Chronic Disease as a Public Health Problem

Cumming, Hugh S.

doi:10.2307/3347780

Cited by 3 publications

(1 citation statement)

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“…Not least, this survey was the first national survey designed, in the words of H. S. Cumming, the about-to-retire surgeon general, "to study the extent and nature of disability in the general population, with special reference to chronic disease and physical impairment." 4 Why was such an unprecedented study undertaken at this time? I suggest that it was part of the larger strategy to reform health care in the United States that had been going on since the 1920s.…”

Section: George Weisz Phdmentioning

confidence: 99%

Epidemiology and Health Care Reform: The National Health Survey of 1935-1936

Weisz

2011

Am J Public Health

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The National Health Survey undertaken in 1935 and 1936 was the largest morbidity survey until that time. It was also the first national survey to focus on chronic disease and disability. The decision to conduct a survey of this magnitude was part of the larger strategy to reform health care in the United States. The focus on morbidity allowed reformers to argue that the health status of Americans was poor, despite falling mortality rates that suggested the opposite. The focus on chronic disease morbidity proved to be an especially effective way of demonstrating the poor health of the population and the strong links between poverty and illness. The survey, undertaken by a small group of reform-minded epidemiologists led by Edgar Sydenstricker, was made possible by the close interaction during the Depression of agencies and actors in the public health and social welfare sectors, a collaboration which produced new ways of thinking about disease burdens.

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Section: George Weisz Phdmentioning

confidence: 99%

Epidemiology and Health Care Reform: The National Health Survey of 1935-1936

Weisz

2011

Am J Public Health

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Invited Paper B The ten Ds of health outcomes measurement for the twenty-first century

McHorney¹,

Cook²

2004

Outcomes Assessment in Cancer

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History and Lingering Impact of the Arbitrary 25-dB Cutoff for Normal Hearing

Gatlin

Dhar

2021

Am J Audiol

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Purpose Since its inception nearly a century ago, the audiogram has become the gold standard for reporting an individual's hearing status. The interpretation of the audiogram, namely, where normal hearing ends and hearing loss begins, impacts all areas of audiology: research, clinical, and medicolegal. Where to define normal hearing was the subject of great debate during the early decades of audiology. Revisiting this history reveals how the 25-dB HL cutoff came to be; a decision concerned more with the legal consequences than the scientific persuasiveness of the definition of normal hearing. Since the 1970s, the 25-dB HL cutoff has defined normal-hearing control groups in research and informed treatment recommendations in the clinic. Conclusions Today, in 2020, closer evaluation of this so-called normal-hearing group reveals a variety of deficits not captured by the audiogram. The history of how normal hearing came to be defined in conjunction with this growing body of research serves as a good reminder to look beyond the audiogram. This is especially important as the field of audiology looks ahead toward improved diagnostics, earlier detection, and new technologies/treatments.

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Chronic Disease as a Public Health Problem

Cited by 3 publications

References 0 publications

Epidemiology and Health Care Reform: The National Health Survey of 1935-1936

Epidemiology and Health Care Reform: The National Health Survey of 1935-1936

Invited Paper B The ten Ds of health outcomes measurement for the twenty-first century

History and Lingering Impact of the Arbitrary 25-dB Cutoff for Normal Hearing

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