Ecological Studies Flashcards
Type of study, usefulness, what examines
Descriptive study: useful for making hypotheses
Examines the relationship between exposures (global exposure to a risk factor) and disease with population level
Types of variables
• Aggregated variables
• Environmental exposures
• Global traits
Advantages
• Simple and easy to understand
• Economical
• Based on pre-existing data
• There is a lower exposure variability in individual studies
• Importance of studying possible true ecological relationships
• Can suggest avenues of research that may be promising in casting light on ecological relationships
Better when (more useful for)
When exposures are controlled or clearly ecological
(Tobacco bans and alcohol bans - does it reduce prevalence of consumption of substances?)
Disadvantages
Only hypothesis, no analysis
By themselves, they don’t demonstrate conclusively that a causal association exists
Even a temporal sequence may be questionable
Ecological fallacy and bias
Ecological fallacy
An association observed between variables on the aggregate level doesn’t necessarily represent the association that exists at the individual level
Time-series studies
Frequency of a given disease/condition is compared along time in a specific geographical
Time-series studies; characteristics, usefulness
Allows us to see population changes
Geographical area stays constant
Based on aggregated data
To generate hypotheses and to make predictions
Time-series studies limitations
• Changes in disease condification
• Changes in diagnostic criteria