Abstract：
This critical review considers the status of 21st-century epidemiological theories of disease distribution, updating to 2024 prior analyses published up through 2014, and discusses the implications of these theories for research, practice, and pedagogy. Three key trends stand out: (a) the continued dominance of individualistic biomedical and lifestyle theories; (b) growth and elaboration of social epidemiological alternatives; and (c) the ongoing inattention to epidemiologic theories of disease distribution in the training of epidemiologists and public health professionals and in current efforts to improve the rigor of epidemiological research and causal inference. In a context of growing global political polarization, climate crisis, broader environmental and ecological crises, and stubbornly persistent health inequities within and between nations, producing actionable knowledge relevant to improving the people\'s health and advancing health justice will require much greater engagement with social epidemiologic theories of disease distribution in research, pedagogy, and practice. At issue is critically engaging with the embodied truths manifested in the stories bodies tell in population patterns of health, disease, and well-being.
摘要：
这篇重要的评论考虑了21世纪疾病分布的流行病学理论的现状，更新到2024年之前发表的分析，直到2014年，并讨论了这些理论对研究的影响，实践,和教育学。三个主要趋势突出：（a）个人主义生物医学和生活方式理论的继续占主导地位；（b）社会流行病学替代方案的增长和完善；（c）在培训流行病学家和公共卫生专业人员以及当前为提高流行病学研究和因果推断的严谨性所做的努力中，对疾病分布的流行病学理论的持续关注。在全球政治两极分化加剧的背景下，气候危机,更广泛的环境和生态危机，以及国家内部和国家之间顽固持续的健康不平等，生产相关的可操作的知识，改善人民的健康和推进健康正义将需要更多的参与社会流行病学理论的疾病分布的研究，教育学,和实践。争论的焦点是批判性地参与身体在人口健康模式中讲述的故事中所体现的真理，疾病,和幸福。
