Problems and potential of researching epidemiological transition: Examples from Southeast Asia

The development and experience of epidemiological transition theory over four decades: a systematic review

“…Child mortality in Nauru fluctuated and increased over time from 6 to 10.8 per 1,000 population during 1960–2007 (131). Unlike other countries in South East Asia that experienced a decline in infant mortality during 1960–1980, Thailand still struggled with high infant mortality of 40–45 per 1,000 live births in the 1980s (154). Kahn et al showed that children (0–4 years) and young adults (20–49 years) in rural South Africa experienced rapid increases (two and five times, respectively) in mortality rates over a 10-year period due to the HIV/AIDS epidemic (38, 40).…”

The development and experience of epidemiological transition theory over four decades: a systematic review

“…Child mortality in Nauru fluctuated and increased over time from 6 to 10.8 per 1,000 population during 1960–2007 (131). Unlike other countries in South East Asia that experienced a decline in infant mortality during 1960–1980, Thailand still struggled with high infant mortality of 40–45 per 1,000 live births in the 1980s (154). Kahn et al showed that children (0–4 years) and young adults (20–49 years) in rural South Africa experienced rapid increases (two and five times, respectively) in mortality rates over a 10-year period due to the HIV/AIDS epidemic (38, 40).…”

The epidemiological transition in Antananarivo, Madagascar: an assessment based on death registers (1900–2012)

“…In western countries, there has been considerable debate over the chronology of this transition and the contribution of better nutrition, rises in living standards and advances in medical science to the decline in mortality (2, 3). The relevance of this model for Latin America and Asia has also been widely debated (4–7). Less attention has been devoted to sub-Saharan Africa (SSA), apart from a few case studies on Accra (8), South Africa (9), and Mauritius (10).…”

Diabetes Among Oaxaca's Transnational Population: An Emerging Syndemic

“…A further significant limitation of the model is that it uses the nation state as a unit of analysis in describing shifts in population health, thus missing significant differences among regions (including rural and urban areas), social classes, and ethnic groups in terms of the burden of disease: “The rich and poor, urban and rural dwellers and other subgroups of populations of many countries effectively live in different ‘epidemiological worlds’; a focus on national averages does a disservice to virtually all people” (Phillips :viii). Finally, and particularly important for the following discussion of syndemics, the Epidemiological Transition model focuses on mortality rather than morbidity, and on the description of patterns of mortality, and not the causes of those patterns.…”

“…The “epidemiological transition” implies a transition in which the largest burden of disease shifts from infectious diseases to chronic and noncommunicable diseases. The model as posed in Omran's seminal article has been discussed, revised, and debated ever since but continues to shape our understanding of the interrelationship between demographic shifts, epidemiology, and health (Martínez and Gustavo ; Phillips ).…”

The development and experience of epidemiological transition theory over four decades: a systematic review

“…Child mortality in Nauru fluctuated and increased over time from 6 to 10.8 per 1,000 population during 1960–2007 (131). Unlike other countries in South East Asia that experienced a decline in infant mortality during 1960–1980, Thailand still struggled with high infant mortality of 40–45 per 1,000 live births in the 1980s (154). Kahn et al showed that children (0–4 years) and young adults (20–49 years) in rural South Africa experienced rapid increases (two and five times, respectively) in mortality rates over a 10-year period due to the HIV/AIDS epidemic (38, 40).…”

The epidemiological transition in Antananarivo, Madagascar: an assessment based on death registers (1900–2012)

“…In western countries, there has been considerable debate over the chronology of this transition and the contribution of better nutrition, rises in living standards and advances in medical science to the decline in mortality (2, 3). The relevance of this model for Latin America and Asia has also been widely debated (4–7). Less attention has been devoted to sub-Saharan Africa (SSA), apart from a few case studies on Accra (8), South Africa (9), and Mauritius (10).…”

Diabetes Among Oaxaca's Transnational Population: An Emerging Syndemic

“…A further significant limitation of the model is that it uses the nation state as a unit of analysis in describing shifts in population health, thus missing significant differences among regions (including rural and urban areas), social classes, and ethnic groups in terms of the burden of disease: “The rich and poor, urban and rural dwellers and other subgroups of populations of many countries effectively live in different ‘epidemiological worlds’; a focus on national averages does a disservice to virtually all people” (Phillips :viii). Finally, and particularly important for the following discussion of syndemics, the Epidemiological Transition model focuses on mortality rather than morbidity, and on the description of patterns of mortality, and not the causes of those patterns.…”

“…The “epidemiological transition” implies a transition in which the largest burden of disease shifts from infectious diseases to chronic and noncommunicable diseases. The model as posed in Omran's seminal article has been discussed, revised, and debated ever since but continues to shape our understanding of the interrelationship between demographic shifts, epidemiology, and health (Martínez and Gustavo ; Phillips ).…”

The development and experience of epidemiological transition theory over four decades: a systematic review

“…Child mortality in Nauru fluctuated and increased over time from 6 to 10.8 per 1,000 population during 1960–2007 (131). Unlike other countries in South East Asia that experienced a decline in infant mortality during 1960–1980, Thailand still struggled with high infant mortality of 40–45 per 1,000 live births in the 1980s (154). Kahn et al showed that children (0–4 years) and young adults (20–49 years) in rural South Africa experienced rapid increases (two and five times, respectively) in mortality rates over a 10-year period due to the HIV/AIDS epidemic (38, 40).…”

The epidemiological transition in Antananarivo, Madagascar: an assessment based on death registers (1900–2012)

“…In western countries, there has been considerable debate over the chronology of this transition and the contribution of better nutrition, rises in living standards and advances in medical science to the decline in mortality (2, 3). The relevance of this model for Latin America and Asia has also been widely debated (4–7). Less attention has been devoted to sub-Saharan Africa (SSA), apart from a few case studies on Accra (8), South Africa (9), and Mauritius (10).…”

Diabetes Among Oaxaca's Transnational Population: An Emerging Syndemic

“…A further significant limitation of the model is that it uses the nation state as a unit of analysis in describing shifts in population health, thus missing significant differences among regions (including rural and urban areas), social classes, and ethnic groups in terms of the burden of disease: “The rich and poor, urban and rural dwellers and other subgroups of populations of many countries effectively live in different ‘epidemiological worlds’; a focus on national averages does a disservice to virtually all people” (Phillips :viii). Finally, and particularly important for the following discussion of syndemics, the Epidemiological Transition model focuses on mortality rather than morbidity, and on the description of patterns of mortality, and not the causes of those patterns.…”

“…The “epidemiological transition” implies a transition in which the largest burden of disease shifts from infectious diseases to chronic and noncommunicable diseases. The model as posed in Omran's seminal article has been discussed, revised, and debated ever since but continues to shape our understanding of the interrelationship between demographic shifts, epidemiology, and health (Martínez and Gustavo ; Phillips ).…”