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"Death by proxy": ethics and classification in epidemiology

A J Plant1, R L Rushworth

  • 1Department of Public Health, Clifton St. Campus, University of Western Australia, Australia.

Social Science & Medicine (1982)
|October 23, 1998
PubMed
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Epidemiology categorizes people into risk groups, which can ethically impact individuals. This study examines if these classifications accurately reflect risk and their broader implications for epidemiological research.

Area of Science:

  • Epidemiology
  • Medical Ethics

Background:

  • Epidemiology often employs a reductionist approach, categorizing individuals based on risk factors.
  • This classification process inherently assigns individuals to distinct risk strata.

Purpose of the Study:

  • To ethically evaluate the practice of risk categorization in epidemiological studies.
  • To assess the validity of chosen groupings and their representation of actual risk factors.

Main Methods:

  • Ethical analysis of epidemiological classification methods.
  • Discussion of implications for individuals and the field of epidemiology.

Main Results:

  • Classification in epidemiology can lead to individuals being placed in potentially inaccurate risk groups.
Keywords:
Analytical ApproachBiomedical and Behavioral Research

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  • The chosen categories may not always genuinely represent the risk factor under investigation.

    • Conclusions:

    • Ethical considerations are paramount when classifying individuals in epidemiological research.
    • The implications of risk stratification for individuals and the discipline of epidemiology warrant careful consideration.