Conclusions

Abstract

In this volume, we challenge the evolving field of social epidemiology to rethink the goals, desired impacts, assumptions and practices that currently dominate the discipline. We attempt to steer the development of social epidemiology towards a science that has direct relevance and makes important contributions to formulating solutions to the pressing contemporary social issues that impact population health. We seek to raise questions, provide examples of an expanded social epidemiology, and spark discussion and debate as to whether and how the status quo should change. To address the complex problems of macro- and multilevel determinants of health, we should move away from a focus on single studies as a means of advancing knowledge and consider conceptualizing and designing research agendas that address solutions to social determinants, utilizing a range of new and innovative research methods. There is a need for new theories; for example, social epidemiologists should adopt explicit Marxist, feminist, constructivist or behaviourist theoretical approaches to inform their work. Finally, we cannot -proceed in isolation. By partnering with policy makers, program planners, members of affected communities and scientists from other disciplines, we can ensure that social epidemiology becomes a science of change.