Screening for health risks: A social science perspective

By Bob Heyman

Abstract

Health screening promises to reduce risks to individuals via probabilistic sifting of populations for medical conditions. The categorisation and selection of 'conditions' such as cardiovascular events, dementia and depression for screening itself requires prior interpretive labour which usually remains unexamined. Screening systems can take diverse organisational forms and varying relationships to health status, as when purported disease precursors, for example 'pre-cancerous' polyps, or supposed risk factors, such as high cholesterol themselves, become targets for screening. Screening at best yields small, although not necessarily unworthwhile, net population health gains. It also creates new risks, leaving some individuals worse-off than if they had been left alone. The difficulties associated with attempting to measure small net gains through randomised controlled trials are sometimes underestimated. Despite endemic doubts about its clinical utility, bibliometric analysis of published papers shows that responses to health risks are coming to be increasingly thought about in terms of screening. This shift is superimposed on a strengthening tendency to view health through the lens of risk. It merits further scrutiny as a societal phenomenon

Topics: H1, R1, RA0421
Publisher: Taylor & Francis
Year: 2010
OAI identifier: oai:eprints.hud.ac.uk:9424

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Citations

  1. (2010). Cholesterol screening and the Gold effect. doi
  2. (2010). Early intervention in dementia care: the case for and against. doi
  3. (2010). Editorial: Screening for Health Risks I: A Social Science Perspective. doi
  4. (2010). From actuarial tools to structured clinical judgments - implications for professionals and service users in mental health services.
  5. (1991). From dangerousness to risk. In
  6. (2010). Genetic risk and reproductive decisions with respect to Huntingdon’s disease. doi
  7. (2006). Narrative Review: Lack of Evidence for Recommended Low-Density Lipoprotein Treatment Targets: A Solvable Problem. doi
  8. (2009). Non-invasive prenatal diagnosis by single molecule counting technologies. doi
  9. (2006). On being at higher risk: A qualitative study of prenatal screening for chromosomal anomalies. doi
  10. (2010). On knowing and believing: Prenatal genetic screening and resistance to ‘risk-medicine’. doi
  11. (2007). On multi-attribute risk analysis. In T. Lewens (Ed.) Risk: Philosophical Perspectives. doi
  12. (1997). Primary prevention of heart disease and stroke: A simplified approach to estimating risk of events and making drug treatment decisions.
  13. (2010). Risk, Safety and Clinical Practice: Health Care Through the Lens of Risk. doi
  14. (2006). Screening for breast cancer with mammography. doi
  15. (2007). Screening for prostate cancer: A Cochrane systematic review. doi
  16. (2010). Surveillance and screening in child protection.
  17. (2008). The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. doi
  18. (1995). The risk epidemic in medical journals. doi

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