The population health approach in historical perspective

Am J Public Health. 2003 Mar;93(3):421-31. doi: 10.2105/ajph.93.3.421.


The origin of the population health approach is an historic debate over the relationship between economic growth and human health. In Britain and France, the Industrial Revolution disrupted population health and stimulated pioneering epidemiological studies, informing the early preventive public health movement. A century-long process of political adjustment between the forces of liberal democracy and propertied interests ensued. The 20th-century welfare states resulted as complex political mechanisms for converting economic growth into enhanced population health. However, the rise of a "neoliberal" agenda, denigrating the role of government, has once again brought to the fore the importance of prevention and a population health approach to map and publicize the health impacts of this new phase of "global" economic growth.

Publication types

  • Historical Article
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Economics / history
  • Epidemiologic Methods
  • France
  • Health Status*
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Politics
  • Public Health / economics
  • Public Health / history*
  • Social Welfare / economics
  • Social Welfare / trends
  • United Kingdom
  • United States