MPH in community health or Epidemiology??????????

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Zeel

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Hi,
I have just started MPH in community health........I m confused between community health and epidemiology...which has better opportunity for good job???????????/ And also thinking to join DrPH or PhD after some time? Can anybody help me to relieve this confusion?
 
They are both very different disciplines. The job market is very different for both. You can do a doctorate in either field, although a DrPH is more fitting for someone in CH whereas a PhD is more fitting for someone in epi. Keep in mind, the two doctoral degrees are also pretty different for people with different goals.

From Wikipedia:
Community health
, a field within public health, is a discipline that concerns itself with the study and betterment of the health characteristics of biological communities. While the term community can be broadly defined, community health tends to focus on geographic areas rather than people with shared characteristics.

Epidemiology is the study of factors affecting the health and illness of populations, and serves as the foundation and logic of interventions made in the interest of public health and preventive medicine. It is considered a cornerstone methodology of public health research, and is highly regarded in evidence-based medicine for identifying risk factors for disease and determining optimal treatment approaches to clinical practice. In the study of communicable and non-communicable diseases, the work of epidemiologists ranges from outbreak investigation to study design, data collection and analysis including the development of statistical models to test hypotheses and the documentation of results for submission to peer-reviewed journals.
 
Actually, I think COMMUNITY HEALTH is a much broader field. EPIDEMIOLOGY is a subfield of community health in a way. If you go into community health you'll be doing a much broader field of work as opposed to epidemiology where you'll be more focused on diseases and how they work. People in epidemiology won't really deal with things like cardiovascular disease, they will be focused more on transmittable diseases and working in that area.
 
People in epidemiology won't really deal with things like cardiovascular disease, they will be focused more on transmittable diseases and working in that area.

This isn't true at all. Epidemiologists are involved in the study of almost every disease imaginable. Cardiovascular disease is a big area of emphasis. In fact, when I start my MS in Epi program this fall, I am very likely going to be a research assistant for a huge cardiovascular study being conducted by multiple universities.
 
This isn't true at all. Epidemiologists are involved in the study of almost every disease imaginable. Cardiovascular disease is a big area of emphasis. In fact, when I start my MS in Epi program this fall, I am very likely going to be a research assistant for a huge cardiovascular study being conducted by multiple universities.

Oh really? I thought Epidemiology dealt more-so with following patterns, prevalence and incidence of an infectious disease. Cardiovascular being more so genetic or brought on by causes, I am not really sure how an Epidemiologist would typically follow it since it's mainly a lifestyle factor that causes it. Then again, I've pretty much did all my readings about global diseases like TB, HIV, malaria, and endemic diseases like yellow fever and leprosy.

How would an Epi go about studying cardiovascular disease or respiratory disease?
 
Oh really? I thought Epidemiology dealt more-so with following patterns, prevalence and incidence of an infectious disease. Cardiovascular being more so genetic or brought on by causes, I am not really sure how an Epidemiologist would typically follow it since it's mainly a lifestyle factor that causes it. Then again, I've pretty much did all my readings about global diseases like TB, HIV, malaria, and endemic diseases like yellow fever and leprosy.

How would an Epi go about studying cardiovascular disease or respiratory disease?

What you described as a subfield of epi called ID epi (Infectious Disease Epidemiology) and a very simple study design called ecologic studies. There are tons of fields within epidemiology. And what you also described is very basic observational studies (which are not used very often anymore because of methodological issues).

Quite simply, epidemiology = the science of health research.

My PhD will be focused on respiratory cancers. A VERY rough outline of what I could potentially do: I will use respiratory monitors that individuals will wear for X amount of time, these monitors will be analyzed in the lab for PPM of various chemicals I will be assessing. Blood samples will be taken to determine concentrations of certain kinds of metabolic by products and then lung cancers will be confirmed from diagnosis within registries at hospitals and national/state databases.
 
Oh really? I thought Epidemiology dealt more-so with following patterns, prevalence and incidence of an infectious disease. Cardiovascular being more so genetic or brought on by causes, I am not really sure how an Epidemiologist would typically follow it since it's mainly a lifestyle factor that causes it. Then again, I've pretty much did all my readings about global diseases like TB, HIV, malaria, and endemic diseases like yellow fever and leprosy.

How would an Epi go about studying cardiovascular disease or respiratory disease?

As Stories said, ID is one of many subfields of Epi. Epi does involve the study of disease patterns in populations. This may involve studying the etiology, risk factors, and methods of prevention. Genetic epi is a subfield in and of itself, and it also finds its way into other subfields, like CV as you mentioned, neurology, and especially cancer. Take a look at the Epi course descriptions on the website of any large SPH and you'll see how many different subfields and how many different types of epidemiological studies there are.

There are many ways to study CV disease. One way would be to establish a group of middle-aged adults without cardiovascular disease. Run them through a battery of tests (labs, CT scans, MRIs, etc). Survey them on their lifestyle (socioeconomic status, what they eat, how much they exercise, etc). Follow up the surveys with regular interviews. After 5 or 10 years do another battery of tests and see how many of these healthy adults have developed coronary artery disease, diabetes, chronic kidney disease, Alzheimer's, etc. Compare the data for these patients with those who have remained healthy.

Of course, this is coming from someone who hasn't taken an epi course yet, so I'm sure someone else may have a better example. 🙂
 
Another very simplistic representation of epi

Group A consists of people impacted by Factor B and not impacted by Factor B. Amongst people impacted by Factor B, compare the differential percentage of folks with Disease C with those not impacted by Factor B.
 

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Quite simply, epidemiology = the science of health research.

Well...

It's more broadly defined as 'the study of disease in populations'. Epidemiology looks at disease in people (or animals/plants!) from the 'view of 30,000 feet' as opposed to the clinician who does the same thing with an individual patient at the 'ground level'.

The term 'disease in populations' most definitely includes infectious and chronic disease. In fact, more money in the U.S. is spent on chronic disease epidemiology - vis-a-vis diabetes, cardiovascular disease and cancer - then on infectious disease by a substantial margin. This can easily be ascertained and understood simply by looking at the leading causes of death in the United States, none of which are ID.
 
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Well...

It's more broadly defined as 'the study of disease in populations'. Epidemiology looks at disease in people (or animals/plants!) from the 'view of 30,000 feet' as opposed to the clinician who does the same thing with an individual patient at the 'ground level'.

The term 'disease in populations' most definitely includes infectious and chronic disease. In fact, more money in the U.S. is spent on chronic disease epidemiology - vis-a-vis diabetes, cardiovascular disease and cancer - then on infectious disease by a substantial margin. This can easily be ascertained and understood simply by looking at the leading causes of death in the United States, none of which are ID.

Even more broadly, it's looking at what factors influence health. It doesn't have to be disease that you're assessing. It can be a condition, a feeling, a state of mind, etc.
 
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