1 - Intro to epidemiology Flashcards

1
Q

What is the origin of the word epidemiology?

A
Epi = on or upon 
Demos = people
Logos = study of
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2
Q

What is epidemiology?

A

= study of a population
= “the study of distribution & determinants of health-related states or events in specified populations & the application

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3
Q

How did Hippocrates view disease?

A

Looked at dx as an imbalance in fluids (or humors) → melancholy, phlegm, bile, blood

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3
Q

How did Hippocrates view disease?

A

Looked at dx as an imbalance in fluids (or humors) → melancholy, phlegm, bile, blood

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4
Q

Who is John Grant?

A

Published landmark analysis of mortality data → 1st to quantify patterns of birth, death & dx occurrence

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5
Q

Who is the father of modern vital statistics & surveillance?

A

William Farr (1800)

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6
Q

Who is the father of epidemiology & why?

A
John Snow (1854)
Conducted studies of cholera outbreaks
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7
Q

What is meant by a sporadic dx?

A

dx that occurs infrequently & irregularly

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8
Q

What is meant by an endemic dx?

A
  • Constant &/or usual presence of dx (or infectious agent) in a population within a geographic area
  • Amount of dx that is usually present in a community
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9
Q

What is the difference b/w an outbreak & epidemic?

A
Epidemic = increase, often sudden 
Outbreak = same definition as epidemic but often used for more limited g
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10
Q

Descriptive epidemiology

A

Describes the cases of a dx (When do they appear? What ages? Group-defining characteristic?)

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11
Q

Analytic epidemiology

A

Looks for a certain etiology

Systematic comparison of gp of dx cases to healthy ppl

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12
Q

Descriptive epidemiology uses a system similar to the 5Ws in a newspaper report, what are the synonyms?

A
  1. Case definition
  2. Person
  3. Place
  4. Time
  5. Causes/ risk factors/ modes of transmission
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13
Q

What are the 2 key features of a cross-sectional study?

A
  • Take a snapshot of a population at a single pt in time

- Measure dx prevalence in relation to the exposure prevalence

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14
Q

What are the 2 key features of an ecological study?

A
  • Population is the unit of analysis

- An exposure status that is the property of the population

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15
Q

-ves & +ves of ecological studies

A
  • ves:
  • Lack of individual level info
  • Link seen b/w variables on an aggregate level doesn’t necessarily mirror link at individual level (ecological fallacy or bias)
  • Can’t detect complicated relationships

+ves:

  • Quick & inexpensive → bc often rely on pre-existing data
  • Analysis & presentation are simple + easy to understand
16
Q

-ves & +ves of cross-sectional studies

A

Advantages

  • Generalizability
  • Low cost

Limitations

  • Can’t infer temporal sequence b/w exposure & dx
  • Identify a high proportion of prevalent cases of long duration
17
Q

Uses of cross-sectional studies

A

Public health planning

Etiologic research