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Epidemiology- Unit One
Measuring Disease Frequency and Measuring for Comparison (T Pierce)
14
Health Care
Graduate
09/10/2010

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Cards

Term
define population
Definition
group of people with a common characteristic like age, race, sex, place of residence, religion, or use of hospital services
Term
fixed population vs. dynamic population
Definition
  • fixed- membership permenant and defined by event
  • dynamic- populatin is transient and defined by being in or out of state
Term
Factors involved in measuring disease frequency
Definition
  • number of individuals affected by disease (numerator)
  • size of source population (denominator)
  • length of time the population was followed
Term
different frequency measures
Definition
  • ratio- division of one number by another
    • ex: BMI
    • ex: fetal death ratio=#fetal deaths/# live births
  • proportion- numerator is subset of denominator, often express as percentage
    • a/(a+b)
    • ex: prevalence, case fatality
    • usually expressed as percentage or range      (0-1)
    • dimensionless
  • rate- time is an intrinsic part of denominator but term is most misused
Term
prevalence (definition, equation)
Definition
  • definition- number of existing cases of disease in a population at a point or during a period of time
  • eq: number of existing cases/total population
Term
define incidence
Definition
number of new cases of disase that develop in a population at risk during a specific time (true risk of developing a condition)
Term

equation for cummulative incidence

 

Definition
number of new cases of disease/number of candidate population over specific period of time
Term
equation of incidence rate
Definition

number of new cases of disease/person-time of observation in candidate population

 

THIS INTEGRATES TIME INTO DENOMINATOR (so it is the only true rate)

Term
assumptions of cummulative incidence
Definition
  • you have followed the entire population for the entire follow up period
    • you cant follow everyone for entire time period
    • so length of follow up is not uniform for all
Term
relation between incidence, prevalence, and duration
Definition
  • if low incidence with high duration, prevalance high
  • if incidence high with shot duration, prevalance low
Term
define fetal death ratio
Definition

# fetal deaths during a year/ # live births in the same year

 

fetal death = loss of fetus after 22 or more weeks of gestation

Term
main options for comparing measurements
Definition
  • relative measure- calculate ratio of two measures of disease frequency (measure in exposed group and measure in unexposed comparison group)
  • absolute measure- calculate difference between two measures of disease frequency (measure in exposed group and measure in unexposed comparison group)
Term
relative risk equation
Definition
rate or risk of exposed group/rate or risk of unexposed group
Term
risk difference
Definition
RD= rate or risk in exposed - rate or risk in unexposed
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