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epi - lec 11
epi
18
Biology
Undergraduate 3
10/02/2012

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Term
def or error
Definition
deviation from true values
Term
random error
-solution
Definition
due to sample or chance
-increase sample size
Term
systematic error
-leads to?
-due to?
-affects?
-soltuion?
- 3 types
Definition
-leads to bias
- due to study design flaws
- affects validity
- solution:
careful study desgin
use of appropriate statistical techniques
3 types of systematic error:
- selection
- information
-confounding
Term
def of bias
Definition
SYSTEMATIC ERROR in design, conduct or analysis of study that results in a MISTAKEN ESTIMATE of an exposure's effect on risk of disease
Term
flow chart of research process highlighting steps of study and where the three types of bias occur.
Definition
[image]
Term
selection bias
-3 types
Definition
systematic difference between those particpating in study and those who are not
- 3 types:
- nonresponse
-loss to follow up
- healthy worker
Term
what type of validity issues occur during the selection of subjects and selection bias
Definition
selection of subjects = external validity issues
selection bias = internal validity issues
Term
non-response bias
Definition
bias generated by certain types of people not responding to survey or dropping out of study
Term
Loss to follow up
Definition
participants who withdraw from a study are systematically different from those who remain
Term
healthy worker effect
Definition
participants involved in study misrepresent target pop because they can participate (ie are healthier)
Term
methods of evaluating possible selection bias and addressing possible selection bias.
Definition
evaluate:
- scrutinize sampling method
- explore non-responders

to adress possible selection bias:
- careful study design
- obtain randomized sample of target pop
- reduce likelihood of non-repsonse bias, loss to follow up, ect.
Term
information bias
- 3 types
Definition
determination of exposure and/or outcomes status from some participants are incorrect
3 types:
- misclassification
- recall
-reporting
Term
Misclassification bias
- 2 types (describe)
Definition
participants incorrectly assigned to exposure group (+/-) or outcome group (+/-)
2 types:
1. differential:
- no difference between groups/participants in their likelihood to be accurately assigned. issue inherent to data collection methods. bias towards null.
2. non-differential:
- one group more likely to be inaccurately assigned than another group. bias can be towards or away from null. can find associations that don't exist, or no associations when they do.
Term

[image]

which numbers = pos correlation and neg correlation and null?

Definition

neg correlation < 1

pos correlation > 1

null = 1

Term
recall bias
- to solve
Definition
when an individual may not remember correctly, or accurately, something that occurred in the past.
- to solve:
- reduce retrospective time period
Term
reporting bias
- to solve
Definition
when an individ may be reluctant to report undesirable behaviour.
to solve:
- reduce stigma/socially desirable answers
Term
confounding bias
- 3 elements that it must contain
Definition
observed association between exposure and outcome is affected by third factor.
3 elements:
1. associated with exposure
2. associated with outcome
3. not a result/caused by exposure
Term
Ways of solving confounding variables. 
Definition

·      Address in design

o   Randomization

§  During RCT, all potential CFVs are distributed equally between groups

o   Restriction/exclusion

§  Only one level of CFV eligible to participate

o   Matching

§  Select individuals purposively to ensure even distribution of CFVs between groups

·      Address in analyses

Must first know what confounding variables are!

o   Stratification

§  Stratify groups into different levels of the confounder

§  Examine association between E and O at each level

o   Multivariate modeling

§  Statistically control for potential CFVs

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