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57 Cards in this Set

  • Front
  • Back

Epidemiology is the study of the ____ and ____ of disease frequency in human populations

Distribution


Determinants

T/F Human disease occurs at Random

F; does not occur at random

What 2 things can be identified regarding human disease through systematic investigation

Causal and Preventative factors

Define: Disease frequency

How many people are getting disease

Define: Distribution of Disease

Who, Where, and When is getting/does disease occur

What is "determinants of diesease"

What causes the disease

Descriptive Epidemiology focuses on people who develop disease in terms of their _____(2)




(PC and WW to CA)

1) Personal Characteristics


2) Where/when they were exposed to causative agent

List 4 strengths that descriptive epidemiology covers


  1. Ensures understanding of basic dimensions of health problem
  2. Helps identify populations at higher risk for health problems
  3. Allocation of resources
  4. Enables development of testable hypothesis

What are the 2 types of observational studies

Descriptive Epi




Analytical Epi

What does Descriptive Epi deal with

Who, What, Where, When

What does Analytical Epi deal with

Why and How

T/F There are no preconceived notions about relationship between exposure and disease with descriptive studies

T

What are the 2 methods of analytical studies

Case-Control (retrospective)




Cohort (prospective studies)

Name the type of study for the following relationship:




Exposure <--------> Disease



Descriptive

Name the type of study for the following relationship:




Exposure <-------- Disease

Case-Control (Retrospective)

Name the type of study for the following relationship:




Exposure --------> Disease

Cohort (prospective) ( Given more weight)

What are the 3 goals of descriptive epi


  1. Evaluate Health Trends by comparing populations
  2. Provide basis for planning, provision, and evaluation of health services
  3. Generate hypothesis for disease etiology

Name 2 Cancer Data Sources


  1. Behavioral Risk Factor Surveillance System
  2. Surveillance Epi and End Results

What percent of human cancers are caused by human behavior

50-75% (Smoking, inactivity, poor diet, alcohol, etc)

What is the single most important risk factor for cancer

smoking - 30% of cancers




basically everything except colon and breast

What group has lowest # of cigarette smokers - whites, blacks, hispanics

Hispanics

Fruit and Vegetable consumption are associated with lower incidence of what kind of cancers

Mouth, pharynx, larynx, esophagus, stomach, lung, and some evidence for pancreas, prostate, and colon

T/F Blacks have lowest intake of fruits and vegetables while hispanics the highest

T

What component of procssesd meats, but not fresh, may lead to cancers of colon and prostate

Salt and Nitrates in processed meats




Fat and Iron in all red meat

What types of cancers are associated with alcohol

Mouth, esophagus, pharynx, larynx, and liver




Heavy Use --> Colorectal

T/F synergistic effect of combining tobacco with alcohol for mouth, throat, and esophageal cancers

T

Among adolescents (12-17), what demographic is more likely to consume alcohol

Whites and Hispanics > Blacks

Physical activity is linked to lower risk of (4) cancers

Colon (30%)


Breast


lung


endometrial

T/F The rich do less exercise

F; poor --> more inactivity




Hispanics > Blacks > Whites


inactive active

T/F Education --> Exercise

T

T/F Women are more likely than men NOT to engage in leisure-time physical activity

T

T/F Whites more likely to be inactive

F; blacks and hispanics more likely

T/F Obesity linked to increases in colon, PM Breast, uterine, esophageal., and RCC

T

T/F People got FAT in the 90s

T

T/F Female African Americans are most obese and inactive

T

Top 3 New cancers for Males vs Females

Males: Prostate, Lung, Colorectal

Females: Breast, Lung, Colorectal



Lifetime prob of developing cancers - All sites




Males vs Females

1:2




1:3

Top cancers for children 0-14 years old

ALL

Brain/CNS



Top cancers for adolescents 15-19 years old

Hodgkins


Thyroid

T/F Ca Incidence has gone up while Mortality has gone down

T

What cancers have had better survival since the 70s

Breast and Colon




Lung and Pancreus have minimal

Biggest killer

Lung

T/F Pancreatic and Liver cancer mortality has decreased in recent years

F; increased for both males and females

What groups are more likely to die from cancer

Men > Women




Blacks > Nonblacks

T/F Although cancer incidences are different for different races, the mortality is similar

T

How many cancer deaths have been avoided in men and women form 91-2011

~ 1 million men




~500,000 for women

What is the median age of breast Ca Dx

61

What percent of BrCa is dx at localized stage

60%

What is the median age of prostate Ca Dx

67

What percent of prostate ca is dx at localized stage

>90%

10 and 15 yr survival rates for prostate ca

97.8% and 91.4%

Cancer is the __ leading cause of child death

2nd

most common second cancers in children

Breast, Brain, Bone, Thyroid, melanoma, AML

Radiation or anthracyclines may cause

heart issues

Most common SE of cancer and txt

Pain


Fatigue


Emotional distress


Bone Density


Cardiotox


Cog deficics

What are the 4 facets of QLM

Psychological


Social


Spiritual


Physical

Nerve damage in CA pat due to

Taxanes and Vincristine: Damage sensory nerves --> peripheral neuropathy