<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642017000300404</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v19n3.68469</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Determinación social del proceso salud-enfermedad: una mirada crítica desde la epidemiología del siglo XXI]]></article-title>
<article-title xml:lang="en"><![CDATA[Social determination of the health-disease process: a critical look from the epidemiology of the 21st century]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Idrovo]]></surname>
<given-names><![CDATA[Alvaro J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>19</volume>
<numero>3</numero>
<fpage>404</fpage>
<lpage>408</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642017000300404&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642017000300404&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642017000300404&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La llamada determinación social es un concepto central de la Medicina Social Latinoamericana (MSL). Son frecuentes las críticas que la MSL hace a la epidemiología, principalmente por su visión reduccionista y su lejanía a la realidad social. En este ensayo se hace un análisis contrario: la epidemiología del siglo XXI hace una crítica a la MSL, usando como ejemplo el desarrollo disciplinar en Colombia. Se revisa la historia de la epidemiología colombiana indicando que no ha tenido desarrollo suficiente y la MSL tiende a rechazar los métodos cuantitativos con fundamento en la práctica epidemiológica de hace cuatro décadas. Se revisan algunos desarrollos en los métodos cuantitativos usados en epidemiología, indicando que se han superado varias de las limitaciones señaladas por la MSL. Se concluye que la MSL usa la determinación social como parte de su plataforma política de izquierda; sin embargo, los métodos cuantitativos actuales y los desarrollos teóricos en epidemiología del siglo XXI evidencian una superioridad pragmática, útil para solucionar las problemáticas de la salud pública actual.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The so-called social determination is a key concept for Latin American Social Medicine (LASM). LASM criticizes epidemiology frequently, mainly because of its reductionist vision and its distance from social reality. This paper makes an opposite analysis, in other words, 21st century epidemiology criticizes LASM, using the disciplinary development in Colombia as an example. The history of Colombian epidemiology is reviewed, noting that it has not had sufficient development and that LASM tends to reject quantitative methods based on the epidemiological practices used four decades ago. Additionally, some developments of the quantitative methods used in epidemiology are reviewed, explaining that many of the limitations indicated by LASM have been overcome. In conclusion, LASM uses social determination as part of its leftist political platform; however, current quantitative methods and the 21st century theoretical developments in epidemiology show a pragmatic superiority, useful for solving current public health issues.]]></p></abstract>
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<kwd lng="es"><![CDATA[Epidemiología]]></kwd>
<kwd lng="es"><![CDATA[medicina social]]></kwd>
<kwd lng="es"><![CDATA[historia]]></kwd>
<kwd lng="es"><![CDATA[teoría social]]></kwd>
<kwd lng="es"><![CDATA[métodos y procedimientos estadísticos]]></kwd>
<kwd lng="es"><![CDATA[(fuente: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology, social medicine, history, social theory]]></kwd>
<kwd lng="en"><![CDATA[statistical methods and procedures]]></kwd>
<kwd lng="en"><![CDATA[(source: MeSH, NLM)]]></kwd>
</kwd-group>
</article-meta>
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