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51 Cards in this Set

  • Front
  • Back

Point Prevalence/ Prevalence proportion

- new and existing cases of the disease at a point in time/total study population x 10

Prevalence

- number of existing cases of a disease

Importance of Prevalence

- provides an indication of the extent of a health problem

Rate

- a ratio that consists of a numerator and a denominator and in which time forms a part of the denominator

Mortality rate

deaths occurring during a given time period/population from which death occurred x 10

Incidence rate

New cases occurring during a given time period/population at risk during same time period x 10

Person-time rate

number of cases during observation/time each person observed; totalled for all persons

Attack rate

new cases occurring during a short time period/population at risk during beginning of time period

Secondary attack rate

New cases among contacts of primary cases during a short time period/population at beginning of time period- primary cases

Incidence

- number of new cases of a disease that occurs in a group during a certain time period

Applications of Incidence

- helps in research on the etiology/causality of the disease


- used to estimate the risk of developing disease

Crude rate

- a type of rate that has not been modified to take account of any of the factors such as demographic make up of the population that may affect the observed rate

Crude rate (cont.)

- Includes a time period from which an event occurred


- Numerator consists of frequency of disease


- Denominator is a unit size of population

Crude death rate

Number of deaths in a given year/reference population x 100,000

Category Specific Rate

- the number of cases per age (or any other characteristic) group of a population during a specified time

Adjusted rate

- a rate of morbidity or mortality in a population in which statistical procedures have been applied to permit fair comparisons across populations by removing the effect of differences


- age is a factor

Standardized mobility ratio

SMR= observed/expected

Study design

- the program that directs the researcher along the path of systematically collecting, analyzing, and interpreting data


- it allows for descriptive assessments of events

Descriptive Epi

- means of organizing, summarizing, and describing data by person, place, time

Ecologic study

- the unit analysis of a group


- Correlations between exposure rates and disease rates

Ecologic study (cont.)

- these are studies where exposure data relating to a place are correlated to health data collected on individuals but summarized by place

Ecological fallacy

- observations made at a group level may not represent the exposure-disease relationship a the individual level

Case report

- involves a profile of a single individual

Case series

- involves a small group of patients with a similar diagnosis

Cross-sectional survey

- conducted over a short period of time and the unit of analysis is individual.


- there is no follow up period

Cross-sectional survey (cont.)

- can be used to study several associations at once


- produces prevalence data


- provides evidence for the need for analytic epidemiological studies

Cross-sectional survey weakness

- unable to establish sequence of events


- infeasible for studying rare conditions


- potentially influenced by response bias

Serial survey

- cross sectional surveys that are usually conducted




- Census


- Behavior Risk


National Health Interview


National Hospital discharge

Person

- descriptive data on person answers the "who" question

Population or Age Pyramids

- representation used by epidemiologist to track and compare changes in population overtime


-

Expansive population

- higher number of young people


- growth is rapid

Constrictive population

- lower number of young people


- population growth is negaive

Stationary population

- equal number of all age groups


- growth is neutral or stable

Female Paradox

- higher rates for pain, asthma

Five major categories for census (race)

- white


- black


- american indian or Alaska native


- asian


- native Hawaiian

race/ethnicity

- social construct


- used to track healthy outcomes



place

- addresses the where question

place variables

- international


- national


- urban rural


- localized patterns of disease

Time Variables

- secular trends


- cyclic trends


- point epidemics


- clustering

Secular trend

- represent long term changes in health related states or events

short- term trends

- usually brief, unexpected increases in health-related states or events

Cyclic trends

- represent periodic increases and decreases in the occurrence of health related events

Point epidemic

- the response of a group of people circumscribed in place to a common source of infection

Clustering

- a closely grouped series of events or cases of a disease

Public Health Surveillance

systematic ongoing collection of health data

Birth rate

number of live births in a population during a specified time period/population from which birth occurred x 1000

Fertility rate

- number of live births in a population during a specified time period/population of women aged 15-44 years

Determinants of fertility rate

- marriage disruption


- sterility


- postpartum


- fecundability


- induced abortion


- contraception

Cause-specific mortality rate

- mortality/population at midpoint of time period x 100,000



Infant mortality rate

- number of infant deaths among infants aged 0-365 days during the year/number of live births during the year x 1,000 live births

Case fatality rate

number of deaths due to disease x/number of cases of disease x times 100 during a time period